ABSTRACT
Priapism is a rare presenting feature of Chronic Myeloid Leukemia (CML). It is an urological emergency which requires urgent treatment to prevent long term complications, in particular erectile dysfunction. Author report a case of 18 year old male presenting with persistent painful erection of penis for around 14 hours. The patient underwent immediate irrigation and decompression of priapism in emergency and was started on cytoreductive therapy. During hospitalization, peripheral blood smear and bone marrow aspiration confirmed the diagnosis of CML
ABSTRACT
Background and Objectives: Severe acute pancreatitis (SAP) affects the nutritional status of the patient. This prospective study was carried to assess the tolerance and outcome of early enteral nutrition via naso-jejunal feeding tube (NJFT).Methods: 30 patients of SAP were given enteral feeding via endoscopically inserted NJFT within 48 – 72 hours of admission. The volume of the feeds was increased as per tolerance. The patients who tolerated the feed (Group A) and those who did not tolerate (Group B) were followed up by biochemical parameters, amount and duration of feeding. The patient outcome noted and the results statistically analyzed. Results: 27 (90%) patients tolerated the feed, reached the goal feed volume and were subsequently started on oral feeds. No complication related to NJFT insertion was encountered. A significantly higher ICU stay (p=0.04) and number of complications (p = 0.048) was observed in Group B patients than in Group A. All nutritional parameters improved in patients in Group A with significant improvement in serum calcium, serum albumin and fasting blood glucose levels. Conclusion: Enteral nutrition is an economical and effective way to provide nutrition to patients with severe acute pancreatitis. The patients who tolerated feeds had less morbidity, mortality and hospital stay.
ABSTRACT
Background: It is a well-documented fact that men’s general knowledge and attitudes concerning the ideal family size, sex preference of children, ideal spacing between child births and contraceptive method use greatly influence women’s preferences and opinions. However, fertility and family planning research and programmes have ignored men’s role in the past, focussing their attention on women’s attitudes and behaviours in matters concerning reproduction. Aims & Objective: To assess men’s attitude towards family planning & to compare in which ways and to what extent the men’s attitude differs from their wives and its implications for future family planning programs. Material and Methods: A cross sectional survey was carried out in 305 eligible couples in Shahid Bhagat Singh Colony of Rajpura, Punjab. Information pertaining to the couple’s socio-demographic data, fertility intentions & attitude towards contraception was collected. Results: It was observed that among the women whose spouse approved of their contraceptive usage, 41.3% of the women were using contraceptives and 58.7% were not using any contraceptive. 79.7% of the women who had frequent (more often) discussions with their partners were currently using contraceptives and 20.3% did not use any form of contraceptives despite frequent discussions. As regards perception of ideal family size it was observed that in 68.7% (95 % CI: 63.2 – 74.2%) of cases there was agreement between husband and wife about the number of children that they should ideally have. Conclusion: Men’s fertility intentions, reproductive preferences and their attitude towards family planning seem to influence the fertility behaviour of their wives and their attitude towards the use of contraceptives. Therefore an attempt to promote reproductive health through increasing use of contraceptives needs to be made and family planning programmes need to target men specifically at all levels of the programme.