Reproductive surgery in infertility

Background: With recent improvements in the assisted reproductive technology (ART), there has been a growing tendency that bypasses diagnostic laparohysteroscopy and proceeds directly to ART. Therefore, the value of diagnostic laparohysteroscopy in current fertility practice is under debate. In the present study, we evaluated the usefulness of diagnostic laparoscopy and hysteroscopy for patients with infertility.Methods: This retrospective study was conducted at Safal Hospital, Nagpur from January 2017 to July 2017. 80 patients were selected for this study who had undergone diagnostic laparohysteroscopy for infertility.Results: In present study, out of 80 patients studied, 66.25% patients had normal hysteroscopy findings, in 10% of patients, tubal cannulation was done for cornual block, in 6.25% of patients, resection of uterine septum was done, adhesiolysis for asherman’s syndrome was done in 5% of patients, endometrial polyp was removed in 5% of patients, 2.5% patients had resection of submucous fibroid. In 5% patients, cervical dilatation for fibrosis was done in 5% of patients. 68.75% had normal laparoscopy findings, in 8.75% of patients, ovarian drilling for PCOS was done, adhesiolysis for peritubal adhesions was done in 6.25% patients, fulguration of endometriosis was done in 6.25% patients, salpingectomy for hydrosalpinx was done in 5% patients, aspiration of ovarian cyst was done in 2.5% patients.Conclusions: Diagnostic hysterolaparoscopy is an effective diagnostic and therapeutic modality for certain significant and correctable abnormalities in pelvis, tubes and uterus which are missed by other imaging modalities

"મહાભારતનાં આખ્યાનો અને ઉપાખ્યાનોનું વિવેચનાત્મક અને તુલનાત્મક અધ્યયન"

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Analysis of indications and route of hysterectomy for benign conditions

Background: Hysterectomy is the most common operation performed by gynecologist, next to caesarean section. The primary focus of this study was to review the indications and surgical technique of hysterectomy.Methods: This retrospective study was performed in the department of Obstetrics and gynecology, in collaboration with Department of Pathology.  All women in the reproductive age group and post-menopausal age who underwent hysterectomy with or without salpingo-oophorectomy were included in this study.Results: In our study, out of 100 patients, clinical indication was fibroid in 45 (45%) patients, menorrhagia in 15 (15%) patients, adenomyosis in 25 (25%) patients, uterovaginal prolapse in 5 (5%) patients, endometrial polyp in 5 (5%) patients and ovarian tumor in 5 (5%) patients. Histo-pathological diagnosis was leiomyoma in 55 (55%), adenomyosis in 30 (30%), endometrial polyp in 5 (5%), endometrial hyperplasia in 5 (5%) and serous cystadenoma of ovary in 5 (5%). Abdominal hysterectomy was performed in 46 (46%) patients, vaginal hysterectomy in 44 (44.33%) patients while laparoscopic hysterectomy was performed in 5 (6.66%) patients.Conclusions: In this study, most common indication for hysterectomy was fibroid uterus and it was correlated well with histopathology. Abdominal & vaginal hysterectomies were performed in almost equal number

A survey on indoor patient satisfaction in a private tertiary level surgical hospital in central India

Background: Patient satisfaction is an extremely important factor responsible for the success and growth of any hospital. Hence this survey was done in a super-speciality Uro-gynaecology hospital in Nagpur, Central India to assess the patient satisfaction for indoor facilities.Methods: The present study was conducted over a period of 4 months in 100 indoor patients. These patients were asked to fill up a questionnaire just before they were discharged.Results: 88% respondents found the service by reception staff as excellent. 64% were admitted and allotted rooms within 30 minutes of arrival. 94% said that the time given by doctors was satisfactory. 96% were extremely satisfied with the disease description, 98% said that the perception of efficiency of doctors and the details of investigations discussed were excellent. 90% felt that the number of visits by doctors were adequate. Availability of medicines in the pharmacy was there for most of the times (98%). Drinking water and availability of toilets, electricity and cleanliness was present (94%). 52% were really satisfied with the final bill.Conclusions: Patients are satisfied regarding the basic amenities of the hospital and the provision for water and cleanliness levels. They are happy with the attitude and communication skills of the doctors, they expressed satisfaction about the availability of in-house pharmacy too

Functionalized Nanoparticles as Sorbents for Removal of Toxic Species

Removal of various toxic species from aqueous streams is of great importance. Sorption is one of the important remediation procedures as it involves the use of cheap and easily available materials. Also the advantage of regeneration of the sorbent involves the possibility of using novel sorbents. Nanosorbents are very important as the removal is based on the surface phenomena and this is greatly affected by surface charge and area. Functionalization has been very important to bring about the removal of metal ions with greater selectivity

Functionalized Nanoparticles as Sorbents for Removal of Toxic Species

Removal of various toxic species from aqueous streams is of great importance. Sorption is one of the important remediation procedures as it involves the use of cheap and easily available materials. Also the advantage of regeneration of the sorbent involves the possibility of using novel sorbents. Nanosorbents are very important as the removal is based on the surface phenomena and this is greatly affected by surface charge and area. Functionalization has been very important to bring about the removal of metal ions with greater selectivity

A Review Paper on Classification of Stem Cell Transplant to Identify the High Survival Rate

A patient undergoing hematopoietic stem cell transplant faces various risk factors and has become the standard of care for congenital or acquired disorders of the hematopoietic system or with chemo-sensitive, radiosensitive or immunosensitive malignancies. Analyzing and classifying the data from past transplant can enhance the understanding of the factors leading to highest survival rates among the patients. Over the last few decades there has been tremendous use of technology in this field. Stem cell transplant remains a dangerous procedure as it requires significant infrastructure and a network of specialists from all fields of medicine. In this paper, we are using a classification algorithm known as Support Vector Machine to classify the patients who have undergone stem cell transplant with high odds of survival. We are also keeping track of information about the donors within the family and outside the family which has a direct impact in the prioritization of resources. Classification of this information is useful to create the need for a global perspective for all cell, tissue, and organ transplants and to reveal statistical structure with potential implications in evidence-based prioritization of resources. Machine-learning techniques proved useful in analyzing the correct data from various datasets as this techniques were previously been considered too complex to analyze. DOI: 10.17762/ijritcc2321-8169.16043

PROTEINACEOUS COMPOUNDS FROM FRAGARIA ANANASSA FRUIT ATTENUATES PARAQUAT INDUCED PARKINSON LIKE LOCOMOTOR AND MITOCHONDRIAL ALTERATIONS IN ZEBRAFISH

Objectives: To assess the Parkinson like locomotor and mitochondrial alterations, associated with the exposure of paraquat (PQ), in vivo preventive effect of proteinaceous compounds extracted from Fragaria ananassa fruit (FA-D) against mitochondrial dysfunction induced by paraquat in zebra fish using brain mitochondria.Methods: Parkinson like locomotor and mitochondrial alterations were resulted by intra peritoneal administration of 55 mM PQ alternatively for a period of 7 days. The water soluble proteinaceous compounds from Fragaria ananassa fruit were obtained by Ammonium sulphate fractionation. The molecular weight of FA-D fraction was determined by SDS-PAGE and we found three distinct bands at 20.0 kDa, 17.0 kDa and 14.4.0 kDa bands respectively. The in vitro antioxidant activity and the in vivo preventive effect of FA-D against PQ induced Parkinsonian symptoms was evaluated by different assay systems viz., in vitro: radical scavenging activity by DPPH reaction and in vivo: locomotion, dopamine levels, complex-I activity, mitochondrial ROS levels, cytochrome c release and mitochondrial morphology.Results: The results show that paraquat altered locomotor activity and increased dopamine levels. Mitochondria isolated from paraquat treated zebrafish showed a marked inhibition of complex-I activity, increase in mitochondrial reactive oxygen species (mt ROS) and cytochrome c release and disintegration of mitochondrial structure. Treatment of 0.25 mg/kg body weight of FA-D fraction once in alternative days, for 5 days subsequent to the administration of PQ alternatively for a period of 7days, substantially reduced mt ROS levels and markedly restored the complex-I activity, cytochrome c release and mitochondrial morphology.Conclusion: The results strongly suggest that proteinaceous compounds from Fragaria ananassa fruit recuperate paraquat induced Parkinsonian like symptoms by protecting the mitochondria.Â

Work-Related Musculoskeletal Problems and Risk Factors of Brick Kiln Female Workers

Not AvailableThirty women workers working in brick kiln were selected for the study. Musculoskeletal problems of the workers were identified by using the body map and intensity of pain was recorded by using five point scale (Ranjwan, 2000). The study indicated that musculoskeletal problems of women workers while performing brick carrying activity were very severe in case of neck (70%) and in shoulder (63.3%) and all female workers working in brick kiln faced risk factors i.e. brick fall on leg, burn to hand and eye injuries. Study indicated immediate and urgent need to develop safety measures for female brick kiln workers.Not Availabl