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Symptomatic duplicated gall bladder – A rare presentation with a review of the literature
Amit Gupta, Bhargav Gajula, Jaydeep Jain, Jyoti Sharma, Udit Chauhan, Ravi Kant
May-August 2020, 1(1):35-37
Gallbladder duplication is a rare congenital anomaly. Knowledge of its various types is important since it can complicate cholecystectomy. Many varieties of gall bladder duplication and its classification are reported in the literature. Pre-operative diagnosis plays a crucial role in the planning of surgery and preventing possible injuries or re-operation if the accessory gallbladder has been overlooked during the initial surgery. Gallbladder duplication though rare requires special attention to pre-operative anatomy and its variation. The operative challenge is more than the usual laparoscopic cholecystectomy and should be done by fundus first approach by an experienced laparoscopic surgeon. We report a case of a 44-year-old -male who presented with biliary colic. His pre-operative imaging confirmed the diagnosis of the duplicated gall bladder, and he underwent successful laparoscopic cholecystectomy.
  1 1,568 127
Reservations in medical colleges were justified and should continue: Favour
Raman Kumar
September-December 2021, 2(3):252-255
  1 855 48
Reservations in medical colleges were justified and should continue: Against
Sunil K Pandya
September-December 2021, 2(3):256-261
  1 388 37
The NExT challenge – The national exit test
Puneet Dhar, Samiran Nundy
September-December 2021, 2(3):201-203
  1 682 95
Medical education in India
Ravi Kant, Vartika Saxena, Jayanti Pant
May-August 2020, 1(1):42-44
  1 3,722 230
Disabled in India… A Charity Model?
Mithu Alur
January-April 2021, 2(1):50-58
  1 1,468 88
Prevalence of hypertensive disorders of pregnancy in India: A systematic review and meta-analysis
Manisha Dhinwa, Kanchan Gawande, Nishu Jha, M Anjali, Ajeet Singh Bhadoria, Smita Sinha
May-August 2021, 2(2):105-112
Background: Pregnancy-induced hypertension is one of the major health problems leading to maternal mortality. Globally, one woman dies every 7 min due to hypertensive disorders of pregnancy (HDOP). Pre-eclampsia and eclampsia contribute majority of maternal, perinatal morbidity and mortality. The objective of this meta-analysis was to estimate the pooled prevalence of pregnancy-induced hypertension in India. Methods: A systematic search was done through PubMed, Google Scholar, MEDLINE, EMBASE and Scopus for studies conducted on HDOP. All studies that met inclusion criteria published till January 2020 were included and analysed. The analysis was done using STATA 20.0 software (STATA Version 20.0 is sufficient). The pooled prevalence of hypertension in pregnancy was estimated using both mixed-effects and random-effects models. Results: A total of 18 studies with 92,220 study participants (pregnant women) were included in this review. The estimated overall pooled prevalence of HDOP in India was found to be 11% (95% confidence interval, 5%–17%). Most of the included studies were cross sectional and from the southern zone of India. Conclusions: The overall pooled estimate shows high prevalence, i.e., 1 out of 11 women suffers from pregnancy-induced hypertension. High prevalence of hypertension in the study population demands the attention of policymakers and healthcare professionals. Better implementation of early screening of hypertension during pregnancy should be undertaken.
  1 1,036 89
Rapid survey of psychological status of health-care workers during the early outbreak of COVID-19 pandemic: A single-centre study at a tertiary care hospital in Northern India
Rajesh Kumar, Anindya Das, Vanya Singh, Puneet Kumar Gupta, Yogesh Arvind Bahurupi
September-December 2021, 2(3):213-218
Background: Considering the impending crisis of COVID-19 and hospitals across India and the world gearing up to manage such cases, an online survey to assess the baseline psychological symptoms in health-care workers (HCWs) of a single tertiary care hospital was designed. The survey was cleared by the institutional ethics committee. Materials and Methods: An online self-reported survey was designed on the Google Survey portal, COVID: A survey of stress (SOS COVID) and posted on various closed WhatsApp group of employees. A snowball sampling method was adopted. We collected self-reported data on socio-demographics and data in relation to COVID-19 patient care, depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), insomnia (Insomnia Severity Index) and perceived stress (Perceived Stress Scale-10). Results: Two hundred and twenty-seven participants responded to the online survey. The mean age was 28.77 years, 64% were female, mostly (74.9%) resided outside the campus and approximately half (46.7%) were frontline worker. On average, participants had low scores on all the scales, but approximately 23% scored above the cut-off for either moderate to severe depression, anxiety or insomnia. Those scoring higher (lower) in one scale also scored similarly on other scales. The chances of scoring above cut-off were significantly higher in females (P = 0.022), postgraduate educated (P = 0.018), physicians (P = 0.006) and residents of the campus (P = 0.011), though being a female and a physician persisted as significant predictors on logistic regression analysis. Conclusions: The COVID-19 pandemic created considerable anxiety and stress among the HCWs. The most vulnerable HCWs are women and physicians who may require special support services to address the extra burden of psychological distress.
  1 464 44
Clinical spectrum of carcinoma of the gallbladder in the Indian states of Uttarakhand and Western Uttar Pradesh: A retrospective study from a tertiary care hospital of Northern India
Navin Kumar, Deepak Rajput, Amit Gupta, Varun Popuri, Tanuj Singla, Ashikesh Kundal, Jyoti Sharma, Bhargav Gajula
May-August 2020, 1(1):4-7
Background: North India has a very high incidence of Carcinoma gallbladder (GBC). The aim of the study was to identify the hotspot regions and relationship of gallstones to GBC in two northern states of India. Materials and Methods: It was a retrospective, observational, hospital-based cohort study. The data of patients with locally advanced (LA) or metastatic GBC from January 2019 to December 2019 were evaluated for geographical distribution of cases, and their clinical spectrum was compared with the presence or absence of associated cholelithiasis. Statistical analysis was performed using R Statistical software version 3.6.2. Results: Forty-two patients were enrolled in our study. A high burden of GBC was observed from Western Uttar Pradesh (District Bijnor 12(29%) and Muzaffarnagar 7(17%)) and Uttarakhand (District Haridwar 7(17%), whereas the remaining 16(38%) patients were residents of other districts of Uttarakhand (UK) and Western Uttar Pradesh (UP). In our study, only 17(40.5%) patients had associated cholelithiasis. Metastatic disease at presentation was seen in nearly 59% of patients with cholelithiasis and 52% of patients without cholelithiasis. Jaundice was the most common presentation in 12(70.6%) patients, followed by pain in 9(nearly 53%) patients with GBC associated with gallstones. Whereas in patients with GBC without gallstones, loss of appetite and loss of weight was the most common presentation in 16(64%) followed by jaundice in 13(52%). Conclusion: Most cases with LA or metastatic GBC in the present study were not associated with cholelithiasis. Clinical spectrum of either LA or metastatic GBC is similar, irrespective of presence or absence of gallstones.
  1 2,074 215
An update on coronavirus disease-19 vaccines
Madhu Gupta, Isha Kapoor
January-April 2021, 2(1):24-29
Coronavirus disease-19 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in massive health and economic burden. There has been substantial morbidities and mortalities owing to its high transmission rate. Therefore, effective strategies for treatment and prevention are crucial. Vaccines offer a ray of hope for the prevention and controlling the spread. Various new technological platforms have been utilised for vaccine production. The current review provides a brief description of these platforms for vaccine production and an update on the available and upcoming COVID-19 vaccines, discussing their results and outcomes from different trial phases. We have also focused on COVID-19 vaccination drive in India, emergency use authorisation, other candidate vaccines in Indian landscape, and issues involved with their clinical use and current recommendations.
  1 1,368 107
Preparedness to combat next wave of COVID-19 in India
Nipin Kalal, Nimarta Rana
May-August 2021, 2(2):173-174
  1 523 57
My ideal medical college
Pranjal Garg
May-August 2020, 1(1):61-64
An ideal medical college not only delivers medical education but also introduces new trends in medicine. There are numerous elements of an ideal medical college. In this article, a comprehensive list of some of the elements is given, which are often ignored by medical students and medical institutions. The list includes acceptance to change, medical research, technical advancements in medicine, communication skills, public health, some structural changes in medical education, teaching methods and assessment of students, burnout and mental health issues among students. However, this list is not exhaustive, and only continuous feedback can help a medical establishment to reach the epitome of idealism.
  1 2,046 181
The doctor I want to be
Oshin Puri
May-August 2020, 1(1):65-66
  1 1,814 162
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