November 2018
From the Desk of Group Editor in Chief
Dr KK Aggarwal
Acute fever or acute febrile illness is one of the most common presenting complaints to the physicians in OPDs and in emergency care, in children and in adults alike. Fever itself is not a disease; it is both a symptom and a sign of disease. India,.... READ MORE

GASTROENTEROLGY
Ashish Gautam, Prabhat Agrawal, Ashwini Nigam
Aim: Study was initiated to study the presence of hepatopulmonary syndrome (HPS) in chronic liver disease patients, and role of ß-blockers in its occurrence. Methods: Patients admitted in Dept. of Medicine and patients attending the Medicine OPD wer.... READ MORE

American Family Physician
I. Cori Baill, Analia Castiglioni
Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a wo.... READ MORE

American Family Physician
Practice Guidelines
Hypertension is a common chronic condition occurring in almost 65% of persons older than 60 years. Proper treatment can lower the risk of cardiovascular, renal, and cerebrovascular disease, as well as mortality; however, there is debate regarding ide.... READ MORE

American Family Physician
Photo Quiz
A 78-year-old man who had not seen a physician in many years had pain in his feet, but no history of trauma. He wore sneakers and was able to walk well without a cane or walker. He had not cut his toenails for an extended period and had poor hygiene..... READ MORE

ENDOCRINOLOGY
Ashish S Srivastava, Lubna Zafar, SS Siddiqui, Anjum Parvez
Aims and objectives: The aims were to observe the circulating level of sclerostin in type 2 diabetes mellitus patients and its relationship with glycemic control and markers of bone turnover. Material and methods: The study was an observational stu.... READ MORE

INTERNAL MEDICINE
NS Sengar, Nipun Gupta, Nandita Prabhat
Objective: There is scarcity of literature regarding prevalence and severity of thyroid abnormalities in chronic kidney disease (CKD) patients. This study (i) estimated the prevalence of hypothyroidism in CKD patients, (ii) investigated the effect o.... READ MORE

INTERNAL MEDICINE
E Sumanraj, N Vijayakumar, A Nanjilkumaran, R Umarani
Osmotic demyelination syndrome (ODS), a disease affecting chronic alcoholic and malnourished patients was described by Adams and colleagues in 1959. It is also known as pontine myelinolysis. Pontine myelinolysis can be subdivided into central ponti.... READ MORE

OBSTETRICS AND GYNECOLOGY
Pratibha Vishwakarma, Priya Mohan, Kundavi Shankar, Thangam R Varma
In vitro fertilization (IVF) is one of the most comprehensively registered interventions in clinical medicine. IVF is regarded as safe with very few complications. We report a woman who developed acute renal failure due to compression of both ureter.... READ MORE

CONFERENCE PROCEEDINGS
Time management is essential for a productive and balanced life. Using time management principles helps improve the quality-of-life for an individual by setting priorities and making choices, thus giving the individual a feeling of control and the ab.... READ MORE

AROUND THE GLOBE
Air Quality early warning System for Delhi launched Air Quality Early Warning System for Delhi was launched recently by the Union Minister for Earth Sciences and Environment, Dr Harsh Vardhan. The System is designed to predict extreme air pollution e.... READ MORE

Spiritual Update
KK Aggarwal
Consciousness is an energized field of information with powers to do everything in the universe. Collective consciousness is the internet of the collective souls of many people in a group. Collective consciousness is the strongest super power ever av.... READ MORE

Lighter reading
Smelling And Hearing An elderly woman goes to the doctor. She says, “Doc, it’s terrible, I pass gas all the time. Fortunately, it’s odorless and silent, otherwise I’d be mortified. For example, I’ve passed gas 10 times just since we’ve been talking.... READ MORE

COMMUNITY MEDICINE
PH Mishra, Pallavi Banerjee, Heema Gosain
Management of hospital-acquired infection is a very important aspect of healthcare management. A nosocomial infection affects approximately 2 million patients annually in acute care facilities in our country and their annual patient care costs sever.... READ MORE

Expert's View
Gordon J Harris
We opened the 3D Imaging Service in the Radiology Department at Massachusetts General Hospital (MGH) in 1999 to provide image post-processing as a service for aiding radiologists and referring physicians in diagnosis and treatment planning. Our lab w.... READ MORE

Inspirational Story
Once upon a time a big monk and a little monk were traveling together. They came to the bank of a river and found the bridge was damaged. They had to wade across the river. There was a pretty lady who was stuck at the damaged bridge and couldn’t cros.... READ MORE

MEDICAL VOICE FOR POLICY CHANGE
The probiotic VSL#3 and fecal microbiota transplantation could help induce remission in patients with ulcerative colitis, according to a systematic review and meta-analysis of randomized controlled trials (Mina Fransawy Alkomos, MD, from New York Ci.... READ MORE

Dentistry
Avk Narene, P Shankar, A Karthick
This in vitro study evaluated whether surface treatment for glass fiber posts has an effect on the push-out strength bonded to human root dentin. Fifty freshly extracted maxillary central incisors were endodontically treated and post-space preparati.... READ MORE

Gynecologic Endocrinology
Ajay C Tanna, Pranav I Patel, Jemima Bhaskar
The MURCS (Mullerian agenesis, unilateral renal agenesis and cervicothoracic somite deformity) syndrome is a rare disease presenting with normal secondary sexual characters but uterus and upper vagina are absent due to mullerian agenesis. They usua.... READ MORE

Pictorial CME
Bhavana Venkata Nagabhushana Rao, Ch Vngr Ramanujam
A 34-year-old male patient came to our clinic with an itchy brownish eruption over the dorsum of the right foot of a week’s duration. It originated as a small itchy papule and gradually spread like thread over the dorsum of the foot reaching a length.... READ MORE

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GASTROENTEROLGYAmerican Family PhysicianAmerican Family PhysicianAmerican Family PhysicianENDOCRINOLOGYINTERNAL MEDICINEINTERNAL MEDICINEOBSTETRICS AND GYNECOLOGYCONFERENCE PROCEEDINGSAROUND THE GLOBESpiritual UpdateLighter readingCOMMUNITY MEDICINEExpert's ViewInspirational StoryMEDICAL VOICE FOR POLICY CHANGEDentistryGynecologic EndocrinologyPictorial CME