Abstract: Freedom of conscience is one of the fundamental rights of people, because it implies the human freedom and dignity that are above the State. This paper seeks to ponder on the right of objection and the bioethics in medical practice, as well as the way there are other aspects to be considered such as the Universal Declaration of Human Rights, the Official Mexican Regulation 046 (NOM-046-SSA2-2005) and the own right to conscientious objection.

Abstract: Laparoscopic sleeve gastrectomy is a very common operation done on obese patients who hope to reduce their weight and cure metabolic syndrome illnesses such as diabetes mellitus type 2 and dyslipidemia. This technique is being widely used for treatment of diabetes. The effectiveness of laparoscopic sleeve gastrectomy in curing diabetes mellitus was studied on Arab population. We assessed 400 obese patients who underwent laprascopic sleeve gastrectomy from 2011 to 2017 in King Fahd General Hospital in Jeddah, KSA. Out of the 400 patients 93 had diabetes mellitus type 2, which were included in this study. All patients showed an improvement in their body weight, body mass index and fasting blood glucose, however a few patients still showed elevated blood glucose levels after their operations. Based on our results we can conclude that laparascopic sleeve gastrectomy was effective in improving the conditions associated with diabetes mellitus type 2 among local population.

Abstract: This research tries to describe jamu ‘herbal medicinal’, tamba ‘medication’, and ritual ‘ritual’ to overcome various diseases and health problems in traditional Javanese medicine using anthropological linguistic approach by qualitative research design. The data collection by participant observation and interview. The results of this study concluded that jamu to maintain health and overcome the types of natural diseases, tamba to overcome a natural diseases, and ritual to overcome an unnatural diseases. Jamu ‘herbal medicinal’ can be distinguished by (1) materials ---plants, animals, natural substances other than plants and animals, (2) tastes ---sweet, bitter, spicy, salty, and (3) types ---jalu usada ‘men medication’, wanita usada ‘women medication’, triguna usada ‘men, women, children medication’, rarya usada ‘children medication’. Tamba ‘medication’ includes (1) tamba njaba ‘external medication’ ---outside patient’s body; (2) tamba njêro ‘internal medication’ ---inside patient’s body; (3) tamba njaba njêro ‘external and internal medication’ ---outside and inside patient’s body’. The ritual ‘ritual’ for healing unnatural diseases which is related to the supernatural world. In addition, there are also rituals to deal with the pagebluk ‘plague’.

Abstract: Tonsillitis is one of the most widely conditions that recurrently affect children in all ages during the childhood. The overall management of tonsillitis is complicated in regard to causes, specific diagnosis and appropriate treatment measures. Therefore, the aim of this review was to highlight the tonsillitis in children with particular stress on the diagnostic and treatment measure that are currently used to deal with pediatric tonsillitis. In conclusion, Bacteria is still the most causative agent with widely used antigen tests for confirmation. Tonsillectomy is still one of the most frequently performed surgical interventions in children.

Abstract: Hairy cell leukaemia (HCL) is a rare lymphoproliferative disorder. Common mode of presentation is the sequelae of bone marrow failure and its complications. Here we report a patient with an extremely rare presentation of recurrent mono arthritis with pancytopenia which preceded months before the diagnosis of HCL, which was confirmed on a subsequent bone marrow examination. Inflammatory and degenerative aetiologies for monoarthritis were excluded. His joint related symptoms subsided on specific treatment for HCL.

Abstract: Introduction: India has a sizeable child population. The 2011 census in the first one in many decades which counted less absolute number of children in the 0-6 years age group compared to 2001 census count of 164 million children, there were 159 million children in 2011. Materials and Methods: A cross-sectional study was conducted in the rural field practice area of Rama Medical College situated around 10 km away from Hapur. A total of 300 under six children were approached for conducting the present study, of which 296 were interviewed and selected for the study. Results: Out of 296 children 108 (36.4%) children were exclusively breast feed. Further it was observed that majority i.e. 63.43% of the children were normal in whom exclusive breast feeding was practiced. It was observed that out of the 274 fully immunized for age children a maximum i.e. 144 (52.55%) were normal. Maximum i.e. 6 of the unimmunized children were under nutrition. Majority of the children were less than 24 months of age, number of female children were slightly higher than male children. Majority of the children were Muslims followed by Hindus and only one child was Christian. Maximum number of children belonged to class IV followed by class III socio-economic class, according to modified Kuppuswamy classification. Discussion: According to occupation of the father and nutritional status. Majority of the fathers were involved in unskilled occupation or semiskilled occupation i.e. 60.13%. Unemployed fathers had a higher proportion of under nutrition children 58.33%, followed by fathers involved in unskilled /semiskilled work 151.4%. Fathers involved in semi professional/professional occupation had maximum proportion of normal children 77.78%. Conclusion: Majority of the children belonged to nuclear type of family. The literacy percentage was slightly higher in fathers than in mothers. Majority of fathers were labourers followed by clerical work or owned a shop while most of the mothers were housewives and only few of them worked as teachers or lectures. Maximum children were delivered in hospital. Majority of them had normal birth weight. Maximum children belonged to birth order one. Faulty feeding practices were also observed in this area. Primary Immunization was 92.5% in the study area with small percentage of children not being completely immunized.