An evaluation of abnormal puerperium

Background: Puerperium is strictly defined as the period of confinement during and just after birth. It is the period following childbirth during which body tissues specially the genital organ reverts back approximately to the pre-pregnant state both anatomically and physiologically. At some stages some of these well-orchestrated changes can go away resulting in complications which can endanger life.Methods: Retrospective c study was conducted in Department of Obstetrics and Gynecology of M.G.M. Medical College and M. Y. Hospitals, Indore. The cases were selected randomly from the patient who were admitted in M.Y. Hospital who had either a vaginal or caesarean delivery (both in our institution as well as outside institution) during the study period, irrespective of age, parity and registration status. Data was recorded in predesigned coded case report forms and statistical analysis was performed.Results: Authors found that puerperal pyrexia was the most common complication, accounting for 38.96% of total cases. The second most common complication was perineal pain affecting 28.15% of cases. The other complication was wound gaping/discharge (11.71%), mastitis and breast abscess (6.81%), secondary postpartum hemorrhage (5.33%), episiotomy gaping and infection (4%), perineal hematoma (0.59%), wound dehiscence (0.3%) and other rare causes accounted for 4.15% of the complication.Conclusions: Puerperal period is as important as antenatal period. Anaemia, suboptimal personal hygiene as well as improper sterilization can resulted in severe health hazards such as septicemia, disseminated intravascular coagulation as well as death. So, risk factor should be treated vigorously

Stemming Cancer: Functional Genomics of Cancer Stem Cells in Solid Tumors

Cancer stem cells (CSCs) were discovered about 15 years ago in hematopoietic cancers. Subsequently, cancer stem cells were discovered in various solid tumors. Based on parallels with normal stem cells, a developmental process of cancer stem cells follows paths of organized, hierarchical structure of cells with different degrees of maturity. While some investigators have reported particular markers as identification of cancer stem cells, these markers require further research. In this review, we focus on the functional genomics of cancer stem cells. Functional genomics provides useful information on the signaling pathways which are consecutively activated or inactivated amongst those cells. This information is of particular importance for cancer research and clinical treatment in many respects. (1) Understanding of self-renewal mechanisms crucial to tumor growth. (2) Allow the identification of new, more specific marker for CSCs, and (3) pathways that are suitable as future targets for anti-cancer drugs. This is of particular importance, because today’s chemotherapy targets the proliferating cancer cells sparing the relatively slow dividing cancer stem cells. The first step on this long road therefore is to analyze genome-wide expression-profiles within the same type of cancer and then between different types of cancer, encircling those target genes and pathways, which are specific to these cells

Reinterpretation of LHC Results for New Physics: Status and recommendations after Run 2

We report on the status of efforts to improve the reinterpretation of searches and measurements at the LHC in terms of models for new physics, in the context of the LHC Reinterpretation Forum. We detail current experimental offerings in direct searches for new particles, measurements, technical implementations and Open Data, and provide a set of recommendations for further improving the presentation of LHC results in order to better enable reinterpretation in the future. We also provide a brief description of existing software reinterpretation frameworks and recent global analyses of new physics that make use of the current data

Can we treat secondary progressive multiple sclerosis now?

Secondary progressive multiple sclerosis (SPMS) is characterized by progressive accumulation of disability without intermittent recovery. Treatment of these patients is challenging due to limited understanding of pathogenesis and fewer therapeutic options. This article summarizes difficulties in defining and conducting trials in SPMS, review major clinical trials on therapies approved and unapproved in SPMS and lastly, therapies in pipeline for use in SPMS

Helping Mothers and Children: Society for Nutrition, Education & Health Action - Nourishing India

A walk by a caring pediatrician through one of the world's largest slums inspired the founding of a Mumbai NGO that became a model for how to help poor mothers and families learn about nutrition and protect the health of their children.From 1999 to 2015, the Society for Nutrition, Education and Health Action (or SNEHA, meaning "affection" in Hindi) grew from a five-member team working on an ad hoc basis and driven by the simple desire to help the poor, to a 360-person institution with focused and integrated programs to nurture the physical and emotional health of its clients.The development of community-rooted programs with demonstrable impact was a key reason for SNEHA's success. The approach was simple and two-pronged: spread information about healthy habits and provide the resources to develop them. The second reason for SNEHA's success was the decision to collaborate with the government to utilize and coordinate public health systems and maximize resources. The government experience of its leaders enabled it to establish government relationships that might have been more difficult for organizations too prone to accept ideas about how government red tape can stand in the way of progress. The bottom line is not red tape, but what is possible

Clinical mimickers of amyotrophic lateral sclerosis-conditions we cannot afford to miss

Giving a diagnosis of amyotrophic lateral sclerosis to a patient is akin to handing out a death certificate. However, not all patients presenting with the classical dysphagia, wasting, and weakness may have motor neuron diseases. In these cases, it is extremely important not to miss little cues which can suggest an alternative diagnosis and in many cases a lease of life in terms of a treatment option. In this review, we consider some clinical scenarios that can present with the same symptom complex as diseases involving motor neurons but have a different anatomical or etiopathological basis and in many cases even a therapeutic option

Transition-Metal Free Allylic Fluorination of Acyclic Olefins

one step allylic fluorination of alkenes is reported which furnishes the products in a highly regioselective manner via allylic rearrangement. The reaction proceeds efficiently under mild conditions with the use of trisubstituted alkenes as olefin partner and Selectfluor as an electrophilic fluorinating agent without the need of any transitionmetal catalyst or pre-functionalized substrate

Intravenous Thrombolysis in an Endovascular Treatment–Dominant Era: What Does the Future Hold?

The definitive target of acute ischemic stroke is rapid and effective reperfusion. This is vastly conditional on rapid recognition of symptoms and efficient transport mechanisms that bring the patient to optimal health care facility. This review summarizes evidence from cardiology in this field and highlights the need of such measures to be incorporated in systems of care for stroke, and further information is needed to develop efficient systems of care at a regional and hospital level