Caesarean section audit in a tertiary hospital of North India using Robson’s classification

Background: In view of upsurging Caesarean section (CS) rate worldwide WHO conducted two multicountry surveys to diagnose the driving determinants. In two WHO surveys increased overall CS rate was observed from 26.4% to 31.2% worldwide except Japan. Both WHO 2014 and FIGO 2016 recommend Robson ten- group classification for monitoring caesarean rate over time because of its clarity, tenacity, resilience and pliability. Our Aim is to classify women delivered in our Hospital as per Robson ten –group classification and access the factor driving caesarean rate in each group.Methods: This is a retrospective study 1671 caesarean section conducted in tertiary hospital over 6 months (July- December) 2018. All the delivering women were classified according to Robson ten-group classification and data was analyzed using Microsoft excel and SPSS 23 software.Results: During the study period there were 5917 deliveries. Of these 1671 deliveries were CS accounting for CS rate of 28.24% . The major contributor to CS rate were women in group 5 followed by primigravida’s in group 1 and 2. Increasing  CS rate was observed in group 1 ,2, 3 and 5. Most common indication for caesarean section was fetal distress , failed induction , previous caesarean , breech and Antepartum hemorrhage.Conclusions: Increasing trend in CS rate is observed in group 1,2 ,3 and 5. In order to reduce CS rate among group 2 better patient selection is required for induction of labour based on Bishop score. In order to reduce CS rate in group 5 promotion of  VBAC deliveries should be encouraged. By classifying women according to Robson group 10 classification  helps in identification of women likely to deliver by caesarean  and to identify effective strategies to optimize the CS rate

Exploring Relationship between Software Product Quality Metrics

This research paper aims to explore the relationship between internal and external software quality metrics in order to estimate software quality more accurately. Internal metrics measure the software itself whereas external metrics measure the behavior of the computer based system. Users can select and apply these metrics according to their individual application domain

Business Model Innovation – The Vital Link to Business Continuity

The strategic thinking involving business model innovation has been focusing on the issue of the ways in which organizations can capture more value. But changing markets, technologies and legal structures pose a major challenge to the driving forces behind business models in terms of running the business. The purpose of this paper is to advance the comprehension of significance of business model innovation related to the aspect of business continuity. This paper also presents a review of business model innovation literature through which main elements leading to the aspect of business continuity have been brought to the light. While our discussion also draws examples from the markets of Middle East but the theoretical framework constructed has general applicability. We conclude by emphasizing that the aspect of building business continuity in the course of business model innovation can be a dynamic capability. Keywords: Business model, Innovation, Entrepreneurship, Internationalization, Business continuit

A Novel Technique for Task Re-Allocation in Distributed Computing System

A distributed computing is software system in which components are located on different attached computers can communicate and organize their actions by transferring messages. A task applied on the distributed system must be reliable and feasible. The distributed system for instance grid networks, robotics, air traffic control systems, etc. exceedingly depends on time. If not detected accurately and recovered at the proper time, a single error in real time distributed system can cause a whole system failure. Fault-tolerance is the key method which is mostly used to provide continuous reliability in these systems. There are some challenges in distributed computing system such as resource sharing, transparency, dependability, Complex mappings, concurrency, Fault tolerance etc. In this paper, we focus on fault tolerance which is responsible for the degradation of the system. A novel technique is proposed based upon reliability to overcome fault tolerance problem and re-allocate the task. DOI: 10.17762/ijritcc2321-8169.15080