bluuebunny/crossref_metadata_2025 huggingface dataset:
Morphofunctional Characteristics of Basketball Players with Different Roles as Selection Criteria at the Stage of Preparation for Higher Achievements
Authors: Bezmylov Mykola , Shynkaruk Oksana , Byshevets Nataliia , Qi Gan , Zhigong Shao
Published: March 2022

Objective. To study the morphofunctional characteristics of basketball players aged 17-20 years, taking into account their game role, and to substantiate the possibility of using them as criteria for selection and orientation at the stage of preparation for higher achievements. 

Materials and methods. The study participants were 200 basketball players (17-20 years old). The following methods were used: theoretical analysis, pedagogical observation, pedagogical experiment with the use of instrumental methods of functional diagnostics (ergometry, chronometry, spirometry, gas analysis, and pulsometry), anthropometric methods, statistical methods. 

Results. The study determined statistically significant differences in height and weight in all playing positions: the point guard is characterized by statistically significantly shorter body height compared to the shooting guard (U = 46.5; z = -6.88; p < 0.01), the shooting guard is statistically significantly shorter than the small forward (U = 51.0; z = -5.58; p < 0.01), the latter is shorter compared to the power forward (U = 38.0; z = -5.56; p < 0.01). The center was found to be statistically significantly taller than the power forward (U = 82.0; z = 4.24; p < 0.01). The model height indicators of centers at this stage of improvement are 205.9 ± 3.53 cm. Groups of athletes, depending on their roles, statistically significantly differ in body weight (F = 64.304; p < 0.01). Centers are the heaviest and point guards – the lightest basketball players. The dynamics of body height and weight indicators of basketball players from 16 to 20 years were determined.

Point guards and shooting guards have a statistically significantly higher level of VO2max compared to centers and power forwards. The average level of VO2max of players in the point guard position was 57.05 ± 3.78 ml.kg.-1min. In centers, this indicator is on average 49.10 ± 4.63 ml.kg-1.min-1. Centers had the VLC in the range of 9.38 ± 0.76 l, power forwards – 8.72 ± 0.80 l, defensive players – 7.5-8 l. No statistically significant differences were found in players with different roles in the level of AnT as a percentage of VO2max.

Conclusions. Morphological and functional characteristics serve as informative criteria for monitoring the individual condition of players, are dynamic and can be used in different age groups, taking into account the specifics of team training and individual qualities.
Effect of the Eight-Week Agility Development Program in Elementary School Students
Authors: Milenković Dejan
Published: March 2022

The research was conducted in order to determine the effect of an eight-week agility development program (ADP) in elementary school students.

Materials and methods. 107 fifth grade elementary school students from four classes randomly marked as agility development program (ADP) group (n = 55) or control (CON) group (n = 52) took part in the testing. The students had two classes of physical education per week, which is a total of 16 classes in eight weeks. ADP lasting 15 minutes was conducted within the main part of the physical education class. Both groups attended physical education classes, except that the control group had activities without a special agility development program. Two-tailed independent t-test was used to analyze differences in agility between the ADP and the CON and the change in the performance from pre- to posttests between groups. Two-tailed paired t-test was used to analyze changes in agility performance between pre- and posttests within both groups.

Results. Compared with the CON, the ADP group showed significantly better performances (p≤0.05) in Zig-zag test, Illinois Agility Run test, Agility T test and Arrowhead Agility test after the training period, but not in Balsom agility test (p>0.05).

Conclusions. The positive effect of the 8-week agility development program (ADP) on improving agility was determined. Therefore it can be concluded that the implemented program for the development of agility can contribute to the improvement of physical performance and various skills needed for the proper development of children.
Strategies of Reading Digital Texts for Performing Educational Reading Tasks: Study Based on the Think-Aloud Protocols
Authors: Lebedeva Maria
Published: March 2022

For success in education and life in our informationally saturated digital society, one must be able to select and interpret digital texts of different genres, choose optimal ways of interacting with these texts, and extract and assess information from them. Contemporary education specialists believe that skills of working with digital texts are an integral part of reading literacy; their publications model successful results of interacting with digital texts. Nevertheless, the means of attaining these results remains a very important and topical question for the education system. What strategies allow one to interact with digital texts effectively? How should one teach these strategies to contemporary schoolchildren? The present article aims to identify and classify metacognitive strategies used by competent Russian-speaking lower secondary students for performing learning assignments based on digital texts. It is based on the analysis of think-aloud protocols and data from the online monitoring of readers’ activities on the screen. The study describes and analyzes seven groups of digital reading strategies. The results contribute to basic knowledge about the processes at the root of effective digital reading and hence of the development of approaches to teaching and assessing reading literacy in the digital age.
Kiral Amit Bileşiğinin Jelleşme Özelliklerinin İncelenmesi
Authors: BARIŞ CEBE Deniz
Published: March 2022

Bu çalışmada L-izolösin temelli C2-simetrik kiral tetraamit bileşiği organojelatör olarak seçilmiş olup çeşitli çözücülerle jel verip vermediği araştırılmıştır. Oluşan jellerin minimum jelleşme konsantrasyonu ve jelin erime sıcaklığı olan Tg değeri tespit edilmiştir. Ayrıca jelleşme entalpisi değeri olan ΔHg, Van’t Hoff denkleminden bulunmuştur. Bunun yanı sıra jelin ağ yapısı SEM cihazıyla çekilen görüntülerle tespit edilmiştir. Çalışmada jelleştirme çözücüsü olarak ilaç ve kozmetik alanında kullanılan ve biyouyumlu olan yağ asit esterleri (etil laurat, izopropil laurat, etil miristat, izopropil miristat, etil palmitat, izopropil palmitat) ve de yaygın olarak kullanılan anisol, ksilen, likit parafin, toluen, dietilen glikol, 1-dekanol, n-dodekan ve kloroform seçilmiştir. Buna göre organojelatör, seçilen çözücülerle yağ asidi esterlerinden izopropil miristat hariç tümüyle çok düşük konsantrasyon değerlerinde jel oluşturmuştur. Yaygın organik çözücülerden ise ksilen, dietilen glikol, 1-dekanol ve kloroform hariç diğer çözücülerle jel vermiştir. Ayrıca yağ asidi esterleri ile hazırlanan jellerin Tg değerlerinin, yaygın çözücüler içinde hazırlanan jellerin Tg değerlerine göre daha fazla olduğu belirlenmiştir. Bu sonuca göre en yüksek Tg değerlerine sahip organojel, çözücüsü LEE olan jeldir. Bunun yanı sıra jelleşme entalpisi olan ΔHg sonuçlarına baktığımızda ise en yüksek değerin yine LEE ile hazırlanan jelle elde edildiği görülmektedir.
Comparison of fixation stability in modern devices for transosseous osteosynthesis
Authors: Gorodnichenko A. I. , Gavryushenko N. S. , Kazakov M. E. , Kernichansky V. M.
Published: March 2022

At the Test Laboratory of CITO five modern devices for transosseous osteosynthesis were studied to evaluate the fixation stability in comminuted fractures. Firmness was defined in compression, twisting as well as frontal and sagittal bends. In all planes the highest level of fixation stability was found in RAPFIS device. Design peculiarity of that device provided the additional increase of fixation stability by roads insertion into bone fragments at an angle and diminution of the bonefixative distance (console) that almost 3 times improve the fixation stability.
Morphologic characteristics of early stages of reparative process in substitution of skull defects by dosed distraction (report 1)
Authors: Shevtsov V. I. , Chirkova A. M. , Dyachkov A. N.
Published: March 2022

Experimental study was performed to detect the peculiarities of reparative process in bone defects. In 131 adult mongrel dogs skull defects were performed with their following substitution using dosed distraction by Ilizarov. In the 1st series of experiments the defect was substituted by dosed transfer of full-thickness bone graft on the nutritive pedicle. In the 2nd series free bone graft was used for the defect substitution. In this report the results of morphologic examination of dogs skull in predistraction period is done. In both series the development of the reparative processes analogous to those in the long bones at transosseous osteosynthesis is detected.
Environment and retail structure
Authors:   , Heshiki Tetsuo , Rosenbloom Bert
Published: March 2022

The purpose of this study is: (1) to identify the possible effects of basic market environmental factors upon retail structure in Japan, (2) to clarify the peculiarities of the Japanese distribution system, and (3) to study the evolution of retail structure over time. With this purpose in mind, the study was undertaken to examine retailing structure in relation to its environment on a comparative basis between the United States and Japan. Following the review and synthesis of the relevant literature, we presented a model that guided this study. The model consists of three environmental variables: (1) market size, (2) market variety, and (3) market density, represented by the following operational measures respectively: (1) population and per capita income, (2) enrollment in higher education, household income, and automobile ownership, (3) population density and urban density. These environmental variables were examined in relation to four dimensions of retailing structure: (1) number, (2) output, (3) scale, and (4) productivity of employees of retailing establishments. The operational measures for these dimensions are: (1) number of retail establishments per capita, (2) sales per capita, (3) sales per retail establishment, and (4) sales per employee. Our basic premise is: "Environmental factors will determine the number and output of retailing establishments. The relative magnitude of influence on them, in turn, determines the scale of retailing establishments, and the scale determines the productivity of employees." Under this basic premise, eleven hypotheses were formulated and tested in the empirical part of this study consisted of cross-sectional and trend analyses. The census data for the operational variables was taken for 47 prefectures in Japan and 50 states in the United States. For structural relations, simple and multiple regression analyses were applied, including stepwise regression and polynomial regression to check the relative contribution of the variables, and linearity of the relationships. The results in the five time periods, covering from 1966 to 1991 in Japan, from 1967 to 1992 in the United States, offer empirical support to the proposition that the retail structure is responsive to identifiable environmental variables in the two countries, although the strength and sensitivities of the fundamental relationships are different.
Planejamento para Opção do Regime Tributário: uma Análise da Legislação Vigente em 2020
Authors: Quevedo Ryan Caldas , Santos Edicreia Andrade dos
Published: March 2022

Resumo O artigo busca estudar o uso do planejamento tributário para auxiliar as empresas prestadoras de serviços no Brasil, na escolha do seu regime tributário, trazendo questões que envolvem as alterações e atualizações da legislação vigente sobre tributos, sendo comparados os impostos em cada regime e propondo proposições teóricas sobre o impacto percentual na forma de apurar os encargos, planejamento para reduzir o custo direto e indireto das contribuições, a relação das despesas com pessoal com a LC nº 155/16 e o “Fator R” para optar no anexo III ou V do Simples Nacional. Foi coletado e analisado os dados por meio de um modelo de Demonstração do Resultado de Exercício (DRE) baseado em empresas prestadoras de serviços sendo a averiguação de um trimestre realizando a aplicação de cálculos dos impostos, respeitando a leis vigente e as alíquotas individuais das contribuições em cada regime tributário. Para apoio elaborou-se algumas proposições teóricas com vistas a ampliar a análise dos resultados. Conclui-se pontuando a importância e a necessidade do acompanhamento das legislações por parte dos profissionais da área de apoio e gestão de negócios ao propor ideias que vão melhorar o desempenho das empresas onde atuam ou prestam serviços de consultoria e assessoria.
Palavras-chave: Planejamento Tributário. Regimes Tributários. Impostos. Fator “r”.
AbstractThe article seeks to study the use of tax planning to assist service providers in Brazil in choosing their tax regime, bringing questions that involve changes and updates to the current legislation on taxes, comparing taxes in each regime and proposing proposals theoretical on the percentage impact on the way of calculating charges, planning to reduce the direct and indirect cost of contributions, the list of personnel expenses with LC 155/16 and the “Factor R” to choose in Annex III or V of Simple national. The data was collected and analyzed using a Statement of Income for the Year (DRE) model based on service providers, with the investigation of a quarter by applying tax calculations, respecting the current laws and the individual rates of contributions. in each tax regime. For support, some theoretical propositions were elaborated in order to expand the analysis of the results. It concludes by pointing out the importance and the need to monitor legislation by professionals in the area of support and business management when proposing ideas that will improve the performance of companies where they work or provide consultancy and advisory services.
Keywords: Tax Planning. Tax Regimes. Taxes. “r” Factor.
Gestão de Estoques: um Olhar Acerca de Ferramentas Gerenciais, de uma Empresa Administradora de Cartão de Crédito em Imperatriz/MA
Authors: Silva Eduardo dos Reis
Published: March 2022

ResumoVisando reduzir os custos com materiais parados, as organizações necessitam gerenciar seus estoques, buscando as melhores ferramentas para ter o produto correto, no local e horário certo. O objetivo deste trabalho consiste em analisar a utilização de ferramentas de gestão de estoques em uma administradora de cartão de crédito como fator indispensável para a execução das atividades gerenciais. Quanto aos métodos foi utilizada a entrevista padronizada, para obtenção de dados, no setor estoque de uma empresa administradora de cartão de crédito em Imperatriz/MA, buscando identificar os meios utilizados no gerenciamento do seu estoque. Os resultados evidenciam que a empresa faz uso de software para gerir seu estoque. Conclui-se que a organização prima pela quantidade certa no estoque, possibilitando-a obter resultados positivos através do suporte de profissionais capacitados.
Palavras-chave: Administração. Produção. Estoques.
AbstractAiming to reduce costs with stored materials, the norms for managing their stocks, searching for the best tools for the right product, at the right time and place. The objective of this work is to analyze the use of inventory management tools in a credit card company as an indispensable factor for the management activities execution. As for the methods, a standardized interview was used to obtain data in the stock sector of a credit card management company in Imperatriz / MA, seeking to identify the means used in the stock management. The results show that the company makes use of software to manage its inventory. It is concluded that an organization strives for the right quantity in the stock, enabling it to obtain positive results through the support of trained professionals.
Keywords: Administration. Production. Stocks.
A Atuação do Perito Contador na Justiça do Trabalho Frente a Reforma Trabalhista
Authors: Araújo Júnior Edmilson Lins de , Alves Mickael Ferreira
Published: March 2022

Resumo A Consolidação das Leis do Trabalho (CLT) surgiu em 1943 para regulamentar as relações empregatícias a partir de uma necessidade constitucional após a criação da Justiça do Trabalho. Em paralelo o Código de Processo Civil no ano de 2015 transformou toda a matéria processual, deixando o processo mais moderno frente as disposições legais. Dessa forma a presente obra se justifica pela importância que a perícia pode influenciar como instrumento de promoção da justiça e para a dissolução dos casos de litígios trabalhista no universo jurídico. Tendo esta visão o objetivo desta pesquisa é evidenciar e analisar os impactos e as principais mudanças na legislação vigente para o trabalho pericial, após as atualizações do novo código de processo civil e da lei 13.467/2017. Foram levantados os principais impactos das mudanças na legislação para a elaboração do trabalho pericial. A metodologia aplicada quanto à natureza da pesquisa deu-se em caráter exploratório onde buscou-se reunir mais conhecimento e incorporar características inéditas, bem como buscar novas dimensões. E por fim ficou exposto os impactos para a perícia na seara trabalhista, em que se torna aguçador a escolha pelo o tema e todo o campo que ainda é pouco explorado a fim de conhecimento e oportunidades de qualificação e aperfeiçoamento.
Palavras-chave: Perícia Contábil. Perito. Processo. Reforma Trabalhista.
AbstractThe Consolidation of Labor Laws (CLT) emerged in 1943 to regulate employment relations from a constitutional need after the creation of the Labor Court. In parallel, the Code of Civil Procedure in 2015 transformed the entire procedural matter, making the process more modern compared to legal provisions. Thus, this work is justified by the importance that expertise can influence as an instrument to promote justice and for the dissolution of cases of labor disputes in the legal world. With this view in mind, the objective of this research is to highlight and analyze the impacts and main changes in the current legislation for expert work, after the updates of the new code of civil procedure and law 13.467/2017. The main impacts of changes in legislation for the elaboration of the expert work were raised. The methodology applied as to the nature of the research was exploratory in character, which sought to gather more knowledge and incorporate unprecedented characteristics, as well as seek new dimensions. And finally, the impacts for expertise in the labor field were exposed, in which the choice for the topic and the entire field that is still little explored in order to gain knowledge and opportunities for qualification and improvement becomes sharper.
Keywords: Accounting Expertise. Expert. Process. Labor Reform.
Kronik ishalin nadir bir nedeni; geç tanılı abetalipoproteinemi
Authors: GÜMÜŞTEKİN Reyhan , URGANCI Nafiye , YILMAZ Banu
Published: March 2022

Abetalipoproteinemi otozomal resesif geçişli, hayatın ilk yıllarında büyüme geriliği ve ishal ile seyreden lipoprotein metabolizma bozukluğuna bağlı bir hastalıktır.

Büyüme geriliği ve aralıklı ishal yakınması ile 13 yaşında, geç tanı alan abetalipoproteinemili olgu nadir görülmesi nedeniyle sunulmuştur.
Wsparcie bibliotek akademickich w działaniach uczelni na rzecz ewaluacji – rekonesans
Authors: Szczypa Grzegorz , Błaszczak Piotr
Published: March 2022

Streszczenie: Biblioteki akademickie stale dostosowują się do uniwersytetów i wkraczają na nowe pola działań, które zmieniają ich rolę i rangę w ekosystemie uczelni. Konstytucja dla Nauki wprowadziła ogromne zmiany w zakresie ewaluacji uniwersytetów. Celem artykułu jest zbadanie, w jaki sposób biblioteki pełnych uniwersytetów rozpoczęły proces ewaluacji, jakich narzędzi używają i jak wpłynęło to na ich strukturę organizacyjną. Szerszy kontekst zagadnienia prezentują wyniki badań ankietowych, uzupełnione o studium przypadku Biblioteki Głównej UMCS.
El impacto de los agentes intermediarios en el proceso de cooperación para innovar: el papel moderador del tamaño de la empresa
Authors: Martínez-Torres Juan Carlos , Vega-Jurado Jaider
Published: March 2022

Los intermediarios han sido reconocidos como agentes clave para fomentar la articulación entre actores dentro de los sistemas de innovación. Este artículo evaluó empíricamente el efecto que ejercen diferentes tipos de intermediarios sobre el establecimiento de acuerdos de colaboración entre empresas y otros actores. Además, se analiza el efecto moderador del tamaño empresarial. El análisis se realizó en una muestra de 2059 empresas, derivada de la Encuesta de Desarrollo e Innovación Tecnológica de Colombia. Los resultados de los análisis de regresión muestran que el relacionamiento de empresas con intermediarios influye positivamente sobre el establecimiento de acuerdos de cooperación. Así mismo, la importancia de los intermediarios varía en función del objetivo de cooperación perseguido y está moderada por el tamaño empresarial.
Innovación y rendimiento: relación mediada por la orientación al aprendizaje y al mercado en empresas mexicanas
Authors: Demuner-Flores María del Rosario , Delgado-Cruz Alejandro , Vargas-Martínez Elva Esther
Published: March 2022

La innovación es la estrategia de las empresas para la creación de valor, mejorar la competitividad y el desarrollo sostenible. El objetivo de esta investigación fue analizar la influencia de la innovación en el rendimiento ante la mediación de la orientación al aprendizaje y al mercado. Se llevó a cabo un estudio cuantitativo explicativo en una muestra de 71 empresas mexicanas con un modelado de ecuaciones estructurales, con el que se comprobó la influencia de la innovación en el rendimiento, la orientación al aprendizaje y la orientación al mercado. Además, reveló influencia significativa de la innovación en el rendimiento a través de la mediación de la orientación al aprendizaje y al mercado. Se resalta entonces la innovación como factor primordial que permea el rendimiento para visualizar mejores condiciones y expectativas empresariales.
A study on effectiveness of female sterilization by the modified pomeroy technique in a secondary hospital
Authors: Dokchan Nipon
Published: March 2022

Background: Sterilization is a highly effective method of contraception with nearly a 100% success rate. After sterilization, however, a woman may become pregnant within the first 1-2 years, or several years later. Pang Khon Hospital, Sakon Nakhon, is a secondary hospital where mothers have been found to conceive three years after sterilization by the Modified Pomeroy Technique in 1999. This research was aimed at studying the effectiveness of female sterilization by the Modified Pomeroy Technique and tying the fallopian tubes on the side adjacent to the uterus with silk along with following-up on patients one year after sterilization.Methods: This study is a retrospective study. The study was conducted in the Department of Obstetrics and Gynecology, Pang Khon Hospital, Sakon Nakhon. Data were collected retrospectively from 4,553 mothers who were sterilized in 2002-2020 (19 years). Inclusion criteria of the study participants a total 4,201 mothers were sterilized by using the Modified Pomeroy Technique and tying fallopian tubes on the side adjacent to the uterus with silk thread and exclusion criteria of the study participants were mothers who were not sterilized by using the Modified Pomeroy Technique and tying fallopian tubes on the side adjacent to the uterus with silk thread. Data was collected from patient medical records. Demographic data regarding age of patient and various parameters like parity, method of sterilization, time interval between sterilization and failure, mode of presentation were analysed with SPSS software and results tabulated.Results: No pregnancies were found among 4,201 mothers sterilized by using the Modified Pomeroy Technique and tying the fallopian tubes on the side adjacent to the uterus with silk thread.Conclusions: Female sterilization by using the Modified Pomeroy Technique and tying the fallopian tubes on the side adjacent to the uterus with silk thread is an effective method. Therefore, the aforementioned method should be a good method and option for female sterilization.
Fetal death in utero: epidemiological aspects, management and maternal prognosis in the obstetrics and gynecology department of the community medical centre of Ratoma
Authors: Diallo Boubacar Alpha , Diallo Boubacar Siddy , Sow Ibrahima Sory , Bah Ibrahima Koussy , Baldé Ibrahima Sory , Diallo Abdrahmane , S. Y. Telly , Keita N.
Published: March 2022

Background: Fetal death in utero (FDIU) often represents a tragedy badly lived, sometimes incomprehensible. It is considered as a failure of pregnancy's progress and monitoring. It is a frequent problem in obstetrical practice. Objective of study was to contribute to the study of FDIU in the maternity ward of the Ratoma municipal medical center.Methods: This was a prospective study of analytical type conducted over a period of 6 months from 1 January to 30 June 2017.Results: During this study period, we recorded 54 cases of FDIU out of a total of 1256 deliveries, or a frequency of 4.3%. The average age of our patients was 28.5 years with extremes of 16 to 39 years, the most represented age group was 25 to 34 years, with a frequency of 44.4%. The absence of active fetal movement was the main reason for consultation, with a frequency of 51.9%, and housewives were the most affected, with a frequency of 61.1%. The 70.4% of our patients gave birth by vaginal delivery and oxytocin was the most commonly used drug for induction of labor, i.e., 77.8%. The immediate maternal prognosis was 100% favorable and no case of maternal death was recordedConclusions: In-utero fetal death is a frequent obstetrical pathology, the awareness of women for the realization of ANC as well as the early management of risk factors detected during ANC constitutes an element of great importance. Therefore, a regular follow-up of all pregnant women even in the absence of risk factors proves necessary.
A case report on heterotopic pregnancy
Authors: Patel Sugandha , Desai Riya
Published: March 2022

Heterotopic pregnancy is a rare clinical condition where both intrauterine and extrauterine pregnancy coexists. In a spontaneous conception, the diagnosis is difficult to make, but an important one to consider in the presence of acute abdominal pain, haemorrhagic shock and intrauterine pregnancy. Presenting a case of 27-year-old female G3P1A1L1 with previous C-section who presented with chief complaints of acute abdominal pain and signs of haemorrhagic shock at a gestational age of 10 weeks 1 day. The diagnosis of ruptured ectopic pregnancy coexisting with viable intrauterine gestation was made with ultrasound findings as well as clinical features necessitating emergency exploratory laparotomy. Successful treatment was done for ruptured ectopic pregnancy and intrauterine pregnancy was found viable which continued to full term uneventfully and live MCH of 3.5 kg was delivered by C-section.
Effect of bilateral salpingectomy with hysterectomy on ovarian reserve
Authors: Singh Shakun , Bhavana Rudavath , Chaudhary Rachna , Dhama Vandana
Published: March 2022

Background: Aim of the study was to evaluate the effect of salpingectomy with hysterectomy on ovarian reserve. Methods: This prospective case control study was done in the department of obstetrics and gynaecology from June 2020 to May 2021 on patients who underwent hysterectomy with or without salpingectomy were included in the study. Patients then divided into two groups of 30 in each group. In group A hysterectomy without salpingectomy were included. In group-B patients who underwent hysterectomy with salpingectomy were included, and then both groups were followed through Si-anti-Mullerian hormone (AMH), luteinizing hormone (LH), follicle stimulating hormone (FSH) and ovarian volume.Results: Baseline AMH levels were 1.20 ng/mL for group-A, 1.29 ng/mL for group-B with no statistical significance. It was seen that AMH levels for across the group but of no statistical significance at any given follow up-line point. Baseline LH levels were 7.22 IU/L and 7.27 IU/L for group-A and group-B patients respectively with no statistical significance. The average LH levels seen to increase in the follow up period in both groups, but it was of no statistic significant at any given follow up time point. Baseline FSH levels were 7.58 IU/L and 6.84IU/L for group A and group-B respectively with no statistical significance. The average FSH levels were seen to increase is the follow up period in both groups.Conclusions: The hysterectomy coupled with bilateral salpingectomy (BS) had minimal or no statistically significant impact on the ovarian reserve. Depends on patients’ profile and states of fallopian tube we should take decision of salpingectomy during surgery.
Obstetric intensive care unit admission - clinical profile and outcome - a tertiary care hospital experience
Authors: Mufti Asma Hassan , Wani Nasir Jeelani
Published: March 2022

Background: Intensive Care Unit (ICU) admission is on rise in pregnant women due to factors including increasing maternal age, increasing rates and levels of obesity and other comorbidities. The present study was done to analyze admission rate, outcome and trends in women requiring peripartum admission to ICU.Methods: In this retrospective study, peripartum admissions in obstetric ICU over the period of 6 months were studied. Demographics, comorbidities, diagnosis, ICU care, length of stay and outcome was analyzed.Results: Out of 7489 deliveries during the study period, a total of 112 patients were admitted to ICU. Thus, the rate of ICU admission in our study was 1.49%. Most of the patients belonged to 31-35 years age group (37.5%) and were multigravida (83.9%). Severe pre-eclampsia and eclampsia (77.7%) was most common diagnosis at time of admission in ICU.47.5% of patients required ventilatory support. Majority of patients (51.8%) had short (<3 days) stay of admission. Mortality during the study period was 4.5%.Conclusions: A multidisciplinary team approach including obstetrician and intensivist is appropriate in obstetric critical care units. Setting up of obstetric intermediate care units can lessen the burden. In addition to good antenatal care, timely referral, health education and training of health professionals may improve clinical outcome and better obstetric practice, especially in low resource countries like India.
Evaluating complications of self-intake of abortion pills among reproductive age group women
Authors: Dodiya Diptika , Shah Maitri , Nagdev Neethi
Published: March 2022

Background: Abortion is termination of the pregnancy before the period of viability. Induced abortion in most of the cases, is an outcome of unwanted pregnancy. Unsafe abortion is “The termination of unintended pregnancy either by persons lacking the skills or lacking minimum medical standards or both.” and it is strongly associated with Complications. The objective of the study was to evaluate different types of complications (incomplete abortion, failed abortion, septic abortion, ectopic pregnancy) among women with self-intake of abortion pill among women of reproductive age group.Methods: 70 reproductive age group women with history of self-intake of abortion pills within a period of last one month were included in the study. Socio demographic characteristics, obstetric and menstrual history of these women was recorded. This was followed by diagnosis with help of clinical and transvaginal sonography of these women. All of them were managed according to their diagnosis. Their reply was recorded in pre structured performa.Results: Majority (70%) presented with incomplete abortion requiring surgical evacuation. Anemia was most common associated co-morbidity in women and 17% women required blood transfusions. Four percentage women presented with life threatening shock. Sepsis was noted in 3% of women.Conclusions: Incomplete abortion was the major complication after self-intake of abortion pills which had resulted into blood transfusion in 17% of the cases.
Feto maternal outcomes with mullerian anomalies
Authors: Kohli Swati , Sharma Arti , Gupta Swati , Panwar Neha , Agarwal Aditi , Singh Parul
Published: March 2022

Congenital anomalies of female reproductive tract may involve the uterus, cervix, or vagina arise from defect in development of Mullerian ducts during fetal life. In mullerian anomalies various types of uterine anomalies are common. Many cases with Mullerian anomalies remain unidentified especially if patient is asymptomatic. They are often associated with obstetric complications like malpresentation, PPROM and preterm delivery. Hence we are presenting a case series to summarize the fetomaternal outcomes with mullerian anomalies.
A rare case of posterior wall uterovaginal rupture in a primigravida: points to ponder in a peripheral set up
Authors: Chourey Niraj , Hiremath Ravishekar N. , Chaudhary Saroj Kumar , Sinha Pooja , Sandhu Namratha
Published: March 2022

Rupture of uterus in a primigravida lady is extremely rare and in most cases it is unalarmed or totally unexpected. The incidence of uterine rupture in general (primigravida or multigravida) is significantly higher in developing countries than in developed countries. Here we present a healthy 24-year-old primigravid woman presented in labor at 39 weeks of gestation with no known comorbidity. She had no significant past medical history and her antenatal care had been uneventful. Intraoperatively the patient was found to have posterior utero-vaginal tear which was repaired subsequently. This case of primigravida, is a rare one and important points to ponder in a periphery setup are discussed here.
Study of clinicodemographic profile of acute central nervous system infection in children and its correlation with neuroimaging
Authors: Vasavada Halak J. , Patel Snehal V. , Detroja Kuldip A. , Patel Aakanksha R. , Patel Mitsu N.
Published: March 2022

Background: Infection of central nervous system (CNS) is most common cause of fever associated with signs and symptoms of CNS disease in children. Viral infections of CNS are more common than other infections. Radiology and pathology go together in understanding etiology causing CNS infections which have similar clinical manifestations making specific diagnosis difficult. The present study aims to study the utility of different neuroimaging patterns in diagnosis of acute CNS infection. Aims include: to study utility and pattern of neuroimaging in CNS infection in paediatric age group, and to study socio-demographic and clinical profile of CNS infection in children.Methods: Prospective observational study in children 1 month-12 years who presented with CNS infection.Results: Total 58 cases were suspected to have CNS infection, which was more prevalent in 1 month-1 year (27.58%), followed by 5-8 year (24.13%), 1-3 year (22.41), >8 year (20.68%) and 3-5 year (5.17%). Neuroimaging was done in all suspected case (58) of CNS infection in which 30 (51.7%) had abnormal neuroimaging where 3(10%) showed pyogenic meningitis, 7 (23.23%) tubercular meningitis (TBM), 4 (13.13%) tuberculoma, 3 (10%) TBM and tuberculoma, 4 (13.3%) viral meningitis, 1 (3.3%) herpes simplex encephalitis (HSE), 1 (3.3%) COVID encephalitis, 4 (13.3%) acute disseminated encephalomyelitis (ADEM) while 2 (6.66%) brain abscess. Correlation between final diagnosis and neuroimaging was 100% in ADEM, brain abscess, tuberculoma, TB spine, HSV followed by TBM (77.77%), pyogenic meningitis (27.27%) and viral encephalitis (26.66%). Clinically diagnosed acute CNS infection was confirmed in 51.72% and wrong in 48.27%.Conclusions: CNS infections were more common in less than 5 years age. Approximately 50% patients had abnormal neuroimaging finding. It was found that neuroimaging was more accurate in early diagnosis, categorization of CNS infection and detection of complications with high sensitivity.
Study of hypoalbuminemia in paediatric intensive care unit admitted children
Authors: Takrani Kishan G. , Kumbhar Suhas G.
Published: March 2022

Background: Albumin has several important properties in both health and disease. Hypoalbuminemia has been considered as an indicator of disease severity and mortality in adult patients, but its role in pediatric patients is not well established. Study aimed to understand importance of hypoalbuminemia in critical illness in paediatric patients.Methods: This was a cross-sectional study conducted amongst children aged 2 months to 18 years admitted at PICU of a tertiary care hospital over a period of 6 months. Study protocol was approved by institutional ethical committee.Results: Amongst the total studied cases (110), 59 cases of the total contributed to hypoalbuminemia. According to primary system affected, post COVID MISC, acute infectious diseases, systemic inflammatory disease and sepsis are some of the common conditions associated with higher incidence of hypoalbuminemia. Statistically significant difference was found in this group of population. Amongst the hypo-albuminemic group 59 (53.64%), in mild category there were 42 (38.18%) patients and in severe category there were 17 patients (15.46%).Conclusions: Hypoalbuminemia is common in patients admitted to the PICU. Post COVID MISC, acute infectious diseases, sepsis and systemic inflammatory diseases are most common conditions associated with it. Hypo-albuminemiais an important indicator of mortality in PICU and serum albumin is a good and reliable indicator for detecting mortality.
Multisystem inflammatory syndrome in children associated with 2019 novel coronavirus (SARS-CoV-2) infection
Authors: Arunanandh Arungeethan , . Mohanram , J. Antony
Published: March 2022

Being in the middle of a global pandemic of coronavirus disease (COVID-19), caused by the novel coronavirus SARS-CoV-2 there were never ending speculation regarding the occurrence, causation, spread and treatment of the disease which warranted a never ending research on this aspect. Initially was thought to be affecting children with lesser severity, but now it has been observed that, SARS-CoV-2 infection has recently been associated with a novel set of clinical manifestations presently called multisystem inflammatory syndrome in children (MIS-C) which was recognised at the outset by the United States, which lacked published reports by then. Here, we describe three critically ill patients with the spectrum of MIS-C associated with SARS CoV- 2 infection presenting to a tertiary-care center in India. Clinical presentation of MIS-C with multi-organ involvement and elevated inflammatory markers may have a presentation which is similar to the presentation as seen in Kawasaki disease and toxic shock syndrome. But now it has been presently understood to be a separate phenomenon and it has been related to a post-viral immune-mediated inflammatory process, and the pathogenesis of the occurrence of this syndrome complex still remains unclear.
Trichobezoar causing malnutrition
Authors: Patel Tankeshwer Prasad , Ahmed Minhajuddin , Ahmed Zeeshanuddin , Upadhyay Nitesh
Published: March 2022

Trichobezoar is a rare and uncommon disease usually found in young and adolescent girls suffering from psychiatric illness mainly arising from trichotillomania (recurrent and irresistible urge to pull out one’s own hair) and trichophagia (eating of hair) or social problem. The main symptoms are pain abdomen, vomiting and nausea etc which later can cause severe complications leading to surgical along with medical management.
Fatal case of classic Potter’s syndrome: a case report
Authors: Agarwal Deepika , Mazahir Rufaida , Singh Rupa
Published: March 2022

Potter’s syndrome is a rare complication of oligohydramnios, incidence varies from 1 in every 2,000 to 5,000 fetuses with an average of 1 in 4,000. It is reported in 0.2-0.4% of autopsies in dead new-born who die immediately after birth. Potter’s syndrome primarily affects male fetuses (2:1) and is characterized by pulmonary hypoplasia and renal failure. Here, we are presented a case of classic Potter’s syndrome with fatal outcome. The baby was a live preterm male, born to a 28 years old multigravida, out of a non-consanguineous marriage via caesarean section. There was absolutely no liquor at the time of delivery. The baby did not cry immediately after birth and required resuscitation followed by mechanical ventilation. Multiple congenital anomalies suggestive of Potter’s syndrome were noted including facial features such as low set ears with overturned helix, slanting eyes, redundant fold of skin beneath the cheeks, prominent epicanthal fold, receding chin, flattened broad ear, flat nasal bridge, parrot beak appearance of nose and triangular facies. Chest X-ray showed small volume lung fields suggestive of pulmonary hypoplasia, and both kidneys were absent on ultrasonography indicating bilateral renal agenesis. At 15 min of life, baby developed tachypnea and severe chest retractions and succumbed after 1 hour of birth due to respiratory insufficiency. This case report emphasizes upon the importance of regular antenatal check-ups in every patient as it picks up the suspicious cases, leading to further workup and diagnosis, resulting in a timely decision regarding management.
Relationship between C-reactive protein, ferritin serum and cluster of differentiation 4 cell count with pulmonary tuberculosis in naive HIV patient in Bali
Authors: Styawan Ida Bagus Putu Adi , Somia I Ketut Agus , Candrawati Ni Wayan , Kusumawardani Ida Ayu Jasminarti Dwi , Arisanti Ni Luh Putu Eka , Artana I Gusti Ngurah Bagus , Rai Ida Bagus Ngurah
Published: March 2022

Background: Diagnostic of Pulmonary tuberculosis (PTB) in patients with Human immunodeficiency virus (HIV) infection remain challenging. Evaluation based on clinical symptoms, inflammation biomarkers, and immunodeficiency status, can provide a feature of PTB disease in HIV patient. The aim of the study was to analyze the relationship between acute phase reactant and immunodeficiency status with PTB in patients with naïve HIV infection.Methods: A cross sectional study was conducted in Sanglah General Hospital and Kuta Selatan Public Health Service on February-June 2021. C-reactive protein (CRP), Ferritin serum levels, and CD-4 cell count were obtained from patient's serum. Data were collected by questionnaire. Bivariate analysis using Chi square test or Kolmogorov Smirnov test, and multivariate analysis using logistic regression.Results: A total of 60 participants were included in this study, and 58.3% had pulmonary tuberculosis (38.3% bacteriologically confirmed, 20% clinically confirmed). Fifty five percent participants had CRP level ≥10 mg/l, 83% had ferritin serum level ≥260 ng/ml, and 83% had CD4 cell count<200 cell/ml. Multivariate analysis showed that the most influential factor for PTB in HIV patients was CRP level≥10 mg/l (adjusted prevalence ratio/APR=4.9; 95%CI=7.81-2327,04, p=0.001) and ferritin serum level ≥260 ng/ml (APR=3.32, 95%CI=1.752-433.65, p=0.018).Conclusions: High CRP and ferritin serum levels were significantly related with PTB in naive HIV patients. No relationship was found between low CD4 cell count and PTB in naive HIV patients.
A single-centre, observational, retrospective study to evaluate coexistence of cardiovascular comorbidities and obstructive sleep apnoea in South Indians using apnea link air home sleep testing device
Authors: Kulkarni Praveen Kumar , Prajapati Hiren
Published: March 2022

Background: The aim of the study was to explore whether there is a relationship between Cardiovascular (CV) comorbidities and the prevalence and severity of Obstructive sleep apnea (OSA).Methods: Secondary data analysis of 146 patients with suspected sleep-disordered breathing was conducted who were presented to the department of medicine, KIMS Hospital, Hyderabad, from June 2021 to November 2021. Participants aged ≥18 years were included in the analysis. Demographic details, clinical history, comorbidities, medication history, were analyzed. AHI score, ODI (Oxygen desaturation index) score and average O2 saturation were recorded with the help of a home sleep testing device. Data were entered and analyzed with Epi info 7.Results: The overall prevalence of OSA was 78.8% in patients with suspected sleep-disordered breathing. Prevalence of mild, moderate, and severe OSA was 28.8%, 15.1%, and 34.9%, respectively. Proportions of diabetes and hypertension were significantly high among patients with obstructive sleep apnea. Correlation analysis revealed a weak positive linear relationship (r=0.14) between the number of risk factors and the AHI score.Conclusions: This study showed high prevalence of OSA among out patients presented with suspected sleep disordered breathing. Hypertension, diabetes and obesity were highly prevalent CV comorbidities among South Indian patients diagnosed with OSA.
The charcot joint osteoarthropathy: a case report
Authors: Dwipayana Putu Aditya , Wulandari Dewi Catur
Published: March 2022

The Charcot Joint Osteoarthropathy also referred as Charcot foot syndrome is a serious lower limb-threatening complication of diabetes. A patient was diagnosed with Charcot joint osteoarthropathy (COA) and found to have uncontrolled Diabetes Mellitus since more than 10 years. This case is crucial considering that Diabetes mellitus is a common case that we encounter, but the consequences of not being controlled can lead to serious complications. Accurate diagnosis is not always easy and can be a considerable clinical challenge. It needs to be differentiated from other conditions that has similar symptoms. Early diagnosis and initiation of treatment is crucial to avoid devastating and permanent complications.
Readiness of the health department in maternal and child health service programs during the COVID-19 pandemic in Bolaang Mongondow Regency
Authors: Mandagi Chreisye K. F. , Kalesaran Angela F. C. , Moningka Maya E. W.
Published: March 2022

Background: The current COVID-19 pandemic poses a major challenge in efforts to improve the health status of the Indonesian people and has an impact on maternal and child health services, which can be seen from the decline in K1, K4 and infant care services in Bolaang Mongondow Regency. This is due to public and staff concerns about the transmission of COVID-19. In some areas, there were even temporary closures of health service facilities, especially in posyandu and puskesmas.  Methods: The research method used is qualitative through a case study at the Bolaang Mongondow district health office which was conducted through in-depth interviews using interview guidelines with 3 informants, namely the head of the health office as a key informant and 2 other informants namely the head of the family health sector and the head of the infectious disease control section then recorded. using a tape recorder.  Results: The results of this study are unclear regulations and SOPs from the health office in maternal and child health service programs, human resources are very minimal and facilities and facilities are not feasible at supporting health centers in remote villages so that the service program provided is less than optimal.Conclusions: During the pandemic, some health facilities were closed and there were no services for MCH for a while. For services, it is directed to the designated health facility as a reference if there are complaints and are of an emergency nature. So there needs to be a policy for the sustainability of maternal and child health services during the pandemic.