Management of Diabetes during Fasting and Feasting in India.

Fasting and feasting are integral part of many religions and cultures. As the amount of food and fluid intake are markedly altered during these phases, patients with diabetes are prone to higher risk of complications. Even though several guidelines for fasting and feasting are available; Indian specific recommendations are the need of the hour, because of the distinct dietary habits and the diet content (high carbohydrate) of Indians. To fill this void, the current guidelines have been developed by experts from India who extensively reviewed the literature, shared their practical knowledge and ultimately arrived at a consensus.

Update on the Role of Imaging in Staging of Common Pediatric Abdominal Tumors.

Neuroblastoma, Wilms tumor, and hepatoblastoma are the most common pediatric abdominal malignancies. Management of these diseases is a multidisciplinary process that continues to evolve based on the results of international collaborative trials and advances in understanding of tumor biology. Each of these tumors has unique characteristics and behavior which are reflected in their respective staging systems. It is important for clinicians involved in the care of children with abdominal malignancies to be familiar with current staging guidelines and imaging recommendations. This article reviews the current role of imaging in the management of these common pediatric abdominal malignancies, with emphasis on initial staging.

A rare case of isolated single coronary artery, Lipton's type LIIB diagnosed by computed tomography coronary angiography.

Single coronary artery (SCA) is a very rare coronary artery anomaly of origin and course with a reported prevalence of only 0.024%-0.066% among patients undergoing routine coronary angiography. The majority of the individuals remain asymptomatic and thus SCA is found only incidentally on conventional or computed tomography coronary angiography done for other reasons. A minority of the patients may have non-specific cardiac symptoms (such as ischemic pain, tachycardia, etc.) or even sudden death. SCA can occur in isolation or in association with other congenital cardiac defects like such as persistent truncus arteriosus, tetralogy of Fallot (TOF), pulmonary atresia, transposition of great vessels (TGA), ventricular septal defect (VSD), coronary arteriovenous fistula (AVF), patent foramen ovale (PFO) and bicuspid aortic valve. We present a case of 50 years male with incidental finding of SCA arising from the left coronary sinus which had an inter-arterial course before branching (SCA Type: LIIB based on the Lipton-Yamanaka classification) which was revealed on computed tomography coronary angiography (CTCA) performed after the patient complained of infrequent chest pain. Management of the diagnosed cases can be either conservative, stent placement or surgical correction based on the symptomatology and clinico-lab findings.