A pre-post study of a multi-country scale up of resuscitation training of facility birth attendants: does Helping Babies Breathe training save lives?

Background: Whether facility-based implementation of Helping Babies Breathe (HBB) reduces neonatal mortality at a population level in low and middle income countries (LMIC) has not been studied. Therefore, we evaluated HBB implementation in this context where our study team has ongoing prospective outcome data on all pregnancies regardless of place of delivery. Methods: We compared outcomes of birth cohorts in three sites in India and Kenya pre-post implementation of a facility-based intervention, using a prospective, population-based registry in 52 geographic clusters. Our hypothesis was that HBB implementation would result in a 20 % decrease in the perinatal mortality rate (PMR) among births ≥1500 g. Results: We enrolled 70,704 births during two 12-month study periods. Births within each site did not differ prepost intervention, except for an increased proportion ofbirths; however, a post-hoc analysis stratified by birthweight documented improvement insurvival. Conclusions: Rapid scale up of HBB training of facility birth attendants in three diverse sites in India and Kenya was not associated with consistent improvements in mortality among all neonates ≥1500 g; however, differential improvements inpopulation, data collection, and ongoing quality monitoring activities. Trial registration: The study was registered at ClinicalTrials.gov: NCT0168101

The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy.

Peer reviewe

Optimization for Tensile Strength of Sisal Fiber, Glass Fiber and Alumina- Based Hybrid Composite using Taguchi Technique

Natural fibers composite play an important role in making eco-friendly products. The present investigation has been made to find tensile strength of hybrid composites fabricated using optimal composition of sisal fiber, glass fiber and alumina. Multi-response optimization has been carried out. The compositions of reinforcements namely sisal fiber, glass fiber and alumina in hybrid composite were prepared by Hand-layup technique. Sisal fiber of 20 Wt.%, 30 Wt.% and 40 Wt.% are chopped into 10mm length, Glass fiber of 20 Wt.%, 30 Wt.% and 40 Wt.% are 10mm length and alumina particles of 2Wt.%, 3 Wt.% and 4 Wt.% are compositions of reinforcement were chosen according to orthogonal array as Taguchi technique(L9). The results have been verified through confirmatory experiments. Experimentations were carried out with the different composition based on L9 process parameters. Based on the experimental observations the maximum ultimate tensile strength was found to be 37.87 MPa for optimised input parameters as 20% of sisal fiber, 30% of glass fiber and 3% of alumina.</jats:p

Modeling and FEM Analysis of Shovel of 5-Tyne Duck Foot Cultivator

For soil preparation Cultivator is important agricultural equipment. As an important agriculture equipment for soil preparation cultivator is used in which stress are form due to contact with soil where tyne and shovel works as actual member of cultivator which is direct contact with soil. We can reduce the stress from changing the design of tine or shovel of cultivator. The main objective of this analysis is to analyze the forces developed on shovel during operation. To analyze this Shovel using FEM, firstly a proper CAD model has been developed using CATIA cad software. Then by using ANSYs software FEM analysis have been done to determine the stresses.</jats:p

SEZs and Socio-Economic Development-A Case Study of AEQUZ Belagavi

Special economic zones (SEZs) are being emphasised by an increasing number of nations as a tactical tool for fostering increased foreign direct investment (FDI), technology transfers, and job creation. Nonetheless, this programme has yielded varying results for emerging nations. The socio-economic effects of SEZs in the AEQUZ of belagavi are thoroughly examined in the current paper. The preliminary objective of this paper isto study and evaluate the contribution of SEZs in terms of imports, exports, investment, and employment the study conducted with the help of only secondary data that has been published in the concerned websites. Further the challenges faced by the SEZs over the period is nearly covered in this article, including the economic justification for them, their effects on employment, trade, foreign exchange earnings, government revenue, and social issues and human development.</jats:p