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EDITOR'S CHOICE

There has always been a feeling amongst the medical fraternity that varicocoele surgery is not helpful in majority of the patients of oligozoospermia. On page 107, SJ Kore et al from LTMG Hospital present their results on 'Varicocoele Ligation in Oligozoospermic Infertility' and show that in 47% of the patients there was a significant improvement in the sperm count and in 82% of the cases, sperm motility returned to normal after the operation.

Deficiency of vitamin B12 is often seen in vegetarians because B12 is present mainly in nonvegetarian food items. On page 110, SR Kankonkar et al from Bombay Hospital Institute of Medical Sciences present their data in their 'Study of Vitamin B12 Deficiency in Different Diseases'. They have shown in their series that the deficiency was 3.35 times more common in vegetarian patients as compared to that in non-vegetarians.

Sanjay Rao et al from LTM Medical College, in their article 'Medical Interventions in Puberty Menorrhagia' on page 121, stress that after excluding pregnancy in every case irrespective of the history, reassurance, counselling, regular follow-up along with a balanced nutritional diet and long term iron therapy go a long way in successful management of puberty menorrhagia cases.

Anahita Pandole et al from LTMG Hospital, in their article on 'Transcutaneous Electrial Nerve Stimulation for Labour Analgesia', on page 127, show that transcutaneous electrical nerve stimulation in labour is more effective in first stage of labour as compared to second stage of labour. There is no significant correlation between APGAR score and duration of TENS use.

SJ Kore et al from LTMG Hospital, on page 146, in their article 'Attitude, Knowledge, Beliefs about HIV/AIDS in College going Adolescents' conclude that knowledge and awareness about HIV/AIDS is grossly inadequate. There is immense need to conduct awareness programmes about HIV/AIDS at school, college and community level.

Vijay Potey from Shri VN Government Medical College, Yavatmal, on page 181, describes an unusual 'Colorectal Foreign Body in a Previously Treated Case of Rectosigmoid Perforation'.

Usually the haemangiomas of the spleen rupture spontaneously and present as an acute abdomen. Shilpa Rao et al from Nair Hospital, on page 184, present a case report of 'Multiple Haemangiomas of the Spleen' without any rupture.

Vijay Potey and Girish Jatkar from Shri VN Government Medical College, Yavatmal, on page 191, present a unique case report of 'Multivesicular Mediastinal Hydatid Cyst' without associated pleuropulmonary hydatidosis. Hydatid disease is quite common in our country.

Gustad B Daver et al from Grant Medical College on page 193, present a case report of 'Isolated renal Echinococcosis', while on page 218, Ketan Vagholkar et al from Dr. DY Patil Medical College present a case of 'Disseminated Intra-abdominal Hydatid Disease' which occurred following rupture of a hydatid cyst of liver.

Oesophageal achalasia is an unusual lesion in childhood and even more rare in infancy. On page 201, S Roy Choudhury et al from Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi present a case report of 'Achalasia Cardia in an Infant'.

Threadworms are extremely common in our population. On page 207, Arshad Khan et al from Grant Medical College and JJ Group of Hospitals present a very unusual case of 'Small Bowel Gangrene' which was due to threadworms.

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