Indian Journal Of Clinical Practice
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From Cognitive Elitism to Cognitive Emotional Elitism: Loopholes Need Bridging with “Serene Brain Potentials”
Get PDFThe paper critically examines cognitive elitism, the belief that intellectual ability alone defines merit and leadership.Originating from controversial theories, cognitive elitism marginalizes emotional intelligence, morality, and social values,fostering inequality and social fragmentation. The authors argue that overemphasis on intelligence and academic successundermines empathy, ethics, and inclusivity. To address these issues, the article proposes a transformative concept: cognitiveemotional elitism, incorporating the ME3V model—Morality, Ethics, Empathy, Emotional intelligence, and Values. Thisredefined elitism seeks to balance intellect with humanity, promoting social cohesion, equity, and pluralism. The paper callsfor inclusive recognition of diverse cognitive strengths beyond traditional elitist frameworks
To Study the Prevalence of Metabolic Syndrome and Dyslipidemia in Patients of Xanthelasma Palpebrarum at a Tertiary Care Hospital
Get PDFBackground: Xanthelasma palpebrarum (XP) are yellow plaques that occur most commonly near the inner canthus of the eyelid,more often on the upper lid than the lower lid, and are often associated with dyslipidemia, metabolic syndrome, cardiovasculardisease, diabetes, obesity, etc. Aim: This study was planned to address the issue of prevalence of dyslipidemia and metabolicsyndrome in xanthelasma patients attending dermatology clinic at a tertiary care hospital, Ajmer, Rajasthan. Material andmethods: A total of 73 patients were detected to be having xanthelasma and constituted the study group. The control groupconstituted 73 apparently normal individuals. Each patient underwent detailed history and examination. Body mass index(BMI), waist circumference, arterial blood pressures, fasting plasma glucose (FPG), serum lipids, and liver enzyme levelswere estimated in cases and controls. Results: The most prevalent age group was 40 to 50 years. Females outnumbered males.Dyslipidemia was present in 63% and metabolic syndrome in 45.2% of cases. The mean levels of FPG, BMI, waist circumferencein XP patients were significantly higher in patients than those in controls. Conclusions: A significant number of cases of XPare found to be associated with metabolic syndrome, central obesity, hypertension, diabetes mellitus, and dyslipidemia whichare the major risk factors for coronary artery diseases. Efforts should be made to rule out the same in xanthelasma subjects
The Ytisebo Phenonenon
Get PDFThis article uses the anadrome ytisebo to highlight the need to focus on obesity prevention and management. It shares aunique perspective of obesity, while highlighting the need to spend less energy on nomenclature, and more on action. Wehope that this editorial will encourage practical steps towards obesity management
To Study Endothelial Dysfunction by Brachial Artery Flow-Mediated Dilatation and Its Relationship with Microalbuminuria in Hypertensive Individuals
Get PDFHypertension remains a central pathophysiologic contributor to cardiovascular morbidity and mortality.In its earliest stage, the principal endothelial alteration is merely functional and addressed as “endothelial dysfunction”.Flow-mediated dilatation (FMD) of the brachial artery has been widely used as a noninvasive marker to vascular reactivity.Both microalbuminuria and endothelial dysfunction are expressions of an endothelial pathology; however, it is still uncertainwhether they are interrelated, or if the two phenomena are caused in parallel by the cardiovascular risk burden. Aim: To studythe relationship of brachial artery flow-mediated dilatation (BAFMD) with microalbuminuria in hypertensive subjects.Method: Total 120 subjects were included in the study comprising 80 hypertension cases and 40 controls. All subjects weresubjected to anthropometric measurements and routine biochemical tests – hemogram, urea, serum creatinine, liver functiontest, lipid profile, BAFMD and urinary albumin to urinary creatinine ratio (30-300 mg/g Cr). Conclusion: Mean % FMD waslower in patients with abnormal microalbuminuria compared to normal and this was statistically verified, with p = 0.016,thereby verifying the central hypothesis of this study