Background Radiology is among India's top five speciality choices pursued by meritorious medical graduates. With the advent of the subspecialization degree courses, fellowships, the requirement of senior residency as faculty eligibility criteria, and the lucrative option of private practice, the final-year postgraduates are given opportunities to choose from but with little guidance on what and how to choose. This study aims to analyze the views of the final-year radiology postgraduate residents in India regarding their understanding of how to proceed in their professional life with options available.
Materials and Methods A cross-sectional, questionnaire-based study was conducted online via Google forms distributed via email and social media platforms. The questionnaire was prepared after going through previous literature, video blogs, and media available on the Internet and was further validated for content.
Results About half (48%) of them wished to pursue higher studies in the form of Doctorate of Medicine (DM) degree courses or fellowships. Almost three-quarters of the participants preferred short-term subspecialization via fellowships over 3-year DM courses (28%). Regarding clinical practice, 61.9% preferred to take up senior residency, while slightly over one-third (35.7%) expressed their will to move on to private practice.
Conclusion A relative conundrum was observed in the decision to take up senior residency or private practice or to go for DM but had to pursue a fellowship due to limited choice in topics and seats available in the country for subspecialization.
Introduction: The underlying mechanism of cerebral malaria alone or with multiple organ dysfunction (MOD) among patients with falciparum
malaria is not clearly understood. Though autopsy studies showed various types of pathological changes, during life Magnetic Resonance Imaging
(MRI) can identify structural and functional modication of brain during the disease process. There have been few MRI studies of brain among
adult patients with cerebral malaria (CM) but none with CM and MOD. Therefore, we have conducted this study to nd out and to compare the MRI
abnormalities among patients of CM and CM with MOD.
Methods: This prospective study has been conducted at VSSIMSAR, Burla in which 138 consecutive patients of severe falciparum malaria were
enrolled. 119 patients after exclusion were subjected to MRI within 10 hours of admission and it was repeated as per the protocol. The diagnosis of
P.falciparum malaria was done by peripheral smear or Rapid diagnostic test. The diagnosis of sever malaria was done by WHO criteria. Patients of
CM were grouped into Group-1 and of CM with MOD to Group-2.
Results: In the study CM and CM with MOD constituted 29 (24.4%) and 90 (75.6%) patients. MRI showed increased brain volume, vasogenic
oedema, and cortical thickening in all patients of severe malaria. Cytotoxic oedema also found in 37.9% of cases of CM and 75.5% of MOD
(p<0.001). Infarction and haemorrhage were found in less percentage of cases. Predominant posterior swelling consistent with posterior reversible
encephalopathy syndrome (PRES) is found in majority of cases of CM (48.3%) compared to frontal swelling (0.0%) (p<0.001). With treatment
MRI ndings improved within 72 hours of treatment. Patients who died did not show any improvement in MRI nding.
Conclusion: Different type of MRI ndings at different areas of brain is possible in CM and CM with MOD. It is due to dysfunction of blood brain
barrier (BBB) and it can be reversible with treatment. Therefore, intervention with drugs improving BBB may be benecial for survival.
Proximal interruption of the unilateral pulmonary artery is a rare congenital anomaly, which is often associated with other cardiovascular abnormalities. It is usually diagnosed in children but rarely discovered in adulthood as an isolated phenomenon, occurring more frequently on the right side and is often associated with a contralateral aortic arch. We are presenting a rare case of a sixty year old male who was diagnosed with left lung hypoplasia due to proximal interruption of left pulmonary artery with left sided aortic arch without any associated cardiovascular anomalies.
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