A cross sectional study on menstrual hygiene practices among the village women attending a primary health centre, Tripura

Background: Hygienic practices performed by the rural women during menstrual cycle is often remain unsatisfactory, resulting adverse health outcomes and poor productivity. Assessment of the practices among different population groups as well as different geographical locations thus has been a priority issue. The objective of this study is to assess the menstrual hygiene practices among the village women attending a Primary Health Centre of Sipahijala district, Tripura.Methods: The study was conducted among 141 village women of reproductive age group (15-49 years), visited Madhupur primary health centre, Sipahijala district, Tripura for some other health conditions. Unwilling individuals were excluded from the study. Data were collected using a pre-designed pre tested schedule by interviewing the participants for basic socio-demographic variables as well as questions related to hygienic practices during menstrual period. Data were analysed using IBM SPSS version 20 and presented using principles of descriptive statistics. Ethical clearance was obtained from Institutional Ethics Committee, Tripura Medical College.Results: Majority of the study subjects belonged to 21-30 years of age group (49.3%). Cloth was the major absorbent material (44.0%) followed by sanitary napkin (36.2%). 47.5% of the study subjects reused the material. Only 2.1% of the study subjects changed the material less than 2 times/day. More than 90% of the study subjects clean their private parts regularly. 66.0% of the study subjects disposed the material in dustbin.Conclusions: Majority of the participants were performing satisfactory menstrual hygienic practices. However, large scale analytical studies will be helpful to draw a definite conclusion about influence of sociodemographic factors on menstrual hygiene practices.

A Study of Cerebro Vascular Accident Patients.

To find out the proportion of different types of strokes among the CVA patients and to examine the correlation between stroke and various risk factors. Patients and Methods: Sixty CVA patients who attended the department of Medicine of TMC & Dr.BRAM Teaching hospital comprised the material for this study. Detailed history, clinical examination especially CNS examination, different biochemical and radiological investigations including CT Scan were performed to establish the diagnosis of CVA and to confirm the type of CVA. Various risk factors then correlated in causation of CVA. Result: Out of 60 CVA patients 42(70%) had ishaemic and 18(30%) had haemorrhagic stroke. Among the 42 ischaemic stroke patients 12 (20%) had lacunar stroke. 38 patients (63.3%) had hypertension, out of which only 4 (15%) had regular follow up showing that hypertension is a definite risk factor. Serum Cholesterol (213.52 ± 32.97) and Serum Triglyceride (176.25 ± 41.97 ) were statistically significant (p<0.01) along with Serum LDL (117.88 ± 27.18) and VLDL (49.11 ± 13.76),t value 5.096 and 5.128 respectively. In this study 14 (23.3%) patients had diabetes mellitus, 31 (51.6%) smokers, 14 (23.3%) alcoholics and 15 (25%) overweight, but none of them could be established as a statistically significant risk factor.

An Interesting Case of Thyrotoxicosis with Choreoathetosis - A Rare Association.

Thyrotoxicosis may present with spectrum of movement disorders. Though tremor is most frequently associated, chorea has also been reported rarely. A rare case of thyrotoxicosis in a young female presenting with choreoathetotic movement is reported here. The choreoathetotic movement in this case was attributed to thyrotoxicosis based on clinical and biochemical criteria after exclusion of other causes.

Pulmonary Spergilloma : An Interesting Case.

In many cases, the diagnosis of pulmonary aspergilloma become difficult on the basis of radiological sign by chest X-ray or computed tomography (CT) scan as it can produce wide variety of radiographic changes. Often there is a diagnostic dilemma between lung malignancy and pulmonary aspergilloma. The diagnosis also can be established by sputum examination and culture. In our case, we report a 40-year old male presented with cough and hemoptysis. He was subsequently diagnosed as a case of pulmonary aspergilloma on the basis of evidence of radiological findings mainly.