Optical Photometry and Spectroscopy of the Suspected Cool Algol AV Delphini: Determination of the Physical Properties

We present new spectroscopic and BVRI photometric observations of the double-lined eclipsing binary AV Del ( period = 3:85 days) conducted over six observing seasons. A detailed radial velocity and light-curve analysis of the optical data shows the system to be most likely semidetached, with the less massive and cooler star filling its Roche lobe. The system is probably a member of the rare class of ‘‘cool Algol’’ systems, which are distinguished from the ‘‘classical’’ Algol systems in that the mass-gaining component is also a late-type star rather than a B- or A-type star. By combining the spectroscopic and photometric analyses, we derive accurate absolute masses for the components of M1 = 1.453 + 0.028 M and M2 = 0.705 + 0.014 M and radii of R1 = 2.632 + 0.030 R and R2 = 4.233 + 0.060 R, as well as effective temperatures of 6000 + 200 and 4275 + 150 K for the primary and secondary, respectively. There are no obvious signs of activity (spottedness) in the optical light curve of the binary

Risk of uterine rupture after the partographic \u27alert\u27 line is crossed--an additional dimension in the quest towards safe motherhood in labour following caesarean section

To determine if prolonged active phase of labour is associated with increased risk of uterine scar rupture in labour following previous lower segment caesarean section, a retrospective cohort study (1988-91) was done to analyse active phase partographs of 236 patients undergoing trial of labour following caesarean section, 7 (3%) of whom had scar rupture. After onset of active phase (3 cm cervical dilatation), a 1 cm/h line was used to indicate alert . A zonal partogram was developed by dividing the active phase partographs into 5 time zones: A (area to the left of alert line), B (0-1 h after alert line), C (1-2 h after alert line), D (2-3 h after alert line) and EF (\u3e 3 h after alert line). The relative risk of uterine scar rupture was calculated for different partographic time zones. The relative risk of uterine scar rupture was 10.5 (95% confidence interval 1.3-85.5, p = 0.01) at 1 hour after crossing the alert line; 8.0 (95% confidence interval 1.6-40.3, p = 0.009) at 2 hours after crossing the alert line; and 7.0 (95% confidence interval 1.6-29, p = 0.02) at 3 hours after crossing the alert line. In women undergoing trial of labour following caesarean section, prolonged active phase of labour is associated with increased risk of uterine rupture. A zonal partogram may be helpful in assessing this risk in actively labouring women who cross the partographic alert line

Are non-diabetic women with abnormal glucose screening test at increased risk of pre-eclampsia, macrosomia and caesarian birth?

To determine, in non-diabetic women, the relationship of abnormal glucose screening test, with the incidence of pre-eclampsia, macrosomia and caesarian delivery, from 1988-92, 5646 consecutive women attending antenatal clinic were screened with a glucose challenge test (GCT) on their first visit (usually at 16-20 weeks); those with risk factors i.e., history of unexplained perinatal loss, macrosomia or family member with diabetes and an initial abnormal screening test were rescreened at 28-32 weeks, In 482 cases the GCT was abnormal (plasma glucose value was \u3e140 mg% 2 hours after 75g glucose challenge). Of these, 292 had one or more abnormal critical values at a 75g -3 hour oral glucose tolerance test (GTT) and they were treated to maintain euglycaemia. The rest (n=190) had no evidence of glucose intolerance with no abnormal values at the GTT. The subjects were divided into 3 groups based on GCT values; A, randomly selected subjects with a normal GCT (n=1000); B, those with abnormal GCT but normal GTT (n=190); and C, those with abnormal GTT (n=292). The variables studied were age, gravidity, parity, gestational age at delivery, pre-eclampsia, birth-weight and mode of delivery. The incidence of pre-eclampsia and caesarian birth varied, being the lowest in Group A (3.9% and 11.9% respectively) and then rising through group B (6.3% and 16.3% respectively) to the highest in Group C (12.6% and 26.0% respectively; test of linear trend, p\u3c0.05). For macrosomia, the incidence increased from Group A to B but there was a drop in Group C. The incidence of macrosomia was significantly higher for Group B as compared to A or C (9.5% and 3.3%,