A hospital-based case-control study was conducted on women at Odisha, India. Interventions that ensure women have access to private facilities with water for MHM and that educate women about safer, low-cost MHM materials could reduce urogenital disease among women. The only case-control study performed to explore MHM practices and health outcomes addressed secondary infertility [ 25 ], and only one study looked at urinary tract infection as another possible related outcome [ 26 ]. A centrally located lotus flower is embossed on the obverse side of the medal and the text "Padma" written in Devanagari script is placed above and the text "Bhushan" is placed below the lotus. The second swab was used for preparation of saline wet mount and smear for Gram staining and the third swab was stored for future studies. The recommendations received during 1 May and 15 September of every year are submitted to the Padma Awards Committee, convened by the Prime Minister of India. List of people who have declined or renounced Indian honours and decorations Some of the bestowals of the Padma Bhushan have been refused by the intended recipients, including journalist Nikhil Chakravarty in , historian Romila Thapar twice, for the first time in , and later again in  and sitar player Vilayat Khan , who declined to accept the award in , stating "the selection committees were incompetent to judge [his] music. Many wonder if alternative therapies, such as acupuncture, ayurveda or homeopathy, will be more effective than the traditional chemo-radiation.
The statement also mentioned that "due diligence" exercise is carried out for each of the awardees and out of five Central Bureau of Investigation CBI registered cases against Chatwal between and , three were closed by CBI itself and in remaining two cases, Chatwal was discharged by the Court and as per the reports that were made available to the selection committee, there is nothing adverse on record against him. A limited body of evidence supports the premise that bacterial vaginosis BV may be more common in women with unhygienic menstrual hygiene management MHM practices [ 1 , 6 , 7 ]. The second swab was used for preparation of saline wet mount and smear for Gram staining and the third swab was stored for future studies. Unhygienic washing practices are particularly common in rural areas and amongst women and girls in lower socio-economic groups. This article has been cited by other articles in PMC. A study conducted to determine the prevalence of community acquired-UTI in rural Odisha showed that prevalence of UTI in females was Based on the study design using symptomology and solicitation of health care services to identify case participants, our Group 1 analysis defined cases as women experiencing one or more symptoms of urogenital disease versus controls as those with no symptoms Fig 1. The Awards Committee later submits its recommendations to the Prime Minister and the President of India for further approval. We are aware of very few population based prevalence surveys of bacterial vaginosis conducted in India [ 19 ], and none in Odisha. List of people who have declined or renounced Indian honours and decorations Some of the bestowals of the Padma Bhushan have been refused by the intended recipients, including journalist Nikhil Chakravarty in , historian Romila Thapar twice, for the first time in , and later again in  and sitar player Vilayat Khan , who declined to accept the award in , stating "the selection committees were incompetent to judge [his] music. The recommendations received during 1 May and 15 September of every year are submitted to the Padma Awards Committee, convened by the Prime Minister of India. In such a critical and aggressive stage, the right administration of an effective treatment is really important. Cases and controls were recruited using a syndromic approach. Verma who served as 27th Chief Justice of India refused the posthumous conferral stating that "Verma himself would not have accepted" the honour as he "never hankered or lobbied for any acclaim, reward or favour. On the other hand, it can also get diagnosed in the very first diagnosis of cancer. Copyright notice This is an open-access article distributed under the terms of the Creative Commons Public Domain declaration, which stipulates that, once placed in the public domain, this work may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. Diagnosis of metastatic cancer Metastasis can develop while a patient had already seeked treatment for a cancer and is now following up for his care plan. Urinary tract infections are believed to be among the most common form of infection in girls and women of menstruating age and this is held to be due to unhygienic practices [ 23 ]. Socioeconomic status, clinical symptoms and reproductive history, and MHM and water and sanitation practices were obtained by standardised questionnaire. Most of the studies in the literature [ 24 ] which aim to investigate the association between menstrual management and health outcomes used RTI endpoints, but only a few of them employed clinically or laboratory confirmed bacterial vaginosis BV assays [ 24 ]. The Emblem of India is placed in the centre of the reverse side with the national motto of India, " Satyameva Jayate " Truth alone triumphs in Devanagari Script, inscribed on the lower edge. Bacterial vaginosis is considered positive if 3 of the following 4 criteria are met: However, the patient may live for months and years with the cancer. Bacterial vaginosis is a poly-microbial syndrome characterized by the imbalance of resident bacterial flora in the vagina. Sen had also mentioned that though positive, Chatwal's contribution are much less compared to other Indian-Americans. Further studies of the effects of specific practices for managing hygienically reusable pads and studies to explore other pathogenic reproductive tract infections are needed. The participants were recruited from women who sought care from the gynaecology department for abnormal vaginal symptoms, and from women attending the Family welfare department for anti-fertility measures, specifically for intra-uterine devices IUD.
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