Study of duration of gestation in 500 patients with spontaneous onset of labor

Background: There have been variations in the length of gestation depending upon the ethnicity of the patient.Methods: We studied 500 patients with spontaneous onset of labor for their duration of pregnancy from First day of Last Menstrual Period (FLMP).Results: The average gestational age was 275 days, 5 days earlier than the Expected date of delivery (EDD). 70% of pregnancies ended before EDD, 4.8% on the day of EDD and 25.2% ended after EDD. 35.80% patients completed 39 weeks, 24% completed 40 weeks, 23.20% completed 38 weeks, 11% completed 37 weeks and only 6% completed 41 weeks. Average gestational age was 39.31 weeks for male baby and 39.36 weeks for female baby. Sex ratio derived was 915.7 females per 1000 males. Average birth weight was 2.705 kg.Conclusions: The implication of this study is that the length of human gestation does vary according to geographic location. This may be due to genetic influences, weather conditions, food habits or some unknown factor. The clinical significance is the decision to consider a term pregnancy and a post-term pregnancy. A majority of the parturient women went in to spontaneous labour at 39 completed weeks, 5 days earlier than ‘Expected date of delivery’ calculated by Naegele’s formula. This possibility should be kept in mind when maturity assessments are made with a view to intervene in the labour process to minimize perinatal complications

Analytical study of indications of cesarean section

Background: There has been an increase in rate of cesarean section over last few decades. There are various factors involved in the rise of rate of cesarean section. There has been an increase in primary cesarean section rate, a decrease in VBAC (Vaginal birth after cesarean section) trial, decrease in operative vaginal deliveries (Forceps/Ventouse), increase in litigations, increasing facility of electronic monitoring, and decreasing threshold of patients for bearing labor pains.Methods: A retrospective study was carried out in 500 patients in the tertiary care hospital). The data were collected in a pre-designed proforma. Data were analysed by using SPSS version 20.0 Software. We have done a retrospective study of different indications of cesarean section amongst 500 patients who underwent cesarean section from March 2015 to June 2015.Results: In our study, we found out that the most common indication was Previous cesarean section (46.2%), followed by Fetal Distress (13.4%) and malpresentations (11.4%). Non progress of labour (10.2%) and toxaemia of pregnancy (6.6%) were amongst the other indications.Conclusions: Reduction of number of primary cesarean sections and successful VBAC trials are recommended to keep the rate of cesarean sections to the possible minimum level

A General Precipitation-Limited L_X-T-R Relation Among Early-Type Galaxies

The relation between X-ray luminosity (L_X) and ambient gas temperature (T) among massive galactic systems is an important cornerstone of both observational cosmology and galaxy-evolution modeling. In the most massive galaxy clusters, the relation is determined primarily by cosmological structure formation. In less massive systems, it primarily reflects the feedback response to radiative cooling of circumgalactic gas. Here we present a simple but powerful model for the L_X-T relation as a function of physical aperture R within which those measurements are made. The model is based on the precipitation framework for AGN feedback and assumes that the circumgalactic medium is precipitation-regulated at small radii and limited by cosmological structure formation at large radii. We compare this model with many different data sets and show that it successfully reproduces the slope and upper envelope of the L_X-T-R relation over the temperature range from ~0.2 keV through >10 keV. Our findings strongly suggest that the feedback mechanisms responsible for regulating star formation in individual massive galaxies have much in common with the precipitation-triggered feedback that appears to regulate galaxy-cluster cores.Comment: Submitted to ApJ, 9 pages, 3 figures (v2 fixes a few small typos

Superconductivity in 2-2-3 system Y2Ba2Cu2O(8+delta)

Researchers synthesized a new high T(sub c) 2-2-3 superconductor Y2Ba2Cu3O(8+delta) by a special preparation technique and characterized it by ac-susceptibility measurements. Diamagnetism and Meissner effect sets in at low fields and superconducting transition onsets at 90 K. The systematic investigation of the real and imaginary components of ac-susceptibility as a function of temperature and applied ac magnetic field reveals that the magnetic behavior is that of a granular type superconductor

Correlation and prediction of dynamic human isolated joint strength from lean body mass

A relationship between a person's lean body mass and the amount of maximum torque that can be produced with each isolated joint of the upper extremity was investigated. The maximum dynamic isolated joint torque (upper extremity) on 14 subjects was collected using a dynamometer multi-joint testing unit. These data were reduced to a table of coefficients of second degree polynomials, computed using a least squares regression method. All the coefficients were then organized into look-up tables, a compact and convenient storage/retrieval mechanism for the data set. Data from each joint, direction and velocity, were normalized with respect to that joint's average and merged into files (one for each curve for a particular joint). Regression was performed on each one of these files to derive a table of normalized population curve coefficients for each joint axis, direction, and velocity. In addition, a regression table which included all upper extremity joints was built which related average torque to lean body mass for an individual. These two tables are the basis of the regression model which allows the prediction of dynamic isolated joint torques from an individual's lean body mass

Drug use in acute otitis media: a prospective study at a tertiary care teaching hospital

Background: Drug use study identifies the problems that arise from prescription and highlights the current approaches to the rational use of drugs. The objective of the study was to assess drug use pattern in patients diagnosed of acute otitis media in tertiary care teaching hospital.Methods: This prospective observational study was carried in the Otorhinolaryngology department of a tertiary care teaching hospital over a period of twelve months. The data collected for patients with acute otitis media included the patient's demographic details and the drugs prescribed. Data were analysed for drug use pattern and cost per prescription and assessment of rationality of prescription.Results: Total 153 patients were analysed, 100 (65.35%) belonged to male patients and 53 (34.65%) belonged to female patients. Children less than 2years age were the most diagnosed with AOM 47.71%, the major diagnostic symptoms were earache (58.16%) and fever (54.90%) and signs were congestion (52.94%) and discharge (43.13%). In a total 153 prescriptions (469 drugs), 33.68% were antimicrobials, followed by mineral supplements (23.67%). Average number of drugs per prescription was found to be 3.0. Most common antibiotic prescribed was amoxicillin (with or without clavulanate) in 142 (92.81%) patients. Paracetamol alone or in fixed dose combination with antihistaminics were prescribed in 131 patients. Average cost per prescription was 87.74(±35.67) Indian rupees. Seventeen (11.11%) prescriptions were rational in all the aspects based on standard guidelines.Conclusions: The present study showed that paracetamol and amoxicillin with or without clavulanate were mostly commonly prescribed in children with AOM. Irrational prescribing was seen in maximum number of cases

Cataract How Important Is Age of Intervention?

Purpose: To study effect of age of intervention on visual outcome following treatment of pediatric patients with cataract. Setting: Tertiary eye care centre in Dahod at the trijunction of Gujarat, Madhya Pradesh, and Rajasthan states in central western India. Participants: 705 eyes of 1047 patients Methods: This is a prospective cohort study. We studied a consecutive series of pediatric patients with congenital, developing, or COMPLICATED cataracts who underwent surgery between January, 1999 and April, 2012 at our center. Patient demographics, cataract type, presenting symptoms, surgical intervention, postoperative visual acuity, and follow-up refractive changes were recorded. Primary Outcome measures: vision. Results: In total, 1305 eyes of 1047 children were included: unilateral cataracts were present in 786 (60.2%) eyes. There were 600 (46.7%) traumatic and 705 (53.3%) non-traumatic cases. Ages at surgery ranged from 1 to 215 months. Eyes were grouped by the age of surgical intervention performed: Group 1,</= 5 years including 177 (25.1%) eyes, and Group 2, >5 years, including 528 (74.9%) eyes either by anterior or pars plana route ± IOL placement. The mean follow-up time was 117 days. Ultimately, 128 (18.2%) Group 1 and 213 (30.2%) Group 2 patients achieved a visual acuity better than 20/80 (P < 0.001). Age at intervention was significantly related (all P < 0.001) to visual outcome. Conclusions: Age of intervention affects visual outcome significantly (p<0.001)

A comparative study between manual vacuum aspiration and electronic suction for surgical treatment of abortion

Background: Present study is done to study the safety, efficacy and complications of using manual vacuum aspiration (MVA) for surgical management of first trimester abortion in comparison to electronic suction.Methods: It is a retrospective observational study conducted in department of obstetrics and gynecology at tertiary care hospital. Out of 100 cases taken, 50 abortions were terminated by MVA and 50 were terminated by electric suction/vacuum aspiration (EVA).Results: In this study, majority of the patients were primigravida (60%). Most of the patients had period of gestation between 7 to 9 weeks (40%) followed by up to 6 weeks (33%) in both groups. Time taken for the procedure was less in MVA (5-9 min.) than electronic suction (7-11 min.). In terms of complications, blood loss ≥100 ml was more with EVA (18%) compared to MVA (6%). Uterine perforation was seen with EVA (4%) and none with MVA. As far as success rate is concerned, EVA got 98% while MVA got 90%. Post-operative hospital stay was less with MVA (≤12 hours) than EVA (up to 24 hours). Post-operative pain perception was less with MVA (18% severe pain) while with EVA, 36% with severe pain.Conclusions: Both the evacuation techniques are almost equally effective and safe, still duration; post-operative pain and hospital stay are less with MVA. Success rate is better with EVA

Spatially resolved kinematics in the central 1 kpc of a compact star-forming galaxy at z=2.3 from ALMA CO observations

We present high spatial resolution (FWHM$\sim$0.14'') observations of the CO($8-7$) line in GDS-14876, a compact star-forming galaxy at $z=2.3$ with total stellar mass of $\log(M_{\star}/M_{\odot})=10.9$. The spatially resolved velocity map of the inner $r\lesssim1$~kpc reveals a continous velocity gradient consistent with the kinematics of a rotating disk with $v_{\rm rot}(r=1\rm kpc)=163\pm5$ km s$^{-1}$ and $v_{\rm rot}/\sigma\sim2.5$. The gas-to-stellar ratios estimated from CO($8-7$) and the dust continuum emission span a broad range, $f^{\rm CO}_{\rm gas}=M_{\rm gas}/M_{\star}=13-45\%$ and $f^{\rm cont}_{\rm gas}=50-67\%$, but are nonetheless consistent given the uncertainties in the conversion factors. The dynamical modeling yields a dynamical mass of$\log(M_{\rm dyn}/M_{\odot})=10.58^{+0.5}_{-0.2}$ which is lower, but still consistent with the baryonic mass, $\log$(M$_{\rm bar}$= M$_{\star}$ + M$^{\rm CO}_{\rm gas}$/M$_{\odot}$)$=11.0$, if the smallest CO-based gas fraction is assumed. Despite a low, overall gas fraction, the small physical extent of the dense, star-forming gas probed by CO($8-7$), $\sim3\times$ smaller than the stellar size, implies a strong concentration that increases the gas fraction up to $f^{\rm CO, 1\rm kpc}_{\rm gas}\sim 85\%$ in the central 1 kpc. Such a gas-rich center, coupled with a high star-formation rate, SFR$\sim$ 500 M$_{\odot}$ yr$^{-1}$, suggests that GDS-14876 is quickly assembling a dense stellar component (bulge) in a strong nuclear starburst. Assuming its gas reservoir is depleted without replenishment, GDS-14876 will quickly ($t_{\rm depl}\sim27$ Myr) become a compact quiescent galaxy that could retain some fraction of the observed rotational support.Comment: Accepted for Publication in ApJL. Kinematic maps are shown in Figures 2 and