Open Access DOI:10.23937/2474-3682/1510149
Septal CRT-D Pacemaker
Sudeb Mukherjee, MBBS, MD, DM
Article Type: Image Article | First Published: August 08, 2020
CRT-D implantation has become a standardised treatment for patients suffering from Heart Failure with reduced Ejection Fraction (HFrEF). Patients with left ventricular ejection fraction (LVEF) below 35% along with Left Bundle Branch Block (LBBB) pattern with wide QRS duration are the most benefitted one post placement. Implantation of CRT-D needs expertise so that proper left ventricular lead placement can be done. It also depends on anatomical suitability of Coronary Sinus (CS)....
Open Access DOI:10.23937/2474-3682/1510148
Wandering Left Atrium Clot Ball
Sudeb Mukherjee, MBBS, MD, DM
Article Type: Image Article | First Published: August 06, 2020
43-year-old lady presented with shortness of breath for past 7 months. She had history suggestive of Paroxysmal Nocturnal Dyspnoea (PND). She had also few episodes of palpitations. She had no history of rheumatic fever in the past. On physical examination mid diastolic rumbling murmur was audible at the apex which changed with posture. There was no history of fever and/or any embolic manifestations. Electrocardiogram revealed left atrial abnormalities. Transthoracic Echocardiogram was done which...
Open Access DOI:10.23937/2572-3286.1510054
Crescentic Glomerulonephritis with Tubercular Lymphadenitis
Amit Katyal and Rohit Tewari
Article Type: Case Report | First Published: July 29, 2020
The recognition of autoimmune manifestations during the course of an infection and the decision to add specific treatment for the secondary immunological abnormality are essential decisions which have to be taken timely. Mycobacterium tuberculosis infection is a common presentation in tropical countries. The kidney is generally involved due to haematogenous spread of infection from the primary source. Glomerular involvement presenting as a rapidly progressive glomerulonephritis (RPGN), is extrem...
Open Access DOI:10.23937/2572-3243.1510082
Validity and Reliability of the Oxford Shoulder Instability Score Translated into Arabic
Sager Samir Hanna, Aliaa Fareed Khaja, Ahmed Khaled Bouhamrah and Ali Maqdes
Article Type: Original Research | First Published: July 24, 2020
Fifty-five patients were involved in this survey at the baseline and follow-up (14 days after the baseline). We performed the internal consistency test using Cronbach’s α. We calculated Standard Response Mean (SRM) and Pearson’s Correlation to estimate the construct validity and responsiveness of the Arabic OSIS in comparison to Disability of the Arm and Shoulder and Hand (DASH) Score. The Arabic OSIS had a baseline Cronbach’s α of 0.815 and a follow-up value of 0.860. In addition, Intra...
Open Access DOI:10.23937/2474-3658/1510147
Assumption of Herd Immunity against COVID-19: A Plausibility and Hope or a Terrible Thought in Modern-Day to Save the Life
Suneel Prajapati and Narasimha Kumar GV
Article Type: Short Commentary | First Published: July 25, 2020
Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) has first emerged in the province of Hubei, China, in late December 2019, and the contagious form of disease covered the whole world by the rapid spread. As of July 12, 2020, there are 12,879,107 confirmed cases of Coronavirus disease (COVID-19), and 5,68,422 deaths were reported globally. However, after its first appearance in China, the United States of America (USA) and Europe were worst hit by COVID-19 and emerged as the epic centr...
Open Access DOI:10.23937/2469-5793/1510125
Exercise is Medicine! Why are People not Buying into the Prescription?
M Felicia Cavallini and David J Dyck
Article Type: Research Article | First Published: July 27, 2020
Despite decades of research documenting the numerous health benefits of exercise, most people are not buying into the “Exercise is Medicine” prescription and making the commitment to exercise regularly. The purpose of this study was to examine: 1) Participants’ perceptual association with descriptive statements and certain activities relating to exercise and physical activity (PA); 2) Participant’s attitudes towards the gym environment; and 3) The overall relationship between participant...
Open Access DOI:10.23937/2572-3286.1510055
Status Epilepticus Owing to Consumption of Seasonal Fruit in Dialysis: Case Report
Sneha Simon, DM, DNB, MRCP (UK) sce, Jose Thomas, DM and Vinayak Jayaram, MD, DNB
Article Type: Case Report | First Published: July 30, 2020
Star fruit (Averrhoa carambola) and Bilimbi fruit (Averrhoa bilimbi) are fruits under oxalidaceae and exhibits similar biochemical characteristics. There are several reports enumerating the harmful effects of these fruits in healthy persons leading to acute kidney injury and even chronic kidney disease requiring renal replacement therapy. There are occasional reports of neurotoxicity related to consumption of these fruits in patients with chronic kidney disease, especially those receiving mainte...
Open Access DOI:10.23937/2378-3397/1410113
Bilateral Primary Testicular Lymphoma: A Case Report
Rishabh Agarwalla, Rajashekar Mohan and Vijith Shetty
Article Type: Case Report | First Published: July 27, 2020
We report the case of a 64-year-old male with bilateral diffuse large cell, non germinal centre like B-cell lymphoma of the testes. MRI showed bilateral epididymitis with right sided orchitis and minimal left sided hydrocoele. Right high inguinal orchidectomy was done to confirm the diagnosis. 6 cycles of RCHOP adjuvant chemotherapy was given. He was, however, unable to tolerate the intensive chemotherapy regimen and succumbed to its adverse effects, 2 months after completion of the 6th cycle......
Open Access DOI:10.23937/2378-3419/1410140
Retrospective Lymphoma Study from Malaysia Private Hospital
Dayang Sharyati Datu Abdul Salam, Teoh Siew-Hoon, Peh Suat-Cheng and Cheah Shiau-Chuen
Article Type: Research Article | First Published: July 27, 2020
Lymphoma is a malignant disease of the immune system with the most rapidly increasing incidence in many countries. According to 2008 WHO classification, lymphoma can be classified according to: Hodgkin lymphoma or non-Hodgkin lymphoma, B-cell or T-cell and the site from which the cell arises. This classification system is important because it affects treatment and prognosis. There are numerous subtypes of NHL which is a reflection of the complex growth and differentiation of the type of lymphocy...