Health records have played an increasingly important role throughout history as an important legal document for the exercise of Individuals' rights. However, domestic Legislation fails to define health records as a legally important collection of health data and documents. Recording Facts and storing legally important documents are therefore the Tasks of the operator. Using the prescriptive method we will determine which laws are governing the management of health records, their safety and accessibility. Based on the descriptive method we will describe the process of handling health records by the provider of health treatment, Focusing on Regulatory Gaps exposed and the area of the protection of the rights of an individual. Through the analysis of the laws governing the management of health records, even after death and operator terminating the service, we will carry out inductive reasoning and Provide Conclusions Regarding the Attitude towards health records. Considering Different results we can conclude that health information, especially relevant documents to the protection of individual's rights, are not transparent. Above all, the documents and the collection are not properly, this allowing for their removal. Even the transfer of health records by the provider of health treatment is not defined which could result and the disposal of the entire health documentation. From the research, it appears that all democratic countries that respect the rights of patients to adopt a legal document, which requires the documentation and processing of health data. The reasons for the necessity of regulating this field are the subject of the article.

Colostomy is a common procedure in children and may be attended by many complications. The aim of this study was to review the complications of colostomy formation in a consecutive series of infants and children with a disorder necessitate formation of colostomy. A prospective study of complication associated with the formation of colostomy in children between May 2011 and April 2013, at the Khartoum Teaching Hospital, Khartoum, Sudan. There were 88 children, their mean age was 9.96 months (Range: 1 day to 7.8 years). The male to female ratio was 3.6:1. The indications for colostomy were Hirschsprung's disease in 46 (52.3%), anorectal malformation in 37 (42%) and severe perineal trauma in 1 (1.1%). Complications after colostomy formation were encountered in 28 (31.8%) patients and the commonest complication was stenosis 10 (11.4%), followed by skin excoriation 4 (4.5%) and obstruction 4 (4.5%). A significant number of colostomies in children is constructed largely due to Hirschsprung's disease. In spite the improvement in surgical practice in our environment, the incidence of complication following colostomy in pediatric still high.

“Drug – induced” or “medication- related” forms of enteropathy are known to result in alterations in small intestinal architecture and function causing “sprue- like” mucosal changes, diarrhoea and malabsorption. Many drugs are proved to induce these changes and these include chemotherapeutic agents like colchicine, vincristine, and immunosuppresants like methotrexate, azathioprine, mycophenolate mofetil [1]. Several cases of villous atrophy following use of immunosuppresants are reported. But, literature search revealed only two cases of intestinal villous atrophy secondary to methotrexate [2]. We present this third case of sprue- like syndrome secondary to methotrexate treatment in a psoriatic patient

The Government of India has made primary health centres institutions to provide primary health services for rural and tribal sectors. But shortcomings in the delivery of health care services has resulted in lesser utilization rates. Patients perception about quality of care often determines whether they seek and continue to use services. The aim of this study was to determine the common motivators for the OPD attendees to come to the RHTC for health services and to record the perception regarding the quality of health care received from the OPDs of the RHTC. A cross-sectional study was carried out in Rural Health Training Centre(RHTC) of the Department of Community Medicine, J. N. Medical College , A.M.U., Aligarh. The patients attending the OPDs of RHTC, above the age of 21 years were selected for the study. The study period was of 2 months: August-September, 2013. A total of 200 patients were selected for the study. Data was collected using a pretested semi-structured questionnaire. Informed consent was taken from the study subjects. The data was analysed by using SPSS software. Most of the patients came to RHTC because of free drugs supply(94%) and because the centre was near their house(88%).75% of patients had faith in doctors and staff of RHTC and 73% believed that health information provided was satisfactory. More than half of patients came directly to RHTC. One -fourth of the patients under study went for village level practitioners before attending the OPDs of RHTC. Few went for some other institution and very few believed in home remedy only. 60% were happy with the treatment received at OPD, 30% were partially happy and 10% were indifferent. One of the measures of the quality of health care is by assessing client satisfaction. There is a need for interventions in terms of time spent at the facility, which would promote good customer-focussed service delivery. As we are providing facilities for preventive and curative health care delivered at the doorstep of the people, it is important to ascertain the level of utilization and reasons for non-utilization