Objective: To evaluate first-trimester mean platelet volume as an early screening marker for predicting pre-eclampsia. Design: Prospective observational study. Subjects/Patients: 150 pregnant women wi

Objective: To investigate the prevailing knowledge-practice gap and determinants regarding breastfeeding among mothers attending a tertiary care facility in Patna, Bihar. Study design: A Cross-section

Introduction: Pediatric metabolic screening is governed by a weight-centric dualism that prioritizes obesity while overlooking cardiometabolic risks in undernutrition. While obesity-related dyslipidem

Background: Acute pancreatitis (AP) is a common inflammatory condition with variable severity, ranging from mild self-limiting disease to severe forms with significant morbidity and mortality. Early p

Background: Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy with survival rates approaching 90%. Hypertension is an increasingly recognized complication during induction che

Background: Coronary artery bypass grafting (CABG) is the standard surgical treatment for multi-vessel coronary artery disease (CAD). Although EuroSCORE remains the principal perioperative risk strati

Introduction: Assessment of the level of consciousness is essential for prognostic stratification in comatose patients. The Glasgow Coma Scale (GCS) is widely used but has recognized limitations. The

Background: Geriatric anesthesia is challenged by "homeostenosis"—a progressive decline in functional reserve. In resource-constrained regions like Odisha, localized audits are essential to bridge the

Background: Electrolyte disturbances are common complications in patients with traumatic brain injury (TBI) and may contribute to secondary brain injury and poor outcomes. However, their temporal patt

Background: Traumatic skull fractures are a common consequence of head injury and remain a major cause of morbidity and mortality, particularly in low- and middle-income countries where road traffic a

Background: Thoracolumbar spine injuries constitute a major cause of trauma-related neurological disability worldwide, yet regional clinical data from low-resource settings remain limited. Objective:

Background: Gynecological laparoscopic surgery can be performed under spinal anesthesia (SA) or general anesthesia (GA). Evidence comparing perioperative outcomes between these techniques is limited,

Background: One of nature's simplest and most powerful mechanisms to start breastfeeding is the "breast crawl"; a newborn's reflexive movement onto the breast after being placed skin-to-skin on the mo

Background: Inguinal hernias are among the most frequent conditions encountered surgically worldwide. It is hypothesized that body mass index (BMI) is involved in the occurrence and distribution patte

Objective: Interest in off pump technique has markedly expanded in recent years. It has been shown that peroperative complications and mortality rates are reduced with the off-pump coronary bypass gra