bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical performance of Ambu AuraGainTM versus i-gelTM in anesthetized children: a prospective, randomized controlled trial
Authors: Lee Ji-Hyun , Nam Seungpyo , Jang Young-Eun , Kim Eun-Hee , Kim Hee-Soo , Kim Jin-Tae
Published: April 2020

Background: Ambu AuraGain and i-gel have different characteristics in design each other. However, few reports evaluate which device has more benefits for ventilation in children undergoing paralyzed general anesthesia. This prospective, randomized controlled trial compared the clinical performance AuraGain and i-gel in anesthetized children.Methods: Children aged between 1 month and 7 years undergoing elective surgery were randomly assigned to the AuraGain and i-gel groups. The primary outcome was initial oropharyngeal leak pressure (OLP). Secondary outcomes were OLP at 10 min post-insertion, first-attempt and total insertion success rates, number of attempts and ease of gastric suction catheter placement, peak inspiratory pressure, fiberoptic bronchoscopic view score, ventilation quality, requirement of additional manipulation post-insertion, and complications.Results: Data of 93 patients were analyzed. The initial OLPs of the AuraGain and i-gel were 27.5 ± 7.7 and 25.0 ± 8.0 cmH2O, respectively (P = 0.13). The OLP was significantly increased 10 min post-insertion in both groups. The initial success rates of the AuraGain and i-gel insertion were comparable. Suction catheter placement via the gastric port was easier (P = 0.02) and fiberoptic bronchoscopic view was better with the AuraGain (P < 0.001). The i-gel required additional manipulations post-insertion (P = 0.04). The incidence of complications during the emergence period was 2.2% for the i-gel and 10.8% for the AuraGain (P = 0.1)Conclusions: OLP is comparable between AuraGain and i-gel. The AuraGain would be more favorable than the i-gel for use in pediatric patients under general anesthesia considering other outcomes.
Ultrasound-guided treatment of common peroneal neuropathy caused by Baker’s cyst: a clinical note - A case report -
Authors: Cho Hana , Kim Dong-Rim , Lee Je Jin , Lee Seung Young , Park Yong Bum , Kim Hee Sung , Shin Hwa-Yong
Published: April 2020

Baker’s cysts are usually located in the posteromedial side of the knee and seldom cause neuropathy. We describe the rare case of a 57-year-old woman with a popliteal cyst who presented with limping gait and pain in her lower leg. She was electronically diagnosed with common peroneal neuropathy and transferred to our pain clinic. On ultrasound examination, about 2.0 × 1.2 cm sized popliteal cyst was found to extend to the fibular head, compressing the common peroneal nerve. Therefore, ultrasound-guided aspiration of the cyst and a common peroneal nerve block were performed. Immediately after the procedure, the pain, dysesthesia, and limping gait were relieved. Although her pain and dysesthesia were relieved, she underwent the surgery because of limping gait. In this case, we found the Baker’s cyst, the cause of the common peroneal neuropathy, and treated it immediately by just simple ultrasound examination and aspiration.
Risk factors of emergency reoperations
Authors: Kim Tae Kwan , Yoon Jun Rho , Choi Yu Na , Park Ui Jin , Kim Kyoung Rim , Kim Taehee
Published: April 2020

Background: Emergency reoperation is considered to be a quality indicator in surgery. We analyzed the risk factors for emergency reoperations. Methods: Patients who underwent emergency operations from January 1, 2017, to December 31, 2017, at our hospital were reviewed in this retrospective study. Multivariate logistic regression was performed for the perioperative risk factors for emergency reoperation.Results: A total of 1,481 patients underwent emergency operations during the study period. Among them, 79 patients received emergency reoperations. The variables related to emergency reoperation included surgeries involving intracranial and intraoral lesions, highest mean arterial pressure ≥ 110 mmHg, highest heart rate ≥ 100 /min, anemia, duration of operation ＞120 min, and arrival from the intensive care unit (ICU). Conclusions: The type of surgery, hemodynamics, hemoglobin values, the duration of surgery, and arrival from ICU were associated with emergency reoperations.
Discourses of Inequality
Authors: Rédai Dorottya
Published: April 2020

In this paper I focus on the constitution of intersectional subjectivities and social inequality (re)production and discuss how class and ethnicity are (re)produced through gendered sexuality discourses and practices in a Hungarian secondary school, highlighting an aspect of intersectionality rarely explored in the sociology of education. The data used for the analysis come from a school ethnography I conducted between 2009 and 2011 in a combined secondary vocational-technical-grammar school in Hungary. The students of the school were mostly from lower-middle-class and working-class backgrounds and were ethnically mixed; i.e., there was a significant proportion of Roma students. I apply critical discourse analysis to interview excerpts with students and teachers to show how ethnicity and class are constituted intersectionally through sexuality discourses. Class is an important axis of subjectivity to include in the analysis of ethnic differentiation, as the two categories often converge. I demonstrate these processes of constitution through examples of teachers talking about students’ sexuality and about ‘Roma culture,’ including specific references to ethnicized reproductive patterns, and a case of sexual harassment of a Roma girl by a white teacher with potential consequences for her future professional career and class positioning. I argue that the gendered sexuality discourses and practices I have identified and the subjectivities they constitute simultaneously create binary categories of race/ethnicity and class and allocate people within and outside these, leading to the re-inscription of social inequalities in schooling.
LC-MS/MS Label-Free Proteomic Data Acquisition v2
Authors: Gutierrez Danielle , Allen Jamie , Jenkins Zach , Spraggins Jeff
Published: April 2020

Description of settings used to acquire LC-MS/MS data from label-free proteomic samples.
PISA-2015 Verilerine Göre Öğrencilerin Ders Dışı Etkinliklere Katılımlarının Akademik Başarılarına Etkisi
Authors: ÖZKAN Umut Birkan
Published: April 2020

Ders dışı etkinlikler, öğrenciler tarafından gerçekleştirilen normal eğitim programı dışında kalan faaliyetlerdir. İlgili alanyazına göre ders dışı etkinliklere katılım, akademik başarıyı etkileyen faktörlerden biridir. Bu çalışma, PISA-2015 verilerini kullanarak öğrencilerin ders dışı etkinliklere katılımının akademik başarılarına etkisini belirlemeyi amaçlamaktadır. Bu çalışmada analiz için ikincil verilerden yararlanılmıştır. PISA-2015’de değerlendirmeye alınan 519334 öğrenciye ait veriler araştırmanın evrenini oluşturmaktadır. Tespit edilen evrenin tamamına ulaşıldığından ayrıca örneklem tayinine gidilmemiştir. Toplanan verilerin incelenmesinde dört adımdan oluşan ikincil verilerin analizi kılavuzu kullanılmıştır. Elde edilen verilerin analizinde bağımsız örneklemler için t-testi kullanılmıştır. Araştırma bulgularına göre, ders dışı etkinliklere katılan öğrencilerin matematik, okuma becerileri ve fen puan ortalamaları, ders dışı etkinliklere katılmayan öğrencilerden düşüktür. Ortalamalar arasında ders dışı etkinliklere katılmayan öğrenciler lehine istatistiksel açıdan anlamlı farklılık vardır. Araştırmanın bir diğer çarpıcı bulgusu ise başarılı ve başarısız öğrencilerde ders dışı etkinliklere katılımın başarıya etkisinin farklılık göstermesidir. Ders dışı etkinliklere katılan başarılı öğrencilerin matematik, okuma becerileri ve fen değerlendirmesinden aldıkları puanların ortalaması, ders dışı etkinliklere katılmayan öğrencilerden yüksektir. Başarısız öğrencilerde ise tam tersi bir durum vardır. Ders dışı etkinliklere katılan başarısız öğrencilerin matematik, okuma becerileri ve fen değerlendirmesinden aldıkları puanların ortalaması, ders dışı etkinliklere katılmayan öğrencilerden düşüktür. Bu araştırmada, ders dışı etkinliklerin özellikle başarısı düşük öğrencilerin akademik performansları üzerinde olumsuz yönde etkiler meydana getirebileceği sonucuna varılmıştır. Sonuçlar, ilgili alanyazınla göreceli olarak uyumludur. Çalışma sonuçlarına dayanarak önerilerde bulunulmuştur.
Sosyal Bilgiler Öğretmen Adaylarının Sosyal Medya Bağımlılığı
Authors: BAŞ Kenan , DİKTAŞ Abdulkerim
Published: April 2020

Bu çalışmanın amacı, Sosyal Bilgiler öğretmen adaylarının sosyal medya bağımlılığına ilişkin durumlarını ortaya koyabilmektir. Araştırma, Uşak Üniversitesi, Eğitim Fakültesi, Sosyal Bilgiler (1-2-3-4. sınıf) öğretmenliği anabilim dalında öğrenim gören toplam 191 öğretmen adayı üzerinden yürütülmüştür. Araştırmada, elde edilen verilerin toplanması, analizi ve yorumlanmasında nitel ve nicel araştırma yöntemlerinin birlikte yer aldığı karma (mixed) yöntem kullanılmıştır. Araştırmada veri toplama aracı olarak, Bakır Ayğar ve Uzun (2018) tarafından geliştirilen, 26 maddeden oluşan “Sosyal Medya Bağımlılık Ölçeği” İle araştırmacılar tarafından hazırlanan kişisel bilgi ve açık uçlu soru formu kullanılmıştır. Araştırmada elde edilen nicel verilerin analizinde SPSS 22. istatistik programı kullanılırken; nitel verilerin analizi ise içerik analizine uygun olarak yapılmıştır. Verilerin analizinde ikili gruplarda “t-testi, ikiden fazla olan gruplarda ise tek yönlü varyans analizi (Anova) kullanılmıştır. Araştırma sonuçlarına göre sosyal bilgiler öğretmen adaylarının sosyal medya bağımlılığına ilişkin durumlarının “Cinsiyet ve Sınıf Düzeyi” değişkenlerine göre istatistiksel açıdan farklılaştığı “Sosyal Medya Kullanım Aracı” ve “Ekonomik Gelir Düzeyi” değişkenlerine göre ise farklılaşmadığı görülmüştür. Araştırmanın nitel boyutunda ise öğretmen adaylarının en çok Instagram, Facebook, Twitter, Snapchat kategorilerine vurgu yaptıkları ve bu doğrultuda eğlence, gündem takibi, yakın çevrenin yapmış olduğu etkinlikler, fotoğraf ve video paylaşımı, karşı cins ile flört, kpss, genel kültür ve ders notu paylaşımlarının takibi, temalarının ön plana çıktığı görülmüştür.
Implementation of European Values by Foreign Consuls in Southern Ukraine (Late 19th – Early 20th Centuries)
Authors: Vovchuk Liudmyla
Published: April 2020

Today we hear more and more that until our country realizes fundamental European values, it will not be able to become a full member of the “European family”. But it should be emphasized that this process began long before Ukraine gained independence and the leading role in this was played by foreign consuls of Europe and America. The countries that created the modern world as it is, where the foundations of modern statehood, civil society, an efficient market economy, and a system of social justice were laid. Therefore, this article is dedicated to highlighting the role of these representatives in the implementation of European values in the south of Ukraine in the late XIX – early XX centuries. Being in the port cities of the region, which then opened wide horizons for commercial activity, and using all opportunities to maximize the protection of the interests of their state and citizens, foreign consuls, through the development of public-social life of the region, contributed to the implementation of priority values. There were many consuls who made a significant contribution to the development of urban territories, their improvement, the enrichment of the spiritual and intellectual life of the townspeople. Consulates of Greece, Norway, Sweden, Germany, Italy, Belgium, England, Denmark, Portugal, Brazil and Argentina deserve special attention. Awareness of the importance of education, spiritual status of the population and the development of the city as a whole made positive changes. At the end of XIX – beginning of XX century the South of Ukraine began to occupy leading positions in the foreign economic activity of the Russian Empire. Of course, it cannot be said that this was done solely through the work of foreign representatives, but they nevertheless managed to prove that the unity of values is the foundation on which the European Union stands today.
Bilateral Relations between Switzerland and Belarus
Authors: Zuyeu Ilya
Published: April 2020

The article deals with the Swiss-Belarusian bilateral relations in the political, economic, humanitarian and cultural area from 1991 until nowadays. It provides a brief overview of the studies on this topic published in both countries as well as official reports by the Federal Council, where Belarus was mentioned.

The article focuses on the former and current issues of intergovernmental relations between Switzerland and Belarus. It analyses the periods of deterioration caused by divergence of views on democracy and human rights, and the periods of improvement, when sanctions were lifted, the number of high-level visits increased, and new diplomatic and consular representations were established.

The article traces the dynamics and structure of foreign trade between the two countries and notes its rapid growth since the mid-2000s, which was facilitated by major Swiss investors, joint ventures and other entities as well as business forums.

It also gives data on the financial assistance and humanitarian aid that the Confederation has provided to Belarus, especially to the areas most affected by the Chernobyl nuclear disaster, within its programmes of cooperation with Eastern Europe and via the Swiss Cooperation Office in Minsk (now the Embassy of Switzerland in Belarus). The article also describes the activities of the Belarusian diaspora in Switzerland as well as the cooperation between the educational, scientific and cultural institutions of the two countries.

The author concludes that while Belarus is not one of Switzerland’s priority partners, in recent years the bilateral relations between them have been gradually improving.
Projeto Novos Rumos 4.0: pedagogia crítica, metodologias ativas e desenvolvimento humano no ensino de programação básica
Authors: Costa Máximo Jônios , Zavilenski Custódio Karina
Published: April 2020

Este artigo traz um estudo de caso sobre o Projeto Novos Rumos 4.0, executado em Foz do Iguaçu/PR, pelo Parque Tecnológico Itaipu – PTI-BR, no ano de 2018. A iniciativa capacitou jovens em situação de vulnerabilidade social para a elaboração de softwares utilizando a linguagem de programação Python, por meio de uma formação voltada ao desenvolvimento humano, crítico e técnico. A análise faz uso de um levantamento bibliográfico e documental para referenciar todas as etapas de criação e aplicação da proposta, que formou 30 alunos e buscou desenvolver soluções tecnológicas para problemas enfrentados por entidades do terceiro setor do município. O sucesso alcançado pela ação permite concluir que a elaboração de cursos na área da tecnologia deve passar, necessariamente, pela construção de Projetos Político-Pedagógicos mais aderentes às necessidades reais e práticas de uma sociedade contemporânea que, cada vez mais, faz uso de recursos tecnológicos para superar dificuldades de seu cotidiano. Nesse sentido, o Projeto Novos Rumos 4.0 pode ser uma referência inspiradora e embasadora de políticas públicas educacionais e iniciativas similares em outras localidades.
Alfabetização – uma evolução do conceito: alfabetização e letramento em código
Authors: Cordenonzi Walkiria Helena , Del Pino José Claudio , Conceição Oliveira Eniz , Guimarães Strohschoen Andreia Aparecida
Published: April 2020

Este artigo retoma os conceitos e Alfabetização Científica e Alfabetização Científica e Tecnológica e suas diferentes denominações. Apresenta conceitos sobre a Alfabetização Digital, sua importância e diferentes tipos. Discute as diferenças conceituais sobre alfabetização e letramento, tanto científica quanto tecnológica. A partir da compreensão desses conceitos e os tomando como base, o objetivo deste trabalho é apresentar a evolução histórica sobre alfabetização, mais especificamente na área da Ciência da Computação, trazendo uma abordagem sobre a Alfabetização de Código. A proposta de um diferente entendimento para a Alfabetização de Código e um inovador conceito sobre Letramento em Código são as principais contribuições deste trabalho.
Prediction of Subclinical Coronary Atherosclerosis in Patients with High and Very High Cardiovascular Risk
Authors: Pogosova N. V. , Yufereva Y. M. , Kachanova N. P. , Metelskaya V. A. , Koltunov I. Y. , Voronina V. P. , Mazaev A. P. , Arutyunov A. A. , Vygodin V. A.
Published: April 2020

Objective To develop a diagnostic rule for detection of patients (pts) with high probability of subclinical atherosclerosis among those with high or very high cardiovascular (CV) risk.Materials and Methods This cross-sectional study enrolled 52 pts (32 men [62 %]), aged 40 to 65 years [mean age 54.6±8.0]) with high or very high CV risk (5–9 and ≥10 % by The Systematic Coronary Risk Estimation Scale [SCORE], respectively). All participants underwent cardiac computed tomography (CT) angiography and calcium scoring. Traditional risk factors (RFs) (family history of premature CVD, smoking, overweight / obesity and abdominal obesity, hypertension, type 2 diabetes mellitus, lipids parameters (total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides) and lipids-related markers (apolipoprotein A1, apolipoprotein B, ApoB / ApoA1 ratio), biomarkers of inflammation (high-sensitivity C-reactive protein [hs CRP], fibrinogen), indicator carbohydrate metabolism (glucose), ankle-brachial index, stress-test, carotid plaques according to ultrasound were evaluated in all pts. Psychological RFs were evaluated using Hospital Anxiety and Depression Scale and DS-14 for type D personality.Results All pts were divided into 2 groups according to the CT angiography results: pts in the main group (n=21) had any non-obstructive lesions or calcium score >0, pts in the control group (n=31) had intact coronary arteries. The groups did not differ in age or gender. 26 multiple linear logistic models for any subclinical atherosclerosis were developed based on obtained diagnostic features. Taking into account R-square = 0.344 (p=0.0008), the best fitting model was follows: subclinical coronary atherosclerosis= –1.576 + 0.234 x SCORE ≥5 % + 0.541 x hs CRP >2 g / l +0.015 x heart rate (bpm) +0.311 family history of premature CVD. The developed algorithm had sensitivity of 63 % and specificity of 80 %.Conclusion The created diagnostic model diagnostic model suggests the presence of subclinical coronary atherosclerosis in patients with high / very high CV risk with a high degree of probability. This easy-to-use method can be used in routine clinical practice to improve risk stratification and management choices in high-risk pts.
Early changes of energy metabolism, isoformic content and level of titin phosphorylation at diastolic dysfunction
Authors: Lakomkin V. L. , Abramov A. A. , Studneva I. M. , Ulanova A. D. , Vikhlyantsev I. M. , Prosvirnin A. V. , Lukoshkova E. V. , Kapelko V. I.
Published: April 2020

Relevance. Diastolic dysfunction occurring at hypertension, obesity, diabetes, or treatment with doxorubicin tends to prevail in all patterns of chronic heart failure. Lack of effective therapy forces to look more into the metabolic processes in cardiomyocytes.

Objective. Assess energy metabolism in cardiomyocytes and changes in titin, a giant myofibril protein that responsible for their elasticity.

Material and Methods. The study model was cardiomyopathy occurring after the 4-week administration of doxorubicin (2 mg/kg weekly). Diastolic dysfunction was identified by echocardiography and catheterization with the simultaneous measurement of pressure and volume of the left ventricle (LV).

Results. The levels of adenine nucleotides and phosphocreatine in the heart of animals treated with doxorubicin differed little from the normal values, but lactate levels were increased manifold. A 50% increase in the level of titin phosphorylation was detected, which correlated (r = 0,94) with a nearly twofold increase in the share of a more elastic N2BA-isoform of this protein.

Conclusion. This form of diastolic dysfunction involves the activation of anaerobic metabolism and increased stretching of myofibrils facilitating LV filling.
Evaluation of cervical erosion in symptomatic women
Authors: Guptha Sindhu C.
Published: April 2020

Background: The objective of this study was evaluation of symptomatic women with cervical erosion.Methods: Prospective clinical study done in the department of obstetrics and gynecology, VIMS, Ballari for one-year period from June 2016 to May 2017. All patients with symptoms of white discharge, post coital bleeding and menstrual irregularities were examined by per speculum examination and all those who had cervical erosion (112 Patients) were included in the study. Pap smear and colposcopy were done in all subjects. Colposcopic guided biopsy was done in women with abnormal findings on colposcopy. Histological prediction of colposcopic findings was done according to the Reid’s modified colposcopic index. The result of the biopsy was correlated with the predicted histology of the Reid’s modified colposcopic index and statistical analysis done to calculate diagnostic efficacy of colposcopy in the evaluation of symptomatic women with cervical erosion.Results: Out of the 112 patients, 5.35% (6/112) had abnormal Pap smear. All patients underwent colposcopy and colposcopic guided biopsy, 11.6% (13/112) had abnormal colposcopic findings. Histopathology confirmed CIN I in 6.25% (7/112) and CIN II in 1.78% (2/112) patients. The sensitivity, specificity, PPV, NPV and accuracy of PAP smear was found to be 22.22%, 96.11%, 33.33%, 93.39% and 90.17%. The above values for colposcopy were found to be 88.89%, 95.15%, 61.54%, 98.99% and 94.64%.Conclusions: Colposcopy should be done in all symptomatic patients with cervical erosion as it is a good diagnostic tool for premalignant conditions of the cervix and correlates well with histopathological findings.
Use of vaginal misoprostol before endometrial biopsy in premenopausal women: an observational study
Authors: V. Prabhavathi , V. Prasad D. K. , N. Lahari , R. Satyavathi
Published: April 2020

Background: It is well-known since long time the beneficial effects of misoprostol particularly as a cervical softening agent in obstetric practice. Keep in view, study aimed to evaluate the efficacy of vaginal misoprostol 400 mcg before endometrial biopsy in premenopausal women.Methods: All the 200 patients were classified into two groups viz. study group (Group I) with 100 patients and control group (Group II) with 100 patients. To Group I patients, 400 mcg of misoprostol was given vaginally, 4 hours prior to the commencement of endometrial biopsy whereas no medication was received by Group II patients.Results: In the present study, the base line cervical dilatation is found to be 5.8±1.3 mm in Group I patients whereas 3.8±0.92 mm in Group II patients which is significantly higher (p<0.05). Only 32 patients in Group I required further dilatation whereas 88 patients in Group II underwent further dilatation. The mean time required for further dilatation in Group I and Group II patients was 42.6±17.4, 64.6±16.8 sec respectively and was significantly higher in Group II patients (p<0.05). Out of 100 patients in Group I, only 2% of patients complained severe pain whereas in Group II 48% of patients experienced intolerable pain and required anesthesia.Conclusions: Vaginal administration of 400 mcg misoprostol 4 hours prior to endometrial biopsy in premenopausal women had a significant effect on cervical resistance and cervical dilatation.
Study of caesarean section at tertiary care centre: a retrospective study
Authors: Kose Varsha , Sadhvi Kumari
Published: April 2020

Background: Caesarean section (C-section) is one of the most widely performed surgical procedure in obstetrics worldwide. The WHO guidelines revised in 1994 states that the proportion of C-section birth should range between 5-15% but both in developed and developing countries C-section rate is on the rise. This study was conducted to analyse the frequency and indications for C-section and associated maternal morbidity and mortality.Methods: This retrospective study was conducted over a period from January 2018 to May 2019 at the department of obstetrics and gynecology, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Hingna, Nagpur, Maharashtra, India. Data of patients who delivered by C-section in our hospital during the defined study period were studied and statistically analysed according to various parameters namely, the frequency of caesarean section, its indications, age, parity and gestational age of the patient.Results: The total number of women delivered over the study period were 2811. Out of which C-sections were done in 1461 women (51.97%). Previous C-section was the leading indication in 35.72% women followed by fetal distress 14.09%, failure of induction 12.93%, arrest of labour 7.93%, PIH 7.18%, oligo/IUGR 6.50%, breech 4.44%, refusal of vaginal birth 4.24%, CPD 1.71%, bad obstetrics history (BOH) 1.43%, malpresentation 1.30%, prematurity 1.23%,  and multifetal gestation in 1.09% women. Two women had classical C-section 0.07. 14.09% women had various complications. There was no maternal mortality.Conclusions: A high rate of caesarean deliveries was observed. Individualization of the indication and careful evaluation, following standardized guidelines can help us to limit C-section. Audit and feedback are the best way to judge clinical practice and to reduce the frequency of caesarean section in any tertiary setup.
Laparoscopic management of endometrial stromal sarcoma in young: a case report
Authors: Puntambekar Shailesh , Shankar Shetty Theertha , Goel Arjun , Panchal Shakti
Published: April 2020

Endometrial stromal sarcoma (ESS) is a case malignancy and accounts for 0.2% of all uterine malignancies and 10% of all uterine sarcomas. In the present case, an unmarried 27-year-old woman presented with complaints of on and off episodes of pain in the lower abdomen. On examination, a diffuse oval mass was felt occupying the hypogastrium, iliac and lumbar regions and extending up to the umbilicus. CT scan impression was given as? Complex retroperitoneal mass? solid cystic ovarian mass with grade I right hydro nephrosis. On laparoscopy, a huge mass measuring approximately 10×10 cm was noted arising from the uterus. Laparoscopic myomectomy was done and the specimen was retrieved in a bag and the tissue was sent for histopathological examination. The postoperative clinical course was uneventful. The patient was advised to undergo oocyte cryopreservation following which she was advised hysterectomy with bilateral salphingo-oophorectomy. Pelvic radiation was advised thereafter. ESS is a rare malignant tumor, which on histopathological examination reveals sheets of cells and endometrial stromal cell differentiation. Hysterectomy with bilateral salpingo-oophorectomy is optimum initial therapy. Radiotherapy is chosen when the tumour is inadequately excised or the pelvic disease is locally recurrent. Low grade ESS is a rare form of uterine sarcoma usually seen between 40-60 years of age with limited available data regarding the clinical course and management. Early diagnosis and management is associated with a favourable prognosis and outcome.
Changing trends in cesarean section: from 1950 to 2020
Authors: Patel Babulal S. , Kedia Noopur , Shah Sushma R. , Agrawal Saumya P. , Patel Vismay B. , Patel Adwait B.
Published: April 2020

Caesarean section (C.S) is a part of the standard care in modern obstetrics. The indications for a caesarean section as an alternative to vaginal delivery have evolved over the centuries. Its practicality, disponibility, and apparent safety have placed caesarean section, a first-line procedure in many clinical scenarios. The awareness of perinatal mortality and morbidity associated with safety of caesarean, expert anaesthesia, potent antibiotics, blood transfusion facilities and better neonatal care have increased incidence of caesarean section very fast. Thus, there is fast, steady and definite rise in incidence of caesarean section everywhere. But the question is ‘Is a rising caesarean section rate is inevitable?’. Studies carried out to understand CS deliveries has adopted different framework. The issue treats elements of ethics in the medical profession, gender issues, choices of women, the quality of institutional services, etc. The findings of retrospective studies have suggested that the caesarean section rate could be reduced in certain categories. In this study, we discuss the various ways in which it can be achieved.
Reducing computational costs in deep learning on almost linearly separable training data
Authors:   Samara National Research University, Kulikovsvkikh I.M. ,   Faculty of Electrical Engineering and Computing, University of Zagreb,   Rudjer Boskovic Institute
Published: April 2020

Previous research in deep learning indicates that iterations of the gradient descent, over separable data converge toward the L2 maximum margin solution. Even in the absence of explicit regularization, the decision boundary still changes even if the classification error on training is equal to zero. This feature of the so-called “implicit regularization” allows gradient methods to use more aggressive learning rates that result in substantial computational savings. However, even if the gradient descent method generalizes well, going toward the optimal solution, the rate of convergence to this solution is much slower than the rate of convergence of a loss function itself with a fixed step size. The present study puts forward the generalized logistic loss function that involves the optimization of hyperparameters, which results in a faster convergence rate while keeping the same regret bound as the gradient descent method. The results of computational experiments on MNIST and Fashion MNIST benchmark datasets for image classification proved the viability of the proposed approach to reducing computational costs and outlined directions for future research.
An interference scheme for generating inhomogeneously polarized laser radiation using a spatial light modulator
Authors:   IPSI RAS – Branch of the FSRC “Crystallography and Photonics” RAS, Karpeev S.V. ,   Samara National Research University, Podlipnov V.V. ,   IPSI RAS – Branch of the FSRC “Crystallography and Photonics” RAS,   Samara National Research University, Algubili A.M. ,   Samara National Research University
Published: April 2020

An optical system for converting linearly polarized laser beams into cylindrical vector beams is developed and experimentally investigated. The scheme is based on the coherent addition of mode beams using a Mach-Zehnder interferometer. The simplicity and versatility of the optical setup is achieved through the use of different sections in the area of the spatial light modulator for the si-multaneous generation of two spatially separated given mode beams. Each of the beams then propagates in one of the arms of the interferometer and undergoes the necessary polarization-phase transformations to obtain a cylindrical vector beam after the addition of mode beams.
Comparison of Haemodynamic Response to Intubation with KingVision and C-MAC Videolaryngoscope in Adults
Authors: Padavarahalli Thammanna Prathima , Marasandra Seetharam Kavya , Channasandra Anandaswamy Tejesh , Rath Prapti , Chamanhalli Rajappa Geetha , Joseph Jancy
Published: April 2020

Background: Videolaryngoscopes are now being advocated as the universal device for airway management due to their ability to provide an improved glottic visualisation. Due to their ability to see around the corners, they obviate the need to align the airway axes and thus may lead to less airway stimulation. This may result in less haemodynamic response during laryngoscopy and intubation. The present study was designed to compare the haemodynamic response to intubation with King Vision and C-MAC videolaryngoscopes.
Methods: After obtaining informed consent, adults with unanticipated difficult intubation, scheduled to undergo surgery under general anaesthesia were randomised to be intubated with either King Vision (Group K) or C-MAC (Group C) videolaryngoscope. Following a standardised general anaesthesia induction protocol all subjects were intubated with the allocated videolaryngoscope and haemodynamic parameters (heart rate, systolic pressure, diastolic pressure and mean arterial pressure) were recorded at specific time points. Statistical analysis was done using the SPSS Software (version 18.0).
Results: The changes in the heart rate, systolic pressure, diastolic pressure and mean arterial pressure following laryngoscopy and intubation with the allocated videolaryngoscope were statistically similar between the two groups at all time points.
Conclusion: Haemodynamic responses to laryngoscopy and intubation with King Vision and C-MAC videolaryngoscopes were similar.
Meningeal Hemorrhage Secondary to an Electrization Accident about an Observation in a Resuscitation Department in Abidjan (RCI)
Authors: Michael Paterne Mobio Nkan , Chacke Maria Abhe , Theodore Klinna Coulibaly , Abdoulaye Ouattara , Djohui Edwige Netro , Yapi Francis Nguessan , Yavo Denis Tetchi
Published: April 2020

During electrical accidents, various mechanisms are observed: electric flash, electric arc, lightning and true electrification. Whatever the mechanism, various types of lesions can be observed such as subarachnoid hemorrhages. Exposure to a high voltage current, the appearance of initial consciousness disorder, the existence of skin burn lesions testifying to the passage of current through the cephalic end homolateral to the hemorrhage, the existence of hemorrhage meningeal at d0, the real existence of this complication in victims of lightning strikes (which is an electric shock) and the existence of a similar case in the literature make electric accidents, an etiology of hemorrhage meningeal.
Exome-first Approach Identified Novel Homozygous Dedicator of Cytokinesis 8 (DOCK8) Mutations in Three Unrelated Iranian Pedigrees Suspected with Hyper-IgE Syndrome
Authors: Aghebati-Maleki Ali , Shahani Tina , Momen Tooba , Alyasin Soheila , Changi-Ashtiani Majid , Biglari Alireza , Shahrooei Mohammad , Javanian Asiyeh Sadat , Amini Suzan , Bossuyt Xavier , Rokni-Zadeh Hassan
Published: April 2020

The prevalence of primary immunodeficiency (PID) is rather high in Iran compared to the world average, mainly due to the high rate of consanguineous marriage. Despite that, little genetic information is available about primary immunodeficiencies in Iran. Autosomal recessive hyper IgE syndrome (AR-HIES) is a severe type of immunodeficiency, mainly caused by mutations in the dedicator of cytokinesis 8 (DOCK8). Rapid and precise diagnoses of patients suffering from AR-HIES can help to manage the patients and reach properly the treatment decision. However, in regions with low financial resources and limited expertise, deep phenotyping is uncommon. Therefore, an exome-first approach is helpful to make a genetic-based diagnosis.
In the present study, whole-exome sequencing (WES) was applied to detect causative mutations in three unrelated primary immunodeficient patients with poor clinical information. One of the cases was a deceased patient with suspected hyper IgE syndrome (HIES) whose parents were subjected to WES.
As a result, three novel pathogenic variants were detected in the DOCK8 gene, including two splicing sites (c.4241+1G>T and c.4886+1G>T) and one-stop-gain (c.4201G>T, p.Glu1401Ter) variants. Sanger sequencing confirmed the mutations’ segregation in corresponding families. Further immunological investigations confirmed that HIES in the studied probands. The presence of frontal bossing and broad nose in one of the studied cases, in addition to the typical clinical presentation of DOCK8-AR-HIES, is notable.
This work suggests that an exome-first approach can be a valuable alternative strategy for precise diagnosis of primary immunodeficiency patients.
Anaphylaxis to Oatmeal and Psocid Crisps
Authors: Babaie Delara , Vadas Peter
Published: April 2020

Occasionally, a seemingly straightforward history of food-induced anaphylaxis may prove to be misleading.  Both patients and their physicians have a tendency to attribute the cause of an allergic reaction to the most conspicuous ingredient that had been ingested while overlooking less likely causes.  Here, we describe a patient whose history pointed to oatmeal allergy, but skin prick tests to oats and serologic testing for oat-specific IgE were negative. Ultimately, we found that the oatmeal had been contaminated with an allergenic insect, Psocid of the order Psocoptera.
Las expectativas en el nuevo milenio
Authors: Aparicio Laserna Arturo
Published: April 2020

En Colombia en el 2003, luego de sufrir una terrible crisis económica, a la cual no fueron ajenas ni siquiera las sociedades científicas, con los inmensos recortes que se tuvieron que hacer en los eventos científicos, las sociedades deberán reajustar sus políticas y derroteros científicos.Las modificaciones que día a día impone la Ley 100, no pueden ser ajenas a nosotros. Las sociedades científicas se han unido alrededor de la Asociación Colombiana de Sociedades Científicas, para que ella discuta como una sola unidad nuestras peticiones gremiales y así lo pidió el Ministro de Salud ante el gobierno central, para desarrollar normas y criterios que no lesionen el ejercicio profesional; se deben evitar las restricciones de procedimientos, exámenes y medicamentos y la modalidad de contratación por hora quirúrgica sin tener en cuenta su complejidad. Es menester revisar las tarifas médicas para un ejercicio digno de la profesión y lograr que las mismas asociaciones científicas determinen los mecanismos de recertificación de las diferentes especialidades y se encarguen ellas de asuntos académicos.La unión de los médicos alrededor de SCARE-FEPASDE es fundamental para enfrentar las demandas a los profesionales en las que en la gran mayoría de los casos el paciente solo busca su lucro económico personal. Debemos cuestionarnos cómo recibimos emolumentos de las medicinas prepagadas con gramos de arena y cómo nos demandan con gramos de oro.Somos conscientes que las sociedades individualmente no pueden luchar para este cometido y es la unión alrededor de estas asociaciones la que nos hace fuertes y grandes en el ámbito nacional y profesional, esto permitirá que las sociedades de manera individual se encarguen casi exclusivamente de la parte científica.
Diagnóstico ecográfico prenatal de la Pentalogía de Cantrell
Authors: Cortés Y. Hernán , Vélez V. José Fernando
Published: April 2020

En 1958, Cantrell describió un síndrome caracterizado por cinco defectos que incluyen: ectopia cordis, onfalocele, disrupción del esternón distal, diafragma anterior y pericardio diafragmático. Se presenta un caso de pentalogía de Cantrell con diagnóstico ecográfico tardío, ecocardiografía luego del nacimiento y estudio post mórtem. Se hace además una corta revisión de la literatura.
Consideraciones éticas y profesionales a la práctica ginecobstétrica en Colombia
Authors: Sarmiento R. Andrés
Published: April 2020

Durante los últimos 15 años la práctica médica ha sufrido una transformación trascendental. Aspectos puntuales como la relación médico-paciente y la remuneración del profesional médico han sido revaluados en forma profunda por terceros con intereses no-médicos. De un sistema de pago individual por servicio, ajeno a control alguno de instituciones o aseguradores, se pasó a un sistema prepagado altamente controlado por éstos. Las aseguradoras, las organizaciones de venta de servicios médicos y las instituciones como nuevos protagonistas en la relación médico-paciente, son verdaderas fuerzas comerciales que actuando en un nuevo escenario de "era corporativa" y bajo la meta de ampliar la cobertura en salud, mantienen al individuo médico bajo la continua amenaza de interferir cada vez más en su ejercicio profesional.
Editorial
Authors: Arturo Rojas Maria Cecilia
Published: April 2020

Estimados colegas:Reciban un cordial saludo.Aprovecho esta edición para expresarles mis sinceros agradecimientos por el apoyo que me han brindado durante esta gestión y presentarles además del Programa Científico del próximo Congreso Nacional, algunas generalidades importantes como son:1. REPRESENTACIONESEn el ámbito internacional Colombia cuenta ahora con una representación en la FIGO Comité ejecutivo en nombre del Dr. Guido Parra; en el ámbito Latinoamericano y en el Comité de nominaciones en nombre de la Dra. María Cecilia Arturo. Presencia y participación en la ONS, OPS, UNICEF.2. COMISIONESDeseo agradecer en forma especial a las comisiones designadas en este período:- Endoscopia (Ramiro Argüello, Jaime Saavedra y Guillermo Arboleda) quienes sacaron adelante el programa de recertificación en cirugía endoscopia ginecológica.- Estatutos (Augusto Ramírez, José Ignacio Zúñiga, Antonio Lomanto y Guido Parra) quienes llevaron a cabo el estudio de la reforma de estatutos, citándose a la primera Asamblea para el 15 de marzo del presente año.- Gremial (Germán Garzón) quien ha colocado el nombre de la SCOG en todos los entes gremiales colombianos y trabajó asiduamente por los proyectos trazados como son acreditación, ley de reglamentación de Radiología (Ecografía Ginecoobstetra).- A la fecha la SCOG está emitiendo un carnet para todos sus afiliados a través de las diferentes filiales, que nos permitirá identificarnos dentro y fuera del país.
Embarazo abdominal a término: reporte de un caso
Authors: Díaz González Mario
Published: April 2020

El embarazo abdominal es poco frecuente y está asociado con alta mortalidad materna y fetal. Es raro que llegue al término y mucho más obtener un recién nacido en buenas condiciones.Un caso de embarazo abdominal a término (40,5 semanas), el cual fue atendido exitosamente en la Clínica General del Norte en Barranquilla, Colombia por el Departamento de Ginecología y Obstetricia: Paciente de 33 años G2P1 con diagnóstico de ingreso de embarazo de 40,5 semanas, DPPNI y pre-eclampsia; a quien se le hizo un diagnóstico transoperatorio de embarazo abdominal a término, con producto de la gestación en buenas condiciones.
Attachment to Parents as a Predictor of Multidimensional Life Satisfaction Among Adolescents
Authors: ORAL Tuncay , KARABABA Ali
Published: April 2020

The purpose of this study was to investigate the role of parental attachment in adolescents’ life satisfaction. The study group consisted of 470 high school students (237 females, 233 males) who were attended schools in Denizli-Turkey in 2016-2017 academic year. In this study, Multidimensional Student Life Satisfaction Scale and Attachment to Parents and Friends Inventory were used to gather data. Pearson correlation coefficients were calculated to examine the relationships between variables for the analysis of data. In addition, multiple regression analysis was used to determine the power of the attachment to parent to predict the sub-dimensions of the life satisfaction. The results showed that positive correlations were found between attachment to parents (mother and father) and life satisfaction (family, friends, environment, school and self) in adolescents. In addition, it was found that attachment to the parents was a positive and significant predictor of the life satisfaction (family, friends, environment, school, self) in adolescents. Implications of these results are discussed within the context of literature.
As representações midiáticas da transexualidade na telenovela A força do querer
Authors: Santos Tarcyanie Cajueiro , Mattos Georgia
Published: April 2020

Este artigo reflete sobre a representação que a telenovela A força do querer, da Rede Globo, construiu sobre a transexualidade, por meio da/do personagem Ivana/Ivan. A análise do trabalho se utiliza do instrumento analítico do Circuito da Cultura, aporte teórico-metodológico dos Estudos Culturais, que compreende cinco processos distintos – representação, identidade, produção, consumo e regulação – como responsáveis por produzir significados na sociedade. São processos diferenciados que se articulam na construção de sentidos. Neste artigo, apresenta-se o conteúdo trabalhado no eixo Representação, com o apoio teórico dos estudos queer de Judith Butler. O estudo conclui que a telenovela teve a intenção de promover um discurso a favor da diversidade, desmistificando concepções essencialistas e apontando para novas possibilidades de identidades generificadas, trazidas à tona a partir da experiência da transexualidade. Ainda assim, a telenovela construiu um sujeito transexual de acordo com os parâmetros do discurso médico e, dessa forma, sua representação estabelece uma verdade sobre a transexualidade, que confina a identidade transexual aos padrões rígidos do que é ser transexual, deixando de lado as diversidades e as pluralidades que existem em cada experiência.
Violência simbólica e Cidadania no Futebol: o discurso homofóbico em programas esportivos
Authors: Lemes Luiz Fernando Rodrigues , Temer Ana Carolina Rocha Pessôa
Published: April 2020

Este artigo pretende compreender como o programa esportivo Jogo Aberto, da TV Bandeirantes, debate sobre comportamentos afetivos envolvendo atletas de equipes de futebol no Brasil. Para isso, foi escolhido o último caso de demonstração afetiva debatido pelo programa (beijo entre Emerson Sheik, ex-jogador do Corinthians, e o chefe de cozinha Isaac Azar). Para isso, partiu-se da concepção de que o futebol é um espaço marcado pela masculinidade e virilidade, que rejeita comportamentos considerados fora desse padrão e, a partir desse cenário, a mídia esportiva deveria assumir a responsabilidade social de debater sobre o tema da sexualidade no esporte a partir da pluralidade de vozes. Foi utilizada a análise de discurso crítica com base nos dispositivos analíticos de Dijk (2015), que permitiu identificar as construções discursivas do programa que contribuíram para a disseminação de preconceitos e estereótipos negativos sobre os homossexuais.
Keberhasilan Terapi Konservatif pada Persalinan Preterm Disertai dan Tanpa Disertai Ketuban Pecah Dini di RSD dr. Soebandi, Jember
Authors: Furqooniyah Nurul , Hadisubroto Yonas , Hermansyah Bagus
Published: April 2020

Preterm delivery is the greatest cause of neonatal morbidity and mortality. Preterm delivery can be accompanied by premature rupture of membranes. Preterm delivery with and without premature rupture of membranes are managed by conservative therapy to delay birth. Rupture of membranes causes inadequate protection of the fetus. This study aimed to determine the success of conservative therapy in preterm delivery with and without premature rupture of membranes at Regional Hospital (RSD) dr. Soebandi Jember. The study used secondary data from medical records of pregnant women with spontaneous single preterm delivery that has been given conservative treatment from January 2015-January 2017 period. As many as 149 samples were included for the study, which is collected using total sampling technique. This research used cross sectional research design. Chi-Square statistical test results showed a significance of (p = 0.001 <0.05). It can be concluded that there was a significant difference of the success of conservative therapy between the preterm delivery with and without premature rupture of membranes.