Objective: To evaluate the role of chromohysteroscopy in improving diagnostic accuracy of endometrial biopsy in cases of AUB. Design: Cross sectional interventional study. Materials and Methods: This study was conducted on 60 women with AUB in Dept. of Obst. & Gyne at King George Medical University, Lucknow over a period of one year. All cases underwent diagnostic hysteroscopy followed by chromohysteroscopy using 2% methylene blue dye. Hysteroscopic guided biopsy was taken from stained and unstained areas followed by an endometrial aspiration biopsy from whole uterine cavity. The histopathology results of three samples were compared and analyzed in relation with staining pattern and type of AUB. Data analysis was done on SPSS version 15 of windows 2007. Results: Out of 60 cases, 11cases were found to have non hormonal pathology after chromohysterosopic biopsy. Eight (72.72%) cases were diagnosed by stained endometrial tissue, one (9.09%) by unstained tissue and three (27.27%) by endometrial aspiration. The diagnostic ability of stained tissue biopsy was significantly higher (p = 0.006) than unstained biopsy and endometrial aspiration. Conclusion: Chromohysteroscopy is a simple and effective technique for diagnosing endometrial pathology in cases of AUB.
retailing is a sunrise industry in India. However, the industrial
competitiveness has posed many challenges for the organized garment retailers
in this sector. In this paper an attempt has been made to identify the
challenges based on strong literature support in consultation of practitioners
and consultants in this industry. This study has classified the retail
challenges for organizing garment retailing into four factors 1) sourcing
challenges; 2) locational challenges; 3) environmental challenges and 4)
customer challenges. Also we have identified items for organizational
performance as well as for competitive advantage. A confirmatory model has been
used to test the hypotheses; (H1): Retailers understand the match between
competitive advantage and organizational performance; (H2): They understand the
match between retail challenges and organizational performance; and (H3): They
understand the match between retail challenges and competitive advantage using
structural equation modeling. This study shall help the organized garment
retailer to know more about the business.