Reducing Clinical Inertia in Diabetes Management: An observational study
Conclusion Physicians should adopt a more holistic approach to microvascular and cardiovascular risk factors in patients with diabetes, adhering to evidence based guidelines with personalized targets. (Source: Apollo Medicine)
Source: Apollo Medicine - December 27, 2014 Category: Journals (General) Source Type: research
Patient specific instruments for primary total knee arthroplasty: A new concept
Publication date: Available online 16 December 2014 Source:Apollo Medicine Author(s): Raju Vaishya , Vipul Vijay , Vikas Birla Patient Specific Instruments (PSI) is new and innovative technology, which seems promising in providing better and accurate mechanical alignment in primary total knee arthroplasty (TKA). It also offers several other associated advantages like decreased operative steps, operative time, blood loss and pain. Due to better OR efficiency there is increased turnover of the patients in a busy, high volume set up. Due to local manufacturing process facility available, the procurement time for these ...
Source: Apollo Medicine - December 18, 2014 Category: Journals (General) Source Type: research
Transfusion Medicine support in live related combined liver and kidney transplantation (CLKT): A case report
Publication date: Available online 16 December 2014 Source:Apollo Medicine Author(s): R.N. Makroo , Mohit Chowdhry , Vikas Hegde , N.L. Rosamma , Uday Thakur Combined liver and kidney transplantation (CLKT) is the procedure of choice for patients with dual-organ failure. Transfusion Medicine support in live related combined liver and kidney transplantation (CLKT) not only involves the provision of safest possible blood and histocompatibility testing (HLA typing & CDC Crossmatch) but also ensures better patient care due to availability of various advance immunohematological techniques in a time bound frame....
Source: Apollo Medicine - December 18, 2014 Category: Journals (General) Source Type: research
A review of the total knee replacement pathway: Integrated care is quality care
Publication date: Available online 17 December 2014 Source:Apollo Medicine Author(s): Shipra Gupta , Gaurav Loria , Nipun Choudhry A Total Knee Replacement (TKR) Pathway (adapted from the Credit Valley Hospital, Canada) is in place at the Apollo Health city facility since 2011. We re-visited the pathway design and the priority grid that led to its adaptation. We analyzed the data with the aim to analyze repetitive and unique trends and evaluate the performance of the pathway. Even with the increased volume the patient satisfaction rose from 56% at the time of pathway implementation to 77% at the end of the evaluatio...
Source: Apollo Medicine - December 18, 2014 Category: Journals (General) Source Type: research
Unilateral absence of Palmaris longus muscle – A case report
Publication date: Available online 15 December 2014 Source:Apollo Medicine Author(s): Nitya Waghray , Aruna Jyothi Ethnic variations in the prevalence of absence of the palmaris longus (PL) are well known. It is not uncommon in individuals to have unilateral or bilateral absence of palmaris longus, a structure which is often used in reconstructive plastic surgeries mainly in the grafting of tendons, although it has also been used for a wide variety of procedures including lip augmentation, 1 ptosis correction 2 and in the management of facial paralysis. 3,4 During the routine dissection procedure being carried ou...
Source: Apollo Medicine - December 16, 2014 Category: Journals (General) Source Type: research
Botulinum toxin in Urology
Conclusions There is good quality evidence to support the use of intradetrusor BTA in patients with detrusor overactivity both neurogenic and idiopathic as well as in overactive bladder and bladder pain syndrome. The evidence with regards to detrusor sphincter dyssynergia, dysfunctional voiding and benign prostatic hyperplasia is less robust. Liposomal BTA delivery may present an attractive future option in Urological disorders. (Source: Apollo Medicine)
Source: Apollo Medicine - December 13, 2014 Category: Journals (General) Source Type: research
Acute pancreatitis
Publication date: Available online 11 December 2014 Source:Apollo Medicine Author(s): Priyadarshini Pal Singh , Akshat Kumar , Ajay Kumar Acute pancreatitis is a common medical problem. Initial phase of acute pancreatitis is characterized by inflammation. This is caused by release of cytokines and other pro inflammatory mediators. These further cause vasodilatation, intravascular volume depletion, and end organ hypoperfusion. The etiology can be varied but common causes are biliary (stone in CBD) and alcohol. Other causes are drugs, infections, trauma, idiopathic, post ERCP etc. Patients with severe pancreatitis hav...
Source: Apollo Medicine - December 12, 2014 Category: Journals (General) Source Type: research
An unusual case of onychomycosis due to Fonsecaea pedrosoi
Publication date: Available online 9 December 2014 Source:Apollo Medicine Author(s): B. Shweta , A. Archana , G. Nupur Onychomycosis is usually caused by dermatophytes, but some nondermatophytic molds and yeasts are also associated with invasion of nails. Here is a report of a case of distal and lateral subungual onychomycosis (DLSO) caused by Fonsecaea pedrosoi where it acts as primary agent of nail infection. Case report A 30-year-old male presented with a 1-year history of brownish-black discoloration with hyperkeratosis on the finger and toenails. Scrapings were collected for smears and culture. Dematiaceous h...
Source: Apollo Medicine - December 11, 2014 Category: Journals (General) Source Type: research
Usefulness of reverse screening algorithm in the diagnosis of syphilis
Conclusion The results of comparative data clearly demonstrate that the case detection rate was higher (three times) in reverse screening than that of conventional screening method. In conclusion, consistent with recommendations, laboratories should consider implementing the reverse algorithm for the diagnosis of syphiilis. (Source: Apollo Medicine)
Source: Apollo Medicine - December 11, 2014 Category: Journals (General) Source Type: research
PET- CT imaging (Positron Emission Tomography - Computerized Tomography) : A brief overview
Publication date: Available online 2 December 2014 Source:Apollo Medicine Author(s): Mythri Shankar , Jyotsna Rao PET (positron emission tomography) is functional imaging performed tagging short lived radio isotopes produced in a cyclotron with organic molecules. The CT component of the scanner helps with attenuation correction improving image quality. The CT images help in precisely localizing lesions and clarifying confounding normal physiologic and anatomic variants. It is important to differentiate between normal physiologic uptake and abnormal or variable metabolic activity and identify artifacts. False positive...
Source: Apollo Medicine - December 3, 2014 Category: Journals (General) Source Type: research
Obstructive uropathy presenting as primary enuresis – A case report
Publication date: Available online 1 December 2014 Source:Apollo Medicine Author(s): Kiran Prakash Sathe An adolescent male presented with persistent nocturnal bedwetting. Confounding family history of nocturnal enuresis lead to delay in seeking medical attention. Careful history and investigations confirmed underlying obstructive uropathy and bladder dysfunction. Primary enuresis presenting beyond childhood period should be investigated to look for underlying organic cause. (Source: Apollo Medicine)
Source: Apollo Medicine - December 1, 2014 Category: Journals (General) Source Type: research
A snapshot of diabetes management in the real world
Conclusion Physicians should adopt a more holistic approach to microvascular and cardiovascular risk factors in patients with diabetes, adhering to evidence based guidelines with personalized targets. (Source: Apollo Medicine)
Source: Apollo Medicine - November 27, 2014 Category: Journals (General) Source Type: research
Growing teratoma syndrome – Case report and review of literature
Publication date: Available online 24 November 2014 Source:Apollo Medicine Author(s): Ruquaya Mir , Sandeep Kaul , V.P. Singh Germ cell tumors (GCT) constitute less than 3% of all ovarian cancers. These tumors occur predominantly in children and women under 30 years of age. The immature ovarian teratoma is the third commonest of the germ cell tumors following dysgerminoma and endodermal sinus tumor. The growing teratoma syndrome (GTS) is an extremely rare metastatic complication of a malignant germ cell tumor. The finding of a growing solid mass (or masses) during or after chemotherapy treatment for GCT of the ovary...
Source: Apollo Medicine - November 25, 2014 Category: Journals (General) Source Type: research
Azathioprine Pulse Therapy in the treatment of psoriatic arthritis: A case series
Conclusions Thus azathioprine pulse therapy regimen is able to put psoriatic arthritis into prolong/permanent remission. (Source: Apollo Medicine)
Source: Apollo Medicine - November 21, 2014 Category: Journals (General) Source Type: research
Rising trend of cases of dengue fever admitted in a tertiary care hospital in Vadodara – A retrospective study
Conclusion Documentation of a rise in the number of cases will have a major impact on recognizing the burden of the disease and in formulating a plan for containment of cases in the community. (Source: Apollo Medicine)
Source: Apollo Medicine - November 21, 2014 Category: Journals (General) Source Type: research
