Assessment of the Global Fund-supported procurement and supply chain reforms at the Ethiopian Pharmaceuticals Supply Agency: a mixed-methods study.

Objective: The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) partnered with the Ethiopian Pharmaceutical Supply Agency (EPSA) in 2018-2019 to reform procurement and supply chain management (PSCM) procedures within the Ethiopian healthcare system. This assessment sought to determine the impact of the reforms and document the lessons learnt.

Design: Mixed-methods study incorporating qualitative and quantitative analysis.

Delivering surgical education: a specialist surgical society and undergraduate student collaboration.

Currently, the delivery of the undergraduate medical curriculum includes various teaching, learning and assessment strategies. Self-directed learning is an important aspect of this mix and includes the use of resources, sometimes not provided by the parent University, in the student's own time to enhance the student's knowledge, skills and professional practice. Societies aimed at a particular specialty contain a pool of professionals that can provide undergraduate students with opportunities for further self-directed learning, development of specialty-specific core skills and exploration of research interests.

Anti-cytokine Therapy in Hospitalized Patients with COVID-19: The Jury is Out.

Garg SK. Anti-cytokine Therapy in Hospitalized Patients with COVID-19: The Jury is Out. Indian J Crit Care Med 2022;26(10):1069-1071.

Patients' Family Satisfaction in Intensive Care Unit: A Leap Forward.

Garg SK. Patients' Family Satisfaction in Intensive Care Unit: A Leap Forward. Indian J Crit Care Med 2022;26(2):161-163.

Macroscopic Extranodal Extension In Oral Squamous Cell Carcinoma-A Subgroup With Poor Survival.

Background: Oral cancer portends a significant cause of morbidity and mortality worldwide. Cervical lymph node metastasis with extranodal extension (ENE) is associated with a poor prognosis. There has been accumulating evidence regarding the extent of ENE to be associated with prognosis and survival.

Safety of prolonged prone ventilation in critically ill COVID-19 patients: A short report.

To share our observations regarding the safety of prolonged prone ventilation admitted to our intensive care unit with critical COVID-19 pneumonia and required prone ventilation because of severe ARDS. Since our observations were limited to assessing the safety of prolonged prone ventilation in critical COVID-19 patients and not to analyze any mortality benefit, we did not compare prolonged prone ventilation with standard invasive ventilation or standard duration of prone ventilation.

Spontaneous hemothorax and implication of diagnostic evaluation: A case report.

The most critical intervention for large hemothorax is draining the blood out of the pleural cavity by placing a thoracostomy tube but it can be disastrous if done without due consideration. We report a rare case of spontaneous hemothorax due to posterior intercostal artery aneurysm and implication of diagnostic evaluation on its management.

Management of mild to moderate COVID-19 during the second wave in India: A non-evidence-based approach.

The biggest public health catastrophe of this century-the SARS coronavirus-2, 2019 (COVID-19) pandemic has affected nearly all countries. Countries after countries were gripped by the intermittent waves of the infection. One of the most affected countries was India, wherein the second wave of the pandemic afflicted the vast swathe of the nation.

Differing Sensitivity of COVID-19 PCR Tests and Consequences of the False-negative Report: A Small Observation.

Unlabelled: The world at large cannot afford to miss even a single case of COVID-19 because of its far-reaching consequences; therefore, the diagnostic development to achieve test with much higher sensitivity should be made available at a mass level as early as possible.

How To Cite This Article: Garg SK. Differing Sensitivity of COVID-19 PCR Tests and Consequences of the False-negative Report: A Small Observation.

Pain Control and Opioid Use in ICU should be a Quality Parameter.

Garg SK, Garg P. Pain Control and Opioid Use in ICU should be a Quality Parameter. Indian J Crit Care Med 2021; 25(10):1205-1206.

Differential Diagnosis of Ketoacidosis in Hyperglycemic Alcoholic Diabetic Patient: Role of Insulin.

It is important to differentiate between diabetic ketoacidosis (DKA) and alcoholic ketoacidosis (AKA) in an alcoholic diabetic patient since it has significant management implications. Ketoacidosis in an alcoholic diabetic patient is a diagnostic challenge as both these clinical entities have metabolic acidosis with high anion gap. Most patients with DKA have hyperglycemia.

Autoimmune Hemolytic Anemia in Intensive Care Unit and Blood Transfusion: Lesson Learnt-A Case Report.

Clinicians are often in a difficult situation while managing severe anemia due to autoimmune hemolysis in intensive care unit (ICU). It is hard to get properly cross-matched blood due to the presence of autoantibody in the patient's serum. Still, such patients should not be devoid of transfusion.

Antibiotic misuse during COVID-19 Pandemic: A Recipe for Disaster.

Garg SK. Antibiotic misuse during COVID-19 Pandemic: A Recipe for Disaster. Indian J Crit Care Med 2021;25(6):617-619.

Is Ventilator-associated Pneumonia a Misnomer? Need to Rephrase it for Better Understanding.

Garg SK, Garg P. Is Ventilator-associated Pneumonia a Misnomer? Need to Rephrase it for Better Understanding. Indian J Crit Care Med 2019;23(12):593.

Is There Any Lower Limit of Serum Bicarbonate in Diabetic Ketoacidosis?

Unlabelled: Diabetic ketoacidosis (DKA) is known as one of the most serious complications of diabetes and associated with significant morbidity and mortality. It consists of a triad of uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration. It leads to high anion gap metabolic acidosis with fall in serum bicarbonate.

Effect of epidural levobupivacaine with or without dexamethasone soaked in gelfoam for postoperative analgesia after lumbar laminectomy: A double blind, randomised, controlled trial.

Background And Aims: Postoperative pain results in prolonged hospital stay and delayed return to normal activity. This study was conducted with the aim of evaluating the analgesic efficacy of gelfoam soaked in levobupivacaine with or without dexamethasone placed in the epidural space in patients undergoing lumbar laminectomy.

Methods: Ninety adult patients were randomised into three groups.

Doing Mastoidectomy Along with Tympanic Membrane Repair Reduces the Need for Revision Procedures: A Prospective Study.

To determine the role of cortical mastoidectomy on the results of tympanoplsty in tubotympanic type of chronic suppurative otitis media. A prospective, observational, interventional study was conducted from a period of October 2006-October 2008. This included 40 patients of either sex in the age group of 15-45 years having tubotympanic type of CSOM.

Practice Guidelines for Nutrition in Critically Ill Patients: A Relook for Indian Scenario.

Background And Aim: Intensive-care practices and settings may differ for India in comparison to other countries. While international guidelines are available to direct the use of enteral nutrition (EN), there are no recommendations specific to Indian settings. Advisory board meetings were arranged to develop the practice guidelines specific to Indian context, for the use of EN in critically ill patients and to overcome challenges in this field.

An Interesting Presentation of Pheochromocytoma.

Pheochromocytoma is a rare cause of hypertension, but it could have severe consequences if not recognized and treated appropriately. Pheochromocytoma classically presents with paroxysms of hypertension and adrenergic symptoms including classic triad of episodic headache, sweating, and tachycardia. The clinical presentation of pheochromocytoma can mimic a number of other medical conditions including migraine, cardiac arrhythmias, myocardial infarction, and stroke, thus making the diagnosis of pheochromocytoma difficult, and treatment is directed toward presenting issue rather than underlying problem in such patients.

Status of Otorhinolaryngology as Specialty of Choice Among Female Medical Graduates.

Specialty choices among medical graduates have undergone changes over time. We aimed to analyze status of otorhinolaryngology as specialty of choice among female medical graduates and factors affecting it. A total of 123 female medical graduates were surveyed during their internship over a period of 1 year in a tertiary-care hospital.

Iatrogenic Bilateral Simultaneous Pneumothorax: Call for Vigilance.

Iatrogenic pneumothorax refers to the pneumothorax generated after diagnostic or therapeutic procedure. We report the case of a 40-year-old male who had bilateral simultaneous iatrogenic pneumothorax with pneumomediastinum leading to cardiac arrest situation, due to wrong placement of nebulization kit in spontaneously breathing intubated patient. We report this case for its rarity, due to the critical importance of this cause as a etiology of bilateral simultaneous iatrogenic pneumothorax leading to cardiac arrest situation, and need to understand the importance of continuous training and stress of emergency environment.