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: 5)
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: 3)
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: 4)
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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Similar Journals
Journal Cover
Indian Journal of Medical Specialities
Journal Prestige (SJR): 0.118
Number of Followers: 0  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0976-2884
Published by Medknow Publishers Homepage  [448 journals]
  • Clinical teaching: How to make it effective

    • Free pre-print version: Loading...

      Authors: Aruna Nigam
      Pages: 73 - 76
      Abstract: Aruna Nigam
      Indian Journal of Medical Specialities 2022 13(2):73-76

      Citation: Indian Journal of Medical Specialities 2022 13(2):73-76
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_14_22
      Issue No: Vol. 13, No. 2 (2022)
       
  • Unraveling scrub encephalitis: A study on the clinical profile and
           investigations of scrub encephalitis

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      Authors: Cynthia Amrutha Sukumar, Nandakrishna Bolanthakodi, Laawa Lakhmani, Ajit Singh, Sudha Vidyasagar
      Pages: 77 - 81
      Abstract: Cynthia Amrutha Sukumar, Nandakrishna Bolanthakodi, Laawa Lakhmani, Ajit Singh, Sudha Vidyasagar
      Indian Journal of Medical Specialities 2022 13(2):77-81
      Introduction: Scrub encephalitis (SE) is one of the known causes of acute encephalitis syndrome (AES). Although central nervous system involvement is known in scrub typhus, its association with AES is less understood and lesser diagnosed. In the absence of a point of care test for scrub typhus, cases of SE can be easily missed. A clinical approach using detailed history and clinical profiling of SE will help to diagnose SE in our region, using minimum resources, within a reasonable period. Aims: To analyze the clinical spectrum in patients of SE and to evaluate the investigations required to diagnose SE. Methodology: This is a retrospective study that analyzed Scrub typhus patients over 2 years from January 2018 to December 2019. A total of 370 patients were screened and 23 patients who satisfied the study criteria were included in the study and analyzed. Results: Among the cases of scrub typhus admitted in the hospital, the prevalence of SE was 6%. The most common presenting complaint was fever in 21 patients (91%) followed by altered sensorium in 16 (70%) and seizures in 9 patients (39%). An eschar was noted in 66% of the cases. The mean Glasgow Coma scale was 11 among the cases with almost 70% of cases showing signs of meningeal irritation. Organ involvement was noted as thrombocytopenia in 21 patients (91%), 16 patients (69%) with jaundice, and 1 (4%) with acute kidney injury. Conclusion: SE is an AES which, if detected early, is easily treatable with no residual neurological sequelae. Hence, identification of this condition and prompt diagnosis of SE becomes crucial to the management of this complication of scrub typhus.
      Citation: Indian Journal of Medical Specialities 2022 13(2):77-81
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_110_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Is chronic obstructive pulmonary disease different in females as compared
           to males?

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      Authors: Rita Vijaykumar Bothara, Madhuri Prashant Holay
      Pages: 82 - 86
      Abstract: Rita Vijaykumar Bothara, Madhuri Prashant Holay
      Indian Journal of Medical Specialities 2022 13(2):82-86
      Background: Recent years have witnessed a major shift in the sex profile of the chronic obstructive lung disease (COPD). In India, while smoking remains a significant risk factor, COPD due to nonsmoking causes (like biomass exposure) accounts for 30%–50% of all COPD cases. There is a lack of studies on characteristics of women with COPD exposed to biomass smoke and the degree to which they differ from COPD in men from the Indian context. Aim: The aim was to study clinical profile, risk factors, and severity of COPD in females and compare the same with COPD in males. Materials and Methods: 100 cases of COPD were divided into two groups – 50 Females and 50 males and were analyzed further for clinical profile and were graded as per the GOLD criteria and BODE index. Results: The mean age of presentation in females was 62 years. Biomass smoke exposure was the most common risk factor in females and that in males was smoking. Females had more severe dyspnea as compared to males (P = 0.022). There was a significant statistical difference in the performance of 6-min walk test (P = 0.005) and number of exacerbations in the past year in females (mean 4.5) and males (mean 3.58) (P = 0.034). Majority of female patients belonged to GOLD Groups B and D. Mean BODE index was 4.98 in females and 4.24 in males, and the difference was statistically significant (P = 0.014). Conclusion: There are gender-related differences in COPD risk, progression, and outcomes. Females have more symptoms, more severe obstruction, more number of exacerbations, and more functional disability as compared to males.
      Citation: Indian Journal of Medical Specialities 2022 13(2):82-86
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_118_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Depression, anxiety, and stress among general public of india during
           post-COVID-19 second wave: A web-based cross-sectional survey

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      Authors: Jyothi Suchitra Mekala, Narayana Goruntla, Bharathi Nayaka, Kavyasree Velpula, Raghavendra Biswas, Kasturi Viswanathasetty Veerabhadrappa, Bhupalam Pradeepkumar
      Pages: 87 - 94
      Abstract: Jyothi Suchitra Mekala, Narayana Goruntla, Bharathi Nayaka, Kavyasree Velpula, Raghavendra Biswas, Kasturi Viswanathasetty Veerabhadrappa, Bhupalam Pradeepkumar
      Indian Journal of Medical Specialities 2022 13(2):87-94
      Background: Evidence suggests that one-third of respondents had a significant psychological impact in the lockdown period of the coronavirus disease 2019 (COVID-19) pandemic. This indicates a need for longitudinal assessment of the psychological needs of the public to plan holistic interventions. Aim: To investigate depression, anxiety, and stress (DAS) levels among the general public post-COVID-19 second wave. Materials and Methods: A web-based cross-sectional survey was conducted among the general public who were aged above 15 years. The data were collected through online mode by providing a link to fill Google Form. The survey tool was disseminated in various messenger groups and social media networks. The survey tool comprises demographics, COVID-19 stressors, and DAS Scale 21 (DASS-21). Multi and Univariate linear regression analysis was used to correlate patient characteristics and COVID-19 stressors with DASS-21 subscales. Results: A total of 2515 (males = 1274; females = 1241) people participated in this web-based survey. The mean age of the study respondents was 31.3 ± 13.4 years. The mean scores of depression, anxiety, and stress were 6.8 ± 8.6, 5.0 ± 7.3, and 7.3 ± 8.6, respectively. The majority of the participants are normal in all sub-scales of DASS-21. Very few are experiencing symptoms of severe or extremely severe depression (4.2%, 4.3%), anxiety (3.3%, 6.9%), and stress (3.0%, 2.3%). Geriatrics, females, health-care workers, homemakers/unemployed/retired people, rural residents, and people suffering from co-morbidities have a significant elevation of DAS scores with a P < 0.05. Conclusion: Even though most of the respondents are free from the DAS symptoms, few are still (post-COVID-19 second wave) experiencing symptoms of severe or extremely severe DAS subscales. More interview-based and probability sampling future studies are warranted to minimize the biases present in the study.
      Citation: Indian Journal of Medical Specialities 2022 13(2):87-94
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_103_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Improvement of the nurses' awareness toward ventilator-associated
           pneumonia based on evidence guidelines

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      Authors: Zainab Mohamed ALaswad, Magda Bayoumi
      Pages: 95 - 100
      Abstract: Zainab Mohamed ALaswad, Magda Bayoumi
      Indian Journal of Medical Specialities 2022 13(2):95-100
      Background: Ventilator Associated Pneumonia (VAP) is a common hospital acquired infection that occurs as complication in patients who are connected to Mechanical Ventilation (MV). Nurses in intensive care unit (ICU) should be updated with the latest evidence-based practice to prevent such complication. This study aimed to assess improvement of the nurses' awareness toward ventilator-associated pneumonia based on latest evidence guidelines. Methods: A quantitative pretest-posttest design has been conducted. Using a convenience sample of 58 nurses who are working in the ICU were recruited. Tools: A self-administrative questionnaire was adapted to assess the nurse's knowledge about VAP and VAP prevention bundle. Results: The results highlighted that all ICU nurses had improvement of knowledge level pre-post regarding VAP (p <0.001), VAP prevention (p <0.001), and the overall knowledge score improvement revealed significantly higher after the educational program (p <0.001). Conclusion: Periodic refreshing on-services education program should be provided to nurses in ICU to improve their knowledge and to maintain high level of information, moreover hospital policies should include updated guidelines for VAP prevention bundle and protocol from international evidence.
      Citation: Indian Journal of Medical Specialities 2022 13(2):95-100
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_124_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Relationship between height and arm-span of elderly persons in a rural
           area of Ballabgarh, Haryana

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      Authors: Sunanda Gupta, Rakesh Kumar, Mani Kalaivani, Baridalyne Nongkynrih, Shashi Kant, Sanjeev Kumar Gupta
      Pages: 101 - 104
      Abstract: Sunanda Gupta, Rakesh Kumar, Mani Kalaivani, Baridalyne Nongkynrih, Shashi Kant, Sanjeev Kumar Gupta
      Indian Journal of Medical Specialities 2022 13(2):101-104
      Background: Progression in age causes gradual loss in height due to degenerative osteoporotic changes in bones and decrease in the disc space. Hence, proxy measures of height are required in elderly persons. Objective: The objective of the study is to study the relationship between height and arm-span of elderly persons. Materials and Methods: This community-based study was conducted in a rural area of Ballabgarh, Haryana, among elderly persons (age ≥60 years). Four hundred and twenty participants were selected by simple random sampling method. House-to-house visits were made. Height and arm-span were measured. Association between height and arm-span was assessed by Pearson's product-moment correlation coefficient and linear regression analysis. Scatter plot was also made to show the association by age and sex. Results: In both sexes and all age groups, arm-span was seen to be more than height. Linear relationship between height and arm-span was observed. There was strong correlation between height and arm-span in both sexes (correlation coefficient = 0.97, P < 0.001 in both sexes). Conclusion: Arm-span can be measured as an alternative to height in elderly population. Arm-span can be used as a substitute for height for calculation of body mass index, creatinine height index, basal energy expenditure, and pulmonary function test.
      Citation: Indian Journal of Medical Specialities 2022 13(2):101-104
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_109_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Mortality in dermatology: A closer look

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      Authors: Prachi Bhandare, Annam Navya, Rakhi Ghodge, Pankaj Shukla, Taruna Gupta
      Pages: 105 - 108
      Abstract: Prachi Bhandare, Annam Navya, Rakhi Ghodge, Pankaj Shukla, Taruna Gupta
      Indian Journal of Medical Specialities 2022 13(2):105-108
      Introduction: Contrary to the general perception that the field of dermatology rarely encounters managing critical patients and dealing with mortality, severe and extensive dermatological conditions can be lethal in the absence of timely intervention. Aims and Objectives: The aim was to study in detail regarding the deaths and the various factors associated with it in patients admitted with dermatological conditions in a tertiary care center over a period of 10 years. Materials and Methods: It was a retrospective, record-based, observational study over a period of 10 years (2011–2021) in a tertiary care hospital consisting of 49 cases. After obtaining institutional ethical clearance, the information was obtained from medical records section. The relevant details of patients were entered in a specially formulated proforma. Results: A total of 3491 patients were admitted to the Department of Dermatology, Goa Medical College, during the study period of 10 years from January 2011 to August 2021. Among these, 49 patients succumbed to their skin condition, with an overall mortality percentage of 1.4%. Drug reactions were the most commonly encountered diagnosis in 17 patients (34.69%) which was closely followed by vesiculobullous disorders with 14 (28.57%) cases and infections in 10 (20.40%) cases. Conclusion: Drug reactions, vesiculobullous disease, and infections were the main causes of mortality in our series of patients. Extensive skin and mucosal involvement, multisystem involvement, declining age, delay in treatment received, and onset of sepsis were some of the major factors contributing to mortality. In our study, a high proportion of 46.93% of the patients were above the age of 60 years, out of which 56.52% had vesiculobullous disease. Hence, a special focus on geriatric dermatology deserves attention, especially in tertiary care centers.
      Citation: Indian Journal of Medical Specialities 2022 13(2):105-108
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_131_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Correlation of E1 lesions and CD68 count with proteinuria and clinical
           outcome in IgA nephropathy

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      Authors: Sistla Radha, Tameem Afroz, Y Sandeep Reddy, Gandhe Sridhar, KG Rajaram
      Pages: 109 - 112
      Abstract: Sistla Radha, Tameem Afroz, Y Sandeep Reddy, Gandhe Sridhar, KG Rajaram
      Indian Journal of Medical Specialities 2022 13(2):109-112
      Background: IgA nephropathy (IgAN) has variable course; few patients have a benign presentation and other patients present with late stage disease. Endocapillary hypercellularity has a prognostic significance in IgAN. It is important to identify E1 lesions accurately. The use of CD68 immunohistochemistry marker to identify glomerular macrophages will standardize the reporting and help the clinicians prognosticate the patients. Subjects and Methods: The material is from a referral laboratory for renal biopsies in a tertiary care hospital. Renal biopsies are processed as per protocol including light microscopy, immunofluorescence and electron microscopy where ever required. CD68 was used in this study to identify macrophages in E1 lesions. A total of 1220 primary glomerular diseases were diagnosed from January 2019 till date. Out of these, IgA constituted 11.9% of primary glomerular diseases. Renal biopsies received were from the department of nephrology and various other nephrology centers. Biopsies were received in 10% buffered formalin. Immunofluorescence is done on all biopsies, and electron microscopy was done in few cases to differentiate from other lesions with dominant IgA deposits. CD68 was done in 50 cases of IgAN. Apart from hematoxylin and eosin stains, periodic acid-Schiff, Masson trichrome, Jones silver stain were also done. Results: IgAN constituted 11.9% of cases. Twenty-five cases of E0 and twenty-five cases of E1 lesions were correlated with clinical and morphological features. There was correlation with proteinuria and hypertension in E1 lesions. There was no significant correlation with the morphological variants like crescents, focal segmental glomerulosclerosis. Conclusions: Inter observer correlation of E lesions is poor in classifying IgAN. Use of CD68 is a useful adjunct to identify macrophages. E1 lesions have more proteinuria requiring treatment for delaying the progression to end stage disease. Despite significant association of E1 lesions with progression, there may be many unmeasured factors which would influence the outcome.
      Citation: Indian Journal of Medical Specialities 2022 13(2):109-112
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_105_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Mucormycosis in the setting of the Covid-19 pandemic in patients without
           exposure to steroids and oxygen: A case series from a tertiary care center
           in North India

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      Authors: Sachin Gautam, Mradul Kumar Daga, Govind Mawari, Naresh Kumar, Ishan Rohatgi, Maryam Hussain, Vaishali Vinod Ramteke, Sandeep Garg, Suresh Kumar, Sarika Singh, Ishwar Singh
      Pages: 113 - 118
      Abstract: Sachin Gautam, Mradul Kumar Daga, Govind Mawari, Naresh Kumar, Ishan Rohatgi, Maryam Hussain, Vaishali Vinod Ramteke, Sandeep Garg, Suresh Kumar, Sarika Singh, Ishwar Singh
      Indian Journal of Medical Specialities 2022 13(2):113-118
      Background: Sudden surge of mucormycosis cases in India needs an urgent attention as multiple factors have been implicated. However, diabetes mellitus remains to be one of the most important and modifiable factors. Methodology: We prospectively followed 11 patients with mucormycosis in May 2021 and June 2021, admitted to our hospital to study the possible etiologies. Results: Out of the 11 patients, six were males and five were females, with an average age of 52.45 years. Type 2 diabetes mellitus was the ubiquitous comorbidity, and every patient presented with uncontrolled hyperglycemia (six out of them were in diabetic ketoacidosis). Glycated hemoglobin levels ranged from 10.2% to 15.1%. Out of 11 patients, four patients were non-COVID, whereas five patients had a history of COVID-19 infection. All these five post COVID-19 patients presented approximately 20 days after recovery, out of which one patient had severe infection who was hospitalized. The remaining two patients were COVID-19-positive. Out of 11 patients, 10 patients had rhino-orbital mucormycosis at presentation, among which four patients had cerebral involvement, and one out of them later developed invasive disease. However, one patient had only pulmonary mucormycosis at presentation. Serum ferritin was raised in all the patients, and six had serum zinc levels below the reference range. Serum flow cytometry showed leukopenia with normal CD4:CD8 ratio in seven patients. In the clinical outcome, six patients expired, whereas five patients responded to the treatment and were discharged on oral posaconazole therapy. Conclusion: From our study, it is quite evident that uncontrolled diabetes and its complications such as diabetic ketoacidosis were an important risk factor for the occurrence of mucormycosis in COVID-19 patients as well as non-COVID-19 patients, even without exposure to steroids or oxygen. Thus, blood glucose levels should be kept at optimum level during the management of COVID-19 patients.
      Citation: Indian Journal of Medical Specialities 2022 13(2):113-118
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_133_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Acute respiratory distress syndrome complicating scrub typhus in pregnancy

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      Authors: Amit Kumar, Shweta Tanwar, Sudhish Gupta, Rajesh Chetiwal
      Pages: 119 - 121
      Abstract: Amit Kumar, Shweta Tanwar, Sudhish Gupta, Rajesh Chetiwal
      Indian Journal of Medical Specialities 2022 13(2):119-121
      Scrub typhus is caused by Orientia tsutsugamushi (formerly Rickettsia) and is transmitted to humans by an arthropod vector of the Trombiculidae family. Recent reports suggest that there has been resurgence of rickettsial infections in the Indian subcontinent. As the clinical features of scrub typhus are nonspecific and closely mimic that of other tropical infections, its diagnosis is often delayed or missed. It may cause serious complications such as myocarditis, meningoencephalitis, acute renal failure, acute liver failure, pneumonia, acute respiratory distress syndrome (ARDS), disseminated intravascular coagulation, and multiorgan dysfunction syndrome. Early diagnosis is important because the response to treatment is excellent and may help prevent complications. Here, we report a case of scrub typhus in a pregnant woman complicated by ARDS; however, timely diagnosis and institution of therapy helped save two precious lives.
      Citation: Indian Journal of Medical Specialities 2022 13(2):119-121
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_106_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Scleroderma renal crisis as initial presentation of scleroderma

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      Authors: Sahil Bagai, Scienthia Sanjeevani, Dinesh Khullar, Bhavna Bansal, Vipra Malik
      Pages: 122 - 123
      Abstract: Sahil Bagai, Scienthia Sanjeevani, Dinesh Khullar, Bhavna Bansal, Vipra Malik
      Indian Journal of Medical Specialities 2022 13(2):122-123
      Scleroderma renal crisis (SRC) is characterized by the development of severe or worsening arterial hypertension associated with the abrupt onset of progressive renal failure in the absence of any other cause. Only 1% of limited and 4–11% of diffuse scleroderma cases have SRC. We report a case of SRC as an initial presentation in a newly diagnosed case of scleroderma.
      Citation: Indian Journal of Medical Specialities 2022 13(2):122-123
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_123_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • A fatal disease hidden behind a common symptom: Neuromyelitis optica
           spectrum disorder

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      Authors: Vishal Chandra Sharma, Anisha Umashankar
      Pages: 124 - 126
      Abstract: Vishal Chandra Sharma, Anisha Umashankar
      Indian Journal of Medical Specialities 2022 13(2):124-126
      Neuromyelitis optica spectrum disorder (NMOSD) is an inflammatory demyelinating disorder of the central nervous system. Recently, a number of clinical features have been identified in the diagnosis, and this disorder has been expanded to include a wider spectrum. It is important to have knowledge of these syndromes to diagnose this condition. One such presentation is intractable vomiting and hiccoughs, which is categorized as area postrema syndrome (APS) and is often misdiagnosed as a digestive disorder. We present a case of young female presenting with unresolving vomiting and hiccoughs. Magnetic resonance imaging done showed lesions in the dorsal medulla, suggestive of APS. A positive immunoglobulin G aquaporin-4 antibody confirmed the diagnosis of NMOSD. With this case report, we try to reiterate the importance of knowing the varied presentations of NMOSD and vigilance in identifying that a common symptom such as vomiting/hiccough can be due to an uncommon disorder.
      Citation: Indian Journal of Medical Specialities 2022 13(2):124-126
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_99_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Artesunate-induced vasculitis in an empirically treated patient with
           febrile illness

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      Authors: Ritika Sud, Ridhi Chhabra, Niharika Aggarwal, Lalit Kumar Gupta
      Pages: 127 - 129
      Abstract: Ritika Sud, Ridhi Chhabra, Niharika Aggarwal, Lalit Kumar Gupta
      Indian Journal of Medical Specialities 2022 13(2):127-129
      A 55-year-old female presented to the emergency department with maculopapular rashes involving whole body following administration of intravenous artesunate for an acute febrile illness. Leukocytoclastic vasculitis (LCV) was diagnosed with the help of a biopsy, and causes for the condition other than drug induced were investigated and ruled out. Almost 10% of the LCV cases are caused by drugs; however, a literature search did not reveal any documented case of Artesunate-induced vasculitis. We suggest that patients on Artesunate therapy should be monitored for signs and symptoms of LCV.
      Citation: Indian Journal of Medical Specialities 2022 13(2):127-129
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_117_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Hand sanitizer: A double-edged sword used in the COVID-19 pandemic

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      Authors: S Sidharth, Ramesh Aggarwal, LH Ghotekar, Shubha Laxmi Margekar, Omprakash Kumar
      Pages: 130 - 131
      Abstract: S Sidharth, Ramesh Aggarwal, LH Ghotekar, Shubha Laxmi Margekar, Omprakash Kumar
      Indian Journal of Medical Specialities 2022 13(2):130-131
      The COVID-19 pandemic has taught us the emphasis of personal hygiene which was long being ignored. Measures such as hand sanitizer which were predominantly used in health-care facilities in the past have seen recent surge in its usage everywhere. The availability of hand sanitizer in almost all the settings in this pandemic including the household has heralded a new step in personal hygiene. People across the world are using hand sanitizer everywhere. As much is known about its beneficial effect in preventing the spread of pathogens, its injudicious use has resulted in discovering its adverse effect if misused. We hereby present a case where the patient with Type 1 diabetes mellitus presented with hand sanitizer ingestion. This case highlights the unwanted effects and lethality of hand sanitizer if used in an unintended manner and hence alert us for its judicious use in the pandemic.
      Citation: Indian Journal of Medical Specialities 2022 13(2):130-131
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_127_21
      Issue No: Vol. 13, No. 2 (2022)
       
  • Pathophysiological mechanism of stroke secondary to bee sting

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      Authors: Jamir Pitton Rissardo, Ana Letícia Fornari Caprara
      Pages: 132 - 133
      Abstract: Jamir Pitton Rissardo, Ana Letícia Fornari Caprara
      Indian Journal of Medical Specialities 2022 13(2):132-133

      Citation: Indian Journal of Medical Specialities 2022 13(2):132-133
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_6_22
      Issue No: Vol. 13, No. 2 (2022)
       
  • White dots syndrome and pseudoxanthoma elasticum: An unusual association

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      Authors: Belfaiza Soukaina, Taoufiq Abdelaoui, Imane Jeddou, Yassine Mouzari, Karim Reda, Oubaaz Abdelbar
      Pages: 134 - 135
      Abstract: Belfaiza Soukaina, Taoufiq Abdelaoui, Imane Jeddou, Yassine Mouzari, Karim Reda, Oubaaz Abdelbar
      Indian Journal of Medical Specialities 2022 13(2):134-135

      Citation: Indian Journal of Medical Specialities 2022 13(2):134-135
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_5_22
      Issue No: Vol. 13, No. 2 (2022)
       
  • Vaccines are ray of hope, but who is the torch-bearer?

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      Authors: Harish Gupta
      Pages: 136 - 137
      Abstract: Harish Gupta
      Indian Journal of Medical Specialities 2022 13(2):136-137

      Citation: Indian Journal of Medical Specialities 2022 13(2):136-137
      PubDate: Thu,31 Mar 2022
      DOI: 10.4103/injms.injms_129_21
      Issue No: Vol. 13, No. 2 (2022)
       
 
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