Study on preterm pre mature rupture of membrane with special reference to maternal and its fetal outcome

Background: To study see maternal and fetal outcome in preterm pre mature rupture of membrane. To reach consciousness how early PPROM cases could be terminated with least morbidity to the mother and fetusMethods: The study conducted in Department of Obstetrics and Gynecology, Katihar Medical College and Hospital, Bihar between November 2013 to august 2015. Sixty Pregnant mothers attended and admitted through antenatal clinic OPD and Emergency with complaining PPROMResult: Over all age range of mothers was (18 to 38) years and over. Over all mean of parity of mothers was 0.87±1.2 birth .The Morbidity exceeded to 46 (76.67%) when the duration of PROM was more than 24 hours. As the Duration of PROM was 12-24 hrs and more the effect on consequences had been disastrous on new born.  Mean of weight at birth was 1730.0±516.5gm and Median (Min-Max.) weight was (1000 - 3000) gm. There was 100% morbidity and mortality in gestational age group of 24- 26 weeks in mothers while as gestational age increases the morbidly and mortality decreases. The morbidity and mortality of newly born babies was maximum in cord compression followed by very low birth weight.Conclusions: Preterm prelabour of the fetal membranes contributes to one-third of all preterm births. Conservative management to prolong gestation should be performed in the absence of evidence of infection. There is currently no evidence regarding the risks and benefits of prolongation of gestation beyond 34 weeks gestation

Load Flow Analysis with UPFC under Unsymmetrical Fault Condition

This paper addresses the comparative load flow analysis with and without Unified Power Flow Controller (UPFC) for six buses, three phase transmission line under unsymmetrical faults (L-G, L-L and L-L-G) in simulation model. Unified Power Flow Controller (UPFC) is a typical Flexible AC Transmission System (FACTS) device playing a vital role as a stability aid for large transient disturbances in an interconnected power system. The main objective of this paper is to improve transient stability of the six bus system. Here active and reactive power on load bus of the system considered has been determined under different fault conditions. UPFC has been connected to the system and its effects on power flow and voltage profile of test system has been determined with various line data and bus data for six buses, three lines power system and simulation model by using simulation toolbox has been developed. In this work a versatile model is presented for UPFC inherent order to improve the transient stability and damp oscillation. Index Terms – Unified Power Flow Controller (UPFC), Control, simulation, transients, line to ground fault (L-G), double line to ground fault (L-L-G), double line fault (L-L

Hypersensitivity reactions to intravenous ferric carboxymaltose in a patient with iron deficiency anemia: a rare case report

Ferric carboxymaltose (FCM) is a non-dextran iron preparation recently approved in the United States for intravenous treatment of iron deficiency anemia (IDA) in adult patients with intolerance or poor response to oral iron therapy. Acute hypersensitivity reactions (HSRs) during iron infusions are very rare but can be life-threatening. Adverse events, including immune system disorders (0% in FCM) and skin disorders (7.3% in FCM), are less frequently observed with FCM. On treatment with FCM, the change in hemoglobin from baseline to the highest observed level is about 2.8g/dL. Treatment of IDA with FCM resulted in fewer hypersensitivity reactions. Here, authors report a case of a 23 years old female diagnosed for IDA presented with the picture of adverse drug reaction due to injection FCM given by the physician. The patient was managed with Antibiotics, Corticosteroids and Intravenous fluids and recovered well within 12 hours of admission from this adverse drug reaction. Since such cases have been rarely reported, authors are intended to notify about this potentially dangerous drug reaction due to FCM which is used extensively in the treatment of IDA. Hence management of iron infusions requires very careful and precise observation, and, in the event of an adverse reaction, prompt recognition and severity-related interventions by well-trained medical and nursing staff

Inhibitory effects of copper on bacterial and fungal growth

Introduction: Researchers conducted a literature, technology and patent search that traced the history of understanding the “bacteriostatic and sanitizing properties of copper and copper alloy surfaces” which demonstrated that copper, in very small quantities, has the Copper alloy surfaces have intrinsic properties to destroy a wide range of microorganisms. Today copper, in the form of plumbing tube, copper or copper-alloy surfaces proved to be a significant step in decreasing the fungal and bacterial infections in hospitals. Aims and objective: To know the bactericidal and fungicidal properties of copper for its implication in various areas in preventing nosocomial infection. Material and Methods: Eight sterile petri dishes (four for Blood agar media and four for MacConkey agar media) and two sterile 30 ml screw capped bottles (for Sabouraud’s Dextrose agar media) were taken. Sterile copper discs were placed in four plates of Blood agar and MacConkey agar media and other four plates were without copper discs. In the same way copper piece was placed in one of the bottle with Sabourauds Dextrose agar media. Pure growths of E. coli, Klebsiella and candida were inoculated and incubated. Results: The plates with bacterial and fungal growth were reported accordingly. The growth was significantly reduced in Plates and bottles with copper discs. Conclusion: Copper alloy surfaces have intrinsic properties to destroy a wide range of microorganisms so copper’s use in water supplies and surfaces are recommended

Functional paraganglioma: a rare conus-cauda lesion

No Abstract

A Survey on Rough Set Theory and Their Extension For Data Mining

Nowadays the amount of data has been huge andto extract useful information is too difficult. By the frequentlyresearch of thirty years, a new mathematical or data miningtool, the rough set theory, evolve with vague, imprecise anduncertainty information by the researcher Pawlak. Rough settheory is well known for knowledge discovery and popular formaking the good decision with specific data. It is also dealingwith the approximation concept for providing the decision suchas acceptance and rejection. In this paper I summarized thebasic concept of rough set theory, different operation with littleexample and the extension of rough set theory. By usingextension, we can deal any proposed task in the field of Datamining

Mobile app vs. desktop browser platforms: the relationships among customer engagement, experience, relationship quality and loyalty intention

The growing use of mobile technologies is spawning firms’ adoption of mobile relationship-building techniques, including via mobile apps. However, despite the rapid rise of these technologies, little remains known regarding consumers’ mobile app- (vs. desktop browser) related behaviours, and this is therefore investigated in this paper. Specifically, we explore the effect of customer engagement (CE) and customer experience (CX) on customers’ relationship quality/loyalty intention across mobile app- (vs. desktop browser)-based interactions. Using structural equation modelling, we analyse data collected from 420 customers. The results reveal a stronger positive association between CE/CX and relationship quality/loyalty intention for mobile app- (vs. desktop browser)-based interactions, revealing the former’s strategic importance. We conclude by discussing key implications that arise from our analyses

Arsenic Exposure through Dietary Intake and Associated Health Hazards in the Middle East

Dietary arsenic (As) contamination is a major public health issue. In the Middle East, the food supply relies primarily on the import of food commodities. Among different age groups the main source of As exposure is grains and grain-based food products, particularly rice and rice-based dietary products. Rice and rice products are a rich source of core macronutrients and act as a chief energy source across the world. The rate of rice consumption ranges from 250 to 650 g per day per person in South East Asian countries. The source of carbohydrates through rice is one of the leading causes of human As exposure. The Gulf population consumes primarily rice and ready-to-eat cereals as a large proportion of their meals. Exposure to arsenic leads to an increased risk of non-communicable diseases such as dysbiosis, obesity, metabolic syndrome, diabetes, chronic kidney disease, chronic heart disease, cancer, and maternal and fetal complications. The impact of arsenic-containing food items and their exposure on health outcomes are different among different age groups. In the Middle East countries, neurological deficit disorder (NDD) and autism spectrum disorder (ASD) cases are alarming issues. Arsenic exposure might be a causative factor that should be assessed by screening the population and regulatory bodies rechecking the limits of As among all age groups. Our goals for this review are to outline the source and distribution of arsenic in various foods and water and summarize the health complications linked with arsenic toxicity along with identified modifiers that add heterogeneity in biological responses and suggest improvements for multi-disciplinary interventions to minimize the global influence of arsenic. The development and validation of diverse analytical techniques to evaluate the toxic levels of different As contaminants in our food products is the need of the hour. Furthermore, standard parameters and guidelines for As-containing foods should be developed and implemented