March 2019
From the Desk of Group Editor in Chief
KK Aggarwal
“We appreciate the pain of the appellant, but then,that by itself cannot be a cause for awarding damages for the passing away of his wife. We have sympathy for the appellant, but sympathy cannot translate into a legal remedy.” The Supreme Court dismi.... READ MORE

GASTROENTEROLGY
Ashish Gautam, Prabhat Agrawal, Abhishek Raj, Ashwini K Nigam, Subhash Chandra, Manish K Bansal
In the last few decades, increasing use of antibiotics has dramatically increased the incidence of antibiotic-associated diarrhea. An unopposed homing of Clostridium difficile in intensive care unit (ICU) and wards puts forward new challenges for ph.... READ MORE

American Family Physician
Maria Syl D. De La Cruz, Edward M. Buchanan
Uterine fibroids are common benign neoplasms, with a higher prevalence in older women and in those of African descent. Many are discovered incidentally on clinical examination or imaging in asymptomatic women. Fibroids can cause abnormal uterine bl.... READ MORE

American Family Physician
Almost one-half of pregnancies are unintentional, with one-half of these in women not using a contraceptive method when conception occurred. Adolescents and young women, those who are racial or ethnic minorities, and those with lower levels of educat.... READ MORE

American Family Physician
A 27-year-old man presented with constant right-sided neck, throat, and ear pain that began one day earlier after he completed an uneventful five-mile trail run. There were no alleviating or exacerbating factors for the pain. He did not have trauma o.... READ MORE

INTERNAL MEDICINE
Shankar R Raikar, Panna K Kamdar, Ajay S Dabhi
Internal Medicine
Aims: To evaluate clinical profile of fever with thrombocytopenia. To identify the causes of fever with thrombocytopenia. To assess the clinical complications associated with fever and thrombocytopenia. Material and methods: This study was done on .... READ MORE

INTERNAL MEDICINE
Aakash Shah, Krupa Pathak, Archana Gandhi, Smita Trivedi
Internal Medicine
Adult-onset Still’s disease (AOSD) is a rare clinical entity without any known etiology that characteristically presents with fever, rash, arthritis, along with other systemic manifestations. We present the case of a 26-year-old male who presented .... READ MORE

OBSTETRICS AND GYNECOLOGY
Barunoday Chakraborty, Tamal Kumar Mondal, Sannyasi Charan Barman, Biswa Pratim Rudra, Ramkrishna Sahana, Prabhat Chandra Mondal
Obstetrics and Gynecology
This was a well-controlled hospital-based longitudinal prospective randomized study with sole focus on pre-eclampsia cases, where cardiotocography (CTG) and colored Doppler were the two special investigative tools applied to examine the perinatal o.... READ MORE

MEDICOLEGAL
KK Aggarwal, Ira Gupta
Medicolegal
The judgment of the Calcutta High Court in the matter of Snigdhendu Ghosh vs. State of West Bengal & Ors on 19 July, 2018 has answered many questions that arise when a medical negligence case is filed against a doctor, as follows:.... READ MORE

CONFERENCE PROCEEDINGS
ESICON 2018
The CANVAS Program integrated data from two trials with a total of 10,142 participants with type 2 diabetes and high cardiovascular (CV) risk. The primary outcome was a composite of death from CV causes, nonfatal myocardial infarction (MI) or nonfata.... READ MORE

AROUND THE GLOBE
Free Treatment to All Under 30 by 2022 By 2022, all people up to the age of 30 years will not only get free health check-ups but also free medical treatment, said Union Health Minister JP Nadda. He was in Gorakhpur to inaugurate the Guru Gorakhnath .... READ MORE

Spiritual Update
KK Aggarwal
Spiritual Update
Most temples represent God or the spirit or the deity located in the temple or mandir situated in an area at the outskirts of the city. A spiritual atmosphere is one that is devoid of pollution and which promotes rajasik or tamasik behavior. The sil.... READ MORE

Lighter reading
Lighter reading
Intern: I want to divorce my wife. Lawyer: On what grounds? Intern: She’s out all night, every night, going from bar to bar. Lawyer: Are you saying she is alcoholic or do you think she’s cheating on you…?? Intern: No, She’s looking for me..... READ MORE

Neurology
Arvind Vyas, Divya Goel
NEUROLOGY
Amyotrophic lateral sclerosis is a neurodegenerative disorder affecting upper and lower motor neurons in primary motor cortex, brainstem and spinal cord. We present a case of a 24-year-old young male who presented with progressive quadriparesis and.... READ MORE

Neurology
R Jayasri Krupaa, Kmk Masthan, Aravintha Babu N, Sona B
NEUROLOGY
Nerve injuries are the most common conditions with varying symptoms, depending on the severity, intensity and nerves involved. Though much information is available on the mechanisms of injury and regeneration, reliable treatments that ensure full f.... READ MORE

Inspirational Story
Inspirational Story
Father was a hardworking man who delivered bread as a living to support his wife and three children. He spent all his evenings after work attending classes, hoping to improve himself so that he could one day find a better paying job. Except for Sunda.... READ MORE

Ophthalmology
Rajender Singh Chauhan, Ashok Rathi, Aparna Yadav, Jp Chugh, Ravinder Rose
OPHTHALMOLOGY
Objective: The present study was conducted to evaluate the safety profile and efficacy of ganciclovir in cases of viral corneal ulcer and to compare it with acyclovir. Material and methods: It was a randomized controlled comparative study undertake.... READ MORE

Consensus statement
Harm Reduction, Risk Reduction, Harm Minimization In harm producing behaviors and clinical situations, the aim should be to achieve a harm free state but if the same is not possible immediately one should try to achieve realistic goals using the prin.... READ MORE

   Read the Complete Edition
GASTROENTEROLGYAmerican Family PhysicianAmerican Family PhysicianAmerican Family PhysicianINTERNAL MEDICINEINTERNAL MEDICINEOBSTETRICS AND GYNECOLOGYMEDICOLEGALCONFERENCE PROCEEDINGSAROUND THE GLOBESpiritual UpdateLighter readingNeurologyNeurologyInspirational StoryOphthalmologyConsensus statement