bluuebunny/crossref_metadata_2025 huggingface dataset:
Malignant arterial hypertension in a child with nonspecific aortoarteritis
Authors: Maytbasova Rayhan S. , Nurgaliyeva Zhanar Zh. , Erzhanova Gulmira E. , Onlasynov Aziz K. , Abekenov Bahytzhan D. , Abuov Galymzhan T.
Published: October 2024

The article presents a clinical case of malignant renovascular hypertension in a child, resulting from non-specific aortoarteritis. The disease initially manifested with abdominal pain and convulsions, leading to hospitalization. During the hospital stay, blood pressure readings were elevated to 180/100 mmHg and higher. Over the course of a year, the patient underwent pathogenetic (immunosuppressive), combined (triple) antihypertensive treatment, and symptomatic therapy. Due to the malignant nature of the hypertension, progression of organ damage, a high risk of complications and mortality, and the ineffectiveness of conservative treatment, surgical interventions were performed.
The first stage involved polyposition abdominal aortography and stent-graft implantation in the abdominal aorta. Despite restored blood flow in the abdominal aorta, blood pressure remained elevated over the following three months, even with ongoing antihypertensive therapy. As a result, a nephrectomy was performed at the second stage. Postoperatively, the patient’s blood pressure significantly decreased to 130/90–120/80 mmHg. Antihypertensive therapy was continued to reach lower target blood pressure values.
Non-specific aortoarteritis remains a prognostically unfavorable condition, even after reconstructive surgery, owning to its autoimmune nature, which suggests ongoing arterial inflammation even during clinical remission. This necessitates lifelong monitoring by a rheumatologist.
Modern approaches to the eradication of Helicobacter pylori: a spectrum of perspectives
Authors: Oganezova Inna A. , Belousova Liya N. , Bakulin Igor G.
Published: October 2024

Helicobacter pylori is one of the most widespread infections, affecting approximately 50% of the global population, with the Russian Federation ranking among the regions with a relatively high prevalence. Eradication therapy remains the primary strategy, not only for the treatment and prevention of gastrointestinal diseases but also for reducing the risk of stomach cancer, highlighting the medical and social impact of this infection. A key factor contributing to the reduced effectiveness of eradication therapy is the microorganism’s primary or secondary resistance to antibacterial drugs, a problem recognized worldwide. It is widely acknowledged that national treatment regimens for Helicobacter pylori infection must be adapted based on systematic antimicrobial sensitivity testing to curb the rise of global antibiotic resistance. Despite decades of research and clinical practice, identifying the most effective, safe, and straightforward therapy remains a significant challenge for clinicians.
This review provides a comparative analysis of current treatment recommendations for Helicobacter pylori infection, as presented by various national and regional gastroenterological societies, including those relevant in the Russian Federation.
Opportunities to rehabilitation of multimorbid patients with asthma and obesity
Authors: Tribuntseva Lyudmila V. , Budnevsky Andrey V. , Prozorova Galina G. , Choporov Oleg N. , Olysheva Irina A. , Savvina Yaroslava M.
Published: October 2024

BACKGROUND: The challenges of rehabilitation and achieving asthma control in patients with multimorbid conditions remain relevant despite advances in asthma treatment. Improving therapeutic approaches requires not only the development of new drugs, but also the creation of comprehensive individualized rehabilitation programs.
AIM: To develop complex rehabilitation programs for patients with asthma and multimorbid diseases (obesity, osteoarthritis) and assess their impact on asthma and comorbid conditions.
MATERIALS AND METHODS: 70 patients with asthma and obesity were divided into two groups: a rehabilitation group and a control group. The study evaluated external respiration functions, quality of life using Asthma Quality of Life Questionnaire (standardized), asthma control with Asthma Control Questionnaire-5 (ACQ-5), multimorbid pathology with Cumulative Illness Rating Scale (CIRS), Lequesne index, exercise capacity via 6-minute walk test, physical activity using questionnaire ODA23+, and levels of interleukin-6, interleukin-4, tumor necrosis factor alpha, leptin.
RESULTS: Both groups were comparable across all assessed parameters, with most participants presenting moderate to severe asthma. Physical activity levels were low to moderate. The CIRS index was 10.0 ± 1.1 in group 1 and 9.2 ± 1.1 in group 2 (p 0.05), while the Lequesne index was 9.70 ± 1.47 and 8.80 ± 1 (p = 0.3900), respectively. After rehabilitation program, the Lequesne index in the group 1 decreased by 2.37 ± 0.60 (р 0,05), which correlated with improved exercise tolerance (6-minute walk test) and increased physical activity by 6.57 ± 2.00 (р 0.05), and increased asthma control (with ACQ-5 decreasing by 0.74 ± 0.20 points; р 0.05) and quality of life with Asthma Quality of Life Questionnaire (standardized) 3.8 ± 0.4 to 4.5 ± 0.3 (р 0.05). In group 2, no significant changes were observed in the Lequesne index, physical activity, asthma control, or quality of life (p 0.05). Proinflammatory cytokines, including interleukin-6, tumor necrosis factor alpha, and leptin, decreased significantly in group 1, while the control group showed no significant changes.
CONCLUSIONS: Multicomponent rehabilitation programs tailored to the individual characteristics of patients with multimorbid conditions contribute to better management of both asthma and comorbidities. Rehabilitation improves asthma control, quality of life, and exercise tolerance. It also helps to reduce pain syndrome, increase physical activity, and decrease proinflammatory cytokines and leptin levels.
Application of generalised atomic wavelets in image processing problems
Authors: Kryachko M.A.
Published: October 2024

The problem of processing large data arrays is considered. Development of effective algorithms is the basis of successful application of new technologies. Complexity of the algorithm and accuracy of the results are the key quality indicators. The use of compact carrier functions leads to a decrease in processing time and complexity of the numerical algorithm. The accuracy of the data representation and the correctness of the results mainly depend on the approximation properties. It follows that a combination of the above characteristics is necessary to create efficient algorithms for processing large data sets. Aim of article – to develop and evaluate the possibilities of application of generalised wavelets based on Kravchenko-Rvachev functions for image processing with a given quality on the basis of the analysis of the quality loss control mechanism. Discrete image compression by Kravchenko-Rvachev functions possessing such fundamental qualities as good approximation properties, high order of smoothness and existence of a basis with a local carrier in spaces of atomic functions is considered. Since the generalised up-functions have the same properties, similar compression results can be obtained using the generalised discrete atomic transform, which is based on their application, which is a promising direction in digital image processing. The presented method of image processing can be used for various purposes, including reducing the size of data before their transmission through the communication channel from the sensor to the point of reception via a communication line with limited bandwidth, for storing the received images for their further use in the centres of information processing of remote sensing of the earth, as well as for data transmission to potential users.
Letter to the Editor Regarding “Development and Evaluation of the Persian Version of the Multiple Auditory Processing Assessment”
Authors: Parhizgar Mohammadreza
Published: October 2024

The Article Abstract is not available
Role of Temporal Fine Structure and Envelope in Identifying Ragas: A Prospective Study for Temporal Based Raga Classifier
Authors: Sampath Sridhar , Ravirose Udhayakumar , Neelamegarajan Devi , Karupaiah Kamalakannan , Eraiah Rashmi
Published: October 2024

Background and Aim: A raga is characterized by its distinctive melodic shape. The ability to perceive intricate melodic and pitch patterns depends on the Temporal Envelope (ENV) and Fine Structure (TFS). The present study aimed to understand the importance of temporal envelope and temporal fine structure cues in identifying ragas in Indian music.
Methods: Twenty‏-‏one adult’s musicians were included in the study. In experiment 1, professional musicians were involved in a raga identification task using music chimaeras. In experiment 2, the chimaeras were subjected to acoustic analysis using the envelope difference index, to understand better how the ENV and TFS changed depending on how many frequency bands were used to create the chimaeras. The subjective impression of a new group of trained musicians was then compared to these results. Friedman’s test and Wilcoxon tests were carried out.
Results: Results showed that both cues are crucial in a trade-off manner; when TFS are not significantly accessible, ENV aids in raga identification. It was reflected in experiment 1 as an increase in ENV scores and a decrease in TFS scores as the number of frequency bands increased. In experiment 2, the envelope difference index for ENV increases with a number of frequency bands, and it correlates with perceptual scores for ENV.
Conclusion: The current study highlights the perceptual role of temporal cues in raga identification and directs future work for a temporal-based raga classifier.
Keywords: Ragas; envelope; fine structure; Indian music; music information retrieval
Investigating the Subacute Effects of Two Vestibular Stimulation Methods and Their Combination on Spatial Memory in a Rat Model of Alzheimer’s Disease
Authors: Soufinia Bahareh , Lotfi Younes , Mirshekar Mohammad Ali , Shaabani Moslem , Bakhshi Enayatollah
Published: October 2024

Background and Aim: Alzheimer’s Disease (AD) is a neurodegenerative disorder characterized by progressive cognitive decline and spatial memory deficits. Recent studies have suggested a potential link between the vestibular system and cognitive function.‏
‏Despite advancements in understanding the role of vestibular stimulation in neurological disorders, there is a paucity of research on this subject. In this regard, this study aims to assess the subacute effects two vestibular stimulation methods and their combination on spatial memory in a rat model of AD.
Methods: Thirty Wistar rats were divided into five groups of AD (without intervention), Rotational Vestibular Stimulation (RVS), noisy Galvanic Vestibular Stimulation (nGVS), nGVS+RVS, and healthy control. The intervention groups received stimulation for 14 days. After AD induction and its confirmation, to examine the sub-acute effects of the stimulation, their performance was assessed using the Morris Water Maze (MVM) test one month later.
Results: Statistically significant improvements were observed in the MVM test parameters in the RVS and nGVS+RVS groups compared to the AD group, in the training days and in the probe day, especially in the time to reach the platform and the time spent in the target quarter. Time spent in goal quarter improved in the RVS group compared to the nGVS+RVS group, but the difference was not statistically significant.
Conclusion: The RVS alone or in combination with nGVS can improve spatial memory of rats with AD.
Keywords: Alzheimer’s disease; vestibular stimualtion; spatial memory; rat; rotational vestibular stimulation; noisy galvanic vestibular stimulation
Does the Receiver Type Used in Receiver-in-Canal Hearing Aids Have an Effect on Real-Ear-to-Coupler Difference and Coupler Response for Flat Insertion Gain Values?
Authors: Bolandi Masoud , Nazeri Ahmad Reza , Jalilvand Hamid , Baghban Alireza Akbarzadeh
Published: October 2024

Background and Aim: Real-Ear-to-Coupler Difference (RECD) is affected by the type of transducer and its coupling method. This study aimed to investigate the effect of receiver type used in Receiver-in-Canal (RIC) hearing aids on RECD and Coupler Response for Flat Insertion Gain (CORFIG) obtained by the same coupling method.
Methods: In this study, the right ears of 30 normal-hearing adults (25 men and 5 women, with a mean age of 28.13±5.62 years) were studied. We used the RIC hearing aids with two standard and power receivers. The foam of the ER-3A insert earphone was used as a coupling system in both receivers. By using the Audiogram Direct test within Phonak’s fitting software, 70 dB HL intensity was produced at different frequencies, once in the real- ear and again in the HA-1 coupler. By assessing the difference between real-ear and HA-1 coupler measurements, the RECD was first obtained. Then, the CORFIG was obtained at different frequencies by subtracting the Microphone Location Effect (MLE) and RECD from Real-Ear Unaided Gain (REUG).
Results: The RECD and CORFIG values obtained from the standard receiver at all frequencies were significantly different from those from the power receiver (p<0.05), where the use of the power receiver resulted in lower RECD and higher CORFIG. With the increase in frequency, the RECD increased. A small frequency changes of 50 Hz had a significant effect on RECD and CORFIG.
Conclusion: The type of receiver used in RIC hearing aids has a significant effect on the RECD and CORFIG values.
Keywords: Real-ear measurement; real-ear-to-coupler difference; insertion gain; hearing aid
Contribution of Spectral and Temporal Cues in Timbre Recognition among Normal-Hearing and Hearing- Impaired People
Authors: Mohammadi Mohammad , Maarefvand Mohammad , Pourbakht Akram
Published: October 2024

Background and Aim: Timbre perception is a multidimensional feature of music perception and hearing loss may deteriorate timbre and instrument recognition. Deficits   in timbre recognition may originate from poor temporal or spectral coding of musical notes subsequent to hearing loss However, it is not well understood which of these features are more dominant in instrument recognition with normal hearing and hearing loss. This study aimed to evaluate the relative importance of temporal and spectral cues instrument recognition in people with and without nearing loss.
Methods: Two groups of adults with normal-hearing and hearing loss were tested with  the timbre subtest of the Clinical Assessment of Music Perception (CAMP). Originally,    a series of notes is played with eight musical instruments and participants were asked to identify the played instrument among them. In  two  other conditions, either the rise time or spectral cues of the same notes were masked using a special masking technique. Among eight instruments.
Results: Instrument recognition scores were not significantly different between the original and spectral-manipulated conditions but were lower at the temporal-manipulated condition. The difference between the two groups was significant (p<0.05), where the normal-hearing group recognized the musical instruments significantly better than participants with hearing loss group (p<0.05).
Conclusion: Temporal cues may have greater importance on timbre recognition regardless of hearing status. This suggests that the interventions and assistive devices which are designed to improve timbre recognition for people with hearing loss should prioritize improvement in temporal coding.
Keywords: Timbre recognition; hearing loss; music; musical instrument; temporal; spectral
Developing and Validating Monosyllabic Speech Materials with Psychometric Homogeneity for Young Adult Turkish-Azeri Speakers in Iran and Compiling the Equivalent Word Lists
Authors: Karami Amirreza , Rahbar Nariman , Mahmoodi-Bakhtiari Behrooz , Sameni Seyyed Jalal , Mansouri Nayiere
Published: October 2024

Background and Aim: For the Word Recognition Score (WRS) test, homogenous lists of words with similar difficulty levels are needed. This study aimed to develop and validate Turkish-Azeri monosyllabic words with phonetic balance and psychometric homogeneity for the WRS test in young adult Turkish-Azeri speakers in Iran and to compile four 25-item word lists.
Methods: In this cross-sectional/comparative study, four lists of 25 monosyllabic words with phonetic balance were created by extracting common words from Turkish-Azeri dialects and assessing them in terms of ease of use, familiarity, and relevance. Then, the lists were tested on 40 young adult Azari speakers aged 18–25 years to determine the validity and reliability.
Results: All four lists showed adequate face and content validity. Cronbach’s alpha and split-half values for all four lists were above 0.9, indicating acceptable internal consistency and reliability. Construct validity was confirmed the factor analysis with one-dimensional variance of 77.9%, 80.0%, 79.9%, and 88% for the word lists 1 to 4, respectively, and reported the single-factor solution of the index in all four lists. Also, test-retest reliability with a two-week interval with Pearson correlation coefficients of the lists were 0.94, 0.97, 0.97, and 0.96, respectively.
Conclusion: The four developed Turkish-Azeri word lists have phonetic balance and psychometric homogeneity with a high level of validity and reliability, which makes them suitable for evaluating the recognition of monosyllabic words by young adults in hearing centers of Azeri cities in Iran.
Keywords: Speech audiometry; speech discrimination test; Azeri; monosyllabic; validity and reliability; psychometric function
Microplastic levels in the indoor air of buildings based on plastic waste recycling in Indonesia
Authors: Mulyasari Tri Marthy , Mukono Jojok , Sudiana I Ketut , Hilal Nur
Published: October 2024

Introduction: Microplastics are a new type of contamination in the environment caused by plastic fragmentation and degradation. The generation of plastic waste increases every year, therefore efforts are made to recycle it into building materials. It is unclear how building use resulting from recycling plastic waste affects the development of microplastics in the atmosphere. The purpose of this study is to determine the airborne concentrations of microplastics in buildings constructed from recycled plastic waste.
Materials and methods: The study measured microplastic levels in the air for 30 days in a miniature building made from plastic waste. Samples taken during the dry season in Indonesia in 2023. Air sampling is carried out by passive method. Visual observation of the shape, and amount of microplastics using a microscope.
Results: Microplastics are found in the air of building spaces made from recycled plastic waste with varying levels every day. The average level of microplasty in the air for 30 days was 30,8 particles/m2/day. Maximum microplastic rate of 63 particles/m2/day, and minimum rate of 18 particles/m2/ day. The average air temperature when sampling is 25,48 ºC, air humidity is 68,37 % and ultraviolet intensity is 860 mwatt/cm2.
Conclusions: Microplastic levels in the air of building spaces made from recycled plastic waste that can not be identified can be identified whether they are still within safe limits or not. This is because there is no regulation in Indonesia even in the world that regulates the safe limit of microplastic levels in the environment.
Monitoring and measuring noise pollution in urban environments (Case study: Khorramabad city)
Authors: Jafari Ali , Ghadepoori Mansour , Saadati Samira , Azimi Faramarz
Published: October 2024

Introduction: Environmental noise, caused by traffic, leads to increased risk of health problems. Nowadays, noise pollution is one of the most important problems in the communities which adversely affects the health. The aim of this study was to assess the noise pollution in Khorramabad city.
Materials and methods: To measure the noise level in the city, 39 stations near to sensitive places such as hospitals, educational centers, and so on were selected. Measurements were performed, for 30 min, in the mornings (7-10 AM) and evenings (5-8 PM) using a standard sound level meter. The measurements were made on working days during the week and assuming the traffic load was the same.
Results: The sound level in all 39 considered stations was higher than the standard of residential-commercial in more than 90% of the stations compared to the environmental standard. The mean of sound measured in the monitored stations was equal to 68.28±2.6 dB. The maximum measured sound level belonged to station S2. In station S2, the maximum measured sound was reported as 81.72±11.3 dB. The findings showed that sound level in the evenings were slightly higher than the mornings. Also, in the evening, the highest and lowest measured sound values belonged to stations S1 and S20. The amount of measured sound level at stations S1 and S20 was equal to 80.9 and 39.7 dB, respectively. Based on findings, the highest and lowest sound recorded belonged to stations S39 and S20 which area type of stations S20 and S39 was commercial and residential, respectively.
Conclusion: This study showed that the average level of sound pressure was higher than the permissible limit, so the necessity of planning is suggested to reduce the level of noise pollution and consequently reduce the anxiety level of citizens and increase health.
Indoor air quality assessment of an existing apartment located in Indian tropical city, Bhubaneswar
Authors: Kalia Soma , Mishra Nibedita , Ghose Prakash
Published: October 2024

Introduction: A proper investigation on indoor pollution level in economical apartments is important, where the provision for ventilation is limited. A series of experiments were conducted in the houses within an existing economical apartment in Bhubaneswar, India to evaluate various pollutant levels.
Materials and methods: Temperature, relative humidity, CO, CO2, Particulate Matter (PM10 and PM2.5), Formaldehyde and Total volatile organic compounds in the bedrooms and kitchens are measured by pollution meters. The experiments were conducted with doors and windows closed conditions. The readings were taken on a four consecutive working day in February 2023 at an interval of 3 h (9:00 am to 9:00 pm).
Results: The day wise temperature and humidity variations inside the bedroom and kitchen shows a reverse trend. At the afternoon, the indoor temperature becomes high, while during the night time humidity becomes the highest. The day wise indoor CO2 and CO variation trend is pretty similar. Both CO2 and CO concentrations in bedrooms are the highest in the evening. In contrast to that CO2 and CO concentrations in kitchens becomes maximum during noon time. High particulate matter concentration at outdoor and indoor is observed at the evening time. Higher formaldehyde (HCHO) and Total Volatile Organic Compounds (TVOCs) concentration at the indoor is observed at noon and afternoon time.
Conclusion: The results obtained were compared with the recommended values of World Health Organization (WHO) and National Ambient Air Quality Standards (NAQIS). The results revealed that all measured parameters are at a higher level than the recommended values except the indoor CO2 concentrations.
Studying the Relationship between the Teaching Status of Research Methods, Biostatistics Courses and, Academic Research Skills, from the Graduates Point of View
Authors: Hosseini-Baharanchi Fatemeh Sadat , Balooch Hasankhani Mohammadreza , Roudbari Masoud
Published: October 2024

Introduction: This study aimed to evaluate the relationship between passing biostatistics and research methods courses and academic research skills in graduates.
Methods: This cross-sectional study included 633 graduates during 2016-2022 from Iran University of Medical Sciences, Tehran, Iran. The explanatory factors were passing biostatistics and research methods courses and having statistical consultant. The outcomes were the duration of preparing proposal and thesis, and paper publication. Univariate and multiple logistic regression was used to estimate the odds ratio (OR) with %95CI. Significance level was set to 0.05
Results: 433 (68.4%) were female, and 371 (58.6%) were married. The mean±SD age of the graduates was 34.5±7.06 years. 413 (65.2%) were graduates from MSc and MPH and 128 (20.2%) from PhD. For Masters and MPH, the odds of prolonging the duration of preparing the proposal for who had Biostatistical consultant in their research team was 40% lower than the graduates who had no Biostatistical consultant (OR=0.6[95%CI:(0.39,0.91], P=0.01). In PhD graduates, the odds of prolonging the duration of preparing the proposal for who passed research methods course was 2.94 (1.06, 8.2) times than that of did not pass (P=0.03). Passing Biostatistics course was associated with lower odds of prolonging the duration of preparing thesis (OR=0.3[95% CI: (0.1, 0.86)], P=0.04). The odds of paper publication was marginally associated with research methods workshop participation (OR=3.7[95%CI: (0.82, 16.74], P=0.09) in PhD graduates.
Conclusion: Passing Biostatistics and research methods courses and presence of a statistical consultant in the students’ thesis team were associated with shortened proposal or thesis preparation duration, and having publications from thesis more likely.
A New Lifetime Distribution and its Application to Cancer Data
Authors: Adewale Aderoju Samuel , Aleshinloye Nihimat Iyebuhola , Taiwo Bako Lukmon , Sanni Bello Ishola
Published: October 2024

Introduction: Recently, researchers have introduced new generated families of univariate lifetime distributions. These new generators are obtained by adding one or more extra shape parameters to the underlying distribution or compounding two distributions to get more flexibility in fitting data in different areas such as medical sciences, environmental sciences, and engineering. The addition of parameter(s) has been proven useful in exploring tail properties and for improving the goodness-of-fit of the family of the proposed distributions.
Methods:A new Three-Parameter Weibull-Generalized Gamma distribution which provides more flexibility in modeling lifetime data is developed using a two-component mixture of Weibull distribution (with parameters θ and λ) and Generalised Gamma distribution (with parameters α=4,θ and λ). Some of its mathematical properties such as the density function, cumulative distribution function, survival function, hazard rate function, moment generating function, Renyi entropy and order statistics are obtained. The maximum likelihood estimation method was used in estimating the parameters of the proposed distribution and a simulation study is performed to examine the performance of the maximum likelihood estimators of the parameters.
Results: Real life applications of the proposed distribution to two cancer datasets are presented and its fit was compared with the fit attained by some existing lifetime distributions to show how the Three-Parameter Weibull-Generalized Gamma distribution works in practice
Conclusion: The results suggest that the proposed model performed better than its competitors and it’s a useful alternative to the existing models.
Socio-Economic Status of Individuals in Tehran University of Medical Sciences Employees` Cohort Study Using PCA, MCA and FAMD Methods
Authors: Ramezanzadeh Tabriz Faezeh , Nedjat Saharnaz , Azam Kamal , Yaseri Mehdi
Published: October 2024

Introduction: Determining socio-economic status (SES) can greatly help decision makers in the field of social health. Because SES can play an important role in accessing medical services or welfare amenities. We aimed to determine the SES using principal component analysis (PCA), multiple correspondence analysis (MCA), and factor analysis of mixed data (FAMD) methods.
Methods: In this cross-sectional study (2023), 4448 employees aged 19 to 75 years were included to the study from Tehran University of Medical Sciences employees` cohort (TEC). Demographic variables and socioeconomic factors were considered. Considering the weaknesses of PCA and MCA methods, we calculated the SES score using PCA, MCA and FAMD methods, and the percentile of people was determined. These weaknesses include normality assumption and considering only linear relationship for PCA, inability to interpret the relationships between variables and considering each level of classification variables as a new variable for MCA.
Results: We studied 4448 people (39.3% men) with mean age of 42.3 and a standard deviation of 8.7.The correlation between the percentiles obtained through PCA, MCA and FAMD methods was very high, and the highest correlation was related to the percentiles obtained through PCA and FAMD methods with a value of 0.994. The intraclass correlation coefficient value was 0.996. Also, this value was 0.996 and 0.994 in the random samples of 250 and 100 individuals from the original data, respectively.
Conclusion: All of the three methods worked similarly on determining the SES and calculating the percentile of people. PCA and FAMD methods had better agreement than others. Therefore, in studies that have both quantitative and qualitative variables, the choice of analysis method depends on the opinion of the researcher.
Comparing Cesarean Scar Defect Incidence After Locked and Unlocked Repair Methods Among Primiparous Patients: A Randomized Double-blinded Trial
Authors: Tarafdari Azadeh , Nazarpour Mahdieh , Zargardzadeh Nikan , Hantoushzadeh Sedigheh , Parsaei Mohammadamin
Published: October 2024

Objective: To compare residual myometrial thickness (RMT) and cesarean scar defect (CSD) development after cesarean section using double-layer locked and unlocked closure techniques.
Materials and methods: We conducted a randomized double-blinded trial comparing double-layer locked and unlocked uterine closure techniques following cesarean section in primiparous women. The locked technique involved continuous suturing of the full myometrial thickness in the first layer, followed by back-and-forth needle maneuvering on both sides of the incision for the second layer. The unlocked method included running suturing of two-thirds of the myometrial thickness in the first layer, followed by suturing the upper half of the myometrial thickness in the second layer. Transvaginal ultrasonography was performed one year post-cesarean section, with RMT as the primary outcome and scar depth and width as secondary outcomes. Independent t-test and Chi-square test were utilized for statistical analysis.
Results: All 30 patients from the locked and 26 from the unlocked group in the follow-up were diagnosed with CSD (scar depth>2mm). The mean RMT for the unlocked and locked groups were 4.44±1.07mm and 4.12±0.48mm, respectively, showing no significant difference (p =0.14). There was also no significant difference in mean scar width between the locked and unlocked groups (3.68±1.44mm vs. 3.95±1.00mm, p =0.42). However, the mean scar depth was higher in the unlocked group (3.77±1.11 mm vs. 3.16±1.1mm, p =0.04).
Conclusion: We have found no significant differences in the RMT and CSD prevalence between two-layered locked and unlocked uterine closure techniques, while the scar depth was greater in the unlocked group. Nonetheless, future randomized trials implementing larger sample sizes are required to precisely compare the outcomes of the double-layer locked and unlocked uterine suturing techniques
Sexual Function and Quality of Life in Iranian Women With Human Papillomavirus Infection
Authors: Tehranian Afsaneh , Dastjerdi Marzieh Vahid , Hatamian Sare , Ghahghaei-Nezamabadi Akram
Published: October 2024

Objective: Considering the prevalence of Human Papillomavirus (HPV) infection and the lack of HPV vaccination program in Iran among young women and the importance of quality of life and sexual performance in women, we decided to conduct a study to examine the relationship between HPV infection and sexual dysfunction and quality of life in Iranian women.
Materials and methods: In this cohort study, 250 married women who infected with HPV were recruited via convinence sampling from colposcopy clinic of Arash women hospital (Tehran, Iran) from April 2020 to May 2022.They were evaluated concerning their sexual function in the domains of desire, arousal, lubrication, orgasm, satisfaction and pain with the female sexual function index (FSFI) questionnaire (the total FSFI score is calculated by the sum of the nineteen items). Sexual quality of life-female (SQOL-F) items (Likert-type scale with a cut-off of 65 points) were organized into four sub-scales: psychosexual feelings, sexual and relationship satisfaction, self-worthlessness, and sexual repression. All patients filled out the female sexual function index (FSFI) and sexual quality of life (SQOL) questionnaires. Variables were analysed via correlation coefficient and linear regression tests.
Results: Mean age and mean marriage duration were 38.5±4.5 and 12.2±7.2, respectively. There was a weak correlation between FSFI and SQOL (r=0.15, p=0.001).Time of marriage and genital warts were the predictors on the FSFI and SQOL.
Conclusion: The findings suggest that HPV infection can impair sexual function and quality of life. This research contributes valuable insights, especially considering the prevalence of HPV.
The Most Common Side Effects, Concerns and Discontinuation Patterns of Oral Contraceptive Pills Among Polish Women: A Cross-Sectional Study
Authors: Karpowicz Natalia , Mączka Katarzyna , Skoczylas Adrian , Pacocha Natalia , Kunicki Michał , Grymowicz Monika , Smolarczyk Roman
Published: October 2024

Objective: Over the decade, variety and effectiveness of contraception methods have greatly improved, resulting in increased popularity of oral contraceptive pills (OCPs). However, hormonal contraception carries the risk of multiple side effects. The lack of sufficient knowledge often leads to the development of health concerns, which can affect patient’s adherence. The aim of our research was to describe a side effect profile of OCPs and assess the most frequent concerns and discontinuation reasons in Polish women. The survey included questions regarding OCPs utilization patterns, side effects, health concerns and attitudes of the responders.
Materials and methods: This cross-sectional study was based on a survey, which was distributed online and open from 29 April to 15 May 2022. The survey included questions regarding OCPs utilization patterns, side effects, health concerns and attitudes of the responders.
Results: Out of 1699 respondents, the current OCPs intake was reported by two thirds of women and 22% had a history of using them in the past. Seventy-nine percent of all OCPs users experienced adverse effects while 9% reported having concerns about safety and potential adverse effects. Decreased libido and weight gain were the most significant reasons for ceasing hormonal contraception. Moreover, the most common concerns and the most unfavorable side effects varied in different age groups. The occurrence of anxiety depended on age and education.
Conclusion: Healthcare professionals prescribing OCPs should provide their patients with comprehensive counseling. Understanding and addressing concerns of young women can improve their compliance and reduce the number of unintended pregnancies.
The Moderating Effect of Gender Role in Relationship Between Emotional Divorce and Marital Satisfaction: Comparison of Partial Least Square (PLS) And Consistent Partial Least Square Methods (PlSc) Methods
Authors: Khosravi Farideh , Jamali Jamshid , Didehban Elham , Norouzi Zahra
Published: October 2024

Objective: Emotional divorce refers to a state of emotional disengagement from one's spouse, which can lead to marital dissatisfaction. Gender role conflict is a predictor of marital dissatisfaction and ultimately, divorce. The literature suggests that rigid adherence to traditional gender roles may contribute to emotional divorce. In this article, the authors aim to investigate the moderating effect of gender roles in the relationship between emotional divorce and marital satisfaction by using two multivariate methods in statistical analysis.
Materials and methods: This cross-sectional study was conducted on 539 women aged 18-65 years. The standard questionnaires used include 1) Bem Sex Role Inventory (Short form), 2) Gutman’s Emotional Divorce Questionnaire, and 3) Evaluation and Nurturing Relationship Issues, Communication and Happiness (ENRICH) Marital Satisfaction (EMS) Scale. To achieve the purpose of the study, PLS and PLSc methods have been used.
Results: The mean age and time of marriage were 33.88 ± 6.6 and 13.03 ± 7.29 years. There is a significant negative relationship between emotional divorce and marital satisfaction. The gender role of most participants in the study has been androgenic and feminine, which has increased the moderating effect of this relationship. Also, when there is a common (reflective) factor model, Consistent Partial Least Square is more likely to provide a better fit than Partial Least Square.
Conclusion: The results showed that higher women's marital satisfaction would be associated with lower emotional divorce. On the other hand, the role of gender is a mediating factor in marital satisfaction and emotional divorce. Having good male and female characteristics can have a positive impact on marital satisfaction, so increasing couples' knowledge of gender roles and trying to reduce traditional extreme roles can help increase marital satisfaction and reduce emotional divorce.
Silent Intruders: Recurrent Suture Granuloma Unveiled in Caesarean Scar
Authors: Sanap Arun , Yadav Anita , Choudhary Amruta , Kamath Anusha , Bhimgade Prajakta , Patokar Gauri , Moharana Bishnupriya
Published: October 2024

Objective: To describe the clinical and radio-pathological features of suture granuloma, an inflammatory response to retained suture material that primarily affects non-absorbable sutures.
Case report: We report a case of a 26-year-old female presenting with painful swelling at a caesarean section scar, previously excised for similar complaints. Physical examination revealed a solid soft tissue mass on the scar. Magnetic resonance imaging (MRI) identified a 2x2 cm lesion in the right abdominal wall, suggestive of suture granuloma. Surgical excision revealed prolene suture material within the granulomatous tissue. Histopathology confirmed foreign body reaction.
Conclusion: Recurrence post-prior excision underscores the importance of complete granuloma removal. Differential diagnoses included scar endometriosis and inflammatory lesions. Suture granulomas, though rare, require consideration in scar-related swelling. Collaboration between specialties ensures accurate diagnosis and management.
Navigating New Terrain: Exploring Orientation Programs For New Academic Staff and Their Experience
Authors: Hussin Anealka Aziz , Paridaluddin Noorfarida Filzah Mohd Sobri , Hashim Haida Umiera , Ismail Nur Asyrani Che , Sukri Hanna Insyirah Mohd
Published: October 2024

Commencing a new job can instigate anxiety, especially for those without prior work experience. The excitement of a fresh employment endeavour may coincide with feelings of discomfort, stemming from unfamiliar expectations. A comprehensive overview and understanding on orientation programs for new staff can play a crucial role in facilitating their adaptation, fostering departmental understanding, fostering colleague connections, and grasping job essentials. This research seeks to assess orientation activities carried out for new academic staff joining the faculty by the management while investigating the orientation program experience of recently onboarded staff members with less than six years of experience in one of the language academies in a public university in the Klang Valley. An interview and survey were conducted and revealed notable areas of concern including employee benefits, performance expectations, departmental and faculty structures, policies and procedures and training development. The findings delineated key areas of concern as a foundational framework to be concentrated by the management during future faculty staff recruitment.  This study also highlights the need to develop a tailored orientation kit for new onboarding staff to the faculty.
The Teenage Pregnancy. Choice or Incidental
Authors: Gheorghiu, PhD. Carmen Marina
Published: October 2024

The occurrence of pregnancy among teenagers is a growing phenomenon in Romania in recent years, leading it to be placed, as a country, in an undesirable place in this field, following European statistics. 45% of births registered to girls under 15 in the European Union are in Romania, which places it in first place. Through this paper, I tried to identify some answers to the questions regarding the causes that lead to the occurrence of an early pregnancy, respectively the motivation of teenage girls to become mothers, the dynamics of their existence in the context of the appearance of a pregnancy at an early age, the image of these young women in Romanian society.
Perceptions of The Health Risks of Local Poultry Farming and The Behaviour Of Urban and Peri-Urban Populations in The Town of Korhogo (Côte d'Ivoire).
Authors: DONAKPO SILUE , ABLAN ANNE-MARIE ETTIEN , NAVOUON FANNY
Published: October 2024

Poultry farming plays an important nutritional, economic and socio-cultural role in developing countries. The aim of this study is to analyse the perceptions of health risks associated with poultry farming activities in the vicinity of dwellings and the behaviour of the population of the town of Korhogo. To achieve this, a qualitative socio-anthropological approach was used. The data collected came from 97 semi-structured interviews and direct observation from 15 April to 27 May 2024 in the town of Korhogo. The main results show that local residents living near poultry farms are aware of the health risks to which they are exposed, but the balance of power between gains and risks explains their practices. Poultry farming close to homes has had an impact on local residents and their environment. Residents often suffer from respiratory ailments, allergies, soiling of their surroundings, odour nuisance and other noises. As for the environment, it has suffered pollution of its air and water quality, as well as soil degradation. The reasons why these poultry farmers decide to carry out their activities close to homes are environmental, economic, social and ethical. Hence the need to train young farmers to manage the nuisances generated by these poultry farming activities.
Статистические характеристики оптических вихрей и интегральных параметров лазерного излучения на трассе беспроводной передачи энергии
Authors: Канев Федор Юрьевич , Макенова Наиля Алтынхановна , Веретехин Игорь Дмитриевич
Published: October 2024

Цель настоящего исследования – сравнение параметров лазерных пучков, начальная фаза которых формируется полиномами Цернике, и пучков, фаза которых задается экраном, моделирующим атмосферную турбулентность. Проведение исследования было обусловлено широким применением лазерного излучения в установках передачи энергии и информации и необходимостью компенсации искажений излучения на атмосферных трассах. Решение поставленных задач было реализовано на основе методов численного эксперимента. Для проведения анализа в плоскости наблюдения фиксировались оптические вихри, появившиеся в процессе распространения, и интегральные характеристики излучения, такие как критерий фокусировки (мощность в пределах заданной апертуры), энергетический радиус и смещение центра пучка. Показано, что статистические параметры распределения особых точек в обоих случаях (полиномы и экран) удовлетворяли требованиям центральной предельной теоремы. В то же время различия наблюдались в зависимости числа вихрей и интегральных характеристик излучения от длины трассы распространения.
CAPACITANDO PARA O ENFRENTAMENTO À VIOLÊNCIA CONTRA A MULHER
Authors: De Almeida Pinto Neuzeli Maria , Silva Azevedo Bruna , Da Silva Barros Evayr
Published: October 2024

O presente trabalho teve como objetivos desenvolver pesquisa do diagnóstico, levantamento e caracterização das mulheres que são atendidas pelo setor psicossocial da Casa da Mulher Brasileira (CMB) e das mulheres da Comunidade Quilombola de Itamatatiua/Alcântara, além da realização de ações de natureza interventiva, que teve como público-alvo as mulheres que exercem atendimento, acompanhamento e promoção de atividades e campanhas da CMB e Secretaria de Estado da Mulher (SEMU) e com as mulheres da Comunidade Quilombola de Itamatatiua/Alcântara, além dos/as estudantes de escolas públicas. As temáticas foram desenvolvidas através de palestras e rodas de conversa, buscando o empoderamento feminino e, assim, discutindo o fenômeno complexo da violência de gênero. Inúmeros segmentos sociais empenham-se em uma luta para que os direitos humanos sejam efetivados, em especial à situação da mulher. Contudo, o Brasil é um país que vitimiza e oprime as mulheres das mais diversas formas, desde seus cidadãos, passando pelos meios sociais, até o próprio Estado e suas instituições. A violência contra a mulher tem sido compreendida como um problema de saúde pública, em decorrência do assombro que os números apresentados por diversas instituições de pesquisa nos mostram. Assim, a implementação de práticas políticas e educativas desta natureza são fundamentais para a busca de igualdade de gênero visando alterar as relações de poder que perpassam os contextos das instituições e comunidades.
CARNAVAL COM SAÚDE:
Authors: Dos Santos Gonçalves Jennifer Victória , Maciel da Costa Sabrina , Cardoso Martins Érica , Nascimento Aurélio Júnior , Leite Lima Veras Maria Clara , Santos de Sousa Marlyson , Da Conceição Silva Jaqueline , Da Silva Costa Gabriely , Nunes Almeida Oliveira Andreia , Almeida da Silva Rosângela Nunes
Published: October 2024

As infecções sexualmente transmissíveis representam um grave problema de saúde pública global, especialmente durante o Carnaval, devido ao aumento do consumo de álcool, apelo à sensualidade e maior liberdade sexual. Este estudo teve como objetivo relatar experiência vivenciada por acadêmicos do curso de Enfermagem, com foliões durante as festividades carnavalescas sob a prática de promoção da saúde das Infecções Sexualmente Transmissíveis (IST’s). Tratou-se de um estudo descritivo, do tipo relato de experiência, produzido a partir de um projeto de extensão intitulado: “Saúde Itinerante: ampliando o acesso à prevenção e diagnóstico de Infecções Sexualmente Transmissíveis”, realizado em um município do leste maranhense, por acadêmicos de Enfermagem da Universidade Estadual do Maranhão, Campus Caxias, no período de 01 a 28 de fevereiro de 2024. Para tanto, utilizou-se práticas de educação em saúde, parcerias com órgãos locais e distribuição de materiais informativos e preservativos. Revelou-se que apesar da resistência inicial, houve uma receptividade geral positiva, destacando a importância da educação em saúde na prevenção das IST’s durante eventos festivos. Ressalta-se a importância contínua de iniciativas de sensibilização e investimentos em programas de informação e educação para promover a saúde sexual e prevenir tais agravos, especialmente durante períodos de grande aglomeração como o Carnaval.