A rare association of uterine leiomyoma with mesenteric vein thrombosis and bowel gangrene: case report

Uterine fibroids are the most common benign pelvic tumors in women. There are many complications reported with fibroids. However, mesenteric vein thrombosis and small bowel gangrene caused by a uterine fibroid are rare. This manuscript reports a rare case of 40 year female with a large uterine fibroid associated with mesenteric vein thrombosis and bowel ischemia. She underwent exploratory laparotomy in which resection of gangrenous bowel including jejunum and ileum was done along with left sided jejunostomy and right sided ileostomy. Total abdominal hysterectomy with bilateral salpingooophorectomy was done followed by jejunoileal anastomosis 6 weeks later. Hence, in patients presenting with acute abdomen and uterine fibroids, bowel gangrene must be included in the differential diagnosis

Emerging Potable Water Technologies

Water is essential to keep up life, especially safe drinking water is one of the first priorities. As water quality is important, many nations endeavor to guard the water and to increase access to potable water. Fortification of water supplies from contamination is the earliest stripe of defence. Water purification is very important aspect, presently there are number of drinking water technologies available mostly based on ion exchange, ultra filtration and reverse osmosis techniques, but still about five million people die annually from water born diseases. The objective of this review is to provide direction on the chemical safety of drinking-water and also monitoring of chemicals in drinking-water. Water treatment potential technologies can solve diverse drinking water issues in case of chemical contamination, which is the second objective. The purpose of this review is to make survey of currently available and future emerging technologies for drinking water. Several purification techniques have been adopted to meet the standards. There is a necessity of wide-ranging global approach to tackle the problem of water pollution devastating thousand of lives annually rather than to develop nuclear and biological weapons. This document will also be useful to public health authorities, those responsible for setting standards and for surveillance of drinking-water quality, and to water supply agencies responsible for water quality management

Design and development of Fixture for Friction Stir Welding

Friction Stir Welding being a solid-state process is free from defects generally occurs in fusion welding process. FSW of Stainless Steel is done on retrofitted vertical milling machine. For this welding operation a fixture is needed on which the plates which are to be butt welded is to be bolted. In this paper first fixture is designed using AutoCAD software keeping certain things in view like groove of fixture to be such that it accommodates both backing plate and metal plate to be welded, then development of fixture is done using AutoCAD drawing. Apart from this a five nos. of clamps is also manufactured for holding the plates firmly and subsequently a key is also manufactured for the purpose of fixing and balancing of plates to be welded. Key words : FSW; fixture; clamps; key; shaping; milling; drillin

An observational study to compare between conventional condom balloon catheter with CG balloon

Background: Postpartum haemorrhage (PPH) is a life-threatening complication of delivery. The most common cause of PPH is uterine atony. Intrauterine balloon tamponade has been suggested as an effective, easily administered minimally invasive treatment option to control uterine bleeding while preserving the mother’s ability to bear additional children.Methods: Twenty women with normal vaginal delivery were studied over a period of six months, 10 were inserted conventional balloon tamponade and rest 10 were inserted CG balloon and outcome studied in terms of time to assemble, leakage, expulsion, lumen occlusion, volume of fluid used, time to arrest bleeding, cost, drainage port, inflation deflation interval.Results: Most of the women were para 4 or more, unbooked belonging to age group of 20-30. Mean time to assemble Condom balloon tamponade was 1.8min   and that in CG balloon was 1.2 minute. There was leakage and expulsion in two and lumen occlusion in three in the conventional balloon catheter. In the second group there was  no leakage ,lumen occlusion  or expulsion . There is uterine drainage port present in CG balloon which is characteristic of it which helps in determining the actual blood loss in real time. The inflation deflation interval and mean volume of fluid are almost same in both the groups.Conclusions: Both conventional balloon and CG balloon are effective and lifesaving in low resource setting with few advantages of CG balloon over conventional balloon tamponade

Reduction and Swelling Behaviour of Fired Iron Ore Pellets

The present project work on “Reduction and Swelling Behaviour of Fired Iron Ore Pellets” was undertaken with a view to promote the effective utilization of iron ore and coal fines in sponge iron making. Presently, India has become the world leader in sponge iron production and the production of steel by DR-EAF route is increasing day by day. In the present project work, the effect of addition of concentrated sugarcane juice binder on the physical properties of fired iron ore pellets was investigated. The crushing strength and drop number were found to be maximum at 2% binder addition, followed by a decrease with further increase in binder concentration. A reverse trend was observed in the case of porosity, i.e. porosity of fired pellets increased with rise in binder concentration from 2% to 6%. The pellets fired at 13000C were processed for reduction and swelling studies in different types of coal. The degree of reduction of fired iron ore pellets increased with increase of reduction temperature and time up to the range studied. The extent of swelling in fired iron ore pellets during their production increased with increase of reduction time, most probably due to the structural changes and fibrous growth of iron particles. SEM images of few reduced iron ore pellets were also taken

Study of biochemical parameters of atherosclerosis male patients in tertiary care hospital of Rewa, Madhya Pradesh, India

Background: Atherosclerosis is characterized by intimal lesions called atheromas or atheromatous or fibro fatty plaques which protrude into and obstruct vascular lumens and weaken the underlying media. Global in distribution, atherosclerosis over whelming contributes to more mortality approximately half of all deaths and serious morbidity in the Western World than any other disorder. The atherosclerotic plaque is a lumpy thickening of the arterial wall, narrows the passage way and initiates the formation of a blood clot that can ultimately close down a critical artery. The objective of the study was to comparative biochemical parameters in different age group of atherosclerosis male patients.Methods: It was a prospective study, conducted in department of medicine of tertiary care hospital at Rewa. 30 atherosclerotic patients were selected for this study on the basis of inclusion and exclusion criteria, Biochemical testing was done for all patients and data of biochemical parameters were reported as the Mean±SD. Results were performed by the unpaired student’s t-test.Results: Total 30 atherosclerosis male patients and 27 normal healthy male volunteers were enrolled for the study. Biochemical parameters of both of this group were compared with t-test and p-value was found significant.Conclusions: Risk factors such as elevations in body mass index, systolic blood pressure, serum LDL cholesterol, triglyceride concentration and cigarette smoking are significantly related to the extent of atherosclerotic lesions

Epidemiology of patients with bad cervix attending gynaecology OPD of a tertiary care centre in Western Uttar Pradesh, India

Background: Cervical cancer is one of the biggest health problems of women around the world. An estimated 4,70,000 new cases are diagnosed worldwide annually with about 80% of these being in developing countries with India contributing to about a quarter of it. Pap smear and colposcopy are two non-invasive methods for screening of cervical cancer with varying sensitivity and specificity. This study uses these along with histopathology to find out premalignant lesions in women of rural western Uttar Pradesh, India and to find their correlation with various socio-demographic features.Methods: This prospective clinical study was carried out in department of Obstetrics and Gynaecology in Muzaffarnagar Medical College from 1st January 2012 to 31st December 2014. Those patients who fulfilled the inclusion criteria had their Pap smear done at first visit followed by colposcopy when cytology report was available. Colposcopically indicated biopsy was done only in those patients who had suspicious areas on colposcopy.Results: Out of total 500 women included in the study majority although having a bad cervix were having a normal pap smear (45%). LSIL and HSIL were present in 17.4% and 9.8% respectively. Squamous metaplasia was the most common abnormal finding seen in 12.2% of cases followed by acetowhite areas (7.6%). Only 137 patients who had abnormal colposcopic findings were subjected to biopsy.Conclusions: In present study it was found that increasing age, early age at coitarche and high parity are risk factors for high grade lesions. Colposcopy served as a tool to decrease the need for invasive procedure i.e biopsy

Kinetic Study on Removal of Sulphur Mustard on Granular Activated Carbon from Aqueous Solution

Sulphur mustard is a powerful blister agent and has been worked as a chemical warfare agent. No specific antidote is available for its wound. Therefore, adsorptive removal is an effective way of removal. Here, adsorptive removal of sulphur mustard from aqueous solution was studied on activated carbon and screened out MeOH : H2O (1 : 1) solution as a good solvent than others used solvent. Adsorption isotherm of sulphur mustard was compared with its hydrolysis in the same solution. Kinetics of sulphur mustard removal on carbon from aqueous solution was found to be slower than hydrolysis and follow pseudo first order kinetics with the rate constant 5.04 X 10–3 min-1 and half life 137.5 min. The hydrolysis of sulphur mustard in MeOH : H2O (1 : 1) solution was found to be following the pseudo first order kinetics with the rate constant 8.68 x10-3 min-1 and half life 79.8 min

INTEGRATED STUDY OF MODE OF ACTION OF MOCHARASA BASTI IN GRAHANI VYADHI WITH SPECIAL REFERENCE TO INFLAMMATORY BOWEL DISEASE

During medical practice physician many times come across such diseases which are difficult to treat and one of them is Grahani. All the clinical features of Grahani Vyadhi resemble with ‘inflammatory bowel disease’. It is a broad term which indicates chronic inflammatory pattern of colon and thus also includes Ulcerative colitis and Crohn’s disease. Ulcerative colitis and Crohn’s disease both involve diarrhoea, pain in abdomen, fatigue, rectal bleeding and chronic persistence of disease results into weight loss. Crohn’s disease affects small intestine, large intestine, mouth, stomach and anus as well, but in Ulcerative colitis it mainly affects colon and rectum. Inflammatory bowel syndrome may develop at any age but 15-30 years is the most common age group getting affected. The therapeutic approach towards these diseases remains symptomatic in current mainstream line of treatment and has no prompt treatment as such. According to Madhava Nidana compendia which describe Grahani vyadhi with reference to organ Grahani, where regular function of Grahani sthana (organ) gets impaired. Grahani is the prime location of Agni, Pachaka pitta dosha, and Samana vayu. According to Ayurveda clinical presentation of Grahani Vyadhi very closely depicts picture of Inflammatory Bowel Disease as mentioned above. Acharya Charaka has described Mochrasa (extract of plant Bombax ceiba Linn. rich in tannins) as one of the medication for Grahani Vyadhi. Tannin-polysaccharide complex protects ulcerated areas of colon. It has been proposed here that a Mocharasa can to be used with milk as a Basti (medicated enema) preparation in patients with IBD.