External cephalic version at 36 weeks and its outcome

Background: External cephalic version (ECV) is well known non-invasive procedure done for the management of breech presentation but is not routinely practised by obstetricians in many clinical settings. The aim of the study was to assess the success rate of external cephalic version, labour outcome of pregnancy after successful ECV, to study maternal and foetal complications associated with ECV and to explore the reasons for failed ECV.Methods: It was a prospective interventional study to assess the labour outcomes of pregnancies with successful and uncomplicated ECV. All women who had singleton breech presentation at 36+ weeks were included unless contraindications for ECV were present. After obtaining consent, ECV was attempted after giving tocolysis.Results: The total number of deliveries was 6038 in the same period. Out of these 301 were breech presentations thus the incidence of breech presentation was 4.9%. ECV was offered to 81 women (26.9%) and out of these 77 women (95.06%) gave consent for the procedure. The remaining 4 (4.93%) did not give consent due to anxiety about the procedure. The success rate was 54.54%. Out of total 301 women with breech presentation 40 women (13.3%) had assisted breech delivery and 216 women (71.8%) had caesarean section due to obstetric indications. Thus the caesarean section rate for breech presentation at our institute was 71.8%. ECV was successful in 63.82% of the multigravida on which it was attempted as compared to 40% of the primigravida. The success rate of ECV in the present study is maximum when ECV was performed at a gestational age of 38-39 weeks and when fetal weight was less than 3000 grams. Out of the 42 successful ECV cases, 4 babies (9.52%) had neonatal sepsis and 1 was still born (2.3%) which was unrelated to ECV.Conclusions: ECV is a valuable though under used option in the management of breech presentation at term. It is a relatively safe procedure, simple to learn and perform. Vigilance for breech presentation after 36 weeks is important. ECV at term using tocolytics should be part of the routine management of breech presentation

Functional outcome of mini external fixator in hand injuries: an observational study in a tertiary care hospital

Background: Metacarpal and phalangeal fractures are one of the common fractures of the upper extremity that account for about 10% of total body fractures. The distal parts of the hand are the most common parts to be injured. Outcome is also influenced by other factors such as patient’s age, occupation, socio economic status, systemic illness, surgeon’s skill and the patient’s compliance. Methods: We are doing an observational study with 40 patients included according to the inclusion and exclusion criteria for a period of six months with age group between 20 and 60 years. We use mini external fixators with JESS clamps, 1.8 mm threaded pins and k wires. Patients were followed up periodically with required radiograph for the union of the fracture. Results: Out 40 patients, most of the patients were between the age of 21 to 40 years with male preponderance, open fractures were more when compared with closed fractures. Functional outcome was excellent and good on the higher side which was analysed with Strickland score. Radiological union were also in greater side with 17.5% of them with delayed union. Conclusions: Simple surgical technique will minimize complications and an aggressive rehabilitation will ensure best result. In general, mini external fixator is a good treatment for management of fractures with best functional outcome.  

Treatment with Green Tea Prevents Intracerebroventricular Streptozotocin Induced Cognitive Impairment and Oxidative Stress in Mice

Green tea polyphenols have demonstrated significant antioxidant, anti-carcinogenic, anti-mutagenic and antidiabetic in numerous human, animal and in vitro studies. Hence present study was design to evaluate the influence of green tea in streptozotocin induced oxidative stress in mice.Morris water maze, Elevated plus maze and passive avoidance apparatus was used for the evaluation of learning and memory. Brain thiobarbituric acid reactive substance was also estimated.Intracerebroventricular administration of streptozotocin reduces the learning and memory and increase the concentration of thiobarbituric acid reactive substance in mice. Green tea significantly improves the learning and memory and reverses the increase thiobarbituric acid reactive substance concentration in mice.The result of present study indicates that green tea improve the learning and memory. It also reduces the streptozotocin induced oxidative stress.Keyword: Hippocampus, degenerative disease, green te

Fluid-Structure Interaction Analysis of a Cropped Delta Wing

AbstractThe fluid-structure interaction behaviour of a cropped delta wing is investigated using a computational fluid dynamics (CFD) based aeroelastic solver in time domain. Here, an N-S based finite volume solver is coupled with a finite element based linear and nonlinear structural solvers to study the nonlinear aeroelastic characteristics of the delta wing over a range of dynamic pressures. The amplitude and frequency obtained from the present coupled solver at various dynamic pressures are compared with the available experimental and computational results

An investigation on image denoising technique using pixel-component-analysis

This paper authenticates a proficient image denoising scheme with the analysis local pixel coherence. In the dominion of a study about noise and pixel elements in image processing, the influence of the Gaussian effect on image contrast plays a key role. It is found in particular that pixel variations may be vast in some cases which potentially tend to develop irregularities in the image