Global

Objective: To analyse the success of vaginal delivery after caesarean birth [VBAC]. Methods: A retrospective analysis of number of cases delivered vaginally after previous caeserean delivery at our hospital was done from January 2012 to December 2012. The analysis was done regarding the parameters affecting the success of VBAC. Factors like age of mother, gestational period, and indication for previous caesarean section, mode of delivery, birth weight of the baby and maternal complications encountered were analysed. Results: A total of twenty patients delivered vaginally after previous caesarean section. It was observed that successful VBAC was possible in young age group with spontaneous labour at term who underwent caesarean section in previous delivery for a non recurrent indication. Conclusion: Careful selection of the patients increases the success rate of VBAC.
A common problem in supplier management involves being able to tell if the difference in quality performance between suppliers is significant. Net sensitivity is a process capability measure of the nonconformance risk associated with a supplier’s product or service performance. This paper provides a two-sample confidence interval test that will allow the practitioner to determine if there is a significant risk difference between two suppliers with respect to their net sensitivities.
Background : Urethral stricture is major health urological problem; urethral dilatation and internal optical urethrotomy were the only treatment. Clean Self catheterization follow direct visual internal urethrotomy has greatly decreased the recurrence of stricture. Objectives : To investigate the effect of clean self intermittent catheterization on recurrence rate following direct vision internal urethrotomy and to assess rate of complication of direct visual internal urethrotomy (DVIU) alone versus DVIU with self catheterization. Patients and Methods : This double blind case control study was conducted in Soba university hospital (SUH). A total of sixty two patients were selected randomly in to treatment group B (31 patients) and control group A (3I patients) all patients were treated with DVIU followed with indwelling catheter for three days. The treatment group B was taught to perform self clean intermittent catheterization by inserting size 16 Nelaton catheter daily for the first month then every other day for the next month and once weekly for the last third month. All patients were followed regularly at 3,6,12 months. Results : Twenty Four (77.41%) out of 31 patients in control group A developed urethral stricture recurrence while six (19.35%) patients in treatment group B had stricture recurrence (p <0.000). In control group A 14 patients (58.3%) out 24 had their recurrence in the first six months of follow-up while fife (83.3%) out of six in group B had their recurrence in the next six months of follow-up.In control group A four patients developed urinary tract infections all were positive for E.coli. In treatment group B urinary tract infections were found in three patients, culture was positive for E.coli in two patients and Klebsiella for the third one, and one patient developed epididymo-orchitis. Conclusion : Clean self intermittent catheterization is a simple, safe, cost effective and easy to perform procedure for prevention of urethral stricture with
Loyalty to a social unit”, has been a concern of managers in many countries.The objective of this study is to gauge the level of affective commitment among executive and nonexecutive bank employees, and to study if, there is significant difference in their affective commitment to their banks. The focus resides on the loyalty, identity, membership and involvement of the employee with their bank. The results of the study unfold that the executives possess the high level affective commitmentthan non –executives and t –test reveals thatthere is statistically significant difference between these two groups.
The paper critically investigated poverty in Nigeria over the years, considering its persistent rise in spite of various measures instituted by different Nigerian leaders. The study revealed that improper identification of the poor, lack of adequate monitoring of programmes, corruption, inconsistent policies, poor funding of programmes, lack of industries, poor infrastructure and irregular power supply, among others, have contributed significantly meteoric rise in poverty over the years. Among the ways forward articulated are: proper research and survey are required before commencement of programmes; sufficient monitoring and consistency in policies are essential; intensification of modernized agricultural practices in Nigeria; annihilation of corruption in all levels through leaders’ change of attitude; and mass participation of citizens in policy formulation and service delivery are imperative now.
In this paper, we’ll try to study the impact of governance indicators and macroeconomic variables on the attractiveness of foreign direct investment in 20 developed and developing countries over the period 1998–2011 using fixed effects panel regressions. Our results generally indicate that only two indicators of governance namely, political stability and regulatory quality have a significant impact on FDI inflows. This indicates, for our overall sample, that foreign investors are interested in political stability and regulatory quality in their choice of investment abroad. This paper also investigates the impact of macroeconomic variables on the attractiveness of FDI. Generally, in most models, either developed or developing countries, these variables provide a significant sign, which indicates the importance of these factors in the attraction of FDI. Indeed, market size, trade openness, infrastructure quality, the current account deficit have a significant effect on FDI inflows.
The present experiment was designed to develop colon specific drug delivery system of ketorolac tromethiamine (KT) for treatment of various colonic disorders. Matrix tablets were prepared by direct compression technique utilizing combination of guar gum with various types of biodegradable/pH dependent/hydrophilic retarders. Tablets evaluated for quality control tests and in-vitro liberation studies (24h). In vivo roentogenographic studies and stability studies performed for optimized formulation. KT containing combination of guar gum with HPMCP (Hypromellose Phthalate) 55S released negligible amount in 1.2 pH and 7.4 phosphate buffers and 70% released in 6.8 pH (simulated colonic fluid) whereas 95% of KT released in 6.8 pH buffer (ratcaecal content). In-vivo roentogenographic studies of optimized formulation (F10) showed location of the tablet at 30 mins, 3 h and 8 h was in stomach, caecum and ascending colon respectively. FT-IR & DSC reveals that no interaction between drug and used excipients.
Which identities a space can acquire? What about a public space? For instance, a street, how can it be defined and who is able to do so? A street can acquire a “sexual identity”? This article concentrates on some aspects observed in my master‟s dissertation. My research was ethnographic based and captures the appropriation of public spaces in large cities as a way of defining a socio-sexual identity, in this case,FreiCaneca Street in Sao Paulo. In this article, I will address some of the data from my participant observation, which tells how the identity‟s definitions are constructed at street‟s space and at the spaces on the street. I also tackle how these settings interact with everyday local basis, make possible the separation into groups and trigger political demonstrations. Moreover, I address how these definitions help to outline the city of São Paulo and shift their centralities.
Content Based Image Retrieval in Medical (CBIRM) a technique for retrieving image on the basis of automatically derived features such as color, texture and shape to index images with minimal human intervention. This document is based on the research work done in the field of Content based image retrieval. Color, texture and shape information have been the primitive image descriptors in content based image retrieval systems CBIRM consists of retrieving the most visually similar images to a given query image from a database of medical images Various algorithm are define in CBIR but we can use Bayesian algorithm to reduce the noise from an image.
Electrical energy utilization is one of the indicators of development of a country. India targets 9 – 10% economic growth rate in a sustainable manner over next 10-15 years, for which the adequate availability of energy would be crucial. Hence, the country is fully committed to develop and expand its energy generation capacities. The development in small scale development sector has enough potential in country, which are equally beneficial as the large projects are. The consumption or demand for electricity varies with time in a day. A trough and peak may be observed in demand pattern of electricity. It is not economical to build base load power plant to satisfy the peak demand. The easier way is to increase peak hydropower production by pumping up the already flown water through turbines back to the high reservoir using cheap electricity of trough periods. By development of electrical generator which can work as motor and turbines and also as pump when rotation direction is reversed, investment cost of pump storage hydropower has decreased to half and it became economically more attractive. The net effect is to store the electricity produced during the low demand period in the form of potential energy of water, which can be used during peak demand. Pumped water storage is at present the most widely used method of peak satisfaction of electric power systems. In this paper the economic feasibility of installation of a pumped storage hydroelectric power plant is demonstrated, at MIDC area of Dhule town by taking the advantage of available water at MIDC reservoir and the Laling hills in nearby area. The preliminary survey, planning and design of pumped storage hydro electric power plant for MIDC Dhule is done along with the cost analysis.