To reduce new leprosy cases with grade-2 disability, early diagnosis of the leprosy patients and searching for grade-1 disability should be routine procedure in our health system, for which thorough neurological examination along with appropriate preventive measures is the need of the hour.

This descriptive, cross-sectional study was conducted to assess the knowledge of and attitudes towards medical ethics among undergraduate medical students. It also looked at whether there was any improvement with additional years of medical education. 340 medical students of a medical college in West Bengal were given a semi-structured questionnaire that included questions regarding their awareness of ethics, their attitudes towards various issues in clinical ethics, and their knowledge of the code of medical ethics of the West Bengal Medical Council. The responses of 322 students were analysed by simple descriptive statistics. The students generally agreed that awareness of ethics was important. Lectures (54.7%) and books (47.8%) were their predominant sources of knowledge. Only 10.9 % were aware of the existence of an institutional ethics committee and 42.8% did not know its exact role. Their answers showed that the majority of students expressed mixed responses--both desirable and undesirable--in relation to questions exploring different aspects of basic ethical reasoning in their professional life. The most desirable response for each statement was decided by experts of forensic medicine and also from a literature study. Only half the respondents (50.9%) had a good score (61-70 out of a total possible 90) and 37.2% had a fair score (51-60). There was no increase in scores corresponding with additional years of medical education.

The opsoclonus-myoclonus syndrome is a distinct disorder characterized by opsoclonus, myoclonus, and ataxia, along with marked irritability and behavioral changes. Worldwide, data on its epidemiology, clinical features, and outcome are scarce. The aim of the study was to determine the clinical profile and outcome of children with this disorder. A retrospective study of all children admitted with a diagnosis of opsoclonus-myoclonus from 2000 to 2012 was done. Outcome was assessed on follow-up by direct assessment and by telephonic interview. Eleven patients with a diagnosis of opsoclonus-myoclonus were admitted over a 12-year period. Of the 11, 4 had paraneoplastic etiology. Children with paraneoplastic opsoclonus had more relapses and a poor outcome as compared to an idiopathic group. Paraneoplastic opsoclonus had a poor outcome in our experience.

Assessment of the anthropogenic impacts on bioavailability, mobility, immobility and toxicity of four micronutrients (Cu, Fe, Mn, and Zn) were carried out by Community Bureau of Reference (BCR) fractionation scheme in agricultural soils (n = 10) around Jharia coalfield, eastern India. The relative abundance of micronutrients was as follows: Fe > Mn > Zn > Cu. The enrichment factor was >1 for Zn (6.1) and Cu (1.8) near coal mining area indicated toward soil pollution due to coal mining activities and application of inorganic fertilizers. The I geo values of micronutrients were <0 suggest no pollution with respect to Cu, Fe, Mn and Zn. Correlation analysis showed geogenic origin of soil micronutrients and derived mainly from weathering of minerals present in the parent rock. The mean values of Cu, Mn and Zn were less than certified reference material indicating highly leached agricultural soils in the study region. BCR fractionation of micronutrients showed that a single element could not reveal all types of chemical reactions occurring in soil consortium.

The level of patients' satisfaction showed deficiencies in different issues of hospital services, which should be given utmost importance by the hospital management authority for betterment.