Material and Methods Study design and periodThis cross-sectional study was carried out during the period January 2010 to December 2011 at M. M. Institute Of Medical Sciences and Research, Mullana. A total of 216 suspected cases of extra pulmonary

Introduction:Metabolic syndrome (MS) is a state of deranged metabolic and anthropometric status. It is considered a precursor to various cardiovascular and metabolic diseases.Objectives:(1) To determine the prevalence of MS in adults aged 20 years and above in the rural area of Ambala district, Haryana. (2) To determine the sociodemographic factors associated with MS.Materials and Methods:In a community-based cross-sectional study, a total of 1200 subjects aged 20 years and above were studied, using multi-stage random sampling.Results:The prevalence of MS was estimated by using criterion given by the International Diabetes Federation. MS was found in 110 (9.2%) subjects, being more prevalent in females: 73 (66.36%) when compared to 37 males (33.63%). Sedentary occupation and age were significantly associated with MS.Conclusions:MS is a major health problem in the region and it should be given proper attention in order to prevent and control it.

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Nosocomial infection constitutes a major public health problem worldwide. Increasing antibiotic resistance of pathogens associated with nosocomial infections also becomes a major therapeutic challenge for physicians. Thus, the aim of this study was to identify post operative bacterial infections in the patients developing surgical site infections at a tertiary University hospital in North India during July 2013 to Dec 2013. Methods: One hundred and ninety six swabs/pus specimens from various types of surgical sites suspected to be infected on clinical grounds were processed, by standard methods and antibiotic susceptibility testing of all the isolates was done by using Kirby Baur disc diffusion technique. Results: Of the one hundred and fifty-eight organisms isolated, the most common was Staphylococcus aureus (27.8 %), followed by Escherchia coli (24.05 %), Klebsiella pneumoniae (13.29 %), Pseudomonas aeruginosa (6.32%), Klebsiella oxytoca (5%), Enterococcus (5.6%) and other miscellaneous gram negative rods (9.4%) and Streptococcus pyogenes (1.30%). About 50% of the Staphylococcus aureus isolates were found to be methicillin resistant. In case of Escherichia coli, more than one-third of the isolates were found to be ESBL producers. The resistance to third generation cephalosporins and the quinolone ciprofloxacin was also quite high. Other isolates also showed a very high level of antibiotic resistance. Conclusion: In addition to the economic burden for antibiotic treatment, such infections for multi-resistant organisms are a serious threat to our surgical patients. To prevent these happenings, there is ar urgent need to adopt basic principles of asepsis and sterilization and to make judicious use of prophylactic and therapeutic antibiotics and determine current antimicrobial resistance to commonly prescribed drugs.

Telemedicine is the solution to the problem of delivery of health services in far fledge areas. It is the use of computers and automated data to deliver technologies and promote healthcare when the patients are located far away from the professionals.  Its future looks bright with more widespread acceptance by more medical professionals and patients in different forms. There has to be a smart balance between technology and the human intelligence. However, telemedicine cannot be the panacea and surely cannot replace old fashioned medicine everywhere especially emergency medicine. More measures are required to make this change more successful and acceptable.