Rashmi Jain

Abstract

Background: Females over 20 years of age come frequently to gynecological clinics, with the complaint of Abnormal Uterine Bleeding (AUB). It has a direct impact on the physical and mental health of females. This research aims to detect the frequency of different uterine causes of AUB and determine the relationship between histopathological lesions associated with AUB and their age groups of presentation. Materials and Methods : Endometrial biopsies / hysterectomy specimens were collected from 235 patients who presented with AUB to Department of Obstetrics & Gynecology SSMC, Rewa, M. P. (India), and HPE was carried out on all biopsies/specimens. Frequency of all findings was recorded and divided into organic and functional causes. Statistical analysis was done between histopathological lesions associated with AUB and their age groups of presentation. Results: Majority of cases (40%) belonged to 41-50 years of age. HPE revealed prolife rative pattern of endometrium, which was the most common presentation (24.68%) amongst functional causes, while the most common organic cause was uterine leiomyoma (12.76%). Cases of endometrial polyp and endometrial hyperplasia without atypia were found frequently in women of 41-50 years of age. The frequency of endometrial carcinoma was 1.27%, which commonly affected elderly females. Conclusions: We conclude that AUB most commonly affects women in the perimenopausal age group. Histopathological study of uterine lesions aids the early diagnosis of premalignant and malignant lesions and thus saves the patient from having an unnecessary hysterectomy in premalignant lesions.   Keywords: Abnormal Uterine Bleeding (AUB), Histopathological examination (HPE), endometrial lesions

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Abstract

Background: Body donation is one of the sources of cadaver supply to medical colleges. The shortage of cadavers in medical institutes is the main problem of learning anatomy across India.  The current research aimed to assess the knowledge and attitude of the general public regarding body donation. Materials and Methods: A cross-sectional study had conducted on 1500 voluntary people visiting or working in SSMC, Rewa (M.P.). A well-structured paper-based questionnaire had prepared for the collection of data. Descriptive data had expressed as frequency counts (percentage). Chi-square test had done to analyze differences in the awareness and willingness for body donation between the male and female groups. The difference between the two groups had considered significant if p < 0> Results:  35.07% of all the participants were unaware of body donation. Females were more unaware and uninterested in body donation. Among aware participants, 12.53% showed their willingness for body donation. The majority of them were motivated by medical professionals and the media. 87.47% were reluctant to donate their bodies because of various reasons like religious barriers, psychological anxiety, etc. Conclusion:  We concluded that the majority of our study participants were unaware of body donation. Lack of awareness and social stigma are the main causes of deficiency of cadavers in medical institutes. To create awareness among the general public regarding body donation is the need of the hour. Maintaining an ample supply of cadavers to the undertraining medical students is of utmost importance for turning them into skillful doctors in the future.   Keywords: Body donation, Cadavers, Dissection skill, Medical students

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