Objective: The study analyzes the awareness of healthcare facilities among rural people. The already existing infrastructure and various provision mechanisms of healthcare facilities are adequate but still require massive programs to educate rural people. There is also a need to make the ruralites awareness on Government health schemes, usage of natural remedies, self-treatment.The analysis sample consists of 80 subjects, aged between Materials and Methods: 20 to 90 yrs and living in a rural community in Narsampet mandal of Warangal district, India. Attendees queried for the availability of health services, and recorded in proforma prepared.The results showed the awareness about Results: availability of the medical facilities provided by the Government. Majority in numbers are unaware about existing Primary Healthcare Center (PHC) or physicians availability in selected rural area. The association between laboratory facilities and PHC was evident from the studies.One notable relief observed among villagers that many Conclusion: are not preferring self-treatments for their ailments with modern medicines.
Background: Globally, tuberculosis is the leading cause of death. India accounts for the highest proportion of drug resistant tuberculosis among all other countries. Objectives: This study investigated the changes in hematological parameters with respect to radiological evidences in multidrug resistant tuberculosis patients. Materials and Methods: The study enrolled a total of 273 patients with the confirmative diagnosis of multidrug resistant tuberculosis. The radiological evidences were classified into mild, moderate and severe lung involvement. Results: The chest radiographs illustrated tracheal deviation (74), loss of lung volume (35), pleural effusion (25), lobar collapse and fibrotic manifestations. The defensive leucocytes, phagocytic neutrophils, anucleated platelet cells and platelet volume observed an increase with severe lung grading (p<0.0001). Reduced lymphocyte count, mean platelet size observed with the intense lung involvement. Prevalence of normocytic, normochromic anemia, anisocytosis was prominent in these patients. The erythrocyte sedimentation rate observed no significant changes in the categorized radiological grades of lung. Radiological grading reported a weak positive correlation with the hematological parameters. Conclusion: The study noticed the changes in the complete blood count parameters with radiological signs and recommend monitoring of these investigations in determining the progression of the lung involvement in the multidrug resistant pulmonary tuberculosis patients.
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