bluuebunny/crossref_metadata_2025 huggingface dataset:
Alcances formativos de atividade extensionista de contação de histórias seguida de intervenção lúdica dirigida
Authors: Wernet Monika , Oliveira Lilia Rosa Batista , Petruccelli Gabriele , Tomazzetti Cleonice Maria , Barboza Natália Simão Godoy , Nakao Patrícia Akari
Published: September 2024

RESUMO Objetivo elucidar os alcances formativos aos integrantes de atividade de extensão desenvolvida em unidade pediátrica hospitalar estruturada na contação de histórias e intervenções lúdicas. Método estudo qualitativo, apoiado nos referenciais do Interacionismo Simbólico e da Análise Temática Reflexiva. Foram realizadas entrevistas semiestruturadas únicas junto a nove graduandos, membros de atividade extensionista, desenvolvidas entre junho e julho de 2023, com duração média de 22 minutos. Resultados os participantes, estudantes dos cursos de graduação em enfermagem, medicina e pedagogia, apontaram contribuições formativas relacionadas à concepção de criança, hospitalização infantil e do lúdico enquanto tecnologia de cuidado integral. Os seguintes temas surgiram a partir da análise dos dados: “Ampliação da consideração pela criança hospitalizada e seu acompanhante”, “Formação profissional na perspectiva de um atendimento integral”; e “Valorização da incorporação do lúdico como recurso terapêutico”. Conclusões e implicações para a prática a atividade extensionista reverberou com reconhecimento e motivação para a adoção da contação de histórias e do lúdico na interação com a criança hospitalizada. Provocou ainda reflexões acerca do perfil profissional projetado na direção de compromisso e garantia ao cuidado humano e integral no âmbito da hospitalização infantil.
Exploration of the mental health of mothers and fathers of premature hospitalized in the neonatal unit during the COVID-19 pandemic
Authors: Faúndez Ruth , Herrera-Valenzuela Valentina , Moreno-Beltrán Barbara , Vilca Marcela , Vargas-Araya Verónica , Gallegos-Berrios Sebastian
Published: September 2024

Abstract Introduction The COVID-19 pandemic has significantly affected the mental health of our population, including mothers and fathers of babies who are hospitalized in the Neonatal Intensive Care Unit (NICU) where the rehabilitation teams, including occupational therapists play a pivotal role. High levels of stress, anxiety, distress, depression and post-traumatic stress symptoms may lead to complications in family and infant performance in the future. Objective To describe mental health in parents of preterm newborns hospitalized in the context of the pandemic in the Metropolitan Region, Chile. Methodology Qualitative study consisting of four semi-structured interviews with parents who experienced the birth during the pandemic and were hospitalized in the NICU. The research focused on the occupational, emotional and psychological impacts of the pandemic on family dynamics. Results The results indicate that families are aware of their children's developmental conditions, the hospitalization process and the pandemic situation, however, their daily activities have been significantly affected, as well as their activities of daily living, and they report feelings of grief, fear and distress in this process. This would generate great distress and anxiety in the family dynamics. Conclusion This study confirms the parents' experience and at the same time contributes to the understanding of the process that families go through in relation to the family dynamics around a premature child and how it is negatively affected by this pandemic.
On the occupations of parents of children with Autistic Spectrum Disorder
Authors: Oliveira Ana Paula Farias de , Alves Laryssa da Silva , Paixão Glenda Miranda da , Vieira Adrine Carvalho dos Santos , Rocha Manuela Lima Carvalho da , Corrêa Victor Augusto Cavaleiro
Published: September 2024

Abstract Introduction Autism Spectrum Disorder (ASD) is understood as a complex condition with multiple and variable impacts, characterized by behavioral changes that may occur from early childhood. It requires parents to develop strategies in response to new demands, leading to challenges in managing and engaging in occupations. Objective To understand how the occupations of parents of children with ASD were presented. Method Descriptive qualitative research. Eight parents of children with ASD participated in semi-structured interviews. The interviews were recorded and transcribed, and the responses were assessed through content analysis. Results The results revealed that parents face difficulties in reorganizing their everyday lives, adapting to tasks, and reconciling their children’s occupations. This demonstrates a certain dependence of parents’ occupations on those of their children, as they often dedicate themselves to or prioritize the occupational needs of the children. Changes in leisure activities and attempts to adapt them to the children’s demands were also noted. Conclusion The research aimed to understand the occupations of parents of children with ASD and their repercussions. Additionally, it sought to build scientific knowledge about the participants’ occupations, enhancing the discussion on the occupational dimension and its specificities. This study provides resources for individuals to analyze and understand their occupational development.
Assistive technology and occupational participation in adapted sports: perceptions of individuals with physical disabilities
Authors: Hernández-Lanas Oscar , Bruna-Torres Jusarah , Carrasco-Palacios Valentina , Lucero-Sánchez Valentina , Molina-Pacheco Fernanda
Published: September 2024

Abstract Introduction The perception of individuals with physical disabilities regarding assistive technology influences their occupational participation in adapted sports. Despite its widespread use, there is a lack of awareness about the role it plays in the occupational participation of Para-athletes. Objective To explore the perceptions of individuals with physical disabilities regarding the use of assistive technology in occupational participation in adapted sports. Methodology : A qualitative research was conducted, using a constructionist approach and a phenomenological design. Purposive sampling was employed. Data was obtained through the application of semi-structured interviews to four individuals with physical disabilities practicing adapted sports in Santiago, Chile. Content analysis was performed, considering the perceptions present in the collected messages from a hermeneutic perspective. Results It is emphasized that assistive technology plays a crucial role in occupational participation in adapted sports. Additionally, various types of technologies used, experiences and perceptions in their use, socio-economic and access barriers, accessibility barriers, facilitators, and support in occupational participation, as well as the associated physical and psychological benefits, are identified. Conclusion The importance of ensuring equitable access to assistive technology for the occupational participation of individuals with physical disabilities in adapted sports is emphasized. There is a need to address socio-economic and accessibility challenges to maximize the benefits of adapted sports for this group, through joint actions involving civil society, government, and healthcare professionals.
Incorporación de la Política de Atención Integral en Salud en la planeación territorial departamental en salud de Colombia, 2021
Authors: Rincón-Sánchez Enna Lorena , Escobar-Díaz Fabio Alberto
Published: September 2024

Resumen La Política Atención Integral en Salud de Colombia tiene como propósito garantizar el derecho fundamental en salud y se implementa en los territorios departamentales y municipales. Este estudio tuvo por objetivo analizar la incorporación de esta política en los planes territoriales de salud de los departamentos de Colombia. Se realizó un estudio cualitativo y documental en el cual se caracterizaron ejes temáticos comunes en los planes territoriales analizados. De los 11 planes analizados surgieron dos temas: normativo-conceptual y estratégico-operativo. En el primer tema, cuatro normas nacionales orientan los planes territoriales de salud de algunos departamentos, mientras que en otros solo dos o uno. La incorporación conceptual fue evidente parcialmente en estos territorios. En el segundo tema, no todos los departamentos tienen objetivos, metas o indicadores que traduzcan las orientaciones normativas o conceptuales en intenciones prácticas para ejecutar la política. La Política de Atención Integral en Salud se incorpora de manera heterogénea en los departamentos, en términos normativos, conceptuales, estratégicos y operativos. Hace falta un plan explícito de implementación para orientar y asegurar la ejecución de la política, así como mejorar su articulación con otras políticas e instrumentos de planificación en salud en los territorios.
Challenges in the conservation and management of legal reserve areas in Brazilian grassland and savanna ecosystems in the face of global climate change
Authors: Tomas Walfrido Moraes , Baggio Rodrigo , Berlinck Christian Niel , Camilo André Restel , Cunha Cátia Nunes da , Damasceno-Junior Geraldo , Durigan Giselda , Dutra-Silva Rodrigo , Fidélis Alessandra , Garcia Letícia Couto , Herrera Heitor Miraglia , Libonati Renata , Marengo José Antonio , Oliveira Maxwell da Rosa , Overbeck Gerhard Ernst , Pereira Alexandre de Matos Martins , Pillar Valério De Patta , Pivello Vânia Regina , Ribeiro Danilo Bandini , Ribeiro José Felipe , Sampaio Alexandre Bonesso , Santos Júnior Antonio dos , Schmidt Isabel Belloni , Soriano Balbina Maria Araújo , Tiepolo Liliani Marília , Timo Thiago Philipe de Camargo e , Urbanetz Cátia , Vieira Daniel Luis Mascia , Walter Bruno Machado Teles
Published: September 2024

Abstract Legal reserve areas (LRAs) are a fundamental part of the Brazilian conservation strategy, together with permanent preservation areas. The LRAs are intended to maintain biodiversity and can be managed sustainably. When these areas are home to ecosystems that depend on fire and grazing, such as native grasslands and savannas, management practices that are suitable for their conservation and for dealing with the effects of global climate change should be adopted. However, this subject is still poorly discussed in Brazil, and public policies are not clear on this matter. This review article describes the grassland and savanna ecosystems in Brazil, the legal aspects related to the management of LRAs, the current and future climate scenarios, and the relationship between climate and fire risk. It also presents a review about the use of fire and grazing in grassland and savanna ecosystems, the legal challenges related to their application in LRAs, and the use of geotechnologies to monitor these practices. The conclusion is that grazing and fire, as management tools, are adequate for LRA functions, as long as they are practiced in accordance with legal and scientifically based standards to avoid the negative effects of their incorrect use.
Women School Principals: Career Stories
Authors: Çakır Bayram Merve , Günbey Melike
Published: September 2024

This study determined the career process of women school principals based on their life stories. The career stories were chronologically analyzed in three stages: the pre-administration stage, the transition to administration stage and the administration stage. This research used a narrative methodology. The study group, which included 14 female school principals and vice principals employed in public schools in a Black Sea Region city during the 2023–2024 academic year, was chosen using the snowball sampling method. The data were collected through a semi-structured interview form and analyzed using thematic analysis. The results of the pre-administration stage revealed that having leadership qualities, negative experiences as a teacher and top-down request are the reasons why they became principals. The support from their family, partners, and colleagues was effective to become a principal. The results of the transition stage were exposure to negative comments, workload, work-life balance, and long working hours and showed that each participant was appointed under different policies. The results of the administration stage indicated that the participants encountered difficulties such as gender-based discrimination, prejudice, mobbing, work-life balance, role conflict, and health problems, and they used strategies such as getting help from school principals, solving problems on their own to overcome.
Seletividade do extrato de Calotropis procera sobre os parâmetros reprodutivos do predador Euborellia annulipes
Authors: Oliveira Filho Manoel Cícero de , Brito Carlos Henrique de , Santana Rhaldney Felipe de , Abreu Khyson Gomes , Salustino Angélica da Silva , Ribeiro Lylian Souto
Published: September 2024

O extrato vegetal de Calotropis procera vem sendo empregado como controle alternativo de insetos-praga. Dessa forma, torna-se necessário compreender a ação desse extrato sobre os insetos predadores, devido haver escassez de dados sobre suas implicações nos organismos benéficos, como a tesourinha Euborellia annulipes, predadora de importantes insetos-praga. Assim, o objetivo deste estudo foi avaliar os efeitos do extrato de C. procera sobre os parâmetros reprodutivos de E. annulipes. A pesquisa foi desenvolvida no Laboratório de Invertebrados do Departamento de Biociências do Centro de Ciências Agrárias da Universidade Federal da Paraíba, Campus II, Areia (PB), sob condições controladas. Testaram-se as concentrações de 0, 5, 10, 15 e 20% do extrato aquoso e alcoólico de folhas de C. procera, com aplicação tópica sobre casais de adultos de E. annulipes. Foram avaliados o número de ovos e de ninfas. As concentrações citadas também foram aplicadas sobre os ovos do inseto predador para verificar o efeito ovicida. O delineamento experimental utilizado em cada bioensaio foi o inteiramente casualizado, os dados submetidos à análise de variância e as médias comparadas pelo teste de Tukey (p ≤ 0,05). A redução do número de ovos e de ninfas de E. annulipes ocorre quando esses são submetidos à aplicação de extrato alcoólico de C. procera. No teste ovicida, o aumento da concentração do extrato leva à redução da viabilidade dos ovos de E. annulipes, sendo essa redução maior quando se utiliza o extrato alcoólico.
Sintomas de alteração de humor em pessoas idosas hospitalizadas: prevalência e fatores associados
Authors: Bordin Danielle , Pinto Anna Luíza , Leme Trupel Lucas Lauriano , Borgo Periclys , Da Silva Carla Luiza , Messias Floriano Lara Simone
Published: September 2024

Analisar a prevalência e fatores associados a sintomas de alterações de humor em pessoas idosas hospitalizadas. Estudo transversal, com 673 pessoas idosas hospitalizadas. Aplicou-se questionário sociodemográfico e Índice de Vulnerabilidade Clínico Funcional. Realizou-se teste qui-quadrado. Dos avaliados, 52,3% apresentaram desânimo, tristeza ou desesperança, sendo que mulheres (OR=1,5), octogenários (OR=1,6), indivíduos com percepção negativa de saúde (OR=2,6) e pré-frágeis (OR=2,0) e frágeis (OR=5,4) e que vieram a óbito (OR=2,5) exibiram mais chances de apresentar este sintoma (p
Indicadores qualitativos de educação permanente em saúde: criação colegiada em uma regional de saúde
Authors: Bossan João Pedro Soares , Lourenço Mariana Pissioli , Silva Poliana Avila , Fazoli Michelle Aparecida Siqueira , Silva Guilherme Malaquias , Baldissera Vanessa Denardi Antoniassi
Published: September 2024

Sistematizar a experiência de criação de indicadores qualitativos de educação permanente em saúde em uma regional de saúde do estado do Paraná. Método: pesquisa qualitativa, nos moldes da Sistematização da Experiência, desenvolvida com servidores de uma regional de saúde. A coleta de dados ocorreu de março a junho de 2021 por meio dos materiais produzidos durante os encontros e registros dos pesquisadores. Os dados foram organizados por meio dos pressupostos da sistematização da experiência e analisados sob a luz da pedagogia crítica de Freire. Resultados: 5 indicadores foram desenvolvidos, construídos de forma participativa. Observou-se dificuldade em os idealizar, tendo como entrave o distanciamento conceitual e como facilitador o desenvolvimento dentro de um processo de educação permanente, em que a vivência proporcionou exemplificação. Conclusão: a sistematização da experiência contribuiu para a análise crítica do processo, revisitando os temas e identificando potencialidades e fragilidades, permitindo que próximas atividades sejam desenvolvidas de forma qualificada.
Efeito do treinamento aeróbico na modulação autonômica, composição corporal, capacidade funcional e pressão arterial interdialítica 24 horas
Authors: Azoubel Luana Anaisse , Carneiro Erika , Moraes Dias Carlos José , De Sousa Carvalho Magda Luciene , Ferraz Durans Leonardo Hesley , Teixeira Mostarda Cristiano
Published: September 2024

O objetivo foi analisar o efeito do treinamento aeróbico sobre a modulação autonômica, capacidade funcional, composição corporal e pressão arterial de 24 horas interdiálise. Trata-se de um estudo transversal de intervenção, incluindo 28 pacientes em hemodiálise, divididos em dois grupos: (Exercício, n = 13; Controle n = 15), submetidos a um programa de exercício aeróbico durante 12 semanas. Foram avaliados a Variabilidade da Frequência Cardíaca, Teste de caminhada de 6 minutos (TC6), Pressão arterial de 24 horas interdiálise, e marcadores bioquímicos antes e após o programa de exercício. Pós treinamento de 12 semanas com exercício aeróbico o grupo Exercício apresentou redução no número de batimentos cardíacos em comparação ao grupo Controle (69.86 ± 7.53 vs 74.71 ± 3.3), respectivamente. Além disso, no grupo Exercício, houve diminuição do componente simpático, visto pelo índice 0V (%) (pré 24.85 ± 8.99 vs pós 16.2 ± 12), e incremento no índice parassimpático, observado através de 2V (%) (pré 29.1 ± 5 vs pós 43.5 ± 5). Mais ainda, maior distância no TC6 (pré 489 ± 81 vs pós 607 ± 84), menor pressão arterial de 24 horas interdialítico, e melhora nos marcadores bioquímicos no momento pós em comparação ao grupo controle. Diante disso, após 12 semanas de treinamento aeróbio com intensidade moderada houve melhora nos parâmetros de risco cardiovascular, como modulação autonômica, TC6, pressão arterial sistólica e perfil lipídico nestes pacientes renais crônicos avançado que realizam hemodiálise.
Intervenções Farmacêuticas em Unidade de Terapia Intensiva Adulto de Hospital Federal do Rio de Janeiro
Authors: Escocard Cosendey Maria Eduarda , Ribeiro Pinto Bravo Thais , Amorim Nogueira Thaisa
Published: September 2024

O objetivo do estudo foi verificar o perfil de Intervenção Farmacêutica em UTI de um Hospital Federal do Rio de Janeiro entre setembro de 2018 a setembro de 2019. O desenho do estudo é descritivo e observacional. O planejamento de formulários e a coleta de dados das intervenções foram realizados pelo Google FormsⓇ. O estudo obteve 354 intervenções aumentando de 38 em 2018 para 309 em 2019. A taxa de aceitação da equipe multiprofissional aumentou de 78,9% para 83,5%. Em 2018, o medicamento mais prevalente foi o omeprazol (13%) e o grupo ATC destaque foi o A (24,1%). Em 2019, o medicamento mais prevalente foi o meropeném (8,6%) e o grupo ATC destaque foi o J (39,4%.) Os principais tipos de intervenção foram interações medicamentosas em 2018 (46,9%) e ajustes de dose em 2019 (31,6%). Desta forma, o estudo promoveu o desenvolvimento de indicadores para avaliar a qualidade e eficiência do serviço farmacêutico.
Telerreabilitação como estratégia para promoção da sáude de pacientes com Doença Pulmonar Obstrutiva Crônica: revisão narrativa
Authors: Toldo de Toledo Karine Franciele , Marques Gomes Bertolini Sônia Maria , Marcos Rodrigues Junior Gelson
Published: September 2024

A prevalência da Doença Pulmonar Obstrutiva Crônica (DPOC) deverá aumentar nas próximas décadas. Muitos pacientes deixam de realizar a Reabilitação Pulmonar (RP), devido a múltiplos fatores. Este estudo tem como objetivo apresentar uma revisão narrativa que ofereça uma síntese da importância da telerreabilitação como estratégia para melhora da saúde e bem estar dos pacientes com doença pulmonar obstrutiva crônica. Para tanto, foram selecionados estudos que abordam esse assunto, utilizando-se principalmente as bases de dados MEDLINE, PubMed, Science Direct, SciELO. Realizadas as buscas, foi feita uma triagem dos artigos considerando o título e resumo e foram selecionados os estudos que melhor descreviam o assunto abordado. Evidencia-se a importância de abordagens multidisciplinares e inovadoras para enfrentar o desafio crescente da DPOC, com ênfase na promoção da saúde, prevenção, diagnóstico, gestão e telerreabilitação como ferramentas-chave para melhorar a qualidade de vida e a acessibilidade ao tratamento para pacientes com essa condição.
O impacto dos serviços farmacêuticos no manejo da dor em pacientes oncológicos: revisão integrativa
Authors: De Oliveira Pereira Carlos Eduardo , de Souza Weverson , Cançado Araújo Barros Michelle
Published: September 2024

Analisar o impacto dos serviços farmacêuticos no manejo clínico da dor oncológica em instituições hospitalares. Realizou-se uma revisão integrativa na base de dados MEDLINE (PubMed) e na literatura cinzenta. 37 estudos foram resgatados e após a aplicação dos critérios de elegibilidade foram selecionados sete estudos. há uma clara tendência de benefícios dos serviços clínicos farmacêuticos no aprimoramento do manejo clínico da dor oncológica em pacientes hospitalizados, além de revelar benefícios financeiros às instituições hospitalares. A implementação eficaz enfrenta desafios, incluindo resistência ao uso de opioides e padrões conservadores de prescrição médica, afetando a aceitação e eficácia das intervenções farmacêuticas.
Multiple recurrences of adnexal torsion in a 9-year-old girl: a case report
Authors: Bakaeva Nadezhda S. , Baranov Dmitrii  A. , Vecherkin Vladimir A. , Ptitsyn Vladimir A. , Koryashkin Pavel V. , Gagloev Victor M.
Published: September 2024

Most girls with abdominal pain syndrome caused by gynecological pathology are admitted to pediatric surgery departments. When adnexal torsion is detected, detorsion is performed. There is no single protocol for ovariopexy. A 9-year-old girl was admitted to the surgical hospital of the Regional Children’s Clinical Hospital No. 2 in Voronezh for the first time because of nagging pain in the lower abdomen. Vomiting was noted at the height of the pain syndrome. Ultrasound of the pelvic organs revealed torsion of the right uterine appendages. Laparoscopy showed that the right ovary was purple and enlarged in size and torsion of the uterine appendages by 720°. Detorsion of the right adnexal torsion was conducted, and blood supply was restored after 10 minutes. The child was discharged on hospitalization day 9. Five months later, the patient was admitted with repeated right adnexal torsion. Laparoscopic detorsion was performed: blood flow was restored, and the ovary was found to be viable. The patient was recommended to be hospitalized at the Federal Medical Center in Moscow for laparoscopic ovariopexy; however, her patients refused further treatment. The girl was discharged from the hospital on postoperative day 9. After 11 days, recurrent torsion of the right uterine appendages by 720° occurred, and laparoscopic detorsion was performed. Ten days after consulting a gynecologist, laparoscopic fixation of the right uterine appendages was planned. Ovariopexy was performed by suturing the ovary to the broad ligament of the uterus with an interrupted suture. The patient was discharged from the hospital in a satisfactory condition. Four months following ovariopexy, the child had no complaints, and ultrasound showed no pathological changes in the ovaries.
Scale of severity of congenital clubfoot by the degree of rigidity of foot deformity
Authors: Vlasov Maksim V.
Published: September 2024

BACKGROUND: To date, the development of scales and classification systems for congenital clubfoot mainly involves determining the severity of clinical symptoms of foot pathology. However, it does not provide a quantitative assessment of the degree of rigidity of the foot deformity. The use of a scale that determines the foot stiffness index allows individualized long-term treatment plan for each patient.
AIM: This study aimed to develop a severity scale for congenital clubfoot based on the determination of the foot rigidity index.
MATERIALS AND METHODS: Before treatment, 229 children (350 feet) with typical congenital clubfoot who were treated with the Ponseti method underwent a clinical dynamometric examination. Then, the foot rigidity index was calculated. The number of plaster casts required to eliminate foot deformities in patients with congenital clubfoot of I–II, III, and IV degrees was determined. The Spearman rank method was used to establish correlations between clinical and dynamometric indicators for congenital clubfoot. P 0.05 indicated significant differences.
RESULTS: A retrospective analysis of the treatment of children with congenital clubfoot using the Ponseti method revealed that fewer plaster casts are required in correcting a mild deformity than in correcting a severe deformity, and a lower index of foot rigidity is noted in mild than in severe congenital clubfoot. The Spearman correlation analysis was used to identify the criterion “foot stiffness index,” which had the most number of strong correlations between the studied signs with a high statistical significance (p = 0.001). Considering the initial index of foot rigidity, three forms of congenital clubfoot were identified: mobile, rigid, and extremely rigid. The mobile form included a deformity with a rigidity index ≤0.2. The rigid form included a deformity with a foot rigidity index of 0.21–0.3. In an extremely rigid deformity, the foot rigidity index exceeds 0.31.
CONCLUSIONS: The foot rigidity index is a criterion that provides a qualitative characteristic of the condition of the foot in patients with congenital clubfoot. Based on the initial foot rigidity index, congenital clubfoot can be classified as mobile, rigid, or extremely rigid.
In memory of Professor Sergey N. Nikolaev (09.02.1954–23.07.2024)
Authors: Chundokova Madina A.
Published: September 2024

Information about the life and professional activities of pediatric surgeon, professor Sergey N. Nikolaev, who died after a serious illness.
Effects of Some Bacterial Isolates on Vase Life of Cut Rose Flowers
Authors: Tiryaki Deniz , Parlakova Karagöz Fazilet , Atıcı Ökkeş , Dursun Atilla
Published: September 2024

To reduce the impact of rapid temperature changes during transportation on cut flowers, continuous cooling should be provided throughout the process. The frigid transportation conditions required to transport cut flowers from their production facilities to the point where they will be marketed are quite expensive. Preliminary applications that can significantly reduce this cost should be made. One of these applications is the use of symbiotic psychrotolerant bacteria, which thrive at low temperatures, to improve the transportation and shelf life of cut flowers. Cut roses are commercially transported and stored at +2-4°C. In this study, the application of psychrotolerant bacteria isolated from plants aims to investigate their effects on the transportation and vase life of cut roses under unfavorable transport temperature conditions (+10 °C), aiming to minimize potential quality losses. For this objective, 18 bacterial strains were isolated from the leaf apoplasts of cold-resistant wild plants. These strains, which exhibit cold tolerance and the ability to block ethylene synthesis in plants, were used both separately and in combination. Bacterial solutions were applied to cut rose leaves (Rosa hybrida L. cv. Samourai), and all treatment groups were kept in controlled conditions at +10°C for 9 days. Control 1 and Control 2 were treatments in which only pure water was sprayed on the green leaves of cut roses at temperatures of +2 oC and +10 oC, respectively. At the end of the experiment, the cut roses were evaluated according to vase life, fresh weight, visual quality, and cold damage (CD). The longest vase life was determined in D3 (DT-10 isolate-Bacillus cereus), D4 (DT-11 isolate- Bacillus cereus), M1 (DT-17 isolate-P. proteolytica) and K1+B8 (Bacillus cereus + S. kitahiroshimense) applications. These applications, which have obtained the highest vase lifetimes, and B5, B8, D1, D2, K3, Ç1, Ç2, M2, and D1 + Ç1 applications were in the same statistical group. The D3, D4, M1, and K1+B8 treatments increased the vase life of cut roses by 55.55% compared to Control 2. Control 1 and D1+Ç1 treatments showed the highest relative fresh weight increase in 66.06% and 64.28%, respectively. Among the groups, the D2 (DT-6 isolate-Bacillus cereus) had the greatest visual quality score. The lowest CD% was observed in the application involving the D2 isolate, correlating with the highest visual quality determined under the same D2 application. The study revealed that postharvest application of Bacillus cereus isolates (especially DT-6 and DT-10) to cut roses increased their vase life.
Incidence and indications of peripartum hysterectomy among patients admitted in Dhaka medical college hospital
Authors: Afroz Rumana , Dewan Farhana , Sarker Manjuman Ara , Ara Rifat
Published: September 2024

Background: Peripartum hysterectomy is a mutilating surgery in obstetrics. Peripartum hysterectomy remains one of the important procedures to reduce maternal mortality and morbidity in Bangladsh. The study aimed to determine the incidences of peripartum hysterectomy in patients admitted to Dhaka medical college hospital (DMCH) by thorough evaluation of cases.
Methods: This was a cross-sectional clinical study carried out in the department of obstetrics and gynaecology, DMCH. The duration of the study was one year, from July 2008 to June 2009. About 42 patients with peripartum hysterectomy took part in it. All patients who underwent peripartum hysterectomy with no other chronic illness, matched with age criteria, and gave consent were among the inclusion criteria. Data were collected and analyzed with the software SPSS.
Results: Incidence of 6.25 per 1000 deliveries. Majority age group 29-34 years (38.09%). P/V bleeding with shock (23.81%), P/V bleeding without shock (35.71%), term pregnancy with labor pain (21.43%), and ruptured uterus (19.05%). The primary indication was uterine rupture (57.14%), followed by postpartum hemorrhage (26.19%) and sepsis (4.76%). Subtotal hysterectomy was performed in 88.09% of cases. Intraoperative complications included severe hemorrhage (23.81%) and urinary bladder injury (14.28%). Postoperative complications included febrile morbidity (42.85%), wound infection (23.81%), and paralytic ileus (28.57%). Maternal mortality was 16.67%, and perinatal outcomes included 61.9% stillbirths, 9.52% early perinatal deaths, 4.76% requiring ICU support, and 28.57% alive.
Conclusions: Through effective antenatal care, reduced primary cesarean section rate, identification of patients at risk, enhancement of blood transfusion facilities, together with improvement of surgical skills the morbidity associated with the operation and mortality rate can be reduced.
Awareness of HIV and prevention of parent-to-child transmission among antenatal mothers, Solur, Magadi Taluk, Ramnagara district, Karnataka
Authors: Kallumkal Mia George , Joseph Merlyn , Bijoy Riya , George Mekha Jude , Yao Ogul , Doss Archana , Johnson Avita Rose
Published: September 2024

Background: Globally, 4,30,000 children aged under 15 years were infected with HIV in 2008. Most of the cases were reported in developing countries, of which more than 90 percent are the result of mother-to-child transmission during pregnancy, labour and delivery or breast feeding. Parent-to-child transmission accounts for about 4.3 percent of the overall HIV transmission in the country. This study was conducted to assess the awareness of HIV and its vertical transmission in pregnancy and its determinants among pregnant women availing care at a rural maternity hospital in Karnataka.
Methods: A hospital-based cross-sectional study in Ramnagara district, in which 231 pregnant women were recruited by consecutive sampling and administered a face-validated structured questionnaire. A 55-item questionnaire to assess awareness about HIV and prevention of parent to child transmission was administered. Women were given knowledge scores based on answers to the questionnaire and women securing more than 70% of the total score, were considered to have good awareness.
Results: The study population included 132 (57%) primigravida. The mean age of the study population was 23.8±3.67 years. Among the study participants, only 93 (42%) women were aware of vertical transmission of HIV-AIDS. Awareness regarding HIV in pregnancy was found to be significantly associated with type of family (p=0.024) and age of study participant (p<0.002).
Conclusions: Awareness regarding prevention of HIV-AIDS and parent-to-child transmission of HIV-AIDS among antenatal mothers is poor. A significant association was found between type of family and age of study participant and knowledge regarding HIV-AIDS among the study participants. This can be improved by addressing different myths and misconceptions regarding transmission of HIV in routine health education programmes.
Prevalence of fetal ultrasonographic soft markers in antenatal women and their pregnancy outcomes: a cross-sectional study
Authors: Agarwal Shaily , Sahu Monica , Gupta Renu , Lal Pavika
Published: September 2024

Objectives: Estimating soft marker prevalence during first and second trimester ultrasound scans and determining the relationship between nuchal translucency (NT) measurements and sociodemographic variables in the antenatal population receiving care at our facility.
Methods: This hospital-based observational study, conducted from January 2020 to November 2021, included 300 pregnant women receiving antenatal care at our institute. Soft markers studied included NT and absence of nasal bone for the first trimester and echogenic intracardiac focus (EICF), hyperechogenic bowel, choroid plexus cyst (CPC), mild renal pyelectasis, and limb shortening for the second trimester. For ultrasonographic examination, a HITACHI –ALOKA -6 USG equipment was used via transabdominal route. Wherever applicable, independent sample t test, chi-square test, and fisher's exact test were used to examine demographic factors and NT. To analyse the data, S.P.S.S version 23 was utilized.
Results: The mean age of the participants was 24.96 years, and 41% (n=123) were primigravida and 59% (n=177) were multigravida. Most pregnant women (79%, n=237) were low-risk. Prevalence of Increased NT was 2.66% (n=9), hypoplasia or absence of NB was none, EICF was 2.33% (n=7), Hyperechogenic bowel was 0.33% (n=1), CPC was none, mild renal pyelectasis was 0.66% (n=2), and limb shortening was 0.33%. Relationship between obstetric risk factors and increased NT (2=12.22, p=0.006) and mean age of participants with increased NT (t=-2.625, p=0.009) was statistically significant.
Conclusions: First-trimester fetal NT screening should be done for pregnant women over 30 and multigravida. Soft markers in pregnant women need a thorough diagnostic evaluation to rule out fetal abnormalities.
The effect of previous and current COVID-19 infections on amniotic fluid index
Authors: Muayad Al-Musawi Sarah
Published: September 2024

Background: COVID-19 infection had a multisystem effect. Although it does not cross the placenta, it can cause conformational changes that affect placental function, with the possibility of a change in amniotic fluid index and the development of oligohydramnios. The aim of the study is to estimate the effect of COVID-19 previous and current infections on the amniotic fluid index.
Methods: A prospective case-control study was conducted in a major maternity hospital from the 1st of April 2021 to the 1st of October 2021. 125-term pregnant ladies early in labor and had been diagnosed with COVID-19, either current or previous infection (according to serology testing IgG and IgM) were considered the case group, and 125-term pregnant ladies in labor but without COVID-19 infection as a control group. A transabdominal ultrasound was done to measure the amniotic fluid index for comparison between groups.
Results: Cases of previous infection had a reduced level of amniotic fluid index (mean 9.98±4.93), which is statistically significantly lower than both the current infection and control, and the amniotic fluid index of the current infection was not different statistically from the control. Finally, it is 4.48 times more common to develop oligohydramnios if the patient had previous COVID 19 infection (odd ratio 4.48, 95% CI 10.87-1.85).
Conclusion: The previous COVID-19 infection is significantly associated with decreased AFI.
A mixed method study on menopause-related quality of life and health-seeking behavior in urban Telangana, India
Authors: Rangaraju Sai Madhuri , A. Y. Nirupama , Prasanna S. T. P. Lakshmi
Published: September 2024

Background: Perimenopause is the body's natural transition to menopause, signaling the end of the reproductive years. Changes in a woman's menstrual cycle, vasomotor changes, psychological changes, and vaginal health and sexuality are all symptoms of menopause. This study's objectives are to describe perimenopausal women's quality of life, and enumerate the health-seeking behavior, and determine the prevalence of various perimenopausal symptoms.
Methods: A Cross-sectional study was conducted in the urban settlements of Telangana in 2022. Using an online questionnaire, data was collected from 200 participants, who were identified by convenient sampling followed by snowball sampling. For data collection, a questionnaire was developed from focus group discussions along with standardized MEN-QOL questionnaire.
Results: Common perimenopausal symptoms observed were hair loss (47%), fatigue (48%) and body/joint pain (46%). (54%) participants approached family doctor, 40.5% prefer private healthcare facilities, 39.5% prefer modern medicine. Mean total MEN-QOL score is 3.13±0.37.QOL is low in the physical domain (mean=3.93). Age has a statistically significant relationship with all three domains of MEN- QOL (p<0.05).
Conclusions: Hair loss, fatigue, and body/joint pains are prevalent perimenopausal symptoms. Physical domain has poor QOL. Most participants approached family doctors, visits private healthcare facilities and prefers modern medicine.
Awareness and acceptance of postpartum intrauterine contraceptive devices amongst women in reproductive age group in an urbanized village of South Delhi
Authors: M. Suresh , Smanla Shalini , Srivastava Namita
Published: September 2024

Background: In India, grappling with a population surge, about 48.1 million pregnancies are unintended, highlighting the critical need for effective postpartum family planning (PPFP) to prevent adverse outcomes. Despite the postpartum intrauterine contraceptive devices (PPIUCD) benefits as a non-hormonal, reversible contraceptive, its uptake is hindered by various barriers. This study examines the awareness and acceptance of PPIUCD among women in the reproductive age group of South Delhi.
Methods: This observational cross-sectional study was conducted at the field practice area under the Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi. Under this study, 190 women of reproductive age groups were included. The data was collected regarding awareness and acceptance of PPIUCD. The reason for acceptance and non-acceptance was collected. Data entered and analysed in Microsoft excel.
Results: Out of 190 women of reproductive age,73% were aware of PPIUCD, and only 28% had accepted the PPIUCD. A statistically significant association between awareness and acceptance of PPIUCD was found. The most common reason for not accepting the PPIUCD was lack of awareness, followed by fear of complication. The reason for acceptance of PPIUCD was exposure to counselling and awareness that it was long-acting and reversible. The most common reason for the removal of PPIUCD is abdominal pain followed by bleeding. The statistically significant association between place of delivery and awareness and acceptance of PPIUCD was found.
Conclusion: During the present study, it was found that Awareness and acceptance of PPIUCD was 73% and 28% of the women of reproductive age, respectively.
Enhancing postpartum depression screening and management in tertiary care: a comprehensive approach
Authors: Jayaraman Lokeshwari , Dev Sathish , Suganthavalli  , Kumar Amar Nagesh
Published: September 2024

Background: Postpartum depression (PPD) is a significant public health issue affecting a substantial number of new mothers. Despite its prevalence, PPD often goes undiagnosed and untreated due to inconsistent screening practices and lack of standardized management protocols. This research project aimed to enhance the screening and management of PPD in a tertiary care hospital through the implementation of a comprehensive and evidence-based approach.
Methods: The study was conducted in several phases: assessment of current practices, development and implementation of an enhanced screening protocol, systematic screening to assess prevalence, improvement of early detection and referral systems, evaluation of management strategies, awareness and education campaigns, and follow-up studies. Data collection involved surveys and interviews with healthcare providers, screening of 500 postpartum women using the Edinburgh Postnatal Depression Scale (EPDS), and patient satisfaction surveys. Statistical analyses were performed to determine PPD prevalence and evaluate the effectiveness of management strategies.
Results: The assessment of current practices revealed that only 35% of healthcare providers routinely screened for PPD, with no standardized protocol. The enhanced screening protocol, integrated into routine care, achieved a 100% screening rate among postpartum women. The prevalence of PPD was found to be 15%, with higher rates among women with low socio-economic status and lack of social support. The streamlined referral process ensured that all women who screened positive were referred to mental health services, with an 87% follow-up attendance rate. Management strategies, including cognitive-behavioral therapy (CBT) and pharmacotherapy, led to significant improvement in 85% of women receiving CBT and 92% receiving both CBT and medication. Patient satisfaction surveys indicated a 90% satisfaction rate with the screening and management process. Long-term follow-up studies showed sustained improvement in 85% of women at six months postpartum.
Conclusions: The comprehensive approach to PPD screening and management significantly improved detection, referral, and treatment outcomes in a tertiary care hospital. Standardized screening protocols, effective referral systems, and integrated care models are essential for addressing PPD. The project's success highlights the importance of early detection, targeted interventions, and continuous care to promote maternal mental health and well-being. Future efforts should focus on refining and expanding these protocols to ensure sustained improvements and support for postpartum women.
Knowledge and stated practice of contraception among adult married males in Bishnupur-II block, South 24 Parganas, West Bengal
Authors: Karmakar Anil , Pal Jayita , Ghosh Manoj , Pramanik Mrinal Kanti , Mahato Bappadittya , Gayen Ram Krishna
Published: September 2024

Background: Contraception is pivotal in reproductive health and family planning, yet knowledge gaps persist among married males, impacting public health outcomes. This study aimed to evaluate contraceptive knowledge and practices and identify determinants among 127 married males in Bishnupur-II block, South 24 Parganas.
Methods: This community-based cross-sectional study utilised simple random sampling. Data were collected via house-to-house visits using a semi-structured questionnaire and analysed with SPSS version 21.0.
Results: Participants exhibited significant knowledge gaps, notably among those with lower education levels. Age, religion, education, and comfort in discussing contraception with partners emerged as associated factors. Participants comfortable discussing contraception showed higher knowledge and practice odds.
Conclusions: Addressing knowledge gaps and enhancing contraceptive practices necessitate multifaceted interventions emphasising education, partner communication, counselling, and targeted initiatives. Implementation of these recommendations is expected to bolster reproductive health outcomes and community well-being.
Evaluation of outcome of medical and surgical management in cesarean scar pregnancy in a tertiary health care institute of Northen India
Authors: Kaur Harpreet , Aggarwal Muskan , Kaur Sarvjeet , Kaur Jaspreet , Choudhary Vinita , Kaur Jyotsimran , Kaur Gagandeep
Published: September 2024

A rare form of ectopic pregnancy known as caesarean scar pregnancy (CSP) is associated with high rates of morbidity and mortality. When a growing conceptus is pathologically implanted into the site of a prior caesarean section, CSP ensues. Transvaginal ultrasonography (TVS) and transabdominal ultrasound are the main diagnostic methods for CSP. It was a series of clinical cases diagnosed over a period of 1 year. The clinical characteristics included in the study were maternal age, gravidity, number of prior caesarean sections, number of abortions, interval between CSP and caesarean sections, gestational age, mean size of the residual gestational tissue before intervention, serum β-hCG levels before and after intervention. All cases were detected timely in the first trimester itself on USG evaluation. Amongst all cases, ß hCG levels at the time of admission varied between 266 mIU/ml-56,265 mIU/ml. 30% patients were treated with medical management only with inj. methotrexate and inj. folinic acid out of which 60% of cases had failed medical management and had to undergo further surgical procedure. 30% of cases with failed medical management were planned for hysteroscopic curettage, 20% underwent dilatation and curettage (D and C) while only 1 patient who was diagnosed with early placenta accreta required hysterectomy. CSP is a rare yet life threatening obstetric condition. Medical management should be used as the first line of treatment in patients with hemodynamic stability. Laparotomy and embolization are invasive procedures that should only be used in patients with failed medical management or patients with severe bleeding.
A rare variant of uterine leiomyoma-lipoleiomyoma
Authors: Goyal Lipsy , Phool Divya , Jain Chanchal
Published: September 2024

Lipoleiomyoma is a benign variant of uterine leiomyoma characterized by admixture of fat cells and smooth muscle cells. This entity can coexist with other malignancies in uterus, ovaries and fallopian tubes. Lipoleiomyoma is typically found in post-menopausal women with incidence of 0.03-0.20%. The 58 years old postmenopausal women presented to gynaecology outpatient department (OPD) with complaints of chronic lower abdominal pain. Her clinical examination and blood investigations were normal but her imaging showed a large heterogenous solid mass at uterine fundus. She underwent TAH and BSO. Diagnosis of lipoleiomyoma was confirmed on histopathological examination. Left ovary showed serous cystadenomatous cystic lesion and left fallopian paratubal cyst. Lipoleiomyoma is rare entity with excellent prognosis when asymptomatic so its awareness is important to avoid unnecessary surgeries.