Journal of Surgical Specialties and Rural Practice

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Many newborns and infants on exclusive breastfeeding who appear to be healthy report to the emergency room with a sudden start of intense intermittent crying lasting 2-3 days with no obvious clinical explanation. They may also have moderate gaseous distension of the abdomen, abdominal wall contractions, and the refusal to sip their mothers' milk on occasion. Because the onset is rapid and is linked with abdominal distension, a surgical aetiology is frequently explored. Because vomiting is almost never present, the potential of obstruction is ruled out. Even so, an ultra-sonogram is frequently performed to rule out surgical causes of intermittent intussusception. What should be done in this situation? It is necessary to obtain a complete food history from the mother. Surprisingly, in clinical practice, almost all of these instances have a history of the mother eating chicken, mutton, or another spicy food within 24–48 hours after the onset of these atypical symptoms. Around the world, different societies have distinct dietary restrictions for nursing women. Caffeine, spicy meals, raw foods, cold foods, and sikhye are the most commonly self-restricted foods among Korean women. Cold, hot, and spicy meals are traditionally suggested to Asian moms to avoid because they are bad for both the mother and the infant. Similarly, foods such as pork, green chilies, and tomatoes are prohibited among Hispanic mothers despite the lack of supporting evidence. According to the research, maternal dietary components are eliminated in breast milk, either partially or completely. Some are well tolerated, while others cause GI intolerance or allergic reactions in the newborns gastrointestinal tract. Breastfeeding intolerance is characterised by abdominal bloating, colic, indigestion, and a change in stool colour, texture, and odour. More evidence-based study on this topic is needed, and it should be done briefly to help parents relieve their anxiety and save out-of-pocket medical expenses by ruling out surgical causes or emergency hospital visits or admissions.

The population of India is 1.380 billion. Sixty-five percent of the Indian population lives in rural habitat. However, the healthcare facilities are largely concentrated in urban areas. The first peak of the COVID pandemic peaked in September 2020 gradually declining till mid-February 2021. Rural India has often travel to urban centers for treatment and disease management. The second wave started in March and peaked with a daily number ranging more than 400,000 till May 10th. It is now spreading into rural India. The culture of access to healthcare among rural populations is different from the urban areas. Facilities and infrastructure are also scarce as compared to the urban areas.

A holistic concept of providing regular health check-up, reinforcing their intent to a healthy and happy living, taking care of them with a day care center and communicating to their family members both in station and outstation every fortnight regarding their health status is the aim of the project. A benefit to community and forming a strong self-sustaining wise peer group who will turn into an asset than a liability for a community is the sole motto of the project. In the aforesaid context to create a geriatric-friendly society, this preventive geriatric care model was envisaged.

Snake-bite injuries are uncommon events but a significant number of cases are reported from rural areas. The basic principles of diagnosis and management of snake-bite injuries should be known to rural practitioners and prompt referral should be done in selected cases. The extremity bite may occasionally result in localized cellulitis and soft tissue infection that may complicate later into underlying bone invilement. Dislocation following the open wound in these setting is rare occurrence that needs proper knowledge for its diagnosis and management.

Coronavirus disease 2019 pandemic has affected more than 200 countries worldwide. It has caused complete lockdown in most of the countries due to its highly contagious nature. Aerosol generated during dental treatment can be a major source of human-to-human transmission. Management of oral health of pediatric population should address emergency as well as nonemergency dental problems. This article attempts to provide possible approach on identification and management of emergency, urgent, and nonemergency dental conditions. It also suggests various preventive measures toward the maintenance of oral health and hygiene of children.

Online since 31^st August 2020