Perinatal mortality of placenta previa: a 1-year retrospective study

Background: Antepartum haemorrhage is one of the important causes of perinatal mortality and morbidity in India. The increased risk of perinatal morbidity and mortality in placenta praevia is due to preterm birth, low birth weight, birth asphyxia and neonatal sepsis. This is a retrospective study done over a period of 5years to determine the incidence, demographic features, risk factors, obstetric management, maternal mortality and morbidity, and perinatal outcome in women presenting with placenta praevia.Methods: This was a retrospective study done at Nil Ratan Sircar Medical College and Hospital over a period of five years starting from January 2016 to December 2017. Antenatal women with more than 28 weeks of gestational age with a complaint of painless vaginal bleeding or those diagnosed as having placenta praevia on routine ultrasound examination were included in this study and hospitalised.  Among them cases of placenta praevia were 21.Results: There were21 cases of placenta praevia registered amounting to 0.23% incidence. The various antenatal complications seen associated with placenta praevia were severe anaemia (14.28%), coexisting PIH (4.76%), IUD (4.76%), IUGR/Oligohydraminos (4.76%). All the patients in the study had undergone caesarean deliveries. Perinatal morbidity studied as percentage of new-borns requiring resuscitation followed by NICU admission was 33.3%. Among the delivered patients of placenta praevia incidence of perinatal mortality was 23.8%. Prematurity (42.85%) contributed to most cases of perinatal mortality, followed by RDS (14.28%) and asphyxia (14.28%).Conclusions: In this study placenta praevia is seen more commonly in 28-34 weeks of gestation and patients mainly presented with a bout of bleeding eventually had preterm deliveries. Although vaginal deliveries are appropriate in selected cases of placenta paevia liberal use of caesarean section in well-equipped hospitals with availability of blood transfusion services have helped to lower complications

Quality of life and glycemic control in adolescents with type 1 diabetes and the impact of an education intervention

Mostafa A Abolfotouh1,*, Mofida M Kamal2,*, Mohamed D El-Bourgy2,*, Sherine G Mohamed2,*1King Abdullah International Medical Research Center (KAIMRC), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Kingdom of Saudi Arabia; 2Department of Health Administration and Behavioral Sciences, High Institute of Public Health, Alexandria University, Alexandria, Egypt; *All authors contributed equally to this workObjective: To assess quality of life (QoL) and glycemic control in adolescents with type 1 diabetes and to investigate the impact of an educational program.Methods: A quasiexperimental study with nonrandomized experimental and control groups was conducted in which a total of 503 adolescents with type 1 diabetes completed a questionnaire using the Diabetes Quality of Life Instrument for Youth. Adolescents were then assigned to experimental and control groups. The experimental group was subjected to four 120-minute sessions of an educational program over a period of 4 months. Extracted medical chart data included the duration of diabetes, insulin dosage, and most recent hemoglobin A1c levels. Analysis of covariance was used to detect the impact of intervention.Results: The overall mean QoL score (%) was 76.51 ± 9.79, with good QoL in 38% of all adolescents. Poorer QoL was significantly associated with older age (P < 0.001), more hospital admissions in the last 6 months (P = 0.006), higher levels of depression (P < 0.001), poor self-esteem (P < 0.001), and poor self-efficacy (P < 0.001). There was significant deterioration in all domains of QoL in the experimental group after intervention. However, this deterioration was significantly less severe than in the control group. Between-group effects on total knowledge, adherence to exercise, glucose monitoring, treatment, self-efficacy, family contribution to management, glycemic control, and satisfaction with life were significantly in favor of the experimental group.Conclusion: Education intervention for adolescents with type 1 diabetes could be a safeguard against possible deterioration in QoL and glycemic control over time.Keywords: adolescents, diabetes, QoL, glycemic, intervention&nbsp

Microwave Assisted Synthesis Of Binary Metallic Oxides For Catalysis Applications

Herein, versatile, and reproducible method to prepare binary metal oxides via microwave assisted synthesis. Catalysts are substances that basically speeds up chemical reactions. Ideally, bonds are formed between the catalysts and the reactants. Also, catalysts permit formation of products from the reactants. These formed products, splits off the catalyst without affecting or changing it. Catalytic kinetics studies the correlate chemical reaction rate with some properties of reactants and/or products for instance, temperature, concentration and pressure. The aim of the project is to prepare pure and bi-metal iron-based catalyst by co-precipitation method and to characterize the prepared sample using X-ray diffraction. Metal oxides nanoparticles is a field of interest in catalysis, such that these oxides are used to oxidize carbon monoxide. The samples were prepared through co-precipitation method in laboratory scale. The metals used was copper, iron and cobalt. After preparing pure sample of each metal a mix of two metals were introduced in different ratios. The samples were characterized via X-ray diffraction (XRD) and then the results were compared to exist data introduced from others research, the prepared samples XRD was having a great matching with the data retrieved from internet and we found that the metal could exist in two form of oxides and even could exist as pure metal. Each peak in the XRD figure could indicate one or more phase of the metal

New Mixed Ligand Complexes of Ditertiary Phosphanes with Ni(II) Alkylxanthates

Mixed Iigand complexes of Ni(II) with alkylxanthates and ditertiary phosphanes of the composition Ni(ROCSSb(diphoshhave been prepared, where R = methyl, ethyl, propyl, butyl, and cyclohexyl and diphos = bis(diphenylphosphino)ethane (dpe) and bis- (diphenylphosphino)butane (dpb). The newly prepared compounds were characterized on the basis of chemical analyses, infrared and electronic spectra, lH-NMR, molar conductance, and thermal analysis. A square planar structure was proposed for the complexes

Short Term Comparison Between Safety and Efficacy of Rosuvastatin 40 mg and Atorvastatin 80 mg in Patients with Acute Coronary Syndrome

Background. Dyslipidemia is one of the most serious modifiable risk factors for acute coronary  syndrome which is the most leading cause of mortality and morbidity worldwide.Aim. To assess the short-term safety and efficacy of full dose rosuvastatin and atorvastatin in patients with acute coronary  syndrome.Material and methods. Single center, prospective, randomized study included 100 patients who were randomized from first 24-hour of admission to either atorvastatin 80  mg  daily (group 1) or rosuvastatin 40  mg  daily (group 2). Primary outcomes included levels of inflammatory markers (erythrocyte sedimentation rate [ESR], high-sensitive C-reactive protein [hs-CRP] and total leukocyte count [TLC]) after 4 weeks of treatment and lipid profile after 3 months. Secondary  outcomes included recurrent myocardial infarction, recurrent angina, stroke and side effects.Results. At admission, both groups  were comparable in age, without statistically significant difference regarding risk factors (diabetes, hypertension, smoking and obesity), echocardiography (end-diastolic volume, end-systolic volume and ejection fraction), laboratory parameters of inflammation and lipid profile. After 1 month, there was insignificant difference between rosuvastatin and atorvastatin in the reduction of ESR, Hs-CRP or TLC. After 3 months rosuvastatin showed statistically significant reduction in the level of low-density lipoprotein cholesterol, triglyceride (p<0.001) and significant increase in high-density lipoprotein cholesterol (p<0.001) when compared to atorvastatin and at the same time the rosuvastatin group  was safer regarding liver enzymes elevation, p<0.001 for alanine and p<0.01 for aspartate aminotransferases, respectively.Conclusions. Our findings demonstrated that  rosuvastatin 40  mg/day is safer and more effective than  the atorvastatin 80  mg/day in the terms  of lipid parameters and inflammatory biomarkers

Fingerling production and stock enhancement of Mahisefid (Rutilus frisii kutum) lessons for others in the south of Caspian Sea

Rutilus frisii kutum (Kamensky 1901) is one of the economically important fishes that migrate for spawning to rivers in the Caspian Sea. However, the fish populations have slowly decreased in recent years. The declining of these resources has resulted from some activities by the Iranian Fisheries Organization (IFO is responsible for stock enhancement) to catch some broodstocks of Rutilus frisii kutum from their natural spawning rivers. The broodstocks are caught for artificial propagation of the fish. Artificial propagations are carried out every year to produce fingerlings to be released into the rivers in the Caspian Sea. In recent years, total catch of this fish have greatly fluctuated due to the disruption of the natural spawning grounds and over fishing. The substantial reduction to 1,298 metric tons, the lowest total catch reported in 1984–1985, could be due to over-exploitation of the fishery resources. However, the total catch has increased after the fingerlings release programs started in 1979. The total numbers of Rutilus frisii kutum fingerlings released had increased from 12 million to 225 million in 2002, to 155 million pieces in 2003, to 179 million pieces in 2004, 229 million pieces in 2005, 174 million pieces in 2006, 262 million pieces in 2007 and 187.1 in 2008. The total catch was also increased from 6,417 metric ton to 8,984 metric ton, to 7,036 metric ton, to 9,631 metric ton and 16,117, 17,196, 14,835 in years 2002, 2003, 2004, 2005, 2006, 2007 and 2008, respectively

Recognizing food places in egocentric photo-streams using multi-scale atrous convolutional networks and self-attention mechanism.

Wearable sensors (e.g., lifelogging cameras) represent very useful tools to monitor people's daily habits and lifestyle. Wearable cameras are able to continuously capture different moments of the day of their wearers, their environment, and interactions with objects, people, and places reflecting their personal lifestyle. The food places where people eat, drink, and buy food, such as restaurants, bars, and supermarkets, can directly affect their daily dietary intake and behavior. Consequently, developing an automated monitoring system based on analyzing a person's food habits from daily recorded egocentric photo-streams of the food places can provide valuable means for people to improve their eating habits. This can be done by generating a detailed report of the time spent in specific food places by classifying the captured food place images to different groups. In this paper, we propose a self-attention mechanism with multi-scale atrous convolutional networks to generate discriminative features from image streams to recognize a predetermined set of food place categories. We apply our model on an egocentric food place dataset called 'EgoFoodPlaces' that comprises of 43 392 images captured by 16 individuals using a lifelogging camera. The proposed model achieved an overall classification accuracy of 80% on the 'EgoFoodPlaces' dataset, respectively, outperforming the baseline methods, such as VGG16, ResNet50, and InceptionV3

Placental pouch closure: a novel, safe and effective surgical procedure for conservative management of placenta accreta

Background: Placenta accreta spectrum (PAS) has become a global problem secondary to the high rate of cesarean delivery (CD). The current study presents an effective surgical procedure (placental pouch closure) for uterine preservation in patients with PAS. Methods: We applied this procedure in sixty cases at a tertiary university hospital between September 2017 and January 2019. We included women who were diagnosed as PAS based on preoperative ultrasound and Doppler evaluation, and who had the desire for uterine preservation. Results: The procedure was successful in almost all cases; the uterus was conserved 98.33 % of participants, with no associated severe maternal morbidities or mortality. In all cases, no additional surgical procedures were needed. The mean blood loss was 1263 ml, and the mean number of units of blood required for transfusion was 2.31 units. Conclusion: Identifying and meticulously closing the placental pouch is a novel surgical procedure for conservative management of PAS. In well-selected cases with the availability of facilities and expertise, the technique could have a place as a safe and effective surgical technique in women presenting with placenta accreta who desire uterine preservation. Trial registration number: NCT03241849. Registered on August 8, 201

Post-transplant anemia in pediatric patients and its impact on patient and graft survival: single center experience

Introduction: Post-transplantation anemia (PTA)occurs frequently, with prevalence rates between 20and 60% depending on the criteria used for defininganemia.Aim of the work: We aimed to assess the prevalenceof anemia after 6 months of transplantation inpediatric renal transplant patients under differentprotocols of immunosuppression, and to determinethe impact of anemia upon long-term patient andgraft survival.Patients and methods: Based on the data of 108renal transplants performed in our center, patientswere categorized after 6 months according to theirhemoglobin (Hb) levels into two groups. The firstgroup with Hb more than 11gm/dl (group I, 29cases) and the second group with Hb lessthan11gm/dl (group II, 79cases). We compared thetwo groups regarding post transplant complications(rejection episodes, hypertension, diabetes mellitus,infections, hepatic dysfunction, and patient andgraft survival.Results: we found no significant difference betweenthe two groups regarding rejection episodes.However, the percentage of cases with chronicallograft nephropathy was significantly higher in the anemic group. The survivors with functioning graftswere significantly higher in cases with normal Hb.Moreover, living cases with graft failure weresignificantly higher in anemic group. Graft survivalrate was better in the non anemic group. However,no difference in patient survival was detected. Also,we found no difference between the two groupsregarding post-transplant complications.Conclusions: From this study, we can conclude thatthe prevalence of post-transplant anemia is highpediatric renal transplant patients especially thosereceiving CNI and MMF, and it was associated withpoorer graft outcome but no effect on patientsurvival