Study of relationship between umbilical cord blood hemoglobin percentage and perinatal asphyxia

Background: Perinatal asphyxia may be caused by perinatal anemia. The pathophysiology and neurodevelopment effects are theoretically different from other causes of fetal asphyxia. Severe asphyxia can occur in infants around the time of birth by various reasons. The aim of this study to find the relationship between cord blood hemoglobin and perinatal asphyxia.Methods: This was a retrospective comparative study in department of OBG In tertiary care health centre. Umbilical cord blood samples were collected from 100 newborns with asphyxia at birth as study group and 100 newborns with non asphyxia as control group. Hemoglobin was measured colorimetrically.Results: This study finds that maximum number of patients in both the control and study group had hemoglobin in the range of 16.3-17.3 gm/dl. The difference was not statistically significant. P value>0.05.Conclusions: Hematological changes observed early after delivery can determine the duration of hypoxemia (acute versus chronic) Perinatal anemia causing moderate to severe perinatal asphyxia is associated with a higher risk for neonatal mortality. All survivors with perinatal anemia, however, showed no abnormalities in neurodevelopment in contrast to children who were born asphyxiated due to various another causes. The underlying pathophysiological mechanism for the favorable NDO in the perinatal anemia group needs further elucidation

Outcomes and analysis of fetomaternal elements and delivery strategies with neonatal respiratory distress

Background: Perinatal asphyxia is one of the most important causes of morbidity and mortality in neonates. Perinatal asphyxia occurs in association with different maternal and fetal determinants. However, the relation of associated factors with perinatal asphyxia is not well studied. The aim of this study was to determine the association of maternofetal factors and mode of delivery with perinatal asphyxia in a tertiary care centre.Methods: This was a retrospective comparative study conducted in department of OBG in tertiary care health centre. A total 200 newborns were selected for study out of which100 newborns were with asphyxia at birth as study group and 100 non asphyxiated newborns were taken as control group. Maternal factor like age, parity, gestational age and fetal factor like weight at birth and mode of delivery were studied to established association on perinatal asphyxia.Results: Maternal factor like age, parity, gestational age had not significant relationship with perinatal asphyxia. Maximum number of babies delivered in both control and the study group were in the range of 2.6 to 3kg.In this study birth weight did not have significant relationship with perinatal asphyxia. Proportions of LSCS was comparatively higher in the study group though. The delivery mode did not have any statistically significant influence on the newborns affliction with birth asphyxia (p>0.05).Conclusions: Findings of this study highlight the need for the better obstetrical care and awareness of the possible presence of the risk factors of PNA (perinatal asphyxia) among mothers and fetus, so that the incidence and complications of PNA could be prevented or at least appropriately managed. It can reduce the high incidence of morbidity and mortality due to birth asphyxia.

Competency Based Executive Performance Assessment in Manufacturing Units: An Empirical Analysis

Competent people are the key to future success and offer organisations their only sustainable competitive advantage. Therefore, to obtain and develop an effective and competent workforce for superior performance has become a basic necessity for organisations worldwide in order to sustain and retain an edge in the competitive milieu. In recent years executives have become more concerned about personal effectiveness, since career progress is rightfully tied to ability. How well managers are able to accomplish the objectives, for which they are accountable, the degree to which they do so in a cost-effective manner, how their practices affect the willingness and ability of those they manage are related to their effectiveness. It is the responsibility of the lower and middle level executives to identify the core competencies of the enterprise and to ensure that the competencies required by the workforce are adequate and appropriate. There has been insufficient research reported in the literature on competency mapping requirements of lower and middle level executives. Therefore, this study explores the competencies critical to the success of these executives. The core focus of this study was to carry out an empirical investigation on competency-based executive performance assessment processes in manufacturing units and the relationship between identified competencies towards organisational effectiveness. The basic objectives for conducting this research was; a) to identify competency levels of executives required for threshold and superior performance in an organisational setup, b) to recognise competencies and capabilities of the executives through competency modelling so as to help identifying and placing the right person in the right job, c) to conduct a competency based executive performance survey through questionnaire/ structured schedule using coded competencies, d) to collect empirical data from the industries to illustrate the impact of competency-based executive performance assessment model on organisational performance standard, and e) to find out the impact of developmental inventions as a moderator on the relationship between executive competencies and individual performance. For the purpose of this research, three manufacturing units were chosen, i.e., Rourkela Steel Plant (RSP), National Aluminium Company Limited (NALCO) and Tata Steel Ferro Alloys Limited (TS Alloys Ltd.) to draw a clear picture of the impact of competency-based performance management system on the performance of individual executives and the organisation as a whole. A self-designed, pre-tested questionnaire was used for the purpose of the study. A hundred and twenty four items were included in the questionnaire, in view to the extensive combing of existing literature on executive competencies. A total of five hundred and sixteen useful responses was utilised for the study after examining the validity and reliability of the scales to make it statistically adequate. The responses obtained were subjected to analysis using the SPSS 22 and AMOS 22. Exploratory factor analysis was conducted, utilising a principal axis factoring extraction method with a varimax rotated solution, to ensure that the identified variables are suitable for testing the hypothesised model of this study adequately. The identified factor was further used for structural equation modelling; to get an overall fit for the model and to valid the hypotheses formulated. The findings of the study indicate that most of the executive competencies have significant influence on performance. The developmental intervention as a moderator was found to enhance the positive relationship between executive competencies and executive performance. Finally, at the conclusion of this study, practical implications and suggestions were provided for the executives of the manufacturing sector for the improvement of their performance within an organisational set up

OHVIRA syndrome with Orofacial clefts: a rare association

Obstucted hemivagina with ipsilateral renal anomaly (OHVIRA) syndrome or Herlyn-Werner-Wunderlich syndrome (HWW) is a rare congenital anomaly consist of uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. We are reporting an adolescent girl with orofacial defect who presented with lower abdominal pain. She attained menarche 3 months earlier and had a regular menstrual cycle with cyclical abdominal pain. On abdominal examination a firm, mobile tender mass extending from left iliac fossa up to umbilicus (24 weeks size) was found.  Lower border of mass could not be approached. Further evaluation with ultrasound showed enlarged uterus with collection with internal echoes and non-visualization of the left kidney. CECT showed absent left kidney and didelphys uterus with large left hematocolpometra with left complex adenexal cyst. Patient was posted for hematocolpos drainage and vaginoplasty. An unusual presentation of regular menstruation and nonspecific abdominal pain delays the diagnosis, which can lead to severe complications such as endometriosis and infertility