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Search Results: 1 - 10 of 402022 matches for " Rajiv M Chandaliya "
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Review of Maternal and Fetal Outcome in Obstetric Emergencies reported to Tertiary Care Institution in Western India
Vidyadhar B Bangal,Sai K Borawake,Rajiv M Chandaliya
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i6.545
Abstract: Background- Obstetric emergencies can occur suddenly and unexpectedly They are associated with adverse maternal and perinatal outcome. Early identification of high risk pregnancies can reduce the obstetric emergencies .Study was carried out to find out the incidence ,nature and outcome of obstetric emergencies. Material and methods-Retrospective observational study of all obstetric emergencies admitted at tertiary care center over two years period was done. Results-Obstetric emergencies occurred more frequently during antenatal period (52%) than intra (32%)or postnatal period(16%).Hemorrhage and severe hypertension were the common emergencies during pregnancy, where as prolong labour ,obstructed labour and rupture uterus were common during intra natal period. Postpartum hemorrhag ,retained placenta and inversion of uterus and puerperal sepsis were common causes of emergencies during postnatal period. Maternal and perinatal mortality was significantly higher in obstetric emergency cases. Postpartum hemorrhage was the commonest direct cause and infective hepatitis was the commonest indirect cause for maternal deaths. Prematurity,low birth weight babies and birth asphyxia were responsible for 90 percent of perinatal deaths. Conclusion-Early registration , regular antenatal visits ,early identification and timely referral of high risk pregnancies can reduce the incidence of obstetric emergencies. Training of nurse midwives ,village health workers and doctors in early identification and treatment of common emergencies can reduce the maternal and perinatal morbidity and mortality.
POSTCOITAL RUPTURE OF VAGINAL VAULT AND PROLAPSE OF BOWEL FOLLOWING HYSTERECTOMY- A CASE REPORT
Vidyadhar B Bangal,Nisarg H Patel,Rajiv Madan Chandaliya,Shrutiben M Patel
International Journal of Biomedical and Advance Research , 2012, DOI: 10.7439/ijbar.v3i5.476
Abstract: Hysterectomy is one of the commonest major gynecological surgical procedure performed all over the world. It is performed either for benign or malignant gynecological conditions, through abdominal or vaginal route. Hemorrhage,accidental injury to the adjacent organs, wound dehiscence and sepsis are some of the major complications associated with this procedure . We report a rare case of a young woman, who presented with post coital rupture of vaginal vault and prolapse of bowel loop, three months following abdominal hysterectomy for benign condition. Her condition was stable at admission. A rent in the vaginal vault, measuring 4 to 5 centimeters was sutured by vaginal route, in two layers under general anesthesia, after reposition of bowel. She had uneventful postoperative period. She was followed up for a period of one year following repair, for re occurrence of this rare complication. Incidence, causative factors and preventive measures for this condition are discussed in the report.
Complete inversion of non gravid uterus – A life threatening gynecological emergency
Vidyadhar B Bangal,Nitin B Grorpade,Rajiv M Chandaliya,Rashmi K Singh
International Journal of Biomedical and Advance Research , 2013, DOI: 10.7439/ijbar.v4i3.322
Abstract: A rare case of nongravid uterine inversion due to large submucosal fundal fibroid is reporeted.Vaginal myomectomy followed by Haultains repair with abdominal hysterectomy was performed.
UMBILICAL CORD TWISTS CAUSING INTRAUTERINE FETAL DEMISE OF A MONOZYGOTIC CO-TWIN
Vidyadhar B Bangal,Kunaal K. Shinde,Satyajit P. Gavhane,Rajiv M. Chandaliya
International Journal of Biomedical and Advance Research , 2013, DOI: 10.7439/ijbar.v4i3.931
Abstract: Monozygotic twin gestation is associated with adverse perinatal outcome.Umbilical cord related accidents are more common with monoamniotic twin gestations.Twisting of umbilical cord results into sudden death of a co- twin in multifetal gestation.Cord accidents occur suddenly and unexpectedly.A case of fetal demise of co-twin due to multiple twists at the fetal end of the umbilical cord in 34 weeks of monochorionic dizygotic twin gestation is reported.She underwent elective caesarean section with favorable outcome in surviving twin.
Stretching in the prevention of hamstring strains: Attitudes, beliefs and current practices among football coaches in Mauritius  [PDF]
Kelly Chan, Fawzi M. Mahomoodally, Rajiv Veeren
Open Journal of Preventive Medicine (OJPM) , 2012, DOI: 10.4236/ojpm.2012.22021
Abstract: Context and Objective: Hamstring strain is a common injury in football and it causes a significant amount of time lost from competition and training. Since poor flexibility is thought to predispose to muscle strain, stretching is routinely recommended during warm-up routines by coaches to prevent injuries. However, available evidence suggests that pre-exercise stretching (PES), especially static stretching, has no benefit on injury rates and may even reduce performance in explosive type activities. We designed this study to assess the attitudes, beliefs and practices of football coaches regarding stretching in the prevention of hamstring strains. Design: A cross-sectional survey. Setting: Mauritius Football Association (MFA). Participants: 26 football coaches registered with the MFA. Intervention: Questionnaires were distributed to football coaches of the MFA via sports officers. Questionnaires were then collected two weeks after distribution. Main Outcome Measures: Attitudes, beliefs and practices of football coaches regarding stretching in the prevention of ham-string strains. Results: MFA coaches held generally positive attitudes and beliefs towards stretching. 88% of coaches felt that PES is beneficial and 93% believed that PES prevents hamstring strains. The majority of coaches recommended stretching after warming up (81%) and after the training session (93%). 76% of coaches also advised stretching outside the training sessions. 96% of coaches used static stretching to stretch the hamstrings. The hamstrings were stretched on average for 4 times at each training session and the mean duration of a static stretch was 12 seconds. Conclusions: Nearly all coaches believed that PES prevents hamstring strains although evidence is limited. Some of the coaches’ beliefs and practices were not in line with current recommendations. Coaches reported that their stretching practices would be most likely influenced by scientific research. Thus there is an urgent need to devise awareness and training programmes in this area.
EPP for Improving Project Quality in Software Engineering Based E-learning Development Process
Rajiv Dharaskar,Vilas M. Thakare
Information Technology Journal , 2006,
Abstract: In the Software Engineering based development process of E-learning software the quality management is the prime issue. The quality of the E-learning software depends upon the E-pedagogy Plan (EPP) because in the E-learning software the content is the king. For simulating the teacher of programming language this issue is more predominant. This study presents E-pedagogy rules and plan for software engineering based development process of E-learning software specially for simulating a teacher of programming languages. The technique developed here has been applied for the developing the 50 h duration audio-visual CBT software for simulating the teacher of C language.
A Novel Approach of Image Enhancement
Rajiv Kumar,,Arthanariee A. M,,Sivakumar M
International Journal of Innovative Technology and Creative Engineering , 2012,
Abstract: Image enhancement is used to improve the certain features of an image. In this paper, a novel filter of image enhancement has been proposed. The proposed filter is implemented for n ×n masking operation. Authors have convoluted 3×3 , 5 ×5 and 7×7 masks with various poorly contrast images which convert them into good quality images. The performance of proposed filter is analyzed and compared with other existing filters, namely, average filter, Gaussian filter and unsharp filter. The authors evaluated the performance of these filters on the basis of four parameters – eme (quality measure of image enhancement), mse (mean square error), rmse (root mean square error) and psnr (peak-to- signal noise ratio). The Matlab 7.4 is used for implementation of proposed filter. The experimental results have carried on more than 1000 images which prove that the proposed filter enhances poor quality images very effectively.
The Haematological Profile of Patients with Multiple Sclerosis  [PDF]
Gloudina M. Hon, Mogamat S. Hassan, Susan J. van Rensburg, Rajiv T. Erasmus, Tandi Matsha
Open Journal of Modern Neurosurgery (OJMN) , 2012, DOI: 10.4236/ojmn.2012.23008
Abstract: Background: Patients with multiple sclerosis experience various disabilities, depending on the number and placement of lesions in the brain. Red blood cells with impaired membrane fluidity, as has been reported in patients with multiple sclerosis are known to be further targeted by phospholipase A2 during inflammatory activation. Objectives: The objective of the present study was therefore to investigate the haematological profile of patients with multiple sclerosis and to correlate this with their functional disability and inflammatory status. Methods: Differential full blood counts of 31 patients with multiple sclerosis and 30 age- and gender-matched control subjects were determined on a Beckman Coulter. The functional disability status of each patient was measured using the Kurtzke Expanded Disability Status Scale. C-reactive protein was determined on a Beckman auto-analyser. Results: The haemoglobin was significantly decreased in patients: 13.9 ± 1.40 g/dl, controls: 14.7 ± 1.60 g/dl, P = 0.01, while platelets were increased in patients: 292 ± 133 × 109/l, controls: 258 ± 88.0 × 109/l, P = 0.04. The number of red blood cells correlated inversely with the Kurtzke Expanded Disability Status Scale (R = –0.41; P = 0.02). Platelets correlated inversely with the haemoglobin (P = 0.04) and positively with Visual and Brainstem Scores (P < 0.01, P = 0.07 respectively), but inversely with the Sensory Score (P = 0.02). Conclusions: It is not clear from the results whether the compromised red blood cell profile in patients was due to unknown agents involved in the disease aetiology or from the resulting inflammatory responses, but the inverse correlation between the red blood cell count and the Kurtzke Expanded Disability Status Scale, a measure of neuronal function, suggested a relationship between red blood cell count and disease outcome. Furthermore, the inverse correlation of platelets with the haemoglobin suggested immunological involvement. Platelets, similar to white blood cells, supply fatty acids for pro-inflammatory eicosanoid synthesis.
Heterogeneous dermatitis complaints after change in drinking water treatment: a case report
June M Weintraub, Magdalena Berger, Rajiv Bhatia
Environmental Health , 2006, DOI: 10.1186/1476-069x-5-18
Abstract: After a drinking water utility serving 2.4 million people switched to monochloramine for residual disinfection, a small number of residents complained of dermatitis reactions. We interviewed 17 people about their symptoms. Skin appearance, symptoms, and exposures were heterogeneous. Five respondents had history of hives or rash that preceded the switch to monochloramine.The complaints described were heterogeneous, and many of the respondents had underlying or preexisting conditions that would offer plausible alternative explanations for their symptoms. We did not recommend further study of these complaints.Disinfection of public water supplies protects public health by inactivating microbial pathogens. Byproducts of disinfection with chlorine have been associated with bladder and rectal cancers and to adverse reproductive outcomes [1,2]. Because the disinfectant monochloramine minimizes the formation of potentially hazardous and regulated byproducts, many drinking water utilities are shifting to its use [3].In February 2004 a water utility serving 2.4 million people in northern California replaced chlorine with monochloramine for secondary disinfection. Subsequently a small number of water customers raised concerns about skin rashes, attributing these rashes to the change in disinfection method. Skin complaints associated with water are not uncommon [4,5]. We are not aware of any previous work investigating this type of reaction as a specific response to the presence of monochloramine in the water supply. Dermatitis relating to water treatment is reported in two studies; one used a broad case definition [6], and the other revealed that the perception of change in water treatment was principally responsible for the symptoms, rather than any actual change in the water treatment [7]. Neither was specific to monochloramine.In this context, we identified several possible explanations for the skin complaints that we received, including the following: (1) the symptoms were
Adsorption mechanism of hexavalent chromium removal using Amberlite IRA 743 resin
Gandhi, M. Rajiv,Viswanatha, N.,Meenakshi, S.
Ion Exchange Letters , 2010,
Abstract: A commercially available chelating resin namely, Amberlite IRA 743 (AMB) is a macroporous polystyrene Nmethylglucamine with free base form used for the removal of chromium from aqueous solution. AMB resin possesses an enhanced chromium sorption capacity (SC) of 20.41 mg/g in a minimum period of 30 min contact time. The sorption experiments were carried out in batch mode to optimize various influencing parameters viz., contact time, initial chromium concentration, pH, co-ions and temperature. The resin is characterized by FTIR and SEM with EDAX analysis. The mechanism of chromium removal by the resin is by means of electrostatic adsorption coupled reduction and complexation. The adsorption data was fitted with Freundlich and Langmuir isotherms. The calculated values of thermodynamic parameters namely DG°, DH° and DS° indicate the nature of chromium sorption. The dynamic studies demonstrated that the sorption process follows pseudo-second-order and intraparticle diffusion models.
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