bluuebunny/crossref_metadata_2025 huggingface dataset:
Financiarisation et classes sociales : introduction au dossier
Authors: Lemoine Benjamin , Ravelli Quentin
Published: January 2018

La financiarisation, en fractionnant le salariat, en généralisant l'endettement et en laissant à penser que la propriété s’était universalisée, a modifié les rapports entre groupes sociaux, transformé les formes de conflits, ainsi que les modes de représentation politique. L’objectif de cette introduction est de suggérer, à partir d’enquêtes empiriques, des pistes de réflexion sur ce que fait la financiarisation aux modes de division du monde social. L’analyse de la société en termes de classes antagonistes, longtemps centrale en sciences humaines, s’est estompée. Or, depuis la crise économique, la question de la dette – sa marchandisation par le capital financier tout comme les formes d’ascension sociale ou de surendettement populaire qu’elle engendre – ravive le vieux problème de la définition des classes sociales et permet de comprendre comment les rapports entre les classes ont évolué sous l’action du capital financier. Il s’agit d’analyser les dynamiques de formation des groupes sociaux mais aussi les jeux de consolidation et de déstabilisation de ces groupes. Mais cet exercice réflexif sur les catégories en jeu s’accompagne, dans le même mouvement, d’une visée descriptive réaliste, c’est-à-dire capable de distinguer les degrés de réalité pris par tel ou tel groupe, d’évaluer les asymétries, et d’analyser les rapports de force entre groupes et catégories sociales. Les conditions d’existence des populations, brouillées par le recours massif au crédit dans de nombreux pays, ont largement été transformées par la financiarisation de l’économie. Celle-ci donne une consistance, temporaire et fragile, à l’idéal politique – porté notamment par les gouvernements successifs de centre-gauche et de centre-droite – d’une société sans classes, dont l’un des centres de gravité serait la petite propriété et la classe moyenne étendue à tout le corps social.
Orthodoxie, hétérodoxies et capitalismes contemporains
Authors: Boyer Robert
Published: January 2018

Cet article analyse l’histoire des relations entre théories, idéologies et politiques économiques depuis l’entre-deux-guerres. Il examine comment ces trois composantes peuvent définir une orthodoxie partagée entre les champs économique et politique. On considére deux de ces configurations : l’interventionnisme keynésien et le laisser-faire revendiqué par le néolibéralisme. L’articulation au politique est cruciale, car aucune politique économique ne dérive mécaniquement d’une théorie ; elle est toujours l’expression d’un compromis sociopolitique qui varie dans le temps et l’espace. La résilience du néolibéralisme s’explique par l’abandon d’une théorie à vocation générale, qui s’est révélée erronée, au profit de techniques de gouvernement issues de l’économie appliquée. Les diverses hétérodoxies (keynésienne, schumpétérienne, marxiste, institutionnaliste, écologiste) luttent séparément pour conquérir l’hégémonie, alors qu’elles devraient chercher à définir les bases communes d’une alternative. Le passé n’éclaire pas complètement le futur car la crise ouverte en 2008, à la fois répétition du passé et novation, marque les limites de la rénovation de la discipline par sa mathématisation et appelle une rupture épistémologique, en réponse aux transformations des capitalismes contemporains.
Cesarean Section: A Storm in a Cup???
Authors: Malhotra Narendra , Tank Jaydeep , Shah Niranjan
Published: January 2018

How to cite this article: Shah N, Malhotra N, Malhotra J, Garg R, Tank J, Malhotra N.. Cesarean Section: A Storm in a Cup??? J South Asian Feder Obst Gynae 2017;9(4):291-296.
Oral Allylestrenol: A Pregnancy-supporting Progestogen
Authors: Malhotra Narendra , Garg Ruchika
Published: January 2018

Allylestrenol is a synthetic progestogen that has been in therapeutic use in the management of mild to severe cases of certain obstetric complications, like selected forms of miscarriage/abortion, threatened preterm labor, intrauterine growth restriction (IUGR), and gestational hypertension. Natural progesterone may be used for treatment; however, it has the property of being rapidly metabolized in the liver besides having little or no oral activity. While there are many other synthetic and orally administrable progesterone analogs in the market, most of them, which are 19-nortestosterone derivatives, possess various undesirable side effects like symptoms of intolerance and a tendency to virilization. Allylestrenol, despite being a 19-nortestosterone derivative, has no known side effects including those attributed to the other members of its class, which is theorized to be due to subtle differences in its chemical structure, giving it a unique mechanism of action consisting of a triple effect—trophoblastic, placentotropic, and β2-adrenergic. The present review is mainly aimed at understanding the whys and wherefores behind the molecule's moderate efficacy and remarkable safety along with examining the data from various studies.

How to cite this article

Malhotra N, Garg R, Malhotra N, Malhotra J. Oral Allylestrenol: A Pregnancy-supporting Progestogen. J South Asian Feder Obst Gynae 2017;9(4):297-303.
Single Nucleotide Polymorphisms in CD14 and Toll-like Receptor 4 Genes in Patients with Polycystic Ovarian Syndrome
Authors: Rozati Roya , Allauddin Nazima
Published: January 2018

Introduction

Polycystic ovary syndrome (PCOS) is a complex disease having genetic, immunologic, and environmental components, and candidate genes on innate immunity have been hypothesized to be involved in its etiology. We examined the possible association of CD14 and toll-like receptor 4 (TLR4) polymorphisms with PCOS.

Materials and methods

A total of 219 women with PCOS and 272 healthy women were recruited in the study. Their samples were genotyped for the polymorphism of CD14 and TLR4 genes.

Results

The distributions of genotypes of both polymorphisms were found to be significant in women with PCOS compared with controls. The distributions of alleles were also found to be predominant in PCOS compared with controls.

Conclusion

Polymorphisms in CD14-159C>T and TLR4-299A>G significantly increased susceptibility to PCOS. Further studies with larger sample sizes are warranted to confirm these findings.

How to cite this article

Allauddin N, Rozati R. Single Nucleotide Polymorphisms in CD14 and Toll-like Receptor 4 Genes in Patients with Polycystic Ovarian Syndrome. J South Asian Feder Obst Gynae 2017;9(4):304-307.
Outcome of Pregnancy with History of Previous Cesarean Section
Authors: DSouza Reena J , Narayani Bandeppa H , Rao Smitha B
Published: January 2018

In modern obstetric practice, pregnancy with history of previous cesarean section is quite common. A cesarean section poses some documented risks to the mother's health in subsequent pregnancies like placenta previa or accreta and uterine scar rupture. It is also associated with increased likelihood of preterm delivery, low birth weight, and perinatal death. Repeat cesarean section is technically difficult and there is chance of injury to surrounding structures. The retrospective study was done in Yenepoya Medical College Hospital during the period of January 2014 to January 2015 to find out the maternal antepartum and intrapartum complications as well as perinatal outcome in patients with a history of cesarean section. A total number of 143 pregnant patients with history of one or more cesarean section who underwent repeat cesarean sections were included. Previous classical cesarean, extreme prematurity, and those who opted for vaginal birth after cesarean (VBAC) were excluded. Mean age of the study population was 27.4 years. Here, 72.12 and 20.98% cases had history of previous one and two cesarean sections respectively. Important antepartum complications were placenta previa (3.50%), scar tenderness (8.39%), gestational diabetes mellitus (GDM; 4.90%), pregnancy-induced hypertension (PIH; 6.99%), etc. There were extensive peritoneal and bladder adhesions in 13.99 and 16.78% cases respectively, causing much preoperative difficulties and in one case urinary bladder was injured during operation. Postoperative period was uneventful in 72.72% cases. In this study, 20.28% neonates developed some complications like prematurity, low birth weight, birth asphyxia, and neonatal jaundice. Here the rate of perinatal mortality was 1.4%.

How to cite this article

DSouza RJ, Narayani BH, Rao SB. Outcome of Pregnancy with History of Previous Cesarean Section. J South Asian Feder Obst Gynae 2017;9(4):308-311.
Respiratory Morbidity in Term Infants delivered by Elective Cesarean Section at a Tertiary Care Hospital in India: A Randomized Controlled Trial
Authors: Roy Priyankur , Jeyaseelan Lakshmanan , Ruby Jose
Published: January 2018

Objectives

(1) To investigate the association between term elective cesarean sections and neonatal respiratory morbidity and the importance of timing of the cesarean. (2) To assess the maternal morbidity when emergency lower segment cesarean section (LSCS) was required.

Participants

All women with singleton term (37—41 + 6 weeks) pregnancies and planned for elective cesarean section in Christian Medical College, Vellore, India.

Outcome measures

The primary outcome measures were neonatal morbidities such as transient tachypnea of newborn (TTN) and respiratory distress syndrome (RDS). The secondary outcome measures were emergency cesarean section and maternal morbidities such as scar dehiscence, urinary tract infection (UTI), endometritis, peritonitis, and hemoperitoneum in the mother.

Results

The percentage of TTN in the infants in group I was 1.3% while there were none in group II. No infants were diagnosed to have RDS. Out of the 150 women who were planned for elective cesarean section, 55 women underwent emergency cesarean section. Among this, 19 (25.3%) of women were from group I as compared with 36 (48.0%) in group II. The difference in proportion between the two groups was –22.7 [95% confidence interval (CI): –37.7, –7.7], which was statistically significant (p < 0.01). The incidence of scar dehiscence, UTI, endometritis, and hemoperitoneum in the mothers of group II was marginally higher than that in the mothers of group I. There was one woman with peritonitis in group I while none was reported in the other group. All the maternal morbidities occurred to women who underwent emergency cesarean section. Out of the 19 women in group I and 36 women in group II who underwent emergency cesarean section, 1 (5.3%) and 6 (16.7%) women had morbidities.

Conclusion

Women requiring elective cesarean section can safely be done between 37 and 39 weeks with no further significant increase in the rates of neonatal morbidity such as TTN and RDS.

How to cite this article

Roy P, Jeyaseelan L, Ruby J, Garg R. Respiratory Morbidity in Term Infants delivered by Elective Cesarean Section at a Tertiary Care Hospital in India: A Randomized Controlled Trial. J South Asian Feder Obst Gynae 2017;9(4):312-317.
Maternal and Perinatal Outcome of Wilson Disease in Pregnancy: A 5-year Experience at a Tertiary Care Center
Authors: Vishnupriya KMN , Sheela Chikkapura Nagaraja Rao , Thayumanasundaram Mahalakshmi
Published: January 2018

Introduction

Wilson disease is a very rare inherited autosomal recessive disorder, with an incidence of 1 in 30,000 live births, associated with impaired copper metabolism leading to decreased biliary excretion and accumulation of copper in the liver and brain. Patients may be asymptomatic or might present with fulminant liver disease or neuropsychiatric illness. Untreated Wilson disease is related to infertility/subfertility/recurrent pregnancy loss.

Aim

To study the maternal and perinatal outcomes of Wilson disease in pregnancy.

Materials and methods

It is a retrospective observational study carried out in the Department of Obstetrics and Gynecology, St. John's Medical College Hospital, Bengaluru, India, between November 2010 and November 2015. Five patients with Wilson disease were identified during the study period. Pregnancy outcome was good in all these five women who were on regular treatment.

Conclusion

Patients with Wilson disease who receive regular treatment and who remain asymptomatic and conceive normally have favorable pregnancy outcomes. They merit regular surveillance and active management in higher centers with multidisciplinary approach involving gastroenterologists, obstetricians, neurologists, and intensivists.

How to cite this article

Vishnupriya KMN, Sheela CNR, Thayumanasundaram M. Maternal and Perinatal Outcome of Wilson Disease in Pregnancy: A 5-year Experience at a Tertiary Care Center. J South Asian Feder Obst Gynae 2017;9(4):318-322.
Risk Factors, Maternal and Neonatal Outcome in Umbilical Cord Prolapse in South Indian Population
Authors: Hembram Madhusmita , Sagili Haritha
Published: January 2018

Objective

To assess associated risk factors, maternal and neonatal outcome of pregnancies complicated by umbilical cord prolapse in South Indian population.

Study design

It was a descriptive study. Risk factors, maternal and neonatal outcome were noted down retrospectively from case records of mothers affected by umbilical cord prolapse from April 2014 to March 2016.

Results

There were 39 cases of umbilical cord prolapse in 2 years. The incidence of umbilical cord prolapse in our hospital was 0.1%. Most of the women were ≤ 25 years of age (72%). Primis were 56%. Most common presentation in umbilical cord prolapse was cephalic presentation (64%). Among the affected individuals, 82% had term gestation, 79% had higher presenting part, and 87% had spontaneous rupture of membranes. Babies were delivered by lower segment cesarean section (LSCS) in 95% and birth weight was ≥2.5 kg in 67% of cases with umbilical cord prolapse. Decision to delivery interval (DDI) was ≤30 minutes in 84% of cases. APGAR score was ≥7 at 1 minute in 65% and ≥7 at 5 minutes in 83% of cases. There were 15 neonatal intensive care unit (NICU) admissions and 2 stillbirths. Most common gender was male (75%).

Conclusion

In our study, maternal risk factors were different from traditional risk factors in relation to age, parity, period of gestation, presentation, and birth weight. But, station of presenting part, early dilatation of cervix at diagnosis, and male gender predominance were similar to traditional risk factors. Neonatal outcome was good in our study with no birth injuries. All cases should be monitored properly to reduce the occurrence of umbilical cord prolapse even in low-risk population. Early detection and intervention is required for good neonatal outcome. Umbilical cord prolapse should be managed by an expert obstetrician.

How to cite this article

Hembram M, Sagili H. Risk Factors, Maternal and Neonatal Outcome in Umbilical Cord Prolapse in South Indian Population. J South Asian Feder Obst Gynae 2017;9(4):323-326.
Awareness and Acceptance of Contraception in Postpartum Women in Our Tertiary Hospital in Central India
Authors: Sahu Bharti , Tiwari Priyadarshani , Uikey Vidhi , Badkur Poorva
Published: January 2018

Introduction

Contraception is an important intervention to reduce unwanted pregnancy and promote healthy and better living among women. As the population continues to rise, there will be overcrowding, a limiting of resources, and the quality of life will decline. India, as the first country in the world, initiated the National Family Planning program in the year 1951 with the objective of “reducing the birth rate to the extent necessary to stabilize the population at a level consistent with requirement of national economy.”

Objectives

(1) To study awareness, acceptance, and preferred method of contraception among postpartum women. (2) To identify the reasons for rejection of contraceptive methods. (3) To contribute to the development of knowledge in the area of family planning.

Materials and methods

The study is a community-based cross-sectional observational study. The study was conducted among postpartum women in reproductive age group who delivered in our hospital in the Department of Obstetrics and Gynecology of Netaji Subhash Chandra Bose Medical College & Hospital, Jabalpur, Madhya Pradesh, India. A total of 480 married women were interviewed in the local language using a pretested questionnaire. Their level of awareness, acceptance, and reason for acceptance/refusal was assessed.

Results

A total of 65.2% of women were aware of at least one method of contraception; 73.9% women were using a contraceptive at the time of study; 34.8% women were unaware of any health care facility providing contraceptives in the vicinity. Maximum number of women preferred intrauterine contraceptive device (IUCD; 38.8%) as their first choice. Knowledge and practice of emergency contraceptive was very low. Main reason for nonacceptance of contraceptive was lack of knowledge and fear of side effects. Health professionals were the main source of knowledge.

Conclusion

There is till date lack of awareness of contraception in some postpartum women. Regular counseling is a must to all pregnant women from every health care center in a village to superspeciality centers in cities. Information should be provided about various methods of contraception and patient should be able to choose a method of her choice.

How to cite this article

Sahu B, Tiwari P, Uikey V, Badkur P. Awareness and Acceptance of Contraception in Postpartum Women in Our Tertiary Hospital in Central India. J South Asian Feder Obst Gynae 2017;9(4):327-330.
Sonographic Folliculometry and Endometrial Echocomplex as an Evidence of Ovulation in Infertility Cases
Authors: Sinha Mridu , Katiyar Sphurti , Arya Shashi B , Goel Jai K
Published: January 2018

Objectives

To study the diagnostic accuracy of folliculometry and endometrial echo complex as an evidence of ovulation in infertility.

Materials and methods

This clinical study was conducted on 100 infertile women. The women were subjected to follicular monitoring by transvaginal sonography (TVS) from cycle day 8 or 10 of menstruation with 7.5 MHz vaginal probe of Siemens ultrasound machine. Evidence of follicular growth, ovulation, and morphology of endometrial echo complex with its thickness was noted. Endometrial biopsy was performed premenstrually as a day care procedure after excluding pregnancy.

Results

Out of 100 women, 81 cases were with evidence of ovulation on TVS and 68 were confirmed on histopathology. All the studied patients were also evaluated for endometrial thickness on the day of ovulation, echo complex of endometrium suggestive of ovulation was seen in 64 cases, out of these 59 cases were confirmed on histopathology. On histopathological study of 100 cases, we found 69 cases with secretory endometrium, 18 with proliferative endometrium, 10 patients with endometritis, one each with luteal phase defect, irregular shedding of endometrium, and hormonal imbalance.

Conclusion

We found folliculometry predicted ovulation 86% accurately with a specificity of 58.60% and sensitivity of 98.55%. Similarly, appearance of endometrium predicted ovulation 85% accurately with a specificity of 83.80% and sensitivity of 85.50%. Thus, TVS has undeniable advantages in terms of cost, time, acceptability, risk, convenience, and could easily diagnose signs of ovulation in cases of infertility. The TVS has quintessential role as the first diagnostic modality in patients presenting with infertility.

How to cite this article

Katiyar S, Arya SB, Goel JK, Sinha M. Sonographic Folliculometry and Endometrial Echocomplex as an Evidence of Ovulation in Infertility Cases. J South Asian Feder Obst Gynae 2017;9(4):331-335.
To Study the Effect on Fertility Outcome by Gonadotropins vs Laparoscopic Ovarian Drilling in Clomiphene-resistant Cases of Polycystic Ovarian Syndrome
Authors: Jain Meenal , Yadav Poonam , Awasthi Sarvesh , Raj Pallavi
Published: January 2018

Introduction

The polycystic ovary syndrome (PCOS) is the most common condition associated with chronic anovulation affecting 4 to 6% of reproductive age women.

Aim

To compare the effectiveness of laparoscopic ovarian drilling (LOD) for ovulation induction with gonadotropins in clomiphene-resistant PCOS in terms of ovulation, pregnancy, live birth, abortion, multiple pregnancies, and complication like ovarian hyperstimulation syndrome (OHSS).

Setting and design

A prospective hospital-based randomized trial.

Materials and methods

It was a prospective study, which was carried out from January 2012 to May 2015. Totally, 89 women were evaluated in the study, out of which 44 women were in gonadotropin group and 45 were in LOD group.

Statistical analysis

Standard statistical analysis was done and significance of difference in results was tested by chi-square test.

Results

Ovulation rate in gonadotropin group was 75.0% at 6 months, whereas in LOD group, it was 20% at 3 months and was increased up to 66.66% after addition of clomiphene citrate and gonadotropin. The primary outcome in terms of pregnancy in gonadotropin group was 45.45% after 6 cycles and in LOD group was 11.11% after 3 cycles and 40.00% after 6 cycles with supplementation of clomiphene citrate and gonadotropin.

Conclusion

The ongoing pregnancy rate from ovulation induction with LOD alone was significantly less but if supplemented by clomiphene citrate and gonadotropin, it seems equivalent to ovulation induction with gonadotropin, but the former procedure carries a lower risk of multiple pregnancies.

How to cite this article

Yadav P, Singh S, Singh R, Jain M, Awasthi S, Raj P. To Study the Effect on Fertility Outcome by Gonadotropins vs Laparoscopic Ovarian Drilling in Clomiphene-resistant Cases of Polycystic Ovarian Syndrome. J South Asian Feder Obst Gynae 2017;9(4):336-340.
Study on the Prevalence and Characteristics of Metabolic Syndrome in Women of Reproductive Age Group with Polycystic Ovarian Syndrome
Authors: Madusudhanan Rekha R , Nambisan Bindu , Brahmanandan Mayadevi , Radha Sreekumari
Published: January 2018

Introduction

Polycystic ovarian syndrome (PCOS) is an endocrine disorder affecting all age groups and presenting with myriad problems like menstrual irregularities, hirsutism, anovulatory infertility, and long-term complications like diabetes, cardiovascular problems, etc.

Aim

Study was aimed at finding the prevalence, characteristics, and various risk factors of metabolic syndrome (MS) in reproductive age group in our hospital.

Materials and methods

Using statistical table, a sample size of 131 was calculated and patients were recruited as per inclusion criteria. Polycystic ovarian syndrome was diagnosed by the American Society for Reproductive Medicine (ASRM)/European Society of Human Reproduction and Embryology (ESHRE) criteria. After informed consent, a detailed history was obtained and physical examination was carried out to assess, body weight, height, body mass index (BMI), waist—hip ratio (WHR), and blood pressure (BP). Fasting blood glucose, triglycerides, and high-density lipoprotein (HDL) were measured for each woman

Results

Prevalence of MS in our study was 45.8%; 26.7% of patients had a combination of increased waist circumference, raised triglycerides, and low HDL; 55.2% of patients had a fasting blood sugar (FBS) levels more than 100 mg%. Age of the patient was a statistically significant risk factor of MS with 100% of patients in the age group of 35 to 39 presenting with MC. Body mass index was also a statistically significant risk factor with 82.6% with BMI > 30 having MC. Other important risk factors include a WHR more than 0.95, presence of diabetes in mother or sister, and presence of acanthosis; 71% of patients with WHR more than 0.95 had MC. Age of menarche, duration of menstrual cycles, and hirsutism showed no significant relationship.

Conclusion

An outstanding fact that emerged in this study was that 94% of women with PCOS had HDL values <50 mg/dL. And 58% had triglycerides more than 150 mg/dL. Hence, lifestyle modification and early intervention will hopefully spare long-term complication of PCOS.

How to cite this article

Madusudhanan RR, Nambisan B, Brahmanandan M, Radha S. Study on the Prevalence and Characteristics of Metabolic Syndrome in Women of Reproductive Age Group with Polycystic Ovarian Syndrome. J South Asian Feder Obst Gynae 2017;9(4):341-347.
A Study on Challenges faced by Mothers and the Coping Strategies adopted by them during the Postpartum Period
Authors: Nayak Sabitha , Shetty Prasanna K
Published: January 2018

Postnatal period begins immediately after the birth of the newborn and extends up to 6 weeks. It is significant for the mother, for the baby, and for the family as it is a time of physiological adjustment for the mother and the baby and emotional and social adjustment for all involved in the care. A descriptive study was conducted among 500 mothers on challenges faced by mothers and the coping strategies adopted by them during the postpartum period at Justice K.S. Hegde Hospital, Mangaluru, Karnataka, India, by purposive sampling, and the study results indicated that almost all the mothers had a good adaptation toward motherhood.

How to cite this article

Nayak S, Shetty PK. A Study on Challenges faced by Mothers and the Coping Strategies adopted by them during the Postpartum Period. J South Asian Feder Obst Gynae 2017;9(4):348-355.
Successful Conservative Management of a Case of Cervical Ectopic Pregnancy complicated with Preexisting Cardiomyopathy
Authors: Raza Naimah , PaiDhungat Nitin P
Published: January 2018

Background

Cervical ectopic pregnancies account for less than 1% of all pregnancies. It may present with abnormal and occasionally heavy bleeding.

Aim

To understand the challenges associated with management of cervical ectopic pregnancies and learn to individualize the available treatment modalities for a successful outcome.

Case report

A 42-year-old woman, G6P2L2MTP3 with amenorrhea of 2 months, was diagnosed with cervical ectopic pregnancy of 9 weeks on ultrasonography. She was a known case of dilated cardiomyopathy with type II diastolic dysfunction and an ejection fraction of 25%. The patient was given systemic methotrexate followed by intra-amniotic methotrexate and fetal intracardiac potassium chloride. She was followed up with serial β-human chorionic gonadotropin (hCG) reports. However, she developed abdominal pain with bleeding per vaginum and ultrasonography suggestive of a hematoma. The patient was then taken up for a bilateral uterine artery embolization followed by an immediate suction evacuation. The products of conception sent for histopathology confirmed the microscopic diagnosis of cervical pregnancy.

Conclusion

It is a challenging clinical situation to diagnose and manage. It needs to be diagnosed early, and management needs to be individualized.

Clinical significance

Even with advanced diagnostic modalities and reduction in current mortality rates, cervical pregnancy remains a life-threatening condition. It is of utmost importance to be thorough with the emerging trends in its management, as it comes with the promise of being unpredictably catastrophic.

How to cite this article

Raza N, PaiDhungat NP. Successful Conservative Management of a Case of Cervical Ectopic Pregnancy complicated with Preexisting Cardiomyopathy. J South Asian Feder Obst Gynae 2017;9(4):356-359.
A Rare Case of Twin Gestation with Sirenomelia and a coexisting Normal Fetus
Authors: Arora Garima , Bagga Gaurav R , Nandu Vipul V
Published: January 2018

Sirenomelia is a rare anomaly of caudal region of the body presented with fusion of lower limbs, in which genitourinary, gastrointestinal, cardiovascular, and neural tube anomalies are found in most cases. It is a very rare disorder with prevalence of 1 in 100,000 live births with a total of 300 cases reported till today in which 9 are from India. The precise etiology of sirenomelia was not well understood. Many theories have been proposed but none of these is considered definitive. Most of the times, the condition is fatal for the baby, even after surgery, and it is much more common in identical twins. This rare case in identical twins with one surviving fetus and other having fused foot with multiple congenital anomalies such as undetermined sex and renal agenesis is being reported.

How to cite this article

Arora G, Bagga GR, Nandu VV. A Rare Case of Twin Gestation with Sirenomelia and a coexisting Normal Fetus. J South Asian Feder Obst Gynae 2017;9(4):360-362.
An Unusual Case of Severe Preeclampsia in the Postpartum Period with Hemoperitoneum
Authors: Loh Michelle , Kathirvel Rajeswari
Published: January 2018

Background

HELLP syndrome, consisting of hemolysis, elevated liver enzymes, and low platelet count, is a rare complication of occurring in 10 to 20% of women with severe preeclampsia and in 0.2 to 0.6% of total pregnancies. Delivery is the only definitive treatment, with maternal condition usually improving in the postpartum period.

Hemoperitoneum in a woman with preeclampsia is very rare, usually secondary to hepatic hematoma with rupture. While the prevalence of intrahepatic hematoma in these women has been reported to be as high as 39%, capsular rupture is rare, occurring up to 12% in women with capsular hematoma, carrying with it high mortality for both the mother and fetus.

Aim

We report an unusual case of hemoperitoneum secondary to liver hematoma in severe preeclampsia in the postpartum period that was conservatively managed leading to good maternal outcome.

Case report

We report a case of postpartum onset of severe preeclampsia in a 25-year-old woman complicated by hepatic dysfunction with coagulopathy and hemoperitoneum. This was secondary to a contained subcapsular hematoma and was conservatively managed resulting in a good outcome.

Conclusion

Prompt recognition with careful clinical examination, laboratory investigations and imaging, supportive treatment, and early fetal delivery remain the cornerstone in the management. Although reaching the diagnosis was initially challenging in our case study, both mother and baby had a good outcome with an appropriate supportive treatment.

Clinical significance

Most cases with liver hematomas may lead to hepatic rupture with hemodynamic instability, necessitating an aggressive operative approach. However, conservative management with close monitoring of hemodynamic status can be undertaken if the patient is hemodynamically stable with good outcome, as illustrated in this case.

How to cite this article

Loh M, Kathirvel R. An Unusual Case of Severe Preeclampsia in the Postpartum Period with Hemoperitoneum. J South Asian Feder Obst Gynae 2017;9(4):363-366.
The Playing Method "ASYIK" Based on Multiple Intelligence in Learning Science Process at The Early Childhood Education Program (PAUD) Age 5-6 Years
Authors: Watini Sri , Efendy Hady
Published: January 2018

Playing is a joyful activity and an inherent need for children so that children may learn many skills in pleasure without any pressure. Trough play, children will be well prepared for their environment and be ready on their next educational levels. Children’s intelligence is not only determined by a single score based on an intelligence test which measures the verbal, linguistic, and logical mathematical competence. Children also have an intelligence which is called multiple intelligences. This research held in order to apply play model "ASYIK" based on the multiple intelligences theory in science learning process for early childhood ages between 5-6 years old at Bekasi (South Bekasi, North Bekasi, East Bekasi and Musika Jaya). The location of this research was in several early childhood institutions, they are; PAUD An-Nursyihab Tambun, PAUD Al-Ikhlas Mustika Jaya, PAUD El-Kasysyaf Kayuringin Jaya and PAUD Cempaka Pekayon. This research held in almost 10 months from February until November 2014. The R&D Method was used for this research. It contains of 3 stages: method pre-development, method development and method application. This research concluded that none of the early childhood institution was using ASYIK method, especially in Bekasi. That's why this method became the newest innovation of science learning process in the early childhood institution.
Clinical judgment among nursing interns
Authors: Ibrahim Azza Fathi , Aly Azza Anwar
Published: January 2018

Clinical judgment (CJ) is considered a vital and crucial ability for nurses that can help them to improve their practical or clinical capabilities, particularly in the internship period. Nursing interns pass through a transient period with significant job responsibilities. They face multifaceted issues, dilemmas, and problems that oblige them to use CJ skills. CJ is a talent and clever skill which should be acquired by nursing interns. The current study is a quantitative study that aims to determine CJ knowledge and skills among nursing interns in nursing practice. A descriptive exploratory design was used. A systematic random sample of 150 nursing interns out of 305 was selected and assigned as a survey group. The data was collected in internship training hospitals in Damanhur, Egypt (Damanhur Medical National Institute, El Raee El Saleh, El Farok and Kafer El Dawar Hospitals). One tool was used for data collection, the Clinical Judgment Evaluation Sheet (CJES), which included two parts. The first part was the Clinical Judgment Knowledge Test that was developed by the researchers to collect the necessary data regarding the CJ knowledge needs of nursing interns. The Lasater Clinical Judgment Rubric (LCJR) 2009 was the second part. It was developed based on Tanner’s work in 2006 and included eleven skills in the four phases delineated with CJ developmental skills (noticing, interpreting, responding, and reflecting). Results revealed that the nursing interns have a serious lack of knowledge about the concept of CJ in nursing practice. Additionally, they have a great deficiency in the knowledge about all phases of the CJ process in nursing practice. As well, they suffered from observed insufficiently CJ skills in the nursing practice, respectfully. These findings confirmed that the nursing interns in Damanhur governorate have necessitated to an educational program about CJ knowledge skills. In conclusion, there is an obvious and serious lack of nursing interns’ CJ knowledge and skills in nursing practice in Egypt. Therefore, CJ teaching programs or self-learning references are important for them for developing and improving CJ knowledge and skills. Nurse educators and preceptors should take initiative steps in developing teaching sessions, models, and instructional aides to empower their nursing intern’s students in CJ practice.
Malignant peripheral ameloblastoma arising from the gingiva: A case report
Authors: Saleh Jasmine , Malone Laura , Papadimitriou John C.
Published: January 2018

Ameloblastomas account for 9%-11% of all odontogenic tumors and usually arise from the mandible. Peripherally arising ameloblastomas are exceedingly rare, comprising 1%-2% of all ameloblastomas. We present a case of peripheral ameloblastoma with malignant differentiation in a 72-year-old male patient. The patient underwent a biopsy of the left palatoglossal fold, and histological examination of the specimen demonstrated a well differentiated squamous cell carcinoma in situ with at least superficially invasive growth and features suggestive of peripheral ameloblastic carcinoma. The patient chose radiation therapy as opposed to surgical excision.
Common variables found among students who were unsuccessful on the NCLEX-RN® in a baccalaureate nursing program
Authors: Domiano Lindsay
Published: January 2018

Schools of nursing (SON) must meet the challenges of producing safe, competent practitioners. Educators are constantly trying to identify predictors of program completion and National Council Licensure Examination–Registered Nurses (NCLEX-RN®) success, as well as variables that put students at risk for failure. The purpose of this study was to determine common variables among students from a baccalaureate-nursing program who were unsuccessful in the nursing program or on the NCLEX-RN®. This cross sectional research study utilized a retrospective correlational design to discover the relationships between independent variables of degree and cumulative GPAs, specific courses repeated, number of repeated courses and whether the student had full-time or part-time clinical faculty members and the independent variables program non-completion and NCLEX-RN® failure. The theoretical underpinning that guided this study was Bandura’s Social-Cognitive Theory of Self-Efficacy. Data analyses were conducted using a series of crosstabulations with chi-square analysis and t-tests. The research questions were investigated using binary logistic regressions. The relationship between repeated chemistry courses and NCLEX-RN® examination success was significant. Relationships between repeated English, math, chemistry and other science courses and nursing program failure were significant. Cumulative GPAs were significantly lower for all groups analyzed. Two binary logistic regression analyses were conducted to determine variables that would predict students who failed to complete the program or failed the NCLEX-RN®. Overall both models were significant. Results may be utilized to modify admission requirements and admit students that have a higher probability of being successful in the nursing program and on the NCLEX-RN®.
The predictive value of two on-site selection methods of undergraduate nursing students: A cohort study
Authors: Talman Kirsi , Hupli Maija , Puukka Pauli , Leino-Kilpi Helena , Haavisto Elina
Published: January 2018

Nursing programs aim to select students who will succeed in theoretical studies and in clinical practice, and who are suitable for the profession. Recent literature has suggested an assessment of cognitive and non-cognitive skills in nursing student selection. The aim of this study is to compare the predictive value of two on-site selection methods used in nursing student selection, namely, psychological aptitude tests and literature-based exams. A cohort study was conducted. Students admitted to four undergraduate Bachelor of Science nursing programs at one Finnish nursing school between 2002 and 2004 (N = 626) were allocated into two cohorts based on the on-site selection method. Follow-up data was collected at two measurement points (May 2004–May 2009). The multimethod data collection included the use of admission archives (entrance exam scores), study records (study success) and a structured self-report questionnaire (knowledge and skills). Statistical data analysis was undertaken. According to the results, the two on-site selection methods produced very similar results regarding their predictive value. Both of the on-site selection methods predicted knowledge and skills, and study success of nursing students to some extent, but only explained a small proportion of variance. To conclude, neither of the two on-site selection methods should be used alone when predicting knowledge and skills or study success of nursing students. Further longitudinal research is needed to investigate the predictive value of various on-site selection methods.
A Simulation Model of IEEE 802.15.4 GTS Mechanism and GTS Attacks in OMNeT++ / MiXiM + NETA
Authors: Amin Yasmin M. , Abdel-Hamid Amr T.
Published: January 2018

The IEEE 802.15.4 standard defines the PHY and MAC layer specifications for Low-Rate Wireless Personal Area Networks (LR-WPANs). With the proliferation of many time-critical applications with real-time delivery, low latency, and/or specific bandwidth requirements, Guaranteed Time Slots (GTS) are increasingly being used for reliable contention-free data transmission by nodes within beacon-enabled WPANs. To evaluate the performance of the 802.15.4 GTS management scheme, this paper introduces a new GTS simulation model for OMNeT++ / MiXiM. Our GTS model considers star-topology WPANs within the 2.4 GHz frequency band, and is in full conformance with the IEEE 802.15.4 – 2006 standard. To enable thorough investigation of the behaviors and impacts of different attacks against the 802.15.4 GTS mechanism, a new GTS attacks simulation model for OMNeT++ is also introduced in this paper. Our GTS attacks model is developed for OMNeT++ / NETA, and is integrated with our GTS model to provide a single inclusive OMNeT++ simulation model for both the GTS mechanism and all known-to-date attacks against it.
Enhancing Big Data Auditing
Authors: Alomari Sara , Alghamdi Mona , Alotaibi Fahd S.
Published: January 2018

The auditing services of the outsourced data, especially big data, have been an active research area recently. Many schemes of remotely data auditing (RDA) have been proposed. Both categories of RDA, which are Provable Data Possession (PDP) and Proof of Retrievability (PoR), mostly represent the core schemes for most researchers to derive new schemes that support additional capabilities such as batch and dynamic auditing. In this paper, we choose the most popular PDP schemes to be investigated due to the existence of many PDP techniques which are further improved to achieve efficient integrity verification. We firstly review the work of literature to form the required knowledge about the auditing services and related schemes. Secondly, we specify a methodology to be adhered to attain the research goals. Then, we define each selected PDP scheme and the auditing properties to be used to compare between the chosen schemes. Therefore, we decide, if possible, which scheme is optimal in handling big data auditing.
The Analysis and Implementation of the K - Means Algorithm Based on Hadoop Platform
Authors: Wei Liu Xiang
Published: January 2018

In today's society has entered the era of big data, data of the diversity and the amount of data increases to the data storage and processing brought great challenges, Hadoop HDFS and MapReduce better solves the these two problems. Classical K-means algorithm is the most widely used one based on the partition of the clustering algorithm. At the completion of the cluster configuration based on, the k-means algorithm in cluster mode of operation principle and in the cluster mode realized kmeans algorithm, and the experimental results are research and analysis, summarized the k-means algorithm is run on the Hadoop platform's strengths and limitations.
Designing Cognitively Diagnostic Assessment for Algebraic Content Knowledge and Thinking Skills
Authors: Zhang Zhidong
Published: January 2018

This study explored a diagnostic assessment method that emphasized the cognitive process of algebra learning. The study utilized a design and a theory-driven model to examine the content knowledge. Using the theory driven model, the thinking skills of algebra learning was also examined. A Bayesian network model was applied to represent the theory model and the quantitative assessment structure. Simulated data was applied to the model to illustrate the purpose. The diagnostic assessment model was represented by a Bayesian network model. Four explanatory variables and nine evidential variables were identified. These were developed to describe the content domain and cognitive structure in an algebra learning process. The diagnostic assessment model both exhibited learning progresses and provided diagnostic feedback. Through students’ performance examples model-based achievement scores were reported at three levels: 1) evidential variable level, 2) explanatory variable lower level, and 3) explanatory variable higher level. This study revealed that the diagnostic assessment model can effectively report learners’ progress in algebra learning in both content knowledge and thinking skills.
Competency-Based Evaluation in Higher Education—Design and Use of Competence Rubrics by University Educators
Authors: Velasco-Martínez Leticia-Concepción , Tójar-Hurtado Juan-Carlos
Published: January 2018

Competency-based learning requires making changes in the higher education model in response to current socio-educational demands. Rubrics are an innovative educational tool for competence evaluation, for both students and educators. Ever since arriving at the university systems, the application of rubrics in evaluation programs has grown progressively. However, there is yet to be a solid body of knowledge regarding the use of rubrics as an evaluation tool. This study analyzes the use of rubrics by 150 teachers at 5 Spanish universities. The comparative analysis allows us to determine how these rubrics are being used to assess (or not) competencies. This study examines the educators’ intentions and the pedagogical aspects that are considered in the design and application of rubrics. The results and conclusions may lead to suggestions for improvements and strategies that may be implemented by university professors when creating appropriate competency-based scoring rubrics.
Language Personality in the Conditions of Cross-Cultural Communication: Case-Study Experience
Authors: Davidovitch Nitza , Khyzhniak Kateryna
Published: January 2018

The article is devoted to the problem of identification of a language personality’s traits under conditions of cross-cultural communication. It is shown that effective cross-cultural communication is revised under globalization and increasingly intensive social interactions. The results of the authors’ research prove that it is possible to develop a new perspective on the heuristic possibilities of the concept of language personality to ensure the effectiveness of cross-cultural communications.This applies above all to the understanding of culture, cultural codes, verbal, non-verbal communication and preverbal, development of value measurement and understanding, and behavior adoption patterns. We propose to identify a language personality as a nationally specific communicant type that has a culturally caused worldview and value system and is capable of cross-cultural transformation. We identified transitions from a “mono” language personality to a “multi” language personality. We offer communicative training as a way of resolving cultural gaps in communication.We insist that only a new type of a language personality can effectively integrate and communicate while taking into account cultural peculiarities. Language personality currently acquires multicultural traits resulting from two main types of mobility: virtual and physical. Empirical research shows that two types of mobility are widespread, with typical high demands for the study of an international communication language (English) and local culture (Hebrew).
Facebook, Twitter Activities Sites, Location and Students’ Interest in Learning
Authors: Igbo J. N. , Ezenwaji Ifeyinwa , Ajuziogu Christiana U.
Published: January 2018

This study was carried out to ascertain the influence of social networking sites activities (twitter and Facebook) on secondary school students’ interest in learningIt also considered the impact of these social networking sites activities on location of the students. Two research questions and two null hypotheses guided the study. Mean and Standard Deviation were used to answer the research questions, while t-test statistics was applied in testing the null hypotheses. In carrying out the study, the researchers adopted Ex-post Facto research design. The sample of the study consisted of 240 senior secondary school Two (SSS11) students from public schools. Multi-stage sampling technique was used to select 120 students from the urban and 120 students from the rural areas. A 15-item Questionnaire was used in data collection. Cronbach Alpha was used to establish the internal consistency of the instruments. Cronbach Alpha Coefficients values of 0.88 and 0.72 were obtained. The findings of the study indicated that there is a significant influence of students’ Twitter and Facebook activities over their interest in learning. Students in urban schools had higher Mean Score interest in learning than those in rural location. The result also indicated that there is no significant difference in the Mean interest ratings of urban and rural students.
Reviewer Acknowledgements for International Education Studies, Vol. 11, No. 2
Authors: Lee Chris
Published: January 2018

Reviewer acknowledgements for International Education Studies, Vol. 11, No. 2, 2018.