Show all abstracts Show selected abstracts Add to my list |
|
MESSAGE FROM DR. PRATHAP C. REDDY |
|
|
 |
Message from Dr. Prathap C. Reddy |
p. 135 |
Prathap C Reddy DOI:10.4103/0976-0016.266792 |
[HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
EDITORIAL |
 |
|
|
|
Editorial |
p. 136 |
RN Srivastava DOI:10.4103/am.am_55_19 |
[HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
ORIGINAL ARTICLE |
 |
|
|
 |
Use of social media as a tool for antibiotics awareness |
p. 137 |
K Raksha DOI:10.4103/am.am_51_19
Objective: Antimicrobial resistance (AMR) is a global health threat; public perception about AMR is a huge lacuna which many researchers, doctors, and policymakers fail to pay attention to. Infection control is often limited to diagnosis and treatment in hospitals, presentations, and panel discussions. On the other side of the fence, usage of social media to spread information about health care is a common practice among the public today. Twitter is one such online platform.Materials and Methods: This was a cross-sectional tweet-based poll titled “antibiotic awareness survey” for 7 days with five simple yet pertinent questions asked to the participants in the Twitter poll and also to retweet (RT) the questions to their followers. The questions were designed keeping in mind the limitation of tweets on the timeline and the necessity of addressal to the issue among the random group. Results: Seventy-two percent responded saying they procure antibiotics based on doctor's prescription. The most common reason to stop antibiotics for 35% of the participants was symptomatic relief and the perception that it is okay to stop, but 56% said they always complete the course. 52% of the participants said that the treating doctor does not explain to them about the antibiotics while prescribing, but 81% said that the doctor advises them on completing the course. 75% of the participants said that antibiotics are in danger and require regulation, 22% said maybe to an extent. Conclusion: Social media plays a critical role in dissemination of AMR-related information; the unrestricted and unregulated access to knowledge shapes the views and opinions of society. The perception and practices were thus reflected through this weeklong discourse about antibiotics on Twitter, and we doctors of today have a responsible role to play.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
REVIEW ARTICLES |
 |
|
|
|
The puzzle of spontaneous versus traumatic subarachnoid hemorrhage |
p. 141 |
Ezequiel García-Ballestas, Yeider Durango-Espinosa, Romario Mendoza-Flórez, Luis Rafael Moscote-Salazar, Ravish Keni, Harsh Deora, Amit Agrawal DOI:10.4103/am.am_22_19
Subarachnoid hemorrhage (SAH) is a neurological emergency occurring frequently and has significant morbidity and mortality. Etiological classification divides it into traumatic and nontraumatic or spontaneous. Even though it has been referred that these are almost the same pathology, there is a slight difference between them regarding several aspects, such as epidemiological, pathophysiological, clinical, and diagnostic approach and treatment. These differences deserve detailed understanding to help physicians treat this disease more efficiently. We reviewed all available literature regarding these two types of SAH and tried to elicit differences between them with respect to etiology and treatment. The differences were made keeping in mind the utility of the same to a general physician so that rapid and informed decisions can be made at that level. Pathophysiological differentiation of these two diseases is of paramount importance, and etiological diagnosis determines prognosis. Knowledge of the same is essential and lifesaving.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
Neurological uses of cannabis |
p. 148 |
Pushpendra Nath Renjen, Dinesh Mohan Chaudhari, Anjali Mishra, Abhas Kumar DOI:10.4103/am.am_45_19
Cannabis preparations have been used as medications since the 19th century in Europe and much longer as a traditional medicine in other cultures. The American Academy of Neurology recently published a position statement and concluded that medical marijuana is “probably effective” for some symptoms of multiple sclerosis (spasticity, central pain, painful spasms, and urinary dysfunction), “probably ineffective” for levodopa-induced dyskinesias of Parkinson's disease, and of “unknown efficacy” in nonchorea symptoms of Huntington's disease. This article is focused on review of the medicinal use of cannabis in neurological disorders.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
Prevent falls in older adults |
p. 152 |
OP Sharma, Raju Vaishya DOI:10.4103/am.am_42_19
Falls are common in the elderly and may lead to serious injuries. Recurrent falls are also frequent and are responsible for significant morbidity and mortality in older adults. The most serious injuries due to these falls are head injury and the fractures. The effect of a fall on an older person can be a devastating event, resulting in chronic pain, loss of independence, and reduced quality of life. Hence, the prevention of fall is better than the treatment of the injuries resulting from it.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
Edaravone: A new hope for patients with amyotrophic lateral sclerosis |
p. 157 |
Shivangi Garg, Dinesh Chaudhari, Pushpendra Nath Renjen, Anjali Mishra, Abhas Kumar, Rajendra Pradhan DOI:10.4103/am.am_48_19
Although the exact pathophysiology of amyotrophic lateral sclerosis (ALS) remains unclear, oxidative stress is known to play a pivotal role. There is no cure for ALS, but there are two drugs available to slow the progression of the disease. Till recently, riluzole, a glutamatergic neurotransmission inhibitor, was the only drug approved for ALS. However, in May 2017, edaravone, which is a potent-free radical scavenger, was also approved by the Food and Drug Administration for the treatment of ALS. In this article, the mechanism of action of edaravone and clinical trials establishing its efficacy are reviewed.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Citations (1) ] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
CASE REPORTS |
 |
|
|
 |
Supratentorial ependymoma: A rare presentation in an adolescent |
p. 161 |
Dilip Rajasekharan, Kanjithanda Subbaiah Bopaiah, Aumir Moin, Jayanth Bannur Nagaraja DOI:10.4103/am.am_19_19
Ependymomas are rare primary glial tumors that arise from ependymal cells found in the central nervous system. While usually intracranial, they rarely arise from the supratentorial parenchyma. They have a variable clinical course and are aggressive in nature. Among the important prognostic factors include tumor location, histology, and extent of resection. Total surgical excision is the rule. Diagnosis is confirmed by histopathology. Suspicion of an ependymoma must, however, be borne in mind while dealing with a supratentorial space-occupying lesion.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
Gall stone ileus with cholecystoduodenal fistula |
p. 164 |
Elangkumaran Vellode Manoharan, P Kanakarajan, G Ramkumar, E Selvakumar DOI:10.4103/am.am_35_19
Gallstone ileus and cholecystoduodenal fistula are rare and life-threatening conditions which are due to cholelithiasis and recurrent attacks of cholecystitis. It predominantly affects female population. The signs and symptoms are non-specific, sometimes only established during surgery. Prompt surgical management would avoid the complications and reduce the hospital stay.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
Pediatric ileocolic intussusception |
p. 167 |
Reddy Ravikanth DOI:10.4103/am.am_46_19
Intussusception occurs when a more proximal portion of the bowel invaginates into more distal bowel. These patients often present with a wide range of nonspecific symptoms, with <1 quarter presenting with the classic triad of vomiting, abdominal pain, and bloody stools. Thus, the diagnosis continues to rely on clinical suspicion. Intussusception is the most common cause of small bowel obstruction in young infants. Therefore, a high index of suspicion and thorough knowledge of this condition is of major importance to be able to diagnose and treat this potentially life-threatening condition. Surgical intervention in intussusception can be prevented by nonoperative reduction, especially if presented early with no signs of peritonitis. Timely nonoperative reduction can prevent surgical intervention and complications. Here, we present a case of an 18-month-old infant who presented with ileocolic intussusception.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
Antiepileptic drug-induced acute psychotic disorder in a nonepileptic patient: A definite prophecy |
p. 171 |
Mohit Dahiya, Amee Pandya, Deepak Malhotra, Pankaj Patel DOI:10.4103/am.am_47_19
Psychosis induced by antiepileptic drugs (AEDs) is considerably an iatrogenic adverse drug reaction. Various mechanisms operant in the development of iatrogenic psychiatric manifestations are proposed which necessitates analyzing complaints of psychiatric symptoms related to medication. Herein, we present a rare case of short-term use of phenytoin causing toxicity which manifested as acute psychosis with no Vitamin B12 or folic acid deficiency, who had complete recovery following phenytoin withdrawal.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
An unusual case of xanthogranulomatous orchitis: A tumor mimic |
p. 174 |
Kavita Somani, Pretty Singh, Siddhant Verma, Tanmai Tandon DOI:10.4103/am.am_37_19
Xanthogranulomatous inflammatory reaction is an uncommon nonneoplastic disease process, which is an even rarer entity in testicles. We present a similar case report of a 20-year-old male with a testicular swelling and a provisional clinical diagnosis of a testicular neoplasm. We hence present this case in view of its rarity and its nature to deceptively mimic a neoplasm.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
A case of paroxysmal nocturnal hemoglobinuria with renal hemosiderosis |
p. 177 |
Parimal B Patel, Jayant Hota DOI:10.4103/am.am_36_19
Paroxysmal nocturnal hemoglobinuria (PNH) is a clonal disorder of bone marrow. It is characterized by blood cells lacking membrane proteins that are normally attached by the glycosylphosphatidylinositol anchor. It usually presents with intravascular hemolysis, cytopenias, frequent infections, bone marrow hypoplasia, and a high incidence of life-threatening venous thrombosis. Kidney involvement is usually benign and secondary to chronic tubular deposition of hemosiderin. Acute kidney injury may occur in association with a hemolytic crisis. Here, we report a case of a 50-year-old male with hematuria, pancytopenia, and acute renal failure due to PNH. Renal biopsy demonstrated acute tubular necrosis with considerable hemosiderin deposition (hemosiderosis), but no evidence of vascular thrombosis.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
An unusual case of apparent life-threatening event |
p. 180 |
Prita Trehan DOI:10.4103/am.am_44_19
Apparent life-threatening event (ALTE) occurs in 0.5–10/1000 live births. ALTEs are defined as episodes characterized by a combination of apnea, color change, altered muscle tone, choking, and gasping. All are very frightening to the observer. The most common ALTE etiologies are gastroesophageal reflux disease, epilepsy, and respiratory tract infections, which make up 50% of all ALTE cases.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
A case of coinfection with (H1N1) 2009 influenza and scrub typhus with CNS involvement |
p. 182 |
Suneeta Sahu, Rani Sahu, Manoj Chhotray, Sharmili Sinha, Banambar Ray DOI:10.4103/am.am_40_19
Prompt antibiotic therapy shortens the course of the disease, lowers the risk of complications, and in turn reduces morbidity and mortality due to rickettsial diseases. Febrile patients with thrombocytopenia and MODS should be investigated for more than one tropical infection. Therefore, there is a distinct need for physicians and health-care workers at all levels of care in India to be aware of the clinical features, available diagnostic tests and their interpretation, and the therapy of these infections.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
Malignant perforation of sigmoid colon in long-standing ulcerative colitis |
p. 187 |
GK Adithya, Varun Madaan, Rigved Gupta, Satya Prakash Jindal, Deepak Govil DOI:10.4103/am.am_33_19
Chronic ulcerative colitis (UC) is a risk factor for malignancy in longterm disease process. Obstruction, perforation, and hemorrhage are the possible emergency situations in colorectal malignancy. A 68-year-old male with chronic UC for 18 years with steroiddependent disease (on 10 mg prednisolone daily) presented with acute pain abdomen with distention not passing stool or flatus for 2 days. Diagnosed to have perforated sigmoid malignancy, underwent Hartmann's procedure. Following the adjuvant therapy, the patient denied any definitive surgery and opted to stay on Colorectal Cancer Surveillance Programme. At present, patient's positron emission tomography/computed tomography shows pelvic, liver surface, and small bowel deposits, suggestive of recurrence or metastasis. This case report is discussed to emphasis the importance of aggressive surgical treatment in longterm steroiddependent disease and poor prognosis of perforated malignancy irrespective of pathological staging.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
Acute presentation of metastatic testicular seminoma as chronic subdural hematoma with extra-axial brain lesion with severe mass effect: A case report and brief review of literature |
p. 191 |
Ajaydeep Singh, Arvinpreet Kour, GS Bindra, Ajay K Gehlot DOI:10.4103/am.am_81_18
We present an unusual case of a 33-year-old male, who has been diagnosed with seminoma testes with retroperitoneal lymph nodes involvement 1 year back, the patient had undergone four cycles of the chemotherapy and had undergone left orchidectomy for the same. Past 1 year was uneventful and the patient was living a normal healthy life, with no evidence of any diseases and no symptoms. For the last 1 month, the patient complained of headache with no other symptoms, and on 1 day, the patient had sudden loss of consciousness. Noncontrast computed tomography (CT) head was done, which revealed a large chronic subdural collection with an extra-axial mass attached with the dura on the right parasagittal region. The patient at the time of presentation had a Glasgow Coma Scale of 5/15 with irregular respiration, and the right pupil was fixed nonreacting to the light. Urgent surgery was done, and the patient recovered fully with no deficit and was discharged. The patient will be considered for chemotherapy.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
 |
An unusual vertical swelling over the back  |
p. 196 |
Vinod Kumar Viswanathan DOI:10.4103/am.am_56_18
Skeletal tuberculosis (TB) accounts for 1%–2% of all types of TB. The most common form of skeletal TB is Pott's disease, a disease of the spine; this entity comprises approximately half of skeletal TB cases. Tuberculous cold abscess can present as swelling on the back usually originating from the thoracic spine. Herewith is presented a rare case presentation of a patient who presented with a vertical swelling over the paraspinal region who on evaluation was found to have a cold abscess of tuberculous etiology arising from the ribs and tracking down the paraspinal region. This case is presented here for its rarity being a primary chest wall TB with no pulmonary involvement.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
A rare case of mitral valve replacement in antiphospholipid antibody syndrome |
p. 199 |
Akshat Pandey, Mohammed Ali, Siddhant Jain DOI:10.4103/am.am_6_19
Antiphospholipid antibody syndrome (APLS) is commonly associated with cardiac valvular abnormalities with the involvement of the mitral valve. The mitral valve replacement (MVR) is a high-risk procedure owing to postoperative complications. The major challenge in the management of these patients is to maintain anticoagulation in pre-, intra-, and postoperative conditions. The optimal choice of prosthesis valve (bioprosthetic or mechanical valve) for MVR depends on the individual patient's clinical condition. Previous reports indicate no clear guidance on the ideal prosthesis for MVR in patients with APLS. In the present case report, we performed MVR using bioprosthetic valve in a 42-year-old female diagnosed with APLS with persistent dyspnea secondary to severe mitral regurgitation.
|
[ABSTRACT] [HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
LETTER TO EDITOR |
 |
|
|
|
Moving forward toward the attainment of universalhealth coverage |
p. 202 |
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava DOI:10.4103/am.am_49_19 |
[HTML Full text] [PDF] [Mobile Full text] [EPub] [Sword Plugin for Repository]Beta |
|
|
|
|
|
|
BOOK REVIEW |
 |
|
|
 |
A handbook of geriatric care |
p. 203 |
Raju Vaishya DOI:10.4103/am.am_41_19 |
[HTML Full text] [PDF] [Mobile Full text] [EPub] [Citations (1) ] [Sword Plugin for Repository]Beta |
|
|
|
|
|