Rare case of ruptured uterus in previously normal delivered patient due to hydatid cystic disease in pregnant uterus

Hydatid cystic disease is parasitic disease caused by Echinococcus granulosus. Dogs and carnivors like fox are definitive hosts harbouring warms in intestine. Eggs passed in stools eaten by intermediate hosts and larvae encyst in liver, lungs and other organs. Humans are accidental hosts. Incidence of hydatid cystic disease in genital organs is low around 0.5%. Hydatid cyst most often found in liver - 60%, lungs - 30% accounting approximately 90% of the disease. Incidence of hydatid disease in pregnancy is very rare ranging from 1/20000 to 1/30000. 22 years old G2P1L1 with 39weeks gestation age (GA) with intrauterine fetal death (IUFD) with query ruptured uterus, extra uterine pregnancy, transverse lie with severe anaemia referred from Jalgaon civil hospital for further management

Assessment of maternal deaths using three delay model at a tertiary care centre in rural Maharashtra, India: retrospective six years study

Background: Maternal deaths are the social indicators of the human development and hence their place in MDGs and now in SDGs. Even though India has made a great stride in reducing maternal deaths, the differentials in the states are huge ranging from 46 to 237 maternal deaths per 100000 live births. The three delay model assesses the issues in the emergency obstetric care and upon which the interventions can be based to improve maternal health indicators.Methods: Retrospective record based observational study was carried out at an obstetrics and gynecology department of a tertiary care hospital located at Northern Maharashtra region. The records of deliveries, maternal deaths, age of the mothers, their time of presentation with obstetric complication, level of delay and the reason for delay were extracted for the period of 2011 to 2016. Three delays being, level I - delay in decision to seek care, level II - delay in identifying and reaching medical facility, level III - delay in receipt of adequate and appropriate treatment at facility.Results: Out of 54335 deliveries, there were 128 maternal deaths. 80% women died due to complication in their ANC, 55% being in the third trimester of ANC. Major causes of death were preventable, including Eclampsia (21%), Anaemia (17%), PIH (15%), Sepsis, Other infections and haemorrhage. 27% women had delay of level I, 21% had level III and 15% had a mix of two or three level of delays. The reasons for level I delay being Lack of ANC visits, no ANC registration, level II delay being lack of timely transport facility, level III delay being lack of adequate manpower, training, and lack of efficient intensive care facilities.Conclusions: A good quality emergency obstetric care equals good maternal health. It can be achieved by strengthening the health infrastructure, tackling manpower shortages, having better referral linkages

Comparison of laparoscopic-assisted vaginal hysterectomy, total abdominal hysterectomy and vaginal hysterectomy: A four years retrospective study in tertiary care centre

Background: Hysterectomy is one of the commonest gynaecological operations performed in India. Traditional surgical treatments performed are abdominal hysterectomy and vaginal hysterectomy. Vaginal and laparoscopic procedures are considered “minimally invasive” surgical approaches because they do not require a large abdominal incision and, thus, typically are associated with shortened hospitalization and postoperative recovery times compared with open abdominal hysterectomy. With the aid of laparoscopic procedure, a potential abdominal hysterectomy can be converted to a vaginal one and a difficult vaginal hysterectomy can be converted into a fairly simple vaginal hysterectomy. Aim of the present study is to compare above methods of hysterectomy in terms of operating time, estimated blood loss, and postoperative hospital stay and complication, so as to provide best course of treatment to patient.Methods: A retrospective observational study was conducted in tertiary care centre. Four-year data was collected from January 2012 to December 2016. Cases of LAVH with benign gynaecological condition and up to 12 weeks size uterus, without any associated medical condition were selected in study randomly, and compare with cases of NDVH, TAH in terms of duration of operative procedure, blood loss during surgery, and postoperative hospital stay.Results: In present study we found that average duration of procedure in LAVH was 84.35 minute, which was maximum compare to other method. Estimated blood loss in LAVH was least as compare to NDVH and TAH it was maximum. The average hospital stays in LAVH and NDVH was less as compared to TAH.Conclusions: LAVH should be considered a better approach in view of the relatively less blood loss and intraoperative complication. Due to lack of large randomized controlled trials, the role of Laparoscopic hysterectomy is difficult to define

Assessment of maternal and perinatal outcome in cases of prolonged pregnancy in a tertiary healthcare institute: a cross sectional observational study

Background: Prolonged pregnancy has always been regarded as a high‑risk condition because perinatal morbidity and mortality is known to rise. The interest in postdatism (just beyond expected date of delivery) has been recent and the management is controversial, more so with the advent of sonography providing information about placental aging and amount of amniotic fluid.  The aim of the present retrospective study was to analyze the outcome of pregnancies which crossed the expected date of delivery.Methods: The present study was a cross sectional observational study, conducted between April 2018 to September 2018, among 90 cases presented with post dated pregnancy under the department of obstetrics and gynecology, in a tertiary medical teaching institute in Maharashtra.Results: Maximum number of cases, i.e., 22.22% indications were meconium stained liquor with fetal distress, in 18.51% cases indications were failure of induction, in 22.22% indications were nonreactive NST, in 17.61% cases indications were CPD.Conclusions: It was concluded that prolonged pregnancy was associated with significant risk of perinatal complications such as fetal distress, meconium aspiration syndrome and IUGR

Study on waxing of cut foliage post harvest life of few ornamental species

Enhancing the vase life of cut foliages is one of the prime goals of floriculturist and it is very interesting and important aspect of floriculture.The efforts were made to find out best waxing treatment for enhancing the vase life along with excellent quality maintenance for few cut foliage species .The objective was to evaluate optimum percent wax solution for improving post harvest life and quality of ornamental plants. Different wax emulsion treatments (0.25, 0.50, 0.75 and 1.00 %) showed significant results in both quantitative and qualitative attributes of ornamental species. In Asparagus densiflorus ‘Sprengeri’ and Eucalyptus teritecornis,0.75% wax emulsion concentration recorded minimum foliage weight (5.62, 20.49 g) and minimum water uptake (5.60, 32.73 ml) respectively on 3rd day, while maximum foliage weight (0.90, 6.84 g) and maximum water uptake (1.13, 13.77 ml) was recorded on senescence day. In Caryota urens (Fishtail palm) 0.50% wax emulsion concentration recorded minimum foliage weight (9.71 g), minimum water uptake (6.53 ml) on 3rdday, while maximum foliage weight(1.83 g) and maximum water uptake (1.20 ml) on senescence day. In Heliconia psittachroum cv. Golden Torch, 1.00 % wax emulsion concentration recorded minimum foliage weight (28.85 g), minimum water uptake (20.35 ml) on 3rdday, whereas maximum foliage weight (15.83 g)and maximum water uptake (5.75 ml) on senescence day. There was improvement and increament in post harvest quality and vase life of studied ornamental cut foliages

Adsorption of copper metal ion from aqueous solution by using low cost materials

In this study the matki (Vigna aconitifolia) seed husk was tested for removal of Cu metal ion from solution. Batch adsorption techniques were administered to measure the adsorption characteristics of the matki seed husk for Cu (II) metal ion removal from aqueous solutions. The adsorption isotherms, thermodynamic parameters, kinetics, effect of pH were examined. The results show that the utmost adsorption capacity of matki seed husk was approximately 80.39 % Cu (II) at temperature 305 K and at the initial Cu (II) metal ion concentration of 100 mg/L and at 5.1 pH. Adsorption isotherm data might be well fitted by Frendlich isotherm equation. Thermodynamic studies confirmed that the method was spontaneous and endothermic. The adsorption amounts of Cu (II) metal ion tend to extend with the rise in of pH. The relatively low cost and high capability of the matki seed husk make it potentially attractive adsorbent for the removal of Cu (II) metal ions from waste wate

A refined shear deformation theory for bending analysis of isotropic and orthotropic plates under various loading conditions

In this paper, a refined trigonometric shear deformation theory is applied for the bending analysis of isotropic and orthotropic plates under the various loading conditions. The two unknown variables are involved in the present theory. The present theory satisfies the shear stress free condition at top and bottom surface of the plates without using shear correction factors. The governing equations and boundary conditions are obtained by using the principle of virtual work. A closed form solution is obtained using Navier Solution Scheme. A simply supported isotropic and orthotropic plate subjected to sinusoidally distributed, uniformly distributed and linearly varying loads are considered for the detailed numerical study. The results obtained using present theory are compared with previously published results.

Studies on growth and survival of stone grafts as influenced by age of seedling rootstock in mango (Mangifera indica L.) cv. Amrapali

Stionic relationship is an important factor for successful graft production. Stone grafting was performed by cleft method in the month of July-August on seedling rootstocks (Mango seedlings) of on four age groups i.e. 5 days, 10 days, 15 days and 20 days using Amrapali as scion stock at Kanpur district of Uttar Pradesh. The objective was to analyze age effect of mango seedling rootstock after stone grafting of cultivar Amarpali. Statistically data was analyzed with randomized block design replicating single interval five times. The height (24.4 cm) and sprouting percentage (83%) of scion, girth of rootstock and scion (6.3 mm) was significantly higher on grafts made on 10 days old rootstocks and minimum-sprouting percentage was recorded with 20 days old rootstocks. In vegetative parameters length (17.12 cm) and width (4.80 cm) of leaf was recorded maximum on 10 days old and minimum on 5 days old rootstock. The higher survival percentage was exhibited by 5 days and 10 days old rootstock, which shows suitability for this technique. It was revealed that stone/epicotyl grafting performed better in terms of growth and survival when rootstocks up to 10 days old were used for grafting

Cylindrical bending of orthotropic plate strip based on nth-order plate theory

In this paper, cylindrical bending of orthotropic plates is presented using nth-order plate theory. Classical plate theory and parabolic shear deformation theory of Reddy can be considered as special cases of present theory. The theory accounts for realistic variation of the transverse shear stress through the thickness of plate and satisfy the traction free conditions at top and bottom surfaces of the plate. The number of unknown variables in the present theory is same as that of first order shear deformation theory. The theory is variationally consistent. The use of shear correction factors which are problem dependent and are normally associated with first order shear deformation theory is avoided in the present theory. The governing equations and associated boundary conditions are derived by the principle of virtual work. Navier solution technique is employed for the simply supported plates. The program has been developed in FORTRAN. The displacement and stresses of a simply supported plate infinitely long in y-direction under sinusoidally distributed load are calculated to demonstrate the accuracy and efficiency of the present theory

Cylindrical bending of orthotropic plate strip based on nth-order plate theory

In this paper, cylindrical bending of orthotropic plates is presented using nth-order plate theory. Classical plate theory and parabolic shear deformation theory of Reddy can be considered as special cases of present theory. The theory accounts for realistic variation of the transverse shear stress through the thickness of plate and satisfy the traction free conditions at top and bottom surfaces of the plate. The number of unknown variables in the present theory is same as that of first order shear deformation theory. The theory is variationally consistent. The use of shear correction factors which are problem dependent and are normally associated with first order shear deformation theory is avoided in the present theory. The governing equations and associated boundary conditions are derived by the principle of virtual work. Navier solution technique is employed for the simply supported plates. The program has been developed in FORTRAN. The displacement and stresses of a simply supported plate infinitely long in y-direction under sinusoidally distributed load are calculated to demonstrate the accuracy and efficiency of the present theory