Your Complete Research Companion

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meet KMJ Leaders

Kerala Medical Journal is the Official Publication of the Kerala State Branch of Indian Medical Association. The elected leadership ensures publishing standards are kept at the highest level.

Dr. MN Menon

State President

Dr. Roy R Chandran

State Secretary

Dr. Sharafudheen KP

State Treasurer

Dr. Rajendran R

Chief Editor

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Volume 18 Issue 2

Browse through the abstracts of the current issue and download PDF to read full text.

  • Medical Philately – Tooth and Mail: Dentistry on Stamps (Part 1)

    Sajikumar Ja Pediatrician, Parabrahma Specialty Hospital, Oachira.* ABSTRACT The art of dentistry has a long and distinguished history, and today, the profession is held in high regard by the public, earning both respect and admiration. Many countries have issued stamps dedicated to dental science and oral health, commemorating dentists and significant dental milestones. These stamps…

  • Recent Advances in Orthopaedics: Innovations in Technology, Surgical Technique, and Patient-Centred Care

    Nijith Ompedathil Govindana a. Senior Consultant Joint Replacement, Arthroscopy & Sports Surgeon, Welcare Hospital, Kochi* ABSTRACT Background: Orthopaedic surgery is evolving rapidly, driven by advances in minimally invasive techniques, improved implant materials, robotics and artificial intelligence (AI), and enhanced recovery after surgery (ERAS) protocols. Aim: To provide a comprehensive review of current evidence for key…

  • Heterotopic Pregnancy with Tubal Rupture following IVF Conception – A Case Report

    Amel Abdul Azeeza, Anupama Ramachandranb a. Consultant Gynaecologist Pran Hospital, Trivandrum; b. PG Diploma in USG Director And Chief Consultant (Reproductive Medicine) Pran Hospital, Trivandrum* ABSTRACT Heterotopic pregnancy is the coexistence of an intrauterine and an ectopic pregnancy. There has been a rising incidence of heterotopic pregnancy with the development and easy accessibility to ART…

  • A Case of Recalcitrant Psoriasis Treated with Secukinumab

    Arun PSa, Najad Na a. Department of Dermatology, Travancore Medical College, Kollam* ABSTRACT Psoriasis is a chronic, inflammatory papulosquamous disorder characterized by erythematous, scaly plaques. Treatment for recalcitrant cases can be challenging. This case report discusses the successful management of a 55 year old male with recalcitrant psoriasis, treated with Secukinumab, an IL-17A monoclonal antibody.…

  • Resistant Mycoplasma Pneumonia

    Lima Ann Mathewa, T U Sukumaranb a. DNB Resident, Caritas Matha Hospital, Kottayam; b. Professor and Senior Consultant, Caritas Matha Hospital, Kottayam* ABSTRACT Mycoplasma pneumoniae is recognized as a leading cause of community-acquired lower respiratory tract infection in children, which accounts for about 25-30% of pneumonia in children. Macrolides are the first-line treatment for M.…

  • Too Tiny A Menace

    Allen Mathewa a. Consultant Ophthalmologist, New Vision Eye Hospital, Mundakkayam, Kottayam, Kerala, India* ABSTRACT Microspherophakia is a rare congenital anomaly wherein the anteroposterior diameter of the lens is increased and equatorial diameter of the lens is decreased. The most common syndrome associated with microspherophakia is Weill Marchesani syndrome. The common ocular issues in microspherophakia are…

  • Chikungunya’s Return: Kerala’s Unfinished Battle

    Hemachandran Ka a. Public Health Specialist with the Government of Qatar* ABSTRACT While the World Health Organization (WHO) issued a global alert regarding chikungunya in July 2025, the most direct recent warnings in Kerala were from the Kerala state health department. In April 2025, the state’s health department issued a general alert in response to a medium-intensity…

  • Revisiting Vitamin D ‘Normal Levels’: Is Deficiency Overdiagnosed?

    Rajeev Jayadevana a. American Board certification in Medicine, American Board certification in Gastroenterology; Convener, Research Cell, Kerala State IMA* Vitamin D deficiency is widely diagnosed based on serum 25-hydroxyvitamin D levels, yet the thresholds defining deficiency and sufficiency remain inconsistent across guidelines. While the 2011 Endocrine Society guidelines defined vitamin D sufficiency as serum levels…

  • Artificial Intelligence in Health Care: A Human Centered Revolution

    Sreekumar Ramachandrana, Jayesh Sureshb a. Department of General Surgery, Government Medical College Idukki; b. Consultant, Vascular Surgery, Pran Hospital, Thiruvananthapuram* ABSTRACT Artificial Intelligence (AI) is rapidly transforming the landscape of health care by enhancing diagnostic accuracy, personalizing treatments, accelerating drug discovery, and improving administrative efficiency. This article explores the evolution of health care from its…

  • Polycythaemia – Another Lifestyle Disorder

    Surumi ARa, Sasidharan PKb a. Junior Resient Medicine, PVS Hospital Kozhikode; b. Former HOD General Medicine and Division of Haematology, Govt Medical College, Kozhikode* ABSTRACT Introduction: Polycythaemia is an increase in the absolute red blood cell (RBC) mass with  increase in haemoglobin levels and haematocrit. It can be primary and secondary. Management depends on the…

  • Predictors of Outcome of Hanging in Patients Presented to the Emergency Department ICU

    Aparna Harikumara, Muhammed Ajmal K Pa,  Nithin C Ka, Bipenthung N Jamia, Chandni Radhakrishnana a. Department of Emergency Medicine, Government Medical College, Kozhikode* ABSTRACT Background: Hanging is a leading method of suicide in India, with rising incidence and high mortality. Identifying clinical and laboratory predictors of outcome is essential for early intervention. Methods: This retrospective…

  • Recent Advances in the Role of Genetics in Medicine

    Cyriac Thomas a. Consultant Physician, Department of Medicine, Marian Medical Centre, Pala* Abstract The field of medicine has undergone a revolutionary transformation in recent years, primarily driven by advances in genetics. As we delve deeper into the human genome, the understanding of genetic factors in health and disease has expanded significantly. This article explores some…

  • Stamped into Sleep: The Story of Anesthesia

    Authors Sajikumar J, Pediatrician, Parabrahma Specialty Hospital, Oachira. Abstract Introduction: This article provides a historical overview of anesthesia, tracing its evolution from ancient pain relief remedies to modern sophisticated techniques. It highlights significant milestones, pivotal figures, and key discoveries that transformed surgical practices, often contextualized through medical philately. Historical Developments: Early forms of pain relief,…

  • Catastrophic Medical Expenses: A Comorbidity Requiring Multilevel Intervention

    Authors Rajeev Jayadevana, Vinod Xavier Franklinb, Sunny P Orathelc, Maria Varghesed a Convener Research Cell, Kerala State IMA, Past President IMA Cochin b Consultant Clinical Microbiologist, Infection control officer and Quality Manager, Ernakulam Medical Center, Palarivattom, Kochi c Medical Superintendent, Rajagiri Hospital, Aluva; Past President IMA Cochin d Medical Superintendent, Medical Trust Hospital, Ernakulam; Past…

  • A Perplexing Case of Recurrent Erythema Multiforme

    Authors Radhamonya, Fathima Noora CPa. aTravancore Medical College Hospital, Kollam Abstract Erythema multiforme (EM) is a rare mucocutaneous hypersensitivity reaction with various etiological factors. Most common cause is infection by Herpes simplex virus. Characteristic clinical finding is development of Target lesions. We report a rare case of Recurrent Herpes associated erythema multiforme (HAEM) diagnosed by…

  • A Case Report of Vector change Defibrillation in Cardiac Arrest Category: Case Report

    Authors Gayathri Mohana, Bipenthung N Jamia, Anjana Suresha, Rajesh Gb, Chandni RaaDepartment of Emergency Medicine, Government Medical College, KozhikodebDepartment of Cardiology, Government Medical College, Kozhikode Abstract Ventricular fibrillation (VF) is a life-threatening arrhythmia that requires immediate interventions like defibrillation and advanced resuscitation techniques. However, some cases of VF become refractory to standard interventions. Refractory Ventricular…

  • Tofacitinib – A Short Review

    Authors Arun Njanappilly Madhavanaa. Department of Internal Medicine, Quality Clinic, Palakkad, Kerala Abstract JAK inhibitors are a drug class that is showing promising clinical outcomes in a variety of conditions. This review article is about Tofacitinib the most frequently prescribed drug among JAK inhibitors.Keywords: Tofacitinib, Autoimmune diseases, Indications Full Article Download Full Article (PDF)

  • Unmasking Spinal Osteochondromas: A Comprehensive Review of an Enigmatic Entity

    Authors Suresh Sivadasan Pillaia, Karthik Beju Prameelab, Akash Deepc, Nandana Madhusudhanan SujakumaridaSenior consultant, spine surgeon and Head of Department of Spine Surgery, Associate Professor, Sree Gokulam Medical college Hospital, Trivandrum, Kerala; bResident in Spine surgery, Sree Gokulam Medical college Hospital, Trivandrum, Kerala; cFellow in spine surgery, Assistant Professor, Department of spine surgery, Sree Gokulam Medical…

  • Prevention of Nutritional Anaemias in India

    Authors Prof (Dr) PK Sasidharan, MD, FICP, FRCP11Former Head, Department of Medicine & Division of Haematology, Government Medical College, Kozhikode Abstract Nutritional anaemias attributable to iron, B12 and folic acid deficiency in the Indian context is more often due to decreased consumption rather than due to all the other causes put together. In developed countries…

  • Kerala’s Perinatal Health Model: A Beacon for Mental Health

    Authors Neethu S Cheriana, Roy Abraham Kallivayalilba Junior Resident, Pushpagiri Institute of Medical Sciences, Thiruvalla, Kerala, India;b Professor Emeritus of Psychiatry, Pushpagiri Institute of Medical Sciences, Thiruvalla, Kerala, India Abstract Kerala has remarkable healthcare achievements, particularly in perinatal care which is lauded internationally. The Kerala modelof perinatal health has been hailed as a success story…