Ajay Kumar Jha, Ashok SunderJournal of Family Medicine and Primary Care 2019 8(10):3408-3411 Pulmonary Arteriovenous Fistula (PAVF) is an abnormal communication between the pulmonary veins and pulmonary arteries. Most individuals may have the condition since birth (congenital occurrence), but it can also be an acquired condition. Most individuals with Pulmonary Arteriovenous Fistula also have a hereditary haemorrhagic telangiectasia. The common signs and symptoms of Pulmonary Arteriovenous Fistula...
Jesheera M Kutty, Bijayraj RajanBabu, Sohanlal ThiruvothJournal of Family Medicine and Primary Care 2019 8(10):3253-3257 Outbreaks of diphtheria continue to occur in Kerala with an age shift to older population. Antibody seroprevalence studies are essential to understand the immune status of the community and to develop an effective immunization strategy. Aim: To assess the necessity of diphtheria vaccination among adults. Settings and Design: Cross-sectional study, among 152 healthy adults (>18...
Vibha Mehta, Ankith Bhasi, Prasan Kumar Panda, Pratima GuptaJournal of Family Medicine and Primary Care 2019 8(10):3416-3418 Scrub typhus and leptospirosis are zoonosis and systemic febrile illnesses with diverse, nonspecific clinical manifestations, and shared risk factors for coinfection. Diagnosis of the coinfection is dependent on laboratory serological tests, which are under used. A coinfection from Uttarakhand Himalayan region is not yet reported. A 25-year-old man from altitude of 2126...
B Gadapani, S Rahini, Rukman M ManapurathJournal of Family Medicine and Primary Care 2019 8(10):3258-3262 Context: Man lives in close harmony with animals and so the chances of injuries and diseases contracted from them. Effective preventive measure such as vaccination is to be ensured following harmful bites resulting in Rabies. Aim: The aim is to assess the proportion of rabid animal bite cases and non-compliance of post exposure prophylaxis vaccination following bites, reporting to a rural...
Akanksha Singh, Subodh Kumar Mahto, Jyotsana Prasad, Suman Sharma, Ashwani Kumar MalhotraJournal of Family Medicine and Primary Care 2019 8(10):3422-3424 Polycythemia vera (PV) is a myeloproliferative disorder most commonly associated with JAK2V617F mutation. Cerebral venous sinus thrombosis (CVST) has a wide range of etiologies and PV is one of them. CVST associated with PV has a poor prognosis. Some patients with classical PV lack JAK2V617F mutation and the molecular basis of JAK2V617F-negative...
Lari Mahboube, Elnaz Talebi, Pejman Porouhan, Rohangiz J Orak, Mansoure A FarahaniJournal of Family Medicine and Primary Care 2019 8(10):3263-3267 Background and Objectives: Effective relationship and collaboration between doctors and nurses is considered the main factor in achieving positive medical results, which is the most important goal of the healthcare system. This study aims to compare attitude of doctors and nurses toward factors associated with doctor-nurse collaboration, including...
Suman K Panda, Hari Mohan P. Sinha, Binita Panigrahi, Satish K PrasadJournal of Family Medicine and Primary Care 2019 8(10):3428-3430 Snake bite is a major life-threatening emergency seen more commonly in rural tropical countries. In general, about 70% of the bites are nonpoisonous, 15% are dry bites, and only 15% cause envenomation. Venom is the saliva of snake ejected during biting, from the poison apparatus (the modified parotid glands). It can be neurotoxic, vasculotoxic, or myotoxic in its...
Tarundeep Singh, Manmeet Kaur, Madhur Verma, Rajesh KumarJournal of Family Medicine and Primary Care 2019 8(10):3268-3275 Introduction: Job satisfaction is a multidimensional response to work and workplace environment. It depends on many factors, and affects the behavior of employees that, in turn, affects organizational functioning. The aim of the study was to measure job satisfaction among different categories of healthcare providers from the Punjab government health services and to determine...
Surender Deora, Jai Bharat Sharma, Rahul Choudhary, Atul KaushikJournal of Family Medicine and Primary Care 2019 8(10):3434-3436 Exercise-induced left bundle branch block is a rare electrocardiographic phenomenon. We present two patients with angina pectoris who developed left bundle branch block on ECG during treadmill test. The first patient had non-obstructive coronary arteries with slow flow and is a rarely reported entity. The second patient had typical chest pain with single vessel Coronary...
Zia Hashim, Alok Nath, Mansi Gupta, Ajmal Khan, Ravi Mishra, Shivani Srivastava, Surya Kant TripathiJournal of Family Medicine and Primary Care 2019 8(10):3276-3281 Context: Obstructive sleep apnea (OSA) considered classically to be a male-dominant disease, may have significant gender-based differences in clinical presentation and diagnosis. Aims: To evaluate gender-based differences in the clinical profile and polysomnographic features of Indian patients with OSA. Settings and Design: A prospective...
Jaspreet K Boparai, Deepti Chopra, Sandeep K Pandey, Bharti BhandariJournal of Family Medicine and Primary Care 2019 8(10):3440-3442 Local anaesthetics (LAs) are considered the most effective drugs for prevention and management of pain associated with dental procedures. Lignocaine is the most preferred LA worldwide. Adverse drug reactions reported with lignocaine use are usually mild, however severe complications have been encountered. This article reports a case of lignocaine-induced seizure...
Amnah Ali Abdulqader Elagi, Basem Amer Jaber, Almonther Hussain Ahmed Wassly, Ruba Mohammed Sallam Ahmed, Fatimah Ali Ahmed BosilyJournal of Family Medicine and Primary Care 2019 8(10):3282-3286 Background: Few studies have addressed the awareness of the family physicians' (FPs) role and its impact on the quality of primary healthcare. This study aims to explore public's perception and satisfaction on the role and services provided by FPs in the Kingdom of Saudi Arabia (KSA). Materials and Methods:...
Santosh G Rathod, Mahesh U Garje, Vinayagapandian Sakthivel, Priyanka P DhaimbekarJournal of Family Medicine and Primary Care 2019 8(10):3447-3449 Wilms' tumor is most common pediatric renal tumor. Teratoid Wilms' tumor is a variant of Wilms' tumor, in which heterologous tissue predominates. Most commonly, epithelial and mesenchymal tissue present as heterologous component. Biological behavior of this tumor is very different from usual Wilms' tumor. They do not respond to chemotherapy and radiotherapy....
Suniram Priscilla, S Malarvizhi, Ashok K Das, Vasanthi NatarajanJournal of Family Medicine and Primary Care 2019 8(10):3287-3291 Aim of the Study: To assess the level of knowledge and attitude on insulin therapy in patients with diabetes mellitus in a teaching hospital. Objectives: 1. To assess the level of knowledge and attitude on insulin therapy among patients with diabetes mellitus. 2. To find out the association between the knowledge and attitude on insulin therapy with the selected study...
Ritika Agarwal, Meeta SharmaJournal of Family Medicine and Primary Care 2019 8(10):3452-3453
J Jayalakshmi, MS PriyadharshiniJournal of Family Medicine and Primary Care 2019 8(10):3292-3296 Objectives: Antimicrobial resistance (AMR) leads to increased morbidity, mortality, and healthcare expenditure. The rate of development of AMR is accelerated by the use and misuse of antimicrobials. Preauthorization and restricted use of high-end antibiotics are the key modalities of antimicrobial stewardship. Hence, choosing the right antibiotics is the key to better clinical outcomes and preventing...
Jayanta BhattacharyaJournal of Family Medicine and Primary Care 2019 8(10):3456-3456
Nneka Gabriel-Job, Joyce OkaguaPort Harcourt Medical Journal 2019 13(2):47-52 Background: Adequate sex education is an essential tool for all adolescents. The purpose of this study was to determine the proportion of adolescents who have had access to sexuality education, their source and their perspective to sexuality education in Obio/Akpor local government area (LGA) of Rivers State. Methods: This is a cross sectional descriptive school based study. A multistage sampling method was used to...
Muhammad Baffah Aminu, Lamaran Makama Dattijo, Abubakar Muhammad Shehu, Saidu Abubakar Kadas, Calvin Melaya ChamaPort Harcourt Medical Journal 2019 13(2):67-71 Background: The emergence of long-term reversible contraceptives (LARC) has helped in reaffirming the concept of Family Planning (FP) 2020. LARC is one of the safest and most effective methods covering both hormonal implants and intrauterine devices (IUDs). However, despite their acceptability and wide usage, they are associated with undesired...
Williams Obukohwo OdunvbunPort Harcourt Medical Journal 2019 13(2):53-57 Background: Ectopic pregnancy and the associated risk factors remain a public health concern, with attendant maternal morbidity and mortality. Due to the reported increase in prevalence in several studies across Nigeria in the last few decades, periodic review of management is of relevance for institutional comparison. Aim: The aim of the study was to determine the prevalence, risk factors and management of ectopic pregnancy...
Vijayalakshmi Anbu, Narasimman SwaminathanPort Harcourt Medical Journal 2019 13(2):63-66 Background: The awareness of yoga has improved its utilisation for health benefits across the globe. This work analysed the contents of the available mobile apps on Android and iPhone operating system (iOS) platforms. Understanding the existing apps will form a base to develop a better app to encourage and mentor the pregnant women while performing yoga for health benefits. Aim: The aim of this study is to...
Edith O Kayode-Iyasere, Austine O Obasohan, Francis E OdiasePort Harcourt Medical Journal 2019 13(2):58-62 Background: Medical coma is an emergency requiring prompt decision and immediate intervention. Knowledge of the commoner causes of coma would improve the treatment outcome. Aim: The aim of our study was to describe the frequency and pattern of medical coma in a secondary health center in Benin City, Nigeria. Methods: It was a retrospective review of the medical records of all comatose...
David Okon Udoh, Roselyn Otekpen Ademola, Abiodun Luqman Azeez, Priscilla Isibakhomen UaborPort Harcourt Medical Journal 2019 13(2):72-86 Background: The diversity of medical and surgical specialities unequivocally places a great demand for continuing subspecialisation within nursing services for safe and efficient patient care, especially in tertiary institutions. Although orthopaedic, psychiatric, obstetrics, intensive care and ophthalmic nursing are established, neurosurgical nursing is almost...
Kanchan Ajbani, Swapna Naik, Mubin Kazi, Anjali Shetty, Camilla RodriguesLung India 2019 36(6):555-557 The development and rollout of the Xpert® Mycobacterium tuberculosis/rifampicin assay for the GeneXpert platform is considered an important breakthrough in the fight against tuberculosis. Xpert though robust is known to have issues that occur with very low load of tuberculosis detection, wherein it is recommended to confirm resistance if resistance is not suspected using another genotypic test.
Sheetu Singh, Bridget F Collins, Bharat B Sharma, Jyotsana M Joshi, Deepak Talwar, Sandeep Katiyar, Nishtha Singh, Lawrence Ho, Jai K Samaria, Parthasarthi Bhattacharya, Sudhir Chaudhari, Tejraj Singh, Khushboo Pilania, Sudhakar Pipavath, Jitesh Ahuja, Ravindran Chetambath, Aloke G Ghoshal, Nirmal K Jain, HJ Gayathri Devi, Surya Kant, Parvaiz Koul, Raja Dhar, Rajesh Swarnakar, Subodh K Katiyar, Arpita Jindal, Daya K Mangal, Virendra Singh, Ganesh RaghuLung India 2019 36(6):476-482 Context: Multiple...
Sanjeev Kumar Gupta, Sathiyamoorthy RamadassLung India 2019 36(6):473-475
Manju Rajaram, Sandhiya Selvarajan, Revathy Neelamegan, Sadishkumar Kamalanathan, Vikneswaran Gunaseelan, Alphienes Stanley Xavier, Saibal Das, Vignesh Karthikeyan, Vinodkumar Saka, Adithan ChandrasekaranLung India 2019 36(6):483-491 Objectives: The study was designed to evaluate the single-nucleotide polymorphisms (SNPs) of genes involved in Vitamin D actions (rs2228570) and metabolic pathways (rs2248137 and rs10766197) and their associations with serum 25-hydroxy Vitamin D (25(OH)D) level and...
Ka U Lio, Maruti Kumaran, Parth RaliLung India 2019 36(6):564-566
Navin Kumar Mishra, Jai Kishan Mishra, GN Srivastava, D Shah, M Rehman, NA Latheef, A Maurya, Bhupendar K RajakLung India 2019 36(6):492-498 Aims and Objectives: This study aimed to compare the vitamin D levels between chronic obstructive pulmonary disease (COPD) patients and healthy controls and to describe the correlation between vitamin D levels and lung functions. Methods: Fifty COPD patients (cases) and 30 healthy volunteers (controls) were recruited and their serum vitamin D level was measured...
Jyoti Bajpai, Ayush Jain, Avishek Kar, Surya Kant, Darshan Kumar BajajLung India 2019 36(6):550-552 Massive pleural effusions are commonly caused by malignancy, parapneumonic effusion, and tuberculosis. Parasitic infections are rare causes of massive pleural effusion. Echinococcosis or hydatid disease is a major public health problem in poor hygienic environments. The liver and lungs are the most frequently involved organs. Pulmonary disease appears to be more common in younger individuals. Echinococcus...
Mahismita Patro, Dipti Gothi, Umesh Chandra Ojha, Sameer Vaidya, Ram Babu SahLung India 2019 36(6):499-505 Introduction: No study has been done in India to evaluate obesity hypoventilation syndrome (OHS) among patients with sleep-disordered breathing (SDB). The known predictors of OHS, i.e., body mass index (BMI) >35 kg/m2 and forced vital capacity (FVC) <3.5 L for men and <2.3 L for women from western countries, cannot be applied to Indian patients. Objectives: To find out the prevalence...
Kavitha Venkatnarayan, Rishabh Raj, Uma Maheswari Krishnaswamy, Priya Ramachandran, Uma Devaraj, Anuradha AnanthamurthyLung India 2019 36(6):560-562
Gopi C Khilnani, Dilip Dubey, Vijay Hadda, Satya Ranjan Sahu, Seema Sood, Karan Madan, Pawan Tiwari, Saurabh Mittal, Anant Mohan, Ravindra M Pandey, Randeep GuleriaLung India 2019 36(6):506-511 Background: Understanding the risk factors and microbiology of ventilator-associated pneumonia (VAP) among patients with chronic obstructive pulmonary disease (COPD) is important for the application of preventive and therapeutic interventions. Therefore, this study was planned to assess the clinical predictors...
Shouvik Choudhury, Suparna Chatterjee, Sampath B K PulakhandamLung India 2019 36(6):568-569
Rajasree Sinha, Sandeep Lahiry, Sibarjun GhoshLung India 2019 36(6):512-518 Background: Suboptimal compliance to aerosol medication is common in pediatric asthma. Accordingly, the objective of this study is to assess noncompliance to aerosol therapy in childhood asthma and determine contributory factors. Materials and Methods: A prospective cohort study was conducted among pediatric patients attending asthma clinic. Patients (n = 215) having “mild” and “moderate” asthma severity rating were included....
Apar Jindal, Vijil Rahulan, Govini Balasubramani, Prabhat Dutta, Sandeep AttawarLung India 2019 36(6):546-549 Pulmonary alveolar microlithiasis (PAM) is a rare autosomal recessive condition characterized by widespread alveolar deposition of calcium microliths. A mutation in the SLC34A2 gene in the alveolar Type II pneumocytes is responsible for decreased phosphate clearance and accumulation of calcium as spherules in the alveoli. The presence of this gene in other organs is responsible for the...
Neeta Mathur, Chakrapani Chatla, Saba Syed, Yogesh Patel, Snigdha Pattnaik, Dilip Mathai, Adepu RajeshamLung India 2019 36(6):519-524 Background: Tuberculosis (TB) is one of the leading causes of mortality in India. The Revised National Tuberculosis Control Program (RNTCP) is a robust public health system to deal with TB in India. Unless the treated patient comes back to the system with signs and symptoms of TB due to relapse or re-infection, there is no mechanism of follow-up or any method to...
Manjit Sharad TendolkarLung India 2019 36(6):553-554
Sandeep Nayar, Ashfaq Hasan, Pradyut Waghray, Srinivasan Ramananthan, Jaishid Ahdal, Rishi JainLung India 2019 36(6):525-533 Community-acquired bacterial pneumonia (CABP) is one of the leading causes of morbidity and mortality in India and worldwide. Evidence indicates that Gram-positive, Gram-negative, and atypical bacteria are encountered with near-equal frequency. Despite guideline recommendations and antibiotic options for the management of CABP, burden of morbidity and mortality is high, which...
Saurabh Mittal, Karan Madan, Anant Mohan, Vijay HaddaLung India 2019 36(6):558-559
Shekhar Kunal, Rajeev Bagarhatta, Sheetu Singh, Sohan Kumar SharmaLung India 2019 36(6):534-539 Diffuse alveolar hemorrhage (DAH) refers to the intra-alveolar accumulation of blood originating from the pulmonary microvasculature. This life-threatening condition is a medical emergency as patients often develop acute respiratory failure requiring invasive mechanical ventilation. This mandates for an early diagnosis with prompt and aggressive management strategies. A host of clinical disorders are...
Kavitha Venkatnarayan, Senthil Dhanasekaran, Uma Maheswari Krishnaswamy, Priya Ramachandran, Uma Devaraj, Abhinandan RugeLung India 2019 36(6):562-564
Kei Nakamura, Satoko Omura, Koichiro Kajiura, Masanobu IshigakiLung India 2019 36(6):540-542 Autoimmune pulmonary alveolar proteinosis (PAP) is a rare lung disease. Although recombinant human granulocyte macrophage colony-stimulating factor (GM-CSF) therapy has emerged as a new therapeutic modality, whole-lung lavage (WLL) with manual chest percussion has been a standard therapy in advanced cases. The application of biphasic cuirass ventilation (BCV) instead of chest percussion has rarely been...
Wasimul Hoda, Brajesh Kumar Ratre, Sachidanand Jee BhartiLung India 2019 36(6):567-568
Najam Siddiqui, Kevin Charles, Ashley E Ferraro, Robert C Holladay, Jeremy C Johnson, Satish KalanjeriLung India 2019 36(6):543-545 Primary pulmonary T-cell lymphoma is an unusual subtype of peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS). This is a general term used to describe a diverse group of T-cell-type lymphomas that would otherwise not be classified as a PTCL. Among non-Hodgkin's lymphomas, PTCL accounts for 12% of cases. PTCL-NOS accounts for approximately 25% of all PTCL...
Habib Md Reazaul Karim, Antonio M EsquinasLung India 2019 36(6):570-570
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