Graded epidural anaesthesia for Caesarean section in a parturient with Shone’s syndrome: a case study

Pregnancy with underlying heart disease is a unique challenge both to the obstetrician and the anesthesiologist. Asymptomatic women with mild to moderate single lesions can successfully carry a pregnancy to term and undergo vaginal delivery. However, pregnancy can result in rapid clinical deterioration, which may lead to maternal and/or foetal mortality in symptomatic patients with complex heart diseases, like Shone’s syndrome. A thorough understanding of the impact of pregnancy on the haemodynamic response to the patient’s cardiac lesion is required for the management of labour and delivery. A meticulous approach is needed when planning anaesthesia for Caesarean section in such a case as the associated haemodynamic effects of both regional and general anaesthesia can have a serious deleterious effect on both the mother and infant.We report on the successful management of a parturient known to have Shone’s syndrome undergoing Caesarean section under graded epidural anaesthesia.Keywords: Caesarean section, epidural anaesthesia, pregnancy, Shone’s syndrom

Heating of the auroral ionosphere by traveling ionospheric disturbances initiated by atmospheric gravity waves

In the presence of perturbations of the thermospheric auroral region produced by traveling ionospheric disturbances during the propagation of atmospheric gravity waves, an analytical expression of the velocity of the thermospheric plasma is derived through magnetohydrodynamic formalism. The expressions of the Joule heating and the viscous heating are derived, and their rates of variation are presented. A threshold height for their transition has been determined from their ratio, which is in agreement with the experimental data. The analysis indicates that the time taken by the thermospheric plasma to reach a steady-state corresponds to the nature of the traveling ionospheric disturbances in the medium

An Approach for Design Search Engine Architecture for Document Summarization

Query focused multi document summarization is an emerging area of research. A lot of work has already been done on the subject and a lot more is going on. The following document outlines the effort done by us in this particular field. This work proposes an approach to address automatic Multi Document text summarization in response to a query given by a user. For the explosion of information in the World Wide Web, this work proposed a new method of query-focused multi-documents summarization using genetic algorithm, search engine are used to extract relevant documents and genetic algorithm is used to extract the sentences to form a summary, and it is based on a fitness function formed by three factors: query-focused feature, importance feature, and non-redundancy feature. Experimental result shows that the proposed summarization method can improve the performance of summary, genetic algorithm is efficient. We have developed a very powerful search engine one. On the same note, it also has a great potential for growth. It can be easily applied for systems with not only a few documents but for very large systems with a large number of documents

Effects of the India–Pakistan border earthquake on the atmospherics at 6 kHz and 9 kHz recorded at Tripura

<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if !mso]><object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui></object> <mce:style><! st1:*{behavior:url(#ieooui) } --> <!--[endif] --> <!-- /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0cm; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman";} @page Section1 {size:612.0pt 792.0pt; margin:72.0pt 90.0pt 72.0pt 90.0pt; mso-header-margin:36.0pt; mso-footer-margin:36.0pt; mso-paper-source:0;} div.Section1 {page:Section1;} --> <!--[if gte mso 10]> <mce:style><! /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman";} --> <!--[endif] -->The unusual variations observed in the records of the integrated field intensity of the atmospherics (IFIA) at 6 kHz and 9 kHz at Agartala, Tripura, in the north-eastern state of India (latitude, 23˚ N; longitude, 91.4˚ E) during the large earthquake on October 8, 2005 at Muzaffarabad (latitude, 34.53˚ N; longitude, 73.58˚ E) in Kashmir in Pakistan are here analyzed. Spiky variations in the IFIA at 6 kHz and 9 kHz were observed several days previous to the day of the earthquake (from midnight, September 28, 2005). The effects persisted for some days, decayed gradually, and eventually ceased on October 31, 2005. The spikes are distinctly superimposed on the ambient level, with mutual separation of 2–5 mins. The number of spikes per day and the total duration of their occurrence were particularly high on the day of the earthquake. The spike heights are higher at 6 kHz than at 9 kHz. The results are discussed here. The generation of electromagnetic radiation associated with the fracture of rocks, the subsequent penetration of this radiation into the Earth atmosphere, and finally its propagation through the Earth–ionosphere waveguide may be responsible for these observed spikes. The present observations show that the very low frequency anomaly dominates between 6 kHz and 9 kHz. The nature of the spikes presented here is a characteristic feature of the IFIA during the period of the earthquake. This has been established on the basis of time-series analyses over a period of one year.<br /><span style="font-size: 12pt;"></span&gt

Effects of a Solar Eclipse on the Propagation of VLF-LF Signals: Observations and Results

The results from the measurements of some of the fundamental parameters (amplitude of sferics and transmitted signal, conductivity of lower ionosphere) of the ionospheric responses to the 22 July 2009 solar eclipse (partial: 91.7%) are shown. This study summarizes our results from sferics signals at 81 kHz and subionospheric transmitted signals at 19.8 and 40 kHz recorded at Agartala, Tripura (latitude: 23¢XN, longitude: 91.4¢XE). We observed significant absorption in amplitude of these signals during the eclipse period compared to their ambient values for the same period during the adjacent 7 days. The signal strength along their propagation paths was controlled by the eclipse associated decrease in ionization in the D-region of the ionosphere. Waveguide mode theory calculations show that the elevation of the height of lower ionosphere boundary of the Earth-ionosphere waveguide to a value where the conductivity parameter was 106 unit. The absorption in 81 kHz sferics amplitude is high compared to the absorption in the amplitude of 40 kHz signal transmitted from Japan. The simultaneous changes in the amplitudes of sferics and in the amplitude of transmitted signals assert some sort of coupling between the upper atmosphere and the Earth¡¦s near-surface atmosphere prevailing clouds during solar eclipse