Objectives: Chronic kidney disease (CKD) is a condition of life-threatening nature presenting with deterioration in kidney function which is both irreversible and progressive. It is characterized by progressive incapability of the kidneys to filter the excretory products of blood consequently necessitating dialysis to prevent azotemia, end-organ damage, and ultimately death. The role of the kidneys in the homeostasis of magnesium and conservation of this neglection ion’s concentration in blood is undeniable. The objective of the present study was to estimate serum magnesium in CKD subjects and healthy control groups. Material and Methods: Serum creatinine, eGFR, Serum magnesium was assesed in 37 CKD patients and 43 healthy controls. Results: The serum creatinine levels were significantly higher (P < 0.001) in cases (2.4 ± 0.88 [mg/dL]) when compared to healthy controls (0.85 ± 0.1 [mg/dL]) [Table 1]. The estimated GFR was calculated using the Modification of Diet in Renal Disease formula and was 31.2 ± 12.1 mL/min in cases and 85.67 ± 13.1 mL/min in controls and they were significantly different (P < 0.001). Serum magnesium was 2.02 ± 0.36 mg/dL in cases and 2.01 ± 0.17 mg/dL in controls. Conclusion: The overall distribution showed a trend of hypomagnesemia in CKD patients but it was not statistically significant (P = 0.877). In our study, though statistically trivial, we found a trend toward hypomagnesemia in CKD patients when compared to controls. The lack of significance could be because the CKD patients were not grouped according to stages. A larger study with proper categorization and exclusion can provide us with better insights into magnesium dynamics in CKD patients.
A foundation course for newly joined Indian medical graduates is essential for their induction into the medical profession. They learn about various soft skills and other nuances, which will help them adapt to the new professional learning environment. In our institute, the course is conducted based on the Graduate Medical Education Regulations of the National Medical Commission (NMC) of 2019. The process of organization, planning, and execution of the foundation course is described in a step-wise manner. The student activities are planned in various large groups and small groups under each module put forth by the NMC. The modules include the orientation module, skills module, field visit to community health center module, professional development and ethics module, enhancement of language and computer skills module, and sports and extra-curricular activities module.
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