Pub Date : 2024-02-19DOI: 10.4103/ajim.ajim_107_23
Sadananda B Naik
{"title":"A Medical Trainee’s Moment of Reckoning","authors":"Sadananda B Naik","doi":"10.4103/ajim.ajim_107_23","DOIUrl":"https://doi.org/10.4103/ajim.ajim_107_23","url":null,"abstract":"","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"40 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450536","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}
Rupak Chatterjee, Shatavisa Mukherjee, Supratik Bhattacharyya, Debasis Basu, N. Pramanik
Systemic inflammation and various drugs used for treating coronavirus disease 2019 (COVID-19) including high-dose corticosteroids play a role in the development of new-onset diabetes (NOD). Patients of all ages and genders recovering from COVID-19 reportedly have an increased incidence and relative risk of developing diabetes. The present study thus tried to compare NOD in post moderate-to-severe COVID-19 patients with newly diagnosed diabetes patients with mild or without prior COVID-19 infection. This cross-sectional study included 100 newly diagnosed diabetes patients with a previous history of moderate-to-severe COVID-19 and those with no or mild history of previous COVID-19 infection (50 each in both groups). A detailed history was taken, and a clinical examination was done. Data on symptomatology, family history of diabetes, behavioral habits, anthropometry, and glycemic parameters was captured. Stress levels were assessed using the 5-point Perceived Stress Scale-10. The data obtained were statistically analyzed. Assessing for the glycemic indices – fasting blood glucose, postprandial blood glucose, and glycosylated hemoglobin – was significantly higher in the moderate/severe COVID-19 arm as in comparison to the no/mild COVID-19 arm (P < 0.0001). C-peptide was significantly higher in the moderate/severe COVID-19 arm (P < 0.0001). The stress score was as high as 23.54 for the moderate/severe COVID-19 arm in comparison to 15.00 for the no/mild COVID-19 arm. NOD following COVID-19 pneumonia differs to some extent from NOD without COVID-19 in terms of having increased insulin resistance and worsened glycemic parameters. Clinicians should be aware of this entity as more aggressive control of dysglycemia is warranted to avoid complications arising out of it.
{"title":"Comparing New-onset Diabetes in Post Moderate-to-severe Coronavirus Disease 2019 Patients with Newly Diagnosed Diabetes Patients with Mild or without Prior Coronavirus Disease 2019 Infection","authors":"Rupak Chatterjee, Shatavisa Mukherjee, Supratik Bhattacharyya, Debasis Basu, N. Pramanik","doi":"10.4103/ajim.ajim_94_23","DOIUrl":"https://doi.org/10.4103/ajim.ajim_94_23","url":null,"abstract":"\u0000 \u0000 \u0000 Systemic inflammation and various drugs used for treating coronavirus disease 2019 (COVID-19) including high-dose corticosteroids play a role in the development of new-onset diabetes (NOD). Patients of all ages and genders recovering from COVID-19 reportedly have an increased incidence and relative risk of developing diabetes. The present study thus tried to compare NOD in post moderate-to-severe COVID-19 patients with newly diagnosed diabetes patients with mild or without prior COVID-19 infection.\u0000 \u0000 \u0000 \u0000 This cross-sectional study included 100 newly diagnosed diabetes patients with a previous history of moderate-to-severe COVID-19 and those with no or mild history of previous COVID-19 infection (50 each in both groups). A detailed history was taken, and a clinical examination was done. Data on symptomatology, family history of diabetes, behavioral habits, anthropometry, and glycemic parameters was captured. Stress levels were assessed using the 5-point Perceived Stress Scale-10. The data obtained were statistically analyzed.\u0000 \u0000 \u0000 \u0000 Assessing for the glycemic indices – fasting blood glucose, postprandial blood glucose, and glycosylated hemoglobin – was significantly higher in the moderate/severe COVID-19 arm as in comparison to the no/mild COVID-19 arm (P < 0.0001). C-peptide was significantly higher in the moderate/severe COVID-19 arm (P < 0.0001). The stress score was as high as 23.54 for the moderate/severe COVID-19 arm in comparison to 15.00 for the no/mild COVID-19 arm.\u0000 \u0000 \u0000 \u0000 NOD following COVID-19 pneumonia differs to some extent from NOD without COVID-19 in terms of having increased insulin resistance and worsened glycemic parameters. Clinicians should be aware of this entity as more aggressive control of dysglycemia is warranted to avoid complications arising out of it.\u0000","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"88 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451723","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}
Dengue is often seen as an acute infection with fever and thrombocytopenia where complications such as shock and hemorrhage need to be averted while the patient recovers with supportive care. However, dengue can also be a differential diagnosis in the emergency care setting. Acute encephalopathy, acute renal failure, hepatitis, liver failure, acute pancreatitis, noncardiogenic pulmonary edema, acute respiratory distress syndrome, compartment syndrome, intracranial bleeds, hemophagocytic lymphohistiocytosis are few of the emergencies that may be seen in the course of dengue fever. These complications need prompt recognition and management to ensure better outcomes.
{"title":"Emergencies in Dengue Fever","authors":"V. Kamath, S. Ganguly","doi":"10.4103/ajim.ajim_92_23","DOIUrl":"https://doi.org/10.4103/ajim.ajim_92_23","url":null,"abstract":"\u0000 Dengue is often seen as an acute infection with fever and thrombocytopenia where complications such as shock and hemorrhage need to be averted while the patient recovers with supportive care. However, dengue can also be a differential diagnosis in the emergency care setting. Acute encephalopathy, acute renal failure, hepatitis, liver failure, acute pancreatitis, noncardiogenic pulmonary edema, acute respiratory distress syndrome, compartment syndrome, intracranial bleeds, hemophagocytic lymphohistiocytosis are few of the emergencies that may be seen in the course of dengue fever. These complications need prompt recognition and management to ensure better outcomes.","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"162 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140451235","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}
We report a rare case of bilateral pulmonary hemorrhage with acute respiratory distress syndrome (ARDS), following high-voltage electricity exposure in a 29-year-old electric lineman while cutting an electrical wire for an uncertain duration. He was unconscious after falling from a tree following the exposure. His chest radiograph showed bilateral nonhomogeneous opacities, and high-resolution computed tomography revealed bilateral extensive ground-glass opacities, suggestive of pulmonary hemorrhage with ARDS. The patient was managed conservatively with intravenous fluids and oxygen. He recovered with near-complete resolution of chest X-ray abnormalities by day 5 of admission.
我们报告了一例罕见的双侧肺出血并伴有急性呼吸窘迫综合征（ARDS）的病例，患者是一名 29 岁的电力线工人，在切割电线时接触了高压电，持续时间不确定。他在接触高压电后从树上摔下，不省人事。他的胸片显示双侧非均质不透明，高分辨率计算机断层扫描显示双侧广泛磨玻璃不透明，提示肺出血并发 ARDS。患者接受了静脉输液和吸氧等保守治疗。入院第 5 天，他的胸部 X 光异常几乎完全消失。
{"title":"A Rare Case Report of Pulmonary Hemorrhage in Electrical Injury","authors":"Malingaraya Negali, S. Biradar","doi":"10.4103/ajim.ajim_89_21","DOIUrl":"https://doi.org/10.4103/ajim.ajim_89_21","url":null,"abstract":"\u0000 We report a rare case of bilateral pulmonary hemorrhage with acute respiratory distress syndrome (ARDS), following high-voltage electricity exposure in a 29-year-old electric lineman while cutting an electrical wire for an uncertain duration. He was unconscious after falling from a tree following the exposure. His chest radiograph showed bilateral nonhomogeneous opacities, and high-resolution computed tomography revealed bilateral extensive ground-glass opacities, suggestive of pulmonary hemorrhage with ARDS. The patient was managed conservatively with intravenous fluids and oxygen. He recovered with near-complete resolution of chest X-ray abnormalities by day 5 of admission.","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"2008 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139002092","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}
Takayasu’s arteritis is an inflammatory and stenotic disease of medium- and large-sized arteries characterized by a strong predilection for the aortic arch and its branches. Takayasu’s arteritis is an uncommon disease with an estimated annual incidence rate of 1.2–2.6 cases per million. It is most prevalent in adolescent girls and young women. Although it is more common in Asia, it is neither racially nor geographically restricted. This is a case report of a 58-year-old male patient who presented with syncopal attack and weakness in the right lower limb. He had a history of cerebrovascular accident (CVA) 10 years back with right upper limb monoparesis. Patient had feeble pulses in bilateral upper limb and absent pulsations in the right lower limb and left lower limb. Carotid pulsations were absent on the left side. Upper limb Doppler showed dampened and monophasic flow in ulnar and radial artery on both upper limbs. Dampened and monophasic flow in the right leg arterial system and posterior tibial artery of the left lower limb.
{"title":"An Interesting Case of Takayasu’s Arteritis","authors":"Vishwaraj Tadakal, Arun D. Mangane","doi":"10.4103/ajim.ajim_23_22","DOIUrl":"https://doi.org/10.4103/ajim.ajim_23_22","url":null,"abstract":"\u0000 Takayasu’s arteritis is an inflammatory and stenotic disease of medium- and large-sized arteries characterized by a strong predilection for the aortic arch and its branches. Takayasu’s arteritis is an uncommon disease with an estimated annual incidence rate of 1.2–2.6 cases per million. It is most prevalent in adolescent girls and young women. Although it is more common in Asia, it is neither racially nor geographically restricted. This is a case report of a 58-year-old male patient who presented with syncopal attack and weakness in the right lower limb. He had a history of cerebrovascular accident (CVA) 10 years back with right upper limb monoparesis. Patient had feeble pulses in bilateral upper limb and absent pulsations in the right lower limb and left lower limb. Carotid pulsations were absent on the left side. Upper limb Doppler showed dampened and monophasic flow in ulnar and radial artery on both upper limbs. Dampened and monophasic flow in the right leg arterial system and posterior tibial artery of the left lower limb.","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"13 5part1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138971561","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}
Chandrashekhar Kachapur, N. K. Seetaram, S. Kulkarni, I. Hasabi, B. Gayatri
Osteosarcoma (OS) is a primary bone tumor, usually seen in childhood or adolescence. With an estimated incidence of 5 in every 100,000 new cases detected per year, OS is an aggressive malignant mesenchymal tumor. The most common sites for this tumor are the distal end of the femur and the proximal tibia. Metastases from OS are most commonly seen in the lung or other bones. Patients with skin and subcutaneous tissue metastases are a relatively rare subset. Here, we report a rare case of an 18-year-old girl who presented to the hospital with an unusual site of metastasis from OS.
{"title":"A Rare Case of Cutaneous Metastasis of Osteosarcoma","authors":"Chandrashekhar Kachapur, N. K. Seetaram, S. Kulkarni, I. Hasabi, B. Gayatri","doi":"10.4103/ajim.ajim_21_21","DOIUrl":"https://doi.org/10.4103/ajim.ajim_21_21","url":null,"abstract":"\u0000 Osteosarcoma (OS) is a primary bone tumor, usually seen in childhood or adolescence. With an estimated incidence of 5 in every 100,000 new cases detected per year, OS is an aggressive malignant mesenchymal tumor. The most common sites for this tumor are the distal end of the femur and the proximal tibia. Metastases from OS are most commonly seen in the lung or other bones. Patients with skin and subcutaneous tissue metastases are a relatively rare subset. Here, we report a rare case of an 18-year-old girl who presented to the hospital with an unusual site of metastasis from OS.","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138975374","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}
S. Davalagi, Eshwar S. Kasturi, P. V. Nayak, Anisha Ghose
The major advantages of telemedicine can be saving time, cost, and effort, especially for rural patients, during challenging times such as COVID for obtaining consultation and treatment. Telemedicine, if properly implemented, can reduce gaps and strengthen the health-care delivery system in India. The objective of the study was to assess the perception and practice of health-care providers toward telemedicine. We conducted a cross-sectional study among 141 health-care providers who ever practiced telemedicine consultation. Utilizing online Google Forms, we used snowball sampling. Four sections made up the pretested study questionnaire: demographic information, perceptions, and practices. Statistical Package for the Social Sciences (SPSS) version 21 was used for data analysis. Among them, majority were aged between 35 and 44 years (49.6%), males (56%), had M.D./M.S. degree (57.4%), postgraduates (33.3%), worked in private sector (56.7%), and were from clinical specialty (80.8%) We had majority health-care workers who used telemedicine application for the first time after COVID (80.1%), used only mobile (82.2%), used only one application (83.6%), and gave 5–10 consultations per day (57.4%). Most of our study participants feel teleconsultation takes less time (61.7%), reduces waiting list at medical center (92.9%), has better communication (83.6%), gives better aid during emergency (53.9%), and saves money on transportation (97.1%). In this study, we could conclude that most participants started practicing telemedicine post-COVID. Health-care professionals still feel challenging to provide effective patient counseling through telemedicine; moreover, they are benefitted from telemedicine practice.
{"title":"Perception of the Health-care Providers toward Telemedicine Practice: A Cross-sectional Study from Karnataka, India","authors":"S. Davalagi, Eshwar S. Kasturi, P. V. Nayak, Anisha Ghose","doi":"10.4103/ajim.ajim_66_23","DOIUrl":"https://doi.org/10.4103/ajim.ajim_66_23","url":null,"abstract":"The major advantages of telemedicine can be saving time, cost, and effort, especially for rural patients, during challenging times such as COVID for obtaining consultation and treatment. Telemedicine, if properly implemented, can reduce gaps and strengthen the health-care delivery system in India. The objective of the study was to assess the perception and practice of health-care providers toward telemedicine. We conducted a cross-sectional study among 141 health-care providers who ever practiced telemedicine consultation. Utilizing online Google Forms, we used snowball sampling. Four sections made up the pretested study questionnaire: demographic information, perceptions, and practices. Statistical Package for the Social Sciences (SPSS) version 21 was used for data analysis. Among them, majority were aged between 35 and 44 years (49.6%), males (56%), had M.D./M.S. degree (57.4%), postgraduates (33.3%), worked in private sector (56.7%), and were from clinical specialty (80.8%) We had majority health-care workers who used telemedicine application for the first time after COVID (80.1%), used only mobile (82.2%), used only one application (83.6%), and gave 5–10 consultations per day (57.4%). Most of our study participants feel teleconsultation takes less time (61.7%), reduces waiting list at medical center (92.9%), has better communication (83.6%), gives better aid during emergency (53.9%), and saves money on transportation (97.1%). In this study, we could conclude that most participants started practicing telemedicine post-COVID. Health-care professionals still feel challenging to provide effective patient counseling through telemedicine; moreover, they are benefitted from telemedicine practice.","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"42 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139247237","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}
Type 2 diabetes mellitus (T2DM) in young individuals is a serious concern for the society. Literature suggests that the incidence of T2DM is not only increasing, but also there is a shift of age of onset of T2DM toward younger age groups in India and worldwide. However, data about the frequency of T2DM among young subjects below 25 years of age are sparse in the Indian subcontinent. Hence, the current study was undertaken to find out the frequency and clinical profile of young individuals with T2DM in the departments of internal medicine and pediatrics in a tertiary care hospital. The aim of the study was to study the frequency and clinical profile of T2DM among young individuals with diabetes mellitus. The study was a cross-sectional observational study conducted in the Departments of General Medicine and Pediatrics at JSS Hospital, Mysuru, Karnataka, India, over a 2-year period. The subjects with age of onset of diabetes mellitus below 25 years were included in the study. They were categorized according to the C-peptide values as type 1 diabetes mellitus (T1DM) and T2DM. Maturity-onset diabetes of the young (MODY) was diagnosed with the age of onset of diabetes below 25 years with a strong family history of diabetes for three generations and no insulin requirement for metabolic control for 5 years after diagnosis. The statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS version 25). Of the 250 patients included in the study, 208 (83.2%) subjects were T1DM, 38 (15.2%) T2DM, and 4 (1.6%) with MODY. The mean age of onset of T1DM was 13.7 ± 6.201 years and T2DM was 23.28 ± 3.68 years. Body mass index (BMI) and waist circumference of young T2DM patients were more compared to T1DM, which were statistically significant P < 0.0001, and family history showed strong positivity in patients with young T2DM compared to T1DM. Low-density lipoprotein cholesterol (LDL-C), triglycerides (TGs), and total cholesterol (TC) were more in young T2DM patients compared to T1DM which were statistically significant with P = 0.003 (LDL), P = 0.0015 (TG), and P = 0.03 (TC), respectively. T2DM, previously considered a middle-aged or elderly condition, is now commonly occurring in young adults and children, probably due to a growing epidemic of childhood obesity and lifestyle. Obesity and dyslipidemia were more in T2DM compared to T1DM among young diabetics.
{"title":"A Study of Diabetes in Young Individuals with Special Reference to Type 2 Diabetes Mellitus","authors":"M. S. Babu, Neil Krishna Reddy Yavasani","doi":"10.4103/ajim.ajim_78_23","DOIUrl":"https://doi.org/10.4103/ajim.ajim_78_23","url":null,"abstract":"Type 2 diabetes mellitus (T2DM) in young individuals is a serious concern for the society. Literature suggests that the incidence of T2DM is not only increasing, but also there is a shift of age of onset of T2DM toward younger age groups in India and worldwide. However, data about the frequency of T2DM among young subjects below 25 years of age are sparse in the Indian subcontinent. Hence, the current study was undertaken to find out the frequency and clinical profile of young individuals with T2DM in the departments of internal medicine and pediatrics in a tertiary care hospital. The aim of the study was to study the frequency and clinical profile of T2DM among young individuals with diabetes mellitus. The study was a cross-sectional observational study conducted in the Departments of General Medicine and Pediatrics at JSS Hospital, Mysuru, Karnataka, India, over a 2-year period. The subjects with age of onset of diabetes mellitus below 25 years were included in the study. They were categorized according to the C-peptide values as type 1 diabetes mellitus (T1DM) and T2DM. Maturity-onset diabetes of the young (MODY) was diagnosed with the age of onset of diabetes below 25 years with a strong family history of diabetes for three generations and no insulin requirement for metabolic control for 5 years after diagnosis. The statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS version 25). Of the 250 patients included in the study, 208 (83.2%) subjects were T1DM, 38 (15.2%) T2DM, and 4 (1.6%) with MODY. The mean age of onset of T1DM was 13.7 ± 6.201 years and T2DM was 23.28 ± 3.68 years. Body mass index (BMI) and waist circumference of young T2DM patients were more compared to T1DM, which were statistically significant P < 0.0001, and family history showed strong positivity in patients with young T2DM compared to T1DM. Low-density lipoprotein cholesterol (LDL-C), triglycerides (TGs), and total cholesterol (TC) were more in young T2DM patients compared to T1DM which were statistically significant with P = 0.003 (LDL), P = 0.0015 (TG), and P = 0.03 (TC), respectively. T2DM, previously considered a middle-aged or elderly condition, is now commonly occurring in young adults and children, probably due to a growing epidemic of childhood obesity and lifestyle. Obesity and dyslipidemia were more in T2DM compared to T1DM among young diabetics.","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"123 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246878","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 : 2023-11-22DOI: 10.4103/ajim.ajim_100_23
Basavanagowdappa Hathur, Praveen Kulkarni
{"title":"Changing Roles of Medical Teachers in the Era of Competency-based Medical Education","authors":"Basavanagowdappa Hathur, Praveen Kulkarni","doi":"10.4103/ajim.ajim_100_23","DOIUrl":"https://doi.org/10.4103/ajim.ajim_100_23","url":null,"abstract":"","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246921","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":"Use of Morphine in Critically Ill COVID-19 Patients: An Ethics Reflection","authors":"J. Idiculla, Jananee Muralidharan, S. S. Kurpad","doi":"10.4103/ajim.ajim_99_23","DOIUrl":"https://doi.org/10.4103/ajim.ajim_99_23","url":null,"abstract":"","PeriodicalId":8012,"journal":{"name":"APIK Journal of Internal Medicine","volume":"25 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139249359","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：