bluuebunny/crossref_metadata_2025 huggingface dataset:
,,Wojna o pamięć" o wydarzeniach lat trzydziestych-pięćdziesiątych XX wieku w Europie Środkowej i Wschodniej w latach 2005-2010 — strategie polityki Litwy, Łotwy, Estonii, Ukrainy i Rosji
Authors: Stryjek Tomasz
Published: May 2021

In his article the Author examines the notion of remembrance policy, the importance of remembering the events of the period 1939–1953 for contemporary identity politics in the countries of Central and Eastern Europe: Poland, Ukraine, Lithuania, Latvia and Estonia as well as the course of a conflict about the memory, which escalated between those countries and Russia particularly between 2005–2010. The Author introduces a term “remembrance policy model”, which concerns the balance of powers among political actors in a given state, who influence the shape of this aspect of the state policy. He also analyses the state strategies of the remembrance policy in international relations within the region, with special attention to Lithuania and Ukraine. He examines reasons for the success of the policy of remembering the 1939–1953 events in Lithuania in 1991–2011 and a failure of such policy in Ukraine in 2005–2010. The sources of difference between the effects of these two policies lie, in his opinion, not only in far greater ethnic and identity homogeneity of the Lithuanian society, but also in the fact that the EU gave an early, clear and consistent support for economic, social and political transformation of that country, which was, unfortunately, not provided to Ukraine — either after its establishment in 1991, or after the Orange Revolution in 2004.
Pamiętanie dla upamiętnienia", ,,pamiętanie dla korzyści" i „pamiętanie, żeby zapomnieć": różne modele pamięci o Żydach i Zagładzie w postkomunistycznej Polsce
Authors: Michlic Joanna B.
Published: May 2021

The paper considers the memories of Polish-Jewish relations during the Holocaust in Poland in the aftermath of the intense public debate about the Jedwabne massacre of July 10, 1941, since 2002 till the present. Jan Tomasz Gross’s slim monograph Neighbors, published in May 2000, triggered a debate that generated a process of self-critical assessments of the Polish national past in relation to Jewish and other ethnic minorities, the so-called cultural renewal of public memory. Ten years later there is still a sharp split between groups of Polish politicians, public intellectuals, journalists, historians and members of society at large in how they evaluate the dark aspects of the Polish-Jewish relations during and after WWII. The paper examines the main modes of remembering Jews and the Holocaust: “remembering to remember”, “remembering to benefit”, and “remembering to forget”, and the different manifestations of these three modes, and discusses what has made it difficult for Poles to integrate the dark past into popular historical consciousness and public memory.
Konstruowanie historii regionu. Przeszłość i pamięć na lamach olsztyńskiej „Borussii"
Authors: Knyżewski Jakub
Published: May 2021

The article elaborates on the accomplishments of those centered round a magazine “Borussia. Culture. History. Literature” which, while following a constructivist vision of history, seeks an answer to a question about a role of the heritage of East Prussia and Germany in contemporary Poland. Thus, a challenge has been taken to not only examine the region’s past, but also to examine the creation of contemporary civil society which is aware of what was the past of the land on which they live. Elements of multicultural image of East Prussia emerging from “Borussia” articles, create a metaphoric “Atlantis of the North” — idealized multicultural land, dominated by the spirit of tolerance. Such an image, together with the idea of “open regionalism” comprises a preferred image of contemporary regional identity.
Stages of launching a biological treatment plant at the wastewater treatment facilities with dosing easily oxidable organic matter
Authors: Кондрашев В.А. , Метелица С.Г.
Published: May 2021

Рассмотрены вопросы, связанные с проведением пусконаладочных работ биоблока станции очистки хозяйственно-бытовых и близких к ним по составу сточных вод при пробном пуске в эксплуатацию очистных сооружений. Подробно рассмотрены этапы пусконаладочных работ биоблока очистных сооружений с «затравкой» активным илом из действующих биологических очистных сооружений и с дозировкой легкоокисляемой органики. Описан состав оборудования станции КОС-9 производства «Гермес Групп». Рассмотрены все этапы пусконаладочных работ биоблока на примере запуска очистных сооружений КОС-9 с привлечением многочисленных опытных данных. Определены периоды этапов пусконаладки биоблока. Приведены проблемы наладки биоблока и пути их решения с достижением требуемого результата. Технология, используемая на станции, обеспечивает очистку сточных вод, соответствующую требованиям, предъявляемым к выпуску очищенных стоков в водоем рыбохозяйственного значения.

Issues related to commissioning a biological treatment plant at the facilities for household and similar in composition wastewater treatment during the trial start of the treatment facilities are considered. The stages of commissioning a biological treatment plant at the wastewater treatment facilities with «inoculating» activated sludge from the operating biological treatment facilities and with dosing easily oxidable organic matter are considered in detail. The equipment configuration of the WWTP-9 produced by Germes Group is described. All stages of the biological treatment plant commissioning are considered through the example of the start-up of WWTP-9 with the use of numerous experimental data. The periods of biological treatment plant commissioning stages have been determined. The problems of adjusting the biological treatment plant and the ways of their elimination to achieve the required result are presented. The technology used at the WWT facilities provides for the effluent quality that meets the requirements for the discharge into a water body of commercial fishing importance.
Alfa Laval's latest developments in sludge dewatering with decanter centrifuges
Authors: Котрелев В.М. , Полосина Т.А. , Новиков Г.А. , Папуш П.С.
Published: May 2021

Рассмотрены разработанные компанией Alfa Laval инновационные технологические решения, воплощенные в декантерной центрифуге Aldec G3. Для обезвоживания осадков сточных вод компания Alfa Laval изготавливает два вида современных декантерных центрифуг (всего их более 12 типов для применения в различных сферах: от пищевой промышленности и биофармацевтики до обезвоживания нефтешламов или отвальных хвостов горнодобывающей промышленности). Использование декантерной центрифуги Aldec G3 обеспечивает максимальное сокращение совокупных издержек на обезвоживание осадков сточных вод. Описаны виды ремонтных работ декантерных центрифуг, осуществляемые в единственном на территории России сертифицированном по стандартам ISO сервисном центре Альфа Лаваль.
IMPLEMENTASI KEBIJAKAN PENGELOLAAN PASAR RAKYAT PADA PASAR BUDURAN KABUPATEN SIDOARJO
Authors: Pratama Erry , Hertati Diana
Published: May 2021

The existence of a market is one indicator of the economic activities of the people in an area. This research is motivated by the lack of optimal management of the Buduran Market by the Industry and Trade Office of Sidoarjo Regency. It can be seen from the supporting facilities and infrastructure in the Buduran Markets which are still inadequate and poorly maintained. This study aims to determine how the implementation of community market management policies in Buduran Market, Sidoarjo Regency. The research method used in this article is a descriptive research method with a qualitative approach by using a qualitative approach. The results show that the implementation of the people's market management policy has been implemented, but there are still problems in its implementation. The conclusion of this research is the implementation of the people's market management policy in its implementation is still not optimal, this can be seen from the indicators of the success of policy implementation.
KOMPIUTERINIS REGOS SUTRIKIMO SINDROMAS – EPIDEMIOLOGIJA, DIAGNOSTIKA, GYDYMAS, PROFILAKTIKA
Authors: Mišeikytė Dovilė , Judickaitė Austėja , Kužmarskytė Skaistė Rita
Published: May 2021

Kompiuterinis regos sutrikimo sindromas (KRSS) – tai akių, judėjimo sistemos, psichoemocinės būklės bei miego sutrikimo simptomų kompleksas, atsirandantis dėl per ilgo sėdėjimo prie kompiuterio ekranų. Diagnozuojant ligą, svarbiausia išsiaiškinti galimus rizikos veiksnius ir klinikinius požymius, iš kurių dažniausi – akių sausumas ir pečių bei kaklo skausmas. Naudingi tyrimai: regos aštrumo įvertinimas, akių judesių kokybės nustatymas, Širmerio testai, tam tikri klausimynai ir kt. Gydymas apima rizikos veiksnių vengimą: darbo kompiuteriu higienos korekcija, tinkamas poilsis, mankšta. Simptomams malšinti dažniausiai naudojami drėkinamieji akių geliai, raumenų įtampai malšinti skiriami masažai, elektrostimuliacinės procedūros. Svarbiausias kelias užkirsti KRSS yra profilaktika: tinkamas naudojimasis vaizdiniais prietaisais ir pertraukos darbo metu.
FIRST-TIME DELIVERING WOMEN’S FEAR OF CHILDBIRTH AND IT’S RELATION TO DELIVERY OUTCOMES AT A UNIVERSITY HOSPITAL IN LITHUANIA
Authors: Juotkutė Mantilė , Papievytė Akvilė , Machtejevienė Eglė
Published: May 2021

Introduction. Fear of childbirth (FOC) is a common women’s health problem. It might affect the mother’s and the fetus’ health, complicate and prolong the birth. Women with tokophobia (clinically significant FOC) are more likely to suffer poor birth outcomes. FOC can increase Caesarean section rates with no medical indications. There is no worldwide consensus on the diagnostic protocol and care algorithms for FOC.
Material and methods. A prospective study was performed at the tertiary care university hospital (Kaunas, Lithuania). The survey included 110 first-time delivering women at the time of entering the labour ward. A scale and Fear of Delivery Questionnaire (FDQ) questionnaire were used. Medical data were collected from the hospital’s database and analyzed using Microsoft Excel and IBM SPSS software for statistical significance (p < 0.05).
Results. According to a subjective scale of FOC (range min 0 – max 10), 37.3% (n = 41) of women stated they experienced FOC. The majority (25.5%; n = 28) rated their fear with 3 points. Absence of fear was indicated by 8.2% (n = 9), and 4.5% (n = 5) felt tokophobia with panic attacks. The majority were worried about newborn health (89.1%; n = 98) and labour pain (79.1%; n = 87). Based on the FDQ questionnaire slightly less than half of the respondents experienced FOC (44.5%; n = 49). No strong associations were found between FOC and neonatal parameters (p > 0.05). Pain relief methods were more frequently chosen by women with FOC (p = 0.032). Patients with FOC gave birth significantly longer than those without FOC (p = 0.047). As FOC increased in score, the time of childbirth also increased (p = 0.02). The method of delivery did not depend on the strength of FOC (p = 0.443). FOC in score was higher for women with a history of abortion (p = 0.036).
Conclusions. Nearly half of the interviewed women were experiencing FOC. Newborn health and labour pain were the main reasons for FOC. History of abortion was related to FOC. No strong associations were found between tokophobia and negative newborn outcomes or method of delivery. Significantly longer labour duration was found in women with FOC.
Key Message – Fear of childbirth has a great impact on pregnant women’s health and birth itself. Further research is crucial to find effective diagnostic and treatment methods for women with FOC to recognize and help before or even during childbirth.
First-time delivering women’s fear of childbirth and it’s relation to delivery outcomes at a university hospital in Lithuania.
BRENERIO NAVIKO RADIOLOGINĖS DIAGNOSTIKOS YPATUMAI. KLINIKINIS ATVEJIS
Authors: Pavilionė Rasita , Dobrovaitė Laura , Klimaitė Orinta
Published: May 2021

Brenerio navikas priskiriamas epitelinių kiaušidžių navikų grupei. Dažniausiai tai gerybinis navikas, įprastai randamas atsitiktinai, itin retais atvejais gali būti randamos ir piktybinės jo formos. Brenerio naviko dažnai nepavyksta diferencijuoti nuo kitų kiaušidžių neoplastinių darinių, remiantis vien klinikiniais ir radiologiniais tyrimais – diagnozei patikslinti reikalingas histologinis tyrimas. Pagrindinis šio naviko gydymas yra chirurginis, todėl labai svarbi priešoperacinė diagnozė, kuri lemia operacijos radikalumą. Šiuo klinikiniu atveju Brenerio navikas rastas magnetinio rezonanso metu ir diagnozė patikslinta histologiniu tyrimu.
PERIOPERACINIS SKAUSMO VALDYMAS INTRAOPERACINIU KETAMINU, ATLIEKANT STUBURO FIKSACIJOS OPERACIJAS: BANDOMOJI STUDIJA
Authors: Vilkė Alina , Grimutienė Ugnė , Grygalytė Lolita , Macas Andrius
Published: May 2021

Pooperacinio skausmo valdymas yra aktuali anesteziologijos tema. Dėl ilgos trukmės, plataus audinių praskyrimo, chirurginių implantų naudojimo stuburo operacijos siejamos su dideliu pooperaciniu skausmu. Prastai kontroliuojamas pooperacinis skausmas gali sukelti lėtinį skausmą, padidinti komplikacijų riziką, pailginti gydymo stacionare laikotarpį. Adekvačiai malšinamas skausmas gali turėti teigiamos įtakos ankstyvajai reabilitacijai po operacijos. Dažniausiai skausmo malšinimui skiriami nesteroidiniai vaistai nuo uždegimo arba opioidiniai analgetikai. Opioidų vartojimas siejamas su tokiais nepageidaujamais reiškiniais kaip pykinimas, vėmimas, kvėpavimo slopinimas ir kt. Siekdami efektyviai malšinti skausmą, sumažinti nepageidaujamus reiškinius ir suminę suvartojamų opioidų ar kitų analgetikų dozę, galime rinktis ketaminą. Subanestetinėmis dozėmis intraoperaciniu laikotarpiu vartojamas ketaminas gali efektyviai malšinti pooperacinį skausmą ir sumažinti opioidų poreikį.
Tyrimo tikslas – nustatyti intraoperacinės ketamino infuzijos skyrimo vertę, malšinant skausmą po stuburo fiksacijos operacijų ir jo įtaką opioidų suvartojimui.
Metodika. Atlikta bandomoji perspektyvaus tyrimo studija, įtraukta 10 pacientų, kuriems buvo atliktos stuburo fiksacijos operacijos. Pacientai atsitiktiniu būdu suskirstyti į dvi grupes: A grupė (kontrolinė, ketaminas nenaudojamas) ir B grupė (anestezijos metu naudojamas ketaminas). Po operacijos buvo vertinamas skausmo intensyvumas, opioidinės analgezijos poreikis ir kiekis, fiksuojami nepageidaujami reiškiniai.
Rezultatai. Vertinant skausmą iškart po operacijos, ketamino grupėje stebėtas statistiškai reikšmingai mažesnis skausmas, nei kontrolinėje grupėje (P=0,042). Kitomis dienomis ketamino grupės pacientai taip pat jautė mažesnį skausmą, tačiau tai nebuvo statistiškai reikšminga. Statistiškai reikšmingų opioidų suvartojimo skirtumų ar nepageidaujamų reiškinių tarp grupių nebuvo.
Išvados. Ketamino skyrimas operacijos metu gali turėti teigiamą efektą, malšinant pooperacinį skausmą po stuburo fiksacijos operacijų. Mūsų tyrimo duomenimis, mažų (subanestetinių) ketamino dozių skyrimas nedidina nepageidaujamų reiškinių rizikos.
SERGANČIŲJŲ COVID-19 INFEKCIJA DEGUONIES TERAPIJOS BŪDAI IR EFEKTYVUMAS INTENSYVIOSIOS TERAPIJOS SKYRIUJE
Authors: Semėnaitė Gintarė Iveta , Mačiulytė Viktorija , Borodičienė Jurgita , Macas Andrius
Published: May 2021

Pasaulinė Covid – 19 pandemija, sukėlusi daug sunkumų sveikatos apsaugos sistemai, paskatino gydytojų bendruomenės diskusijas apie deguonies terapiją, jos taikymo būdus ir galimybes bei ligos baigtis. Šio tyrimo tikslas − išanalizuoti ir pristatyti pacientų, sirgusių COVID-19 infekcija ir gydytų intensyviosios terapijos skyriuje, gydymo ypatybes bei ligos baigtis. Tyrimo metu pastebėta, kad vieno, perspektyvesnio ir geresnius gydymo rezultatus teikiančio deguonies terapijos būdo išskirti negalima. Pacientų, sergančių Covid-19 infekcija, gydymo priemonės ir rezultatai skiriasi, o tai rodo, kad ventiliacijos valdymo metodai turėtų būti parenkami individualiai, atsižvelgiant į kiekvieno paciento būklę ir poreikius.
ELEKTROCHEMOTERAPIJOS VEIKSMINGUMAS, GYDANT PIKTYBINIUS NAVIKUS: LITERATŪROS APŽVALGA IR KLINIKINIS ATVEJIS
Authors: Chlebopaševienė Greta , Jančiauskienė Rasa , Liutkauskienė Sigita , Padvelskienė Ilona , Šatkauskas Saulius , Juozaitytė Elona
Published: May 2021

Chemoterapija yra standartizuotas vėžio gydymas vienu ar keliais vaistais, naikinančiais navikines ląsteles ar stabdančiais jų augimą. Chemoterapijos galimybės dar labiau padidėja, taikant ją su kitais piktybinių navikų gydymo būdais (chirurgija, radioterapija), tačiau gydant tam tikrų lokalizacijų navikus, chemoterapija nėra veiksminga. Kartais tai lemia vaisto biologinės savybės (hidrofiliškumas, didelė molekulinė masė), todėl jis blogai prasiskverbia pro navikinės ląstelės membraną ir nesukelia laukiamo efekto. Siekiant norimo poveikio, šio vaisto turi būti skiriama didelėmis dozėmis – dėl to pasireiškia vaisto nepageidaujamas poveikis. Vienas iš būdų padidinti priešnavikinių vaistų veiksmingumą, yra elektrinių impulsų derinimas su vaistais nuo vėžio. Šis metodų derinys pavadintas elektrochemoterapija (ECT). Elektriniai impulsai sukelia pokyčių ląstelės membranoje: vyksta jos destabilizacija, formuojasi laikinos „poros“ (elektroporacija), dėl to padidėja membranos laidumas jos išorėje esančioms medžiagoms, ir vaistas, kuris normaliomis sąlygomis sunkiai prasiskverbia į ląstelės vidų, lengvai pasiekia taikinį.
ŽVYNELINE SERGANČIŲ PACIENTŲ SLAUGOS YPATUMAI LIGONINĖS STACIONARE
Authors: Čerkauskaitė Sonata , Kazlaitė Vaidutė
Published: May 2021

Žvynelinė yra lėtinė, uždegiminė, neužkrečiamoji ir nepagydoma liga. Jos gydymas gali būti simptominis, vietinis arba sisteminis. Užtikrinant žvyneline sergančių pacientų slaugą, svarbu juos mokyti, stebėti psichologinės būklės pokyčius, informuoti apie paskirtą gydymą ir slaugą, vertinti odos vientisumą bei atlikti odos priežiūrą, taikant specifines procedūras, pavyzdžiui – drėgnųjų tvarsčių terapiją.

Tyrimo tikslas – įvertinti žvyneline sergančių pacientų slaugos ypatumus ligoninės stacionare. Tyrimo rezultatai parodė, kad didžioji dalis slaugytojų žvynelinės formos sunkumą gali įvertinti iš dalies, o odos būklę dažniausiai vertina remdamiesi objektyviais kriterijais. Daugiausia slaugytojų visada moko pacientus atlikti tepimo procedūras. Slaugytojų nuomone, odą tausojančios drėgnųjų tvarsčių procedūros efektyvumas labiausiai priklauso nuo paciento odos būklės, dažniausiai pasitaikanti slaugos problema yra paciento nenoras bendrauti ir bendradarbiauti, o dažniausios komplikacijos – odos pažeidimai.
GLAUKOMA PO CHEMINIŲ AKIŲ NUDEGIMŲ
Authors: Skruodytė Justina , Šerpytis Pranas
Published: May 2021

Cheminiai akių nudegimai – ūmi būklė, kuri reikalauja skubaus ištyrimo ir gydymo. Toksinių medžiagų poveikis ragenai ir limbui – plačiai ištirtas, tačiau mažai žinoma apie cheminių traumų sukeliamą optinę neuropatiją. Tyrimo tikslas – atlikti naujausių mokslinių straipsnių literatūros apžvalgą apie cheminius akių nudegimus ir jų komplikacijas, antrinę glaukomą po cheminių akių traumų, jos paplitimo dažnį, gydymo schemas, atsaką į gydymą. Tyrimo rezultatai. Antrinė glaukoma – viena iš svarbiausių akių cheminių nudegimų komplikacijų, kuri gali sukelti negrįžtamą regos praradimą. Traumos metu toksinė medžiaga tiesiogiai veikia akies paviršių, akispūdžio pakilimas ūminėje nudegimo stadijoje gali būti laikinas dėl priekinio akies segmento uždegimo. Po traumos susiaurėjus priekinės kameros kampui dėl susiformavusių sąaugų arba trabekulinio tinklo randinių pakitimų, atsiranda ydinga akies skysčio cirkuliacija, stebimas nuolatinis akispūdžio padidėjimas (daugiau nei 21 mmHg). Optinei neuropatijai išsivystyti turi įtakos ne tik aukštas akispūdis, bet ir kiti netiesioginiai potrauminiai mechanizmai (tinklainės ganglinių ląstelių sluoksnio pažeidimas). Gydymo tikslas yra atkurti normalią akies paviršiaus anatomiją ir funkciją. Antrinės glaukomos vietinis gydymas dažnai yra neveiksmingas, todėl papildomai taikomas lazerinis ar chirurginis.

Išvados. Kruopštus oftalmologinis glaukomos ir jos rizikos veiksnių įvertinimas tiek pirminio tyrimo, tiek stebėjimo metu leistų anksti nustatyti ir gydyti potrauminę glaukomą, išsaugoti paciento normalų regos aštrumą bei akiplotį. Norint išvengti cheminių nudegimų komplikacijų, svarbu prevencija, visuomenės švietimas bei darbo saugos mokymai.
SAVIŽUDIŠKAS ELGESYS SERGANT ŠIZOFRENIJA
Authors: Akavickas Justas
Published: May 2021

Savižudiškas elgesys yra viena iš pagrindinių ir skaudžiausių šizofrenija sergančių asmenų komplikacijų. Tam įtakos turi demografiniai ir psichosocialiniai veiksniai: jaunesnis pacientų amžius, lytis, pajamų stygius, problemiški santykiai su artimaisiais, piktnaudžiavimas psichoaktyviosiomis medžiagomis. Siekiant sumažinti šizofrenija sergančių asmenų savižudybės tikimybę, svarbu laiku taikyti veiksmingas prevencijos priemones. Tai sunkus ir sudėtingas darbas, reikalaujantis gydytojų ir kitų sveikatos priežiūros specialistų kompetencijos. Prevencijai taikomos medikamentinės ir nemedikamentinės priemonės: antipsichoziniai vaistai, kognityvinė terapija, šeimos palaikymas. Tyrimo tikslas – išanalizuoti pagrįstą informaciją apie savižudiško elgesio sąsajas, sergant šizofrenija: savižudybei įtakos turinčius veiksnius bei jų prevencijos galimybes.
MARFANO SINDROMAS: KLINIKINIS PASIREIŠKIMAS, DIAGNOSTIKA IR GYDYMAS
Authors: Savičius Donatas
Published: May 2021

Marfano sindromas – viena dažniausių paveldimų jungiamojo audinio ligų. Marfano sindromą sukelia FBN1(fibrilino 1) geno mutacijos, liga paveldima autosominiu dominantiniu keliu. Marfano sindromas kliniškai dažniausiai pasireiškia akių, širdies ir kraujagyslių, raumenų ir skeleto sistemų pažeidimais, tačiau gali būti paveikti plaučiai, oda ir nugaros smegenys. Ilgalaikio stebėjimo ir gydymo tikslas – komplikacijų, susijusių su Marfano sindromu, ankstyva diagnostika, prevencija ir gydymas. Šio tyrimo tikslas – išanalizuoti bei aptarti įrodymais pagrįstą informaciją apie Marfano sindromo klinikinį pasireiškimą, diagnostiką bei gydymą.
SOMATINIŲ DEPRESIJOS SIMPTOMŲ, PASIREIŠKIANČIŲ VYRESNIO AMŽIAUS PACIENTAMS, GYDYMAS
Authors: Savičius Donatas
Published: May 2021

Depresija – vienas svarbiausių neįgalumą sukeliančių afektinių sutrikimų. Diagnozuoti depresiją vyresnio amžiaus pacientams sunkina esamų sveikatos sutrikimų simptomai, depresijos ir nerimo sutrikimų komorbidiškumas bei depresijos simptomų somatizacija. Somatiniai psichikos sutrikimų simptomai – tai įvairūs pojūčiai ar skausmas kūne, imituojantys įvairių organų ar organų sistemų patologiją. Vyresnio amžiaus pacientai, sergantys depresija, sudaro vieną didžiausių grupių, kuriai pasireiškia somatizacija. Šio tyrimo tikslas − įvertinti, susisteminti ir išanalizuoti mokslinėje literatūroje pateikiamus duomenis apie somatinių depresijos simptomų, pasireiškiančių vyresnio amžiaus pacientams, gydymą.
DIAGNOSTIC PERFORMANCE OF ULTRASONOGRAPHY FOR DETECTION OF ABRUPTION AND ITS CLINICAL CORRELATION AND MATERNAL AND FETAL OUTCOME
Authors: Patel Jeel , Umarwadia Dhruvi , Shah Ishit , Patel Narottam
Published: May 2021

Placental abruption complicates about 1% of singleton pregnancies and is an important cause of perinatal mortality and morbidity. Though
sensitivity and reliability of ultrasound are poor for detecting or excluding placental abruption, because of the advances in ultrasound resolution,
imaging and interpretation, sensitivity of ultrasound is better than what was reported previously. To determine the diagnostic performance of Aim:
Ultrasonography (USG) for the detection of placental abruption and whether sonographic results correlate with maternal and foetal management
and outcome Sixty patients with clinical diagnosis of placental abruption we Materials and Methods: re studied in the Obstetrics and
Gynaecology Department of Gujarat Adani Institute of Medical Sciences, Bhuj over a period of 6 months. These patients underwent
ultrasonography for conrmation. Obstetric and neonatal outcome and sonographic results were compared and reviewed. Sonographic sensitivity
and specicity and positive and negative predictive values were calculated. Incidence of abruption in present study was 3.05% (56 Results:
patients out of 1834 total deliveries). Sensitivity of ultrasonography in the diagnosis of abruption was 57% while its specicity was 100% with a
positive predictive value of 100% and a 14% negative predictive value. An 87.5% of patients(28 out of 32) with a positive USG nding of abruption
had Intrauterine foetal Death (IUD)/still birth while 91.6% of patients (22 out of 24) with negative USG ndings of abruption gave birth to babies
who required NICU admission. Sonography has a poor sensitivity for diagnosing placental abrupt Conclusion: ion, even though it has a high
specicity and PPV. In a positive sonographic result, maternal morbidity and perinatal mortality are high which needs aggressive obstetric
management as compared to the normal sonography. In case of a negative sonographic nding but a strong clinical suspicion of abruption if
Obstetric intervention is made in due time, foetal as well as maternal outcome are better
RARE SARCOMA OF BREAST- PRIMARY OSTEOSARCOMA
Authors: Sugara Medha , Ramesh Rakesh S , Ravikumar Gayatri
Published: May 2021

Extraskeletal osteosarcomas are malignant and arise from soft tissue that produce osteoid, without any continuity to skeletal bone. Primary
osteosarcoma of breast is a rare clinical entity. Although reported previously, there are no available guidelines for their management. A 52- year old
lady who presented with rapidly growing tumor in breast was managed surgically. We discuss the diagnostic challenges and role of adjuvant
therapy in our report
CIDP PRESENTING AS MYELORADICULOPATHY
Authors: N.V Sundarachary. , A. Mythri.
Published: May 2021

Chronic inammatory demyelinating polyradiculoneuropathy (CIDP) is a relapsing or chronic progressive disorder which is one of the causes
of hypertrophic neuropathy. Enlarged nerve roots were identied in few patients. We now report a case of CIDP with highly thickened or enlarged
nerve roots severe enough to cause cord compression and myelopathy. A 38 year old woman presented with weakness and sensory disturbances in
lower limbs with sensory level at L1 and bladder disturbances in form of urgency and urge incontinence . MRI showed a non enhancing isointense
mass lesion from L1 to S1 causing compression over conus . During surgery the cauda equina nerve roots were found to be thickened , entangled
with ' bag of worms' appearance. Nerve conduction studies showed all her peripheral nerves to be inexcitable. Her CSF protein was mildly
elevated. Diagnosis of CIDP with thickened nerve roots was considered and she was started on steroids and subsequently showed improvement.
Thus, CIDP may present with symptoms of myeloradiculopathy due to thickened nerve roots causing cord compression.
CORRELATION BETWEEN SERUM MAGNESIUM AND LIPID PROFILE IN DIABETIC PATIENTS AND ITS ASSOCIATION WITH COMPLICATIONS.
Authors: Singh Pankaj Kumar , Bhadja Dhaval Kumar , Bhatnagar Mohit , Joshi Mandeep , Verma Shreya
Published: May 2021

Background and aim: The present study was conducted to evaluate serum Magnesium and lipid prole in diabetic patients and to nd out any
correlation between serum magnesium and lipid prole in diabetic patients and its association with complications. Material and Methods: In the
present study, 70 diagnosed Type 2 diabetes mellitus patients aged >30 years attending Diabetic Outpatient and Inpatient Department at
Vivekananda Polyclinic giving their consent for inclusion were considered to be included in the study as Cases. Results:In present the study, mean
S. magnesium levels of patients with diabetic complications were found to be signicantly lower (1.09±0.22 mg/dl) as compared to that of patients
in whom no diabetic complications were seen (2.19±0.71) and this difference was signicant statistically.Conclusions: In the diabetic population
correlations of serum magnesium and Total cholesterol, triglyceride, LDL and VLDL were Mild while HDL was of moderate level. Among
controls correlations of Serum Magnesium with Total cholesterol, triglyceride, LDL, VLDL, and HDL were found to be weak and not found to be
statistically signicant.
NEVUS COMEDONICUS – A CASE REPORT
Authors: N Sowmya , Srinivasan Shreya , NR Vignesh , Kumar N. Ashok
Published: May 2021

Nevus Comedonicus (NC), also known as comedone nevus, is a rare type of epidermal nevus. It can be a part of the Nevus Comedonicus syndrome,
a neurocutaneous disorder with ocular, skeletal and central nervous system symptoms. It is characterized by numerous dilated follicular openings
with keratin plugs. Hereby, we report a case of Nevus Comedonicus.
CASE STUDY ON CIRCUMSCRIBED GLIOMAS, THEIR CLINICOPATHOLOGICAL CORRELATION IN A TERTIARY CARE CENTER
Authors: Papang Esther Alffi , Rama K.
Published: May 2021

The histogenesis and biological behavior of primary tumors of the central nervous system(CNS) are very diverse. The majority of present gliomas
as benign, slow growing lesions classied as by the WHO classicati grade I or II (Low grade gliomas) on of CNS tumors.
However, a signicant fraction of gliomas develop over a short period of time and progress rapidly and are therefore classied as WHO grade III
or IV(High grade gliomas).
Astrocytomas are primary central nervous system tumours that can develop in adults or in children. They arise from the Astrocytes. They can be
divided into diffuse that generally have a higher grade and poorer prognosis and those that are localised that tend to be of a lower grade and have a
better prognosis.
In this study, we outline the basic histological spectrum and features, epidemiological aspects and grade of circumscribed gliomas (localised) or
other Astrocytic tumours according to WHO classication . These are the Pilocytic Astrocytoma, Pilomyxoid Astrocytoma, Subependymal giant
cell Astrocytoma, Pleomorphic xanthoastrocytoma and Anaplastic astrocytoma . The knowledge of these tumours are important as they are one of
the commonest cause of mortality and morbidity in both the young and old, accounting for about 60% of the glial tumours. Therefore
neuropathological diagnosis and tumour characteristics will therefore profoundly inuence the impact of treatment strategies.
A STUDY OF NEAR MISS OBSTETRICAL EVENTS AT A TERTIARY CARE CENTRE AT MADHYA PRADESH
Authors: Panwar Nisha , Achale Sheetal , Khatik Neha
Published: May 2021

Background: Maternal mortality is the major indicator used to monitor maternal health. For every women, who dies, however, many suffer serious
life threatening complications of pregnancy. Yet relatively little attention has been given to identifying a general category of morbidities that could
be called near misses. Characterising near miss morbidity is valuable for monitoring the quality of hospital based case and for assessing incidence
of life-threatening complications.
Besides mortality data, the identication and accurate documentation of "near-miss" morbidity (a more sensitive index) is extremely important to
assess the quality of health care systems. It can suitably guide to adopt appropriate measures to reduce maternal mortality and morbidity.
Methods: A cross sectional observational study was conducted in department of obstetrics and gynecology, MGM medical college Indore (M.P.)
over apeiod of 2 years. Out of all obstetric inpatients cases of near miss were taken, identied by WHO 2009 criteria. In all cases the demographic
characteristics, frequency of near miss in each criteria, direct and indirect obstetric causes of maternal morbidity & mortality were noted .This study
was approved by institutional ethical committee. The data was recorded in predesign coded case report form and statistical analysis was performed
using the STATA12.1.
Result: in the present study incidence of Near miss was 65.6, Maternal mortality ratio=558(2017) 590(2018) per 1 lakh live birth and Near miss to
maternal death ratio was 11.4
Severe maternal outcome ratio=71.3 per 1000 live birth
Conclusion: Maternal near miss reviews provide evidence of where the main problem in overcoming maternal mortality and morbidity may lie,
and analysis can be done in practical terms and highlight the key areas requiring recommendations for health sector and community action as well
as guidelines for improving clinical outcomes.
A PROSPECTIVE STUDY : CLINICAL OUTCOME OF TIBIA DIAPHYSEAL FRACTURE IN PEDIATRIC AGE GROUP MANAGED WITH TITANIUM ELASTIC NAILING SYSTEM
Authors: Harshwardhan Hemeshwar , Gahnolia Vijendra , Nayak Priyanka
Published: May 2021

Introduction :
1
Pediatric tibial fractures are the third most common pediatric long bone fracture after the femur and forearm . They representing
2
15% of all pediatric fractures . The most common location of tibia fractures is in the distal third of the tibia (50-70%) followed by middle and then
proximal (less common) thirds. This study was performed to nd out clinical outcome of tibia diaphyseal fracture in paediatric age group managed
with titanium elastic nailing system. Material And Methods : This hospital based prospective, randomized, single centre study was conducted in
the Department of Orthopaedics, JLN Medical College & Hospitals, Ajmer during the December 2018 to December 2020. These cases including
close, open grade 1 and 2 paediatric tibia diaphyseal fractures and fractures with inability to achieve close reduction. Results & Observations : In
our study, 32 patients of paediatric age group with tibia diaphyseal fractures were managed with TENS. According to FLYNN'S criteria the nal
outcome was excellent in 84.35% (27 out of 32), satisfactory or good in 12.5 % (4 out of 32) cases and poor outcome was reported in 1 case (3.15%)
only. Conclusion : TENS which is safe and effective method to maintain the reduction of displaced tibial fractures including length and rotation. It
is simple, rapid and safe procedure with advantages of early union, early mobilization and early return to function with minimum complications.
Elastic medullary nailing advantages make it a valuable choice to consider in managing children shaft tibial fractures.
PREVALENCE OF NECK PAIN AMONG TAILORS IN NORTH GUJARAT - A CROSS SECTIONAL STUDY
Authors: Patel Nipa V. , Patel Roshani A.
Published: May 2021

Background: - Neck pain is one of the common musculoskeletal problems faced by tailors due to constant work on the sewing machine with the
awkward posture.
Aim:-The aim of study is to nd out the prevalence of neck pain among Tailors.
Objective:-To nd out the prevalence of neck pain among Tailors use of self questionnaire.
Materials And Methodology:-Across sectional study was performed among 100 tailors working in North Gujarat to determine the prevalence of
neck pain in them. Aself – questionnaire was used.
Result: - 91% prevalence of neck pain was found among the tailors in North Gujarat. Also 67% tailors have activity limitation.
Conclusion: -The prevalence of neck pain among Tailors in North Gujarat is found to be highest (91%). Neck pain is one of the common condition
contributing to the increase in functional disability
A CASE OF MORPHOEA EN COUP DE SABRE AND PLAQUE TYPE MORPHOEA
Authors: Latha S Suzsmi , Sivaramakrishnan S , Ramesh T V , Manoharan K
Published: May 2021

Morphoea is a connective tissue disease that is uncommon with the most prominent feature being thickening or brosis of the skin without internal
organ involvement. It is also known as localised scleroderma. Morphoea is classied into several forms based on their clinical presentation and
depth of tissue involvement. Overproduction of altered collagen by broblast is the cause of abnormality in morphea, and the cause for broblast
hyperactivity is still unknown, although there are several mechanisms already proposed. We hereby report a case of Morphoea en coup de sabre in
association with plaque type morphoea.
IN FEMALE PRIMARY OSTEOARTHRITIC PATIENTS, UNDERGOING TOTAL KNEE ARTHROPLASTY, IS GENDER-SPECIFIC CRUCIATE RETAINING HIGH-FLEXION KNEE, SUPERIOR TO STANDARD CRUCIATE RETAINING FLEXION KNEE, FROM THE VIEW OF CLINICO-FUNCTIONAL OUTCOMES.
Authors: S Vijayaselvan , K Venkatachalam
Published: May 2021

Anthropometric measurements of the human knee, have differences in the women's and the men's knee. Total Knee Arthroplasty (TKA), aim is to
relieve pain in an osteoarthritic knee, to improve the functional range of movements, and thereby improve the quality of life, of the patient. In this
study, which was specically done for women patients with primary tri-compartmental osteoarthritis of the knee, the implant design for total knee
arthroplasty was either “Standard CR Flex Knee” or “Gender-Specic CR High-Flex Knee”. This prospective study had a recruitment period of 2
years and a minimum follow-up period of 1 year and was done between March 2018 to February 2021. 23 female subjects aged between 51 to 80
years, were recruited in the “Standard CR Flex Knee” group and 25 female subjects aged between 51 to 80 years, were recruited in the “GenderSpecic CR High-Flex Knee” group. 60.42% (n=29) had a right sided involvement and remaining 39.58% (n=19) had a left sided involvement.
Post-operative Knee Society Clinical Rating System (KSS), mean clinical outcome for “Standard CR Flex” and “Gender-Specic CR High-Flex
Knee” were scored as 87.5 and 92.0 points respectively. With regard to the mean functional outcome, as per KSS both the groups averaged 85.0
points. Thus, this study could not establish any potential additional benets, by opting for the “Gender-Specic CR High-ex knee prosthesis”.
Both the “Standard CR Flex Knee” and the “Gender-Specic CR High-Flex Knee” TKA yielded nearly similar clinico-functional outcomes.
STUDY TO EVALUATE EFFECTS OF MIFEPRISTONE 25mg IN MANAGEMENT OF UTERINE FIBROIDS
Authors: Johri Nidhi , Kumar Priti
Published: May 2021

Background: In India, the uterine broid is a common indication of hysterectomy. An effective option for medical treatment may decrease the
morbidity associated with hysterectomy.
Objectives: We aimed to evaluate the effect of mifepristone (25 mg), progesterone antagonist, on uterine broids in perimenopausal women.
Material And Methods: Fifty perimenopausal women having symptomatic uterine broids were selected from Gynaecology OPD and given 25
mg mifepristone once daily continuously for 2–4 cycles of 3 months each. Variables such as baseline broid size, position, and haemoglobin were
measured and followed at 3, 6, 9, and 12 months. The data were entered in MS EXCELspreadsheet and analysis was done using Statistical Package
for Social Sciences (SPSS) version 21.0. APvalue of <0.05 was considered as statistically signicant.
Results: Majority were intramural broids (70%) followed by submucosal in 18%. Size of broids ranged from 7 cm; the majority of broids were
in 5–7 cm size. No signicant association of location with the size of broid was found. Out of 50 cases included in the study, change in size in
uterine broids was observed in 95.14% cases. There was an increase in haemoglobin, from 8.6 g% at baseline to 9.5 g% at 12 months.
Conclusion: Mifepristone resulted in a reduction in uterine broids size and an increase in haemoglobin at the end of 12 months. It may be an
option for uterine leiomyoma treatment, as it is given orally, cost-effective and has minimal side effects.
AMD Annals 2020 – Synopsis on Type 1 Diabetes. Evaluation of AMD quality indicators of type 1 diabetes care in Italy
Authors: La Penna, G.
Published: May 2021

STUDY OBJECTIVE This new edition of the “Annali AMD” aim to show how T1DM quality care has evolved two years after the last evaluation. DESIGN AND METHODS The processing regards data of 34705 patients, involving 258 centres and referring to data updated to 2018. Our data concerns socio-demographic and clinical characteristics of patients as well as the volume of activity. The indicators selection is based on a consistent share of the current Indicator List adopted - Revision 8 of 19 June 2019, available on the AMD Annals website. RESULTS The amount of new diagnoses is confirmed at 3%, while first accesses has increased to 7.3%. Gender distribution shows a slight prevalence for males and there is an increase in the adult and elderly population. Data shows a general improvement in monitoring of main clinical parameters, specifically albuminuria monitoring (+13.4%). Among favourable outcomes stands out the share of patients with C-LDL <100 mg/dl (+4.2%), offset by the slight reduction of subjects with T1DM and blood pressure at target level. (-1.3%). We observed a trend of continuous improvement with regard to HbA1c, C-LDL, micro/macroalbuminuria and smoking. The proportion of patients with reduced GFR has increased by 4 % compared to the 2018 Annals. The slight increase of subjects with high blood pressure and high BMI deserves a closer attention. The share of subjects treated with CSII has increased from 12.6% to 18.1% over two years, reflecting the increasing access to the use of technologies for T1DM care. In addition, the percentage of subjects in lipid-lowering treatment increased from 30.4% to 34.5% while the percentage of subjects treated with at least one antihypertensive drug remained stable. The prevalence of chronic complications is still underestimated, however current indicators show a trend of increased prevalence of myocardial infarction and history of cardiovascular disease. CONCLUSIONS A comparison of population distribution by score class Q shows that the proportion of subjects with Q < 25 scores has fallen further over two years and, at the same time, the share with a score Q of between 25 and 40 has increased, a significant sign of an improvement in the overall quality of care. KEY WORDS type 1 diabetes mellitus; AMD indicators; quality of care; AMD Annals.
Penyaluran Alat Pencegahan dan Sosialisasi Protokoler Kesehatan untuk Pelayanan Kunjungan Wisatawan dalam Menghadapi New Normal Pasca Pandemi Covid-19
Authors: Kiswantoro Amin
Published: May 2021

Distribution of Prevention Tools and Dissemination of Health Protocol for Tourist Visit Services in New Normal Post Covid-19 Pandemic. Consideration from a public health perspective on covid-19 prevention and control for the tourism sector is needed as a recommended approach to be taken by the tourism sector. Community service activities are carried out by handing over some equipment to prevent the spread of covid-19 in welcoming new normal conditions at tourist destinations, which can be used by Pokdarwis members in serving tourists. Prevention equipment includes face shields that can be used by ticket sales officers, parking attendants, tour guides, hand sanitisers to maintain the cleanliness of every tourist who will enter the Klayar tourist destination, and cloth masks used by Pokdarwis members in providing services to tourists. Covid-19 pandemic has led to new behaviours in the community, which is much more concerned about hygiene, health, and safety factors, including for tourism destinations
Pendekatan Kearifan Lokal pada Aspek Sosial di Wisata Malam Kota Berastagi
Authors: Veronica Selly
Published: May 2021

Local Wisdom Approach on Social Aspect in Berastagi Night Tourism. Tourism is a strategic sector that becomes a significant part of urban development. Night tourism is the kind of tourism which innovative and potential to develop. Berastagi is known as one of the popular tourist destinations in North Sumatra that has night tourism. But nowadays, the negative image of night tourism that attaches to community life always be an obstacle in its developing process. Applying the local wisdom approach in the social aspect of night tourism is necessary to be held to create harmony between night tourism and community. The descriptive qualitative analysis has been carried out using the data collecting method by interview and field observation. This study shows local wisdom be the strength and protection that the community has to support the night tourism development in Berastagi.
Penguatan Kelompok Sadar Wisata Penguatan Kelompok Sadar Wisata Penguatan Kelompok Sadar Wisata
Authors: Satiani Lasti Nur
Published: May 2021

Strengthening Tourism Awareness Group in Rural Areas through Tourism Destination Management Training. Tourism is a strategic sector that makes a very important contribution. Tourism villages / rural areas are one of the most developed tours. A tourist village is one way for the welfare of the village community. Tourism is expected to be managed by the community itself and of course, the results can be enjoyed by local communities. The City of Salatiga Tourism Office collaborates with the Satya Wacana Christian University Tourism Destination Study Program to hold governance training for the Salatiga community in priority rural tourism development areas. The community needs to be equipped with sufficient destination management so that they are able to manage and develop destinations in their respective regions. Therefore, this community service activity is carried out in the hope that it can facilitate local people to have knowledge about tourism management. The success of this training activity will be perfect if it is accompanied by direct mentoring activities when the community starts planning tourism.
Tapestry-Woven Textiles from Castillo de Huarmey, Peru and the Wari-Huarmey Textile Tradition
Authors: Laszczka Aleksandra , Prządka-Giersz Patrycja
Published: May 2021

Peruvian tapestries are prestige textiles, known for their mosaic-like patterns made of multicoloured yarns. Numerous tapestry fragments from the Middle Horizon Period (650-1050 A.D.) were found at the Castillo de Huarmey archaeological site on the North Coast of Peru, where an intact Wari royal mausoleum was discovered. Relying on technological and iconographical analyses and, also on the context of the entire textile collection, a new Middle Horizon tradition associated with the expansion of Wari culture is proposed.
ISOLATION, CHARACTERIZATION AND IDENTIFICATION OF Lactobacillus fermentum EIPW5A ISOLATED FROM WHEY
Authors: Bhattacharjee Dipanwita , Bhattacharyya Barun
Published: May 2021

The probiotic organisms are now used widely for different clinical indications. In an attempt to isolate a good probiotic strain for therapeutic applications, we have screened several isolates having probiotic attributes. The essential probiotic characters such as lactic acid production, antimicrobial activity, acid and bile tolerance, vitamin B12 production and antibiotic resistance pattern were considered as parameters for screening of probiotic bacteria from its natural habitats. Considering the said probiotic properties the strain EIPW5A was selected for the present study. The organism was identified as Lactobacillus fermentum based on its morphological, biochemical, physiological characters and 16S rRNA gene sequencing results.
Excluding 'Undesirable' Immigrants: Public Charge as Disability Discrimination
Authors: Rosales Alessandra
Published: May 2021

Public charge is a ground of inadmissibility based upon the likelihood that a noncitizen will become dependent on government benefits in the future. Once designated as a public charge, a noncitizen is ineligible to be admitted to the United States or to obtain lawful permanent residence. In August 2019, the Trump Administration published a regulation regarding this inadmissibility ground. Among its mandates, the rule expanded the definition of a public charge to include any noncitizen who receives one or more public benefits for more than twelve months in a thirty-six-month period It also instructed immigration officers to weigh medical conditions that “interfere” with the noncitizen’s ability to care for themselves in favor of finding the noncitizen to be a public charge. The rule prompted several legal challenges, including under section 504 of the Rehabilitation Act, the predecessor to the Americans with Disabilities Act. While these claims address the core legal arguments of disability discrimination, the scope of violations should be viewed more broadly. This Comment assesses the public charge rule from a disability rights perspective, exploring the intersection between disability and immigration law, and concludes that immigrants with disabilities no longer had access to federal programs to which they were entitled, and consequently, access to the United States itself.