April 2018
From the Desk of Group Editor in Chief
KK Aggarwal
In a landmark judgment delivered on March 9, the Supreme Court of India has allowed an individual to draft a living will specifying that they not be put on life support if they slip into an incurable coma. The order was passed by a five judge Consti.... READ MORE

American Family Physician
Bradford T. Winslow, Mary Onysko, Melanie Hebert
The U.S. Preventive Services Task Force recommends that clinicians screen adults for alcohol misuse and provide persons engaged in risky or hazardous drinking behaviors with brief behavioral counseling to reduce alcohol misuse. However, only a mino.... READ MORE

American Family Physician
Practice Guidelines
Pulmonary hypertension in children is distinct from adult hypertension. It is linked to issues of lung growth and development, and is often related to impaired unctional and structural adaptation of pulmonary circulation during transition from fetal .... READ MORE

American Family Physician
A 31-year-old man presented with a lesion on his tongue that he first noticed six months earlier as small red dots. His dentist thought it was caused by irritation from his dental bridge. It was painless, but he had some bleeding after brushing his t.... READ MORE

ENT
Opacity of maxillary antrum is encountered frequently in radiological reports, and often gets treated as inflammation of the maxillary sinus. However, there is a wide variety of differential diagnosis along with anatomical and technical factors, wh.... READ MORE

ENT
Ponnathpur Lakshmi, Shruti Manjunath
Thyroglossal duct cysts occur due to incomplete involution of thyroglossal duct and are the most common midline congenital neck swelling. A 20-year-old college girl presenting with a swelling in the right submandibular region, which moved with tong.... READ MORE

INTERNAL MEDICINE
Anita Sharma, Kanupriya Vashishth, Yash Paul Sharma, Gaurav Gupta, Devendra Kumar Singh
Cardiovascular diseases (CVDs) are the major causes of mortality and morbidity worldwide as well as in the Indian subcontinent, causing more than 25% of deaths. It has been predicted that these diseases will increase rapidly in India, making it a ho.... READ MORE

OBSTETRICS AND GYNECOLOGY
Avinash Patil, Poornima R, M Narayana Swamy, Gomathy
The diagnosis of acoustic neuroma during pregnancy is often delayed because symptoms like nausea, vomiting, headache and tinnitus, which are nonspecific, are often attributed to pregnancy itself. Even though vestibular schwannomas rarely present du.... READ MORE

OBSTETRICS AND GYNECOLOGY
Neetu Singh, Kiran Pandey, Preeti Dubey, Yashwant Rao
Aims and objectives: To evaluate the etiological determinants of Rhesus (Rh)-immunization and to study the prevalence of perinatal mortality and morbidity in Rh-immunization. Material and methods: This retrospective study was carried out in the Dep.... READ MORE

OBSTETRICS AND GYNECOLOGY
Urvashi Singh, Shivangi Panchpal
Uterine fibroids are slow growing, benign tumors that arises from smooth muscle cell of the uterus. They are found in 25% of women in the reproductive age group. The reported prevalence of fibroids in pregnancy varies from 0.09% to 3.9%. Also, unic.... READ MORE

OBSTETRICS AND GYNECOLOGY
Tamal Kumar Mandal, Pratima Garain, Debjani Deb, Shyam Sundar Halder, Preeti Dewangan
Cervical myomas arise from the smooth muscle cells of the cervix accounting for 2% of all uterine leiomyomas. They may disturb the pelvic anatomy and the ureter producing different type of pressure symptoms. Management of symptomatic huge cervical .... READ MORE

MEDICOLEGAL
In the Supreme Court of India Civil Appellate Jurisdiction.... READ MORE

CONFERENCE PROCEEDINGS
69th Annual Conference of Cardiological Society of India (CSI 2017).... READ MORE

AROUND THE GLOBE
iMA rejects suggestions on nMC bill, Calls strike from April 2 Rejecting the recommendations of the Parliamentary Standing Committee on the National Medical Commission (NMC) Bill, the Indian Medical Association (IMA), the largest body of private .... READ MORE

Spiritual Update
KK Aggarwal
Many people in the East and the West are attracted to yogic practices, for they think they can find a solution to every problem therein, be it physical, mental, emotional or spiritual. Hence, much importance is attached to relaxation techniques tha.... READ MORE

Lighter reading
From an employee who was performing the “mundan” ceremony of his 10-year old son: “as I want to shave my son’s head, please leave me for 2 days...”.... READ MORE

IMAGING AND INVESTIGATIONS
Rajesh Vijayvergiya
Optical coherence tomography (OCT) requires a radiographic contrast agent to replace the blood during intravascular imaging. Increased use of contrast volume during OCT imaging may further worsen the renal functions in patients who are at high risk f.... READ MORE

IMAGING AND INVESTIGATIONS
Bhavana Venkata Nagabhushana Rao, BVS Raman
A 23-year-old female engineering graduate came with complaints of fever, cold, postnasal discharge, cough and breathlessness of 1 week duration. She was an asthmatic on salbutamol inhalation whenever necessary..... READ MORE

COMMUNITY MEDICINE
Sunanda R Kulkarni
Objective(s): To study and analyze the maternal deaths occurring due to various causes. Method(s): A retrospective study of maternal deaths occurring due to various causes and to find out the factors responsible for deaths. Results: There were a to.... READ MORE

COMMUNITY MEDICINE
Sunanda R Kulkarni
Objective(s): To study and analyze the maternal deaths occurring due to various causes. Method(s): A retrospective study of maternal deaths occurring due to various causes and to find out the factors responsible for deaths. Results: There were a to.... READ MORE

DERMATOLOGY
Sukumar D, Namitha Chathra, Srinath MK
The concomitant occurrence of psoriasis vulgaris and bullous pemphigoid in a patient is a rarity. We describe a 45-year-old male with 8-year history of plaque-type psoriasis who presented with disseminated tense bullae and psoriatic erythroderma. S.... READ MORE

NEUROLOGy
Chandramohan Sharma, Banshi Lal Kumawat, Deepika Sagar
Primary ciliary dyskinesia (PCD) is a genetic disorder with an autosomal recessive mode of inheritance. It is caused by a defect in the structure of cilia, due to which ciliary movement and consequently, its function, are impaired. Sinusitis, nasal .... READ MORE

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SURGERY
Jagannath Kulkarni, Sanjiv Kumar Goyal, Girish Singla
Background: The unusual urge to eat cotton fibers is usually seen in people whose mental health is affected. Presentation could be in the form of trichophagy (eating hair), followed by trichobezoar or phytobezoar (eating vegetable fibers), which is.... READ MORE

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