bluuebunny/crossref_metadata_2025 huggingface dataset:
Spectral Characteristics of Daily to Seasonal Ground Motion at the Piñon Flats Observatory from Coherence of Seismic Data
Authors: Qin Lei , Vernon Frank L. , Johnson Christopher W. , Ben‐Zion Yehuda
Published: August 2019

We investigate coherences of seismic data recorded during three years (2015–2017) at the Piñon Flats Observatory (PY) array and a collocated 148 m deep borehole station B084, along with oceanic data from a buoy southwest of the PY array. Seismic and barometric recordings at PY stations are analyzed with a multitaper spectral technique. The coherence of signals from seismic sources is >0.6 at 0.05–8 Hz between closely spaced (<65  m) surface stations and decreases to ∼0.2 in frequency bands in which the wavelengths are smaller than interstation distances. There are several local coherence increases at 1–8 Hz between nearby (<65  m) surface stations, whereas large coherence values between a surface and 148 m deep borehole stations are only present at the secondary microseism (∼0.14  Hz). These points to significant modification of seismic recordings in the top crust, and those continual near‐surface failures might produce shallow rapidly attenuating signals at surface stations. Incoherent local atmospheric effects induce incoherent seismic signals in low‐ and high‐frequency ranges through different coupling mechanisms. Between 0.003 and 0.05 Hz, atmospheric loadings generate ground tilts that contaminate the two horizontal seismic recordings and decrease their coherence, whereas the vertical component is less affected. At 1–8 Hz, coupling of atmospheric pressure with surface structures transmits incoherent signals into the ground, degrading the seismic coherence in all three components. The two horizontal coherences show seasonal variations with extended coherent frequency bands in winter and spring, likely to be produced by seasonal variations in microseisms and local ground tilts. The coherences also contain high anomalies between 2 and 4 Hz resulting from anthropogenic activities. The results provide useful information on instrument characteristics and variations in the shallow crustal response to earthquakes, seasonal and ambient sources of seismic energy, along with atmospheric pressure–temperature changes and anthropogenic activities.
Nota de Apresentação
Authors: Besse Maria Graciete , Cury Maria Zilda Ferreira , Oliveira Silvana Pessôa de
Published: August 2019

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Energy-Efficient Network Protocols for Domestic IoT Application Design
Authors: Gray Chrispin Alfred , Campbell Leith , Ayre Robert , Hinton Kerry
Published: August 2019

In the future Internet of Things, many common household devices will have communications interfaces added. The gathering of data from these household IoT-enabled devices will incur an energy cost and, in this paper, we investigate the impact of different communications technologies and protocols on that cost. As a first step towards energy-efficient design, we have measured the power consumption of several popular wireless interfaces – Bluetooth (Classic and Low Energy), ZigBee, Wi-Fi and 433 MHz module (RF433). We then combine these measurements through the example of a simple domestic stock control application and we show how an energy-efficient communications paradigm can be designed in each case. In general, both the communications paradigm and the amount of traffic need to be considered for an energy-efficient design. This is a contribution to design guidelines for energy-efficient communication in the Internet of Things as it expands to encompass all consumer devices.
A clinical observational study in cases of eclampsia
Authors: Kanani Bipin , Garala Nirav J.
Published: August 2019

Background: Eclampsia is a life threatening condition and one of the leading causes of maternal deaths worldwide. It is also associated with complications like acute renal failure, DIC, postpartum hemorrhage, etc. and adverse fetal outcomes.  Hence we aimed to study fetomaternal outcomes in cases of Eclampsia.Methods: A total of 75 cases of eclampsia out of 13524 deliveries were evaluated, from 1st January 2016 to 30th June 2017 at RZ Hospital, a government tertiary referral centre. Maternal outcomes were studied for its complications, effectiveness of magnesium sulphate treatment, fetal outcome and mode of delivery.Results: Incidence rate of eclampsia was 0.55%, 62.66% of all cases were primigravida, 76% of cases were in age group of 21-26 years, 84% cases were from lower socio economic status, maternal mortality occurred in 2 of 75 cases. 66.67% of patients were of term pregnancy (37 to 42 weeks). 71%(53) patients delivered vaginally out of which 9 deliveries were spontaneous and 44 deliveries were induced vaginal delivery. 22 patients required caesarean section.Conclusions: Early detection and prevention of pregnancy induced hypertension and pre-eclampsia and other associated risk factors for eclampsia might help to reduce the incidence of eclampsia. Maternal adverse outcomes in this study were magnesium toxicity, acute renal failure (ARF), disseminated intravascular coagulation (DIC) and post partum hemorrhage (PPH) while 92% patients had no complications.
Compare the safety and efficacy of intravenous iron supplementation with iron sucrose to the oral supplementation with ferrous ascorbate in subjects with post-partum anemia
Authors: Mhaske Ganesh , Vadehra Preeti , Maran Chandrakala
Published: August 2019

Background: The post-partum period is challenging enough for most new mothers. Recovering from birth, learning to parent, and taking care of her child requires lot of energy. Having anemia in postpartum period can make this process much more difficult. According to WHO, in India incidence of anemia in postnatal mother is around 58% and according to ICMR prevalence of anemia in Tamil Nadu population 76% during pregnancy. The objective of this study was to compare the efficacy of intravenous iron supplementation with Iron sucrose to the oral supplementation with ferrous ascorbate in management of patient with post-partum anemia. To study the safety and side effects of these two preparations.Methods: This was a prospective study conducted on 100 post-partum anemic women in KG Hospital  in Coimbatore, October 2012 to November 2013 with hemoglobin less than 10g/dl but more than 6g/dl within 24-48 hours of delivery ,after satisfying inclusion and exclusion criteria were included in the study.Results: Mean hemoglobin of oral group was 8.49±0.75 and mean hemoglobin of IV group was 8.43±0.76; 24 hours after delivery. After treatment, that is after 4 weeks mean hemoglobin of oral group was 10.38±0.79 and mean hemoglobin of IV group was 11.20±0.71.on comparing both groups, the increase in hemoglobin in the IV groups was significant. Reticulocyte count and other parameters increased significantly after four wks of starting therapy in IV group compare to the oral group. No major side effects or anaphylactic reactions were noted during study period.Conclusions: Intravenous iron sucrose complex is safe, convenient and effective in postpartum anemic women as compared with the oral ferrous ascorbate. Intravenous iron sucrose have shorter treatment periods, increased likelihood of compliance, a lack of gastrointestinal side effects, and rapid replenishment of iron stores, making them superior to oral ferrous ascorbate.
Diagnostic utility of semen analysis in infertile couples: a prospective study
Authors: Jandial Roopali , Choudhary Mehnaz , Singh Kuldeep
Published: August 2019

Background: Infertility is defined as a failure to conceive after at least 12 months of unprotected intercourse. It is broadly established that 40% cases of infertility has male factor. Semen analyses is an imperative diagnostic tool in the valuation of the male partners of infertile couples.Methods: We carried out a prospective study wherein semen analyses of the male partners of infertile couples presented to Department of Pathology, Government Medical College and Associate Hospital, Jammu was done. A total of 300 cases were studied and comparison of each abnormality and combined defects were subjected to incidence distribution.Results: We analysed 300 samples in this study. Mean age of the men was 32.5 years. Duration of infertility in (200; 66.6%) was seen in men married for less than 5 years, (84; 28%) between 5-10 years of married life and there were (16; 5.3%) with more than 10 years of infertility period after marriage. Addiction to alcohol made the majority in our study (187; 62.3%), followed by tobacco chewing and addiction to both tobacco chewing and alcohol consumption (89; 29.6%) and (24; 8%), respectively, men were amongst those with abnormal seminograms.Conclusions: Male infertility is an alarming global health issue. Males contribute towards infertility in couples significantly and further study and assessment is required to accurately predict the importance of this.
Assessing the new ICD-MM classification for assigning the cause of maternal mortality at a tertiary centre in Western India: a retrospective study
Authors: Sheth Tosha M. , Vaishnav Palak P. , Maitra Nandita K.
Published: August 2019

Background: The World Health Organisation (WHO) in 2012 introduced the 10th revision of International Classification of Disease (ICD 10) to deaths in pregnancy, labour and puerperium (ICD-MM) for consistent collection, analysis and interpretation of information on maternal deaths. The proper use of this classification requires training to avoid heterogeneity and error in the classification of maternal deaths.Methods: We analysed the Maternal Death Review (MDR) forms of 295 deaths over a period of 5 years (January 2014 to December 2018 inclusive) occurring at a tertiary health centre in Western India. The ICD-MM classification was used to reassign the cause of death.Results: There were 295 deaths in women during pregnancy, childbirth and puerperium during the 5 year period. Of these there were 294 maternal deaths and one coincidental death. There were 173 deaths of the direct type (58.84%), 105 deaths of the indirect type (35.71%) and 16 deaths (5.44%) of the unspecified type. Obstetric haemorrhage was  the highest contributor to direct deaths (23.8%) and anaemia contributed to the maximum deaths from indirect causes (13.6%) followed by liver diseases in pregnancy (10.54%).Unanticipated complications of management accounted for 2% of the total deaths. There was considerable inaccuracy in assigning cause of death by consultants who were untrained in the use of the ICD-MM classification.Conclusions: ICD-MM classification promotes an accurate assignment of the cause of death. Training of healthcare providers performing maternal death reviews in the use of this classification is essential to identify accurate underlying cause of death and contributory conditions.
Prevalence of abnormal cervical cytology and HPV DNA positivity among HIV positive women
Authors: Malik Sunita , Kumari Supriti , Gaikwad Harsha S. , Mishra Archana , Bharadwaj Mausumi
Published: August 2019

Background: The relationship among HIV, HPV, and development of CIN is complex and incompletely understood. Present study is undertaken to find out the prevalence and relationship of abnormal cervical cytology and HPV infection in HIV positive women.Methods: This was a cross-sectional, case control study conducted on 95 HIV seropositive and 95 seronegative women. Specimen was collected from the cervix for HPV DNA testing, subtyping and cytology.Results: HPV DNA positivity was higher in seropositive group (18.6% vs. 7.4%). Premalignant conditions were found only in seropositive group. At CD4 count <249 HPV DNA positivity was 53%, at 250-499 the percentage of HPV DNA positivity was 31% and at >500 HPV DNA positivity was 19%.Conclusions: Prevalence of abnormal cytology and HPV DNA positivity is higher amongst HIV positive women and there is an association between HPV DNA positivity with lower CD4 counts.
Robson ten groups classification system for caesarean section audit: are our operation theatre registers RTGC enabled?
Authors: Abdul  Aziz Fasiha T. , Bhoosreddy Sushma R.
Published: August 2019

Background: Rising caesarean section rate is a global problem. Robson ten groups classification (RTGC) system of audit has been recommended as the first step towards planning strategies to reduce caesarean section rate. Getting data for this audit is often difficult. If operation theatre (OT) registers are maintained properly this would become easy. The study proposes to know if enough information is available in the operation theatre registers to get caesarean section data for ten groups of Robson classification system. To suggest changes in OT register format for future convenience.Methods: We studied data from 100 consecutive caesarean section entries in OT registers from two medical college institutions to know if the information recorded is adequate to classify these 100 caesarean sections into ten groups given by Robson. Last 100 caesarean section entries into the OT register during the period 1st April 2018 till 31st March 2019 were studied.Results: Presentation of the foetus was the only factor which could be clearly known for all 100 cases. Labour onset whether spontaneous or induced was the least recorded observation in traditional operation theatre registers. The next information which was commonly not recorded was the labour status (woman in labour or not in labour) at the time of caesarean section.Conclusions: For Robson’s classification of caesarean sections to become useful tool to guide strategies in reducing caesarean sections we need to modify format of our OT registers. Traditional OT registers do not provide enough information to categorize caesarean section cases into Robson ten groups. Missing information makes caesarean section audit imperfect or impossible. We suggest a format for it to be incorporated into the operation theatre registers of centres providing maternity services.
Decision to delivery interval in emergency LSCS and its impact on fetal outcome
Authors: Nair Vidhu V. , Nair Sobha S. , Venugopalan Prasanna
Published: August 2019

Background: Emergency LSCS can be categorized based on RCOG guidelines into category I and II which indicates maternal or fetal compromise. Here an urgent delivery and the DDI (decision to delivery interval) within 30 and 45 minutes respectively is needed.Methods: This is a retrospective cross-sectional analysis conducted on a sample of 630 patients who underwent caesarean section over a year, from June 2016 to June 2017. The DDI were further classified into ≤30 and >30 minutes for category I, ≤45 and >45 minutes for category II LSCS. The primary objective is to determine whether DDI in Category I and II emergency LSCS has an impact on fetal outcome and secondary objective is to ensure that DDI is within the standard criterion as per RCOG protocol.Results: Out of 630 samples of caesareans, it was found that 173 falls in Category I and 189 falls in Category II. Out of 87 (50.29%) patients delivered within 30 minutes in Category I, 29 babies required NICU admission. DDI was more than 30 minutes in 86 (49.71%) cases in Category I out of which 38 babies got admitted in NICU with low APGAR scores. Out of 176 (93.12%) patients who delivered within 45 minutes in Category II, 56 babies required NICU admission. DDI was more than 45 minutes in 13 (6.88%) cases in Category II and all these babies got admitted in NICU.Conclusions: Decision -delivery interval has a significant impact on fetal outcome.
Effect of high blood pressure on thyroid and lipid profile of pregnant women
Authors: Gill Gurpreet Kaur , Kaur Mandeep , Singh Partapbir , Kataria Juhi
Published: August 2019

Background: Hypertension is common medical problem encountered during pregnancy, complicating up to 10% pregnancies. Hypertension is defined as the systolic blood pressure ≤140 mmHg and a diastolic blood pressure ≥90 mmHg on two separate measurements at least 4-6 hours apart. During pregnancy thyroid demand changes with increased iodine uptake and synthesis of thyroid hormone. Serum from pre-eclamptic women had both a higher ratio of free fatty acid to albumin and increase up take of free fatty acids, which are further esterified to triglyceride. The aim of the present study was to evaluate thyroid hormone, lipid profile and urine albumin in hypertensive pregnant women and its comparison with normotensive pregnant womenMethods: Total 90 samples were collected from Beri Maternity Hospital and Civil Hospital, Amritsar. Blood samples were analysed for biochemical parameters viz. lipid profile and thyroid profile. Urine samples were also analysed for presence of albumin.Results: From the study it has been revealed that thyroid stimulating hormone (TSH) levels increased in hypertensive pregnant women mean (4.26±1.1µ/ml). The total cholesterol (234.56±14.2mg/dl), triglyceride (138±16.96mg/dl), HDL (50.7±7.4mg/dl), LDL (156.2±17.11mg/dl) and VLDL (27.7±3mg/dl) was found altered in hypertensive pregnancy as compared to normotensive pregnancy. The albumin excretion was seen in 13.3% hypertensive pregnancies.Conclusions: TSH were elevated in hypertensive pregnant women due to the effects of estrogen. Among all the parameters of lipid profile, total cholesterol, TG, LDL and VLDL has been increased significantly in hypertensive pregnant women as compared to normotensive pregnant women due endothelial dysfunction.
The incidence, pattern and management of sexual assault in a tertiary hospital in North-western Nigeria
Authors: Shehu Constance E. , Ekele Ojogbane I. , Panti Abubakar A. , Ango Ibrahim , Ekele Bissallah A. , Umar Mohammed
Published: August 2019

Background: Sexual assault is any sexual act performed by one person on another without the person’s consent or on a victim who is incapable of giving consent. It is a violation of basic human rights, a gender-based issue and a violent crime against both the individual and the society. The objectives of the study were to determine the incidence, pattern and management of sexual assault in Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.Methods: This was a 10 - year retrospective study. Case records of sexual assault from 1st January, 2007 to 31st December, 2016 were retrieved and relevant data extracted and analyzed using the SPSS for windows version 20.0Results: The incidence of sexual assault was 0.8%. Majority, 88 (85.4%) occurred in children and adolescents. Peno-vaginal penetration was the most common form of assault 65 (63.1%) and the assailants were known to the victims in 74 (71.9%) of the cases. Involvement of psychiatrists/psychologists in the management of the victims was poor as psychiatrists were involved in only 13 (12.6%) of the cases. Most of the victims were lost to follow up.Conclusions: Sexual assaults occurred mostly in children and adolescents in this study. Increased public awareness and preventive interventions are required especially among the at-risk age groups to enhance their safety. Training of relevant persons in the institution to offer counselling to the victims is recommended as referral for psychiatrists’ consultation was poor. It is important to institute a good tracking system to follow up the victims as most are lost to follow up.
Assessment of the customized birth weight formula in a low risk Indian population
Authors: Das Dipti , Sharma K. Aparna , Dadhwal Vatsla , Deka Dipika , Vanamail Perumal
Published: August 2019

Background: Birth weight is probably the single most important factor that affects neonatal mortality, infant and childhood morbidity in both developed and developing countries. Objective of the study was to formulate a model for prediction of fetal weight at term based on individualized fetal growth parameters.Methods: 131 participant low risk gravidas were enrolled into the study. The participants underwent an ultrasound 7 days prior to delivery. All fetal variables of growth of a random 100 participants were incorporated in an equation derived using multiple regressions to predict birth weight at term. The new equation was then prospectively applied to another 31 pregnant women for validation. The diagnostic performance of the new regression formula was then compared to the Hadlock formula.Results: The customised birth weight formula predicted a higher accuracy with MPE±SD of 0.790±9. compared to the Hadlock formula with MPE±SD - 4.42±8.73. The new formula also explained a greater variance in birth weight of 56% compared to the Hadlock formula of 49%.Conclusions: The new model based on individualized fetal growth parameters recognizes the capacity to modulate an accurate final birth weight, thus emphasizing the need for customized population specific birth weight formulas.
Evaluating iron deficiency anaemia in the third trimester of pregnancy with haematological parameters and serum ferritin concentration
Authors: Muthukumaran Niranjani Selva , Thangappah Radha B. P. , Azad Amrin , Sravaniy Kesari
Published: August 2019

Background: Iron deficiency is the commonest cause of anaemia and at least half of anaemia cases will have causes other than iron deficiency. The objective of this study was to determine the prevalence of iron deficiency anaemia among antenatal mothers based on haematological parameters and serum ferritin levels.Methods: This was a hospital based cross sectional study, conducted at Meenakshi Medical College and Research Institute, Kancheepuram from January 2017 to June 2018. Two hundred antenatal mothers who were diagnosed with anaemia in the third trimester of pregnancy were evaluated by haematological parameters and serum ferritin assay.Results: 38% of women had mild anaemia, 50% had moderate anaemia and 12% had severe anaemia. On peripheral smear, 60% had microcytic hypochromic anaemia indicating iron deficiency, and 12% had megaloblastic anaemia. In 41% of cases, the mean corpuscular volume was <82fL indicative of iron deficiency. Among the 120 women diagnosed with iron deficiency anaemia on smear, the mean ferritin level was 16.62±73.42 (less than 30µg/l). There was a statistically significant low levels of serum ferritin levels in those diagnosed with iron deficiency anaemia (P < 0.05). The serum ferritin level was >160µg/lit in 19% of cases.Conclusions: Based on the haematological parameters and serum ferritin estimation, in 60% of cases, anaemia was due to iron deficiency. Before initiating treatment, it is important to differentiate various types of anaemia, so that appropriate treatment can be given.
Maternal foetal attachment and perceived stress during pregnancy
Authors: Srivastava Akankshi , Bhatnagar Pallavi
Published: August 2019

Background: In recent years, the construct of maternal foetal attachment (MFA) has gained a lot of attention. The significance of the bond between the mother and her child she is carrying has led researchers to study how the expecting woman’s feelings towards the unborn child, have long lasting effects on the child. Although several psychological factors, such as maternal anxiety, attitude towards the baby and access to foetal imaging procedures, have been established to significantly influence a mother’s attachment to her foetus, there seems to be a paucity of empirical work on the relationship between maternal stress during pregnancy and maternal foetal attachment. The present research is a step in this direction and purports to explore this relationship.Methods: The study explored the relationship between MFA and stress using the maternal foetal attachment scale by Cranley and the stress scale of the ADSS by Bhatnagar et al. The sample consisted of 53 pregnant women with a mean age of 26.4.Results: The results suggest a significant negative relationship between stress and MFA, r=-0.55 (p<0.01). Stress also showed a negative correlation with the subscales of MFAS, with highly stressed women reporting lower levels of self-giving behavior, fewer thoughts of role taking and lesser interactive behavior with the foetus.Conclusions: High stress during pregnancy could impede the formation of a strong bond between the expecting woman and her foetus. Thus the best practices during pregnancy should aim to reduce stress and encourage maternal foetal interaction.
Fresh versus frozen embryo transfer: a retrospective cohort study
Authors: Shetty Raksha K. , Nadkarni Purnima K. , Singh Pooja P. , Singh Prabhakar , Nadkarni Aditi A. , Nadkarni Vaibhav K.
Published: August 2019

Background: Elective frozen embryo transfer (FET), has recently increased significantly with improvements in cryopreservation techniques. Observational studies and randomized controlled trials suggested that the endometrium in stimulated cycles is not optimally prepared for implantation; risk of ovarian hyperstimulation syndrome reduced and pregnancy rates increased following FET and perinatal outcomes are less affected after FET. However, the evidence is not unequivocal and recent randomised control trials challenge the use of elective FET for the general IVF population. Pregnancy rates were analysed in a cohort of patients undergoing embryo transfers.Methods: This was a retrospective cohort study of patients who underwent embryo transfers from April 2018 to March 2019 at study centre in Surat.175 cycles of embryo transfers (119 fresh and 56 frozen) were included in the study. Outcomes measured were positive pregnancy, clinical pregnancy and ongoing clinical pregnancy rates achieved in the IVF-ET cycles.Results: There were no statistically significant differences between positive pregnancy rate (54.6% versus 60.7%, Odds ratio (OR) 0.78; 95% Confidence Interval (CI) 0.41-1.49), clinical pregnancy rate (48.73% versus 57.14%, OR 0.52; 95% CI 0.1- 2.64) and ongoing clinical pregnancy rate  (45.38% versus 51.78% OR 1.4; 95% CI 0.29 - 6.67) in fresh ET and FET cycles, respectively, p < 0.05 was considered statistically significant for all measures.Conclusions: Despite the observed higher rates of positive biochemical, clinical and ongoing clinical pregnancy per transfer in the FET cohort, these did not reach statistical significance. Thus, both transfer strategies are reasonable options, although there is a trend favouring the freeze-all strategy.
Postpartum spontaneous bladder rupture
Authors: Zutshi Vijay , Tiwari Sana , Arora Renu
Published: August 2019

Spontaneous bladder rupture after normal vaginal delivery is a rare complication. Patients may present with abdominal distention, fever, haematuria, oliguria and deranged KFT (kidney function test). We are reporting two cases of primigravida with postpartum bladder rupture, one case was diagnosed at laparotomy and the other preoperatively. A patient who presents with retention of urine, haematuria ascites and deranged KFT after uneventful normal vaginal delivery, spontaneous bladder rupture should be suspected. Early diagnosis and management can decrease the morbidity.
Successful management of a triplet heterotropic caesarean scar pregnancy in spontaneous conception
Authors: Yelurkar Nilofar Imamhusen , Shah Dharam Jatin , Satia Meena Naresh , Badhwar Vijaya Rajesh
Published: August 2019

A cesarean scar ectopic pregnancy -CSEP is a fairly uncommon presentation wherein the conceptus is implanted at the exact scar site of the previous cesarean section deep in the myometrium. Given the relatively rare incidence of CSEP establishing a diagnosis of CSEP can be challenging current standards of therapy have been derived from data obtained from a limited number of patient’s management options for CSEP range from medical line of treatment to surgical interventions such as sonography guided injections to laparoscopic excision or laparotomy or combination of these modalities. Herein we report a rare case of triplet pregnancy with one gestation sac implanted at the site of lower segment scar diagnosed on transvaginal ultrasonography along with MRI who was managed successfully with systemic methotrexate.
Cardiovascular disease in pregnancy
Authors: Vyas Rupa , Gupta Priya , Shah Sapana , Rangoliya Komal
Published: August 2019

Background: Maternal cardiac disease is a major cause of non-obstetric maternal morbidity and mortality. The care of pregnant women with cardiac disease requires a multidisciplinary approach, involving obstetricians, cardiologists and anesthesiologist.Methods: A prospective analytical study of maternal heart disease and its fetomaternal outcome is carried out in the department of obstetrics and gynecology at tertiary hospital and teaching institute. The study was carried out on 50 cases belonging to age group 18-50 years with various cardiac diseases during their pregnancy and peripartum period.Results: In this study, 78% of the cases were registered with our hospital. The present study shows about 32% of the women having cardiac disease were in the age group of 20-25 years. 34% belonged to NYHA class II and had a relatively uneventful peripartum period. Among all forms of heart disease, RHD was common constituting 26% of cases. Most common condition associated with cardiac disease in pregnancy was preeclampsia (36%) in our study, with anemia being other one (10%). The common complications were congestive cardiac failure (12%) and pulmonary edema (8%). Combination of diuretics and beta blockers was used most commonly (22%). 56% of women delivered with caesarean section. 42 patients delivered after age of viability with 29 (69%) term deliveries and 13 (30%) preterm deliveries with 8 requiring NICU care.Conclusions: Valvular heart disease of rheumatic origin is the most common cardiac disease associated with pregnancy.The availability of adequate systems of early diagnosis of cardiac lesion, reference to tertiary care center & close monitoring of patient and delivery with multidisciplinary approach include specialized cardiologic care, high risk obstetric support and neonatology expertise that can minimize the serious consequences and helps to improve fetomaternal outcome. Pre-conceptional counseling and surgical correction of certain conditions improves maternal as well as fetal outcome. Awareness needs to be created about heart diseases during pregnancy and the importance of regular antenatal check-ups.
How long does treated supracondylar humerus fracture in children take to recover elbow range?
Authors: Jogani Abhinav D. D. , Rathod Tushar N. , Shende Chetan V. , Marathe Nandan
Published: August 2019

Background: Our goal was to address requirement of physiotherapy after treatment of supracondylar humerus fractures in children and evaluate result of casting on elbow without injury using control group of distal forearm fractures.

Methods: 57 cases of supracondylar fractures were included in this retrospective study and compared with group of 54 children with distal forearm fractures treated with long arm casting for 28 days. Passive elbow ROM was checked with goniometer on day of cast removal, 2 weeks later, and then every month until the elbow ROM returned to 95% ROM (ROM-95) of uninjured side. No physiotherapy was given.

Results: Average time in cast for supracondylar fracture group was 31.8 days and distal forearm fracture group was 32.4 days. The elbow total flexion angle reached a plateau of 139 degrees at 1month after cast removal whereas forearm group required less than 2 weeks. Total rotation ROM required half the time to reach 139 degrees in forearm group. From the paired t test it took more time for pronation to recover than supination in supracondylar fractures. In supracondylar group there was positive correlation between casting period and recovery period of ROM-95 elbow extension (p=0.021) and days of casting (p=0.021) and ROM-95 flexion recovery period. There was no statistically significant impact between casting and recovery period in other directions and recovery of ROM-95 & F-ROM and the subclassification and type of treatment of individual fractures.

Conclusions: Lessons learned: thorough assessment of elbow function post cast removal, lack of need of physiotherapy in management protocol and elbow stiffness is related to initial injury and associated treatment not merely immobilisation.
Validated pre-discharge survey of patient satisfaction in orthopaedic care
Authors: Jain Ravi Kant , Jain Adhir , Jain Neeraj
Published: August 2019

Background: Worldwide, increasing concern has been given to the assessment of patient satisfaction survey as a method of monitor of the quality of health care provision in the health institutions. The study aimed to assess the level of patient satisfaction with preoperative and postoperative surgical services and its associated factors. Study includes Experience of 17 questionnaires.

Methods: A total of 507 indoor patients were taken on a random basis full filing the inclusion and exclusion criteria, over a period of 1 year from December 2017 to January 2018. Firstly, we applied Cronbach's alpha to know the reliability of survey questionnaire, then we collected the final data. Association between two non-parametric variables was seen using Pearson’s chi-square test. A p value of less than 0.05 was taken as statistically significant. Data was analysed using SPSS 21.0.

Results: Patients with good satisfaction rates were 60.2%. We found that males are more satisfied then females with Pearson Chi-square value=8.033, df=1, p value=0.005. Patients with age of above 80 years and between age group of 21-40 years have comparatively lower satisfaction rates with Pearson Chi-square value=33.265, df=4, P value=0.000.

Conclusions: Assessing patients’ satisfaction rates can be a simple and cost effective technique for evaluating the services provided by health care providers and institutions and should be conducted periodically to detect carelessness and bring about overall improvement in the quality of care provided. This should be generalised and universally accepted.

 
A comparative study of functional outcome of treatment of intra-articular fractures of distal end radius fixed with external fixator vs. volar plate
Authors: Mahi Gagandeep , Yogi Lokesh Kumar
Published: August 2019

Background: Distal end radius fractures constitute 75% of all forearm fractures. Maintenance of the articular congruity is an ardent prerequisite for successful recovery, following distal end radius fractures. The available options include immobilization with plaster, external fixation, prefabricated splintage using ligamentotaxis, K-wire fixation, and open reduction internal fixation with various plates.  The aim of the study was to analyze and compare the functional outcome and possible complications associated with fixation of two different surgical modalities: External fixator and Volar Plate in the treatment of intra-articular fractures of distal end radius.

Methods: A prospective comparative study was conducted in 26 patients who were admitted and operated between September 2017 to September 2018 and had fulfilled the inclusion /exclusion criteria. They were allocated into 2 groups-group A and B, 13 patients each for external fixator and open reduction and internal fixation with volar T plate, respectively.

Results: The results were assessed using the modified Green O’ Brien Scoring. In Group-A of patients treated with External fixator we had 6 excellent, 3 good, 3 fair results and 1 poor results. Whereas in Group-B of ORIF with Volar plating we had 7 excellent, 3 good, 2 fair results and 1 poor results.

Conclusions: In our study, volar plate fixation showed superiority as it provides better long term functional outcome owing to more adequate restoration of radio-ulnar variance and distal end radius parameters.
Restoring stability in a neglected acetabular fracture with dual mobility total hip arthroplasty: a case report
Authors: Agarwala Sanjay , Mehmood Moin , Menon Aditya
Published: August 2019

Neglected acetabular fractures present with varied degrees of soft tissue and bone loss and distorted anatomy resulting in high hip centres. The basic principles of achieving stability and restoring motion are to augment the acetabular bone loss, prevent protrusio in the long term and use a prosthesis that prevents dislocation. We report a case of a 22 year old neglected acetabular fracture managed successfully with a femoral head autograft, anti protrusio cage and dual mobility total hip arthroplasty.
Failed shoulder stabilization procedure in the elderly: reverse shoulder replacement is the treatment ultimum
Authors: Narayanan Subramanian Kanthalu , Muthusamy Navaladi , Pauldhurai Vanaj Kumar
Published: August 2019

Shoulder instability, though often seen in younger individuals it can also occur in the elderly. Shoulder instability in the elderly is often missed and definitive management gets delayed. Treatment delay has a significant influence on the choice of surgical procedure and its functional outcome. We report a 77 year old female who presented with a missed anterior dislocation of the glenohumeral joint. She had undergone an open Latarjet procedure for shoulder instability eight months before her presentation. Considering her age, humeral head bone defects, rotator cuff tear and degenerative changes in the joint we opted for a Reverse Shoulder Replacement in her. The patient now has a pain free, stable and mobile shoulder joint. Her pre-operative Constant score was 11 which improved to 67 at 6 months follow up. Now after 12 months follow up, she has active flexion up to 150°, abduction- 90°, external rotation- 10°, internal rotation- 300 and extension- 50°. Reverse shoulder replacement is a viable treatment option for chronic locked shoulder dislocations with concomitant rotator cuff lesions. Though there is a concern about failure of the glenoid component due to bone defects, RSA is still preferable in elderly patients with low functional demand.
Improvisación teatral y consejería escolar
Authors: Henao Cárdenas María Mercedes
Published: August 2019

Cuando se piensa que dos disciplinas pudieran ser complementarias, se podría temer una invasión de las fronteras de acción de cada una de ellas. Sin embargo, tomando en perspectiva tal presunción, es posible que la retroalimentación entre las mismas brindara un mejor fruto al objetivo que cada una de ellas persigue.

La pregunta ¿Cómo aporta la improvisación teatral adaptada a la pedagogía en el trabajo del consejero escolar?, podría ser la puerta de ingreso a ésta nueva perspectiva de trabajo.
Wybrane determinanty aktywności zawodowej osób z niepełnosprawnością
Authors: Janocha Witold
Published: August 2019

O aktywności zawodowej osób niepełnosprawnych decyduje tak wiele czynników, iż trudno byłoby je wymienić. W niniejszym artykule zostaną wskazane dwa uwarunkowania, a mianowicie zasoby wewnętrzne osób niepełnosprawnych oraz postawy otoczenia. Zasoby, w które mogłyby i nawet powinny zostać wyposażone osoby niepełnosprawne na etapie dzieciństwa i młodości, mają kluczowe znaczenie w późniejszej ich aktywności społecznej i zawodowej. Nie mniejsze znaczenie mają zasoby czerpane z otoczenia, w którym osoby niepełnosprawne żyją, a które motywują lub zniechęcają do podejmowania trudu poszukiwania pracy.
Expediting Human Dignity in Social Work Practices
Authors: Szot Leon , Kalinowski Mirosław
Published: August 2019

The authors explore the complexities of human dignity, analyze human dignity as a concept and its position within the framework of today's social work practices. In this regard, the authors ponder upon diverse understanding of human dignity, including human dignity as a socio-legal value and its importance to social work in general and to other principal values relevant for social work. They examine the evolution of social work approaches towards human dignity while focusing on social work related international organizations and their national members' and partners' work to promote and uphold human dignity in delivery processes of social services.
Art Therapy in Social Work with Mentally ill People in Slovakia
Authors: Šuľová Michaela
Published: August 2019

The paper introduces the situation of mental health in Slovakia, as well as social services that focus on helping mentally ill people. Further it presents organizations offering art therapy education. It also describes the specific aspects of art therapy with mentally ill people as well as specific art therapy techniques focused on mentally ill people.
Zasada pomocniczości w promocji społecznych hospicjów w Polsce na podstawie badań własnych
Authors: Kalinowski Mirosław
Published: August 2019

Działalność ośrodków paliatywno-hospicyjnych w Polsce i w większości krajów wysoko rozwiniętych już od dekady ewoluuje w stronę wyspecjalizowanych placówek świadczących pomoc osobom w terminalnej fazie choroby nowotworowej. Stanowią one część systemu opieki zdrowotnej danego kraju, spełniając wszystkie kryteria zakładów opieki leczniczej. Zasada pomocniczości stanowi podstawę do promocji społecznych hospicjów, w znacznym stopniu korzystając z naturalnego kapitału inicjatyw obywatelskich i postaw prospołecznych. Wpływa ona również na usuwanie barier między zdrowymi i chorymi, a szczególnie umierającymi. Artykuł przedstawia wyniki badań własnych wśród osób stanowiących najbliższe otoczenie podopiecznych hospicjum. Respondenci wskazują na istniejące sposoby oddziaływania na środowisko społeczne, które mogą przyczynić się do dojrzałych postaw wobec cierpienia i śmierci – współpraca z różnorodnymi instytucjami, działalność naukowa i wydawnicza, edukacja w środkach masowego przekazu, wychowanie młodzieży szkolnej, a także promocja opieki paliatywnej.
Chrześcijańskie zagadnienia protologiczno-eschatologiczne wyrażone za pomocą pogańskich liter. Na podstawie centonu De Verbi Incarnatione
Authors: Piątek Mariusz
Published: August 2019

Artykuł prezentuje kwestie protologiczno-eschatologiczne w chrześcijańskim centonie De Verbi Incarnatione. Głównym jego celem jest ukazanie w jaki sposób centonista wykorzystał słowa Wergiliusza, ażeby stworzyć chrześcijańską teologię w swoim utworze. Czy użył tylko liter? Czy wykorzystał również kontekst z Eneidy, Bukolik i Georgik? W poszukiwaniu podobieństw i różnic pomiędzy De Verbi Incarnatione i poematami Wergiliusza przeanalizowane zostały kwestie z zakresu nauki o początku i czasach ostatecznych: stworzenie i rządy nad światem, istnienie szatana, zaistnienie grzechu, jego skutki oraz eschatologia w ogólności.

Centonista w swojej pracy wykorzystuje głównie warstwę leksykalną utworów Wergiliusza, w większości przypadków nie przejmując ich kontekstu. W centonie dostrzec można pewne podobieństwa między postaciami utworu chrześcijańskiego a tymi, które występują w twórczości najważniejszego poety epoki augustowskiej.
Wkład ks. Stanisława Bednarskiego SJ (1896-1942) do Polskiego Słownika Biograficznego
Authors: Cieślak Stanisław
Published: August 2019

Ks. Stanisław Bednarski SJ (1896-1942), jezuita z Prowincji Małopolskiej Towarzystwa Jezusowego, z entuzjazmem i energią przystąpił do realizacji podjętej przez prof. W. Konopczyńskiego wiekopomnej narodowej biografii – Polskiego Słownika Biograficznego (PSB). Bardzo szybko stał się jednym z jego najbardziej aktywnych współpracowników. 2 października 1937 r. został członkiem Komitetu Redakcyjnego PSB. Miał świadomość, że uczestniczy w tworzeniu trwałego pomnika kultury narodowej w postaci zbioru życiorysów ludzi różnych grup i zawodów, którzy na przestrzeni wieków przyczynili się do powstania gmachu kultury narodowej. Wybitnymi budowniczymi tego gmachu było także wielu jego współbraci zakonnych z Towarzystwa Jezusowego. W sześciu tomach PSB zamieścił 58 biogramów polskich jezuitów, którzy działali na ziemiach Rzeczypospolitej Obojga Narodów w XVII i XVIII wieku. W sposób rzeczowy, bezstronny i obiektywny przedstawił ich wkład do kultury narodowej. W biogramach wykorzystał bogaty materiał archiwalny zebrany przede wszystkim w centralnym Archiwum Towarzystwa Jezusowego w Valkenburgu (Holandia), Rzymie oraz Archiwum Prowincji Małopolskiej Towarzystwa Jezusowego w Krakowie. Niektóre z opracowanych przez niego biogramów zostały opublikowane w powojennych zeszytach PSB. Jego współpracę z PSB gwałtownie przerwał wybuch II wojny światowej. Ks. S. Bednarski zmarł na skutek szykan i wyczerpania, głodu i ciężkiej pracy 16 lipca 1942 roku w niemieckim obozie koncentracyjnym w Dachau k. Monachium.
Grzegorz Moczygęba OFM (1888-1951) – duszpasterz i publicysta franciszkański
Authors: Dąbrowski Marcin
Published: August 2019

Kiedy w okresie oświecenia zaczęła pojawiać się prasa nie tylko podająca informacje, ale propagująca określone treści, również Kościół katolicki, a w nim liczne organizacje, wykorzystywały słowo pisane do ewangelizacji i duszpasterstwa.

Artykuł przedstawia sylwetkę i działalność pisarską Grzegorza Moczygęby, franciszkanina, gorliwego duszpasterza Trzeciego Zakonu św. Franciszka. Przez 17 lat był członkiem prowincji św. Jadwigi z główną siedzibą we Wrocławiu, a po odrodzeniu w 1923 roku reformackiej prowincji Niepokalanego Poczęcia NMP zdecydował się do niej przejść. Poświęcał się pracy duszpasterskiej przede wszystkim na rzecz tercjarzy franciszkańskich, co miało wyraz także w jego licznych publikacjach. Przez kilka lat był także redaktorem czasopism wydawanych przez jego prowincję.

Krótka charakterystyka pism Grzegorza Moczygęby pokazuje jego dobrą znajomość teologii, kultury, polityki oraz orientację w dokonujących się przemianach społecznych. Rozmaite tematy, które poruszał w swoich pismach sprawiały, że z jego publikacji korzystali nie tylko tercjarze franciszkańscy, ale także wiele innych osób bardziej zainteresowanych życiem Kościoła i własnym rozwojem duchowym.
Materialne i niematerialne przejawy kultu św. Barbary w środowisku górniczym
Authors: Świtała-Trybek Dorota
Published: August 2019

Kult św. Barbary w środowisku zawodowym górników na przestrzeni ostatnich dwóch wieków przyjmował wiele zróżnicowanych form. Jego rozwój na Górnym Śląsku kształtował się od pierwszej połowy XIX stulecia i ma związek z intensywnym rozwojem przemysłu wydobywczego na tym obszarze. W artykule omówiono najbardziej charakterystyczne materialne i niematerialne przejawy czci oddawane św. Barbarze. Wspomniano o kościołach i kaplicach pod jej wezwaniem, obrazach i figurach przedstawiających patronkę górników w obiektach sakralnych oraz w rodzinach górniczych, modlitwach, a także o obchodzeniu 4 grudnia święta patronalnego i jednocześnie zawodowego, tzw. Barbórki, która (jako element tradycji górniczych, pielęgnowana w kolejnych pokoleniach górników) została w 2018 roku wpisana na krajową Listę Niematerialnego Dziedzictwa Kulturowego. W ostatnim czasie można zauważyć nowe praktyki wśród górników, np. wykonywanie tatuaży przedstawiających św. Barbarę.
Relação da Estrutura de Capital e do Valor Econômico Agregado no Desempenho Econômico em Empresas Industriais Brasileiras e Chilenas
Authors: Leite Maurício , Silva Tarcísio Pedro da
Published: August 2019

O estudo analisou a relação da Estrutura de Capital e do valor econômico agregado no desempenho econômico em empresas industriais brasileiras e chilenas. Realizou-se uma pesquisa descritiva, documental e quantitativa. A população compreendeu as empresas de Capital aberto do setor industrial ativas no sítio da Thomson One BankerTM no período de 2009 a 2013. A amostra foi composta por 127 empresas, sendo 82 empresas brasileiras e 45 chilenas. Os resultados encontrados evidenciam que a maior participação de Capital de terceiros na Estrutura de Capital das empresas brasileiras e chilenas possui alta relação negativa com o desempenho econômico das organizações analisadas. O valor econômico agregado apresentou baixa relação negativa com o desempenho econômico das empresas brasileiras e baixa relação positiva com o desempenho econômico das empresas chilenas.
Proteção social e povos indígenas na Colômbia e no Brasil: tensões entre cidadania e autodeterminação
Authors: Figueroa Isabela , Rabassa de Silva Vini
Published: August 2019

O artigo problematiza a aplicação de políticas de combate à pobreza para população indígena no Brasil e na Colômbia. Evidencia que os programas sociais não atendem substantivamente ao direito de autodeterminação dos povos destinatários. Por fim, indica a importância de aprofundamento sobre a contradição inerente as políticas sociais propostas por um sistema socioeconômico que diverge essencialmente do modo de produção, organização e reprodução social dos povos indígenas.