Table of contents (Vol 6, No 3)
EDITORIAL

Elderly depression in India: An emerging public health challenge
 

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.

Picture by Freedigitalphotos

By Manju Pilania, Mohan Bairwa, Neelam Kumar, Pardeep Khanna, Hitesh Khurana

PDF
RESEARCH

Low Utilization of Thrombolysis in Stroke in Australia
 

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.

Picture by mercyhealth

By Ashraf Eissa, Innes Krass, Christopher Levi, Jonathan Strumm, Rabsima Ibrahim, Beata Bajorek

Abstract
PDF
Physician’s Preparedness for Tobacco Cessation Service in India
 

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

Picture by Freedigitalphotos

By Rajmohan Panda, Pratap Kumar Jena

Abstract
PDF
Risks of Alcohol-Attributable Hospitalisation and Death in Australia Over Time.
 

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.

Picture by Freedigitalphotos

By Richard Pascal, Wenbin Liang, William Gilmore, Tanya Chikritzhs

Abstract
PDF
CASE STUDY

Spontaneous Tumor Lysis Syndrome in a Case of Multiple Myeloma
 

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.

 

 

Picture by Libertas academica

By Kavitha Saravu, Suresh Kumar, Ananthakrishna Barkur Shastry, Annamma Kurien, Ravindra Prabhu, Rishikesh Kumar

Abstract
PDF
Life Threatening Rhabdomyolysis Following the Interaction of two Commonly Prescribed Medications
 

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.

Picture by Freedigitalphotos

By Alireza Fallah, Maitri Deep, David Smallwood, Peter Hughes

Abstract
PDF
Suprapubic Cartilaginous Cyst- A Case report
 

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.

Picture by Freedigitalphotos

By Pramod Durgakeri, Paul Strauss, Kelvin Stribley

Abstract
PDF
A Dangerous Twist of the 'T' Wave: A Case of Wellens' Syndrome
 

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.

Picture by Freedigitalphotos

By Kavitha Balasubramanian, Balasubramanian Ramachandran, Anandaraja Subramanian

Abstract
PDF
LETTER TO THE EDITOR

Letter to the Editor
 

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

Picture by Freedigitalphotos

By Joshy Maducolil Easow, Prasobh K Krishnan, Shailesh Kumar, Noyal M Joseph, P Ravi Shankar

PDF
BOOK REVIEW

Book Reviews
 

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

Picture by Freedigitalphotos

By P Ravi Shankar, Arun K Dubey, Ambey Ravi, Richa Gupta

PDF