bluuebunny/crossref_metadata_2025 huggingface dataset:
Hombres víctimas de violencia de pareja: una revisión sistemática
Authors: Gonzales Ruiz Erika Yobana , Valderrama Varas Gabriela Jasmin , Salirrosas Cabada Richard Irvin
Published: March 2023

La violencia es un fenómeno que repercute en la sociedad, en relación a sus víctimas se le asocia casi siempre a la mujer, sin embargo, los hombres también la padecen. Frente a esto, la investigación se propuso como objetivo realizar una revisión sistemática sobre los factores asociados en hombres víctimas de violencia en pareja. El total de artículos seleccionados fueron 45 artículos, recopiladas de bases como Researchgate, Redalyc, PubMed Central, SAGE Journals, ProQuest, Dialnet, EBSCO, Scielo, ScienceDirect, REDIB, Medigraphic e InfoMED. Cada uno de ellos fueron categorizados en apartados como factores asociados a la violencia contra el hombre, modalidades, barreras, el tipo de vínculo con la víctima, país, idioma, muestra y conclusiones. En base al análisis se pudo concluir el abuso en pareja, bajos niveles de autoestima y dependencia emocional, el haber sufrido de violencia intrafamiliar, pocos ingresos económicos, los roles asociados al género masculino, la invisibilización y los estereotipos son los factores que se encuentran con mayor prevalencia en los hombres que sufren violencia.
SIETE DIMENSIONES DE LA MÚSICA SEXUAL: Comportamiento sexual monódico y diádico en parejas
Authors: Pereyra Quiñones José Luis , Ames Arenas Jimmi Jason , Monetti Adriana Graciela , Rivera Salazar María Odolinda , Vega Cotrina Wilson , Estrada Alomia Erika Roxana , Iparraguirre Yaurivilca Noemí Edith
Published: March 2023

El comportamiento sexual íntimo de las parejas (normales o no-patológicas) deben ser descritos por los psicólogos, para ello usan dos perspectivas; una es la primera a) psicopatológica del DSM 5 y CIE-10 o, la segunda b) la perspectiva de la psicología positiva, que utilizan los modelos de Kinsey (1953), Masters y Johnson (1966), Kaplan (1979), Schnarch (1991), Whipple y Brash-Mc.Greer (1997), y Basson (2000). Un panel de expertos buscó validar una nueva taxonomía de conductas eróticas. La música sexual se refiere a la conducta individual y diádica que una pareja hace para llegar al coito sexual; las cualidades de la conducta monódica de un amante son: a) Intensidad, b) Duración, c) Timbre y d) Tono sexual; y la coordinación musical diádica de dos amantes son: x) Ritmo, y) Melodía y z) Armonía sexual. Un panel de siete expertos usando el método Delphi validó el contenido de la teoría siete dimensiones de la música sexual proporcionando la definición conceptual y la operacionalización de las variables sexuales usadas; además, los expertos proporcionaron la casuística clínica de sus casos particulares.
CRUELTY-FREE ETİKETLİ KOZMETİK MARKALARININ SOSYAL MEDYA HESAPLARININ İNCELENMESİNE YÖNELİK BİR İÇERİK ANALİZİ
Authors: VİLLİ Bilge , BAHAR Reyhan
Published: March 2023

Kozmetik sektöründeki birçok firma ürünlerini hayvanlar üzerinde test etmektedir. Bu nedenle her yıl dünya üzerinde 100 milyondan fazla hayvan deneylerde işkence görmekte ve bu hayvanların neredeyse hepsinin deney prosedürünün ardından yaşamlarına son verilmektedir. Deneylerde kullanılmak üzere hayvan üreten firmalar ise bu işten milyonlarca dolar kazanmaktadır. Hayvan deneyleri ve bu deneylerin yıkıcı sonuçları hem dünyada hem de ülkemizde yeterli düzeyde insanın haderdar olduğu ve önemsediği bir konu değildir. Ancak son yıllarda yaşanan bazı gelişmeler konunun önemini gündeme getirmiştir. Hayvan haklarını savunan birçok kuruluş, hayvan hakları savunucuları ve bilinçli tüketiciler sayesinde dünya genelinde pek çok işletme ve marka bir ürünün hayvanlar üzerinde test edilmediğini gösteren cruelty-free etiketli ürünler üretmeye başlamışlardır. Çalışmada, Türkiye’de kozmetik sektöründe faaliyet gösteren “cruelty-free” etiketli markaların internet siteleri ve sosyal medya hesapları içerik analizi yöntemiyle incelenerek cruelty-free konusunu ne kadar ön plana çıkardıklarını ortaya koymak amaçlanmıştır. Araştırmanın sonuçlarına göre; cruetly-free etiketli markaların kendilerini rekabette üstün kılabilecekleri bir husus olan cruelty-free konusunu yeterince ön plana çıkarmadıkları ve tüketicilerle kolayca etkileşim oluşturabilecekleri sosyal medyayı bu yönde yeterli düzeyde kullanmadıkları görülmektedir.
Kızılçam (Pinus brutia Ten.) meşcerelerinde uygulanan ilk aralama çalışmalarının değerlendirilmesi: Sütçüler örneği
Authors: BAYAR Esra , ALKAN Onur
Published: March 2023

Bu çalışma Isparta/Sütçüler Orman İşletme Müdürlüğü sınırları içerisinde bulunan doğal kızılçam (Pinus brutia Ten.) meşcerelerinde uygulanan aralama müdahalelerinin değerlendirilmesi amacıyla yapılmıştır. Kızılçam meşcerelerinde benzer yükselti ve bakıda iki ayrı sahada uygulanan iki farklı şiddetteki aralama müdahalesinin dört yıllık sonuçlarının büyüme özellikleri üzerindeki etkisi değerlendirilmiştir. I nolu alanda mutedil alçak aralama müdahalesi uygulanırken, II nolu alanda kuvvetli alçak aralama müdahalesi gerçekleştirilmiştir. Kızılçam meşcerelerinde her iki alanda da uygulanan aralama müdahaleleri ortalama göğüs çapı, ağaç boyu, ağaç stabilitesi ve hektardaki toplam göğüs yüzeyi üzerinde etkili olmuştur. Aralama müdahaleleri ile ağaçların göğüs çap ve boy gelişimi, ağaç stabilitesi artmıştır. Dört yılın sonunda her iki alanda da hektardaki toplam hacim bakımından aralama müdahalesi uygulanan alanlar ile kontrol alanları arasında istatistiksel anlamda önemli bir farklılık belirlenmemiştir. Sonuç olarak, düzenli bakım müdahalesi uygulanan doğal kızılçam meşcerelerinde ilk aralama müdahalesi olarak kuvvetli alçak aralama tercih edilebilir. Düzenli bakım müdahalesi uygulanmayan alanlarda ise meşcere gelişimi de göz önüne alınarak mutedil alçak aralama müdahalesinin uygulanması önerilebilir.
The Role of Religious Aspects on Life Satisfaction: Case Study of Muslims in Indonesia
Authors: Fauzi Kiky Nur
Published: March 2023

Religiosity aspect is the most important part in personal life. With religion, an individual can achieve true peace, including life satisfaction. Life satisfaction is actually one of the most important aspects of a goal in life. This study aims to determine the role of religiosity and economic aspect on the level of one's life satisfaction. Life satisfaction was measured using a life satisfaction scale, while religiosity was measured using subjective perceptions of religiosity, frequency of prayer, frequency of attending recitations, and affiliation to religious organizations. This study was limited to a sample of Muslims aged 15 to 64 years in the fifth round of the 2014 Indonesia Family Life Survey (IFLS) database. Using ordered logit regression, statistical evidence was obtained that the aspect of religiosity was positively related to life satisfaction. Each increase in one level of religiosity was associated with 8.1% increase in the probability of being satisfied. This finding is supported by variables that reflect other aspects of religiosity, such as an increase in one level of prayer frequency associated with an increase in the probability of being satisfied by 1.4%. Meanwhile, the economic aspects as measured by education level and work status are positively associated with life satisfaction.
Tourism Industry and Community Readiness: A Case Study of the Mandalika Special Economic Zone (KEK)
Authors: Azizurrohman Muhammad , Martayadi Uwi , Najmudin Mohamad , Fathurrahim Fathurrahim , Bratayasa I Wayan
Published: March 2023

The local community of Kuta Mandalika Village is required to adapt to the regional tourism industry as the spearhead of tourism operations in the Special Economic Zone for Tourism in West Nusa Tenggara. As a result, researchers aim to see how prepared the residents of Kuta Mandalika Village are to welcome tourism to their village. The cognitive, emotional, and conative components all play a role in community readiness. The community at Kuta Mandalika Village was studied using a qualitative research method. In-depth interviews and a non-probability sample strategy were used to identify relevant informants in this study. For the first phase, snowball sampling was chosen as the data collection strategy. According to the findings, the community of Kuta Mandalika Village are well prepared to host tourism activities in the Mandalika Special Economic Zone. However, they are not yet prepared to participate in the tourism industry. The village is in the process of transitioning to a tourism-based society. The phenomena of rapid tourist development pushe the community as hosts, who are directly affected by tourism, to prepare themselves in an indirect way. The government, academics, and the private sector all have a role to play in helping to develop the surrounding community in terms of the capital and skills that the industry requires.
The Nexus Between Economic Demography and Carbon Emission: A Case Study in South American Region
Authors: Vikia Yahya Mahda , Wibowo Valeriana Sekar Adhianti , Maulana Faizal , Rahmayani Dwi
Published: March 2023

One of the world community's current challenges is determining how to achieve the SDGs goals on environmental quality before 2030. This study aims to determine how the massive population and economic growth affect the emission of carbon dioxide (CO2) gas in the six South American countries with the largest population and use the Environmental Kuznets Curve (EKC) hypothesis approach. The data used is panel data from 2011 to 2021 in six countries based on the average population of the largest population over 11 years in South America. The results of the study explain that the total population has a significant positive effect on CO2 emissions. In addition, trade openness through imports has a significant positive effect and this study was unable to validate the Environmental Kuznets Curve (EKC) hypothesis in six South American countries from 2011 to 2021.
The Effect of Working Mother on Children’s Cognitive Achievement
Authors: Iriani Latifah Dian , Darsono Susilo Nur Aji Cokro , Samaee Maisaroh
Published: March 2023

Children's cognitive is the main role in increasing human capital. Female labor force participation is important not only for supporting economic growth but also for human capital. Moreover, female labor force participation can reduce the income gap based on gender and it gives women opportunity to increase their skills. Workers in the informal sector are more dominant than a worker in the formal sector in almost developing countries, especially women who are already married. Therefore, the effect of female labor participation is still on debated. This research aims to know the different effects of working mothers based on the formal and informal sectors on children’s cognitive development. This study is using IFLS 2, IFLS 3, IFLS 4, and IFLS 5. The sample is mother who have children aged 0-3 years old. Children’s cognitive is measured by national examination scores in Elementary school and Junior High school. Moreover, this study used a fixed-effect method to reduce the bias effect. The result shows that working mother in the formal sector affects children cognitively higher than children with working mother in the informal sector. Working mother in the formal sector has a higher impact on the short-term than long-term. Caused by mother education in the formal sector is higher than working mothers in the informal sector. Moreover, a working mother can be alleviated maternal education which means a higher maternal education can increase children's cognitive. Although maternal education has a higher impact when children are in elementary school and it tends to decrease when children are in Junior high school. Several children have a negative and significant effect on children's cognition but birth order has a positive and significant effect on children cognitive.
Anticipating The Return of Foreign Terrorist Fighters: Indonesia-Australia’s Initiative on Sub-Regional Meetings on Counterterrorism
Authors: Veronika Nuri Widiastuti
Published: March 2023

Efforts to overcome the increasing security threats of terrorism, violent extremism, and Foreign Terrorist Fighters (FTFs) have encouraged policymakers in Indonesia and Australia to strengthen cooperation in the security sector. Despite the Indonesian-Australian “turbulent” history of their bilateral relationship, the two countries have initiated a high-level meeting called the Sub-Regional Meeting (SRM) on Counter-Terrorism. Starting with six participants in 2017 (Indonesia, Australia, New Zealand, Malaysia, Brunei Darussalam, and the Philippines), Indonesia-Australia’s co-leadership has attracted Myanmar, Singapore and Thailand to join the 2018 Jakarta meeting and the 2020 virtual meeting. Analyzing Indonesia and Australia’s initiative on the SRM can determine to what extent this cooperation has addressed the returning FTFs as one of the most imminent regional security threats in the Asia Pacific. This study adopted Buzan and Weaver’s regional security complex elements in explaining to what extent this regional security issue has put aside Indonesian-Australian differences and led them to the co-leadership position in anticipating the return of FTFs to Asia Pacific, prone to terrorist attacks and violent extremist beliefs. The analysis unveiled that Indonesia-Australia’s SRM initiative to anticipate the return of FTFs could, to some extent, address the elements of security complexes in the Asia Pacific subregion through the mutual co-leadership, reduce the lack of regional trust and foreign policy dilemmas, build bonded trust across all levels of government administration, and obtain the advantage of the securitization of the return of FTFs.
The Paradox of Indonesia Cyberspace Policy and Cooperation: Neoclassical Realism Perspective
Authors: Abdurrohim Muhammad , Kumalasari Indah , Rosy Fathur
Published: March 2023

Cyberspace is a new threat to state security, especially in Indonesia. The increase of internet users in Indonesia is followed by several policies Jakarta takes to adapt to the fast pace of cyberspace challenges. To manage cyberspace in Indonesia, the government has developed ITE Law to regulate Indonesia’s cyberspace and prevent threats coming from within. Moreover, realizing cyberspace offers many opportunities. The government also cooperates with other actors like ASEAN to formulate ASEAN Digital Masterplan to enhance cyberspace contribution toward economic recovery after the COVID-19 pandemic. However, there is a contradiction between ITE Law, especially the Regulation of the Minister of Communication and Informatics No. 5 of 2020, and the cyberspace cooperation that the government tries to impose. These phenomena raise the question of why the Indonesian government takes contradiction policy on cyberspace between domestic and international levels. This research examined the reason behind the paradoxical policy of the Indonesian government’s ITE Law and the ASEAN Digital Masterplan regarding cyberspace policy, especially from 2016 to 2021. A qualitative method was employed to achieve the objective, with disciplined configurative reports and government documents regarding its cyber policy as the data. The data were analyzed using the theory of neoclassical realism to identify the Indonesian government’s cyberspace policy behavior on domestic and international levels. This paradoxical situation between the domestic and international levels of the Indonesian government’s cyberspace policy was created by how the Indonesian government identified threats. The Indonesian government still faced instability at the domestic level to identify the category of threats toward the regime due to the inheritance of the authoritarian regime government model it experienced before. The opposite response at the international level occurred because the socialization and institutionalization in the region have created strategic culture. Accordingly, the strategic culture of cyberspace has restricted the Indonesian government from applying the same idea at the domestic level. The Indonesian government should adapt the popular strategic culture at the international level to ensure prestige.
Pengaruh Penghindaran Pajak terhadap Keterlambatan Audit dengan Tipe Auditor sebagai Variabel Moderasi
Authors: Tanujaya Kennardi , Vaustine Grace
Published: March 2023

Latar Belakang: Laporan keuangan mencantumkan informasi yang dijadikan sebagai patokan bagi para investor untuk menilai kinerja perusahaan. Perusahaan diharuskan melaporkan laporan keuangan yang telah ditandatangani auditor sesuai dengan waktu yang telah ditetapkan. Hal ini bermaksud agar berita yang dimuat dalam laporan keuangan tersebut masih memiliki nilai manfaat bagi pihak pengguna. Penghindaran pajak adalah kegiatan yang dilakukan manajemen untuk mengurangi beban pajak dan dianggap tidak menguntungkan bagi pihak lain. Oleh karena itu, auditor akan lebih teliti dalam mengaudit tetapi hal ini membutuhkan pengorbanan waktu yang lebih panjang.Tujuan: Penelitian bertujuan mengkaji pengaruh penghindaran pajak terhadap keterlambatan audit serta tipe auditor sebagai variabel moderasi dari hubungan keterlambatan audit dan penghindaran pajak.Metode Penelitian: Data diperoleh dari laporan perusahaan yang terdaftar di BEI (data sekunder) serta menggunakan metode purposive sampling. Metode penelitian adalah metode regresi panel. Total terdapat 363 perusahaan yang menjadi sampel.Hasil Penelitian: Hasil menyatakan penghindaran pajak ETR berpengaruh positif terhadap keterlambatan audit dan penghindaran pajak CETR tidak berpengaruh terhadap keterlambatan audit. Tipe auditor yang menjadi variabel moderasi juga tidak dapat mempengaruhi hubungan penghindaran pajak ETR maupun CETR terhadap keterlambatan audit.Keaslian/Kebaruan Penelitian: Penelitian ini adalah replikasi dari penelitian sebelumnya yang diuji kembali dengan menambahkan satu pengukuran lain pada variabel independen dan diuji pada perusahaan BEI dengan menggunakan data panel.
Pemahaman Pajak dan Tax Cost Compliance terhadap Moralitas Wajib Pajak dengan Mediasi Tax Service Quality
Authors: Nadi Luh , Irawati Wiwit , Amaliyah Amaliyah
Published: March 2023

Latar Belakang: Perubahan perpajakan yang terjadi dilatar belakangi pada aturan perpajakan, di mana Wajib Pajak diharapkan dapat lebih memahami mengenai aturan perpajakan, dan diharapkan pula peran konsultan pajak dapat membantu klien untuk melaksanakan hak dan kewajiban dalam membayar pajak.Tujuan: Penelitian ini bertujuan untuk menguji pengaruh dari Pemahaman Pajak, Tax Cost of Compliance terhadap Moralitas Wajib Pajak dengan mediasi Tax Service Quality.Metode Penelitian: Penelitian ini menggunakan responden Konsultan Pajak di Indonesia yang tergabung dalam IKPI (Indonesia). Populasi penelitian adalah konsultan pajak yang tergabung dalam IKPI, pemilihan sampel menggunakan teknik simple random sampling. Data penelitian yang terkumpul dan telah lolos uji kualitas instrumen serta uji asumsi klasik, diuji regresi dengan teknik analisis jalur untuk melihat pengaruh variabel mediasi, dan uji regresi linier berganda untuk melihat pengaruh parsial masing-masing variabel dan pengaruh simultannya.Hasil Penelitian: Hasil penelitian menunjukkan bahwa secara parsial Pemahaman Pajak Tax Cost of Compliance berpengaruh terhadap Tax Service Quality, demikian juga Pemahaman Pajak, dan Tax Service Quality secara parsial berpengaruh terhadap Moralitas Wajib Pajak, sedangkan Tax Cost of Compliance tidak berpengaruh terhadap Moralitas Wajib Pajak, Hasil penelitian juga membuktikan bahwa variabel Tax Service Quality memediasi pengaruh Tax Cost of Compliance terhadap Moralitas Wajib Pajak, tetapi tidak memediasi pengaruh Pemahaman Pajak terhadap Moralitas Wajib PajakKeaslian/Kebaruan Penelitian: Penelitian ini menggunakan responden Konsultan Pajak yang masih jarang digunakan dalam penelitian-penelitian sebelumnya, padahal sebagai konsultan pajak dituntut untuk lebih memahami peraturan perpajakan. Penelitian ini juga menjadikan Kualitas Pelayanan sebagai variabel mediasi dan lebih fokus kepada Moralitas Wajib Pajak sebagai pemicu kepatuhan wajib pajak.
Post caesarean section complication and its management in Dhaka medical college hospital
Authors: Das Mita , Ghosh Abanti , Rani Ghosh Suchita
Published: March 2023

Background: The increase in the rate of caesarian sections globally is intimately related to the development of the women access to this procedure when required. But it is still related to the indiscriminate use without medical indication. This has fulminated in the recent efforts to reduce these rates while incorporating the obstetric preferences of women. Objective of the current study was to find out the predisposing factors for caesarian complications and to observe its management pattern.
Methods: This was a cross sectional observational and descriptive study performed in the department of obstetrics and gynecology, Dhaka medical college hospital, Dhaka from January2019 to June 2019. All mothers admitted for elective and emergency cesarean section were selected by purposive sampling. Thereafter, they were scrutinized according to eligibility criteria and 100 patients were finalized. A pre-tested, observation based, peer-reviewed data collection sheet was prepared before study. Data regarding clinical, biochemical and surgical profile were recorded.
Results: The mean age of the respondents was 25.96±4.43 (age range: 17-39) years. Among 100 mothers, 59% underwent elective and 41% underwent emergency cesarean section. 67% had uneventful outcome after LSCS. Rest 33% had post cesarean section complications. Among them 33% mother who had complications, 19 (57.57%), 12 (36.36%), 10 (30.30%) and 8(24.24%) had wound gap, UTI, GIT complications and haemorrhage respectively. 3 (9.09%) each suffered from thromboembolic complications and septic thrombophlebitis. Only one (3.03%) experienced DIC. Out of 33 complicated cases; 27 (81.81%) required treatment with injection oxytocin, blood transfusion, condom catheterization and 10 (30.30%) required secondary closure. Among them 4 (12.12%) underwent mass closure and received antithrombotic drug. One (3.03%) each underwent excision sinus tract and re-laparotomy.
Conclusions: Caesarean section complications can result in death or morbidity. Despite advances in technology and expertise, wound infection or wound gap remains the most common post-c-section complication. It is critical to successfully manage complications after cesarean section in order to reduce morbidity and mortality among mothers.
Maternal and perinatal outcome in instrumental vaginal deliveries over 5 years: a retrospective study
Authors: Ghanchi Fatima M. , Mansuri Misbah I. , Doshi Haresh U. , Kharod Patel Prarthana H.
Published: March 2023

Background: Due to fear of trauma and less skill, use of instrumental vaginal delivery (IVD) is decreasing every year and incidence of caesarean section is increasing. Caesarean section is a major surgery associated with increased morbidity and mortality. This study evaluates the incidence of instrumental vaginal delivery and associated maternal and perinatal outcome.
Methods: This observational retrospective study was carried out in full term antenatal patients in labour with vertex presentation who had undergone operative vaginal deliveries during the study period from January 2017 to December 2021 at G.C.S. Hospital. Data were obtained from the hospital records and analysed which included the age, parity, incidence, indication, the APGAR scores of the babies and complications in the patient.
Results: Incidence of instrumental deliveries was found to be 1.98%. Most common indications for IVD were prolonged second stage of labour followed by foetal distress and post-dated pregnancy. Most common maternal complication was perineal tears and most common perinatal complication was neonatal intensive care unit (NICU) admission.
Conclusions: The decision to proceed with an operative vaginal delivery when a spontaneous vaginal delivery is not possible must be based upon maternal and foetal factors. Most common maternal complications were perineal tears, cervical tears, episiotomy extension, vaginal laceration and atonic postpartum hemorrhage (PPH). Most common neonatal complications were NICU admission most commonly for neonatal hyperbilirubinemia.
Role of serum folic acid and vitamin B12 levels in abruptio placentae and the fetomaternal outcome
Authors: Meena Seema , Meena Pragati , Vashisth Neha , Gaikwad Harsha S. , Sharma Bharti
Published: March 2023

Background: Over the course of pregnancy, there is a steady decline in maternal plasma folate concentration and vitamin B12 concentration about 50%of non pregnant levels. Insufficient folate and vitamin B12 status has been associated with many reproductive complications including abruption, IUGR, pre eclampsia, early pregnancy loss. The aim of the study was to determine the role of serum folic acid and vitamin B12levels in patients with abruptio placentae and to study the feto-maternal outcome in these patients. Feto maternal outcome is seen in terms of mode of delivery whether vaginal or caesarean, period of gestation whether term or preterm, need of blood transfusion, stillbirths.
Methods: In this prospective observational study conducted in a tertiary hospital from 2018-2020, 50 pregnant women with abruptio placentae were included and their serum folic acid and vitamin B12 levels were measured by ELIZA method using commercially available kits.
Results: Serum folic acid levels were not low in the cases of placental abruption with range= 25 ng/ml to 80.5 ng/ml. Mean folic acid level ±SD is 47.98±13.15 ng/ml and median is 48 ng/ml. In this study vitamin B12 levels were low in the cases, range 14 pg/ml to 70 pg/ml. Mean vitamin B12 value ±SD is 27.15±11.63 pg/ml and median is 25 pg/ml.The rate of caesarean section was 44%, preterm delivery was 64% and stillbirth was 38% in these cases with mean folic acid levels of 48.7±15.4 ng/ml, 46.94±13.85 ng/ml and 46.03±8.13 ng/ml respectively and mean vitamin B12 levels of 23.34±6.74 pg/ml, 28.73±13.44 pg/ml and 28.32±11.75 pg/ml respectively. There was a significant association (p=0.006) between vitamin B12 and mode of delivery. No other significant association was seen between serum folic acid and vitamin B12 levels and the different fetomaternal outcome.
Conclusions: Low levels of vitamin B12 is seen in cases with abruptio placentae. The rate of caesarean section, preterm delivery, stillbirth and need of blood transfusion is high but no significant association is seen.
Efficacy of MgSO4 to prevent eclampsia in women with severe pre-eclampsia and impending eclampsia
Authors: Kollu Bhuvana Shanti , Talathi Manju Arvind , Taralekar Vaishali Suhas
Published: March 2023

Background: Preeclampsia is a multi-system disorder that is frequently accompanied by proteinuria and new-onset hypertension. Poor placental perfusion and a general disease process that may affect multiple organ systems are the hallmarks of the syndrome. While eclampsia is a complicated condition brought on by cerebral dysrhythmia due to various pathogenesis steps that include abnormal trophoblastic invasion which led to vasospasm, endothelial dysfunction, and platelet aggregation. Maternal complications of severe preeclampsia/eclampsia can lead to maternal, fetal, and neonatal morbidity and mortality. One of the anticonvulsants MgSO4 is known to reduce the risk of eclampsia. The present study was conducted with the aim to analyse the effect of MgSO4 to reduce the incidence of eclampsia in pregnant women with preeclampsia and impending eclampsia.
Methods: A total of 114 women with preeclampsia and impending eclampsia were included in present study. Mgso4 was given as a loading dose and the Zuspan regimen as required. Women were categorised based on raised blood pressure (>140/90 mmHg), deranged lab parameters which includes renal function tests (urea, uric acid, creatinine), coagulation profile (PT, APTT, INR, LDH, platelet count), liver function tests (total bilirubin, SGOT/SGPT) and clinical symptoms which include headache, blurring of vision, epigastric pain.  The incidence of eclampsia even after a dose of MgSO4 was calculated.
Results: The mean age of the women was 28.17±4.69 years. The diagnosis of pre-eclampsia was made based on systolic and diastolic blood pressure. Out of 114 pregnant women with severe preeclampsia or impending eclampsia who were given a dose of MgSO4, only 2 women have developed eclampsia.
Conclusions: The incidence of eclampsia after the dose of MgSO4 among women with preeclampsia or impending eclampsia was reported to be only 1.75% which confirms MgSO4 therapy as an effective tool in preventing perinatal morbidity and mortality.
Road to fertility: comparison of letrozole and clomiphene citrate-estradiol valerate for ovulation induction in female with unexplained infertility to see ovulation and conception rate
Authors: Jain Smriti , Singh Neetu , Bawankar Ruchita
Published: March 2023

Background: Clomiphene citrate was considered as first line of treatment for ovulation and induction in patients with unexplained infertility, but there are differences in results which can be explained by anti-estrogenic effect of CC resulting in estrogen receptor depletion. Letrozole is potent non-steroidal aromatase inhibitor which increases gonadotrophin secretion with ovarian follicle stimulation. Research question was that which drug is more efficacious for ovulation and induction in patients with unexplained infertility.
Methods: This comparative study was conducted at OBGYN OPD of RMCH and RC, Kanpur. Patients were 50 females with unexplained infertility randomly divided into 2 groups. Group A received letrozole 2.5 mg from D3-D7 of menstruation. Group B received CC 50 mg from D3-D7 plus 2 mg estradiol valerate BD on D8-D14 of menstruation. Female aged 18-35 years with complete fertility workup i.e. D3 FSH, LH, prolactin, serum TSH, HSG, USG-pelvis, mid luteal phase progesterone, semen analysis within normal limits are included in study. Patients with male infertility, hyperprolactinemia, thyroid disorders and BMI>30 kg/m2 were excluded.
Results: There was statistically significant difference in endometrial thickness (ET) between two groups, (p value <0.03) as mean ET was 9.3±1.7 in group A (L) and 8.3±1.5 in group B (CC+E). The number of follicles after stimulation were better with CC+E 2.9±1.1 and L 2.1±1.2 showing statistically significant difference with p value <0.01 but clinical pregnancy rate was higher with letrozole as compared to CC-E without statistically significant difference.
Conclusions: Letrozole has better effect on endometrial thickness with statistically significant difference. CC+E had advantage towards multifollicular development with statistically significant difference, but there was no significant difference in case of clinical pregnancy rate, abortion, ectopic, multiple gestation.
A rare urogenital malformation “Herlyn-Werner-Wunderlich syndrome” (Ohvira syndrome) discovered during an acute pelvic pain
Authors: Kamal E. Harcha , Ayoub Aouragh , Ibtissam Bellajdel , Hafssa Taheri , Hanane Saadi , Ahmed Mimouni Ahmed
Published: March 2023

The Herlyn-Werner-Wunderlich syndrome (OHVIRA syndrome) is a rare urogenital malformation, characterized by a blind hemivagina, a didelphic uterus, and homolateral renal agenesis, it results from a defect in the development of the muller and Wolf ducts during the embryonic period, of unknown origin, the diagnosis is most often made at puberty during the first menstruation, sometimes late, particularly for non-obstructive forms: infertility or obstetrical complications, the diagnosis is based on pelvic ultrasound especially with 3D reconstructions and pelvic magnetic resonance imaging (MRI) which remains the standard gold for the detection of mullerian anomalies, laparoscopy can also play a double diagnostic and prognostic role in order to study the consequences of the blood reflection (hematosalpinx, inflammatory pelvis, endometriosis. In this work we report the case of an OHVIRA syndrome diagnosed late at the age of 36 years in a multiparous woman with acute pelvic pain simulating the picture of a torsion of the adnexa, we will discuss through this case the clinical, diagnostic and therapeutic aspects of this uterine malformation.
Carcinosarcoma: a rare sinonasal malignancy with atypical behaviour
Authors: Miranda Vera , Soares Santos Tiago , Gonçalves Paulo , Pestana Aguiar Catarina , Gonçalves Débora , Lopes Miguel Campos , Carvalho Carlos
Published: March 2023

Carcinosarcoma is an extremely rare neoplasm in the nasal cavity and in the paranasal sinus, with rapid growth and extensive local destruction. We report a case of a 61-year-old man with progressive left-side nasal obstruction and epiphora for six months. Imaging showed a massive mass lesion, mainly located in the left nasal cavity and ethmoid sinus, with no intracranial or orbital extension. Biopsy of the nasal mass revealed a poorly-differentiated squamous cell carcinoma associated with sarcomatous elements. Patient underwent an endoscopic transnasal resection. Definitive histopathologic analysis revealed a carcinosarcoma. Postoperative radiotherapy was, then, performed. After five years of follow-up, there is no evidence of tumor recurrence. This report highlights that even though despite the lack of optimal treatment protocol, long term disease control can be achieved through endoscopic transnasal resection complemented with radiotherapy.
Tuberculous osteomyelitis of maxilla: a rare case report
Authors: Aher Tejashri S. , Ekhar Vipin R. , Shelkar Ritesh N. , Vedi Jeevan N.
Published: March 2023

Tuberculosis, caused by Mycobacterium tuberculosis can affect almost any part of the human body. Tuberculous osteomyelitis is rare and constitutes less than 2% of the skeletal tuberculosis. Jaw involvement of the maxillary bone by tuberculous infection is extremely rare. Here we document a case of tuberculous osteomyelitis of maxilla who presented with history of multiple infraorbital abscesses. The case is unique due to its rarity and diagnostic dilemma.
Revisiting pathophysiology of benign paroxysmal positional vertigo: a review
Authors: Swain Santosh Kumar
Published: March 2023

Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. There are several possible underlying causes of BPPV, although the idiopathic form is the most common. BPPV is characterized by brief recurrent episodes of vertigo that are triggered by changes in head position. Although BPPV is a benign vestibular disorder, it can be a severe and disabling problem for some of patients. The pathophysiology of BPPV is still unclear. The pathophysiology for BPPV is complex and the underlying mechanism is related to free-floating debris/otoliths in the semicircular canal (canalolithiasis) or debris/otoliths attached to the cupula (cupulolithiasis). These otolith/debris are originally accumulated after detachment from the neuroepithelium of the utricular macula secondary to degeneration. BPPV can occur following other vestibular disorders. In the majority of cases, the triggering factors are unknown. Some patients of BPPV have a history of previous inner ear diseases such as Meniere’s disease or acute unilateral peripheral vestibulopathy. This clinical entity is well-defined in medical literature and usually effectively treated by certain physical maneuvers. However, the pathophysiology is still obscure and is being critically discussed in this article, which reviews the details pathological mechanism for BPPV. This review article will discuss that aging, trauma, migraine, Meniere’s disease, vestibular neuronitis, and vitamin-D deficiency are the most commonly investigated etiopathological factors resulting in BPPV.
Evaluation of efficacy of various remineralizing agents on artificially demineralized human enamel – An in-vitro study
Authors: Shivaram Nemani , Rawal Komal , Manne Ranjit Kumar , Gandikota Chandra Sekhar
Published: March 2023

Currently much research revolves around remineralization as incidence of white spot lesions in patient undergoing orthodontic treatment is 2-96%. The objective of this study was to find out the efficacy of Casein phosphopeptide-amorphous calcium fluoride phosphate (CPP-ACFP), Functionalized tricalcium phosphate (f-TCP), Calcium sodium phosphosilicate (CSPS), Calcium sucrose phosphate (CSP), Nano hydroxyapatite (nHAP) and Fluoride (F) in remineralizing artificially demineralized enamel and DIAGNOdent and scanning electron microscope were used to record the changes.

The study included 140 extracted premolars which were divided into 7 groups in which 6 were experimental groups: I (CPP-ACPF), II (f-TCP), III (CSPS), IV (CSP), V (nHAP), VI (F) and 1 control group: VII (C). All the samples were evaluated using DIAGNOdent at the baseline, post demineralization and post remineralization. One sample was randomly selected from each group for evaluation using SEM.

Statistical analysis has shown that all the groups had higher amount of remineralization except control group. CSPS showed maximum remineralization.

All the artificially demineralized samples treated with remineralizing agents for 3 weeks reduced the severity of lesions by forming calcific deposits. However CSPS showed marginally more amount of remineralization than others.
Cytological evaluation of spectrum of Hepatobiliary and Pancreatic mass lesions
Authors: Hazarika Ekaparna , Devi Junu
Published: March 2023

Hepatobiliary and Pancreatic mass lesions are commonly occurring intra-abdominal space occupying lesions. Image guided FNAC enables exact localization of the lesion, assessment of nature and invasion and is a useful tool in the diagnosis of such lesions.

The present study aims to evaluate the spectrum of hepatobiliary mass lesions diagnosed by Image guided FNAC.

We have conducted a retrospective study in Department of Pathology, Gauhati Medical College & Hospital, Guwahati, for a period of 5 years, including patients of all ages and both sexes presenting with clinical and radiological suspicion of hepatic, biliary or pancreatic mass lesion. Under aseptic conditions USG guidance FNAC was done from the appropriate site and smears were examined.

Out of the total 135 patients, there were 70 cases of Hepatic lesions (51.8%), followed by 54 cases taken from Gall bladder (GB) (40%), 5 cases from Common Bile Duct (CBD) (3.7%) and 6 cases (4.44%) from Pancreatic lesions. There were 51 cases of hepatic malignancies, 36 GB malignancies, 4 cases each of CBD and pancreatic malignancies. The most common Hepatic malignancies were Metastases followed by Hepatocellular carcinoma. The most common GB malignancy was Adenocarcinoma, followed by Cholangiocarcinoma. There was 1 case each of Solid Pseudopapillary Neoplasm of Pancreas, Acinar Cell carcinoma, Mucinous Adenocarcinoma and HCC. These findings were in concordance with our reference studies.

Image guided FNAC has proved to be a versatile tool in provide an early and accurate diagnosis of hepatobiliary and pancreatic mass lesions.
Study of haemoglobin levels among working women in Kancheepuram district Tamil Nadu
Authors: Bharathi
Published: March 2023

To study the haemoglobin levels among middle aged working women in kancheepuram district tamilnadu

To assess the haemoglobin levels in working women of age group ranging from 25 to 65 years using hemocue 301 analyser. To analyse the clinical signs and symptoms, grade the anemia and to find the association with nutritional and socio economic status of the participants.

We studied the haemoglobin levels of 198 working women of age group ranging from 25 to 65 years using hemocue 301 analyser. Women were the residents of Kovur, Kancheepuram district, Tamilnadu.. Institutional ethical committee clearance was obtained. We assessed the Hb level in capillary blood by finger prick method using disposable single use sterile lancets.

We observed that 31% of our study participants hemoglobin values less than 12g/dl. We observed that 14% of women had mild anemia, 16% had moderate anemia and 1% had severe anemia.

Prevalence of anemia among working women is high in India. Haemoglobin status of women is influenced by their diet, working environment, socio economic status and other associated diseases. We emphasize through our study on routine screening women for anemia and Iron and Folate supplements should be given to them frequently .
A histopathological spectrum of central nervous system lesion: Tertiary care hospital
Authors: Lakhani Mital Bharatbhai , Shah Manisha Manish , Parikh Heena Shailesh , Ramchandani Gena Kamal , Prajapati Kuldeep Pravinbhai
Published: March 2023

CNS lesions have variety in an aetiology like infections, neoplastic, inflammatory and any vascular malformation. With advance in neuro-imaging we can early recognise and diagnose it. Majority of patients with CNS neoplasms present clinically with headache, vomiting and/or seizures confusing with non-neoplastic lesions. So to differentiate between neoplastic and non-neoplastic lesions histopathological examination which is gold standard is required.

In period between January 2019 to April 2021, we have received total 69 CNS lesions biopsy and histopathological examination was done and they are classified according to WHO classification. All the data were collected retrospectively from Department of Pathology, Medical College, Baroda.

Patient’s age ranged from 45 days to 72 years. Out of total 69 cases, there were 15 were non-neoplastic lesions and 54 were neoplastic lesions. Among neoplastic lesions, 50 cases were primary CNS tumors and 04 cases were metastatic tumors.

Low grade CNS lesions were found to progress to high grade CNS tumours. Proper clinical history, neuroimaging study and exact histopathological diagnosis is essential to predict prognosis and treatment.
SOCIAL NETWORKS AND SUPPORT FOR WOMEN SURVIVING THE LOSS OF A SPOUSE
Authors: Kramarenko Nataliya S. , Ryabova Nina G.
Published: March 2023

Aim. To discuss the results of the study on the effectiveness of psychological assistance to women experiencing the loss of a spouse in the form of social networks support groups.

Methodology. The study used the comparison method of the results of psychodiagnostics of two groups of women who participated and did not participate in a psychological assistance program in the VK (social network) support groups. The research also relies on a number of psychodiagnostic techniques aimed at studying psychological characteristics of women. To process the data obtained, methods of qualitative and quantitative analysis, methods of mathematical data processing were used.

Results. The study proves the effectiveness of the proposed psychological program of assistance to women experiencing the loss of a spouse, implemented through a social network community. It was determined that women who have completed the program tend to experience reduced impact of a psychotraumatic event on their general psychological state, as well as a decrease in the level of psychological stress and depressive symptoms manifestations. Emerging models of coping behavior and strategies for coping with stress tend to be optimized in terms of getting out of social “isolation”, making social contact and seeking social support.

Research implication. The results obtained and the materials presented in this article, as well as the proposed organizational and methodological recommendations for the program, expand the possibilities of providing psychological assistance to people facing the loss, and allow the material to be used by practicing psychologists working with the above-mentioned problem.
SIMULATION OF THE FEASIBILITY ASSESSMENT OF INNOVATIONS IMPLEMENTATION IN TRANSPORT ENTERPRISES
Authors: Belianska Yuliia
Published: March 2023

Transport is a key sector of the economy of both Ukraine and European countries. Now it is undergoing a significant transformation due to geopolitical reasons, as well as changes in society’s requirements for the work of transport enterprises. In such conditions, innovation becomes one of the main factors that ensures both the current efficiency of the operation and the possibilities of further development of the enterprise. At the same time, the instability of the environment in which transport enterprises operate complicates the process of substantiating the feasibility of innovation implementation. This actualizes the problem of developing and implementing new methodological approaches to the evaluation and justification of innovations. The purpose of the paper is to develop an approach to building a model structure and assessment of innovation implementation effectiveness at a transport enterprise. The operating of any enterprise, in particular a transport one, can be represented through a model of multiple investments in its creation and development, namely initial innovation, multiple investment projects to ensure current operating and further development and other innovations. To reflect the formation of the effect from the innovation implementation, a set of models for its assessment at the pre-investment, investment and production phases of the investment cycle has been developed. The main factors that will influence the formation of the effect at each phase are highlighted. As a result, it is shown that the apparatus of similarity (homomorphism) can be used to obtain information for building a model structure and assessing the feasibility of innovation implementation at transport enterprises. It can be implemented using a scenario approach. It is possible to obtain a sufficient degree of homomorphism of the built model (model design) when using the scenario approach by organizing an expert survey on the prospects of innovation implementation. This will make it possible to obtain verified forecast assessments regarding the innovation implementation in conditions of future uncertainty.
SPATIAL PLANNING SYSTEM IN POLAND AS AN EXAMPLE OF EFFECTIVE DEVELOPMENT OF TERRITORIAL COMMUNITIES IN UKRAINE
Authors: Kravchuk Nataliia , Rymar Olha , Bortnik Nataliia
Published: March 2023

The purpose of the work is to research trends in the development of the digital economy; analysis of features and conditions of digitalization of economic processes in Ukraine and the world. Digitization of economic processes is an integral trend in the development of world economies over the last decade, which determines the relevance of its research in the context of the post-war development of Ukraine. The work uses such research methods as monographic, statistical, comparison and systematization methods. The paper examines the concept of the digital economy and its components, which include information and telecommunication technologies (ICT); human capital; favorable business climate, effective management. The digital economy is a supplement to the traditional economy, which involves the production and sale of traditional goods and services using computer equipment and digital systems, including the Internet. This implies certain advantages, namely: providing access to individual markets for ordinary users, reducing transaction costs, increasing efficiency and competitiveness of products. It has been established that the digital economy is expanding its influence on more and more spheres of activity, creating space for the development and improvement of economic processes, which is the basis for the modern global economy. However, depending on the definition used, the size of the digital economy is estimated to be between 4.5% and 15.5% of global GDP. Almost 40% of the added value created in the global information and communication technology (ICT) sector is accounted for by the United States and China. The level of digitization of the Ukrainian economy varies significantly, depending on the specific industry. In such areas as financial services, the provision of communication services, and logistics, Ukrainian companies use the achievements of information technologies as widely as foreign competitors. Also, the task of the state is both to ensure favorable conditions that contribute to digitalization, and to create opportunities for their implementation. The implementation of the requirements of digitalization, as a modern trend in the development of the economy and society, is to some extent facilitated by the presence of prerequisites for digitalization at the state and industry levels, as well as at the levels of individual households and citizens. The obtained results of the study can be useful in the development of strategies for the development of economic sectors after the end of hostilities for the further reconstruction of the economy of Ukraine.