bluuebunny/crossref_metadata_2025 huggingface dataset:
Evolution of property rights in Russia
Authors: Помазкова С.И.
Published: August 2022

100 -летие Гражданского кодекса РСФСР заставляет вновь обратиться к основным гражданско-правовым институтам, в частности к вещному праву; проследить их развитие; уточнить факторы, которые влияют на эволюцию вещных прав. В данной статье прослеживается формирование вещных прав на протяжении ХХ – начала ХХI века. Много внимания уделено системе вещных прав по версии Гражданского кодекса РСФСР 1922 года.

The 100th anniversary of the Civil Code of the RSFSR forces us to turn again to the main civil law institutions, in particular to property law; to trace their development; to clarify the factors that influence the evolution of property rights. This article traces the formation of property rights during the XX – beginning of the XXI century. Much attention is paid to the system of property rights according to the version of the Civil Code of the RSFSR of 1922.
Constitutional legal understanding of law enforcers as one of the modern civilizational challenges
Authors: Юн Л.В.
Published: August 2022

Конституционное правопонимание формирующееся у судей Конституционного Суда Российской Федерации в ходе реализации правоприменительного процесса оказывает впоследствии важную роль в ходе охраны и защиты нарушенных конституционных прав и свобод человека и гражданина. Считаем важным отметить, что процесс установления нарушенных прав и свобод происходит в рамках конституционного судопроизводства. Стоит отметить, что конституционное правопонимание как одно из современных цивилизационных вызовов будучи особенной концепцией правопонимания реализуется путем эмпирического исследования правовых норм, детальное изучение которых будет способствовать эффективному разрешению правового конфликта, возникшего между участниками конституционного судопроизводства.

The constitutional legal understanding that is formed among the judges of the Constitutional Court of the Russian Federation during the implementation of the law enforcement process subsequently plays an important role in the protection and protection of violated constitutional rights and freedoms of man and citizen. We consider it important to note that the process of establishing violated rights and freedoms takes place within the framework of constitutional legal proceedings. It should be noted that constitutional legal understanding as one of the modern civilizational challenges, being a special concept of legal understanding, is realized through an empirical study of legal norms, a detailed study of which will contribute to the effective resolution of the legal conflict that has arisen between the participants in constitutional proceedings.
The beginning of Russia's overcoming the civilizational crisis – in the effectiveness of education and science
Authors: Бабурин С.Н.
Published: August 2022

Рассмотрены вопросы реформирования современного российского образования и науки как условия преодоления глобального мировоззренческого и цивилизационного кризиса. Особое внимание уделяется исправлению образовательных деформаций, вызванных ошибочными подходами к адаптации отечественного образования к Болонской образовательной системе. Используются сравнительно-правовой метод, метод анализа и синтеза, метод аналогии и моделирования. Аргументируются несколько моделей реформы, прежде всего возможность перевода российского юридического образования на сквозную магистратуру, когда абитуриенты будут поступать сразу в магистратуру, учиться традиционные пять или даже шесть лет и получать дипломы магистров. После окончания базовых трех курсов, как и после окончания колледжа или техникума, желающим уйти на практическую работу должен будет выдаваться диплом бакалавра.

We considerthe issues of reforming modern Russian education and science as a condition for overcoming the global ideological and civilizational crisis. Particular attention is paid to correcting educational deformations caused by erroneous approaches to the adaptation of domestic education to the Bologna educational system. The comparative legal method, the method of analysis and synthesis, the method of analogy and modeling are used. Several models of revorm are argued, first of all, the possibility of transferring Russian legal education to a cross-cutting magistracy, when applicants will enter the magistracy immediately, study traditional five or even six years and receive master's degrees. After graduating from the basic three courses, as well as after graduating from a college or technical school, those wishing to go to practical work will have to be issued a bachelor's degree.
The latest trends in the development of law
Authors: Кашкин С.Ю.
Published: August 2022

В статье рассматриваются вопросы, связанные с местом права в рамках современного устойчивого развития экономических и социальных процессов и цифровизации жизни. Обращено внимание на то, что прогрессивное развитие технологий создало условия для протекания процессов трансформации права. Автором проанализирован накопленный международный опыт и позиции разных стран, в результате чего сделан обоснованный вывод о том, что создание платформенного права и внедрение правовых платформ в регулирование межплатформенного взаимодействия и межэкосистемые связи является весьма прогрессивным и действенным методом правового регулирования и обеспечения безопасности использования высоких технологий и ИИ в повседневной жизни.

The article discusses issues related to the place of law within the framework of modern sustainable development of economic and social processes and digitalization of life. Attention is drawn to the fact that the progressive development of technologies has created conditions for the processes of transformation of law. The author analyzes the accumulated international experience and positions of different countries, as a result of which a reasonable conclusion is made that the creation of platform law and the introduction of legal platforms in the regulation of cross-platform interaction and inter-ecosystem communications is a very progressive and effective method of legal regulation and ensuring the safety of the use of high technologies and AI in everyday life.
Features of legal regulation of family relations
Authors: Рубцова М.А.
Published: August 2022

В статье рассматриваются вопросы правового регулирования семейных отношений в Российской Федерации. Уделено внимание предмету и особенностям семейно-правового регулирования. Автором отмечена специализированная медицинская помощь с использованием вспомогательных репродуктивных технологий. Автором выделена особенностью правового регулирования семейных отношений.

The article discusses the issues of legal regulation of family relations in the Russian Federation. Attention is paid to the subject and features of family legal regulation. The author noted specialized medical care using assisted reproductive technologies. The author highlights the peculiarity of the legal regulation of family relations.
Some questions to the consolidation of the principle of presumption of moral harm
Authors: Ситдикова Л.Б.
Published: August 2022

В статье изучаются вопросы закрепления принципа презумпции морального вреда, уделено внимание рассмотрению характерных особенностей возмещения морального вреда, причиненного в результате недостатков товаров, работ (услуг). Автором выделены проблемные аспекты возмещения морального вреда. Уделено внимание нормативно-правовой базе регулирования соответствующих отношений.

The article examines the issues of fixing the principle of presumption of moral harm, attention is paid to the consideration of the characteristic features of compensation for moral harm caused as a result of deficiencies in goods, works (services). The author highlights the problematic aspects of compensation for moral damage. Attention is paid to the regulatory framework for regulating relevant relations.
Determining Key Factors Affecting Surface Water Quality in Soc Trang Province, Vietnam
Authors:   College of Environment and Natural Resources, Can Tho University, Can Tho city 900000, Vietnam, Giao Nguyen Thanh
Published: August 2022

This study evaluates the quality and identify key variables influence on surface water quality in Soc Trang province, Vietnam. Water parameters of total suspended solids (TSS), dissolved oxygen (DO), biological oxygen demand (BOD), chemical oxygen demand (COD), total organic carbon (TOC), nitrite (N-NO2-), nitrate (N-NO3-), ammonium (N-NH4+), orthophosphate (PO43--P), total nitrogen (TN) and total phosphorus (TP), turbidity (turb), pH; temperature (T), sulfate (SO42-), electrical conductivity (EC), chloride (Cl-), coliform, and iron (Fe) were used for the assessment. The findings revealed that most of the water parameters of TSS, DO, BOD, COD, TOC, N-NH4+, N-NO2-, Cl-, Fe, and coliforms exceeded the limits of QCVN 08-MT:2015/BTNMT, column A2, B1. The water quality in Hau River was better than the other locations. Saline intrusion has become the concern for surface quality in the study area. PCA showed that five PCs explained 87.9% of the variation of surface water quality in the study area and the parameters including BOD, N-NH4+, TN, TOC, Cl-, TSS, SO42-, Fe and coliforms were the main variables influencing surface water quality in the study area. Potential sources of water pollution are saline intrusion, hydrological regime, runoff, agriculture, industry, and domestic activities.
Removal of Heavy Metals from Wastewater Using Fly Ash Modified Basic Oxygen Furnace Slag Geopolymers
Authors: Sithole Nastassia Thandiwe , Nseke Joseph Makela
Published: August 2022

In the current study, fly ash modified basic oxygen furnace slag geopolymers were synthesized and used as geofilters to remove heavy metals from wastewater. Batch experiment based on the removal of heavy metals from synthesized wastewater was conducted so as to investigate the influence of contact time and porosity on the metal removal efficiency and adsorption capacity of the geofilters. Adsorption kinetics was evaluated using Lagergren's pseudo-first-order model, Ho's pseudo-second order and Elovich models. Effect of contact time between geopolymer and wastewater was investigated within the first 15 minutes of adsorption with time interval of 3 minutes. The highest percentages for the removal of Fe2+, Cu2+, Al3+ and Ni2+ions with 1%H2O2 – FA-BOFS based geopolymer obtained after 15minutes were 100%, 86.87%, 84.64% and 84.63% respectively. The trend based on metal absorption capacities in an ascending order given as Fe >Cu>Ni>Al. The adsorption capacity of metal within the 15miniutes was relatively constant possibly due to sufficient number of sites upon which metal ion adsorption may have possibly occurred on the outer surface of geopolymers irrespective of H2O2 content. Metal ion adsorption rates in the current study strongly adhered to the Ho's pseudo-second-order model based on linear regression fitting method. The correlation coefficients R2 were 0.999. FA-BOFS based geopolymer can be considered as emergent and versatile material with inherent chemical microstructural property able to remove heavy metals from polluted effluent and metalliferous drainage.
Online Learning in Mathematics Higher Education during the COVID-19 Pandemic: A Survey Study of Portuguese Students
Authors:   the CIICESI - Escola Superior de Tecnologia e Gestão, Politécnico do Porto, Felgueiras, Portugal, Borges Ana I. , Costa Sidonie F.
Published: August 2022

Coronavirus pandemic has impacted the whole education system. Suddenly, presential classrooms are replaced by online learning, leaving students and teachers to deal with various problems without any specific preparation. This research study examines the perceptions of 78 students from a Portuguese Higher Education (HE) institution towards online learning during the Coronavirus disease 19 (COVID-19) pandemic. Two months after the implementation of the online learning, they responded to a survey whose responses were analyzed by using descriptive statistics and independent Chi-squared tests. The findings of this study reveal the difficulties that the students encountered, like the lack of familiar/spatial conditions at home, the failures of Internet connection, and the fear of clarifying doubts in this context. The preference for face-to-face classes was also expressed. However, the selected platform used for the online classes, the appropriate development of the explanations and the digital contents made available by the teachers were appreciated by the students. The present research also investigates the factors that affected the study motivation of the students and the future plans regarding their studies.
Effectiveness of Conducting Interprofessional Education Virtually among Pharmacy and Medical Students
Authors:   the School of Pharmacy, Taylor‘s University, Malaysia, Paneerselvam Ganesh Sritheran
Published: August 2022

Interprofessional education (IPE) helps fostering collaboration between pharmacy (PH) and medical (MD) students. However, the effectiveness of conducting IPE virtually has not been tested. This study aimed to evaluate the effectiveness of virtual IPE activity among PH and MD students. A pre-post analytical cohort study was conducted among second-year PH and MD students. The students were divided into groups, which consisted of both MD and PH students. The students from the two disciplines had to work on a clinical case and present it creatively. All the sessions were conducted virtually. The students’ team-based competencies were measured before and after the IPE activity using a self-administered Interprofessional Collaboration Competency Attainment (ICCA). Students’ responses were analyzed using a paired t-test in SPSS, version 26. P-value less than 0.05 was considered to show significant changes in the students’ competencies before and after attending the IPE activity. The mean competencies score of the students before the IPE was 97.8±25.2 and improved to 107.9±21.4 after the activity. A paired t-test showed a significant increase in competencies score, p < 0.05. More than half of the students (54.3%) had adequate team-based competencies after the virtual IPE activity. Online learning is not a barrier to cultivating collaboration and knowledge sharing between two disciplines, and virtual IPE was effective in fostering interprofessional experiential learning among students. As there is a lack of sustainable data and qualified faculties to fully address the implementation of IPE programs, this research can act as a guide to support the needs and identify the challenges around such implementation of IPE program in future academic curriculums.
Humanizing Online Activities: Lessons Learned from Digitizing Work-the-Walk (WTW) Approach
Authors:   the Language Center, National Defence University of Malaysia, Sungai Besi Camp, 57000, Kuala Lumpur, Malaysia, Juhary Jowati
Published: August 2022

Work-the-Walk (WTW) is a teaching and learning approach that uses a type of blended learning model, which is flipped classroom, as its basis. The philosophy lies in the absence of lectures during face-to-face sessions, and the approach relies heavily on Socratic Dialogues and classroom activities to enhance the understanding of lessons of the day. With the outbreak of COVID-19, education at all levels must continue. Often, the challenge is on ensuring that students, who must attend remote learning are able to own their learning process, and that they are also able to relate to their environment. The objective of this paper is to discuss how to humanize students’ learning experience and environment by observing how digitization of WTW promotes the sense of ownership through active learning. This paper addresses two questions, including the implementation of WTW during remote learning (Digital WTW or D-WTW), and students’ understanding on the lessons of the day when D-WTW is used. The methodology adopted for this research was qualitative by means of observations of students’ participation during online synchronous activities. Two important findings are evident when D-WTW is used. The first one is that students become more confident in their articulation of ideas, and second, they become more engaged during the remote learning sessions. These could be contributed to the concept of humanizing online activities and the learning environment that allow them to explore and tap into their potential, and ultimately, these strengthen their learning experience.
Digital Competence of Lecturers at the Universities of Education: In the Context of Education Digital Transformation Vietnam
Authors:   the Academy of Cryptography Techniques, Vietnam, Hoang Tuong Sy , Nguyen My Loc Thi , Pham Long Ngoc , Nguyen Thanh Huyen Thi , Nguyen Loan Thi
Published: August 2022

This study aims to assess the digital proficiency of lecturers as well as the experiences and practices of digital technology in the teaching process in Vietnam Universities of Education. In this study, qualitative and quantitative survey methods were used. The study was conducted with 320 lecturers, 150 managers, training experts, and leaders at the top three Universities of Education in Vietnam. In the study, the digital competency questionnaire was used as a data collection tool. It is built based on the digital competence framework (DigComp 2.1 model), The European Framework for the Digital Competence of Educators (DigCompEdu), DigComp SAT. After the analysis and evaluation processes of the results, it is stated that the digital competence of lecturers at pedagogical schools in Vietnam is about the average and it varies by genders, academic degrees and awareness levels of digital capabilities. The results will help the leaders understand the needs, information about digital capabilities and things to focus on training so that lecturers at Vietnam pedagogical schools can meet these requirements.
Higher Education Leadership in a Time of Digital Technologies: A South African Case Study
Authors:   Thabo Mbeki African School of Public and International Affairs, University of South Africa, South Africa, Msila Vuyisile
Published: August 2022

Since the advent of digital technologies two phrases have been used extensively in higher education institutions and these are digital transformation and digital leadership. This article’s topic is crucial because some leaders and their staff do not know how to deal with change in systems accompanying the introduction of digital technologies. Institutions of higher learning are experiencing waves of change that bring turmoil, whilst leaders enhance their skills as they sail with their institutions towards a future of digital technologies. The purpose of this qualitative study was to understand effective strategies for effective digital transformation in selected universities as perceived by the participants. It examined ways in which conscientious leaders could build high performing (South) African institutions where technology will address some of the societal ills such as poverty and underdevelopment. Ten university executives were interviewed individually and in focus groups. The results demonstrate that, without a vision and collective decision making, few institutions will thrive in the current times of information communication technologies (ICTs). Furthermore, the study showed that varied skills in technologies as well as emotional intelligence will help digital leaders support their teams whilst enhancing their institutions’ performance. Effective digital leaders depend on a strong vision and creating an atmosphere of sharing and support.
Predicting risk and prognosis of preeclampsia by evaluating platelet indices
Authors: Agarwal Shaily , Gupta Renu , Dwivedi Divya , Kala Chayanika , Singh Mrinalini
Published: August 2022

Background: Preeclampsia is an obstetric disorder affecting 2-8% pregnancies globally and 8-10% pregnancies in India. The study was conducted to evaluate platelet count, mean platelet volume and platelet distribution width as potential predictor of preeclampsia. It also aimed to see if these platelet indices have a prognostic significance in determining the preeclampsia severity.Methods: A prospective study was conducted on 120 pregnant women at 20 to 24 weeks of gestation with singleton pregnancy. At monthly intervals CBC (complete blood count) was done from 20 to 24 weeks till delivery and 7 days after delivery. Data with increasing gestation were collected, analysed and expressed as mean, standard deviations and correlation coefficients.Results: We observed significant decrease in PC and increase in MPV and PDW in patients with preeclampsia compared to normotensive patients. We also observed that it was more significant in severe preeclampsia than non-severe preeclampsia. The r value of PC for normotensive, non-severe and severe preeclampsia was -0.58, -0.59 and -0.94 respectively. The r value of MPV for normotensive, non-severe and severe preeclampsia was 0.89, 0.97 and 0.98 respectively. The r value of PDW for normotensive, non-severe and severe preeclampsia was 0.98, 0.98 and 0.99 respectively.Conclusions: Patients with preeclampsia are more likely to have changes in PC, MPV and PDW, which can be observed in early pregnancy. Thus, estimation of PC, MPV and PDW can be considered as an early, simple and cost-effective procedure in the estimating the severity of preeclampsia
A comparative study of intravenous ferricarboxymaltose and double dose oral iron therapy in treatment of anemia in pregnancy
Authors: G. Greeshma , C. S. Beeresh
Published: August 2022

Background: During pregnancy, iron deﬁciency is due to an imbalance between demand and supply, this worsens as pregnancy advances, according to CDC (centres for disease control and prevention) anemia is defined as Hb concentration lesser than 11 gm/dl in the first and third trimesters, and/or lesser than 10.5 gm/dl in the second trimester.Methods: The prospective comparative study was planned with the objective to assess the effectiveness of intravenous ferricarboxymaltose and oral double dose iron in treating anaemia in pregnant women. This study was conducted from January 2019 to June 2020 among 100 (50 in each group) pregnant anemic women attending a rural tertiary care centre.Results: This comparative study between double dose oral iron and i.v. iron treatment showed, hemoglobin levels improved at comparable rate across both treatments, however significantly more women achieved anemia correction with ferric carboxymaltose than oral iron More women achieved significant improvement in Hb with single dose of ferric carboxymaltose, whereas with oral iron additional dose of iron supplementation was required. Treatment related adverse reactions were seen more which oral iron treatment than with FCM. With markedly higher rates of gastrointestinal disorders.Conclusions: FCM is comparable more effective and better tolerated than oral iron treatment in pregnant women. Rapid correction of anemia was seen with i.v. FCM, thus in late stage pregnancy, when time to delivery is a limiting step, administration of FCM may be a more appropriate option than oral iron for rapid and effective anemia correction.
A prospective observational study of polycystic ovarian syndrome among adolescent and young girls at tertiary care hospital
Authors: Sonak Mangala , Rathod Pratima Devram , Patankar Ujjwala Samir
Published: August 2022

Background: Adolescent polycystic ovarian syndrome (PCOS) has emerged as a serious problem that needs to be addressed with timely diagnosis, intervention, and appropriate treatment. Recently few studies have been conducted on adolescent PCOS in India. Hence the present study was undertaken to assess the prevalence and various clinical, biochemical, hormonal and ultrasonographic characteristics of adolescent and young adults with PCOS.Methods: A total 86 adolescent girls and young women diagnosed clinically and ultrasonographically with PCOS enrolled in study. Clinical features, associated diseases, family history, hormone levels and USG results analysed.Results: The prevalence of PCOS among adolescent and young girls was found to be 7.21%. The mean age at menarche was 13.7 years in early adolescents’ girls, 13.9 years in late adolescent girls, and 14 years in young adult females. Dysmenorrhea (37.21%) was the most common presenting illness followed by amenorrhea (30.23%). The 45.35% of subjects had abnormal hair growth patterns, 48.84% hirsutism, 34.88% acanthosis nigricans, 66.28% acne and only 23.26% had androgenic alopecia. On USG, most of the patients (60.47%) had both increased ovarian volume and polycystic ovarian morphology. The comparison of mean fasting insulin, FSH and LH level, prolactin and testosterone level in early adolescent girls, late adolescent girls, and young adult females was statistically significant, (p<0.05). Most of the patients had features of hyperandrogenism and waist to hip ratio >0.87 (60.47%), although they were not overweight with normal body mass index (BMI).Conclusions: Thus, early diagnosis is important for early lifestyle modifications i.e., weight reduction and dietary modifications and psychological counselling plays an important role to prevent long-term complications.
Comparison of transcerebellar diameter with conventional fetal biometric parameters like biparietal diameter, head circumference, femur length and abdominal circumference in predicting gestational age in third trimester
Authors: Dewangan Bhagyashree , Agarwal Shivani , Mendiratta Suman Lata
Published: August 2022

Background: Gestational age estimation in third trimester is very crucial to impart holistic antenatal care and a pre-requisite to plan various interventions. Transcerebellar diameter can predict gestational age reliably as it grows progressively with gestation and is not affected by fetal lie, skull shape and fetal growth disorders. This study was performed to compare TCD with conventional parameters like BPD, HC, FL and AC in accurate prediction of gestation age.Methods: Fetal biometry was performed on 140 women with singleton pregnancy by abdominal ultrasound. Women included were sure of their LMP, had dating scan and fetal anomalies were ruled out. Analysis was done using Pearsons coefficient (r) and regression, p<0.05 was considered statistically significant.Results: GA by LMP showed maximum correlation with GA by TCD (r=0.920 p<0.001) followed by HC (r=0.871) and AC (r=0.833). Least correlation was seen with BPD (r=0.789). On comparing GA by TCD and GA by conventional parameters, TCD correlated maximally with HC (r=0.882) followed by FL (r=0.868) and BPD (r=0.853) and least correlation was seen with AC (r=0.793).Conclusions: TCD can serve as a reliable parameter for evaluation of GA in women whose LMP is unknown or when they present late in pregnancy without having a dating scan because of strong and significant correlation of GA by TCD. Moreover, TCD can also provide accurate GA in cases of fetal growth restriction, macrosomia, skeletal dysplasia where BPD, AC, FL becomes unreliable. Therefore, it should be included in routine fetal biometry.
Pregnancy in Ellis Van Creveld syndrome women: a rare case report
Authors: N. Sunanda , Aisha Talath
Published: August 2022

Ellis Van Creveld (EVC) syndrome also known as chondroectodermal dysplasia is a rare genetic disorder characterized by congenital heart defect, short ribs, polydactyly, dwarfism, deformed teeth and genu valgum. It is a rare disease with approximately 150 cases reported worldwide. The exact prevalence in India is not known, but the syndrome seems more common among Amish population of Pennsylvania in the United States of America (USA). Heart defects occur in about 60% of cases. Cognitive and motor development is normal. It shows autosomal recessive trait with variable expression. The patients with this syndrome rarely survive into adulthood but here we report a case of 25 years old pregnant lady with Ellis Van Creveld syndrome.
Successful outcome of pregnancy with chronic myeloid luekamia with preterm premature rupture of membranes
Authors: Kaundinya Aditi Pradeep , Cardoso Pia Muriel
Published: August 2022

The concomitant occurrence of pregnancy and chronic myeloid luekamia (CML) is uncommon and hence its management often poses a dilemma due to limited data available for the same. There is also very sparse data available with respect to the use of imatinib in pregnancy (which is usually the mainstay in the management of CML with few case reports suggesting congenital anomalies in the fetus. We presented a case report of a known case of CML who was in the chronic phase on tablet imatinib 300 mg OD. She presented with preterm premature rupture of membranes (PPROM) at 28 weeks and was given conservative management for the same, she went into preterm labour at 32 weeks and delivered vaginally a healthy 1.8 kg male baby without any intrapartum or postpartum complications. Both mother and baby were in good health at six month follow up. We had to weigh carefully the risks of immune-compromised state of the patient versus the complications of preterm delivery and tread through the management of this particular case. Use of imatinib did not cause any obvious congenital malformations in the baby.
A rare case of cystic degeneration of fibroid uterus with clinical dilemma
Authors: Pal Richa , Ghorpade Niteen , Mahendran Shanmugapriya
Published: August 2022

Uterine fibroids are most common benign uterine neoplasm occurring in 20-30% of reproductive age. Generally, the sonographic appearance of leiomyomas is characteristic; however, they can undergo various kind of degenerations that can dramatically change their sonographic appearance and make the diagnosis quite challenging. We hereby describe a case report of 31-year-old women who presented with menorrhagia and dysmenorrhoea and her imaging with an ultrasound revealed an uterine myoma that undergone cystic changes, mimicking myometrial cyst, adenomyosis, hematometra. Laparoscopic myomectomy was done and histopathological examination revealed cystic degeneration of fibroid.
An obstetric challenge in the management of lymphoma in pregnancy
Authors: Sundararajan Chitramani , Venkadachalam Indu , Parthasarathy Suganya
Published: August 2022

Non-Hodgkin lymphoma (NHL) comprises of heterogeneous group of lymphoid malignancies originating from lympho-reticular tissues and is quite uncommon in pregnancy (0.8 cases per 1,00,000 women). Anaplastic large cell lymphoma (ALCL) is a large-cell neoplasm with anaplastic morphology classified under NHL. Here, a 31 year old primigravida diagnosed with NHL of ALCL subtype in third trimester, started on chemotherapy which resulted in severe pancytopenia during which she had to undergo emergency caesarean section for fetal indication. This patient was transfused with blood products and managed in isolated intensive care unit. She had a good outcome in postnatal period and went on to complete her chemotherapy and ended with remission of lymphoma.
A rare case of malignant Brenner tumour of ovary: a case report
Authors: Jabeen Syeda Z. , Itagi Laxmi , Harwal Neeta
Published: August 2022

Ovarian Brenner tumor (BT) is a rare epithelial ovarian cancer that accounts for less than 2% of ovarian neoplasms. The World Health Organization (WHO) classifies Brenner tumors into three categories: benign, borderline and malignant. Malignant Brenner tumors (MBT) of the ovary are 3-5% of Brenner tumors. They carry a poor prognosis. They generally affect women during the perimenopausal and postmenopausal periods and presents with mass per abdomen. A case of 55 years old Female with complaints of post-menopausal bleeding since 3-4 months and pain abdomen since 2 days. Patient attained menopause 20 years ago. Clinically patient appeared stable. On per abdomen hypogastric fullness +, dull note heard over the region. On per speculum examination altered minimal bleeding +, on bimanual examination, mass 10×6 cm in hypogastric region felt separately from fundus of uterus. Serum markers were: beta-human chorionic gonadotropin (b-hCG) – 0.26, alpha-fetoprotein (AFP) – 1.92, CA 125 – 84.18 and anti-Müllerian hormone (AMH) <0.010. Magnetic resonance imaging (MRI) scan showed right ovarian malignant tumour 10.6×14.2×16 cm. Patient was operated and frozen section was sent which confirmed Brenner tumour. Histopathological reporting- malignant Brenner tumour- right ovary. Left ovary and omentum were unremarkable. Ascitic fluid showed malignant cells. Patient was discharged and referred to oncologists. Incidence of malignant Brenner tumour is <2% which makes it uncommon, histopathologically consists of transitional epithelium. We report a case of ovarian malignant Brenner tumour, detailing the clinical presentation, diagnosis, pathologic review, imaging findings, and management.
A case of partial empty sella turcica syndrome: Sheehan syndrome
Authors: Assudani Lata , Notwani Ashish
Published: August 2022

Sheehan syndrome is the clinical manifestation that results due to necrosis of pituitary gland resulting from severe postpartum haemorrhage during pregnancy and is one of the causes of empty sella, complete absence of the pituitary gland. Partial empty sella is the term given when part of the gland is visible on imaging. The hormonal deficiencies and resulting clinical syndromes are thus respectively named as complete/empty sella syndrome and partial empty sella syndrome. Incidence of empty sella especially partial empty sella are extremely rare. Also, Sheehan syndrome as a cause of the same has not been frequently observed. Here, we present a case of a young female who presented with secondary amenorrhoea postpartum and was diagnosed ultimately to have partial empty sella syndrome and partial Sheehan syndrome.
Congenital utero-cervical and vaginal atresia: a rare case report
Authors: Sodhiya Hemlata , Mukherjee Shubhra
Published: August 2022

A genesis of cervix is a very rare developmental anomaly. It may be associated with vaginal agenesis. The usual age of presentation is teenage, with symptoms like cyclical abdominal pain and failure to attain menarche. Earlier, hysterectomy used to be the only option for such girls. Recently reconstructive surgery is gaining popularity. This is a case report presenting an eighteen-year-old girl with classical symptoms, diagnosed with both cervical and vaginal atresia, and managed by reconstructive surgery (Singapore flap method).  It was a single step surgery done by abdomino-perineal approach. The girl attained menses and has been symptom free at one year follow-up. The postoperative complications were minor and managed conservatively. A patient of cervical atresia should be given the option of a reconstructive procedure even in the presence of vaginal agenesis. Utero-cervical anastomosis has shown good results in several studies. However, the reproductive potential has to be assessed by long term follow up.
Characteristics of dermatophytosis in Nabire, Central Papua, Indonesia
Authors: Pasande Suspina
Published: August 2022

Background: Dermatophytosis is a skin infection caused by dermatophytes that infect areas of the body containing keratins such as the skin, hair, and nails. Dermatophytosis is commonly found in Indonesia due to the tropical climate and geographical location. Clinical infection of dermatophytosis is known as tinea. The disease has a chronic nature and may decrease the quality of life of the patients. Methods: This is a descriptive study conducted at Nabire regional general hospital to identify the characteristics of patients with dermatophytosis registered at Nabire regional general hospital in the period of January 2018 to December 2018. Medical records were used for data collection, and samples were obtained using total sampling technique.Results: For the period of one year, there were 125 cases of dermatophytosis. Most cases are found in adult age group (72%), female sex (67%), in the form of tinea corporis (32%), and overweight body mass index (48%).Conclusions: This study concludes that in the period of January 2018 to December 2018, 125 cases of dermatophytosis were reported, with the majority of adult age group, female sex, form of tinea corporis, and often affects overweight patients.
The implementation of square step exercise is as good as tandem walking exercise on dynamic balance of the elderly in the Kedungwuni II health center area
Authors: Setyawan Muhammad Ghilang Maulud , Adiputra Luh Made Indah Sri Handari , Basuki Nur
Published: August 2022

Background: The aging process can cause various problems including physical decline that impacts balance. Balance disorders are often found in the elderly caused by the nervous system, sensory system and musculoskeletal system. Square step and tandem walking exercises are implemented to improve dynamic balance in the elderly so that the activities of the elderly are not hampered and their mobility can be increased. The purpose of this study was to prove that square step exercise (SSE) was as good as tandem walking exercise in improving dynamic balance in the elderly.Methods: This study was experimental research with a two-group pretest and posttest design. The research sample consisted of 26 people who were divided into two groups; group I was given a SSE, and group II was given a tandem walking exercise. Both groups received training 2 times a week for 8 weeks. The dynamic balance of the participants was measured through the timed up and go test.Results: This study found that both SSE and tandem walking exercise could significantly improve the dynamic balance of the elderly, p=0.000. This study also found that there was no significant difference between SSE and tandem walking exercise in improving dynamic balance in the elderly with p=0.103.Conclusions: SSE was as good as tandem walking exercise in improving dynamic balance of the elderly in the integrated health care of Kedungwuni health center II area.
Experience in a public hospital with the use of cortical bone grafts of olecranon for the treatment of bone gaps in the hand
Authors: Pacheco-Lopez Ricardo Cesar , Garcia-Gonzalez Ivan Alejandro , Rendon-Medina Marco Aurelio
Published: August 2022

Background: Bone grafting has been a popular approach for the reconstruction of hand bone abnormalities caused by trauma or tumor removal. Cortical bone grafts have mostly osteoinductive capabilities. Olecranon grafts are reported to be safe because of their low donor morbidity and appropriate quick mechanical stability.Methods: This was a longitudinal descriptive study where 23 patients with hand fractures who were reconstructed with olecranon bone graft were evaluated. We included patients who were admitted to surgery at the “General Dr. Rubén Lenero” Hospital between January 2019 and November 2021. After surgery, a control radiograph of the graft insertion location and the donor area was taken postoperatively.Results: A post-surgery control elbow X-ray did not show any fracture data in all patients. The olecranon graft widths of the 23 patients ranged from 5 mm to 12 mm, with an average width of 7.9 mm. The lengths of the olecranon grafts ranged from 5 mm to 47 mm, with an average length of 19.62 mm.Conclusions: In this study, we found that cortical olecranon grafts have been a safe and viable reconstructive choice for our center for bone gap reconstruction in hand.
Morning exercise improves sleep quality in university students
Authors: Chahine Krystel R. , Chahine Nathalie R. , Nader Moni
Published: August 2022

Background: Although sleep is influenced by exercise, a proper management of physical activity’s time promotes the quality of sleep. The objective of this study was to evaluate, in university students, the effect of morning or evening physical exercise on sleep pattern, along with the dynamics of hormones controlling sleep quality.Methods: We recruited 92 healthy sedentary adolescents, 18-20 year-old, poor sleepers, with normal anthropometric characteristics and no musculoskeletal or neurological problems. They were randomly distributed into 3 groups:  34 subjects practicing morning physical activity, 28 subjects practicing evening physical activity, and 30 subjects remained sedentary. The quality of their sleep was assessed using the Spiegel validated questionnaire. Body temperature was recorded in the morning and evening, and saliva samples were collected. Saliva cortisol and melatonin levels were evaluated by ELISA.Results: The group practicing exercise in the morning experienced a better quality of sleep (71.4%) versus the one exercising in the evening (44.1%, p<0.05). In parallel, the levels of melatonin and cortisol significantly increased, at night and morning simultaneously, in participants exercising in the morning. Moreover, body temperature significantly decreased in participants that exercised in the morning compared to those who practiced evening exercise, or maintained a sedentary lifestyle (p<0.05).Conclusions: Our data indicate that morning physical activity exerts a positive impact on the sleep quality, probably by decreasing cortisol and increasing melatonin levels in the evening. We presume that morning activity may efficiently reduce the burden of sleep disorders, particularly those caused by COVID-19 lockdown.
Management of post-operative wound in dental surgeries using proteolytic enzyme-flavonoid combination of trypsin, bromelain and rutoside: a single-centre experience
Authors: Tiwari Shashank , Khemnar Bhushan M. , John James
Published: August 2022

Background: Appropriate surgical wound management is required to prevent post-operative complications, including delayed wound-healing which may result in increased hospital stay. The present study aimed to evaluate the efficacy and safety of oral administration of a fixed dose combination of trypsin-bromelain-rutoside in the post-operative management after dental surgeries.Methods: The study was a prospective, observational data collection exercise. Hundred subjects undergoing dental surgeries, who were administered trypsin-bromelain-rutoside combination, were observed over a period of 8 days post-surgery. Verbal rating scales were used for grading the pain intensity and extent of swelling, while a 5-point Likert scale was used to evaluate patient- and investigator-reported global assessment of improvement in pain and swelling. Scores at day 3 and day 8 were analysed using paired t test.Results: At day 3 and day 8, the mean scores of pain and swelling were significantly reduced from baseline (all p<0.0001). By day 8, 100% of the patients achieved complete resolution of pain, while mild swelling was reported in only 2 patients. At day 3, 95% patients reported good/ very good global improvement in pain and swelling; while at day 8, 100% reported good/ very good improvement. No adverse event was reported in any of the patients.Conclusions: The study results demonstrate that treatment with trypsin-bromelain-rutoside combination led to significant improvement in the post-operative pain and swelling. The use of this combination is useful for wound recovery and reducing the need for other analgesic and anti-inflammatory drugs.
Assessment of safety, usability and performance of sterile latex surgical glove pre-powdered of Healthium Medtech limited: a survey study based on questionnaire
Authors: S. Dayananda , G. Dinesh M. , Yaji Prabhat , Moharana Ashok Kumar , S. Deepak T.
Published: August 2022

Background: Medical gloves worn during patient examinations and procedures aids in the reduction of cross-contamination between healthcare professionals and patients. Gloves have to be strong enough to protect the wearer and comfortable enough not to choke the hand of the user. The aim of the study was to assess the incidence of allergic reactions, usability, and performance of Truskin gloves (Sterile latex surgical glove pre-powdered).Methods: The objective of this study was to evaluate the safety and performance of Truskin gloves by assessing the incidence of allergic reactions and usability in terms of manual dexterity, tactile sensitivity, handgrip strength, muscle activity, comfort level during usage and product complaints/issues. Consent was obtained from all the participants (healthcare professionals from various hospitals across India) involved in the study. The questionnaire was distributed among healthcare professionals to provide their feedback and experience with use of Truskin gloves.Results: The clinical investigation was initiated on April 10, 2021 and completed on July 10, 2021. Responses from 472 participating health care professionals were considered for assessment of safety and performance of Truskin gloves. The results from the safety variables assessed in this study indicate that about 5.51% users had experienced allergic reactions typical of powdered latex surgical gloves. More than 80% users have responded with a score of 04 and 05 (most comfortable) for all the variables associated with comfort and convenience of usage of Truskin gloves.Conclusions: The results from this study demonstrates both the safety and performance of Truskin gloves.
Assessment of coronary slow flow and its implications
Authors: Ranjan Rajeev , Das Santanu , Haque M. Azizul , Chatterjee Pritam Kumar
Published: August 2022

Background: CAG is seen as the gold standard for the diagnosis of epicardial coronary artery disease. The clinical significance of coronary microvascular dysfunction has not been given much attention as epicardial coronary artery disease. Coronary slow flow phenomenon is another independent entity which is less studied and treatment plan and prognosis are not yet established. The objective of this study was to provide better understanding about the presence and pathophysiologic significance of coronary slow flow phenomena in patients undergoing coronary angiography (CAG) for various indications by corrected TIMI frame count (CFTC) in vessels without any flow limiting disease.Methods: We measured CTFC in patients enrolled for CAG. We compared CTFC among different presentations and in different arteries. We also compared coronary slow flow phenomenon to normal flow in coronaries and its correlation to risk factorsResults: We found that coronary flow was significantly slower in non-infarct related arteries (NIRA) in the setting of ST segment elevation myocardial infraction (STEMI) and non-ST segment elevation myocardial infraction (NSTEMI) with no obstructive epicardial lesion as compared to coronary flow in absence of acute myocardial infraction (AMI). Significant slow flow was present in NIRA in STEMI compared to NSTEMI. Similarly slow flow was noted in unstable angina compared to chronic stable angina patients. Predominantly involved vessel was left anterior descending artery (LAD).Conclusions: Coronary flow was slower in NIRA in the setting of STEMI and NSTEMI with no obstructive epicardial lesion as compared to coronary flow in absence of AMI.
A study on incidence and etiology of cervical lymphadenopathy in community
Authors: Chaudhary Sonalben , Chaudhari Sandipkumar , Patel Jimitkumar , Patel Bhavin
Published: August 2022

Background: The etiologies for cervical lymphadenopathy fall under a wide range spectrum and usually, history and physical examination alone may lead to a diagnosis. Posterior cervical LAP may occur with Epstein-Barr virus (EBV) infection, tuberculosis, lymphoma, or head and neck malignancy (either lymphomas or metastatic squamous cell carcinoma). However, a stepwise methodological approach to LAP can lead to an accurate diagnosis with minimal discomfort to the patient and also less time-consuming for the clinician.Methods: In this series, 320 cases were studied with taking a detailed clinical history, physical examination, and investigations. After a physical examination and reaching a clinical diagnosis, confirmation was done by fine needle aspiration cytology (FNAC) and biopsy.Results: Incidence of tuberculous LAP is much higher in lower socioeconomic class groups people versus middle or higher socioeconomic class groups. Incidence of tuberculous LAP is higher in urban areas compared to rural areas due to overcrowding, and poor sanitation.Conclusions: Tuberculosis is a potentially serious infectious disease, one of the commonest diseases affecting lymph nodes. It is curable with anti-tubercular drugs if administered as per the accepted regimen.