235 research outputs found
Frequency of Genital Tuberculosis in Patients Undergoing Diagnostic Laparoscopy for Infertility
No full textOBJECTIVES:
To determine the frequency of genital tuberculosis in patients undergoing diagnostic laparoscopy for infertility.
METHODOLOGY:
It is a descriptive (cross-sectional) prospective study. The study was performed within the duration of six months i.e., February 12th, 2020 to August 12th, 2020 at the Department of Obstetrics and Gynecology, Khyber Teaching Hospital, Peshawar. A total of 196 patients were observed by using 47.1% proportion of genital tuberculosis in infertility, 95% confidence interval with margin of error 7%, using software of WHO for sample size calculation. Further, sample collection was performed using non-probability (consecutive) sampling techniques.
RESULTS:
The mean age of the patients in our study was 30 years (SD+3.92). Fifty seven percent of cases were having primary infertility and 43% of patients were having secondary infertility. The incidence of genital tuberculosis undergoing infertility was 45%.
CONCLUSION:
Our study concludes that the incidence of genital TB in infertility in our setup was 45%
Evaluation of cost benefit analysis of municipal solid waste management systems
No full textThe rate of municipal solid waste (MSW) generation in developing countries is continuously growing in proportion to the gross national product. Landfilling, incineration, composting, and waste to energy (WtE) have a brief history as management strategies for MSW in India. Economic evaluation via cost benefit analysis (CBA) of MSW is establishing the most appropriate treatment/disposal strategy and it is often a major concern for solid waste management (SWM) policymakers. Thus, this study aims to analyze the municipal solid waste management (MSWM) activities in India's capital, Delhi, and the CBA of MSWM systems to identify the major problems and limitations involved. Sixty-six samples totaling 6,600 kg were collected and analyzed at random from various locations, including the sources of generation, composting plants, and disposal sites. Storage, collection, transportation, and recycling information were gathered from departments such as Municipal Corporation of Delhi (MCD), New Delhi Municipal Corporation (NDMC), Central Pollution Control Board (CPCB), and self-surveys. The total costs of each MSW option were calculated for cost analysis. The results revealed a high organic moisture content, indicating the possibility of composting and bio-methanation, except for waste from commercial, institutional area and restaurants that can be used to develop Refuse Derived Fuel (RDF). It was also revealed that only about 80% of the garbage generated in Delhi is collected. In terms of treatment and disposal, the MCD has proposed additional facilities such as disposal through sanitary landfills with linings, as well as a system for leachate collection and disposal. Furthermore, construction and demolition waste are used in the construction of various pavement components, such as base coarse, surface coarse, and so on. The total social value added by garbage trade operations in Delhi is expected to be INR 358.7 crores (approximately 46.60 million USD) between 2017 and 2020. Recycling saves the municipal budget about INR 17.6 crores (approximately 2.3 million USD per year).(c) 2022 The Author(s). Published by Elsevier B.V. on behalf of King Saud University. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Efficacy of B-Lynch Compression Suture for Control of Primary Post-Partum Hemorrhage
No full textOBJECTIVES
This study aimed to evaluate the efficiency of the B-Lynch compression suture for primary post-partum hemorrhage control.
METHODOLOGY
It is a prospective cross-sectional study performed for two years, i.e., 1 November 2021 to 31 October 2023, at the Department of Obstetrics and Gynaecology in a tertiary care hospital. This study included 65 study cases out of 23,964 with primary post-partum hemorrhage (PPH) due to uterine atony during cesarean delivery not responding to pharmacological treatment and was managed by applying B-Lynch compression sutures. The amount of blood loss, demographic characteristics, birth weight of babies, causative factors, and other related complications were studied in such selected cases.
RESULTS
B-Lynch compression suture presented a success rate of 97% in the present study. 52% had blood loss of 1000-1500ml, 29% had loss between 1501-2000ml and 18% had 2001-2500ml blood loss. 6% had wound gaping, 10.7% had a fever, and 8% had more than seven days stay in hospital, and wound infections were noted.
CONCLUSION
Our study concluded that the B-Lynch compression suture had a success rate of 97% in the management of primary post-partum hemorrhage, with few post-operative complications. The current research demonstrates the efficacy of B-Lynch as a lifesaving, easy, effectual technique that avoids hysterectomy and thus avoids heavy blood loss
CHALLENGING GENDER ROLES: A FEMINIST ANALYSIS OF GHANI KHAN'S THE PATHANS
No full text<p><span>The present research aims to analyse the representation of gender dynamics in Ghani Khan’s <em>The Pathans</em> who is also known as Lewanai </span><span>Phalsafi (The Lunatic Philosopher), <span>is a towering literary figure in Pashto literature. He is commonly known for his poetry and art. Ghani Khan strived to unveil the atrocities of the tribal system and the usurpation of women's rights at the hands of the Pashtoon male-dominant society. Using a feminist theoretical framework and conducting textual analysis, this study endeavours to examine the ways prominent Pashto poet Khan challenges the traditional gender roles of Pashtuns. Specifically, this analysis will focus on the respective representation of masculinity and femininity and the power dynamics, and social norms that define both Pashtun women and Kaftar. The author has used strong female characters, increased the question of masculinity, and created a broader discussion on gender views. Therefore, all aspects of writing are from a feminist perspective. Hence, The Pathans emerges as a dominant text in creating and changing gender roles. The study reveals the ambiguous view of the author on the question of gender roles and shows how these views are expressed through the characters of women and men of Kurdish nationality. The study has shown that Khan’s place of birth strongly influences his views on the distribution of rights and obligations between people of different genders. Khan’s novel focuses on how power relations are pivotal in a particular society. </span></span></p>
A View from Mecca: Notes on Gujarat, the Red Sea, and the Ottomans, 1517–39/923–946 H.
No full textAbstractThis article examines the history of Gujarat-Red Sea relations in the first quarter of a century after the Ottoman conquest of the Hijaz, in the light of Arabic narrative sources that have hitherto been largely neglected. While earlier historians have made use of both Ottoman and Portuguese archives in this context, we return here to the chronicles of Mecca itself, which prove to be an unexpectedly interesting and rich source on the matter. Our main interest is in the figure of Jarullah ibn Fahd and his extensive annalistic work,Nayl al-munā. A good part of our analysis will focus on the events of the 1530s, and the dealings of Sultan Bahadur Shah Gujarati's delegation to the Ottomans, headed by ‘Abd al-‘Aziz Asaf Khan. But we shall also look at the longer history of contacts, and conclude with brief remarks on the relevance of the career of the celebrated Gujarati-Hijazi intellectual, Qutb al-Din Muhammad Nahrawali. We thus hope to add another important, concrete dimension to our understanding of India's location in the early modern Indian Ocean world, as a tribute to the career and contribution of David Washbrook, our friend and colleague.</jats:p
Understanding the Coexistence of Adenomyosis and Uterine Fibroids in Patients with Endometriosis to Enhance Treatment and Fertility Outcomes
No full textOBJECTIVES
This study investigated the coexistence of adenomyosis and uterine fibroids in individuals diagnosed with endometriosis. This research seeks to contribute to understanding how these conditions interact, aiming to improve treatment strategies and enhance patient fertility outcomes.
METHODOLOGY
This study aims to evaluate 250 patients suspected of endometriosis with the help of clinical investigation and ultrasound (US). From the US study, we examined the existence of endometriosis with either uterine fibroid or adenomyosis based on patient age groups (less than 32 years, 33 to 42 years, and 43 and above). In addition, ovarian endometriosis and profoundly infiltrating endometriosis were evaluated.
RESULTS
US study diagnosed adenomyosis in 3.2% of cases, fibroids in 21.8%, and the coexistence of both fibroid and adenomyosis in 14.2% of the cases. Intranural fibroids were found at 11.4%, submucous fibroids 1.6% and subserous at 8.1% of the total. Patients with an age of more than 33 years were more affected by adenomyosis, uterine fibroids, and both adenomyosis and uterine fibroid. There was no statistically significant correlation between uterine diseases and endometriosis. Additionally, no correlation was found between endometriosis and the patient’s age.
CONCLUSION
Our findings indicate that women over 32 are more likely to experience these comorbidities, complicating infertility outcomes. The significant association between adenomyosis and severe endometriosis reinforces the need for comprehensive diagnostic evaluation to inform tailored treatment plans. Future research should investigate the interactions between these conditions further to improve diagnostic and therapeutic approaches
Supporting Adaptive Delta Management: Systematic Exploration of Community Livelihood Adaptation as Uncertainty
No full textLong-term planning in urbanizing deltas has to deal with deep uncertainties in socio-economic development and climate change. Adaptive Delta Management (ADM) has been developed as an approach that acknowledges these and similar uncertainties. The Bangladesh Delta Plan 2100 has, in principle, adopted the ADM approach, and it recognizes general uncertainties in (external) physical and socio-economic conditions. It does, however, not acknowledge uncertainties in the way local communities may adapt to uncertain conditions and policy measures. Historical analysis confirms that local adaptation may be different from policymaker’s expectations, and that ignoring this may seriously harm the effectiveness of such a planning approach. This research offers two novel approaches for systematic exploration of the uncertainties in community livelihood adaptation under a variety of uncertain future conditions. The first approach looks into the mental model that guides local actors’ decision making, while the second approach uses a model describing the impact of (external) triggers on actors’ motivation and abilities for a variety of adaptation actions. While both these approaches might be improved, case study applications in the polders of southwest Bangladesh illustrate their utility as instruments to create awareness of possible developments and to act as vehicles for participatory learning by both policymakers and local communities.Policy Analysi
Aspects of the social geography of the province of Sistan/Baluchestan, Iran
No full textThe Kordi (Kurd) tribe now living in Iranian Baluchestan would appear to be an offshoot of the far more numerous Kurdish peoples of the north-western Zagros Mountains of Iran-Iraq. The Kordi were settled in their present location possibly in the l6th Century AD, but much more likely in the l8th Century, originally to act as tax-gatherers on behalf of the Shah-in-Shah. For many years they lived as pastoralists (often nomadic), tax gatherers, guardians of the frontier, and by raiding and plunder. Their habitat, round the Kuh-e-Taftan massif (one of the more fertile areas in the extremely arid and topographically difficult region of Baluchestan) allows some agriculture; and since the 1940's especially, the Kordi people have turned increasingly to a settled way of life based on mixed farming - mostly cultivation, with some animal herding. The thesis examines the origins of the Kordi, their geographical environment, social organisation and demography; and considers present and future evolution of this people in a changed and changing Iranian State
Postnatal Depression: Frequency, Demographic Characteristics and Risk Factors
No full textOBJECTIVES:
The iobjective iof ithe istudy iwas ito iestimate ithe iprevalence iof postpartum idepression iand iits iassociated irisk ifactors iamong imothers.
METHODOLOGY:
This icross-sectional istudy iwas icarried iout iin ithe iDepartment of iObstetrics i& iGynecology,iand iDepartment iof iPsychiatry, iKhyber Teaching Hospital iPeshawar 1st April 2018 till 31st March 2019. iA itotal i750 ipost-natal imothers iwere iscreened irandomly ifor ipostnatal idepression ifor ifirst i1-2 weeks ifollowing idelivery iby iusing iEdinburgh iPostnatal iDepression iScale (EPDS). 680 iaccepted ito iparticipate, i70 irefused ito iparticipate iand i504 ifulfill ithe inclusion icriteria. iA iscore iof i≥13 iwas iconsidered ihaving Ipostpartum depression.
RESULTS:
A itotal iof i168 iwomen ihad ian iEPDS iscore i10, iyielding ia icrude prevalence irate iof i34%. iThe iprevalence iof isuicidal iideation iwas i14 iout iof 504 (3%), iamong iwhich i11 i(79%) ihad iEPDS iscore iof i10. iWe ifitted multiple ilinear iregression imodels ito ievaluate ithe ipredictors iof ivariables measured ion ithe iEPDS. iThis imodel iwas istatistically isignificant p<0.0001 iin ipredicting ithe itotal iEPDS iscore. iWomen's iemployment istatus, domestic iviolence iand imarital iconflict iwere istatistically isignificant predictors.
CONCLUSION:
Thisistudy ireflected ithe ifacts ithat imany iof ithe ipostnatal mothers iof iour icircumstances isuffer ifrom ipostpartum idepression iand ineeds medical iattention. iScreening iof ipostpartum idepression ishould ibe iconsidered as ia iroutine ipart iof ipostpartum icare.
KEYWORDS: IPostpartum IDepression, Risk IFactors, Socio-Demographic IFactors, Pakista
Rule behind the silk curtain: the Sultanahs of Aceh 1641-1699.
No full textPhDThis thesis is about the kingdom of Aceh Dar al-Salam in the latter half of the
seventeenth century when four women ruled in succession: Sultanah Tajul Alam
Safiatuddin Syah (1641-1675), Sultanah Nur Alam Naqiatuddin Syah (1675-1678),
Sultanah Inayat Zakiatuddin Syah (1678-1688) and Sultanah Iamalat Zainatuddin Syah
(1688-1699). How and why these queens came to power, and how they exercised it, are
problems that have fascinated enquirers, prompting a range of comments and
observations, especially the assertion that the queens were mere figureheads, during
whose reigns the male elite (orangkaya) captured power. The Sultanahs were held
responsible for the erosion of royal power and the kingdom's decline in the seventeenth
century. Yet no in-depth study has ever investigated these claims. The main objective of
this thesis is to evaluate the received views on these female sovereigns. The thesis also
seeks to examine the origin, nature and impact of these Sultanahs. Female rule seems a
curious phenomenon in a Muslim state. Furthermore, in a largely patriarchal kingdom
such as Aceh, queens seemed to be strangely out of place. This unique episode in Aceh's
history happened when European Companies - the Dutch VOC (Veerinigde Ooost-Indische
Compagnie) and the English East India Company - were gradually increasing their
commercial hold and flexing their military muscles in the region. Indigenous polities
suffered increasing interference and pressure from Westerners. Most Malay and Muslim
coastal polities in maritime Southeast Asia fell into European intruders' hands. By
exploring the circumstances and arguments surrounding female accession, and
examining some key episodes that show how power worked in Aceh at the time, I hope
to approach a new understanding of how and why the male elite of Aceh placed the fate
of the kingdom in the hands of women, and with what effects
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