ABSTRACT
Background:Post partum period is ideal time for family planning counselling. Accessibility to health care facility is more during this period in our country. IUCD to prevent pregnancy is a highly effective, safe, long acting, coitus independent & reversible method of contraception with very low side effects.Objectives:This study was conducted to evaluate the awareness, acceptance, safety, efficacy, complications and expulsion rate of Post–partum Intrauterine Contraceptive Device (PP–IUCD) insertion among pregnant women in a tertiary care centre.Material and Methods: This was a prospective study was carried out in the department of Obstetrics and Gynaecology, Career Institute of Medical Sciences from November 2014 to October 2016 (ie.2years). Women delivering in the hospital and fulfilling inclusion criteria were included in the study after obtaining informed consent. The study protocol was approved by the ethics committee of the medical college. Results:Out of 1820 women, only 108 (5.9%) were aware about PP–IUCD and they received information from the IEC material displayed in the antenatal clinic. Out of these 108 women, 70 women (64.8%) agreed with PP–IUCD insertion. Out of 1712 unaware women, 930 (54.3%) agreed with PP–IUCD. Agreement with PP–IUCD insertion was higher in women who were aware about the PP–IUCD. Overall acceptability was found in 1000 (55%) patients. Out of the 1000 (55%) women who accepted the PP–IUCD insertion, only 573 (31.4%) women underwent PP–IUCD insertion. After PPIUCD insertion, 67.2% of women had an uneventful course and 32.8% women had complications. Not a single woman suffered from perforation, or any other life–threatening complication. Conclusion: The acceptance of PP–IUCD was high in present study and it is comparably more than other studies done globally. Awareness of PP–IUCD among these women was very poor despite high acceptance.The PP–IUCD was also demonstrably safe, having no reported incidence of perforation with low rates of expulsion, pelvic infection, and few lost strings.
ABSTRACT
Hailey–Hailey disease also known as Familial benign chronic pemphigus is a relatively uncommon disease characterized by painful erosions, vesicles, pustules and scaly erythematous plaques on the neck, axillae, groins and perineum. A case of 27 years old male with history of recurrent, itchy, erythematous, papules and vesicles over the groins presented to the dermatology OPD. A clinical diagnosis of Hailey – Hailey disease was made which was confirmed later by histopathological examination. He was treated with tacrolimus ointment and showed a remarkable improvement.
ABSTRACT
We report a genetic diversity study of Kherigarh cattle, a utility draught-purpose breed of India, currently declining at a startling rate, by use of microsatellite markers recommended by the Food and Agriculture Organization. Microsatellite genotypes were derived, and allelic and genotypic frequencies, heterozygosities and gene diversity were estimated. A total of 131 alleles were distinguished by the 21 microsatellite markers used. All the microsatellites were highly polymorphic, with mean (+/- s.e.) allelic number of 6.24 +/- 1.7, ranging 4-10 per locus. The observed heterozygosity in the population ranged between 0.261 and 0.809, with mean (+/- s.e.) of 0.574 +/- 0.131, indicating considerable genetic variation in this population. Genetic bottleneck hypotheses were also explored. Our data suggest that the Kherigarh breed has not experienced a genetic bottleneck in the recent past.