Background and Aims:The American College of Obstetricians and Gynecologists (ACOG) committee on professional standards and the National Institute of Clinical Excellence (NICE) guidelines suggest that decision-to-delivery interval (DDI) and emergency cesarean section (CS) should not be more than 30 min, and a delay of more than75 min in the presence of maternal or fetal compromise can lead to poor outcome. This prospective 1-year study was conducted on emergency CS in a tertiary care hospital to evaluate the DDI, factors affecting it and to analyze their effects on maternal and neonatal outcome.Material and Methods:A structured proforma was used to analyze the data from all women undergoing emergency CS, during a 1-year period, included in Category 1 and 2 of NICE guidelines for CS.Results:A total of 453 emergency CSs were evaluated, with a mean DDI of 36.3 ± 17.2 min for Category 1 CS and 38.1 ± 17.7 min for Category 2 CS (P > 0.05). Only 42.4% emergency CSs confirmed to the 30 min DDI while 57.6% had a DDI of more than 30 min. Reasons of delay were identified as a delay in shifting the patient to operation theater (22.1%), anesthesia factors (18.1%), and lack of resources or manpower (16.1%). Maternal complications occurred in 15 (3.3%) patients with 3 (0.7%) nonsurvivors having a DDI of 91.0 ± 97.0 min as compared to survivors with a DDI of 36.8 ± 15.7 min, P = 0.001. There was no significant association between DDI and occurrence of neonatal complications.Conclusion:Failure to meet the current recommendations was associated with adverse maternal outcomes, but not with adverse neonatal outcome.

Purpose-Managers in many organizations have indicated that in today's highly competitive environment, knowledge management will be the key to organizational success in this millennium. This study aims to analyze how the organizational culture and organizational learning impacts knowledge management, and ultimately the satisfaction of employees working in the firm. Design/methodology/approach-A survey instrument comprising Organisational Culture ethos, Organisational Learning Diagnostics, KM Orientation and Employee satisfaction was developed. Through a postal and personal survey, data was collected from Telecom sector in India. The sample included 80 Knowledge Workers, Project Managers, Team Members, Consultants, Researchers and Designers randomly drawn from Indian Telecom companies. Findings-The survey instrument was shown to be both reliable and valid. Statistical analytical tools like F-test, t-test, ANOVA coefficient of correlation and multiple regressions and other descriptive statistics scores have been used. The results of the data analysis revealed sufficient evidence to establish a correlation between Organisational Culture, Organisational Learning, KM and Employee Satisfaction. Research limitations/implications-The accuracy of the analysis is dependent upon the accuracy of the data reported by selected organizations. Practical implications-The results of this study would help telecom organisations to better understand the KM discipline, to facilitate its adoption and to prioritise its practices. Academics can use the results to build models that would further expand the KM domain. Originality/value-This study is probably the first to systematically determine the antecedents of KM implementation in the Telecom sector in India. It offers a beneficial source of information to telecom organisations, which are still lagging far behind when it comes to KM practices.

Abstract-In this paper we propose a digital beamformer utilizing the radar integrator method of detection. In the receive mode the digitized radar returns weights are allocate on the such a way that the first pulse reflect a SUM pattern and the subsequent three pulses reflect DIFFERENCE pattern. The pulses on DIFFERENCE pattern are added to each other and the net signal subtracted from signal received in SUM pattern. This results in very narrow beam which shows narrow spatial resolution. The schematic is presented and the results are shown.

Collision tumours are composed of two histologically distinct neoplasms in the same organ without intermixture of cell types. Here the author present a case series of 4 cases of collision tumours of ovary with brief review of literature. Two cases have a combination of mucinous cystadenoma and teratoma whereas third case is a combination of serous papillary cystadenoma with teratoma and the fourth case has a combination of serous papillary cystadenocarcinoma and teratoma. The cases were diagnosed post-operatively. It is important to correctly diagnose the component of tumour for further management and favourable prognosis.

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