Hypophosphatasia is a disorder of bone metabolism due to defective tissue nonspecific alkaline phosphatase (ALP). It is most severe in early life but can present at any age, leading to a likely underdiagnosis of its adult, and commonly less severe, forms. This is the case of a 42-year-old female who presented to endocrinology asking about her low ALP levels in the setting of prior bilateral metatarsal fractures and was diagnosed with hypophosphatasia. This case report aims to highlight the importance of making this diagnosis in order to avoid commonly prescribed therapies that can be harmful. Antiresorptive therapies as well as supplementation with calcium or Vitamin D can potentially worsen the disease. There are no Food and Drug Administration-approved treatments for adult hypophosphatasia, but asfotase alfa and teriparatide are two promising therapies currently being studied. The following core competencies are addressed in this article: Practice-based learning and improvement, Medical knowledge.
{"title":"Hypophosphatasia: A missed diagnosis","authors":"Tess Chamakkala, T. Gallagher","doi":"10.4103/IJAM.IJAM_72_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_72_20","url":null,"abstract":"Hypophosphatasia is a disorder of bone metabolism due to defective tissue nonspecific alkaline phosphatase (ALP). It is most severe in early life but can present at any age, leading to a likely underdiagnosis of its adult, and commonly less severe, forms. This is the case of a 42-year-old female who presented to endocrinology asking about her low ALP levels in the setting of prior bilateral metatarsal fractures and was diagnosed with hypophosphatasia. This case report aims to highlight the importance of making this diagnosis in order to avoid commonly prescribed therapies that can be harmful. Antiresorptive therapies as well as supplementation with calcium or Vitamin D can potentially worsen the disease. There are no Food and Drug Administration-approved treatments for adult hypophosphatasia, but asfotase alfa and teriparatide are two promising therapies currently being studied. The following core competencies are addressed in this article: Practice-based learning and improvement, Medical knowledge.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"62 - 65"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43381929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Respiratory morbidities among wood workers: An epidemiological study from the informal sector","authors":"Dilip D. Kadam, Aritra Bose","doi":"10.4103/ijam.ijam_8_21","DOIUrl":"https://doi.org/10.4103/ijam.ijam_8_21","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70738863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
COVID-19 has challenged health professionals all around the world. Dental practitioners are facing a challenge they were unprepared for. Two years ago, no dentist could have envisioned a situation where every step of every encounter requires personal protective equipment, frequent decontamination of the clinical environment, limiting the daily number of patients, and decreased financial security amid the constant fear of contracting the virus has affected the psychology of the dentists. Psychological distress may negatively affect the decision-making ability of the dentists which in turn might influence patient outcomes and well-being. Solutions need to be devised to attain stability and keep dentistry going. This article provides an overview of proposed mitigation measures. The following core competencies are addressed in this article: Patient care, Interpersonal and communication skills, Medical Knowledge, Systems-based practice.
{"title":"Finding the calm amid chaos – Mental health of dentists during COVID-19 pandemic","authors":"G. Kumar, Shilpa Rai, Avinash Janeswar, Vinay Suresan, Kunal Jha, Arpita Singh","doi":"10.4103/IJAM.IJAM_114_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_114_20","url":null,"abstract":"COVID-19 has challenged health professionals all around the world. Dental practitioners are facing a challenge they were unprepared for. Two years ago, no dentist could have envisioned a situation where every step of every encounter requires personal protective equipment, frequent decontamination of the clinical environment, limiting the daily number of patients, and decreased financial security amid the constant fear of contracting the virus has affected the psychology of the dentists. Psychological distress may negatively affect the decision-making ability of the dentists which in turn might influence patient outcomes and well-being. Solutions need to be devised to attain stability and keep dentistry going. This article provides an overview of proposed mitigation measures. The following core competencies are addressed in this article: Patient care, Interpersonal and communication skills, Medical Knowledge, Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"5 - 9"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45694416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Koralakunte, S. Shamnur, Nandeeshwar D. Basavapura, U. Venkatesh
Introduction: Our aim was to determine if students who perform well on an initial preclinical examination are more accurate on self-assessments with successive examination. Materials and Methods: This was an observational, descriptive, cross-sectional survey. Ninety-one 2nd year dental students completed two consecutive preclinical examinations on ideal teeth arrangement and two self-assessments. Self-assessment was done using a validated, structured, self-designed questionnaire named “prosthetic denture setup–self assessment questionnaire.” The examinations involved artificial teeth arrangement in Class I jaw relation on maxillary and mandibular ideal edentulous casts mounted on a mean value articulator simulating the clinical procedure of a complete denture patient. Students' and their instructor's assessments were evaluated separately, and statistical results were obtained using t-test and Pearson's product moment correlation coefficient test. Regression analysis was done to predict the student self-assessment and validated self-assessment scores on examination outcomes for both indexed and nonindexed values. Results: The results indicated a significant increase in the examination and student self-assessment mean scores. Regression analysis indicated changes in student self-assessment scores, explained 11.9% of the variation in examination scores. Conclusion: Improvement in student self-assessment also showed improvement in successive examination assessments among dental students completing a preclinical denture setup procedure. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning and improvement, Systems-based practice.
{"title":"Self-assessment of preclinical denture setup using a validated, structured, self-designed questionnaire by undergraduate students: A repeated cross-sectional survey","authors":"P. Koralakunte, S. Shamnur, Nandeeshwar D. Basavapura, U. Venkatesh","doi":"10.4103/IJAM.IJAM_55_19","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_55_19","url":null,"abstract":"Introduction: Our aim was to determine if students who perform well on an initial preclinical examination are more accurate on self-assessments with successive examination. Materials and Methods: This was an observational, descriptive, cross-sectional survey. Ninety-one 2nd year dental students completed two consecutive preclinical examinations on ideal teeth arrangement and two self-assessments. Self-assessment was done using a validated, structured, self-designed questionnaire named “prosthetic denture setup–self assessment questionnaire.” The examinations involved artificial teeth arrangement in Class I jaw relation on maxillary and mandibular ideal edentulous casts mounted on a mean value articulator simulating the clinical procedure of a complete denture patient. Students' and their instructor's assessments were evaluated separately, and statistical results were obtained using t-test and Pearson's product moment correlation coefficient test. Regression analysis was done to predict the student self-assessment and validated self-assessment scores on examination outcomes for both indexed and nonindexed values. Results: The results indicated a significant increase in the examination and student self-assessment mean scores. Regression analysis indicated changes in student self-assessment scores, explained 11.9% of the variation in examination scores. Conclusion: Improvement in student self-assessment also showed improvement in successive examination assessments among dental students completing a preclinical denture setup procedure. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning and improvement, Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"30 - 38"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45106494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pre-medical students: Lost in the COVID-19 chaos?","authors":"Isabela Crueza, Theresa T Stawicki","doi":"10.4103/IJAM.IJAM_33_21","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_33_21","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"68 - 70"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49013350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.4103/ijam.ijam_154_21
A. De Wulf, C. Bloem, Taryn Clark, Andrew C. Miller, M. Firstenberg, S. Stawicki, B. Arquilla
{"title":"The sixth annual academic international medicine virtual congress and scientific forum, May 21–23, 2021: Best practices in shifting landscapes","authors":"A. De Wulf, C. Bloem, Taryn Clark, Andrew C. Miller, M. Firstenberg, S. Stawicki, B. Arquilla","doi":"10.4103/ijam.ijam_154_21","DOIUrl":"https://doi.org/10.4103/ijam.ijam_154_21","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70738633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.4103/ijam.ijam_132_20
K. Okonta, D. Ogaji
{"title":"Predictors of patient satisfaction with surgical care in a low-middle-income country","authors":"K. Okonta, D. Ogaji","doi":"10.4103/ijam.ijam_132_20","DOIUrl":"https://doi.org/10.4103/ijam.ijam_132_20","url":null,"abstract":"","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70738896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Preksha Sharma, N. Sharma, Neeru Sharma, Dhruva Sharma
Introduction: Newer m-learning devices have become an integral part of medical education. Documentation of impact of these m-learning devices on medical education is still conflicting. The objective of the study was to determine the impact of m-learning on medical undergraduates. Materials and Methods: After obtaining Institutional Ethics Committee approval, this descriptive type of cross-sectional study was carried out among first to fifth semester MBBS undergraduates at a tertiary care teaching hospital. A 31 item prevalidated questionnaire was distributed among respondents and responses were evaluated. Results: Two hundred and sixty-six completely filled responses were obtained. Male preponderance was seen. Most of the students spent 2–4 h on mobile phones. 54.51% students had knowledge regarding m-learning. 79.8 students had medical apps on their electronic portable devices. There has been an improvement in the communication skills among respondents due to m-learning. Some disadvantages were also documented in our study which includes distraction from studies and use of other applications. Conclusion: The awareness about change in the pattern of learning among medical students from “bench-side” to “web-site” is the need of the hour. Internet connectivity is the major area of concern to be looked upon for better m-learning. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning, and Communication skills.
{"title":"Unmasking the impact of m-learning on medical undergraduates","authors":"Preksha Sharma, N. Sharma, Neeru Sharma, Dhruva Sharma","doi":"10.4103/IJAM.IJAM_99_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_99_20","url":null,"abstract":"Introduction: Newer m-learning devices have become an integral part of medical education. Documentation of impact of these m-learning devices on medical education is still conflicting. The objective of the study was to determine the impact of m-learning on medical undergraduates. Materials and Methods: After obtaining Institutional Ethics Committee approval, this descriptive type of cross-sectional study was carried out among first to fifth semester MBBS undergraduates at a tertiary care teaching hospital. A 31 item prevalidated questionnaire was distributed among respondents and responses were evaluated. Results: Two hundred and sixty-six completely filled responses were obtained. Male preponderance was seen. Most of the students spent 2–4 h on mobile phones. 54.51% students had knowledge regarding m-learning. 79.8 students had medical apps on their electronic portable devices. There has been an improvement in the communication skills among respondents due to m-learning. Some disadvantages were also documented in our study which includes distraction from studies and use of other applications. Conclusion: The awareness about change in the pattern of learning among medical students from “bench-side” to “web-site” is the need of the hour. Internet connectivity is the major area of concern to be looked upon for better m-learning. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning, and Communication skills.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"7 1","pages":"10 - 14"},"PeriodicalIF":0.6,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45033804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Nikitha, S. Sureshbabu, Remesh Bhasi, L. Sreevidya
This report describes the story of a young female, diagnosed with the rare combination dermatomyositis and myasthenia gravis (MG). The patient presented with progressive muscle weakness without typical skin manifestations of dermatomyositis, except for an early mechanic's hand. In addition, the patient had fatiguability and mild ptosis which raised the suspicion of MG which was later confirmed by the presence of anti-acetyl choline receptor antibodies and clinical response to pyridostigmine. On evaluation, she was found to be seropositive for Mi-2Beta antibody, which is a myositis-specific antigen for classical steroid responsive dermatomyositis. The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice based learning and improvement.
{"title":"A neuro-immunological cocktail","authors":"K. Nikitha, S. Sureshbabu, Remesh Bhasi, L. Sreevidya","doi":"10.4103/IJAM.IJAM_32_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_32_20","url":null,"abstract":"This report describes the story of a young female, diagnosed with the rare combination dermatomyositis and myasthenia gravis (MG). The patient presented with progressive muscle weakness without typical skin manifestations of dermatomyositis, except for an early mechanic's hand. In addition, the patient had fatiguability and mild ptosis which raised the suspicion of MG which was later confirmed by the presence of anti-acetyl choline receptor antibodies and clinical response to pyridostigmine. On evaluation, she was found to be seropositive for Mi-2Beta antibody, which is a myositis-specific antigen for classical steroid responsive dermatomyositis. The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice based learning and improvement.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"316 - 319"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46255695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An 18-year-old boy presented with difficulty in breathing since birth. He had ejection systolic murmur heard loudest in the right second intercostal space radiating to the right carotids. On blood examination, he had severe pancytopenia. Electrocardiogram revealed left ventricular hypertrophy with a prominent Q-wave. On ultrasonography, it was revealed that the patient had splenomegaly with multiple collaterals. Echocardiography showed a tricuspid aortic valve with three cusps with a subaortic membrane. Concomitant splenectomy and subaortic membrane excision on cardiopulmonary bypass under general anesthesia was done. His platelet counts recovered soon after splenectomy. The following core competencies are addressed in this article: Patient care and procedural skills, Medical knowledge, and Systems-based practice.
{"title":"A case of subvalvular aortic stenosis with pancytopenia: A nightmare for cardiac surgeons","authors":"S. Dhruva, D. Sunil, S. Anil, Mittal Saurabh","doi":"10.4103/IJAM.IJAM_67_20","DOIUrl":"https://doi.org/10.4103/IJAM.IJAM_67_20","url":null,"abstract":"An 18-year-old boy presented with difficulty in breathing since birth. He had ejection systolic murmur heard loudest in the right second intercostal space radiating to the right carotids. On blood examination, he had severe pancytopenia. Electrocardiogram revealed left ventricular hypertrophy with a prominent Q-wave. On ultrasonography, it was revealed that the patient had splenomegaly with multiple collaterals. Echocardiography showed a tricuspid aortic valve with three cusps with a subaortic membrane. Concomitant splenectomy and subaortic membrane excision on cardiopulmonary bypass under general anesthesia was done. His platelet counts recovered soon after splenectomy. The following core competencies are addressed in this article: Patient care and procedural skills, Medical knowledge, and Systems-based practice.","PeriodicalId":36495,"journal":{"name":"International Journal of Academic Medicine","volume":"6 1","pages":"324 - 327"},"PeriodicalIF":0.6,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70738726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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