Table of contents (Vol 6, No 10)
EDITORIAL

India towards diabetes control: Key issues
 

It is estimated that 41 million Indians have diabetes and “every fifth diabetic in the world is an Indian”. The overall direct healthcare costs of diabetes mellitus ranges from 2.5–15 per cent of annual health care budgets. This burden is likely to only increase with the projected increase in the numbers of people with diabetes. In low income families the cost of care of a diabetic adult is up to 25 per cent of the family income.

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By Arun Kumar, Manish K Goel, Ram Bilas Jain, Pardeep Khanna, Vikas Chaudhary

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RESEARCH

Bacteriophage types of methicillin-resistant Staphylococcus aureus in a tertiary care hospital
 

Methicillin-resistant Staphylococcus aureus (MRSA) frequently causes skin and soft tissue infections, wound infections, burns, ulcers, pressure sores, lower respiratory and urinary tract infections, septicaemia and infections at sites of invasive devices. In this study, authors report MRSA infections are prevalent mainly in surgical wards and primarily associated with suppurative infections of skin, soft tissue and organs.

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By Arunava Kali, Selvaraj Stephen, Sivaraman Umadevi, Shailesh Kumar, Noyal M Joseph, Sreenivasan Srirangaraj, Joshy M Easow

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CASE STUDY

Generalised Staphylococcal Pustulosis In A Neonate: A Case Report.
 

Pustular disorders are common in the neonatal period. Most of these conditions are benign, but several serious and infectious diseases can present in the neonate as pustular disorders. The similarity of clinical features and lack of relevant literature increases the diagnostic difficulty. Any pustular rash in a neonate should be investigated since the treatment and prognosis of each cause is different.

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By Dilesh Arvind Mogre

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Orbital Myiasis by Green bottle fly
 
An 80-year-old farmer, presented with large, maggot infested ulceration involving the medial part of the right upper lid. The left eye was phthisical. There was history of untreated traumatic laceration of the right upper lid. Mechanical removal of maggots was done under turpentine coverage with regular antibiotic dressing. 
By Neeta Misra, Pratik Yeshwant Gogri, Somen Misra, Anil Singh, Ashish Ingale

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Tongue Cleaner, an Unusual Foreign Body in Urethra : a Case Report
 

A 40-year-old male presented with a partially inserted tongue cleaner in his urethra with one end projecting from the urethral meatus and with a history of bleeding and pain. After a gentle attempt at removal using local anaesthetic gel the patient was scheduled for its surgical removal under anaesthesia.

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By Anant Dinesh, Aradhna Singh, Sushanto Neogi

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Variation in the Lobar Pattern of the Right and Left Lungs: A Case Report
 

Several reports have revealed that variations exist in the classical presentation of the fissures and lobes of the lungs. This case report further reveals some of the unique variants that affect some of the bronchopulmonary segment. These variants in fissures and lobulation can confuse a radiologist during routine X-ray or CT scans.

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By Esomonu Godfrey Ugochukwu, Taura Magaji, Modibbo Musa Habib, Egwu Ogugua Augustine

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Vascular leiomyosarcoma of thigh - a rare tumour at an unusual site
 

A case of primary leiomyosarcoma of femoral vein is being reported from a subtropical region of India that developed over the right thigh of a 35-year-old male farmer and was clinically diagnosed as benign soft tissue tumour. The diagnosis was confirmed by histopathology and immunohistochemisty.

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By Asitava Deb Roy, Muktanjalee Deka, Umesh Chandra Dutta

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Compressive myeloradiculopathy from bony metastasis as the initial presentation of poorly differentiated adenocarcinoma stomach - a case report.
 

Bone metastases in gastric cancer are extremely rare and when present are likely osteolytic. In this case compressive myelopathy from extensive osteosclerotic and osteoltyic bone metastasis was the initial presentation of the patient. This case indicates that although rare, gastric cancer also needs to be considered in the differential diagnosis of primary tumours presenting with bone secondaries, and that osteosclerotic lesions may also be seen in these cases.

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By Aneesh Basheer, Jolly Daniel, Somanath Padhi

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BOOK REVIEW

Book Review
 

 Health policy and systems research.

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By P Ravi Shankar

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