Socio-economical and Clinico-Radiological Profile of 474 MDR TB Cases of a Rural Medical College.
Conclusion: The epidemiological picture of TB showed that males were predominant in our study however female were more affected in younger age group compared to male. More than 51% of the cases were in productive age group which affects the socioeconomic condition of family and society. More than 2/3 of patients were from lower socioeconomic group with low BMI. Therefore improving nutrition and immunity can play an important role. 2.3% of the cases were HIV reactive and were on ART. Co-morbidities like COPD and Diabetes were seen in our study which were statistically significant and had impact on the treatment outcome of results. Significant delay in initiation of MDR-TB regimen from date of DST was seen in 24.3% cases which is matter of concern. Most of the patients had taken ATT from RNTCP in which Defaulter and relapse was major contributor of MDR-TB suspect in our study and patient taking ATT privately were less. Large number of cases which resides more than 150 kilometers from DRTB center initiated the drug after a gap of more than 19 days from the date of DST. PMID: 31315318 [PubMed - in process]
CONCLUSIONS: Combining the network analysis approach with the mediation analyses provides for the first time a putative hybrid model, which reveals that all CM types converge towards ED symptoms through emotional abuse and that interoceptive awareness and ineffectiveness mediate these connections in people with ANR and BP symptoms, respectively. These findings may have possible implications for both research and treatment of EDs. PMID: 31437672 [PubMed - as supplied by publisher]
In an ideal world, all IVF clinics would be equally good. They would have high quality control standards; they would be open and transparent; and would share information proactively and routinely with all their patients .This way, whether or not patients got pregnant, they would have peace of mind that they received good quality treatment.Tragically, this just does not happen in India today , and sadly the government hasn't done a good job with regulating IVF clinics, which means the quality can be extremely patchy. This means that while we do have some world class clinics, we have some terrible ones as well, which take th...