Symptoms associated with cytomegalovirus (CMV) infection in immunocompetent patients are not well documented. From December 1998 through June 2001, serum samples obtained from 7630 patients in Cambridge and Chelmsford, United Kingdom, were tested for CMV immunoglobulin M. CMV immunoglobulin G avidity was used to confirm CMV infection. A total of 124 patients (106 patients treated by general practitioners [GPs] and 18 hospitalized patients) with CMV infection were identified. The most frequent symptoms were malaise (67%), fever (46%), and sweats (46%), and the most frequent finding was abnormal liver function test results (69%). Twelve percent of patients had a relapsing illness, and many had symptoms that lasted for up to 32 weeks (mean duration of symptoms, 7.8 weeks). GPs reported that there was a significant benefit in making the diagnosis of CMV infection; it provided reassurance and avoided the need for further investigations. We have identified symptoms associated with CMV infection in immunocompetent patients who present to GPs or who are admitted to the hospital.
Objective(s) To determine the risk factors for pregnancy among unmarried adolescents and young adults. Method(s) Case-control study was done over a period of 2 years. Data collected from 181 unmarried abortion seekers and 181 unmarried non-pregnant controls (B24 years) attending three Medical Colleges of Kerala. Results Logistic regression analysis showed a strong association between unmarried adolescent pregnancy and lack of parental supervision and control (OR 8.74, P = 0.000), poor intra-family relationship (OR 7.01, P = 0.000), family problem (OR 4.41, P = 0.000), lack of knowledge on sexual and reproductive health (OR 4.95, P = 0.0003), and nonengagement of adolescent in any productive activity (OR 4.41, P = 0.0373). Conclusion(s)Lack of parental control, family problem, poor intra-family relationship, lack of knowledge on sexual and reproductive health, and lack of engaging in any productive activity were found to be significant predictors for unmarried adolescent pregnancy.
Background: Delay in seeking health care is one of the key factors leading to maternal death, which can be associated with lack of awareness about obstetric danger signs. So, it is essential that pregnant women should be aware about danger signs of obstetric complications so that they can seek timely healthcare. This study aims to assess level of awareness about danger signs of pregnancy among ANC attendant pregnant women and to assess the factors associated with it.Methods: A descriptive cross-sectional study was done among 170 pregnant women. The level of awareness about danger signs were assessed by administering pre tested proforma to the participants. The collected data was entered in Microsoft excel 2010 and the data was compiled analysed usingSPSS version 21.Results: Of the total participants, only 29.3% had good awareness and about 69.3% had fair awareness about danger signs of pregnancy. It was found that increasing maternal age had significant association with awareness about danger signs whereas other factors like type of family, education, residence, order and duration of pregnancy, number of an visits, previous risk pregnancies had no significant association with level of awareness about danger signs.Conclusions: Level of awareness about danger signs among pregnant women was average. Thus, provision of health education, empowering women and improving the quality of health services can be the recommended interventions.
Introduction Anatomy is considered as the cornerstone of medical education and its teaching methodologies are undergoing metamorphosis. Anatomy education is often debated as over teaching of body facts and undertaught clinical facts by modern and traditional anatomy mentors respectively. Equilibrium between this episteme of anatomy education could be achieved after considering the perceptions of anatomy stakeholders. The present study was an initiative of the same. Methodology A quantitative survey was administered among 60 medical students (4th semester), 60 interns, and 30 clinicians (both medical and surgical fields). The completed questionnaires were analyzed and the results were tabulated. Results Though anatomy education is suffocating due to reduction in teaching hours, all the study groups have strongly agreed that cadaver contact is crucial for better understanding of the human body. The perception regarding the importance of anatomy education in clinical practice was statistically significant (p = 0.04) among the study groups. The insight of role of anatomy education in enabling lifelong self-directed learning and inculcating professional skills and ethics of medicine showed significant p value (p = 0.00 and 0.01). Discussion The present study has echoed the perception of anatomy stakeholders. Studies emphasize that revamping of anatomy curricula is needed for the time and that can be made with the inputs from the academic anatomists and clinicians. Clinicians expressed the lag between anatomy teaching and clinical practice. Medical students felt that anatomy education kindled them to develop inquiry-based learning, helped to master radiological images, and improved their teamwork and communication skills.
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