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   2022| January-March  | Volume 68 | Issue 1  
    Online since January 21, 2022

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Developing a competency-based undergraduate logbook for pediatrics: Process and lessons
T Singh, R Aulakh, P Gupta, J Chhatwal, P Gupta
January-March 2022, 68(1):31-34
DOI:10.4103/jpgm.jpgm_617_21  PMID:35042315
With the first MBBS batch admitted under the new National Medical Commission (NMC) undergraduate curriculum entering pediatric clinical posting soon, creation of a Pediatric logbook in consonance with this competency-based curriculum was felt to be a need of the hour. No such document is yet available in the public domain. The logbook template, created after enormous brainstorming amongst authors, includes 176 Shows (S), Shows How (SH) and Perform (P) level competencies. These were further segregated into certifiable (23), affective domain (25) and clinic/field visits (9) leaving 51 as documentable competencies. The institutions may use this template to build their own institute-specific logbook based on the infrastructure, faculty strength, clinical patient load, student intake and preferred assessment method(s). It would also be worthwhile to integrate this with the internship logbook (and later the postgraduate one for students opting for post-graduation in pediatrics) to provide a longitudinal record of each student's trajectory of learning.
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Unusual severe gastritis and gastric ulcers caused by pembrolizumab
WT Liu, YF Li, TY Hsieh
January-March 2022, 68(1):38-40
DOI:10.4103/jpgm.JPGM_1132_20  PMID:34121670
Pembrolizumab (an immune checkpoint inhibitor)-related gastritis and gastric ulcers are rare immune-related adverse events, which are insufficiently treated with proton pump inhibitors (PPIs) therapy alone, and usually require systemic steroid therapy and even other biological agents (such as infliximab) in severe cases. Here, we report a case of 49-years-old woman suffering from gastritis and gastric ulcers after pembrolizumab treatment, which was refractory to 2 months of PPI therapy. The diagnosis was made by the clinical and histopathologic presentations. She had immediate resolution of abdominal symptoms after initiation of steroid treatment, but the gastritis and gastric ulcers improved slowly and lasted for months as shown in endoscopy. She was finally treated with extended steroid therapy without serious complications. We discuss the latest treatment options and our management strategies of the case.
  4,995 24 -
Do school students with specific learning disabilities have lower emotional intelligence abilities? A cross-sectional questionnaire-based study in Mumbai, Maharashtra, India
S Karande, S Bhavani, NJ Gogtay, MP Shiledar, S Kelkar, AS Oke
January-March 2022, 68(1):24-30
DOI:10.4103/jpgm.jpgm_834_21  PMID:35042316
Background and Objectives: School students with specific learning disabilities (SpLDs) endure academic difficulties, anxiety, and social maladaptation. The primary objective of the present study was to evaluate the emotional intelligence (EI) abilities of these afflicted students. Its secondary objective was to analyze the impact of socio-demographic variables on their EI abilities. Settings and Design: Cross-sectional single-arm questionnaire-based study was conducted in the Learning Disability clinic in a public medical college in Mumbai. Subjects and Methods: SpLD students studying in class standards VII–IX were recruited by non-probability sampling. Their EI (overall, subscales, and settings) scores were measured using the Four EsScale of Emotional Intelligence-Adolescents (FESEI-A) questionnaire; and compared with Indian norm scores by utilizing the Mann - Whitney U test. To evaluate the unadjusted impact that each of the “variables” had on the FESEI-A scores, linear regression or the Mann-Whitney U test, or the Kruskal-Wallis test, was utilized as applicable. Results: SpLD students had similar “overall” EI abilities as their regular peers. Their EI scores in school setting were significantly lower (P = 0.001), but significantly higher in social setting (P = 0.005). At univariate level, presence of co-occurring attention-deficit/hyperactivity disorder was significantly associated with a lower “school setting” score (P = 0.040). Higher socioeconomic status was significantly associated with a higher “overall” score and “family setting” score (P = 0.023 and P= 0.041, respectively). Conclusions: There is an urgent need to evaluate the EI abilities of SpLD students to identify deficits so that optimum rehabilitation can be facilitated.
  4,590 20 -
Is the rural population of Puducherry district healthy in terms of the burden of non-communicable diseases? Findings from a cross-sectional analytical survey
P Sivanantham, JP Sahoo, S Lakshminarayanan, Z Bobby, SS Kar
January-March 2022, 68(1):14-23
DOI:10.4103/jpgm.JPGM_796_20  PMID:34531334
Introduction: Epidemiological transition remains a key contributor to the rising prevalence of non-communicable diseases (NCDs) across developing nations. Population-specific NCD risk factors estimates derived using World Health Organization (WHO) 'STEP-wise approach' are crucial for devising evidence-based public health interventions to combat NCDs. Objective: To estimate the prevalence of behavioral and biological risk factors for NCDs among the rural adult population of Puducherry district in India. Methodology: STEPS survey was conducted by following all three steps (behavioral, physical measurements and biochemical risk factors) of NCD risk factor assessment. A total of 790 participants were selected from 50 villages through multistage cluster sampling method. STEPS instrument was used to assess behavioral risk factors, physical measurements and biochemical (fasting blood glucose and total cholesterol) risk factors. Results: Tobacco use and alcohol consumption were present among 11.3% (95% Confidence Interval (CI): 9-13.6%) and 19.2% (95% CI: 16.5-22.4%) of the population, respectively. Low physical activity, inadequate intake of fruits and vegetables, overweight and obesity were observed among 29.3% (95% CI: 26.2-32.7%), 89.8% (95% CI: 87.6-92%), 15.6% (95% CI: 13.1-18.3%) and 38.9% (95% CI: 35.4-42.2%), respectively. About 28.2% (95% CI: 25.2-31.6%) had hypertension and 24.4% (95% CI: 20-29%) had diabetes mellitus. Abdominal obesity was twice highly prevalent among women. Tobacco and alcohol use were more common among men, whereas low physical activity, obesity and hypercholesterolemia were higher among women. Conclusion: Public health interventions to promote healthy lifestyle need to be initiated especially to increase physical activity, intake for fruits and vegetables, and quitting of tobacco and alcohol consumption in the rural population of Puducherry.
  3,796 23 -
Ultrasound guided dry needling: Relevance in chronic pain
LC Vas
January-March 2022, 68(1):1-9
DOI:10.4103/jpgm.jpgm_710_21  PMID:35073681
  3,683 23 -
Pulmonary ossifying carcinoid – MEN in a male?
P Vaideeswar, M Bhuvan, N Goel
January-March 2022, 68(1):44-47
DOI:10.4103/jpgm.JPGM_8_20  PMID:33533747
Pulmonary carcinoid tumors are considered as low-grade neoplasms, seen as centrally located endobronchial masses or as peripheral circumscribed nodules. Calcification or ossification is a known phenomenon, but presentation as large bony mass is extremely uncommon. Herein, we report a case of ossifying bronchial carcinoid along with nodular Hashimoto's thyroiditis as incidental autopsy findings in a 32-year-old patient with a prior recent excision of pituitary macroadenoma. This association suggests the possibility of multiple endocrine neoplasia in this young male.
  3,214 20 -
Cardiac sympathetic denervation for catecholaminergic polymorphic ventricular tachycardia
R Bansal, A Mahajan, S Vichare, Y Lokhandwala
January-March 2022, 68(1):41-43
DOI:10.4103/jpgm.JPGM_908_20  PMID:34045422
Catecholaminergic polymorphic ventricular tachycardia (CPVT), a rare inheritable fatal arrhythmogenic disorder, is difficult to diagnose and is a challenge to manage. A 21-years-old man presented with recurrent exertional syncope and complex multifocal ventricular ectopy. CPVT was diagnosed based on the clinical criteria, despite the absence of some classical findings. The patient underwent cardiac sympathetic denervation (CSD) after lifestyle modification and pharmacological management were ineffective. CSD proved to be effective. The patient did not have any exertional symptoms or recurrence of syncope at follow-up period of 1 year. The present case report adds to the growing evidence in favour of CSD for CPVT.
  2,889 22 -
Zoster neuritis of lumbar nerves: A clinical, magnetic resonance imaging, and electrodiagnostic evaluation
P Oak, T Modi, D Patkar
January-March 2022, 68(1):48-50
DOI:10.4103/jpgm.JPGM_110_21  PMID:34806655
Human herpesviruses, particularly the varicella-zoster virus, are notorious for affecting the central nervous system, especially when secondarily reactivated from a latent state. We present one such case of zoster radiculitis with an ensemble of typical dermatological and neurological features diagnosed on imaging and cerebrospinal fluid (CSF) studies and encourage the consideration of viral (zoster) neuritis as a differential in patients presenting with radicular pain.
  2,788 20 -
An adult patient with multiple pulmonary mixed squamous cell and glandular papillomas
Y Zhang, J Lin, J Zhang, J Zheng
January-March 2022, 68(1):53-54
DOI:10.4103/jpgm.JPGM_1079_20  PMID:34045421
  2,458 22 -
Rectourethral fistula as the presentation of disseminated urogenital meliodosis
S Rajaian, M Pragatheeswarane, M Ramachandran, P Narayanan
January-March 2022, 68(1):55-57
DOI:10.4103/jpgm.JPGM_86_21  PMID:34528515
  2,106 22 -
Dusky erythematous plaques over the lower leg associated with bony deformity
T Dev, S Arava, N Bhari
January-March 2022, 68(1):51-52
DOI:10.4103/jpgm.JPGM_931_20  PMID:35042314
  1,968 20 -
Caesarean scar ectopic pregnancy masquerading as gestational trophoblastic disease
KD Jashnani, NN Sangoi, MP Pophalkar, LY Patil
January-March 2022, 68(1):35-37
DOI:10.4103/jpgm.jpgm_461_21  PMID:35073684
Cesarean scar ectopic pregnancy (CSEP) is a very rare form of ectopic pregnancy in which implantation occurs at the site of the previous cesarean scar with low or absent beta-human chorionic gonadotropin (hCG) levels. It has various differential diagnoses on gross and microscopic examination. A delay in the identification and management of this condition may lead to life-threatening complications. Here, we discuss the incidence and clinicopathological features of chronic CSEP, its types, and differential diagnoses.
  1,953 26 -
Path to universal health coverage is intrinsically linked to effectively tackling noncommunicable diseases
C Lahariya
January-March 2022, 68(1):12-13
DOI:10.4103/jpgm.JPGM_342_21  PMID:35073683
  1,773 20 -
A usual parasite in an unusual location- Incidental detection of Strongyloides stercoralis in liquid-based cytology
PM Sundar, S Sivanandam, TV Chitra
January-March 2022, 68(1):60-61
DOI:10.4103/jpgm.jpgm_614_21  PMID:35073686
  1,592 20 -
Cardiac sympathetic denervation: A wonder solution to channelopathy-related ventricular tachycardia and much more
P Barwad
January-March 2022, 68(1):10-11
DOI:10.4103/jpgm.JPGM_339_21  PMID:35073682
  1,450 21 -
Chondroid metaplasia of peritoneum in absence of prior surgery - A rare presentation with a short review of literature
Y Khatib, P Gupte, Y Talpade, MS Khare
January-March 2022, 68(1):58-59
DOI:10.4103/jpgm.jpgm_391_21  PMID:35073685
  1,436 20 -
Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow