The recent floods and landslides in Uttarakhand and the flood of Jammu and Kashmir have been a rude reminder for India of its historical disasters. Jammu and Kashmir is battling one of the worst floods in six decades. The flood situation has worsened as more areas have submerged in the waters leaving a trail of death and destruction. The toll in the devastating floods has reached 160 with more than 3500 villages affected and 450 submerged.

Bartter Syndrome (BS) is a rare renal tubular disorder. Of all the forms, the antenatal form is associated with the worst clinical outcome. A case of antenatal BS is discussed to illustrate that diagnosis in early neonatal period through a meticulous step- wise approach leading to timely initiation of treatment is possible. Extensive review suggests a possibility of diagnosis in antenatal period by simple biochemical analysis of amniotic fluid with implications to further improve perinatal outcomes.

Active management of labor is the demand of modern obstetrics. Attempts to accelerate labor and there by shorten its duration without jeopardizing maternal and fetal outcome are welcome by both patient and obstetrician. In the current study, attempt has been made to find out the various aspects of the use of Drotaverine to fasten delivery and its effect on labor process in primigravida and multigravida. This study was done on 100 pregnant women at term in spontaneous labor. Both primigravida and multigravida were administered injection Drotaverine HCL 40 mg IM at 3- 4cm in early labor, repeated if required maximum up to 3 injections. The duration of 1st stage of labor was calculated. Mode of delivery (spontaneous vaginal, forceps or ventouse) was noted. LSCS was done for appropriate indications but were excluded from study. Also Injection- delivery interval was noted. Number of injections required was also noted. The use of injection Drotaverine HCL in early labor causes significant shortening of duration of dilatation phase of labor, especially primigravida. It probably reduces incidence of cervical tears associated with delivery. Its use in shortening the labor in appropriate doses was found safe for mother and fetus/ neonate.

Background: Demographic transition and socio- economic transformation have enhanced concern for geriatric care particularly in developing countries. In India, the prevalence of hypertension is lower in rural areas compared to the urban population. Almost half of the elderly population is hypertensive in India. Objective: To assess the prevalence of hypertension among geriatric population and to find out its association with various socio demographic factors. Study Design: Community based cross sectional study

Each home has a family, a hierarchy, a way of living, some norms and more that they continue to carry on for ages, so do the Business Organizations or Health Sector. The questions that arise are: what is an Organization, what are the different types of Cultures followed in them? What are the disparities between Organizational Structure and design? Is it necessary to understand this particularly with respect to Health Sector?

Maximillian de Stoll firstly identified Gallbladder cancer in two autopsy cases in 1777, and Keen was the first one to perform cancer resection in 1891.1Gallbladder cancer is a most common biliary tree cancer in the world but it is only 0.5% of all gastrointestinal cancer though lethal malignancy with marked ethnic and geographical variations. The representing signs and symptoms are commonly imprecise,so patient presents at a later stage

Resistant hypertension (RH) is defined as the condition in which the blood pressure remains above goal in spite of concurrent use of 3 antihypertensive agents of different classes. Prevalence of resistant hypertension is 10-20% of the general hypertensive population. Patients with resistant hypertension are at high risk for adverse cardiovascular events. After excluding pseudoresistance, two most important causes of resistant hypertension are concomitant use of drugs and secondary causes. Management includes careful selection of antihypertensive drugs, lifestyle changes, treatment of secondary causes of hypertension, and discontinuation/ minimizing drugs that can cause hypertension. Invasive treatment option at present is an era to be explored.

The most important component of the five levels of prevention, particularly regarding non- communicable diseases like cancer stands to be early Diagnosis and Treatment (EDT). Approximate management and policies of EDT are vital to reduce cancer mortality. This has been amply proved in cases of cervical cancer where Pap smear makes it possible. However lack of methodology for EDT, illiteracy and absence of proper health education/ awareness makes the situation much cloudy and sorrowful. Formulation of screening programs, implementation of control programs, knowledge regarding natural history of cancer service delivery, information system registry and program evaluation, thus remain as the different tasks and activities of the Preventive Oncology as a whole. “Down staging” of different cancer screening at the grass root level by health care workers or the patient herself has also been suggested by WHO. However, the next stage of down staging at the diagnostic arena has been the deficiency of a “marker” to brand a mass in breast as malignant or benign– where decision making for curative measures can become possible.