bluuebunny/crossref_metadata_2025 huggingface dataset:
Cervical cancer incidence in the Siberian Federal District
Authors: Zhuikova L. D. , Odintsova I. N. , Ananina О. A. , Pikalova L. V. , Lyakhova N. Р.
Published: March 2021

Background. When planning preventive measures and providing specialized care, it is important to take into account the epidemiology of malignant neoplasms.

Objective: to analyze the incidence of cervical cancer in 10 territories of the Siberian Federal District.

Materials and methods. Based on the data of the Federal State Statistics Service, the incidence of cervical cancer and the quality of cancer care were analyzed in 10 cancer centers for the years 2005–2019. Results. During the study period, an increase in the incidence of cervical cancer was observed in the Siberian Federal District. The maximum increase in the incidence rate was observed in most territories of the Tyva Republic (102.3 %). The decrease in the incidence rate was recorded in the Altai Republic (–15.4 %) and Tomsk Oblast (–14.3 %). The age-specific incidence rates were stable in patients aged 65 years and older, and a 1.4-fold increase was observed in women of the reproductive age (20–44 years). The highest incidence rates were observed in the age groups 35–39 years (37.8 %) and 40–44 years (42.0 %). The improvement in the rates of quality of cancer care indicated the high proportion of morphologically verified cancers, early cancer detection and high proportion of patients who were followed up for 5 years or more. The rates of late-stage cervical cancer and one-year mortality remain high.

Conclusions. From 2004 to 2019, an increase in the incidence of cervical cancer was observed in the female population of the Siberian Federal District. The highest risk of cervical cancer was observed in women of the reproductive age (20–44 years). It is necessary to develop and organize anti-cancer measures to improve cancer care
Bevacizumab (Avegra®) for the treatment of gynecological cancers: joint experience of several centers
Authors: Kedrova A. G. , Krasilnikov S. Е. , Ogay D. S. , Maksimenko Т. A. , Voznesenskiy V. I. , Berishvili А. I. , Greyan Т. A.
Published: March 2021

Tumors of the female reproductive system are among the five most common cancers in women worldwide. Up to 60 % of these patients require chemotherapy to reduce the risk of recurrence. Currently, an additional treatment option is available for patients with advanced cancers of the female reproductive system, namely vascular endothelial growth factor inhibitor bevacizumab. To assess the efficacy and safety of Avegra®, Russian generic of bevacizumab, we summarized the experience of 5 specialized healthcare institutions that used it for the treatment of 178 patients with tumors of the female reproductive system. The analysis of side effects in 1,074 treatment cycles demonstrated that Avegra® had a good safety profile. Clinical effects of Avegra® were similar to those of the original drug.
Human papillomavirus and endometrial cancer (review of literature and meta-analysis)
Authors: Ibragimova M. К. , Kokorina E. V. , Tsyganov М. M. , Churuksaeva О. N. , Litviakov N. V.
Published: March 2021

The important role of human papillomavirus (HPV) of high carcinogenic risk in the emergence and development of cervical cancer is undeniable. Approximately 90 % of cases of verified cervical cancer are HPV positive. The level of infection with this virus exceeds that of gonococci, chlamydia and yeast infections. Currently, one of the most discussed issues is the possibility of the association of HPV with the risk of developing malignant neoplasms when localized in organs that are anatomically close to the cervix. One of these localizations is the body of the uterus. It is known that endometrial cancer is based on its pronounced hormone dependence. Nevertheless, many factors are involved in the carcinogenesis of endometrial neoplasms, including genetic and epigenetic disorders, as well as risk factors, which include alimentary, hormonal, hereditary causes. At the same time, a controversial issue is the involvement of HPV in the development of this type of cancer. The data on the presence of HPV in endometrial cancer are extremely contradictory: the researchers claim both the complete absence of the effect of the virus on the development of this type of cancer, and the detection of HPV in 60–80 % of cases of tumors. In this regard, it becomes necessary to systematize the currently available research results on this issue and to conduct a meta-analysis of the association of HPV infection with the risk of endometrial cancer.
Salas y alcobas en San Cristóbal de La Habana, siglos XVI y XVII
Authors: Oliva Suárez Rosalía
Published: March 2021

El artículo es un acercamiento al mobiliario doméstico de dos espacios de la casa: la sala y la alcoba. A partir de fuentes de archivo, iconográficas y bibliografía se hace una reconstrucción de cómo eran ambas estancias en las viviendas habaneras en los dos primeros siglos de la Villa de San Cristóbal de La Habana. Interpretaciones de la forma de habitar de vecinos y residentes en una de las ciudades portuarias más importante en los territorios españoles de ultramar.
Investigating the Effect of Covid - 19 Pandemic Process on Furniture Usage Frequency and Consumer Preferences
Authors: Genc Ahmet , Merdan Rahim
Published: March 2021

Our purpose of doing this study is to determine how the COVID-19 pandemic, which affects the whole world, affects the park garden furniture. Our hypothesis before we started working was this; we assumed that people who stayed in their houses for a long time due to quarantine would increase their interest in park and garden furniture. For this reason, we conducted a survey consisting of 30 questions to measure consumer habits. Within the scope of our research, the socio-demographic data of 472 individuals with different socio-economic (Lower / Middle / Upper) levels were investigated for indoor and outdoor garden furniture and usage habits during the Covid-19 Pandemic process using Google surveys application. Survey technique was used to obtain research data by using social communication tools.
In our study, we learnt that people's interest in nature had increased due to the long time spent indoors; and their desire to renew their park garden furniture had, too.
Loos, Gropius y Le Corbusier: teorías del mueble moderno
Authors: Fernández García Ana María
Published: March 2021

Reseña del libro  (Una) Caracterización del mobiliario moderno. Adolf Loos, Walter Gropius. Le Corbusier, publicado en 2020 por María Villanueva Fernández.
Mobiliário português de estilo nacional: o bufete forma, origem e identidade.
Authors: Marrocano João Henrique
Published: March 2021

Serão muito poucas as peças de mobiliário de origem e produção nacional que terão marcado de forma tão contínua e distinta os espaços interiores portugueses, como marcou o bufete. Estas mesas, juntamente com os contadores e as arcas de tremidos e torcidos, as camas de bilros e as cadeiras de couro lavrado, são os modelos mais característicos do mobiliário produzido em Portugal, nos finais do século XVII, identificando um estilo conhecido como Estilo Nacional.
O objectivo desta análise é diferenciar e aprofundar o conhecimento sobre o bufete, através do levantamento das suas características, da sua origem e das várias utilizações que tiveram dentro da casa, em Portugal, desde o inicio da sua produção. É também dado enfoque à valorização simbólica que, tanto na actualidade como no passado recente, lhe tem vindo a ser atribuída, como elemento unificador e estruturante dos espaços nos momentos protocolares portugueses.
Mobiliario built-in como articulador del espacio en la arquitectura residencial de Richard Neutra
Authors: Arrieta Berdasco Valentin
Published: March 2021

Richard Neutra nos ha legado algunos de los ejemplos de arquitectura residencial más relevantes de la Arquitectura Moderna. Sus diáfanos y luminosos espacios fueron concebidos para reconectar nuestro cuerpo y alma con su origen biológico, así como con la naturaleza de la que formamos parte. En este sentido, el mobiliario built-in (fijo, construido) tiene una función relevante en las salas de estar diseñadas por Neutra, utilizado para separar espacios, focalizar vistas y crear una relajante atmósfera en la cual la familia se reúne en torno al fuego. Este conjunto de muebles está integrado por la chimenea, el sofá, estanterías, y otros elementos hechos con panel de contrachapado, piedra, ladrillo o acero. El presente artículo estudia la evolución de estos muebles en las casas de Neutra a través del análisis de varios ejemplos, los cuales han sido recreados en 3D con la intención de comprender el papel que juega cada elemento.
Estimation of Cattle Insurance Demand in Turkey through Count Data Method: The Case of TRA1 Region
Authors: İKİKAT TÜMER Emine , BİRİNCİ Avni
Published: March 2021

Agriculture sector faces natural, social and economic risks resulting from its production structure. One of the strategies to be used to transfer such risks is agricultural insurance. It was aimed in the present study to estimate the demand of farmers for cattle insurance (CI) and determine the effective factors which can increase the share of premium production of CI in total premium production of agricultural insurance in TRA1 Region. Data were obtained from 122 farms determined using proportional sampling method in the provinces of Erzurum, Erzincan and Bayburt (TRA1 Region) through a questionnaire survey. Count Data Model was used in convenience with the aim of the study. According to the results obtained, when premium cost of CI increased 3 folds, then the number of animals desired to be insured decreased by nearly 1-fold. In addition, when the budget allocated for agricultural production and the probability of animal disease both increased by 1%, the number of animals desired to be insured increased by 1.56% and 0.61%, respectively.
Estimation of the Exponential Pareto Distribution’s Parameters under Ranked and Double Ranked Set Sampling Designs
Authors: Sabry Mohamed H. , Almetwally Ehab Mohamed
Published: March 2021

In this paper, the derivation of the likelihood function for parameter estimation based on double ranked set sampling (DRSS) designs used by Sabry el.al.; (2019) for the estimation of the parameters of the power generalized Weibull distribution is considered. The developed likelihood function is then used for the estimation of the exponential Pareto distribution parameters. The maximum likelihood estimators (MLEs) are then investigated and compared to the corresponding ones based on simple random sampling (SRS) and ranked set sampling (RSS) designs. A Monte Carlo simulation is conducted and the absolute relative biases, mean square errors, and efficiencies are compared for the different designs. The relative efficiency of the DRSS estimates with respect to other designs was found to be higher in case of the exponential Pareto distribution (EP).
Distribution of causes of abnormal uterine bleeding according to PALM COEIN classification in tertiary health centre and its histopathological correlation
Authors: Sharma Mamta , Maurya Alka , Kumari Rinku
Published: March 2021

Background: AUB is a common problem among women of all ages, accounting for 20-30% of outpatient visits in the reproductive age group and 69 percent in the peri or postmenopausal age group. It has a major effect on women's personal, social, physical, and psychological well-being.Methods: This prospective observational research was performed at J K Lone Mother and Child Hospital and Government Medical College, Kota, Rajasthan, from date January 2018 to July 2019, in the department of obstetrics and gynecology. The researchers looked at all women in the 40-year-old age group who had AUB and were not responding to nonsurgical care. Several causes of PALM and COEIN were investigated, and a histo-pathological association was calculated.Results: Total 60 women with AUB not responding to medical management were taken. Majority (53.3%) women were between 40-50 years of age. Majority (63%) were para 2.Most common associated structural cause was leiomyoma (31%) followed by adenomyosis (25%) followed by ovulatory dysfunction (18%) followed by malignancy and polyp (10%).Most common histopathological finding was secretory phase (31.7%) followed by proliferative phase (28.3%) and then by hyperplasia (21.7%).ROC curve analysis showed that AUB-PALMCOEIN can predict diagnosis up to 95.8%. P value analysis for polyp, fibroid, ovulatory, endometrial was not significant showing that AUB-PALMCOEIN can predict diagnosis as much as histopathological examination. P value analysis for adenomyosis and malignancy was significant showing histopathology to be more accurate in giving diagnosis.Conclusions: The PALM-COEIN classification aids in determining the cause of AUB and, as a result, efficiently adopting and planning for patient care. The structural cause of AUB played a larger role in the development of AUB. The major causes of AUB were divided into structural and non-structural causes in this research. The COEIN part of the classification needs to be improved further through in-depth analysis.
Assessing the views of generation X faculty about generation Y medical students: a questionnaire-based study
Authors: Chayal Vinod , Goel Archana , Chandel Rashmi , Shivhare Garima
Published: March 2021

Background: The aim of the study was to discuss the opinions of present medical faculty of generation X about generation Y medical students and to enlist the ways to bridge the gap between two generations to maximize the productivity of teaching and learning process.Methods: The method used for the study was in form of a written questionnaire, filled by generation X teaching medical faculty of various departments of medical colleges of Haryana and Chandigarh. Data collected after an interview schedule was entered in Microsoft excel sheet and appropriate statistical tests were applied to analyze it. Questionnaire comprised of socio-demographic profile of the medical faculty and their opinions about major behavioral difference in generation Y students. The opinions expressed and suggestions given by faculty were discussed.Results: There were many differences that generation X observed between themselves and the generation Y students. However, the majority of the teachers were open to learning new methods to bridge the gap.Conclusions: Bridging the gap, accepting the new generation as they are and molding our self to match their needs can be productive to the present practices of medical education.
Women’s health during Covid-19
Authors: Garg Megha , Pandey Uma , Lindow Stephen W
Published: March 2021

The world has been hit by the coronavirus (covid-19) pandemic starting in November 2019 and progressing in the following months of March-June 2020. The coronavirus pandemic has caused general disruption in healthcare systems and facilities in general. Resources are deviated towards treating coronavirus affected patients and also lockdowns and curfews are implemented to contain the spread of the virus. This has caused a negative impact on health of women of all age groups and suffering from diseases as accessing health facilities is now a challenge. The closure of outpatients, operation theatres and wards has caused a delay or cancellation in treatment for many women. This article emphasizes the condition of women during coronavirus pandemic and its impact on women’s health.
Pregnancy & Covid 19 infection: Our experience
Authors: Pandya Manish R , Patel Meenakshi , Bhesaniya Janaki , Patel Shyam , Patel Sneha , Patel Khushbu , Dave Amit
Published: March 2021

Corona virus disease also known as Covid -19 pandemic has represented major impact to health system and societies world-wide. There is no particular high risk seen among mother and fetus. In addition to these aspects specifically to Covid -19 and gestation that should be known by specialist in order to correctly diagnose disease, classify severity, distinguish obstetric complications with specific signs of Covid -19 and for taking most appropriate management decision.

The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has exposed vulnerable populations to global health crisis. Mother and fetuses are particularly susceptible to poor outcome. There are very limited data how SARS‐CoV‐2 behaves in pregnant women & their infants. We pearly reviewed 52 gravida infected with covid-19 pneumonia. Out of which 25 symptomatic patients admitted to our hospital while 27 asymptomatic but Covid positive patients care taken on OPD basis followed by home quarantine for 14 days.

1) To summarize the clinical features of Covid-19 in pregnancy; 2) Any intervention helps for better maternal and perinatal outcome. 3) Safety profile of Remdesivir in third trimester of pregnancy with Covid-19 pneumonia.

This was a single-centre; meta-analysis performed at Sunshine global hospital Vadodara Gujarat designated hospitals for pregnancy with COVID-19 in the epicentre of the SARS-CoV-2 outbreak and medical consultation/collaboration with Scientific Research Institute, Surendranagar, Gujarat. We included pregnant women with COVID-19 from inpatient & outpatient department.
Use of 25 MCG for early induction of labour in active management of labour –Study of 100 cases in private setup
Authors: Pandya Manish R , Khandheriya Kalpana , Thakor Rina , Modesara Jeel , Patel Khushbu
Published: March 2021

Induced labour is one in which pregnancy is terminated artificially, any time after fetal viability is attained by a method that aims to secure vaginal delivery. It is one of the important procedures in obstetrics. The key factor for a successful induction is the cervical status, consistency and dilatation which is determined by the Bishop’s score. Prostaglandins are more effective in cases of unfavourable cervix or in the pregnancies remote from the term. Misoprostol, a prostaglandin E1 analogue is relatively inexpensive, can be easily stored at room temperature and has fewer systemic adverse effects. It has rapid absorption both orally and vaginally.

To determine the efficacy and safety of vaginally administered misoprostol for third trimester cervical ripening or induction of labour in a study conducted on 100 patients in Mahaveer Hospital, Scientific Research Institute, Surendranagar, Gujarat.

This was prospective study conducted in private setup from October 2020 to February 2021. Study population comprised of 100 subsequent pregnant women who required induction of labour were recruited after applying inclusion and exclusion criteria. The progress of labour was charted on the partograph. The mean induction delivery interval, mode of delivery, maternal and neonatal outcome and complications were observed.
A survey of women’s birth experiences using the Birth Satisfaction Scale–Revised Indicator (BSS-RI)
Authors: N Madhumithaa , Kirubamani N Hephzibah
Published: March 2021

Birth satisfaction is the key indicator for maternal and perinatal services. Analysis of birth experience is important to improve maternity care. The objective of this article is to assess the birth experience of the women delivering at Saveetha Medical College and Hospital and to compare the satisfaction scores in different modes of delivery and the satisfaction scores amongst women based on their parity.

Prospective cross-sectional observational study was conducted after ethical clearance and informed consent, among 100 women going through delivery at Saveetha Medical College, Obstetrics and Gynaecology department. The women were assessed by interview method with the Birth Satisfaction Scale-Revised Indicator and made to score from 0-2. The demographic details of the patient and the type of delivery along with their parity were also included. The results were analysed statistically based on which the care given during intrapartum period can be improved.

Amongst the 100 women who participated in the study, 31 were primiparas and 57% of the women underwent normal vaginal delivery. The average score in women undergoing normal delivery was 5.15, with Caesarean section having an average score of 4.62. Multiparous women had an average score of 5.24 compared to primiparous women, who had an average score of 4.22.

The satisfaction scores of women who underwent normal vaginal delivery was better than those who underwent Caesarean sections. Also, primiparas experienced more distress during labour compared to multiparas.
Seroprevalence of TORCH infection and adverse reproductive outcome in women with bad obstretic history
Authors: Makhijani Shrishti , Raut Sharmila S
Published: March 2021

Aim of the study was to know the seroprevalence of TORCH infection in antenatal women with bad obstetric history and to co relate the same with different clinical presentations.

IgM antibodies for TORCH infection were analyzed in the serum samples of 172 Bad obstetric history (BOH)cases attending Ante Natal clinic by using ELISA according to manufacturer’s instructions.

Seroprevalence for , Rubella, CMV and HSV-2 was found to be 12.79%, 11.62%, 04.65% and 02.32% respectively. Highest seropositivity in spontaneous abortions (16.25%)and early neonatal deaths (8.33%) cases was seen with infection. In cases with history of IUD (09.37%) and congenitally malformed babies (22.22%) maximum seropositivity was found for Rubella. History of still births (25%) was equally associated with and Rubella infection.

There is a need of screening programmes during antenatal visits to reduce repeated pregnancy wastages in our country. Early detection of IgM by Enzyme-linked immunosorbent assay is useful for diagnosis of TORCH infection to reduce adverse fetal outcome.
Predictive value of thyroid stimulating hormone as a biomarker in intrauterine growth restriction
Authors: Ganju Shriya
Published: March 2021

Normal maternal thyroid function is essential for fetal growth and neurocognitive development. Intra uterine growth restriction (IUGR) is a complex condition arising from maternal, placental, or fetal mechanisms and any imbalance in thyroid function may lead to undesirable results for both mother and fetus.

The aim of this study was to co-relate the level of thyroid stimulating hormone (TSH) in clinically diagnosed cases of intra uterine growth restriction.

A prospective study was conducted in a tertiary care hospital for a period of one year in which one hundred and twenty consecutive clinically suspected cases of singleton IUGR pregnancies at 34-40 weeks of gestation were enrolled. The reference level of TSH during the third trimester was taken as 0.3 to 3.0 mIU/ L. The TSH levels were recorded and a descriptive analysis of the data was performed.

Among the 120 clinically diagnosed cases of IUGR only three antenatal mothers from rural background had TSH levels below 0.3 mIU/L. All three were vegetarians. In these, hypothyroid antenatal mothers, the delivery outcomes were; one was born dead while the other two babies were born alive and required caesarean section. However, the two born alive had a very low birth weight; less than 1.5 kgs and both needed admission to neonatal intensive care unit.

Since the causation of IUGR is multifactorial, the role of TSH alone may not be accurate to be used as biomarker for prediction of IUGR.
Prevalence and causes of stillbirths at a tertiary care hospital: One year study
Authors: Thaker Rajal V , Makwana Nilesh M , Baranda Shyama B , Tyagi Aditi A , Patel Foram P
Published: March 2021

Stillbirth is a major obstetrical complication and devastating experience for parents as well as obstetricians. Identification of causes of stillbirth will be helpful in counselling of parents as well as formulating preventive measures. Objectives of current study were to study the prevalence, causes of stillbirth and associated complications to suggest preventive measures.

This retrospective observational study was carried out from July 2018 to June 2019 at a teaching tertiary care hospital.

Total number of birth during the study period was 6587 and total number of stillbirth was 109, hence prevalence of stillbirth was 16.5 per 1000 total births. Majority of patients 41(37.6%) belonged to maternal age group of 20-24 years of age. Majority of patients 73(67%) were multigravida. Majority 72(66.0%) were emergency admissions. Majority of stillbirth 88(80.7%) were preterm, less than 37weeks of gestational age. Majority of stillbirth 49(44.9%) were weighted from 1000-1499gram. Majority of stillbirth 65(59.6%) were male. Vaginal delivery occurred in 93(85.3%) and 16(14.7%) required surgical intervention. In 21(19.2%) no identifiable cause of stillbirth was found whereas causes identified in 88(80.8%). Stillbirth occurred in 27(24.8%) cases of hypertensive disorder of pregnancy and 24(22%) patients of anaemia. Other causes of stillbirth were Abruption 9(8.2%), IUGR 9(8.2%), oligohydramnios 5(4.6%) congenital malformation 3(2.8%), fever 3(2.7%), placenta previa 3(2.8%), gestational diabetes 2(1.9%), hypothyroidism 2(1.9%) and uterine rupture in 1(0.9%). DIC occurred in 4(3.6%).

Majority of patients were unregistered and had not taken antenatal care or had inadequate antenatal care. Hypertensive disorders during pregnancy were the leading cause for stillbirth followed by anemia and unexplained causes. A significant proportion of stillbirths can be prevented by health education regarding importance of adequate antenatal care, warning signs and institutional deliveries. Emotional support and counseling of patients and her relatives are very much essential in patients having stillbirth.
Obstetric outcome after emergency cervical cerclage: A prospective observational study performed in CSI Kalyani hospital, Chennai
Authors: Shalini  , Meena Umachander , Malsri R
Published: March 2021

Cervical insufficiency is a well documented etiological factor in preterm delivery. This study was conducted to evaluate the efficacy and safety of Emergency cervical cerclage in women who presented with advanced cervical changes such as cervical dilatation and bulging fetal membranes.

The study was prospective observational study performed in the department of obstetrics and gynaecology CSI Kalyani General Hospital, Chennai, Tamil Nadu over a duration of 18 months. This study included all women who presented in late second trimester with advanced cervical dilatation (2 to 4cms) for whom emergency cervical cerclage was done by McDonald technique.

Out of the 15 patients for whom emergency cerclage was performed, 3 had spontanous abortion after cerclage, 6 had PROM and 5 of these patients had term delivery. The time interval between emergency cervical cerclage and delivery was 11 weeks. No surgical complications were reported. The mean gestational age at delivery was 32 weeks. 11 fetuses were live born after the period of viability. 3 of these babies were admitted to NICU.

Post emergency cervical cerclage, the outcomes in terms of prolongation of pregnancy, live births and neonatal survival are better.
A study on role of cartridge based nucleic acid amplification test (CBNAAT) in diagnosis of genital tuberculosis among patients of infertility and pelvic inflammatory disease
Authors: Kesarwani Pushkar , Keshari Versha , Srivastava Reena , Pandey Sarita , Mishra Devendra
Published: March 2021

Female genital TB (FGTB)– referring to TB of the uterus, fallopian tubes and/or Ovaries. It poses a diagnostic dilemma because of its varied presentations and lack of sensitive and specific methods of diagnosis, though CBNAAT gives rapid result.

To study the role of CBNAAT in the Diagnosis of Genital Tuberculosis among infertility and Pelvic Inflammatory Disease (PID) Patients.

102 patient of infertility (52) and chronic PID (50) were enrolled for our cross-sectional study. Mantoux, ESR, Histopathology, CBNAAT was performed in all 102 cases and Hysterosalpingography (HSG), Laparoscopy, Hysteroscopy in selected cases. Patient with clinical features of genital TB, supported with TB suggestive test were diagnosed as high suspicious genital TB (GTB+) and rest Low suspicious GTB (GTB-) cases.

14/ 52 cases of infertility and 18/ 50 cases of chronic PID were clinically diagnosed as High suspicious genital TB (GTB+). In our study, overall Prevalance of GTB was 31.37%, among infertility patient prevalence was 26.92% and among chronic PID was 36%. 16/32 (50%) mantoux positive, 25/32 (78.13%) had increased ESR. On HSG, 10/52 (19.23%) infertility cases, on laparoscopy 24/32 (75%), on endometrial histopathology only 3/32 (9.37%) cases had finding suggestive of TB. CBNAAT could detect tubercular bacilli only in 25% (8/32) TB cases.

High index of suspicion for FGTB is must for diagnosis. Unlike Pulmonary TB, role of CBNAAT in the diagnosis of female genital TB is limited. PPV of CBNAAT for diagnosis of GTB is almost 100%.
Impact of Kangaroo mother care on the maintenance of temperature and weight gain of newly born low birth weight babies
Authors: Margekar Purnima , Parekh Premlata , Margekar Shubha Laxmi
Published: March 2021

In preterm and LBW infants, skin-to-skin contact between the mother and her infant decreases maternal postpartum depressive symptoms and improves self-efficacy and mother-child bonding. However, evidence supporting it is lacking.

To evaluate the impact of Kangaroo Mother Care (KMC) on the maintenance of temperature and weight gain of newly born low birth weight babies.

Fifty newborn babies weighing less than 1.8 kgs were studied at a tertiary level neonatal intensive care unit (NICU)from August 2013 to August 2014. An equal number of new-borns from the same setting, matched for weight and gestational age received routine care (warmer) and acted as controls. A special bag or kangaroo pouch was designed to keep the baby in close contact with the mother to provide KMC. Weight gain and temperature maintenance were studied.

Maximum number of cases and control was 1-10 days old. A maximum number of cases and controls were babies between 1.251 to 1.800 kgs i.e. 70% and 72% respectively. In the KMC group, the majority (52%)had weight gain between 100-200gm, while in the control group 52% of subjects had weight gain between 0-100 gm. Maximum number of babies in KMC group (52%) gained 15.1-20gm/day vs 0-5 gm/day in controls (42%). 70% of the KMC group while 66% of the control group was discharged between 1.25-1.5 kg weight. The pre-intervention mean temperature in neonates of the case group was 35.99 ± 0.59 °F, while the post-intervention mean temperature in the case of group neonates was 37.01 ± 0.22 °F. Thus, the neonates in the case group had gained temperature after the intervention (p<0.001).

The babies in the KMC group demonstrated more weight gain and temperature.
Sexual practices in pregnant women belonging to low socio-economic status at a tertiary care hospital in New Delhi, India
Authors: Rai Chanda , Banerjee Ananya , Meena Manisha
Published: March 2021

Sexual changes in pregnancy remains a rarely discussed topic here in India because of social taboos and the embarrassment couples face in discussing these issues.

To highlight the sexual changes that take place in all three trimesters of pregnancy and to evaluate the various factors which influence it.

A cross-sectional descriptive study was carried out in the department of Obstetrics & Gynecology at VMMC & Safdarjung Hospital, New Delhi.. Two hundred and five consenting women were asked open end questions about their sexual health and variation in the different trimesters. Women with complications like any bleeding or leaking in pregnancy were excluded from the study. Factors affecting their sexual life were taken into account. Data was summarized using descriptive statistics and analysed in SPSS software.

Our study showed a decline in the frequency of sexual activity by the third trimester with the percentage of women engaging in sexual activities in the first, second and third trimester being 36.6%, 43.9% and 6.3% respectively. Around 9.8% women totally refrained from coitus throughout pregnancy. Libido was found to decrease in 38% of women. The prohibiting factors for coitus included the risk of preterm labour, bleeding and chances of infection to the baby. None of these couple thought of seeking a health professional’s advise for their sexual problems.

Counselling for sexual health must be initiated by the health workers as it will help couples who are embarrassed to discuss these issues owing to the social and cultural norms. This will help to bridge the communication barrier and will be instrumental to a healthy sexual life of married couples who are expecting a child.

Sexual health in pregnant women largely remains a less discussed topic.

There is a decline in coital frequency during pregnancy.

There are many factors like fear of harming of the fetus which women do not discuss with their health-care providers.
Induction of labour with oral misoprostol solution 20 microgram versus vaginal misoprostol 25 microgram 6th hourly
Authors: Uthrakumar Vijayalakshmi , Sarella Lavanyakumari
Published: March 2021

Induction of labour is the artificial initiation of labour before the spontaneous onset, and it is the common obstetric intervention.

To compare the potency of oral misoprostol solution with vaginal misoprostol to induce labour at term.

This randomized control study was carried out from July 2020 to September 2020 at Government General Hospital, Kakinada.

: 80 women requiring induction were recruited in the study. The women were randomized to receive 20 micrograms of oral misoprostol solution every 2 hourly or vaginally 25 micrograms of misoprostol every 6 hourly until the labour sets in the active phase of labour. Delivery within 24 hours was the outcome in the study.

Data were documented in Microsoft excel and analyzed using SPSS software.

: 82.5% of women in the oral group delivered by spontaneous vaginal delivery, whereas 75% in the vaginal group. In the oral group, 37.5% of delivery occurred within 6-12 hours, 40% delivered within 12-18hours duration, whereas in the vaginal group, 12.5% delivered within 6-12hours duration, 50% delivered within 12-18hours duration. Oxytocin augmentation was required in 25% of the oral group, whereas 42.5% in the vaginal group. Meconium stained liquor was 12.5% in the oral group, whereas 20% in the vaginal group.12.5% underwent cesarean section in the oral group, 10% in the vaginal group.

Compared with vaginal misoprostol, oral misoprostol solution results in shorter induction delivery interval and less oxytocin augmentation required.
A comparative study to assess the prevalence of depression among postnatal mothers undergoing normal versus caesarean delivery
Authors: Rajaratnam Annie , Junaidi Shifa , Safoorah Ayshath , Kakunje Anil
Published: March 2021

Among the women during the time of pregnancy and childbirth the most common psychiatric morbidity seen is post natal depression. In order to reduce the effect of delivery on the mental health of mothers and also to increase the quality of life among such mothers numerous scales have been developed and one of such scale is Edinburgh Postnatal Depression Scale (EPDS) which is considered to be reliable and effective in diagnosing mothers who are at risk for Post Partum depression.

The present comparative study was done at a tertiary care centre from December 2019 to February 2020. Study subjects were divided into two groups (Normal delivery and caesarean delivery) and a total of 40 study subjects were included in each group for the purpose of the study.

Prevalence of postnatal depression measured by EPDS scale was high in caesarean sections compared to normal deliveries. In normal delivery group, 27.5% of subjects had postnatal depression and in caesarean group, 55% of subjects had postnatal depression. The p value was found to be significant for Post natal depression between both the groups.

In the present study it was concluded that the post natal depression was more among the subjects who underwent caesarean section when compared to those who underwent normal delivery.
Unusual presentations of tuberculous meningitis in pregnancy
Authors: Singh Ekika , Singh Sanjay , Singh Sujeet
Published: March 2021

Tuberculosis is major cause of maternal and fetal morbidity and mortality globally especially in high burden areas. Tuberculous meningitis may manifest in 5-6% of cases. It is most fatal from of extra pulmonary tuberculosis. Early diagnosis can save lives. We report two cases of unusual presentation of tuberculous meningitis in pregnancy. Case 1- Tuberculous meningitis mimicking hyperemesis gravidrum in early pregnancy. Patient hospitalized managed on line of hyperemesis gravidarum, she deteriorated with high grade fever, neck rigidity and became unconscious. Lumbar puncture was performed. Xanthocromic appearance of CSF (cerebro-spinal fluid) with lymphocytosis and high protein favored tuberculosis. She was started on ATT. Timely diagnosis and treatment lead to favorable pregnancy outcome. Case-2 Patient in obstructed labor with hand prolapse with septicemia was operated in emergency. She developed tuberculous meningitis with non- communicating hydrocephalous in post-operative period. On post-op day 3 she had high grade fever and started broad spectrum antibiotics. After showing initial improvement, her condition deteriorated. With severe headache, vomiting and neck stiffness she was unconscious. Her CSF cytology showed high lymphocytic concentration with low glucose. CT Brain reported non- communicating.hydrocephalus. Even with medical and surgical intervention patient’s condition deteriorated. In both cases usual presentation were related to symptoms of pregnancy. However, failure of improvement lead us to reevaluate our initial clinical diagnosis. The lack of suspicion might have contributed to delay in diagnosis of tuberculous meningitis. Detailed history and thorough examination should be performed so that more serious life threating disorder like tuberculous meningitis is not missed.
Sad fetus syndrome: A case report
Authors: M Sarasjothi , Pawar Anita , Shinde Mangala
Published: March 2021

We are reporting a rare case of partial molar pregnancy coexisting with live fetus termed as sad fetus syndrome. Our case was a 20 years old primi with 18 weeks of gestational age showing partial molar pregnancy coexisting with anomalous fetus with low lying placenta presented with complaints of abdominal pain and per vaginal bleeding. Initially we tried to conserve the pregnancy but she continued on per vaginal bleeding. On the basis of maternal health and fetal prognosis, we decided to terminate the pregnancy with their consent. All the preoperative evaluations were done along with physician and anesthesiologist fitness and she had underwent operative procedure such as hysterotomy. Her post operative course in the hospital was uneventful. We had done post op abdomen with pelvis ultrasound sonography and chest X ray reported as normal. Later she was discharged with contraceptive and advised for monthly regular follow up with beta-human chorionic gonadotropin levels (β-hCG).
Vault prolapse cases in Dr. Soetomo general hospital Surabaya
Authors: Sonny Fadli , Kurniawati E M
Published: March 2021

Vault prolapse is often occurred after hysterectomy procedure, and sometimes need a surgical repair.

Study aimed to investigate the case of vault prolapse in which repeated operative procedures were performed at our teaching hospital, Dr. Soetomo General Hospital.

The data in this case report were obtained through medical records and register books form Urogynecology Division of Obstetrics and Gynecology during 2015-2019. We analyse the characteristics of postoperative vault prolapse from patients after transabdominal hysterectomy and transvaginal hysterectomy procedure.

In 2015-2019 there were 16 patients diagnosed with vault prolapse with a preoperative diagnosis of uterine prolapse (16 cases). Of the 16 cases of vault prolapse, 10 cases (62.50%) were post transabdominal hysterectomy procedure, and 6 cases (37.5%) were post transvaginal hysterectomy procedure.

From a total of 16 cases of vault prolapse that were reoperated with various procedures. The surgery success rate was 87.5%.

Various corrective procedures were performed again by the urogynecology division of Obstetrics and Gynecology. Dr. Soetomo General Hospital with good result.
Scar endometrioma in previous caesarean section: Two case reports with review of literature
Authors: Kasarla Vyshnavi , Mishra Abhipsa
Published: March 2021

Scar endometriosis is one of the rare types among the extra pelvic endometriosis which is challenging to diagnose. Cystic or solid nodular mass caused by endometriosis are called as endometrioma. It commonly follows obstetrical and gynaecological procedures where there are endometrial manipulations. The symptoms typically involve abdominal wall pain near scar site. Here we report two cases of scar endometrioma involving rectus sheath following caesarean section which are pathology confirmed with a classical clinical presentation and image findings on ultrasonography. By presenting these cases, we emphasize on evaluation, diagnosis, and treatment of caesarean scar endometrioma and increase awareness on this entity.
The retained fetal skull: An obstetrician’s night mare
Authors: Ahuja Mayuri , Srivastava Ruchi , Gulati Surinder , Agarwal Shelly , Chutani Nimmi
Published: March 2021

In the growing era where safe abortion practices are advocated, we still encounter the complications of illegal abortions. We present a case of 40-year-old P3L3A1 referred to our tertiary care center with history of massive bleeding following illegal second trimester abortion and USG revealing the retained fetal skull. The retained fetal skull was removed but there was torrential hemorrhage on attempting to remove the placental mass. Balloon tamponade and hemostatic agents failed leading to laparotomy and discovery of placenta accrete syndrome which eventually lead to hysterectomy, Intensive ICU care and admission, massive blood transfusion and ultimately contributing to maternal near miss situation.
Sociopragmatics Competence in The Characteristics of Banyumas Community Blakasuta
Authors: Nurdiyanto Erwita , Resticka Gita Anggria
Published: March 2021

Banyumas people have characteristics and personalities that can be observed through the use of language. This is seen in terms of lexical peculiarities, tone of speech, and grammar structure. Banyumas language is used as the identity of banyumas people who are blakasuta (cablaka, thokmelong, outspoken). With this identity, it can be described how the sociopragmatics competence of banyumas people. This sociopragmatics competency is related to the ability of banyumas people to use language in accordance with certain social contexts or certain social conditions. which are understood by speakers and identify models of communication competencies in banyumas people who are blakasuta. The purpose of this study was to uncover the characteristics of blakasuta used in banyumas community and identify the forms of speech resulting in daily communication. This research is qualitative descriptive research using a sociopragmatics approach. The method of data collection uses observation techniques by interviewing directly to the informant. The results of this study show that the characteristics of banyumas people who are blakasuta can show the sociopragmatics competence of banyumas people in speech. Banyumas community communication patterns can be identified from the form of speech acts, type of speech acts, and speech acts strategy in each communication process. This cannot be separated from the cultural characteristics of banyumas people. Pragmatics competence relates to the cultural principles underlying the way banyumas people communicate, namely the principle of respecting others and the principle of avoiding open conflict to maintain a harmonious relationship.Keywords: Sociopragmatics, Blakasuta, Banyumas
Acts of Requesting as Realized by English for Specific Purposes Students
Authors: Nugroho Arif , Astuti Nuning Wahyu , Atmojo Arief Eko Priyo
Published: March 2021

The success of language learners’ intercultural communication highly depends on their acquisition of not only grammatical knowledge but also pragmatic aspects of the target language. However, research examining English for specific purposes (ESP) learners’ request realization, as a crucial indicator of pragmatic competence, still remains a paucity of evidence. Addressing this issue, the present study aims to examine English for specific purposes (ESP) students’ most frequently used request strategy and their reasons behind the selected strategy. To this end, 36 ESP students of a public university in Surakarta Indonesia were involved in a descriptive qualitative study. A set of Discourse Completion Test (DCT), role-play, and semi-structured interview were employed as a means of data collection. The data were analyzed based on Blum-Kulka and Olshtain’s Cross-Cultural Study of Speech Act Realization Patterns (CCSARP) and followed by thematic content analysis for the interview responses. The results depicted that conventionally indirect requests were the most frequently used strategy by the students than other strategies, i.e. direct request, and non-conventionally indirect request. The semi-structured interview further revealed that cultural factors, degree of politeness, and social distance among the interlocutors became the primary reasons for the students’ massive selection of conventionally indirect strategies. These results offer fruitful insights for English language teaching stakeholders as an effort to equip ESP students with satisfactory pragmatic and cross-cultural knowledge.Keywords: acts of requesting, pragmatics, request strategies,
Компьютерная инструментальная поддержка ДВ-УФО моделирования
Authors: Тубольцев Михаил Федорович , Маторин Сергей Игоревич , Тубольцева Ольга Михайловна
Published: March 2021

Рассматриваются вопросы инструментальной поддержки ДВ-УФО моделирования. Очевидно, что переход к цифровой экономике предполагает постепенную замену современной управленческой парадигмы на новую парадигму, основанную на информационных технологиях, компьютерном инструментарии и методах искусственного интеллекта. Это означает, что современные методы моделирования должны использовать компьютер не как вспомогательное средство для рисования диаграмм или осуществления каких-то вычислений, а как цифровую инфраструктуру, в рамках которой воспроизводится весь жизненный цикл модели. Сам ДВ-УФО метод может рассматриваться как спецификация некоторой цифровой инфраструктуры, предназначенной для создания и анализа определённого класса моделей экономических процессов и систем. Реализация ДВ-УФО метода зависит от многих факторов: цели реализации (научно-исследовательские или производственные), цифровой платформы (компьютер, сеть, облако), языка и среды программирования. Далее рассматривается та часть спецификации, которая инвариантна относительно перечисленных факторов и определяет ядро ДВ-УФО метода, его базовую редакцию.