Smartphone use has become ubiquitous in modern society, with global users exceeding 6.8 billion individuals. Sustained Forward Head Posture (FHP) adopted during prolonged mobile phone engagement represents a significant public health concern, influencing musculoskeletal integrity, neuroendocrine function, and Autonomic Nervous System (ANS) homeostasis. This narrative review synthesizes contemporary evidence examining the biomechanical consequences of "text neck," upper crossed syndrome…

Background: Prolonged sitting with forward trunk flexion during mobile device use has emerged as a ubiquitous occupational and leisure-time behavior in contemporary society, with global implications for musculoskeletal health, metabolic function, and psychological well-being. The biomechanical consequences of sustained sitting posture, coupled with device-related behavioral patterns, create a multisystem physiological disruption affecting approximately 71% of the global…

Background: Cervicogenic Headache (CGH) is a symptomatic headache disorder originating from cervical spine musculoskeletal impairment in functional capacity. Complementary investigations, such as Intermittent Neuromuscular Technique (INMT) and nutrition-based interventions, may provide additional clinical benefits.

Objective: To assess and contrast the clinical effectiveness of INMT vs nutritional impairments prioritising nutrient consumption of…

Background: Cervicogenic Headache (CGH) is a symptomatic headache condition. Causing from, cervical segmental dysfunction, suboccipital muscle hypertoxicity and neuromuscular dysfunction. Non-invasive treatment including, physiotherapy, postural education, and pharmacotherapy treatment, is extensively utilizes, however complementary strategies, may improve outcomes. This systematic review assesses the comparative effectiveness, in Intermittent Neuromuscular Technique (INMT)…

A 71‑year‑old renal transplant recipient presented with progressive malaise, gastrointestinal symptoms, fever, anemia, and acute graft dysfunction following recent travel abroad. Initial investigations revealed Micro‑Angiopathic Hemolytic Anemia (MAHA), thrombocytosis evolving into relative thrombocytopenia, elevated inflammatory markers, and declining renal function. The diagnostic process was complicated by overlapping possibilities including infection, viral reactivation, drug toxicity,…

A term male neonate with moderate Hypoxic-Ischaemic Encephalopathy (HIE) developed persistent rectal bleeding and rising inflammatory markers during therapeutic hypothermia. Despite conservative management, he deteriorated with signs of colonic ischaemia. Imaging suggested segmental hypoperfusion centred at Griffiths’ point at the splenic flexure, a recognised colonic watershed zone. Emergency laparotomy revealed extensive non-viable colon requiring subtotal colectomy with end ileostomy.…

Background: Prurigo nodularis (PN) is a chronic inflammatory dermatosis characterized by severe pruritus and nodular skin lesions and disproportionately affects older adults. Although PN is traditionally conceptualized as a dermatologic condition, its associated sleep disturbance and psychological burden may be particularly relevant in geriatric populations.

Objective: This review synthesizes existing evidence describing sleep disturbance,…

A spontaneous inferior epigastric artery rectus sheath hematoma is a rare condition where bleeding occurs within the sheath of the rectus abdominis muscle, often due to damage to the inferior epigastric artery or its branches. We present an adult case of giant spontaneous left inferior epigastric artery rectus sheath hematoma with dramatic life-threatening acute abdominal emergency which was managed successfully by conservative management.

Keywords: Acute Abdomen;…

Objectives: To synthesise current evidence on congenital, developmental, infectious, neoplastic, and traumatic gynecological and breast lesions requiring surgical evaluation or intervention in girls from fetal life to 21 years, highlighting diagnostic pathways, operative indications, outcomes, and gaps in knowledge.

Design: Narrative review of published literature, clinical guidelines, and surgical series across pediatric gynecology, pediatric…

Benign ureteral polyps, also known as fibroepithelial polyps, can cause upper urinary tract obstruction by growing to block the flow of urine from the kidney. Fibroepithelial polyps are very rare benign lesions originating from the mesoderm. We have presented an interesting and unusual case who presented with recurrent right sided abdominal colicky pain and vomiting. During investigation was found an underlying cause of right sided abdominal intermittent pain at the right pelviureteric…