The compression of myometrium and occlusion of uterine artery by COMOC-MG technique for the management of postpartum haemorrhage: clinical perspective from ten cases

Compression of myometrium and occlusion of uterine artery by Dr. Mahesh Gupta (COMOC-MG) technique is an improved B-lynch stitch technique used to control postpartum hemorrhage (PPH). Objective was to study clinical perspective of the COMOC-MG technique on the effect of PPH in Indian women. Data of 10 patients with PPH who were managed by using the COMOC-MG technique in a tertiary care center in Gujarat from April 2022 to December 2022 were retrieved. Baseline characteristics, medical problems and history of women were recorded. Decision to perform COMOC-MG stitch was taken based on the indications such as PPH, per vaginal bleeding and degree of uterine contractility. Out of 10 women, four women had medical problems such as pregnancy-induced hypertension, dysfunctional uterine bleeding and using psychiatric medicines; two women had uterine surgery/ Laparotomy; four women were diagnosed with ailments such as pregnancy induced hypertension (PIH) and hypertension during the third trimester of pregnancy. Indications such as twins during a previous pregnancy, deflexed head, previous lower segment caesarean section (LSCS) with intrauterine growth restriction (IUGR), breech, prim parity, severe oligohydramnios, placental insufficiency and second baby were considered to carry out the CS delivery. Women were managed by COMOC-MG stitch followed by Misoprostol tablets; Carbetocin, Oxytocin, Methylergometrine and Carboprost injections to control PPH. Mean time between uterine closure to COMOC-MG was 10 min. COMOC-MG stitch resulted in good outcomes in seven patients except one patient had atonic PPH. Out of ten patients, one patient required a hysterectomy and three patients required blood transfusion. COMOC-MG stitch is an easy, simple method to control PPH

A comparative study between PGE1 and PGE2 for induction of labour in premature rupture of membrane at term

Background: Premature rupture of membranes at term can be managed expectantly with good results. However, low bishop score may lead to undue latency. It can lead to complications if no intervention done. So, timely intervention by labour induction in selected cases can improve maternal and fetal outcome. Prostaglandins has very vital role for induction of labour. This study is to compare the effectiveness between the two molecules of prostaglandins PGE1 and PGE2 for induction of labour in term premature rupture of membrane (PROM).Methods: It is a prospective interventional study performed at a tertiary hospital attached to a medical college. It was conducted upon randomly selected 100 women of term PROM from April 2011 to April 2015. They were divided into two comparable groups each containing 50 women. Both the groups were comparable in age, parity and bishop score. One group was induced with PGE1 (Tab Misoprostol) and the other with PGE2 (Dinoprostone gel).Results: Among 100 women, a good number of women were primigravida (76%). Majority of women were induced in between 6 to 12 hours after PROM (69%). Vaginal deliveries were 68% in tab. Misoprostol group while 80% in dinoprostone gel group which are comparable in both the groups. The significant difference observed was average induction delivery interval, which was 11.26 hours in tab. misoprostol group and 14.72 hours in dinoprostone gel group (P=0.004). The other women (26%) underwent cesarean section. Among them 46.15% were done for fetal distress and 43.84% for induction failure.Conclusions: Both the molecules of prostaglandins are efficient for labour induction in term PROM.  Though, PGE1 (tab. Misoprostol) is faster acting as compare to PGE2 (dinoprostone gel) even with low bishop score. But it can lead to complications like hyperstimulation, fetal distress and postpartum hemorrhage if not used properly. So, tab misoprostol is not a safe drug where continuous monitoring of women is not available

Improvement of the machining performance of the TW-ECDM process using magnetohydrodynamics (MHD) on quartz material

Many microslits are typically manufactured on quartz substrates and are used to improve their industrial performance. The fabrication of microslits on quartz is difficult and expensive to achieve using recent traditional machining processes due to its hardness, electrically insulating nature, and brittleness. The key objective of the current study was to demonstrate the fabrication of microslits on quartz material through a magnetohydrodynamics (MHD)-assisted traveling wire-electrochemical discharge micromachining process. Hydrogen gas bubbles were concentrated around the entire wire surface during electrolysis. This led to a less active dynamic region of the wire electrode, which decreased the adequacy of the electrolysis process and the machining effectiveness. The test results affirmed that the MHD convection approach evacuated the gas bubbles more rapidly and improved the void fraction in the gas bubble scattering layer. Furthermore, the improvements in the material removal rate and length of the cut were 85.28% and 48.86%, respectively, and the surface roughness was reduced by 30.39% using the MHD approach. A crossover methodology with a Taguchi design and ANOVA was utilized to study the machining performance. This exploratory investigation gives an unused strategy that shows a few advantages over the traditional TW-ECDM process

A comparative study between PGE1 and PGE2 for induction of labour in premature rupture of membrane at term

Background: Premature rupture of membranes at term can be managed expectantly with good results. However, low bishop score may lead to undue latency. It can lead to complications if no intervention done. So, timely intervention by labour induction in selected cases can improve maternal and fetal outcome. Prostaglandins has very vital role for induction of labour. This study is to compare the effectiveness between the two molecules of prostaglandins PGE1 and PGE2 for induction of labour in term premature rupture of membrane (PROM).Methods: It is a prospective interventional study performed at a tertiary hospital attached to a medical college. It was conducted upon randomly selected 100 women of term PROM from April 2011 to April 2015. They were divided into two comparable groups each containing 50 women. Both the groups were comparable in age, parity and bishop score. One group was induced with PGE1 (Tab Misoprostol) and the other with PGE2 (Dinoprostone gel).Results: Among 100 women, a good number of women were primigravida (76%). Majority of women were induced in between 6 to 12 hours after PROM (69%). Vaginal deliveries were 68% in tab. Misoprostol group while 80% in dinoprostone gel group which are comparable in both the groups. The significant difference observed was average induction delivery interval, which was 11.26 hours in tab. misoprostol group and 14.72 hours in dinoprostone gel group (P=0.004). The other women (26%) underwent cesarean section. Among them 46.15% were done for fetal distress and 43.84% for induction failure.Conclusions: Both the molecules of prostaglandins are efficient for labour induction in term PROM.  Though, PGE1 (tab. Misoprostol) is faster acting as compare to PGE2 (dinoprostone gel) even with low bishop score. But it can lead to complications like hyperstimulation, fetal distress and postpartum hemorrhage if not used properly. So, tab misoprostol is not a safe drug where continuous monitoring of women is not available

Migration, Pandemic and Responses from the Third Sector: Lessons from Brazil and India [Report]

Marcia Vera Espinoza - ORCID: 0000-0001-6238-7683 https://orcid.org/0000-0001-6238-7683Item not available in this repository.https://www.qmul.ac.uk/gpi/projects/migpanbrin/research-findings/pubpu

Traveling wire electrochemical discharge machining (TW-ECDM) of quartz using zinc coated brass wire: investigations on material removal rate and kerf width characteristics

In this era, advanced non-conducting materials are gaining importance due to their superior properties. However, it is difficult to micro-machine these materials inefficiency and also economically still persists with currently used advanced non-traditional machining processes. Non-traditional machining processes are typically unfeasible for quartz material owing to its properties such as high strength, high melting point, high temperature-resistance, chemical stability and brittleness. Traveling wire electrochemical discharge machining (TW-ECDM) process is newly developed non-traditional machining process and has great potential for machining of quartz ceramics. Coated wire has been used to reduce the wire breakage and improves the efficiency. The input important input parameters have been selected for this process as applied voltage, electrolyte concentration and wire speed. Taguchi robust design was perform to identify the optimal parametric conditions using L9�orthogonal array. Signal to noise (S/N) ratio and ANOVA were used to find the optimal parametric conditions and relative contribution of the input parameters respectively. Also, the surface finish was analyzed by scanning electron microscope (SEM). First time, coated wire with diameter of 0.15�mm has been used during TW-ECDM process. These obtained results present in this article will provide new guidelines to the micro-manufacturers, engineers and researchers.by Ankit D. Oza, Abhishek Kumar, Vishvesh Badheka and Amit Aror