September 2018
From the Desk of Group Editor in Chief
Dr KK Aggarwal
“Section 377 is irrational, arbitrary and incomprehensible”, says Supreme Court. In a historic and unanimous judgment, the Supreme Court of India has decriminalized Section 377 of the Indian Penal Code (IPC), as per which homosexuality is a punish.... READ MORE

American Family Physician
Chyke A. Doubeni, Anna R. B. Doubeni, Allison E. Myers
Ovarian cancer is the most lethal gynecologic cancer. Less than one-half of patients survive for more than five years after diagnosis. Ovarian cancer affects women of all ages but is most commonly diagnosed after menopause. More than 75% of affecte.... READ MORE

American Family Physician
Persistent cough with an unknown etiology is difficult to treat and can significantly affect quality of life. Although the evidence for the diagnosis and treatment of adults with unexplained chronic cough is limited, the American College of Chest Phy.... READ MORE

American Family Physician
A 10-year-old boy presented with a rash on both hands that had been present for at least several weeks. He had not worn any new gloves or other clothing. He had received a new video game at Christmas about five months prior and had played it for at l.... READ MORE

ENT
Kranti Bhavana
Vertigo and dizziness are common symptoms in everyday clinical practice. The treatment is dependent on the specific etiology. Depending on the cause of the vertigo, drugs with different mechanisms of action may be used to combat this disabling dise.... READ MORE

MEDICOLEGAL
KK Aggarwal, Ira Gupta
Question No. 1: Can a general MBBS doctor admit patients under his/her self? Answer No. 1: Yes, a general MBBS doctor can admit patient under his/her self. The provisions of Section 15 of the Indian Medical Council Act, 1956 deals with right of pe.... READ MORE

CONFERENCE PROCEEDINGS
Neonatal cholestasis (NC) constitutes 30% of hepatobiliary disorders in India. First step in approach is to differentiate between neonatal hepatitis, paucity of intrahepatic bile duct and biliary atresia..... READ MORE

AROUND THE GLOBE
central sector and centrally sponsored Health schemes in india central sector schemes Pradhan Mantri Swasthya Suraksha Yojana National AIDS and STD Control Programme Family Welfare Schemes.... READ MORE

Spiritual Update
KK Aggarwal
True silence is the silence between the thoughts and represents the true self, consciousness or the soul. It is a web of energized information ready to take all provided there is a right intent. Meditation is the process of achieving silence. Observi.... READ MORE

Lighter reading
Artery – Study of painting Bacteria – Back door of cafeteria Bowel – Letter like A.E.I.O.U. Cesarean section – District in Rome Cat scan – Searching for kitty.... READ MORE

SURGERY
Ashok Sharma, Sanjiv K Goyal, Sandeep Singh Maavi, Vijay Jagad, Amitabh Kumar Upadhyay
Salvage surgery in head and neck carcinoma is often followed by dreaded postoperative complication. Reconstruction with free flap is usually the ideal treatment option. Here, we present the case of a 46-year-old man with necrosis of free flap in po.... READ MORE

Neurology
Arvind Vyas, Divya Goel
Acute intermittent porphyria (AIP) is an inborn disorder of heme biosynthesis, autosomal dominant in inheritance. It is a frequent occurrence in young females of reproductive age group. While abdominal pain is the most frequent presentation of this.... READ MORE

Neurology
Raghavendra Rao Mv, Kumar Ponnusamy, Sireesha Bala, Sripada Pallavi T, Krishna Sowmya M, Ramanaiah Cj, Mahendra K Verma, Srinivasa Rao D, Samir Fatteh, Abraham Nayakanti, Sateesh Babu A
Dementia is a term used to describe symptoms that affect memory, performance of daily activities and communication skills. Alzheimer’s disease (AD) is the most common type of dementia. AD worsens with time and affects memory, language and thought. .... READ MORE

Expert's View
S Murugusundram
Immunotherapy is a type of biological therapy that uses substances to stimulate or suppress the immune system to help the body fight cancer, infection and other diseases. Several cutaneous disorders occur as a result of an imbalance in the immunologi.... READ MORE

Inspirational Story
If I knew it would be the last time that I’d see you fall asleep, I would tuck you in more tightly, and pray the Lord, your soul to keep. If I knew it would be the last time that I see you walk out the door, I would give you a hug and kiss, and call.... READ MORE

EMERGENCY MEDICINE
Shamendra Kumar Meena
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.... READ MORE

ISSUE OF THE MONTH
Amit Agrawal
Recently, the issues of infections in traumatized patients with special reference to growing medico-surgical concern have been discussed and many important aspects are highlighted.1 All of us would agree that the concept of trauma care, establishment.... READ MORE

MEDICAL VOICE FOR POLICY CHANGE
Dr KK Aggarwal
Switching to oral antibiotics once an endocarditis patient is stable is safe and noninferior to continued intravenous (IV) antibiotic treatment as shown in the randomized Partial Oral Treatment of Endocarditis (POET) trial. The group getting oral ta.... READ MORE

WHO MODEL
The World Health Organization (WHO) published the first edition of the Model List of Essential In Vitro Diagnostics (EDL) in May 2018, in recognition that IVDs are an essential component to advance universal health coverage, address health emergencie.... READ MORE

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