Study Design: Observational retrospective study adopting management-based criteria Necrostatin-1 stable in a tertiary care public hospital during a 5-year period. Criteria adopted were: intensive care unit admission, blood transfusion >= 4 units, emergency peripartum hysterectomy and arterial embolization at any time during pregnancy. Results: A total of 80 cases were identified, most of them (97.5%) through a combination of two criteria, ICU admission and blood transfusion. Commonest severe obstetric morbidities were major obstetric haemorrhage (48.8%) and hypertensive

disorders (27.5%). Immigrant status (OR 1.68, 95% CI 1.03-2.7), pre-term birth (OR 4.15, 95% CI 2.5-6.8), Caesarean section (OR 7.74,95% CI 4.2-14.3) were factors significantly associated with SAMM cases. Major abdominal surgery was necessary in 26 women (32.5%), with emergency peripartum hysterectomy in 11 (13.5%). These GSK1904529A mouse events led to an average blood consumption per woman of 6.5 +/- 12.8 units and a mean hospital stay of 8.9 +/- 5.0 days, significantly longer (p < 0.001) than the average duration of post-delivery care. Maternal mortality to morbility ratio was

1:80. Conclusions: An integrated intervention-based approach proved to be effective in finding severe acute maternal morbidity cases. Information on underlying causes and associated risk factors may improve prevention and treatment of obstetric morbidities, thus reducing feto-maternal adverse effects and hospital expenditures.”
“Ultraviolet (UV) exposure induces photodamage of skin. It is a matter of concern that the level of UV radiation reaching the earth surface is increasing as a result of depletion of the stratospheric ozone, and climate change. It is urgently necessary to develop strategies to protect the skin from UV-induced injuries. Tea extracts are gaining increasing attention as a supplement in skin care products. However, the BV-6 purchase factors contributing to the

photoprotective effects of tea extracts have not been systematically defined and conflicting results about the effect of tea extracts on photodamage have been reported. In this paper, the literature dealing with the use of tea and its extracts for the prevention of photodamage to the skin as well as the photoprotective effects of tea and its extracts have been highlighted. The potential chemopreventive agents in tea include catechins, caffeine, polysaccharides, apigenin and luteolin which inhibit, reverse or retard the process of the skin photodamage via their sunscreen and antioxidant properties, regulation of signal transduction pathway and gene expression, alleviation of DNA damage, and modulation immunological function are also presented.