Management implications of latent TB among under-five children at risk: Insights from a community study in Mumbai, India.

Background: Latent tuberculosis infection (LTBI) management is crucial to WHO's End TB Strategy. Indian guidelines recommend treating under-five children with household TB contacts after ruling out active TB, regardless of TBI testing. However, the precise LTBI burden among children in high TB burden settings like India is unknown.

Crochet Leads the Way.

The crochetage sign-a notch near the R-wave peak in the inferior leads-in conjunction with right axis deviation, complete or incomplete right bundle branch block, and right ventricular hypertrophy (R/S ratio >1 in lead V1) on 12-lead electrocardiogram are highly suggestive of atrial septal defect. ().

Recurrent Spontaneous Pneumothorax Associated With Marijuana Abuse: Case Report and Literature Review.

Marijuana is the most commonly used illicit recreational drug in the United States. Growing public support for marijuana law reform has resulted in a significant increase in its use. The harmful pulmonary consequences of chronic marijuana smoking are less researched and discussed than those of tobacco smoking.

Coronary Vasospasm After Dobutamine Stress Echocardiogram Triggered by Esmolol.

Dobutamine stress echocardiography (DSE) is a commonly utilized method for coronary artery disease (CAD) diagnosis, and it provides important long-term prognostic information. We report a case of a 53-year-old female with multiple cardiovascular risk factors who underwent DSE for evaluation of underlying CAD. The examination was complicated by wide complex tachycardia and promoted administration of esmolol, which shortly led to ST-segment elevation myocardial infarction (STEMI).

Recurrent hospitalisations in a rare case of hemicorporectomy: a challenging case for medical management.

Hemicorporectomy, or translumbar amputation, is a radical surgery involving the dissection of the body at the waist and is usually reserved for complex medical conditions including locally invasive malignancy and terminal pelvic osteomyelitis. Only 71 cases have previously been reported. We present a rare case of hemicorporectomy in a 53-year-old patient with terminal pelvic osteomyelitis which occurred after he suffered a gunshot wound at T6 causing paraplegia at the age of 31.

Empowering the Community to Manage Diabetes Better: An Integrated Partnership-Based Model.

Context: Rising number of diabetes cases in India calls for collaboration between the public and private sectors.

Aims: Municipal Corporation of Greater Mumbai (MCGM) partnered with Eli Lilly and Company (India) [Eli Lilly] to strengthen the capacity of their diabetes clinics.

Materials And Methods: Medical Officers, dispensaries and Assistant Medical Officers (AMOs) located at attached health posts were trained on an educational tool, Diabetes Conversation Map™ (DCM) by a Master Trainer.

Idionyx (Odonata: Corduliidae) of the Western Ghats with a description of a new species.

The status and distribution of Idionyx Hagen, 1867 (Odonata: Corduliidae), of the Western Ghats, India, is updated and a new species Idionyx gomantakensis is described and illustrated based on male and female specimens from Kulem (= Collem), Goa, India. This new species can be differentiated from other species of Idionyx by long and slender cerci and epiproct, absence of teeth in the basal half of the cerci, and a tuft of golden hairs at the end of the lateral lobes of the epiproct. A revised key to the species of the genus is provided, and its diversity and ecology in the Western Ghats is discussed.

Case and management of incidentalomas in patients with Von Hippel-Lindau disease.

Adrenal incidentalomas, those adrenal masses discovered on imaging studies undertaken for other indications, represent an evaluation and management conundrum. Evaluating every incidentaloma for functional status and/or resecting all incidentalomas would not be cost-effective because the vast majority of incidentalomas are benign, non-functioning adenomas. Current management strategies focus on size, functionality and imaging characteristics.

A neglected gland: a review of Cowper's gland.

Cowper's glands are pea sized glands present inferior to the prostate gland in the male reproductive system. They produce thick clear mucus prior to ejaculation that drains into the spongy urethra. Though it is well established that the function of the Cowper's gland secretions is to neutralize traces of acidic urine in the urethra, knowledge regarding the various lesions and associated complications of this gland is scarce.