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  • ISSN: 2379-0547
    Volume 7, Issue 3
    Research Article
    Farsad Ansy* and Rajeev Jayalakshmi
    Background: Family planning allows women and their partners to responsibly determine the timing, spacing and number of children. Kerala, a South Indian state, is known for better health indicators including family planning. However, Kasaragod, the northernmost district is an exception with the least reported contraceptive prevalence in the state. This study tried to identify the factors influencing artificial contraceptive use by married women in Kasaragod.
    Materials and methods: We did a concurrent triangulation mixed method study. We selected 162 married women from four randomly selected panchayats in Kasaragod. Quantitative data were collected using a semi-structured questionnaire. In the qualitative phase, in-depth interviews were conducted among users and non-users of artificial contraceptives. Statistical inferences were drawn using Chi-square test and logistic regression analysis of quantitative data. Thematic analysis was done for qualitative data.
    Results: The current prevalence of artificial contraceptives was 27.7 percent, of which, 77.7 percent was female sterilization, 20.0 percent condoms, 2.3 percent Copper T. Factors such as age of the respondent and the partner, religion, type of family, number of children, sex of the children, felt need to delay or avoid being pregnant, women’s autonomy were found to be significant predictors of current artificial contraceptive use.
    Conclusion: The results showed poor utilization of artificial contraceptive use in Kasaragod district, attributed to factors that have a deeply rooted social axis that prevent women to claim the rights of her own body and contraception.
    Vidya Dorriyal*, Shazia Mattu, and Ujjawal Singh Tomar
    Objective: The purpose of the study was to see the impact of stroke on individuals who were first stroke survivors and their views on their future recovery process.
    Methodology: One hundred – stroke survivors (male= 62 female =38) who were well oriented and with stroke occurrence period of less than 1 year were included in this study. The data was taken via self – administered questionnaire and analysis of that data was done via CHI-SQUARE test to see impact of stroke and their future recovery views.
    Results: Initially stroke survivors discovered feeling of shock & fear due to loss of their bodily control which later manifested in the shape of frustration but after the rehabilitation there was a significant improvement in their health status. Probability of recovery goals were highly significant i.e. p<0.05.
    Conclusions: The study showed that there was significant impact of stroke on the life of stroke –survivors with respect to physical, emotional, psychological, economic and social terms.
    Case Report
    Yasmine Bargoti-Gosey*, Denzel Gosey, Rajvinder Singh, and Joseph LaJoie
    Background: Metastatic malignant melanoma of unknown primary is a rare diagnosis defined as a metastatic melanoma discovered first in the lymph nodes, subcutaneous tissue, or viscera without a known identifiable primary site.
    Case Presentation: A 43-year-old female with a significant past medical history of pre-malignant skin lesions initially presented to the family medicine practice complaining of a swollen, non-tender left inguinal lymph node that she noticed a month prior. History was negative for fever, weight loss, night sweats or loss of appetite. Ultrasound showed left inguinal lymphadenopathy and heterogeneity. CT imaging showed additional lymphadenopathy in the left external iliac chain and no retro-peritoneal adenopathy. She underwent surgical excision. Grossly appearing on resection as hyperpigmented. Pathology determined it as metastatic melanotic melanoma. Additional skin survey done by melanoma clinic did not show primary lesion which ultimately led to her diagnosis of melanoma of unknown primary.
    Conclusion: This clinical case report highlights an unusual manifestation of melanoma. Presentation of this case is to facilitate in future diagnose. Due to its rarity, metastatic malignant melanoma of unknown primary is understudied with no clear etiology, prognosis, or well-understood treatment implications for these patients. Additional research is crucial to understanding this disease process in order to more effectively identify patients at risk and approach treatment options.
    Review Article
    Nazia Begam and Abu Bashar*
    Noise is widespread in everyday life and can cause both auditory and non-auditory health impacts. Noise-induced hearing loss remains highly prevalent in occupational settings and is now increasingly caused by exposure to social and environmental noise. Incidence of noise-induced hearing loss (NIHL) has been observed to increase substantially in the recent years. Several advances have taken place in past few years for understanding the molecular basis of NIHL. Our understanding of molecular mechanisms implicated in noise-induced hair-cell and nerve damage has significantly increased. Research in the field of genetics is also advancing at a rapid speed, and several genes linked to NIHL have been discovered. This could help in developing preventive and treatment strategies. This review article focuses on the current research and future trends on auditory effects and consequences of noise pollution in humans, stressing the importance of adequate noise prevention and mitigation strategies as a public health measures.
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