bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perinatal bilateral testicular torsion: A rare emergency with review of literature
Authors: Amit Gupta  , Akhil Kumar  , Bhavesh Chandha  , Megha Saroha  
Published: January 2025

Perinatal bilateral testicular torsion is an extremely rare surgical emergency and is subject of debate among surgeons. Urgent surgical exploration and fixation of the other testis are the key points in the management.
DOI: http://dx.doi.org/10.3126/ajms.v5i4.9931
Asian Journal of Medical Sciences 2014 Vol.5(4); 103-105
Unusual cause for pacemaker threshold elevation
Authors: Osman Can Yontar  , Erhan Tenekecioglu  , Kemal Karaagac  , Ahmet Tutuncu  
Published: January 2025

Pacing threshold is an important entity which should be tested during pacemaker follow up. Abnormal elevation of pacing threshold would end up with early exhaustion of pacemaker battery. In this report, we described a patient with an unusual cause for threshold elevation.
Learning objective: Pacemaker follow-up has its own routines. Telecardiogram is one of them, however it is mostly underrated nowadays. Our objective is to teach value of this quick and inexpensive test for pacemaker patients.
DOI: http://dx.doi.org/10.3126/ajms.v6i1.10801
Asian Journal of Medical Sciences Vol.6(1) 2015 106-107
Physician’s dilemma in treating Acinetobacter baumanii: A combination of art and science
Authors: Sagar Khadanga  , Karuna Tadepalli  , Pravat Kumar Thatoi  , Rina Mohanty  , Namita Mohapatra  
Published: January 2025

Acinetobacter are gram negative coccobacilli and ubiquitous in nature1. Quiet frequently they are recovered from inpatients who are hospitalized for prolonged illness and often multiple times. Although originally considered to be a low grade opportunistic pathogen Acinetobacter species has emerged to be one of the common nosocomial pathogen. These isolates are often MDR1. It still remains a physician’s dilemma whether to treat or not such isolates, considering them pathological or commmensals. In one of our case it was isolated as a commensal and the patient did not require any antibiotic. On the hand the second case succumbed just after we started the susceptible antibiotic.
DOI: http://dx.doi.org/10.3126/ajms.v6i2.10405
Asian Journal of Medical Sciences Vol.6(2) 2015 105-107
An unexpected case of bilateral kidneys studded with multiple abscesses, in a nondiabetic healthy woman-A case report
Authors: Vijaya Kamble  , Kajal Mitra  
Published: January 2025

Bilateral multiple renal abscesses have been found in individuals with predisposing factors but are infrequently encountered in otherwise healthy individuals. In our case , a lady presented with history of fever and chills with bilateral renal angle tenderness. Ultrasonography and computed tomography showed both kidneys to be studded with multiple renal abscesses of varying sizes. USG Guided percutaneous aspiration was done to establish the correct diagnosis and identify the causative micro organism. Her blood culture and urine culture were negative. The patient was successfully treated with combined intravenous and oral course of antibiotics. In conclusion, as contrary to the usual belief, bilateral renal abscesses can occur in a healthy individual without any history of diabetes or immunocompromised status. In addition full recovery is possible solely with antibiotics.
DOI: http://dx.doi.org/10.3126/ajms.v6i3.10933
Asian Journal of Medical Sciences Vol.6(3) 2015 91-93
Plasmablastic neoplasm in an HIV affected individual and a brief note on its differential diagnosis
Authors: Veda Hegde  , Kaveri Hallikeri  , Venkatesh Anehosur  
Published: January 2025

HIV/AIDS predisposes an individual to a variety of malignancies. Lymphomas constitute a group of neoplasm of which are derived from the basic cells of lymphoid tissue, lymphocytes and histiocytes in any of their developmental stages. Thus these neoplasms are closely related and difficult to diagnose based on the histopathology alone. To highlight the importance of immuno-histochemistry in lesions as in the present case and the varied differential diagnosis that is useful to arrive at a diagnosis. We report a case of plasmablastic neoplasm in a young female whose HIV status became apparent only after the histopathologic diagnosis. Oral lesion was the only presenting feature. The lesion was a very aggressive lesion. Diverse differential diagnosis has been illustrated with their specific features which can be valuable to achieve a diagnosis of a particular lymphoma. Although, the histopathology reveals predominantly plasmablasts, it is still not possible to give an accurate diagnosis based on microscopy alone. Thus such lesions have to be differentiated with the help of immuno-histochemistry.
DOI: http://dx.doi.org/10.3126/ajms.v6i3.10762
Asian Journal of Medical Sciences Vol.6(3) 2015 77-80
Screening of kidney disease in HIV infected hospitalised patients
Authors: Sanjeev Kumar  , Arvind Trivedi  , G. K. Aneja  , V Atam  , T.V.S. Arya  , Vandana  , Pradeep Kumar  
Published: January 2025

Objectives: To study the renal disease in newly diagnosed HIV infected hospitalized patients and to look for possible correlation of CD4 count with prevalence of renal disease.
Materials and Methods: The prospective study was conducted in Department of Medicine/Endocrinology in tertiary care health center in western U.P during the study period of one year. The patients were evaluated clinically and biochemically after obtaining the informed consent.
Result: The study was conducted on 100 HIV/AIDS patients, out of which 68 (68%) were males and 32 (32%) females with a Highest incidence of HIV/AIDS (51%) in the age group of 25-35 years. Microalbuminuria was present in 20 (20%) HIV patients with majority (60%) being in the age group 25-35 years. Prevalence of microalbuminuria among males was 55% and among females 45%. Microalbuminuria was further evaluated by calculating the ratio of microalbumin to urinary creatinine, 83% patient had ratio >10 mg/mmol and 17% had this ratio <10 mg/mmol. The ratio of microalbumin to urinary creatinine >10 mg/mmol was 60% in age 25-35 year, 25% in the age group of 36-45 year followed by 15% in the age group of 45-55 year patients. Chi-square test was used to calculate the significance of the correlation between CD4 counts with the presence of microalbuminuria in HIV patients. There was a significant correlation between CD4 count <200/μL and presence of microalbuminuria (p =0006). Statistically significant proteinuria (30-300 mg/24 hour) was found in 15 patients with CD4 count <200/μL of those patients found positive for microalbuminuria. Protein/ creatinine ratio was <0.2 in 18 patients, 2 had ratio in the range of 0.2-3.5 and none in the nephrotic range (>3.5).
Conclusion: Study evaluation shows that there is statistically significant microalbuminuria in HIV/AIDS infected patients and this is more prevalent in patients with CD4 count <200/μL as compared to patients with CD4 count >200/μL in keeping with previous studies. The routine laboratory measurements like serum creatinine and proteinuria fail to recognize the patients with early renal involvement. In view of the high prevalence of renal dysfunction among hospitalized HIV infected patients, it is recommended to use microalbuminuria as routine screening tests in those who are HIV positive.
DOI: http://dx.doi.org/10.3126/ajms.v6i3.11376
Asian Journal of Medical Sciences Vol.6(3) 2015 58-62
Effect of coffee on blood pressure and electrocardiographic changes in nicotine users
Authors: Pradeep Kumar  , Dileep Kumar Verma  , Jagdish Narayan  , Preeti Kanawjia  , Archna Ghildiyal  
Published: January 2025

Objectives: The objectives of this study were to see the effect of coffee on Heart rate Blood pressure and ECG changes in nicotine users.
Methods: The study was conducted on 120 volunteers aged 21-40 years and with body mass index (BMI) between 17.3-28.0 kg /m2 .The subjects were divided into two groups: Control (n=40) and Study group (n=80).
Results: Observation suggests that increment in blood pressure, recorded in study group after coffee ingestion, was lesser than that of control group. We also observed that there were no significant changes in diastolic blood pressure in any group while the mean arterial pressure was higher in both the groups following coffee ingestion.
Conclusion: Coffee ingestion decreases the heart rate with no changes in QTc, hence we concluded that less amount of coffee ingestion may not be harmful.
DOI: http://dx.doi.org/10.3126/ajms.v6i3.10090
Asian Journal of Medical Sciences Vol.6(3) 2015 46-48
Effects of Topical Honey Dressing in Decubitus Ulcer
Authors: S. Khadanga  , D. Dugar  , T. Karuna  , R. Khetri  , H. Tim  , S. Ghata  , P. K. Thatoi  
Published: January 2025

Background: The medicinal properties of honey have been recognized since antiquity. Although used as an adjuvant method for accelerating wound healing from ancient times, honey has been sporadically used in the treatment of wounds. Many researchers have shown that honey exerts antibacterial activity against various organisms, including both Gram-positive and Gram-negative bacteria. This study was done to compare the effectiveness of honey and Povidone iodine in wound healing in Decubitus ulcers.
Material & Methods: We conducted a prospective hospital based study of 40 patients with bed sore. Patients were selected considering the inclusion and exclusion criteria. 20 patients (Group A) had honey dressing and another 20 patients (Group B) had Povidone iodine dressing. We compared the wound healing status and bacteriological profile between day 1 and day 10 in both the groups.
Result: The pain score decrement was significant in honey dressing group but the reduction in size of the wound was not significant. The bacteriological profile was more or less similar in both the groups.
Conclusion: The antibacterial properties of honey, the cost effectiveness, easy availability, reduction in size of wound and more so the significant reduction in pain reveal that honey can be a safe, satisfying, cost effective topical dressing material for decubitus ulcers in general medical and surgical words.
DOI: http://dx.doi.org/10.3126/ajms.v6i4.11616
Asian Journal of Medical Sciences Vol.6(4) 2015 99-101
CNS Complications of Systemic Malignancy amongst patients attending a Radiotherapy facility in Lagos
Authors: A.O. Popoola  , A.I. Igwilo  , O. Idowu  , K.K. Ketiku  , K.J.T. Duncan  
Published: January 2025

Introduction: The Central nervous system (CNS) is a frequent a site of relapse of systemic cancer. There are few data available in literature about the frequency and nature of symptomatic histopathological variants of secondary brain/spinal tumours drawn against the gender/age distribution in our environment.
Objective: To study the frequency and manifestation of CNS involvement in patients with systemic cancer for a high index of suspicion so that practitioner will have highest index of suspicion to make early diagnosis and treatment in our environment.
Material and methods: A total of 119 patients with histological confirmed cases of cancer with secondaries to the CNS, were analysed for this study.
Results: CNS metastasis were more common in female (67%) than male (33%) p=0.047. Spinal cord metastasis is the most common type of neurological manifestation (66.9%) with p=0.011. Breast (60.5%) and prostate (21%) were the most common site of primary tumour. Neurological manifestations were mostly associated with advanced Stage tumours (54.9%) (p=0.000). Approximately half of the cases, 56 (54.9%) were presented at late stage (4). Neurological manifestation occurred <6 months (43.1%) after initial diagnosis of the primary tumour. Spinal/radicular pain was the most prevalent among the patients (43%). CT scan/MRI Imaging in (52.6%) and mode of treatment was radiotherapy (99%) of patients.
Conclusion: Even though therapy is largely palliative, research should focus on enhancing the efficacy of whole brain radiotherapy and invest in the biosynthesis of synergistic new systemic agents that could also cross the BBB.
DOI: http://dx.doi.org/10.3126/ajms.v6i4.11805
Asian Journal of Medical Sciences Vol.6(4) 2015 55-60
Excessive crying due to erupting neonatal tooth: A case report
Authors: Monojit Mondal  , Biswajit Biswas  , Atanu Roy  , Prashanth Kumar  , Sayan Bose  , Tanmoy Biswas  , Nayan Banerji  , Kriti Sundar Rana  
Published: January 2025

Tooth eruption normally starts from 6 months of age. Teeth that appear at birth are called natal teeth, whereas, teeth that erupt during the first month of life are called neonatal teeth. Both are uncommon, with the ratio of natal to neonatal is 3:1. Presence of neonatal teeth may lead to complication in mother like painful bitten or bleeding nipples or it may cause complications in babies like difficulty in feeding, pain/distress due to erupting tooth, swallowing of the tooth, repeated trauma to the tip or undersurface of the tongue resulting in Riga-Fede ulceration and rarely aspiration. We are presenting a 15-day-old male baby who admitted at our hospital primarily with excessive crying and poor feeding and on a thorough physical examination revealed an erupting neonatal tooth. Other causes of excessive crying have been excluded.
DOI: http://dx.doi.org/10.3126/ajms.v6i4.11241
Asian Journal of Medical Sciences Vol.6(4) 2015 87-88
New enterant in the class of uropathogens-Shewanella algae
Authors: K Ostwal  , P Shah  , S Pathak  , A Jadhav  , N Shaikh  
Published: January 2025

A 70 year old diabetic male presented with fever, urgency of micturition, oliguria, swelling over both legs. His midstream urine sample was sent for microbiological examination and it revealed Shewanella algae. Patient was treated with antibiotics and he recovered completely after treatment.
DOI: http://dx.doi.org/10.3126/ajms.v6i4.11503
Asian Journal of Medical Sciences Vol.6(4) 2015 92-95
Newer initiatives in revised national tuberculosis control programme and its current implementation status
Authors: Vishal Soyam  , Pallavi Boro  
Published: January 2025

The Revised National Tuberculosis Control programme has continuously innovative and progressive in addressing issues related to Tuberculosis control in India. With the implementation of RNTCP, India has taken huge stride in reduction of mortality and morbidity due to TB. The programme has actively incorporated various new ideas, innovations and information communication technology to curb this menace. These newer initiatives provide unprecedented opportunities to control Tuberculosis more efficiently if it implemented effectively. India has made enormous progress towards TB control through their honest effort. Innovations will effectively leverage India’s endeavour. Programme must continue and sustain these efforts to make India TB free.
DOI: http://dx.doi.org/10.3126/ajms.v6i5.11945
Asian Journal of Medical Sciences Vol.6(5) 2015 1-8
Pulmonary dysfunction in children with beta thalassemia major in relation with iron overload - a cross sectional hospital based study
Authors: A Boddu  , A Kumble  , S Mahalingam  , BS Baliga  , B Achappa  
Published: January 2025

Background: Previously many patients with thalassemia major died from severe anemia during first decade, but with modern transfusion therapy many now survive beyond childhood. Because of such therapy, however excessive iron deposition occurs in lungs and causing respiratory dysfunction. Respiratory impairment occurs because of defective chelation and repeated transfusions.
Objectives: To a) study pattern of respiratory impairment using spirometry, b) estimate iron overload by measuring serum ferritin levels, c) correlate a&b.
Methodology:Thalassemia children >7year, on regular blood transfusion were included in the study after getting institutional ethical clearance .Standardised pulmonary function test was done using spirometry. Iron overload was assessed using serum ferritin levels. Severity of pulmonary dysfunction was correlated with serum ferritin levels.
Results:Total of 42 children were included 62% were males and 38% were females (with median age 12yrs). By spirometry 95% had restrictive pattern of respiratory dysfunction. Mean ferritin value was 4152. Out of them10 (23.8%) mild, 25(59%) moderate and 5(12%) severe dysfunction based on FEV1 and FVC. The mean ferritin values in severe respiratory dysfunction is 6275 which is significantly higher when compared to moderate (4249) and mild (3066) pattern of respiratory dysfunction. None of the children had evidence of CCF. Significant correlation (p value=0.003) was found between severity of pulmonary dysfunction with ferritin values and also with weight of the child (p value=0.007). No other significant correlation found between severity pattern and transfusion index, age or height.
Conclusion:Restrictive pattern is most common pulmonary dysfunction seen in chronic iron overloaded thalassemia major children. Regular blood transfusions with adequate chelation decrease incidence of pulmonary dysfunction. Screening of all thalassemia children using spirometry is need of the hour.
DOI: http://dx.doi.org/10.3126/ajms.v6i5.11782
Asian Journal of Medical Sciences Vol.6(5) 2015 47-50
An unusual case of penetrating head injury following road traffic accident
Authors: Mithilesh Kumar Pandey  , Kaushik Roy  , Gaurab Chaudhuri  , Suniti Kumar Saha  
Published: January 2025

A 35 year old male was presented with discharging sinus at left frontozygomatic region with trismus for last 1 month. The patient had a past history of penetrating trauma in the vicinity of the left frontozygomatic area following road traffic accident 6 months back. 3D-CT skull was showed a linear dense radiolucent foreign body obliquely placed in the left temporal and infratemporal fossa. Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury. But in this case an initial minor penetrating injury was presented trismus in delayed fashion. The aero digestive tract is the commonest site involved in foreign body lodgement in head and neck region. However the lodgement of foreign-body in an area of infratemporal fossa with unusual symptoms of trismus is quite rare and only few cases have been reported in the literature so far following a road traffic accident.
DOI: http://dx.doi.org/10.3126/ajms.v6i5.12329
Asian Journal of Medical Sciences Vol.6(5) 2015 75-77
The diagnosis and treatment of pulmonary valve stenosis in children
Authors: Yadav Shiv Kumar 
Published: January 2025

Pulmonary valve stenosis (PS) is a common congenital heart disease, its early diagnosis and treatment can improve growth and prognosis in children with pulmonary valve stenosis. With the development of the diagnostics and treatment, percutaneous balloon pulmonary valvuloplasty (PBPV) has replaced surgery as the first choice for isolated pulmonary valve stenosis. The article reviews the recent progress in diagnosis and treatment of pulmonary valve stenosis.
DOI: http://dx.doi.org/10.3126/ajms.v6i6.12017
Asian Journal of Medical Sciences Vol.6(6) 2015 1-5
Role of depression and its associating factors in indoor orthopaedic patients
Authors: Ravikant Jain  , Rahul Rishi  , Balkishan Sharma  , Vivek Kiyawat  
Published: January 2025

Background and Objectives: Depression has acknowledged and well documented, is common among orthopaedic inpatients may be associated with functional outcomes. Authors aimed to investigate the role, prevalence and associating factors of depression disorder in orthopaedic inpatients.
Materials and Methods: A cross-sectional study is designed among patients that admitted at SAIMS, Indore. Four hundred twenty six orthopedic patients were recruited for study. The demographic and clinical measurements were recorded. Levels of depression were assessed by using Zung’s depression scale.
Results: Depressive disorder was identified in 87.6% indoor patients significantly (p<0.001) influenced female more than male. The mean depression score in female (67.37±11.75) was significantly higher than male (62.29±12.20). The prevalence of extreme/major depression in female (46.6%) was higher as compared to male (25.7%). Type of trauma was found significantly (p<0.05) associated with depressive disorder. 38.1% male with traumatic condition and 20.0% with non-traumatic condition had moderate depression in comparison to 31.4% and 13.6% female. Depressive disorder was found significantly associated with sex (p<0.001), socio-economic status (p<0.001), length of ortho-illness (p<0.001), length of stay in hospital (p<0.001), exercise/yoga (p<0.05) and type of injury (p<0.05).
Conclusions: Higher incidence of depressive disorder recorded in female. Prevention and treatment require more clinical and research attention to reduce the public health burden of depression. The study suggested that higher depressive disorder does occur in indoor orthopaedic patients that associated with various functional outcomes. This study supports the view of depressive disorder was disabling factor in better functional recovery and frequent in female after orthopedic trauma.
DOI: http://dx.doi.org/10.3126/ajms.v6i6.12478
Asian Journal of Medical Sciences Vol.6(6) 2015 70-76
Prevalence of Syphilis among People living with HIV (PLHIV) attending a tertiary care hospital in coastal south India
Authors: Deepak Madi  , Achappa Basavaprabhu , Poonam Vernakar  , Unnikrishnan Bhaskaran  , John T Ramapuram  , Soundarya Mahalingam  
Published: January 2025

Background: Syphilis and HIV are both transmitted sexually so people can be infected with both diseases. Co-infection of syphilis and HIV alters the course of both the diseases. Venereal disease research laboratory (VDRL) test is a non-treponemal test, used commonly in Antiretroviral Therapy Centres (ART) in India to detect syphilis. The aim of our study was to determine the prevalence of syphilis in HIV-infected patients attending a tertiary care hospital using VDRL test.
Materials and Methods: Using a cross-sectional study design 113 HIV positive patients were included. VDRL test was used to screen for syphilis. The collected data was analyzed using SPSS version 11.5.
Results: Among the 113 patients screened 69(61%) were males and 44(39%) were females. Majority of the patients had acquired the disease through heterosexual transmission (92.9%). VDRL test was negative in all 113 patients.
Conclusion: The seroprevalence of syphilis in coastal South India using VDRL is very less. Specific tests like Fluorescent Treponemal Antibody Absorption test (FTA-ABS) or Treponema pallidum hemagglutination Assay (TPHA) would be beneficial to detect asymptomatic syphilis in ART centers.
DOI: http://dx.doi.org/10.3126/ajms.v6i6.11623
Asian Journal of Medical Sciences Vol.6(6) 2015 77-79
An inflammatory myofibroblastic tumor of the urinary bladder in a young girl presenting as acute kidney injury due to obstructive uropathy
Authors: L Umesh  , SM Shivaprasad  , MR Niranjan  , MM Sathish Kumar  , V Leelavathi  , CG Sridhara  
Published: January 2025

Inflammatory myofibroblastic tumor (IMT) of the bladder is an uncommon benign tumor of the urinary bladder, which is of unknown neoplastic potential, characterized by spindle cell proliferation with characteristic fibro inflammatory and pseudosarcomatous appearance of mesenchymal origin. Myofibroblastic tumor, is also known as inflammatory pseudotumor or pseudosarcoma. Bladder location is very uncommon. We report a case of a young girl who presented with acute kidney injury due to obstructive uropathy. On evaluation found to have Inflammatory myofibroblastic tumor at the base of the urinary bladder, which gradually improved with hemodialysis and successive urological interventions.
DOI: http://dx.doi.org/10.3126/ajms.v6i6.12535
Asian Journal of Medical Sciences Vol.6(6) 2015 80-82