Delay in initiation of reperfusion therapy (thrombolysis or primary Percutaneous Coronary Intervention) has been shown to be the detrimental factor of worsened outcome from ST elevated acute myocardia infarction. The data on the actual delay in initiation of reperfusion therapy in India is sparse. This study was designed to assess the various factors responsible for the delays in starting reperfusion therapy in patients presenting with ST elevated acute myocardial infarction. The results of this study indicate that a large portion of the delay was prehospital delay from the onset of angina pain to patient visiting the hospital. Factors responsible for this delay, which are totally preventable, were difficulty in arranging transport, lack of patient education and late recognition of symptom or its severity. This study also noted that there was a significant delay in hospital-door to ECG and hospital-door to thrombolytic or balloon angioplasty as well. Understandably, higher literacy level in urban patients (78.6%) played a major role in urban patients coming to hospital for treatment more than their rural counterparts.

COVID-19 caused by SARS-CoV2, which emerged in the city of Wuhan in December 2019 has shook the entire world. Millions have been reportedly infected with the gruesome virus which has claimed numerous lives and has no cure yet. However, this has brought attention to the increasingly spreading zoonoses. Lately, news of an outbreak of Brucellosis has spread on news and social media, leaving a wave of apprehension among the people around the world. Since, there is no vaccine for brucellosis, there is a need to be spread information about it among the masses to aid in its prevention. This paper sheds light on the characteristics of brucellosis and its potential to spread across the world.

Acute emphysematous pyelonephritis is a necrotizing and suppurative infection of the renal parenchyma and perirenal tissue with in situ production of gas of bacterial origin. This is a rare disease, occurring preferentially in diabetics and its mortality is hight. Our study aims to highlight the clinical and paraclinical characteristics as well as the particularity of therapeutic management of this pathology. We analyzed the medical files of patients treated for treated in the Department of Urology A; of the CHU IBN SINA Rabat between 2005 and 2020. For each medical file we specified clinical, paraclinical and therapeutic characteristics as well as the evolution after treatment. The treatment of those patients can typically be divided into medical management, medical management plus endoscopic or percutaneous drainage, and emergency nephrectomy. Nevertheless, given that there are very few guidelines or treatment algorithms, there is no consensus on the mana- gement of patients with emphysematous pyelonephritis.

Background and objective: One of the greatest challenges for the orthodontist is to select the correct ligation system to get optimum results. Ligation method refers to the means by which an arch wire is held inside the bracket. Recently developed ligation methods have been designed and built directly to brackets. The purpose of this study was to evaluate the effects of different ligation systems on arch expansion, incisor inclination and with regard to treatement duration in patients with mild to moderate crowding in maxillary arch. Materials and methods: Sixty patients were selected from a pool of patients amenable to non-extraction treatment in maxillary arch and those who satisfied other inclusion criteria. Patients were randomly allocated to three different ligation systems with equal sample size of 20 each. The model cast were evaluated for assessing maxillary arch changes, incisor inclination, and arch expansion. Analysis of covariance (ANCOVA) was used to compare the influence of the 3 bracket systems. Results: We found that the type of bracket had sgnificant effect on many of the transverse dimensional changes in maxillary arch No statistical significant difference in incisor inclination changes. The use of passive or active self-ligating bracket reduces the treatment duration. Conclusion: Non extraction treatment of crowding in maxillary arch with different ligation methods showed that compared to conventional system use of self-ligation bracket might be mechanically more efficient and had greater magnitude of expansion.