108 research outputs found
Incidental finding of bilateral lateral vaginal wall fibroid, in an antenatal patient during course of labor
No full textVaginal leiomyomas remain an uncommon entity with only about 300 reported cases since the first detected case back in 1733 by Denys de Leyden. We report a case of 25-year-old G2P1L1 (Previous FTNVD), who presented inpatient department with c/o 10 months amenorrhea with lower abdominal pain for one day. On general physical examination, no pallor, no Jaundice, no edema and vitals were stable. On per abdominal examination 1-2 uterine contraction for 10 second in 10 min was observed. On per vaginal examination internal OS was 2 cm dilated, 20-30% effaced, vertex at-3, medium consistency, mid position, membrane intact and pelvis adequate noted. She was admitted in labor room and kept watched for spontaneous progression of normal labor. After 6 h of admission, she started having adequate uterine contractions 2-3 for 30 sec in 10 min. On PV examination she was 6 cm dilated with 60-70% effaced, vertex at -1, soft consistency, anterior position. Artificial rupture of membrane was done. Liquor was clear. Inj oxytocin in drip was started at 8 drops/min. During vaginal examination, A firm sessile, painless mass with smooth surface of size 1×1 cm was felt on both right and left vaginal wall which suggestive of vaginal leiomyoma grossly. During course of labor, progression of labor was halted during second stage of labor. Inj oxytocin drop rate increased at 32 drops/min to achieve adequate uterine contraction. A male baby of 2.8 kg was delivered in stable condition. Right mediolateral episiotomy was repaired with rapid vicryl suture 2,0. Patient was informed and vaginal fibroid finding was mentioned on discharge summary. Patient was called after 6 weeks for follow-up
A lipid profile study in polycystic ovary syndrome women
No full textBackground: Dyslipidemia in PCOS has multifactorial causation and insulin resistance plays a pivotal role by stimulation of lipolysis and altered lipases which are characterized by higher triglyceride and lower high-density lipoprotein cholesterol.1 Methods: This observational cross-sectional study was conducted in the obstetrics and gynaecology department of SPS hospital Ludhiana Punjab and included 60 women with PCOS and 30 non PCOS women of age group 18-40 who meet the inclusion criteria.Results: PCOS women with BMI <18.5 (underweight) their mean cholesterol, HDL, LDL, VLDL and triglycerides were 158.00, 48.00, 74.00, 35.60, 178.00 respectively. PCOS women with BMI ranging from >18.5-24.99 (normal) the mean±SD for cholesterol, HDL, LDL, VLDL and triglycerides were 169.50 ± 21.83, 44.86±2.66, 85.80±20.33, 38.84±3.57, 194.18±17.86 respectively. PCOS Subjects with BMI25-29.99 (overweight) Mean±SD for total cholesterol was 197.04±18.16, HDL=40.48±3.19, LDL=112.37±18.10, VLDL=44.20±2.89 and for triglycerides was 221.00±14.45.Conclusions: An early treatment for obesity should be a priority to prevent cardiometabolic complications in future in women with Polycystic ovaries syndrome.
Incidental finding of unilateral partial agenesis of fallopian tube with complete agenesis of ipsilateral ovary during caesarean section with neonatal outcome
No full textCongenital unilateral absence of fallopian tube with ipsilateral ovarian agenesis is a rare occurrence with a suggested incidence of 1:11240. Unilateral ovarian agenesis (UOA) and fallopian descent problems are other very rare congenital entity. We presented a case report, detailing one such patient where unilateral partial fallopian tube and ipsilateral ovarian agenesis was seen with neonatal outcome. Our case describes 28 years old G5P2L2A2 un booked case with an obstetric history of 2 spontaneous abortion and two previous full term institutional normal vaginal deliveries (both female child) presented at 37 weeks of gestation with borderline oligo hydramnios (USG suggestive of AFI- 9.1 cm), Posterior placenta, EFW- 2003 g, single loop of cord around fetal neck. On repeat scan USG suggestive of AFI-7.7cm, with discrepancy of >2 weeks between POG and LMP IUGR. Elective caesarean section done after patient and relatives counselling and informed consent done. During C- section unilateral partial agenesis of right fallopian tube and complete agenesis of right ovary found incidentally. The left fallopian tube and ovary was normal. A male baby with birth weight 2.2 kg, well cried was born. USG abdomen of baby was performed to rule out any congenital genitourinary abnormalities. USG revealed, a small aplastic left kidney, for which baby was referred to higher center for further renal function workup. This case was unique since the incidental diagnosis of right ovary and right fallopian tube agenesis occurred during C section instead of imaging
An anthropometry study in polycystic ovary syndrome patients
No full textBackground: Polycystic ovary syndrome (PCOS) a symptom complex, which is also known as hyperandrogenism anovulation, was first proposed by Stein and Leventhal in 1935.Methods: This observational cross-sectional study was conducted in the obstetrics and gynaecology department of SPS Hospital, Ludhiana, Punjab and included 60 women with PCOS and 30 non PCOS women of age group 18-40 who met the inclusion criteria.Results: The Mean BMI of study population was 26.39±4.17 in group A (PCOS) and 26.37±3.79 in group B (non PCOS). The calculated mean waist hip ratio of subjects was 0.73±0.08 in both groups. The mean waist height ratio of study population was 0.48±0.05 in group A and 0.49±0.04 in group B.Conclusions: Anthropometric parameters are recommended as a screening tool in women with PCOS so as to improve endocrinological and metabolic disturbances not only to treat PCOS but also to reduce long term health risks. An early treatment for obesity should be a priority to prevent cardiometabolic complications in future
Enhanced Oil Recovery using Carbonated Polymeric Nanofluids : A New Age Approach to CO2 Utilization and Corrosion Mitigation
No full textThe author would like to thank the CIF facility and its staff, including Mr. Anuj Prajapati, Mr. Zahoor Alam, and Mr. Brijesh. Thanks are also extended to all the members associated with the work.Peer reviewe
Feature Extraction of Isolated Gujarati Digits with Mel Frequency Cepstral Coefficients (MFCCs)
No full text
Developing E. coli-E. coli co-cultures to overcome barriers of heterologous tryptamine biosynthesis
No full textTryptamine is an alkaloid compound with demonstrated bioactivities and is also a precursor molecule to many important hormones and neurotransmitters. The high efficiency biosynthesis of tryptamine from inexpensive and renewable carbon substrates is of great research and application significance. In the present study, a tryptamine biosynthesis pathway was established in a metabolically engineered E. coli-E. coli co-culture. The upstream and downstream strains of the co-culture were dedicated to tryptophan provision and conversion totryptamine, respectively. The constructed co-culture was cultivated using either glucose or glycerol as carbon source for de novo production of tryptamine.The manipulation of the co-culture strains’ inoculation ratio was adapted to balance the biosynthetic strengths of the pathway modules for bioproduction optimization. Moreover, a biosensor-assisted cell selection strategy was adapted to improve the pathway intermediate tryptophan provision by the upstream strain, which further enhanced the tryptamine biosynthesis. The resulting biosensor-assisted modular co-culture produced 194mg/L tryptamine with a yield of 0.02 g/g glucose using shake flask cultivation.The findings of this work demonstrate that the biosensor-assisted modular co-culture engineering offers a new perspective for conducting microbial biosynthesis.Peer reviewe
- …
