De novo Cu-MOF@CNS nanocomposite coated on a cotton fibrils framework for sustainable solar-driven desalination.

Environmental researchers are extremely concerned about addressing the declining availability of drinking water, which is a critical issue in many nations. Solar-driven desalination is an emerging and pioneering renewable approach to reduce potable water scarcity that is suitable for remote locations, developing countries, and disaster zones as it does not require additional energy supply. However, there are still issues with the scalable preparation of photothermal materials, such as achieving low cost and widening the assortment of useful applications. Conventional carbon- and metal-based absorbers are intricate and fragile, which make them difficult to install and transport in places with minimal infrastructure. Thus, a universal process for creating adaptable solar evaporators is sorely required. Herein, we have come up with a holistic approach using a solar absorber (GJ-01(Cal)) derived from a Cu-MOF (HKUST-1) and carbon nanosheets (CNSs) for generating potable water from saline water using solar radiation. The as-synthesized material provides high-performance photothermal water evaporation when illuminated under solar irradiation at the air-water interface. Moreover, its porous structure, high photothermal conversion efficiency, rapid water flow, and heat insulation make it appropriate for saline water desalination. CNS play a pivotal role in improving the photothermal features of the solar absorber (GJ-01(Cal)) in terms of conjugation to promote Cu(0) species and pyrrolic nitrogen (P-N) amplification and thereby enrich the p-type nature of the absorber's triphasic configuration. With these photothermal factors, the localised surface plasmon resonance (LSPR) of electrons increases and achieves high solar spectrum absorption. The GJ-01(Cal) was further coated on porous cotton fibrils (CF) that regulate photothermal interfacial evaporation (PTIE) by allowing water transportation via capillary action. This assemblage of the nanocomposite on CF efficiently evaporates water at a higher surface temperature of ∼47 °C under one solar illumination, achieving 4.23 kg m-2 h-1 of evaporation flux and 96.5% light-to-heat conversion efficiency. Interestingly, the GJ-01(Cal) coated over CF can be recycled at least 10 times. Additionally, it offers scalable production for higher photothermal efficiency with a flexible substrate as a solar evaporator and is beneficial for society paving new horizons towards a sustainable environment.

Blockchain for SME Clusters: An Ideation using the Framework of Ostrom Commons Governance.

Small and medium-sized enterprises (SMEs) organize themselves into clusters by sharing a set of limited resources to achieve the holistic success of the cluster. However, these SMEs often face conflicts and deadlock situations that hinder the fundamental operational dynamics of the cluster due to varied reasons, including lack of trust and transparency in interactions, lack of common consensus, and lack of accountability and non-repudiation. Blockchain technology brings trust, transparency, and traceability to systems, as demonstrated by previous research and practice. In this paper, we explore the role of blockchain technology in building a trustworthy yet collaborative environment in SME clusters through the principles of community self-governance based on the work of Nobel Laureate Elinor Ostrom. We develop and present a blockchain commons governance framework for the three main dimensions i.e., interaction, autonomy, and control, based on the theoretical premise of equivalence mapping and qualitative analysis. This paper examines the role of blockchain technology to act as a guiding mechanism and support the smooth functioning of SMEs for their holistic good. The study focuses on sustainability and improving productivity of SMEs operating in clusters under public and private partnership. This is the first study to address the operational challenges faced by SEMs in clusters by highlighting the dimensions of blockchain commons governance dimensions.

Maternal and Perinatal Outcome of Life Threatening Obstetrical Complications Requiring Multiple Transfusions.

INTRODUCTION: Obstetrical haemorrhage is the direct cause of maternal mortality, which can be prevented by timely recognition followed by quick and adequate treatment. AIM: To evaluate maternal and perinatal outcome of life threatening obstetric complications requiring multiple transfusions. MATERIALS AND METHODS: It is an observational study conducted on 112 antenatal and postnatal women admitted in a tertiary level hospital, requiring blood and blood products transfusion of >1.5 liters in 24 hours, over a period of 15 months (Aug 2011 to Oct 2012). The demographic and obstetrical profile, amount transfused, mode of delivery, duration of hospital stay, maternal and neonatal morbidity and mortality was evaluated. STATISTICAL ANALYSIS: Statistical analysis of the data was performed using chi-squared test. RESULTS: There were 95 women who presented in antepartum period and 17 in the postpartum. Multigravidas comprised of 70 women, 81 had unsupervised pregnancies and 33 women presented in shock. At admission, 76 peripartum women had severe anaemia and 62 had coagulopathy. Obstetrical hysterectomy was done for 33 women and total 17 women expired. Haemorrhage was the most common indication for transfusion. The mean blood transfusion and volume replacement in 24 hours was 4.2 units & 2.25 liters respectively. The mean hospital stay was 10-15 days. Intra-uterine death at the time of admission was present in 40 women and 72 had live births. After birth, 21 babies required neonatal intensive care, of which 6 expired. CONCLUSION: Antenatal care is important to prevent complications though pregnancy is always unpredictable. Patients' condition at admission is single most important factor often influencing the maternal and perinatal outcome.

Changing trends in use of laparoscopy: a clinical audit.

Aim. To find out the changing trends in indications for use of laparoscopy for diagnostic or operative procedures in gynaecology. Methods. This was a clinical audit of 417 women who underwent laparoscopic procedures over a period of 8 years from January 2005 to December 2012 in the Department of Obstetrics and Gynaecology at a tertiary care centre in Delhi. Results. A total of 417 diagnostic and operative laparoscopic procedures were performed during the period from January 2005 to December 2012. Out of 417 women, 13 women were excluded from the study due to inadequate data. 208 (51.4%) women had only diagnostic laparoscopy whereas 196 (48.6%) patients had operative laparoscopy after the initial diagnostic procedure. Change in trend of diagnostic versus operative procedures was observed from 2005 to 2012. There was increase in operative procedures from 10 (37.03%) women in 2005 as compared to 51 (73.91%) in 2012. The main indication for laparoscopy was infertility throughout the study period (61.38%), followed by chronic pelvic pain (CPP) (11.38%) and abnormal uterine bleeding (AUB) (9.4%). Conclusion. Over the years, there has been a rise in the rate of operative laparoscopy. Though the indications for laparoscopy have remained almost similar during the years, laparoscopy for diagnosis and treatment of CPP and AUB has now increased.

Laparoscopy:as a first line diagnostic tool for infertility evaluation.

INTRODUCTION: The role of diagnostic and therapeutic hystero-laparoscopy in women with infertility is well established. It is helpful not only in the identification of the cause but also in the management of the same at that time. MATERIALS AND METHODS: In this study, the aim was to analyse the results of 203 women on whom laparoscopy for the evaluation of infertility was done. This study was carried out at a tertiary level hospital from 2005 to 2012. The study group included 121 women with primary infertility and 82 women with secondary infertility. Women with incomplete medical records and isolated male factor infertility were excluded from the study. RESULTS: It was observed that tubal disease was the responsible factor in 62.8% women with primary infertility and 54.8% women with secondary infertility followed by pelvic adhesions in 33% and 31.5%, ovarian factor in 14% and 8.5%, pelvic endometriosis in 9.9% and 6.1% women respectively. Thus tubal factor infertility is still a major cause of infertility in developing countries and its management at an early stage is important to prevent an irreversible damage. At the same time, it also directs which couples would be benefited from assisted reproductive technologies (ART).