Suchergebnisse

Medical abortion has been investigated as a non-invasive option for early abortions as it avoids the risk of anesthesia and surgical trauma to the cervix, uterus and other organs. The main aim of the study was to compare the efficacy and safety of abortion using the drugs mifepristone and vaginal misprostol V/s misoprostol alone. A randomized control study was done in 100 women who came for termination of pregnancy up to 63 days in family planning unit at Government Medical College Hospital, Kottayam, India for one year period. The mean age of the study group was 25.4 years of age. Complete abortion occurred in 94% with Mifepristone and Misiopristol regime (Group A) and 86% of Misoprostol alone regimn(Goup B). There was a 100% complete abortion rate with mifepristone and misoprostol in POGs up to 49 days. Complete abortion showed better compliance with Misoprolstol alone regimn in Primigravida (100%) and, Mefepristone and Misoprostol regime with multigravida (97%). The mean period of bleeding was 5.7 in Group A and 7.6 in Group B. Mifepristone and Misiopristol regime showed better outcome than Misoprostol alone for medical termination of pregnancy till first 9 weeks of gestation

CONTEXT: Health-seeking behavior of patients with chronic obstructive pulmonary disease (COPD) and asthma and the diagnosis told to them by doctors before they reach tertiary care is not well documented. AIMS: This study aimed at describing the health-seeking behavior of asthma and COPD patients before they present to a tertiary care hospital in Trivandrum in South India. METHODS AND MATERIALS: The hospital-based cross-sectional study was done at one government and one private tertiary care hospital in Trivandrum, Kerala, including diagnosed COPD and asthma patients. Data were collected using a pretested semistructured questionnaire paired with the results of clinical evaluation and spirometry. RESULTS: Among the studied population, about half (53%) of the patients in this study sought initial treatment from government facilities and most patients continued the same pattern of government care or private providers till the final level. Most of them (91%) were likely to have a history of first care from modern medicine system. High proportion of patients (89%) did not have a diagnosis known after the initial consultations, among patients with asthma only 3.4% were given a correct diagnosis and only one person was given a correct diagnosis of COPD out of 129 patients with COPD as the final diagnosis. Out of 739 patients, only 135 patients had done pulmonary functtion test as investigation. CONCLUSIONS: High proportions of patients do not know the diagnosis of their disease when they reached tertiary care. Patients tended to follow the same sector of health care (private/government) where they sought initial care.

This is the final version. Available on open access from Wiley via the DOI in this record ; The full author list is available in the online article at the DOI in this record ; Aim: Palms are an iconic, diverse and often abundant component of tropical ecosystems that provide many ecosystem services. Being monocots, tree palms are evolutionarily, morphologically and physiologically distinct from other trees, and these differences have important consequences for ecosystem services (e.g., carbon sequestration and storage) and in terms of responses to climate change. We quantified global patterns of tree palm relative abundance to help improve understanding of tropical forests and reduce uncertainty about these ecosystems under climate change. Location: Tropical and subtropical moist forests. Time period: Current. Major taxa studied: Palms (Arecaceae). Methods: We assembled a pantropical dataset of 2,548 forest plots (covering 1,191 ha) and quantified tree palm (i.e., ≥10 cm diameter at breast height) abundance relative to co-occurring non-palm trees. We compared the relative abundance of tree palms across biogeographical realms and tested for associations with palaeoclimate stability, current climate, edaphic conditions and metrics of forest structure. Results: On average, the relative abundance of tree palms was more than five times larger between Neotropical locations and other biogeographical realms. Tree palms were absent in most locations outside the Neotropics but present in >80% of Neotropical locations. The relative abundance of tree palms was more strongly associated with local conditions (e.g., higher mean annual precipitation, lower soil fertility, shallower water table and lower plot mean wood density) than metrics of long-term climate stability. Life-form diversity also influenced the patterns; palm assemblages outside the Neotropics comprise many non-tree (e.g., climbing) palms. Finally, we show that tree palms can influence estimates of above-ground biomass, but the magnitude and direction of the effect require additional work. Conclusions: Tree palms are not only quintessentially tropical, but they are also overwhelmingly Neotropical. Future work to understand the contributions of tree palms to biomass estimates and carbon cycling will be particularly crucial in Neotropical forests. ; Natur og Univers, Det Frie Forskningsråd ; European Union Horizon 2020 ; Brazilian National Research Council ; Natural Environment Research Council (NERC) ; Vetenskapsrådet ; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior ; Fundação de Amparo à Pesquisa do Estado de São Paulo ; Villum Fonden