No abstract

Angiomy of ibroblastoma (AMFB) is a rare histopathologic finding of the female lower genital tract. It is a rare benign soft tissue mesenchymal subcutaneous vulvovaginal tumour. The vaginal location of this tumour is very rare. This tumor belongs to the group of mesenchymal tumors. We reporting AMFB arising from the vagina to draw the attention of pathologists the fact that this rare neoplasm can occur outside the vulva, even in this study, a case of vaginal cellular angiofibroma reported in a 51-year-old female presenting with mass coming per vagina. The case was diagnosed based on morphology and immunohistochemistry and was treated surgically.

Background: Allowing a woman with a previous cesarean birth a trial of labour is a controversial area. In 1916, Cragin popularized the dictum, "once a caesarean section, always a caesarean section [1] because of prevailing use of classical CS at that time. Now due to lower segment caesarean section (LSCS), cesarean-related morbidity and mortality are significantly reduced. The dictum now is "once a caesarean section, can be given trial of labour in a wellequipped hospital", The reasons which led to the reversal of the old dictum are based upon the newer concepts of the assessment of scar integrity, fetal well-being, and improved facilities of emergency CS [2] . Nevertheless, a previous CS does cast a shadow over the outcome of future pregnancies [3] . With present techniques and skill, the incidence of cesarean scar rupture in subsequent pregnancies is very low. The strength of the uterine scar and its capacity to with stand the stress of subsequent pregnancy and labor cannot be completely assessed or guaranteed in advance. These cases require the assessment and supervision of a senior obstetrician during labor [4,14] . Hence, the present study was undertaken to assess the success and safety of VBAC in selected cases of one previous LSCS and to evaluate the maternal and fetal outcome in these cases. Material & Methods: This was a prospective observational study carried out in a tertiary care teaching institute Mahila Chikitsalya, J.L.N. Medical College, Ajmer during the period July 2019 to October 2019. The trial of vaginal delivery was continued till there was satisfactory progress. The trial was terminated by emergency repeat CS, when there was evidence of unsatisfactory progress, scar tenderness or fetal distress Results: In the present study, 27 (54%) subjects underwent successful VBAC while 23 (46%) subjects had to undergo repeat LSCS due to failed vaginal trial of labour. The success of VBAC in the present study was 54%. This result was comparable with the results of other studies reported by Phelan et al., [7] In our study, the rate of a repeat CS was 46% and commonest indication for that was fetal distress. Limitations: The limitation of the study lies in the fact that the study was carried out in a tertiary care centre, where there is adequate manpower to supervise each delivery, reducing complication rates of VBAC. Similar results may not be replicated at centers other than tertiary care centers. Conclusion:The old dictum" Once a caesarean always a caesarean" should be changed to "Once a caesarean always an institutional delivery". Majority of the cases of previous CS done for non-recurrent indication can be delivered safely by the vaginal route, without any major complication to the mother and the newborn, in an institution having facilities for emergency CSs. It has been proved to be a safe alternative to repeat an elective CS in selected cases.

Symptoms of depression have become more visible due to the lack of social support among people during the period of the pandemic. The purpose of this research was to investigate the relationship between depression, social support and resilience among university students in Haryana during the COVID-19 pandemic. A total of 100 university students living in Haryana participated in this web-based survey. A standardized e- questionnaire was generated using the Google Form, and a link was shared through social media—WhatsApp and Facebook etc. The results show that more social support is associated with less depressive symptoms and more resilience ability in students.

Background: The quality of life (QOL) of the geriatric population in India is an important issue because of the lack of social security schemes and dilution of Indian culture which ensures due care and regard to the elderly. The primary health care physicians have to face more challenges in handling the elderly patients in comparison to the younger patients because the elderly have more physiological and emotional problems along with medical conditions and illnesses which, in turn, affect their QOL. The study aims to find out the determinants that affect the QOL of the elderly in a rural area of Haryana. Material and Methods: This observational study with a cross-sectional design was carried out among 400 elderly (60 years and above) in a rural area of district Jhajjar, Haryana. The world health organization quality of life scale (WHOQOL-BREF) scale was used. Data entry and analysis were performed using Statistical Package for Social Sciences (SPSS) version 20.0. Results: The mean score of the environmental domain was the highest (62.72 ± 14.18), followed by the physical health domain (60.77 ± 15.82). Education, age group, caste, marital status, occupation, and socioeconomic status exhibited significant relationships with different domains of QOL. Conclusions: With the advancement of age, QOL deteriorates. Higher education and higher socioeconomic status of the study participants help them to live a better QOL. Those participants who were married and were busy in any kind of work experienced a better QOL.