Mucormycosis is a rare infection which is largely diagnosed in immune-compromised patients. The infection can cause pulmonary, rhinocerebral, skin and soft tissue, central nervous system, gastrointestinal and disseminated disease, with gastrointestinal involvement being the rarest presentation. Outcome and mortality of zygomycosis varies with the underlying condition and site of infection, it is however very high in general. Diagnosis is usually delayed and delay in initiation of amphotericin B treatment leads to poor outcome. We report rare case of a malnourished young adult who presented with gastric perforation peritonitis due to mucormycosis infection.

Introduction: Breast abscess is a localised collection of purulent material within the breast, which can be a complication of mastitis. In women of reproductive age, these are predominantly lactational but non-lactational abscesses are also seen in premenopausal women. Abscesses generally require drainage in conjunction with antibiotics. For the treatment of breast abscesses, surgical incision and drainage are usually carried out under general anaesthesia, as a traditional method. Aim: To compare conventional incision and drainage versus open drainage with primary closure with negative suction drain modalities of treatment of breast abscess in terms of different aspects including duration and quality of healing, number of dressings required, length of hospitalisation, postoperative complications. Materials and Methods: The present study was a randomised study conducted in the Department of General Surgery, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. There were 30 patients in group A undergoing open drainage with primary closure with negative suction drain and 30 patients in group B undergoing conventional incision and drainage. They were evaluated for the study period of 18 months, between October 2018 and April 2020. The data collected were analysed with Statistical Package for the Social Sciences (SPSS) version 17.0. Results: The incidence of breast abscess was more common in age group of 21-30 years with right side affected more than left side. Both the surgical procedures were comparable with each other in terms of incidence of recurrence. The primary closure group fared better with less incidence of postoperative pain (duration of analgesics requirement 2.40 vs 5.43 days), reduced hospital stay (3.63 vs 6.67 days) and dressings requirement was also less (2.33 vs 12.27 days) compared to standard incision and drainage drainage which were statistically significant. Conclusion: Hence, it can be concluded that open drainage with primary closure with negative suction drain placement can be considered as a safe and effective alternative to the standard incision and drainage in patients with breast abscess.

<p class="abstract"><strong>Background:</strong> The pleomorphic adenoma comprises 45-60% of all salivary gland tumors most often in parotid gland up to 80%. The association between the facial nerve and the gland is responsible for most of the technical difficulties and complications of the surgical approaches.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective observational study performed in a unit of General Surgery, Safdarjung Hospital, New Delhi from May 2011 to October 2019 of all patients who underwent superficial parotidectomy for pleomorphic adenoma of parotid gland. The data was tabulated and results made using SPSS 21.0 system.  </p><p class="abstract"><strong>Results:</strong> Male:female ratios are 29:33. Average age was 47.1 years (31-61). Average duration of disease was 2.2 years (0.3-5). 4 were operated for recurrence. Facial paresis occurred in 7 out of 62 patients (11.3%), 4 females and 3 males. 11 patients have tumor greater than 4 cm, out of these 11 patients 2 patients had pre-op facial paresis. Out of 51 patients (size &lt;4 cm), 2 suffered facial paresis and out of 11 patients (size &gt;4 cm), 5 suffered same. Out of 59 patients with depth of tumor &lt;2 cm, 4 patients had post-op facial paresis. All the three patients having tumor depth &gt;2 cm suffered post op facial paresis. Patients with pre-op facial nerve paresis had mean duration of tumor 3.35 year (±0.92) while with post-op facial nerve paresis had mean duration of tumor 2.99 year (±1.35).</p><p class="abstract"><strong>Conclusions:</strong> Meticulous separation of facial nerve from parotid tissue is key to preservation of the facial nerve. But factors like size of tumor, depth of invasion, previous surgery do affect the outcome in parotid surgery.</p>

The present study uses various statistical tools to understand the behaviour of PM 2.5 and PM 10 in the Kanjikode industrial area of Southern India. Annual PM 2.5 and PM 10 average concentrations in 2018–2020 were three times more than the World Health Organization–specified standards (5 and 15 µg m −3 ). The statistical distribution analysis suggested well-fitted lognormal and gamma distributions of 24-h average PM 2.5 concentrations and gamma distributions of 24-h average PM 10 concentrations. Trend analysis observed a notable monotonic increasing trend for 24-h average PM 2.5 concentrations with an increasing magnitude of 0.43 µg m −3 per annum. A downward trend was found for 24-h average PM 10 concentrations, with a decreasing magnitude of 0.2 µg m −3 per year. Extreme event analysis of PM 2.5 and PM 10 has provided the highest concentration levels expected in the coming 10 years, 193 and 165 µg m −3 , respectively, higher than the Indian National Ambient Air Quality Standards and considered a public health threat. The health risk assessment by AirQ + emphasized that more than 15, 34, and 27 premature deaths caused by total mortality in 2018, 2019, and 2020 could have been prevented if PM 2.5 concentrations in the Kanjikode industrial area did not exceed 10 μg m −3 . Statistical analysis and health risk assessment suggested adopting various constructive and multipronged approaches to reduce pollution levels and develop a health risk management plan in the industrial region. Supplementary Information The online version contains supplementary material available at 10.1007/s11270-023-06302-y.

is poor and on the verge of disintegration. The key figures in the service, the consultants, are being treated like serfs and the whole setup is reminiscent of a sinking ship. Moreover, the salary for tihese proposed coordinators was to be a consultant's starting salary. How could one offer less? A first-year full-time consultant like myself would find that the nine-to-five office worker was drawing the same salary with no clinical responsibility and the vaguest of notions of job description. Many of the applicants did not even know what the job enitailed. One