Rural Credit and Rural Development: Some Issues

Credit plays an important role in acquiring command over the use of working capital, fixed capital, and consumption goods that leads to growth and development of a country. The paper investigates that the role of non-institutional sources is quite clearly borne out. The price paid for institutional credit in Pakistan Kept low by the government. Institutional credit reforms implemented has not been effective. There is a great need to have the land reforms prior to credit reforms. The importance of social and economic infrastructure needs to be addressed. Appropriate use of new credit should be assured. Proper credit policy be designed and implemented.

Study and Analysis of Power System Stability Based on FACT Controller System

Energy framework soundness is identified with standards rotational movement and the swing condition administering electromechanical unique conduct. In the exceptional instance of two limited machines, the basis of equivalent territory security can be utilized to ascertain the basic clearing point in the force framework, It is important to look after synchronization, in any case the degree of administration for customers won't be accomplished. This term steadiness signifies "looking after synchronization." This paper is an audit of three kinds of consistent state. The main sort of adjustment, consistent state steadiness clarifies the most extreme consistent state quality and force point chart. The transient solidness clarifies the wavering condition and the idleness steady while dynamic soundness manages the transient security time frame. There are a few different ways to improve framework soundness a portion of the techniques are clarified. Versatile AC Transmission Frameworks (FACTS) Flexible AC Transmission System (FACTS) regulators have been utilized frequently to comprehend the different issues of a non-variable force structure. Versatile AC Transmission Frames or FACTS are devices that permit versatile and dynamic control of intensity outlines. Improving casing respectability has been explored with FACTS regulators. This examination focuses to the upsides of utilizing FACTS apparatuses with the explanation behind improving electric force tire activity. There has been discussion of an execution check for different FACTS regulators

Evolution of second trimester low implanted placenta to previa at term: a prospective cohort study

Background: The objective of this study is to identify the percentage of low implanted placenta (LIP) at second trimester of pregnancy and identify the risk factors of its persistence to placenta previa (PP) at term.Methods: Through a registered prospective cohort study conducted at tertiary hospital in Upper Egypt, authors screened all pregnant ladies comes to present facility for antenatal second trimester USG between 18-24 weeks gestation. All participants interviewed for detailed risk factors of placenta previa. Those diagnosed to have a LIP (≤1.5 cm from the internal os) had had TVS to confirm the exact distance between the lower edge of the placenta and the internal os. Serial USG had been done every 4 weeks up to delivery to measure the same distance. The primary outcome was the percentage of LIP at 18-24 weeks. Logistic regression analysis was performed to predict the risk factors for PP at term.Results: Through screening of 1000 pregnant lady, LIP had been identified in (52 cases) 5.2% of pregnant women between 18-24 weeks. This percentage dropped gradually to reach 1.3% at 36 weeks of gestation and at time of delivery. The logistic regression analysis demonstrated that the distance between the internal os and the lower edge of the placenta between 18-24 weeks was the single significant variable associated with PP at term (p<0.001, odds ratio 0.319, 95% CI 0.20-0.50). However, excluding the distance from the regression model demonstrated other risk factors as previous miscarriage, previous cesarean section (CS), and history of multiple pregnancies and history of previous PP.Conclusions: About 5.0% of pregnant women have LIP at the second trimester of pregnancy (18-24 weeks) and only 25.0 % of them remain placenta previa at term. A cut-off value of 10 mm between the internal os and the lower edge of the placenta is the most important predictor of development of PP

A Review on Flat Slab Punching Shear Reinforcement

يتكون نظام البلاطة المسطحة من صفيحة خرسانية مثبتة على أعمدة دون وجود عتبات. خلال القرن الماضي، استخدمت البلاطات المسطحة على نطاق واسع في أنواع مختلفة من المباني. بشكل عام، تصنع البلاطات المسطحة من مواد هشة ذات عمق محدود؛ وبالتالي، قد تخضع للفشل بسبب قوى القص أو انحرافات عالية. ولذلك، يجب اخذ هذه المعايير بعين الاعتبار عند تصميم البلاطات المسطحة وان تجاهل اي منهما قد يؤدي إلى انهيار العديد من المباني كما حصل في الماضي. لتحسين أداء البلاطة المسطحة ضد الفشل نتيجة قوة الاختراق اوالانحرافات، لا بد من توفير تسليح إضافي في منطقة العمود. في هذا البحث، سيتم تقديم مراجعة لدراسة آلية قص الاختراق في البلاطات المسطحة ووصف أنواع التسليح المختلفة التي تستخدم في التعزيز ضد قص الاختراق.Flat slab system is a concrete plate propped on columns without the existence of beams. During the former century, flat slabs have been used widely in different building types. In general, flat slabs are made from brittle materials and also have a finite depth; thus, flat slabs may undergo to fail due to punching shear or high deflections. Therefore, these criteria should be considered in the design of flat slabs and ignoring both of them had led to several crumbling down to many constructions in the past. To enhance the flat slab performance against failure due to punching and deflections, additional reinforcement should be supplied in the column region. In this paper, a review is presented to study the mechanism of punching shear in flat slabs and describe different types that used for reinforcement against punching shear

The maternal and neonatal outcomes of teenage pregnancy in a tertiary university hospital in Egypt

Aim: To highlight the grave complications among teenage mothers in Assiut Woman\u27s Health Hospital compared with the adult mothers. Methods: This study was a prospective case control study, conducted at the Labor Ward of Assiut Woman\u27s Health Hospital from 1st of January 2016 to 30th of June 2016. We included teenage pregnant women (13-19 completed years at delivery) as case and adult mothers (20-29 years) formed the control group. The primary outcome of the study is the rate of pregnancy complications among teenage mothers. Results: Obstetric complications were higher among the teenage mothers (p=0.0001). The teenage mothers had a higher proportion of normal vaginal delivery (p=0.005). The adult mothers reported a higher rate of elective cesarean section (CS) and operative vaginal delivery (p=0.0001, p=0.002; respectively). The infants of teenage mothers tended to have a lower birth weight and Apgar score than the adult ones. Conclusion: This study clearly states that the teenage mothers and their infants were more liable to complications during pregnancy and labor compared to adult mothers

Undiagnosed endometrial abnormalities in women with normal hysterosalpingography scheduled for IVF: prospective evaluation of three-dimensional transvaginal ultrasound versus office hysteroscopy

Objectives: To compare the diagnostic accuracy of three-dimensional transvaginal ultrasound (3D-US) to office hysteroscopy (OH) in the screening of uterine cavity with normal hysterosalpingography (HSG) findings for subtle endometrial abnormalities before in vitro-fertilization (IVF). Methods: A prospective cohort cost-modeling study was carried out in a University hospital. We included 120 infertile women with a normal uterine cavity on HSG scheduled for IVF. All cases were evaluated by 3D-US, and the results were compared with OH findings. Results: OH revealed cavitary endometrial lesions (CLs) in thirty-four women (28.3%). Endometrial polyps were the most common detected lesions (16, 47.1%). 3D-US had 88.2% sensitivity, 96.5% specificity, 90.9% positive predictive value, 95.4% negative predictive value, and 94.2% overall accuracy for CLs. The overall agreement between 3D-US and OH was near-perfect (κ=0.86, 95% CI=0.75-0.96). Irregular menstrual bleeds and prior endometrial procedures were significant predictors for CLs (aOR=24.96, 95% CI=2.71–230.04, P=0.005, aOR=9.16, 95% CI=2.13–39.3, P=0.002, respectively). A selective screening strategy discerning OH to women with these predictors and/or women with abnormal 2D-US would have an NPV of 92.8 % with substantial cost benefits. Conclusions: In the pre-IVF work up, 3D-US, a non-invasive imaging modality, seems to be nearly comparable to OH. Office hysteroscopy screening prioritizing women with abnormal 2D-US, irregular menstrual periods and/or prior endometrial traumatization could yield a satisfactory cost-effective approach for identifying endometrial lesions

The maternal and neonatal outcomes of teenage pregnancy in a tertiary university hospital in Egypt

Aim: To highlight the grave complications among teenage mothers in Assiut Woman\u27s Health Hospital compared with the adult mothers. Methods: This study was a prospective case control study, conducted at the Labor Ward of Assiut Woman\u27s Health Hospital from 1st of January 2016 to 30th of June 2016. We included teenage pregnant women (13-19 completed years at delivery) as case and adult mothers (20-29 years) formed the control group. The primary outcome of the study is the rate of pregnancy complications among teenage mothers. Results: Obstetric complications were higher among the teenage mothers (p=0.0001). The teenage mothers had a higher proportion of normal vaginal delivery (p=0.005). The adult mothers reported a higher rate of elective cesarean section (CS) and operative vaginal delivery (p=0.0001, p=0.002; respectively). The infants of teenage mothers tended to have a lower birth weight and Apgar score than the adult ones. Conclusion: This study clearly states that the teenage mothers and their infants were more liable to complications during pregnancy and labor compared to adult mothers

Nephron sparing surgery for renal tumors-Comparison of off-clamp partial nephrectomy with hilar clamping

Background and objective: Open partial nephrectomy (PN) is still considered gold standard procedure for T1 localized renal tumors. Conventional technique involves clamping of the renal artery with or without vein however, renal ischemia produces a certain level of damage to the kidneys. This study aims to investigate potential effect of off-clamp vs. hilar clamping PN on renal function.Methods: This is a retrospective cohort study of patients who underwent unilateral, open partial nephrectomy for renal tumors b/w January 2009 December 2016 at our institution. A total of 90 partial nephrectomies were performed of which 65 cases were eligible for analysis. Non clamping technique was used in 43 while clamp was applied in 22 patients. Variables studied were patients\u27 demographics, clinical variables, the laterality, tumors size and location, R.E.N.A.L nephrometry score, blood loss, tumor histology and surgical margins. Patients\u27 renal function (serum creatinine and eGFR) were determined pre-operatively, at 3 and 12 months follow up. Data was analyzed on SPSS v. 22.Results: Both the groups were comparable with regards to pre-operative renal function. Mean radiological size of tumor was 4.71±1.31 and 3.81±1.0 (0.003) in two groups respectively. Mean R.E.N.A.L nephrometry score was 6.1±1.5 in off-clamp group compared to 7.05 ± 1.7 in clamp group (p=0.04). No statistically significant difference was found in operative duration, blood loss, positive surgical margins and intra/ peri-operative complications. At three months and one year, renal function was better preserved in non-clamp group compared to clamp group (p=0.001 and 0.007 respectively).Conclusion: Off clamp open partial nephrectomy is safe and feasible option leading to less decline in renal function

Rural Credit and Rural Development: Some Issues

Credit is an important instrument of acquiring command over the use of working capital, fixed capital and consumption goods. In the wake of Green Revolution, land and labour have receded into the background as predominant factors of growth. Use of capital and adoption of modern techniques of production which have become major sources of growth of agricultural output necessitate access to credit markets for financing their use. Institutional sources of credit have become quite significant during the last few years. The rapid expansion of credit from institutional sources can be seen from various indicators. The total disbursement of agricultural loans has gone up from Rs. 306.75 million in 1972-73 to Rs. 5,102.14 million in 1981-82. On a per acre basis, the loans increased from Rs. 7.33 in 1972-73 to Rs. 106.83 in 1981-82. In this perspective, the disparities in income and wealth in rural areas would crucially depend on the distribution of capital among farms of different sizes and occupational groups. Neglecting equitable distribution of credit as a policy instrument for rural income redistribution may be a serious omission by the policy makers interested in an improvement of rural equity