Twin pregnancy combining a complete mole and a normal singleton pregnancy with its own healthy trophoblast is a rare entity. The most formidable complication is the progression towards gestational trophoblastic disease. We report the case of a 29-year-old patient, primigravida, consulting for metrorrhagia with amenorrhea of ​​approximately 12 weeks. The pelvic ultrasound performed revealed the association of a complete hydatidiform mole and a normal singleton pregnancy.

A medical termination of the pregnancy was decided with first expulsion of a fetus with its trophoblast followed by expulsion of multiple vesicles of different sizes.

The evolution is marked by the decline of plasma BHCG until negativation after 10 weeks.

Obesity is a complex multifactorial condition that accumulated excess body fat leads to negative effects on health. Obesity continues to accelerate resulting in a pandemic that shows no significant signs of slowing down any time soon. Raised body mass index (BMI) is a risk factor for noncommunicable diseases such as diabetes, cardiovascular diseases, and musculoskeletal disorders, resulting in dramatic decrease of life quality and expectancy. The main cause of obesity is long-term energy imbalance between consumed calories and expended calories. Here, we explore the biological mechanisms of obesity with the aim of providing actionable treatment strategies to achieve a healthy body weight from nature to nurture. This review summarizes the global trends in obesity with a special focus on the pathogenesis of obesity from genetic factors to epigenetic factors, from social environmental factors to microenvironment factors.

Familial Mediterranean Fever (FMF) is an autoinflammatory autosomal-recessive disorder that is characterized by recurrent attacks of abdominal pains, fevers and serositis. It is highly prevalent among people from the Mediterranean basin including Arabs and Turks. However, due to the increase in migration worldwide, we start to recognize cases of FMF outside the Mediterranean region. We present the case of a 27-year-old Lebanese female residing in Zambia whose recurrent attacks constantly coincided with her menstruation. Due to the rarity of occurrence of FMF in regions such as Zambia, the coming up with the diagnosis was delayed and unnecessary interventions such as exploratory laparotomy were done. This case aims to highlight the importance of considering FMF and its potential triggers especially menstruation by the healthcare providers in non-Mediterranean areas to ensure timely recognition and management to avoid serious future complications such as amyloidosis.

In this opinion piece supported by empirical studies, the author will argue the significance of educating women on financial literacy, asserting its pivotal role in enhancing outcomes for both physicians and the healthcare systems within which they operate. It is well-documented that financial strain correlates with burnout among physicians and trainees, resulting in substantial losses in productivity amounting to millions of dollars. It is postulated that fostering financial empowerment in women may serve as a strategic intervention to mitigate stressors and consequently ameliorate overall well-being within the medical institutions.

Introduction: Missile injuries of the spine particularly the high velocity projectiles are very destructive, leading to real disaster and even death. The incidence has increased recently on both civilian and military troops.

The ideas behind writing this article is to shed the light on the seriousness of this type of injury and on the consensus for the ideal treatment depending on our local experience and others experience.

Materials and Methods: We review our patient’s files whom had missile injuries related to orthopaedic practice since the last 40 years in public and private hospitals and we also search the web looking for articles discussing missile injuries in orthopaedic practice. We collect complications that observed in our patients and reported in literatures to be mentioned in the results of this review.

Results: Missile injuries is the cause of 13-44% of all spinal injury. The cervical lesion is behind complete neurological deficit in 70% of cases. Almost all injuries are stable particularly in the cervical lesion provided that both facet and both pedicles remain intact. Probably pain is one of the commonest complications recorded. Bullets removed did not relieve the pain due to depression. Infection is very much expected after the dirty missile wounds. Neurogenic bladder and urinary tract infection are also possible, meningitis, bone infection, Charcot arthropathy and deformity are all possible. Lead intoxication is a late and very rare complication. The last rare but possible complication is the migration of the missile.

Conclusions: Gunshot injury to the spine is becoming more and more prevalent in both military and civilian practice. Probably the absolute indication for surgery is the progressive neurological deficit. A cover of antibiotic is mandatory. A careful search for the instability is mandatory and lastly, Steroids use in spinal missile injuries is controversial.

As a healthcare writer and patient advocate for almost 30 years, I read a lot.  Recently, some of that reading has been in court transcripts of doctors being persecuted out of medicine or into jail by DEA prosecutors and their hired “experts.”  I use the term “persecuted” intentionally.  I believe that many DEA or State Attorney General “medical experts” are simply “hired guns” – clinical predators paid large sums of money to tell stories whose details they do not actually understand.