Acceptability of male condom: An Indian scenario.

The National Family Planning Programme of India had introduced condom as one of the family planning methods in the late1960s. Condom was promoted as a family planning method through social marketing since its inception. With the increasing prevalence and incidence of sexually transmitted infections (STIs) including HIV/AIDS, condom was also promoted as a dual method for protection against both unintended pregnancies as well as sexually transmitted infections. Despite efforts at various levels, the overall use of condom among couples in India is low. Here we present literature review of studies to understand the condom acceptability among couples in India. Specifically, the paper assesses research and programmes that have been carried out to increase the use of condom among couples; determinants of condom use; reason for not using condom; and perception versus experience of condom failure. The reported problems related to condom use included non acceptance by partner, perceived ineffectiveness, less comfort, lack of sexual satisfaction, husband’s alcohol use, depression, and anxiety, and not available at that instant. The role of media in the promotion of condom use was indicated as an important way to increase awareness and use. Multiple strategies would help in acceptance of male condom.

Histological Study of Neonatal Bowel In Anorectal Malformations.

Anorectal malformations are the congenital condition, seen in approximately 1 in 5000 live births. It affects male and female in the ratio of 1.3:1. Anorectal malformations include a wide range of malformations, that not only involves the anus and rectum, but it also involves urinary and genital tract. Aims and objectives of the study, was to understand the structures involved in anorectal malformations by histological study of surgically excised segments of involved part of neonatal intestine and to understand the degree and cause of possible structural impairment in different segments of involved parts of neonatal bowel that may help in the surgical management of anorectal malformations. Present study was conducted on surgically excised segments of fifteen cases of anorectal malformations, that have been collected from Department of Paediatrics Surgery, IMS, BHU. After that processing of the samples have been done and blocks have been prepared. Then after sectioning and staining with Hematoxyline and Eosin, findings have been noted under the microscope. Histopathological examination revealed the abnormalities of varying degrees. To conclude this study supports that the malformed segments should be excised, regarding controversial issue of preserving or excising the distal segment of anorectum for better functional outcome.

Clinico-epidemiological profile of fever cases admitted during epidemics of Chikungunya fever.

A study of Clinico-epidemiological profile of fever cases admitted during epidemics of Chikungunya fever was carried out in Latur city of Maharashtra State. A total of 238 fever cases were investigated in relation to clinico-epidemilogical characteristics. Maximum fever cases admitted during epidemics of Chikungunya fever were in the age group 16-60 years (74.8%). There was no sex predominance. The commonest symptoms of admitted fever cases were sudden onset of high-grade fever (99.5%), followed by joint pains with tenderness on examination (90.7%), headache (58.4%) and body ache (23.5%). Average duration of illness was 3.01 days (S.D.=0.38). There was no mortality among affected fever cases. Family or neighborhood clustering of cases was observed in 66.8% and 31.5% of the cases respectively. The important environmental factors were presence of open water tank in the house (68%), infrequent cleaning and drying of non drinking water containers (once in 11 days) and abundance of mosquitoes in the house. (45.7%).

Irrational drug use in India: a prescription survey from Goa.

BACKGROUND: There is concern regarding the irrational production, prescription and use of drugs in India. This study aimed to describe the quality of prescriptions by medical practitioners, including both the layout of the prescription and the type and number of drugs prescribed. MATERIALS AND METHODS: A survey of all prescriptions dispensed at a busy pharmacy in the state of Goa, India, was carried out over a consecutive seven-day period. Each prescription was rated on the basis of a priori and pilot-tested variable list. The prescriptions by private practitioners were compared with those from practitioners in the public healthcare system. RESULTS: Nine hundred and ninety prescriptions were collected. The majority (83.9%) were from private practitioners. The quality of the layout of the prescriptions was unsatisfactory: information to identify the practitioner was incomplete in more than a third of the prescriptions and information to identify the patient was incomplete in more than half. Clarity of written instructions on how to take the medicines was unsatisfactory in the majority of prescriptions. Polypharmacy was the norm, with more than half (52.7%) the prescriptions containing at least 3 medicines. Forty per cent of prescriptions included a vitamin or tonic preparation and a quarter of the prescriptions included an antibiotic and an analgesic. Over 90% of prescriptions contained only branded medicines. Private practitioners prescribed significantly greater number of medicines and were more likely to prescribe vitamins and antibiotics, and branded medicines. DISCUSSION: This study confirms that the quality of prescriptions, both in terms of layout and the content of the drugs prescribed, is inadequate. There is a need to standardize the format of prescriptions in India so that all essential information is included. There is a need to strengthen an independent mechanism for continuing professional development of practitioners to ensure that patients are always given evidence-based, cost-effective treatments.

Awareness of urban slum mothers regarding home management of diarrhoea and symptoms of pneumonia.

A total of 635 mothers of under five children from urban slum area of Nanded city were assessed to know their awareness about home management of diarrhoea and symptoms of pneumonia. 48.5% of the mothers were unaware of any method of rehydrating the child with diarrhoea at home level followed by 36.2% mothers who were knowing home available fluids for rehydrating the child. 50.4% of the mothers were not knowing a single symptom of pneumonia followed by 35.1% mothers who were aware rapid abdominal movements (Pet Udna) as a symptom of pneumonia.

Mammotrope heterogeneity in the pituitary gland of European ferret, M ustela putorius Juro: An immunoelectron-microscopic study.

Employing the superimposition technique of electron-microscopic immunocytochemistry ultrastructural heterogeneity of the mammοtropes in the pituitary gland of the European ferret, Mustela putorius furo, was studied. On the basis of the size of their secretory granules, the mammotropes were classified into three subtypes, type-I, type-II and type-Ill, which may correspond to different developmental or physiological states of a single cell type. Simultaneous study of mammotropes and somatotropes in several pairs of serial semithin sections demonstrated the occasional occurrence of bihormonal somatomammotropes/ mammosomatotropes which may represent a transitional stage of the progenitor stem-somatotrope during its differentiation into mammotrope; alternatively it may be a functional intermediate during the cross-transformation of somatotrope into mammotrope or vice versa.

Induction of ovarian follicular development in the subadult frog Rana tigrina using luteinizing hormone releasing hormone-acetate.

In the subadult Rana tigrina administration of 2 μg luteinizing hormone releasing hormone-acetate/frog six days a week for 4 weeks in April resulted in the formation of medium (in all 8 frogs) and large sized (in 4 out of 8 frogs) yolky oocytes and, concomitant increases in the oviductal mass. The ovarian and oviductal masses showed a 10-fold increase over the control frogs. In untreated frogs the ovaries were transparent and contained first growth phase oocytes only. The oviducts were also infantile. The pituitary sections were stained using antisera raised in rabbit against the β-subunit of human luteinizing hormone and human follicle stimulating hormone. Immunoreactivity, staining intensity, cytoplasmic granulation and, cell, nuclear and cytoplasmic areas of gonadotrophs (B2 cells) increased significantly in luteinizing hormone releasing hormone treated frogs. The above findings suggest that pituitary-ovarian axis in the subadult Rana tigrina is responsive to luteinizing hormone releasing hormone and that long-term treatment with the hormone induces cytomorphological changes in the gonadotrophs which result in the conversion of inactive cells into secretory cells. This is accompanied by precocious vitellogenic growth of oocytes in the subadult frogs.

Epidemiology of poliomyelitis in a slum of Bombay.

A disease prevalence and immunization coverage survey in a typical slum in Bombay in the year 1988 revealed 93 children with residual poliomyelitis amongst 14,439 children below 9 years of age, indicating high (33.0/100,000 population) annual incidence of poliomyelitis. Only 62 (66.6%) of these 93 lame children sought admission in hospital during the acute phase of illness. The high incidence was attributed to a low immunization (OPV) coverage level in the most vulnerable age group. The immunization coverage for 3 doses of oral polio vaccine below 2 years of age was 43.5%. A large number of children were not commencing their immunization schedule at the right age. The survey indicated a poor "community participation" in the immunization programmes due to a poor "health awareness".

Review of poliomyelitis in Bombay (1982-1989): observations on the improved immunisation coverage.

In Bombay, the immunization coverage with 3 doses of oral polio vaccine in children below 2 years of age has reached 80%. As a result, the high incidence of over 11/100,000 population prevailing in the 6 year period (1982-1987) has declined to around 6 in 1988 and 1989. The decline was observed both in the slum and in the "non-slum" population. The incidence in the slum population has reduced from over 22/100,000 population to around 11. In the morbidity, a subtle "age shift" to older children was noticed in 1988-1989. Average age-specific incidence (for age group below 1 year) was found to be 1.04/1000 children in 1988-89 as against 2.47 in the preceding 6 years. The proportion of "Non-Immunized" cases gradually declined from 65.8% in 1982 to 49.7% in 1989 and conversely, the proportion of fully immunized cases increased from 14.5% in 1982 to 22.7% in 1989. The attack rates per 1000 children below 1 year of age in the inadequately/"Non-Immunized" and the fully immunized children were found to be 2.822 and 0.224 respectively. The sharp peak in the morbidity observed in the 3rd quarter of an year (July to September) has been replaced by almost even distribution of cases in all the quarters of an year. All the three polioviruses were encountered through out the year. Although, poliovirus type 1 was the most predominant of viruses, its proportion was on decline. The portion of isolation of "Non-Polio" viruses has increased from 6.8% in 1982 to 16.2% in 1989.(ABSTRACT TRUNCATED AT 250 WORDS)