Volume7

Periampullary carcinomas are rare forms of cancers that contribute approximately 6% of periampullary malignancies with an incidence of 2.9 cases for 10, 00,000 population and accounts for approximately 0.2% of GI tract cancers (1). Clinical presentations of pancreatic neoplasm were mainly pain, rapid loss of weight (unremittable), jaundice, nausea, lack of appetite, feeling of illness, and vomiting. Here we present a 61 years old male patient with complaints of upper abdominal pain, severe loss of weight with a known history of type 2 diabetes mellitus.

The Covid-19 disease caused by SARS CoV-2 virus was first reported in Wuhan, China in December 2019. Modern globally connected world made the virus to quickly spread across multiple countries. In India the first case was reported on Jan 31, 2020. Initially people who had come in contact with infected Covid-19 patients were isolated at home or in a dedicated quarantine facility. Decisions on how to apply quarantine was based on the best available evidences. We did a study of psychological impact of the quarantined patients/people.

Background: Hughes-Stovin Syndrome (HSS) is a rare clinical entity comprised of thrombophlebitis, multiple pulmonary and/or bronchial aneurysms. Medical literature has documented fewer than 40 cases of HSS. Its pathogenesis and etiology are still unknown. It is considered as a variant of Behcet’s disease (BD). HSS is being managed either medically or surgically.

Every country has its own traditional health care practices. These practices have evolved based on culture, philosophy, geographical conditions, flora, and mineral resources. Availability of Medicinal plants is the backbone of traditional health care practices like Ayurveda, Folk, Siddha, Unani, etc. India with its enormous natural flora is considered the ‘Herbarium of World’ and is one of the 12 mega biodiversity countries harboring two unique ‘Biodiversity Hotspots’ out of 18 in the world. But the overexploitation of these resources leads to depletion and scarcity of Medicinal plants.

Chronic kidney disease (CKD) is a serious health problem worldwide and its burden on health care is increasing progressively. As the kidney function deteriorates and end-stage renal disease (ESRD) approaches, the patients require renal replacement therapy (RRT). Haemodialysis is the most preferred option for RRT. This requires repeated access to circulation for frequent maintenance haemodialysis (MHD). Arteriovenous fistula (AVF) is the preferred vascular access for MHD owing to its durability and low complication rate. Such access can result in complications.

An anaesthetic protocol was evaluated in 6 dogs (2 Female, 4 Male) of different breeds presented for different conditions requiring diagnostic MRI. The anaesthetic efficacy as well as physiological and haemato-biochemical alterations following tiletamine-zolazepam (TZ) combination as induction agent with xylazine premedication were assessed to assure an appropriate depth and length of anaesthesia, a regular breathing pattern, and a stable haemodynamic condition without the usage of expensive equipment for anaesthetic maintenance.

Background: Hydroxychloroquine (HCQ) is an inhibitor of COVID-19, demonstrated by in-vitro data. There is no pharmacokinetic data on HCQ for pre-exposure prophylaxis in Indians. We estimated the peak and trough blood levels achieved on prophylactic dose HCQ administration.

Currently, the world is having the biggest health crisis which threatening the public with the spread of COVID-19 is unstoppable. The first case of the SARS-CoV2 came to China and after that; it has been spread all over the world. The World Health Organization (WHO) has recognized that the recent outbreak as a global public health emergency. Currently, the study on novel coronavirus is still in the primary stage. Based on the existing data, we going to summarize the clinical characteristics, pathogenesis, diagnosis, treatment, and prevention of information regarding COVID-19.

Background: Sickle cell disease (SCD), an autosomal recessive disorder resulting in abnormal hemoglobin S production is one of the commonest genetic disorders in Saudi Arabia and the worldwide. The clinical implications of SCD are diverse and any organ system may be affected which results in high morbidity and mortality. The acute clinical manifestations of SCD can occur in vaso occlusive, hematologic and infectious crises.

Background:Propofol is now most commonly used agent for induction of anaesthesia.

Objectives: To study incidence  and  severity  of pain using  Verbal  pain  rating scale by Mc Cirrick & Hunter and Face pain scale by Wong and Baker.