ABSTRACT
Background: Modern obstetrics has a tremendous issue in inducing full-term labor in women with a viable fetus. When the hazards of prolonging pregnancy outweigh the advantages of birth, induction is undertaken. This study’s objective was to evaluate the efficacy of misoprostol 50µg administered sublingually, orally and vaginally in the process of inducing labor.Material & Methods:Between June 2021 and July 2022, 120 pregnant women admitted in Department of Gynecology and Obstetrics, ShaheedZiaur Rahman Medical College and Hospital, Bogura in Bangladesh were recruited randomly for a randomized control trial as per inclusion criteria. Misoprostol was administered either orally or sublingually to each patient. A maximum of three doses might be administered if necessary. A previous cesarean birth was an exclusion criterion. The number of women who had a vaginal birth during 24 hours of induction was our major metric for success. SPSS 26 was used to analyze the data.Results:The induction to delivery intervals were considerably shorter in the sublingual group (18 hours versus 25.5 hours; mean difference was 6.2 hours; 95 percent confidence interval, 1.5 to 14.6). In the sublingual group, there was just 2% occurrence of uterine hyperstimulation. The two groups did not vary significantly in terms of delivery method, fetal distress, or newborn outcomes. A total of 80% percent and 82.60 percent of patients were satisfied with the oral and sublingual groups, respectively, and only 10% percent believed the sublingual tablets didn’t entirely dissolve.Conclusion:Sublingual misoprostol seems to be a successful method of delivery, although further clinical studies are needed to demonstrate the safety and effectiveness of the sublingual mode.
ABSTRACT
Objectives: To determine the causes of maxillofacial injuries in patients reporting at Dental outpatient department of Liaquat University Hospital Hyderabad
Methodology: This descriptive study was carried out from January 2014 to December 2015, at the outpatient department of Oral Surgery. Data relating to 136 patients of maxillofacial trauma was collected. The causes of trauma were asked from the patients and attendants. The diagnosis of the maxillofacial trauma was done on the basis of history, clinical findings and with the help of appropriate radiographs. All the relevant information was recorded in structured Proforma
Results: Most prevalent age of trauma was 21-30 years, male [n= 104, 76%] outnumbered the female [n=32, 24%] with ratio of 3:1.The commonest cause of maxillofacial fractures was found to be Road Traffic Accidents [RTA] in 59[43.4%] cases, followed by assault 44[32.4%], fall injuries 12[8.8%], sports injuries 11[8%] and gun shot and others in 10[7.4%]
Conclusion: Road Traffic Accidents, in this part of the country, are the most common cause of maxillofacial fractures. Vehicle's poor condition, heavy traffic load and poor condition of roads are major contributing factors. There is a clear need of continues awareness of road user about the traffic rules, road safety and compulsory seat belt for four wheel vehicle passengers and helmet legislation for front as well as back seat motorcycle passengers
ABSTRACT
Practicing reproductive health rights is not an individual attribute but an outcome negotiated between partners. Large differentials can place the less powerful partner at risk by reducing his or her ability to negotiate safer sexual relations. Negotiation between partners is affected by material assistance which is given by men. Hence, the present study was designed to gauge the extent of practicing the reproductive health rights among married men and women and to see the relationship between respondents' characteristics and practicing of reproductive health rights by them. A cross-sectional survey was carried out from Punjab province. Well designed interviewing schedules were constructed in the light of research objectives and the conceptual framework of the study to collect data and draw inferences. A representative sample of 700 married women and 600 men were interviewed. The SPSS/PC+ 15.0 Statistical Package for Social Sciences were used for analyzing the data. A strong and positive association between the demographic characteristics of married men and women and their attitude towards the reproductive health behavior and those women who were currently engaged in paid jobs had highly favorable and consistent attitude towards RHR-Practices. It was strongly suggested that encourage women's employment by increasing their education level and creating jobs in every department and encourage women's participation in decision making process
ABSTRACT
Caesarean Scar pregnancy [CSP] is a rare form of Ectopic pregnancy where the gestation sac is surrounded by myometrium and the fibrous tissue of the scar from the previous caesarean section. It is often misdiagnosed as Molar pregnancy or Inevitable Abortion and can be associated with massive hemorrhage and pervaginal bleeding leading to uterine rupture. Here we reported a case of Caesarean scar pregnancy who presented with history of cesarean section and pervaginal bleeding. Dilatation and curettage was planned but during the operative procedure there was profuse hemorrhage leading to hypovolumic shock which was managed by Blood and venesection then emergency laparotomy followed by Total Abdominal Hysterectomy done as life saving procedure, postoperative period was uneventful and the patient was discharged on 10[th] postoperative day. Diagnosis is important as caesarean scar pregnancy is associated with life threatening complications such as uterine rupture, massive hemorrhage and the need for Hysterectomy with subsequent loss of fertility
ABSTRACT
Study of Carthamus tinctorius L. [safflower] oil extracted from unroasted and roasted seeds [at temp 120-180 [degree sign] C] showed, on roasting, significant increase in free fatty acid, acid value, unsaponifiable matter, rancidity, peroxide value, colour development and oxidative deterioration, while refractive index and density were relatively constant. The iodine value of oil of seeds roasted at 160 and 180 [degree sign] C was reduced. The concentration of oxidation-sensitive linoleic acid reduced from 75.42 to 73.41% but that of palmitic and stearic acids increased, showing no adverse effect on the nutritional value of the roasted seed-oil. But at higher temperature [180 [degree sign]C] the browning of seeds occurred
Subject(s)
Fatty Acids , Chemical Phenomena , Seeds , Plant OilsABSTRACT
Acute poisoning is a common medical emergency in paediatric unit. This was a retrospective study to see the seasonal variation of acute poisoning in children in a tertiary hospital. The study was done in Khulna Medical College Hospital from January 2004 to December 2005. The cases were studied to see the seasonal variations and other epidemiological and clinical parameters. One hundred ninety three patients enrolled in the study were divided in four groups. Prevalence and type of poisoning was observed in winter, spring, summer and rainy seasons respectively. A total of 193[4.7%] cases of childhood acute poisoning were admitted. Out of them 107[55.4%] cases were male and rest 86[44.6%] were female. 1-3 years was the most vulnerable age group to be affected [P<.005]. Kerosene was the commonest form of ingredient used. Poisoning cases were more common during summer season [P<.005]. Overall mortality rate was 4.66%. Poisoning was common during the summer season and kerosene was found to be most common ingredient. It was possibly due to easy availability of kerosene and during the summer months thirsty children took this substance which was sometimes kept in the discarded container of soft drinks and mineral water bottles etc. People should be warned not to keep these toxic ingredients in such containers and within reach of the children