Ovarian hyperstimulation syndrome mimicking ovarian malignancy: a case report

Ovarian hyperstimulation syndrome (OHSS) is an iatrogenic complication. In most cases, the clinical manifestations of OHSS are self-limited and OHSS resolves spontaneously within a few days, provided that appropriate supportive measures are taken. However, OHSS has been associated with substantial morbidity, principally acute respiratory distress, and fatal complications have been reported in patients with severe or critical OHSS

Experimental and Numerical Investigation of Static and Dynamic Analysis of Delaminated Composite Plate

Laminated composites are extensively used in various engineering industries like aerospace, civil, marine, automotive and other high performance structures due to their high stiffness to weight and strength to weight ratios, excellent fatigue resistance, long durability and many other superior properties compared to the conventional materials. Delamination is an insidious kind of failure, without being distinct on the surface which causes the layers of a laminated composite plate to detach. It is well known that the propagation of delamination is not only serious but also major concern for the designers in connection to the structural safety. Hence the presence of such defect has to be detected in time to plan the remedial action well in advance. The study aims to analyse mathematically the static, free vibration and transient behaviour of laminated structure with and without delamination by developing numerical models in MATLAB environment based on the higher order shear deformation theory in conjunction with finite element method. Also, a simulation model was developed using finite element software, ANSYS 15.0 and was used for analysis purpose. The static and dynamic analysis of laminated and delaminated plates has also been extended for an experimental validation. Three point bend test via UTM INSTRON 5967 and Modal test via PXIe-1071 was carried out on laminated and delaminated composite specimens and their responses were validated with those of numerical models and simulation model. Based on different numerical illustrations, the effectiveness and the applicability of the presently developed higher order models has been emphasised

Research on Digital Preservation: An empirical analysis

Digital preservation is an evolving area of research for libraries, archives, and museums across the globe over the last two decades. Due to the growing recognition of the need to address various issues dealt with digital preservation, this field of study has generated quite a range of scholarly communications on several aspects. The present paper aims to examine critically the extant literature on digital preservation and libraries for the period from 2001 to 2019 and to assess the evolving trajectory and trends. Out of a total of 1292 extracted records from the Scopus database, a total of 710 articles are considered for the study purpose after the exclusion of non-relevant articles. Employing bibliometric indicators the study primarily assessed the publication pattern, document types, the most prolific authors, most contributing institutions, and focus areas of study as well as the geographical distribution of publications. Along with this, the VOSviewer software is used for co-author network analysis. The findings of the current analysis reveal that the highest number of papers published in the source journal Lecture Notes in Computer Science while the U.S.A. is in the top spot among the countries and author Nelson, M. L. from the U.S.A. has published the maximum number of research papers. It also provides information on various forms of publication on digital preservation and the impactful papers. Though there are studies on the assessment of digital libraries and digital repositories, a bibliometric assessment of literature on digital preservation is a novel attempt. As a metric study, it reflects the relative position of a country, an institution, and a researcher

Simulation-Optimization for Conjunctive Water Resources Management and Optimal Crop Planning in Kushabhadra-Bhargavi River Delta of Eastern India

Water resources sustainability is a worldwide concern because of climate variability, growing population, and excessive groundwater exploitation in order to meet freshwater demand. Addressing these conflicting challenges sometimes can be aided by using both simulation and mathematical optimization tools. This study combines a groundwater-flow simulation model and two optimization models to develop optimal reconnaissance-level water management strategies. For a given set of hydrologic and management constraints, both of the optimization models are applied to part of the Mahanadi River basin groundwater system, which is an important source of water supply in Odisha State, India. The first optimization model employs a calibrated groundwater simulation model (MODFLOW-2005, the U.S. Geological Survey modular ground-water model) within the Simulation-Optimization MOdeling System (SOMOS) module number 1 (SOMO1) to estimate maximum permissible groundwater extraction, subject to suitable constraints that protect the aquifer from seawater intrusion. The second optimization model uses linear programming optimization to: (a) optimize conjunctive allocation of surface water and groundwater and (b) to determine a cropping pattern that maximizes net annual returns from crop yields, without causing seawater intrusion. Together, the optimization models consider the weather seasons, and the suitability and variability of existing cultivable land, crops, and the hydrogeologic system better than the models that do not employ the distributed maximum groundwater pumping rates that will not induce seawater intrusion. The optimization outcomes suggest that minimizing agricultural rice cultivation (especially during the non-monsoon season) and increasing crop diversification would improve farmers’ livelihoods and aid sustainable use of water resources

Maternal and perinatal outcome of eclampsia in a tertiary care centre

Background: Eclampsia is associated with devastating maternal and fetal complications. The main objective was to study the perinatal and maternal outcome and the causative factors for the mortality and morbidity in eclampsia patients admitted to this hospital and to explore the factors contributing to the alarming situation.Methods: 218 eclampsia cases admitted to the labour room in Department of Obstetrics & Gynaecology, SCB Medical College Cuttack, Odisha, India from Jan 2013 to Sept 2014 enrolled for the study.Results: In this study 218 eclampsia cases were studied. The incidence of eclampsia in S.C.B.MCH during study period was 1.39%. Most of the patients were primigravida accounting 83.48% out of which 74.31% were antepartum, 14.22% were intrapartum and 11.47% were postpartum. 44.04% of cases had no ANC and 40.36 irregular ANC. Occurrence of onset of eclampsia at <34 weeks GA 27.53%, 35-37 weeks 43.12 % and >38 weeks 29.35%. Most of patients were from rural area (97.50%) and having low socioeconomic status (83.94%) and illiterate. Out of 218 cases 46.33% patients had vaginal delivery, 3.21% patients had vaginal delivery with instrumentation.Conclusions: There is a need of proper antenatal care to prevent eclampsia and the need for intensive monitoring of women with eclampsia throughout hospitalization to improve both the maternal and perinatal outcome

DOES DEMOGRAPHIC FACTOR AFFECT TOURIST BEHAVIOUR? FINDINGS FROM THE RELIGIOUS SITE OF JAGANNATH DHAM, INDIA

According to a report by UNWTO 'Asia and the pacific region' is considered as the core of the world's religious tourism as half of the world's religious voyages take place in this region only. In this context the 'Great India temples' play a major role in attracting crores of pilgrims along with the tourists of varied interests. These tourists exhibit different types of behaviour during their travel. As the behaviour is largely dependent upon the tourists' nature (belief, trust, motivation), place of residence, state, age, education etc, hence analyzing the same will help the Destination Management Organisations (DMOs) for 'planning, development and marketing' of its products and services in a better way. The current research intends to find out the demographic profile of the tourists visiting Jagannath Dham, Puri (India) and analyse the 'socio-religious behaviour' of the tourists from their demographic characteristics to provide suggestive measures for the development of the destination. The responses from the tourists (404) were collected through a structured questionnaire via convenience sampling. Initially, the demographic profile was analysed through percentage analysis and later the behavioural analysis was carried out by testing the instrument's reliability through (α), and the sample's adequacy via KMO & Bartlett's test. Later the factors were reduced via PCA and analysed through Levene's test, ANOVA & Post-Hoc tests. From the analysis, it was observed that behavioural characteristics are significantly associated only with the 'state of the residence' and 'nature of residence' of the travelers. Whereas other demographic factors like age, education, gender, and marital status are not significantly affecting the tourist behaviour. The results revealed that people from 'all age groups' show a very little dependency on the temple staff but 'moderate to high interest' in local culture. While metropolitan tourists don't show much desire in partaking Mahaprashada (the religious food offering of the temple), the rural people are less 'adhering to rituals' in comparison to the metropolitan and semi-urban tourists. Apart from this, there were few other revelations based on which suggestions have been given which were if implemented will certainly result in attracting more number of tourist to the destination

Isolation and characterization of organisms in high vaginal swab culture in preterm pregnancy (28-37 week)

Background: The study was performed to isolate, identify and determine the antibiotic sensitivity profile of the pathogens in the genital tract of preterm pregnant women (28 week- 37 week) gestation to the prevention of preterm delivery, pPROM, chorioamnionitis, neonatal, puerperal and maternal- foetal infections.Methods: The present perspective study in S. C. B. medical college, Cuttack was conducted in department of Obstetrics and Gynaecology from January 2014 to September 2015 in 100 patients with singleton pregnancy. The cases for study were selected randomly from the patients attending O and G OPD or admitted to the labour room or antenatal ward. Each of the patients was informed about the type, quality, and consequence of the study as well as their role in this particular participation. Valid consents were obtained from each patient who showed their cooperation. Under available aseptic conditions high vaginal swabs were collected with a commercially available collection and transport system for isolation of pathogens present in the genital tract of preterm pregnant women having gestational age 28 week-37 week. The samples were examined in the Department of Microbiology in S. C. B. medical college, Cuttack.Results: We have isolated the most common organism in preterm pregnancy is the E. coli amounting 34% followed by Candidial spp. 21%. Then comes Enterococci scoring 10%, then Staphylococci 8%, Gardenerella vaginalis 7%. Eventually Group B Streptococcus 5%. However, there is about more number of culture negative cases (no growth -24 %) according the department of Microbiology of this college. From the above study we got more number of aerobic vaginitis in contrast to bacterial vaginitis. The prevalence of pPROM was associated with E. coli i. e. 30%. Second are Enterococci having 20%. Candidial spp. Scores 18%. Gardenerella vaginalis takes 12%. However, organisms like Staphylococci and GBS comes last with a score of 6% and 2% respectively.Conclusions: As preterm birth is more associated with mother having genital infections. Our study awards the champion cup to the E. coli as it is associated with maximum number of preterm birth cases i.e. 30%. Candidial spp. comes with the number about 21% causing both symptomatic and asymptomatic infection. Enterococci and Staphylococci almost have same prevalence of preterm birth viz. 12%

Pregnancy in two patients of Glanzmann’s thrombasthenia: a rare case report

Glanzmann’s thrombasthenia (GT) is inherited platelet disorder with an autosomal recessive mode of inheritance. Though, quantitatively normal, the aggregation ability of platelets is reduced in this condition. Pregnancy and delivery are rare in these patients and have been associated with a high risk of severe postpartum hemorrhage. We describe two GT here 1st case was a primigravida, who was diagnosed to have GT 11 yrs back and was admitted as a term pregnancy which was terminated by elective caesarean section and was was successfully managed by platelet transfusion. 2nd case was a 24 year old lady got diagnosed as GT during the evaluation of frequent mucocutaneous bleed. Her antenatal management was like that of normal pregnancy. She was hospitalized 6 weeks prior to expected date of delivery. Elective LSCS (Lower Segment Caesarean Section) was done and was managed with 4 units of single donor platelet (SDP) without any other complication