Absorbable synthetic versus catgut suture material for episiotomy repair

Background: Episiotomy is a planned surgical incision made in perineum during childbirth. The type of suture material used for perineal repair following episiotomy will have effect on the intensiy of the pain experienced by mother. The objective of the present study is to determine the effects of rapide vicryl and catgut suture material on the amount of short term pain experienced by mother and to assess the amount of analgesia used following episiotomy suturing.Methods: Women with episiotomy cut was divided into two groups: group A consisted of episiotomy repair with catgut and group B with rapide vicryl. Following episiotomy pain will be assessed by visual analogue scale.Results: In KIMS hospital Bangalore - there was significant reduction in short term pain by vicryl rapide compared to chromic catgut and the need for analgesia.Conclusions: Vicryl rapide is effective in reducing the morbidity associated with episiotomy repair. There was significant reduction in short term pain and the need for analgesia, with decrease incidence of wound dehiscence.

Validation the sensitivity and specificity of diabetes in pregnancy study group of India recommended 75 g oral glucose challenge test by comparing with carpenter and couston 100 g oral glucose tolerence test

Background: Diabetes is one of the most common non communicable diseases globally. India is considered as the world diabetes capital. Women detected with gestational diabetes mellitus (GDM) have an increased incidence of developing diabetes; especially type 2 diabetes mellitus in the later life, and future development of obesity and diabetes in the offspring. So the aim of this study is to validate the sensitivity and specificity of diabetes in pregnancy study group of India (DIPSI) recommended 75 g oral glucose challenge test (OGCT) by comparing with carpenter and couston 100 g oral glucose tolerance test (OGTT) and to note the prevalence of gestational diabetes in antenatal population attending Kempegowda Institute of Medical Sciences (KIMS).Methods: All antenatal patients reporting to our hospital at or before 24 to 28 weeks period of gestation will be recruited for the study. Patients at random will be subjected to 75g glucose load according to DIPSI criteria and one week later to carpenter and couston 100 g OGTT. Blood glucose is estimated from venous blood using glucose oxidase and peroxidase (GOD-POD) method and patients diagnosed according to respective criteria.Results: Most of the patients were in age distribution of 20–25 years. Among 100 patients in study group 28 were diagnosed as GDM by DIPSI criteria. Among 100 patients, 12 patients were detected as GDM by carpenter and couston GTT, 19 patients had impaired glucose tolerance. The incidence of GDM in the antenatal population attending KIMS hospital between gestational ages of 24–28 weeks is 12%.Conclusions: DIPSI can be used as a diagnostic test for GDM as one step simple and easy procedure especially I low resource settings like India for improved pregnancy outcome

Familiar trespassers in histopathology: An obstacle in diagnosis? A single-blind study

Background: Histopathologists encounter strange structures in tissue sections that appear unrelated to tissues, and these artifacts may be misinterpreted and misdiagnosed as pathological lesions. These substances may either be present within the tissues or can get implanted into tissue during biopsy procedure or laboratory handling or processing. Aims: The aim of this study is to observe the microscopic appearance of different abnormal structures like commonly implanted food particles or easily incorporated substances during tissue processing with their probable histological misdiagnosis. Materials and Methods: Certain food particles, suture materials, wood pieces, insects, and filter paper were intentionally introduced in the tissue specimens of uterus and lung. Following routine processing and hematoxylin and eosin staining, the slides were subjected to single-blind study and viewed under light and polarizing microscope. Results: The vivid appearances of these structures lead to histological misdiagnosis. Conclusion: Knowledge and familiarity of these commonly encountered extraneous substances will help to prevent misinterpretation

Synthesis and spectral properties of 1, 3-bis(2-benzirnidazyl)benzene and its N-methylated derivative-Reactions with some acids and cobalt(II) salts

33-38Syntheses of 1,3-bis(2-benzimidazyl)benzene (bBzlH2Bz) and its N-methylated derivative (NMebBzlBz) as well as their acid adducts and a few complexes of cobalt(ll), CoX2L (X = halogen; L= N-heterocycle) and [CoL2](CIO4)2, have been described. The heterocycles have been characterised by IR, electronic and NMR spectral data The electronic and magnetic susceptibility data suggest tetrahedral geometry for CoX2L and [COL2] (ClO4 (L= bBzIH2Bz or N-MebBzlBz), trigonal-bipyramidal for CoX2(N-MebBzlPy) [N-MebBzlPy = 2,6-bis(N-methylbenzimidazyl)pyridine and square-pyramidal geometry for [Co(N-MebBzlPy)2]X2 (X = l or CIO4) complexes

Effect of Nanoparticle Diameter in Maxwell Nanofluid Flow with Thermophoretic Particle Deposition

The time-dependent Maxwell nanofluid flow with thermophoretic particle deposition is examined in this study by considering the solid–liquid interfacial layer and nanoparticle diameter. The governing partial differential equations are reduced to ordinary differential equations using suitable similarity transformations. Later, these reduced equations are solved using Runge–Kutta–Fehlberg’s fourth and fifth-order method via a shooting approach. An artificial neural network serves as a surrogate model, making quick and precise predictions about the behaviour of nanofluid flow for various input parameters. The impact of dimensionless parameters on flow, heat, and mass transport is determined via graphs. The results reveal that the velocity profile drops with an upsurge in unsteadiness parameter values and Deborah number values. The rise in space and temperature-dependent heat source/sink parameters value increases the temperature. The concentration profile decreases as the thermophoretic parameter upsurges. Finally, the method’s correctness and stability are confirmed by the fact that the maximum number of values is near the zero-line error. The zero error is attained near the values 2.68×10−6, 2.14×10−9, and 8.5×10−7 for the velocity, thermal, and concentration profiles, respectively