Objective: The study was to investigate antibiotic prescription patterns at outpatient departments

Objective: A comprehensive literature review performed to highlight the clinical and surgical aspect of chronic scrotal hematocele. Material and method: The National Library of Medicine database searched for relevant article using combination of key words: hematocele, scrotal hematocele, chronic hematocele up to January 2017, irrelevant abstracts excluded and articles reviewed from the clinical, radiological and pathological aspects. Results and discussion:Chronic scrotal hematocele presented as slowly progressing scrotal mass, differentiation from testicular neoplasm is difficult and, in most cases, only possible after surgical removal of the mass. High index of suspicion, especially in slowly growing scrotal mass in men older than 50 years, is required to diagnose this pathology and prevent unnecessary orchiectomy. Conclusion:Chronic scrotal hematocele is a rare pathologywith clinical and radiological characteristics similar to testicular tumor, carful patient history taken is crucial to help in proper management.

Tea is largest consuming drink in the world. Many health claims is attributed towards the tea due to its distinguished phytochemical array. Role of tea is well established as a neutraceutical and many studies elucidate its pharmacological worth. The objective of this study was to calculate the calorie content by determining total lipid, crude fiber, total protein and available carbohydrate contents and estimation of caffeine and niacin content in Bangladeshi teas. The lipid, crude fiber, protein and available carbohydrate contents of the tea samples were found to be in the range of 3.25-5.53, 10.15-15.41, 12.97-17.08 and 4.78-6.21 g/100g fresh weight respectively while calorie contents were found in the range of 83.54- 101.46 Kcal/100g fresh weight of tea. The total caffeine and niacin content in teas ranged from 1.31 - 3.58 and 0.038 – 0.056 g/100g fresh weight respectively. Tea leaf contained the highest amount of caffeine (3.58 g/100g) and niacin (0.056 g/100g). As tea has different health effects it is essential to estimate the update nutrient contents of tea.

This article deals with Yemen’s current pharmaceutical scenario and possible future challenges that it may face. The manuscript provides an overview of health services particularly pharmaceutical services and the critical health challenges facing the people of the country. Details included are statistical data with regard to the health of the Yemeni population and their demographic backgrounds following administrative issues, policy for the medicinal trade and production, the regulation and financing. The manuscript also deals with the government’s action about medicines, their procurement, and distribution in the public sector, and the public perception of medicines. Rational use of medicines is determined by the knowledge and attitude of the consumers. Future challenges are also anticipated. World health systems have been facing an incredible transformation to address new challenges with regard to the demographics, disease trends, the emergence and the re-emergence of diseases along with higher costs of health care delivery. This has led to a comprehensive review of health systems and how they function to serve the masses. Some health systems do not seem to adequately provide services that really matter to the people and some deteriorate, following governments’ lack of efficiency in supporting and extending the services. Other issues can also affect the ability of the health systems to deliver including health administration, healthcare financing, the lack of balance of the human resources, inaccessible and poor quality services and the impact of modifications and reform prevalent in other economic areas.

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