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I must congratulate Dr. Anand Somaya our guest editor for encouraging our readers, who I am sure, will diagnose more and more vascular diseases in their private practice after reading about how much good can be done to them by our modern vascular surgeons.

On page 507, ASN Kishan et al from KJ Hospital, Chennai remind all the clinicians not to forget the diagnosis of bezoars even in modern days because they always present bizarre medical problems.

Sclerotherapy is the standard treatment of varices. On page 514, Viral Patrawala et al from LTMG Medical College, Mumbai give us long term follow-up of 59 children in whom they performed the procedure in the Department of Gastroenterology. They show convincingly that this procedure is safe, useful and effective in preventing bleeding.

ASN Kishan et al again from KJ Hospital, Chennai. On page 524 , show that blood lactate and body temperature are good indicators of multi organ failure. In these days, when we have learnt from the Intensive Care Units that many patients develop multiple organ failure, this study if confirmed by other authors may prove to be extremely beneficial to an Intensivist.

On page 527, S Borwankar et al from Rajiv Gandhi Medical College report a sero-positivity rate of 19.48% in an outbreak of leptospirosis in Thane, Maharashtra. If their dipstick method can be cost-effective it could be recommended to more pathologists.

Chandrakant P Gosavi et al, on page 531 report the use of femoral nerve block to help positioning during conduct of regional anaesthesia. In patients, having fracture of the neck of femur who are usually high risk patients, this block seems to be impressive.

Although cancers are known to be genetic, on page 537, Agashe and Shrikhande give a review of the genetics of breast cancer which will be interesting to all practising surgeons.

Health problems in elderly population have been neglected in India. On page 543, HL Dhar discusses the role of Vedic medicine in elderly health.

Saluja et al from Mumbadevi Homoeopathic Hospital, Mumbai Claim to demonstrate tuberculous appendicitis in a patient having a mass of ileocaecal tuberculosis on page 571. Although it is worth knowing that tuberculosis can involve any organ of the body, the histopathology of the appendix could have thrown more light on this case.

On page 574, Ketan R Vagholkar et al from DY Patil Medical College report a case of papillary cystic neoplasm of the pancreas.

On page 580, Charu J Modi et al from BYL Nair Hospital present a very interesting case of a nasal schwannoma seen by them int he nasal cavity.

On page 595, in a case report Chandrakant Gosavi et al, report in detail preoperative preparation and anaesthetic management of a patient with haemophilia A, which should be read by all doctors who have a haemophilic patient.

And finally on page 598, the same authors again, have done a challengeable job as anaesthetists by carrying out anaesthetic management of an achondroplastic dwarf.

Sponsor-Dr.Reddy's Lab