Subjects -> MEDICAL SCIENCES (Total: 8212 journals)
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MEDICAL SCIENCES (2241 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 601 - 800 of 3562 Journals sorted alphabetically
F&S Science : Official journal of the American Society for Reproductive Medicine     Open Access  
Facial Plastic Surgery & Aesthetic Medicine     Full-text available via subscription   (Followers: 3)
Facta Universitatis, Series : Medicine and Biology     Open Access  
Family Medicine and Community Health     Open Access   (Followers: 8)
Family Practice     Hybrid Journal   (Followers: 17)
Family Practice & Palliative Care     Open Access   (Followers: 5)
Family Practice Management     Full-text available via subscription   (Followers: 4)
Faridpur Medical College Journal     Open Access  
FEM : Revista de la Fundación Educación Médica     Open Access  
Finlay : Revista de Enfermedades no Transmisibles     Open Access  
Fisioterapia     Full-text available via subscription   (Followers: 2)
Fisioterapia & Saúde Funcional     Open Access  
Flugmedizin · Tropenmedizin · Reisemedizin - FTR     Hybrid Journal  
FMC - Formación Médica Continuada en Atención Primaria     Full-text available via subscription  
Folia Medica     Open Access  
Folia Medica Indonesiana     Open Access  
Folia Morphologica     Full-text available via subscription  
Folia Phoniatrica et Logopaedica     Full-text available via subscription   (Followers: 1)
Fontanus     Open Access  
Food Hydrocolloids for Health     Open Access  
Foodborne Pathogens and Disease     Hybrid Journal   (Followers: 11)
Foot & Ankle Specialist     Hybrid Journal   (Followers: 4)
Foot and Ankle Clinics     Full-text available via subscription   (Followers: 12)
Foot and Ankle Online Journal     Full-text available via subscription   (Followers: 6)
Forensic Science International : Mind and Law     Open Access   (Followers: 4)
Forum Medycyny Rodzinnej     Hybrid Journal  
Forum Zaburzeń Metabolicznych     Hybrid Journal  
Frontières     Full-text available via subscription   (Followers: 3)
Frontiers in Digital Health     Open Access   (Followers: 4)
Frontiers in Medical Technology     Open Access  
Frontiers in Medicine     Open Access   (Followers: 2)
Frontiers in Network Physiology     Open Access   (Followers: 2)
Frontiers in Neuroprosthetics     Open Access   (Followers: 6)
Frontiers in Synaptic Neuroscience     Open Access   (Followers: 2)
Frontiers in Tropical Diseases     Open Access  
Frontiers of Medical and Biological Engineering     Hybrid Journal  
Frontiers of Medicine     Hybrid Journal   (Followers: 2)
Fuss & Sprunggelenk     Hybrid Journal  
Future Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Future Prescriber     Hybrid Journal  
Future Science OA     Open Access  
Gaceta Médica Boliviana     Open Access  
Gaceta Médica Espirituana     Open Access  
Galen Medical Journal     Open Access  
Galician Medical Journal     Open Access   (Followers: 1)
Galle Medical Journal     Open Access  
Gefäßmedizin Scan     Hybrid Journal  
Gender and the Genome     Open Access   (Followers: 1)
Gene Expression     Full-text available via subscription   (Followers: 1)
General Reanimatology     Open Access  
Genes     Open Access   (Followers: 2)
Genome Instability & Disease     Hybrid Journal  
Geoforum     Hybrid Journal   (Followers: 25)
Gestão e Desenvolvimento     Open Access  
Ghana Medical Journal     Open Access   (Followers: 1)
GigaScience     Open Access   (Followers: 4)
Gimbernat : Revista d’Història de la Medicina i de les Ciències de la Salut     Open Access  
Glia     Hybrid Journal   (Followers: 5)
Global Advances in Health and Medicine     Open Access  
Global Bioethics     Open Access   (Followers: 5)
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Journal     Open Access   (Followers: 2)
Global Journal of Integrated Chinese Medicine and Western Medicine     Open Access  
Global Journal of Cancer Therapy     Open Access  
Global Journal of Fertility and Research     Open Access  
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Infectious Diseases and Clinical Research     Open Access  
Global Journal of Medical and Clinical Case Reports     Open Access  
Global Journal of Obesity, Diabetes and Metabolic Syndrome     Open Access   (Followers: 1)
Global Journal of Perioperative Medicine     Open Access  
Global Journal of Rare Diseases     Open Access  
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Reproductive Health     Open Access  
Grande Medical Journal     Open Access  
Growth Factors     Hybrid Journal   (Followers: 2)
GSTF Journal of Advances in Medical Research     Open Access  
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi     Open Access  
Hamdan Medical Journal     Open Access  
Hämostaseologie     Hybrid Journal   (Followers: 5)
Hämostaseologie     Open Access  
Hand     Hybrid Journal   (Followers: 4)
Hand Clinics     Full-text available via subscription   (Followers: 6)
Hand Therapy     Hybrid Journal   (Followers: 11)
Hard Tissue     Open Access  
Head & Face Medicine     Open Access   (Followers: 1)
Head and Neck Cancer Research     Open Access  
Head and Neck Tumors     Open Access  
Health Information : Jurnal Penelitian     Open Access  
Health Matrix : The Journal of Law-Medicine     Open Access  
Health Notions     Open Access  
Health Science Journal of Indonesia     Open Access  
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Sciences Review     Open Access  
Health Security     Hybrid Journal   (Followers: 1)
Healthcare Technology Letters     Open Access  
Hearing, Balance and Communication     Hybrid Journal   (Followers: 6)
Hearts     Open Access   (Followers: 1)
HEC Forum     Hybrid Journal   (Followers: 1)
Heighpubs Otolaryngology and Rhinology     Open Access  
Heilberufe     Hybrid Journal  
HeilberufeSCIENCE     Hybrid Journal  
Heilpflanzen     Hybrid Journal   (Followers: 4)
Helicobacter     Hybrid Journal  
HemaSphere     Open Access   (Followers: 2)
Hemoglobin     Hybrid Journal  
Hepatology, Medicine and Policy     Open Access  
HERALD of North-Western State Medical University named after I.I. Mechnikov     Open Access  
Herald of the Russian Academy of Sciences     Full-text available via subscription  
Herzschrittmachertherapie + Elektrophysiologie     Hybrid Journal  
Highland Medical Research Journal     Full-text available via subscription  
Hipertensión y Riesgo Vascular     Full-text available via subscription  
HIV Australia     Full-text available via subscription   (Followers: 3)
Homeopathy     Hybrid Journal   (Followers: 1)
Homoeopathic Links     Hybrid Journal  
Hong Kong Physiotherapy Journal     Open Access   (Followers: 14)
Horizonte Medico     Open Access  
Hormones : International Journal of Endocrinology and Metabolism     Hybrid Journal  
Hospital a Domicilio     Open Access  
Hospital Practices and Research     Open Access  
Hospital Topics     Hybrid Journal   (Followers: 1)
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Huisarts en wetenschap     Hybrid Journal   (Followers: 4)
Human & Veterinary Medicine - International Journal of the Bioflux Society     Open Access   (Followers: 4)
Human Factors in Healthcare     Open Access  
Human Fertility     Hybrid Journal   (Followers: 4)
Humanidades Médicas     Open Access  
I.P. Pavlov Russian Medical Biological Herald     Open Access  
Iatreia     Open Access  
Ibnosina Journal of Medicine and Biomedical Sciences     Open Access  
IDCases     Open Access  
IEEE Journal of Biomedical and Health Informatics     Hybrid Journal   (Followers: 14)
IEEE Journal of Electromagnetics, RF and Microwaves in Medicine and Biology     Hybrid Journal  
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IEEE Open Journal of Engineering in Medicine and Biology     Open Access   (Followers: 1)
IEEE Transactions on Medical Robotics and Bionics     Hybrid Journal   (Followers: 3)
IEEE/ACM Transactions on Computational Biology and Bioinformatics     Hybrid Journal   (Followers: 18)
IJID Regions     Open Access   (Followers: 1)
IJS Global Health     Open Access  
IJU Case Reports     Open Access  
iLiver     Open Access   (Followers: 2)
Im OP     Hybrid Journal  
Image Analysis & Stereology     Open Access   (Followers: 1)
IMAGING     Full-text available via subscription   (Followers: 1)
Imaging in Medicine     Open Access  
Imaging Journal of Clinical and Medical Sciences     Open Access   (Followers: 1)
Imam Journal of Applied Sciences     Open Access  
Indian Journal of Ayurveda and lntegrative Medicine Klue     Open Access   (Followers: 3)
Indian Journal of Burns     Open Access   (Followers: 2)
Indian Journal of Clinical Medicine     Open Access  
Indian Journal of Community and Family Medicine     Open Access   (Followers: 2)
Indian Journal of Community Medicine     Open Access   (Followers: 1)
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Medical Microbiology     Open Access   (Followers: 1)
Indian Journal of Medical Research     Open Access   (Followers: 3)
Indian Journal of Medical Sciences     Open Access   (Followers: 2)
Indian Journal of Medical Specialities     Hybrid Journal  
Indian Journal of Otology     Open Access   (Followers: 1)
Indian Journal of Public Health     Open Access   (Followers: 1)
Indian Journal of Transplantation     Open Access  
Indian Spine Journal     Open Access  
Indo-Pacific Journal of Phenomenology     Open Access   (Followers: 1)
Indonesia Journal of Biomedical Science     Open Access   (Followers: 1)
Indonesian Biomedical Journal     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Medicine     Open Access  
Indonesian Journal of Tropical and Infectious Disease     Open Access  
Infant Observation: International Journal of Infant Observation and Its Applications     Hybrid Journal   (Followers: 1)
Inflammation     Hybrid Journal   (Followers: 3)
Inflammation Research     Hybrid Journal   (Followers: 4)
Info Diabetologie     Full-text available via subscription   (Followers: 1)
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Informatics in Medicine Unlocked     Open Access  
Injury Prevention     Hybrid Journal   (Followers: 6)
InnovAiT     Hybrid Journal   (Followers: 1)
Innovare Journal of Health Science     Open Access  
Innovare Journal of Medical Science     Open Access  
Innovation in Aging     Open Access   (Followers: 1)
Inside Precision Medicine     Full-text available via subscription   (Followers: 5)
Insights in Biology and Medicine     Open Access  
Integrative and Complementary Therapies     Full-text available via subscription   (Followers: 4)
Integrative Medicine Insights     Open Access   (Followers: 1)
Integrative Medicine International     Open Access   (Followers: 1)
Integrative Medicine Research     Open Access   (Followers: 3)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 12)
Intelligence-Based Medicine     Open Access  
Intelligent Medicine     Open Access   (Followers: 1)
intensiv     Hybrid Journal   (Followers: 1)
interactive Journal of Medical Research     Open Access  
Interdisciplinary Perspectives on Infectious Diseases     Open Access  
Interdisciplinary Sciences : Computational Life Sciences     Hybrid Journal   (Followers: 2)
Internal Medicine     Open Access   (Followers: 1)
International Biomechanics     Open Access   (Followers: 1)
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Numerical Methods in Biomedical Engineering     Hybrid Journal   (Followers: 2)
International Journal for Vitamin and Nutrition Research     Hybrid Journal   (Followers: 10)
International Journal of Academic Medicine     Open Access   (Followers: 1)
International Journal of Advance in Medical Science     Open Access  
International Journal of Advanced Medical and Health Research     Open Access  

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Journal Cover
International Journal of Advances in Medicine
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2349-3925 - ISSN (Online) 2349-3933
Published by Medip Academy Homepage  [12 journals]
  • Association of hemolysis markers and cortisol level with different
           severity of sickle cell disease among Sudanese patients

    • Authors: Ream E. Abdelgadir, Abdel Rahim M. Muddathir, Moyssar A. Krama, Ebtehal A. Adam, Osman Abdelgadir, Elharam I. Abd-allah
      Pages: 519 - 523
      Abstract: Background: Sickle cell anemia (SCA) is an inherited disorder of hemoglobin. Several biomarkers have been identified, which is essential in the different clinical presentations of the disease. This study aimed to determine the association between hemolysis markers and cortisol level with varying severity groups of Sudanese patients with SCA.Methods: This descriptive cross-sectional study included 100 patients with sickle cell disease between February 2016 and April 2017. According to Hedo et al scoring, medical history was obtained to conduct disease severity. A total of 3 ml of venous blood was collected from each patient. A complete hemogram was performed using an automated hematology analyzer (Sysmix®-KX-21N). Bilirubin and lactate dehydrogenase (LDH) were estimated using a spectrophotometer, while cortisol was measured using the Elecsys® system 2010 E170. The reticulocyte count was performed manually. Data were analyzed using statistical package for the social sciences (SPSS) version 21 computer software program.Results: Disease severity was variable and was categorized into; eighteen (18%) patients had mild symptoms, while 70 (70%) patients had moderate disease, and 12 (12%) patients had severe disease. The analysis of variance (ANOVA) test showed that hemoglobin, reticulocyte count, LDH, and direct bilirubin were positively correlated with disease severity, p value: 0.001, 0.04, 0.00, and 0.02, respectively. While indirect bilirubin, total bilirubin, and cortisol did not correlate with disease severity, the p value was (0.248, 0.083, and 0.868, respectively).Conclusions: This study confirmed that the hemolysis markers (Hb, reticulocyte count, direct bilirubin and LDH) were positively associated with disease severity. In contrast, indirect bilirubin, total bilirubin, and cortisol levels were not associated with the disease severity.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221085
      Issue No: Vol. 9, No. 5 (2022)
  • Folic acid usage and associated factors among pregnant women attending a
           tertiary health facility in Nigeria

    • Authors: Justina O. Alegbeleye, Chioma O. Ozueh
      Pages: 524 - 531
      Abstract: Background: Folic acid (FA) is an essential water-soluble vitamin that cannot be synthesized in the human body; hence its major source is from diet. It plays a key role in embryonic development. FA supplementation in pregnancy reduces the risk of megaloblastic anaemia, preterm delivery and neural tube defects. The aim of the current study was to evaluate the use of FA and factors associated with uptake amongst pregnant women at the University of Port Harcourt Teaching Hospital.Methods: A descriptive cross-sectional study involving 451 antenatal attendees at the University of Port Harcourt Teaching Hospital from 1 January to 31 March 2020. After consent was obtained, a structured interviewer-administered questionnaire was used to collect information from the women. Data was entered into a spread sheet and analyzed with SPSS version 25. The results are presented in means and percentages. The confidence interval was set at 95% and a p value of <0.05 was deemed statistically significant. Chi square test and Pearson’s correlation were used to determine association between usage of FA and variables.Results: Most of the women, 258 (57.21%) were between the ages of 30 and 39 years and were primarily nulliparous 122 (27.1%). Moreover, two-thirds of them 330 (73.2%) had post-secondary education and nearly all 409 (90.7%) of the women were married. Majority 370 (82.0%) of the pregnant women were currently taking folic acid but only 109 (24.2%) commenced before pregnancy. Use of FA was significantly associated with socio-demographic characteristics such as age, marital status, level of education and occupation (p<0.05). In addition, parity, planned pregnancy, history of having a child with neural tube defect, and timing of commencement of folic acid were all significantly associated with folic acid usage (p<0.05).Conclusions: Only a small proportion of pregnant women have used FA before their pregnancies. A public health policy or strategy to increase the pre-conceptional use of folic acid is needed.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221086
      Issue No: Vol. 9, No. 5 (2022)
  • Clinical profile of patients with acute kidney injury admitted in
           intensive care unit

    • Authors: Vijay Kumar Sah, Satyam Prakash
      Pages: 532 - 536
      Abstract: Background: Acute kidney injury (AKI) is a frequent complication in critically sick patients admitted to the intensive care unit (ICU). The objective of this study was to assess the risk factors and clinical outcomes of AKI in patients admitted to a teaching hospital's intensive care unit.Methods: This prospective observational study was conducted in the department of internal medicine, Janaki Medical College, Janakpur, Nepal from June 2018 till May 2019. Adults (aged 18 years or more) diagnosed with AKI using RIFLE criteria and were either admitted in ICU with diagnosis of AKI or developed AKI after admission to ICU. AKI patients were classified as those who satisfied any of the RIFLE categorization criteria.Results: The most common presenting complaint was fever (77%). The most common etiology of AKI was sepsis (71%). Other causes of AKI were post-operative cases (16%) and alcoholic liver disease (13%). When classified as per RIFLE criteria, we classified 38 cases (31.9%) as ‘risk’, 53 (44.54%) as ‘injury’ and 28 (23.53%) as ‘failure’. The etiological classification of our patients to be significantly associated with RIFLE classification (p<0.01). However, we found the mortality not to be significantly associated with RIFLE classification (p=0.74).  Conclusions: AKI classification should be used as a risk assessment tool towards the AKI's influence on the prognosis of ICU patients. Further study should investigate determining the death rate according to the RIFLE criteria in this region of Nepal.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221087
      Issue No: Vol. 9, No. 5 (2022)
  • Study of thrombotic complications in COVID-19

    • Authors: Raghavendra B. M., Imran Khan
      Pages: 537 - 542
      Abstract: Background: In December of 2019, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) began to infect humans in the city of Wuhan and has rapidly become pandemic. Recent clinical trials suggested that COVID-19 related thromboembolic complications are the major cause for increased incidence of morbidity and mortality. We conducted a prospective observational study to evaluate the prevalence of vascular complications due to COVID-19 and to analyse the difference in the inflammatory markers before and after the events.Methods: Prospective observational study, conducted at department of general medicine, Bangalore Medical College, Bangalore Karnataka from 3 months, 01 August 2021 to 30 October 2020. The incidence of thrombotic events was 70.7% (53/75). The incidence of arterial thromboembolic events was 48%, involving 36 patients of the overall study population. Of these 36 patients, majority of them were suffering from cerebrovascular accident (CVA) accounting for about 12 (16%) of the patients followed by 11 (14.7%) with ischemic heart disease (IHD). About 22.66% (17/75) of patients had developed venous thromboembolic events. Of which, 13 (17.3%) patients had developed deep-vein thrombosis (DVT).Results: We observed that all the inflammatory markers had significantly increased after the onset of thrombotic events. Serum ferritin, lactate dehydrogenase (LDH), interleukin-6 (IL-6) and fibrinogen were almost raised by 50% of the pre-event values. We could not calculate the sensitivity, specificity, positive predictive value and negative predictive value for each parameter as the severity of the disease was widely distributed. Majority of these thrombotic events were observed among the patients aged >60 years and those with comorbid conditions. But there no statistically significant difference observed.Conclusions: We concluded that COVID-19 causes significantly increased surge of inflammatory markers and thereby the significantly increased prevalence of arterial and venous thrombotic events.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221007
      Issue No: Vol. 9, No. 5 (2022)
  • Prevalence of peripheral arterial disease in type 2 diabetes mellitus and
           it’s correlation with carotid intima-media thickness

    • Authors: Sandeep S. Palawat, Vishal K. Gupta, Ajesh Chandra Gupta, Richa Giri
      Pages: 543 - 548
      Abstract: Background: Peripheral arterial disease (PAD) is one of the major macrovascular complications of diabetes mellitus (DM) which is largely neglected by clinicians. DM-associated atherosclerosis can lead to complications in all major of vascular beds, including the coronary arteries, carotid vessels, and lower extremity arteries. Aims and objective were to study the prevalence of PAD in patients with type 2 DM and to study the correlation with carotid artery intima-media thicknessMethods: Hospital based cross-sectional study was conducted among the 124 patients admitted with type 2 diabetes (age >25 year) from Dec 2019 to Oct 2021 in the various units of department of medicine or surgery, KPS institute, GSVM medical college Kanpur. Color doppler of limbs and carotid artery was done in study population.Results: In our study based on doppler ultrasound, the prevalence of PAD was found in 31 patients (25%) out of 124 with men having a higher prevalence (24 out of 74; 77.4%), as compared to women (7 out of 50; 22.6%) (p=0.020). The mean Carotid IMT (mm) (Average) was 0.82±0.16 in all diabetics. Patients with PAD have more increase in CIMT (0.95±0.12) as compare to non-PAD (0.77±0.15) p<0.001.Conclusions: By using doppler, we found evidence of PAD in 25% of type 2 diabetics (M>>F). Patients with PAD have more increase in CIMT as compare to non-PAD. 
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221025
      Issue No: Vol. 9, No. 5 (2022)
  • Significant correlation of ischemic stroke with peripheral artery disease
           in type 2 diabetes mellitus patients

    • Authors: Vishal Kumar Gupta, Ajesh Chandra Gupta, Richa Giri, Sandeep Singh Palawat
      Pages: 549 - 555
      Abstract: Background: Atherosclerotic disease is not only increased in incidence in type 2 diabetic patients, but its course is also accelerated. Stroke is one of the major causes of morbidity and mortality among the elderly population. The relationship between ischemic stroke and PAD (peripheral artery disease) has been poorly investigated in India. So, we studied the risk of stroke in PAD patients with type 2 diabetes. The aims and objectives of the study were to study the prevalence of PAD in patients with type 2 diabetes mellitus and to study the correlation of stroke in PAD patients with type 2 diabetes.Methods: Hospital based cross-sectional study was conducted among the 124 patients admitted with type 2 diabetes (age >25 years) from December 2019 to October 2021 in the various units of department of medicine/surgery, KPS institute, GSVM medical college, Kanpur. Color Doppler of limbs and carotid artery was done in study population. Clinical sign and symptoms, history of stroke or diagnostic investigation were used for evaluate cerebrovascular events.Results: In our study based on doppler ultrasound, the prevalence of PAD was found in 31 patients (25%) out of 124 with men having a higher prevalence (24 out of 74; 77.4%), as compared to women (7 out of 50; 22.6%) (p=0.020). The prevalence of stroke was 32.3% in PAD patients and 11.8% in non-PAD patients (p=0.009).Conclusions: By using Doppler, we found evidence of PAD in 25% of type 2 diabetics (M>F). The prevalence of stroke was 32.3% in PAD patients and 11.8% in non-PAD patients (p=0.009). PAD is associated with an increased risk of cerebrovascular disease morbidity and mortality. Clinician should identify a PAD patient with diabetes to elicit symptoms, complications like stroke to decrease mortality or morbidity.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221026
      Issue No: Vol. 9, No. 5 (2022)
  • A study of lipid profile in young smokers and non-smokers

    • Authors: Rahul Sahu, Reena Singh, Richa Giri
      Pages: 556 - 559
      Abstract: Background: A prospective study was carried out to find the variations in lipid profile in smokers when compared to non-smokers. The aim was to study the alterations in lipid profile in terms of severity of smoking. Methods: This study was carried out among 198 patients who attended medicine OPD of LLR hospital GSVM medical college Kanpur. The population was divided into 98 non-smokers and 100 smokers. The smokers were further divided into 3 groups depending on the intensity of smoking.Results: Out of 100 patients in the present study the number of subjects in mild, moderate and high smokers’ group were 33 (33%), 33 (33%), 34 (34%) respectively. Smokers had higher total cholesterol, plasma triglycerides, serum low density lipoprotein (LDL), serum very low-density lipoprotein (VLDL) and lower levels of serum high density lipoprotein (HDL) compared to non-smokers which was statistically significant.Conclusions: Increase in total cholesterol, triglycerides, LDL and VLDL were found in smokers of all age groups. Whereas HDL values showed inverse relationship. These changes were directly proportional to the severity of smoking. So, Tobacco smoking is associated with dyslipidemia which is atherogenic in nature.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221088
      Issue No: Vol. 9, No. 5 (2022)
  • Association of COVID-19 severity with body mass index and underlying
           comorbid conditions-a hospital-based cross-sectional study

    • Authors: Raju Kannan Sampath, Aamina Hussain, Venkata Meenakshi Subramanian, Muthunarayanan Logaraj
      Pages: 560 - 563
      Abstract: Background: To reduce the severity of the disease among COVID-19 patients with co-morbidities is the need of the hour. Obesity may contribute to adverse outcomes in coronavirus disease 2019 (COVID-19). This study aimed to find the association between the COVID-19 biomarker values and the underlying comorbid conditions and assess the severity of the disease according to the patients' body mass index (BMI).Methods: A single centre cross-sectional study was conducted in a tertiary hospital among 184 COVID-19 patients admitted for one month (June-July 2021).Results: The results show a statistically significant association between the COVID-19 severity and co-morbidity status of the patients, with diabetes mellitus being the most prevalent co-morbidity among the patients, followed by diabetes with hypertension. A statistically significant association was also seen between age and co-morbidity and biomarkers and co-morbidity.Conclusions: Obesity and other comorbid conditions like diabetes mellitus and hypertension should be given utmost importance during treatment among COVID-19 patients. Biomarker screening should be routinely done in patients with co-morbidities and obesity. Awareness among the COVID-19 patients regarding the comorbid conditions and BMI is the need of the hour.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221089
      Issue No: Vol. 9, No. 5 (2022)
  • A study of the course and outcome of COVID-19 patients with acute kidney
           injury admitted in an intensive care unit

    • Authors: Abhishek Konnur, Gurukanth Rao, Jayaprakash B.
      Pages: 564 - 570
      Abstract: Background: COVID-19 is a disease which predominantly affects the lung resulting in ARDS and respiratory failure. We described the factors associated with the development of AKI (acute kidney injury) and explored the relation of AKI and mortality in patients with severe COVID-19 admitted in intensive care unit of our hospital.Methods: A retrospective observational study was conducted in our hospital during the period of April 2021 to June 2021. 182 patients were selected for the study. Ethical committee approval was obtained. Data was analysed using SPSS 20.0Results: Among the 182 patients, AKI occurred in 99 (54%) patients; 18 (18%) of the patients with AKI required dialysis. The proportions with stages 1, 2, or 3 AKI were 56%, 22% and 21%, respectively. Upon analysis, TC, CRP, D-dimer were significantly higher in patients with AKI compared to non-AKI. Of the 99 patients with AKI, urine studies showed 59% as having proteinuria and 22% having haematuria. Independent predictors of severe AKI were male gender and higher serum potassium at admission. In-hospitalized patients’ mortality was 37% among patients with AKI versus 5% among those without AKI.Conclusions: AKI complicated the course of nearly 1 in 3 patients hospitalized with COVID-19. Advanced-stage AKI is associated with extremely high mortality among hospitalized COVID-19 patients. Age, male gender, comorbidities which are risk factors for mortality in patients with COVID-19 in the general population are also related to in-hospital mortality in patients with AKI.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221090
      Issue No: Vol. 9, No. 5 (2022)
  • A study of serum albumin levels in acute coronary syndrome and its
           correlation with clinical outcome

    • Authors: Avtar Singh Dhanju, Gurpreet Singh Chhina, Praneet Manekar, Pashaura Singh Sandhu
      Pages: 571 - 574
      Abstract: Background: Coronary artery disease (CAD) is major cause of death and mortality in the developed world. Coronary atherosclerotic disease involves the epicardial coronary arteries and may manifest as an acute or chronic coronary syndrome. Acute coronary syndrome (ACS) arises from atherosclerotic plaque rupture leading to coronary thrombosis and/or spasm.Methods: The present study was conducted in department of medicine, Guru Nanak Dev hospital attached to government medical college, Amritsar from May 2021 to December 2021. This was a prospective observational study in which a total of 50 patients of ACS were enrolled. Serum albumin levels of the patients were recorded and clinical outcomes based on the albumin levels were compared between the patients.Results: The patients with low serum albumin levels had worse outcomes. The mean serum albumin level of STEMI and NSTEMI patients in hypoalbuminemia group was 2.88±0.11 g/dl and 3.15±0.26 g/dl (p=0.047). The mean serum albumin level of patients having mortality in hypoalbuminemia group was 2.87±0.06 g/dl and those who didn’t have mortality was 3.19±0.21 g/dl (p=0.013). The mean serum albumin level of patients developing new onset heart failure in hypoalbuminemia group was 2.85±0.06 g/dl and those not developing had 3.11±0.19 g/dl (p=0.021).Conclusions: We conclude that ACS patients presenting with hypoalbuminemia are more likely to develop worse outcomes in the form of heart failure, cardiogenic shock and mortality. ACS patients presenting with low serum albumin levels have more chances of developing STEMI.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221091
      Issue No: Vol. 9, No. 5 (2022)
  • A cross-sectional e-survey to map clinical practice of electrocardiogram
           use as a screening tool in outpatient department: India office
           electrocardiogram e-survey

    • Authors: Divyanshu Prajapati, Hiren Prajapati, Vijay Joshi, Ronak Patel, Khushbu Patel, Ashish Mishra, Nehal Shah, Marmik Bhavsar
      Pages: 575 - 582
      Abstract: Background: Early detection of electrocardiogram (ECG) abnormalities in high risk cardiovascular patients with routine ECG screening is the need of the hour. The aim of the e-survey was to understand the use of ECG in high risk cardio-metabolically deranged patients at outpatient departments (OPDs) by Indian physicians.Methods: A cross-sectional India office ECG (IOECG) e-survey was conducted using Google form questionnaire from November 2021 to December 2021 among Indian physicians. Survey results were collected and analysed using Google form survey tool.Results: We received total of 1863 responses. The results of the survey showed that while 90% of physicians agreed to the necessity of doing 12 lead ECG of cardio-metabolically deranged patients, only 61% of all physicians could perform ECG screening in less than 40% of high risk cardio-metabolic patients mainly, due to several practical challenges. Among physicians, 40.2% physicians believed that 12 lead ECG was too time consuming, 35.8% physicians believed that the unavailability of ECG device was common reason while 27.5% physicians believed that there was a lack of trained staff. Majority of physicians (69.7%) agreed to use point of care ECG device which can be a solution for more screening of such patients whether symptomatic or asymptomatic. According to the survey, 88.7% physicians would appreciate if a portable handheld ECG device was made available to facilitate screening in their practice.Conclusions: There is a need of the portable handheld ECG device which helps physicians to screen large number of cardio-metabolically deranged patients in their busy OPDs.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221092
      Issue No: Vol. 9, No. 5 (2022)
  • A study of non-alcoholic fatty liver disease in patients with type 2
           diabetes mellitus and its correlation with cardiovascular risk

    • Authors: Richa Giri, Vinit Kumar, Vinay Kumar, Saurabh Agarwal
      Pages: 583 - 586
      Abstract: Background: NAFLD (non-alcoholic fatty liver disease) encompasses a variety of disorders of lipid metabolism ranging from NAFL, NASH to cirrhosis and rarely HCC. A great deal of evidence suggests that the metabolic syndrome predicts incident cardiovascular disease (CVD), so it is possible to hypothesize that NAFLD patients might portend a greater CVD risk and that NAFLD itself might confer a CVD risk above that associated with individual metabolic syndrome risk factors.Methods: 55 T2DM patients were included in current study conducted from August 2019 to September 2021 for assessment of NAFLD using USG abdomen, NAFLD fibrosis score and FIBROSCAN. ASCVD score was used for correlation between CVD risk and NAFLD.Results: Out of 55 patients 42 (76.4%) were having fatty liver based on USG abdomen while 13 (23.4%) patients were having no fatty liver. As far as steatosis is concerned mean CAP (dB/m) was 245±50.89 out of which 24 (43.6%) were having no or minimal steatosis (S0), while 31 (56.4%) were having significant steatosis with 11 (20%), 9 (16.4%) and 11 (20%) having S1, S2 and S3 grade of steatosis respectively. 15 patients out of 55 were of F0 grade while 19 (34.5%), 9 (16.4%), 7 (12.7%) and 5 (9.1%) were of grade F1, F2, F3 and F4 respectively. There was a positive statistically significant (p≤0.001) association of ASCVD risk score with NAFLD fibrosis score and fibroscan: E (KPa). Conclusions: Our study found that the prevalence of NAFLD was quite higher in patients with T2DM based on both USG abdomen (76.4%) and transient elastography (steatosis-56.4% and fibrosis-65.5%) and a statistically significant association between fibrosis and ASCVD score with higher fibrosis associated with higher 10 years ASCVD score.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221093
      Issue No: Vol. 9, No. 5 (2022)
  • Early cognitive decline and its assessment in idiopathic Parkinson disease
           and its correlation with duration of illness

    • Authors: Ajesh C. Gupta, Pooja Shukla, Richa Giri
      Pages: 587 - 590
      Abstract: Background: Parkinson disease (PD) is one of the most common age-related brain disorders, with cardinal symptoms rigidity, bradykinesia, resting tremor and postural instability. These are dopamine-related motor symptoms. PD is increasingly recognized as heterogeneous multisystem disorder involving other neurotransmitter associated with nonmotor symptoms. In which cognitive decline is the most common and important NMS. cognitive decline in PD makes profound effect on patient quality of life and imposes significant burden on the caregiver.Methods: Hospital based cross sectional study conducted among 52 patients of idiopathic Parkinson disease, 61 to 80 years of age (fulfilling UKPDS brain bank criteria) at GSVM medical college, Kanpur during February 2020 to October 2021 using SCOPA COG scale.Results: Using SCOPA COG score in 52 patients, 17 (33%) patients found with declined cognition There was weak negative correlation between total score and duration of illness (p=0.091), weak negative correlation between executive function (assessed by dice) and duration of illness (p=0.047) and a moderate negative correlation between visuospatial function (assessed by assembling pattern) and duration of illness (p=0.003).Conclusions: Significant cognitive decline found with increase in duration of illness in terms of visuospatial function.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221094
      Issue No: Vol. 9, No. 5 (2022)
  • Utility of Amrut Pushti Vardhak powder in enhancing physical fitness

    • Authors: Anand Katti, Ashok ., Phanikumar G., Anilakumar K. R.
      Pages: 591 - 597
      Abstract: Background: Physical performance depends on physical fitness. Fit persons can accomplish the tasks. Fitness is modifiable and hence the fitness level can be increased. In this background a need was felt to validate the efficacy of the Amrut Pushti Vardhak (APV) powder, a product developed by DFRL Mysore, for its physical performance enhancing activity by fitness tests. The result of pre-clinical study of the product was encouraging; hence clinical trial was taken up.Methods: All norms of good clinical practice and ethics were abided. The subjects were assigned in two homogenous groups, as control and trial groups. The trial group was given APV powder 30 gms/day for 21 days in the morning. The other group served as negative control. To evaluate the efficacy modified Harward step test was conducted before and after the intervention.Results: The test group showed statistically significant increase in the duration of exercise with p value 0.027 and increase in physical fitness index (PFI) with p value 0.01. The test group also showed statistically significant increase in the maximal oxygen consumption (VO2 max) (p=0.004). The increase in physical fitness level can be attributed to ingredients of APV powder.Conclusions: Healthy volunteers who received APV powder 30 gms/day for the duration of 21 days reported statistically significant increase in their duration of exercise, PFI and VO2 max. This indicates the APV powder increases in the physical fitness level.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221095
      Issue No: Vol. 9, No. 5 (2022)
  • Coincidence of drug induced liver injury and cholecystitis on human
           immunodeficiency virus patient with anti-tuberculosis treatment

    • Authors: Putu Arthana Putra, Ketut Suryana
      Pages: 598 - 602
      Abstract: Tuberculosis (TB) is a serious health problem. Anti-TB treatment has good efficacy, but in some cases side effects can occur that can affect medication adherence and development of drug resistance. One of the serious side effects of anti-TB treatment is drug induced liver injury. We reported the case of a 56 year old male patient with TB-HIV confection who developed symptoms of hepatotoxicity after 3 weeks of intensive phase of anti-TB treatment.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221096
      Issue No: Vol. 9, No. 5 (2022)
  • Anomalous right coronary artery from distal left circumflex coronary
           artery: a rare case report

    • Authors: Ashima Bagga, Diptiman Kaul, Shubham .
      Pages: 603 - 605
      Abstract: Coronary artery anomalies (CAAs) being a group of congenital disorders, present with highly variable manifestations and have diverse pathophysiological manifestations. In middle aged to elderly patients, a coronary anomaly is often an incidental finding. We presented a case of 65-year-old female with history of diabetes for past 9 years who presented to our emergency department with history of exertional chest pain for past 4 weeks. Anomalous origin of right coronary artery (RCA) from distal left circumflex artery (LCX) was observed on coronary angiography. Patient was managed with optimised medical therapy (OMT).
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221097
      Issue No: Vol. 9, No. 5 (2022)
  • A suspected case of COVID-19 vaccine (Covishield) induced Guillain Barre
           syndrome-a case report

    • Authors: Anirudh Gupta, S. L. Verma, Dinesh Rana, Varnik Goel
      Pages: 606 - 608
      Abstract: Guillain Barre syndrome (GBS) is a collection of clinical syndromes that manifest as an acute inflammatory poly radiculopathy. It usually presents as an acute, non-febrile, monophonic, post infectious illness manifesting as ascending weakness and areflexia. It is an autoimmune disorder characterized by production of antibodies against the myelin and is often triggered by bacterial and viral infections, vaccines against rabies, flu and COVID-19. Here we present a case of 31 years old male with characteristic signs and symptoms of GBS possibly triggered by Covishield vaccine.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221098
      Issue No: Vol. 9, No. 5 (2022)
  • A case on novel treatment protocol for difficult to treat foot myiasis

    • Authors: Mayur Dabhade
      Pages: 609 - 612
      Abstract: Foot myiasis is a rare condition, with only a few reported cases and no treatment consensus. We proposed a conservative and unique treatment approach with VAC dressing method. The patient administered in the hospital with presentation of deep tissue injury from a sharp stone, from 3 months back which was maggot infested.  The patient had approached local physicians before been admitted in our facility. The wound was severe with maggot infestation. The patient was non diabetic with no other comorbid conditions. We had the aim of infection free wound with faster rate of healing, which was fulfilled by the novel treatment protocol using vacuum-assisted closure (VAC®) dressing method. Culture sensitivity tests ruled out infection and maggot infestation. The wound was closed surgically after healthy uninfected granulation tissue confirmed with culture sensitivity report. No recurrence of maggot or any other infection were found.  The protocol performed was safe and effective in critical case of myiasis.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221099
      Issue No: Vol. 9, No. 5 (2022)
  • Endobronchial tuberculosis simulating a tumor: an interesting case report

    • Authors: Natesh Ganesan, Prasanth G., Gangadharan Vadivelu
      Pages: 613 - 615
      Abstract: Endobronchial tuberculosis (EBTB) is a special form of TB which is associated with significant morbidity and potential mortality. EBTB is the infection of tracheobronchial tree, and continues to remain challenging for clinicians to diagnose. The incidence of EBTB has been reported to be 5.8% to 30% in people with pulmonary TB. 60-year-old male, chronic smoker presented with complaints of dyspnea, cough with expectoration and sore throat for 2 weeks. General examination showed patient to have pallor and respiratory system examination showed decreased breath sounds in left infraaxillary region and bilateral crepitations. Routine blood investigations done showed decreased hemoglobin levels, elevated total leukocyte count, ESR. Sputum AFB was negative. Mantoux-15 mm in duration. Chest X-ray showed homogenous opacities over the left lower zone and elevated right diaphragm. CT thorax done showed a subsegmental peripheral soft tissue density 4.3×2.2 cm in the inferior lingula segment. Bronchoscopy showed whitish plaques over the anterior tracheal wall near carina and over left main bronchus. Endobronchial tissue growth seen occluding the lingula bronchus. Biopsy was taken and histopathology showed a granulomatous lesion, BAL Gene Xpert was positive for MTB. Patient was started on 3 tablets ATT. Clinicians need to be vigilant in patients who are AFB smear negative, with symptoms; bronchoscopy should be considered in those selected cases.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221100
      Issue No: Vol. 9, No. 5 (2022)
  • A rare case of bronze diabetes in a patient with thalassemia

    • Authors: Karan V. Sharma, Parth B. Khandhedia, Vijay H. Sharma
      Pages: 616 - 618
      Abstract: Secondary haemochromatosis (also known as bronze diabetes) is a perilous medical condition that can occur as a complication of frequent blood transfusions. Thalassemia major which occurs due to a decrease in the beta globulin chain can lead to severe anemia, extramedullary hematopoiesis and splenomegaly. Because of this, the affected patients required continuous blood transfusions throughout their life and as a consequence, it may lead to iron overload. A 26-year-old male presented with a complaint of darkening skin, joint pain and fever. He was a known case of thalassemia major and was undergoing blood transfusions three times a week. Further laboratory findings revealed decreased hemoglobin, abnormal liver function tests and increased blood glucose levels. The patient was managed with IV insulin and chelation therapy. The patient responded to treatment and was better on subsequent follow-up. The diagnostic and therapeutic challenges along with the epidemiological data emphasize the need of raising the awareness of physicians to this devastating condition.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221101
      Issue No: Vol. 9, No. 5 (2022)
  • Diagnostic approach of liver abscess

    • Authors: Putu Arthana Putra, Ketut Suardamana
      Pages: 619 - 622
      Abstract: Liver abscess is an infection of parasitic or bacteria into the liver parenchyma which causes encapsulation of suppurative material surrounded by inflammatory tissue. Liver abscess is an important health problem especially in low-middle income countries. It is not easy to diagnose liver abscess due to non-specific clinical signs. This case report, we presented a 46-year-old man who was hospitalized with suspected pulmonary infection. However, in the course of the patient's disease, we found a liver abscess. 
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221102
      Issue No: Vol. 9, No. 5 (2022)
  • A review of the relationship between stroke and neutrophil-lymphocyte

    • Authors: Mustaq Ahmed, Dhruvi Reddy, Siva Ranganathan Green
      Pages: 623 - 629
      Abstract: Neutrophil-lymphocyte ratio (NLR) has been a novel biomarker in the literature over decades to assess systemic inflammation. This easily available and cost-effective marker has shown clinical significance in various disease conditions such as infections, sepsis, malignancies, cardiovascular events and even in SARS-COVID-19 pneumonia. NLR has a major association in ischemic stroke patients. Inflammation is a crucial step in the development of ischemic stroke, with neutrophils and lymphocytes comprising the first line defence mechanism. It has a role in stroke initiation, progression of injury, and recovery. This article showed significant correlation between NLR and stroke patients in terms of days of hospital stay, severity and prognosis. High NLR values were found to be associated with higher risk of stroke, prolonged hospital stay and a worse 3 month mortality rate. NLR can thus be integrated into any clinical practice, having an impact on early diagnosis in many clinical scenarios.
      PubDate: 2022-04-25
      DOI: 10.18203/2349-3933.ijam20221103
      Issue No: Vol. 9, No. 5 (2022)
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