Association and correlation of thyroid dysfunction with anemia types in pregnant women of northern Andhra Pradesh, India

Background: Thyroid dysfunction is a common disorder in pregnancy along with anemia. But no study has evaluated the association between them. To estimate the prevalence of thyroid dysfunction and its association with anemia types in pregnant women during 1st trimester.Methods: Three hundred and eighty pregnant women with <12 weeks of gestational age were selected for the study with no history of thyroid dysfunction and anemia. All the pregnant women were classified into A, euthyroid and B, thyroid dysfunction groups. The B group was again subdivided into hypothyroid, subclinical hypothyroid (SCH), hyperthyroid according to nature of dysfunction. 5 ml of blood sample was collected from all subjects to analyse thyroid hormones and erythrocyte indices.Results: Out of 380 subjects, euthyroid was found to be 77.9%, and rest 22.1% were with thyroid dysfunction. Out of 84 thyroid dysfunction, hypothyroid was found to be 7.9%, SCH 13.9% and hyperthyroid was 0.3%. Out of 296 euthyroid women, anemia was identified in 97 pregnant women (32.8%) whereas in thyroid dysfunction women it was 43 women out of 84 (51.2%) which is a statistically significant. Significantly higher frequency of microcytic hypochromic anemia and normocytic normochromic anemia types were also found in thyroid dysfunction groups compared to euthyroid group (p<0.05). However, no significance between the thyroid dysfunction groups, Statistically significant difference was observed in the Hb concentration, RBC count, MCV, MCH and PCV between euthyroid and different thyroid dysfunction conditions (p<0.05). A statistically significant positive correlation was found between fT4 and erythrocyte indices.Conclusions: As fT4 and TSH correlated with erythrocyte indices, it is advisable to screen for thyroid dysfunction and vice versa so as to prevent the complications associated with anemia and thyroid dysfunction

Prevalence of thyroid dysfunction in pregnant women and the need for universal screening: an observational study in Northern Andhra Pradesh population

Background: The maternal thyroid dysfunction is associated with adverse outcomes such as miscarriage, preterm delivery, preeclampsia, postpartum haemorrhage in mother whereas increased risk of impaired neurological development in foetus. The present study was designed with an aim to determine the prevalence of thyroid dysfunction and the need for universal screening in pregnant women.Methods: Three hundred and eighty pregnant women between 8-36 weeks of gestation with age group 20-32 years were recruited. Serum free T3, free T4 and TSH levels were assayed by chemiluminescence method. The pregnant women were classified into euthyroid, subclinical hypothyroid (SH), overt hypothyroid (OH) and overt hyperthyroid groups based on the results obtained in the study.Results: In the present study, the mean ± SD age (in years) and BMI of all pregnant women was 23.9±3.9 and 22.9±1.6 respectively. The maternal age was high in OH and overt hyperthyroid and was statistically significant (p&lt;0.05). Similarly, women with high BMI were prone to OH than normal BMI (p&lt;0.05). The prevalence of thyroid dysfunction was found to be 18.7%. The prevalence of hypothyroidism was 17.4% in which the SH was 13.4% and overt hypothyroidism 3.9%, but overt hyperthyroidism was 1.3%. TSH levels increased with the advancement of gestational age from 2.72±1.85 in first trimester to 3.4±2.05 µIU/mL in third trimester, and the difference was statistically significant (p&lt;0.05). Finally, it was also noticed that the prevalence of raised TSH in high-risk pregnant women was high compared to low-risk women (35.6% vs 5.1%) relative risk (RR) 7.64, 95% confidence interval (CI) 4.62-12.65, (p&lt;0.0001). However, 14 out of 51 (27.5%) with SH were in low-risk group.Conclusions: The present study states that the prevalence of thyroid dysfunction was 18.7% and also emphasizes the importance of screening all pregnant women for thyroid dysfunction rather than targeted high-risk pregnant women to prevent both maternal and fetal morbidity

Geomagnetic storm effects on GPS based navigation

The energetic events on the sun, solar wind and subsequent effects on the Earth&apos;s geomagnetic field and upper atmosphere (ionosphere) comprise space weather. Modern navigation systems that use radio-wave signals, reflecting from or propagating through the ionosphere as a means of determining range or distance, are vulnerable to a variety of effects that can degrade the performance of the navigational systems. In particular, the Global Positioning System (GPS) that uses a constellation of earth orbiting satellites are affected due to the space weather phenomena. &lt;br&gt;&lt;br&gt; Studies made during two successive geomagnetic storms that occurred during the period from 8 to 12 November 2004, have clearly revealed the adverse affects on the GPS range delay as inferred from the Total Electron Content (TEC) measurements made from a chain of seven dual frequency GPS receivers installed in the Indian sector. Significant increases in TEC at the Equatorial Ionization anomaly crest region are observed, resulting in increased range delay during the periods of the storm activity. Further, the storm time rapid changes occurring in TEC resulted in a number of phase slips in the GPS signal compared to those on quiet days. These phase slips often result in the loss of lock of the GPS receivers, similar to those that occur during strong(&amp;gt;10 dB) L-band scintillation events, adversely affecting the GPS based navigation

Use of vaginal misoprostol before endometrial biopsy in premenopausal women: an observational study

Background: It is well-known since long time the beneficial effects of misoprostol particularly as a cervical softening agent in obstetric practice. Keep in view, study aimed to evaluate the efficacy of vaginal misoprostol 400 mcg before endometrial biopsy in premenopausal women.Methods: All the 200 patients were classified into two groups viz. study group (Group I) with 100 patients and control group (Group II) with 100 patients. To Group I patients, 400 mcg of misoprostol was given vaginally, 4 hours prior to the commencement of endometrial biopsy whereas no medication was received by Group II patients.Results: In the present study, the base line cervical dilatation is found to be 5.8±1.3 mm in Group I patients whereas 3.8±0.92 mm in Group II patients which is significantly higher (p<0.05). Only 32 patients in Group I required further dilatation whereas 88 patients in Group II underwent further dilatation. The mean time required for further dilatation in Group I and Group II patients was 42.6±17.4, 64.6±16.8 sec respectively and was significantly higher in Group II patients (p<0.05). Out of 100 patients in Group I, only 2% of patients complained severe pain whereas in Group II 48% of patients experienced intolerable pain and required anesthesia.Conclusions: Vaginal administration of 400 mcg misoprostol 4 hours prior to endometrial biopsy in premenopausal women had a significant effect on cervical resistance and cervical dilatation

Audit of caesarean deliveries in a tertiary care hospital of northern Andhra Pradesh using modified Robson criteria

Background: Today, there is an increased trend in the incidence of caesarean section (CS) rate worldwide particularly in India, even with the lack of evidence supporting considerable maternal and perinatal benefits with higher CS rates. The main objective of our study was to find the incidence of CS rate, auditing the data on the basis of modified Robson criteria, factors responsible for the most common group, to know the changing trends of CS and finally put forth the strategies to reduce CS rate.Methods: This is a retrospective study of 472 CS cases carried out in a tertiary care hospital during the year 2016. All the cases were grouped according to the modified Robson criteria and the data was analyzed. The data were grouped into 3 different slots of 4 months each (FF = first four months; MF = middle four months and LF = last four months of the year 2016).Results: A significant increasing trend was observed in the groups of 2B and 5C where as a significant decreasing trend was noticed in 6C and 7C. The most common indications for caesarean delivery were cephalo-pelvic disproportion (CPD) (28%) and fetal distress (22%) in group 1 whereas in group 2A CPD, fetal distress and failed induction were found to be 12%, 24% and 30% respectively.Conclusions: The change in trend has been noticed in the last few months particularly in 2B and 5C groups suggesting that there is a change in the attitude of obstetricians in conducting caesarean deliveries before the onset of labour rather than performing CS after the onset of labour. Targeting 2B along with 5C would help our efforts in reducing the CS rate

Temporal and spatial variations in TEC using simultaneous measurements from the Indian GPS network of receivers during the low solar activity period of 2004?2005

International audienceWith the recent increase in the satellite-based navigation applications, the ionospheric total electron content (TEC) and the L-band scintillation measurements have gained significant importance. In this paper we present the temporal and spatial variations in TEC derived from the simultaneous and continuous measurements made, for the first time, using the Indian GPS network of 18 receivers located from the equator to the northern crest of the equatorial ionization anomaly (EIA) region and beyond, covering a geomagnetic latitude range of 1° S to 24° N, using a 16-month period of data for the low sunspot activity (LSSA) years of March 2004 to June 2005. The diurnal variation in TEC at the EIA region shows its steep increase and reaches its maximum value between 13:00 and 16:00 LT, while at the equator the peak is broad and occurs around 16:00 LT. A short-lived day minimum occurs between 05:00 to 06:00 LT at all the stations from the equator to the EIA crest region. Beyond the crest region the day maximum values decrease with the increase in latitude, while the day minimum in TEC is flat during most of the nighttime hours, i.e. from 22:00 to 06:00 LT, a feature similar to that observed in the mid-latitudes. Further, the diurnal variation in TEC show a minimum to maximum variation of about 5 to 50 TEC units, respectively, at the equator and about 5 to 90 TEC units at the EIA crest region, which correspond to range delay variations of about 1 to 8 m at the equator to about 1 to 15 m at the crest region, at the GPS L1 frequency of 1.575 GHz. The day-to-day variability is also significant at all the stations, particularly during the daytime hours, with maximum variations at the EIA crest regions. Further, similar variations are also noticed in the corresponding equatorial electrojet (EEJ) strength, which is known to be one of the major contributors for the observed day-to-day variability in TEC. The seasonal variation in TEC maximizes during the equinox months followed by winter and is minimum during the summer months, a feature similar to that observed in the integrated equatorial electrojet (IEEJ) strength for the corresponding seasons. In the Indian sector, the EIA crest is found to occur in the latitude zone of 15° to 25° N geographic latitudes (5° to 15° N geomagnetic latitudes). The EIA also maximizes during equinoxes followed by winter and is not significant in the summer months in the LSSA period, 2004?2005. These studies also reveal that both the location of the EIA crest and its peak value in TEC are linearly related to the IEEJ strength and increase with the increase in IEEJ

Plant extract effect on seed-borne pathogenic fungi from seeds of paddy grown in Southern India

A total of 40 seed samples of different cultivars of paddy, collected from southern part of India, were mycologicaly analyzed by agar plating method on Czapek's-Dox-Agar (CzA) medium and Standard Blotter Method (SBM), revealed the occurrence of 33 diverse fungal species belonging to 16 genera. The species of Drechslera oryzae (RP 82.5) was recorded with the incidence and relative preponderance (RP), followed by Curvularia lunata (RP 67.5) and Aspergillus niger (RP 65.0) respectively. The data on the diversity and incidence of fungal species would be a great importance in the region for predicting the extent of pre-and post-infections.In vitro antifungal activity assay of methanol extract of 12 plants belonging to different families were tested against eight pathogenic fungal species viz., Alternaria alternata, Aspergillus flavus, Curvularia lunata, Drechslera oryzae, D. halodes, Fusarium moniliforme, Pyricularia oryzae and Trichoconis padwickii by poisoned food technique. The results revealed that, methanol extract of Acacia nilotica, Caesalpinia coriaria, Decalepis hamiltonii, Emblica officinalis, Lawsonia inermis and Mimosops elengi showed significant antifungal activity at 3500 μg/ml concentration. Comparative evaluation of the extracts with the synthetic fungicides viz., bavistin, blitox, captan, dithane M-45 and thiram at the recommended dosage revealed that, antifungal activity of methanol extract of D. hamiltonii, L. inermis and M. elengi was almost equivalent. These plants can possibly be exploited in the management of seed-borne pathogenic fungi and prevention of biodeterioration of paddy in an eco-friendly way

On the validity of the ionospheric pierce point (IPP) altitude of 350 km in the Indian equatorial and low-latitude sector

The GPS data provides an effective way to estimate the total electron content (TEC) from the differential time delay of L1 and L2 transmissions from the GPS. The spacing of the constellation of GPS satellites in orbits are such that a minimum of four GPS satellites are observed at any given point in time from any location on the ground. Since these satellites are in different parts of the sky and the electron content in the ionosphere varies both spatially and temporally, the ionospheric pierce point (IPP) altitude or the assumed altitude of the centroid of mass of the ionosphere plays an important role in converting the vertical TEC from the measured slant TEC and vice versa. In this paper efforts are made to examine the validity of the IPP altitude of 350 km in the Indian zone comprising of the ever-changing and dynamic ionosphere from the equator to the ionization anomaly crest region and beyond, using the simultaneous ionosonde data from four different locations in India. From this data it is found that the peak electron density height (&lt;i&gt;h&lt;sub&gt;p&lt;/sub&gt;F&lt;sub&gt;2&lt;/sub&gt;&lt;/i&gt;) varies from about 275 to 575 km at the equatorial region, and varies marginally from 300 to 350 km at and beyond the anomaly crest regions. Determination of the effective altitude of the IPP employing the inverse method suggested by Birch et al. (2002) did not yield any consistent altitude in particular for low elevation angles, but varied from a few hundred to one thousand kilometers and beyond in the Indian region. However, the vertical TEC computed from the measured GPS slant TEC for different IPP altitudes ranging from 250 to 750 km in the Indian region has revealed that the TEC does not change significantly with the IPP altitude, as long as the elevation angle of the satellite is greater than 50 degrees. However, in the case of satellites with lower elevation angles (&amp;lt;50&amp;deg;), there is a significant departure in the TEC computed using different IPP altitudes from both methods. Therefore, the IPP altitude of 350 km may be taken as valid even in the Indian sector but only in the cases of satellite passes with elevation angles greater than 50&amp;deg;