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  Subjects -> MEDICAL SCIENCES (Total: 8279 journals)
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MEDICAL SCIENCES (2235 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 1)
3D Printing in Medicine     Open Access   (Followers: 4)
4 open     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 6)
ABCS Health Sciences     Open Access   (Followers: 7)
Abia State University Medical Students' Association Journal     Full-text available via subscription   (Followers: 2)
AboutOpen     Open Access  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 46)
Acta Bio Medica     Full-text available via subscription   (Followers: 2)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Científica Estudiantil     Open Access  
Acta Facultatis Medicae Naissensis     Open Access  
Acta Herediana     Open Access  
Acta Informatica Medica     Open Access  
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Marisiensis     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access   (Followers: 1)
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 6)
Acupuncture and Natural Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 8)
Addictive Behaviors Reports     Open Access   (Followers: 9)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access   (Followers: 1)
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
Advanced Biomedical Research     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 8)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 8)
Advanced Therapeutics     Hybrid Journal  
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 7)
Advances in Cell and Gene Therapy     Hybrid Journal  
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 26)
Advances in Life Course Research     Hybrid Journal   (Followers: 9)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Medical Education and Practice     Open Access   (Followers: 32)
Advances in Medical Ethics     Open Access   (Followers: 1)
Advances in Medical Research     Open Access   (Followers: 1)
Advances in Medical Sciences     Hybrid Journal   (Followers: 9)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 5)
Advances in Molecular Oncology     Open Access   (Followers: 2)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7)
Advances in Parkinson's Disease     Open Access  
Advances in Phytomedicine     Full-text available via subscription  
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20)
Advances in Regenerative Medicine     Open Access   (Followers: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 15)
Advances in Virus Research     Full-text available via subscription   (Followers: 6)
Advances in Wound Care     Hybrid Journal   (Followers: 12)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 13)
African Health Sciences     Open Access   (Followers: 3)
African Journal of Biomedical Research     Open Access   (Followers: 1)
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 4)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 3)
African Journal of Thoracic and Critical Care Medicine     Open Access  
African Journal of Trauma     Open Access   (Followers: 1)
Afrimedic Journal     Open Access   (Followers: 2)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal  
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
Al-Azhar Assiut Medical Journal     Open Access   (Followers: 2)
ALERTA : Revista Científica del Instituto Nacional de Salud     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 3)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 2)
Althea Medical Journal     Open Access   (Followers: 2)
American Journal of Biomedical Engineering     Open Access   (Followers: 15)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 7)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 4)
American Journal of Clinical Medicine Research     Open Access   (Followers: 8)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 11)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 12)
American Journal of Medical Case Reports     Open Access   (Followers: 1)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 4)
American Journal of Medicine     Hybrid Journal   (Followers: 50)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Studies     Open Access   (Followers: 2)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 10)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 5)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 6)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy     Open Access   (Followers: 2)
Anatomy Research International     Open Access   (Followers: 3)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Ankara Medical Journal     Open Access   (Followers: 2)
Ankara Üniversitesi Tıp Fakültesi Mecmuası     Open Access  
Annales de Pathologie     Full-text available via subscription  
Annales des Sciences de la Santé     Open Access  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 2)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 3)
Annals of Bioanthropology     Open Access   (Followers: 5)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 19)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 4)
Annals of Clinical Hypertension     Open Access  
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 14)
Annals of Family Medicine     Open Access   (Followers: 14)
Annals of Health Research     Open Access   (Followers: 1)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Microbiology     Hybrid Journal   (Followers: 13)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Rehabilitation Medicine     Open Access  
Annals of Saudi Medicine     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 6)
Annual Review of Medicine     Full-text available via subscription   (Followers: 17)
Anthropological Review     Open Access   (Followers: 24)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Technology Journal     Open Access   (Followers: 1)
Antibody Therapeutics     Open Access  
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 4)
Applied Clinical Research, Clinical Trials and Regulatory Affairs     Hybrid Journal   (Followers: 2)
Applied Medical Informatics     Open Access   (Followers: 13)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Asthma, Allergy and Immunology     Open Access  
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 4)
Archives of Medicine and Surgery     Open Access  
Archives of Trauma Research     Open Access   (Followers: 3)
Archivos de Medicina (Manizales)     Open Access  
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Hybrid Journal   (Followers: 17)
Arterial Hypertension     Open Access   (Followers: 1)
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 18)
Artificial Organs     Hybrid Journal   (Followers: 1)
ASHA Leader     Open Access  
Asia Pacific Family Medicine     Open Access   (Followers: 1)
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 12)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access  
Asian Bioethics Review     Full-text available via subscription   (Followers: 3)
Asian Biomedicine     Open Access   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 5)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 4)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 2)
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Scientific Research     Open Access   (Followers: 3)
Asian Journal of Transfusion Science     Open Access   (Followers: 1)
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Cancer Prevention     Open Access  
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 1)
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Audiology - Communication Research     Open Access   (Followers: 10)
Auris Nasus Larynx     Full-text available via subscription  

        1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
Astrocyte
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2349-0977 - ISSN (Online) 2349-4387
Published by Medknow Publishers Homepage  [425 journals]
  • Kindling Trust, Instilling Faith: Open Sesame to a Healthy
           Doctor–Patient Relationship

    • Authors: Yatish Agarwal, Rashmikant Dave
      Pages: 135 - 138
      Abstract: Yatish Agarwal, Rashmikant Dave
      Astrocyte 2017 4(3):135-138

      Citation: Astrocyte 2017 4(3):135-138
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/2349-0977.224234
      Issue No: Vol. 4, No. 3 (2018)
       
  • Comparative Study on Prediction and Course of Significant
           Hyperbilirubinemia in Term and Late Preterm Babies

    • Authors: Arpita Gupta, VN Tripathi, Rupa D Singh, Kiran Pandey
      Pages: 139 - 143
      Abstract: Arpita Gupta, VN Tripathi, Rupa D Singh, Kiran Pandey
      Astrocyte 2017 4(3):139-143
      Objectives: To study the course and prediction of significant hyperbilirubinemia in healthy late preterm and term newborns. Material and Methods: Study comprises of 150 neonates: 92 term newborns and 58 late preterm neonates, each with birth weight >2000g, without Rh or ABO incompatibility or G6PD deficiency. A thorough clinical examination with biochemical measurement of serum bilirubin was done in both groups serially at 6th hour of birth, 2nd day of life, 3rd day, 4th day and on 7th day respectively and the pattern of rise of serum bilirubin and development of significant hyperbilirubinemia were compared in both groups. Results: Out of total 150 neonates, significant hyperbilirubinemia requiring phototherapy or exchange transfusion was noted in 28 patients (18.6%); 12 were term (13%) and 16 were late preterm babies (27.5%) i.e. late preterm babies were 2 times more likely to develop significant hyperbilirubinemia. Conclusion: Since late preterm babies are more vulnerable than their term counterparts, to the complications associated in early life especially hyperbilirubinemia, special attention is required in treating these babies.
      Citation: Astrocyte 2017 4(3):139-143
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_80_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Childhood Atopic Dermatitis: Impact on Quality of Life in Thai Children
           and their Families

    • Authors: Wanee Wisuthsarewong, Rattanavalai Nitiyarom, Niorn Boonpuen
      Pages: 144 - 148
      Abstract: Wanee Wisuthsarewong, Rattanavalai Nitiyarom, Niorn Boonpuen
      Astrocyte 2017 4(3):144-148
      Aim: To assess the impact of atopic dermatitis (AD) on quality of life (QoL) and the factor affecting QoL in Thai children and their families. Materials and Methods: This cross-sectional study was conducted on 86 AD patients at Siriraj Hospital. AD patients aged <16 years and their families were asked to complete the Thai versions of the Infants' Dermatitis Quality of Life Index (IDQoL), Children's Dermatology Quality of Life Index (CDLQI), and Dermatitis Family Impact Questionnaire (DFI). Results: Mean age of the patients was 6.5 ± 0.5 years old and 67.4% were females. The mean ± SD of QoL scores affected by AD was 8.88 ± 5.65. QoL score was high in the group of questions related to symptoms and feelings, followed by sleep problems. The mean ± SD score for DFI was 9.94 ± 7.49. Impact on QoL in Thai children and their families was significantly correlated with disease severity (P = 0.03, r = 0.24; and P= 0.01, r = 0.30, respectively). Factors that caused negative impact on QoL of patients were taking oral medications and disease severity (P = 0.01). Factors causing negative impact on QoL of families were disease severity (P = 0.01), positive for family member with allergic diseases (P= 0.01), start attending school (P = 0.02), and taking oral medications (P = 0.04). Limitation: The limitation of the study was the disadvantage of questionnaire-based study in collecting data. Conclusions: AD caused significant impact on QoL of Thai children and their families. QoL measurement should be included in the patient care assessment to improve effective management of AD.
      Citation: Astrocyte 2017 4(3):144-148
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_27_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • 99mTc-Pertechnetate Scintigraphy in Thyroid Gland Ectopia: Evolving a New
           Clinical Algorithm

    • Authors: Kalpa J Das, Ravinder S Sethi, Padma A Namgyal, Aditi K Sehgal
      Pages: 149 - 153
      Abstract: Kalpa J Das, Ravinder S Sethi, Padma A Namgyal, Aditi K Sehgal
      Astrocyte 2017 4(3):149-153
      Introduction: Dual ectopic thyroid has been regarded as a rare developmental anomaly with the most common site being lingual/sublingual and the mode of presentation being hypothyroidism. Patients and Methods: Three patients suffering from dual ectopic thyroid are discussed here along with a review of Indian literature. Conclusion: Increasing reports of dual ectopic thyroid in the literature indicate that the entity might not be so uncommon. Since this is liable to influence the clinical management, especially from the surgical standpoint, thyroid scintigraphy must be included in the preoperative protocol in all cases of thyroid gland ectopia.
      Citation: Astrocyte 2017 4(3):149-153
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_28_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Cutaneous Leishmaniasis in Nonendemic Geographic Areas: Unraveling the
           Itinerant Cases

    • Authors: Sandeep Arora, Aradhana Sood, Rajeshwari, Sukriti Baveja, Gulhima Arora, Ajay Malik, Rakesh Mishra
      Pages: 154 - 158
      Abstract: Sandeep Arora, Aradhana Sood, Rajeshwari , Sukriti Baveja, Gulhima Arora, Ajay Malik, Rakesh Mishra
      Astrocyte 2017 4(3):154-158
      Background: Cutaneous leishmaniasis endemic in 70 countries worldwide and in certain regions of India is otherwise an uncommon presentation in non-endemic zones, leading to their missed diagnosis. Movement of people between these regions further exposes them to the risk of this infection. The aim of this study was to analyze the presentation of these missed cases, basis of their final diagnosis, management and follow up with the objective of highlighting cutaneous leishmaniasis as an important differential diagnosis in these cases. Methods: A prospective 4-year cohort of patients who were diagnosed as cutaneous leishmaniasis (CL) and post kala azar dermal leishmaniasis (PKDL) between 2012 and 2016 were studied. Their presentation, basis of diagnosis, treatment response to different agents and follow up was studied. Results: Of a total of 380547 patients seen in the four-year period, 15 CL and 2 PKDL symptomatic from 6 months to 7 years were diagnosed at our centre. Leishmania amastigotes were seen in smears in 10 and 4 in skin biopsy. Four were diagnosed based on polymerase chain reaction for Leishmania. Ten were managed with iv Sodium Stibogluconate (SSG), five with intralesional SSG and one with liposomal amphotericin B. All responded to treatment and were followed up for one year thereafter. Conclusion: Although CL and PKDL are rare outside their endemic zones, travelers and population exposed to newer endemic zones may result in atypical presentations which clinicians are not experienced with. This study highlights this possibility and our experience in diagnosing and treating such cases.
      Citation: Astrocyte 2017 4(3):154-158
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_41_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Clinical Significance of High Resolution Ultrasonography vis-à -vis
           Laryngoscopy in Laryngeal Pathologies

    • Authors: Anil K Rai, Sandeep Trehan, MK Mittal, Gul Motwani
      Pages: 159 - 163
      Abstract: Anil K Rai, Sandeep Trehan, MK Mittal, Gul Motwani
      Astrocyte 2017 4(3):159-163
      Introduction: Larynx is a seat of a host of benign and malignant conditions. Conventionally, otolaryngologists have relied upon laryngoscopy in making a diagnosis. However, this simple doctor's office tool suffers from several limitations and flaws. In such a clinical landscape, a completely nonintrusive high-resolution ultrasonography examination can play a significant complementary role by defining the precise extent of the pathologic process. This prospective cross-sectional study, possibly the first of its kind in India, endeavours to define this synergetic relationship. Patients and Methods: A total of 60 patients with diverse undiagnosed laryngeal pathologies were taken up for the study. Those with proven laryngeal carcinoma and (or) past laryngeal surgery were excluded. Results: HRUS was found to be valuable in detecting laryngeal growth (78.57%), vocal cord polyp (66.67%), vocal cord nodule (10%), vocal cord palsy/paresis (66.67%), chronic laryngitis (17.64%), and Reinke's edema (50%). Conclusion: Compared to laryngoscopy, the role of HRUS is limited except in laryngeal lesions such as laryngeal growth and vocal cord polyp. HRUS can augment rather than replace conventional laryngoscopy in the diagnosis of laryngeal lesions.
      Citation: Astrocyte 2017 4(3):159-163
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_81_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Low dose Metronomic Chemotherapy in Patients of Acute Myeloid Leukemia

    • Authors: Gajendrapal Singh, Akash Mathur, Naincy Rastogi, Hemant Malhotra
      Pages: 164 - 168
      Abstract: Gajendrapal Singh, Akash Mathur, Naincy Rastogi, Hemant Malhotra
      Astrocyte 2017 4(3):164-168
      Background: Standard aggressive treatment of AML is expensive, requires significant supportive care (blood and platelet support) and toxic with significant morbidity and mortality. The metronomic approach refers to repetitive low doses of chemotherapy drugs and serves as one of the options of treatment for the patients who are unable to arrange the supportive care and those who are ineligible for intensive chemotherapy. Material and Methods: This is a hospital based observational single arm pilot study in which newly diagnosed 36 patients of AML who were unable to take standard aggressive chemotherapy were started on low dose metronomic chemotherapy and its effects evaluated over a period of 12 months. Results: Observed overall response rate (OR) was 21.87% (6.25% CR and 15.62% PR), mean survival was 3.58 months. 43.75% patients had non-hematological drug toxicities, 40.62% patients developed hematological toxicity, 3.12% developed hepatotoxicity and 9.32% patients developed febrile illness. Out of expired patients at the end of 1 year duration 70% died at their home with cause of death unidentified however rest 30% died in hospital (23% from bleeding and 7% from infection). On FACT-L questionnaire overall improvements were elicited in well being along with 43% improvement in additional concerns (including night sweats, pains, weight loss, tiredness). Conclusion: Data from our small study suggests that oral PEM metronomic chemotherapy for patients of AML with treatment possible on OPD basis itself appears to be an effective regimen with acceptable toxicities.
      Citation: Astrocyte 2017 4(3):164-168
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_53_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Airway Management in Maxillofacial Injuries: Identifying Clinical
           Determinants requiring Non-Conventional Strategies

    • Authors: Habib Md Reazaul Karim, Md Yunus
      Pages: 169 - 173
      Abstract: Habib Md Reazaul Karim, Md Yunus
      Astrocyte 2017 4(3):169-173
      Aim: Airway management in maxillofacial injuries is challenging. Conventionally, the method of securing the airway is using Macintosh laryngoscope to intubate the patients. Knowing the clinical variables associated with the need for nonconventional (nonMacintosh) laryngoscopy will aid in better airway management. The present analysis was aimed to identifying the clinical variables associated with nonconventional tracheal intubation in patients with maxillofacial injury. Materials and Methods: Medical records of maxillofacial injury patients with at least one facial bone fracture who needed tracheal intubation from January 2009 to June 2016 in a teaching institute were screened for data collection. The clinicodemographic parameters, techniques, and instruments used for tracheal intubation were noted. The INSTAT software was used for statistical analysis, and P < 0.05 was considered significant. Results: Seventy-three patients (mean age 27.47 ± 9.92 years; 94.52% male) were analyzed. A total of 61.64% of tracheal intubations required nonconventional techniques [i.e. video laryngoscope (27.4%), fiberoptic bronchoscope (26.03%), tracheostomy (6.85%), and 1.37% retrograde intubation]. Video laryngoscopy was preferred over Macintosh in patients with confirmed/suspected C-spine injury. Mouth opening <2 cm [odds ratio (OR): 7.33], multiple facial bone fracture (OR: 4.80), and concomitant mandible and maxilla fractures (OR: 6.50) were associated with tracheal intubation by nonconventional laryngoscopy (P = 0.01). Conclusion: Multiple facial bone fractures, concomitant mandible and maxilla fracture, and mouth opening <2 cm need tracheal intubation using a technique other than Macintosh laryngoscopy.
      Citation: Astrocyte 2017 4(3):169-173
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_11_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Central nervous system tuberculosis: Rare presentations of a common
           disease

    • Authors: Venkatram Krishnan, Mahesh Kumar Mittal, Mukul Sinha, Manohar Kumar, Brij Bhushan Thukral
      Pages: 174 - 185
      Abstract: Venkatram Krishnan, Mahesh Kumar Mittal, Mukul Sinha, Manohar Kumar, Brij Bhushan Thukral
      Astrocyte 2017 4(3):174-185
      Tuberculosis (TB) is a highly prevalent disease in developing countries of the world such as India. Central nervous system (CNS) involvement by TB can produce devastating effects and can be parenchymal, meningeal, intraventricular, subdural, or extradural. Common modes of CNS involvement include leptomeningitis and intracranial tuberculomas. Similar involvement of the spinal cord can produce tubercular arachnoiditis and intramedullary spinal tuberculomas. Atypical locations of tuberculomas include basal ganglia, brainstem, corpus callosum, and extra-axial and suprasellar locations. Uncommon modes of CNS involvement include tubercular pachymeningitis, focal tubercular cerebritis, cerebral abscess formation, and miliary TB. Tubercular pachymeningitis can also involve the dural lining of the spinal cord. We have presented cases of CNS TB, both atypical forms of common presentations as well as uncommon presentations with findings on magnetic resonance imaging (MRI) presenting a diagnostic dilemma. The radiologist plays a central role in the diagnosis of CNS TB in such cases, and careful tailoring of the MRI examination based on the clinical picture of the patient can play a vital role in making the diagnosis, even in atypical presentations.
      Citation: Astrocyte 2017 4(3):174-185
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_71_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Bronchogenic carcinoma masquerading as lung abscess

    • Authors: Vidushi Rathi, Pranav Ish, Gulvir Singh, SN Gaur
      Pages: 186 - 188
      Abstract: Vidushi Rathi, Pranav Ish, Gulvir Singh, SN Gaur
      Astrocyte 2017 4(3):186-188
      Lung abscesses are necrotizing consolidation of lung parenchyma which usually require a prolonged course of antibiotics. However, underlying secondary etiologies of lung abscess such as malignancy should be sought for, especially in unresponsive cases. Clinicoradiological correlation often assists, however, bronchoscopy and histopathology eventually confirm the diagnosis. We present a case of lung abscess who after initial response to antibiotics was subsequently diagnosed as squamous cell carcinoma of the lung.
      Citation: Astrocyte 2017 4(3):186-188
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_1_18
      Issue No: Vol. 4, No. 3 (2018)
       
  • Renal sinus lipomatosis in transplant kidney

    • Authors: Ankita Aggarwal, Aishwarya Gulati, Parveen Gulati
      Pages: 189 - 191
      Abstract: Ankita Aggarwal, Aishwarya Gulati, Parveen Gulati
      Astrocyte 2017 4(3):189-191
      Renal sinus lipomatosis is a rare entity where there is abnormal proliferation of sinus fat. Fat proliferation can also occur in perinephric and periureteric regions. It is a benign condition which does not give rise to symptoms or any renal impairment. However, severe form of this condition, i.e. renal replacement lipomatosis, leads to atrophy of renal parenchyma, thereby leading to impairment of renal functions. Here, we report a case of renal sinus lipomatosis in a transplanted kidney, which is even rarer and has been reported in less than 10 previously reported cases in the English literature.
      Citation: Astrocyte 2017 4(3):189-191
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_74_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Miliary tuberculosis with bilateral recurrent pneumothoraces

    • Authors: Omkar K Choudhari, Sonam Spalgais, Umesh Chandra Ojha, Amit Kumar Murar, Anand Kumar Verma
      Pages: 192 - 194
      Abstract: Omkar K Choudhari, Sonam Spalgais, Umesh Chandra Ojha, Amit Kumar Murar, Anand Kumar Verma
      Astrocyte 2017 4(3):192-194
      A 13-year girl presented with fever, chest pain, cough, and decreased appetite of 15 days. General and respiratory examination was normal. Routine investigations were normal. Sputum for AFB was negative. Chest X-ray revealed bilateral miliary nodules. Eye examination showed choroid tubercles with chorioretinitis. She was diagnosed as disseminated TB and started on ATT daily regime with oral prednisolone. After 5 days, she developed pneumothorax and ICD was inserted. CECT chest showed bilateral multiple miliary nodules with bilateral pneumothorax. She had recurrence (6 times) of Pneumothoraces during 3 months and managed with ICD. She underwent thoracoscopic surgical biopsy for confirmation of diagnosis. Immunohistocytology was negative for CD1a and HMB45. Biopsy was consistent with TB. The final diagnosis was miliary tuberculosis with bilateral recurrent Pneumothoraces. ATT continue for 9 months with tapering of steroid. Chemical pleurodesis was performed. She was followed up for 2 years with no recurrent of pneumothorax. Bilateral recurrent pneumothorax is rare complication of miliary TB.
      Citation: Astrocyte 2017 4(3):192-194
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_58_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Percutaneous retrieval of a fractured chemoport

    • Authors: Varun V Nivargi, Vihita Kulkarni, CN Makhale
      Pages: 195 - 197
      Abstract: Varun V Nivargi, Vihita Kulkarni, CN Makhale
      Astrocyte 2017 4(3):195-197
      Chemoport, a central venous infusion system, is commonly used in cancer patients for administration of chemotherapy. Dislodgement with subsequent migration of chemoport catheter in to the heart is a rare but potentially catastrophic complication. The treatment of choice is immediate retrieval of the dislodged part of catheter by surgery or percutaneous approach. Percutaneous removal is safer and less invasive making it the standard treatment modality. We report the case of a 9-year-old child who was referred to us for the management of a dislodged chemoport catheter.
      Citation: Astrocyte 2017 4(3):195-197
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_29_17
      Issue No: Vol. 4, No. 3 (2018)
       
  • Simultaneous balloon dilatation of subglottic stenosis and device closure
           of a large patent ductus arteriosus in infancy

    • Authors: Anil K Singhi, N VK Mohan, Chirajit Dutta, Anupama S Satpathy, Ashok Mittal, Amiya Mishra
      Pages: 198 - 200
      Abstract: Anil K Singhi, N VK Mohan, Chirajit Dutta, Anupama S Satpathy, Ashok Mittal, Amiya Mishra
      Astrocyte 2017 4(3):198-200
      Anatomic obstruction of the tracheobronchial tree in a patient with large posttricuspid shunt is rare and causes significant respiratory symptoms. The treatment of such patients is challenging. Here, we discuss and highlight the importance of detailed evaluation, planning, and teamwork for minimally invasive treatment of two major causes of respiratory distress. Hospital record analysis of a young infant who underwent simultaneous minimally invasive therapy for both cardiac and tracheal lesions. A 7-month-old infant weighing 4.4 kg had very large patent ductus arteriosus (PDA), along with heart failure and severe subglottic stenosis. She underwent successful minimally invasive balloon dilatation of subglottic stenosis followed by transcatheter device closure of PDA. Minimally invasive therapy for subglottic stenosis and device closure of PDA in a small infant is a safe and effective treatment in a well-planned and coordinated team approach.
      Citation: Astrocyte 2017 4(3):198-200
      PubDate: Tue,30 Jan 2018
      DOI: 10.4103/astrocyte.astrocyte_22_17
      Issue No: Vol. 4, No. 3 (2018)
       
 
 
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