Maternal morbidity in emergency lower segment cesarean section

Background: With a steep fall in maternal mortality and morbidity and with much more liberalization of indications, the incidence of cesarean section rate has greatly increased over the last thirty years and almost doubled in the current decade. The objective of this study was to study incidence of maternal morbidity in emergency lower segment cesarean section.Methods: Hospital based prospective study was carried out among 200 women undergoing emergency lower segment cesarean section. Data relating to demographic characteristics, clinical characteristics, maternal and fetal indications, incidence of morbidity, and types of morbidities, Intra operative complications, and Post operative complications was noted down. Chi square and odds ratio was used for statistical analysis.Results: The incidence of LSCS was 24.21%. Incidence of emergency LSCS was 96.74%. 71% were having primary LSCS and 20.5% were booked cases. The most common maternal indication for emergency LSCS was pregnancy induced hypertension and eclampsia in 32.5% of the cases. The most common fetal indication for emergency LSCS was fetal distress in 60%. Incidence of morbidity was 35% and it was associated with booking status, parity and social class. Incidence of intraoperative complications was 23.5%. Majority (18.5%) developed febrile morbidity followed by wound sepsis in 12.5%, urinary tract infection in 8%, mastitis in 7.5%, respiratory tract infection in 7%, wound gaping in 4%, paralytic ileus in 3%, endometritis in 2.5%, postpartum hemorrhage in 1.5%, 2 cases of burst abdomen and one case of small bowel obstruction.Conclusions: Emergency LSCS was more common than elective LSCS and it was associated with booking status, parity and social class

Being Stalked: A Psychiatrist\u27s Perspective

It is only recently that stalking has been criminalized after some highly publicized forensic cases. Psychiatric focus has been on erotomania, and in this article we primarily highlight stalking as a separate entity with psychiatric and legal implications. The case reports reveal our vulnerability as therapists, and we hope will raise our awareness of stalking as a potentially dangerous situation. The legal statutes vary in different states, but our recommendations may provide guidelines towards formulating policies and procedures for the safety of healthcare providers

Comparative Study on the Adsorption Kinetics and Thermodynamics of Metal Ions onto Acid Activated Low Cost Pandanus Carbon

Batch experiments were carried out for the sorption of Copper and Ferrous ions onto acid activated carbon prepared. The operating variables studied were initial metal ion concentration, pH, and temperature and contact time. The equilibrium data were fitted to the Langmuir and Freundlich isotherm equations. From this adsorption efficiency, adsorption energy, adsorption capacity, intensity of adsorption and dimensionless separation factor were calculated. From the kinetic studies the rate constant values for the adsorption process was calculated. From the effect of temperature thermodynamic parameters like ΔG°, ΔH°, and ΔS° were calculated. The mechanism of adsorption for metal ions onto carbon was investigated by using the experimental results and confirmed by FT- IR, XRD and SEM images

Resolving Octant Degeneracy at LBL experiment by combining Daya Bay Reactor Setup

Long baseline Experiment (LBL) have promised to be a very powerful experimental set up to study various issues related to Neutrinos. Some ongoing and planned LBL and medium baseline experiments are - T2K, MINOS, NOvA, LBNE, LBNO etc. But the long baseline experiments are crippled due to presence of some parameter degeneracies, like the Octant degeneracy. In this work, we first show the presence of Octant degeneracy in LBL experiments, and then combine it with Daya Bay Reactor experiment, at different values of CP violation phase. We show that the Octant degeneracy in LBNE can be resolved completely with this proposal.Comment: 4 pages, 8 figure

Effect of Annealing on Hardness and Elastic Modulus of Invar36 Thin Films Deposited by Direct Current Sputtering for Strain Gauge Applications

Invar36 thin film was deposited at room temperature on p-type silicon (100) substrates using DC magnetron sputtering technique. In order to investigate the post-annealing effect on the structural characteristics and mechanical properties of the prepared films, they were vacuum annealed for one hour at different temperatures viz. 200°C, 400°C and 500°C. Composition analysis, phase structure, microstructure and roughness of as-deposited and annealed Invar36 thin films were investigated by energy dispersive X-ray analysis (EDX), X-Ray diffraction (XRD) and Atomic Force Microscopy (AFM). Mechanical properties of Invar36 thin films were studied by nano indentation method. EDX analysis revealed a variation in nickel content with annealing. The XRD measurements indicated the phase transformation of Invar36 thin film with annealing. AFM analysis implied uniform surface morphology of the films, increase of surface roughness and grain size with annealing. The hardness (H) of the film decreased with annealing. Hardness of as-deposited, annealed at 200oC, 400oC and 500oC were found as 8.5±0.96 GPa, 7.64±0.35 GPa, 6.34±0.14GPa and 3.95±1.05 GPa, respectively. The elastic modulus of Invar36 thin films was increased with annealing. Elastic modulus of as-deposited, annealed at 200oC, 400oC and 500oC were found as 157.00±25.49 GPa, 166.0±11.8 GPa, 172.00±9.93 GPa and 176.00 ±10.78 GPa, respectively. These results are explained on the basis of the change of microstructure after annealing and the effect of the same on the mechanical properties of Invar36 thin films for strain gauge applications

Prevalence of subclinical hypothyroidism in children and adolescents of northern Andhra Pradesh population and its association with hyperlipidemia

Background: The thyroid dysfunction particularly, subclinical hypothyroidism (SCH) is quite a common clinical condition in paediatric population but there is limited data available regarding its prevalence in children and adolescents in our population. The present study was aimed to know the prevalence of thyroid dysfunction particularly SCH in children and adolescents of northern Andhra Pradesh population and its association with hyperlipidemia.Methods: A retrospective study of 600 subjects (Children=272, Adolescents=328) between 6-19 years of age were included and the following parameters were examined: age, sex, total triiodothyronine (tT3), total tetraiodothyronine (tT4), thyroid stimulating hormone (TSH), total cholesterol, triglycerides (TGL), LDL and HDL cholesterol. The subjects were divided into group I and group II on the basis of age (in years), subjects between 6- ≤12 years age were grouped as group I and 12-≤19 years were as group II.Results: Out of 272 children and 328 adolescents studied, the prevalence of thyroid dysfunction was found to be 9.9% and 10.4 % respectively. The prevalence of subclinical hypothyroidism in children was 7.7% where as 4.9% in adolescents. In both the groups, females were predominantly affected with thyroid dysfunction as compared to males. Significantly elevated serum levels of total cholesterol, TSH and TGL were observed in SCH subjects when compared to euthyroid subjects (p<0.05). Statistically significant lower levels of HDL cholesterol were found in SCH as compared to euthyroids (p<0.05). However, no difference was noticed in the levels of total T3, total T4 and LDL cholesterol between SCH and euthyroids.Conclusions: The prevalence of thyroid dysfunction was found to be 10.2% in study population. SCH was observed in 7.7 % and 4.9% respectively in children and adolescent groups. Subclinical hypothyroidism (SCH) was the most predominant thyroid dysfunction found in our studied population with a prevalence of 6.2% (both children and adolescents). Correction of thyroid dysfunction particularly SCH in early childhood is highly essential to prevent the impairment of psychomotor and cognitive development

VALIDATED STABILITY INDICATING HIGH PERFORMANCE LIQUID CHROMATOGRAPHIC METHOD FOR THE QUANTIFICATION OF ASENAPINE MALEATE

Objective: A stability indicating high performance liquid chromatography method using the photodiode array detector is developed and validated for the analysis of asenapine in bulk and in its tablet formulation. Methods: The method utilized a BDS Y Persil C18 (250 x 4.6 mm, 5 µm) column with 0.1% orthophosphoric acid and methanol (65:35 v/v) as mobile phase. The analysis was performed at 30 oC column temperature with a flow rate of 1 ml/min and detection at 227 nm. The method was validated for specificity, sensitivity, precision, linearity, accuracy and robustness. Asenapine was subjected to stress degradation studies under acidic, basic, oxidative, thermal and photolytic conditions. Results: Under optimized experimental conditions, asenapine was eluted from the column at a retention time of 6.781 min. The method was linear in the range of 100-300 µg/ml. The linear regression data showed good relationship (correlation coefficient (R2) = 0.9999). The relative standard deviation and mean recovery values were within limits. The analytical performance of the method was not affected when small variations in the experimental parameters were made. Degradation products resulting from stress degradation studies did not interfere with the detection of asenapine. Conclusion: The proposed stability indicting high performance liquid chromatography method is sensitive, precise, accurate, robust and specific. This method can be used for quantification of asenapine in bulk drug and in tablet dosage form in the presence of its stress degradation products

A SURVEY ON PROFIT MAXIMIZATION SCHEME WITH GUARANTEED QUALITY OF SERVICE

A fruitful and successful way to deal with give enlisting resources and organizations to customers on interest, appropriated registering has ended up being progressively popular. From cloud organization suppliers' perspective, advantage is a champion amongst the most basic thoughts, and it is generally controlled by the outline of a cloud organization stage under given business segment demand. In any case, a lone whole deal renting arrangement is regularly gotten to orchestrate a cloud stage, which can't guarantee the organization quality yet prompts honest to goodness resource waste. In this paper, a twofold resource renting arrangement is sketched out firstly in which transient renting and whole deal renting are joined going for the present issues. This twofold renting arrangement can sufficiently guarantee the way of organization of all sales and reduction the advantage misuse amazingly. Also, an organization structure is considered as a M/M/m+D lining model and the execution markers that impact the advantage of our twofold renting arrangement are inspected, e.g., the ordinary charge, the extent of sales that need break servers, and so forth. Thirdly, an advantage expansion issue is characterized for the twofold renting arrangement and the updated configuration of a cloud stage is gotten by handling the advantage enhancement issue. Finally, a movement of calculations is coordinated to take a gander at the event of our proposed arrangement with that of the single renting arrangement. The results show that our arrangement can't simply guarantee the organization way of all requesting, moreover get more advantage than the last said

4-[(E)-(Hy­droxy­imino)­meth­yl]-N,N-di­methyl­anilinium chloride

In the title compound, C9H13N2O+·Cl−, the cation, apart from the methyl groups, is almost planar, with a maximum deviation of 0.040 (1) Å; the methyl C atoms deviate by 0.389 (2) and −1.247 (1) Å, from the mean plane. In the crystal, cations and anions associate through C—H⋯Cl hydrogen bonds, forming a helical arrangement. In addition, inter­molecular O—H⋯Cl, N—H⋯Cl and C—H⋯N inter­actions are observed