bluuebunny/crossref_metadata_2025 huggingface dataset:
Inteligencia Artificial en los procesos de Investigación de las Carreras Física-Matemática y Matemáticas
Authors: Herrera Castrillo Cliffor Jerry
Published: October 2024

El estudio reportado en este artículo investigó el uso de la inteligencia artificial (IA) en los procesos de investigación dentro de los campos de Física-Matemática y Matemáticas. Se recopilaron datos de 78 estudiantes mediante cuestionarios, revelando que ambos grupos hacen un amplio uso de la IA. La investigación encontró que los investigadores en Física-Matemática y Matemáticas están empleando herramientas de inteligencia artificial, como el aprendizaje automático y el procesamiento del lenguaje natural, para analizar datos, modelar fenómenos y generar predicciones, lo que está mejorando la eficiencia y precisión de sus procesos de investigación. El estudio no encontró diferencias significativas entre los campos de Física-Matemática y Matemáticas en cuanto al uso de inteligencia artificial en sus procesos de investigación. Los estudiantes de Matemáticas la aplican principalmente para la redacción y resolución de problemas matemáticos, mientras que los de Física-Matemática la utilizan en la modelización de sistemas físicos y la simulación de experimentos. Estos hallazgos resaltan la importancia de la IA en ambas carreras y sugieren la necesidad de su inclusión en el currículo para mejorar la formación de los estudiantes en estos campos.
MSW Student Wellness, Training Satisfaction, and Readiness to Address Substance Misuse
Authors: McCarthy Katherine M. , Mariscal E. Susana , Wahler Elizabeth A. , Johnson Nina C.
Published: October 2024

Social work educators aim to increase the goodness of fit between student preparation and the needs of the community. Because working with individuals with substance use disorders (SUD) can be emotionally challenging, training MSW students to do this well does require not only development of skills and knowledge but also a capacity to maintain personal wellness. The purpose of this study is to better understand how wellness strategies affect MSW students’ preparation. This study examined two strategies to maintain wellness used by MSW students, pro-active stress management and classmate support network, and their relationship to training satisfaction and student readiness to assist clients struggling with substance use. Thirty-three MSW students in the final month of their degrees completed program evaluation surveys in Spring and Summer 2020. We conducted linear regressions to assess how proactive stress management and classmate support network contributed to student satisfaction and practice readiness. While both proactive stress management and supportive classmate networks were significantly predictive of training satisfaction, only pro-active stress management also predicted several measures of student readiness to address substance misuse. Findings highlight the importance of student wellness in preparing students for practice, particularly the value of fostering student capacity for proactive stress management.
Implementaton of Strength Reimagined
Authors: Alford Sh'Niqua L.
Published: October 2024

The Strong Black Woman (SBW) stereotype has been consistently linked to poor mental health for African American women and its endorsement leads to anxiety, depression, and stress. African American women unknowingly subscribe to this stereotype through the exertion of strength and independence found necessary to combat oppression and gendered racism. This article explores existing literature on the SBW stereotype and suggests strategies for leveraging this stereotype to enhance mental health interventions for African American women. Utilizing an integrated conceptual framework that draws from the lens of Black Feminist Thought, Intersectionality, and Social Constructivism Theory, Strength Reimagined: A Therapeutic Framework for African American Women is proposed. This treatment framework incorporates five key aspects: therapist awareness, psychoeducation, culturally responsive psychotherapy, trauma-informed complementary interventions, and mutual support to improve mental health outcomes among African American women.
Cultivating Critical Consciousness
Authors: Bussey Sarah Ross , Aitan Eliach  , Alexis D. Jemal
Published: October 2024

Anti-Black racism, rooted in white supremacy, is a public health crisis in the US that infects and affects every aspect of life. Critical consciousness (CC) and its derivatives, such as Transformative Potential, have been elucidated as the antidote to the disease of white supremacy. Further, with the current focus on anti-racism and diversity, equity, inclusion, and belonging (DEIB) initiatives, strategies aimed at raising CC are becoming the norm. One strategy to develop critical consciousness is engaging in critical dialogue, difficult conversations that connect macro and micro contexts by exploring issues of power, privilege, and oppression. This paper considers a case study of participant data obtained from the critical dialogue component of Community Wise, an innovative, multilevel, behavioral health, group intervention grounded in critical consciousness theory. The purpose of the paper is to identify and discuss the best practices for critical dialogue facilitation that emerged via a qualitative analysis of the selected Community Wise sessions.
Certificate in Advanced Behavioral Interventions Among Multiple Populations
Authors: Orwat John , Dentato Michael P. , Herweh Katrina
Published: October 2024

This manuscript describes the curricular and instructional approaches utilized in the composition and delivery of the Certificate in Advanced Behavioral Interventions Among Multiple Populations (CABISAM) created by the School of Social Work at Loyola University Chicago. CABISAM is a social work led interprofessional education (IPE) model where students from social work, nursing, and medicine engage in didactic and experiential activities to advance clinical and leadership knowledge of interprofessional approaches to screening, brief intervention, and referral for treatment (SBIRT) with diverse populations. An interprofessional team of faculty from each discipline was involved throughout the development and planning process to consider accreditation, cultural, and logistical issues unique to each profession. CABISAM engages students in an evidenced-based interprofessional education (IPE) experience with exposure to cutting-edge topics relevant to health professionals: training in interprofessional practice, substance use in unique settings with diverse populations, and clinical implementation skills. This manuscript presents an adaptable and generalizable interprofessional education approach to other undergraduate and graduate programs across disciplines.
Lamp Primer Designing Software: The Overview
Authors: Ptitsyn K.G. , Khmeleva S.A. , Kurbatov L.K. , Timoshenko O.S. , Suprun E.V. , Radko S.P. , Lisitsa A.V.
Published: October 2024

The loop-mediated isothermal amplification (LAMP) of DNA is considered as the most promising method for DNA diagnostics of infectious diseases in a “point-of-care testing” format. Currently, the online services and downloadable programs have been developed for design of LAMP primers, some of them (freely available) are overviewed here. Among them, the PrimerExplorer software appears to be mostly used, followed by the NEB LAMP Primer Design Tool that is steadily gaining popularity. The other non-commercial programs such as GLAPD, MorphoCatcher, LAMPrimer iQ, and LAVA have been utilized for LAMP primer design much more rarely. The advantages and disadvantages of the currently existing free software for the construction of LAMP primers, alongside with directions for its further development, are discussed.
Major postpartum hemorrhage after intra partum caesarean section: analysis of risk factors
Authors: Waheed Arfat , Bhat Shakura , Perniola Andrea , Khan Imran , Tiwary Rimple , Tiwary Manish Kumar
Published: October 2024

Background: Women who undergo intrapartum caesarean section (CS) are at increased risk of postpartum hemorrhage (PPH) compared to those undergoing elective caesarean. We aimed to find the risk factors for major post-partum hemorrhage in women undergoing intra-partum caesarean section.
Methods: A retrospective chart study was conducted to identify risk factors for severe PPH in intrapartum CS. Severe PPH was classified as an estimated blood loss (EBL)≥1500 ml or receipt of a red blood cell (RBC) transfusion up to 48 hours after CS. Logistic regression was performed to identify the potential risk factors.
Results: 102 cases and 189 controls were studied. Average blood loss was 1530 ml in cases and 433 ml in controls. Among severe PPH cases, 46% of women had at least 1500 ml EBL, and 83% of women received RBC intraoperatively or within 48 hours post-CS. Most significant clinical factor for severe PPH during intrapartum CS was general anesthesia (OR 4.12; CI=3.05 to 8.17). Compared to parturients who underwent primary CS, those who had ≥3 CS had increased odds of severe PPH (OR 1.83; CI=2.11-4.08). Women aged ≥30 years had reduced odds of PPH compared to women aged less than 30 years (OR=0.52; 95% CI=0.32-0.86). Arab women had 2-fold increased odds of severe PPH as compared to non-Arab women in our study (OR 2.04; CI=1.25-3.31).
Conclusions: In patients undergoing intrapartum caesarean section, general anesthesia may be a risk factor for postpartum hemorrhage. The risk of severe postpartum hemorrhage may be increased in patients with, multiple previous caesareans (≥3) and multiple pregnancies. Arab ethnicity was also found to be a risk factor in this study but larger studies are needed to confirm our findings.
Barriers to the use of kangaroo mother care in mothers of low-birth-weight infants in Madagascar
Authors: Ranosiarisoa Zoly N. , Ramanarivo Mihary S. K. , Mongarçon Ahamadi , Razafimanantsoa Harinirina A. , Andriatahina Todisoa N. , Robinson Annick L.
Published: October 2024

Background: Worldwide, complications of preterm birth and low birth weight are the leading cause of death among newborns and so were in Madagascar. Kangaroo mother care (KMC) is an essential neonatal health intervention to reduce mortality and morbidity in preterm infants. Despite this, mothers face several obstacles in its daily practice. The objective of our study was to identify the barriers that oppose mother’s adherence to KMC in order to seek solutions.
Methods: This was a descriptive cross-sectional study including low birth weight infants whose parents have refused or abandoned the practice of KMC. We conducted an interview either face-to-face or by phone call with open-ended and then semi- structured questions.
Results: Among 444 low birth weight (LBW) newborns who should be admitted to the kangaroo unit: fifty-seven (12%) did not receive or abandoned KMC during hospitalization. Fourteen infants whose mothers answered the phone call no longer returned to outpatient follow-up. We retained 71 infants whose mothers did not fully adhere to the KMC stages. Financial barriers were the main obstacles, especially transport costs n=47 (66.2%); then parental and family barriers, in particular family organization in relation to household chores n=26 (36.7%); including hospital barriers especially geographical distance from the hospital n=25 (35.2%).
Conclusions: To improve mothers’ access and promote the health of premature infants, social assistance: such as transport support, provision of medical insurance, meals, home visits and intervention of psychologists are necessary.
A prospective study on the impact of gestational diabetes mellitus on auditory function in newborn
Authors: C. Sravani Chithra , C. Saranya Chithra , Karnal C. Suhashini , Kumari S. Sampath , S. Vidhya
Published: October 2024

Background: Gestational diabetes is a potential risk factor for neonatal hearing loss. Increased circulating sugars in mothers during pregnancy can impair the micro circulation and can cause congenital anomalies of the inner ear resulting in congenital hearing loss. Prevalence of deafness in neonates of mothers with diabetes mellitus is 4.16%. Otoacoustic emissions (OAE) and brainstem evoked response audiometry (BERA), are used to evaluate hearing impairment.
Methods: This prospective case-control study was conducted by the Department of Obstetrics and Gynecology, among 92 antenatal mothers between the age of 21 to 35 years, who were classified into two groups, based on their gestational diabetes status. All these newborns were screened for hearing as per universal protocol using OAE within 72 hours of birth and on the 10th day. The aim of the study is to ascertain the effects of gestational diabetes mellitus on auditory function in newborns.
Results: In this study a total of 92 pregnant women were selected and divided into two groups, A and B. The mean age was observed as 27.8±5.4 year. On assessment done within 72 hours after birth, 39.1% (18) of the neonates in group A failed in OAE, whereas only 8.7% (4) of the neonates in group B failed in OAE. Children born to mother with gestational diabetes mellitus are at a 6.7 times higher risk to develop congenital hearing loss.
Conclusions: This present study shows a significant association between gestational diabetes mellitus and neonatal hearing impairment. Neonates born to GDM mothers had higher failure rate in OAE screening compared to neonates born to non-GDM mothers.
Analysis of maternal and fetal outcome of placenta previa
Authors: Rosatte Victor Sheba , Alagesan Sujatha M. , P. Thayalan Keerthika
Published: October 2024

Background: Placenta previa, a condition in which the placenta is inserted into the lower uterine segment, causes bleeding and is a major risk factor for obstetric haemorrhage. Early diagnosis, blood transfusion, and multidisciplinary treatment can reduce maternal mortality rates. This study aimed to investigate the clinical aspects of the course of pregnancy, risk factors, maternal and foetal outcomes of patients admitted with the clinical features of placenta previa, and maternal and perinatal complications.
Methods: This cross-sectional study included 170 patients with placenta previa admitted to the Tirunelveli Government Medical College between September 2019 and September 2021. Patient details, obstetric history, and clinical examinations were recorded during admission. They underwent USG, MRI, and foetal and maternal examinations. The cases were managed based on placenta previa, gestational age, and conditions.
Results: Type 4 placenta previa, the most common type, accounted for 40% of cases, with bleeding per vagina being the primary complaint in 46% of cases. MRI was performed in 85% of patients, and emergency caesarean section was performed in 78%. Postpartum, 36% required hysterectomy due to haemorrhage. Babies had an average weight of 2.5-3 kg, with 30-32% having low birth weight. The maternal mortality was 1.18%, with 5% intrauterine and 4% neonatal deaths. Placenta previa was more common in women aged 25-29 (38%) and associated with previous caesarean sections (40%). Foetal malpresentation was higher (28%) in cases of placenta previa, mostly breech (49%).
Conclusion: This study suggested that advancing maternal age, gravidity, parity, previous abortion, and caesarean section were increased risk factors for placenta previa.
Evaluation of a family planning campaign for young and low parity couples in two districts of India: a quasi-experimental study design
Authors: Dixit Sakshi , Chaudhary Santosh , Kumar Paramhans , Bhardwaj Aditya , Mehra Sunil , Sharma Shantanu
Published: October 2024

Background: India, the most populous country in 2023, reduced its fertility rate to 2.0 through sustained family planning efforts. Despite this, unmet contraceptive needs among young couples remain high. The present study assessed a campaign's impact on enhancing family planning knowledge and self-efficacy among couples in Uttar Pradesh's Banda and Kaushambi districts.
Methods: A quasi-experimental, non-randomized, controlled study was conducted with pre-and post-test assessments in Banda and Kaushambi districts, covering young low-parity couples. Sampling involved the systematic random selection of couples from village lists and statistical analysis using the difference-in-difference approach with regression models. The intervention included role plays, SMS campaigns, leaflets, and pre-recorded audio to promote family planning and address contraceptive myths.
Results: There were 3067 adults in the intervention group and 3136 in the control group. The knowledge about early marriage and pregnancy increased more in the intervention group compared to the control, along with awareness of intrauterine devices and oral pills. Self-efficacy and attitudes toward family planning also significantly improved post-intervention in the intervention sites. All measures of overall knowledge, perceptions, and contraceptive use increased because of the targeted campaign.
Conclusions: The study concluded that comprehensive family planning interventions among couples have a substantial effect on increasing their knowledge and self-efficacy regarding contraceptives. The culture-specific modalities could debunk the myths and help contraceptive users lead to healthier reproductive health. More implementation and development of these inclusive strategies are needed to improve family planning practices, and that can lead to positive health outcomes for the community.
Hematologic havoc: haemoglobins link to hypertensive pregnancy outcomes
Authors: Uppinangady Ashwini Nayak , Shah Diya , Uday Rajini , Yuktha K. B. , Lokesh Skanda , Srinivasan Suhas Shakthi
Published: October 2024

Background: Hypertensive disorders of pregnancy (HDP), such as preeclampsia and eclampsia, significantly threaten maternal and perinatal health. This study explores the impact of hemoglobin levels on pregnancy outcomes in women with HDP, aiming to identify potential predictors of adverse outcomes.
Methods: A retrospective analysis was conducted on 233 pregnant women diagnosed with HDP at Sapthagiri Hospital, Bengaluru, from June 2022 to June 2024. Data on patient demographics, hemoglobin levels, and maternal and perinatal outcomes were collected. Statistical analysis was performed using SPSS to examine associations between hemoglobin levels and clinical outcomes.
Results: The study found that low hemoglobin levels (<11 gm%) were associated with a significantly higher incidence of maternal complications (37.8%) compared to normal (15.1%) and high hemoglobin levels (>13 gm%) (35.5%). Eclampsia was more prevalent in women with both low and high hemoglobin levels (17.4% and 17.8%, respectively) compared to those with normal levels. Adverse perinatal outcomes, including increased NICU admissions, stillbirths, and intrauterine fetal demise (IUFD), were also more common in these groups.
Conclusions: The study underscores the importance of maintaining optimal hemoglobin levels during pregnancy to reduce the risk of severe maternal and perinatal complications in women with HDP. Both low and high hemoglobin levels are linked to adverse outcomes, highlighting the need for vigilant monitoring and management throughout pregnancy.
A correlation study on testosterone level with luteinizing hormone to follicle stimulating hormone ratio among women with PCOS in reproductive age
Authors: Kumar Swetha Anil , V. K. Roshna , Prabhakar Pranav Kumar , C. P. Bineesh
Published: October 2024

ABSTRACT
Background: Polycystic ovarian syndrome (PCOS) is a female specific endocrinological condition. Traits of PCOS include menstrual irregularity, excess hair growth, elevated luteinizing hormone: follicle stimulating hormone (LH-FSH) ratio. The purpose of this study was to investigate any potential correlation between LH-FSH ratio and total testosterone levels in women with PCOS who were of reproductive age.
Methods: This cross-sectional study included 50 women with PCOS based on analysis of testosterone, luteinizing hormone, follicle stimulating hormone who have shown PCOS symptoms. The primary emphasis of this investigation was to testing blood samples for hormone levels (LH, FSH, total testosterone). Abott ARCHITECT Ci4100 was used to analyse the blood samples using chemiluminescent microparticle immunoassay (CMIA) chemiflex method.
Results: In this study 100 subjects between age 19-45 were taken; 50 were selected as tests and 50 were selected as controls. It has significantly showed a positive correlation with rising testosterone and LH/FSH ratio.
Conclusions: Among women with PCOS, the LH-FSH ratio was found to be substantially linked with total testosterone. This aid in a better understanding of the pathophysiology and management of hyperandrogenemia in PCOS women. PCOS cause irregularities of the menstrual cycle, the appearance of clinical manifestations, especially changes of LH/FSH ratio. This ratio can be used to support or confirm PCOS diagnosis along with other tests.
Assessing thyroid abnormalities in abnormal uterine bleeding: a comprehensive prospective study
Authors: N. Pooja , Choudary Geeta
Published: October 2024

Background: Abnormal uterine bleeding (AUB) is a significant gynaecological concern affecting a substantial number of women, particularly during their reproductive years. It is often linked to various etiologies, including thyroid dysfunction, which can influence menstrual patterns through hormonal imbalances. The study explores the correlation between thyroid dysfunction (TDF) and AUB, aiming to establish whether thyroid hormone abnormalities are significant contributors to menstrual irregularities in women. By understanding this relationship, healthcare providers can better manage and treat AUB.
Method: A prospective, observational study was conducted at Al-Ameen Medical College, Vijayapura, from November 2022 to May 2024, involving 100 women aged 15-60 years with AUB. Participants underwent detailed clinical examinations, ultrasonography, and baseline investigations, including thyroid function tests (T3, T4, and TSH). Exclusion criteria included pregnancy, bleeding disorders, and certain medical treatments. Data were analysed using SPSS software.
Results: The study found that 55% of participants were euthyroid (EU), 38% were hypothyroid, and 7% were hyperthyroid. Significant correlations were observed between TDF and the type of bleeding, with hypothyroidism most common in prolonged and frequent cycles. The majority of cases were in women aged 31-35 years, highlighting a possible age-related vulnerability to TDF. Hormonal management was effective in most cases, particularly in those with underlying thyroid issues.
Conclusion: Thyroid dysfunction, particularly hypothyroidism and euthyroidism, is significantly associated with AUB, especially in women aged 31-35 years. Regular thyroid function evaluation should be mandatory in AUB cases to ensure early detection and treatment, thereby improving reproductive health outcomes.
Caesarean myomectomy with minimal blood loss
Authors: Mani Poonam , Aggarwal Rakhi
Published: October 2024

A myoma is a non-cancerous tumor that involves muscle cells. There are two main types of myomas: leiomyomas, which occur in smooth muscle, the most commonly occur as uterine fibroids, and rhabdomyoma, which occurs in striated muscle. A patient who undergoes myomectomy during caesarean section will not require a second operation. In addition, caesarean myomectomy also promotes puerperal involution and significantly reduces fibroid related complications that can develop later in life such as menorrhagia, anaemia due to heavy bleeding and pain. Objective was to see the outcome of patients in terms of blood loss and post op fever undergoing caesarean myomectomy. The study design was hospital based observational study. 5 patients undergoing caesarean section with uterine fibroid willing to undergo myomectomy were included. Myomectomy at the time of caesarean section can be safe and successful if it is done carefully with minimum blood loss and intra op and post op complications.
Acute presentation of caesarean scar pregnancy at 19 weeks with hemorrhage and anemia: a case of successful surgical intervention
Authors: Febriani  , Oktama Nizan D.
Published: October 2024

Caesarean scar pregnancy (CSP) occurs when an early pregnancy implants on myometrial tissue previously disrupted by a caesarean section (CS). As primary CS rates increase and vaginal deliveries post-CS decrease, CSP has become more prevalent, accounting for 6.1% of all "ectopic" pregnancies. CSP is now recognised as a possible precursor to placenta-accrete spectrum disease (PASD). Unlike tubal ectopic pregnancies, CSP may progress, and successful deliveries have been reported, though no consensus on optimal treatment exists. A 38-year-old G3P2A0 presented at 19 weeks’ gestation with abdominal pain and vaginal bleeding. Ultrasound confirmed a CSP with a 19-week foetus and no heartbeat. Given the low haemoglobin level (7.2 g/dl) and clinical findings, an emergency laparotomy was performed, revealing placenta implantation at the caesarean scar. The foetus had demised, and the patient underwent bilateral pomeroy tubectomy and blood transfusion. CSP management varies, with surgical intervention often required to prevent severe complications. Early diagnosis and a multidisciplinary approach are essential, with treatment decisions guided by residual myometrial thickness (RMT) and the patient's fertility goals. While literature suggests that surgical intervention is generally safer, the optimal treatment approach for CSP remains undetermined, necessitating further research and standardised guidelines.
Gartner duct cyst masquerading as vaginal prolapse
Authors: Chavan Komal , Mahapatra Subhani
Published: October 2024

The urogenital system in fetuses contains two types of ducts: Wolffian and Müllerian. The Wolffian ducts form fallopian tubes, uterus, cervix, and upper vagina in females. Sometimes, these ducts regress, forming the Gartner duct cyst. These cysts are asymptomatic and often associated with congenital ureteral and renal abnormalities. They can cause urinary flow obstruction and retention. Understanding these benign cystic vaginal lesions is crucial for examination and therapy. A 48-year-old patient with a history of prolapse was referred to our outpatient department for a vaginal cyst. Her symptoms began slowly and gradually escalated over the past two months. Upon examination, a large, tense cystic growth measuring 8×8 cm was noted. Ultrasonography showed a fibroid uterus. A vaginal cyst excision was performed, and the cyst was filled with chylous fluid. Cytology showed few lymphocytes and neutrophils, benign squamous epithelial cells, with no evidence of malignancy. Histopathological examination showed stratified squamous epithelium and cystic space without any lining epithelium. The patient was discharged on postoperative day 4 and followed up in the outpatient department after six months.
Intriguing case of transverse vaginal septum: unusual presentation and diagnostic insights
Authors: Nisha  , Deoghare Manasi , Aggarwal Ashita , Sharma J. B. , Kumari Rajesh
Published: October 2024

The transverse vaginal septum is a type of Mullerian duct anomaly that occurs due to incomplete fusion or re-canalization of the vaginal and Mullerian structures. Typically, this condition presents as primary amenorrhoea along with cyclical abdominal pain, although it can also manifest as dyspareunia and infertility. Our 24-year-old female patient exhibited symptoms of menstruation upon manual expression, dyspareunia, and infertility. Following the excision of the septum, the patient resumed regular menstrual cycle and is currently 5 months pregnant. This case report focuses on unusual presentation of transverse vaginal septum (TVS) and also signifies how important is to take proper history and clinical examination.
Utero cutaneous fistula after caesarean section: a case report
Authors: Kucha Kalpesh , Vaishnav Himanshu , Damor Pradeep , Yagnik Ami , Desai Gayatri , Maitra Nandita
Published: October 2024

Uterocutaneous fistula is a rare pathology which occurs most commonly after a caesarean section. This is the case report of a 26-year-old patient who presented soon after her second caesarean section, with an abdominal nodule and cyclical pain and discharge from it. A pelvic MRI confirmed the diagnosis. Surgical management was successful.
Asymptomatic adult type IV sacrococcygeal teratoma: incidental diagnosis in a case of subfertility
Authors: Daksha Shraddha , Khanna Shakti Bhan , Dash Kiranabala , Zaidi Shuaib , Kashyap Vikas
Published: October 2024

Sacrococcygeal teratomas (SCT) are rare congenital tumours that are even more uncommon when present in adulthood. They are derived from residual stem cells in the presacral space that differentiate into clusters of somatic cells. We present a case of asymptomatic sacrococcygeal teratoma (SCT) in 28 years old female, presented for subfertility workup and diagnosed incidentally while investigating for it. Preoperative diagnosis was complex cystic lesion involving presacral space with possibility of dermoid, epidermal, or cystic presacral hamartoma. The mass was completely excised through abdomen and sacral approach. Histopathology confirmed it to be sacrococcygeal teratoma. Although rare, saccrococcygeal teratoma (SCT) should be considered in differential diagnosis of presacral masses in adult female. Complete surgical excision remains the cornerstone of treatment with the involvement of multidisciplinary approach.
Unusually large Gartner cyst in a 30-year-old female
Authors: Dixit Anjani , Hood Mitesh M.
Published: October 2024

Gartner cysts are typically small and asymptomatic, often discovered incidentally. The present case report describes a rare instance of a large symptomatic Gartner cyst in a 30-year-old female, highlighting the clinical implications of such a rare presentation. A 30-year-old female presented with a significant vaginal swelling that developed postpartum and persisted for three years. The cyst, measuring 9 cm, caused considerable discomfort, affecting her daily activities and quality of life. Due to financial constraints, advanced imaging was not performed. Surgical intervention was undertaken, leading to the successful removal of the cyst and resolution of symptoms. Histopathological examination confirmed the cyst as a mesonephric remnant. This case highlights the importance of considering Gartner cysts in differential diagnoses for vaginal swellings, especially when they present with significant symptoms. Surgical excision proved to be an effective treatment, leading to symptom resolution and an improved quality of life for the patient.
Role of liver enzymes in patients with blunt trauma to liver on conservative management
Authors: Dash Susanta Kumar , Amarapathy Sivasankar , Durairajan Somasekar , Pandian Dinesh Kumar Kathiresa
Published: October 2024

Background: When blunt abdominal trauma occurs, the liver is the organ most often affected. The liver enzymes are often elevated in blunt trauma to the liver. However, the variation of liver enzymes among various grades of liver injury is not clear. The aim of our investigation is to determine the variation of liver enzymes across various grades of liver injury as well as whether it affects any change in management including surgical intervention.
Methods: Our research was a prospective observational study. Patients of blunt abdominal trauma having a liver damage which was detected on a contrast CT scan and managed conservatively were included. They were categorized as per the AAST (American Association for the Surgery of Trauma) system. Various biochemical markers including liver enzymes were compared between the groups. Any change in management or need for intervention was found out.
Results: A total of 35 patients has been included. Ages between 31 and 40 accounted for the majority of cases (34.3%). Our study showed male preponderance (85.7%). Most patients presented to the hospital within 24 hours of trauma (82.9%). Most of our patients had blood transfusions during their hospital stay (71.4%). AAST grade III injury was predominant (48.6%). Subgroup analysis between minor and major liver injury patients was done. No significant distinction was seen among the two groups concerning the assessed biochemical parameters. No significant variation was observed regarding the necessity for intervention.
Conclusions: Liver enzymes can not be used to differentiate among various grades of liver injury. Patients who are managed conservatively can be managed so with close monitoring and supportive treatment without the need for any intervention. However, larger and randomized studies are needed to validate the results.
Robotic assisted excision of a mesenteric cyst of Müllerian origin in a 29-year-old woman
Authors: Bhatia Shubham , Patel Bhakti , Kiarie Patrick , Louis Martine A. , Shah Darshak
Published: October 2024

Mesenteric cysts are rare, benign tumors of uncertain etiology that require management. The Müllerian subtype of one of the rarer types of mesenteric cysts. Diagnosis of a mesenteric cyst typically involves nonspecific symptoms or an asymptomatic presentation. Treatment involves resection to prevent life-threatening complications. Resection through laparotomy surgery is the most common approach. The laparoscopic approach is gaining traction. We present a case in which a large mesenteric cyst was resected using a robotic assisted laparoscopic approach.
Don’t forget the ECG! Coronary occlusion following blunt chest trauma: a case report
Authors: Gabsi Kheira , Cheng Ernest , Nguyen Chilan , Abraham Earl
Published: October 2024

A rare but potentially life-threatening consequence of blunt chest trauma is ST elevation myocardial infarction (STEMI) due to coronary artery occlusion. Here we describe a case of coronary artery occlusion following blunt chest trauma to consider the role of electrocardiography (ECG) and troponin testing as part of the workup of blunt chest trauma.
Asymptomatic presentation of giant liver abscess: simultaneous Klebsiella pneumoniae and amoebic infection in an immunocompetent comorbid patient
Authors: Altwiher Rasheed , Alzaid Ahmed , Osman Amir , Alhabeeb Yasser , Alrdaian Dareen , Almesmar Nourah
Published: October 2024

Liver abscess is a rare clinical entity, giant abscess is also rare and asymptomatic presentation in immune competency is even rare. Simultaneous Klebsiella pneumoniae and amoebic liver abscess is rarely reported in immunocompetent patients, just few articles. Our case, a 69-year-old man was discovered to have hypoechoic liver mass during a scan of the abdomen for evaluation of dysuria. He was hospitalized through ER for advanced assessment. Systemic inquiries of the patient revealed generalized fatigue, constipation, but no fever, chills, abdominal pain or hypotension. Physical examination revealed normal liver span and no right upper quadrant tenderness. Tumor markers were not strikingly high and an enhanced abdominal computed tomography showed a large area of low attenuation with some liquefaction in the liver. Echo-guided aspiration revealed 220 ml of pus, which grew Klebsiella pneumoniae, and the same organism was isolated from the blood. Cytology examination of the pus showed scattered amoeba. The patient gradually improved over 3 weeks on treatment with meropenem and metronidazole, along with sustained drainage of the abscess cavity. No parasite ova or amoeba were found in the stool. He had no evidence of immunocompromise. Parasitic diseases may be a predisposing factor for bacterial infections, including pyogenic liver abscess. Giant size, possible coexistence of amoebae and bacteria in a liver abscess and asymptomatic presentation should not be discounted.
Unexpected manifestations of a perforated gallbladder: a case study and imaging assessment
Authors: Liu Yifan , Ndegwa Reuben Ruwkaro
Published: October 2024

Gallbladder perforation can be caused by delayed diagnosis of cholecystitis and, more rarely, trauma. Despite advancements in imaging modalities, diagnosis is often challenging, leading to further delays in diagnosis and increased morbidity and mortality. In this report, we discuss a 49-year-old Caucasian male who presented to the emergency department with severe, out-of-proportion pain and fevers following a mechanical fall. Blood tests were unremarkable, but portal venous contrast-enhanced CT of the abdomen-pelvis showed a thickened gallbladder with perihepatic fluids, and CT of the chest revealed bilateral lobar atelectasis. After a period of conservative management, the patient eventually underwent diagnostic laparoscopy, revealing a perforated gallbladder with biliary peritonitis.
A large long standing keratinous cyst on the cheek: a case report
Authors: Save Sneha , Mendonca Elton , Kumar Ravish
Published: October 2024

Epidermal inclusion cysts or keratinous cysts can be congenital or acquired. These slow-growing, chronic cysts can sometimes be neglected, unless they affect cosmesis or present the fear of turning malignant. We present a case of a keratinous cyst on a patient’s cheek, overlooked for many years, which slowly and steadily kept on growing and finally presenting as a disfiguring ovoid swelling over the patient’s cheek. Epithelial inclusion cysts have a tendency of slow but steady growth, with a rare of real risk of malignant change. Secondary infection, abscess formation, pressure effect and cosmetic effect are a few complications seen in such cases. Improper excision of these cysts leads to recurrence due to left over residual cyst tissue. This unearths the importance of timely investigation and treatment of swellings that we might at first assume to be insignificant.
Laparoscopic Roux-en-Y cystojejunostomy with indocyanine green angiography for a recurrent large pancreatic pseudocyst: a case report
Authors: Dashputra Amit V. , Sachin S. Sholapur , Amol N. Wagh , Shirish R. Bhagvat
Published: October 2024

Symptomatic pseudocyst of pancreas can present as abdominal pain or back pain, early satiety, unexplained weight loss, jaundice, steatorrhea, or a palpable mass. This case involves a 31-year-old male with a large, recurrent pseudocyst, initially managed by endoscopic drainage, then complicated by recurrence. Despite failed attempts at a repeat endoscopic cystogastrostomy, surgical intervention was successful, albeit challenging due to the patient's physique and cyst size. Roux-en-Y cystojejunostomy was performed, aided by intravenous indocyanine green (ICG) angiography to ensure anastomotic vascularity. Postoperative recovery was smooth, and the patient was asymptomatic after 4 months without residual collections. Thoughtful intervention is vital for managing such pseudocysts, with surgical drainage remaining crucial, albeit with adaptable port placement. Choice between cystogastrostomy and cystojejunostomy should consider pseudocyst location for optimal drainage. The use of indocyanine green angiography for assessing vascularity supports the success of anastomosis intra-operatively and presents an intriguing research avenue.
Paseando por los bosques narrativos: la intrincada conexión entre ficción y realidad según Umberto Eco
Authors: Loza Vera Manuela
Published: October 2024

Este comentario a Seis paseos por los bosques narrativos de Umberto Eco examina la relación establecida por Eco entre el texto narrativo y el lector, al igual que la relación entre la ficción y la realidad. El “lector modelo” de Eco es una figura creada por el texto y se atiene a las exigencias del “autor modelo”. Sin embargo, más allá de interpretar un texto, el lector acude a una ficción narrativa para dotar de sentido a la complejidad del mundo real. Por este motivo, este comentario a la obra de Eco busca resaltar mediante citas textuales la importancia de interpretar de acuerdo a los requisitos particulares de un texto y, por otro lado, busca destacar el gran rol que los textos narrativos llevan a cabo en nuestra existencia cotidiana. Se concluye, por tanto, que la lectura sería una práctica inherente a nuestra vida humana.
Analytic Philosophy at the Beginning of the New Millenium
Authors: Szubka Tadeusz
Published: October 2024

Filozofia analityczna jest ciągle żywym i rozwijającym się nurtem myślowym. Chociaż trudno byłoby uzasadnić wyodrębnienie ponad dwóch dekad z początków nowego tysiąclecia jako jej odrębnej fazy rozwojowej, to można próbować opisać główne zmiany, jakie w niej w tym czasie zaszły oraz niektóre idee najżywiej w niej obecne. W artykule przedstawione są najpierw krótko przemiany pokoleniowe i organizacyjne, które dokonały się w ostatnich dekadach w tradycji analitycznej, a następnie omawia się kilka wątków metafilozoficznych pojawiających się w najnowszych dyskusjach w ramach tej tradycji. Najprawdopodobniej obecnie rozwijana filozofia analityczna nie będzie w stanie doprowadzić do koncepcji i wyników równych tym, które wydała na przełomie XIX i XX wieku oraz przez kolejnych kilka dekad, lecz nie można tego całkowicie wykluczyć.
Major trends in analytical philosophy of language in the 21st century
Authors: Odrowąż-Sypniewska Joanna
Published: October 2024

W artykule krótko omawiam najważniejsze tendencje rozwojowe w analitycznej filozofii języka w XXI wieku. Wymieniam w szczególności filozofię eksperymentalną, spór między minimalizmem semantycznym, kontekstualizmem i relatywizmem, zwrot społeczny i polityczny w analitycznej filozofii języka oraz inżynierię pojęciową.
About new trends in analytical philosophy in metaethics, ethics, and political philosophy, and about philosophizing in the era of artificial intelligence
Authors: Szutta Artur
Published: October 2024

Artykuł poświęcony jest wybranym nowym trendom w metaetyce, etyce, filozofii polityki oraz uprawianiu filozofii z wykorzystaniem sztucznej inteligencji. Składa się z pięciu części. W części pierwszej analizuję sens pytania o nowe trendy w filozofii analitycznej. W części drugiej prezentuję najnowsze trendy w metaetyce. W trzeciej części skrótowo charakteryzuję etykę sztucznej inteligencji. Czwarta część poświęcona filozofii politycznej zawiera prezentację najnowszych publikacji na temat merytokracji. Artykuł zamykają rozważania na temat uprawiania filozofii w dobie sztucznej inteligencji.
Assignment Algorithm of Computer Storage Management Partition and Its Implementation
Authors: Mu Simin
Published: October 2024

This paper is about the algorithm of computer storage management partition and its implementation. First, we introduced the background and significance of the project, as well as the principle of technology used by the author in this project. This includes the principles of storage management, partition allocation technology and recycling technology. Then, a detailed analysis of the operating system primary storage allocation of a simple algorithm and one of its implementation., which mainly is to achieve a variable partition of the storage management allocation and recycling technology. Variable partition management usually uses a variety of methods, and our design are the first adaptive algorithm and the use of the best adaptive algorithm. Then it is followed by the test results of the system and discussion of its advantages and disadvantages. The entire storage management partition allocation algorithm and its implementation is entirely in accordance with the primary storage management of the operating system and effective use, in order to achieve a certain level of economic and technical value.
The Innovation of Modern Management System
Authors: Wu Junjie
Published: October 2024

Institutional innovation refers to the dynamic process of generating, denying, abandoning or changing the old system (or the old institutional structure) of the new system (or the new institutional structure). Specifi cally, the private small and medium enterprise system innovation is 'the enterprise as the main body, in order to better realize the function of the enterprise system, in the income and cost evaluation on the basis of the system supply within the scope of the design of the new enterprise system process.' Institutional innovation mainly covers the aspects of enterprise property relations, governance structure, distribution fi nancing, operation mechanism, management mode and other aspects of innovation, and other innovations and other innovations are both common and personality and signifi cant features. First of all, the system innovation of private small and medium-sized enterprises is the prerequisite of a series of innovative activities such as product innovation, technological innovation and market innovation. It is an important system guarantee of active innovation and continuous innovation. Secondly, the enterprise system should be developed with the development of productive forces and market economy And the continuous improvement, we must adapt to the needs of economic globalization, innovation; In addition, the system’s innovation involves diff erent levels within the enterprise mechanism changes, but also related to external fi nancial system reform, social security system reform, government reform and other external system Change, we must proceed from the system point of view, pay attention to the external system innovation and internal system innovation to coordinate the operation, to promote their interaction.
An Online Review Research Based on Opinion Dynamics Model
Authors: Lin Zizhan , Zhou Jinlian , Wu Ye , Xiao Jinghua
Published: October 2024

Due to the rapid growth of Internet, consumers obtain information about products and experiences from online rating platforms, which further influences their purchase decisions. Considering the differences in the opinion interaction pattern, traditional opinion dynamics models cannot explain individual review behaviors. In order to explore the evolution process of opinions on the online review platform, we optimized the network structure and confidence thresholds of traditional models based on the collected data from Dianping, and created an opinion dynamics model for online rating platforms. The proposed method can advance the understanding for the evolution process of online opinion.
Research on News Editing Skills of Radio Stations Based on New Media Era
Authors: Meng Qingli
Published: October 2024

With the continuous development of Internet technology, the development of radio stations has encountered great challenges. Facing the current situation, how to effectively deal with the news gathering and editing work plays a vital role in the further development of radio stations. For this reason, this paper briefly analyzes the news editing skills of radio stations under the new media environment, with a view to providing some references for the radio and television industry.
Reflection and Exploration on Museum Propaganda and Education from the Perspective of Internet
Authors: Jiang Nannan
Published: October 2024

Under the current circumstances, museums can use new resources such as WeChat and microblog to promote various daily activities. Compared with the traditional propaganda and education model, the new method based on the Internet has many obvious advantages. It can be seen that museums are now facing new opportunities in the development of mission work. Therefore, in order to simplify the mission process of museums and improve their impact, it is necessary to integrate Internet tools closely.
The Application of Femtocells as a Technical Solution for a Telecomunication Provider
Authors: Odadzic Borislav , Lukic Nebojsa M. , Jankovic Milan
Published: October 2024

The technology of femtocell application will most likely enable reduction of costs for telecommunications provider. This paper presents the installation and use of femtocells, as well as the problems one may encounter during this process. It also offers a technical solution, with its basic characteristics and the possibility of realization at a particular location, illustrated by the example of a telecomunications provider. The possibilities of implementation of new equipment to existing mobile networks are also discussed, followed by the comparative analysis which aims at emphasizing the significant reduction of electrical energy consumption between GSM macro base stations and femtocell application.