bluuebunny/crossref_metadata_2025 huggingface dataset:
Ortopedik Engelli Kadınlarda Üreme Sağlığı Sorunları ve Çözüm Yolları
Authors: KALOĞLU BİNİCİ Dilek
Published: July 2021

Ortopedik engelli kadınların üreme sağlığı ihtiyaçlarının ve haklarının bilinmesi, sunulması gereken üreme sağlığı hizmetlerine anahtardır. Fakat ortopedik engelli kadınların üreme sağlığı ihtiyaçları, sağlık profesyonelleri, aile üyeleri, bakıcıları ve araştırmacılar tarafından gereken ilgiyi görmemektedir. Bu durum onların aile planlaması, toplumsal cinsiyete dayalı şiddet, cinsel sağlık, jinekolojik muayene, gebelik, doğum ve doğum sonrası süreçlerde sorunlar yaşamasına neden olmaktadır. Bu sorunlara yönelik ortopedik engelli kadına dair sağlık, şiddet ve temel bilgilerini içeren ulusal ve uluslararası düzeyde veri tabanı oluşturulması önerilmektedir. Hizmet veren sağlık profesyonellerine de ortopedik engellilik, üreme sağlığı, şiddet, istismar, travma, etik, empati, sempati, iletişim ve değerler gibi konularda teknolojinin de desteğiyle gerekli eğitimler verilmelidir. Bu derlemenin cinsiyete ve engelliliğe özgü bir çalışma olarak literatüre katkı sağlayacağı düşünülmektedir.
İş Güvenliği Performans Ölçeğinin Türkçeye Uyarlanması: Geçerlilik ve Güvenirlik Çalışması
Authors: EKİNGEN Erhan
Published: July 2021

Amaç: Literatür taramasında, iş güvenliği performansı ile ilgili kullanılan Türkçe değerlendirme araçlarının ve hemşireler ile yapılan çalışmaların sınırlı olduğu görülmüştür. Bu çalışmanın amacı iş güvenliği performans ölçeğinin Türkçe versiyonunun geçerlilik ve güvenilirliğini test etmektir.
Gereç ve Yöntem: Araştırma yüksek miktarda iş risklerini bünyesinde barındıran hastanelerde görev yapan hemşireler üzerinde yapıldı. Araştırmaya 294 hemşire katılmıştır. Ölçüm aracı olarak, iş güvenlik performans bileşenlerine ait güvenlik katılımı ve güvenlik uyumu ölçekleri kullanıldı. Güvenirlik analizi için Cronbach’s alfa katsayısına bakıldı. Geçerlilik çalışmasında ise doğrulayıcı faktör analizi ile birlikte birleşim ve ayrışım geçerliliğine ilişkin ilave kanıtlara yer verildi.
Bulgular: Tek faktörlü ve iki faktörlü modelleme ile test edilen ölçek, iki boyutlu olarak doğrulanmıştır (χ2/sd: 1,222; RMSEA: 0.028; GFI: 0.982; CFI: 0.996; AGFI: 0.966; p: 0.228). Güvenirlik analiz sonuçlarına göre güvenlik katılımı (Cronbach’s alfa: 0.86) ve güvenlik uyumu (Cronbach’s alfa: 0.81) alt boyutlarına ait ölçeklerin güvenilir olduğu tespit edildi.
Sonuç: Araştırma sonuçlarına göre Türkçe uyarlaması yapılan iş güvenliği performans ölçeğinin iki boyutlu bir yapı ile araştırmalarda kullanılabileceği söylenebilir.
From Pari Khanas to Lal Bazaars and Further Away: Female Performers in Nineteenth Century Awadh
Authors: Burman Tanya
Published: July 2021

While there are a lot of contestations over the identity and subjectivity of women performers and entertainers of Awadh, three terms denote the most popular representations of these women in the nineteenth century. These are: the trained and sophisticated tawaʾif of the Nawabi court, the vulgar and titillating ‘nautch’ girls of the city and the ill-mannered and promiscuous “prostitute” of the British cantonment. For long, these terms have been used to weave a linear narrative about the courtesan’s eventual fall from grace, which does not take into account the politics behind these categorisations nor women’s participation therein. This paper focuses instead, on the making and unmaking of these ontological categories to argue that, while these categories are neither exhaustive nor holistic, they are reflective of the institutions wherein they flourished, the cultural specificities of their existence and the peculiarities of their labour practices. An analysis of these dynamics shall present a more detailed and genealogical history of how women inhabited, embodied, extended and/or negotiated with power structures. This holds the utmost importance in the context of contemporary reminiscence of Lucknow’s past, which, while being marked by a celebration of the courtesan culture, is often accompanied by erasure of their lived experiences, presenting unidimensional imagery that is both unhistorical and ahistorical.
Depicting Women Through Transitivity Choices: A Comparative Analysis
Authors: Tehseem Tazanfal , Iqbal Humera , Zulfiqar Saba
Published: July 2021

The study aims at depicting how male and female authors portray female characters and how their core ideologies and social influences affect these depictions. This study is based on the feminist stylistic approach, proposed by Sara Mills (1995), embedded with the literary theory of feminism. It is an overlapping field that has its roots in critical discourse analysis. This stance is significant as it allows to critically look at the substance to uncover the ideology related to women. From a feminist stylistic perspective, the notion of presenting the distorted image of the female entity is associated with male authors leading to the point that female authors portray female characters positively as compared to their male counterparts. By employing Halliday’s transitivity framework (2004) in Systemic Functional Linguistics (SFL) as an analytic tool, the utterances of the female protagonists from both the novels: The Blithedale Romance by Nathaniel Hawthorne and Jane Eyre by Charlotte Bronte, have been analysed into the process, participants and circumstances. Social influence, mostly in the form of male domination, on ideologies and linguistic choices in the depiction of women in both the writers’ work has been found on almost equal grounds.
It matters how we do it: A review of best practices of Observed Structured Clinical Examination in pharmacy education
Authors: Cheema Ejaz , Ali Majid
Published: July 2021

Objective: Since the introduction of the Observed Structured Clinical Examination (OSCE) in medical education more than four decades ago, OSCEs have been adopted by a majority of healthcare professional education programmes, including pharmacy. This article aims to review the best practices as well as explore novel approaches to the use of OSCE in pharmacy education. Method: As with any assessment method, the development of OSCE stations starts with blueprinting. Personnel involved in the OSCE are briefed and adequately trained, based on their expertise and prior experience to ensure the efficient running of the OSCE as well as help maintain the reliability and validity of the assessment process. Conclusion: The OSCE assesses a range of clinical and communication skills, yet it is resource-intensive and requires extensive planning. However, it must be considered an important and essential means to develop and assess the skills required by the pharmacy graduates for safe future practice.
Seismic Characteristics of Mud Diapir in Song Hong Basin, Offshore Vietnam
Authors: Le Anh Ngoc
Published: July 2021

Seismic characteristics of mud diapir has been investigate over an area of 3900 km2, located in the central part of Song Hong basin, using four 2D seismic lines. There are six mud diapirs and three mud pipes have been documented. The core of the diapir is characterized as a zone of chaotic, disrupted seismic reflection, with the amplitude reflection ranging from low the high. High amplitude reflections are distributed in the top of the some diapir, which is possibly related to the gas accumulation. They are in different sizes, shapes, and the relationship with surrounding rock. They are characterized as deep sourced, high energy rooting from Oligocene/early Miocene shale layers. This organic rich shale rocks are in the oil and gas windows, thus their hydrocarbon generation combining with the tectonic inversion during Miocene make the overpressured shale and therefore rising the diaipirs. The area has experienced several phases of eruption in Middle Miocene, Late Miocene, Late Pliocene and Present day. The discovery and identification of the occurrence of mud diapirs implied a great potential for prediction of structural traps in the central part of the Red River Basin.
Slope Stability Analysis of the Southwestern Limb of Kosret Anticline in Dokan, Northeastern Iraq
Authors: Zarraq Ghazi
Published: July 2021

The stability of the rock slopes was studied on the southwestern limb of the Kosret Anticline in the Dokan Area in northeastern Iraq to analyze and indicate the danger of rock mass failures along the public street linking Dokan and Quesangaq, Erbil and the road which link between the city and the residential neighborhood of Dokan Lake, as well as the revealing and the analysis of the risk of landslides in the slopes and rocks detectors of exposed rocks of the formations in the study area. The stereographic projection was used in the analysis and classification of the rock slopes. This study has shown that the failures of rocks are fall and day lighting bedding plane. The factors that affect the stability of the slopes were assessed. This research mainly focuses on identifying the types of collapses along the rocky slopes and the factor that affects the instability of the studied slopes. It was found that it is the direction slopes and the interruption geometry. Different treatment methods have been proposed for the studied rock base on the rock slope analysis. The expected failure types that may occur along the road are plane sliding, rock fall, toppling, and probably the failure type in the future may be planner sliding due to the angle of the friction comes to zero degree. The rocky slopes along the road require constant monitoring due to their hazardous conditions. Where it was found that the attitude of the joints and their frequency with the relation between the attitude of the slopes and the rock beds played an important role in the failures, as well as the weak rocks of the Marl layers of the Shiranish, Kometan and Tanjero formations play a key role in responding to weathering and erosion factors that increase the failures of rock slopes.
Source Rock Characteristic of Sargelu and Kurrachine Formations from the Selected Wells in Northern Iraq
Authors: Al-Dolaimy Arwa M. S.
Published: July 2021

A total of 56 cuttings samples of Sargelu and Kurrachine formations from different wells (Ain Zalah, Baiji, and Jabal Kand) in northern Iraq have been investigated in this study. Both the Sargelu and Kurrachine formations were examined using Rock-Eval pyrolysis to assess the richness of organic matter and thermal maturity level. The Sargelu Formation Have Total Organic Carbon wt.% ranged from 0.22–2.52 wt.%, average 1.26 wt.% in Ain Zalah Well, and between 0.57–8.90 wt.%, average 2.95 wt.% in Baiji Well, and between 0.81–11.80 wt.%, average 5.01wt.% in for Kand Well. It is considered a potential source rock based on total organic carbon content. total organic carbon wt. % in Ain Zalah and Kand in the Kurrachine Formation is considered poor source rock with a total organic carbon content of 0.17, 0.39 wt. %, respectively, while in Baiji Well is considered moderate source rock with total organic carbon content 0.53 wt. %. The Rock-Eval data are not always sufficient to define the kind of organic matter through the use of the van Krevelen diagram because HI and OI are affected by both matrix mineralogy and the kerogen mixture. For accurate assessments of the source rocks, gas chromatography has been relied on, which provides a direct indication of the kerogen type as well as the type of hydrocarbons that kerogen can generate during maturity. Gas chromatography analysis indicates that all selected samples contained type II kerogen. The highest value of the TAS/ (MAS+TAS) ratio was found in Ain Zalah samples (Sargelu Formation), and this result indicates the occurrence of an aromatization process with increasing thermal maturation.
Hydrochemical Evaluation of Groundwater in Al-Khasfa Area within Haditha, Western Iraq
Authors: Al-Kubaisi Qusai Y.
Published: July 2021

The main aim of the research is to study the groundwater quality in Al-Khasfa area within Haditha district, western Iraq. To assess the groundwater, eighteen groundwater samples in the study area were collected and analyzed for major cations and anions. Results indicated that groundwater samples in the study area are between neutral and light alkaline, slightly brackish, and highly mineralized. The hydrochemical formula of the groundwater samples indicates the Ca-SO4 type dominance, except wells number 16 and 17 were of Ca-Cl water type. According to Piper diagram, the type of water is Earth-Alkaline waters. All groundwater samples are unsuitable for human drinking, industrial, and building uses, but it is suitable for livestock. For irrigation purposes, it is characterized by no Mg-harmful, good with SAR, Na%, RSC, and PI but unsuitable for salinity hazard due to very high salinity. The Water Quality Index for Euphrates aquifer in the study area in both periods are poor water for human drinking, except W-1 in dry period indicate very poor water and W-6, W-7, W-8, W-13, W-14, W-15, W-16 in wet period indicate good water.
Social Capital as the Basis of Intersectoral Social Partnership
Authors: Plotnikov Alexey Ivanovich
Published: July 2021

This article considers social capital as the basis for intersectoral social partnership based on the interpretation of the essence of social capital, indentifyning its main features: non-monetary nature, trust, ability to self-growth with increasing frequency of use, allowing successful solving of social problems. Particular attention is paid to trust as the foundation of the organization of social interaction and an indicator of the size of social capital. As a result of comparing the concepts of social capital and intersectoral social partnership, the author identifies a key feature characterizing social capital and intersectoral social partnership – interaction with the goal of development, which in turn allows us to consider social capital and intersectoral social partnership as intercomplementary processes. Based on the consideration of the main features of social capital, its structure and essence as a process, the author concludes that social capital is the basis of intersectoral social partnership, its integral part and necessary basis for the development of civil society and the formation of a social state.
Pancytopenia in pregnant patients with COVID-19 infection and vitamin B12 deficiency: a case report study
Authors: Agarwal Neha , Khatri Neha , Singh Preeti
Published: July 2021

Background: Folate and vitamin B 12 deficiency can lead to pancytopenia in pregnancy. Some cases of pancytopenia due to COVID-19 infection have also been reported. The two cases that we present are related to the coincidence of pregnancy and deficiency of folic acid and vitamin B12 with COVID-19 infection.

Case presentation: A 26-year- woman G3P1L1A1 and 21-year-woman G2P1L1 presented with pancytopenia and mild COVID-19 infection. The antenatal period was uneventful, and both cases also had folate and vitamin B12 deficiency. They received blood products, folic acid, and vitamin B12 supplementation. COVID- 19 infection was managed well with analgesic and vital monitoring. Postpartum hemorrhage occurred in the second case, which was well managed with uterotonics. All laboratory parameters came out to be normal after three months of supplementation of folic acid and vitamin B12.

Conclusion: Pancytopenia in pregnancy due to folate and vitamin B12 deficiency and COVID- 19 infection can be easily managed with timely intensive targeted therapy, but we should be extra vigilant while handling such complicated cases, keeping in mind all possible differential diagnoses for pancytopenia.
Raphignathoid mites (Acariformes: Raphignathoidea) in parts of the Azerbaijan provinces of Iran
Authors: MOHAMMAD-DOUSTARESHARAF Mojtaba , BAGHERİ Mohammad
Published: July 2021

While performing a faunistic study on the superfamily Raphignathoidea of northwestern Iran, north parts of east Azerbaijan and southwest parts of west Azerbaijan provinces during 2016-2018, a total number of 40 species in 13 genera belonging to the superfamily were collected and identified. Among them, four species: Stigmaeus luxtoni Wood, 1981; Ledermuelleriopsis sezeki Doğan, 2004; Eustigmaeus gulingensis Hu and Chen, 1996 and Molothrognathus kamili Doğan, 2003 have been recorded for the first time from Iran.
Zerconid mites (Acari, Zerconidae) from eastern parts of Aydın Province (Turkey), with description of Zercon karacasuensis sp. nov.
Authors: BULUT Davut Rıza , URHAN Raşit , KARACA Mehmet
Published: July 2021

Species diversity of zerconid mites was investigated in Buharkent, Karacasu and Kuyucak counties of Aydın province during February 2019 until February 2020. Seven species of the family Zerconidae were found in the research area, two of which belong to the genus Prozercon and remaining five species belong to the genus Zercon. A new species, Z. karacasuensis sp. nov., was collected from pine habitats (Pinus sp.) and described. In addition, altitute and habitat preferences of all zerconid mites collected from the research area, were given.
KİTAP İNCELEMESİ: Branko MILANOVIC; Küresel Eşitsizlik
Authors: TIĞLI Emine
Published: July 2021

Branko Milanovic'in “Küresel Eşitsizlik” isimli kitabı incelenerek, özetlenmiştir. Bu kitap; ülkeler arası eşitsizlik ve ülkeler arası eşitsizliği, yalnızca ekonomik boyutuyla değil, sosyal, toplumsal, sınıfsal ve iktisadi teoriler boyutunda da ele almaktadır. Küresel eşitsizlik; basit anlamda, dünya yurttaşları arasındaki gelir eşitsizliğidir. Küresel eşitsizliğe neden olan iki temel bileşen vardır, bunlar; ülkelerin kendi içlerindeki gelir eşitsizliği ve ülkeler arası gelir farklılıklarıdır. Milanovic bu konuyu araştırmasının üç ana nedeni olduğunu ifade etmektedir. Bunlardan ilki merak, ikincisi günümüzde bu konuda analiz yapmaya yarayacak yeterli verinin bulunuyor olmasıdır. Sonuncusu ise, küresel eşitsizlik üzerine yapılan bir çalışmanın dünyanın içinde bulunduğu durumu anlamamıza katkı sağlayacak olmasıdır.
Sporun Yaygınlaşmasının Gelişmeye Etkileri: Bir İnceleme
Authors: ALPAY Numan
Published: July 2021

Bu makalede amaç, kavramsal bir genel bakış sunarak spor temelli gelişmeye/kalkınmaya katkı sunmak, açıklık getirmektir. Bir kalkınma aracı olarak spor fikri; kitlesel gelişimi hedefleyerek bu anlamda ulusal/uluslararası spor programlarının son zamanlarda artmasına neden olmuştur. Gelişme için spor programları, sporcuların ötesinde bireyin ve toplumun sosyo-ekonomik gelişimsel hedeflere ulaşılması için önemli bir araç olmanın yanında, mevcut araçları tamamlayıcı güçlü bir etkendir. Bir yandan, sporu pratik düzeyde çok iyi bilenler, ancak bunun hakkında nasıl konuşacaklarını bilmeyenler ve diğer yandan, sporu pratik düzeyde çok kötü bilenler ama bunun hakkında konuşabilecek olanlar var. Yapılan çalışmalarda; yeni ve yenilikçi düşünce bütünsel bir yaklaşımla spor, kalkınma ve barışın ayrılmaz bir parçası olarak görülmekte, bu nedenle yerel, ulusal ve uluslararası gündemlerde giderek daha fazla önem kazandığı, ancak uygulanan bu etkinliklerin hegomanik yönleri üzerinde de durulmuştur. Bu çalışma, tanımlayıcı/betimleyici kavramsal genel bir bakış açısıyla literatür tarama yöntemiyle yapılmıştır. Ulusal ve uluslararası ölçekte yapılan spor organizasyonları ve gelişme için spor programlarının birey, topluluklar ve ülkelerin sosyo- ekonomilerine mikro ve makro düzeyde katkısının olduğu bulunmuştur.
Spontaneous Gastric Perforation in Neonates: A Tertiary Pediatric Surgical Center Experience
Authors: Abdelgawad Abdelghany EM , Darwish Ahmed A , Hughes Emely , Cusick Eleri
Published: July 2021

Objective: To report our experience with spontaneous neonatal gastric perforation (SNGP) in a tertiary hospital over the last 9 years.Methods: Retrospective review of neonates with SNGP treated in Bristol Royal Hospital for Children between January 2010 and December 2018 was performed. Data retrieved included demography, perinatal clinical details, operative data, and outcome. Cases with esophageal atresia, necrotizing enterocolitis or distal obstruction were excluded.Results: Of 13 cases, 4 were males and 9 females. Two neonates were full term; while 11 were preterm with median gestational age of 28 weeks. Abdominal distension and metabolic acidosis were mostly found in these patients. Patent ductus arteriosus was encountered in 53.8% of the patients. The most common site of perforation was the greater curvature (38.4%) followed by posterior wall (30.8%) of the stomach. Primary repair was performed in all cases. One neonate developed recurrent perforation in the early postoperative period. Five preterm (38.5%) neonates succumbed in our series.Conclusion: SNGP is a rare condition increasingly diagnosed in preterm neonates. Greater curvature and posterior wall of stomach are commonly involved. Despite recent advances in intensive care, the prognosis is still poor in preterm babies with multiple associated problems.
Congenital Mesoblastic Nephroma in a Premature Neonate: Should We Give Adjuvant Chemotherapy?
Authors: Nahla Kechiche , Dorsaf Makhlouf , Samia Belhassen , Nahla Hmidi , Rachida Lamiri , Mongi Mekki , Mohssen Belguith , Abdellatif Nouri
Published: July 2021

Congenital mesoblastic nephroma (CMN) is a rare renal tumor of infancy. Complete surgical excision is often sufficient. A premature neonate underwent left radical nephrectomy for CMN without any adjuvant therapy. Pathology was consistent with cellular type CMN. Six months postoperatively, the patient developed recurrence. He subsequently underwent re-excision without any adjuvant chemotherapy. The baby is tumor free for more than a year.
Posterior Urethral Valve associated with Meconium Ileus: A Case Report
Authors: Gupta Rahul , Tanger Ramesh , Boipai Manika , Gupta Arun kumar
Published: July 2021

Association of posterior urethral valve with neonatal intestinal obstruction is rare; rarer still is its association with meconium ileus. A 1-day-old male presented with features of neonatal intestinal obstruction. Gastrografin enemas confirmed microcolon and were therapeutic. Later, the neonate developed overflow incontinence and deranged renal functions; micturating cystourethrogram confirmed posterior urethral valve. Cystoscopic valve fulguration was performed after stabilization; outcome was favourable.
Subarachnoid Block as a Sole Anesthesia for Emergency Surgical Procedures in Two High-risk Former Preterm Infants
Authors: Gupta Anju , Gupta Nishkarsh
Published: July 2021

Several reports have described spinal anesthesia as a preffered technique of anaesthesia for preterm infants undergoing inguinal herniorrhaphy. However, it is not used routinely probably due to lack of awareness and fear of adverse events. We are reporting the successful use of spinal anaesthesia for two high risk preterm infants posted for emergency procedures.
Neonatal Esophageal Perforation with Esophageal Atresia: A Case Report
Authors: Solanki Shailesh , Menon Prema , Samujh Ram
Published: July 2021

Esophageal perforation (EP) in a neonate is very rare and is often iatrogenic. Preterm neonates with esophageal atresia (EA) are at more risk, as EP can occur during any test or intervention at pharyngeal region. We are presenting the management of EP in a preterm neonate with EA who presented with pneumomediastinum.
Infantile Hypertrophic Pyloric Stenosis Following Repair of H-type Tracheoesophageal Fistula Repair and Post-operative Erythromycin Therapy
Authors: Merali Natasha , Wilcox Allison R. , Croitoru Daniel P. , Baertschiger Reto M.
Published: July 2021

We present a rare case of a newborn with H-type tracheoesophageal fistula (TEF) who developed pyloric stenosis postoperatively, 10 days after he was started on erythromycin to promote gastric emptying. We report this case to describe the relationship between H-type TEF repair, erythromycin therapy, and the development of infantile hypertrophic pyloric stenosis.
Necrotizing Fasciitis in Neonate and Use of Allograft
Authors: Borkar Nitinkumar , Padhi Phalguni , Mishra Jiten Kumar , Sahu Shamendra Anand , Mohanty Debajyoti , Singh Sunita
Published: July 2021

Necrotising fasciitis is a fulminant and rapidly progressive infection of the superficial fascia and subcutaneous tissue. It is rare in newborn. Trunk is the commonest site of involvement in newborns. Early diagnosis and prompt surgical debridement is the preferred treatment. Debridement in NF leads to a large raw area which may not heal by primary intention and may a split thickness skin graft for healing. Presence of minimum subcutaneous fat, loose skin and large raw area at donor site like back in some neonate poses difficulty for harvesting of skin graft. In such neonates allograft make a valuable option temporarily. Herein we report a case of a neonate with NF in whom post debridement raw area was covered with allograft from mother.
Lower Abdominal Mass in a Neonate: Do Think of Hydrometrocolpos
Authors: Kumar Parveen , Panda Shasanka Shekhar
Published: July 2021

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Perforations of Gastro Intestinal Tract in Neonates: A Retrospective Study of Aetiological Factors Excluding Necrotising Enterocolitis
Authors: Natarajan Saravanan , Mohan Shankar , Dhilras Sulthana , Ahmed Jameel , Mariappan Selvakumar
Published: July 2021

Background: Perforations of the Gastro Intestinal Tract (PGIT) in neonates, postnatally, apart from Necrotising Enterocolitis (NEC) as aetiological factor, though less common, are well known.Materials and Methods: Neonates presenting with PGIT, excluding NEC, were analyzed in this retrospective study, over a period of three years in a tertiary care centre.Results: Of 20 neonates presented with PGIT, during study tenure, 8 were due to non-NEC related causes. The site of perforation was stomach, ileum, cecum, colon, and rectum. The usual causes of PGIT in the neonates were spontaneous perforations and perforations secondary to mechanical obstruction. Patients underwent surgery with good outcome.Conclusions: PGIT in neonates due to aetiological factors apart from NEC, have better outcome, than those with NEC. The other causes of PGIT are spontaneous perforation, intestinal atresia, Hirschsprung’s disease, anorectal malformations etc.
A Stormy Course in a Preemie Secondary to Esophageal Perforation: A Case Report
Authors: Gupta Naveen Parkash , Abishek , , Jha Chetnanand , Gupta Saurabh , Khanijo Kavita
Published: July 2021

Preterm newborns have various problems owing to immaturity of various organs especially lungs. In addition to prematurely developed organs, added injuries of other organs can worsen the prognosis. A preterm 33-week SGA baby had several pneumothoraces in first week of life on both right and left side, addressed by tube thoracostomy. Later on, it was identified that an iatrogenic/spontaneous esophageal perforation presumably caused multiple pneumothoraces.
Paraspinal Congenital Infantile Fibrosarcoma: A Case Report
Authors: Jayakumar Sivasankar , Venkateswaran Sanjana , Manivel Sathish , G Balamurali
Published: July 2021

Congenital infantile fibro-sarcomas (CIFS) are rare, locally aggressive mesenchymal tumors that usually develop from soft tissue of distal extremities. CIFS arising from paraspinal region are extremely rare and only few cases have been reported. A left thoracic paraspinal swelling in a female fetus was noted on 20-week antenatal scan of a primigravida. The swelling was monitored with regular antenatal scans. The baby was born at term and was well at birth. Serum AFP and Beta HCG were within normal age limits. MRI scan confirmed an aggressive tumor infiltrating the paraspinal muscles but not the spinal cord. The mass grew very rapidly in size within a few days, and was excised on day 7 of life. Histopathology and Immunohistochemistry diagnosed the mass to be a Fibrosarcoma. No chemotherapy or radiotherapy was given. The baby is well with no recurrence or residual deformity or neurological deficit after 18 months of follow up.Paraspinal CIFS are extremely rare but can be detected antenatally as early as 20 weeks of gestation. Complete surgical excision is the treatment of choice.
Pentalogy of Cantrell or Cantrell Syndrome
Authors: Nisar Muhammad Umar , Sikander Samer , Akhtar Nadeem , Arshad Quratulain , Nisar Maryam , Baig Mehr-un-Nisa Shahid
Published: July 2021

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Role of Bishop–Koop Procedure for Jejunal and Proximal Ileal Atresia
Authors: Pandey Anand , Singh Gurmeet , Shandilya Gaurav , Gupta Archika , Rawat Jiledar , Wakhlu Ashish , Kureel Shiv Narain
Published: July 2021

Background: This study was undertaken to review the Bishop–Koop procedure as a treatment option with a grossly dilated proximal segment in jejunal and proximal ileal atresia.Materials and Methods: This was a retrospective cohort study conducted from January 2012 to June 2018 in the Department of Pediatric Surgery at King George's Medical University, Lucknow, India. The outcome, complication rate, and the follow-up study for postoperative adverse outcomes were assessed.Results: Thirty-two neonates underwent Bishop–Koop procedure. The mean age at presentation was 4.37  2.3 days. The male (n=22) to female (n=10) ratio was 2.2:1. Sixteeen had jejunal (type II-9, type III- 7), and 16 (type II-6, type III-10) had proximal ileal atresia. The mean duration of the hospital stay was 13.03  5.7 days. Oral feeds were initiated by the 7th postoperative day. In our study, the complication rate was 31.25% (n=10) and mortality rate was 37.5% (n=12).Conclusions: Bishop–Koop procedure appears to be a technically efficient method in desperate cases of jejunoileal atresia with a grossly dilated proximal segment, although more extensive studies may be needed to compare Bishop–Koop procedure and other operation techniques.
Recurrent Congenital Mesoblastic Nephroma: A Case Report
Authors: Sarin Yogesh Kumar , Kumar Parveen , Mandal Shramana
Published: July 2021

Congenital mesoblastic nephroma (CMN) is the most common tumor of kidney in early infancy. We present here a case of antenatally detected right renal mass that was excised and reported cellular CMN. He developed recurrence while on adjuvant chemotherapy. We emphasize that the management of cellular CMN, especially adjunct chemotherapy, has not been standardized yet.
Sigmoid Colon Atresia in a Female with Imperforate Anus without Vestibular Fistula
Authors: Dudrah Laraib Amjad , Singh Nishant , Talat Nabila
Published: July 2021

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Utilization of Banana (Musa sapientum) Peel for Removal of Pb2+ from Aqueous Solution
Authors: Nurain Afrida , Sarker Protima , Rahaman Md. Shiblur , Rahman Md. Mostafizur , Uddin Md. Khabir
Published: July 2021

Biosorption is a convenient process for heavy metal remediation. In this study, banana peel was experimented to eliminate lead (Pb2+) from an aqueous solution following batch experiments. The functional groups of banana peel were identified by Fourier-transform infrared spectroscopy (FTIR). The adsorption mechanism was studied by the Langmuir and Freundlich adsorption isotherm model and determined the separation factor from the Langmuir adsorption isotherm. The adsorption of Pb2+ on dried banana peel had been studied at different adsorbent doses, pH, initial concentration of Pb, contact time, temperature, and agitation speed. After adsorption, Pb2+ was measured using atomic absorption spectroscopy (AAS). Maximum adsorption had taken place at pH 5 for adsorbent dose 45 g L-1. The optimum contact time and agitation speed was 30 minutes and 150 rpm, respectively for the initial Pb concentration of 100 ppm at 25°C. Both, Langmuir and Freundlich adsorption isotherm models shows the best fitting (r2 = 0.9978 and 0.9595) for Pb2+ adsorption. The maximum Pb2+ adsorption capacity was 2.1 mg g-1. The findings indicate that the banana peel waste could be a potential adsorbent for heavy metal removal. Moreover, the waste management problem could be solved in an eco-friendly manner by utilizing it for the eradication of Pb2+ from wastewater.
Cancer and Peripheral Deep Vein Thrombosis are Both Independent Diseases Causes, Pathogenesis, Conclusions
Authors:   Cardiovascular Surgeon Departament of Surgery, Private Railway Hospital, Samara, Russia., Viktorovna Drozdova Elena
Published: July 2021

There is an undisputed thesis: CANCER has an often COMPLICATION such as DEEP VEIN THROMBOSIS. Cancer is the second leading cause of death globally, and is responsible for an estimated 9.6 million deaths in 2018. (according to World Health Organization). Sickness rate of deep vein thrombosis is approximately 100 per 100 000 population annually. Sickness rate of cancer in different countries is approximately 130-500 per 100 000 population annually. Thus, if deep vein thrombosis is considered to be a complication of cancer we must identify both these diseases simultaneously with frequency of 20 -76.9% The Research Objective To determine whether peripheral vein thromboses are the complications of cancer. The Method of the Research Randomized prospective parallel controlled trial.
Cancer Incidence in Wild Animals and the Rejection of Peto’s Paradox Theory
Authors:   Senior Research Scientist, Military Medicine, Liberty University, USA, Niknamian Sorush
Published: July 2021

Cancer affects all animals containing eukaryote cells. Less is known about the cancers that affect wild animals, since they move around and may not be easily observed for a long period of time. This review about cancers in wild animals contains useful data for the study of human cancers as well. Certain cancers in dinosaurs show that this metabolic disease is primitive and may have been around since the beginning of the multicellular organisms. This data also shows there has been some cancer types in naked mole rats and wild sharks as well. Nowadays, Tasmanian Devils are plagued by an infectious cancer known as Tasmanian devil facial tumor disease (DFTD). Since the emergence of the disease in 1996, the population has declined by more than 60 percent. This type of cancer has an allograft transmission. It seems earthworms contain an anti-cancer agent which could be of great interests in the treatment of cancer. In the discussion part of our review we have discussed how Peto’s Paradox theory of cancer is not true and we have mentioned many data of the cancer incidences in whales and
Long-Term Survival of a Patient with Glioblastoma Multiforme
Authors:   Radiation Oncology Department, International medical center (IMC), Cairo, Egypt, hamed Radwa M , Hamad Abdelmonem N ,   Radiation Oncology Department, maadi Armed Forces Medical Compound, Cairo, Egypt, Hamad Abdelmonem N ,   Head of Radiation Oncology Department, International medical center (IMC), Cairo, Egypt
Published: July 2021

Glioblastoma multiforme (GBM) remains the most aggressive brain tumor in adults despite the advances in diagnosis and treatment over the past few decades [1]. Standard treatment for patients with newly diagnosed GBM consists of maximal safe resection followed by postoperative radiation with concomitant and adjuvant temozolomide [2]. Despite that, recurrence is common and the prognosis remains poor with a median survival of 12–15 months [3].
3D Conformal Total Liver Radiotherapy for Locally Advanced Hepatocarcinoma: A Case Report
Authors:   Radiotherapy Department at Dalal Jamm Hospital Dakar-Senegal, Gaye Papa Macoumba , Bachir Ba Mouhamadou ,   Radiotherapy Department at Dalal Jamm Hospital Dakar-Senegal
Published: July 2021

Hepatocarcinoma is the third localization of cancer in Senegal. More than 90 per cent of these cases in Senegal are painfull locally advanced stages. Radiotherapy is helpful in palliative situation. Newer radiation techniques, such as stereotactic body radiation therapy (SBRT) help reducing the radiation to nearby healthy tissues. This technique is not available in our institution. We report a case of 3D conformal total liver radiotherapy for locally advanced hepatocarcinoma.
Socio-Demographics of Patients and Antibiotic Prescription Pattern in a Community Health Facility in Lagos
Authors: Ekwoaba D. I.
Published: July 2021

There is a global concern on the challenge of indiscriminate use of antibiotics in the management of diseases. At the center of this concern is the need to prevent antibiotics resistance which could increase the morbidity and mortality of cases. This is worse off in the Sub-Saharan Africa where guidelines for management of cases are usually not complied with. The study examined socio-demographic characteristics such as age and gender and how they influence antibiotic use within a community health facility’s outpatient. Descriptive cross-sectional design was used and 630 prescriptions were examined in the month of April, 2021. All admitted, observed and referred cases were not included in the study. The data was analyzed using Statistical Package for the Social Sciences (SPSS) for descriptive and inferential statistics. The average antibiotics encounter was 37.6% and the differences of antibiotics encounter observed across different ages were statistically significant (X2=21.985, df=4, p< 0.001). There were differences in antibiotics encounter between being a child and being an adult and these differences were statistically significant (X2= 13.769, df=1, p<0.001). The odds of antibiotics encounter decreased by 28% per unit increase in age (OR = 0.715; 95%CI: 0.333 - 1.097). This predominance of antibiotic use among younger people could create resistance within this sub-population. This young population is the source of the nation’s future human resources and regular training and update courses for health workers in this field should be a priority to avoid increase in morbidity and mortality from antibiotics resistance and treatment failures.
An Overview on Vancomycin Resistant Enterococcus faecalis
Authors: Kumurya, A.S.  , Ega, B,
Published: July 2021

There are over 15 species of the Enterococcus genus, 80-90% of clinical isolates as E. faecalis. The aim of this work is to review the current information on Vancomycin resistant Enterococcus fecalis. The study reviewed using electronic documents and hard copies from public libraries of relevant literatures relating to biology, epidemiology, drug resistance mechanism, treatment, and control of Enterococcus faecalis. The review revealed that Enterocuccus faecalis formerly known as Streptococcus faecalis is a Gram-positive commensal bacterium that inhabits the gastrointestinal tracts of healthy humans and other mammals. However, it can cause life- threatening infections in humans, especially in the nosocomial environment, where there are naturally high levels of antibiotic resistance. Thus, Enterococci have proven to present a therapeutic challenge because of their resistance to many antimicrobial drugs, including cell-wall active agents; aminoglycosides, penicillin, ampicillin, and vancomycin.” The Enterococci have the capacity to acquire a wide variety of antimicrobial resistance factors through plasmid transfer by conjugation, which present serious problems in the management of patients with Enterococcal infections. In general, Enterococcal isolates with lowered susceptibility to vancomycin are categorized as vanA, vanB, and vanC, vanA and vanB pose the greatest threat because they are the most resistant genes.E. faecalis are also resistant to teicoplanin. Enterococcal strains that are vancomycin-dependent have been found, but are rare and less common than vancomycin-resistant strains (referred to as “vancomycin-resistant Enterococci” or “VRE”). The review, identified that although VRE infection possess the tendency to become endemic especially in very ill debilitated patients who have been exposed to broad spectrum antibiotics; and the immune-compromised, yet Vancomycin continues to be the drug of choice for serious life threatening infections as  sepsis, pneumonia, and endocarditis.
Review on Quantification of Mineral Oil Aromatic Hydrocarbon (MOAH) from Cosmetics by Analytical Method
Authors: Jitendrakumar Patel Visha , Patel Dr. Alisha
Published: July 2021

Mineral oils which consists mineral oil saturated hydrocarbons (MOSH) and mineral oil aromatic hydrocarbons (MOAH), which are
largely applied in various consumer products like medicines cosmetics etc. MOAH which is potential public health hazard because it include carcinogenic polycyclic compounds. There is a rapid method for quantifying MOAH by proton nuclear magnetic resonance spectroscopy (1H qNMR) in anhydrous cosmetics. The 1H qNMR method is a good complement to the LC-GC-FID method. Another method is a simple and fast developed that uses columns packed with silver-modified silica in supercritical fluid chromatography with flame ionization and UV detection (SFC-FID/UV) for the determination of mineral oil saturated hydrocarbons (MOSH) and also mineral oil aromatic hydrocarbons (MOAH) in purified mineral oil samples. Another method which is based on gas chromatography with vacuum ultraviolet detection (GC-VUV) and relies on the spectral differences between the aliphatic and aromatic compounds in the sample. The detector provides a good selectivity for aromatics, direct quantification of the MOAH content is possible without the need for a laborious pre-separation of the mineral oil. GC-VUV method good sensitive for the analysis of all but gives highest purity mineral oils.
A Prospective Observational Study on Anti-infective Agents in Adults in A Hospital
Authors: Kumar Gada Yerukala Srawan , Kumar Dr. Reddy Phani , Reddy Desireddy Rama Brahma , Dedeepya Yathirajam , Divya Naligala
Published: July 2021

The main aim of the pharmacist is to provide the right drug in the right quality at the right time to patient. The monitoring studies of
such prescription pattern can nourish the relevant use and exploit or misuse of the drug which is monitored. The main goal of the
present study is to ease the rational use of drugs and make awareness of the irrational use of the drug which is more prevalent to the drug resistance, economic burden to the patient and failure of the treatment. The present prospective observational study was going on the usage of anti-infective agents in the adults based on the prescription of the physician to the patients. Prescriptions were
obtained from various clinical departments was done over the period of 6 months from October 2020 to March 2021 to assess the
appropriate use of anti-infective agents in adults. Total 1610 prescriptions data of anti-infective agents were analysed of average range of medication includes antibacterial, antiviral, antifungal, anthelmintic, antiparasitic, antimicrobials. A total of 1610
prescriptions from out patient and in patient department of the hospital were analysed in this study and out of those patients, male
patients were 714 (44.34%) and female patients were 896 (55.65%). The most common age group which was prescribed more antiinfective agents was 51-60 years. Among them the antibacterial were about 65.03%, antiviral 1.59%, antifungal 7.04%, anthelmintic
7.09%, antiparasitic 0.89%, antimicrobial 0.51%, antimalarial 0.93%, antitubercular 0.51%, Antibacterial+Antiprotozoal 16.45%. Now
a days usage of anti-infective agents was high to improve the rational use of drugs and to avoid the irrational usage of antibiotics in increasing the side effects and resistance towards the drug and total cost of treatment as well.
Extraction and Determinationof Chemical Structure from flower Dicholomethane Extract of Catharanthus roseus
Authors: Aziza Shahin , Sahab Koushik , Miac Md. Abdus Satter , Hossaina Md. Hemayet
Published: July 2021

Catharanthus roseus is considered a cooling medicine. Two compounds: ?-sitosterol (1) and 3?-Hydroxy-lup-20 (29)-en-28-oic acid or Oleanolic acid (2) have been isolated from flowers from Dicholoromethane extract of Catharanthus roseus. By different spectroscopic data analysis the structures of the compounds have been established.
An Overview on Coconut Water: As A Multipurpose Nutrition
Authors: Tuyekar Shamal N. , Tawade Bharvi S. , Singh Kajalkumari S. , Wagh Vidula S. , Vidhate Prasad K. , Yevale Rupali P. , Gaikwad Shweta , Kale Mohan
Published: July 2021

Coconut water and coconut are two natural thirst-quenching foods that are commonly available in most countries. Both the water
and the meat of the tender coconut stimulate the body by releasing nutrients. In recent years, researchers have been interested in
the health and medicinal benefits of tender coconut products. Sugars, proteins, free amino acids, vitamins, minerals, and growth promoting factors are among the biologically essential elements contained in it. Since, current research on coconut water is mainly
focused on its properties, uses, and nutritional benefits, this review will concentrate on the human health aspect. It describes original
properties and applications, which vary from the most simple to the most complex. It also describes its biochemical structure, which
is affected by the stage of maturity and hence the variety. The purpose of this review was to learn about the most widely recorded
components of coconut water, as well as other research towards their impact on animals and human body. Coconut water contains
bunch of nutrition such as vitamins, minerals, amino acids, and phyto-hormones. The recent discovery of coconut water on the
medicinal properties shows its real potential for improving human health. The possible anti-cancer properties of particular cytokinin
could open up new and exciting avenues for finding cures for various cancers. It's a gift from nature to provide the best remedy for thirst and better health. Because of the antioxidant and anti-cancer properties of different ingredients, it is a more sensible option for removing the poisoning effect of other food that is a part of modern life. Understanding the functions and properties of the
individual components of coconut water requires further study, but it will enable us to properly exploit this wonderful and
multipurpose liquid with unique biological properties.
A Concise Review of Immune System and Natural Immune Modulators
Authors: Kumar Tarun , Sharma Anu , Dutta Siddhartha , J Sachin , Dutta Gitashree , Sharma Ravi Prakash
Published: July 2021

Immunity is defined as resistance offered by the host against microbes and other foreign substances that prevent them from illness caused by these offending agents. The immune system is responsible for the identification and elimination of pathogens that invade the body before sickness and prevent the damage caused by them. Immunity to a particular disease is obtained by the presence of specific antibodies against that disease. Antibodies are proteins that the body produces to neutralize or kill pathogens or species
carrying diseases. Antibodies are unique to diseases. A healthy immune system is highly essential and to strengthen the immunity,
several dietary and lifestyle changes can reinforce the natural defences of the body and help fight injurious pathogens or organisms that cause sickness. Being a vast topic, full details of all mechanisms of the immune responses and immune therapies are beyond the scope of this article. This article aimed to provide the basic information and mechanisms involved in functioning of the immune system and its importance in health and disease. This review article highlights on basics of immunity and substances that can act as natural immunity boosters.