Study to determine feto maternal outcomes of programmed labor in a tertiary care hospital of Jharkhand

Background: Programmed labor aims to minimize duration and inconvenience of labor both for patient and obstetrician. The present study attempts to provide labor analgesia by using infusion paracetamol in place of conventional ketamine and tramadol. Methods: This study was conducted in the labor room of department of obstetrics and gynecology, RIMS, Ranchi from March 2019 to February 2020. 50 primigravida and 50 multigravidas were studied, with singleton pregnancy, cephalic presentation presenting with spontaneous onset of labor with Gestational age of 37-41 week. Results: 30% of patients were greater than 40 weeks gestation.65% of primigravida experienced severe pain, but only 20% of multigravidas had severe pain.60%primigravidas and 60% multigravidas (of 20% who had severe pain) experienced adequate pain relief with labor analgesia. 60 % primigravida presented with <4 cm cervical dilatation, whereas 40% multigravidas had <4 cm dilatation. 60% primigravida had shortened active phase (3.5 hrs), 60% multigravidas (2.5 hrs) which is suggestive of benefit of obstetrical analgesia in programmed labor. 90% patients had third stage labor less than 3 minutes. Only one multigravida landed in postpartum hemorrhage. All neonates had Apgar score greater than 8. There was no perinatal mortality. Only one primigravida landed in caesarean section due to arrest in second stage. 2 multigravidas had instrumental delivery. Maternal side effects like tachycardia, nausea, cervical and vaginal tears were more in primigravida. Conclusions: Participants with good response to obstetrical analgesia fared better than rest. Response was more satisfactory in primigravida in terms of labor progress

PENYELESAIAN SENGKETA TANAH MENGGUNAKAN HUKUM ADAT LAMAHOLOT DI DESA HORINARA

Penyelesaian sengketa tanah di Desa Horinara menggunakan hukum adat Lamaholot adalah suatu proses penyelesaian sengketa yang dilakukan dengan mengacu pada hukum adat Lamaholot. Hukum adat Lamaholot merupakan hukum adat yang berlaku di wilayah Flores Timur, Nusa Tenggara Timur. Penyelesaian sengketa tanah dengan menggunakan hukum adat Lamaholot dilakukan dengan cara musyawarah dan mufakat antara kedua belah pihak yang bersengketa. Dalam penyelesaian sengketa tanah dengan menggunakan hukum adat Lamaholot, terdapat beberapa tahapan yang harus dilalui, yaitu tahap permohonan, tahap persidangan, dan tahap putusan. Tahap permohonan dilakukan dengan mengajukan permohonan penyelesaian sengketa ke kepala desa setempat. Tahap persidangan dilakukan dengan mengumpulkan bukti-bukti dan mendengarkan keterangan dari kedua belah pihak yang bersengketa. Tahap putusan dilakukan dengan mengeluarkan putusan yang mengikat kedua belah pihak yang bersengketa dan dikukuhkan lewat upacara Bau Lolong. Selain cara musyawara terdapat cara kedua yaitu sumpah adat yang dilakukan dengan ritual adat Belu Witi Wuling. Penyelesaian sengketa tanah dengan menggunakan hukum adat Lamaholot di Desa Horonara bertujuan untuk menciptakan keadilan dan keharmonisan dalam masyarakat setempat. Kata Kunci: Adat Lamaholot, Bau Lolong, Belu Witi Wulin

Te Aho Mai o Kōtiritiri - Wallace Gallery

Composition for Taonga Puoro and Electronics by Jeremy Mayall and Horomona Horo. Commissioned by the One Victoria Trust for The Meteor Theatre. This piece, 'Te Aho Mai o Kōtiritiri' is a composition created for the Meteor. The title translates to mean 'The Shining Meteor'. Many of the sounds within the piece are taken from electromagnetic recordings of the radiation of the various celestial bodies (planets etc) in our galaxy. These are combined with recordings from the various manned and unmanned spacecraft that humans have sent out from this earth. This is fused in performance with taonga puoro – the voices of this land, to create a sonic experience where these worlds can truly embrace one another. The composition aims to work as an artistic reflection of the possibilities for the space, and its intentions for the community

Synthesis of Nano-dispersed TiO2 Zirconium Based Alloy by Mechanical Alloying

The present work aims to improve the mechanical properties of Zr- alloy (Fe-30-Ni-20-Mo-4 TiO2-2-Zr-44) (all are in wt. %) synthesized by mechanical alloying and consolidated by conventional sintering. A uniform dispersion of TiO2 tends to improve the mechanical properties of the present alloys. The current alloys show improvement of hardness value which is 1-1.5 times higher than that of the conventional zircaloy. For this purpose, pure elemental powders of Zr, Ni, Fe, Mo and TiO2 were blended and milled in a planetary ball mill for 20 h and sintered at 1400°C for 2 h in argon atmosphere. Phase evolution of milled powders at different stages of milling (0h, 1h, 5h, 10h, 15h and 20h) and after sintering of the current alloy were analyzed by X- ray diffraction techniques. The grain morphology or crystallite size of various stages of milled powders was characterized by scanning electron microscope. The crystallite size, lattice strain and lattice parameters were analyzed by Williamson-Hall method. The crystallite size decreases rapidly up to 5hours of milling and becomes almost constant with further milling. Addition of TiO2 (2 wt %) in the matrix improves the hardness. This is due to the high modulus of elasticity of TiO2

Health related behaviour changes in pregnant women during COVID-19 pandemic

Background: Pregnancy associated anxiety and depression is very well known for its prevalence. Pandemic like COVID-19 all the more is additive to the levels of anxiety and depression during pregnancy, especially for mothers who are concerned about feto-maternal wellbeing. This study makes an effort to analyze the health-related behavior changes and psychological impact of pregnant women after COVID-19 outbreak. Methods: Cross sectional, questionnaire-based study conducted on pregnant ladies visiting labor room and out-patients department RIMS, Ranchi from April 2020 to September 2020. Results: Most patients were primigravida and turned up only in third trimester. Pregnancy complications like heart disease, GDM, jaundice, PIH were present in 28% of participants. 48% participants had no family income during pandemic. The 92% women wore masks, 80% practiced social distancing, 72% practiced frequent handwashing, 72% practiced frequent handwashing during pandemic, 80% had no regular antenatal check-up. Almost 64% participants showed mild to moderate anxiety, 34% had moderate depression and 40% had moderate stress. Four percentages had severe anxiety, 2% had severe depression and 12% had severe stress. Usage of mask was inversely related to GAD7 scores, but had no correlation with EPDS scores. Rest parameters like frequent handwashing, social distancing, stressful behavior, not going out and frequent handwashing were directly related to GAD 7 and EPDS score. Conclusions: Mental health and preventive behavior of respondents could be attributed to socio demographic, social, situational, economic status, family conditions and perception of severity of Covid19

Te Maramataka

Te Maramataka is a collaborative rangahau-creative arts practice-led research project that aims to explore maramataka Māori for health through the creation of a knowledge repository using spatialised sonics and lighting effects. Starting with latent potentiality we consider what we already know about the Maramataka and how spoken word whakataukī, taonga pūoro and natural sounds can be integrated into participatory interactive environments. Existing local knowledge of maramataka is situated within the wider community with well-regarded experts. A goal of this project is to make aspects of their knowledge accessible to local community and wider communities in a manner that is readily understood. Of particular importance is to help to support the intergenerational transmission of knowledge, in order to increase understanding of the importance and applicability of mātauranga Māori for people’s wellbeing, in daily life. Since one aspect of this project starts with the unknown, we’re not interested in defining or positioning the project by what others have done or what it is not. We’re interested in exploring a new space that has not been traversed so that the practice itself is normalised. We will portray the story as we see it unfolding, with parts of our storytelling incorporating performance and performative aspects. Another foundational aspect is the assertion that there are things greater than us that have influence over what we are doing. Our current focus is to explore how sound performance unlocks triggers within people to help understanding. As parts of this is creative arts experimentation – where experiments are understood as improvisation – we don’t know yet if it will work

Study to detect infection and diagnose chorioamnionitis to aid in management of cases of preterm premature rupture of membranes in a tertiary care centre of Jharkhand

Background: The present study undertaken is to identify the risk factors causing Preterm premature rupture of membranes (pPROM) and to study fetal and maternal outcome associated with pPROM, to diagnose and manage chorioamnionitis associated with pPROM and to evaluate levels of C reactive protein (CRP). Methods: This study was conducted in the department of obstetrics and gynaecology, Rajendra institute of medical sciences from March 2019 to February 2020.50 cases of confirmed preterm premature rupture of membrane before 35 weeks of pregnancy were taken as cases and 50 cases of normal pregnancy (28-40 weeks) were taken as controls. Results: Highest incidence of premature rupture of membrane was among 20–25-year (68%) age groups. Incidence of premature rupture of membrane was more in low socioeconomic status (72%). Maximum incidence of premature rupture of membrane in 31-33 weeks gestational age (52%). Most cases of premature rupture of membrane in 24–48-hour group (38%). Most of study group (90%) and control group (80%) delivered by vaginal route. 11 study cases with clinical chorioamnionitis had elevated CRP (43.5 mg/l). One presented with clinical chorioamnionitis. CRP was most sensitive (92%). Total maternal morbidity was due to puerperal pyrexia (22%). Four patients with neonatal sepsis had CRP>6 mg/l. CRP and presence of polymorphs in gastric aspirate have 100% association with septicemia in neonates. Conclusions: Preterm premature rupture of membrane can be associated with adverse foetal and maternal outcome if immediate measures are not taken

Overlapping murmurs

Overlapping Murmurs is an ambient sound installation presented as part of the 'INDELIBLE' exhibition at Waikato Museum. Overlapping Murmurs is a collaboration between Jeremy Mayall, Kent Macpherson, Haco, Horomona Horo, Reuben Bradley, and Megan Rogerson-Berry. It is designed to provide an overall accompaniment to the show, whilst also being a deconstruction and re-working of elements from the Where We Overlap recording sessions

Dispersive prism

A structured improvisation for bassoon, piano and taonga puoro. a new improvised work exploring ideas of colour and the interconnections of sound. Created and performed by Ben Hoadley, Horomona Horo and Jeremy Mayal