Obstetric violence: a health system study

Background: Disrespect and abuse during facility-based childbirth is a global problem with differing driving factors in different contexts. Obstetric Violence (OV) refers to professional deficiencies in maternity care. The objective of this study was to assess knowledge and attitudes towards OV in a cohort of members of the obstetric healthcare team at a tertiary care, teaching hospital in Western India (Mumbai).Methods: A questionnaire-based study involving 80 participants comprising of trainee doctors and faculty, nursing students, staff and teachers from the department of Obstetrics and Gynaecology and hospital administration.Results: 57.97% of participants had heard the term ‘Obstetric violence’ earlier. 75.36% reported verbal abuse as a form of OV, others being physical abuse, non-consented care, discriminatory care, abandonment/neglect or refusal of care and imposition of interventions without scientific basis. 53% and 89.8% of the participants did not consider routine episiotomies and artificial rupture of membrane respectively as forms of OV. 84.06% and 59.4% of participants considered instrumental delivery without consent and Caesarean section citing safety/convenience respectively as forms of OV. 82.6% participants endorsed the need of birth companion. Improving the number and training of healthcare providers and better institutional policies on respectful maternity care were suggested as solutions.Conclusions: Majority of the participants had witnessed some form of OV. The need for practical training of healthcare personnel and better infrastructure in the healthcare system were emphasised, but there appeared to be a lack of consciousness of the paternalistic mindset and approach to women in labour. Soft skills training of healthcare providers with emphasis on key ethical principles like autonomy, respect and dignity is crucial to address the issue of OV.

Workplace Collaboration Using Remote Desktop

WORKPLACE COLLABORATION USING REMOTE DESKTOP refers to a software or Operating System feature that allows a PCs desktop environment (client) to be run remotely by another system (server). It is a set of platform for the project leaders and administrator to monitor the activities performed by their team in real time (live) and sends messages to keep constant interaction with the programmers. We aim to provide multiple features through a single platform. It helps to maintain the attendance record in an organization, provides a feature of monitoring all the live activities performed by the employee in real time and block the users from doing any inappropriate or unofficial task during their work hours and to provide communication between the employee within an organization through video chatting and text chatting features along with the file transfer activity as well .This facilitates the user to concentrate more on the project and less on the managing of these tasks. In particular, showing live actions on the Administrators desktop of a remote employee has great instructional value that must not be overlooked. Similarly, an employee can demonstrate skills and report about the status of the project from time to time that would otherwise need a physical presence in a meeting, rather than a virtual one

Otolaryngology Consultations for COVID-19 Patients: A Retrospective Cohort Study of Indications, Interventions, and Considerations

OBJECTIVE: To identify differences in inpatient otolaryngology consultations and interventions for patients based on COVID-19. METHODS: Records were reviewed for all patients for whom otolaryngology was consulted at a high-volume tertiary care hospital from April 30, 2020 to October 1, 2020. Demographic information, length of stay, COVID-19 status, indication for consultation, and otolaryngology interventions were recorded. Statistical analysis was performed using R software. RESULTS: Bleeding composed a significantly higher proportion of otolaryngology consults in COVID-19 positive patients (28% vs. 8.4%, p CONCLUSION: Bleeding and associated interventions comprised the predominant discrepancy between COVID-19 positive and negative patients in our cohort. We encourage routine use of simple and cost-effective methods to decrease risk of bleeding

A Facile One Step Solution Route to Synthesize Cuprous Oxide Nanofluid

A cuprous oxide nanofluid stabilized by sodium lauryl sulfate, synthesized by using the one step method, has been reported. Nanofluids were synthesized by using a well‐controlled surfactant‐assisted solution phase synthesis. The method involved reduction of copper acetate by glucose in a mixture of water and ethylene glycol serving as the base fluid. The synthesized fluid was characterized by X‐ray and electron diffraction techniques, in addition, transmission and field emission microscopic techniques and Fourier transform infra red spectroscopic analysis was undertaken. The rheological property, as well as the thermal conductivity of the fluid, were measured. The variation of reaction parameters considerably affected the size of the particles as well as the reaction rate. The uniform dispersion of the particles in the base fluid led to a stability period of three months under stationary state, augmenting the thermal conductivity of the nanofluid. The method is found to be simple, reliable and fast for the synthesis of Newtonian nanofluids containing cuprous oxide nanoparticles

Investigating The Prevalence and Management of Pain and Discomfort Associated with Prosthodontic Appliances

Background: This study investigates the prevalence and management of pain and discomfort associated with prosthodontic appliances, including dentures, crowns, bridges, and dental implants, among a diverse sample of 500 participants. Methods: A cross-sectional observational study was conducted, collecting data on demographic characteristics, prevalence, and severity of pain and discomfort, and management strategies. Statistical analysis, including chi-square tests and logistic regression, was used to explore associations. Results: Dentures had the highest prevalence of pain and discomfort (45%), followed by crowns (30%), bridges (22%), and dental implants (18%). Mean severity scores were highest for dental implants (4.5), followed by dentures (5.2), bridges (4.1), and crowns (3.8). Demographics, including age, gender, education level, and socioeconomic status, influenced these experiences. Conclusion: The study highlights the need for individualized care and patient education, especially for procedures associated with higher discomfort levels. It underscores the importance of considering patient expectations and tailoring treatment recommendations. Further research should explore factors contributing to pain and discomfort and the effectiveness of management strategies

The fractal dimension of star-forming regions at different spatial scales in M33

We study the distribution of stars, HII regions, molecular gas, and individual giant molecular clouds in M33 over a wide range of spatial scales. The clustering strength of these components is systematically estimated through the fractal dimension. We find scale-free behavior at small spatial scales and a transition to a larger correlation dimension (consistent with a nearly uniform distribution) at larger scales. The transition region lies in the range 500-1000 pc. This transition defines a characteristic size that separates the regime of small-scale turbulent motion from that of large-scale galactic dynamics. At small spatial scales, bright young stars and molecular gas are distributed with nearly the same three-dimensional fractal dimension (Df <= 1.9), whereas fainter stars and HII regions exhibit higher values (Df = 2.2-2.5). Our results indicate that the interstellar medium in M33 is on average more fragmented and irregular than in the Milky Way.Comment: 18 pages including 4 figures. Accepted for publication in Ap