LIVIVO - Search results -

Search results

Result 1 - 10 of total 29

Search options

Article ; Online: Covid-19 and leptospirosis: Cytokine storm and the use of steroids.

Ittyachen, Abraham M

2020 Volume 51, Issue 1, Page(s) 128–130

Abstract: The majority of patients with Covid-19 have a good outcome. However, complications principally of acute respiratory distress syndrome (ARDS) and multiple-organ failure can occur rapidly. Leptospirosis, a zoonotic disease, is similar to Covid-19 in that ... ...

Abstract	The majority of patients with Covid-19 have a good outcome. However, complications principally of acute respiratory distress syndrome (ARDS) and multiple-organ failure can occur rapidly. Leptospirosis, a zoonotic disease, is similar to Covid-19 in that most infections are mild or asymptomatic and only a small number develop ARDS. Cytokine storm is considered to be the main incriminating factor in both. High dose steroids have been used to ameliorate the effects in leptospirosis, and similarly, reports suggest a benefit in Covid-19. SARS CoV-2 and leptospira, one a virus and the other a bacterium, are two species separated by millions of years of evolution, but producing illnesses with similar spectra, with cytokine storm being the common precipitating factor. As data are accrued from around the world, more light may be shed on features analogous to both pathways.
MeSH term(s)	Animals ; COVID-19/complications ; COVID-19/drug therapy ; COVID-19/virology ; Cytokine Release Syndrome/drug therapy ; Cytokine Release Syndrome/etiology ; Humans ; Leptospira/pathogenicity ; Leptospirosis/complications ; Leptospirosis/drug therapy ; Leptospirosis/microbiology ; Male ; Respiratory Distress Syndrome/drug therapy ; Respiratory Distress Syndrome/etiology ; SARS-CoV-2/pathogenicity ; Steroids/therapeutic use
Chemical Substances	Steroids
Language	English
Publishing date	2020-11-25
Publishing country	England
Document type	Letter
ZDB-ID	193169-6
ISSN	1758-1133 ; 0049-4755
ISSN (online)	1758-1133
ISSN	0049-4755
DOI	10.1177/0049475520971425
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 1056: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Paradox of the cranial nerves

Abraham M Ittyachen

Current Medical Issues, Vol 19, Iss 4, Pp 282-

Does the description of the facial nerve need a reinterpretation?

2021 Volume 283

Abstract: For years, generations of medical students were taught that in stroke, “;In a upper motor neuron (UMN) lesion, the upper part of the face is spared because this part of the face has bilateral representation while in a lower motor neuron (LMN) lesion, ... ...

Abstract	For years, generations of medical students were taught that in stroke, “;In a upper motor neuron (UMN) lesion, the upper part of the face is spared because this part of the face has bilateral representation while in a lower motor neuron (LMN) lesion, both parts of the face are involved.” Is this explanation apt ? Most of the fibers of the corticospinal tract decussate to the opposite side. But only 50% of the corticobulbar fibers decussate, meaning the muscles they supply receive fibers from both motor cortex (bilateral representation). Bilateral representation in the cortex is a perfect example of symmetry in the human body. An exception to this rule would be the lower part of the face which receives fibers from the contralateral cortex alone (unilateral representation). This goes against the general rule and so this represents the first paradox of the cranial nerves. The second paradox is entirely man made and is reversible. Should it not be, “;In a UMN lesion of the facial nerve, only the contralateral lower half of the face is affected, because this part of the face has unilateral representation only” and not “;In a UMN lesion of the facial nerve, the contralateral upper part of the face is spared because this part of the face has bilateral representation.” After all, is not bilateral representation the rule and unilateral representation the exception ?.
Keywords	cranial nerves ; facial nerve ; decussation of cranial nerves ; Medicine ; R
Subject code	100
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Atypical case of infective endocarditis.

Ittyachen, Abraham M / Peter, Ancy / Sukumaran, Anjely / Vinu, Joy

BMJ case reports

2023 Volume 16, Issue 5

Abstract: A man in his late 40s presented to the emergency department with generalised tiredness and breathlessness. He was a known case of chronic obstructive pulmonary disease and also had a recent history of COVID-19. At arrival, he was in respiratory failure. ... ...

Abstract	A man in his late 40s presented to the emergency department with generalised tiredness and breathlessness. He was a known case of chronic obstructive pulmonary disease and also had a recent history of COVID-19. At arrival, he was in respiratory failure. Blood culture grew
MeSH term(s)	Male ; Humans ; COVID-19 ; Endocarditis, Bacterial/complications ; Endocarditis, Bacterial/diagnosis ; Endocarditis, Bacterial/microbiology ; Endocarditis/complications ; Endocarditis/diagnosis ; Mitral Valve/diagnostic imaging ; Echocardiography
Language	English
Publishing date	2023-05-05
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2022-254195
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Copper beaten skull.

Ittyachen, Abraham M / Anand, Rajeev

BMJ case reports

2019 Volume 12, Issue 8

MeSH term(s)	Adult ; Copper ; Cough ; Craniosynostoses/diagnostic imaging ; Humans ; Incidental Findings ; Male ; Radiography ; Skull/diagnostic imaging ; Tomography Scanners, X-Ray Computed ; Young Adult
Chemical Substances	Copper (789U1901C5)
Language	English
Publishing date	2019-08-28
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2019-230916
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article: Covid-19 and leptospirosis, pulmonary involvement and response to steroids: A comparative observational study from a rural Tertiary care center in Kerala.

Xavier, Vinod / Baby, Binitha / George, Joemon M / Ittyachen, Abraham M

Journal of family medicine and primary care

2022 Volume 11, Issue 1, Page(s) 294–298

Abstract: Background: COVID-19 is an emerging infectious disease with a global outreach. Leptospirosis is a zoonotic disease mainly confined to tropical areas. In both cases, most of those affected are asymptomatic or have only mild respiratory disease. Those who ...

Abstract	Background: COVID-19 is an emerging infectious disease with a global outreach. Leptospirosis is a zoonotic disease mainly confined to tropical areas. In both cases, most of those affected are asymptomatic or have only mild respiratory disease. Those who turn critical develop acute respiratory distress syndrome (ARDS) and/or multiple-organ failure occurs rapidly, with high fatality. Methodology: This is a retrospective observational study from 2020 involving COVID-19 and leptospirosis patients. The data were collected using a semi-structured proforma, and analysis was performed using Easy R (EZR) software. Results: There were five patients with COVIDC-19 and four patients with leptospirosis; with pulmonary involvement. All the patients were males. There was no significant difference in age, the onset of pulmonary involvement, time of initiation of steroids, duration of steroids, and outcome between the two groups. However, in the case of COVID-19, it took a longer period for clearing of infiltrates. Conclusion: Though COVID-19 and leptospirosis are two different diseases, both of them show a similar life-saving response to steroids, the common factor in the pathogenesis being cytokine storm. Primary care physicians in tropical areas of the world should be aware of the similarities between these two diseases, especially the initial clinical presentation, the pathogenesis, and the response to steroids.
Language	English
Publishing date	2022-01-31
Publishing country	India
Document type	Journal Article
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_1414_21
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: Awareness of antibiotic resistance among medical students in Kerala State, India

Anju P Reena / Abraham M Ittyachen

Current Medical Issues, Vol 20, Iss 4, Pp 245-

A cross-sectional study

2022 Volume 252

Abstract: Background: Antibiotic resistance is a natural phenomenon, but its misuse has expedited resistance. One of the best measures to tackle antibiotic resistance in the community would be to educate medical students and create awareness among them regarding ... ...

Abstract	Background: Antibiotic resistance is a natural phenomenon, but its misuse has expedited resistance. One of the best measures to tackle antibiotic resistance in the community would be to educate medical students and create awareness among them regarding antibiotic resistance. The objectives of this study were to assess the level of awareness of antibiotic resistance among undergraduate medical students and to determine the factors affecting the awareness. Materials and Methods: This is a cross-sectional study using a structured questionnaire among undergraduate medical students from the 1st year to the 4th year. Results: Three hundred and fifty-four undergraduate medical students from the 1st year to the 4th year were enrolled. More than 80% of students were from the 18–22-year age group, and more than half were female. Only 56.2% of participants had adequate awareness of antibiotic resistance. The academic year was not significantly associated with the awareness. Age and gender also had no significant association. Parent's education, parent's occupation, parents being medical practitioners and family income also had no significant association. Conclusion: Awareness levels regarding antibiotic resistance among medical students were slightly above 50%. Moreover, it seems to be a worldwide phenomenon too. Further studies are recommended to evaluate the practices and attitudes regarding the same. A “catch them young” policy would be a good step to tackle antimicrobial resistance at its inception itself. Moreover, it should start at the local level. Similar studies can be conducted among medical practitioners and health-care workers and at the community level.
Keywords	antibiotic resistance ; antibiotic stewardship ; medical education ; medical student ; nosocomial infection ; Medicine ; R
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: An Investigation into the High Prevalence of Hepatitis B in a Rural Area of Kerala State, India: Hypothesis on

Kuriakose, Mariamma / Ittyachen, Abraham M

BioMed research international

2018 Volume 2018, Page(s) 4612472

Abstract: Objective: Since 2005 there have been several reports of hepatitis B outbreak in the state of Kerala in southern India. Objective of this study was to analyze such outbreaks and to explore hypothesis pertaining the transmission mode.: Methods: ... ...

Abstract	Objective: Since 2005 there have been several reports of hepatitis B outbreak in the state of Kerala in southern India. Objective of this study was to analyze such outbreaks and to explore hypothesis pertaining the transmission mode. Methods: Retrospective observational study involving cases of acute hepatitis B acquired between 1 January 2015 and 31 December 2015 and their family members residing in Mazhuvanoor village in Ernakulam district of Kerala State in southern India. Results: 59 houses were included in the survey. The number of patients diagnosed to have acute viral hepatitis B was 59. Majority (66.10%) were over 50 years old. There were no cases below the age of 15 years. All 59 patients claimed to have been bitten frequently by a fly which was identified as "deer fly" belonging to the genus Conclusion: Given the current understanding of mechanical transmission of pathogens in both humans and animals by insects belonging to the Tabanidae family which also includes
MeSH term(s)	Adolescent ; Adult ; Aged ; Animals ; Diptera/microbiology ; Female ; Hepatitis B/epidemiology ; Hepatitis B/transmission ; Humans ; India/epidemiology ; Male ; Middle Aged ; Prevalence ; Retrospective Studies ; Rural Population ; Young Adult
Language	English
Publishing date	2018-06-10
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	2698540-8
ISSN	2314-6141 ; 2314-6133
ISSN (online)	2314-6141
ISSN	2314-6133
DOI	10.1155/2018/4612472
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

Article ; Online: Aetiology of acute febrile illness: a multicentre study from the province of Kerala in southern India.

Andrews, Mekkattukunnel A / Ittyachen, Abraham M

Tropical doctor

2018 Volume 48, Issue 4, Page(s) 322–325

Abstract: Acute febrile illness with varied aetiology but similar symptoms is common in tropical countries. This prospective, multicentre study was conducted in selected centres in the province of Kerala in India principally to analyse the aetiology of acute ... ...

Abstract	Acute febrile illness with varied aetiology but similar symptoms is common in tropical countries. This prospective, multicentre study was conducted in selected centres in the province of Kerala in India principally to analyse the aetiology of acute febrile illnesses in adult patients over the course of one year. Overall, 1324 patients were included in the study. The most common cause was dengue in 576 patients (43.5%). In 396 (29.9%), the exact aetiology could not be identified. Other causes, in order, were leptospirosis, enteric fever, malaria, respiratory tract infection, urinary tract infection and typhus. When such a wide variation with a significant number of 'indeterminate' cases exists, especially in such a small area and with limited resources, the onus is on public health authorities to draw up an 'easy-to-use algorithm' to tackle epidemics of febrile illness, particularly in the monsoon season.
MeSH term(s)	Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Dengue/complications ; Dengue/epidemiology ; Female ; Fever/epidemiology ; Fever/etiology ; Humans ; India/epidemiology ; Leptospirosis/complications ; Leptospirosis/epidemiology ; Malaria/complications ; Malaria/epidemiology ; Male ; Middle Aged ; Prospective Studies ; Risk Factors ; Seasons ; Typhoid Fever/complications ; Young Adult
Language	English
Publishing date	2018-08-20
Publishing country	England
Document type	Journal Article ; Multicenter Study
ZDB-ID	193169-6
ISSN	1758-1133 ; 0049-4755
ISSN (online)	1758-1133
ISSN	0049-4755
DOI	10.1177/0049475518794572
Database	MEDical Literature Analysis and Retrieval System OnLINE

In stock of ZB MED Cologne/Königswinter

Zs.A 1056: Show issues

Location:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
Jg. 1995 - 2021: Lesesall (1.OG)
ab Jg. 2022: Lesesaal (EG)

Order via subito

Details ▾
- See ZB MED holdings
- Order with fees

Article ; Online: Covid-19 and leptospirosis, pulmonary involvement and response to steroids

Vinod Xavier / Binitha Baby / Joemon M George / Abraham M Ittyachen

Journal of Family Medicine and Primary Care, Vol 11, Iss 1, Pp 294-

A comparative observational study from a rural Tertiary care center in Kerala

2022 Volume 298

Abstract	Background: COVID-19 is an emerging infectious disease with a global outreach. Leptospirosis is a zoonotic disease mainly confined to tropical areas. In both cases, most of those affected are asymptomatic or have only mild respiratory disease. Those who turn critical develop acute respiratory distress syndrome (ARDS) and/or multiple-organ failure occurs rapidly, with high fatality. Methodology: This is a retrospective observational study from 2020 involving COVID-19 and leptospirosis patients. The data were collected using a semi-structured proforma, and analysis was performed using Easy R (EZR) software. Results: There were five patients with COVIDC-19 and four patients with leptospirosis; with pulmonary involvement. All the patients were males. There was no significant difference in age, the onset of pulmonary involvement, time of initiation of steroids, duration of steroids, and outcome between the two groups. However, in the case of COVID-19, it took a longer period for clearing of infiltrates. Conclusion: Though COVID-19 and leptospirosis are two different diseases, both of them show a similar life-saving response to steroids, the common factor in the pathogenesis being cytokine storm. Primary care physicians in tropical areas of the world should be aware of the similarities between these two diseases, especially the initial clinical presentation, the pathogenesis, and the response to steroids.
Keywords	ards ; covid-19 ; leptospirosis ; steroids ; Medicine ; R
Subject code	610
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article: Aches and Pains in a Patient With History of Prostatectomy: Extensive Skeletal Metastasis Picked up by Diffusion-Weighted Magnetic Resonance Imaging.

Ittyachen, Abraham M / Radhakrishnan, Meera / Kuncheria, Thomas / Anand, Rajeev

Journal of medical cases

2020 Volume 11, Issue 9, Page(s) 275–278

Abstract: A 64-year-old gentleman presented to the out-patient with complaints of generalized body ache. He had a history of prostate cancer for which robotic radical prostatectomy (RP) was done earlier. The levels of prostate specific antigen (PSA) and alkaline ... ...

Abstract	A 64-year-old gentleman presented to the out-patient with complaints of generalized body ache. He had a history of prostate cancer for which robotic radical prostatectomy (RP) was done earlier. The levels of prostate specific antigen (PSA) and alkaline phosphatase (ALP) were significantly elevated. Skeletal radiograph showed only few sclerotic foci. Magnetic resonance imaging whole-body diffusion-weighted image (MRI-WB-DWI) however revealed the presence of diffuse skeletal metastasis. In any elderly male who presents with generalized body pain, eliciting a good history should not be overlooked. With a history of prostate cancer, diffuse metastases should be high in the list of differential diagnosis. Though there are several imaging methods to detect metastases, MRI-WB-DWI is a welcome alternative to the established methods. Patients who undergo RP for prostate cancer should be counselled regarding the importance of follow-up of their PSA levels.
Language	English
Publishing date	2020-08-06
Publishing country	Canada
Document type	Case Reports
ZDB-ID	2586383-6
ISSN	1923-4163 ; 1923-4155
ISSN (online)	1923-4163
ISSN	1923-4155
DOI	10.14740/jmc3545
Database	MEDical Literature Analysis and Retrieval System OnLINE

Order via subito

To top

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

Full text online

More links

Kategorien

Inter-library loan at ZB MED

More links

Kategorien

Order via subito

More links

Kategorien

In stock of ZB MED Cologne/Königswinter

Order via subito

Full text online

More links

Kategorien

Inter-library loan at ZB MED

More links

Kategorien

Order via subito