AIM:In India, especially in rural population multiple factors adversely affect the incidence of premature rupture of membrane. The purpose of this study is to test the amniotic fluid Alpha feto protein as a reliable marker for the detection of PPROM and to test its efficacy for the purpose in the rural India. STUDY DESIGN: This study was conducted in the Department of Obstetrics & Gynecology, NIMS Medical College & Hospital, Jaipur, Rajasthan. This was a cross sectional study during period of one year with sample size of 100 patients. METHODS: Patients who were at ≥24 weeks of gestation with the complains of leaking per vaginum. Sample for Alphafetoprotein (AFP) estimation was collected by instilling 5 ml of distilled water into vagina, irrespective of pooling of amniotic fluid and sent to the biochemistry lab for the analysis and for the estimation of alpha fetoprotein by using Electroluminescence enzyme immunoassay method. RESULT: The sensitivity, specificity, positive predictive value and negative predictive value are 92%, 98%, 92% and 98% respectively. CONCLUSION: The AFP can be used as reliable marker to avoid unnecessary obstretic interventions for diagnosis of PROM.
: This paper deals with the development of a pedal operated millet thresher. Millet is one of the oldest human foods and believed to be the first domesticated cereal grain. Millets are important food for sustaining tribal population in Bastar region of Chhattisgarh. Available evidence suggests that the mode of threshing finger millet is by traditional method like beating with sticks, rubbing and trampling finger-heads under bullocks feet or men feet. Traditional method is time wasting, energy sapping and often the grains are broken. Pedal operation is the most efficient way of utilizing power from human muscles. Keeping this thing in mind, pedal operated thresher for minor millets with spike-tooth type threshing cylinder was designed, fabricated and tested. This machine basically consists of four major components: feeding, threshing (consisting of threshing cylinder, concave and cylinder casing), cleaning and power transmission mechanism. The developed millet thresher has the ability to winnow the premature grains and leaves, which are often lighter, thus, leaving aside the massy grains that, will be collected. It is beneficial for farmers with reduced time of operation, reduction in breakage of the grains and separation of the stalk from the grains. The machine is economically viable can be used by farmers easily.
Aim:To determine the frequency of hypothyroidism in women with recurrent pregnancy loss in first trimester in the Indian rural population. Study Design: The study included 50 women with one successful pregnancy and no history of miscarriages were selected as a control and total of 50 similar age group of pregnant women with recurrent pregnancy loss in gestational age up to ≤ 12 weeks verified by pregnancy test or ultrasonography. Method: Levels of thyroid hormones T3, T4 and TSH were estimated in pregnant and non pregnant women with recurrent pregnancy loss and controls. Result: The hypothroidism was found to be more significant cause of recurrent pregnancy loss in women as comparative to the euthyroid women. Conclusions: The study demonstrates that hypothyroidism has a statistically significant relationship with recurrent pregnancy loss in the first trimester and suggests that diagnosis of hypothyroidism could help couples with recurrent pregnancy loss to have a successful outcome in subsequent pregnancies.
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