Sepsis continues to be the predominant cause of ARF. Overall mortality of our patients is better, because of the case mix, a large percentage of patients had acute gastroenteritis as a cause of CRF.

Background: To assess and compare the efficacy, safety and fetomaternal outcome of mifepristone versus dinoprostone in priming the cervix and in inducing labour in pregnant women at term.Methods: This is a prospective comparative study done in Chettinad health and research institute, over a period of one year from October 2015 to October 2016. 50 pregnant women (Group 1) in 3rd trimester with unfavorable cervix were given 200mcg of mifepristone orally. If labour did not start or if the Bishop score remained poor at the end of 24hrs, induction was continued with 0.5mg of dinoprostone gel at a maximum of 3 gels at 6th hourly interval. Another 50 pregnant women (Group2) in 3rd trimester underwent induction according to the routine dinoprostone gel regimen of maximum 3 gels at intervals of 6hrs.Results: Improvement in Bishop score was significant with mifepristone by the end of 24hrs.But, in comparison, there was statistically significant improvement in Bishop score in favour of dinoprostone (Mean 4.7) than mifepristone (Mean 4.0). Also, the induction delivery interval was significantly less (Mean 11.5 hrs) with dinoprostone than mifepristone (Mean 20.3 hrs). Number of cases undergoing LSCS for failed induction was less in mifepristone group (4%). The rate of vaginal delivery, Caesarean sections, instrumental delivery and overall fetal outcome was comparable in both groups.Conclusions: Mifepristone is a safe, effective and suitable alternate agent for cervical ripening and initiation of labour when given 24 h before onset of labour.

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Goal: Quality of Work Life (QWL) draws more attention in the present context, and it is a multidimensional construct. The oil and gas industries have realized the significance of employees' QWL to retain and attract a talented workforce in the competitive job market. This study examines the status of QWL of employees in the LPG Bottling Industry.Design / Methodology / Approach: A measuring scale was designed and validated to evaluate the employees QWL working in the LPG bottling plant. The data for the study was gathered from 435 employees working in four LPG bottling industries. Using Exploratory Factor Analysis (EFA), predominant components of QWL are identified. With the Confirmatory Factor Analysis (CFA), the designed scale is validated. With percentage analysis and chi-square analysis, the data was analyzed, and meaningful inferences were drawn.Results: EFA and CFA resulted in four components of QWL with 19 items representing superior model fit. The model fit indices reported from the model namely Chi-Square value = 399.020; CMIN = 2.978, AGFI = 0.900; CFI = 0.937; GFI = 0.915; IFI = 0.938; NFI = 0.909; TLI = 0.920 and RMSEA = 0.068 are in the acceptable range. 51.5% of the respondents expressed to be satisfied with present condition of QWL. The research outcome revealed that among demographical characteristics, nature of activities significantly impacts on the status of QWL of employees. Limitations of the investigation:The data was collected from 435 employees working in four industries because of time constraints.Practical implications: This research's outcome will help the policymakers of LPG Bottling industries to implement QWL interventions for improving the work-life of employees.Originality / Value: The present paper is one among the few studies carried out in the oil and gas sector as minimal research has been done in this area.

Background: Umbilical cord is one of the fetal membranes. It is developed from the yolk sac. Umbilical cord is tubular structure. Approximate length of the cord is 50 cm. Umbilical cord around the neck is called as the nuchal cord. The aim of the study is to find out the incidence of umbilical cord around the neck at the time of delivery and its fetal outcomes.Methods: It is a retrospective observational study. This study was conducted in the department of obstetrics and gynecology at a tertiary care hospital over a period of 6 months (Feb-Jul 2020). Out of 542 patients, 388 were enrolled in this study after the inclusion and exclusion criteria, of which 101 were delivered with umbilical cord and the remaining were 287 patients in control group.Results: Present study showed 38.4% incidence of umbilical cord at the time of delivery. Incidence is more among the primigravida and it is statistically significant. Both intrapartum and postpartum risks are not related to umbilical cord around the neck. Mean length of the cord in patients delivered with cord around the neck is more when compared to the control group and has significant p value.Conclusions: This study concludes that the presence of umbilical cord, alone is not an indication for caesarean section. Umbilical cord with 3 loops was associated with increased operative delivery and low Apgar score, proper intrapartum surveillance and portogram leads to good fetal outcome.