Health always remains a central component of human social structure and considered as a major instrument of overall socio-economic development. Concept of health has been defined and understood in different ways by different cultures. The two major division of medicine namely curative and preventive medicine came into light at the close of 19th century. Although origin of Medicine and Public health goes back to ancient Greek mythology, Asclepius was the Greek god of Healing. He was the son of Apollo and the Coronis. Asclepius was married to Epione, with whom he had five daughters: Hygieia, Panacea, Aceso, Iaso, and Aglaea. Hygieia was the goddess of health, cleanliness and hygiene1 . Follower of panacea practiced curative medicine and were called healer and followers of Hygieia were called as Hygienist or Public Health experts.

Scribbling the narratives of a doctor who bemoaned her inability to keep her mother alive through organ donation, this article takes us to a gamut of nuances of organ donation from deceased donors. This article traces the history of organ donation from deceased donors and briefly discusses a few milestones that were achieved for smoothing organ donation; the first milestone being the invention of a new term coma depasse (a state beyond coma) by two French physicians in 1959; second being the invention of a new medico legal definition that is brain death in 1968 and third being the introduction of immunosuppressant in the form of cyclosporine in 1980. While discussing two forms of deceased donation i.e., non-heart beat donation and heart beat donation, the concept of organ donation from deceased donors is equated with evacuating assets of a house that is on fire. This article focuses attention on a number of people centric challenges like increasing demand of organs, restricted acceptance of brain stem death, lack of awareness, lack of incentives and follow-up care of the recipients. A gamut of program centric challenges like establishing national organ donor registry, management of donors, uniting organizations through electronic linkages for effective organ allocation and sharing, evolving organ allocation and sharing mechanism, synchronizing team efforts for packaging, transportation and transplantation of retrieved organs besides establishing regular auditing system of retrieved organs are briefly described. This article stresses the need for uniform international guidelines for donation after cardiac and brain stem death. The article recommends introducing the concept of brain stem death and organ donation in the curricula of all the professional trainees taking care of patients and introducing a chapter in school curriculum for fostering the cause of saving lives through organ donation from brain stem dead donors in our country.

Pay for performance has emerged as an expedient for popularizing health programs among the people as also for motivating the healthcare providers/ health workers to implement these programs efficiently and effectively. Janani Suraksha Yojna (JSY) is a safe motherhood scheme of the Government of India to encourage institutional deliveries in the country with the objective of bringing down maternal and infant mortality. The Government of Haryana further introduced Jacha- bacha (mother and child) scheme in the state in 2008 to further encourage institutional deliveries in the state. This article analyzes the findings regarding implementation of JSY and Jacha- bacha schemes in a sub- center in district Mewat, which is the most backward district of Haryana, located adjacent to Delhi. The analysis draws upon extensive literature on theories of motivation and experience of implementation of pay for performance schemes in different parts of the world

Adolescence is a transitional journey from childhood to adult life along with pubertal development and sexual maturation. One of the major physiological changes that take place in adolescent girls is the onset of menarche. To add to their worry, problems of irregular menstruation, excessive bleeding and dysmenorrhea are there. The true incidence and prevalence of dysmenorrhea are not clearly established in India. Our study aimed to assess the prevalence of dysmenorrhea among urban adolescents. A cross- sectional study was conducted from April to September 2013 among all girls of selected government and non government higher secondary schools of Raipur city using a pre designed, pre tested interview schedule. Data were entered in computer and analyzed using SPSSvs14. Descriptive statistics were used to analyze the result. A total of 577 female students were enrolled. Prevalence of dysmenorrhea in our study was 71.4 %. Dysmenorrhea occurred in students with both regular and irregular cycles. The findings of this study thus indicate the enormity of the problem and the need for appropriate intervention among these groups

Context: Inappropriate feeding practices are very much prevalent in India in areas where there is a high cultural influence on dietary habits, which starts right from the birth and remains throughout the life. Aims: To study the infant and young feeding practices and factors affecting the exclusive breast feeding in children aged 6-23m. Methods and Material: A community based cross sectional study was conducted during the period Jan 2008 - Dec 2008 in Mehrauli (New Delhi). Feeding practices in the community was assessed using a semi structured questionnaire from the mother/ guardian of 309 children in the age group of 6-23m. Results: Breast feeding was initiated within an hour of the birth in only 10.7% (33) of children. Around half (153) of the children were fed with prelacteals and colostrum was discarded in two-thirds (208) of the total. Exclusive breast feeding was dismally low with only 6.8% (21) mothers having practiced it. EBF was found more in institutional delivered and normal birth weight babies in comparison to domiciliary delivered and low birth weight babies respectively (p<0.05). Only 31.7% (98) children were given complementary feeding at the appropriate age, and feeding in terms of calories was inadequate in three-fourth (232) of the total subjects. Knowledge assessed about IYCF (Infant and Young child Feeding) was seemingly poor amongst the mothers in the community. Conclusions: Feeding practices are considerably errant in the community due to the widely prevalent myths and rituals. There is a need of consistent reenforcement of IEC regarding IYCF by the health workers and AWWs to dispel the misconception from the community to improve the health status of the children

A 29 year old oncology resident presented to a dermatologist with the complaints of burning pain and hyperpigmentation of lips of acute onset. He was a non smoker without any significant history of known drug allergy or symptoms suggestive of intestinal polyposis or any endocrinological disorders. He was not exposed to any local irritants in the form of chewing tobacco, its related products and other chemicals. Detailed history revealed that he had suffered from 3 episodes of diarrhea one day back, took a tablet containing combination of the drugs norfloxacin and tinidazole with tartrazine as a coloring agent. He felt burning sensation in upper and lower lips seven hours after the drug intake which increased in severity at night.