Indian Journal Of Clinical Practice
type: channel
description: Indian Journal of Clinical Practice is the flagship peer-reviewed journal of IJCP Group. A multispecialty journal, it provides clinicians with evidence-based updated information about a diverse range of common medical topics, including those frequently encountered by the Indian physician, to make informed clinical decisions. Indian Journal of Clinical Practice is a peer-reviewed journal that publishes original research, clinical reviews, case reports, expert viewpoints, clinical practice guidelines, Medilaw, Medifinance, Spiritual Update, Lighter reading including latest news and updates in medicine from around the globe. Indian Journal of Clinical Practice has been published regularly every month since it was first launched in June 1990 as a monthly medical journal. The journal is available in print and is also available online. The ISSN (print version) number is 0971-0876; RNI number is 50798/1990. Indian Journal of Clinical Practice is indexed with Indian Citation Index and IndMed (http://indmed.nic.in/). IJCP Group was founded in 1990 by Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal and was the pioneer of medical journalism in India. It was started with the basic objective of updating the knowledge of the medical professionals, which is the need of the hour. We began with a single monthly journal called ‘The Indian Journal of Clinical Practice’ launched in 1990 by Late Dr Shankar Dayal Sharma, the then Vice President of India. Since then we have now grown into various multispecialty journals, customized books and publications, events, consulting, branding, Continuing Medical Education (CME) activities, doctor meetings, Key Opinion Leader (KOL) interactions, etc. Aim & Mission Our Aim To help medical professionals both within India and abroad to stay updated with the latest advances in medicine and help improve patient outcomes and to provide a platform for doctors to share information Our Mission To be the leader in the field of medical communications…
publisher: IJCP Group
language: en
publication name: Indian Journal Of Clinical Practice
issn: 0971-0876
copyright: All open access articles published in IJCP are distributed under the terms of the CC BY-NC 4.0 license (Creative Commons Attribution-Non-Commercial 4.0 International Public License). This license permits unrestricted use, distribution, and reproduction of the articles in any medium for non-commercial purposes, provided that:  The original authorship is properly and fully attributed. The IJCP is cited as the original place of publication with correct citation details.  If an original work is reproduced or disseminated in part or as a derivative work, this must be clearly indicated.  No articles are reproduced for commercial use without prior consent from the IJCP. All licensing requests and permissions for commercial use will be managed by the Publisher.
items: Supplementary Material
items: SGLT2 Inhibitors in the Primary Health Care Setting: Consensus, Challenges, and Clinical Use
items: News and Views
items: IRACON 2025: 40th Annual Conference of Indian Rheumatology Association
items: Ortholexia Nervosa
items: Physician Preferences and Clinical Experience with Rabeprazole–Domperidone in Acid-Related Disorders: Insights from the Power Physician Survey 3.0 in India
items: Self-Monitoring of Blood Glucose for Gestational Diabetes Mellitus: A Nationwide Survey of Perspectives and Clinical Practices among Clinicians in India
items: SMART-DM: Simplified Diabetes Management for Primary Care Physicians
items: Obesity Clinic Model: A Ramrajya Approach
items: Air Pollution: An Emerging Threat for Lung Cancer
items: Accuracy of the Ultrasound Sliding Sign for Predicting Intraperitoneal Adhesions
items: Case of Limited Negligence on Part of the Doctor and Contributory Negligence by the Patient
items: Huge Denture Causing Acute Obstruction in Esophagus and Stridor
items: Chromosome 3p Duplication: A Rare Chromosomal Anomaly
items: The Usefulness of Ultrasound Guidance in Fresh Embryo Transfers: A Retrospective Study
items: Posology of Antidiabetic Drugs and Insulins: A Review of Standard Textbooks
items: ALBI and Child-Pugh Score in Predicting Mortality in Chronic Liver Disease Patients Secondary to Alcohol: A Retrospective Comparative Study
items: Negative Pressure Wound Therapy in Infected Wounds – Indian Public Hospital Observational Study
items: Spectrum of Skin Manifestations in CKD: A Tertiary Care Center Experience from North India
items: Humility and Hormones: The Hacks of Obesity Care
items: Unmasking Cushing’s Syndrome in Obesity
items: Uncovering Silent Hemoglobinopathies: Utility of HPLC in Outpatient Screening
items: Lighter Side of Medicine HUMORSPRING FEVER
items: HCFI Dr KK Aggarwal Research Fund
items: Not Practising Accepted Protocols While Examining a Patient
items: Jainism: Inspiration and Insights for Obesity Care
items: An Unusual Case of Liver Abscess Caused by Trematodes
items: An Investigation of the Equivocal Relationship Between Daydreaming, Creativity and Well-Being

Supplementary Material
type: item
description: Original Research
subject: Original Research
  topic: section
creator: IJCP
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-24
publication date: 2026-02-24
starting page: 1
ending page: 7
doi: 10.59793/365bwk19

SGLT2 Inhibitors in the Primary Health Care Setting: Consensus, Challenges, and Clinical Use
type: item
description: Sodium-glucose co-transporter 2 (SGLT2) inhibitors represent a major advancement in the pharmacological management of type 2 diabetes mellitus (T2DM), with robust evidence demonstrating benefits beyond glycemic control. They offer additional health benefits such as lowering the risk of heart failure hospitalizations, slowing chronic kidney disease (CKD) progression, and improving cardiovascular, renal, and metabolic health. The effective use of SGLT2 inhibitors also relies on comprehensive patient education and counseling. Patients must understand the medication's benefits, such as reducing blood sugar and preventing complications, and be instructed to stop the medication during acute illnesses or surgeries. It is vital to advice against discontinuing use without medical guidance due to potential risks. Routine check-ups for clinical status, blood glucose, and kidney-heart function are essential for safety and effectiveness. However, the application of SGLT2 inhibitors in primary care settings in rural India, specifically in Jharkhand, is low due to high costs, lack of provider awareness, insufficient monitoring systems, and treatment hesitance. Furthermore, no peer-reviewed data is available to assess their use in this region. Hence, a structured questionnaire was created by expert groups and distributed to endocrinologists, cardiologists, and general physicians. Using the DELPHI methodology, consensus statements were formed based on evidence and reviewed by 12 experts from India. Statements that garnered over 65% agreement in discussions were included in the final consensus. The consensus emphasized that SGLT2 inhibitors benefit T2DM, heart failure, and CKD, with safe, structured use and integration into primary care being key to maximizing cardio-renal-metabolic outcomes.
subject: Consensus Recommendations
  topic: section
subject: Sodium-glucose cotransporter 2 inhibitors,
  topic: keywords
subject: type 2 diabetes mellitus,
  topic: keywords
subject: heart failure,
  topic: keywords
subject: chronic kidney disease,
  topic: keywords
subject: multiple metabolic benefits
  topic: keywords
creator: Dr AJAY CHHABRA
creator: Dr VK DHANDANIA
creator: Dr SUNIL MISHRA
creator: Dr GIRISH PARMAR
creator: Dr SUNEET VERMA
creator: Dr MEENAKSHI VERMA
creator: Dr DK SINGH
creator: Dr JK RATH
creator: Dr MK BHADANI
creator: Dr PC RUNNU
creator: Dr JAIKANT PRASAD
creator: Dr AKANKSHA SONKAR
creator: Dr SANJAY KALRA
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-20
publication date: 2026-02-20
starting page: 8
ending page: 22
doi: 10.59793/6119kd50

News and Views
type: item
description: AROUND THE GLOBE
subject: Around The Globe
  topic: section
creator: IJCP
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 51
ending page: 52
doi: 10.59793/2rw2c684

IRACON 2025: 40th Annual Conference of Indian Rheumatology Association
type: item
description: CONFERENCE PROCEEDINGS
subject: Conference Proceedings
  topic: section
creator: IJCP
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 50
ending page: 50
doi: 10.59793/zawjmy85

Ortholexia Nervosa
type: item
description: BRIEF COMMUNICATION
subject: Brief Communication
  topic: section
creator: Dr. SANJAY KALRA
creator: Dr. BHARTI KALRA
creator: Dr. NITIN KAPOOR
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 49
ending page: 49
doi: 10.59793/96dcf757

Physician Preferences and Clinical Experience with Rabeprazole–Domperidone in Acid-Related Disorders: Insights from the Power Physician Survey 3.0 in India
type: item
description: Gastroesophageal reflux disease (GERD) is a common and chronic acid-related disorder that significantly affects quality of life. Proton pump inhibitors (PPIs) remain the cornerstone of therapy, often prescribed in combination with prokinetics such as domperidone to enhance symptomatic relief. This survey aimed to assess physician perceptions, prescribing patterns, and key factors determining the choice of PPI–domperidone combinations in India. Methods: A cross-sectional, perception-based digital survey (Power Physician Survey 3.0) was conducted among 3,260 physicians across India. A structured questionnaire captured information on patient load, preferred treatment strategies, time to symptom relief, recurrence rates, and factors guiding the selection of specific PPI–domperidone combinations. Responses were analyzed using descriptive statistics. Results: Over half of the respondents (51.6%) preferred prescribing a PPI–domperidone combination rather than PPI monotherapy. The rabeprazole–domperidone (RD) combination emerged as the most preferred regimen (80.1%), primarily for its rapid acid inhibition (46.6%), better tolerability (18.3%), and cost-effectiveness (13%). About half of the physicians observed symptomatic relief within 2 to 3 days (50.6%), with 82.8% perceiving lower recurrence rates and 88.7% reporting improved patient adherence. On preference ranking, RD was selected as the first choice by 80.1% of physicians, followed by pantoprazole– domperidone (10.4%), omeprazole–domperidone (4.8%), and esomeprazole–domperidone (4.7%). The combination was also rated most effective for night-time heartburn (90%) and preferred for patients with comorbidities (86.3%). Conclusion: The findings highlight a strong real-world preference for the RD combination in GERD management, driven by its rapid action, safety, and patient-centered benefits including improved adherence, symptom control, and reduced recurrence. These insights emphasize the importance of balancing efficacy,…
subject: Clinical Study
  topic: section
subject: Gastroesophageal reflux disease,
  topic: keywords
subject: proton pump inhibitors,
  topic: keywords
subject: real-world evidence,
  topic: keywords
subject: physician perception,
  topic: keywords
subject: domperidone- based combinations
  topic: keywords
creator: Dr JS RAJKUMAR
creator: Dr. SNEHAL SAMEER MUCHHALA
creator: Dr. MONIL GALA
creator: Dr. ALPA JAGDISH SINGH
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 36
ending page: 42
doi: 10.59793/xwjv5445

Self-Monitoring of Blood Glucose for Gestational Diabetes Mellitus: A Nationwide Survey of Perspectives and Clinical Practices among Clinicians in India
type: item
description: Self-monitoring of blood glucose (SMBG) is an essential part of gestational diabetes mellitus (GDM) management. However, there is still a lack of adherence to SMBG in India, and it is unclear how actual clinician practices affect its uptake. This study evaluated the knowledge, attitudes, and practices of gynecologists and endocrinologists/diabetologists in India towards SMBG. Methods: A cross-sectional, digital knowledge, attitude, and practice (KAP) survey was conducted from May to July 2025 among 588 clinicians (311 endocrinologists/diabetologists and 277 gynecologists). Two validated, structured questionnaires captured awareness of guideline recommendations, attitudes toward SMBG, perceived patient barriers, and routine clinical practices. Responses were summarized using descriptive statistics. Results: A strong adherence to national guidelines was shown by both gynecologists and endocrinologists/diabetologists. Gynecologists identified patient noncompliance and lack of motivation, psychological resistance, and discomfort from repeated finger pricks as major obstacles, while endocrinologists emphasized on cost associated with glucose monitoring devices and strips, lack of acceptance, and limited knowledge on SMBG techniques. SMBG was widely recommended for insulin-treated GDM, but attitudes toward its role in lifestyle-controlled GDM varied. Although postpartum follow-up and referral patterns remained uneven, the majority of clinicians concurred that SMBG supports timely therapy decisions. Conclusion: Initiating SMBG at the level of gynecologists itself promotes earlier glycemic stabilization, which is essential for improving perinatal outcomes and reducing the burden of future diabetes and metabolic complications.
subject: Original Research
  topic: section
subject: Gestational diabetes mellitus,
  topic: keywords
subject: self-monitoring of blood glucose,
  topic: keywords
subject: KAP survey,
  topic: keywords
subject: clinical practice patterns, India
  topic: keywords
creator: Dr. SANJAY KALRA
creator: Dr BHARTI KALRA
creator: Dr. ABIN AUGUSTINE
creator: Dr. RUTUL GOKALANI (THAKKAR)
creator: Dr. PREM NARAYAN
creator: Dr. SANDEEP SEWLIKAR
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 22
ending page: 35
doi: 10.59793/ky9z1k27

SMART-DM: Simplified Diabetes Management for Primary Care Physicians
type: item
description: Type 2 diabetes mellitus (T2DM) is a progressive metabolic disorder characterized by insulin resistance and declining beta-cell function, often leading to chronic hyperglycemia and associated complications. Despite the availability of various pharmacological agents, glycemic control remains suboptimal in a significant proportion of patients, particularly when relying solely on monotherapy or delayed combination strategies. This review explores the current challenges in diabetes management within primary care settings, highlighting the limitations of monotherapy and dual therapy approaches. It emphasizes the role of early, individualized treatment intensification using triple combination therapy involving metformin, dapagliflozin, and sitagliptin. This combination targets complementary pathophysiological pathways - hepatic glucose production, renal glucose reabsorption, and incretin hormone regulation - offering superior glycemic control, reduced risk of hypoglycemia, weight management, and cardiorenal benefits. The SMART-DM framework is introduced as a simplified and actionable approach to guide physicians in optimizing diabetes care. In alignment with global and national clinical guidelines, this review supports the timely adoption of fixed-dose triple therapy to overcome clinical inertia and improve treatment adherence. Additionally, the review discusses evidence from key clinical trials, patient selection considerations, and safety profiles, thereby providing a comprehensive guide for health care practitioners aiming to enhance long-term outcomes in patients with T2DM.
subject: Review Article
  topic: section
subject: Type 2 diabetes mellitus,
  topic: keywords
subject: triple combination therapy,
  topic: keywords
subject: metformin, dapagliflozin,
  topic: keywords
subject: sitagliptin, fixed-dose combination,
  topic: keywords
subject: SMART-DM
  topic: keywords
creator: Dr. ANUJ MAHESHWARI
creator: Dr MANGESH TIWASKAR
creator: Dr. RAJDEEP SAHA
creator: Dr. AJAY BUDHWAR
creator: Dr. KAMAL KUMAR
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 13
ending page: 21
doi: 10.59793/mgb4ft07

Obesity Clinic Model: A Ramrajya Approach
type: item
description: GUEST EDITORIAL
subject: Guest Editorial
  topic: section
creator: Dr AMANDEEP SINGH
creator: Dr SOURABH SHARMA
creator: Dr NITIN KAPOOR
creator: Dr SANJAY KALRA
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 10
ending page: 12
doi: 10.59793/1dt6aw34

Air Pollution: An Emerging Threat for Lung Cancer
type: item
description: EDITORIAL
subject: Editorial
  topic: section
creator: Dr Surya Kant
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 7
ending page: 9
doi: 10.59793/1gcw1z07

Accuracy of the Ultrasound Sliding Sign for Predicting Intraperitoneal Adhesions
type: item
description: FROM THE DESK OF GROUP EDITOR-IN-CHIEF
subject: From the Desk of Group Editor in Cheif
  topic: section
creator: Dr Veena Aggarwal
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-18
publication date: 2026-02-18
starting page: 5
ending page: 5
doi: 10.59793/dtzmzm53

News and Views
type: item
description: AROUND THE GLOBE
subject: Around The Globe
  topic: section
creator: IJCP
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 49
ending page: 52
doi: 10.59793/j9x3zy95

Case of Limited Negligence on Part of the Doctor and Contributory Negligence by the Patient
type: item
description: MEDICOLEGAL
subject: Medicolegal
  topic: section
creator: IJCP
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 45
ending page: 48
doi: 10.59793/10dy0f72

Huge Denture Causing Acute Obstruction in Esophagus and Stridor
type: item
description: We report a rare case of an unusually long foreign body (denture) impacted in the mid esophagus of a 62-year-old man. He was illiterate and drank wine regularly. He came to me with some attendants with history of taking wine with lunch, followed by acute obstruction since lunch at 12:30 pm and reached Kota by 9:30 pm. Till then, he was nil by mouth (NBM). Following investigations, we made a diagnosis of foreign body esophagus and with the help of rigid esophagoscopy under general anesthesia, we removed the foreign body. Next morning, he could swallow food and water without any difficulty, and we discharged him.
subject: Case Report
  topic: section
subject: Foreign body,
  topic: keywords
subject: esophagus,
  topic: keywords
subject: denture
  topic: keywords
creator: Dr SHAMENDRA KUMAR MEENA
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 42
ending page: 44
doi: 10.59793/qa0sas15

Chromosome 3p Duplication: A Rare Chromosomal Anomaly
type: item
description: Partial trisomy 3p results from either unbalanced translocation or de novo duplication. Common clinical features consist of dysmorphic facial features, congenital heart defects, psychomotor and mental retardation, abnormal muscle tone and hypoplastic genitalia. In this paper, we report a case of partial trisomy 3p with rare clinical manifestations. A full-term, female newborn was admitted to our hospital with complaints of repeated seizures and developmental retardation. On evaluation, chromosome 3p duplication was detected.
subject: Case Report
  topic: section
subject: Partial trisomy 3p,
  topic: keywords
subject: unbalanced translocation,
  topic: keywords
subject: seizures,
  topic: keywords
subject: developmental retardation,
  topic: keywords
subject: chromosome 3p duplication
  topic: keywords
creator: Dr BRAJA KISHORE BEHERA
creator: Dr RISHAV RAJ
creator: Dr SAILABALA SHAW
creator: Dr MITALI MAHAPATRA
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 39
ending page: 41
doi: 10.59793/x5y5f619

The Usefulness of Ultrasound Guidance in Fresh Embryo Transfers: A Retrospective Study
type: item
description: Objective: To evaluate retrospectively the efficacy of ultrasound-guided embryo transfer method on pregnancy and implantation rate and compare with clinical touch method. Material and methods: The results of 582 cycles from our in vitro fertilization and embryo transfer (IVF-ET) program conducted at Jaipur Fertility Centre, an Infertility Unit of Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan were analyzed retrospectively and comparison was made between those carried out using ultrasound guidance and those by clinical touch method. Results: Higher pregnancy and implantation rates (37.19% and 19.66%, respectively) were found in the group using the transabdominal ultrasound guidance during ET compared with those in the group using the clinical touch method (30.92% and 16.22%, respectively). The difference was not statistically significant. Conclusion: Older women (>35 years) and in the subgroup when the clinician rated the transfer procedure as easy with some difficulty, there appeared to be a substantial improvement in the pregnancy rate and the difference was statistically significant. We believe that ultrasound-guided ET should be used in these subgroups.
subject: Clinical Study
  topic: section
subject: Clinical touch,
  topic: keywords
subject: embryo transfer,
  topic: keywords
subject: in vitro fertilization,
  topic: keywords
subject: retrospective study,
  topic: keywords
subject: ultrasound-guided,
  topic: keywords
subject: air bubble
  topic: keywords
creator: Dr ALKA GAHLOT
creator: Dr ML SWARANKAR
creator: Dr RAVIKANT SONI
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 31
ending page: 35
doi: 10.59793/fw32xj79

Posology of Antidiabetic Drugs and Insulins: A Review of Standard Textbooks
type: item
description: The aim of this bibliographic review is to assess whether standard pharmacology, endocrinology and diabetology textbooks adequately mention the details regarding timings of administration, frequency and dose of various oral and injectable antidiabetic drugs. Material and methods: Four standard textbooks of pharmacology, two of diabetology and three of endocrinology were assessed for the published information regarding dose, timing and frequency of antidiabetic drugs. Results: Various omissions and contraindications were found in the coverage of glucose-lowering drugs in standard textbooks. Proper timing and frequency of administration of sulfonylureas, thiazolidinediones, SGLT2 inhibitors, GLP-1 receptor agonists and DPP-4 inhibitors have been omitted in majority of the textbooks. Conclusions: This article stresses upon the need of a uniform source of information for providing adequate and standardized knowledge regarding timing, frequency and dose of antidiabetic drugs.
subject: Clinical Study
  topic: section
subject: Posology,
  topic: keywords
subject: antidiabetic drugs,
  topic: keywords
subject: postprandial hyperglycemia
  topic: keywords
creator: Dr GARIMA BHUTANI
creator: Dr SANJAY KALRA
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 25
ending page: 30
doi: 10.59793/kb5rr979

ALBI and Child-Pugh Score in Predicting Mortality in Chronic Liver Disease Patients Secondary to Alcohol: A Retrospective Comparative Study
type: item
description: The severity of liver dysfunction in chronic liver disease (CLD) is often estimated with Child-Pugh (CTP) classification or model for end‐stage liver disease (MELD) score. The albumin-to-bilirubin (ALBI) score is a new model for assessing the severity of liver dysfunction, which is simple and more objective. In the present study, we aimed to retrospectively compare the performance of ALBI score with Child-Pugh score for predicting the mortality in patients with CLD. Material and methods: Data of patients with CLD, irrespective of etiology, were retrospectively reviewed. Child-Pugh score and ALBI score were calculated for the patients and results from receiver operating characteristic (ROC) curves were analyzed. Results: The study was conducted on 299 patients of CLD; age distribution was between 20 and 85 years with mean age of patients being 45.7 ± 10.94 years, sex ratio male: female 265:34 with mortality rate of 19.73%. The area under the curve (AUC) of ROC of ALBI and Child-Pugh were 0.586 and 0.549, respectively. Conclusion: Ability of ALBI score for predicting mortality was comparable with that of Child-Pugh score but Child-Pugh score of >10 had better performance of predicting mortality as compared to ALBI score.
subject: Retrospective Study
  topic: section
subject: Chronic liver disease,
  topic: keywords
subject: liver cirrhosis,
  topic: keywords
subject: alcoholic liver disease,
  topic: keywords
subject: Child-Pugh score,
  topic: keywords
subject: MELD score,
  topic: keywords
subject: ALBI score
  topic: keywords
creator: Dr NAGARAJA BS
creator: Dr MADHUMATHI R
creator: Dr SANJEET SB
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 21
ending page: 24
doi: 10.59793/zpd3by25

Negative Pressure Wound Therapy in Infected Wounds – Indian Public Hospital Observational Study
type: item
description: Negative pressure wound therapy (NPWT) is a procedure in which vacuum is used to enhance wound healing. Vacuum-assisted closure (VAC) refers to wound dressing that uses pressure below normal continuously or intermittently to the surface of a wound. The negative pressure is maintained by an apparatus; this promotes healing in various kinds of wounds and also helps in wound debridement. Aims: This study was carried out with an aim to find out the rate of wound contraction, compare infection clearance, granulation tissue formation and to study postoperative pain after using NPWT. Material and methods: All types of infected wounds with slough were selected. Patients irrespective of sex between 18 and 70 years of age were included. The wounds included were traumatic, diabetic foot, varicose ulcer, infected wounds, carbuncle, etc. The procedure included surgical debridement as a preliminary procedure, followed by application of NPWT. The wound criteria: 1) size, 2) shape, 3) wound margin and floor, 4) edge and contraction were studied. Results and Discussion: Infected wounds can be treated by specific modalities like daily wound dressing, surgical debridement, hyperbaric oxygen therapy and NPWT. NPWT seems more efficient than standard wound care for infected wounds. In our study, the mean size of ulcer in diabetic patients before NPWT was found to be 6.33 × 4.52 cm; after application of NPWT, it was 4.7 × 2.95 cm. The mean size of ulcer in traumatic patients before NPWT was found to be 7.1 × 5.1 cm, while after application of NPWT, it was 5 × 3.63 cm. The mean size of ulcer in vascular patients was found to be 5.71 × 3.85 cm before NPWT, and after application of NPWT, it was 4 × 2.42 cm. NPWT dressings have been proven to be beneficial as a variant method of dressing, mainly by negative pressure which sucks out serous fluid and helps in the formation of granulation tissue. Used in various wounds, continuous suction over period of time and later intermittent suction depend…
subject: Observational Study
  topic: section
subject: Vacuum-assisted closure,
  topic: keywords
subject: hyperbaric oxygen therapy,
  topic: keywords
subject: negative pressure wound therapy
  topic: keywords
creator: Dr RAM MURMURE
creator: Dr MILIND RUKE
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 16
ending page: 20
doi: 10.59793/rssxg631

Spectrum of Skin Manifestations in CKD: A Tertiary Care Center Experience from North India
type: item
description: Introduction: Dermal manifestations in chronic kidney disease (CKD) patients may range from mild ones, like xerosis, skin pallor, pruritus, coated tongue, superficial infections and hair and nail changes, to severe life-threatening ones, like nephrogenic systemic fibrosis, which is a rare entity in current times. The present study was done to evaluate the spectrum of mucocutaneous manifestations in patients with CKD and to look for an association between them and various biochemical parameters and inflammatory markers. Material and methods: This study was a 1 year prospective, observational study conducted on adult patients with CKD who presented to the Nephrology clinic in Pt. BD Sharma PGIMS, Rohtak. Patients between the ages of 17 and 75 years with CKD stages II or more with dermatological conditions were included in this study. Each participant was subjected to detailed clinical, biochemical, radiological and dermatological examination by same consultants in order to avoid interpersonal variations. Various skin, mucosal, nail and hair manifestations along with cutaneous infections were analyzed across the spectrum of CKD. Results: Among cutaneous infections, fungal infections predominated, amongst which, onychomycosis was the most common. Xerosis was the most common dermatological disease and the prevalence of xerosis, skin pallor and pruritus was found to increase significantly from Stage II to Stage V and VD of CKD in a statistically significant manner. An association was found between xerosis and decreasing levels of hemoglobin and while ferritin was not different between patients with and without xerosis, high-sensitivity C-reactive protein (hs‐CRP) was significantly higher in patients with xerosis. Similarly, hs-CRP levels were significantly elevated in patients with xerostomia and nail pallor as compared with those who did not have these conditions. Lastly, patients with nail pallor had significantly lower albumin. Conclusion: It was observed in our study …
subject: Original Article
  topic: section
subject: Chronic kidney disease,
  topic: keywords
subject: xerosis,
  topic: keywords
subject: pruritus,
  topic: keywords
subject: pigmentation,
  topic: keywords
subject: nail changes
  topic: keywords
creator: Dr HK AGGARWAL
creator: Dr DEEPAK JAIN
creator: Dr LOKENDER YADAV
creator: Dr ARPIT AGGARWAL
creator: Dr JASMINDER SINGH
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 8
ending page: 15
doi: 10.59793/8qevc879

Humility and Hormones: The Hacks of Obesity Care
type: item
description: GUEST EDITORIAL
subject: Guest Editorial
  topic: section
creator: Dr SANJAY KALRA
creator: Dr SHEHLA SHAIKH
creator: Dr NITIN KAPOOR
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 6
ending page: 7
doi: 10.59793/gs90c630

Unmasking Cushing’s Syndrome in Obesity
type: item
description: EDITORIAL
subject: Editorial
  topic: section
creator: Dr Veena Aggarwal
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 5
ending page: 5
doi: 10.59793/rmbx8636

Uncovering Silent Hemoglobinopathies: Utility of HPLC in Outpatient Screening
type: item
description: Hemoglobinopathies are among the most common inherited red cell disorders globally and pose significant public health burden in India. Differentiating hemoglobinopathies from nutritional anemia, particularly in antenatal women, remains a diagnostic challenge. The aim was to determine prevalence and spectrum of undiagnosed hemoglobinopathies among patients attending outpatient clinics using high-performance liquid chromatography (HPLC). Methods: A cross-sectional observational study was conducted from January 2022 to December 2024. A total of 7,440 blood samples from patients attending general medicine, pediatrics, and antenatal OPDs were analyzed. Patients with a known diagnosis of hemoglobinopathy, recent blood transfusion (within 1 year) and patients with uncontrolled diabetes were excluded. Complete blood count (CBC), peripheral smear, sickling tests, and HPLC chromatograms were analyzed. Results: A total of 7,440 outpatient samples were analyzed and a female preponderance (81.2%) was seen in the study population. Among these, 162 cases (2.17%) were found to have abnormal hemoglobin (Hb) fractions suggestive of hemoglobinopathy on HPLC. The most common hemoglobinopathy identified was the heterozygous beta-thalassemia trait (1.37%), followed by heterozygous HbAE (0.32%), heterozygous HbAS or sickle cell trait (0.18%), and heterozygous HbAD Punjab (0.14%). Rare Hb variants included homozygous sickle cell disease (HbSS) (0.04%), hereditary persistence of fetal hemoglobin (HPFH) (0.05%), and 1 case each (0.01%) of homozygous HbEE, heterozygous HbAC, compound HbE/beta-thalassemia, and delta–beta thalassemia. Additionally, 5 cases (0.06%) showed unidentified abnormal peaks on HPLC that required further molecular testing. Peaks in the P03 and P04 retention windows were correlated with elevated HbA1c in individuals with diabetes and excluded from hemoglobinopathy classification. Conclusion: HPLC is a reliable, rapid, and sensitive tool for detecting both common and rare …
subject: Clinical Study
  topic: section
subject: Hemoglobinopathies
  topic: keywords
subject: beta-thalassemia trait,
  topic: keywords
subject: HPLC,
  topic: keywords
subject: carrier detection
  topic: keywords
subject: sickle cell trait,
  topic: keywords
subject: antenatal screening,
  topic: keywords
subject: genetic counseling
  topic: keywords
creator: Dr NEHA SHARMA
creator: Dr CHINTAMANI PATHAK
creator: Dr SUMAN BISHNOI
rights: Copyright (c) 2026 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2026-02-03
publication date: 2026-02-03
starting page: 1
ending page: 4
doi: 10.59793/eqzv6w94

Lighter Side of Medicine HUMORSPRING FEVER
type: item
description: LIGHTER READING
subject: Lighter Reading
  topic: section
creator: IJCP
rights: Copyright (c) 2025 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-24
publication date: 2025-12-24
starting page: 54
ending page: 54
doi: 10.59793/qvswe652

News and Views
type: item
description: AROUND THE GLOBE
subject: Around The Globe
  topic: section
creator: IJCP
rights: Copyright (c) 2025 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-24
publication date: 2025-12-24
starting page: 50
ending page: 52
doi: 10.59793/r9x9sx29

HCFI Dr KK Aggarwal Research Fund
type: item
description: MEDICAL VOICE FOR POLICY CHANGE
subject: Medical Voice for Policy Change
  topic: section
creator: IJCP
rights: Copyright (c) 2025 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-24
publication date: 2025-12-24
starting page: 48
ending page: 49
doi: 10.59793/ghwtbs34

Not Practising Accepted Protocols While Examining a Patient
type: item
description: MEDICOLEGAL
subject: Medicolegal
  topic: section
creator: IJCP
rights: Copyright (c) 2025 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-24
publication date: 2025-12-24
starting page: 45
ending page: 47
doi: 10.59793/fndh6a62

Jainism: Inspiration and Insights for Obesity Care
type: item
description: BRIEF COMMUNICATION
subject: Brief Communication
  topic: section
creator: Dr GIRISH PARMAR
creator: Dr KRISHI JAIN
creator: Dr JAY CHORDIA
creator: Dr ABHILASHA JAIN
creator: Dr RANJANA JAIN
creator: Dr SANJAY KALRA
rights: Copyright (c) 2025 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-24
publication date: 2025-12-24
starting page: 42
ending page: 44
doi: 10.59793/hj3g9x84

An Unusual Case of Liver Abscess Caused by Trematodes
type: item
description: Liver abscess caused by trematodes is considered highly unusual. Here we present a case of an elderly female with no known comorbidities, who presented with fever and right upper quadrant pain. Upon evaluation, she was found to have features of liver abscess on abdominal ultrasound and 640-slice computed tomography (CT) of the abdomen. Ultrasound-guided needle biopsy of the liver showed features of trematode. Patient was treated with oral nitazoxanide. Patient’s fever and abdominal pain subsided after the treatment.
subject: Case Report
  topic: section
subject: Liver flukes,
  topic: keywords
subject: rare,
  topic: keywords
subject: right upper quadrant pain,
  topic: keywords
subject: ultrasound-guided needle biopsy
  topic: keywords
creator: Dr CHINNASAMI VIJAIKUMAR
creator: Dr P RUBA
rights: Copyright (c) 2025 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-24
publication date: 2025-12-24
starting page: 38
ending page: 41
doi: 10.59793/02v3xc57

An Investigation of the Equivocal Relationship Between Daydreaming, Creativity and Well-Being
type: item
description: An extensive number of studies have been conducted on the relationship between daydreaming, creativity and well-being, with mixed results, nonetheless. Particularly, research has demonstrated both positive and negative effects of daydreaming on creativity and well-being, as well as of creativity on well-being. In addition, most studies have been conducted on adults. Therefore, the purpose of this survey-based study conducted in, Delhi University in May 2023 was to further explore the relationship among the aforesaid constructs on a sample of late adolescents. To this aim, 622 Indian were asked to complete three psychometrically validated scales. The following research hypotheses were proposed: H1) Daydreaming would be a statistically significant predictor of creativity; H2) Daydreaming would be a statistically significant predictor of overall distress, stress, anxiety and depression; H3) There would be a statistically significant difference in daydreaming among severity levels of stress, anxiety and depression; H4) Creativity would be a statistically significant predictor of overall distress, stress, anxiety and depression; and H5) There would be a statistically significant difference in creativity among severity levels of stress, anxiety and depression. Results showed that daydreaming was not a statistically significant predictor of creativity, but greater daydreaming was related to higher distress, stress, anxiety and depression. Furthermore, participants with higher creativity experienced greater anxiety. Nevertheless, creativity was not a statistically significant predictor of distress, stress and depression. Finally, participants with extremely severe depression displayed lower creativity than those with moderate depression. Further research is advised before practical implications are recommended.
subject: Clinical Study
  topic: section
subject: Daydreaming,
  topic: keywords
subject: stress, anxiety,
  topic: keywords
subject: late adolescents
  topic: keywords
creator: Dr RIDDHIMA KAMAT
creator: Dr JOSEPH M DIEHL
rights: Copyright (c) 2025 Indian Journal Of Clinical Practice https://creativecommons.org/licenses/by-nc/4.0
date: 2025-12-24
publication date: 2025-12-24
starting page: 31
ending page: 37
doi: 10.59793/n7nt9812