Antepartum posterior encephalopathy syndrome: a case study

Posterior reversible encephalopathy syndrome (PRES) is increasingly being recognised as a clinic-neuro-radiological complication of eclampsia, with the availability of better imaging techniques. Preeclampsia and eclampsia continues to be one of the leading cause of both maternal and foetal morbidity and mortality worldwide. PRES is a diagnostic and therapeutic challenge when it develops in a case of preeclampsia. Reported here a case of 21 years old primi gravida, presenting in emergency OPD with 30 weeks pregnancy, history of seizures and in unconscious state. She was diagnosed to have PRES by imaging. PRES is associated with various clinical conditions i.e. hypertensive encephalopathy, renal failure, auto immune disorders and treatment with cytotoxic medication and presence with headache, encephalopathy, seizures, cortical visual disturbances or blindness. Early recognition of the condition with prompt management can prevent permanent neurological damage antihypertensive, control of seizures and anti-oedema measures are the main stay of the treatment as prompt control of BP will cause reversal of the syndrome. Clinical improvement with prompt resolution of the neurological deficit in the reported case highlights the importance of early suspicion, diagnosis and management of PRES in order to prevent short and long term neurological damage.

Fixed point Results with Soft G- Metrc spaces

In the present paper, we prove fixed point results of mapping defined on soft G-metric space. Keywords: - Soft set, soft G-metric space, fixed point. Mathematics Subject Classification: - 47H10, 54H25

Non-stress test as an admission test to assess the outcome in high-risk pregnancy

Background: Perinatal deaths are still a significant problem in India. Therefore, there is a need for effective fetal surveillance, in order to improve the outcomes of pregnancy.Methods: This was a prospective study including fifty one females with high-risk pregnancy and 50 with low risk pregnancy. The included participants were subjected to NST done using a cardiotocograph with ultrasound transducer placed on maternal abdomen for duration of 20 min. The NST results were classified into reactive and non-reactive. Subjects were then followed up for mode of delivery and different variables of perinatal outcome.Results: Majority of study subjects were in the age group of 26-30 years (n=74; 73.3%). The period of gestation in 74 (73.3%) subjects was 37-38 weeks. Gestational diabetes mellitus was the most common risk factor in the high-risk group (n=22; 43.1%).The NST was non-reactive in 6 and 4 subjects in the high-risk and low-risk groups respectively (p=0.741). Only 3 subjects in the high-risk group had a vaginal delivery, while 33 in low-risk group did.Conclusions: We did not find any significant difference in the results of the NST between women with high and low-risk pregnancy. But this test is a promising basic screening tool in pregnancy to assess fetal well-being

Polycystic ovarian syndrome among adolescent and young women: a hospital based observational study in a tertiary care teaching Hospital

Background: Polycystic ovarian syndrome (PCOS) is one of the most common endocrine disorder among women of fertile age. The incidence of PCOS as claimed by various observer ranges from 2.2% to as high as 26%. India is considered as an emerging epidemic area for PCOS and limited studies are done. Hence aim of this study is to find the prevalence of PCOS and determine the associated determining factors in adolescent girls.Methods: All the girls aged 15-24 years were approached and after undergoing detailed history, examination and investigations were further diagnosed as PCOS. The study subjects were then classified into two group: the PCOS and non-PCOS group and compared to determine significant differences as per the Rotterdam criteria.Results: The prevalence of PCOS was 7.5%, 18.68% and 11.18% as per NIH, Rotterdam and AES criteria respectively. BMI more than 30, waist circumference > 80 cm, hyperandrogenic manifestations, menstrual irregularity (oligomenorrhea) and family history of PCOS and DM showed statistically significant association with PCOS. Serum LH, LH/FSH ratio, S. Testosterones, serum insulin and HOMA-IR had significant association with PCOS. No significant association of Fasting blood sugar levels and deranged lipid profile was found with PCOS.Conclusions: PCOS is an emerging disorder during adolescents and hence awareness creation, early screening in order to inculcate early life style modifications and prevent metabolic and reproductive complications of this disease

DYNAMIC SOFTWARE IMAGINE RECOMMENDATION BASED ON NETWORK PROFILES

Techniques described herein recommend software images that can be used on network devices. The software images are recommended based on network profiles and zones associated with the network devices. A confidence score is calculated for each software image