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On page 572, Anahita Pandole et al from LTMG Hospital, describe a comparative study between Tramadol and Pethidine as a form of labour analgesia, which is a hot topic worth discussing with modern women, when they come for delivery. Their study shows that Tramadol is superior to Pethidine.

Jignesh Kansaria and SV Parulekar, from Seth GS Medical College, on page 576, describe the role of lignocaine jelly application to alleviate vaginal pain during first trimester MTP done under local anaesthesia.

Caesarean Section is being done more often than ever in private practice now. On page 579, Meghana Joshi et al from LTM Medical College, describe their .ndings to show whether Caesarean Section is for very low birth weight preterm babies.

Meenesh R Juvekar from KJ Somaiya Medical College, on page 596, has reviewed common ENT infections in India, though there are very few references to support this data.

On page 613, Minakashi Jambhulkar et al from LTMG Hospital, report an interesting case having obstruction of third part of duodenum due to tuberculous lymphadenitis. After reading this article, it will be worth remembering that in our country tuberculosis can present in any part of the body.

Hansen's disease should be treated vigorously because results are very satisfying. On page 616, Shukla and Dalal from BYL Nair Hospital, report a case of pregnancy in a patient of Hansen's disease.

Imperforate Anus should be looked for in every newborn baby. On page 618, Jamma and Ganpule from VM Medical College, Solapur, report a case of imperforate anus with recto vaginal stula in a 16 year old female.

Though CT cerebral angiography can on occasion miss the diagnosis of subarachnoid haemorrhage, at other times it can be so useful that conventional angiography is not required. The article 'CT Cerebral Angiography-Utility as a Screening Tool in Patients with SAH' by Bhatt et al from LTMG Hospital, on page 620 proves the point. Here they detected multiple intracranial aneurysms as the cause of subarachnoid haemorrhage.

Finally, patients having foreign bodies in the rectum, vagina and penis have been described before, but Punam Satpute et al from LTMG Hospital, on page 630 describe a case, where they recovered a linear foreign body from a paediatric vagina and describe how to remove such a foreign body without damaging the hymen.

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