Obstructed labour is an important cause of maternal death in developing countries. Obstructed labour also causes significant maternal morbidity mainly due to infection and hemorrhage and foetal death from asphyxia is also common. Objectives are to reduce maternal and newborn complications by early detection and rapid interventions and to reduce maternal and perinatal morbidity and mortality. This Hospital-based prospective cross-sectional study was conducted from June 2013 to June 2014 in Sylhet, MAG Osmani Medical College Hospital. 100 obstructed labour cases were selected those who were admitted in Inpatient department of Obstetrics and Gynaecology, SOMCH. 100 obstructed labour cases were recorded. The majority (80%) were residents of rural areas in which transportation were difficult, the occupation of the women were housewives mostly (90%) and remaining (10%) were tea-garden worker.75% of the obstructed labour cases did not have any antenatal follow-up. Most of the cases (70%) were visited Osmani Medical College Hospital by their attendant. 70% Visited at 12-24 hours of labour, (80%) came from a distance of 10-50 kilometers. Cepholo-pelvic disproportion was the major cause of obstructed labour (78%) and cesarean section was the main way of delivery (95%). PPH (4%), puerperal sepsis (4%), rupture uterus (2%), VVF (2%), rupture uterus with shock (1%), were the main complications and maternal death (1%). Obstructed labour was the major causes of poor perinatal outcome and perinatal death (7%). This study revealed high incidence of maternal morbidity and perinatal morbidity and mortality.

Objective Upon receiving a cancer diagnosis, life irrevocably changes and complex experiences of emotional distress often occur. There is a growing interest in mindfulness‐based arts interventions (MBAIs) to ameliorate the distress many patients experience. Our review objective was to synthesize the evidence on the effectiveness of MBAIs on psychological wellbeing and fatigue. Method Relevant quantitative articles were identified through a systematic search of the grey literature and online databases including MEDLINE, CINAHL, Cochrane CENTRAL, Art Full Text, ART bibliographies Modern, PsycINFO, Scopus, and EMBASE. Two independent reviewers screened titles/abstracts against predetermined inclusion criteria, read full‐text articles for eligibility, conducted quality appraisals of included articles, and extracted pertinent data with a standardized data extraction form. The heterogeneity of the included studies precluded a meta‐analysis and a narrative synthesis of study outcomes was conducted. Results Our systematic search retrieved 4241 titles/abstracts, and 13 studies met our inclusion criteria (eight randomized controlled trials and five quasi‐experiments). Most of the studies focused on patients with cancer (92.3%). There is a growing interest in MBAIs over time and significant heterogeneity in the types of interventions. A significant effect was found on several outcomes that are important in psychosocial oncology: quality of life, psychological state, spiritual wellbeing, and mindfulness. The effect on fatigue was equivocal. Conclusions This novel intervention demonstrates promise for the psychosocial care of patients with cancer. These findings are an essential antecedent to the continued implementation, development, and evaluation of MBAIs in oncology.

We conclude that most southeastern Nigerian women would prefer their pelvic examinations to be done by a female physician or to be attended by a nurse chaperone if the examining physician is a male. We recommend a routine offer of chaperones during such examinations while respecting the patients' right to refuse the offer.

, CNISP conducted surveillance in 64 acute-care hospitals in Canada (Appendix A). Of these, 13 are large acute, tertiary care hospitals with more than 500 beds available within the facility; 32 hospitals are of intermediate size (201 to 500 beds) while the remaining 19 hospitals are smaller facilities with less than 200 beds. Acute tertiary care hospitals are major hospitals that offer a range of specialist services such as burn units, transplant units, trauma centres, specialized cardiac surgery etc. to which patients are referred from smaller hospitals. General urban acute-care hospitals provide overall medical and surgical services but do not always have specialised sub-specialities. There are 33 adult-only hospitals, 23 hospitals which treat both adult and children, and the remaining 8 hospitals are stand-alone pediatric facilities (Appendix A). Surveillance of AROs at participating hospitals is considered to be within the mandate of hospital infection prevention and control programs and does not constitute human research. The ability for a hospital to participate in CNISP ARO surveillance is based on the site capacity for data collection, access to hospital laboratory services and their operational capacity to participate in a given year. CNISP surveillance provides key information that informs the development of federal, provincial, territorial and local infection prevention and control programs and policies. When carried out in a uniform manner, surveillance provides a measure of the burden of illness, establishes benchmark rates for internal and external comparison, identifies potential risk factors, and allows assessment of 2 | Antimicrobial Resistant Organisms (ARO) Surveillance specific interventions. Surveillance for AROs is considered an important measure of the quality of patient care. This report provides case counts and rates based on data from January 1, 2011 to December 31, 2015. The report includes rates for healthcare-associated Clostridium difficile infection (HA-CDI), methicillinresistant Staphylococcus aureus (MRSA) including healthcare-and community-associated MRSA and MRSA bacteremias, vancomycin-resistant Enterococci (VRE), carbapenemase-producing organisms (CPO) including carbapenemase-producing Enterobacteriaceae (CPE) and carbapenemase-producing Acinetobacter (CPA). Where possible, rates are provided by region and include Western (British Columbia, Alberta, Saskatchewan and Manitoba), Central (Ontario and Quebec), and Eastern Regions (Nova Scotia, New Brunswick, Prince Edward Island and Newfoundland and Labrador). The territories do not currently submit data to PHAC. National and regional infection rates are based on the total number of cases reported divided by the total number of patient admissions multiplied by 1,000 or patient days multiplied by 10,000. This report also provides strain type and antimicrobial resistance data for HA-CDI, MRSA, VRE and CPO.