bluuebunny/crossref_metadata_2025 huggingface dataset:
A case series on Treatment of Secondary Amenorrhea cases with Soothaga thadai kudineer - a Siddha Herbal Decoction
Authors: Subhashini R. , Priyanka R. , Saravanan S.V.G. , Sathish A.R. , Amirtharaj D. , Mathukumar S.
Published: March 2023

Background: Secondary amenorrhea is an absence of menstrual bleeding in a woman in her reproductive period for consecutive three or more months except the periods of pregnancy, lactation (production of breast milk), under contraceptives (birth control) or menopause. It could be noted in 1 of 15 women during their reproductive period. The objective of the present study is to find the efficacy of Soothaga thadai kudineer a Siddha herbal preparation in the management of secondary amenorrhea. Methods: Study was conducted among the college students of Sri Sairam Siddha medical college and research centre (10 students) with the administration of above mentioned kudineer, for three days 165ml once a day. Results were observed and noted. Results: Administration of Soothaga thadai kudineer was found to be more effective in the treatment of secondary amenorrhea. In this study, we have noticed that 5 of the subjects attained pre-menstrual symptoms and other 5 showed positive results of menstruation with the free flow. Friedman test analysis, it reveals the Mean rank is high for Lower abdominal pain (5.95) followed by Back pain (4.55). Conclusion: This study reveals the positive effect of Soothaga thadai kudineer in the secondary amenorrhea and it can be prescribed as a medicine in the treatment of various gynaecological disorders which have secondary amenorrhea as a symptom. Further evaluation is needed.
Assess the Knowledge on Self Care Management of Hypertension
Authors: Kohila K.R.V. , Hemavathy V.
Published: March 2023

Hypertensionissometimescalledsilentkillerbecausepeoplewhohaveitareoftensymptomsfree. Hypertension is a foremostdangerinfluence for cardio vasculardisease. Heart failure, cerebrovascular accident, and renal problem carriesthe risk for earlyillness or death which surges as systolicanddiastolicpressuresrise. Extended blood pressure raiseharmsthe plasmain targetorgans. “The theme of "high blood pressure"was selected for World Health Day on April 7th, 2013.Hypertensionis“silentkiller”hypertension is complex public health problem.The purpose of this research work is to assess the awarenessabout self care management. The area selected for the research study was in urban Area Anagaputhur Chennai .Adult between the age of 21-45 years were selected , from that 30 adult samples were taken for the study. Conclusion: This study concludes level of knowledge regarding self caremanagementofhypertensionawareness by proving the efficiency of health education on Knowledge of hypertension among rural adult hypertensive patient
Assess the Acute Physiology and Chronic Health Evaluation IV (Apache IV) Score in Predicting Hospital Mortality Rate Among Critically ill Patients in Intensive Care Unit
Authors: Priyadharshini K. , Karpagam P. , KalaBarathi S.
Published: March 2023

Background: Clinical evaluation is an important part of medical practice in which it predicts the prognosis of patients admitted to Intensive Care Units that can help in the definition of strategies, outlining plans for improving care, helping to prevent complications and achieving better quality indicators. Purpose: The purpose of the study is to assess the level of mortality among critically ill patients in association with their selected demographic variables. Materials and methods: Descriptive research design was conducted in the host institution of Saveetha Medical College and Hospitals with 60 samples who met the inclusion criteria were selected by convenience sampling technique.Demographic variables were collected by using multiple choice questionnaires. Acute physiology and chronic health evaluation IV score used for assessing the systolic and diastolic blood pressure, body temperature, heart rate, respiratory rate, glucose, blood urea nitrogen, serum sodium, creatinine, blood hematocrit, white blood cells, serum albumin and bilirubin, urine output during the first 24 h of ICU admission, pH, fraction of inspired oxygen, partial pressure of carbon dioxide, partial pressure of oxygen, and bicarbonate. Results:The study results concluded that, out of 60 samples ,that 52(86.7%) were under the estimated mortality between 0-25% and 8(13.3%) were under the estimated mortality rate between 26-50% and depicted that study findings shows patient with mechanical ventilator support, GCS had shown statistically significant association with APACHE IV score at p
Oropharyngeal Exercises on Snoring, Daytime Sleepiness and Anthropometric Measurement Among Adults with Obstructive Sleep Apnea
Authors: Sabitha R. , Thenmozhi P. , KalaBarathi S.
Published: March 2023

Introduction: Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder. Untreated OSA is associated with potential long-term adverse health consequences. Oropharyngeal exercise is one of the treatment modalities to manage the symptoms of OSA. Hence, the current study was conducted to evaluate the effectiveness of oropharyngeal exercises on snoring, daytime sleepiness, and the selected anthropometric measurement among adults with obstructive sleep apnea. Methods: Quasi-experimental research design was adopted to conduct the study with 60 samples that met the inclusion criteria at Saveetha Medical College and Hospital. Samples were selected by convenience sampling technique and were assigned to the experimental group (n=30) and the control group (n=30). Samples were determined using the Berlin questionnaire, and the pre-test assessment was done by using the snoring sleepiness scale (SSS), Epworth sleepiness scale (ESS), and anthropometric measurements for both groups. The experimental group received the oropharyngeal exercise twice daily for 15 days. The control group received the day-to-day practices. The post-test assessment was done using the same tool at the end of 15 days for both groups. Results: There was a statistically significant change in snoring, daytime sleepiness, BMI, and neck and waist circumference between pre and post-intervention within the experimental group and post-intervention between the experimental and control group at the level of P
Effectiveness of Autogenic Relaxation Technique on Depression Among Menopausal Women in SMCH
Authors: Sheela R. , Francis K.
Published: March 2023

Depression is a common mental disorder that presents with depressed mood, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration. Menopause means permanent cessation of menstruation at the end of reproductive life due to loss of ovarian follicular activity.It is the point of time when last and final menstruation oocurs.Autogenic relaxation technique also known as relaxation training is any method, process, or activity that helps a person relax. The aim of the study to evaluate the effectiveness of autogenic relaxation technique on depression among menopausal women admitted to saveetha medical college and hospital. A quantitative approach with experimental research design was adopted for the present study. 60 samples were selected by using simple random sampling techniques. A self structured questionnaire method was used to collect the demographic data. Among 60 participants 30 in the experimental group and 30 in the control group of menopausal women.
Association of Peripheral Perfusion Status and Prognosis of Patients on Mechanical Ventilator
Authors: Soumya C. , Thenmozhi P. , KalaBarathi S.
Published: March 2023

Introduction: Hemodynamic instability is most commonly seen among critically ill patients in Intensive care units and it is essential to detect circulatory changes. As peripheral tissues are sensitive to alterations in perfusion, the non-invasive monitoring of peripheral circulation could be used as an early marker of systemic hemodynamic derangement. Hence, the current study was conducted to associate the peripheral perfusion status with the prognostic significance among mechanically ventilated patients. Methodology: A Descriptive research design was conducted in Intensive care unit at Saveetha Medical College and Hospital with 60 samples selected using Convenience sampling technique who matched inclusion criteria. Results: The study results had shown that, Prognosis had a significant association between level of peripheral perfusion among mechanical ventilated patients at p<0.001.The demographic variables of age (χ2=9.364, p=0.023), history of smoking (χ2=4.220, p=0.040) and the clinical variables of ventilator mode (χ2=4.169, p=0.032), illness severity score on the day of admission (χ2=13.310, p=0.021), SPO2 (χ2=7.367, p=0.025), and Lactate levels (χ2=5.372, p=0.043) had shown statistically significant association with level of peripheral perfusion status at p<0.05.Conclusion: Monitoring peripheral perfusion not only provides a different point of reference to reflect a disturbance of the circulation but it also does not require invasive techniques and can be used directly at the bedside. Furthermore, peripheral perfusion status has an impact on prognosis of the patient.
Detection and Classification of Diabetic Retinopathy using Deep Learning
Authors: Duraichi N. , Jalaja S. , Merlin C.D. , Meena J.S. , Kamali R.N. , Manoj K.
Published: March 2023

Detection of Diabetic Retinopathy at the early stages could significantly reduce the need for complicated and expensive surgeries. The availability of large datasets has fuelled research in this field. In this project, diabetic retinopathy is detected and classified into five stages: no DR, severe DR, Moderate DR, Proliferative DR, and mild DR. This is made possible with the help of various deep learning techniques. A trained model (ResNet-50 architecture) is used for the extraction of various features from the images. This model gives an accuracy of 0.47% in testing. The dataset used is the Aptos 2019 dataset which is available on Kaggle.
The recognition of severe thoracic aortic dissection using conventional chest radiography in conjunction with a whale optimized bilateral residual convolutional neural network
Authors: Naveen M. , Bishnoi A.K. , Malathi H.
Published: March 2023

A life-threatening condition called severe thoracic aortic dissection (STAD) is brought on by blood leakage from the aorta's injured inner layer, which separates the intimal and adventitial layers. It is difficult to make a diagnosis for this disease. Chest x-rays are frequently used for initial screening or diagnosis, however their diagnostic accuracy is not great. Deep learning (DL) has recently been effectively used for a variety of medical image processing tasks. By using DL techniques, we try to enhance the accuracy of the diagnosis of STAD made on the basis of chest x-rays in this work. The significant thoracic aortic dissection was detected using the Whale optimized bilateral residual convolutional neural network (WO-BRCNN). The WO-BRCNN accuracy was found to be 99.21%, with precision at 94.93%, recall at 97.89%, F1-score at 95.71% and specificity at 93.42%. To increase diagnostic accuracy using aorta segmentation, further study is required.
Effectiveness of a new regional anesthetic mixture on pain control after pediatric heart surgery: a systematic randomized trial
Authors: Varshney R.K. , Singh S. , Harkawat D.K.
Published: March 2023

Background: Large randomized clinical trials to evaluate analgesic treatments in pediatric surgery patients are challenging to undertake. Regional anesthetic improves postoperative pain in adults, but its benefits on pediatric patients are unclear. Objective: This study examined regional anesthesia’s effectiveness in reducing postoperative pain. The research on the impact of regional anaesthetic on postoperative pain in paediatric surgical patients was searched extensively. Methods: 2,408 pediatric patients from 10 trials were examined. The majority of the publications written between 2013 and 2017 claimed that using regional anesthetics decreased the need for opioids and lessened postoperative pain. A small number of surgical operations did not significantly vary from normal anesthetic administration in terms of postoperative pain relief. Result: For numerous surgical operations (craniectomy, ophthalmologic surgery, otologic surgery, and heart surgery) on children, better regional anesthesia techniques are needed to reduce postoperative pain. In terms of pain, the Trial group's statistically decreased mean values were discovered (p
Diagnostic criteria, pathogenesis, and precautionary measures for severe renal damage linked with heart surgery: a retrospective analysis
Authors: Singh A.K. , Sarkar P. , Saxena N.
Published: March 2023

Background: Heart surgery (HS) complications such as renal damage (RD), which is a frequent and major consequence, are linked to higher mortality and morbidity rates as well as a significant financial burden. Several different pathophysiological ideas might explain the multifaceted complexity of the HS-RD pathogenesis. Aim: The purpose of this research is to identify RD after HS and to evaluate the results of diagnostic criteria, pathogenesis, and preventative measures. Methods: This retrospective analysis of HS patients examined the occurrence and impact of several definitions of RD, Renal Damage Network (RDN), and Kidney Disease: Improving Global Outcomes (KDIGO) or risk, injury, failure, loss, and end-stage kidney disease (RIFLE). We also defined transient RD and sustained RD. Results: RIFLE-Risk had the greatest positive probability ratio of every definition, continued with sustained RD (positive likelihood ratio = 2.27) for the best definition. 39 patients with KDIGO RD and all 80 patients having late RD were excluded from the RD defined by RDN criteria. Conclusion: The pathogenesis, definition, diagnosis, and preventative measures of RD in HS patients are discussed in this article. Based on the capacity to forecast short-term mortality, the risk was shown to be the most accurate definition of RD, followed by injury, failure, loss, and end-stage RD.
The Role of Social Capital, Innovation, and Capabilities on MSMEs’ Resilience in Economic Hard Times
Authors: Kussudyarsana Kussudyarsana , Maulana Huda Kurnia , Maimun Muhammad Halim , Santoso Budi , Nugroho Munajat Tri
Published: March 2023

Research aims: As the dust of the COVID-19 pandemic settles, one apparent theme of the resulting economic crisis is uncertainties. The uncertainties especially hurt the MSMEs, which often possess limited organizational resources and capabilities. Referred to the ability to evolve as the environments do, resilience has been seen as a mantra for MSMEs’ survival and success. The purpose of the current study is twofold. Firstly, this study seeks to examine the effect of innovation, resource capability, and social capital on the resilience of MSMEs in Indonesia. Secondly, this study is aimed to examine the relationship between company performance and resilience.Design/Methodology/Approach: Employing a quantitative approach, hypothesis testing utilized Partial Least Square (PLS) data analysis techniques with the SmartPLS 3.0 program. The population in the current inquiry was MSMEs owned by families in Solo Raya, Indonesia. The number of MSMEs involved was 215 MSMEs owned by families.Research findings: Resource capability, innovation, and social capital were found to positively influence the performance of MSMEs, which in turn affected the resilience of MSMEs.Theoretical contribution/Originality: The research findings provide a business resilience construct in third-world, grassroots enterprises where social and cultural factors dominate.Practitioner/Policy implication: Governmental programs, such as exhibitions or workshops, aimed at strengthening MSMEs’ social capital and internal capabilities and cultivating innovation culture are encouraged to assist MSMEs’ survival during economic hardships.Research limitation/Implication: This study only focused on MSMEs in the Greater Solo Region of Central Java, Indonesia, during the COVID-19 pandemic. Further studies thus are encouraged to test the results in other economic and cultural settings.
Relationship Marketing, Customer Experience and Customer Satisfaction: Testing Their Theoretical and Empirical Underpinning
Authors: Suharto Suharto , Hoti Arber
Published: March 2023

Research aims: This study’s aim is to find out the influence of relationship marketing on customer experience and satisfaction.Design/Methodology/Approach: The applied research method of this study uses an explanatory survey utilizing accidental sampling of 140 respondents in the Rural Bank industrial sector, Lampung Province - Indonesia. Data is scrutinized utilizing the structural equation to test the proposed hypothesis. Research findings: The results found that (1) relationship marketing directly and positively affected customer experience and customer satisfaction, and (2) customer experience directly and positively impacted customer satisfaction.Theoretical Contribution/Originality: Customer satisfaction is the end of the chain that must be maintained to gain the sustainability of organizations. By emphasizing customer relationship quality and customer experience, it would strive to maintain transaction processes and strategies to impress customer satisfaction with the organizations.Practitioners/Policy Implications: Relationship marketing and customer experience are relevant concepts in marketing research because properly understanding these variables enables organizations to increase customer satisfaction and achieve a competitive advantage in the service and manufacturing sectors.Research Limitations/Implications: This research model was tested in the rural banking industry sector, Lampung Province - Indonesia, so the findings obtained limit generalization. Therefore, using longitudinal data, it is necessary to conduct a comparative and comprehensive study between relationship marketing, customer experience, and customer satisfaction.
Assessment of placental thickness as a predictor of gestational age and fetal weight in second and third trimester of pregnancy
Authors: Ahmed Fatmaelzahraa Ahmed Samy Omer , Ibrahim Reem Mostafa , Farouk Abeer Mohammad , Aboushady Reham Mohamed Abdelrahman
Published: March 2023

Background: Estimation of precise gestational age as well as fetal weight is important and is usually done by ultrasound assessment of fetal biometry. Recently estimation of placental thickness as a marker of fetal maturity as well as fetal weight has become a topic interest amongst obstetricians because of the accuracy with which placental thickness can be used for estimation of gestational age. We undertook this observational study to find out whether placental thickness can be used for estimation of gestational age and fetal weight in healthy singleton pregnancies.
Methods: This was a prospective observational study in which 210 patients in second and third trimester of pregnancy who has undergone antenatal ultrasound examination were included on the basis of a predefined inclusion and exclusion criteria. First gestational age estimation was done using fetal biometry (head circumference, biparietal diameter, abdominal circumference and femur length). Placental thickness was measured at the level of cord insertion. Correlation between placental thickness and gestational age as well as fetal weight as determined by biometry was analyzed by pearsons coefficient. P value less than 0.05 was taken as statistically significant.
Results: Mean age of studied cases found to be 24.62±4.12 years. Mean gestational age of the studied cases was found to be 28.19±6.90 weeks. The most common location of placenta was anterior which was seen in 99 (47.14%) patients followed by posterior (32.38%) and fundal (10.95%). Analysis of mean placental thickness in studied cases showed that at 12 weeks of gestation the mean placental thickness was 12.96 mm. Mean placental thickness at 37 weeks found to be 36.82 mm and this value was determined to be cut-off value for differentiating between full term and preterm gestation. There was strong positive correlation between placental thickness and gestational age between 12-38 weeks. Similarly positive correlation also existed between placental thickness and gestational age between 14-37 weeks.
Conclusions: Placental thickness can be used for estimation of gestational age as well as fetal weight in cases where fetal biometry can not be entirely relied upon.
A study on cardiotocography for predicting fetal prognosis in high-risk pregnancy
Authors: Kanwat Babita , Singhal Megha , Chauhan Madhubala , Chaubisa Pallavi
Published: March 2023

Background: The admission cardiotocography (CTG) in high-risk obstetrics patients for continuous monitoring of fetal heart rate (FHR) has become crucial in the modern obstetric practice. It is not only a good screening and inexpensive test but also non-invasive, easily performed and interpreted.
Methods: This was a prospective observational study conducted in department of obstetrics and gynaecology, Pannadhay Rajkiya Mahila Chikitsalaya at RNT medical college, Udaipur from April 2022 to September 2022. A total of 100 high risk obstetrics patients were subjected to cardiotocography (CTG). The Women eligible for the study were those who had gestational age ≥32 weeks with cephalic presentation in first stage of labour with singleton fetus in vertex presentation and categorised as high-risk during the time of admission.
Results: A total of 100 high risk obstetric patients were subjected to CTG. Out of these common high-risk factors in our study consisted of postdated pregnancy (21%) followed by pre-eclampsia (19%), oligohydramnios (16%) cord around neck (13%). Majority of them (47%) fall under 20-25 years and constituted by primigravida (59%).  CTG was reactive in (65%), non-reactive in 25% of cases and 10% patients had suspicious tracings. The incidence of neonatal intensive care unit (NICU) admission, fetal distress and APGAR score less than 7 was significantly higher with suspicious and nonreactive CTG than reactive CTG.
Conclusions: CTG test is a simple, non-invasive screening test should be used in high risk pregnancy as admission test. The heavy load of constant monitoring and adverse perinatal outcome can be reduced by CTG monitoring in high-risk obstetrics patients.
Perinatal outcome of neonates born to COVID SARS-CoV-2 positive mothers: a comparative study
Authors: Narayanappa Doddaiah  , Shrisagar Rattehalli Ashwathnarayana  , Sujatha Mysore Srikantha  , Mounika Pydipally
Published: March 2023

Background: The entire world is experiencing a difficult scenario because of COVID-19 infection caused by severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2). It is imperative to have comprehensive information on how COVID-19 affects pregnancy-related outcomes when compared to outcomes in uninfected pregnant women.
Methods: Neonates born to SARS-CoV-2 positive mothers were included in the case group (n=127) and neonates born to SARS-CoV-2 negative mothers were included in the control group (n=127) in this prospective comparative study. In both groups, the mothers were matched for age, body mass index (BMI), morbidities, and parity. Neonatal morbidity and mortality in both groups were examined after neonates were monitored for 7 days after delivery.
Results: Neonatal morbidity was more among neonates born to COVID positive mothers (p<0.05) but mortality did not show any significant difference. There was statistically significant difference in gestation and birth weight among cases and controls. No neonate born to COVID positive mother was tested positive for COVID by reverse transcriptase-polymerase chain reaction (RT-PCR). Mean APGAR score at 1min was less among neonates born to COVID positive mothers but at 5 minutes it was almost similar among both groups.
Conclusions: According to the study's findings, maternal COVID-19 infection significantly affects perinatal outcomes, neonatal morbidity, birth weight, and neonate gestational age.
Midline destructive lesions: A diagnostic challenge
Authors: Banushree C S
Published: March 2023

Midline destructive lesions (MDLs) are a diagnostic challenge due to an extensive differential diagnosis and vague presenting signs and symptoms. It may be due to neoplastic, autoimmune, traumatic, infectious, or unknown. The lethal lesions are characterized by ulcerative destruction of midline structures of the face like the nose, paranasal sinus and palate. A spectrum of diseases with myriad clinicopathological features can present as midline destructive lesions. Immunohistochemistry has played a major role in discerning the wide range of diseases into specific categories over the years.
A comparative study between gel card method and manual method for Coomb\'s test
Authors: Kharshandi Christine , Mane Vaibhav P
Published: March 2023

The main objective of this study is to compare the Gel Card method and the Conventional Tube method for Coomb’s test. The standard procedures were being followed while performing the above mentioned two test. Based on an 8 months study, Gel card method was proven to be more reliable in concordance with its calculated p-value and the sensitivity. The advantages and disadvantages of which have been mentioned in the following.

For Gel Card method, the principle of saphadex gel as a semi-solid medium is being used to trap any agglutination. For the Conventional Tube method, the SOP was being followed involving cell washing and confirmation via microscopy for any micro-clumps. The use of polyspecific antiglobulin was implemented for both the above test.

The study showed p-value for Gel Card method to be < 0.05 which proves to be significant and the sensitivity of Gel Card method was also better compared to the Conventional Tube method.

Our study showed that gel card is more sensitive, easy to perform and lesser time consumption, lesser sample volume plus standardized reporting. Results of Gel card can be preserved for 3-4 days. Avoidance of interobserver variability is also an added benefit due to the standard grading system. It is therefore an excellent method for detecting agglutination compared to the Conventional Tube method.
Molecular markers of the progression of conjunctival neoplastic epithelial lesions and its correlation with P16 and HPV expression
Authors: Kepuladze Shota , Nikolaishvili N , Chichua George , Burkadze George
Published: March 2023

Epithelial lesions of the conjunctiva include both benign and transitional malignant and malignant lesions., Therefore, it is important to identify molecular markers of malignant progression of these lesions.

The aim of our study was to study molecular markers determining the risk of progression of epithelial neoplastic processes of the conjunctiva. The following markers were detected by standard immunohistochemical methods: Ki67, PHH3, Bcl2, P16, HPV16/18, P53, P63 and CK7.

A squamous-epithelial index was also derived by evaluating standard hematoxylin-eosin (H&E)-stained fluorescence and the P63/CK7 ratio.

The results of the study showed that during the progression of intraepithelial neoplasia of the conjunctiva, the content of squamous epithelium and, accordingly, the squamous-gland index increases significantly.

In addition, according to proliferative and apoptotic characteristics, conjunctival intraepithelial lesions can be divided into two groups, namely, low-grade intraepithelial neoplasia and high-grade intraepithelial neoplasia.
Giant schwannoma masquerading as other soft tissue tumors: A series of three cases
Authors: Sharma Siddharth , Sood Neelam
Published: March 2023

Schwannoma is a benign peripheral nerve sheath tumor. It commonly occurs in head and neck region, upper extremities and dorsolumbar spine. The giant schwannoma as such is a rare occurring tumor. We present a series of three cases of giant schwannoma in unusual locations, masquerading as other soft tissue tumors.

: Case 1: A 40-year-old male presented with a large exophytic ulcerated growth on his left thigh. The lesion was deep dermal in location. It was well circumscribed, partially encapsulated with extensive areas of hemorrhage and cystic change. Histopathology and immunohistochemistry (IHC) revealed the diagnosis of Benign Schwannoma with ancient changes.

A 30-year-old woman presented with mid back ache and a mass in paravertebral location at T8 to T10 levels from last 2 years. The lesion was dermal in location. It was well circumscribed, partially encapsulated with extensive areas of hemorrhage and cystic change. Histopathology and IHC confirmed the diagnosis of Schwannoma with ancient changes.

A 24-year-old male, presented with a 6x6 cm lesion over the scalp. It was well circumscribed, partially encapsulated with solid and cystic areas. Histologically, it turned out to be a Schwannoma.

Giant schwannoma is a rare tumor which occasionally presents at unusual locations and poses a diagnostic challenge to both, the operating surgeon and the pathologist.

These lesions clinically may mimic dermatofibroma, dermatofibrosarcoma and even trichilemmal tumors. These cases are being presented for their unusual presentation.
Intriguing case of foreign body in uterine cavity
Authors: Priyaa P Valli , Senthilkumaran D  , Srinivasamurthy Banushree C , Bhat Ramachandra V
Published: March 2023

: To present a rare case of endometrial cavity osseous material with an unusual finding of extramedullary hematopoiesis and a brief review of literature.

: A 44-year-old female P1L1 with complaints of excessive bleeding per vaginum for 12 months. Pelvic examination showed approximately 16 weeks sized uterus. Radiologists found calcific material (?foreign body) in the anterior fundal wall of uterus. Total hysterectomy was done and sent to us for histopathological examination. On sectioning uterus, a bony spicule was seen freely lying within the cavity. Histopathology confirmed the bony nature of the foreign material which also showed hematopoietic component. Due to the associated finding of endometritis, there was high suspicion of retained fetal products in this case.

: Recognition of osseous material within the endometrial cavity as a benign entity is important to avoid misdiagnosis as Carcinosarcoma microscopically, however complete clinicopathological correlation ensures correct diagnosis and to rule out retained products of conception, tuberculosis, and hematologic disease. Diagnosis and prompt treatment of foreign body within uterine cavity may be necessary to avoid complications like infertility and abnormal bleeding.
Adult granulosa cell tumor of ovary in a young female: A rare case report
Authors: Patil Priyanka Uttam , Agrawal Sakshi Sumedh , Dravid Nandkumar V , Agrawal Sumedh S , Tambat Anand
Published: March 2023

Granulosa cell tumours (GCT) belong to the group of sex cord and stromal tumours of ovary. Adult granulosa cell tumours account for approximately 1% of all ovarian tumours and 95% of all granulosa cell tumours. They are found more often in postmenopausal than premenopausal women, with a peak incidence between 50 and 55 years of age. We present the case of a 35-year female who came with white discharge, irregular menses and excessive bleeding during menses since 5 to 6 months. The complete blood picture with peripheral smear examination, kidney and liver function tests were all within normal limits. CT abdomen was advised which revealed a large solid cystic lesion of left ovarian origin. Surgical intervention was done and histopathology revealed adult granulosa cell tumor of ovary.
Vulvar swelling- A rare diagnosis
Authors: Raza Ahmad , Irfan Sumaiya , Zaidi Noorin , Lal Nirupma
Published: March 2023

Vulvar fibroadenoma is a rare entity presenting at an unusual location. Here we present a case of a 45-year-old female, with painless, well-defined mass in the left labia majora for one year. On radiological examination, ultrasonography showed a well-defined rounded heterogeneously hypoechoic space occupying lesion. The mass was excised under local anesthesia. The histopathological examination revealed vulvar fibroadenoma.
Uso no medicado de modafinilo en estudiantes de medicina de una universidad de la ciudad de Cartagena, Colombia
Authors: TORRES MADRID CARLOS ALBERTO , Urrutia Alvarez Laura Vanessa
Published: March 2023

Introducción: Modafinilo es un fármaco aprobado para la somnolencia excesiva asociada con narcolepsia, trastorno del trabajo por turnos y apnea obstructiva del sueño; sin embargo, es consumido también por personas sanas en diferentes ámbitos sociales, siendo los estudiantes universitarios una de las poblaciones más propensas al uso no medicado de este fármaco.
Objetivo. Determinar la prevalencia y patrones de uso, conocimientos, precepciones y efectos indeseados de este en estudiantes de un programa de medicina de una universidad de la ciudad de Cartagena - Colombia.
Métodos. Estudio de prevalencia sobre una muestra de 269 estudiantes de un programa de medicina. Se diseñó, validó, aplicó un instrumento para caracterizar el uso no medicado de modafinilo en esta población y se llevó a cabo un análisis descriptivo. La comparación de grupos fue realizada usando la prueba de chi al cuadrado con un nivel de significación de 0,05.
Resultados. El 6,7% (n=18; IC95%: 3,7 – 9,7) de los sujetos han consumido modafinilo sin prescripción médica, presentándose en gran parte de los casos algún efecto indeseado. El inicio de uso se dio mayormente en el tercer semestre académico de la carrera, en época de exámenes, buscando aumentar la capacidad intelectual y/o mante- nerse despierto. Existe poco conocimiento sobre el uso médico del fármaco.
Conclusión. La prevalencia de uso no medicado de modafinilo en los estudiantes de medicina de esta institución fue baja, coherente con otros estudios sobre poblaciones similares.
Seismogeological model of the terrigenous vendian deposits on the north–eastern slope of the Nepa-Botuoba anteclise
Authors: Kovalenko I. A. , Kuznetsova Yu. I. , Kalinin A. Yu. , Duchkov A. A.
Published: March 2023

A seismogeological model of the junction zone of the Nepa-Botuoba anteclise and the Ygyattinskaya depression was built based on the results of a comprehensive interpretation of deep drilling and seismic data. The position and propagation of regional high-rank faults have been specified, and a model of tectonic faults of the study area has been constructed. All faults of the study area were divided into three classes: those that cut the entire sedimentary cover; developed in the lower part of the sedimentary section, fading in the Cambrian salt pack; complicating the upper post-salt complex of rocks. Criteria for identifying thinning zones were developed and were made use of to identify oil and gas perspective objects within the Talakh, Ulakhan and Kharystan productive horizons.
Simulation of the circular economy proposal: analysis of printer remanufacture scenarios
Authors: Rodrigues Glauco Oliveira , Pereira Adriano , Simonetto Eugênio De Oliveira , De Barros Roni Storti , Bulé Anieli Ebling , Falkembach Marcos Morgental
Published: March 2023

Dispositivos computacionais, como impressoras, geralmente possuem uma vida útil predeterminada e são descartados quando param de funcionar, gerando grande quantidade de lixo eletrônico. Já a Economia Circular propõe uma alternativa ao modelo linear de extração, transformação e descarte aplicado na maioria das organizações, partindo da reposição de materiais nas cadeias produtivas sem perda de qualidade neste processo. O objetivo da pesquisa é desenvolver e experimentar modelos para analisar o impacto da remanufatura de impressoras de uma instituição de ensino superior. Este artigo defende a remanufatura de impressoras como forma de reduzir tanto a quantidade de lixo eletrônico descartado quanto os custos de aquisição de novos equipamentos. Um modelo computacional foi construído e, com base na abordagem da Dinâmica de Sistemas, foram propostos cenários para simular o comportamento ao longo de 10 anos. Analisando dados de uma Instituição Federal de Ensino Superior, constatou-se que a remanufatura de impressoras pode reduzir em 2,5 vezes o volume de lixo eletrônico gerado, além de gerar economia financeira em torno de 37%.
Liderança feminina e capacidade inovadora nas organizações
Authors: Fassini Raquel , Bragagnolo Leticia Mattiuz , Santos Ana Clarissa
Published: March 2023

A inovação ainda continua sendo um dos desafios das organizações, uma vez que diferentes fatores influenciam no desenvolvimento da capacidade inovadora. Considerando o papel da liderança em cenários de inovação, esta pesquisa busca entender como a literatura acadêmica observa a liderança feminina e sua relação com a capacidade inovadora nas organizações. Além disso, também analisa como as pesquisas abordam as diferenças na atuação do líder, considerando os diferentes gêneros. Para esse entendimento, realizou-se uma revisão sistemática de literatura – RSL, considerando artigos publicados a partir do ano 2000. O pressuposto inicial da pesquisa é que alguns fatores influenciarem a menor representatividade da liderança do gênero feminino em cenários de inovação. Como principais resultados, concluiu-se que não há diferenças significativas na prática de liderança, considerando homens e mulheres em cenários de inovação, mas diferenças de oportunidades. Por outro lado, resultados apontam que a diversidade favorece e amplia as inovações organizacionais, sendo então uma oportunidade para que as empresas possam fomentar o trabalho conjunto na liderança de iniciativas de inovação.
Negociação e gestão de organizações solidárias
Authors: Vignochi Luciano , Paines Patrícia De Andrade , Scholz Robinson Henrique
Published: March 2023

A evolução histórica da habilidade de negociação mostra sua relevância para a sobrevivência em comunidades. Na economia solidária, negociar envolve ações coletivas e democráticas para solucionar ou minimizar problemas nas dimensões: social, econômica, ecológica, organizacional e técnica. Este artigo teve como objetivo discutir a relevância da habilidade de negociação para a gestão de organizações solidárias. Para identificar na literatura científica os trabalhos que sustentam a discussão teórica, utilizou-se uma pesquisa bibliográfica “bola de neve”. Dada à problemática multidimensional discutida, pode-se considerar que é essencial incluir os coletivos de trabalhadores cooperados na perspectiva mercadológica, desenvolver a capacidade de análise das barreiras e oportunidades de entrada, das forças e fraquezas do ambiente e do grau de participação governamental. Alavancar o poder de barganha dos vendedores em relação aos atravessadores que intermediam a negociação é um ponto crítico para relações de compra e venda de resíduos sólidos mais equitativas.
Uma revisão sistemática sobre a pesquisa em educação financeira
Authors: Pabis Maria Gabriela , Hocayen-da-Silva Antônio João
Published: March 2023

Educação Financeira representa um construto teórico complexo e difuso, cuja compreensão está atrelada as perspectivas epistemológicas adotadas pelos pesquisadores. Diante disso, buscou-se analisar o estado do conhecimento gerado pelas publicações disponibilizadas sobre Educação Financeira e Alfabetização Financeira nas bases de dados Spell e SciELO até 2019, a fim de verificar as perspectivas dominantes e reconhecer possíveis lacunas a serem exploradas em pesquisas futuras. Para promover a análise, foram selecionados 33 artigos, sem filtragens quanto ao idioma, área temática e classificação. Já no que se refere aos resultados, foi reconhecido que as pesquisas eram voltadas à identificação do nível de conhecimento financeiro, além da influência de variáveis socioeconômicas e demográficas sobre os desempenhos. Enquanto isso, em relação à metodologia, houve um número significativo de levantamentos de campo que apresentavam caráter descritivo e quantitativo, sendo identificadas ainda técnicas como a estatística descritiva, a análise de variância e a regressão. Por sua vez, quanto às evidências, predominou um comprometimento dos desempenhos financeiros, influenciado por variáveis como gênero, escolaridade e renda. Considerando estas constatações, torna-se possível haver um direcionamento para futuras pesquisas, sob um viés teórico e intervencional.
Instagram: ativação do consumo pelo perfil da rede de contatos
Authors: Barbosa Maria Naftally Dantas , Pereira Yákara Vasconcelos , Demoly Karla ‪Rosane do Amaral ‬ , Moreira Vinicius Farias
Published: March 2023

A ativação do consumo depende da força da associação com os contatos importantes dentro de um mesmo ambiente social, tendo em vista que pessoas e representações sociais também são utilizadas como um aspecto ativador. Com isso, esta investigação possui o objetivo de identificar o perfil da rede de contatos seguidos pelos usuários do Instagram e como esses contatos influenciam a ativação do consumo. A abordagem teórica da pesquisa reúne a literatura a respeito de grupos de referência, priming social, além das influências sociais exercidas pelos perfis seguidos pelos usuários. Um estudo de caso foi realizado com internautas ativos em duas etapas distintas: entrevista inspirada na técnica de grupo focal com seis participantes e entrevistas individuais com sujeitos sociais nascidos em cada estado brasileiro. Ao todo, 33 pessoas participaram das entrevistas, que foram examinadas mediante a análise de conteúdo com apoio do software ATLAS.ti. Por meio dos resultados foi possível identificar que que os usuários se sentem influenciados pelas publicações dos perfis que seguem, entretanto, esses estímulos agem apenas como um auxílio, ajudando-os a filtrar as informações, avaliar as alternativas e conduzindo-os à escolha final.
De pais para filhos: a condução do processo sucessório em duas empresas familiares no município Santa Rosa/RS
Authors: Escarban Luana Hendges , Kuhn Nuvea
Published: March 2023

Para que uma empresa familiar se mantenha consolidada no mercado e possa dar continuidade aos seus negócios é necessário o planejamento de sua sucessão. Este estudo possui como objetivo compreender a condução do processo sucessório em duas empresas familiares no município de Santa Rosa/RS. Para tal, utilizou-se de uma pesquisa aplicada, descritiva e qualitativa. As empresas foram escolhidas por conveniência, sendo denominadas de empresa Alpha e empresa Gama para fins de atentar aos aspectos éticos. Como principais resultados, verificou-se que embora utilizem de metodologias distintas para a condução do processo sucessório, ambas as empresas estão bem preparadas para a transição de gerações. Dentre os principais aspectos que emergiram pelas falas, ressalta-se a necessidade de autonomia, a falta de planejamento, e o apoio familiar constante.
Influência do marketing na visibilidade, atração de clientes e desempenho de escritórios de contabilidade no Sul do Brasil
Authors: Batistella Ana Julia , Pinheiro Alan Bandeira , Ransan Daiana
Published: March 2023

O Marketing surgiu com o objetivo de melhorar a relação entre empresa e cliente, bem como atender asperspectivas do consumidor, visando proporcionar melhorias para as partes interessadas. Os serviços contábeispermitem uma relação direta entre empresa e cliente, para tanto, técnicas para captação e manutenção dosclientes têm se tornado um diferencial no ramo contábil. O estudo busca analisar a influência do uso do mixmarketing nos escritórios de contabilidade. Foi realizada uma pesquisa, descritiva, quantitativa e do tipo survey.A coleta dos dados ocorreu através de formulário eletrônico enviado aos órgãos reguladores de contabilidade.Foram contatados aproximadamente 325 gestores de escritórios de contabilidade, dos quais, 65 apresentaramretorno. A análise foi realizada por meio de técnicas quantitativas de estatística descritiva e regressão linear. Osachados permitem afirmar que o uso dos P’s do marketing proporciona melhoria na captação de clientes,faturamento e rentabilidade financeira dos escritórios, conforme os respondentes. Esse estudo, contribui para oscontadores e órgãos de regulação, demonstrando que a profissão deve implementar inovação e uso de técnicas demarketing para promover e melhorar seus serviços. Também contribui para o âmbito acadêmico, pois apresentaachados importantes relacionados a área de marketing contábil, o qual ainda é pouco abordado no Brasil.
THE PHENOMENON OF DIFFERENTIATION OF THE LEARNING TASK AS A WAY TO SUPPORT ALL PUPILS IN THE CLASSROOM
Authors: Semradova Monika
Published: March 2023

The research focuses on the current trend of increasing the quality of education, which brings increased demands on teacher competencies when introducing differentiated instruction for primary school students from the very beginning of their schooling. When teaching mathematics, teachers encounter a variety of pupils' attitudes toward solving tasks and ways of acquiring new knowledge and skills. However, many teachers are not adequately prepared to do this, and there are very few relevant literature and research investigations to help them in practice. The purpose of this research study is to analyze the pedagogical means of differentiating learning tasks and to analyze aspects of the scope, content and timing of tasks in the subject of mathematics for primary school pupils. The aim of the study is to present the means of differentiation of learning tasks in the real process of education. Based on several case studies of teachers from the Pardubice, Hradec Králové and Central Bohemia regions, we present good practice examples of what aspects of differentiation of learning tasks teachers use in heterogeneous groups of pupils.
ANALYSIS OF EDUCATION SPECIFICATIONS FOR CHILDREN WITH DOWN SYNDROME AT EARLY AGE
Authors: Balazova Jana
Published: March 2023

The study further analyzes the specifics of early childhood education with Down syndrome, which are directly related to genetics, health and factors affecting early childhood education, but also stimulation at home, family cooperation with professionals, personal growth of individual family members, influenced by their life experiences and their social environment.
Unpredictable Event during EUS-Guided Hepaticojejunostomy
Authors: SİRİN Abdullatif , ÇETİN Mehmet , TOKMAK Salih
Published: March 2023

Endoscopic ultrasound (EUS)-guided biliary drainage is a therapeutic alternative method in patients with cholestasis where the ampulla of Vater cannot be reached because several reasons. An unfortunate complication during EUS-guided biliary drainage was presented in this report. A 53-year-old male patient presented with jaundice and pruritus. He had a history of total gastrectomy due to gastric cancer. An abdominal tomography scan detected a tumoral mass in the common bile duct due to the recurrence of gastric cancer. We decided to perform EUS-guided hepaticojejunostomy because biliary drainage cannot be obtained by conventional methods and percutaneous drainage impairs patient comfort. A double pigtail plastic stent was placed from the jejunum into the segment-3 bile duct towards the hilus. After that echoduodenoscope was removed to the outside gently. We noticed that the stent was stuck in the echoduedonoscope elevator. We reached into the bile duct again and placed a double-pigtail plastic stent successfully.
On the Impact of Income per Capita on Health Outcomes: Is Africa Different?
Authors: Asiedu Elizabeth , Gaekwad Neepa , Jin Yi , Nanivazo Malokele , Nkusu Mwanza , Paintsil Jones
Published: March 2023

This paper examines the link between income per capita, adult life expectancy and mortality rates for children. We estimate a dynamic panel model using data from 128 developing countries and find that all else equal external (i.e., non-country specific) factors have a positive and significant impact on health outcomes, and this effect has increased over time; countries in Sub-Saharan Africa (SSA) have a higher mortality rate and lower life expectancy than non-SSA countries and the effect of income per capita on health outcomes is different for SSA countries.