Background: Ectopic pregnancy is a global problem and is the most common life-threatening emergency in early pregnancy leading to significant morbidity and fetal loss. It occurs in variable presentations. The rate of ectopic pregnancies has increased from 0.5% in 1970 to 2% today. The aim of this study was to determine the incidence, clinical presentation, risk factors, treatment, and morbidity and mortality associated with ectopic pregnancy.Methods: The present retrospective study was conducted over a period of three years in the Department of Obstetrics and Gynecology at Chalmeda Anandarao Institute of Medical Sciences, Karimnagar, Telangana from February 2014 to January 2017. A total of 80 patients with ectopic pregnancy were analyzed regarding clinical presentation, risk factors, operative findings and treatment modality.Results: Total number of 80 cases of ectopic pregnancies were admitted during this period against 2645 deliveries representing frequency of 3%. Majority of cases (43.75%) were in the age group of 25-29 years and 41.25% were gravida 4 and above. Risk factors were identifiable in 66.25% of cases. Previous abortion was the most common risk factor (31.25%). The classical triad of amenorrhea, pain abdomen and vaginal bleeding was present in 71.25% of cases. More than half of case (55%) had ruptured tubal pregnancy on admission. Unruptured tubal pregnancy was seen in 10% case. Interestingly we found one rare case of bilateral ectopic pregnancy. Salpingectomy by open method was the mainstay of treatment (86.25%).Conclusions: Ectopic pregnancy is still a major challenge in gynecological practice. In our country most of the cases present late after tubal rupture requiring radical surgical treatment. Early diagnosis and timely intervention in the form of medical treatment or conservative surgery not only reduces maternal morbidity but also preserves future fertility.

:The Thyristor controlled series compensator (TCSC) is one of the important members of FACTS family that is increasingly applied with long transmission lines by the utilities in modern power systems. It can have various roles in the operation and control of power systems, such as scheduling power flow; decreasing unsymmetrical components; reducing net loss; providing voltage support; limiting short-circuit currents; mitigating sub synchronous resonance; damping the power oscillation and enhancing transient stability control of power systems, systems and procedures are used to compensate dynamically the detrimental effect of nonlinear loads. The compensation process should be carried out without important alteration of the signal quality along with some benefits like reduction of losses in distribution lines, harmonic content minimization and power factor improvement. The dynamic behavior of industrial load requires the use of that compensator which can be adapted to the load changes. Thyristor Controlled Series Capacitor (TCSC) is an important FACTS device which has been used in power system transmission networks; these few aspects of the TCSC operation which we are simulating in ORCAD and MATLAB (i) To calculate the various resonance points in the impedance characteristics of the TCSC w.r.t. various firing angle. (ii) Contribution of the TCSC to power system operation and control system and study by implementing the TCSC in small power model of power system using ORCAD and MATLAB.

Introduction: Many studies showed that police officers complained about physical and mental health issues due to job stress. These work stresses lead to adopting unhealthy lifestyles and habits including the harmful use of alcohol and tobacco use which leads to high blood pressure, heart attacks, and other NCDs. Methods: This cross-sectional study included all male police personnel of all cadres from nine police stations of Karimnagar Mandal. WHO STEPS NCD survey questionnaires were used to collect basic soci-demographic information, clinical history, stress, and anthropometry for measurements of CVD risk factors. Result: 253 police personnel with a mean age of 41.09 years enrolled from all cadres. 152 (60%) of police personnel had multiple cardiovascular risk factors. Hypercholesterolemia (37.2%) followed by a sedentary lifestyle (30.8%), and diabetes mellitus (14.6%) were important findings in this study. This study has also revealed an important link between preceding conditions for developing cardiovascular diseases such as pre-hypertension in 42.7% and impaired fasting glucose level in 25.7% of police personnel. Half of the study police personnel had a family history of NCDs and it was not statistically significant with service experience. There was a strong association between years of experience and tobacco and alcohol use. Organizational and operational stress levels increased with the increase in years of experience in policing (p-value<0. 01). Conclusion: Smoking and alcohol consumption were more prevalent among Police personnel which need to be controlled. Physical inactivity was another important area. Their attitude towards controlling the risk factors and practicing healthy behavior to safeguard from cardiovascular diseases has to be strengthened. It can be done by conducting regular awareness camps, training sessions, and regular cardiac risk factor evaluations for all police personnel.

Context: Climate change is the biggest global health threat and also the greatest health opportunity of the 21st century. Five warmest years among the last 140 years occurred between 2015 and 2019. Limited information is available regarding the knowledge and practices of medical students towards climate change, especially in India. Settings and Design: A cross-sectional survey was conducted in two medical colleges of Karimnagar city from January 2021 to July 2021 involving MBBS and Post-graduate students as study participants. Methods and Material: 903 undergraduate and post-graduate medical students who consented for the study were included. A pre-structured questionnaire was used. Statistical Analysis Used: Data is presented in frequencies and proportions with 95% confidence interval and Chi-square test is used as test of significance. Results: Poor knowledge regarding Sustainable Developmental Goal for climate action, Organisations dealing climate change and Government actions towards climate change were observed among study participants. Cardiovascular and respiratory diseases (84%) were answered as the major health impacts of climate change. Majority (97.4%) of the participants agreed that ‘human actions are also the cause for global warming’. Environment-friendly practices were observed significantly high among participants with adequate knowledge. Major (72%) source of learning about climate change was via internet. Conclusions: Our study found that major proportion of participants doesn’t have environment-friendly practices. However, the participants with adequate knowledge about climate change were observed to have more eco-friendly practices compared to participants with inadequate knowledge.

Background: Hypertensive disorders of pregnancy with spectrum complications is one among leading causes of feto-maternal morbidity and mortality especially when its associated with HELLP syndrome.Methods: The present prospective study was conducted over a period of three years in the department of obstetrics and gynecology at Chalmeda Anandarao Institute of Medical Sciences, Karimnagar, Telangana from January 2008 to January 2009. This is a prospective study on 50 pregnant women with 28-40 weeks of gestation with diastolic BP ≥110 mm Hg recorded 6 hours apart.Results: This is a prospective study on 50 pregnant women with 28-40 weeks of gestation with diastolic BP≥110 mm Hg recorded 6 hours apart. Severe pre eclampsia was seen in younger age group ˂25 years. In patients with raised LFTs unbooked cases were more (64%) showing complications are more in unbooked cases. Renal complications are seen in 16% of the total cases and in 28% of the cases with raised LFTs. In overall study group number of primi gravid were 50% and multi were 27%. Incidence of severe pre eclampsia was 78% in overall cases. In patients with raised LFTs the incidence was 30 (88%).Conclusions: Detection of increased LFTs in cases of severe pre-eclampsia is a risk category, associated with increased rate of feto-maternal complications, compared to severe pre-eclampsia with normal LFTs. Such cases need special attention with early detection and referral to higher centre with better facilities of NICU set up to reduce the complications and mortality.