India’s water supply and demand from 2025-2050: business-as-usual scenario and issues

Water demandEstimationIrrigation waterRiver basinsWater supplySimulation modelsPopulation growthFood productionFood consumptionCrop yieldGroundwater irrigation

Comparison of fetal outcome in spontaneous versus induced labor in postdated pregnancy: a study in a tertiary care centre

Background: Pregnancy lasting beyond 40 weeks is a known complication of normal delivery. Various studies have found incidence between 2-14%. Post-dated pregnancy carries specific hazards to both mother and fetus. While mothers are faced with problems like increased incidences of induced labour, instrumental delivery and LSCS with associated morbidities, fetuses are faced with morbidities ranging from IUGR to macrosomia. Authors tried to study fetal outcome in post-dated pregnancy present study. The objective is to compare fetal outcome in spontaneous versus induced labour in post-dated pregnancy.Methods: This is a prospective cross-sectional study done at a tertiary care hospital in obstetrics and gynecology in duration of 18 months. After screening according to inclusion criteria, all patients who were admitted in labour wards are selected and two groups were created according to clinical examination. First group consists of patients with spontaneous onset of labour and second group consists of patients with induction of labour. In each group USG, NST and BPP were performed, and labor monitored according to standard partograph. Fetal outcomes in both groups were studied.Results: Fetal outcomes were nearly same in both groups, induced and spontaneous onset of labour, except a few like thick meconium which was common in spontaneous onset group while rate of LSCS was more in induced group.Conclusions: Women with uncomplicated pregnancies should be offered induction of labour, while women with any complicating factors LSCS should be considered

A clinical study of maternal outcome in post dated pregnancy in a tertiary care hospital

Background: Pregnancy lasting beyond 40 weeks is a known complication of normal delivery. Studies have found incidence between 2-14%. Post-dated pregnancy carries specific hazards to both mother and fetus. While mothers are faced with problems like increased incidences of induced labour, instrumental delivery and LSCS with associated morbidities, fetuses are faced with morbidities ranging from IUGR to macrosomia. We here tried to study maternal outcome in post-dated pregnancy. The objective is to study maternal outcome in post-dated pregnancy and to compare maternal outcome in spontaneous versus induced labour in post-dated pregnancy.Methods: This study was done at a tertiary care hospital in obstetrics and gynecology department for duration of 18 months. After screening according to inclusion criteria, all patients who were admitted in labour wards were grouped in two groups according to clinical examination. First group consists of patients with spontaneous onset of labour and second group consists of patients with induction of labour. In each group same protocol for fetal monitoring were performed, and labor monitored according to standard partograph. Maternal outcomes in both groups were studied.Results: Maternal outcomes were nearly same in both groups; induced and spontaneous onset of labour, except rate of LSCS, Which was more in induced group though not statistically significant.Conclusions: Women with uncomplicated post dated pregnancies with good bishop score should be allowed spontaneous labour and those with poor bishop should be offered induction of labour, while women with any complicating factors LSCS should be considered

India’s water future to 2025-2050: Business-as-usual scenario and deviations

Poverty / Mapping/ Water demand / Water supply / Population growth / Crop production / Crop yield / Groundwater irrigation / Food security

Nitric Oxide In Health And Diseases

Nitric Oxide (NO) is color less, readily diffusible, highly reactive lipophilic and chemically unstable Free radical gas. NO is formed form arginine by enzyme nitric Oxide synthase. No acts in a paracrine or even autocrine manner. It causes asodilatation, act as neurotransmitter, Prevent Platelet aggregation and also play important role in macrophase function. Deficiency leads to, increase vascular tone, reduced thrombolitic activity. Use of NO in pediatric pulmonary hypertension and in sexual dysfunction is increases day by day. The discovery of NO as an essential effectors of many Biologica

Thrombocytopenia in pregnancy

Background: Thrombocytopenia in pregnancy is defined as platelet count of less than 150,000/µl. It may be inherited or idiopathic, acute or chronic in onset, either primary or associated with other disorders. Gestational thrombocytopenia is the most common type which is diagnosed usually in the last trimester. When there is severe thrombocytopenia, it is usually pathological in origin. The goal of this study was to identify thrombocytopenia in early stages of pregnancy and evaluate the risk factors involved. Aim was the evaluation of thrombocytopenia in pregnancy.Methods: This was a prospective observational study conducted in the Obstetrics and Gynecology Department of a tertiary care centre from 1st January 2020 to 31st December 2020. Data was collected and analyzed by SPSS version 17.Results: In the current study, 71.1% of cases were mild thrombocytopenia and 64.4% were picked up in the third trimester. Out of the 90 cases taken, 64% of the cases were due to the most common cause i.e., gestational thrombocytopenia. The second most common cause of thrombocytopenia was pregnancy induced hypertension which accounted for 18% of the total number of cases. Symptomatic thrombocytopenia of moderate and severe degree was seen in cases of PIH and ITP. 37.5% of the cases had underlying hypertension.Conclusions: Timely identification and management of the cause of thrombocytopenia is crucial in the antenatal group of women. Although it is an incidental finding in most cases, when there is an underlying cause, severity of thrombocytopenia increases tremendously and has dire consequences. Every pregnant woman should undergo complete blood count examination once in each trimester to avoid maternal and fetal complications

Improving Palliative Care with Deep Learning

Improving the quality of end-of-life care for hospitalized patients is a priority for healthcare organizations. Studies have shown that physicians tend to over-estimate prognoses, which in combination with treatment inertia results in a mismatch between patients wishes and actual care at the end of life. We describe a method to address this problem using Deep Learning and Electronic Health Record (EHR) data, which is currently being piloted, with Institutional Review Board approval, at an academic medical center. The EHR data of admitted patients are automatically evaluated by an algorithm, which brings patients who are likely to benefit from palliative care services to the attention of the Palliative Care team. The algorithm is a Deep Neural Network trained on the EHR data from previous years, to predict all-cause 3-12 month mortality of patients as a proxy for patients that could benefit from palliative care. Our predictions enable the Palliative Care team to take a proactive approach in reaching out to such patients, rather than relying on referrals from treating physicians, or conduct time consuming chart reviews of all patients. We also present a novel interpretation technique which we use to provide explanations of the model's predictions.Comment: IEEE International Conference on Bioinformatics and Biomedicine 201

PAPR Reduction in the OFDM Signal Using Selective Mapping

Nowadays Orthogonal Frequency Division Multip lexing is becoming more and more popular Because of it is attractive techniques for high data rate transmission. OFDM is widely used in 4G technologies in recent times. Main advantage of OFDM is that it uses orthogonal signals so removes inter - signal inter ference. PAPR ratio in OFDM is very high because it uses Multicarrier modulation, which is its main drawback. High PAPR means more power need at transmission side. PAPR can be decreased using various techniques such as clipping, selective mapping, etc. In this paper, criterion for new scheme selective mapping is introduced for PAPR reduction in OFD