Govani DR ¹ Mehta AR ² Midha PK ³ Govani ND ¹ Panchasara NG ¹ Patel RR ¹ Patel RV ^{1 *}

Multisystem presentations in adolescents often lead clinicians down fragmented diagnostic pathways. Chronic urticaria, multiple allergies, and micronutrient deficiencies are typically approached through immunological or nutritional frameworks, while gastrointestinal dysmotility is often siloed within gastroenterology. This case highlights the diagnostic complexity and systemic interplay between immune dysregulation, nutritional compromise, and colorectal motility disorder in a teenage girl…

Chi Xu ¹ Runbo Jia ¹ Jianen Fang ¹ Ningning Jia ¹ Yingying Zhao ¹ Shi Yin ^{1 *}

As a major agricultural province, Hebei boasts abundant agricultural cultural heritage resources, currently housing 3 globally important agricultural cultural heritage sites and 5 nationally important ones in China. This paper conducts an in-depth analysis of the current operational status of the agricultural cultural heritage system in Hebei, identifying such issues as the absence and fragmentation of institutional content, impeded implementation mechanisms coupled with a lack of…

Zaparackaite I ¹ Govani ND ² Singh H ³ Singh SJ ⁴ Mehta AR ⁵ Midha PK ⁵ Patel R ² Patel RV ^{2 *}

Objectives: To synthesise and critically examine the most urgent global challenges facing Emergency Medicine (EM), including system pressures, workforce vulnerabilities, climate‑related threats, conflict‑driven emergencies, infectious disease risks, inequities in access, and gaps in digital and research capacity. The review aims to identify cross‑cutting determinants and propose system‑level strategies to strengthen resilience and equity in emergency care…

Govani DR ¹ Mehta AR ² Midha PK ³ Govani ND ¹ Panchasara NG ¹ Patel R ¹ Patel RV ^{1 *}

Wilms Tumour (WT) is the most common renal malignancy of childhood, typically occurring sporadically. Familial WT accounts for fewer than 2% of cases and often involves germline predisposition syndromes. Metachronous WT in siblings - particularly when one sibling previously presented with bilateral synchronous disease - is exceptionally rare. We report a case of a child presenting with unilateral WT whose older sibling had been treated several years earlier for bilateral synchronous WT. This…

Zaparackaite I ¹ Govani ND ² Singh H ³ Singh SJ ⁴ Mehta AR ⁵ Midha PK ⁵ Patel R ² Patel RV ^{2 *}

Objectives: To investigate and explore conceptual, diagnostic, and therapeutic intersections between Ayurveda, conventional medicine, biomedicine, and other modern health sciences in the understanding and management of Colorectal Motility Disorders (CMDs), including chronic constipation, slow‑transit constipation, Irritable Bowel Syndrome with Constipation (IBS‑C), and pelvic floor dyssynergia. To synthesizes Ayurvedic principles with modern health sciences to propose an…

Zaparackaite I ¹ Govani ND ² Singh H ³ Singh SJ ⁴ Mehta AR ⁵ Midha PK ⁵ Patel R ² Patel RV ^{2 *}

Objectives: To synthesize current evidence on radiological imaging modalities used in the assessment of Hirschsprung’s disease (HD), its variants, pseudo-Hirschsprung’s conditions, and colorectal motility disorders, highlighting characteristic findings, diagnostic pathways, and interventional procedures.

Design: Narrative review of radiological techniques and their diagnostic utility in congenital and acquired colorectal dysmotility…

Venkata Sujatha Vellanki ^{1 *} Ravi Kanth Kongara ² Sarath Gillellamudi ³ Udaya Lakshmi K ⁴ Anupama Mikkilineni ⁵

Ovarian collision tumors are rare entities where two histologically distinct neoplasms coexist in the same ovary without interaction, often mimicking malignancy. Fertility-sparing surgery is crucial in young women. We present a unique case of a 25-year-old woman with progressive abdominal distension. Imaging revealed a large complex mass. Laparoscopic fertility-preserving surgery uncovered a 30 cm serous cystadenoma and a 5-7 cm mature cystic teratoma in the right ovary, along with a 4x5 cm…

Sumathi Senthilkumar ^{1 *} Virushnee S ¹ Raeshmi R ²

Background: Ovarian torsion (OT) is a rare but significant gynaecological emergency that requires prompt diagnosis and intervention to preserve ovarian function. It results from the twisting of the ovary and fallopian tube around the vascular pedicle, leading to ischemia and potential necrosis. In pediatric patients, OT is particularly challenging to diagnose due to its nonspecific clinical presentation, often mimicking other causes of acute abdominal…

Z. Skalli ^{1 *} F. Bentiss ²

Introduction: Central venous catheter thrombosis is a frequent complication in hemodialysis responsible for catheter dysfunction which most often requires its removal and the insertion of a new catheter.

Objective: To develop an effective preventive strategy for thrombosis of central venous hemodialysis catheters.

Material and Methods: We carried out a tri-centric prospective study concerning the prevention of…

Zaparackaite I ¹ Govani ND ² Singh H ³ Singh SJ ⁴ Mehta AR ⁵ Midha PK ⁵ Patel R ² Patel RV ^{2 *}

Objectives: To synthesise the applied clinical anatomy of gastrointestinal vascular supply with emphasis on watershed zones, circumferential perfusion patterns, and mechanisms of vascular compromise. The review aims to provide surgeons and clinicians with a practical, anatomically grounded framework for understanding perfusion vulnerability, intraoperative decision-making, and the pathophysiology of ischemic injury.

Design: Narrative review…