Background: Tuberculosis is a major health problem in India. Early diagnosis and prompt treatment is the key to control this menace. Hence to improve diagnosis in peripheral region, it is imperative that other methods are used to supplement the diagnostic This study aimed at assessing the reactive thrombocytosis in patients with tuberculosis admitted in medicine ward of RGMC and CSMH, Kalwa, Thane, India.Methods: This study was conducted from 1st January 2016 up to 31st June 2016. Data was collected from the PM register and also from Post mortem records, entered in MS Excel and analyzed.Results: Newly discovered, 112 patients, diagnosed on basis of sputum AFB positivity, chest x-ray changes, pleural fluid, ascitic fluid and CSF analysis reports suggestive of tuberculosis were selected to be the cases, out of which 50 were males (44.6%) and 62 females (55.4%)and, 127 non-tuberculous patients admitted for other causes who did not have any symptoms or signs of tuberculosis were randomly selected to be the control group of the study. The ages of the patients ranged from 14 to 76 years old. Thrombocytosis was detected in 84 (75%)of the Tb patients, whereas only 3 (2.3%) in Non-Tb Patients. The erythrocyte sedimentation rate (ESR) was increased by more than 20 in 97.4% of the patients.Conclusions: The changes in these parameters (platelets count and ESR) may reflect a reaction to the inflammatory condition. Therefore, in endemic areas, the presence of such haematological peripheral blood changes may raise the suspicion of pulmonary tuberculosis.
BACKGROUND To increase the incidence of safe and legalised abortions, it is important to know the clients. This study is a 6 years research of the records of MTP performed at the public hospital attached to a medical college, to know the trend, socio-demographic and obstetric status of the women undergoing MTP. The objectives of the study were to find trend, sociodemographic factors, obstetric status and complications of MTPs. MATERIALS AND METHODS A study of the records of all the MTP operations performed at the gynaecology department of the hospital from 2010 to 2016. Data analysis was done on MS excel. RESULTS Most women who underwent MTP were young, sexually active women and had completed 2 child family. Along with MTP, younger women preferred IUCD and elder women preferred Tubal Ligation as contraception. There is an overall gradual increase in the incidence of MTPs conducted which could be attributed to increase in population of the city and nearby areas. CONCLUSION In this study, most of the women preferred MTP after 2 nd Pregnancy and at the age of 21-35 years. Most women accepted permanent method of sterilization after MTP shows that women had completed family by the age of 30 years and had no access to effective contraceptive services. MTPs thus seems to be used as an emergency treatment for failed contraception. This trend should be discouraged but at the same time safe abortion should be legalised to safeguard the health of the women.
INTRODUCTIONSpacing methods is one of the key strategies in the Family Planning Component of the RMNCH+A programme to bring about a decrease in the birth rates. 1 Intra Uterine Contraceptive Devices (IUCD) which are among the safest and most effective reversible contraceptives available, are affordable, convenient to use, do not require re-supply visits and are very costeffective.2 In order to popularize IUCDs, we have to understand the various factors which can influence the decision regarding its use. For this, it is imperative that related data over different time zones and different regions be regularly analysed and compared.The present study analyses the various sociodemographic factors of IUCD acceptors in the family planning OPD of a medical college. Also, service component like timing of insertion and wastage of Copper-T during insertion was studied. ABSTRACTBackground: Intra uterine contraceptive devices (IUCD) used as a spacing method is one of the main strategies of the family welfare programme, as they are among the safest and most effective, affordable and convenient reversible contraceptives available. The objectives of the study were to study the socio-demographic details of beneficiaries accepting Cu-T in the family planning OPD of the medical college, relation of IUCD insertion time with respect to menses or delivery and its outcome. Methods: After IEC approval, a descriptive, complete enumeration study of recorded data from IUD register from 2006 to 2015 (n=1141) was carried out from the IUCD registers of the family planning out-patient department (OPD) of a medical college. Results: Beneficiaries had a significantly lower literacy rate (p<0.05) and a lower employment rate (p<0.01) than their husbands. 447 (39.4%) women accepted IUCD before 1 year from their last delivery. In 20 women, IUCDs were expelled, while in 32 (2.8%), they were wasted. The difference between the couples having no male children and those having at least 1 male child opting for IUCD was statistically highly significant (p<0.01). Conclusions: Cu-T is being well utilised as a spacing method in the Family Welfare Component of the Reproductive and Child Health Programme. Evidence of Preference for a male child can be seen in this study.
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