Aim. To evaluate the prevalence and effect of varicocele repair on sperm motility, sperm concentration, testicular volume, and pregnancy rate in different degrees of clinical varicocele. Material and Methods. The case records were retrospectively evaluated for 482 infertile patients with varicocele who underwent varicocelectomy from December 2008 to December 2013. Semen analysis of patient at preoperative and 3-, 6-, and 12-month postoperative period was done. Varicocele was graded as per the World Health Organization grading (WHO 1993) system and included in the study. Testicular volume was noted by ultrasonography in pre-and postoperative period in one-year follow-up. Pregnancy rate was calculated at 3, 6, and 12 months of follow-up. Results. Significant differences were seen in sperm motility and concentration of patients with Grade 3 varicocele as compared with Grade 1 and Grade 2 varicocele. Significant increase in testicular volume was present after one year in Grade 3 varicocele in the postoperative period. There was significant correlation between the testicular volume and the sperm concentration. Percentage of spontaneous pregnancy in 1 year after varicocele treatment was 32 to 41% of cases. Conclusion. Varicocelectomy significantly improved sperm motility, concentration, and testicular volume. There were 32 to 41% of infertile patients who achieved pregnancy spontaneously.

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Micro, Small and Medium Enterprises (MSMEs) play a pivotal role in creating employment opportunities. These are more vibrant in countries like India where population is more and labour-intensive manufacturing establishments are huge in number. In general, these firms are established in rural and economically backward regions, thereby a regional balance may be achieved through the equal distribution of wealth. MSMEs are considered complementary to heavy industries as subsidiary units and provide enormous socio-economic development to the nation. MSMEs contribute about 8 per cent of the country’s GDP, with 45 per cent of manufacturing yield and 40 per cent of exports. After the agricultural sector, MSMEs provide lion’s share of employment for the jobless. Further, they provide a diverse range of goods and services that satisfy the needs of local, national and international supply chains. Globalisation is said to be a necessary evil. The advent of the WTO brings a variety of challenges to developing nations as these are frail in bargaining capacity against their counterparts. As a result, developing nations like India are subjected to all those adverse effects of globalisation, and the MSMEs sector is not exceptional. The existing literature in the subject indicates that there is a considerable fall in the growth rate of the number of units, output, exports and employment generation after post-globalisation, and this trend is the matter of serious concern for the policymakers and decision-makers. In this junction, the present article is intended to investigate the impact of globalisation on the performance of MSMEs. The study is divided into three sections. The first section devotes to introduce the study area of the present article, review of the literature and objectives and methodology of the research. The growth and trend of MSMEs in India during the pre- and post-globalisation eras are discussed in the second section. The summary and conclusion of the study is given in the last section.

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