Natl Med J India
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We report primary hyperoxaluria (PH) type 1 in a young female who presented with a history of right nephrectomy for recurrent renal calculi and pyelonephritis. Genetic study showed it to be a variant of AGXT gene mutation classical of PH type 1.
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Observational Study
Study of pre-hospital care, patterns of injury and outcomes of suburban railway accident victims in Mumbai, India.
. India has one of the largest railway networks, with a high incidence of railway-related accidents and fatality rate of 150/million passengers per year. We evaluated the pre-hospitalization period, pattern of injury and outcome of train accident victims in a metropolitan city. ⋯ . We found a high incidence of people in their productive age group losing their lives to railway accidents, which can be prevented with the help of a robust transport system and training the first responder emergency medical care providers.
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. The undergraduate medical course in India is for five-and-a-half years. Every medical student has to undergo compulsory rotating residential internship for 12 months. During this period, interns acquire skills under supervision. The literature shows they have limited experience and confidence in performing basic and emergency procedures. We assessed interns' perception of their experience and competence. ⋯ . Most interns felt that they were competent in performing simple surgical tasks independently. However, conducting a vaginal delivery and endotracheal tube intubation were tasks that needed more support.
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Case Reports
Mitral valve repair in an octogenarian with symptomatic severe mitral regurgitation: First use of MitraClip in India.
Percutaneous mitral valve repair is an accepted treatment of choice in Europe and North America for severe primary or secondary mitral regurgitation, in highly symptomatic patients for whom surgical repair is prohibitively high risk. We describe the first use of the MitraClip in India in a frail elderly female with symptomatic heart failure from severe primary mitral regurgitation who was considered high risk for surgical repair. She had substantial improvement in her symptoms as well as quality of life following the procedure.