AMJ

Thrombolysis constitutes the only approved therapy for acute ischaemic stroke. However, reports indicate its utilisation remains consistently low. This study identified the factors associated with the underutilisation of thrombolysis. Late patient presentation creates the most significant barrier to utilising thrombolysis in the acute stroke setting. Thrombolysis continues to be currently underutilised in potentially eligible patients, and additional research needs to identify more precise criteria for selecting patients for thrombolysis.

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Tobacco control programs in India cannot be successful unless counselling and cessation therapy is accessible to a large number of people. For tobacco counselling and cessation therapy to be accessible for large populations we need a critical number of well-trained physicians who can provide the service. This study provides information regarding the level of preparedness among physicians and identified factors that influence preparedness

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Although trends in alcohol-attributable mortality and morbidity have been previously described, the studies have not analysed trends and did not provide information on changes in risks of alcohol-attributable hospitalisations and deaths by age and sex. This analyses suggest an increase in risks of alcohol-attributable hospitalisations, with variations across states and territories, as well as by age and sex. Our analyses also indicate decreasing overall risks of alcohol-attributable deaths countrywide.

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Most countries allocate less than 1% of their total health expenditures to mental health budgets. Depression, along with other mental health disorders, has long been segregated and neglected. The elderly age group comprise a particularly vulnerable group as they often have multiple co-existing medical and psychological problems.

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Authors describe a case of a 40-year-old male patient who was found to have multiple myeloma with spontaneous tumour lysis syndrome (TLS), following a compression fracture of the L–2 vertebrae.

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This paper reports an interaction between erythromycin and simvastatin resulting in life-threatening rhabdomyolysis in an elderly patient.Physicians should be aware of potential drug interactions of statins, which are widely used in the community.

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This is a condition that needs to be considered in postmenopausal patients presenting with a valvular mass, recurrent urinary tract infections or paraesthesia in the medial thigh region. It is a rare condition, often missed or confused with other conditions. The lack of knowledge of this condition often leads to unnecessary intervention. SPCC can be managed conservatively. Surgical resection has not proved to have any additional benefit to the patient. MRI is diagnostic and no further intervention is required.

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The key finding of this case report is the ECG of a patient with history of angina showing a biphasic T wave in the anterior precordial leads indicating a proximal obstruction of the left anterior descending artery (LAD). All patients presenting with history of angina and ECG suggestive of Wellens’ syndrome should undergo an early invasive revascularisation therapy. These patients should not be managed by medical means alone.

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Cutaneous manifestations of neonatal sepsis; Pharmacovigilance in Nepal: Whose baby is it anyway?

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Dermatological preparations for the tropics; The Access to Medicine Index 2012; World Malaria Report 2012.

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