Complete pentalogy of Cantrell associated with exencephaly: a rare case report

Complete pentalogy of Cantrell (PC) is a rare condition with an incidence of 1 in 100000 pregnancies. The spectrum includes defects in the diaphragm, anterior abdominal wall, diaphragmatic pericardium, lower sternum and congenital cardiac anomalies. We hereby report a case of complete pentalogy of Cantrell associated with exencephaly

Preparation and characterization of low dielectric constant soft polymer blends for engineering applications

The preparation of polyvinyl chloride (PVC)/cellulose acetate (CA) blends has been performed by solution casting. The structural, morphology, thermal, dielectric properties and softness have been tested as a function of the weight fraction of the CA. The decrease in inter-planar distance has been confirmed by X-ray diffraction (XRD) spectroscopy. The decrease in direct band gap has been influenced by CA composition demonstrated by ultraviolet-visible (UV) spectroscopy technique. Scanning electron microscopy (SEM) demonstrates the micro porous nature of blends. Thermo gravimetric analysis (TGA) confirms the increase in thermal stability of the miscible blends. The real dielectric polarization (ɛr) has been measured as a function of frequency. The low dielectric loss tangent (tanδ) in PVC/CA blends has been observed based on the principle of restricted polarizibility. The shore ‘A’ durometer test enables to confirm the softness of miscible blends. Optimized low dielectric constant and softness properties would be suggested for various electrical and electronic engineering applications

External cephalic version in breech presentations at term: comparison of maternal and perinatal outcome with normal pregnancies

Background: To study the maternal and perinatal outcome after successful external cephalic version in term breech pregnancies and to compare the same with normal deliveries with cephalic presentation.Methods: Singleton term breech pregnancies were included in Group I; in which ECV was attempted. Out of this, pregnancies with successful ECV (Subgroup I) were compared with Group II comprising of two term normal pregnancies delivering in labour room immediately after delivery of every woman who had successful ECV. Maternal, labour and perinatal parameters were compared between Subgroup and Group II. Results: The two groups were comparable with respect to maternal age and gestational age. There were more multigravidae in both groups. There were more labour inductions in Subgroup. 83.3% women in study group and 95.8% women in control group had spontaneous vaginal deliveries. There were no perinatal deaths in either group. No serious maternal complications related to version were noted.Conclusions: This study shows that ECV does not adversely affect the maternal and perinatal outcome; although larger studies are required to confirm this. ECV may be more successful in multigravidae with flexed breech presentations. The procedure should probably be practiced regularly to improve the success rate

Serum Magnesium Levels in Acute Myocardial Infarction

BACKGROUND: Magnesium has been implicated in the pathogenesis of acute myocardial infarction and its complication like arrhythmia. Magnesium improves myocardial metabolism, inhibits calcium accumulation and myocardial cell death. It improves vascular tone, peripheral vascular resistance, after load and cardiac output, reduces cardiac arrhythmias and improves lipid metabolism. Magnesium also reduces vulnerability to oxygen derived free radicals, improves endothelial function and inhibits platelet function including platelet aggregation and adhesion. OBJECTIVE: To know the relationship between the serum magnesium levels and arrhythmias in patients with acute myocardial infarction. METHOD: By using simple random method, 50 cases of acute myocardial infarction, admitted in Coimbatore Medical College and Hospital. RESULTS: There is a significant difference in the magnesium levels in patients with arrhythmias and without arrhythmias. CONCLUSION: In acute myocardial infarction, patients with low magnesium levels are more prone to get arrhythmias. So magnesium treatment can be considered in patients of acute myocardial infarction with low magnesium levels

EFFECT OF RELAXING MUSIC ON BLOOD PRESSURE AND HEART RATE IN HOSPITALIZED PRE-HYPERTENSIVE WOMEN IN 3RD TRIMESTER OF PREGNANCY: A RANDOMIZED CONTROL STUDY

Objective: To observe effect of relaxing music on systolic blood pressure (BP), diastolic BP and heart rates in hospitalized pre-hypertensive pregnantwomen in the third trimester of pregnancy.Methods: Sixty hospitalized pre-hypertensive pregnant women in the third trimester of pregnancy were included in the study. They were divided intoexperiment (n=30) and control (n=30) groups by randomization. Experiment group received three, 15 minutes sessions of receptive music therapyin form of non-rhythmic instrumental music. The control group did not receive music therapy intervention. BP and heart rates were measured beforeand after each session.Results: Experiment group showed significant reduction in systolic BP, diastolic BP and heart rate after each session of receptive music therapy. Incomparison between two groups, systolic BP showed significant reduction. No subject experienced any adverse effect.Conclusion: Listening to relaxing music can reduce BP and heart rates in hospitalized pre-hypertensive pregnant women during third trimester. TheBP lowering effect of relaxing music listening is more significant for systolic BP. Receptive music therapy seems to be safe in pregnant women.Keywords: Music therapy, Music, Pre-hypertension, Pregnant women, Complementary therapie

Histomorphological analysis of placental changes of pre-eclampsia patients in a tertiary care hospital of Puducherry, India

Background: Placenta is a dynamic tissue synthesized physiologically to serve as a nutrient source for developing fetus it is exposed to several changes in reaction to many toxemic conditions associated with pregnancies. Studies had proved that placental changes observed on histomorphology is directly proportional to reaction to hemodynamic compensatory mechanisms, thereby aiding the obstetricians to manage the sequelae of complications. Objective of this study was to study the placental histomorphology in pregnancies associated with pre-eclampsia and to quantitate the observed placental changes.Methods: The study comprised on 101 placental specimens obtained from department of obstetrics and gynecology, Mahatma Gandhi Medical College and Research Institute, Pondicherry. Toxemia of pregnancies were divided into mild, severe preeclampsia and eclampsia based on blood pressure. The 101 cases were divided as 4 groups: Group 1 (control group); Group 2 (mild preeclampsia); Group 3 (severe preeclampsia); Group 4 (eclampsia).Results: Among the 101 cases, 38 placentas were from uncomplicated full-term deliveries which constitutes the control group. The rest 63 placenta were from toxemia of pregnancies which constitutes the study group.Conclusions: The incidence of toxemic pregnancies and pre-eclamptic cases are on higher margin than assumed. Histomorphology examination of placenta plays a vital role in assessing etiopathogenesis and mechanism of toxemic pregnancies. This aids the obstetrician to further manage subsequent sequelae and fix the complication to significant proportion

An unusual presentation of central cervical fibroid: a case report

Leiomyomas are most common benign gynaecological tumour. Most of the fibroids are situated in the body of the uterus, but only in 1-2% cases, they are confined to cervix. We report a case of a 48-year old female who presented with gradual abdominal distension for one year. Abdominal examination revealed a huge mass of 28 week size pregnant uterus with well-defined margins except the lower poles which cannot be reached, restricted mobility from above downwards but can be moved from side to side, non-tender and solid in inconsistency. Ultrasound revealed a large abdominopelvic mass with solid and cystic component. On exploratory laparotomy, a huge central cervical fibroid was found and total abdominal hysterectomy with bilateral salpingoophorectomy was done after enucleation of the fibroid by Rutherford Morrison’s technique. Histopathological examination confirmed the diagnosis of cervical fibroid with hyaline and cystic degeneration. The postoperative was uneventful

An unusual presentation of a severely calcified subserous leiomyoma in a postmenopausal woman: a case report

We report a case of a 58-year-old postmenopausal woman presented with mass descending per vaginum with lower abdominal discomfort for last one year. Examination revealed second stage utero-vaginal prolapse according to Pelvic organ prolapsed quantification (POP-Q) system with a hard mobile mass of size 6x6 cm in pouch of Douglas. After workup, it was diagnosed as posterior subserosal calcified leiomyoma of FIGO (International Federation of Gynaecology and Obstetrics) class 6. Vaginal hysterectomy with pelvic floor repair was done and histopathological examination confirmed a calcified leiomyoma.

Scientometric Analysis and Literature Research Growth of Lupus During 2010-2017

Abstract: The paper analyses the growth pattern of Lupus disease literature during 2010-2017. The data downloaded from web of science database, further interpreted and analyzed for the study purpose. Total number of publications has been identified as 38750 records. The distribution of publications based on the year of production, country wise productivity, document type of the publications, Major subject categories, Authors whose contribution is in the maximum level were studied. The study reveals a progressive increase on LUPUS research during 2010-2017. The year 2016 contributed highest number of publications. United States is the top contributor during 2010-2017. PETRI M is the leading author having 394 articles which is 1.017% of the total publications

Flexure and Shear Study of Deep Beams using Metakaolin Added Polypropylene Fibre Reinforced Concrete

Structural elements like walls of bunkers, load bearing walls in buildings, pile caps, plate elements in folded plates behave as deep beams. Beams whose span (L) to depth (D) ratio is reasonably small can be said as a deep beam. Beams with large depth, supported by individual columns, often used as transfer girders in tall buildings, long span structures etc are commonly referred to as deep beams. Deep beams are used for architectural buildings where the span is very large without any intermediate columns such as marriage halls, assembly halls, auditoriums, theatres etc. According to IS456-2000, a beam is said to be as a deep beam when the ratio of effective span to overall depth (L/D) is less than 2.0 for simply supported members and 2.5 for continuous members. The design of such structural elements requires innovative procedures to serve the functionality coupled with durability. In deep beams, the bending stress distribution across any transverse section deviates appreciably from the straight line distribution assumed as in the simple beam theory. So, assumption of “Plane section before bending remains plane after bending” does not become valid and the neutral axis does not lies at the mid depth. In deep beams, the ultimate failure due to shear is generally brittle in nature, in disparity to the ductile behavior and progressive failure with large number of cracks as observed in normal beams. In this paper, flexural strength of M20 and M30 graded concrete deep beams with the addition of a combination of 0%,10%,20% metakaolin as a partial replacement for cement and 0%,2.5%,5% polypropylene fibre is found out and mode of failure is observed for each case. Mix designs for M20 and M30 graded concrete are carried out in worksheets and the proportions of cement, sand, coarse aggregate are calculated based on the tests conducted on cement and aggregates. Cubes are casted and 7 days compressive strengths for those cubes are tested using compressive testing machine and the mix proportions are used