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I am delighted to write the editorâ€™s desk for this issue of the IOG Journal after the successful culmination of the IOG Dr. Stya Paul Awards 2015. The oration lecture, at the IOG Dr. Stya Paul Awards ceremony, on the 'Current Treatment in the Medical Management of Endometriosis' was delivered by Prof. Ian Fraser, Conjoint Professor, University of New South Wales, Sydney, Australia who has been instrumental in inventing 'Palm Coein' approaches for AUB classification (FIGO). The complete report of the award function has also been presented in this issue.
Endometriosis continues to be an enigmatic disorder inspite of extensive research on it throughout the world. Its diagnosis can only be definitely made by laparoscopy. Satisfactory and effective management of endometriosis is a major challenge. The available options for treatment are medical or surgical which are inadequate. The aim of most medical therapies is to alleviate the severity of symptoms & the reported recurrence rates after surgical therapy are high. Existing hormonal therapies are associated with severe side effects. There is need for novel medical therapies in this area.
We have an original study on serum lactate dehydrogenase as a biochemical marker for maternal and perinatal outcome in preeclampsia and eclampsia conducted at SCB MCH Cuttack, Odisha by Dr. Nidhi Jha et al., for the interest of our esteemed readers. Various biochemical markers like oxidative stress markers are increased in preeclampsia while antioxidants are decreased. Such research may be helpful in developing novel drug therapies in prevention of preeclampsia â€“ a leading cause of maternal and foetal mortality & morbidity. We have an interesting case report of 'Harlequin Ichthyosis' by Dr. Kaushal Manila et al., and 'Successful Pregnancy Outcome in Sickle Cell Disease' by Dr. Vineet V Mishra from Ahmedabad for the interest of our readers. There is a review article, 'Subclinical Hypothyroidism and Pregnancy' by Dr. Vandana Saini and Dr. Mamta Gupta of Hindu Rao Hospital, Delhi. This will be very useful for our esteemed readers in their day-to-day practice as subclinical hypothyroidism during pregnancy is very common in North India and can cause adverse pregnancy outcomes. Prompt diagnosis and treatment is essential for optimum maternal & perinatal outcome.
In Gynaecology, we have an original study on 'Awareness of Emergency Contraception among Women coming for Induced Abortion' by Dr. Mendiratta and co-authors from Hindu Rao Hospital, Delhi. The study highlights the lack of awareness of emergency contraception in the general public and brings about the need for creating awareness so that facilities of emergency contraception can be utilised optimally & unwanted pregnancy can be avoided. We have interesting case reports on 'Squamous Cell Carcinoma in Mature Cystic Teratoma' by Dr. Divya Jindal and co-authors from Goa and 'Vulval Fibroepithelial Polyp - A Rare Benign Vulval Lesion Mimicking an Unilateral Scrotum' by Dr. Saswati Mukhopadhyay from Kolkata.
The cases presented in the Journal are rare and I expect readers will find it interesting & helpful in their clinical practice. We have a review article on Domestic Violence by Dr. Sonal Bathla and co-authors. Health care providers should be sensitized to the issue of domestic violence and they should intervene wherever required. We request you for sharing articles offering a rich review of current literature around specific questions and issues pertaining to a particular topic rather than an overview & case reports of interesting cases that physicians in clinical practice might encounter and that convey a clear clinical teaching point which may be helpful in their day to day practice.
We wish our readers a happy reading and shall welcome their comments & contribution to further improve the quality of the Journal.
Dr J B Sharma