COMPARISON OF FEASIBILITY OF RISK MONITORING IN BUILDINGS IN TWO WIRELESS SENSOR NETWORK: MICA MOTE AND MEMS

In this paper feasibility of risk monitoring of buildings in two wireless sensor network is presented,firstly by using MICA Mote and then by MEMS.Also,it will be verified that the MEMS sensors are superior as it provides high quality sensor data and no data loss as compared to MICA Mote.In order to assess earthquakes the structures is monitored firstly by using a smart sensor based on the Berkeley Moteplatform.The Mote has on-board microprocessor and ready-made wireless communication capabilities. In this paper, the performance of the Mote is investigated through shakingtable tests employing a two-story steel structur. The feasibility of risk monitoring for buildings is also discussed.In building monitoring using MEMS,a low power wireless network employing capacitive MEMS which is custom-developed,3D accelerated sensor and a low power readout ASIC is used at the sensor nodes.After the the earthquake, the plastic hinge activation of structure is being measured using MEM sensor either periodically or on demand by the base station.During an earthquake the accelerometers are used to measure the seismic response of the structure. The seismic response is recorded by the accelerometer based on the local acceleration data and remote triggering from the base station.The base station is based on acceleration data from multiple sensors across the structure.In a 800 MHZ band,a low power architecture had been implemented over an 802.15.4 MAC

The rate and indications of caesarean section in a tertiary care hospital at Jaipur, India

Background: Caesarean section is one of the most widely performed surgical procedures in obstetrics worldwide. It was mainly evolved as a lifesaving procedure for mother and foetus during the difficult delivery. To analyze the rate and indications for C-Section and associated maternal morbidity and mortality were the main objectives of present study.Methods: This retrospective study was conducted over a period of one year from 1st Jan 2016 to 31st Dec 2016 at the Department of OBG, RUHS College of Medical Sciences, Jaipur (Rajasthan), North India. Data of patients who delivered by C-Section in our hospital during the defined study period was recorded and a statistical analysis of various parameters namely, the caesarean section rates, its indications, the patient’s morbidity and mortality was done.Results: The total numbers of women delivered over the study period were 2959, out of which C-Sections were 931. The overall CS rate was 31.46%. Previous LSCS was the leading indication to the CS rate (36.52%) followed by arrest of labour (13.65%), CPD (12.03%), foetal distress (11.82%), breech presentation (7.52%), oligohydroamnios/IUGR (5.16%) and failed induction of labour (3.54%). 11.60% patients had various complications mainly infection (5.58%) and haemorrhage (3.98%). There was no mortality during this period.Conclusions: Being a tertiary care hospital, a high rate of Caesarean deliveries was observed. Individualization of the indication and careful evaluation, following standardized guidelines, practice of evidenced-based obstetrics and audits in the institution, can help us limit CSR

A retrospective study of emergency obstetric hysterectomy in a tertiary care center for a period of 5 years

Background: The study was conducted to determine the frequency, demographic characteristics, indication and fetomaternal outcome associated with emergency obstetric hysterectomy in a tertiary care center.Methods: Thirty cases of emergency obstetric hysterectomy performed during the five-year period from April 2011 to April 2016 were analyzed in the dept. of Gynae and obs. in Shri Guru Ram Rai Institute of Medical Sciences in Dehradun.Results: During the study period there were 30 cases of obstetric hysterectomy out of 8084 deliveries giving an incidence of 0.37%. Majority of the patients (60%) were unbooked and were in the age group of 26-30 (43.3%). Common parity group were 3, 4 and 5. Morbid adherent placenta was the most common indication contributing to 40% of the cases. There were four maternal deaths in the study. All were unbooked and three of them died of hypovolemic shock with cardiopulmonary arrest and one died of septicemia. Whereas there were 60% perinatal mortality and 26.66% NICU admissions.Conclusions: Emergency obstetric hysterectomy is a potentially lifesaving procedure which often puts obstetrician in dilemma at the time of decision making

A note on fractional Sumudu transform

We propose a new definition of a fractional-order Sumudu transform for fractional differentiable functions. In the development of the definition we use fractional analysis based on the modified Riemann-Liouville derivative that we name the fractional Sumudu transform. We also established a relationship between fractional Laplace and Sumudu duality with complex inversion formula for fractional Sumudu transform and apply new definition to solve fractional differential equations

Maternal and perinatal outcomes of pregnancies complicated by cardiac disease at tertiary level hospital of Uttarakhand

Background: Cardiac disease is the most common cause of indirect maternal deaths and most common cause of death overall. It complicates 1% of all maternal deaths. The maternal and neonatal risks associated with pregnancy in women with cardiac disease receiving comprehensive prenatal care have not been well defined. Objective of present study was to evaluate the burden of cardiac diseases in pregnancy in our hospital, their clinical presentation, type of cardiac lesion, associated complications, maternal and fetal outcome.Methods: A retrospective study was conducted in Obstetrics and gynecology department at Shri Guru Ram Rai Institute of medical and health sciences, Dehradun from January- 2013 to December-2015. All patients with cardiac diseases during pregnancy or developed during postpartum period were included in the study. Detailed Demographic profile of patients, mode of delivery, perinatal outcome, associated antenatal, intranatal and postnatal complications were analyzed in detail.Results: There were 37 patients with cardiac disease during pregnancy in our study period. Out of these 32.4% were diagnosed during current pregnancy. Rheumatic heart diseases were seen in 54.05% patients and congenital heart disease seen in 35.1%. out of these 81.1% patients belonged to NYHA class I and II and 18.9% patients in class III & IV. Majority of patients (78.3%) had vaginal delivery. We observed 5.4% maternal mortality and 2.7% of neonatal mortality rate.Conclusions: Pregnancy in women with heart disease is associated with significant cardiac and neonatal complications. Multidisciplinary approach involving cardiologist, obstetrician and neonatologist improves fetomaternal outcome

How useful is HPV-DNA test for screening of cervical cancer: a prospective study

Background: The aim of present study was to evaluate the utility of HPV-DNA testing in cervical cancer screening.Methods: The study included 110 women presenting to the Gynaecological OPD of SMI Hospital who were subjected to HPV DNA test and one or more of other tests like cytology, colposcopy and histopathological examination. The results were evaluated by standard statistical methods.Results: Out of 110 patients in whom HPV-DNA testing was done, 24 had positive result, 83 had negative result and 3 had borderline test result. Sensitivity & Specificity of HPV-DNA testing was calculated to be 90% and 84.61% respectively. Its positive predictive value and negative predictive value were 69.23% and 95.66%. The percentage of false negative was calculated to be 10% and that of false positive was 15.38%.Conclusions: In our study, the sensitivity and negative predictive value of HPV-DNA testing was found to be more as compared to its specificity and positive predictive value. Widespread HPV testing for primary cervical cancer screening is not recommended as it will increase the volume of HPV testing and will not be cost- effective. It may be used for secondary screening in patients with abnormal or (ASC) cytology results as this will help in their subsequent management

Feto-maternal outcome in patients with HELLP and partial HELLP syndrome: a prospective 10 year study in Shri Guru Ram Rai Institute of Medical and Health Sciences, Uttarakhand, India

Background: The acronym HELLP was coined by Loise Weinstein in 1982 to describe a syndrome consisting of hemolysis (H) elevated liver enzyme (EL) and low platelets (LP). The purpose of the study was to detect and evaluate the feto maternal outcome of HELLP and partial HELLP syndrome among preeclamptic patients.Methods: Study analyzed fetal and maternal outcome in 110 patients with HELLP syndrome and 89 patients with partial HELLP Syndrome and compared with 1100 patients of preeclampsia only.Results: 1210 patients were included in this study. Out of these patients HELLP syndrome, partial help syndrome and preeclampsia were 10% and 7.3% and 82.7%. The systolic BP, gestational age at admission and at delivery, hematological and biochemical parameters, vaginal delivery and type of anesthesia were significantly different in HELLP syndrome and partial HELLP syndrome than in pre eclampsia group. There was significant difference in perinatal outcome like birth weight, IUD, neonatal death and NICU-admissions. Eclampsia was significantly increased in HELLP syndrome and partial HELLP syndrome.Conclusions: HELLP and partial HELLP syndrome must be diagnosed as soon as possible. Partial HELLP and HELLP syndrome are equally dangerous. HELLP Syndrome is severe then preeclampsia in terms of maternal and perinatal outcome

Evaluation of risk of malignancy index as a diagnostic tool in cases with adnexal mass

Background: Ovarian tumour usually presents as adnexal mass but often it is difficult to differentiate between benign and malignant tumour. Several diagnostic modalities such as sonography and tumours markers have been evaluated in the past, but none have been established as an ultimate diagnostic tool individually. The development of a mathematical formula using a logistic model, incorporating menopausal status, the serum level of a glycoprotein called CA-125 and USG score has been described in the form of different malignancy indices. The purpose of this study was to evaluate the various risks of malignancy indices (RMI 1, 2, 3, and 4) in the pre-operative evaluation of adnexal masses especially to differentiate between benign and malignant masses. Another objective of the present study was to compare the four RMI with each other in terms of various statistical parameters like specificity and sensitivity.Methods: Women with adnexal masses who underwent surgical treatment were included in this study as histopathological examination was taken as gold standard to calculate the accuracy of RMI. The sensitivity, specificity and positive predictive value and negative predictive value of all the four RMI were calculated and data analyzed.Results: A total of 65 patients were included in the study. RMI 1,2,3,4 was calculated according to their formula. Sensitivity of RMI- 1, 2, 3 and 4 was calculated to be 63.63%, 77.27%, 63.63% and 77.27% respectively. Specificity of RMI- 1, 2, 3 and 4 was calculated to be 69.04%, 64.28%, 64.28% and 62.79% respectively.Conclusions: Risk of malignancy index is a good diagnostic tool to differentiate between benign and malignant pelvic masses. RMI- 2 and RMI-4 had maximum sensitivity while RMI-1 had maximum specificity. Overall RMI-2 appears to be the most accurate of all the four RMI

Comparison between intravenous iron sucrose versus oral iron therapy in pregnant women with nutritional anemia: a prospective study

Background: In India, the prevalence of anemia during pregnancy may be as high as 80%. The objective of this study was determining the efficacy of intravenous iron sucrose and oral iron in nutritional anemic antenatal patients, presenting at Shri Guru Ram Rai Institute of Medical and Health Sciences Dehradun, Uttarakhand, India.Methods: The study was carried out in the department of obstetrics and gynecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India single center study was performed on 400 antenatal patients with nutritional anemia gestational age 14 to 36 weeks. Patients were divided in two groups A and B. Group A was treated with intravenous iron sucrose and group B was treated with oral iron sulfate.Results: There was significant improvement in the various hematological parameters in IV sucrose group as compared to patients in oral iron group. There were no significant allergic reactions in IV sucrose group.Conclusions: This study has shown a significant improvement in the iron sucrose group. Iron sucrose is safe and well tolerated

Conservative Bridge with Natural Tooth Pontic: A Case Report

AIMS AND OBJECTIVES A CONSERVATIVE SOLUTION FOR AN ESTHETIC CHALLANGE PROVIDING SINGLE VISIT AND A CHAIR SIDE PROCEDURE TO IMPROVE A SMILE   CASE DISCRIPTION Conservative solutions  for the restoration of a single edentulous space in the anterior maxilla present an esthetic challenge to the clinician.A 24-year-old female patient whose left upper central tooth was planned to be extracted was referred to our department for a conservative, rapid, and economic treatment.After radiographic and clinical examinations, it was decided that the tooth which was to be extracted should be used for the restoration of its own extracted area. The extracted tooth was splinted using Ribbond fiber (Ribbond Inc., Seattle WA) to adjacent teeth with the aid of the surface modifications on extracted tooth and adjacent teeth . CONCLUSION  The conservative bridge with natural tooth pontic satisfied the patient with a good mechanical behavior, and long-term durability. &nbsp