Puberty menorrhagia in modern era: analysis in a tertiary care centre

Background: Puberty menorrhagia can pose a significant challenge to the gynecologist when associated with serious systemic complications like anaemia and hypoproteinaemia. Early diagnosis and treatment with individualization of each and every case is the keystone in the management of puberty menorrhagia. Exclusion of pregnancy is mandatory in every case, irrespective of the history, reassurance, counseling, regular follow-up along with a balanced nutritional diet and long term iron therapy go a long way in successful management of such cases.Methods: Data was collected from medical case records in each of these cases from indoor case sheets.Results: There were 35 indoor admissions in the gynaecology ward at GMC Akola 2011 to 2013 for critical puberty menorrhagia over a span of two years. The leading cause was anovulatory dysfunctional uterine bleeding. Other systemic associations included hypothyroidism, idiopathic thrombocytopenic purpura, genital tuberculosis, and PCOD. Each case was analyzed for demographic profile, duration of menorrhagia, severity of symptoms, degree of anaemia, final diagnosis, requirement of blood and component therapy and response to conservative management.  Conclusions: Most abnormal bleeding in adolescents is caused by immaturity of the hypothalamic - pituitary ovarian axis resulting in anovulation. Approximately 20% of adolescents have an underlying endocrine or haematological disorder requiring targeted diagnostic testing

Properties of jute-cotton union fabrics through wet processing treatments: Part II-Double cloth structures with jute weft in subdued form

In this study, self stitched double cloth and weft wadded self stitched double cloth woven fabrics with cotton warp and jute weft have been prepared in such a way that the appearance of jute weft is subdued on fabric surface. These fabrics are subjected to four kinds of wet processing treatments to suppress harshness and prickliness of jute component and to enhance fabric properties. Improvement in fabric properties has been determined through objective evaluation. Fabric handle of jute-cotton union double cloth fabric is improved by all the four treatments. Bending length is reduced for a particular weave with particular treatments only. Fabric tensile strength is reduced by all the four treatments

Evaluating the factors influencing perinatal outcome in breech presentation

Background: The objective of this study was to analyse the current obstetric practice regarding breech presentation, document the incidence, perinatal outcome and the factors influencing perinatal outcome in breech deliveries.Methods: It was a retrospective observational study including 252 cases of breech presentation during January 2018 to December 2019 in a tertiary teaching institute in Vidarbha region of Maharashtra.Results: Total number of breech deliveries 252 (incidence is 2.5%). Caesarean section for breech presentation 95 (37.6%). With vaginal deliveries the Apgar score at 5 min below 7 were among 48 out of 157 breech deliveries whereas with LSCS it was only amongst 7 out of 95 deliveries. The maximum percentage of perinatal mortality is seen with birth weight below 2000 gm. Maximum mortality is seen prior to 32 weeks and in babies who delivered by vaginal route. Respiratory distress with prematurity and severe birth asphyxia are the common causes of perinatal deaths. Total 32 (12.69%) babies were transferred to NICU. 20.38% of the total vaginal breech deliveries and 5.26% of the total LSCS were transferred to NICU. Out of total 32 NICU admissions 22 are for the preterm babies and babies with birth weight below 2000 gm.Conclusions: The perinatal outcome does not depend only on the mode of delivery, it is also affected by the weight of the baby, its maturity, associated congenital anomalies, equipped neonatal intensive care unit and also substantially on the expertise of the obstetrician and the neonatologist

Influence of winding parameters on yarn content and package geometry of wound packages

492-496This study is aimed at evaluating the step-precision assembly winding in terms of its potential to accommodate maximum yarn content on a given size of tube. The influence of various parameters related to step-precision winding on yarn content and package geometry of a close step-precision wound package has been studied. The outcome of this study is presumed to be very useful to manufacturers of winding as well as buyers of assembly winding systems. Step-precision winding parameters, like coil angle at start, angle up to which it is allowed to change and the number of diamonds along the circumference (Y value), influence yarn content on package; lower values of start angle and Y but higher value of change angle give increased yarn content. At the same time, it is also observed that the package with lower start angle and higher change angle give greater projection of package side flanks

Influence of winding parameters on yarn content and package geometry of wound packages

This study is aimed at evaluating the step-precision assemblywinding in terms of its potential to accommodate maximum yarncontent on a given size of tube. The influence of various parametersrelated to step-precision winding on yarn content and packagegeometry of a close step-precision wound package has been studied.The outcome of this study is presumed to be very useful tomanufacturers of winding as well as buyers of assembly windingsystems. Step-precision winding parameters, like coil angle at start,angle up to which it is allowed to change and the number ofdiamonds along the circumference (Y value), influence yarn contenton package; lower values of start angle and Y but higher value ofchange angle give increased yarn content. At the same time, it isalso observed that the package with lower start angle and higherchange angle give greater projection of package side flanks

Cellular Agriculture: An Outlook on Smart and Resilient Food Agriculture Manufacturing

Over the centuries, the application of grassland and cutting of livestock are the primary foundations for the production of food agriculture manufacturing. Growing human population, accelerated human activities globally, staggering food inequity, changing climate, precise nutrition for extended life expectancy, and more demand for protein food call for a new outlook to smartness in food agriculture manufacturing for delivering nutritious food. Cellular agriculture, 3D printing of food, vertical urban farming, and digital agriculture alongside traditional means are envisioned to transform food agriculture and manufacturing systems for acceptability, availability, accessibility, affordability, and resiliency for meeting demands of food in this century for communities across the US and the world. This technical note illustrates the thought leadership for cellular agriculture as a part of the new food agriculture manufacturing revolution