In this paper, we are exploring fuzzy logic in medical diagnosis of infertility where our aim is to predict the possibility of total fertility using fuzzy matrix theory by measuring the follicle fertilization possibility based on follicle size. Also developed a computer program to calculate fuzzy matrix based on MaxMin rule using JavaScript.
Background: Anemia is defined as the reduction in absolute number of circulating red blood cells (RBC)s, indirectly measured by a reduction in hemoglobin (Hb) concentration, hematocrit (Hct) or RBC count. The present study was conducted to compare IV ferric carboxymaltose versus iron sucrose in the treatment of iron deficiency anaemia of pregnant women. Materials and Methods: 140 pregnant women were divided equally into 2 groups of 70 each. Group I received ferric carboxymaltose and Group II received iron sucrose. Haemoglobin, peripheral smear and serum ferritin was estimated to diagnose iron deficiency anaemia. Outcome was assessed by measuring haemoglobin 3 weeks Results: In group I, ferric carboxymaltose and in group II iron sucrose was given. Each group had 70 patients. The mean gestational age (weeks) was 32.4 and 31.7, packed cell volume was 27.1 and 27.5, mean corpuscular volume (fl) was 75.4 and 75.3, mean corpuscular haemoglobin (pg) was 29.6 and 29.5, mean corpuscular haemoglobin concentration (g/dL) was 29.9 and 30.2, serum ferritin (ng/L) was 11.7 and 11.3 and mean iron requirement (gms) was 845.3 and 890.4 in group I and II respectively. Conclusion: Both ferric carboxymaltose and iron sucrose found to be equally effective in women with iron deficiency anaemia.
Background: Implantation of a fertilised ovum outside the normal uterine cavity is called ectopic pregnancy. The present study was conducted to assess cases of ectopic pregnancy. Materials & Methods: 58 cases of ectopic pregnancy in age ranged 18-40 years were subjected to urine pregnancy test and transvaginal ultrasound examination. Parameters such as age, blood group, parity, history of previous ectopic pregnancy, previous abdominal surgery etc. were studied. Results: Common risk factors for ectopic pregnancy was ART in 7%, spontaneous abortion in 10%, previous abdominal surgery in 46%, infertility in 12%, previous ectopic pregnancy in 8%, dilatation and curettage in 7% and TB in 10% cases. Common clinical features were bleeding pv in 24%, vomiting in 14%, syncope in 6%, amenorrhea in 75%, pain abdomen in 84%, fever in 15% and passage of clots in 23%. The difference was significant (P< 0.05).
Conclusion:Common risk factors for ectopic pregnancy was ART, spontaneous abortion, previous abdominal surgery, infertility and previous ectopic pregnancy.
Background: Ectopic pregnancy is one of the most emergency condition during the pregnancy period, in which the fertilized egg implanted outside the uterine cavity. The present study was conducted to compare laparoscopy and laparotomy for ruptured tubal ectopic pregnancy. Materials & Methods: 92 patients of ectopic pregnancy were divided into 2 groups of 46 each. Group I patients were managed with Laparoscopy and group II with Laparotomy. Parameters such as gravida, parity, previous spontaneous loss, previous MTP, Hb at admission, period of gestation, total blood loss and hemoperitoneum were recorded. Results: The mean age in group I was 31.1 years and in group II was 32.4 years, parity was 1 in each group, gravida was 2 and 3, previous spontaneous loss (%) was 14.5 and 21.6, Hb at admission (mg) was 7.5 and 8.2, previous MTP (%) was seen in 16.7 and 18.2, acute abdomen (%) was seen in 82 and 70 and incidental (%) was 14 and 28 in group I and II respectively (P< 0.05). The location was ampula in 56% and 60%, corneal in 12% and 15%, fimbrial in 11% and 11%, interstitial in 21% and 14%. No of PRBC transfusions (%) was 11.2 and 13.4 and duration of hospital stay was 4.1 days and 7.3 days in group I and II respectively. The difference was significant (P< 0.05). Conclusion: Laparoscopy was advantageous over laparotomy in terms of shorter hospital stay and speedy recovery.
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