Do¤um indüksiyonunda vajinal do¤um olas›l›¤›na yönelik ultrason tahmin modeli Amaç: Çal›flmam›zda amac›m›z, (i) vajinal do¤umun tahminine yönelik bir indüksiyon öncesi ultrason skorunu de¤erlendirerek miad›nda nullipar kad›nlardaki Bishop skoruyla karfl›laflt›rmak ve (ii) klinik kullan›m için vajinal do¤um olas›l›¤›n› hesaplayacak bir tahmin modelini formüle etmekti. Yöntem: Çal›flmaya 36-41 gebelik haftas›nda olan 96 nullipar gebe dahil edildi. Tüm olgular, flu dahil edilme kriterlerini karfl›l›yordu: canl› tekil gebelik, bafl prezentasyonu, zarar görmemifl amniyotik membran, vajinal do¤um için kontraendikasyonsuz aktif do¤umun olmamas›. Hastalar, 3 servikal ve 2 fetal bafl parametresinden oluflan ultrason skorumuzla de¤erlendirildi. Bu parametreler fetal bafl pozisyonu, fetal bafl-simfizis pubis mesafe iliflkisi, servikal uzunluk, kanallaflma ve posterior servikal aç›yd›. Her bir parametre, 0-2'den maksimum 10'a kadar puanland›. Sonografik bulgular için körlenmifl ikinci bir obstetrisyen modifiye Bishop skorunu de¤erlendirdi. ROC e¤ri noktalar› ve e¤ri alt›ndaki alan›n hesaplanmas› için SPSS 20 kullan›ld›. ‹kili lojistik regresyon modeli haz›rland› ve çeflitli skorlar için vajinal do¤um olas›l›¤› hesapland›. Bulgular: Doksan bir olgunun 61'i (%67) aktif do¤um evresine ula-fl›rken 54 (%59) olgu vajinal do¤um yapt›. Pelvik ultrason skorumuz, Bishop skoruna k›yasla daha iyi hassasiyet ve özgüllük sergiledi. ≥5'lik kesme de¤erinde ultrason skoru %79.3 hassasiyet ve %75.8 özgüllük de¤erine sahipken, bu de¤erler Bishop skorunda s›-ras›yla %66.7 ve %44.2'ydi. ‹kili lojistik regresyon modeli olaylar›n %78.0'›n› do¤ru flekilde tahmin etti. Sonuç: Çal›flmam›z, "Garg ultrason skorunun" nullipar kad›nlarda do¤um indiksiyonunun baflar›s›n› tahmin edebildi¤ini göstermektedir. Önerilen bu pelvik ultrason skoru, çok merkezli daha büyük çal›flmalarla do¤rulanmas› halinde, vajinal do¤um olas›l›¤›-n› tahmin etmede klinisyenlere kan›ta dayal› rehberlik sunabilir. Bu da do¤um indüksiyonu geçirmeden önce kad›nlar›n daha bilinçli bir karar vermesini sa¤layabilir.

Background Vector-borne diseases are infections transmitted by the bite of infected arthropods, such as mosquitoes, ticks, triatomine bugs, and eas. They account for more than 17% of all infectious diseases. Vector-borne illnesses worldwide include Malaria(Anopheles mosquitoes); Dengue, Chikungunya, Yellow Fever, Rift Valley fever and Zika (Aedes mosquitoes); Japanese encephalitis, Lymphatic Filariasis and West Nile fever (Culex mosquitoes). Many of these diseases are preventable by limiting exposures to the irrespective vectors. With the time due to climate and geo demographic changes the trends of various diseases are changing and this study was to identify the various changes in trends of vector borne diseases in relation to age, gender, demography and seasons. Study was conducted on Methodology Vector Borne Diseases data of District Health Lab of General Hospital, Panchkula from 2011 to 2021. It is a retrospective study. Results The study shows that in last eleven years a total of 1651 conrmed malaria cases were recorded in Panchkula with the highest number of cases n = 418 in the year 2011. The district showed high prevalence of P.vivax(98·24%) as compared to P.falciparum (1.76%). For dengue, a total of 1899 dengue cases were recorded in Panchkula during the year 2011-2021 and 2021 to be the highest contributor and cases of chikungunya were recorded mainly in two years 2011 and 2016 during the last eleven years. The results show the declining trend of malaria prevalence in Panchkula which indicates Conclusion the existence of signicant malaria control and well developed prevention measures but a great challenge is to achieve success in ongoing malaria elimination programme. Dengue remains as a public health problem with increasing incidence rate every year

Introduction: Cervical cancer ranks as the 2nd most frequent cancer among women in India after Breast Cancer. School Teachers constitute important stakeholder position in the society. The knowledge about cancer cervix is beneficial for them and also to the children they teach. Objective:To assess and compare the knowledge about Cervical Cancer, its risk factors, symptoms and signs prevailing in Female School Teachers of Government & Private Schools in the area of Chandigarh. Method: A Cross-sectional study using multistage random sampling was conducted among Female School Teachers. City was divided in to 4 quadrants, 1 private and 1 Government school was randomly selected from each quadrant. From each quadrant 50 participants were taken in the study. Interview of 202 teachers were conducted through predesigned and pretested questionnaire during February to April 2018. Results: Unawareness about risk factors for cervical cancer was found in 79% of respondents. On asking about risk factors for Cervical Cancer, 8% of participants mentioned that infertility, heredity, use of sanitary pads and depression leads to cervical cancer which shows myths prevailing in community. Awareness about signs and symptoms of Cervical Cancer was found only in 37% respondents. Only 23.8% of Government School Teachers and 37.6% of Private School Teachers were aware about association of HPVwith Cervical Cancer. Conclusion: Low Levels of Awareness about Cervical Cancer was found in the study even in highly educated group of School Teachers belonging to Chandigarh.