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Comparison of the effects of clobazam and diazepam in prevention of recurrent febrile seizures 氯巴唑与地西泮预防反复热性惊厥的效果比较
Pub Date : 2017-04-03 DOI: 10.24896/JRMDS.V5I1.246
A. Talebian, S. Vafaei, M. Sharif, H. Akbari, M. Sehat, D. Kheirkhah, M. Talebian
Febrile seizure is the most common neurological disorder in children and occurs in 2 to 5% of them. The possibility of febrile seizure recurrence induces a grave concern to parents. Prophylactic benzodiazepines are usually used to prevent the recurrence. However, previous studies showed no difference between the preventive effect of clobazam and diazepam. Thus, this study aimed to compare the effects of clobazam and diazepam in preventing febrile seizure recurrence in children. A double blind, randomized, controlled trial was conducted on 160 children from six months to 5 years of age with febrile seizure. Patients were matched for age, sex, underlying diseases and risk factors for recurrence and randomly assigned to two groups to receive either 0.33 mg/kg of oral diazepam, every 8 h for two days, or 1 mg/kg of oral clobazam every 12 h for 2 days. All patients were followed-up for the frequency and time of febrile seizure recurrence, and drug side effects for 12 months. Descriptive statistics were calculated and chi-square and t- tests were used to compare the two groups. The mean age of the children in the diazepam and clobazam groups were 29.61 ±13.1 and 29.7 ± 11.5 months, respectively (P = 0.755). In clobazam group, the frequencies of febrile seizure recurrence were 10%, 5% and 5% at 3, 6 and 12 months after the first attack. At the same time, the frequencies of the recurrence in the diazepam group were 23.8%, 17.5% and 15%, respectively (p < 0.05). The two groups were not significantly different in terms of the drug side effects (p = 0.194). The group treated with clobazam experienced less febrile seizure recurrence in the 12 months follow-up. Thus, clobazam can be used as an effective medication to prevent febrile seizure recurrence in children. Keywords: Clobazam, Diazepam, Febrile seizure, Recurrence
发热性癫痫是儿童最常见的神经系统疾病,发生率为2%至5%。发热性癫痫复发的可能性引起父母的严重关切。预防性苯二氮卓类药物通常用于预防复发。然而,先前的研究表明,氯巴扎姆和地西泮的预防效果没有差异。因此,本研究旨在比较氯巴扎姆和地西泮预防儿童高热惊厥复发的效果。一项双盲、随机、对照试验对160名6个月至5岁的发热性癫痫儿童进行了研究。患者的年龄、性别、潜在疾病和复发风险因素相匹配,并随机分为两组,每8小时口服0.33 mg/kg地西泮,持续两天,或每12小时口服1 mg/kg氯巴嗪,持续两天后。对所有患者的发热性癫痫复发频率和时间以及药物副作用进行了12个月的随访。采用描述性统计方法,卡方检验和t检验对两组患者进行比较。地西泮组和氯巴扎姆组患儿的平均年龄分别为29.61±13.1和29.7±11.5个月(P=0.755)。氯巴扎姆组在首次发作后3、6和12个月的发热性癫痫复发率分别为10%、5%和5%。同时,地西泮组的复发率分别为23.8%、17.5%和15%(p<0.05)。两组在药物副作用方面没有显著差异(p=0.194)。氯巴扎姆治疗组在12个月的随访中发热性癫痫复发较少。因此,氯巴扎姆可以作为一种有效的药物来预防儿童热性癫痫复发。关键词:氯巴扎姆、安定、发热性发作、复发
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引用次数: 0
An overview of malignancy cases reported on histopathology over a Span of 5 years (2011-2015) at Terna Medical College, Nerul, Navi Mumbai 孟买奈鲁尔Terna医学院5年(2011-2015年)组织病理学报告的恶性肿瘤病例综述
Pub Date : 2017-04-03 DOI: 10.24896/jrmds.v5i1.240
S. Pawar, K. Ghorpade, A. Khandelwal, Shilpa Gupta, A. Saraf
The incidence and burden of cancer is huge and is set to rise. Cancer kills more people on a global scale than AIDS, malaria and TB combined, hence proving to be the most fatal disease for our Society. The aim of this study is to evaluate the most common organ malignancy amongst all System Organ Malignancies. We present a brief review of malignancy cases studied at Terna Medical College, Navi Mumbai over a span of 5 years (2011-2015). Study was undertaken at Terna Medical College, Nerul, Navi Mumbai for 5 Years ( 2011-2015) for:-Malignant Cases and System Organ Specific Malignancies. We have studied Total of 5495 Cases out of which 172 turned out to be malignant over a span of 5 Years (2011-2015). Out of these 172 Malignant Cases, Female Genital System, Breast & Oral Cavity Cancers together account for 79 Percent (135 Cases). In view of the above, we have concluded that Female Genital System, Breast & Oral Cavity cancers are Top Three Malignancies among all System Organ Specific Malignancies. Key words: - Worldwide, Killer, Cancer, Global, Trend
癌症的发病率和负担是巨大的,而且还会上升。在全球范围内,癌症导致的死亡人数超过艾滋病、疟疾和结核病的总和,因此被证明是我们社会最致命的疾病。本研究的目的是评估所有系统器官恶性肿瘤中最常见的器官恶性肿瘤。我们对孟买新城区Terna医学院5年来(2011-2015年)的恶性肿瘤病例进行了简要回顾。研究在新孟买Nerul的Terna医学院进行了5年(2011-2015),研究对象为:恶性病例和系统器官特异性恶性肿瘤。我们研究了5495例病例,其中172例在5年(2011-2015年)的时间里被证明是恶性的。在172例恶性肿瘤中,女性生殖系统癌、乳腺癌、口腔癌共135例,占79%。综上所述,我们得出结论:女性生殖系统癌、乳腺癌和口腔癌是所有系统器官特异性恶性肿瘤中排名前三的恶性肿瘤。关键词:全球,杀手,癌症,全球,趋势
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引用次数: 1
Forced Expiratory Volume in the first second (FEV1) in patients with chronic low back pain 慢性腰痛患者第一秒用力呼气量(FEV1)的变化
Pub Date : 2017-04-03 DOI: 10.24896/JRMDS.V5I1.242
A. Leo, A. Irani, Suresh Sharma, N. Borade, S. M.T
Low back pain is a common musculoskeletal complaint for people of all age and is a major health and socioeconomic problem. In chronic low back pain [cLBP], there will be weakness of trunk and abdominal muscles. These muscles play a vital role in optimizing the lung volumes and pressures as well as in maintaining the airflow. Thus cLBP patients may also have poor respiratory function. The purpose of this study is to find the alteration of pulmonary function especially the FEV1 in patients with cLBP and the factors responsible for it. 100 patients with cLBP fulfilling the selection criteria’s were recruited. Age, gender, weight, height and duration of the symptom is recorded for demographic values. Forced Expiratory Volume in the first second was measured by Spirometer [Welch Allyn – Schiller (SP-1)]. Average of 3 repetitions is documented for analysis. Correlation coefficient with r=0.82 [P<0.01] shows a positive correlation between the patient value and expected value. In this study, the ‘t’ value of 65.0114 [P< 0.0001] shows that there is a statistically significant reduction in FEV1 among the chronic LBP adult patients when compared with their expected value. Chronic low back pain patients have reduced respiratory function [FEV1]. Core muscle dysfunction along with the pain and kinesiophobia associated with cLBP are the factors responsible for this pulmonary dysfunction. Key words: chronic low back pain, FEV1, lung volumes, pulmonary function, spirometry.
腰痛是所有年龄段人群常见的肌肉骨骼疾病,也是一个主要的健康和社会经济问题。在慢性腰痛[cLBP]中,会出现躯干和腹部肌肉无力。这些肌肉在优化肺部容积和压力以及维持气流方面发挥着至关重要的作用。因此,cLBP患者的呼吸功能也可能较差。本研究的目的是寻找cLBP患者肺功能的改变,特别是FEV1的改变及其影响因素。招募了100名符合选择标准的cLBP患者。将年龄、性别、体重、身高和症状持续时间记录为人口统计值。通过肺活量计[Welch Allyn–Schiller(SP-1)]测量第一秒的强迫呼气量。记录平均3次重复进行分析。相关系数r=0.82[P<0.01]显示患者价值与期望值之间呈正相关。在这项研究中,65.0114[P<0.001]的“t”值表明,与预期值相比,慢性LBP成年患者的FEV1在统计学上显著降低。慢性腰痛患者的呼吸功能[FEV1]降低。核心肌功能障碍以及与cLBP相关的疼痛和运动恐惧症是导致这种肺功能障碍的因素。关键词:慢性腰痛,FEV1,肺容量,肺功能,肺活量测定。
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引用次数: 5
Surgical Management of Ankyloglossia 强直性舌炎的外科治疗
Pub Date : 2017-03-25 DOI: 10.24896/JRMDS.V1I2.18
Gohil Meera, Padhiyar Navneet, Gohil Ankit
Ankyloglossia, or tongue-tie, is a congenital condition that results when the inferior lingual frenulum is too short and is attached to the tip of the tongue, limiting its normal movements. Ankyloglossia can lead to a range of problems, such as difficulties in breastfeeding in infants, speech impediments, being embarrassed by peers during childhood and adolescence, and poor oral hygiene. This article reports the surgical management of a patient having ankyloglossia associated with restricted movement of tongue. The treatment involved surgical removal of the lingual frenulum, which healed uneventfully. A marked improvement in the movement of the tongue was observed at follow up visits in the treated case.
舌系带是一种先天性疾病,当舌下系带太短并附着在舌尖上,限制了其正常运动时就会出现这种情况。强直性脊柱炎会导致一系列问题,如婴儿母乳喂养困难、言语障碍、儿童和青少年时期被同龄人尴尬以及口腔卫生不良。本文报道了一例舌功能受限的强直性舌炎患者的手术治疗。治疗包括手术切除舌系带,该系带顺利愈合。在接受治疗的病例的随访中,观察到舌头运动的显著改善。
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引用次数: 2
Tobacco habits & Oral Health-A cross-sectional study - 吸烟习惯与口腔健康-横断面研究
Pub Date : 2017-03-25 DOI: 10.24896/jrmds.v3i1.106
H. PobaruDhruti, J. PatelArpit, Bachani Jaybala
Background: More people use tobacco today than any other time in history. Tobacco is among the most addictive product known and tobacco dependence is progressive, chronic and relapsing disorder. Aim: To assess various tobacco habits, periodontal health & awareness regarding Cigarettes and Other Tobacco Products (COPTA). Materials and Methods: A cross-sectional study was conducted in Govt. Dental College & Hospital, Jamnagar. Patients present to public health department were enrolled for the study. Total 300 patients were enrolled   during period of 1st July to 31st August, 2014 Questionnaire related to smokeless and smoking tobacco habits, periodontal status evaluation, presence of oral lesions, awareness about COTPA and willingness to quit the habit were asked to patients. Results: Smokeless tobacco habit practiced more (72.33%) than smoked tobacco (22.33%) while 5.33% patients used both the products. Again, among Smoke Less Tobacco (SLT), Mawa chewing was more prevalent (52.33%) among smokeless tobacco habit whereas Bidi smoking was more prevalent (19%) amongst smoked tobacco habit. Periodontal disease was present in almost all (98.6%) patients. About 73.67% patients did not know anything about COTPA 2003. Total 88.67% patients were willing to quit the habit but 64.67% patients didn‟t know who could help them to quit. Conclusion: More prevalent tobacco habits were Mawa chewing and Bidi smoking. Periodontal condition was jeopardized among tobacco users. Majority of them were unaware of COTPA. Most of them were willing to quit tobacco habits but they did not know from where to seek the help Keywords: Smoke Less Tobacco (SLT), smoking, Cigarettes and Other Tobacco Products (COPTA), tobacco                        Quitting
背景:今天吸烟的人比历史上任何时候都多。烟草是已知的最容易上瘾的产品之一,烟草依赖是进行性、慢性和复发性疾病。目的:评估各种烟草习惯、牙周健康状况以及对香烟和其他烟草制品(COPTA)的认识。材料和方法:在Jamnagar的Govt.牙科学院和医院进行了一项横断面研究。到公共卫生部门就诊的患者被纳入研究。在2014年7月1日至8月31日期间,共有300名患者被纳入调查。调查对象包括无烟和吸烟习惯、牙周状况评估、口腔病变的存在、对COTPA的认识和戒烟意愿。结果:戒烟习惯(72.33%)多于吸烟习惯(22.33%),5.33%的患者同时使用这两种产品。同样,在无烟烟草(SLT)中,咀嚼Mawa在无烟烟草习惯中更为普遍(52.33%),而Bidi吸烟在吸烟习惯中更普遍(19%)。几乎所有(98.6%)患者都有牙周病。约73.67%的患者对COTPA 2003一无所知。88.67%的患者愿意戒烟,但64.67%的患者不知道谁能帮助他们戒烟。结论:较普遍的吸烟习惯是嚼马娃和比迪烟。烟草使用者的牙周状况受到危害。他们中的大多数人不知道COTPA。他们中的大多数人都愿意戒烟,但他们不知道从哪里寻求帮助关键词:无烟烟草(SLT)、吸烟、香烟和其他烟草制品(COPTA)、戒烟
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引用次数: 0
Bland-White-Garland syndrome in a neonate 新生儿的白-白花环综合征
Pub Date : 2017-03-25 DOI: 10.24896/JRMDS.V3I1.111
M. Sunilkumar
Anomalous origin of left coronary artery from pulmonary artery (ALCAPA) or the Bland-White-Garland syndrome was first described in the year 1866 and postulated in 1933.  It is an intriguing entity in the field of paediatrics as well as paediatric cardiology due to its varied presentation in the paediatric age group. This congenital heart anomaly is reported in less than 0.5% of all the congenital heart diseases. In the past, infant deaths were frequent due to not diagnosing it promptly. Presently, the prognosis for these patients with ALCAPA has dramatically improved as a result of the scientific advancements in the field of cardiology such as early diagnosis using echocardiography and improvements in cardiovascular surgical techniques. Interestingly many treating doctors are not aware about the significance of the ALCAPA and can be missed easily. The chance of ALCAPA should be searched in every infant or children with non specific symptoms of incessant crying and feeding difficulty to achieve better outcome and to prevent its complication such as sudden death. This case study reports ALCAPA in a 23 day old neonate. Key words: ALCAPA, Bland-White-Garland syndrome, Crying newborn, congenital heart diseases, Coronary steal, Myocardial ischemia, Antero-lateral myocardial infarction
肺动脉左冠状动脉异常起源(ALCAPA)或Bland-White-Garland综合征于1866年首次被描述,并于1933年被假设。由于其在儿科年龄组中的不同表现,它在儿科和儿科心脏病学领域是一个有趣的实体。据报道,这种先天性心脏异常在所有先天性心脏病中只占不到0.5%。在过去,由于没有及时诊断,婴儿死亡是经常发生的。目前,由于心脏病学领域的科学进步,如超声心动图的早期诊断和心血管外科技术的改进,这些ALCAPA患者的预后已经显著改善。有趣的是,许多治疗医生并不知道ALCAPA的重要性,很容易被忽视。应在每一个有持续哭闹和喂养困难等非特定症状的婴儿或儿童中寻找ALCAPA的机会,以获得更好的结果并防止其并发症,如猝死。本病例研究报告了一名23天大新生儿的ALCAPA。关键词:ALCAPA、Bland-White-Garland综合征、哭闹新生儿、先天性心脏病、冠状动脉偷采、心肌缺血、前外侧心肌梗死
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引用次数: 0
Neonatal Gastric Perforation – A Case Report Harsh 新生儿胃穿孔一例报告
Pub Date : 2017-03-25 DOI: 10.24896/jrmds.v3i1.109
Harsha Trivedi, Prashant N Vanzar, Nirav B Satasia
Gastric perforation in neonates is a very rare surgical emergency and life-threatening condition with uncertain etiology till date. Despite having high mortality rate, pathogenesis and etiology are greatly debated. Because of its high mortality rate, prompt diagnosis and urgent surgical intervention is mandatory.  Herewith we report a case of neonatal gastric perforation having no apparent etiology. A 3 day old full term twin delivery male baby with neonatal gastric perforation presented with abdominal distention and respiratory distress. Baby was with low birth weight and was in septicemia during admission. He was diagnosed radiologically on X ray abdomen showing ‘saddle bag’ appearance and demonstrating gas out lining falciform ligament and managed by resuscitation and surgery. On exploration there was a 1 cm x 1 cm perforation seen on the fundic region along the greater curvature which was circular with pouting mucosa through it, surrounding serosa was hyperemic, no evidence of necrosis or petechial hemorrhage around perforation; primary repair was done. Postoperatively, despite of intensive care by means of invasive ventilation, intravenous fluids and broad spectrum antibiotics, condition of baby started deteriorating and he expired 40 hours after operation. Cause of death was septicemia secondary to peritonitis in low birth weight baby. Key words: Neonate, Gastric, Perforation, Peritonitis
新生儿胃穿孔是一种非常罕见且危及生命的外科急症,病因不明。尽管死亡率高,但发病机制和病因仍有很大争议。由于其高死亡率,及时诊断和紧急手术治疗是强制性的。在此,我们报告一例没有明显病因的新生儿胃穿孔。一个3天大的足月双胞胎男婴新生儿胃穿孔表现为腹胀和呼吸窘迫。婴儿出生体重低,入院时出现败血症。经X线诊断,腹部呈“鞍袋”状,镰状韧带内气体渗出,经复苏和手术处理。探查时,眼底大弯曲处见1 cm × 1 cm穿孔,呈圆形,有凹陷粘膜穿过,周围浆膜充血,穿孔周围未见坏死或点状出血;初步修复完成。术后,尽管通过有创通气、静脉输液和广谱抗生素进行了重症监护,但婴儿的病情开始恶化,在手术后40小时死亡。死亡原因为低出生体重儿腹膜炎继发败血症。关键词:新生儿,胃,穿孔,腹膜炎
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引用次数: 0
Knowledge and Practices regarding commonly occurring mosquito borne diseases among people of urban and rural areas of Rajkot District, Gujarat 古吉拉特邦Rajkot区城乡居民常见蚊媒疾病的知识和实践
Pub Date : 2017-03-25 DOI: 10.24896/JRMDS.V1I2.12
V. Mayur, Patel Umed, Joshi Nirav, Zalavadiya Dipesh, B. Chirag, V. Ankit
Background: People’s knowledge and awareness towards the disease can help in the formation of the design of Behaviour Change Communication campaigns to influence acceptance and use of any control measures. Aims: To study the knowledge and practices regarding commonly occurring mosquito borne diseases among people of urban and rural areas of Rajkot District. Material and Methods: Multistage sampling method was used. Total 432 households, 216 each from urban and rural areas, were studied. Selection of areas was based on Annual Parasite Incidence. Six areas from urban and six talukas form rural areas were studied. Data were collected using a pretested semi structured questionnaire during the high transmission season (July 2011 to October 2011) of mosquito borne diseases. Data were entered in Microsoft Excel and analysis was done using Epi Info 6. Results: 87.96%respondents knew that mosquito transmits malaria.75.93% respondents did not know how dengue is transmitted. Fever (95.60%) and chills (71.06%) were the most common malaria symptoms told by respondents. 85.65%respondents were not knowing about dengue symptoms. 48.84% told joint pain as chikunguniya symptom. 90.05% respondents associated water collection to mosquito breeding place. 90.51% respondents knew that mosquito borne diseases can be prevented by using personal protective measures. 23.84% of the respondents did not use anything for prevention against mosquito bites. Conclusion: Knowledge regarding malaria was found satisfactory but knowledge regarding other mosquito borne diseases was unsatisfactory. Knowledge regarding prevention of mosquito borne disease was good and majority of the households were using preventive measures against mosquito bites.
背景:人们对该疾病的了解和意识有助于形成行为改变沟通活动的设计,以影响任何控制措施的接受和使用。目的:研究Rajkot区城乡居民对常见蚊媒疾病的认识和做法。材料与方法:采用多阶段抽样法。共对432户家庭进行了研究,其中城市和农村各216户。根据寄生虫年发病率选择区域。研究了来自城市的六个地区和来自农村的六个塔鲁卡。数据是在蚊子传播疾病高发季节(2011年7月至2011年10月)使用预测试的半结构化问卷收集的。在Microsoft Excel中输入数据,并使用Epi Info 6进行分析。结果:87.96%的受访者知道蚊子传播疟疾,75.93%的受访者不知道登革热是如何传播的。发烧(95.60%)和发冷(71.06%)是受访者最常见的疟疾症状。85.65%的受访者不了解登革热症状。48.84%的患者认为关节疼痛是基孔肯尼亚症状。90.05%的受访者将取水与蚊子繁殖地联系起来。90.51%的受访者知道通过个人防护措施可以预防蚊子传播的疾病。23.84%的受访者没有使用任何预防蚊虫叮咬的物品。结论:对疟疾的了解令人满意,但对其他蚊媒疾病的了解却不令人满意。预防蚊子传播疾病的知识很好,大多数家庭都在使用预防蚊子叮咬的措施。
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引用次数: 17
geneXpert, is the India late? geneXpert,印度迟到了吗?
Pub Date : 2017-03-11 DOI: 10.24896/JRMDS.V1I1.7
Kapil M Gandha
The Xpert MTB/RIF – a rapid, fullyautomated nucleic acid amplification test – is the first major breakthrough in tuberculosis (TB) diagnostics since sputum smear microscopy was developed more than 100 years ago. Further more in case of HIV positive patient’s sputum microcopy has less sensitivity and culture takes three to six month while this test detects TB and Rifampicin resistance directly from untreated sputum in less than two hours. India is a country with a high burden of tuberculosis, multidrug-resistant tuberculosis and tuberculosis–HIV coinfection.  By early diagnosis of resistance and at the pt care site only this intervention would reduce the transmission of primary drug resistance TB and would decrease mortality and morbidity.
Xpert MTB/RIF是一种快速、全自动核酸扩增测试,是自100多年前开发痰涂片显微镜以来,结核病诊断的第一个重大突破。此外,在HIV阳性患者的情况下,痰涂片的敏感性较低,培养需要三到六个月,而这种检测可以在不到两小时的时间内直接从未经治疗的痰中检测出结核病和利福平耐药性。印度是一个结核病、耐多药结核病和结核病-艾滋病合并感染负担沉重的国家。通过耐药性的早期诊断,只有在pt护理点进行这种干预才能减少原发耐药结核病的传播,并降低死亡率和发病率。
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引用次数: 0
Socio-demographic profile of IUCD acceptors attending Post-Partum Unit (P.P.U.) of Guru Govindsingh Hospital, Jamnagar - Jamnagar Guru Govindsingh医院产后病房(P.P.U.)接受宫内节育器的人的社会人口概况-
Pub Date : 2017-03-11 DOI: 10.24896/JRMDS.V1I1.3
Goswami Kalpesh, Bundela Chintan, G. Aniruddha, Parmar Dipesh, Y. Sudha
Background: The family welfare programme is a priority health programme for our country. In spite of integrated and concerted efforts, the programme has not been able to make an appreciable reduction of Crude Birth Rate. This was mainly because it had almost become synonymous with sterilization and majority of the couples had undergone sterilization only after achieving their desired family size of more than three children. So, the program has shifted its focus on spacing methods to reduce CBR. Aims: To assess the socio-demographic profile of women using IUCD and the decisionmaking status of women in selection of spacing methods. Material and Methods: All IUCD acceptors (Total 413 women) attending postpartum unit of G.G. Hospital, Jamnagar from October 2012 to December 2012 were studied. Results: A total 185 (44.79%) acceptors were in the age group of 24–28 years, 337(81.59%) of acceptors were literate, 238 (57.62%) acceptors had two or more living children. In 370 (89.58%) cases, IUCD was inserted within 10 days of menstruation & only 20 (4.84%) women had got IUCD inserted within 6 weeks of last delivery. Only 28 (6.77%) women took decision themselves for IUCD insertion. Decision making status of women was positively associated with their high education level. Conclusion: Majority of IUCD users were young women, indicating that spacing is being adopted in the early twenties. Majority of the users were literate & their educational level was significantly associated with their decision making status in matters of opting for contraception. Keywords: IUCD acceptors, Socio-demographic profile, postpartum unit
背景:家庭福利方案是我国的一项优先保健方案。尽管进行了综合协调努力,该方案仍未能显著降低粗出生率。这主要是因为它几乎已经成为绝育的代名词,大多数夫妇是在达到他们想要的三个以上孩子的家庭规模后才进行绝育的。因此,该计划已将重点转移到间距方法上,以减少CBR。目的:评估使用宫内节育器的妇女的社会人口状况以及妇女在选择间隔方法方面的决策地位。材料和方法:对2012年10月至2012年12月在贾姆纳加尔G.G.医院产后病房就诊的所有宫内节育器受体(共413名女性)进行研究。结果:共有185名(44.79%)接受者处于24-28岁年龄组,337名(81.59%)接受者识字,238名(57.62%)接受者有两个或两个以上在世的孩子。在370例(89.58%)病例中,IUCD在月经后10天内插入,只有20例(4.84%)妇女在最后一次分娩后6周内插入。只有28名(6.77%)妇女自己决定插入宫内节育器。妇女的决策地位与其高教育水平呈正相关。结论:大多数宫内节育器使用者是年轻女性,这表明间隔是在20岁出头采用的。大多数使用者识字,他们的教育水平与他们在选择避孕方面的决策地位显著相关。关键词:宫内节育器受体,社会人口学特征,产后单位
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引用次数: 0
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Journal of Research in Medical and Dental Science
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