bluuebunny/crossref_metadata_2025 huggingface dataset:
Between de-Germanisation and Slavianisation: Integration concepts of Polish "recovered territories" after World War II
Authors:   Immanuel Kant Baltic Federal University, Zhirov Anton A.
Published: October 2024

The article examines the integration concepts of “recovered territories” (former German lands) as part of the post-war Poland, proposed by various political forces represented in the Polish Resistance Movement during World War II, in order to determine their influence on the subsequent development of the state, whose borders in 1945 changed radically. This study is based on acts and memoranda of the Polish government in exile, documents of new authorities created by the Communists and their allies in the liberated territory, programs of political and public organizations, press materials, and memoirs. The author pays special attention to the terms “de-Germanisation” and “Slavianisation”, which the program settings of the government in exile in London and its supporters, as well as the plans of the Polish communists, contain. The article traces the gradual transition to a common understanding of the mechanism of future integration processes as “re-Polonisation”. First of all, it was a radical change of population in the newly annexed territories and at the same time the forced deportation of German citizens to Germany and the settlement of the vacated spaces by Poles from the central voivodships of the country and repatriates from the USSR. On the other hand, the local Poles (former German citizens) were not deported. According to the Polish authorities, this autochthonous Polish population was subjected to forced Germanisation for many centuries, they needed to return their native language and Polish appearance in full. As a result, various groups of inhabitants of Polish origin with diverse cultural backgrounds had to transform into a homogeneous ethnocultural community, which was to become part of a single Polish nation. Re-Polonisation also implied a whole range of measures aimed at changing the cultural landscape and national symbols, restoring the former Slavic toponyms, and identifying and consolidating historical and cultural evidence of the Polish past of the new territories in the public consciousness. However, the analysis of the integration concepts of the opposing Polish political movements shows serious differences in the understanding of the term “re-Polonisation”, in the development and application of specific mechanisms for its implementation in the new Polish territories. Polish emigrant circles in London gave priority to the national-cultural aspects of integration, while the left-wing forces finally came to the conclusion that socialist-type transformations would become a universal means of integration for all groups of Polish society. With the victory of the Communists, the latter approach prevailed, which led to the underestimation of many factors and errors in the sphere of the national-cultural policy in the newly annexed lands in the first post-war years.
The features of the co-occurrence of the Russian pronoun chto-to and postpositive adjectives in texts of different styles
Authors:   Irkutsk State University, Burov Eduard E.
Published: October 2024

The article considers some syntagmatic properties of the Russian indefinite pronoun chto-to [something]. The aim of the work is to identify the features of combining chto-to with full postpositive adjectives in texts of different styles. The problem is solved on the basis of corpus data. These involve materials from various stylistically marked corpora (subcorpora of academic, official, fiction, theological texts in the main corpus of the Russian National Corpus; a subcorpus of the national media in the media corpus of the Russian National Corpus; poetry and spoken corpora of the Russian National Corpus; subcorpora of Internet news, LiveJournal, VKontakte and the Magazine Hall of the General Internet-Corpus of Russian). The methodology of the work includes the method of extracting collocations (statistically stable phrases) from the corpus and the method of the accuracy of the syntagmatic connection between the components of collocations. The study found that the combination “chto-to + a full adjective” is statistically stable. The calculation of the strength of the syntagmatic connection between its components in different stylistically marked corpora shows that there is a significant variation between the corpora. The method of the automatic extraction of collocations reveals 19 adjectives that have the highest indexes of the strength of the syntagmatic connection with chto-to. The strength of the syntagmatic connection with each of these adjectives is studied in different stylistically marked corpora. In each of the 19 cases, an intercorporal variation is detected. The obtained statistical data are interpreted linguistically. The fact that the strength of the connection between the components of the combination “chto-to + a full adjective” varies depending on the genre-style register is explained by the varying degree of accuracy and objectivity of texts of different registers. Combinations like “chto-to + a full adjective” mark inaccuracy and subjectivity, and therefore they are the least stable in texts of styles that are characterized by accuracy and objectivity (official-business, educational-scientific texts), and the most stable in texts of inaccurate and subjective styles (blog texts, colloquial speech, prose fiction texts). The variation in the strength of the syntagmatic connection of the pronoun chto-to with a specific adjective in texts of different styles is often determined by the semantics of this adjective. The semantics of an adjective may prevent its connection with the pronoun chto-to in texts of a certain style, and may contribute to such a connection: for example, the semantics of the adjective noven’kiy [(diminutive) new] prevents its connection with the pronoun chto-to in theological texts, but contributes to its connection with the pronoun chto-to in newspaper texts.
New ways of using pyrotechnics for inducing precipitation to extinguish forest fires
Authors:   SC «FSPC «Scientific research Institute of applied chemistry», Bryksin Sergey V. , Muranov Artem K. ,   SC «FSPC «Scientific research Institute of applied chemistry», Kiselev Dmitry A. ,   SC «FSPC «Scientific research Institute of applied chemistry», Sudakova Natalia V. ,   SC «FSPC «Scientific research Institute of applied chemistry», Babich Svetlana N. ,   SC «FSPC «Scientific research Institute of applied chemistry»
Published: October 2024

The existing technologies for artificially inducing precipitation, the principles of creating aerosol pyrotechnic compositions for active influence on clouds and successful experiments of extinguishing forest fires using PV-26M cartridges fired from an aircraft are considered. A method is proposed for extinguishing forest fires from cassette-type launchers, including those without recoil, installed on unmanned aerial vehicles.
Application of IR thermography methods to study wildland fires and combustion processes
Authors:   National Research Tomsk State University, Loboda Egor L. , Reyno Vladimir V. ,   National Research Tomsk State University; V.E. Zuev Institute of Atmospheric Optics of the Siberian Branch of the Russian Academy of Sciences
Published: October 2024

The article provides an overview of original methods for studying wildfires and combustion processes using IR thermography. The basic principles of using IR thermography to study combustion processes are formulated, such as temperature fields in the flame, the structure of the turbulent flame formed during the combustion of plant combustible materials, as well as the use of IR thermography to study k-phase combustion. It is shown that the IR thermography can be used to determine the edge of a fire in conditions of heavy smoke.
Wildland (forest, steppe, peat) fires: forecast, detection, extinguishing
Authors:   National Research Tomsk State University, Loboda Egor L. ,   V.E. Zuev Institute of Atmospheric Optics of the Siberian Branch of the Russian Academy of Sciences
Published: October 2024

This article provides an overview of the current state of wildfire research. A review and analysis of existing and applied methods for predicting fire danger, methods for detecting remote wildfires and combating them are given. A brief description of the key results of wildland fire research at Tomsk State University and the prospects for their application are given. The basic requirements for systems for fire danger forecasting, monitoring of wildland fires and their extinguishing are formulated.
Government Policies During a Pandemic and the National Competitiveness and Productivity Plan
Authors: Oliva Zelada Heber Celso
Published: October 2024

The study presents an analysis of government policies implemented during the pandemic in Peru and their impact on the National Plan for Competitiveness and Productivity (PNCP). Measures taken in areas such as health, economy, education, and security are examined, highlighting their comprehensiveness and the progress observed until June 2024. Despite challenges, significant compliance with PNCP objectives was achieved, reflecting the country's resilience. The study demonstrates the crucial influence of government policies on long-term competitiveness and productivity. Future research on the long-term economic and social impact of these policies is suggested, along with possible additional strategies to enhance governmental response to similar crises.
Evidence of validity and reliability of the scale of risk perception for sexual behavior in young people from Piura
Authors: Abanto Vélez Walter Iván , Chiroque Sullon Carlos Alberto , Córdova Talledo Ángel Daniel , Arca Barrientos María Teresa
Published: October 2024

Globally and nationally, it has been shown that adolescents exhibit risky behaviors that increase the probability of contracting sexually transmitted diseases, which makes it essential to measure this study variable. In this context, evidence of validity and reliability of the risk perception scale for sexual behaviors in young people from Piura has been reported. The study, of instrumental design, used a sample of 292 young people from Piura, chosen through non-probabilistic convenience sampling. It was found that the original four-factor model with 27 items did not present adequate goodness-of-fit indices, so a re-specified four-factor model with 19 items was analyzed, which showed adequate goodness-of-fit indices. In addition, evidence of reliability was found, obtaining acceptable reliability for the dimensions of risk perception of sexual behaviors, knowledge of the sexual history of the partner and sources of information on sexuality, with the exception of the dimension of perception of condom use. In conclusion, the scale presented adequate psychometric evidence, guaranteeing interpretations with theoretical and empirical support in the context of Piura.
BoJack Horseman: Horse or a Man?
Authors:   Moscow School of Social and Economic Sciences (MSSES), Belov Mikael ,   National Research University Higher School of Economics (HSE), Moscow, Russia
Published: October 2024

IF ONLY SOMEONE KNEW how much I hate writing abstracts. I want to write something like “well, open the article yourself, and read it! I can’t shorten all the words into two hundred.” On the other hand, sometimes I get angry that the abstract is poorly written, and I don’t understand whether to read the article or not. Anyway, there is a cartoon — but not for children — called BoJack Horseman. So, he’s a horse, but his problems are human — that’s the conflict of species in one person! And in this article I am trying, with the help of different theories, there’s Bourdieu, a little bit of biosemiotics, and some other, to understand if it is important that BoJack Horseman is a horse and that he’s an animal. And how this diversity of species in the cartoon affects the social organization of this animal society, and the plot in particular. You can read the conclusions in the end of this article, I’ve even got a bit sentimental in the end. Big up yourself.
Российские корпорации в новой реальности. Финансовые стратегии на пути к антихрупкости
Authors: Макеева Елена , Гришунин Сергей , Анилов Артем , Абрамов Александр , Тихомиров Дмитрий
Published: October 2024

В книге представлено исследование процессов трансформации и финансовых стратегий адаптации крупного российского бизнеса из различных отраслей в контексте текущего структурного кризиса. Проведена оценка сравнительных условий устойчивости корпораций в условиях санкций. Выявлены и оценены ключевые риски, определены паттерны постсанкционных стратегических, операционных и финансовых практик, а также карты перемещений компаний между паттернами. Изучены изменения в цикле корпоративных финансовых решений — от привлечения капитала и инвестирования до выплат акционерам. Рассмотрены возможности и задачи финансового сектора и венчурного бизнеса для обеспечения инновационного развития. Итогом работы является определение лучших практик достижения антихрупкости и разработка дорожной карты для поддержания долгосрочного и устойчивого роста бизнеса. Выводы были сделаны на основе анализа финансовой отчетности более чем 4000 компаний, анкетирования и проведения глубинных интервью с их руководителями. Книга закладывает основу для создания новой национальной модели корпоративных финансов в России и адресована руководителям и специалистам финансово-экономических служб компаний, руководителям и преподавателям вузов и бизнес-школ, а также широкому кругу менеджеров и всем, кто интересуется трансформацией корпоративных финансов в российской практике.
Active versus Passive Teaching: Students’ Perceptions and Thinking Skills
Authors: Terentev Evgeniy , Shcheglova Irina , Federiakin Denis , Koreshnikova Yuliya , Costley Jamie
Published: October 2024

Most studies show that active teaching approaches positively affect student development when compared to passive teaching approaches. However, the literature is still unclear if an active teaching approach is more effective in all circumstances. This is because some studies find no differences in learning gains between the two approaches. Therefore, this study looks at how different levels of knowledge from Bloom’s taxonomy are affected by the active versus passive teaching approach. The research was conducted with a group of students of economics and management. A validated standardized instrument to assess microeconomic and macroeconomic competencies (TUCE Test) allows us to model added value to the following cognitive levels: knowledge and understanding, explicit application, and implicit application. The cognitive levels are constructed in accordance with a revised version of Bloom’s taxonomy. The results show that the active teaching approach is positively linked to academic performance at two cognitive levels: recognition and understanding and explicit understanding, with no significant relationship at the level of implicit understanding. On the other hand, a passive teaching approach has a negative relationship with academic outcomes at all the three cognitive levels.
AI in Vocational Training: A Qualitative Interview Study of Early-Stage Practitioners in the Real Estate Brokerage Industry in China
Authors: Wang Fengchen
Published: October 2024

This study aims to unveil the individual and sectoral factors influencing the integration and utilization of artificial intelligence (AI) in vocational training among early-stage practitioners in China's real estate brokerage industry. The study involved in-depth interviews with 33 participants, each possessing less than two years of industry experience and demonstrating either experience with or a keen interest in AI applications. Rooted in the transformative potential of AI in vocational training, thematic analysis was employed to reveal the intricate interplay of individual factors—motivation, attitude, self-efficacy, and digital literacy—alongside sectoral elements such as policies, practices, and organizational culture. The findings illuminate the significant impact of these factors on the acceptance and utilization of AI, underscoring the complexity of participant attitudes, shaped by perceived usefulness and ease of use. Diverse levels of self-efficacy and digital literacy among participants regarding AI adoption were also evident. On the sectoral front, policies play a dual role, either providing support or imposing restrictions on AI adoption, while practices and organizational culture wield substantial influence over the opportunities and challenges associated with AI use. These empirical insights and best practices offer stakeholders valuable guidance to enhance employability and productivity in this ever-evolving industry. Importantly, this study advocates for a more inclusive approach in future research, addressing limitations in sample representativeness and recommending the integration of quantitative methodologies. This approach is crucial for fostering a comprehensive understanding of AI utilization in vocational training, ensuring robust insights for future advancements in the industry.
OPTIMIZATION METHOD FOR THE STRATEGY OF REGULATED MAINTENANCE OF MILITARY EQUIPMENT
Authors:   State University of Intellectual Technologies and Сommunication, Odesa, Ukraine, Banzak G.V. , Leschenko O.I. ,   State University of Intellectual Technologies and Сommunication, Odesa, Ukraine, Koval M.O. ,   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
Published: October 2024

Complex technical objects in modern society are extremely important. Such objects belong to the class of recoverable objects of long-term multiple used. They tend to be expensive and require significant maintenance costs. To ensure the required level of reliability during their operation, maintenance is usually carried out, the essence of which is the timely preventive replacement of elements that are in a pre-failure state, which is very important for military equipment. A characteristic feature of complex technical objects for special purposes (military equipment) is the presence in their composition of a large number (tens, hundreds of thousands) of different types components that have different levels of reliability, different patterns of their wear and aging processes. This feature requires a more subtle approach to the organization and planning of maintenance during operation (military equipment). The problem is that when developing such objects of military equipment, all issues related to maintainability and maintenance should be addressed already at the early stages of designing an object. If you do not provide in advance the necessary hardware and software for the built-in monitoring of the technical condition (TC) of the object, do not develop and “embed” the maintenance technology into the object, then it will not be possible to realize in the future a possible gain in the reliability of the object due to the maintenance. Since all these issues must be resolved at the stage of creating an object (when the object does not yet exist), mathematical models of the maintenance process are needed, with the help of which it would be possible to calculate the possible gain in the level of reliability the object due to maintenance, to estimate the cost costs required for this. Then, based on such calculations, make a decision on the need for maintenance for this type of objects and, if such a decision is made, develop the structure of the maintenance system, choose the most appropriate maintenance strategy, and determine its optimal parameters. In this paper, we develop a methodology for optimizing the parameters of the strategy for regulated maintenance of military equipment. The paper also confirms the general idea that the data obtained fully confirm assumption that the “adaptive maintenance” strategy is more preferable in the case of unreliable (inaccurate) information about the reliability indicators of the object’s elements.
Uso de Videoaulas como Ferramenta para o Ensino de Cálculo
Authors: Silva Jaqueline Maria da
Published: October 2024

Este trabalho propõe a discussão de uma prática pedagógica aplicada usando videoaulas organizadas na plataforma Cevibra usadas como ferramenta complementar de estudo para atender conteúdos de Cálculo 1, visando resolver problemas propostos em sala de aula e avaliar os efeitos da utilização da Metodologia Baseada em Problemas (MBP) mediada por videoaulas no aprendizado dos estudantes. A escolha de Cálculo 1 justificou-se pela alta taxa de reprovação entre os alunos matriculados, o que inclui um número elevado de evasão e, consequentemente, do curso do qual faz parte. Para a construção desta prática de ensino, estudantes matriculados no primeiro período do curso de Ciência e Tecnologia de uma universidade do interior de Minas Gerais foram entrevistados usando o Google Formulário. As videoaulas foram usadas para propor e auxiliar na resolução de problemas. A MBP foi escolhida por proporcionar o estudo da utilização da resolução de problemas aplicados em diversas áreas como como proposta para discutir o estudo e para atenuar as taxas de evasão e retenção em Cálculo 1. Os dados foram analisados e organizados forma a identificar os aspectos da prática pedagógica que promoveram afastamento ou aproximação entre estudantes e conteúdos abordados.
Palavras-chave: Cálculo 1. Ensino e Aprendizagem. Videoaulas
AbstractThis work proposes a discussion of a pedagogical practice using educational videos organized on the Cevibra platform as a complementary study tool to specifical Calculus 1 content, aiming to solve problems proposed in the classroom and analyze the effect of using Problem-Based Learning (PBL) methodology with videoclasses on the student’s learning proccess. The choice of the subject in question was justified by the high failure rate among student enrolled in Calculus 1, which includes a high number of dropouts and, consequently, also from the course of which it is part. To build this teaching practice, students enrolled in the first period of the Science and Technology curse on a university in Minas Gerais were interviewed using Google Forms. The educational videos proposed by the teacher were used to assist in solving problems. PBL was chosen to be used because it provides the study of problem solving applied in different areas as a proposal to discuss the study and to mitigate dropout and retention rates in Calculus 1. The data were analyzed and organized to identify the aspects of the pedagogical practice that promoted distance or proximity between students and contents covered in Calculus 1.
Keywords: Calculus 1. Teaching and Learning. Educational Videos.
Uso del ChatGPT y el rendimiento académico en estudiantes de una Universidad Privada
Authors: Cotohuanca Cruz Sujeidy María , Arredondo-Zela Sonia Olivia , Grández-Ventura Lucy Margarita
Published: October 2024

La llegada de ChatGPT representa un avance importante en el desarrollo de la inteligencia artificial (IA) y el procesamiento del lenguaje natural en el ámbito educativo. Su habilidad para comprender y producir texto de manera coherente y contextual ha creado nuevas oportunidades para la automatización, la educación, la comunicación y la creatividad. El objetivo del estudio fue evaluar el impacto del uso de ChatGPT en el rendimiento académico (RA) de los estudiantes de una universidad privada. Utilizando un enfoque cuantitativo, descriptivo, básico y no experimental, el estudio contempló a estudiantes de diversas carreras de una universidad privada, seleccionando una muestra de 200 estudiantes mediante muestreo aleatorio estratificado. Se aplicó una encuesta con 20 ítems utilizando una escala Likert. Los datos fueron analizados mediante métodos estadísticos descriptivos, revelando que los estudiantes consideran a ChatGPT como una herramienta útil y beneficiosa para varios aspectos de su educación, aunque aún hay áreas en las que su integración y eficacia deben ser optimizadas. En una escala del 1 al 5, la puntuación promedio fue de alrededor de 3, lo que sugiere que, aunque ChatGPT es una contribución valiosa a sus estudios, existe espacio para mejorar su influencia positiva en el RA y la motivación de los estudiantes. El estudio concluye que ChatGPT es visto positivamente por los estudiantes como una herramienta educativa eficaz que puede potenciar el aprendizaje y el RA.
El consentimiento por pasividad doliente en los delitos de violacion sexual
Authors: Sernaque Vela Kimberling Lorena
Published: October 2024

Actualmente se han visto violaciones sexuales cometidas en grupo y sin que la víctima emita acción de oposición a dicho acto. El objetivo de este artículo fue analizar una nueva modalidad dentro de los delitos de violencia sexual, que denominamos, el ilícito de violación sexual bajo la modalidad de estado de pasividad doliente de la víctima, que debe ser regulada e implementada en un artículo adicional en el código penal peruano, en el libro de delitos contra la libertad sexual. El método fue de enfoque cualitativo de tipo básico, de método inductivo, para ello se ha seleccionado diez sentencias emitidas en la jurisprudencia internacional y nacional, y del análisis se ha corroborado que no se debe confundir el consentimiento con la pasividad doliente de la víctima en los delitos de violación sexual. Del desarrollo, se ha determinado que los agentes que inciden para cometer el ilícito de violación sexual en un estado de pasividad doliente de la víctima, son factores sociales, económicos, psicológicos, jurídicos y también por ideología de género. En conclusión, existen falencias interpretativas respecto y diferencias entre la modalidad de pasividad doliente de la víctima con las modalidades de violación sexual reguladas en el Código Penal, las cuales radican en la forma y circunstancias de la ejecución del ilícito. Finalmente, recomendamos que resulta necesaria la regulación jurídica de la figura de la pasividad doliente como nueva modalidad del ilícito de violación sexual, con la finalidad de dispensar los vacíos jurídicos.
Study the immunomodulatory effect of hydroxychloroquine in recurrent pregnancy loss patients in their current pregnancy
Authors: Singh Mamta
Published: October 2024

Background: Recurrent pregnancy loss is defined as 3 or more pregnancy loss consecutively. in most of the cases cause of pregnancy loss remains unclear. lethal chromosomal abnormality is commonly found in product of conception. HCQ has an impact on innate immunity by decreasing the circulatory level of interleukin-1, TNF-alpha and interferon-gamma. In this way this creates a normal environment that favour normal pregnancy development. This study was aimed to find out the effect of HCQ in RPL patients who have raised TNF alpha and anti-nuclear antibody.
Methods: This is a clinical interventional cross over design study. All patients included in the study were given 200 mg HCQ twice a day with ecosprin 75 mg HS and folic acid 5 mg. After first trimester iron and calcium are also included in the treatment along with previous treatment. HCQ is continued till delivery.
Results:  The result of this study shows that there is a significant decrease in the serum value of TNF alpha and after treatment with HCQ in three months. The p value is less than 0.001 for TNF alpha and 0.001 for ANA. This shows that HCQ treatment in recurrent miscarriage patients decreases the serum value of TNF and ANA to a significant level and helps in continuation of pregnancy. 
Conclusion: It can be concluded that the use of HCQ showed a decrease in TNF alpha and antinuclear antibody in an ongoing pregnancy, which diminished the chances of recurrent pregnancy loss.
Proportion and associated sociodemographic characteristics of gestational diabetes mellitus among antenatal women
Authors: Garima Kumari , Roy Susha M. , X. Sangeetha , K. Nagalakshmi
Published: October 2024

Background: Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Undiagnosed or inadequately treated GDM can lead to significant maternal and foetal complications. Identification of GDM and understanding the contributing factors of GDM in pregnant women are crucial to ensure better health outcomes for both mother and baby.
Methods: A cross-sectional research design was used, involving 200 antenatal women attending antenatal OPD at Ramaiah Medical college and hospital in Bangalore. Antenatal women were first screened for GDM by using a structured screening tool then the sociodemographic, lifestyle and obstetric profile tool was administered to the study participants, to assess the contributing factors of GDM among antenatal women.
Results: Out of 200 antenatal women screened for GDM, the proportion of gestational diabetes mellitus was found to be 38 (19%); and there was a significant association between GDM and age, body mass index (BMI) at first visit, residence, religion, educational status, occupational status, frequency of foods/snacks eaten outside, level of physical activity, perceived stress level, number of pregnancy, number of deliveries, history of GDM in previous pregnancy, medical/obstetrical conditions complicating pregnancy.
Conclusions: Immediate and long-term clinical effects of GDM are important contributors to the burden of non-communicable diseases in India. Understanding these associated factors is crucial for researchers as it can be helpful to identify the risk populations, Additionally, these insights can guide healthcare providers in delivering personalised care and improving maternal and foetal outcomes.
A study to compare the effects of platelet rich plasma and cryotherapy on cervical erosion
Authors: Verma Punam Amarjit , Makhija Nishi , Jain Reema
Published: October 2024

Background: This research work aimed to study the effects of platelet rich plasma (PRP) application on cervical erosion and to compare its efficacy with cryotherapy as alternate mode of therapy.
Methods: 100 sexually active women more then 20 yrs of age with symptomatic cervical erosion were included in the study. 50 were treated with PRP and remaining 50 were treated with cryotherapy. PRP was prepared from patients own blood, no anaesthesia was used. Patients were followed at 2 weeks, 4 weeks and 12 weeks.
Results: At 2 weeks follow up significant relief was obtained in PRP group (82%) while patients who underwent cryotherapy had a lot of white discharge (only 4% were relieved). At 4 weeks and 12 weeks the difference in symptomatic relief was almost similar in both groups.
Conclusions: PRP is a safe, effective, easy to obtain, economical and a promising modality in the treatment of cervical erosion. Relief obtained after single application of PRP was extremely remarkable at 2 weeks.
Fetomaternal outcome in pregnant patients with Hepatitis-E infection
Authors: Tantray Riyaz Ahmad , Quyoom Darakhsha , Raina Renuka
Published: October 2024

Background: Hepatitis E infection has been a major concern in pregnant women due to its fulminant nature in pregnancy compared to non-pregnant females and males. Hence the study was conducted for evaluating the maternal and perinatal outcome of pregnancy complicated by HEV infection.   
Methods: A prospective observational cohort study was conducted in department of obstetrics and gynaecology Deen Dayal Upadhyay Hospital, New Delhi, from January 2020 to June 2020. Pregnant women of gestational age≥28weeks with jaundice and positive for IgM Anti-HEV were part of study (sample size 36).
Results: Hepatitis E virus infection adversely affects the maternal and fetal outcome with a maternal mortality of 11.1% noted in the study. Maternal complications observed were preterm labor (58.3%), PPROM (50.0%), PPH (47.2%), ICU admission (33.3%), fulminant hepatitis (11.1%), encephalopathy (11.1%). The common fetal complications noted were prematurity (47.2%), IUD (19.4%), NICU admission (47.2%).
Conclusions: The study shows that pregnant women with jaundice and acute viral hepatitis due to hepatitis E virus infection had a high mortality rate especially during third trimester and postpartum period. Also, they have poor obstetric and foetal outcome.
Correlation between gestational age of the foetus and ultrasonographic placental thickness
Authors: Mungamuru Sowmya , Munivenkatappa Swetha
Published: October 2024

Background: Study aimed to find the correlation between gestational age of the foetus and ultrasonographic placental thickness.
Methods: This hospital based cross-sectional study conducted at department of Narayana medical college and hospital, Chinthareddypalem, Nellore. The study includes, 100 pregnant women admitted in hospital at more than 28 weeks to 40 weeks. Ultrasonographic measurement of placental thickness taken and correlated with other parameters like BPD, FC, AC, HC.
Results: The mean age of participants was 25.95±2.59yrs of age, with minimum age of 21yrs and maximum age of 32 yrs pregnant women. The Strength of association of GA with PT was r=0.087, p<0.01; GA estimated by FL with PT was r=0.884, p<0.01; GA estimated by BPD with PT was r=0.902, p<0.01; and GA estimated by AC with PT was r=0.898, p<0.01.
Conclusions: The study concluded that there is a strong positive strength of association between the gestational age and placental thickness.
Laparoscopic hysterectomy for uterine conditions among patients admitted in a tertiary care hospital of Himachal Pradesh: a cross-sectional study
Authors: Rathore Sandeep , Rawat Aditi , Mittal Rita , Negi Kalpna , Justa Usha
Published: October 2024

Background: Laparoscopic hysterectomy has become a preferred surgical approach for managing uterine conditions, offering advantages such as reduced postoperative pain and shorter hospital stays. However, the impact of geographic factors on laparoscopic hysterectomy outcomes in mountainous regions remains understudied.
Methods: A cross-sectional study was conducted at  Kamla Nehru hospital, IGMC Shimla, Himachal Pradesh, aiming to evaluate demographic characteristics, prevalence of uterine conditions necessitating surgery, and surgical outcomes associated with laparoscopic hysterectomy. Data were collected from 90 participants over a two-year period, including patient demographics, preoperative diagnoses, surgical techniques, perioperative complications, and postoperative outcomes.
Results: The mean age of study participants was 47.4±5.2 years, with leiomyoma causing abnormal uterine bleeding being the most common preoperative diagnosis (67.8%). Total laparoscopic hysterectomy with bilateral salpingoophorectomy was the most frequently performed procedure (55.6%), with a mean duration of surgery of 1.67±0.1 hours and an average estimated blood loss of 80 mL. Intraoperative and postoperative complications were minimal, with a trend towards decreasing mean duration of surgery over time and a shift towards larger uterine sizes being taken for laparoscopic removal.
Conclusions: Laparoscopic hysterectomy is a safe and effective procedure, with minimal complications and improving surgical efficiency over time. However, further research is needed to explore long-term outcomes and the impact of geographic factors on surgical practice and patient care in mountainous regions.
Factors influencing postdatism and fetomaternal outcomes in postdated pregnancies: a prospective study on spontaneous and induced labor
Authors: Phogat Akshita , Agarwal Shivani
Published: October 2024

Background: This study aimed to identify factors contributing to postdates and evaluate fetomaternal outcomes in postdated pregnancies undergoing spontaneous and induced labor.
Methods: This prospective study at Kasturba Hospital, Delhi (January-December 2023), involved 158 pregnant women beyond 40 weeks, divided into induction of labor (IOL) and spontaneous labor (SPOL) groups. Inclusion criteria included pregnancies beyond 40 weeks, confirmed gestational age, singleton cephalic presentation, and no complications. Maternal factors such as parity, demographics, BMI, and outcomes like mode of delivery, labor duration, and complications were recorded. Fetal outcomes, including APGAR scores and NICU admissions, were also analysed.
Results: Most participants were under 24 years old, with a mean BMI of 23.51±2.90 kg/m². Primigravida women made up 58.86% of the study population. Cesarean rates were higher in the IOL group (62.02%) than in the SPOL group (21.5%), with more postpartum hemorrhage in the IOL group (18.98% versus 3.79%). Fetal outcomes showed no significant differences, though meconium-stained amniotic fluid and NICU admissions were higher in the IOL group.
Conclusions: Primiparity, obesity, and a history of postdatism are significant factors associated with postdated pregnancies. While induction of labor is linked to higher cesarean rates and increased postpartum haemorrhage, fetal outcomes are similar to those in spontaneous labor. Individualized management and accurate gestational age estimation are essential. Further research is needed to optimize outcomes for postdated pregnancies.
Evaluation of long-term clinical outcomes among PPIUCD users at six medical college hospitals
Authors: Radhika A. G. , Gupta Rashmi , Suneja Amita , Dorairajan Gowri , Aggarwal Pratima , Ashok Venkatesh , Suri Vanita , Singla Rimpi , Nanda Smiti , Chauhan Meenakshi , Rani Vandana , Arora Nalini , Chaudhary Rachna , Gupta Abhilasha , Malhotra Rajeev Kumar , Singh Shalini
Published: October 2024

Background: Postpartum IUCDs are becoming increasingly popular in low-income countries, but there are few studies addressing long-term outcomes.
Methods: A prospective observational study conducted in six tertiary care hospitals across India to investigate satisfaction rates, expulsions, adverse events and complications of PPIUCD for up to 24 months.
Results: PPIUCD was accepted by 16262 out of 56619 eligible women. Of these, 59.6% had NVDs, and the rest had LSCSs. PPIUCD continuation proportion was 90.3% at 6 weeks and 72.5% at 6 months. It decreased to 50.6% after 24 months. Women reported 73.91% satisfaction at 6 months, but only 48% at 24 months.  PPIUCD removal and expulsion rates were 8.39% and 3.76% at 6 months and 13.4% and 2.95% at 24 months. Removal rates were significantly different between NVD and LSCS women (25.37% versus 18.8%; p<0.001). Thread discomfort was the most common reason for removal and was more common in LSCS group. Expulsions were higher at six months in the NVD, 9.85% versus 7.10% (p<0.001). Reported side effects were abdominal pain, abnormal bleeding and white discharge in both groups.
Conclusions: There was a progressive reduction in continuation and satisfaction with PPIUCD use over 24 months. Thread discomfort, abdominal pain, and abnormal bleeding were major reasons for dissatisfaction. Most of the women chose private practitioners for IUCD. Additionally, the reported side effects highlight the need for further research. Both quality of life and contraceptive efficacy play a major role in the success of contraception.
Fetomaternal outcome in pregnancy with diabetes mellitus
Authors: Vyas Ayushi H. , Shah Sapana R. , Deliwala Kruti J. , Parikh Purvi M.
Published: October 2024

Background: South Asian population has more prevalence of diabetes mellitus in pregnancy which can impact both mother and foetus and can also increase the risk of future diabetes.
Methods: Seventy pregnant women hospitalised at SVP from August 2021 to May 2024 for diabetes mellitus during pregnancy were the subjects of the current ambisprective cohort research.
Results: There were 45 women (64.28%) with gestational diabetes mellitus and 25 women (35.72%) with overt diabetes among the 70 women who were reported. The following complications were seen in the pregnant women in this study: 24 cases of polyhydramnios (34.28% of the total), 18 cases of macrosomia in the foetus (25.7%), 1 case of foetal cardiac abnormality (1.4%), and 40 cases of caesarean section (57.15% of the total).
Conclusions: In order to attain positive fetomaternal outcomes, preventive medicine should prioritise the early screening and diagnosis of diabetes during pregnancy, as this condition has negative consequences on the mother and the unborn child.
Birth satisfaction among women delivered at government tertiary care hospital at Puducherry: does quality of care matter
Authors: Kalaranjani S. , Durairaj Kavitha , Tipandjan Arun , Pulavarthi Sabita , Jayamoorthy Karthiga
Published: October 2024

Background: The objective of this study was to assess the birth experiences of the women delivering at Indira Gandhi Medical College and Research Institute and to compare the satisfaction scores in different modes of delivery and among women with different parity status.
Methods: Prospective cross-sectional observational study was conducted after availing ethical clearance and informed consent, among 230 women going through delivery at Indira Gandhi Medical College and Research Institute, obstetrics and gynaecology department. The women were administered birth satisfaction scale-revised indicator and made to score from 0-2. The demographic details of the patient and the type of delivery along with their parity were also included.
Results: Amongst the 230 women, who participated in the study, 111 were primiparas and 70.4% of the women underwent normal vaginal delivery. The average score in women undergoing normal delivery was 8.91, with caesarean section having an average score of 8.73. Multiparous women had an average score of 8.81 compared to primiparas women, who had an average score of 8.90.
Conclusions: The study finding concludes that the birth satisfaction among women who delivered at the tertiary care hospital was good and might helpful to the practitioners and administrators to further improving the quality of care. To develop counselling services for child birth to have a positive experience and respectful maternity care.
Gynaecological quandary-mucinous tumours of ovary
Authors: Bhardwaj Bikram , Singh Sanjay , Nandy Souvik , Rani Jaldi R. , Kumari Anu , Tevatia Akanksha , Gupta Ankush , Mishra Deepti
Published: October 2024

Mucinous ovarian cancer is a type of epithelial ovarian tumor. It might be considered a subtype of epithelial ovarian tumors but they present and behave significantly different from them. Appreciating these differences and specific evaluation can improve the management and prognosis in such cases. To highlight these difficulties and dilemmas, we present our experience of managing 5 such cases of mucinous tumours with varied presentation and the treatment protocols followed to get successful outcome in each case. First patient was a young patient with unilateral ovarian mass (8 cm size) with normal tumour markers who underwent laparoscopic cystectomy (in bag removal) for benign mucinous cystadenoma. Second patient who was a nulligravida with huge ovarian mass with normal tumour markers, fertility preservation surgery in the form of unilateral salpingo-oophrectomy with limited surgical staging was done in the background of borderline mucinous ovarian tumor. Third patient was perimenopausal lady having bilateral ovarian masses which turned out to be Borderline mucinous ovarian tumour on frozen and underwent complete surgical staging. Fourth patient was nulligravida who presented with a large size ovarian mass (20 cm) underwent staging laparotomy in view of mucinous carcinoma of ovary on frozen section. Fifth patient was an unusual presentation where a diagnosed case of carcinoma endometrium had simultaneous presence of bilateral ovarian masses giving impression of advanced Ca endometrium but to our utter surprise turned out to be a case of synchronous tumours (Ca endometrium + borderline mucinous tumours in both ovaries) on histopathology and immunohistochemistry (IHC) making it a case of synchronous tumours. The varied presentation of mucinous ovarian tumors needs to be understood in detail so that targeted treatments can be given for successful outcome.
Spontaneous uterine rupture on uterus bicornis: a case report
Authors: Kakou Charles F. K. , Kinifo Yeo , Kasse Raoul S. K. , Yao Alexis , Akinloye Sofia , Ampoh Fatimata , Boni Serge
Published: October 2024

Uterine malformations are the most common congenital anomalies of the female reproductive system with an incidence of approximately 4%. The absence of incomplete fusion of the two Mullerian ducts leads to a bicornuate uterus. In the majority of cases, its discovery is incidental on imaging. However, an obstetric complication can be the revealing element. We report a case of spontaneous uterine rupture in a bicornis unicervical uterus at five months of pregnancy. It was a 19-year-old primigravida without prenatal follow-up. The treatment consisted of performing a hemi-hysterectomy.
Surgical management of neovagina with amnion interposition in a urogynecology and pelvic floor unit: a case report
Authors: Torres Kerima L. M. , Cabrales Filiberto M. , Penilla Luisa F. R. , Gonzales Alejandro C.
Published: October 2024

This is a case report of a 20-year-old patient, diagnosed since adolescence with Mullerian aplasia, referred to the urogynecology service of our institution to perform a vaginosplasty as part of her treatment for sexual restoration. This was done through a modification of McIndoe's surgical technique to create a neovagina using amniotic membranes as graft interposition tissue for the vaginal mold. With a satisfactory surgical follow-up obtaining the objective of an anatomically functional vagina. The modified McIndoe surgical technique using amnion is a viable option and it should be considered in those institutions that have access to this tissue.
A particular etiology of spontaneous uterine rupture in second trimester of pregnancy: placenta increta
Authors: Wade Mouhamadou , Keita Abdoulaye , Mbengue Serigne M. B. , Dedde Mohamed Y. , Sarr Alfred N. , Sané Doudou , Faye Khadim
Published: October 2024

Placenta accreta is characterized by an abnormal placental adhesion, particularly rare and dangerous, it’s associated with serious hemorrhagic complications, in particular uterine rupture during pregnancy. We report a case of placenta increta complicated by uterine rupture, revealed by hemoperitoneum at 21 weeks' amenorrhea in a 27-year-old patient with a third gesture and second pare. We performed an emergency subtotal hysterectomy. The interest of this case lies in the diagnostic difficulties that may result from this atypical clinical condition, which is rare in obstetric practice.
Vesicocervical fistula: a case report
Authors: Cortés Diana del C. P. , Cabrales Filiberto M. , Penilla Luisa F. R. , González Alejandro C.
Published: October 2024

We present a case report of a vesicocervical fistula in a 70-year-old female with history of caesarean section forty-five years prior to clinical presentation, she presented referring continuous vaginal urinary incontinence of a couple of years of evolution, the diagnosis of delayed presentation vesicocervical fistula associated with a caesarean section was reached by exclusion, after ruling out infectious or malignant pathologies. An abdominal approach with hysterectomy and extra vesical fistulectomy was performed without any complications during the procedure. At follow-up blue dye test was negative and continuous urinary incontinence resolved. We present an alternative management of an extremely rare presentation of urogenital fistulae.