A study to assess the psychological impact of fetal loss among the postnatal mothers admitted in selected hospitals of district Faridkot, Punjab, India

Background: Miscarriage, spontaneous abortion of a fetus and the loss of an infant through stillbirth, or neonatal death is recognized as a traumatic life event before the expected point of viability. Women’s response ranges from relief to devastation. Predictors of development of complicated grief after prenatal loss include lack of social support, pre-existing relationship difficulties, or absence of surviving children, as well as ambivalent attitudes or heightened perception of the reality of the pregnancy. The study aimed to assess the psychological impact of fetal loss among the postnatal mothers. Methods: The research design selected for the study was non-experimental descriptive design. Study was conducted from Dec 2014 to Jan 2015 in obstetrics and gynaecology unit of G.G.S medical hospital, Faridkot, Punjab, India. 60 postnatal women were selected by convenience sampling. The perinatal grief scale (standardized tool) was used to assess fetal loss. Results: The majority of women i.e. 76.7% had more psychological impact, 23.3% women had less psychological impact of fetal loss. The range of score varies from 62-129 with mean score 102.82 ,SD 15.21 ,standard error mean 1.963, and median 103.50 and a statistically significant relation was found between psychological impact of fetal loss and gravida, Number of fetal loss, Number of live births and period of gestation at p<0.05. Conclusion:  Hence it can be concluded that majority of women had more psychological impact of fetal loss and association of psychological impact of fetal loss was found between number of previous loss, number of live births, gravida and period of gestation

Developing a Business Ecosystem around Autonomous Vehicle Infrastructure in Indiana

INDOT will soon be embarking on infrastructure planning to accommodate autonomous vehicles. This new technology affords the ability to impact economic value creation across the supply chain in Indiana, as well as foster economic development in Indiana to support these emerging technologies. This proposal will be a first cut towards exploring the development of a strategy to realize this potential. Our proposal will consist of two phases. Phase 1: A focus on industry choices and plans that can inform INDOT choices. Phase 2: A focus on INDOT’s internal decision making, risk tolerance, and choices regarding infrastructure projects

Model-based iterative reconstruction in paediatric head computed tomography : a pilot study on dose reduction in children

Purpose: To evaluate the potential of model-based iterative reconstruction (MBIR) on dose reduction and image quality in children undergoing computed tomography (CT) head examinations. Material and methods: This prospective study was approved by the institutional ethics committee. A total of 88 children (age range of 5 to 16 years) with a history of seizures underwent contrast-enhanced CT scan. Forty-one children underwent CT study according to the MBIR technique, while 47 children underwent CT of the head with the non-MBIR protocol. Images were reviewed by 2 blinded paediatric radiologists in a random order. Mean dose-length product, CT dose index (CTDI) volume, and mean effective dose were recorded for both groups. Image quality, image noise, and diagnostic acceptability of 2 image sets were also recorded. Results: In the MBIR group, the mean dose-length product was reduced by 79.8%; the mean CTDI volume was reduced by 88.5%, while the mean effective dose was reduced by 81% when compared to the non-MBIR group. No significant difference was seen in diagnostic acceptability, image noise, and image quality between the 2 groups. Conclusions: MBIR technique is highly effective in reducing radiation dose in paediatric head CT examinations without any significant difference in image quality, image noise, and diagnostic acceptability

Implementation Of 5S Quality Tool In Manufacturing Company: A Case Study

Abstract: 5S system is a technique which maintains the quality of working conditions in the organization. Amongst various available Lean resources, 5S is a powerful technique that can bolster objectives of the organization to get continuous improvement in performance and productivity. This paper presents the implementation of 5S in a manufacturing company &amp; 5S rating system was used to audit all changes in the company which enhanced the efficiency of the workers &amp; ultimately the productivity of the company is enhanced to 91 %

Evaluation of coronary arteries in congenital heart disease in children : diagnostic comparison of electrocardiogram-gated and non-electrocardiogram-gated computed tomography cardiac angiograpy

Purpose: To compare the visualization and anatomy of coronary arteries in children (≤ 2 years) with congenital heart disease (CHD) on non-electrocardiogram (ECG)-gated and ECG-gated computed tomography angiography (CTA). Material and methods: In this retrospective study, approved by the Ethics Committee of our institute, evaluation of coronary arteries in CHD was performed in 40 children on non-ECG-gated CTA and in 42 children on ECG-gated CTA. The origin and course of the right coronary artery (RCA), left main coronary artery (LMCA), left anterior descending (LAD) artery, and left circumflex (LCX) artery were evaluated by 2 paediatric radiologists independently. Results: ECG-gated CT scans yielded increased (additional) visualization of all the coronary arteries, when compared to non-ECG-gated CT scans. The RCA, LMCA, LAD artery, and LCX artery were visualized in 47.5%, 62.5%, 55%, and 32.5% of children, respectively, on non-ECG-gated studies, while they were visualized in 64.3%, 92.8%, 80.9%, and 62% children, respectively, on ECG-gated studies. The coronary artery anatomical variations were also supplementarily detected more in the ECG-gated group (23.8%) than in the non-ECG gated group (2.5%). Conclusions: ECG-gated CT cardiac angiography studies yield enhanced diagnostic outcomes for the evaluation of the coronary arteries in comparison to non-ECG-gated studies

Optimizacija parametrov procesa za povečanje natezne trdnosti ogljikovega jekla, torno varjenega z gnetenjem

The present study focuses on improving the ultimate tensile strength of friction stir welded carbon steel (AISI 1018). The effect of the process parameters (welding speed, tool RPM, and shoulder diameter) on the response parameters (ultimate tensile strength, percentage elongation and percentage reduction in area) were studied. Response surface methodology was used to develop the mathematical model for response parameters, and the adequacy of the model was checked using analysis of variance (ANOVA). The welding speed and tool RPM were found to affect the ultimate tensile strength significantly. The percentage elongation was affected only by welding speed. The percentage reduction in the area was affected by welding speed and shoulder diameter. The microstructure and microhardness of the weld have been studied and reported in the study

sj-docx-1-pie-10.1177_09544089221130615 - Supplemental material for Fatigue behaviour and impact strength assessment of friction stir-welded carbon steel joints

Supplemental material, sj-docx-1-pie-10.1177_09544089221130615 for Fatigue behaviour and impact strength assessment of friction stir-welded carbon steel joints by Anmol Bhatia and Reeta Wattal in Proceedings of the Institution of Mechanical Engineers, Part E: Journal of Process Mechanical Engineering</p

sj-docx-2-pie-10.1177_09544089221130615 - Supplemental material for Fatigue behaviour and impact strength assessment of friction stir-welded carbon steel joints

Supplemental material, sj-docx-2-pie-10.1177_09544089221130615 for Fatigue behaviour and impact strength assessment of friction stir-welded carbon steel joints by Anmol Bhatia and Reeta Wattal in Proceedings of the Institution of Mechanical Engineers, Part E: Journal of Process Mechanical Engineering</p

Congenital Rubella Syndrome as a possible cause for persistent thrombocytopenia in early infancy: The Forgotten Culprit

We present a case of a late preterm intrauterine growth-restricted neonate with isolated and persistent severe thrombocytopenia. At birth, the neonate did not have a complete clinical spectrum of congenital rubella syndrome (CRS) but later developed peculiar findings that helped clinch the diagnosis. The neonate also had interstitial pneumonia and died secondary to superimposed acute viral infection leading to acute respiratory distress syndrome. The serology was positive for IgM antibodies against the rubella virus. The constellation of clinical manifestations of congenital rubella in the presence of positive IgM antibody against rubella and consistent histopathology confirmed the diagnosis of CRS