Cesarean scar ectopic pregnancy is rare type of ectopic pregnancy. There has been seen a rising trend of its incidence due to increasing rate of casarean deliveries. Early diagnosis with the help of ultrasound with colour doppler helps us prompt management and decrease the maternal morbidity and mortality. MRI has important role when USG is equivocal or inconclusive.

A transdermal drug delivery system (TDDS) falls under the controlled drug delivery order, aiming to administer medicines through the skin at a destined and controlled rate. This approach presents multitudinous benefits, similar as extended remedial impact, reduced adverse effect, increased bioavailability, enhanced patient adherence, and accessible termination of drug. The remotest subcaste of the skin, the stratum corneum, plays a crucial part in controlling the transdermal penetration of utmost substances. Three main routes grease medicine penetration appendageal, transcellular, and intercellular. When administering medicines through this pathway, it is essential to consider different factors, including the age and condition of the skin, physicochemical parcels, and environmental influences. pivotal rudiments of Transdermal Drug Delivery Systems (TDDS) include a polymer matrix, membrane, drug, penetration enhancers, pressure-sensitive bonds, backing laminates, and a release liner. Transdermal patches fall into orders similar as force systems, matrix systems, and micro- force systems, all specifically finagled to introduce active constituents into the circulatory system via the skin. A standardized approach is employed to estimate colorful aspects, including adhesion parcels, in vitro drug release and stability. The purpose of reviewing the content of transdermal medicine delivery system through patches is to exhaustively estimate the advancements, challenges, and implicit operations of this innovative drug delivery system.

Jaundice is one of the most common diseases affecting the liver, where the skin, eyes, and urine undergo yellowish coloration, usually due to some malfunctioning of bilirubin metabolism. Though various conventional treatments exist for the treatment of jaundice, herbal remedies have been in practice since time unknown to prevent symptoms and restore liver function. This review explores the use of herbal syrups in the management of jaundice with special emphasis on Bhumiamalika, Bhringaraj, and the leaves of Papaya, all having hepatoprotective, antioxidant, and anti-inflammatory properties. The active principles in these herbs, flavonoids and phenolics, help to reduce the oxidative and inflammatory stress within the liver. Such processes of extraction like boiling and maceration are carried out to maximize the therapeutic effects. Even with such promise, safety and efficacy of herbal syrups would need clinical evaluation in order to ensure proper standardization and dosages in addition to quality control. The future for herbal jaundice treatments appears promising, although further research is undertaken to optimize their use and to minimize adverse effects.

In recent days demand for minimally invasive surgeries has increased. As a
result, robot assisted surgeries have gained popularity because they overcome several
shortcomings of conventional surgical techniques. But robotic surgeries may require new
innovation with regard to overall arrangement of operative equipment and personal and
positioning which may go against the conservative nature of anaesthesia care. In summary
while introduction of robotic surgery presents challenges in anaesthesia care it also offers
opportunities for innovation and advancements.Anesthesiologist should get familiar either
these changes by learning basics features of robotic surgical system to offer better anaesthetic
care and patient safety for a better patient outcome

Objectives: The study focuses on extracting and analyzing bioactive compounds from the plant's leaves, particularly cannabinoids and flavonoids, known for their antibacterial and antioxidant properties. By optimizing extraction methods and assessing these compounds' efficacy, the research aims to enhance the understanding of Cannabis sativa therapeutic potential in alternative medicine.

Methods: This study extracts bioactive compounds from Cannabis sativa using Soxhlet extraction with methanol and petroleum ether. The extracts are screened for phytochemicals and tested for antibacterial activity against Gram-positive and Gram-negative bacteria, as well as antioxidant activity using the DPPH assay, to assess its potential medicinal properties.

Result: Cannabis sativa leaves were extracted with methanol (20.76% yield) and petroleum ether (14.1% yield). The methanol extract showed higher antioxidant activity (IC50 = 98.1 µg/ml) compared to petroleum ether (IC50 = 106.43 µg/ml), with ascorbic acid showing the highest activity (IC50 = 16.2 µg/ml). The methanol extract also exhibited strong antibacterial effects, particularly against E. coli and Pseudomonas, with inhibition zones up to 20 mm. Phytochemical analysis revealed alkaloids, terpenoids, tannins, and glycosides in both extracts, with methanol also containing resins, suggesting it is more effective for extracting bioactive compounds from Cannabis sativa.

Conclusion: Cannabis sativa leaves exhibit notable antioxidant and antibacterial properties. The methanolic extract, with the highest antioxidant activity (IC50 = 98.1 µg/ml) and effective antibacterial action.