Objective: To identify the institutional factors causing third delay of maternal mortality in Faridpur Medical College Hospital- a tertiary public health care centre in Bangladesh. Design: Cross-Sectional Study. Study period: January 2001 to December 2005. Methods and Materials: The case notes of all maternal deaths were reviewed at the end of each month during the study period. Various factors causing delay in the proper management of the cases were identified and noted. The data obtained from these reviews formed the basis of this study. Results: During the study period total 202 mothers died giving the maternal mortality 2010.5 per 100,000 deliveries. In 130(64.4%) cases one or more institutional factors were identified those contributed significantly to maternal deaths. The identified factors were: delayed blood transfusion or non availability of blood (40%); delayed or lack of operative interventions (37%); late or nonattendance by senior doctors (24.8%); operative interventions done by junior doctors (9.9%); non availability of ICU (intensive care unit) facility (29.7%) and of medicine (7.4%). Conclusion: There is a steady fall in maternal mortality ratio (MMR) in Bangladesh since 1990. But to reach the Millennium Development Goal for maternal health (MDG-5), the MMR will need to decrease at a much faster rate in the future. Improvement of the infrastructural facilities in the hospital can help to remove the preventable institutional factors causing third delay of maternal mortality. This can be a short term strategy to reduce maternal mortality. Key words: Maternal mortality; Institutional factor; Third delay. DOI: 10.3329/jbcps.v28i1.4636 J Bangladesh Coll Phys Surg 2010; 28: 5-9
Problem statement:The solidification of materials depends on the cooling rate of the materials which is governed by heat flow in the mould and alloy composition. Solidification rate also affects the structure and properties of the materials. Approach: In the present study, the heat flow of cold set resin bonded sand mould was simulated using JL Analyzer FEM analysis software. To verify the model, the gray cast iron was melted at 1350°C temperature and poured into a resin bonded sand mould at 1300°C. Results: It showed that most of the heat-reserve at the junction of the mould which was nearer to the source of liquid metal and the lowest heat-reserve at the end of the mould. So, the solidification rate was very high at the end of the mould wall whereas it was comparatively low near the sprue of the mould. Conclusion: Finally, depending on the heat-flow through the mould, the solidification rate changed the microstructure from chill, mottled and gray cast iron and hardness changed from 95.1 HRB-78.78 HRB.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2025 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.