A primigravida presented to us at 32 weeks of gestation with vomiting, myalgia and jaundice. On examination she had icterus, she was dehydrated, uterus was corresponding to dates and the fetal heart rate was good. On evaluation, all the investigations were normal except mild unconjugated hyperbilirubinaemia and hypoglycaemia. Based on the above findings we derived at a diagnosis of Gilbert syndrome. Dehydration due to vomiting aggravated her jaundice. On correcting her dehydration jaundice resolved, patient improved symptomatically and was discharged two days later. She was later admitted at term and underwent emergency caesarian section in view of fetal distress. Mother and baby were fine postoperatively and was discharged on the fifth postoperative day Gilbert syndrome is rare in obstetric practice. Virtually all patients have decreased activity of Uridine diphosphate glucuronosyl transferase (UDPGT). The case is reported due to its rarity.

Tube Hydroforming (THF) process is widely used in the aerospace and automotive industries. The success of forming tubular components using the THF process generally depends on many influencing parameters such as geometry, coefficient of friction, loading pathways, material formability, etc. The objective of this study was to determine the effect of the corner radius, coefficient of friction and heat treatment temperature on the bulging of the tubular component using finite element simulations. To address the complexity of parameter selection correctly with different alternatives, the multi-criteria decision-making methods (MCDM) applied in the present work. Two decision models, namely Technique for Order Performance by Similarity to Ideal Solution (TOPSIS) and Performance Selection Index (PSI) methods with entropy weighting criteria were applied for obtaining the best combination of parameters to get a sound quality product. Finally, the proposed ranking was validated by conducting experimental trials and the error was observed to be in limits in comparison with the simulated data. ANOVA was also performed to distinguish the significant parameters and their contribution to the responses. Both the MCDM methods suggested the same favorable and unfavorable alternatives.

Background: Tuberculosis (TB) is a disease which has been affecting humanity since archaic ages. Although tubercular meningitis (TBM) is the least commonly observed form of extra-pulmonary TB (5-15%), it is the most severe form in terms of mortality and morbidity. Case Report: A young female, 2 months post-partum, and a diagnosed case of miliary TB on irregular ATT since one and half month presented with mood and psychotic symptoms. There was no significant improvement noted with regular ATT, antipsychotic and mood stabilizer. Further evaluation revealed TBM with tuberculoma on treatment of which psychiatric symptoms subsided. Conclusion: Atypical presentation of TBM is not uncommon in developing nations like India. We report one such case presenting with syndromal psychiatric symptoms and signs. This report is intended to make psychiatrists aware of the unusual clinical presentations of tubercular meningitis.