Past Issue

We report an interesting case of the longest gallbladder ever removed through laparoscopy for a gall stone disease from Arabian Peninsula. Gallbladder measured 20 cms in length with a single large stone about 3.5cm in size. This has been the longest gallbladder ever reported from the Arabian Peninsula to our knowledge in the medical literature. However, the longest gallbladder of 30 cm size, for a case of mucocele gallbladder removed by Rahul Yadav et al. from Rajasthan in India1.

Introduction: Laparoscopic surgery has certain technical limitations like loss of three-dimensional perception, a relatively limited and fixed view of operative field, indirect contact with intraabdominal structures, and limited tactile feedback during dissection and manipulation of tissues. This makes operation difficult sometimes and leads to conversion to open cholecystectomy. AIM: The aim of the study was to study the intraoperative difficulties in Laparoscopic Cholecystectomy.

While in some parts of the world, strategic resources are scattered, in others people cannot even satisfy their basic needs. Changing consumer behavior is a process that requires a large number of social groups, specialists, institutions, industries, and so on. In addition to private households, one of the major consumer groups, there is the economy, institutions, armies, authorities, NGOs and many other groups, of large direct or indirect consumption of natural resources. We present some of the research data.

Back ground: Vitamin D deficiency during pregnancy has important health implications for the mother and infant, including fetal hypovitaminosis D, neonatal rickets and tetany, infantile rickets. Recent studies, in many countries, have shown that low maternal vitamin D status is common during pregnancy, the magnitude of which warrants public health intervention. Aims: To prospectively assess the vitamin D nutritive status in pregnant women in Kashmir Valley and to study the prevalence of suboptimal vitamin D status in apparently healthy pregnant Kashmiri women.

Background: Sickle cell anemia is a genetic disease determined by homozygous hemoglobin S. It is marked by clinical variability depending on some factors such as the haplotypes associated with the globin βS gene. Objective: This investigation was undertaken to characterize the haplotypes of the βS gene in people with sickle cell anemia assisted in the state of Mato Grosso do Sul, Brazil.

Background: Self-medication is popularly practiced worldwide, especially on fever and some chronic conditions. However, deaths and adverse effects have been reported due to poor practices. In malaria endemic areas, caregivers with children under five years practice self-medication however, the practice is poorly understood. Methods: A cross-sectional study was carried out on 201 caregivers with children under five years and 10 health care workers at Kabondo-Kasipul Sub-County Hospital in Homa-bay County, Kenya.

The new conception relating to existence of the membrane redoxy potential three state dependent 9 stepped full cycle of proton conductance eventually describes the continuity of proton conductance inside human body, starting from food substates, containing sum of electron, protons, ending by erythrocyte membrane surroundings containing last portions of protons, released from food under action of oxygens passing previous 9 stages.

Objectives: To evaluate and classify patients’ complaints regarding the healthcare services in Qurayyat in order to categorise the nature of these queries and focus on the areas that require intercession for improvement. Background: Patient complaints are beneficial and can be used for assessing healthcare services and working to meet public expectancy of healthcare schemes. Nonetheless, no investigation has been conducted to address patient queries in Qurayyat.

Objective: to analyze the knowledge and practices of Brazilian community health agents on the prevention of uterine cancer. Method: convergent assistance research, with a qualitative approach. Thirteen community health workers participated in the interview stage. The analysis of the information was based on the Bardin content analysis. Results: there was recognition of the importance of cytopathological examination for the prevention of cancer and doubt about the recommended interval for the examination.

The objective of this article is to analyze the environmental sustainability of the tourism in Bahia, Brazil, taking as reference the locality of Porto Seguro. The environmental aspect is inserted once the tourism developed in this destination is strongly associated with the natural landscape. For that, field survey was used and carried out from May 4 to 20, 2016, when 41 managers of the companies that operate in the hosting sector were interviewed.