No abstract

Monkeypox virus was named so because of its detection in monkeys in 1958. It belongs to the same family as smallpox and chickenpox viruses. There had been numerous outbreaks of this malady initially in the African continent and other parts of the world. The simultaneous spread in nineteen countries in 2022 has raised some serious concerns. Monkeypox is no more a rare disease and has the potential for bioweapon use. We discuss the various ways to prevent its spread, treatment options available, diagnosis, and differentiation from other closely related diseases. We also discuss if the present outbreak could be a bioattack or if this disease is here to stay. The literature suggests that we can effectively manage Monkeypox because of the availability of drugs and vaccination against smallpox. There is also a need for active surveillance against the new resistant recombinant viral strains. The possibility of this outbreak being a bioattack seems remote, although there are questions about the transmission which still need to be answered.

Monkeypox virus was named so because of its detection in monkeys in 1958. It belongs to the same family as smallpox and chickenpox viruses. There had been numerous outbreaks of this malady initially in the African continent and other parts of the world. The simultaneous spread in nineteen countries in 2022 has raised some serious concerns.Monkeypox is no more a rare disease and has the potential for bioweapon use. We discuss the various ways to prevent its spread, treatment options available, diagnosis, and differentiation from other closely related diseases. We also discuss if the present outbreak could be a bioattack or if this disease is here to stay.The literature suggests that we can effectively manage Monkeypox because of the availability of drugs and vaccination against smallpox. There is also a need for active surveillance against the new resistant recombinant viral strains. The possibility of this outbreak being a bioattack seems remote, although there are questions about the transmission which still need to be answered.

The hip is a stable ball-and-socket joint. Bilateral anterior dislocations of the native hip joints account for fewer than 1% of all dislocations. We present a unique case of a bilateral anterior dislocation in a patient who presented to our institution within 6 hours of trauma. The dislocations were promptly reduced under propofol anesthesia in the operating room. The patient did not suffer a concurrent fracture. After the procedure, we performed regular X-ray examinations for 2 years to rule out the development of avascular necrosis of the head of the femur. The course of the patient was unremarkable.

Bone is a dense, mineral-rich tissue with organic components. Implants such as plates and nails are used to reconstruct fractures. In orthopedic surgery, broad-spectrum of drills ranges from pneumatic to battery-operated to electric drills. Each drill has its own set of benefits and drawbacks.Though the standard of care, the orthopedic battery drill, and pneumatic drills are costly, the expense of maintenance is too high. Orthopedic surgeons frequently employ alternatives such as the Bosch battery drill and a corded electric drill in developing nations. These drills are inexpensive, but they cannot be used for reaming. Furthermore, some models have a constant speed, making them difficult to utilize for reaming.We offer drill modifications to control the speed and use it for reaming. The literature has abundant evidence to dismiss misconceptions concerning electric drill overheating and bone thermal necrosis. There are multiple scientifically documented methods for effectively sterilizing an electric drill. Due to its affordability and ease of maintenance, our innovations, such as speed control and drill cannulation, enable us to adopt it for most trauma surgeries, particularly in developing nations.