Spontaneous Subdiaphragmatic Hemorrhage From an Aneurysm of Inferior Phrenic Artery.

Inferior phrenic artery (IPA) aneurysms are the rarest type of visceral aneurysms. It usually occurs secondary to trauma, surgery, or as a complication of pancreatitis. In addition, it can be a manifestation of underlying systemic pathology such as vasculitis, collagen vascular disorders, sepsis, or segmental arterial mediolysis.

Vaccination of Pediatric Patients With Autoimmune Inflammatory Rheumatic Diseases - EULAR/PRES Updated Recommendations, 2021.

The recommendations for vaccination in pediatric autoimmune and inflammatory diseases were initially given by European Alliance of Associations for Rheumatology (EULAR) in the year 2011. In the past decade, recommendations were updated for adults in 2019. EULAR/ Pediatric Rheumatology European Society (PRES) has now published the updated recommendations based on the increased level of evidence on safety, efficacy and immunogenicity of vaccines.

Volar Dislocation of Second Metacarpophalangeal Joint-open Reduction with Volar Approach - A rare Case Report.

Introduction: In most cases, the volar plate interposition renders the complex metacarpophalangeal joint dislocation, commonly known as Kaplan's lesion, intractable, necessitating open reduction. The capsuloligamentous attachments around the joint and the head of the metacarpal are buttonholed in this dislocation, limiting closed reduction.

Case Report: It is presented here a case of 42-year-old male with the left Kaplan's lesion with open wound.

Compound Dorsal Ganglion: A Rare Masquerade of Tuberculosis.

Introduction: Compound dorsal ganglion of tubercular etiology involving the dorsum aspect of wrist is a rare entity. It is very rarely seen lately, due to early diagnosis and effective treatment regimen and this case is probably the first to be reported involving the dorsum aspect of wrist.

Case Report: This case report presents a 54-year-old male patient presented to us complaints of swelling and pain in dorsum of hand and wrist for 6 months.

Adherence to literature search reporting guidelines in leading rheumatology journals' systematic reviews: umbrella review protocol.

Literature searches are important components of systematic reviews. They are not only informative of the retrieval process, but they also set the data to be analyzed and influence additional components of systematic reviews. Despite the available guidelines, several studies have shown that the quality of reporting in systematic reviews is deficient in several medical fields.

Is Thalamic Lesion a Contributing Factor for Inappropriate Sexual Behavior in Older Adults with Cognitive Impairment?

Thalamus is a group of nuclei located deep inside the brain, well known for its sensory and cognitive functions. However, its role in the reward and behavior regulation is less explored. In this case series, we have presented four cases with inappropriate sexual behaviors (ISB) that are temporally related to thalamic infarction.

Companionship and Sexual Issues in the Aging Population.

Loneliness and social isolation are significant public health crises in older adults. The issues about companionship have many psychosocial and cultural dimensions, which is further compounded by the current COVID-19 pandemic. In modern-day India, there is a significant increase in the number of older adults left to live alone because of sociocultural changes in our society.

Is there enough naloxone to deter the diversion? Effect of concurrent administration of intravenous naloxone on opioid agonist effects of intravenous buprenorphine: A randomised, double-blind, within-subject, crossover study among opioid-dependent subjects.

Introduction And Aims: We aimed to evaluate and compare the effect of different intravenous doses of naloxone on reinforcing effect of intravenous buprenorphine (2 mg) in patients stabilised on sublingual buprenorphine.

Design And Methods: This is a double-blind, within-subject, randomised, crossover study. Opioid-dependent patients, with history of intravenous drug use, stabilised on buprenorphine maintenance treatment were included after informed consent (n = 14).

Promotion of sanitation and hygiene in a rural area of South India: A community-based study.

Introduction: Globally, billions of people do not have access to improved sanitation and many defecate in the open air. Poor hand washing practices and limited access to sanitation facilities perpetuate the transmission of disease-causing germs. The objectives of the study were to find out the level of knowledge, attitudes, and practices (KAPs) on sanitary latrine, footwear, and hand washing among rural people and to assess the improvement in KAP after health education intervention.