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   Table of Contents - Current issue
October-December 2021
Volume 5 | Issue 4
Page Nos. 63-81

Online since Sunday, November 14, 2021

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Sudden sensorineural hearing loss among coronavirus disease-19 patients p. 63
Santosh Kumar Swain, Sweta Thakur
Coronavirus disease-19 (COVID-19) is a new pandemic caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) virus. COVID-19 patients often present with respiratory symptoms and death is the possible outcome. The potentiality for neuro-invasion by the SARS-CoV-2 is currently a subject of great debate. However, there is a paucity of information regarding impact of the SARS-CoV-2 on nervous system at the present moment. In fact, the impact of the coronavirus on the auditory system is little mentioned in the literature. Sudden sensorineural hearing loss (SSNHL) is rare symptom associated with COVID-19 infection. This hearing deterioration could be attributed to the damaging effects by viral infections on the outer hair cells of the cochlea but the exact mechanism is still unknown. Awareness about this nonspecific presentation like SSNHL in COVID-19 patients is often a challenge to a clinician for early management. Early identification of the SSNHL may be helpful for isolation of the patient and also protect their infectiousness in early period to prevent spread of the disease. Early identification of hearing impairment is also helpful for early medical treatment of SSNHL which can save the hearing. This article reviews the epidemiology, etiopathology, clinical presentations, investigations, and treatment of SSNHL in COVID-19 patients. This review article surely makes a baseline from where further prospective studies can be designed for this rare clinical entity in COVID-19 patients as not many studies are done.
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Aneurysmal bone cyst of head of fibula with transient postoperative neuropraxia of common peroneal nerve p. 68
Ganesh Singh Dharmshaktu, Naveen Agarwal
The pain over the knee region is a common complaint noted in routine practice and may require proper investigations to diagnose the etiology. Pain over the proximal fibular area is uncommon more so with no history of injury or overuse. Benign neoplastic lesion of fibula head is rarely encountered on radiographs, and further investigations are directed to exclude the differentials. Excision biopsy of smaller, uncomplicated lesion is a treatment of choice that not only is curative but is important to collect biopsy specimen to confirm the diagnosis. Common peroneal nerve (CPN) in the vicinity of upper fibula poses a challenge in surgical approaches to this region and requires careful identification and handling to avoid any damage. Despite best efforts, neuropraxia of CPN may be noted in few cases. Proper preoperative documentation, counseling, and assurance are crucial to manage this complication. Proper bracing and physiotherapy is encouraged while spontaneous recovery is expected. We report a case of aneurysmal bone cyst of fibular head managed by excisional biopsy that led to the aforementioned complication and full recovery in the follow-up.
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Grand rounds: An effective tool in training medical undergraduate and postgraduate students p. 71
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava
The process of teaching learning in medical education is a complex task considering the fact that teachers have to not only impart knowledge but also train the medical students in clinical skills, decision-making, clinical reasoning, etc. A wide range of teaching-learning methods have been employed to deliver theory, practical, and clinical skills. Grand rounds play an important role in keeping the health professionals abreast about the recent developments. In fact, sharing time with the attending doctor can be regarded as one of the best ways to achieve on-the-job training and learning. The emergence of coronavirus disease-2019 pandemic has changed all the dynamics, and there is a definite scope for virtual grand rounds, which will not only continue learning but even ensure the safety of all the attendees. To conclude, grand rounds can be acknowledged as one of the essential modes of teaching-learning in the overall process of delivery of medical education. Thus, all efforts should be taken to rejuvenate the same in those settings where they are not under practice so that students can improve their knowledge and skills.
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Mechanisms action of tamoxifen in viral infections: Promising expected therapeutic branch p. 73
Falah Hasan Obayes AL-Khikani
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Evaluation of the role of itraconazole and posaconazole in viral infection as immunomodulatory drugs p. 76
Falah Hasan Obayes Al-Khikani
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Is exercise effective in attenuating side effects of androgen deprivation therapy among prostate cancer patients? p. 78
Chidiebere Emmanuel Okechukwu
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Scabbard trachea: An incidental finding in the orthopedic clinic p. 80
Ganesh Singh Dharmshaktu, Tariq Akhtar Ansari
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