Issue 14

The formation of cells in the body, like their mutation, is a process associated with a violation of the composition and structure of a substance (cells) formed under the influence of an external field surrounding it

The onset of mestruation is a significant milestone of sexual maturation in a girl child. Although there are numerous causes of primary amenorrhoea, Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, also known as Müllerian aplasia is one the extremely rare cause of primary amenorrhoea which is usually picked up by suitable imaging technique like Magnetic Resonance Imaging (MRI). MRKH is a rare congenital disorder that is characterised by aplasia of the uterus and upper part of the vagina with normal secondary sexual characters and a normal female karyotype (46, XX).

We present a delirium care pathway model that we have dubbed STOP DELIRIUM. Due to delirium’s magnitude and effect in elderly hospitalized patients, we recommend hospitals must have a delirium care pathway for early identification, prevention, and delirium management