Quality of Counselling Services for Pregnant Women in Community Clinics

Maternal health service had a potentially critical role in the improvement of reproductive health. This descriptive study was carried out in Tangail district, from 1st January to 31st December, 2019 to find out the quality of counselling of services for pregnant women in community clinics during pregnancy period. Data were collected among 289 respondents by face to face interview who had delivered within last 24 months and respondents were selected purposively. The majority (97.6%) of the respondents were housewife and maximum (72%) of the respondent were below SSC in this study monthly family income mean was taka 16124.00± 10065.480. Majority of the respondents (99.2%) had received antenatal check-up from different health care facilities and highest (87.2%) had received from the community clinic other hands (6.0%) pregnant women got antenatal care from non-government hospital among 250 respondents (94.0%) pregnant women received ANC from CHCP also (4%) pregnant women received ANC from HA. Out of 250 pregnant women (70%) of the respondents were problem suffer during pregnancy. Here majority (59.6%) pregnant women were suffer from nausea and vomiting and only (6.3%) were suffering from constipation. Majority (89.2%) of the respondents had preparation about danger sign during pregnancy. Most 245 (98%) of the respondents of pregnant women had information about ANC and most (85.7%) got information from CHCF on other hand ride got information (2.9%) from neighbour. half (4.8%) of the respondents choice of conduct delivery at upazila health complex followed by (48.8%) only choice of conduct clinics. Most (98%) of the respondents had received TT vaccine and maximum (95.1%) of the respondents had completed TT vaccine. Enough skilled manpower for patient care (98.4%). Health care provider perform ANC check-up (96.8%). Health care provider counselling during pregnancy (96.4%) physical examination (98.0%) explanation of health. (99.2%) health care provider give any advice before departure (70.4%). Continue to follow-up health status over phone (99.2%). Service providers in health care shows that 33.3% was BSc/BA, 42.9% of service providers were masters and above their professional training more than one third (38.1%) of the providers has basic training, 47.6% had basic & CSBA and rest 14.3% had ECT and nutritional training. Majority 100% of the provider’s designation had CHCP, number of staff in two health care had more than half (57.1%) providers.

COVID-19, A New Outlook on Pandemic Symptoms and Diagnostic Approach

Background: The main objective of this research is to learn the symptoms that occur in this pathology, since we are currently still fighting COVID-19, because of this, it is important to keep us informed about the different diagnostic methods available, which help us reach an earlier and more effective diagnosis. Various articles have been compiled to identify as soon as possible the active cases and thus reduce the number of infections. Materials and methods: This research was conducted on the basis of scientific articles and books, related to COVID-19. Methods: This research was conducted based on 15 scientific articles and 3 books, related to COVID-19. Results: The most important risk factors are diabetes mellitus, hypertension, obesity, age and sex. The most common symptoms in Latin America are dry cough, fatigue, sore throat, and fever. The preferred diagnostic test for COVID-19 is the polymerase chain reaction for its specificity and sensitivity Conclusions: As a conclusion, the main objective of the research was achieved, which is to inform the reader about the most relevant symptoms of SARS-CoV-2 in order to improve the identification of suspected cases. Furthermore, we compare various diagnostic methods that exist to date and determine that PCR is the most specific and sensitive.

A Case of A 15-Year Old with Perforated Gallbladder Type II Secondary To Acute Acalculous Cholecystitis, Severe Secondary to Typhoid Fever with Bile Peritonitis, in Sepsis

Typhoid fever is one of the most common enteric fever in low to middle income countries. In the pediatric population, it is a rare cause of acalculous cholecystitis in which one of the dreaded complication is gall bladder perforation. This was a case of a 15-year-old male with 1-month history of intermittent undocumented fever, anorexia and weight loss. The patient presented with signs of pancytopenia and abdominal examination revealed acute abdomen. Patient was optimized and prepared for surgery. Intraoperative findings revealed Type II gall bladder perforation with bile peritonitis, and patient underwent exploratory laparotomy, cholecystectomy, lavage, Jackson-Pratt drain. The sepsis eventually resolved postoperatively, and the patient was discharged. Preoperative diagnosis in patients with gall bladder perforation is often challenging and sophisticated, due to its rarity. However, it should be considered as one of the differential diagnoses in pediatric patients presenting with atypical history of abdominal pain. At present, there are no specific guidelines in the management of complications such as gall bladder perforation in patients with typhoid fever. Therefore, early diagnosis and immediate surgical intervention of gall bladder perforation are of prime importance in the successful outcomes of these patients, given the high morbidity and mortality associated with this condition.

Airborne Environmental Threats to Health & Wellness-An Integrated Overview

Background: The environmental pollution is a growing world problem specifically in developed & developing countries. In these areas G.I.T disorders & diarrheal diseases have replaced by airborne environmental disorders.Methods: Literatures was reviewed on the subject to find out the knowledge regarding Environmental threats of air pollution & its effects on the health of human body. Data and details have been located, selected, extracted and synthesized from different national & international Journals, websites, Proceedings, books, google scholar etc.Result & Conclusion: Changes are taking place in air regularly. Different pollutants are being created from different sources. Indoor air pollution is common among underdeveloped & developing nations. To improve health situation different professional, have to play their roles. Effects of air pollution are sometimes general in nature otherwise may be immediate or delayed. Leading causes of death is cardiovascular diseases like IHD are now being declared as airborne. Emergent airborne diseases are more than 30 like COVID 19 only result in 43.6 lakhs death so far. Toxic & hazardous chemicals are present in air in the form of allergens, neurotoxin, mutagen, carcinogen etc. Air pollutants are carbon monoxide, nitrogen oxides, Benzene, Ozone, Lead, sulphates, SPM etc. Meteorological effects on health are also related with air including season, atmospheric pressure, heat, cold etc. Indoor air pollutants have also specific health effects.

A Study on the Knowledge, Attitude and Practices towards Malaria in Urban Slum Area of Kolkata

Background: Malaria is one of the most prevalent parasitic diseases worldwide and India has fourth highest number of malaria cases and deaths in the world. Prevention of the disease through better knowledge and awareness is the appropriate way to keep the disease away and remain healthy. Thus, the present study was aimed to assess the knowledge, attitude and practices regarding malaria among residents of urban slum area of Kolkata.

Signet Ring Cell Adenoma Thyroid – A Case Report

Signet ring cell adenoma is a rare thyroid neoplasm which usually present as a solitary nodule. Histopathologically it can very well be mistaken for a metastatic signet ring cell lesion, as both of them shows cells with intracytoplasmic vacuole and eccentrically pushed nucleus. The intracytoplasmic vacuole in signet ring cell adenoma stain positive for thyroglobulin which help in confirming the diagnosis. Here we describe a case of signet ring cell adenoma of thyroid in a 46-year-old female with its cytological, histological and immunohistochemical features.

Role of Super Immune Activation Secondary to Infection in the Context of Cancer

By 2008, it was estimated that there were about 12.7 million new cases of cancer worldwide, resulting in 7.6 million deaths. We are aware of the heterogeneity that exists and that it is impossible to link its development in any organ to a single pathophysiological mechanism. The greatest risk factor for developing cancer is aging, as age is directly proportional to accumulated aberrations and exposure to carcinogens. Most cancers occur in people who have no overt immunodeficiency. It is evident, then, that tumor cells must develop mechanisms to escape or evade the immune system in immunocompetent hosts. The main mechanisms of innate immunity against viruses are inhibition of infection by type I interferons and NK cell-mediated death of infected cells. The hypothesis is that perhaps the ability of epigenetic modification, which varies from virus to virus, is not exclusively reduced to the ability to activate genes that lead to cancer; but also randomly empower the organism to activate tumor suppressor genes.

Proportion of Gestational Diabetes Mellitus among the Pregnant Mothers and Their Socio-Demographic Characteristics Attending ANC Corner at ShaheedZiaur Rahman Medical College Hospital, Bogura

Background: The proportion of Diabetes is becoming more aggregate around the universe, and it is linked to both genetic and environmental causes. Because of the rising prevalence of type 2 diabetes among young people, the number of pregnancies with this problem has increased. Objectives: The aim of the study was to assess the proportion of Gestational Diabetes Mellitus (GDM) among the pregnant mothers and their socio-demographic characteristics.

Ayurveda Interventions in the Management of Tubal Blockages- Case Studies

Failure to conceive within one or more years of regular unprotected coitus is defined as Infertility. Tubal blockage is one of the most common causative factors in female infertility. The prevalence is 19.1% in the fertility age group. This condition is not described in Ayurvedic classics as itself tubal blocks but Blockages of fallopian tubes can be better correlated with Vandhyatvadue to Artavbijavahasrotavrodha (Blockages in fallopian tubes). All three doshas are responsible for causing blockages. Normalizing the vitiated Vata-kapha-doshaleads to restoration of tubal function and easy conception. Here are two cases with bilateral tubal blockage which were treated successfully with certain Ayushakti herbal remedies and Uttarbasti (Intrauterine enema) with Ksharbasti. Recording and publishing this data is worthwhile as there are minimum chances of complication with assured results. With this treatment we can definitely avoid unnecessary use of hormones and IVF protocol and can give cost effective and promising results