ABSTRACT
Co-operative banks offers a wide range of services including improved access to markets, natural resources, information, communications, technologies, credit, training and warehouses to farmers and rural entrepreneurs. In this paper, it is mainly focused on to examine the determinants to prefer the Primary Agricultural Co-operative Credit Societies (PACCSs) and challenges faced by the members of PACCSs in Erode district of Tamil Nadu. For this paper, primary data have been collected from 140 members of the PACCSs. Such collected data have been analysed with the help of MS Excel and SPSS 22.0. Kendall's 'W' Test and Henry Garrett Ranking Technique have been used for this research
ABSTRACT
A 23-year old male presented for evaluation of skin coloured, non-scaly, asymptomatic papulonodules of sizes varying from 0.5 cm to 2 cm of 4 years duration distributed all over the body including the ears. The plaques present on the face gave the appearance of a 'leonine facies'. Clinically mistaken for lepromatous leprosy in reaction the patient was treated with antileprosy and anti-inflammatory drugs in 3 other centres for months with no improvement. Systemic involvement included painful swelling of both knee joints, pericardial effusion episcleritis and enlarged liver. Negative slit smears for AFB from the nodules repeatedly and the histology of one on the skin nodules clinched the diagnosis of multicentric reticulohistiocytosis. The case is reported not only for its rarity, and varying clinical lesions simulating lepromatous leprosy but also to alert the leprologists to avert unreasonable delay in diagnosis.