Emergency peripartum hysterectomy

Objectives: To review the incidence, risk factors, indications, outcomes, and complications of emergency peripartum hysterectomy performed after cesarean section and vaginal deliveries. Study design: A nine years retrospective study of all those cases who underwent peripartum hysterectomy at Patan Hospital from the year 1997 to 2005. Results: esults: There were total 28 cases of emergency peripartum hysterectomy, 16 caesarean hysterectomies, and 12 postpartum hysterectomies, with the incidence of 1 per 1364 deliveries. The most common indication for hysterectomy was uterine atony (35.7%) followed by uterine rupture (25%). Average estimated blood loss was 1600 ml, average time from delivery to hysterectomy was 130 minutes, the most common post operative complication was unspecified fever and the average length of hospitalization was 11.17 days. There was only one maternal mortality with 32 % maternal morbidity and four perinatal mortality. Conclusion: Peripartum hysterectomy is usually associated with significant maternal and fetal morbidity and mortality yet it remains a potentially life saving procedure. Timely decision to intervene is essential for the optimum outcome. Uterine atony is the leading indication for emergency hysterectomy performed followed by rupture uterus and morbid adherent placenta. Key ey Words: ords: Caesarean hysterectomy; Peripartum hysterectomy; Postpartum hysterectom

The complete chloroplast genome sequence of the Tibetan herb Phlomoides rotata (Benth. ex Hook.f.) Mathiesen (Lamiaceae)

Phlomoides rotata (Benth. ex Hook.f.) Mathiesen is a perennial herb endemic to Qinghai-Tibet Plateau with important medicinal properties. Here, we sequenced and analyzed the complete chloroplast (cp) genome of P. rotata and reconstructed the phylogeny of P. rotata based on 24 cp genomes. The genome of P. rotata is 151,825 bp in length, including a large single-copy (LSC) region of 83,129 bp and a small single-copy (SSC) region of 17,398 bp. A total of 131 genes were identified, of which 86 are protein-coding genes, 37 are transfer RNA genes, and eight are ribosomal RNA genes. Phylogenetic analyses revealed that the species P. rotata is closely related to Phlomoides alpina with bootstrap support (BS) values of 100%. Overall, the genomic resources presented in this study will be beneficial for further studies on evolutionary patterns of P. rotata and its closely related species

Assessment of the Existing Feeding and Housing Management Practices of Dairy Animals in Rajbanshi Dairy Farmers

Feeding and housing play a very significant role in utilizing the real potential of dairy animals as both are prerequisite factors for milk production. The study was conducted in the Coochbehar district of West Bengal to explore the existing feeding and housing management practices followed by Rajbanshi dairy farmers. A total sample size of 200 dairy farm families was taken using multistage random sampling for the present study. It was observed that the majority of dairy farmers (63.00%) followed the system of stall feeding and for feeding green fodder majority (94.50%) of dairy farmers depended on naturally grown vegetation/ pastures. The study revealed that the majority (68.00%) of dairy farmers fed paddy straw as dry fodder followed by 32.00 percent of dairy farmers who fed both paddy straw and wheat straw to their animals. The majority (83.00%) of the dairy farmers did not feed mineral mixtures to their animals. Among animal sheds a vast majority (83.50%) were kaccha and the maximum percentage (87.50%) of the housing systems were single row. The majority (83.00%) of the sheds had a full wall in addition to this the walls were made up of tin sheets (45.00%) as well as jute sticks (37.00%). Rice straw was used as bedding material in the winter season by 62.00% percent of dairy farmers. The existing feeding and housing practices among Rajbanshi dairy farmers need improvement, including increased awareness of fodder cultivation, promotion of home-prepared feed, mineral supplementation, better shed construction, sanitation, and waste management

La pertinence des données de composition des aliments pour les enquêtes nutritionnelles dans les régions rurales du Tibet: Étude pilote dans le cadre de la maladie de Kashin-Beck.

Kashin-Beck disease (KBD) is an endemic and chronic osteochondropathy. This disease principally occurs in the Tibet Autonomous Region and in several provinces of the People's Republic of China. The etiology of the disease remains obscure although environmental factors are assumed to be involved. Diet, in particular, differentiates the rural community, affected by KBD, from the other communities (nomads and city-dwellers), who remain unaffected. In anticipation of a nutrition survey, this study aimed to measure the mineral content (Ca, P, Mg, Fe, Zn, Mn, Cu, Ni, Se, Al, Sr, Mo, Cd, As, Pb, Hg, Cr, and Co) of eight Tibetan staple foods and to compare the results against two food composition tables (FCTs). Foods were sampled in twenty households selected from both an endemic and a non-endemic area of rural Tibet. Ten minerals involved in bone metabolism were measured using atomic and molecular spectrometric methods. Results revealed that a very limited number of food/constituent pairs showed a variation in mineral composition during a single year of testing for a given region. In addition, results showed significant differences in mineral content between the endemic and the non-endemic area, especially for wheat flour. Following our analysis of the mineral content of the Tibetan food samples, results were statistically compared with similar foods listed in two food composition tables: the USDA National Nutrient Database (USDA Food Search for Windows, Version 1.0, database version SR23), and the China Food Composition Table (book 1, 2nd edition). More than 50 to 60% of p-values < 0.05 were highlighted, suggesting the inappropriateness of using FCTs as a reference for nutrition surveys in rural Tibet, and emphasizing the need for analysis of traditional foods. Differences were found to be more or less marked depending on the element considered, and calcium content seemed to show the greatest difference. Although it is obviously too early for definite conclusions to be reached (insufficient number of samples by food and insufficient number of foods analyzed), it seems that the present pilot-study indicates significant discrepancies between measured and tabulated values of the mineral content of certain foods. A more complete survey would therefore seem mandatory.SCOPUS: ar.jinfo:eu-repo/semantics/publishe