Isolated common bile duct injury after abdominal trauma

We report the rare case of a self-inflicted stab injury involving the isolated common bile duct without any other vascular or visceral injury. A 35-year-old male with a history of self-inflicted stab injuries to the abdomen presented with features of localized peritonitis. Laparotomy revealed an isolated rent in the common bile duct which was repaired over a T-tube.     

Changes in biochemical contents of expressed breast milk on refrigerator storage

To determine the biochemical integrity of refrigerated breast milk for 96 hours at 4°C, a longitudinal observational study done with fresh milk samples. It is found that there were significant changes in pH, serum albumin and lactose concentrations in breast milk though within normal range.     

Congestive Heart Failure: An Uncommon Presentation of Systemic Onset Juvenile Idiopathic Arthritis (SOJIA)

Children with systemic onset Juvenile idiopathic arthritis (SOJIA) are known to develop myocarditis and congestive heart failure as a complication of disease process infrequently. Cardiac involvement causing congestive heart failure as a presenting manifestation in SOJIA is rarely described in the literature. The authors describe a case of an 11- yr- old boy with SOJIA who presented with congestive heart failure following active myocarditis, with the flare of the disease process. The cardiac manifestations, along with the disease activity were controlled with intensive immunosuppressive therapy.     

Effectiveness of a Cultural Stroke Prevention Program in the United States—South Asian Health Awareness About Stroke (SAHAS)

Journal of Immigrant and Minority Health - There are few stroke education programs focused on the South Asian population in the United States. The South Asian Health Awareness about Stroke (SAHAS)...