PriMera Scientific Medicine and Public Health (ISSN: 2833-5627) - Article In Press

People perform activities in line with their expertise. Typically, they communicate with others using either spoken or written language, which reflects their mental processes. The tone, pitch, and speech patterns used in communication are influenced by genetics, education, medical and social history, environmental factors, and venture. Any evolving medical conditions may also impact how someone communicates with others.
In-person verbal and non-verbal communications and non-in-person oral communications [phone calls] have varying effects on the individual based on subject matter, solicitation degree, and communication skills.

The "Healthcare Surveillance of PCOD" study aims to understand the prevalence, symptoms, management strategies, and perceptions of PCOD among patients. Findings indicate that PCOD predominantly affects unmarried women in the age group of 18-25 years, with the most common symptoms being irregular periods, weight gain, acne, hirsutism, hair loss, and infertility. The majority of patients sought medical intervention, with a significant proportion opting for medication and diet and exercise. The perception regarding management of PCOD through lifestyle changes varied, with some believing it to be effective, while others expressed scepticism. Lifestyle changes were adopted by a majority of patients, with varying levels of success reported.
Keyword: PCOD; irregular periods; hair loss

Tuberculosis has been one of the leading causes of high morbidity and mortality even in advanced science now a days. Tuberculosis is concerning for resistance pattern and MDR TB. Long term therapy is contravening factors for developing resistance as majority times patient are careless for follow up and discontinue medications after apparent improvement. Gastrointestinal TB accounts for 3% of extrapulmonary TB. The most common site of involvement being the ileocecal region. Vermiform appendix lies in close proximity to ileocecal area. Despite this, incidence of TB in appendix is rarely reported. There are no pathognomic signs and symptoms to prompt preoperative diagnosis of tubercular acute appendicitis. Diagnosis is usually made after histological reports of the appendix. Incidence of appendicular TB in all appendectomies has been reported varying from 0.1 to 0.3%, 1-3. This case report shows a female admitted with features of acute appendicitis and was operated on emergency basis. Her appendix surface was grossly reddened, thick, edematous, short and firmly adhered with cecum. During appendicectomy cecal serosa was injured and repaired. Histopathology reveals appendicular TB. Patient was treated according to anti TB regime.
Keywords: TB; V Appendix; HPR; Anti TB drug

Antimicrobial resistance (AMR) is one of the most serious health threats worldwide. Infections from antimicrobial resistant bacteria are now very common as some of these pathogens have shown resistance to multiple types or classes of antimicrobial agents. This has been a very difficult problem the global healthcare sector has to grapple with over the years.
According to World Health Organization in 2019, the total annual deaths due to drug resistance was 4.95 million deaths, out of these, 1.27 million deaths were due to AMR bacteria, which is even more than those from Human immunodeficiency virus (HIV). The WHO lists AMR among ten threats to global health.The economic impact of AMR is enormous as it is estimated at 1.1% of gross domestic product (GDP) reduction, which is projected to exceed US$ one trillion annually across the world. The AMR cost could cost from $300 billion to over $1 trillion annually by 2050 worldwide.