Effect of intrauterine contraceptive device on the vaginal microbial flora: a longitudinal study

Abstract: The vaginal flora contains a large variety of bacterial species, including aerobic and anaerobic organisms, as revealed by modern microbiologic methods. Intra uterine contraceptive device [IUCD] is one of the most popular contraceptive methods used world wide. Use of an IUCD might change the flora of the vagina in favor of the growth of bacteria associated with bacterial vaginosis [BV]. The aim of this study was to detect the changes in the normal vaginal flora and possible association of BV with copper T380A IUCD insertion. This study was a longitudinal study that included 30 women who accepted IUCDs copper T380A as a method of a birth control. All women were scheduled for another visit one month after IUCD insertion. They were interviewed and vaginal swabs were collected before and after IUCD insertion and cultured for aerobic and anaerobic bacteria. Direct smear stained with Gram stain was evaluated using Ison and Hay scoring system. Our study revealed that there was no statistically significant relationship between alteration of vaginal flora and IUCD insertion

Conclusion: IUCD is apparently a safe and cost effective method of contraception if proper selection of candidate and proper practices of insertion was done

Hypokalemic quadriparesis with normotensive primary hyperaldosteronism

This case report describe a 45 years old female who presented with hypotonia, hyporeflexia, and motor weakness of all four limbs with bilateral flexor planter response due to severe hypokalemia. The patient was finally diagnosed as a case of normotensive primary aldosteronism. Her CT scan abdomen was done which excluded adrenal adenoma. Aldosterone antagonist led to excellent response and recovery

Total abdominal paracentesis in cirrhotic patients with ascites with I/V albumin of polygeline

Ascites is a frequently encountered problem in Cirrhotics and Total Abdominal Paracentesis is an easy and quick way of relieving these patients. To observe the Total Abdominal Paracentesis with IV Albumin or Hemaccel and observe systemic hemodynamics, electrolytes and renal function. Material and 30 patients who were admitted in A.S.H. were included in study. Patients with hepatocellular carcinoma, child Grade, increased Prothrombin time etc. were excluded. Out of 30 patients enrolled, one expired as he was erroneously included in study. In rest of patients all were hemodynamically stable after one day. Total Abdominal Paracentesis is a safe procedure and can be used to relieve patients with tenso ascites in fast and safe way