Life does not come with the instruction book, “How to Deal with the Death of a Child.” An- thony Bates was 20 years old when he died July 31, 2000 from undiagnosed hypertrophic cardio- myopathy (HCM). Anthony, my only child, was a col- lege football player. Each year he was required to have a “pre-participation sports physical,” he had at least 20 in his life. Heart examinations were not included. Anthony’s HCM might have been detected if he had had an electrocardiogram (ECG) screening. Anthony never really complained of any symptoms. Sadly, his perfect health was an illusion. It was 3 days after Anthony died that the coroner explained Anthony had HCM. We had no family his- tory, and Anthony had no symptoms that we were aware of at the time. However, there was one complaint I remember. Dizziness! While ?lling out a sports physical questionnaire in 1994, he asked me about the question, “It says—have you ever been dizzy?” He remembered, “When I jump up off the couch to answer the phone, I get dizzy.” “Well, that happens to me, too,” I replied. “It’s probably normal when you lie on the couch for hours and then jump up.” So many times since I’ve recalled that scene in my head.

Aims: Bowel Cancer is one of the commonest cancers in UK. Google Trends were used to evaluate public’s search interest regarding bowel cancer. We hypothesize that the search data in Google Trends may be influenced by “Bowel cancer awareness month” campaign and that in future this might be a useful surrogate to monitor the effectiveness of public health campaigns. Methods: Google Trends were used to extract data presented as “Relative search volume index”(SVI) ranging between 0 to 100. “Bowel Cancer” was used as a search term to collect the relevant data for the last 5 years ( January 2015 to December 2019), All the peaks were assessed and their correlation with bowel cancer awareness month was noted. Results: We noticed an upward trend for the searched term during the months of April for most of the years where peak of search touched 90%. It corresponds with bowel cancer awareness month campaign. A downward trend was also noticed during the months of December during all years where it went down to 53%. This may represent avoidance of health related searches during the happy holiday period. Conclusion: Our study shows an encouraging association between bowel cancer awareness month campaign and public’s search interest. Results can be used in future to start effective awareness strategies and leverage future interventions.

Introduction: Management of fractures of the condylar head, neck and base regions can be quite tricky, owing to differences in the morphology and location of the fracture, degree & direction of displacement, extent of comminution, and position of condylar head in relation to glenoid fossa. Hence, choosing an ideal surgical approach for each individual case, is both difficult as well as important. Aim: To assess the effectiveness of two major surgical approaches, the ‘Preauricular-Retroparotid’ and ‘Retromandibular-Transparotid’ approaches in the management of different types of displaced and dislocated condylar head and neck fractures. Patients and Methods: This retrospective study includes 56 patients operated over a period of four years from Jan 2016 to Dec 2019, of whom 14 had bilateral and 42 had unilateral displaced condylar head or neck fractures. 22 surgeries were for condylar head or high condylar neck fractures, treated using the Preauricular-Retroparotid approach. 48 surgeries were for low condylar neck fractures, managed using the Retromandibular-Transparotid approach. Intraoperative and postoperative complications, and detailed objective, subjective and functional treatment outcome assessments, were recorded over a postoperative follow up period ranging from one to three years. Results & Conclusion: Both surgical approaches were found effective in achieving good esthetic and functional results with no major complications, other than occasional transient neurological deficits and few instances of salivary fistulas and sialocoeles. Depending upon the level of the condylar fractures, a preauricular approach is ideal for the condylar head and high condylar neck fractures, providing direct and easy visualization to the region, for retrieval and repositioning of the medially displaced and dislocated proximal fracture fragment. The retromandibular approach is more suited for the lower level condylar neck fractures, providing a direct visual field and a wide, straight line access for implant fixation at this region.