94 research outputs found
Ruptured Ovarian Ectopic Pregnancy after Interval of Tubal Ligation
No full textABSTRACT
We report a case of a woman presenting in a state of shock with classic symptoms of rupture ectopic pregnancy. She had a history of tubal ligation done two years back. Laparoscopic surgery was done and a diagnosis of ruptured ectopic ovarian pregnancy was made.
How to cite this article
Raikwar P, Jain V, Raikwar R. Ruptured Ovarian Ectopic Pregnancy after Interval of Tubal Ligation. Int J Gynecol Endsc 2017;1(1):44-45.
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First person – Poonam Sehgal
No full textABSTRACT
First Person is a series of interviews with the first authors of a selection of papers published in Journal of Cell Science, helping early-career researchers promote themselves alongside their papers. Poonam Sehgal is the first author on ‘Epidermal growth factor receptor and integrins control force-dependent vinculin recruitment to E-cadherin junctions’, published in Journal of Cell Science. The work in this article was carried out while Poonam was a postdoc in the lab of Dr Deborah Leckband at University of Illinois, Urbana-Champaign, USA, investigating the mechanism of E-cadherin-mediated force-transduction signaling in epithelial cells.</jats:p
"There are millions of young Indians who feel frustrated with their lives.... I really want the Indian government to take these frustrations seriously." - Snigdha Poonam
No full textLSE South Asia Centre recently invited Snigdha Poonam, journalist at Hindustan Times and author of Dreamers: How Young Indians are Changing the World, for a panel discussion entitled 'Who are the Middle Class in South Asia?' as part of the South Asia Summit 2018. In conversation with Anirbaan Banerjee, she talks about aggressive Indian nationalism, the political and economic frustrations of the middle-class young Indian, women's aspirations and a growing social-political crisis in India
Plastic Discharge in Bali’s Rivers
No full textIndonesia is one of the largest ocean pollutants in the world in terms of plastic emissions. The country has many tourist areas, including the island of Bali, which is the main tourist hub. The plastic problem is large around and on Bali, which has negative consequences for both the environment and the tourism sector. NGOs and the government are trying to tackle the plastic problem, with an increasing effort in the last few years. This research project has been set up to determine which regions and rivers in Bali discharge the most plastic and therefore pollute the ocean the most, and to design a river structure to mitigate plastic emissions to the ocean.For this study, 31 rivers in eight different regions were measured and analysed. All rivers were measured by visual observation, a trawl or a combination of the two. The flow velocity and the width were measured for each river. By means of the average weight of one piece of plastic, the plastic flux could be obtained. The river embankments were systematically assessed for each river. In addition, the wind speed was also measured for each river.The three most polluting rivers of the island are all in different regions. These three rivers will be the most effective to tackle in order to reduce the plastic discharge to the ocean. The study shows that when a river flows through a densely populated area, the river is more polluted, as is the case with the three most polluted rivers.Through a MCA, two effective waste catchment structures were eventually found for the two types of rivers on the island, which are rivers with and without navigation. The structures will remove the plastic from the rivers. The structure for the river that can be closed is the Trash Trap, and for the river that cannot be closed is the Sea Defence Structure.Master project reportCivil Engineering Consultancy Project | CIE4061-09 | MP287Civil Engineering | Hydraulic Engineerin
Urogenital fistulae: A prospective study of 50 cases at a tertiary care hospital
No full textIntroduction: The misfortunate incident of formation of a urogenital fistula remains a major challenge for surgical urologists worldwide. Such fistulae may not be a life-threatening problem, but surely the women face demoralization, social boycott and even divorce and separation. The fistula may be vaginal, recto-vaginal or a combination of the two. The World Health Organization (WHO) has estimated that in the developing nations, nearly 5 million women annually suffer severe morbidity with obstetric fistulae being the foremost on the list. The objective of our study was to enunciate the patient demography, patient profile, incidence, type of surgery, as well as the long-term outcomes encountered in the management of all types of genital fistulae at a tertiary care centre. Materials and Methods: 50 consecutive patients, attending the outpatient department with urogenital fistulae, were studied during the period of 5 years from July 2005 to July 2009. All female patients with complaints of urinary incontinence and fecal incontinence and dribbling, patients having a history of obstructed labor, radiotherapy, instrumental delivery, foreign body or trauma and with a history of hysterectomy (abdominal/ vaginal) and lower segment caesarean section (LSCS) were included. A thorough urological examination included a dye study using methylene blue, Renal function tests, X-ray KUB and intravenous urography (IVU). Cystoscopy along with examination under anaesthesia (EUA) were done to assess the actual extent of injury. All patients were subjected to appropriate surgical interventions via the same combination of surgeons . Post operatively, prophylactic antibiotics were administered to all patients and patients were managed till discharge and followed thereafter via regular outpatient visits for a period of 3 years. Results: Age of patients ranged from 21 to 40 years. 64% patients hailed from rural areas, 76% were from the lower socio-economic strata, 40% illiterate and 69% were short Statured. Vesico vaginal fistulae (VVF) was seen in 64% cases of which 50% were due to obstructed labor, 19% cases post LSCS and 31% cases post total abdominal hysterectomy (TAH). 68% of urogenital fistulae were between 1 to 3 cms. We obtained a 75% cure rate in UVF, 87.5% cure rate in RVF while a 93.75% cure rate was observed in patients with VVF. 76% of all patients were cured while 8% had a recurrence, probably due to the large size of fistula. Conclusion : Genital fistula is preventable, yet it remains a significant cause of morbidity among females of reproductive age group. Despite facilities available, certain conditions like physical, social, economic, illiteracy, and a very casual attitude towards maternal health and children birth practices limit utilization of services for women. It is important that the modern health care providers should be aware of these aspects, so that they can recognize services that are appropriate and acceptable to the people. Thus, one must agree that in cases of urogenital fistulae, "prevention is better than cure"
Financing of Litigation by Third-Party Investors: A Share of Justice?
No full textThis article addresses the issue of the funding of civil litigation within the framework of access to justice and the normative goal of increasing access to the civil justice system. The author critically analyzes and cautiously advances the case for the recent development of the financing of litigation by third-party investors. The argument is that investor financing has the potential to increase access to the civil justice system by ameliorating the economic barriers to litigation. The author evaluates investor financing against existing public and private models of financing litigation such as legal aid plans, litigation subsidy funds, and contingent fee arrangements. The doctrines against maintenance and champerty, which prohibit third parties from providing financial assistance to litigants, are reviewed and analyzed in order to assess the enforceability of financing agreements between plaintiffs and investors. The author then examines the market that is likely to develop for the financing of litigation and analyzes regulation that may be required to protect investors and plaintiffs. The author evaluates policy concerns in relation to the wide-spread availability of investor financing and concludes that such concerns are either misguided or can be addressed by implementing appropriate regulatory safeguards
Ports in Transition
No full textPorts worldwide are confronted with a changing environment in terms of global economy and a rising awareness of the necessity of balancing economic, social and environmental interests. Therefore, in recent years, a lot of research has been directed towards studying sustainable port development. However, the focus has been on greenfield ports, while little has been said about ports in transition. This paper presents a framework for sustainable development of ports in transition and applies it to the re-development of bay of Havana in Cuba
The critical areas of information sharing for the improvement of efficiency in the nautical chain: A Port of Rotterdam case study
No full textRecently, pressure on port authorities to improve port efficiency is increasing due to port competitiveness. Multiple activities within a port influence the efficiency of a port. In this research, the processes of the 'nautical chain' are considered. The nautical chain consists of piloting by a pilot, positioning by tugboats and (un)mooring by boatmen. The provided services are dependent on each other, which makes information sharing between the actors of the nautical chain essential. Enhancing information sharing in the nautical chain could provide opportunities for efficiency improvements. However, current literature does not provide any details on information sharing in the nautical chain. Consequently, it is unknown what parts of the information sharing might be crucial to focus on for improving its efficiency. This research aims to fill this gap, by researching the information that is shared in the nautical chain of the Port of Rotterdam in the delays that frequently occur through expert interviews and observations. The information that is shared in the frequent delay situations is considered critical for efficiency improvements, because the shared information contributes to decisions that reduce the cascade effect of a delay trigger. Following from the identified information sharing in the frequent delays, the areas of critical information sharing are distinguished.Transport, Infrastructure and Logistic
Enhancement of security using structured phase masked in optical image encryption on Fresnel transform domain
No full textRecombinant adenovirus synthesizing cell surface-anchored βhCG induces bioneutralizing antibodies in rats
No full textA recombinant adenovirus (re-Ad) has been constructed that synthesizes a cell surface-anchored form of the β-subunit of human chorionic gonadotropin (βhCG). This was achieved by in-frame fusion of βhCG cDNA at its C terminus with the gene sequences coding for the vesicular stomatitis virus glycoprotein (VSVg) transmembrane domain. The fusion protein gene was placed under the control of human cytomegalovirus (hCMV) immediate early promoter and this expression cassette was inserted into the E1 region of Ad type 5 by homologous recombination. In vitro experiments using re-Ad-infected 293 cells showed that βhCG fusion protein was made as early as 6 h post infection and the protein was anchored to the cell membrane as seen by immunofluorescence staining. The re-Ad induced bioneutralizing antibodies (Ab) to hCG when inoculated in rats through intraperitoneal or intramuscular routes. The Ab were made in a dose-dependent manner. However, orally delivered re-Ad failed to generate any significant immune response
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