Year : 2019 | Volume
: 16 | Issue : 2 | Page : 69-
Editor in Chief, Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi, India
R N Srivastava
Department of Pediatrics, Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi - 110 076
|How to cite this article:|
Srivastava R N. Editorial.Apollo Med 2019;16:69-69
|How to cite this URL:|
Srivastava R N. Editorial. Apollo Med [serial online] 2019 [cited 2020 Feb 23 ];16:69-69
Available from: http://www.apollomedicine.org/text.asp?2019/16/2/69/260686
Three original articles in the present issue of Apollo Medicine address important topics. Pandey et al. examined the effects of smoking in patients with ankylosing spondylitis. A decrease in spinal mobility and chest expansion, and reduction of bone density and activity indices were observed in smokers. El-Agwany reports the incidence and clinical features of maternal near-miss and maternal mortality (as defined by the WHO) in a University Tertiary Hospital in Alexandria, Egypt. These events were more frequent in primigravida, younger women and were usually related to hemorrhagic complications. High-quality antenatal care and early referrals need to be ensured to reduce these complications. Lenka et al. have examined microbiotic flora in patients with dental caries. A large variety of organisms were found to be present. Appropriate antibiotic therapy may be help in a proportion of such cases.
Swain et al. have discussed the common and difficult problem of cough in children. Although cough is usually mild and of short duration in most cases, the patients are often unnecessarily treated with antibiotics and cough syrups. However, a persistent cough can be caused by a variety of underlying conditions, and clinical acumen is required for diagnostic evaluation. They authors have elaborated on these aspects and provided clear guidelines.
Narasinga et al. have reviewed the investigation and management of fractures involving the base of the skull. Such trauma is usually caused by high-velocity impact, as that following automobile accidents. They emphasize the need for high resolution computed tomography with thin sections of the brain for the detection of bony injury.
A number of patients presenting uncommon features and rare conditions are included, whereas others describe the application of novel and state-of-the-art procedures and management of complex problems. Gogia et al. describe the use of cervical epidural anesthesia for radical mastectomy in a patient with severe respiratory compromise. Shah and Bohra report the complication of cervical esophageal perforation, occurring while performing gastroscopy in two patients with malignant esophageal stricture, which was successfully managed with nonoperative treatment. Nagaraja et al. report laparoscopic removal of a huge trichobezoar in a young girl with a history of trichotillomania.
Bhuyan et al. identified two cases of calcifying epithelial odontogenoma, a rare benign tumor of the jaw with a tendency to invade neighboring bone and soft tissue. Butta et al. report the occurrence of bilateral adrenal histoplasmosis in a diabetic patient and have reviewed similar cases reported from India. Ashitha et al. observed spontaneous rupture of ovarian cyst. Basith detected asymptomatic abdominal tuberculosis while performing diagnostic laparoscopy for the evaluation of infertility. Umakanth et al. successfully performed derotation gastropexy in a patient having chronic mesenteroaxial gastric volvulus. Foladi et al. describe joint preservation in a middle-aged man employing combined procedures that included proximal fibular osteotomy, microfracture of the cartilage lesion and administration of bone aspirate concentrate.
Deorari and Chandra have discussed various issues involved in equity and quality health care and various approaches in its delivery. They discuss the role of clinicians and nurses and the application of research. Quality assurance is of utmost importance, and it is the responsibility of all stakeholders to optimize the provision of health care.
We welcome comments and suggestions from our readers.