bluuebunny/crossref_metadata_2025 huggingface dataset:
Vulnerabilidade ao Estresse entre Agentes de Segurança Penitenciários
Authors: Jesus Sara Rodrigues de , Felippe Andreia Monteiro , Silva Yury Vasconcellos da
Published: August 2021

Resumo As atividades do Agente de Segurança Penitenciário podem torná-lo vulnerável ao estresse, devido a fatores como pressão por trabalho em longos turnos, ambiente tenso e constante exposição ao perigo. Trata-se de uma pesquisa de campo, de viés quantitativo, descritivo, comparativo e correlacional, com o objetivo de avaliar a vulnerabilidade ao estresse entre Agentes de Segurança Penitenciários de uma unidade prisional do interior de Minas Gerais. Foram aplicados os instrumentos: entrevista estruturada, seguida de “Escala de Vulnerabilidade ao Estresse no Trabalho”. A amostra foi de 95 Agentes de Segurança Penitenciários que mantêm contato direto com os presos. Foram obtidos os seguintes resultados: a) no geral, a “vulnerabilidade ao estresse” nos Agentes de Segurança Penitenciários da unidade prisional foi dada como superior em 53,7% da amostra; b) quanto ao “clima e funcionamento organizacional”, a classificação foi médio superior; c) no fator “pressão no trabalho”, a vulnerabilidade foi médio superior; d) quanto ao fator “infraestrutura e rotina”, a vulnerabilidade foi classificada como superior em 70,5% dos agentes. Foi constatado que os solteiros têm maior vulnerabilidade ao estresse em todos os fatores pesquisados. Concluiu-se que os Agentes de Segurança Penitenciários da unidade prisional do interior de Minas Gerais estão vulneráveis ao estresse, devendo ser elaboradas políticas públicas para combater o fenômeno.
Motivações, Desafios e Dificuldades Vivenciados por Psicólogos Empreendedores: Estudo Qualitativo
Authors: Silva Dhayanne de Sousa , Veiga Heila Magali da Silva , Cortez Pedro Afonso
Published: August 2021

Resumo O empreendedorismo se apresenta como uma forma de inserção profissional em contextos de precarização das relações de trabalho e emprego. No entanto são escassas as produções sobre o tema, o que torna emergente produzir compreensões sobre empreendedorismo entre psicólogos. Neste estudo, objetivou-se identificar motivações, desafios e dificuldades relatados por psicólogos empreendedores. A pesquisa foi qualitativa com aplicação de entrevista semiestruturada em seis psicólogos empreendedores do estado de Minas Gerais. Os relatos foram categorizados por meio de análise de conteúdo, permitindo identificar motivações, desafios e dificuldades enfrentados por psicólogos no processo empreendedor. Essas evidências contribuem com um mapeamento inicial sobre empreendedorismo entre psicólogos, demandando que estudos futuros verifiquem a saturação teórica e validade empírica dos resultados em outros contextos e amostra. A principal contribuição da investigação se refere à abdução de que os conteúdos e práticas relativos ao empreendedorismo e gestão de negócios são importantes na graduação em Psicologia para potencializar o processo empreendedor entre psicólogos. Para tanto, demanda-se que profissionais, pesquisadores e entidades incluam o empreendedorismo entre os tópicos a serem desenvolvidos pela categoria em favor de uma psicologia que preserve a pluralidade da prática profissional.
Residência Multiprofissional em Saúde e Formação de Psicólogos para o SUS
Authors: Ferreira Isabel Sampaio dos Santos , Soares Cecília Teixeira
Published: August 2021

Resumo A inserção da psicologia na área da saúde ocorreu de modo convencional, sem que houvesse adaptação aos novos contextos de atuação. Concomitantemente, a graduação em Psicologia está ainda muito ancorada na área clínica, com poucas discussões sobre outras possibilidades de atuação. Partindo da inserção da psicologia em programas de residência multiprofissional em saúde, buscou-se compreender a percepção do psicólogo residente quanto à contribuição de seu saber para as equipes multiprofissionais e do efeito da vivência da residência para sua formação profissional. A coleta de dados partiu da realização de grupos focais e empregou-se a análise de conteúdo para seu tratamento. Além disso, considerou-se os sentimentos e experiências da pesquisadora, acentuando sua implicação no processo de pesquisa e desmistificando uma suposta neutralidade científica. Os resultados da pesquisa apontam que o amparo institucional da residência se coloca tanto como uma expectativa segura após a graduação, quanto como um desafio para a atuação do psicólogo, assim como evidenciam lacunas e contribuições na graduação em psicologia e indicam a necessidade de maior inclusão de temáticas de grupo, saúde e gênero nas grades curriculares. Além disso, a pesquisa registra as frustrações do residente ao lidar com o contexto atual de sucateamento do Sistema Único de Saúde; a importância do trabalho multiprofissional para garantir atenção integral em saúde; e os aprendizados que fazem da passagem pela residência um divisor de águas. Todos esses achados permitem afirmar que espaços como a residência multiprofissional em saúde constituem campos teórico-práticos de amadurecimento profissional do psicólogo profissional de saúde.
Considerações sobre a Ampliação da Intensao da Psicanálise numa Unidade de Pronto Atendimento
Authors: Costa Maico Fernando , Costa-Rosa Abílio da
Published: August 2021

Resumo Este artigo tem o intuito de tratar da práxis de um psicólogo precavido pela Psicanálise de Freud e Lacan na Urgência e Emergência de uma Unidade de Pronto Atendimento (UPA), na tentativa de operar com o dispositivo Clínica da Urgência. O dispositivo Clínica da Urgência, em nossa proposição teórico-clínica e ético-política, almeja a escuta dos sujeitos em sofrimento. Discorremos sobre seu posicionamento nesse campo de ação em especial e como se deram as tentativas de ampliar a escuta, a um lugar outro, diversamente do tradicional setting analítico. Para este exercício teórico, a Psicanálise foi o principal instrumento de trabalho, e recorremos a textos de psicanalistas autores que utilizam a Psicanálise freud-lacaniana para (re)pensar sua práxis analítica. Portanto intencionamos compartilhar a experiência da ação-reflexão do psicólogo nesse campo específico da Atenção em Saúde. Por meio da exposição de fragmentos de casos, de alguns atendimentos de sujeitos, a perspectiva foi pensar sobre estes no âmbito da intensão ampliada da Psicanálise. Concluímos que, nesse modo de compreensão da Clínica da Urgência, encontra-se um piso sólido aos horizontes da Psicanálise, essencial à escuta do sujeito do inconsciente em seus impasses e em seus processos de adoecer.
L'Expression Elémentaire dans L'etre et le Néant
Authors: Champigny Par Robert
Published: August 2021

Gaston bachelard a montré que les éléments matériels pouvaient servir de catégories adéquates pour étudier la sensibilité et le tempérament de maint auteur. Les poètes lui ont évidemment fourni un terrain d'élection. Plus remarquable est le fait que la plus abstraite philosophie utilise d'une manière caractéristique des métaphores et des images tirées des quatre éléments matériels. Il s'agit d'ailleurs de quelque chose de plus essentiel que ce qu'on entend d'ordinaire par “image” et “métaphore”. En regard de la pensée abstraite, ces deux termes sont compris à titre d'ornements grâce auxquels le philosophe égaie son exposé aride et le rend plus frappant. Mais le fait que “l'image” nous aide à fixer une théorie en notre esprit tendrait déjà à montrer qu'il s'agit là non d'un ornement, mais d'une pénétration intuitive que ne saurait remplacer totalement une suite d'abstractions sans relation visible à la vie. On objectera qu'une telle attitude est le plus sûr moyen de mal interpréter une doctrine: La faute en est alors à l'auteur, et non au lecteur. C'est l'auteur qui a mal interprété sa propre doctrine en se laissant aller à des “images” superficielles et ornementales.
Pope, Theobald, and Wycherley's Posthumous Works
Authors: Dearing Vinton A.
Published: August 2021

The Posthumous Works of William Wycherley, Esq; in Prose and Verse. Vol. II (1729), is an important and neglected document for the study of the canon and the poetical abilities not only of its author but also of its editor, Alexander Pope. It consists of a preface, a carefully annotated reprint of the table of contents to the first volume, a collection of letters between Pope and Wycherley, and a series of poems or parts of poems by the two men. It is extremely rare—the Bodleian copy seems to be the only one in an institutional library—and while large portions have been separately reproduced, no one has pointed out the significant relationships between them and the rest of the volume.
Escalas de medición de aculturación en estudiantes de Educación Superior
Authors: Martínez-Lara Sandy , Leyva-Cordero Oswaldo
Published: August 2021

Objetivo: Validar el instrumento de medición diseñado para evaluar los factores que facilitan el proceso de aculturación en estudiantes de Educación Superior durante su intercambio académico en el extranjero. Método: La investigación fue de carácter cuantitativa, utilizando pruebas estadísticas de fiabilidad Alfa de Cronbach, y análisis factorial por la medida de Kaiser-Meyer-Olkin (KMO) de cada una de las variables de investigación; aplicando un total de 189 encuestas. Resultados: La variable adaptación cultural obtuvo valores aceptados en las pruebas realizadas a= .754 y KMO= .707, demostrando la importancia del conocimiento previo referente a las costumbres, tradiciones y estilos de vida del país, asimismo, la variable características de la institución mostró resultados satisfactorios, en donde a=.813 y KMO= .679, probando la importancia de la estructura institucional, académica y estilos de aprendizaje de la institución receptora.  Discusión y Conclusiones: El instrumento de medición aprobó de manera satisfactoria las pruebas estadísticas utilizadas dentro del proceso de validación, mismo que sirve como una herramienta para establecer modelos de adaptación cultural.
epidemiology of injury and illness amongst athletes at the Indian Ocean Island Games, Mauritius 2019
Authors: Garnett Daniel , Bhola Adisha , Olivier Benita , Patricios Jon , D’Hotman de Villiers Yannick , Sunassee Krsnamoortee , Cobbing Saul
Published: August 2021

Background: The Indian Ocean Island Games is a multi-sport event that occurs every four years and includes athletes from seven islands of the Indian Ocean.

Objective: This study aims to describe the injury and illness epidemiology of the athletes participating during the 2019 Indian Ocean Islands Games.

Material and Methods: This prospective cohort study recorded injury and illness cases from athletes who competed in these Games. All medical physicians received detailed instructions and training on data collection using an injury report form. All athletes (minor and adults) who provided consent, or consent given from the minors’ guardians, were included in this study. Athletes who did not provide consent for this study were excluded.

Results: 1 521 athletes (531 women and 990 men) reported 12 injuries per 100 athletes (n=160) and 6 illnesses per 100 athletes (n=85). The percentage of distribution of injuries were highest in football and basketball. Most injuries occurred during competition compared with training Joint sprains were the most common type of injury (28%), followed by muscle strains (19%). Men suffered the majority of injuries (79% vs. 21%). Similarly, men sustained more illness than women (57% vs. 43%). Most illnesses affected the respiratory system (67%), and infection was the most common cause of illness (84%) in participating athletes.

Discussion: These findings are similar to previous events in other parts of the world. However, unique ailments, not previously reported on, were discovered.

Conclusion: Epidemiological data from this study can be inferred to athletes who compete in similar multi-sport events and/or Olympic Games in the Indian Ocean region.
THE MODIFIED SYSTEMIC INFLAMMATION SCORE CAN BE USED TO PREDICT THE PRESENCE OF INVASIVE CARCINOMA IN COLORECTAL POLYPS WITH HIGH-GRADE DYSPLASIA
Authors: AKIN Tezcan , OCAKLI Serhat , GÜNEŞ Gizem , DOĞAN İbrahim , AKIN Merve , ÇETİNKAYA Erdinç , BERKEM Hüseyin , ER Sadettin , TEZ Mesut
Published: August 2021

Objective

In recent years, the prognostic and predictive values

of scoring systems such as systemic inflammation

score (SIS) and modified systemic inflammation

score (mSIS) have been investigated in colorectal

cancers. To investigate the efficacy of the modified

systemic inflammatory score (mSIS) calculated by

simple laboratory tests in predicting the presence of

invasive carcinoma in colon polyps with high-grade

dysplasia (HGD).

Materials and Methods

The postoperative data of 44 patients with colorectal

polyps who underwent surgery with the diagnosis

of preoperative HGD between January 2019 and

October 2021 were retrospectively analyzed.

According to the results of the postoperative

histopathological examination, the patients were

divided into two groups as HGD/intramucosal

carsinom (Tis)/adenomatous polyp and invasive

carcinoma. mSIS calculation was made as follows:

mSIS 0 [albumin (ALB)≥4.0 g/dL and lymphocyte/

monocyte ratio (LMR)≥3.4], mSIS 1 (ALB
Evaluation of Parameters in PLA and PCL Scaffolds to be Used in Cartilaginous Tissues
Authors:   , Rea K.
Published: August 2021

The scopes of medical treatments involving organ transplants and implants for chronic problems and trauma have changed significantly. However, these procedures are subject to multiple problems. Recently, tissue engineering has been used to address them. The present study is framed in the field of tissue engineering, particularly cartilage tissue, and proposes the evaluation of geometric and impression parameters for the manufacture of scaffolds as a basis for the growth of cells through 3D impression techniques. These scaffolds are highly porous three-dimensional supports that house donated or himself patient cells, providing a surface where the cells can adhere and proliferate. In the methodology, geometric and pore size variables are defined for scaffolding modeling by using CAD techniques and standardization of the printing process with standard 3D printers and accessible materials. The results showed that material flow, printing temperature, printing speed and ventilation are the most influential parameters in the manufacture of scaffolds. Additionally, it was found micrometric variations between the modeled design and the printing result. These scaffolds will subsequently be subjected to in vitro cell culture evaluating the adherence, division, and proliferation of the cells.
NCBI COI Submission v2
Authors: S Hiley Avery
Published: August 2021

Protocol for uploading mitochondrial COI sequences to GenBank
Potencialidades para o desenvolvimento do turismo em Magalhães de Almeida - MA
Authors: Colasante Tatiana , Portugal da Silva Elizama
Published: August 2021

Resumo: A atividade turística tem se tornado um importante fator de desenvolvimento local para os municípios. No entanto, por sua constituição sistêmica, que envolve diferentes segmentos e atores, é primordial que o turismo se desenvolva de forma ordenada para que haja benefícios em prol da comunidade local. Para isso, é necessário pensar no planejamento turístico como ferramenta de organização e direcionamento de iniciativas de fomento à atividade. Uma das etapas do planejamento turístico prevê a realização do inventário para que se tenham as informações basilares sobre a infraestrutura do município, incluindo-se as opções de lazer e turismo. Com isso, pode-se analisar o potencial turístico, elaborar estratégias e empreender ações de acordo com cada realidade. O recorte espacial desta é o Município de Magalhaes de Almeida, localizado no Estado do Maranhão, que atrai visitantes regionais principalmente em função dos festejos e atrativos naturais. Com base nos dados coletados e na aplicação de uma matriz de avaliação de potencial turístico, o município foi considerado com médio grau de atratividade turística. É possível inferir que existe a possibilidade de que o turismo possa se tornar uma importante atividade para o desenvolvimento local, mas que ainda é necessário um planejamento efetivo por parte do poder público envolvendo a participação da comunidade.Palavras-chave: Planejamento turístico. Magalhães de Almeida. Potencialidade turística. Matriz de avaliação de potencial turístico. Desenvolvimento local.
Classificação de trajetos com potencial cicloturístico na Fronteira Brasil -Uruguai baseado na NBR 15509-2
Authors: Amorim Rafael Machado , Borges Gustavo Da Rosa
Published: August 2021

O turismo de aventura, ramo do turismo de interesse específico, é realizado ao ar livre e praticado geralmente fora da região de domicílio do turista, descrito inicialmente nos anos 1990. Dentro desse tipo de turismo encontra-se o cicloturismo, uma atividade de lazer que envolve o deslocamento em bicicleta de um ponto a outro, podendo haver um ou mais pernoites durante o percurso. Assim, realizou-se um levantamento qualitativo de caráter descritivo para descobrir qual o grau de dificuldade de alguns trajetos com este potencial entre as cidades de Santana do Livramento (Brasil) e Rivera (Uruguai), com base nos parâmetros estabelecidos pela Associação Brasileira de Normas Técnicas para essa modalidade de turismo de aventura. As cidades escolhidas dividem cerca de 100km de fronteira seca entre seus respectivos países e fazem parte da região do Pampa, um dos menores biomas registrados no Brasil. Assim, elencou-se cinco locais com potencial cicloturístico e que apresentam relevância histórica, cultural ou turística. As localidades escolhidas são a Ferradura dos Vinhedos, Vila Pampeiro, Represa da OSE e Usina Eólica, Villa Masoller e Represa Historica de Cuñapiru. Depois, desenvolveu-se trajetos de ida e volta para atingir essas localidades e realizou-se as classificações necessárias. Por fim, apresentou-se a classificação a pelo menos 3 ciclistas com experiência no percurso para verificar se o trajeto e as classificações propostas estão em conformidade com a Norma. Espera-se, com este trabalho, não só contribuir com o assunto na academia, mas também com o desenvolvimento econômico e cultural da região.
Characterizing spinal interneuronal activity during air-stepping in sub-chronic spinal cats
Authors:   , Au Yong Nicholas , Lemay Michel A.
Published: August 2021

While the neuronal constituents of the locomotor CPG have not been identified, they likely include lumbar interneurons within the intermediate zone (Lamina IV-VII), previously shown to be active during locomotor behavior. Two different organizational schemes have been proposed for the locomotor center that governs stepping and other rhythmic behaviors. These include models based on spatially segmented modules or a system of longitudinal networks. In this project, the activity of spinal interneurons was examined using multichannel electrode arrays during air-stepping in sub-chronic spinal cats. Single-unit and population activity of spinal interneurons were examined in two separate studies. In the first aim, we examined if the spatial organization of the single-unit lumbar interneuronal activity patterns was consistent with either of these two organizational schemes. While the preferred phases of lumbar interneurons, calculated with circular statistics, from both sides of the spinal cord were distributed over the entire step cycle, we found that the preferred phases of units with respect to the ipsilateral step cycle largely fell within the first and last third of the step cycle. In contrast, preferred phases of contralateral units fell within the middle third of the step cycle. In the second aim, we investigated if the spatial-temporal dynamics of spinal interneuronal activity was consistent with the proposed organizational schemes for rythmogenicity. Segmental interneuronal activity, studied via multiunit activity (MUA), was found to be modulated with respect to the ipsilateral step cycle during air-stepping with maximal activity occurring near the ipsilateral swing-stance transition period. Furthermore, examination of population activity throughout the rostrocaudal extent showed no differences in their phasic dynamics between segmental levels, suggesting that the spinal interneurons targeted in this study may operate as part of a distributed network. Together, findings from both of these aims suggest that the interneurons examined in this study operate as part of a longitudinally distributed network within the lumbar cord. Furthermore, these results show that interneurons within lamina V, VI, and the top of lamina VII are not activated according to their rostrocaudal positions as would be expected from spatially organized spinal modules or a travelling wave mechanism.
Estado de derecho, constitucionalismo y democracia
Authors:   Universidad Libre, Rosenfeld Michel
Published: August 2021

El presente volumen contiene varios artículos en los que se analizan temas de amplia repercusión en nuestras sociedades actuales: el Estado de derecho, el constitucionalismo y la democracia. Todos los autores participantes lo hacen desde diferentes perspectivas. En algunos casos haciendo una reconstrucción histórico y conceptual del Estado de derecho y explicando su evolución y comprensión en las distintas versiones existentes, en otros estableciendo una inevitable relación de este modelo de organización política con los derechos sociales u ofreciendo interpretaciones críticas del mismo. En esta presentación quisiera concentrarme en ofrecer algunas ideas generales de cómo el Estado de derecho, se constituye en un modelo institucional de organización política de las sociedades capitalistas y surge como alternativa de fundamentación a las complejas relaciones sociales de una realidad cuya dinámica se basaba en el libre mercado, la movilidad social y la soberanía de los Estados – nación. Según Michel Rosenfeld, el Estado de derecho es fundamental en nuestras democracias actuales pues implica que el Estado “somete a los ciudadanos solo a leyes promulgadas públicamente, que la función legislativa del Estado sea separada de la jurisdiccional, y que nadie dentro de la comunidad política esté por encima de la ley”. Pero la definición de Estado de Derecho es dificultosa y controversial pues no existe un consenso para determinar el contenido y límite del término, lo cual lo vuelve un concepto esencialmente controvertido. En el término Estado de Derecho coinciden tanto una función descriptiva como prescriptiva, como afirma Rosenfeld “el significado descriptivo de “Estado de derecho” depende del significado prescriptivo que se le adscribe; en el contexto de las complejas comunidades políticas contemporáneas habrá probablemente fuertes desacuerdos sobre los estándares prescriptivos relevantes que se toman en consideración.
Maternal and fetal outcome in liver disorders in pregnancy
Authors: Farooq Ruksana , Beigh Mehbooba , Abbas Rahat , Amin Yusra
Published: August 2021

Background: Liver disorders comprise 3% of all pregnancy complications. All liver disorders, pregnancy specific, pregnancy related and pregnancy unrelated disorders have both maternal and fetal effects. The aim of the study was to determine the effect of liver disorders in pregnancy. The objective of this study was to determine the effect of liver disorders on pregnancy outcome.Methods: All pregnant patients with clinical and biochemical evidence of liver dysfunction were taken as cases. Pregnant women with normal liver function tests were taken as controls. All patients were followed during pregnancy and postpartum. Maternal and fetal outcome was studied.Results: A total of 140 patients were included- 70 cases and 70 controls. Maternal and fetal outcome was studied in both the groups. PPH and oligohydroamnios were most frequent among cases with p value of 0.034 and 0.035 respectively. Similarly, pre-term birth, RDS and perinatal asphyxia was more common in cases with a p value of 0.011, 0.001 and 0.005 respectively.Conclusions: Study concludes that liver disorders in pregnancy have adverse maternal and fetal complications.
Gepants, calcitonin gene-related peptide antagonists, for abortive treatment of migraine: current status
Authors: Gaddam Soni , Padi Satyanarayana S. V.
Published: August 2021

Migraine is a neurovascular disorder characterized by unilateral, recurrent, pulsating, throbbing, and moderate to severe headache. Triptans use is often limited by their poor efficacy, reports of poor responders, and contraindicated in patients with cardiovascular disorders. Calcitonin gene-related peptide (CGRP), a neuropeptide, regulates vascular tonicity as well as potent pain mediator, and both the mechanisms involved in development of migraine headache. Gepants are non-peptide, small molecules, highly selective, and potent CGRP antagonists. These novel drugs have been approved for abortive treatment of acute migraine with or without aura. These are being evaluated for their effectiveness and showing promising results in the prevention of migraine. Gepants do not have vasoconstrictive properties, are safe to use in patients with cardiovascular risk, and best alternative to triptan therapy. These are available in tablet, orally disintegrating tablet, and nasal forms to improve patient compliance. Ubrogepant and rimegepant are the two oral CGRP antagonists approved whereas atogepant and zavegepant are at late stage of development for approval.
Allgrove syndrome: a case report
Authors: Bhil Dipika , L. Guntupalli Shravya , Doshi Hitarth , Harnal Shivanand
Published: August 2021

Allgrove syndrome is an autosomal recessive disease which is characterized by Achalasia, Alacrimia and ACTH-resistant Adrenal deficiency with progressive neurological manifestations. Allgrove syndrome is caused due to mutations in AAAS gene, localized on chromosome 12q13. This report relates to an 8 years old female child who had complaints of vomting, fever, cough, hyperpigmentation and poor weight gain. Barium swallow, ophthalmic examination and ACTH stimulation test proves that patient has Allgrove’s syndrome. Management consisted of initiation of cortisone therapy which was successful in improving the hyper pigmentation. Patient was planned for surgical intervention for achalasia cardia on follow-up. Allgrove’s syndrome may be an under diagnosed disorder. High index of suspicion is needed when patients present with such complex symptoms. Diagnosing and timely intervention helps in reducing the morbidity and mortality.
Giant congenital melanocytic nevi (garment variety): a case report
Authors: Singh Om Prakash , Kumar Vikas , Kumar Rahul
Published: August 2021

Giant congenital melanocytic nevi (GCMN) are large brown-to-black skin lesions caused due to genetic mutations which lead to defective proliferation, differentiation and migration of melanoblasts which are precursor cells of melanocytes. There is a mutation in the NRAS gene causing abnormal proliferation of embryonic melanoblasts. Congenital melanocytic nevus is primarily a clinical diagnosis. The malignant melanoma and neurocutaneous melanosis are the two major complications associated with GCMN. The risk of transformation of GCMN to malignant melanoma varies between 0 and 3.8%. About 1% of live births presents with a CMN. The incidence of GCMN is estimated at less than 1: 20,000 newborns. The variety ‘garment-like’ of GCMN is even scarcer, 1: 5,00,000. GCMN has got major psychosocial impact on the patient and his family due to its unsightly appearance. Treatment includes surgical and non-surgical procedures, psychological intervention and clinical follow-up, with special attention to changes in color, texture on the surface of the lesion. We presented a case of 1-day-old female neonate born with GCMN in our hospital.
Is the surge in respiratory syncytial virus related to the COVID-19 pandemic? a clinical-based review
Authors: Khabieh Shelley , Bassoul Albert , Ftiha Farage
Published: August 2021

Respiratory syncytial virus (RSV) has been around for many years. Symptoms of the virus includes: cough, runny nose, loss of appetite, and a possible ear infection. Often times, the patient presents with bronchiolitis, which eventually escalates to RSV. Children most commonly affected by RSV are between the ages of 0-2. In December 2019, the first case of SARS-CoV-2 was discovered in China. Normally, the RSV virus sparks around the winter months; however, throughout the COVID -19 pandemic, RSV was at its all-time low. When SARS-CoV-2 started to decline in early April 2021, there was a spike in the respiratory syncytial virus among children.
Comparison of residual hearing preservation and auditory based performance after paediatric cochlear implantation by round window insertion versus cochleostomy technique: an ambispective cohort study
Authors: Antony Dayana , Chacko Aneena , A. Ravi
Published: August 2021

Background: Cochlear implantation (CI) has revolutionized the treatment of sensorineural deafness. The aim of the study was to compare auditory based performance in cochlear implants who underwent round window insertion and cochleostomy.

Methods: Ambispective cohort study was done among the children who underwent perilingual cochlear implant in a tertiary care hospital for period of 1 year. Children who satisfied the inclusion criteria were selected and randomly subdivided into 2 groups: group A- round window insertion and group B-cochleostomy. Pre- and post-operative pure tone average (PTA) and residual hearing preserved were evaluated among the cochleostomy and round window insertion groups separately. Post-operatively, children were evaluated, from three months to 1 year from the activation of cochlear implant, with the use of scores such as Category of Auditory Performance (CAP), Meaningful Auditory Integration Scale (MAIS), Speech Intelligibility rating (SIR) and Meaningful use of speech scale (MUSS score) to measure speech production skills by auditory verbal therapist.   

Results: A total of 80 patients were included in the study. Complete hearing preservation (within 10 dB) was significantly high in round window insertion group compared to   cochleostomy technique (p<0.001). None the subjects had complete loss of residual hearing. On evaluating the post CI performance, MAIS score in the round window insertion group (9.34, 18.21, 27.79) were significantly better compared to cochleostomy group during the 3 months, 6 months and 12 months follow-up.

Conclusions: Round window insertion technique is significantly more successful in complete hearing preservation at low frequencies compared to cochleostomy technique. Among the auditory scores, only MAIS in the round window insertion group was found to be significantly better compared to cochleostomy group.
Evaluation of Eustachian tube function in patients of cleft palate and effects of palatoplasty on these findings
Authors: Kochar Lalit , Chauhan Deepak V. , Bajaj S. P. , Juneja Akash
Published: August 2021

Background: Isolated cleft palate and cleft palate and cleft lip patients have poor Eustachian tube function which results in hearing impairment that too in the speech formative years. Aim of study was to evaluate tympanometric findings in patient of cleft palate and effect of palatoplasty on both short term and long term postoperatively.

Methods: The subjects consisted of patients attending the cleft lip and palate clinic. This was a combined clinic consisting of department of plastic surgery, department of ENT and department of dental surgery held every month at a tertiary care hospital in Delhi. Study consisted of three groups of patients namely preoperative group, postoperative group and pre-postoperative group.

Results: No significant difference was observed in tympanometric abnormalities in cases of combined cleft lip and palate as compared to isolated cleft palate. After age of 5 months once changes of OME has set in there was no significant change in middle ear findings irrespective of palatal repair.

Conclusions: There is a very high prevalence of otitis media with effusion in these patients. The changes do resolve spontaneously after age of seven, this perhaps is due to combined effect, growth, development and l maturity of Eustachian tube and palatal surgery rather than palatal surgery alone.

 
A case series on post-covid deadly fungal infection: mucormycosis
Authors: G. Kalpana , Patil Amol A. , Shaan Manohar , Verma Mitusha , Harshe Gayatri
Published: August 2021

The prevailing pandemic situation by SARS-CoV-2 infection is not only worrisome by the disease per se but also for the accompanying opportunistic infection are in the rise especially in diabetic patients. We presented a case series of post-covid rhino orbital cerebral mucormycosis infection in diabetic patients resulting in high morbidity. The need to present this was to emphasis on the timely surgical and medical intervention needed to reduce morbidity and mortality by the infection. The study highlighted the importance of surgical intervention in the deadly infection.
Case series-an overview of extracapsular dissection of parotid tumours
Authors: M. Anushree Rai , Tanthry Deepalakshmi , Santhraya Mahesh , Pannen Devan Poothatta , Bhandary Rukma , Pai Vishwas
Published: August 2021

Extra capsular dissection (ECD) differs markedly from classic surgical approaches to the parotid neoplasm because facial nerve dissection is not performed. Factors noted to favor this approach include mobility of the tumor within the gland, a thin covering of capsule and glandular tissue, and a tumor large enough to allow digital manipulation during dissection. Imaging, fine needle aspiration cytology, and neuron-monitoring play a heightened role in ECD. The aim of this article is to report case series on surgical management of few types of parotid tumors by extra capsular dissection and to assess long-term results after the treatment of parotid tumors using surgical technique ECD.This case series includes five different parotid tumors such as Warthin’s tumor, Pleomorphic adenoma, Sialadenoma papilliferum of parotid, chronic sialoadenitis, parotid cystadenoma, out of 30 cases operated in our hospital. All the patients in this study received appropriate surgical treatment (ECD) and done a follow up evaluation every month.
Metabolic syndrome in alopecia areata: an observational study at a tertiary care center
Authors: Das Subrata Kumar , Das Saptadipa
Published: August 2021

Background: The aim was to evaluate the parameters of metabolic syndrome (MS) in patients of alopecia areata and to investigate the possibility of an existing relationship between MS and alopecia areata (AA).

Methods: This cross-sectional observational study included 50 patients with AA who attended OPD of department of dermatology at a tertiary care center during a period of 1 year. Clinical and laboratory parameters were noted in each patient.

Results: This study included 50 patients with AA (33 males and 17 females). In the present study maximum number of patients belonged to the age group 20-30 years with 23 patients, followed by 30-40 years with 17  patients. Most of the study subjects, 17 were college students and number of employees were 15. Out of 50 patients 44  had patch(es) and 2 patient had alopecia totalis. In this study out of 50 patients, 38 had mild AA, 7 had AA and 5 patients had severe AA. No significant derangement of clinical and laboratory parameters of MS observed in patients of AA.

Conclusions: In the present study we did not observe any significant derangement of clinical and laboratory parameters of  MS  in patients of alopecia areata.
Evaluation of clinical and demographic profile of leprosy with special reference to WHO-fixed duration multidrug therapy non-responders: a cross-sectional analysis at a tertiary care centre in Maharashtra
Authors: Sahu Monali , Belgaumkar Vasudha , Chavan Ravindranath B.
Published: August 2021

Background: India remains one of the highest contributors to the global burden of leprosy despite declaring elimination in 2005 under National Leprosy Elimination Program (NLEP). The objective of this study was to document the clinical and socio-demographic profile of leprosy patients, determine the proportion suspected with inadequate/non-response to standard World Health Organisation (WHO)-Fixed duration multi drug therapy (FD-MDT) and identify contributory factors.

Methods: A cross-sectional study was conducted on 123 leprosy patients over 2 months. Screened patients were categorised into suspected MDT non-responders (Group A, 21) and those not satisfying criteria (Group B, 102) for non-responders. Medical records were abstracted and patients subjected to detailed history and clinical examination.

Results: Burden of WHO-MDT non-responders was 17 % (mean age 37.64 years).Majority were male in both groups. Borderline lepromatous (33%) and borderline tuberculoid (58%) were the predominant types in group A and B respectively. Among non-responders, male gender and grade 1disabilitywere significant associations, 17 were on extended-MDT;1 patient was prescribed second-line drugs,3 received both MDT and second-line drugs. More-than-half had relapsed within 5 years.

Conclusions: This study highlights the need for customised-treatment in selective situations to minimise relapses. Determinants in WHO-FD-MDT non- responders/relapse cases were male gender, young adults, lower socioeconomic status, lepromatous form, disability, high initial bacteriological index, non-compliance and early relapses. Leprosy eradication can be facilitated by individually focused management strategies including judicious use of bacteriological index, counseling and long- term follow-up depending on the patient profile. Active surveillance and early detection of relapse may prevent further complications and decrease drug resistance.  
A case report of asymptomatic cutaneous larva migrans
Authors: David Abhinav , Srivastava Divyanshu
Published: August 2021

Cutaneous larvae migrans or creeping eruption is a serpiginous cutaneous eruption caused by the accidental penetration and migration of animal hookworm (nematode) larvae through the epidermis and subcutaneous tissue. The infection occurs most frequently in warmer climates and is associated with pruritus and burning sensations. We report a case of 48 years old farmer with vesicular lesion on left ankle progressing into a serpiginous track on the skin surface without any characteristic symptoms. Treatment with oral and topical drugs led to successful resolution of lesions within 10 days.
Asymptomatic bacteriuria in South Indian pregnant women and treatment effect on outcome of pregnancy
Authors: Gopalan Ushadevi , Neelima Nalam , Jayakumar Karthika
Published: August 2021

Asymptomatic bacteriuria is defined as bacteriuria where colony count of same species is more than 10 colonies/ml of urine in a clean catch midstream urine sample in an asymptomatic women”. This if left untreated in pregnancy, may progress to pyelonephritis. Due to the physiological and anatomical changes in the genitourinary tract during pregnancy, urinary tract infection is more common in pregnant women. Our aim was to study the effect of asymptomatic bacteriuria on pregnancy outcome and to find the most common organism responsible for asymptomatic bacteriuria in pregnant women.

This was a prospective observational hospital based study conducted in the Department of Obstetrics and Gynaecology at a tertiary care teaching hospital. A total of 85 pregnant women were included in the study. Clean catch mid stream urine sample was collected and cultured. The organism was identified and patient was treated according to the antibiotic sensitivity pattern. Patient was followed up till delivery to look for maternal and fetal outcomes.

In our study, the prevalence of ASB in pregnancy was 24.7%. 61.9% were in age group of 18-25 years and 42.9% were 2 gravida. 85.7% were in 3rd trimester. Of the ASB cases 90.5% had term babies and 85.7% had babies with birth weight of >2.5 Kg.

It is important to do Urine culture and sensitivity in all pregnant women irrespective of the symptoms and gestational age so as to detect ASB as early as possible and by treating this we can avoid the adverse effects in the mother and the fetus.
Umbilical cord coiling index as a marker of perinatal outcome
Authors: Jain Pragati , Aggarwal Monika , Ahuja Meenu V , Gupta Surbhi
Published: August 2021

The umbilical cord is very important for the well-being and survival of the fetus, however this is susceptible to compressions, kinking, traction and torsion which may influence the perinatal outcome and an abnormal umbilical coiling index has been related to adverse fetal and pregnancy outcomes.

To determine the umbilical cord coiling index (UCI) and compare its association with perinatal outcome in normal and complicated pregnancies.

It was a prospective observational study done on 200 patients at term (after 37 weeks) pregnancy, delivered either vaginally or by cesarean section. The umbilical cord coiling index was calculated. The mean coiling index of our study was 0.256+0.07 per cm. The outcomes measured were maternal age, parity, body mass index, hypertension in pregnancy, diabetes in pregnancy, amniotic fluid index, meconium staining of liquor, neonatal birth weight, Apgar score at birth, ponderal index, NICU admission. The coils were then divided into three categories on the basis of UCI and their association with the maternal and fetal outcomes were analyzed. Hypocoiled cords were those having UCI less than 10th centile, and hypercoiled cords those having UCI more than 90th centile. Statistical analysis was done by chi square test, Fishers exact test and the t test where applicable.

Hypocoiled cords (UCI <10th centile) were associated with pregnancy induced hypertension (PIH), diabetes mellitus, meconium staining of liquor, low Apgar score, growth restricted fetus and NICU admission. Hypercoiled cords were associated with liquor abnormalities and low ponderal index.

Abnormal umbilical cord coiling index was associated with adverse perinatal outcomes.
Various modalities of induction of labour and its feto-maternal outcomes: An observational study
Authors: Sharda Prachi , Agrawal Nisha Rani
Published: August 2021

: In order for induction to be successful, it should result in labour with adequate uterine contraction and progressive dilatation of cervix with the outcome of a vaginal delivery with minimal risk to both mother and foetus. Primary outcome of the current study was to compare various modalities of Induction of Labour, alone or in combination & to evaluate the different outcomes of mother and baby.

: History, general, obstetrical, vaginal examination to record Modified Bishop score, basic investigations and recent obstetric ultrasound was noted of 200 pregnant mothers and the results were analyzed. Foetal monitoring was done in all except those with confirmed IUFD cases. Methods used were Dinoprostone, Misoprostol, Oxytocin, Amniotomy and Mechanical Dilatation with Foley’s catheter; single or in combination with each other.

: Among the 200 mothers, 118(59%) delivered vaginally and 82 (41%) mothers underwent LSCS. Dinoprostone gel was the dominant method used followed by misoprostol and oxytocin respectively. NICU admissions were required in 21.7%, 25,8% & 33.3% of the mothers who were induced with Dinoprostone, Misoprostol and Oxytocin respectively. 14 babies were diagnosed with IUFD, all delivered vaginally, out of which 10 were induced with misoprostol and 4 were induced with mechanical dilatation. Majority of the patients who underwent induction with dinoprostone alone delivered by LSCS (63.4%) but Dinoprostone with ARM & oxytocin for induction had a better outcome. Induction with Dinoprostone followed by misoprostol lead to more LSCS than SVD and there were 1%(2 babies) of perinatal mortality due to Meconium Aspiration Syndrome.

: Misoprostol and Mechanical induction were the most preferred method in cases of IUFD. Induction with a combination of Dinoprostone with ARM or Oxytocin lead to more vaginal delivery than Dinoprostone alone, so this should be preferred. Induction with Dinoprostone followed by misoprostol lead to more LSCS and perinatal mortality so a combination of them should be given cautiously.
Effect of body mass index on fetal outcome in pregnancy
Authors: Jindal Somya , Chaudhary Rachna , Dhama Vandana , Singh Shakun , Jaiswal Vijay
Published: August 2021

Maternal body mass index during pregnancy is one of the important parameter which gives us the clue regarding fetal complications. The objectives of this study were to study distribution of antenatal patients in underweight, normal, overweight (and obese) categories according to booking BMI, to examine the association of BMI with perinatal outcomes in singleton pregnancies.

This prospective Study was conducted over a period of 1 year from July 2019 to June 2020 on antenatal women attending O.P.D in the Department of Obstetrics and Gynecology in LLRM Medical College. The enrolled patients were divided into three equal groups(n=50) according to their BMI. In all the groups perinatal outcome was assessed.

The mean baby birth weight for whole study group was 2.807 kg with standard deviation of 0.44. Birth weight found to be related to maternal BMI and mother with low BMI have babies with low birth weight and vice versa.14% of babies born to mothers belonging to underweight BMI group required NICU admission due to reasons like meconium staining, low birth weight, birth asphyxia. 10% babies born to mothers who were overweight were admitted in NICU while 0% of babies born to women with normal BMI got admitted in NICU.

Higher prevalence of complications to fetus when BMI is not in the recommended normal range.
Uptakes and associated factors of postpartum family planning in southern Ethiopia: A cross-sectional study
Authors: Koboto Dubale Dulla , Assefa Sintayehu
Published: August 2021

Post-partum family planning aims to prevent unintended pregnancy within the first year postpartum. Closely spaced pregnancy within the first year of post-partum (PP) is associated with higher risk of preterm birth, low birth weight or small for gestational age. However, the perceived uptakes of postpartum contraceptives is very low. The intention of this study was determine uptakes and associated factors of postpartum family planning in southern Ethiopia.

The study was conducted in Hawassa city administration which is the capital of SNNPR. Community based cross-sectional study was employed women who gave birth in the last 12 months before survey. Data was collected using structured questionnaire proceeding informed verbal consent. Logistic regression model was used to identify associations between variables and findings were presented by tables and figures.

The prevalence of current post-partum contraceptive use was 85.1%. After adjusting for covariates; the odds of using postpartum contraceptive were 1.31 times, 12.13 times, 5.17 times, 10.77 time and 4.69 times higher among women with, knowledge about advantages and side effects of contraceptives, partner support for contraceptive use, previously contraceptive use and not returned period respectively with (P <0. 05).

uptakesofpostpartum contraceptives in Hawassa city administration was promising. Detailed counseling about postpartum contraceptive use, could assist equipping women with knowledge of family planning methods; empowering them to be decisive in the health and positivity of male partners are very crucial to promote postpartum use of contraceptives.
A rare case of uterine leiomyosarcoma: A case report
Authors: Preethi Bhuvana , Rajesh Usha , Vijayakrishnan Mala
Published: August 2021

Uterine leiomyosarcoma is a rare malignant tumor that arises from smooth muscle cells. It comprises of 1% of all uterine malignancy. We report a case of 54 year old Postmenopausal women with 2 episodes of postmenopausal bleeding and was diagnosed with Leiomyosarcoma of uterus.
An ovarian mucinous cystadenoma, presenting with umbilical herniation
Authors: Dastidar Aheli Ghosh , Mandal Aparna Khan , Chatterjee Dibyendu , Das Subhabrata
Published: August 2021

A postmenopausal lady presented with an uncomplicated umbilical hernia and a hugely distended abdomen without any other overt symptoms. A large pelvi-abdominal lump was palpable. CT showed a huge mass which filled up the entire pelvis and most of the abdomen, with a part of it protruding through the umbilicus. Diagnosis was established histopathologically, as a benign mucinous cystadenoma of the ovary.