Monika Pathania

Monika Pathania
All India Institute of Medical Sciences Rishikesh · Department of Medicine

MD, DFID Fellowship in Diabetes CMC Vellore Dip in ISLM ASLM AYUSH Level 1 Yog Instructor

About

123
Publications
25,438
Reads
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531
Citations
Citations since 2016
110 Research Items
518 Citations
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Introduction
Research interest: Internal Medicine, lifestyle related diseases - hypertension,diabetes,stress,rural health,ancient indian wisdom and health,Meditation ,Yog,integrative medicine. clinics: Internal Medicine ,Lifestyle Medicine, Stress Management Workshop,AYUSH Yog Level 1 instructor Working on: Evidence based approach to ancient indian wisdom for Good Health ,disease prevention in non communicable diseases.
Additional affiliations
January 2016 - present
All India Institute of Medical Sciences
Position
  • Professor (Associate)
Education
January 1999 - January 2004
Governmental Medical College, Kottayam
Field of study
  • medical school

Publications

Publications (123)
Article
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Aims: This study aims at assessing the predictive value of random urine A:C ratio as a screening method for Micro-albuminuria assessment in DM patients as compared to 24 hours urine albumin. Settings and design: A cross sectional observational study was conducted at a tertiary care centre. One hundred ninty three patients diagnosed with DM were...
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Background India is a tropical country with a high burden of febrile zoonotic/infectious illnesses, scrub typhus being such a cause with multiple epidemics reported from different regions of the country. Objective This study was plotted to document the clinical and diagnostic manifestations, treatment, and outcomes of scrub typhus in the sub-Himal...
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Background: Artificial intelligence (AI) is the term used to describe the use of computers and technology to simulate intelligent behavior and critical thinking comparable to a human being. John McCarthy first described the term AI in 1956 as the science and engineering of making intelligent machines. Objective: This descriptive article gives a...
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To compare constructivist and traditional power point teaching modalities in a cardiology workshop for medical undergraduates. The purpose of introducing the constructivist method was to activate the cognitive domain of the students and promote self learning. A cross sectional qualitative and quantitative study was planned on hundred, second and th...
Preprint
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DIET and VEDIC Civilization Obesity and Lifestyle RECENT UPDATES RECENT UPDATES Broadening the Mental Horizon FODDER TO RIGHT HEMISPHERE
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Idiopathic inflammatory myopathies (IIMs) are a set of autoimmune disorders characterized by muscle inflammation and weakness, as well as a variety of extra-muscular presentations. IIMs are remarkably complex and difficult to treat, and glucocorticoid treatment and synthetic immunosuppressants are frequently ineffective. The pathophysiology of IIM...
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Antiphospholipid syndrome (APS) is an autoimmune disease present most commonly in young women, characterized by the presence of antibodies against various phospholipids and culminating in alteration of the flow of blood, leading to arterial and venous thrombosis. Although it can present with a wide range of manifestations, digital gangrene is one o...
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Diabetic ketoacidosis is a relatively common and potentially life-threatening complication of insulin deficiency. The prevalence of DKA is relatively common in patients with Type 1 diabetes mellitus in comparison with Type 2 diabetes mellitus. The prevalence of DKA is seen in 0–128 cases per thousand population in Type 1 diabetes mellitus while Typ...
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A middle-aged male, coming from a remote hilly village of Northern India, presented to the outpatient department for optimization of his anti-diabetic medications. On routine general examination innumerable soft to firm, asymptomatic subcuta-neous nodular swellings were noted over his trunk and limbs which varied from 1-4 cm in size. However, he de...
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Rhupus syndrome, a rare coexistence of systemic lupus erythematosus (SLE) and rheumatoid arthritis, is characterized by symmetrical erosive polyarthritis and permanent deformities in addition to the clinical and serological characteristics of SLE. Its prognosis is further complicated by neurological and hematological involvement, which dramatically...
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Scrub typhus is common in rural parts of Nepal, but its diagnosis remains difficult due to a lack of clinical suspicion and poor diagnostic resources. The absence of common clinical features further complicates this problem. Acute kidney injury (AKI), myocarditis, rhabdomyolysis, hepatitis, acute respiratory distress syndrome, and meningoencephalit...
Article
Background: Medical professionals (MPs) are facing stress, sleep deprivation, and burnout due to pandemic-related high patient inflow and consistent work shifts. Yoga and meditation are feasible, cost-effective, evidence-based, and well-accepted tools having multifold mental and physical health benefits. Design: In this ongoing open-label single-a...
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Introduction: The frailty index's potential as a prognostic marker of sepsis is so far been untapped. Here we studied the predictive value of frailty index in the elderly with sepsis. Methods: This prospective cohort study was conducted in a tertiary level hospital in North India. The duration of the study was 18 months starting from January 202...
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Background: Hypertension is an established risk factor for dementia, and the prevalence of hypertension and dementia is rising. Current tests to diagnose cognitive dysfunction at an early stage lack sensitivity and specificity. Recently event-related potentials (ERPs) have gained much attention in diagnosing cognitive dysfunction and are independe...
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Dengue and Leptospirosis usually present with similar prodromal symptoms. Early diagnosis of co-infections and appropriate initiation of antibiotics can prevent fatality. An 18-year-old male, known case of chronic hepatitis B presented with fever and jaundice for 15 days, was diagnosed to have dengue and leptospirosis. He was started on Doxycycline...
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Physical examination of ascitic fluid with special importance to the color of the ascetic fluid holds significance in complex clinical presentation. Though not performed routinely but in special situations, simple investigation in colored ascites like the estimation of ascetic fluid bilirubin can act as an important diagnostic clue to detect Gall b...
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Candida organisms colonize the gastrointestinal tract but causation for various diseases needs to be proved. Uncontrolled diabetes is a risk factor for acquiring typical as well as atypical infections. COVID-19 pandemic started in China in 2019 and swept across the world rapidly becoming a pandemic. Various cases of invasive rhino cerebral mucormyc...
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Drug-induced pancreatitis is one of the rare causes of pancreatitis. Identification of the cause of pancreatitis is vital to prevent reintroduction and subsequent recurrence of the disease. A 32-year-old male, a known case of chronic kidney disease on maintenance hemodialysis, presented with a history of fever for three months. He was diagnosed wit...
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Objectives: India introduced BBV152/Covaxin and AZD1222/Covishield vaccines in January 2021. We estimated the effectiveness of these vaccines against severe COVID-19 among individuals aged ≥45 years. Methods: We did a multi-centric, hospital-based, case-control study between May and July 2021. Cases were severe COVID-19 patients, and controls were...
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Background India introduced BBV152/Covaxin and AZD1222/Covishield vaccines from January 2021. We estimated effectiveness of these vaccines against severe Coronavirus disease 2019 (COVID-19) among individuals aged ≥45 years. Methods We did a multi-centric, hospital-based, case–control study between May and July 2021. Cases were severe COVID-19 pati...
Article
Introduction: Drug treatment is not very satisfactory in migraine and is associated with adverse effects. The effect of yoga as an add‑on therapy in migraine was evaluated in the present study. Methods: Patients between the age of 18 and 60 years suffering from migraine were recruited from Internal Medicine and Neurology OPD. Migraine was diagnosed...
Article
Background Type 2 diabetes (T2D) is increasing day by day and creating a huge financial and social burden on the Indian population. Insulin resistance results in hyperglycemia, a condition that eventually causes prediabetes and Type 2 diabetes. The etiopathogenesis of T2D is still not clearly defined. Wnt signaling pathway is involved in pancreas d...
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Background India introduced BBV152/Covaxin and AZD1222/Covishield vaccines from January 2021. We estimated effectiveness of these vaccines against severe Coronavirus disease 2019 (COVID-19) among individuals aged ≥45 years. Methods We did a multi-centric, hospital-based, case–control study between May and July 2021. Cases were severe COVID-19 patie...
Preprint
Purpose: This study focuses on assessing the effectiveness of near-peer teaching, small group discussions, and hands-on assignments in enhancing the scientific writing knowledge & skill of a cohort of Indian medical students. Method: 175 medical students were randomly selected from a 516 membered FORLER (Fundamentals of Research Learning and Educat...
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Background: In the last two years, COVID-19 pandemic caused by SARS-CoV-2 has created a mass destruction among humanity causing a major health crisis around the world. With the emergence of new strains of the virus, lack of targeted drugs and antimicrobial resistance, there is a dire need to discover specific antiviral with minimum side effects ta...
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Objectives: To understand sleep quality, oxidative stress levels, and heart rate variability (HRV) in subjects with hypertension. This study aims to create baseline data in hypertensive subjects to research the possibility of further estimating the risk of developing cardiovascular mortality and morbidity in a patient with hypertension. Design an...
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Background: Even with the wide base of knowledge that has been accumulated regarding coronavirus disease 2019 (COVID-19), only limited studies have tried to establish differences in outcomes of elderly patients hospitalized with COVID-19. We, thus, conducted a retrospective study on a large cohort of hospitalized patients with COVID-19 to improve...
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Scrub typhus, also known as bush typhus, is an acute febrile zoonosis caused by Orientia tsutsugamushi, transmitted by the bite of chigger mite. Patients with scrub typhus can have many different presentations such as acute hearing loss, interstitial pneumonitis, acute respiratory distress syndrome, myocarditis, pericarditis, meningoencephalitis, a...
Preprint
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This month’a newsletter is published with the vision of serving as a comprehensive source of recent updates in the practise of medicine, clinical learning through case discussions and a platform for students, residents and faculty to express their scientific opinions
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The South Asian population is rapidly ageing and sarcopenia is likely to become a huge burden in this region if proper action is not taken in time. Several sarcopenia guidelines are available, from the western world and from East Asia. However, these guidelines are not fully relevant for the South Asian healthcare ecosystem. South Asia is ethnicall...
Article
Hyponatremia prevalence is 22.2% in the geriatric age group as compared to 6% for other patients. Symptomatology of hyponatremia is subtle and is often interpreted as age-related in the geriatric patients. We use various Comprehensive Geriatric Assessment (CGA) parameters to analyze the impact of improvement in serum sodium levels. Material: We u...
Article
Introduction: Heart Failure is a leading cause of mortality worldwide including India. Most cross sectional studies have demonstrated heart failure is associated with deficiency of essential micronutrients including Vitamin D which may play a important role in pathogenesis of ventricular remodelling in heart failure. Aim: Our study performed aim...
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Background Falls are one of the most common but serious health issues faced by the elderly population. Falls-related injuries not only add to the morbidity and economic burden they also have a significant negative impact on psychological health and the quality of life of the elderly. In this study, we assess the prevalence of fear of falling among...
Preprint
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started with the vision of serving as a comprehensive source of recent updates in the practise of medicine, clinical learning through case discussions as well as to create a platform for students, residents and faculty alike to express their scientific opinions
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Fahr's syndrome is a neurodegenerative disorder characterized by abnormal deposition of calcium in the brain, especially in basal ganglia. The term Fahr's disease is used when primary familial brain calcification is present, and the term Fahr's syndrome is used for secondary causes. Our patient is a 35-year-old male who presented to our hospital wi...
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Background and objective The prevalence of hyponatremia is estimated to be significantly higher in the geriatric age group compared to non-geriatric patients. The clinical symptoms of hyponatremia are often subtle and interpreted as age-related in geriatric patients. In this study, we aimed to perform the baseline comprehensive geriatric assessment...
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Antitubercular therapy has revolutionized the treatment of all forms of tuberculosis however it is not devoid of adverse effects. Different drugs within the ATT have their specific as well as common side effects which may lead to non-adherence to the treatment as well as treatment failure. Hyperuricemia is one of the established adverse effects of...
Preprint
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An Ode to Medicine - The eNewsletter of the Department of Medicine, All India Institute of Medical Sciences (AIIMS), Rishikesh was initiated back in June 2020, started with the vision of serving as a comprehensive source of recent updates in the practice of medicine, clinical learning through case discussions as well as to create a platform for stu...
Preprint
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Background Traditional medicine systems such as Ayurveda contain a vast repository of naturally occurring herbs with strong antimicrobial potency. A multitude of complementary therapies have been explored for their therapeutic role to treat COVID-19 during the pandemic. There have been promising results reported from in silico, in vitro and in vivo...
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Background: Hypertension is a leading risk factor for cardiovascular diseases with prevalence of 33% in urban and 25% in rural population in India. Studies have suggested that hypertension significantly affects the sleep quality and quality of life of subjects. Therefore, this study aimed to establish a correlation between sleep quality, quality o...
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Thyrotoxic periodic palsy (TPP) is a sporadic form of hypokalemic periodic palsy that may occur in association with hyperthyroidism mostly with Graves’ disease. Acute thyrotoxic periodic palsy is a disorder most commonly seen in Asian men and characterized by abrupt onset of hypokalemia and paralysis. The disorder primarily affects the lower extrem...
Preprint
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An ODE to Medicine vol2 issue 2 is amalgamation of recent updates in medicine and literary and arts contributions from students of medicine.
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Recent Updates in Medicine and literary pursuit of students of Medicine.
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Introduction: SARS-CoV-2 virus caused COVID-19 pandemic with 218 million cases and 45 million deaths world over. It has challenged the already overburdened healthcare systems and created an urgent need to investigate solutions present in other healthcare systems. In this study Kabasura Kudineer is investigated as an intervention to influence the im...
Preprint
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Background: COVID-19, caused by SARS-CoV-2 is one of the major health crisis that has affected the world in the past century. With the emergence of new strains of viruses and antimicrobial resistance, the world is looking for an alternate therapeutic option to fight infectious disease. Objective: The present study evaluated the efficacy of a novel...
Preprint
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This new volume of An Ode to Medicine - the newsletter from the Department of Internal Medicine at AIIMS, Rishikesh brings to you recent updates in medicine, challenging clinical cases, image challenge and an insight into a Clinicians Heart put together with the collaborative effort fo the Residents of the the department and our MBBS Students to ad...
Article
Coronavirus disease 2019 has had a devastating impact on global health‐care systems and the economy. Scientists and medical professionals worldwide are striving to provide for vaccine cures, while the deadly virus continuously mutates and thrives. Immunity being directly co‐related to multiple factors such as diet, sleep, lifestyle, and stress; eld...
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Hypertension is the most common chronic disease of older adults and an important modifiable cause of mortality and morbidity. In this cross-sectional study, we gathered information about the demographic profile and biochemical parameters associated with hypertension in 897 study subjects above 50 years by structured questionnaires and various labor...
Preprint
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Recent updates in the practise of Medicine.
Article
The Coronavirus Disease 2019 (COVID-19) pandemic began in December 2019 in Wuhan, China. Such sudden infectious outbreaks take a toll on the psychological health of our brave frontline health care physicians. Frontline health care physicians become vulnerable to psychological problems like depression, anxiety, stress, and insomnia. Long working hou...
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Purpose: The purpose of the study was to compare the choroidal thickness in normal population and hypertensive patients and to assess the possible effect of hypertension on choroidal thickness using Spectral Domain Optical Coherence Tomography (SD-OCT). Methods: This was a comparative cross-sectional study. A total of 68 eyes of 34 individuals i...
Preprint
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Updates on whats new in medicine
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Chronic inflammatory demyelinating polyneuropathy (CIDP) is probably the best-recognised progressive immune-mediated peripheral neuropathy. It presents with symmetrical, motor predominant peripheral neuropathy that produces both distal and proximal weakness. Here we report a case of a 38-year-old man who presented with chronic additive large and sm...
Poster
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The presence of an eschar has been attributed to be the most pathognomic sign of scrub typhus. It appears as a black-necrotic lesion or a cigarette burn-like lesion, typically painless and non-pruritic, commonly seen over the abdomen, genitalia, axillary folds, and the chest. It represents the site of chigger bite and is the region of initial multi...
Preprint
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MEDICINE NEWSLETTER "AN ODE TO MEDICINE" MARCH ISSUE
Article
Background: Haemophilia is one of the bleeding disorders, which is inherited, in an xlinked recessive pattern. The diagnosis is by estimation of factor levels of 8 and 9. Timebound treatment for people living with Haemophilia (PWH) is factor replacement during bleeding manifestation. The prevalence of Haemophilia was mostly underestimated, and it...
Preprint
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Monthly Newsletter , Department of Medicine,AIIMS ,Rishikesh
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Circadian rhythm describes the physical, psychological, and behavioural patterns of living organisms that respond to day and night light levels. The important bodily functions like hunger, sleep, gastrointestinal motility, mood, coordination, body temperature, gene transcription, sensory perceptions, sleep-wake cycles and hormone release etc are in...
Preprint
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An Ode to Medicine rekindles the spirit of exploring in students of internal medicine.
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Child abuse is a social evil which has existed in our society since a long time. The awareness regarding the same has been minimal in developing countries. Many a times, punitive measures taken by parents to discipline their children turn out to be painful scars in their childhood resulting in stunting of their mental and social growth. Doctors and...
Article
Background: The association between vitamin D and heart failure, especially left ventricular (LV) function, is still not clear. Objectives: We aimed to study the correlation between 25-hydroxy vitamin D levels and parameters of cardiac systolic and diastolic functions in patients with LV systolic heart failure. Materials and Methods: Ninety patient...
Article
Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (MTB). It spreads from one person to the another through the air while coughing, spitting, speaking or sneezing. TB most commonly affects lungs but it can affect any organ system. Diagnosis of TB is made on the basis of microbiological evidence of MTB on microscopic exa...
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