Study of maternal near miss and mortality in obstetrics in a tertiary care hospital

Background: Maternal health is an important aspect for the development of any country in terms of increasing equity and reducing poverty. In 2009, WHO came up with clinical, laboratory and management criteria for identification of the maternal near miss cases. Aim of the current study was to determine the level of near-miss maternal morbidity and mortality due to severe obstetrical complications or maternal disease in a tertiary care hospital. Objectives of the study were to compare the relation of near miss events with that of maternal mortality and to see the trend of near miss events.Methods: Cases were defined based on WHO criteria 2009. Study was conducted at GMERS Medical College and Hospital, Sola, Ahmedabad from 2020 to 2021. The study population were near miss cases and maternal deaths.Results: During the period of audit there were a total of 6776 deliveries, 6434 live birth, 145 near miss and 36 maternal deaths.Conclusions: Haemorrhage and hypertension are the leading cause of maternal near miss and maternal mortality in our hospital. As near miss indices represent quality of health care it should be represented in the national indices

Techno-economic assessment of biomass gasification-based mini-grids for productive energy applications: The case of rural India

As the costs of solar PV continuously decrease and pollution legislation imposes less burning of agricultural residues, decentralized renewable energy is increasingly affordable for providing electricity to one billion people lacking access to a power grid. This paper presents a techno-economic feasibility case study of biomass gasification in off-grid and grid-connected mini-grids for community-scale energy application in rural Uttar Pradesh, India. Energy demand data was collected through surveys in a village with irrigation and agro-processing loads and off-grid households and used to construct a seasonal load profile based on statistical methods. This was used to simulate single-source and hybrid mini-grids based on solar PV, biomass gasification and diesel generation using HOMER Pro. Hybrid PV-biomass or PV-diesel systems were found to offer the highest reliability for off-grid power at the lowest cost. Single-source PV was cheaper than biomass gasification, though the cost of electricity is highly sensitive to biomass supply and gasifier maintenance. Both renewable options were around half the cost of diesel generation. The findings held across grid-connected systems with weak, moderate and strong reliability of grid supply. This suggests that biomass gasification-based mini-grids are not cost-competitive with PV unless the two generation sources are combined in a hybrid system, though they require operational testing prior to implementation

Agronomic Performance and Genetic Variability of \u3cem\u3ePanicum Maximum\u3c/em\u3e Accessions in the Cerrado of Federal District, Brazil

In the last three decades, the Brazilian Savanna (locally called Cerrado ) became the most important beef cattle production region in Brazil. Around 90% of all beef produced in the region comes from pasture-based systems. Intensively-managed and fertilised Panicum maximum pastures can be highly productive and economic. As a result, farmers are demanding new P. maximum cultivars for using in well-fertilised pastures or in crop-pasture rotation systems. This study aimed to evaluate the agronomic performance and the genetic variability of P. maximum accessions in the Brazilian Cerrado

Avaliação morfo-agronômica de acessos de Stylosanthes capitata do banco ativo de germoplasma da Embrapa Cerrados.

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