ABSTRACT
Rupture uterus in nulliparous patients is generally associated with mullerian anomalies. A case of 23 years primigravida with 19 weeks gestation presenting with features of rupture is reported here. Ultrasound helped in the diagnosis of left horn of bicornuate uterus. After exploration, right ruptured horn was excised. The incidence, diagnosis and management of such cases is discussed.
Subject(s)
Adult , Female , Humans , Pregnancy , Pregnancy Complications/diagnosis , Pregnancy Trimester, Second , Uterine Rupture/diagnosis , Uterus/abnormalitiesABSTRACT
Nearly 25 million children are born in India every year of which almost 2.7 million die before attaining the age of five years. Forty seven per cent of births take place in the four states, namely Uttar Pradesh, Madhya Pradesh, Bihar and Orissa, while fifty per cent of all deaths below five years also take place in these states. The present study was carried out in Jhabua district in which five per cent villages of each tehsil were selected by random sampling. Information was obtained on 430 households of 67 villages on infant and child mortality, birth order, age, sex and cause of death. 38.2% households reported the death of at least one child below the age of five years. Out of these 59.3%, 27.2% and 13.2% reported the death of one, two or three and more children respectively. 46% of infant deaths or 29.3% of all deaths occurred in the neonatal period. The major causes of death were preventable such as tetanus, diarrhoea, measles, ARI and fever. 51.3% deaths were of children who were third or more in birth order. 54.8% deaths were males and 47.59% were females. The study shows the need for an effective Dai (Midwife) Training Programme to upgrade the skills and an urgent necessity to improve the outreach services in remote tribal areas to bring down the infant mortality.
Subject(s)
Age Distribution , Cause of Death , Child , Child, Preschool , Developing Countries , Female , Humans , India/epidemiology , Infant , Infant Mortality/trends , Infant, Newborn , Male , Population Surveillance , Rural PopulationABSTRACT
During epidemic investigation, water sources were tested for quality for drinking purpose. Out of 30 khatris tested, water of 86.7% khatris was fit for human consumption and fecal coliform was not found in any of them. Modification of these khatris was stressed by respondents.
Subject(s)
Cholera/epidemiology , Geography , Humans , India/epidemiology , Salmonella typhi , Typhoid Fever/epidemiology , Vibrio cholerae , Water Microbiology , Water Supply/standardsSubject(s)
Adolescent , Awareness , Child , Child Development , Child, Preschool , Communication , HumansABSTRACT
A total of 1629 cases were included in the study for the presence of intestinal parasites during 12 mobile camps in different areas of Himachal Pradesh. 47.08% were positive for parasites. The prevalence rate of helminthic parasites was 32.41% and that of protozoal parasites was 20.81%. The parasitic prevalence has been discussed in the light of peculiar geographical situation of the area.
Subject(s)
Altitude , Cross-Sectional Studies , Developing Countries , Feces/parasitology , Humans , Incidence , India/epidemiology , Intestinal Diseases, Parasitic/epidemiology , Rural Population/statistics & numerical dataABSTRACT
One hundred and thirty samples of cerebro spinal fluid were collected from patients admitted with suspected signs and symptoms of meningococcal meningitis (M. meningitis) during the period from January 1986 to April 1989 and were processed for gram's staining, cultivation and latex agglutination tests for detection of polysaccharide antigen in the CSF. Totally 41.5% of turbid and hazy spinal fluid were positive for N. meningitidis by smear examination. Only 24.6% were positive by culture but 61.5% of sample were positive by latex agglutination tests. All the strains were sensitive to all antibiotics except one strain which was resistant to penicillin but it was sensitive to rifampicin.