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Articles by Mbbs Md
Diet trends are driving high blood pressure in north India
Hypertension, a major contributor to the global burden of cardiovascular disease, continues to be a growing problem in low- and middle-income countries (LMICs) such as India. Despite its increasing prevalence, there are few comprehensive studies on changes over time incidence in community cohorts, highlighting the urgent need for research and intervention.
Brugada Syndrome:
1. Brugada P., Brugada J. "Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome. A multicenter report". J Am Coll Cardiol 1992;20:1391-1396. 2. Mizusawa Y., Wilde A.A. "Brugada syndrome". Circ Arrhythmia Electrophysiol 2012;5:606-616. 3. Brugada J., Campuzano O., Arbelo E., Sarquella-Brugada G., Brugada R. "Present status of Brugada syndrome: JACC State-of-the-Art Review". J Am Coll Cardiol 2018;72:1046-1059. 4.
Exposure to Particulate Matter Increases Expression of the Angiotensin converting enzyme-2 (ACE2) Receptor
The mechanism by which SARS-CoV-2 enter host cells is via the ACE2 receptor. Previous studies have reported an association between exposure to air pollution and vulnerability to COVID-19 infection [1]. In mice, ACE2 expression is increased in pulmonary epithelial cells following instillation of particulate matter (PM) [2]. It has been suggested that nasal epithelial cells may be the primary access point for SARS-CoV-2 [3].
Advanced Penile Cancer Presenting With Renal Failure
What treatment options would you consider for this patient? A. Palliative bleomycin/vincristine/methotrexate chemotherapy B. Maximal debulking of tumor including pelvic bone resection and reconstruction with pelvic and inguinal lymphadenectomy C. High-dose radiotherapy +/– concurrent chemotherapy for long-term local control D. Local debulking of the penis for palliation only E. Single fraction of radiotherapy for palliation only CORRECT ANSWER: C A.
Association Between Gender-Affirming Surgeries and Mental Health Outcomes
Key Points Question Are gender-affirming surgeries associated with better mental health outcomes among transgender and gender diverse (TGD) people? Findings In this secondary analysis of the 2015 US Transgender Survey (n = 27 715), TGD people with a history of gender-affirming surgery had significantly lower odds of past-month psychological distress, past-year tobacco smoking, and past-year suicidal ideation compared with TGD people with no history of gender-affirming surgery.
The Worst Patient-A Physician With COVID-19
Physicians are accused of being the worst patients. Some of us wear that label with a perverse sense of honor. We think it means that we have unparalleled dedication because we can see patients while dehydrated and sick, because we can operate while febrile and exhausted, and because we sacrifice our own needs by putting our responsibilities to patients first. To us, there is no greater humiliation than to be thought of as weak.
Sideline Guilt
Like all of my colleagues these days, almost all of my visits with outpatients are conducted by telephone or video. Although these visits lack the intimacy of face-to-face visits, patients have been extremely appreciative, thanking me for thinking of them and for taking time from my busy day to connect with them. A few moments into the visit, they almost always ask how I am doing, and it is clear that this is more than just a courtesy.
Sideline Guilt
Like all of my colleagues these days, almost all of my visits with outpatients are conducted by telephone or video. Although these visits lack the intimacy of face-to-face visits, patients have been extremely appreciative, thanking me for thinking of them and for taking time from my busy day to connect with them. A few moments into the visit, they almost always ask how I am doing, and it is clear that this is more than just a courtesy.
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