ABSTRACT
Normal menstrual cycle is a crucial physiological phenomenon for maintaining woman’s health during reproductive years. Nowadays, menstrual disarrayed are the main reasons for gynecological consultations worldwide owed to faulty dietary habits and lifestyle. Oligomenorrhea is one among all menstrual disorders with a prevalence of 13.5% in general population and is characterized by irregular, inconsistent menstrual blood flow. In Ayurveda it can be correlated with Artavakshaya due to their strong symptom equality. Prevalence of Artavakshaya is rising in present gynecological practice which may leads to terrifying sequel of infertility. In modern science, only hormonal preparations are used as treatment strategies but only offer short term symptomatic management. Methodology: A female patient of 17 years of age came to OPD of National Institute of Ayurveda, Jaipur, on 29/01/2022 with chief complaints of irregular (delayed) menses with prolonged interval of 4-5 months since last 1 year along with USG findings of Bilateral Polycystic Ovarian Disease with simple Ovarian cyst in left Ovary. In this case study, patient was treated with some oral Ayurvedic preparation for 2 consecutive cycles having Strotoshodhak, Kapha- Vatashamak, and Vataanulomaka properties. Result: Patient had her menstruation regularly with normal duration during and after treatment.
ABSTRACT
Background: Meconium stained amniotic fluid is an indirect marker of fetal hypoxia. Fetal hypoxia affects bone marrow and affects production of cell lines. Indirect marker of erythropoietin activity is nucleated red blood cells count. Aim of the study is to compare hematological parameter in newborn born with meconium stained liquor and clear amniotic fluid. Also, to determine cut off levels of nucleated RBC as marker of fetal hypoxia in meconium stained amniotic fluid(MSAF).Methods: The study was conducted over a period of 2 years from January 2012 to January 2014 in Department of Pediatrics, Sri Aurobindo medical college and hospital, Indore. One hundred newborns with meconium stained amniotic fluid (study group) and one hundred newborns with clear amniotic fluids (control group) were studied in this period. Cord blood samples were collected and hematological parameters were compared.Results: Hemoglobin % and WBC counts were seen in study group in comparison to control group, which is statistically significant (P<0.05). The reported NRBC/100 WBC between the two groups was statistically analyzed. The mean NRBC count in study group were 8.09'6.09 which was statistically higher than the corresponding values in control group 2.07'2.25 (P<0.05).Conclusions: Study concluded that the hemoglobin levels , WBC and NRBC counts in babies with meconium stained amniotic fluid is higher than those babies delivered with clear amniotic fluid and NRBC can be taken as a surrogate marker of hypoxia in a resource limited setting.
ABSTRACT
Background: Hypertension is a very big global burden of disease with high incidence of morbidity and mortality (cardiovascular, stroke, renal and retinopathy) making it a leading cause of death all over the world. It is multifactorial in etiology and is difficult to manage at later stages once systemic organ damage has set in. But early detection can prevent this disease and intervention, if needed, can prevent morbidity and mortality in large number of patients. This study was done to find out the prevalence of hypertension in our area, in North India.Methods: A cross-sectional study was conducted in 1023 patients (including their attendants and staff) attending dermatology outpatient department of Maharaja Agrasen Medical College (MAMC), Agroha, Haryana, representing population from North India. Both urban and rural population was included with age 20 years and above.Results: The prevalence of hypertension in age group above 20 years was 31.1% (37.7% males and 22.6% females). The prevalence in age group above 30 years was 46% (54.4% males and 35% females), which showed a rising trend with age.Conclusion: High prevalence of hypertension was found in this study which increased with increasing age. We infer that more epidemiological studies should be done in India to detect hypertension at early stage which can help in preventing or early intervention in the treatment of hypertension and help in policy formulation at national level.
ABSTRACT
Background: Infants born with meconium stained fluid are at increased risk of fetal hypoxia, evidenced by increased rates of abnormalities indicated by fetal monitoring in labor, low neonatal Apgar scores, and fetal deaths. The study is conducted to determine association of gestational age, Apgar score and neonatal outcomes in newborn born with meconium stained amniotic fluid in tertiary care centre of central India.Methods: The study was conducted over a period of 2 years from January 2012 to January 2014 in Department of Pediatrics, Sri Aurobindo Medical College and Hospital, Indore, Madhya Pradesh, India. One hundred newborns with meconium stained amniotic fluid (study group) and one hundred newborns with clear amniotic fluids (control group) were studied in this period. Gestational age, Apgar score and neonatal outcomes were compared among two groups.Results: The mean gestational age in study group was 38.89'1.14 weeks and in control group was 38.59'0.99 weeks. The mean Apgar score at 1 min was 5.80'1.59 in study group and in the control group was 7.86'0.35. 32 babies in meconium stained liquor had hypoxia of which 11 had respiratory distress, 11 required mechanical ventilation (MAS 08, sepsis 03), 2 newborns had HIE stage 2 and 5 patients died. The above findings suggest higher gestational age, lower Apgar score and poor neonatal outcomes are associated with meconium stained liquor.Conclusions: The study depicts significant co-relation with higher gestational age, lower Apgar at 1 and 5 minutes and poor neonatal outcome in babies with meconium stained amniotic fluid.
ABSTRACT
Background: Self medication is an important component of primary health care. It involves treatment of common ailments on ones own initiative or on the advice of a pharmacist. With the easy accessibility to information regarding use of drugs, there is an alarming increase in the self medication practices. Medical students, during their course of study gain considerable knowledge of drugs and it may have an influence on their self medication practices. The present study was designed to gather the knowledge, attitude and behavior of medical students towards self medication and whether an increased knowledge of drugs further promoted self medication.Methods: A questionnaire based study was carried out on students of 2nd semester students relating to their knowledge, attitude and practice of self medication.Results: Though the knowledge regarding drugs is quite comparable in both the first and third year medical students, 39% students in group A took the medicine without doctors� advice in the last month whereas 58% 5th semester students in group B did the same.Conclusions: The frequency of self medication is higher among third year students as they believe that the medical training makes them capable enough to self medicate easily without any harm. Hence, there is need to promote rational self medication practice to bring awareness about irresponsible self medication.