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Milk a natural rich lacteal secretion that provides all essential nutrients required by body. This study was designed to detect milk adulterants alongwth various physiochemical factors in milk sold in Quetta market. A total of 120 raw milk samples were collected hygienically and subjected to milk adulteration Kit (UVAS Lahore). Results revealed that overall, 11.66 % samples revealed adulteration with any single chemical adulterant. Water and powdered milk were the major adulterants found almost in all samples. On towns basis Zarghoon town samples were more adulterated (18%) than Chiltan Town samples (5%). Other parameters such as, Electrical Conductivity, pH, Fat percentage, Total Solids and Solid Not Fat were observed below than normal values in most of the samples. Adulterants like Urea, Hydrogen Peroxide, Sorbitol, Boric acid, Quaternary Ammonium Compound, Carbonate, Soap and Alcohol were not detected in any sample. However, Sodium chloride (1.66 %), Formalin (3.33 %), Hypochlorite (2.5 %), Starch (2.5 %) and sugar (4.16 %) were detected. This study explores the potential health hazard due to adulterated milk sold in retail outlets in Quetta market. There is dire need of regular monitoring of milk and its products by concerned food authority. These findings will help to build a concrete strategy to curtail this problem and improve the life standards of people.

The present study was designed to investigate the mycological contamination and aflatoxigenic potential of fungi isolated from the indigenous certified varieties of wheat. Surface spread method was used to determine mycological contamination whereas to determine the toxigenic potential of isolated fungi and screening of wheat grains for aflatoxin contamination thin layer chromatography was used. All the collected samples revealed fungal contamination however none of the fungal isolate showed aflatoxigenic potential. Similarly all the samples showed negativity for aflatoxin. It can be concluded that for human public health, cereal grains must be subjected to quality control and mycotoxicologicalexaminations.

This was a prospective study conducted in order to evaluate and compare pain scores through visual analogue scale, length of hospital stay and follow up in patients of benign renal disease and early renal malignancy. This study was conducted in the Department of Surgery, Batra Hospital and Medical Research centre, New Delhi. For the purpose of this study, a total number of 80 patients participated willingly after giving written informed consent. Out of these 40 were operated through open route and 40 patients underwent laparoscopic nephrectomy. Patients were grouped based on their route of surgery into open and laparoscopic groups. The comparison between them was made in relation to need for analgesia, hospital stay and convalescence. Follow up was done at 1 week, 4 weeks, 3 months and every six months so as to look for any delayed complications, chronic pain and recurrence in case of malignant disease. Female patients in the reproductive age group were more common in patients operated by laparoscopic route while as males were more common in open nephrectomy group. Laparoscopic group had lesser pain scores but on statistical analysis there were no signicant differences between the two groups. Mean hospital stay was (6.3 ±1.34) days in open group while as (4.2 ±1.22) days in the laparoscopic group. This study demonstrated that acute post operative pain scores were not different statistically between the two groups. Mean length of hospital stay was more in open group as compared to laparoscopic group. The cost of surgery was more in the laparoscopic group in comparison to open nephrectomy group. However, due to brief hospital stay, lesser morbidity, shorter convalescence and overall costs laparoscopic method was more useful in comparison with open route nephrectomy.

Background: Malrotation of gut presenting in adolescents and adults though rare but exists. Also its presentation is nonspecific. Hence its diagnosis needs high index of suspicion. Material and methods: This prospective study was done the of department of surgery SMHS hospital at GMC Srinagar over a period of 5.5 years from July 2012 to December 2017.The patients included all the adolescent and adult patients who proved to be cases of malrotation of gut on intraoperative visualisation. Results: During the study period of 5.5 years, a total of 14 patients with malrotation of gut (belonging to adolescent and adult age group) were recorded. Age of the patients ranged from 16 to 54 years with an average of 26.21± 11.15years (SD=11.149). Majority of the patients belonged to adolescent age group. Preoperatively CT (computed tomography) was done only in 4 patients, thereby making the diagnosis of malrotation preoperatively in these 4 patients. In all other patients, the diagnosis was made only after laparotomy (done for acute abdomen) and intraoperative visualisation. Ladd´s procedure was done successfully in majority of patients with two patients requiring resection of gangrenous small bowl with stoma formation. Conclusion: Malrotation of gut presenting in adolescents and adults is a rare phenomenon and also the symptoms are similar to several other abdominal pathologies, hence it represents a diagnostic challenge. Hence a high index of suspicion is needed to diagnose this rare entity early without undue delay, so as to avoid or limit further complications .Threshold for CT scan should be kept a little low in suspicious cases so as diagnose and intervene in time. Well trained senior person should be involved during the surgical intervention of this rare condition. Further studies and reporting is needed to get familiar with this rare condition. Key words: Malrotation; adolescents and adults; Ladd´s procedure; gangrene.