Subjects -> MEDICAL SCIENCES (Total: 8810 journals)
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    - SURGERY (412 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (159 journals)

INTERNAL MEDICINE (180 journals)                     

Showing 1 - 180 of 180 Journals sorted alphabetically
Abdomen     Open Access  
ACP Hospitalist     Full-text available via subscription   (Followers: 9)
ACP Internist     Full-text available via subscription   (Followers: 10)
ACP Journal Club     Full-text available via subscription   (Followers: 11)
Acta Clinica Belgica     Hybrid Journal   (Followers: 1)
Acute and Critical Care     Open Access   (Followers: 11)
Acute Medicine     Full-text available via subscription   (Followers: 9)
Advances in Hepatology     Open Access   (Followers: 4)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6)
African Journal of Primary Health Care & Family Medicine     Open Access   (Followers: 6)
African Journal of Thoracic and Critical Care Medicine     Open Access  
American Family Physician     Full-text available via subscription   (Followers: 38)
American Journal of Hypertension     Hybrid Journal   (Followers: 31)
Anales de Medicina Interna     Open Access   (Followers: 1)
Anatomy & Physiology : Current Research     Open Access   (Followers: 9)
Angiology     Hybrid Journal   (Followers: 5)
Annals of Colorectal Research     Open Access   (Followers: 1)
Annals of Internal Medicine     Full-text available via subscription   (Followers: 392)
AORN Journal     Hybrid Journal   (Followers: 27)
Apollo Medicine     Open Access  
Archives of Drug Information     Hybrid Journal   (Followers: 5)
Archivos de Medicina Interna     Open Access   (Followers: 1)
Asia Oceania Journal of Nuclear Medicine & Biology     Open Access   (Followers: 4)
Asian Pacific Journal of Tropical Disease     Full-text available via subscription   (Followers: 3)
Australasian Physical & Engineering Sciences in Medicine     Hybrid Journal   (Followers: 1)
BMI Journal : Bariátrica & Metabólica Iberoamericana     Open Access   (Followers: 1)
BMJ Open Diabetes Research & Care     Open Access   (Followers: 35)
BMJ Quality & Safety     Hybrid Journal   (Followers: 69)
Bone & Joint Journal     Hybrid Journal   (Followers: 138)
Brain Communications     Open Access   (Followers: 4)
Brain Science Advances     Open Access  
Canadian Journal of General Internal Medicine     Open Access   (Followers: 2)
Cardiovascular Medicine in General Practice     Full-text available via subscription   (Followers: 7)
Case Reports in Internal Medicine     Open Access   (Followers: 1)
Cell Death & Disease     Open Access   (Followers: 3)
Cellular and Molecular Gastroenterology and Hepatology     Open Access   (Followers: 3)
Cephalalgia     Hybrid Journal   (Followers: 8)
Cephalalgia Reports     Open Access   (Followers: 4)
Chronic Diseases and Injuries in Canada     Free   (Followers: 1)
Clinical Ethics     Hybrid Journal   (Followers: 13)
Clinical Liver Disease     Open Access   (Followers: 5)
Clinical Nutrition     Hybrid Journal   (Followers: 98)
Clinical Thyroidology     Full-text available via subscription   (Followers: 1)
CNE Pflegemanagement     Hybrid Journal  
Communication Law and Policy     Hybrid Journal   (Followers: 5)
Current Diabetes Reports     Hybrid Journal   (Followers: 30)
Current Hepatology Reports     Hybrid Journal  
Current Research: Integrative Medicine     Open Access  
CVIR Endovascular     Open Access   (Followers: 1)
Der Internist     Hybrid Journal   (Followers: 12)
Diabetes     Full-text available via subscription   (Followers: 603)
Diabetes Care     Full-text available via subscription   (Followers: 578)
Diabetes Internacional     Open Access  
Diabetes Spectrum     Full-text available via subscription   (Followers: 17)
Diagnosis     Hybrid Journal   (Followers: 1)
Egyptian Journal of Bronchology     Open Access  
Egyptian Journal of Internal Medicine     Open Access   (Followers: 1)
Egyptian Journal of Neurosurgery     Open Access  
Egyptian Liver Journal     Open Access   (Followers: 2)
Egyptian Spine Journal     Open Access  
EMC - Aparato Locomotor     Hybrid Journal  
Endovascular Neuroradiology / Ендоваскулярна нейрорентгенохірургія     Open Access   (Followers: 1)
eNeuro     Open Access   (Followers: 3)
Ergonomics     Hybrid Journal   (Followers: 24)
European Journal of Inflammation     Open Access   (Followers: 2)
European Journal of Internal Medicine     Full-text available via subscription   (Followers: 10)
European Journal of Translational Myology     Open Access  
European Radiology Experimental     Open Access   (Followers: 2)
Head and Neck Tumors     Open Access   (Followers: 1)
Health Sociology Review     Hybrid Journal   (Followers: 14)
HemaSphere     Open Access   (Followers: 2)
Hepatology Communications     Open Access  
Hepatoma Research     Open Access   (Followers: 3)
Human Physiology     Hybrid Journal   (Followers: 5)
ImmunoHorizons     Open Access  
Immunological Medicine     Open Access  
Infectious Diseases: Research and Treatment     Open Access   (Followers: 5)
Inflammation and Regeneration     Open Access   (Followers: 2)
Inflammatory Intestinal Diseases     Open Access  
Innere Medizin up2date     Hybrid Journal   (Followers: 1)
Internal and Emergency Medicine     Hybrid Journal   (Followers: 5)
Internal Medicine Journal     Hybrid Journal   (Followers: 9)
International Journal of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
International Journal of Anatomy and Research     Open Access   (Followers: 2)
International Journal of Angiology     Hybrid Journal  
International Journal of Artificial Organs     Hybrid Journal   (Followers: 3)
International Journal of Hyperthermia     Open Access  
International Journal of Internal Medicine     Open Access   (Followers: 3)
International Journal of Noncommunicable Diseases     Open Access  
International Journal of Psychiatry in Clinical Practice     Hybrid Journal   (Followers: 6)
Iranian Journal of Neurosurgery     Open Access   (Followers: 1)
Italian Journal of Anatomy and Embryology     Open Access   (Followers: 1)
JAC-Antimicrobial Resistance     Open Access   (Followers: 4)
JAMA Internal Medicine     Full-text available via subscription   (Followers: 364)
JCSM Clinical Reports     Open Access   (Followers: 3)
JHEP Reports     Open Access  
JIMD Reports     Open Access  
JMV - Journal de Médecine Vasculaire     Hybrid Journal   (Followers: 1)
Joint Commission Journal on Quality and Patient Safety     Hybrid Journal   (Followers: 41)
JOP. Journal of the Pancreas     Open Access   (Followers: 2)
Journal of Basic & Clinical Physiology & Pharmacology     Hybrid Journal   (Followers: 1)
Journal of Bone Oncology     Open Access   (Followers: 1)
Journal of Cancer & Allied Specialties     Open Access  
Journal of Clinical and Experimental Hepatology     Full-text available via subscription   (Followers: 3)
Journal of Clinical Movement Disorders     Open Access   (Followers: 3)
Journal of Community Hospital Internal Medicine Perspectives     Open Access  
Journal of Cutaneous Immunology and Allergy     Open Access  
Journal of Developmental Origins of Health and Disease     Hybrid Journal   (Followers: 2)
Journal of Endoluminal Endourology     Open Access  
Journal of Gastroenterology and Hepatology Research     Open Access   (Followers: 4)
Journal of General Internal Medicine     Hybrid Journal   (Followers: 23)
Journal of Hypertension     Hybrid Journal   (Followers: 14)
Journal of Infectious Diseases     Hybrid Journal   (Followers: 48)
Journal of Interdisciplinary Medicine     Open Access  
Journal of Internal Medicine     Hybrid Journal   (Followers: 11)
Journal of Liver : Disease & Transplantation     Hybrid Journal   (Followers: 7)
Journal of Medical Internet Research     Open Access   (Followers: 24)
Journal of Movement Disorders     Open Access   (Followers: 2)
Journal of Pain and Symptom Management     Hybrid Journal   (Followers: 46)
Journal of Pancreatic Cancer     Open Access  
Journal of Renal and Hepatic Disorders     Open Access  
Journal of Solid Tumors     Open Access   (Followers: 1)
Journal of Sports Medicine and Allied Health Sciences : Official Journal of the Ohio Athletic Trainers Association     Open Access   (Followers: 1)
Journal of the American Board of Family Medicine     Open Access   (Followers: 11)
Journal of the European Mosquito Control Association     Open Access  
Journal of Translational Internal Medicine     Open Access  
Jurnal Vektor Penyakit     Open Access  
La Revue de Medecine Interne     Full-text available via subscription   (Followers: 3)
Lege artis - Das Magazin zur ärztlichen Weiterbildung     Hybrid Journal   (Followers: 1)
Liver Cancer International     Open Access  
Liver Research     Open Access  
Molecular Diagnosis & Therapy     Hybrid Journal   (Followers: 3)
Molecular Therapy - Oncolytics     Open Access  
Multiple Sclerosis and Demyelinating Disorders     Open Access   (Followers: 7)
MYOPAIN. A journal of myofascial pain and fibromyalgia     Hybrid Journal   (Followers: 18)
Neuro-Oncology Advances     Open Access   (Followers: 1)
Neurobiology of Pain     Open Access   (Followers: 2)
Neurointervention     Open Access   (Followers: 6)
Neuromuscular Diseases     Open Access  
Nigerian Journal of Gastroenterology and Hepatology     Full-text available via subscription  
OA Alcohol     Open Access   (Followers: 5)
Oncological Coloproctology     Open Access  
Open Journal of Internal Medicine     Open Access  
Pleura and Peritoneum     Open Access  
Pneumo News     Full-text available via subscription  
Polish Archives of Internal Medicine     Full-text available via subscription   (Followers: 2)
Preventing Chronic Disease     Free   (Followers: 2)
Progress in Transplantation     Hybrid Journal   (Followers: 1)
Prostate International     Open Access   (Followers: 2)
Psychiatry and Clinical Psychopharmacology     Open Access   (Followers: 1)
Pulmonary Therapy     Open Access   (Followers: 2)
Quality of Life Research     Hybrid Journal   (Followers: 20)
Research and Practice in Thrombosis and Haemostasis     Open Access  
Revista Chilena de Fonoaudiología     Open Access   (Followers: 1)
Revista de la Sociedad Peruana de Medicina Interna     Open Access   (Followers: 4)
Revista del Instituto de Medicina Tropical     Open Access  
Revista Hispanoamericana de Hernia     Open Access   (Followers: 1)
Revista Médica Internacional sobre el Síndrome de Down     Full-text available via subscription   (Followers: 1)
Revista Virtual de la Sociedad Paraguaya de Medicina Interna     Open Access   (Followers: 1)
Romanian Journal of Diabetes Nutrition and Metabolic Diseases     Open Access   (Followers: 1)
Romanian Journal of Internal Medicine     Open Access  
Russian Journal of Child Neurology     Open Access   (Followers: 1)
Scandinavian Journal of Primary Health Care     Open Access   (Followers: 8)
Schlaf     Hybrid Journal  
Schmerzmedizin     Hybrid Journal  
Scientific Journal of the Foot & Ankle     Open Access   (Followers: 1)
SciMedicine Journal     Open Access   (Followers: 3)
SEMERGEN - Medicina de Familia     Full-text available via subscription   (Followers: 1)
The Journal of Critical Care Medicine     Open Access   (Followers: 9)
Therapeutic Advances in Chronic Disease     Open Access   (Followers: 8)
Therapeutic Advances in Musculoskeletal Disease     Hybrid Journal   (Followers: 6)
Thieme Case Report     Hybrid Journal   (Followers: 1)
Tijdschrift voor Urologie     Hybrid Journal  
Tissue Barriers     Hybrid Journal   (Followers: 1)
Transactions of the Royal Society of Tropical Medicine and Hygiene     Hybrid Journal   (Followers: 3)
Transgender Health     Open Access   (Followers: 3)
Trends in Anaesthesia and Critical Care     Full-text available via subscription   (Followers: 23)
US Cardiology Review     Open Access  
Vascular and Endovascular Review     Open Access   (Followers: 1)
Ожирение и метаболизм     Open Access  

           

Similar Journals
Journal Cover
Apollo Medicine
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0976-0016 - ISSN (Online) 2213-3682
Published by Medknow Publishers Homepage  [419 journals]
  • Editorial

    • Authors: Rajendra N Srivastava
      Pages: 133 - 133
      Abstract: Rajendra N Srivastava
      Apollo Medicine 2020 17(3):133-133

      Citation: Apollo Medicine 2020 17(3):133-133
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_100_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • What has the COVID-19 pandemic taught us?

    • Authors: Raju Vaishya
      Pages: 134 - 135
      Abstract: Raju Vaishya
      Apollo Medicine 2020 17(3):134-135

      Citation: Apollo Medicine 2020 17(3):134-135
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_75_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Impact of the COVID-19 pandemic on India

    • Authors: Raju Vaishya, Abhishek Vaish, YS Suresh Babu
      Pages: 136 - 138
      Abstract: Raju Vaishya, Abhishek Vaish, YS Suresh Babu
      Apollo Medicine 2020 17(3):136-138
      The COVID-19 pandemic has posed a devastating effect on humankind across the world. Its rapid spread is the result of it being a highly contagious viral pathogen. Its spread in India is universal, and nearly 3 million people have been affected, to date. Fortunately, the reported direct death rates have been around 2%, and recovery rates being >70% are promising indicators. The multiple lockdowns by the Government of India have helped in gearing up the health-care sector and significantly improving the availability of personal protection gears and medicine, availability of beds, and training of the health-care workers to deal with this dreaded disease.
      Citation: Apollo Medicine 2020 17(3):136-138
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_106_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Laboratory diagnosis of COVID-19 infection

    • Authors: MS Ratnamani
      Pages: 139 - 143
      Abstract: MS Ratnamani
      Apollo Medicine 2020 17(3):139-143
      Rapid diagnostic tests are required for the early diagnosis of COVID-19 infection. Rapid antigen detection tests are card-based, and the reports are available within 30 min. Sample type is nasopharyngeal swab. Rapid antigen tests help in triaging the patients, early identification, isolation, and contact tracing. Antigen test has high specificity and moderate sensitivity. Symptomatic patients and those with high pretest probability, but are antigen test negative, need to go for real-time polymerase chain reaction testing. Rapid antigen tests aid in the early decision-making and reduce the burden on molecular diagnostics. Serological tests for COVID-19 involve the detection of antibodies in blood. Immunoglobulin G (IgG) antibodies to SARS CoV-2 indicates past infection or past exposure. It should not be used for the diagnostic purpose. IgG, IgM, and total antibodies detection is available on different platforms. IgG antibody testing is useful for seroprevalence, plasma donation, and as epidemiological tool. ICMR has given advisory and algorithm for both antigen and antibody testing.
      Citation: Apollo Medicine 2020 17(3):139-143
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_105_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Practical approach to manage patients with moderate and severe COVID
           infection

    • Authors: Sanjay P Khare
      Pages: 144 - 148
      Abstract: Sanjay P Khare
      Apollo Medicine 2020 17(3):144-148
      COVID-19 infection has hit humanity with a ferocious velocity that's left 7.8 billion humans across 195 countries in seven continents absolutely stunned. Never have we seen life brought to such an absolute standstill by a biological agent. The WHO declared the COVID-19 outbreak a global health emergency and subsequently a global pandemic. The hospitals and intensive care units have been packed to capacity. Most of the modalities of treatment are intuitive and based on a short experience of 6 months (three in our country). This article presents a practical approach to the management of patients with moderate and severe infection COVID-19. The patients in these two groups are separated on the basis of clinical and laboratory parameters. Adequate management of moderately severe patients may prevent the progression of the disease. The role of various specific agents used in the treatment is briefly discussed.
      Citation: Apollo Medicine 2020 17(3):144-148
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_108_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Management of COVID infection

    • Authors: Manjit Singh Kanwar
      Pages: 149 - 152
      Abstract: Manjit Singh Kanwar
      Apollo Medicine 2020 17(3):149-152
      Corona Virus has jolted the world. The government and the medical community world wide has not only been stretched but stressed a lot during this pandemic. The numbers and mortality figures are ever increasing. The lock down have served their purpose and it is a stage of hospitals undertaking the paramount care of the suffering and psychologically stressed COVID -19 patients. Caring for those and trying to save their lives who could in turn transmit disease to you has never been an easy task. Yet our bravehearts the Doctors, Nurses and Paramedics stood valiant on the line of Duty to serve humanity. The description in this article will take you on a virtual tour on a journey we ask physicians and our patients mutually undertake through the diseases process. We go through periods of uncertainty and at times anxiety with not only the patients but their families too. However we remain optimistic and impart the same optimism into them because we know that except in an occasional patient, we will win the race. How we manage mild cases at home to hospitalise patient on the floor is a relatively simpler issue for treating COVID patients. Challenges appear when patients require increasing oxygen flow to maintain minimum acceptable SO2 of 90%. Trying out experimental therapies and their correct timing is very important. We constantly update ourselves among a crack team of highly experienced critical care physicians to decide all investigations and treatments. Some patients require ventilatory support. The COVID patients have been found to behave a little different way on ventilators compares to other our sick respiratory failure patients unless they how gone into full blown ARDS. Those challenges are also explained here.
      Citation: Apollo Medicine 2020 17(3):149-152
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_51_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Acute renal complications of COVID-19 : Impact of pathophysiology on
           management

    • Authors: Jayant Kumar Hota
      Pages: 153 - 156
      Abstract: Jayant Kumar Hota
      Apollo Medicine 2020 17(3):153-156
      The ongoing pandemic of coronavirus disease-2019 (COVID-19) due to a novel coronavirus named severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) by the World Health Organization has already wreaked havoc all over the world. About 5%–10% of all the patients of COVID-19 have severe diseases including acute respiratory distress syndrome, septic shock, disseminated intravascular coagulation, and multi-organ failure in different population. Acute renal complications are not unusual and can range from mild proteinuria to advanced acute kidney injury requiring some form of renal replacement therapy. Many studies have shown that renal dysfunction is associated with very high mortality. Understanding the underlying pathophysiologic mechanisms may help the treating physicians to recognize the renal complications early and to prevent and manage the complications adequately.
      Citation: Apollo Medicine 2020 17(3):153-156
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_52_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Neurological manifestations of COVID-19 (severe acute respiratory syndrome
           coronavirus 2)

    • Authors: Vinit Suri, Kunal Suri, Swapnil Jain, Kanika Suri
      Pages: 157 - 160
      Abstract: Vinit Suri, Kunal Suri, Swapnil Jain, Kanika Suri
      Apollo Medicine 2020 17(3):157-160
      Coronaviruses including the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are known to affect primarily the respiratory system with additional manifestations on the enteric, hepatic, and cardiac systems as well. Neurological manifestations are increasingly being reported from all over the world though only as case reports and short case series. Neurological manifestations are not uncommon and may be seen in up to a third of patients with COVID-19 infection and may range from minor symptoms of headache, dizziness, anosmia, and ageusia to severe neurological illnesses including encephalitis, acute necrotizing hemorrhagic encephalitis, stroke, myelitis, and Guillain–Barre syndrome. Neurological symptoms may occasionally be the presenting or sole manifestation of COVID-19 infection, and a high index of suspicion is required while dealing with such cases during the COVID-19 pandemic. A Medline search was made till June 20, 2020 using the keywords SARS-CoV-2, COVID-19, and Neurological Manifestations for the review.
      Citation: Apollo Medicine 2020 17(3):157-160
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_63_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • COVID-19 and endocrinopathies

    • Authors: Subhash Kumar Wangnoo, Radhika Jindal, Mohammad Asim Siddiqui
      Pages: 161 - 165
      Abstract: Subhash Kumar Wangnoo, Radhika Jindal, Mohammad Asim Siddiqui
      Apollo Medicine 2020 17(3):161-165
      In general, it is rare for an endocrine physician to be at the fore-front of any pandemic, as most of the acutely ill patients are managed by first responders and emergency physicians. With increasing evidence that patients having endocrine and metabolic disorders, especially uncontrolled, are the ones expected to have poorer outcomes during the ongoing coronavirus disease 2019 (COVID-19) pandemic, it has brought the endocrine physician to the fore-front of management. Several publications have reported the endocrine and metabolic conditions that may be considered risk factors for acquiring the new coronavirus (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) infection, but the direct evidence whether SARS-CoV-2 may directly lead to endocrinopathies causing disorders that make the prognosis of affected patients worse, are lacking. Most of the endocrine disorders, but their etiopathogenesis or treatment thereof alter the way the body's immune defense mechanisms are triggered. Furthermore, in specific scenarios, ongoing treatment may have to be discontinued/modified. There is still paucity of data to alter the already available “best practices or clinical recommendations” statements. In the absence of any specific recommendations, it is the left to the judgment of the treating endocrine physician to adapt the available recommendations/guidelines on the basis of the clinical judgment.
      Citation: Apollo Medicine 2020 17(3):161-165
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_59_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Pediatric inflammatory multisystem syndrome-temporally associated with
           SARS-CoV-2

    • Authors: Tania Oberoi, Nameet Jerath
      Pages: 166 - 169
      Abstract: Tania Oberoi, Nameet Jerath
      Apollo Medicine 2020 17(3):166-169
      Covid-19 is generally a mild disease in children. Coinciding with the peak of the pandemic many children have been reported with a severe disease syndrome comprising fevers, shock with hyper-inflammation, and multiorgan dysfunction, now named pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2-(CoV-2). Although initially thought to be a spurt in cases of Kawasaki Disease (KD) the clinical manifestations differ from KD in being more common in older children with more severe derangements of inflammatory markers and cardiac dysfunction. Gastrointestinal symptoms are prominent. This is likely a postinfection hyper-inflammatory response as almost 90% test positive for antibodies against CoV-2 with significantly raised inflammatory markers and cytokine levels. Most children require cardiovascular and respiratory support and vasoactive therapy in intensive care units. Extracorporeal support is occasionally needed. Intravenous immunoglobulin, aspirin, and steroids are the cornerstones of therapy, though some refractory cases require immune-modulating agents. With adequate treatment, most have shown a favorable outcome.
      Citation: Apollo Medicine 2020 17(3):166-169
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_73_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Challenges in providing surgical care during and after COVID-19 pandemic

    • Authors: Saseendar Shanmugasundaram, Abhishek Vaish, Raju Vaishya
      Pages: 170 - 173
      Abstract: Saseendar Shanmugasundaram, Abhishek Vaish, Raju Vaishya
      Apollo Medicine 2020 17(3):170-173
      COVID-19 has changed the way clinical practice and orthopedic care services existed. The pandemic has affected almost all types of health-care delivery, more importantly the surgical care of patients. Although there have been a flurry of opinions and scientific reports on health-care delivery during and after the COVID-19 pandemic, no established consensus exists on the guidelines to the surgical care of patients. We summarize the available evidence on the principles and guidelines to be followed in the care of the surgical patient. Care starts with precautions of infection prevention and care in the outpatient department, which includes sufficient protection of the medical staff, planning to avoid crowding, and smart usage of resources and workforce. Surgery should be contemplated only when absolutely indicated. Surgical care of the patient should encompass not only the prevention of morbidity associated with operating on COVID-19 patients but also the prevention of transmission of infection to other health-care staff and non-COVID-19 patients. Precautions should be taken at multiple levels and include but are not limited to proper preoperative, anesthetic, and surgical considerations and a coordinated functioning of the COVID-dedicated Operating Room (COR). The health-care personnel should be trained on the dos and don'ts in every step in the execution of a surgical procedure on a COVID-19 patient. Senior health-care staff need to overlook the adherence of the health-care personnel to these guidelines. Sanitization of the OR and disposal of infected material carry prime importance after the procedure. In all, it is necessary to accept the new normal resulting from the COVID-19 pandemic to better accept and execute protective measures.
      Citation: Apollo Medicine 2020 17(3):170-173
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_69_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Gastrointestinal cancer surgery during COVID times

    • Authors: Devi Singh Dhankhar, Rigved Gupta, Supreet Kumar, Deepak Govil
      Pages: 174 - 179
      Abstract: Devi Singh Dhankhar, Rigved Gupta, Supreet Kumar, Deepak Govil
      Apollo Medicine 2020 17(3):174-179
      COVID pandemic has taken the whole world off guard, and it has lasting serious implications on every aspect of human life. Surgical services for our elective cases are suffering. There are a lot of issues related to gastrointestinal (GI) cancer patients in these COVID times. It is difficult to decide whether to operate on these patients taking the risk or delay the surgery with attendant risk of cancer progression or use some alternative protocols. Here, we aim to offer guidance for the prioritization of surgical services to further minimize the effect of the COVID-19 pandemic across various overburdened surgical units and to preserve the surgical workforce with special emphasis on GI malignancy patients.
      Citation: Apollo Medicine 2020 17(3):174-179
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_79_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Urology practice in COVID-19 era, Indian perspective

    • Authors: Rajesh Taneja
      Pages: 180 - 184
      Abstract: Rajesh Taneja
      Apollo Medicine 2020 17(3):180-184
      COVID-19 has hit the world as an unforeseeable calamity leading to unprecedented difficulties faced by the medical fraternity on the whole. A review of published literature pertaining to global experiences in the field of urology, in the backdrop of this disease has been carried out. The common problems faced by urologists world over have been difficulty in the stratification and advising surgical intervention, while conforming to the principles of medical ethics. This has been compounded by rationing of resources, diversion of trained workforce, and increased financial burden on hospitals and patients alike. There has been a reduction in the outpatient department (OPD) attendance, OPD procedures, and major surgical procedures in the past 3 months. Benign diseases have been deferred much more than malignant conditions. A guide for stratification of urological illness according to deferability has been proposed. The psychological burden of the patients, who have been categorized low in priority after the diagnosis has been made, may be immeasurable. Working with personal protective gear along with lead apron has been pointed out as physical stress, which may affect the surgeons' performance. The training of residents has been a collateral damage, which may have far reaching implications. The consequences of this may manifest in some years to come. Telemedicine may be the new normal in the coming times.
      Citation: Apollo Medicine 2020 17(3):180-184
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_67_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Minimally access laparoscopic and robotic surgery during the COVID-19 era

    • Authors: Arun Prasad, Abhishek Tiwari, Nimo Osman
      Pages: 185 - 189
      Abstract: Arun Prasad, Abhishek Tiwari, Nimo Osman
      Apollo Medicine 2020 17(3):185-189
      COVID-19, the novel coronavirus, has affected all aspects of life including the way we do surgery. While patients are being tested with real-time reverse trancriptase-polymerase chain reaction before admission for elective surgeries, there are a good number of false-negative tests. This has led to the concept of a minimum standard precautions in all the negative cases too. In our unit at Indraprastha Apollo Hospitals, New Delhi, we have done 84 minimally access laparoscopic and robotic surgeries during the lockdown. This included benign and malignant diseases. No staff in the operation theater (OT) was infected during any of these surgeries. Wearing personal protective equipment and use of smoke evacuation system in a pressure-adjusted OT is the key to safety.
      Citation: Apollo Medicine 2020 17(3):185-189
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_76_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Safe neuroanesthesia practice during COVID-19 pandemic – How
           different from routine?

    • Authors: Nidhi Gupta, KJ Choudhury
      Pages: 190 - 193
      Abstract: Nidhi Gupta, KJ Choudhury
      Apollo Medicine 2020 17(3):190-193
      Currently, we are in the midst of a global pandemic caused by SARS-CoV-2 viral infection, termed Coronovirus disease or COVID-19. Despite the enormous working constraints imposed by this highly contagious virus and limited healthcare infrastructure, the neurosurgeons and neuroanaesthetists worldwide continue to provide their emergency services to neurocritically ill patients who need immediate intervention. Appropriate treatment modifications are mandatory to minimize nosocomial spread of SARS-CoV-2 while providing emergency care to the suspected or confirmed cases with COVID-19. In this review, we shall discuss the salient points about the various COVID-19 specific modifications involved in neuroanaesthesia practice, pertinent to the ongoing pandemic.
      Citation: Apollo Medicine 2020 17(3):190-193
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_74_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Contraception and MTP in COVID times

    • Authors: Kawita Bapat, Sonal Palod
      Pages: 194 - 196
      Abstract: Kawita Bapat, Sonal Palod
      Apollo Medicine 2020 17(3):194-196
      In this pandemic of COVID-19, women's health is disproportionately affected due to reduced access to contraceptive and safe abortion services. It has led to increased incidence of unsafe abortions, unwanted pregnancy, and quack practices. With the help of government services and policymakers, all these services should be made easily approachable to women. Basic guidelines of COVID precaution should be clearly explained to women and adolescent girls, safe contraception methods and their access should be known to patients. Telemedicine can play a huge role in covering all these aspects of women's health. Psychological counseling by doctors and health service providers reduces fear and anxiety regarding their health issues. Contraception can reduce the need for termination of pregnancy, resulting in the reduced risk of women and girls facing unsafe abortions. Recently, the United Nations Fund for Population Activities (UNFPA) data reveal that if lockdown continues for another 6 months, 47 million women in low- and middle-income countries may not be able to access contraception and that 7 million unintended pregnancies are expected to occur globally. Hence, contraception and medical termination of pregnancy services also have to be taken as prime importance among all the other gynec services to avoid upcoming population explosion.
      Citation: Apollo Medicine 2020 17(3):194-196
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_58_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Nursing contribution to cope COVID -19 infection with courage and
           compassion

    • Authors: Usha Banerjee, Navaneetha Rathina, Ramesh Sarin
      Pages: 197 - 199
      Abstract: Usha Banerjee, Navaneetha Rathina, Ramesh Sarin
      Apollo Medicine 2020 17(3):197-199
      The advent of COVID-19 pandemic has suddenly changed the world and influenced the nursing profession as well. Nurses were among the first group of “COVID duty frontline warriors.” We briefly report the organization of services for the management of COVID affected or suspected patients at Indraprastha Apollo Hospital. The experiences of some of the nurses are described, highlighting their various problems when caring for these patients.
      Citation: Apollo Medicine 2020 17(3):197-199
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_82_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • SARS CoV2 vaccine-present scenario

    • Authors: Ashok Dutta
      Pages: 200 - 204
      Abstract: Ashok Dutta
      Apollo Medicine 2020 17(3):200-204
      SARS CoV2 virus is responsible for the pandemic of COVID-19 disease and has devastated the entire world. The COVID-19 disease has been responsible for huge number of morbidity and mortality in the world including India. Since there is no specific drug to cure this disease, research and development is going on to find a safe and effective vaccine to prevent the disease. According to the World Health Organization, there are 24 candidate vaccines which are in advance stages of development and 142 are in preclinical stages. There are various platforms in which this novel coronavirus vaccines are underdevelopment, for example, nonreplicating viral vector, RNA, DNA, inactivated, and subunit. In normal situation, it takes minimum 10-year time to develop a new vaccine from conception to first use in the market. In case of SARS CoV2 vaccine, all out efforts are made by all institutions and vaccine manufacturing companies with the help of respective regulatory authorities to reduce the time frame. In all probabilities, few vaccines would be developed in record time and expected to be in the market by the beginning of 2021. In India, there are six candidate vaccines which are in development and all are in various stages. There are several challenges during development and later once it becomes available for human use. This review is an attempt to briefly cover the present stages of development of various vaccines and the challenges that are likely to be encountered.
      Citation: Apollo Medicine 2020 17(3):200-204
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_77_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Telemedicine and COVID-19

    • Authors: K Ganapathy
      Pages: 205 - 208
      Abstract: K Ganapathy
      Apollo Medicine 2020 17(3):205-208
      The COVID-19 pandemic has within months turned the world upside down. SRS-COV-2 is making us look at how health-care services are being delivered, and how this needs to radically change. Every country is reporting an exponential increase in Telemedicine utilization, as fallout of the enormous stress on health-care systems globally. The notification of the Telemedicine Practice Guidelines by the Government of India has also contributed to the rapid adoption of Remote Health Care. This review focuses on deployment of Telehealth in the pandemic milieu, illustrating how a crisis is turning into an opportunity to provide remote health care. Necessity for “contactless” health care and physical distancing has led to acceptance of Telehealth by all stakeholders, from lingering in the periphery for two decades to center stage.
      Citation: Apollo Medicine 2020 17(3):205-208
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_84_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Tele-intensive care unit networks: A viable means for augmenting critical
           care capacity in India for the COVID pandemic and beyond

    • Authors: Sai Praveen Haranath, Jai Ganesh Udayasankaran
      Pages: 209 - 216
      Abstract: Sai Praveen Haranath, Jai Ganesh Udayasankaran
      Apollo Medicine 2020 17(3):209-216
      The COVID-19 pandemic has enormously stressed global healthcare systems compelling new approaches to care, especially by leveraging telehealth. In India, the timely release of the Telemedicine Practice Guidelines by the Government has enabled health providers to deliver essential medical evaluation, diagnosis, and triage remotely. Patients with COVID-19 present with a range of symptoms, and some need intensive care. The management of critically ill patients is resource-intensive and requires partnership between humans and machines. Monitoring vital physiology is key to effective critical care. In many countries, including India, the distribution of intensivists is skewed and tends to be predominantly based in urban tertiary care hospitals. Hospitals without on-site intensivists may benefit from tele-intensive care unit (ICU) services wherein electronic systems connect ICU patient data with intensivists at remote locations as part of a collaborative network. The tele-intensivists provide real-time data and audiovisual monitoring, diagnostic, and intervention services and work together with bedside teams bridging the critical care gap. This article is a practical guide for the logistics of telemedicine-based critical care in India for patients with COVID-19 and other conditions. In addition, this paper also suggests methods to expedite care. Information is provided for immediate use by physicians who have not practiced telemedicine in the ICU. As the number of patients affected increases around India rapid deployment of tele-ICU services will be essential to save lives. Caregiver stress can be minimized by remote care providers who can assist at any time.
      Citation: Apollo Medicine 2020 17(3):209-216
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_104_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • COVID-19 and the role of telemedicine in delivering health care

    • Authors: Karthikeyan P Iyengar, Vijay Kumar Jain
      Pages: 217 - 220
      Abstract: Karthikeyan P Iyengar, Vijay Kumar Jain
      Apollo Medicine 2020 17(3):217-220
      As the COVID-19 pandemic spread across the world, there has been an urgent need to devise and identify new models of delivering care to the needy individuals to avoid “face-to-face” consultation between clinician and patient, thus reducing the risk of disease transmission. The medical community had to re-think and reconfigure a way it could deliver continuity of care to its patients during the pandemic. Information technologies such as telemedicine have traditionally been used in patient care supported by various digital platforms. However, telemedicine's development, application, and revolution have accelerated during the COVID-19 pandemic and are bound to play a significant part in the future delivery of health care when the pandemic stabilizes.
      Citation: Apollo Medicine 2020 17(3):217-220
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_62_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Biosensors applications in fighting COVID-19 pandemic

    • Authors: Shashi Bahl, Mohd Javaid, Ashok Kumar Bagha, Ravi Pratap Singh, Abid Haleem, Raju Vaishya, Rajiv Suman
      Pages: 221 - 223
      Abstract: Shashi Bahl, Mohd Javaid, Ashok Kumar Bagha, Ravi Pratap Singh, Abid Haleem, Raju Vaishya, Rajiv Suman
      Apollo Medicine 2020 17(3):221-223
      Biosensors can measure nonpolar molecules, which is not possible by other conventional devices. These sensors provide high specificity and fast response time. During COVID-19, this technology has helped to identify the symptoms of the viral infection. It measures the respiration rate, heart rate, temperature, and any movement in the real time for COVID-19 patients. During any changes in the symptoms of the patient, this technology rapidly contacts and advice to the health-care service provider. It helps to monitor infected patients without any risk of contamination easily. We have identified seven significant applications of the biosensors for the COVID-19 pandemic. Tests of the COVID-19 virus can be carried out effectively by employing these biosensors more appropriately and productively. This technology has completely changed and revolted the health-care world to perform its intended functions in an ongoing situation. In the future, biosensors can offer better treatment of the patients in an epidemic and pandemic, more productively and effectively.
      Citation: Apollo Medicine 2020 17(3):221-223
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_56_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Anesthetic management of a cesarean section in COVID-positive pregnant
           patient

    • Authors: Ashish Malik, Balaji Pallapotu
      Pages: 224 - 225
      Abstract: Ashish Malik, Balaji Pallapotu
      Apollo Medicine 2020 17(3):224-225
      The novel coronavirus disease 2019 first emerged in Wuhan, China, and is now an emerging pandemic globally. This has strained health-care services leading to restrategizing anesthesia care and management of patients. We describe the anesthetic management of a 30-year-old COVID positive, multigravida, with term pregnancy taken up for elective cesarean section under the subarachnoid block in a dedicated operating room earmarked for COVID cases. For such a case, challenges in the modification of standard procedures to minimize exposure of the health-care professionals are delineated.
      Citation: Apollo Medicine 2020 17(3):224-225
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_61_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • COVID-Positive preterm neonate for emergency laparotomy: Anesthesia and
           management issues.

    • Authors: Chetan Mehra, Unaiza Khan, Sujit Kumar Chowdhary
      Pages: 226 - 228
      Abstract: Chetan Mehra, Unaiza Khan, Sujit Kumar Chowdhary
      Apollo Medicine 2020 17(3):226-228
      Thirty weeks low-birth-weight preterm COVID-positive baby with anorectal malformation underwent emergency laparotomy in view of perforative peritonitis. Baby was assessed by a virtual telecommunication. Safety precautions were carried out for health-care workers during patient transit, aerosol-generating procedures, surgery, and postoperative care in COVID intensive care unit. Scarcity of evidence base for preterm neonates at that time made us design and efficiently conduct our own safety protocol. Interdepartmental team work was the key.
      Citation: Apollo Medicine 2020 17(3):226-228
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_70_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • A case of endogenous endophthalmitis in COVID- 19 pandemic

    • Authors: Sonam Verma, Jaydeep A Walinjkar
      Pages: 229 - 232
      Abstract: Sonam Verma, Jaydeep A Walinjkar
      Apollo Medicine 2020 17(3):229-232
      The home isolation from lockdown has limited the exchange of microflora in community. It benefits in limiting 2019 nCOV but collateral depletion in memory-based immunity has its own devastating consequences. It triggers subclinical infections, by reactivation of dormant pathogens or evolution of normal microflora into multidrug-resistant strains, which may escalate to endogenous infections. With the following case report, as a consequence of such unfortunate circumstances, we emphasize upon timely management of endophthalmitis, an ocular emergency, on promptly ruling out inflammatory etiologies, with modifications in protocol and due precautions as per the current COVID situation. The case demonstrates rapid response to acute endophthalmitis in a tertiary eye hospital with 24 h emergency services in a megacity amidst lockdown. The condition masqueraded as uveitis initially hence appropriate treatment got delayed by a week. Immediate aqueous sample collection for microbiological investigation and medical treatment with intravitreal injection antibiotics and steroid followed by intensive therapy with topical steroids and fortified drops aided in local delivery of drugs in better concentration than commercially available vials. Further surgical intervention, provided vitreous sample for microbial testing, debulked infection from vitreous. Growth of Enterobacter hormaechi was observed in vitreous sample, uncommon in endogenous endophthalmitis. Blood sample revealed drug-resistant Staphylococcus hominis. The patient regained vision successfully from mere perception of light to 6/60 within a few weeks. Such endogenous infections are highly alarming and necessitate urgent replacement of antibiotic abuse, over the counter treatments, approaching quacks, and fear of going to hospital with meticulous management by concerned specialists under updated protocols.
      Citation: Apollo Medicine 2020 17(3):229-232
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_71_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Innovative “19 H of COVID-19” Management Protocol at a
           dedicated COVID-19 Hospital in Madhya Pradesh

    • Authors: Saurabh G Agarwal, Ajay Goenka, Krishnagopal Singh, Gyaneshwar Mishra, Rajkumar Patil
      Pages: 233 - 234
      Abstract: Saurabh G Agarwal, Ajay Goenka, Krishnagopal Singh, Gyaneshwar Mishra, Rajkumar Patil
      Apollo Medicine 2020 17(3):233-234

      Citation: Apollo Medicine 2020 17(3):233-234
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_86_20
      Issue No: Vol. 17, No. 3 (2020)
       
  • Combating COVID-19 pandemic: The role of indian railways

    • Authors: Lalit Chandra Trivedi
      Pages: 235 - 236
      Abstract: Lalit Chandra Trivedi
      Apollo Medicine 2020 17(3):235-236

      Citation: Apollo Medicine 2020 17(3):235-236
      PubDate: Wed,16 Sep 2020
      DOI: 10.4103/am.am_57_20
      Issue No: Vol. 17, No. 3 (2020)
       
 
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