AIM: To analyze safety and efficacy of pelvic arterial embolization(PAE) in preventing and treating obstetrical hemorrhage.METHODS: A consecutive study of eight cases undergoing pelvic artery embolization from January...AIM: To analyze safety and efficacy of pelvic arterial embolization(PAE) in preventing and treating obstetrical hemorrhage.METHODS: A consecutive study of eight cases undergoing pelvic artery embolization from January 2010 to October 2012 in Department of Obstetric and Gynecology of Maulana Azad Medical College for intractable obstetric hemorrhage was done. All embolization were carried out in cath lab of cardiology Department at associated GB Pant Hospital.RESULTS: Clinical success was defined as arrest of bleeding after PAE without need for repeat PAE or additional surgery which was 75% in our series. PAE was successful in controlling obstetrical hemorrhage in all except one who had mortality. Other had hysterectomy due to secondary hemorrhage. Five resumed menstruation. None of the women intended to conceive, hence are practicing contraception. CONCLUSION: PAE is minimally invasive procedure which should be offered early for hemostasis in intractable obstetrical haemorrhage unresponsive to uterotonic. It is a fertility sparing option with minor complications.展开更多
The textural and mineralogical characteristics of subsurface sediments along with Ground Penetrating Radar (GPR) data collected along the Western margin of India were used to understand the depositional environments a...The textural and mineralogical characteristics of subsurface sediments along with Ground Penetrating Radar (GPR) data collected along the Western margin of India were used to understand the depositional environments and the provenance of sediments. Textural attributes such as mean, standard deviation, skewness and Kurtosis show fluctuations due to fluvio-marine interaction and it is well understood that the bottom sediments are enriched with muddy sand, which may be deposited by mean of tidal invasion. The abundance of very coarse silt to very fine sand indicates the prevalence of low energy environment. The Linear Discriminate Function analysis indicates the fluvio marine deposition of sediments under low energy condition. GPR data upto a depth of 5 m shows the stratigraphic sequences of very fine sands and coarse silt. Optically Stimulated Luminescence (OSL) dating of sediments implies that the tidal sediments had deposited between ~30 ± 1 and ~90 ± 4 years before Present. XRD studies results the dominance of K-feldspar and deficiency of clay minerals, indicating that most of the sediments are derived from hinterland. Studies indicate that the Provenance of sediments in the Mandvi area is not related to Indus delta even though a considerable part of Gulf sediments are deposited by the Indus River.展开更多
文摘AIM: To analyze safety and efficacy of pelvic arterial embolization(PAE) in preventing and treating obstetrical hemorrhage.METHODS: A consecutive study of eight cases undergoing pelvic artery embolization from January 2010 to October 2012 in Department of Obstetric and Gynecology of Maulana Azad Medical College for intractable obstetric hemorrhage was done. All embolization were carried out in cath lab of cardiology Department at associated GB Pant Hospital.RESULTS: Clinical success was defined as arrest of bleeding after PAE without need for repeat PAE or additional surgery which was 75% in our series. PAE was successful in controlling obstetrical hemorrhage in all except one who had mortality. Other had hysterectomy due to secondary hemorrhage. Five resumed menstruation. None of the women intended to conceive, hence are practicing contraception. CONCLUSION: PAE is minimally invasive procedure which should be offered early for hemostasis in intractable obstetrical haemorrhage unresponsive to uterotonic. It is a fertility sparing option with minor complications.
文摘The textural and mineralogical characteristics of subsurface sediments along with Ground Penetrating Radar (GPR) data collected along the Western margin of India were used to understand the depositional environments and the provenance of sediments. Textural attributes such as mean, standard deviation, skewness and Kurtosis show fluctuations due to fluvio-marine interaction and it is well understood that the bottom sediments are enriched with muddy sand, which may be deposited by mean of tidal invasion. The abundance of very coarse silt to very fine sand indicates the prevalence of low energy environment. The Linear Discriminate Function analysis indicates the fluvio marine deposition of sediments under low energy condition. GPR data upto a depth of 5 m shows the stratigraphic sequences of very fine sands and coarse silt. Optically Stimulated Luminescence (OSL) dating of sediments implies that the tidal sediments had deposited between ~30 ± 1 and ~90 ± 4 years before Present. XRD studies results the dominance of K-feldspar and deficiency of clay minerals, indicating that most of the sediments are derived from hinterland. Studies indicate that the Provenance of sediments in the Mandvi area is not related to Indus delta even though a considerable part of Gulf sediments are deposited by the Indus River.
