Background: Coronary Heart Disease (CHD) is widely prevalent across the globe and significantly high level of Cholesterol in circulation is a single major risk factor associated with coronary heart disease. It is well established that cardiovascular disease is associated with hypertension and elevated blood levels of low-density lipoprotein (LDL), total cholesterol, and triglycerides. In disparity, a low level of high-density lipoprotein (HDL) is a risk factor for mortality from cardiovascular disease. Aim: The present study was conducted with the aim to assess the lipid profile in patients of Acute Coronary Syndrome (ACS) undergoing coronary angiography (CAG) in rural coastal population. Patients and Methods: The present study was done on 62 patients with Acute Coronary Syndrome (ACS) undergoing coronary angiography (CAG) Serum levels of total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides were examined in biochemical laboratory of the hospital. Coronary angiography was performed for the presence of lesions. Results: 43.5% of the patients (n=27) were elderly (age>60 years). Approximately 82% of the patients (n=51) aged more than 50 years. Males outnumbered females with a ratio of 2.4:1. 71% of the patients were males.
Mean cholesterol levels were 177.86 mg/dl. Approx 3/4th of the patients (n=41) had cholesterol level <200 mg/Dl. Mean triglycerides levels in the patients were 158.29 mg/dl. Only 11 patients out of 62 CAD patients had abnormal triglycerides. Mean LDL level was 119.5 mg and Mean HDL level was 34.5 mg %. The high plasma concentration of low-density lipoprotein (LDL-C) in 30% and the low plasma concentration of high-density lipoprotein (HDL-C) n 33% of patients were important abnormal findings in our patients. Conclusion: Dyslipidemia as in form of very low levels of HDL cholesterol with comparatively high levels of LDL-c with near normal total Cholesterol and triglyceride levels associated with ACS in our rural costal region of Maharashtra.

Computerized tomography (CT) scan is the primary screening modality of investigations in head trauma victims[1]. Since 1971 when it was invented, CT scan has advanced significantly from time-intensive single-section scanning to multi-detector row CT[2]. Nowadays, rapid and accurate assessment of injuries in emergency departments is based on CT scans. Th ere is a high degree of difficulty in terms of causal link, between the injury and the death causing mechanism in patients, with multiple affections and head trauma[3]. [...]

Up to date, one of the most well-known and used classification for defining bile duct lesions belongs to Bismuth [1] and was later assumed by laparoscopic surgery as well. In this classification, the author is taking into consideration the remaining intact bile duct length and does not include bile collections that may arise from a bilistasis defect in the cystic duct or the liver bed, nor the lateral solutions of continuity of the main bile duct and right hepatic duct. These kind of iatrogenic injuries were initially reported only after classic cholecystectomy, and this is why, later, with the development and rise of the laparoscopic approach, Strasberg and Soper [2] modified this classification of accidental injuries inclu-ding these as well. [...]

Laparoscopic cholecystectomy is regarded as a safe procedure, which could allow only with great difficulty the possibility of unpleasant progression or intraoperative surprises [2]. Both findings are now able to allow in most cases an optimal therapeutic conduct and a most simple postoperative evolution, devoid of consequences. But, however, even with diagnosis establishment and surgical indication with maximum precision, such as a very advanced surgical technique, surgery further reserves the right to not always provide nor pleasant, nor easy to solve surprises [...]