bluuebunny/crossref_metadata_2025 huggingface dataset:
Predictors For TESE Outcomes and Fertility Potentials Among Infertile Adult Men
Authors: Wael Zohdy  , Ahmad Motawi  , Mohamed Omar Fahmi  , Adham Zaazaa
Published: November 2023

Background: Spermatogenesis is an essential process for human reproduction.   Gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), follicle-stimulating hormone (FSH), and testosterone play vital roles in the development and maturation of sperm. Growth hormone (GH) is thought to play a role in the reproductive system of both males and females. Growth Hormone deficiency can lead to reproductive problems.

Aim: to assess predictors of fertility potentials and TESE outcomes among adult males.

Methods: we enrolled 162 males and assessed FSH, LH, basal GH, clonidine (GH) stimulation test one time and insulin stimulation test in another time. We designed a predictive model to identify the fertility potentials, Fertility Score= 4.442 + (Basal GH*0.074) + (GH_CLON*0.035) - (FSH*0.021) (BMI*0.062)- (Smoker*0.429). The net result of this equation should be approximated to the nearest integer to predict the fertility status where, 1=TESE Negative, 2= TESE Positive, 3=Oligozoospermia, and 4= Fertile control.

Results: multivariate analysis showed smoking status, testicular volume, BMI, Serum FSH, basal GH are not predictors for fertility potentials. GH after clonidine and after insulin stimulation GH after clonidine stimulation correlates positively with total motile count. Other semen parameters do not correlate with basal GH or GH after insulin or clonidine stimulation. Receiver Operator Characteristic (ROC) curve analysis is used to detect the cut off levels at which sperm recovery yield change. For the GH assessment only, the basal GH could be applied to predict the SRR in men with azoospermia, AUC=0.672 (95% CI: 0.499 to 0.844). Growth hormone after clonidine (AUC= 0.510) or Insulin stimulation (AUC=0.556) and therefore, cannot differentiate between TESE positive and TESE negative cases.

Conclusion: Basal, post clonidine GH levels, has BMI and smoking are predictive factors for fertility potentials, our model have high sensitivity in predicting fertility potentials among positive TESE males. Basal GH can significantly predict TESE negative males.
The Influence of Sowing and Mineral Fertilizer Norms on The Growth, Development, Yield and Crop Qualities of Seeds of Autumn Soft Wheat
Authors: Karshieva U. Sh  , Ashurov Sh. Sh.
Published: November 2023

Wheat worldwide (Triticum aestivum L.) the main food crop is cultivated, and demand for it and production are growing paralellously. "According to the UN International Organization, the total grain production in the world is around 2 billion 450 thousand tons, of which 2 billion 194 thousand tons corresponds to the share of cereal crops (wheat, rye, barley, oats, triticale, rice, corn, oats, millet, marjumak), 256 million tons of legumes.".It is considered of important scientific and practical importance to study the research work of soft wheat, aimed at creating high-yielding, grain quality, resistant varieties to diseases and pests, lying down, unfavorable factors of the environment using short stem control killing genes.
Results of Surgical Treatment of Ankle and Posterior Malleolus Fractures Using Different Surgical Techniques
Authors: Sergeev Gennadii  D. , Belen’kiy Igor G. , Refitskii Yurii V. , Savello Viktor E. , Maiorov Boris A.
Published: November 2023

Background. Almost half of the patients with ankle fractures have fracture of the posterior malleolus. Conclusions of the existing studies are contradictory and do not provide a decisive answer to the question of the need for fixation of the posterior tibial fragment.
Aim of the study — to compare the radiologic and functional outcomes of osteosynthesis of the posterior tibial fragment in unstable ankle fractures using closed reduction and minimally invasive technique and direct open reduction using posterolateral and posteromedial surgical approaches.
Methods. Prospective multicenter study enrolled 132 patients with complex ankle and posterior malleolus fractures. They were divided into three groups depending on the technique of fixation of posterior tibia. Functional and radiologic results of treatment were assessed at 12, 24, and 48 weeks after osteosynthesis. The AOFAS and Neer scales were used.
Results. Bone union occurred in all patients at an average of 8.3±0.8 weeks after surgery. Analysis of postoperative CT scans showed that the use of posterior approaches provided statistically significantly more precise reduction of the fragments of posterior tibia. Functional results of patients of the second (posterolateral approach) and third (posteromedial approach) groups at 24 and 48 weeks of follow-up were statistically significantly superior to those of the first group. The median AOFAS score at 48 weeks of follow-up was 86 for group 2 patients and 90 — for group 3. The median scores on the Neer scale were 88 and 94 points respectively.
Conclusion. Posterior approaches in the surgical treatment of patients with complex ankle and posterior malleolus fractures allow for more precise fragment open reduction compared to closed one. These patients also show better mid-term functional outcomes.
Time-Independent Grid-Based Forecast Model for M ≥6.0 Earthquakes in Southeastern Tibetan Plateau Using GNSS Strain Rates and Seismicity
Authors: Wei Cong-Min , Meng Guo-Jie , Wu Wei-Wei , Chen Xue-Liang , Zhang Meng , Zhao Guo-Qiang , Dong Zhi-Hua , Yang Yan-Cong
Published: November 2023

Earthquake forecasting models play a vital role in earthquake occurrence assessment. Despite improved availability of seismic and geodetic data and processing techniques to produce high-resolution catalogs and deformation history, the implementation of earthquake forecasting models with seismic and geodetic data remains a challenge. In this study, we utilize seismicity and Global Navigation Satellite Systems (GNSS) data to propose time-independent grid-based regional earthquake likelihood models for southeastern Tibetan plateau (RELM-TibetSE). First, we solve the GNSS velocity field and strain rates from 1999 to 2017, deriving geodetic moment rates and introducing empirical correction coefficients to balance them with historical seismic moment rate. Subsequently, we employ a truncated Gutenberg–Richter law and Poisson process to calculate time-independent probabilities for M ≥ 6 earthquakes in 0.2° × 0.2° cells. The grid-based forecasting models indicate that the 30-year probability for M ≥ 6 earthquakes exceeds 1% in more than one-third of the entire study area, highlighting prominently higher earthquake occurrence in these regions. Probability distribution exhibits significant spatial variations. Finally, the predictive performance of the forecasting models is validated based on historical seismicity. The validation indicates that all RELM-TibetSE exhibit good predictive capability relative to a spatially uniform model. The RELM-TibetSE incorporating principal strain rates outperforms those involving maximum shear strain rate in forecasting seismicity. And the differences in forecasting performance between the RELM-TibetSE accounting for spatially varied seismogenic thickness and rigidity and those with uniform thickness and rigidity are not significant. The forecasting models also exhibit better predictive performance for seismic source areas than for epicenters. Moreover, the optimal model highlights zones with higher earthquake occurrence, including the zones about 50 km wide across the Ninglang fault, the zones across the southwestern segment of the Lijiang–Xiaojinhe fault, the China–Myanmar borderland north of the Nantinghe fault, and so on. Therefore, it is justified to conduct multidisciplinary rigorous observations to capture the potential nucleation process of future large earthquakes in these zones.
“É pelo avesso que se chega ao direito”. O princípio da reversibilidade em Grande Sertão
Authors: Barros Vinícius Victor Araújo
Published: November 2023

Este artigo discute uma possibilidade de conceitualização da lógica de base que comanda e estrutura Grande Sertão: Veredas (1956), de Guimarães Rosa. Caracterizada por Antonio Candido como “o princípio fundamental da reversibilidade”, tal lógica seria a responsável pelo complexo e sinuoso conjunto de estruturas, temas e linguagens sobre o qual se assenta o tripé do romance: a terra, o homem e o conflito. No caótico sertão da narrativa de Riobaldo, a reversibilidade parece ser o único princípio de relativa constância e ordenamento; dentre os vários e inesperados efeitos, um de seus traços mais evidentes é tornar os principais pares antitéticos da obra - a lei e o crime, o bem e o mal, o justo e o injusto, etc. - quase impossíveis de distinções e julgamentos absolutos. Além de um importante achado crítico que servirá de inspiração para outras tantas interpretações do romance, o princípio da reversibilidade oferece uma chave de leitura plausível para a instável e violenta realidade sócio-histórica brasileira.
Como se estivéssemos em palimpsesto de Elvira Vigna
Authors: Ferreira Gleydson André da Silva
Published: November 2023

No presente artigo, Como se estivéssemos em palimpsesto de putas de Elvira Vigna é analisado com base no apagamento feminino e na corrosão subjetiva. Recorre-se à imagem do próprio palimpsesto para o exame proposto. Desse modo, o apagamento ocorre como uma rasura, tornando as mulheres indiscerníveis entre si. Problema suscitado já ao se privar de nome a voz narrativa. Destacam-se, a esse respeito, questões de gênero e de classe, evidenciando assim maneiras distintas de violência conforme o estrato social, em claro prejuízo das prostitutas. Por sua vez, vale-se da corrosão subjetiva para a investigação do contraponto masculino, representado por João. Sua percepção é discutida pelo deslocamento, realizado pela variação do foco narrativo. Detém-se, com isso, em procedimentos composicionais, tratados em sua complexidade formal e temática, a fim de desvelar uma elaboração literária contrastante com o tom despretensioso do romance.
escrita de uma (quase) cena
Authors: Alfeld Elisabete , Maduro Priscila Simeão Silva
Published: November 2023

Em Pré-história (Paloma Vidal 2020) a narradora-escritora não escreve o que quer, escreve outro livro que caracteriza como livro-sombra. Nesse livro-sombra, qual é o perfil dessa narradora? Que história escreve? Quais são os contornos desse sujeito que se mostram na enunciação? Tais questões alinham-se aos objetivos norteadores desse estudo, que consistem em investigar, no processo criativo da obra, a construção performática da escrita e da presença autoral. A análise prioriza o lugar da palavra na escrita literária, assim como o contorno do sujeito que se mostra na enunciação. Ambos atuam na página que se configura como um espaço cênico onde ocorre a dramatização da palavra e da narradora-escritora.
“A igreja do Diabo” em sala de aula
Authors: Botelho Michael Jones
Published: November 2023

Este artigo pretende promover uma reflexão acerca da prática pedagógica do trabalho do texto literário em forma de projeto, levando em consideração o contexto e o cotidiano do aluno, bem como os desafios relacionados ao hábito da leitura a que os professores de literatura são submetidos. O corpus deste estudo é o conto “A igreja do Diabo” (1883), de Machado de Assis, texto que serviu como base para um projeto escolar desenvolvido em sala de aula, de uma escola privada, com o objetivo final de elaborar um vídeo, resumindo o conto machadiano por meio de um discurso semelhante a uma fofoca, com o intuito de publicá-lo na plataforma TikTok e divulgá-lo nessa rede social, visando a persuasão e captação de mais jovens à leitura do conto.
plural de um conceito, não raro, é outro conceito
Authors: Gasparete Luiz Philip Favero
Published: November 2023

Este trabalho tem como objeto de estudo principal o artigo “Formações do sujeito colonial: suplemento, dependência, cosmopolitismo”, do pesquisador João Camillo Penna. O foco recai na constatação de uma disparidade entre o título e o texto, a saber, o fato de que o termo que inicia o nome (“formações”) não aparece nenhuma vez ao longo dos parágrafos. O que aparece, sim, com frequência, é o conceito de formação, que adquire diferentes sentidos e ressonâncias. O trabalho procura demonstrar que entender “formações” como mero plural de “formação” não é tão inconteste quanto parece e que, na verdade, as variantes resultam em conceitos dissociados. A maneira escolhida para corroborar a hipótese é uma discussão a respeito da conceituação psicanalítica que Penna (2012) utiliza para interpretar a obra de Silviano Santiago, especificamente os textos que envolveriam a dita “formação do sujeito colonial”.
Understanding Machine Learning Explainability Models in the context of Pancreatic Cancer Treatment
Authors: Bobes-Bascarán José , Fernández-Leal Ángel , Mosqueira-Rey E. , Alonso Ríos David , Hernández-Pereira Elena , Moret-Bonillo Vicente
Published: November 2023

The increasing adoption of artificial intelligent systems at sensitive domains where humans are particularly, such as medicine, has provided the context to deeply explore ways of making machine learning models (ML) understandable for their final users. The success of such systems require the trust of their users, and thus there is a need to design and provide methods to understand the decisions made by such systems. We start from a public Pancreatic Cancer dataset and experiment with different ML models on a diagnosis scenario with the goal to decide whether a patient should be prescribed with a chemotherapy treatment. To validate the diagnosis results we explore different explainability approaches: Decision Tree, Random Forest, and model agnostic ad-hoc models, and compare them against a standard Pancreatic Cancer treatment set of rules. The increasing adoption of artificial intelligent systems at sensitive domains where humans are particularly, such as medicine, has provided the context to deeply explore ways of making machine learning models (ML) understandable for their final users. The success of such systems require the trust of their users, and thus there is a need to design and provide methods to understand the decisions made by such systems. We start from a public Pancreatic Cancer dataset and experiment with different ML models. To validate the diagnostic results we explore different explainability approaches: Decision Tree based approach, Random Forest based approach, and different model agnostic ad-hoc approaches, and we compare them against a standard Pancreatic Cancer treatment set of rules
Towards a FAIR Dataset for Spanish Non-Functional Requirements
Authors: Limaylla-Lunarejo María Isabel , Condori-Fernandez Nelly , Luaces Miguel R.
Published: November 2023

Supervised Machine Learning algorithms (ML) have enhanced the performance of the automatic non-functional requirements (NFR) classification in the Requirements Engineering domain. However, the lack of public datasets, dealing with imbalanced datasets and reproducibility are current concerns in ML experiments. We conducted a quasi-experiment to generate a dataset of NFR in the Spanish Language, following the FAIR Principles. We collected 109 requirements from an open access repository of the University of A Coruña, and performed a labeling process based in the categories and subcategories of the ISO/IEC 25010 quality model. Using a Fleiss’ Kappa test we obtained a substantial agreement (0.78) at the category level and a moderate agreement (0.48) when the classification is per subcategory.
Surveying three-dimensional perspectives of the flow structure around the bridge pile depending on the vegetation pattern distribution
Authors: Mohammadzade Miyab Nazanin , Fazloula Ramin , Heidarpour Manouchehr , Kavian Ataollah , Rodrigo-Comino Jesús
Published: November 2023

Modeling techniques have enabled us to understand how to protect vital infrastructures using nature-based solutions. In this research, we demonstrated that by selecting a specific vegetation pattern distribution upstream of the pile as a nature-based solution, we could reduce the amount of scouring around the bridge piles. This is essential to avoid the negative impacts that occur after landslides, flash floods, or mudflows close to populated areas. This solution can mitigate the global problem of bridge failure. To achieve this goal, an Acoustic Doppler Velocimetry device (ADV) was used to measure the velocity components in an experimental channel with a 90 cm width, 15 meters long, and 60 cm high. Two different widths of vegetation were used: the overall vegetation, with a 90 cm width, and the patched one, with a 10 cm width, positioned upstream of the bridge pile. In the case of using patched vegetation, a 36% reduction was observed in the amount of scouring around the bridge pile compared to the free-vegetation case, showing the positive effect of using vegetation to reduce scouring. In both cases, the amount of negative Reynolds shear stresses decreased when the presence of vegetation was registered. Using octant analysis, the overall vegetation was shown to convert internal events into external ones in front of the pile. However, in the case of using patched vegetation, internal events were also observed in addition to external events. Patchy vegetation changed the transverse direction of outward vortices from internal to external. In the presence of patchy vegetation, the dominance of the inward event decreased sharply. The presence of vegetation in the flow path affected some bursting events and, as a result, reduced scouring. The results showed that each of the used vegetation models has a different effect on bursting events, and these events can affect the amount of scouring hole depth.
Robert Entman’s Framing Analysis: Female Representation in 2024 Presidential Candidates on Republika.com and Sindonews.com
Authors: Anggoro Ayub Dwi , Puspitasari Fingky Ayu , Som Ahmad Puad Mat
Published: November 2023

Women’s participation in the presidential election is still low, and they rarely appear in surveys and news as candidates for the 2024 Presidential election. Women are often considered more suitable to lead in the domestic sphere and less suitable for the public sphere. The role of the media in shaping people’s views on women in politics is crucial. This study uses a qualitative approach and Robert M. Entman’s framing analysis to examine news from Republika.com and Sindonews.com related to the presence of female candidates as 2024 Indonesian presidential candidates. The results showed that Sindonews.com tends to highlight the existence of female candidates positively but too narrowly focuses on gender aspects and stereotypical views of women as vice presidential candidates. Meanwhile, news from Republika.com focuses more on analyzing electability factors and political party support for female candidates, presenting a positive view of women as alternative presidential candidates. The role of the media in constructing reality must positively impact increasing women’s representation in Indonesian politics. However, the media must also be able to avoid bias and present objective and consistent information.
Study and analysis of cervical pap smears in our hospital
Authors: Saurabh Suvidha , Sanjita  , Khanam Ismat
Published: November 2023

Background: Cervical cancer is one of the major causes of mortality among women worldwide. It has taken fourth place among malignancies that affect women, the first leading is breast cancer. In developing countries including India, it is the leading cause of morbidity and mortality. It is readily preventable and can be diagnosed at the pre invasive stage with adequate and repetitive cytological screening and Papanicolaou smears.
Methods: This observational study was aimed to screen the patients attending gynae OPD of ESIMCH, Bihta. The main purpose was to study the incidence of premalignant and malignant lesions in population in and around ESICMCH, Bihta. A total of 100 patients attending gynaecology OPD of ESIC, Bihta were screened during a period of one year from October 2022 to September 2023. Pap smears are taken from women visiting gynaecological OPD between ages of 25 to 70 with different gynaecological complaints using Ayer’s spatula. Smears were reported according to Bethesda system 2001.
Results: A total of 200 pap smears were examined. There were 68 patients with NILM, and 67 patients with inflammatory smear. ASCUS was found in 12 patients, LSIL in 10 patients, HSIL in 7 and squamous cell carcinoma in 1 patient. This study concluded that a simple pap smear test could be offered to vast populations for diagnosing premalignant conditions of the survey this has and will in future continue to aid us with the early diagnosis of survival cancer.
Conclusions: PAP smear is useful in diagnosing malignant and premalignant lesions of the cervix. In developing countries such as India this screening method is cheap and can be widely used. It can be used by trainers and para medical staffs.
Hyperbilirubinemia, C-reactive protein, total leucocyte counts and serum amylase as markers of gangrenous/perforated appendicitis
Authors: Dhaigude Piyush , Joshi Mayank , Zubair S. M. , Akther M. D. Jawed
Published: November 2023

Background: C-reactive protein, serum amylase, total leucocyte count, and total serum bilirubin have been used as adjuncts for the diagnosis of appendicitis. This study assessed the diagnostic value of these markers in patients with suspected acute appendicitis.
Methods: CRP, serum amylase, total leucocyte count, and total serum bilirubin values among the patients who presented with acute appendicitis were compared among patients who had perforated appendix and non-perforated appendix. The diagnostic value of CRP and TSB markers as a predictor for perforation were compared in terms of sensitivity, specificity, PPVs, and NPV, and the diagnostic accuracy was assessed by AUC using receiver operating characteristic (ROC) curve analysis.
Results: The values of TSB (mean 3.52, S.D 0.54, p<0.001), CRP (mean 9.84, S.D 1.30, p<0.001), amylase (mean 68.2, S.D 26.4, p<0.001) were found to be significantly correlated with complicated appendicitis.
Conclusions: This study concludes that estimation of pre-operative values of TSB, CRP, and serum amylase as a part of routinely done blood investigations in patients with suspected appendicitis, helps the surgeon in diagnosing complicated types of appendicitis at an earlier stage, though it cannot be generalized due to the small sample size, further studies are needed to establish the conclusion of the study.
Tramadol – A wonder drug in women with labour pain
Authors: Vellanki Janaki , Sri Velpula Sushma
Published: November 2023

: Pain management during labour is an essential part of good obstetric care. Though this severe pain during labour is not life-threatening, it can have physiological and neuropsychological consequences. Adequate analgesia during labour is a benefit for the mother, has a positive influence on the course of labour and the state of the new born child. The ideal analgesic in obstetrics should have potent opiate-like analgesic efficacy with minimal side effects. Tramadol can be used as a basic analgesic for the treatment of patients with moderate to severe pain. Parenteral tramadol during labour was proven to have no negative effects on the baby or the process of labour.

The study was conducted for a period of one year from April 2022 to March 2023 in the Department of obstetrics and Gynaecology, Gandhi Medical College and Hospital, Hyderabad after approval from Institutional Ethics Committee. Total of 500 parturient of age group 18 to 35 years were divided into 2 groups, control and study groups 250 participants each. The drug utilized was Intramuscular Tramadol Hydrochloride at a dosage of 1 ampule containing 2 ml, where 1 ml is equivalent to 50 mg.

It is observed that there was a significant decrease in the degree of pain when compared to control group after giving Intramuscular Tramadol injection. And the majority of the patients had good neonatal outcomes and no maternal complications and reduced the duration of labour. In the study group 10% and 43.2% of patients, whereas 13.2% and 54.4% of patient in control group had Grade III and Grade IV pain, which was statistically significant.

Intramuscular Tramadol Injection is safe for both mother and baby, effective and shortens the duration of labour period.
To study the clinical utility of WHO modified and paperless partograph in the management of labour and its outcome
Authors: Bansal Subha , Mandrelle Kavita , Varughese P V
Published: November 2023

Early detection of abnormal progress of labour and prevention of prolonged labour significantly improves pregnancy outcomes. Partograph is a simple and important tool which can provide a continuous pictorial overview of labour on a single sheet of paper and is essential to monitor labour.

(1) To study the progress of labour using WHO modified partograph in terms of alert line and action line and using paperless partograph in terms of alert and action estimated time of delivery and detect any deviation from normal progress of labour. (2) To evaluate the duration of labour, mode of delivery and perinatal outcome in both the groups.

It was a prospective observational study which was conducted over a period of 18months on 200 antenatal patients admitted to the Department of Obstetrics and Gynaecology at Christian Medical College and Hospital, Ludhiana. Antenatal patients with singleton term pregnancy with cephalic presentation in active phase of labour were included in the study. The WHO modified partograph was plotted for 100 cases (Group I) and the paperless partograph was recorded for the other group of 100 patients (Group II) and their outcomes were compared. The p value <0.05 was considered to be significant.

In our study we noted that the findings were similar in the WHO modified partograph group and the paperless partograph group in terms of duration of labour, progress of labour, mode of delivery and neonatal outcomes with no statistically significant difference between both the groups.

Our study concluded that the paperless partograph is as good as the WHO modified partograph in predicting the labour outcomes and identifying labour abnormalities. The paperless partograph does not need graphical representation and therefore can be adopted as an alternative to the WHO modified partograph in busy labour room settings.
Role of extended first trimester screening (EFTS) in screening of aneuploidy and prediction of pre-eclampsia
Authors: Anjani Anima , Rai Gunjan , Sharma Gargi Vikas , Rajouraya Shivani , Chaudhary Sunil Kumar
Published: November 2023

: To assess the role of extended first trimester screening (EFTS) in early detection and management of preeclampsia.

: A total of 501 parturients (aged 18-49 years; GA 11-13 weeks) underwent ETFS quadruple test that included age, sonographic data (CRL, Nuchal Tube (NT), ductus venosus PI) and biochemical tests (b-hCG, Alpha-fetoprotein, PLGF and PAPP-A for Trisomy 21, 18 and 13) levels. All the women were followed up for preeclampsia. Role of independent as well as combined ETFS predictors was assessed for prediction of preeclampsia employing independent samples ‘t’- and Fisher exact tests. ROC analysis was performed for continuous predictors significantly associated with preeclampsia risk. Results have been depicted in terms of sensitivity, specificity, positive and negative predictive values of different ETFS risk predictors.

Meanage of women was 28.07±4.77 years. Quadruple test was negative in 422 (84.2%). It was positive for Down’s syndrome/T21 in 23 (4.6%), T21 with increased PLGF in 8 (1.6%) and increased PLGF only in 48 (9.6%) cases. A total of 14 (2.8%) women developed preeclampsia. Older age, T21 risk, PLGF risk and any quadruple test abnormality were significantly associated with preeclampsia (p<0.05). On ROC analysis, the area under the curve value of age for prediction of preeclampsia was 0.940. Among different EFTS risks, age had maximum sensitivity (100%) and specificity (88.3%). Overall quadruple test was 71.4% sensitive and 85.8% specific in prediction of preeclampsia.

: EFTS was a useful strategy for reducing the burden of preeclampsia.
Observational study of usage of a combination of inositols with alpha-lactalbumin (Ovamystic) in the treatment of menstrual irregularity in PCOS
Authors: Pandya Manish R , Pandya Nehal Manish , Narayanan Varsha , Adroja Kishan S , Patel Vaishvi C
Published: November 2023

This observational study aimed at evaluating the effects of Ovamystic in groups of women with menstrual irregularities in Polycystic Ovary Syndrome (PCOS), treated at Mahavir Hospital and Manish IVF Center Surendranagar, Gujarat.

: The study involved 126 normal weight or overweight PCOS patients aged 18 to 30 years, with menstrual irregularity and anovulation > 12 months. Patients were administered orally chewable tablets of Ovamystic (myo-inositol 1100mg + D-chiro-inositol 27.6mg + alpha-lactalbumin 50mg + chromium picolinate 400mcg + vitamin D2 400IU) twice daily for 6 months. The primary outcome was measured in terms of certain parameters like changes in body mass index (BMI), change in ovarian volume, and change in frequency and duration of menstrual cycle (M-SCORE). Alpha-lactalbumin is effective in increasing myo-inositol intestinal absorption, which is very useful in reducing the therapeutic failure of myo-inositol in some patients (inositol resistant subjects).

: Recovery was general, and its relevance was higher when the starting point was further away from the normal range. The most important results with Ovamystic were obtained in correcting the menstrual irregularity, and also decreasing ovarian volume and BMI. No significant adverse effects were detected in this group of patients, and Ovamystic had good tolerability and compliance.

This observational study demonstrated that Ovamystic improves important parameters in PCOS patients characterized by different metabolic profiles like BMI, menstrual irregularities, and ovarian volume.
Management of venous thromboembolism as a complication after Total laparoscopic hysterectomy with bilateral salpingectomy: A case report
Authors: Dixit Anjani
Published: November 2023

Total laparoscopic hysterectomy (TLH) is a common procedure in gynecology, often performed to treat various gynecologic conditions. This case report presents a patient who underwent TLH with bilateral salpingectomy and subsequently developed a pulmonary embolism (PE) postoperatively. The patient, a 49-year-old woman with a history of adenomyosis and abnormal uterine bleeding (AUB) associated with endometrial hyperplasia – AUB-M, developed difficulty breathing and chest pain two days after surgery. Diagnostic tests revealed acute PE affecting both main pulmonary arteries. The patient received prompt medical treatment in the intensive care unit (ICU), including anticoagulation therapy, diuretics, oxygen support, and antibiotics. Her condition gradually improved, and she was discharged on oral anticoagulation medication after five days. The case highlights the importance of considering venous thromboembolism (VTE) as a potential complication, even in low-risk patients, and the need for further research to identify additional risk factors and improve preoperative care to prevent such life-threatening complications.
Genetic abnormalities in sonographically detected heart diseases in antenatal period: A case series
Authors: Chaudhary Yogeshkumar Siddhyeshwar , Patil Sachin Shridhar , Thakur Varun Ashok
Published: November 2023

: Recent advances in molecular genetic techniques have found evidence of the role of genetic factors in the development of CHD. Approximately 30% of CHD is thought to be related to genetic syndromes accompanied by extra-cardiac anomalies. We describe the cases of cardiac anomalies detected on prenatal ultrasound, which helped us in suspecting the genetic abnormality in fetus which were later confirmed by definitive testing.

: Prospective evaluation and follow up of 10 cases done which showed cardiac and extracardiac findings suspicious of chromosomal disorder.

: Definitive testing showed genetic abnormality in (N = 10) cases. We could detect Trisomy 21 in (N = 3), Trisomy 18 in (N=2), Trisomy 13 in (N=2), Triploidy in (N=1) and Monosomy X (Turners) in (N=2) cases in our series. Detection of abnormal cardiac findings can definitely improve the detection rate of genetic disorders and positive yield of genetic testing.
Management of non-tubal ectopic pregnancy: A case series
Authors: Thakker Yesha , Singh Salomi , Dabholkar Devdatta , Gabhane Sameeksha
Published: November 2023

The aim of this study is to review the various modalities used for management of non-tubal ectopic pregnancies. Ectopic pregnancy is a rare occurrence comprising 1-2% of all pregnancies. However, the most common site for ectopic implantation is fallopian tube. Tubal ectopic pregnancies 95% of all ectopic pregnancies while rest 5% are non-tubal pregnancies. Common sites for non-tubal ectopic pregnancy are cervical, cornual, interstitial, caesarean scar, ovarian and abdominal. Often misdiagnosed, however, detailed history taking, clinical examination and ultrasound helps to establish diagnosis. In this article, we discuss various cases of non-tubal ectopic pregnancy managed with medical treatment using methotrexate or surgical intervention or a combination of both.

This study is a retrospective study carried out at MGM Medical College, Navi Mumbai, India between the years 2020-2022

A total of 10 patients were diagnosed using clinical, laboratory and radiological methods and were then managed using medical and surgical management modalities ranging from methotrexate therapy to obstetric hysterectomy.

There should be a clear protocol for management of non-tubal ectopic pregnancies in hospitals since there is an anticipated rise in the near future because of an increased rate of risk factors.
Quien canta, su mal espanta. Propuesta para el análisis de las tonadas campesinas recopiladas por Emilia Prieto
Authors: Vicente León Tania
Published: November 2023

El presente artículo forma parte del reciente interés por el trabajo de mujeres que han dedicado gran parte de su vida a la investigación de la cultura costarricense. Se trata de aproximarse al estudio del papel desempeñado por Prieto Tugores en la construcción de una cultura musical vinculada al proyecto nacional-popular en Costa Rica entre los años 1931 y 1980. En consecuencia, se expone la propuesta de análisis de algunas tonadas campesinas recopiladas por la costarricense Emilia Prieto Tugores a la vez que se plantea, cómo estas revelan características de la identidad de la clase campesina que habitó el Valle Central de Costa Rica durante gran parte del S. XX.
Queipo, C. & Palacios, M. (Ed.) (2019). El asociacionismo musical en España. Estudios de caso a través de la prensa. Logroño: Calanda Ediciones Musicales, 403 pp. ISBN: 978-84-943568-7-2
Authors: Díaz González Diana
Published: November 2023

Reseña de libro
Otero Aragoneses, D. (2022). Rescate del olvido: once violinistas y compositoras (1850-1950). Sant Cugat del Vallès: Arpegio, 234 pp. ISBN: 978-84-15798-67-5.
Authors: Ferrer Flamarich Albert
Published: November 2023

Reseña de libro
Simmenauer, S. (2023). Vivir en cuarteto. Retrato íntimo del cuarteto de cuerda. Barcelona: Antoni Bosch Editor, 211 pp. ISBN: 978-84-124076-9-3
Authors: Ferrer Flamarich Albert
Published: November 2023

Reseña de libro
Power aggregator in active distribution networks using IoTv
Authors: Ramírez-Marín Santiago Alberto , Oyuela-Ocampo Juan Camilo , Garcés-Ruiz Alejandro
Published: November 2023

This paper presents an Internet of Things (IoT) architecture for a power aggregator of energy resources in active distribution networks. Two types of algorithms are evaluated and compared: centralized and decentralized control. The former is based on real-time estimation of the demand and subsequent optimization. The latter is based on the Alternating Direction Method of Multipliers (ADMM). Both algorithms were evaluated on an IoT platform consisting of agents implemented on a series of small single-board computers based on Raspberry Pi technology, connected to a centralized computer that emulates the grid. This platform allows realistic evaluation of the algorithms, considering the effects of communication. The main grid considers power losses and the dynamics of inverter-based renewable resources using quasi-dynamic simulation. This type of simulation can be considered real-time for this application. The platform is demonstrated to be flexible and provides a real view of the practical problems that aggregators may face when implementing them in a power distribution network.
New business models in the Colombian energy market: Energy arbitration through storage systems
Authors: Beltrán-Gallego José David , Carvajal-Quintero Sandra Ximena , López-García Dahiana
Published: November 2023

The energy transition is currently reshaping the Colombian energy market, bringing about the emergence of new actors essential for decarbonization and the establishment of a sustainable energy market. This transition necessitates a regulatory framework that facilitates the entry of new players and fosters the development of appealing business models for investors. Consequently, the energy transition fuels the widespread adoption of distributed energy resources, igniting the creation of fresh markets and captivating business opportunities. This study thoroughly examines the Colombian regulatory landscape, with a specific focus on exploring the new business prospects that arise from the integration of energy storage systems as distributed energy resources. Additionally, the paper analyzes energy arbitration through this technology, assessing five scenarios through economic evaluation using Net Present Value (NPV) and Internal Rate of Return (IRR). The findings indicate that the current model, which entails purchasing and selling energy in the energy exchange, is unsustainable without supplementary measures like self-consumption or regulatory incentives.
New data-based load modeling for active distribution networks
Authors: Osorio-Vásquez Daladier , Pérez-Londoño Sandra , Mora-Flórez Juan
Published: November 2023

Electric systems are experiencing fast development, mainly motivated by the carbon reduction policies in the energy sector and the technological developments that introduce new elements and processes. The transition to active distribution networks (ADNs) represents a significant technological advancement in this ever-evolving context. Accurate models for each device present in ADNs are crucial for adequately representing their dynamics; however, load modeling poses challenges due to the vast diversity of load components, variations over time, and dependence on several factors. Despite these challenges, understanding load behavior is fundamental for efficient planning and operation of ADNs. Therefore, precise load models are indispensable for conducting preventive and forensic studies. This paper analyzes various scientific documents from the most relevant scientific databases, explicitly focusing on the challenge of measurement-based load modeling in ADNs. The main contribution of this document lies in enhancing the representation and understanding of loads in ADNs through the analysis of current approaches, challenges, and measurement-based modeling strategies. Additionally, it serves as a reference for future research in the field of load modeling.
Hosting capacity and optimal sizing: a Colombian case of study
Authors: González-Sotto Diego Andrés , Arango-Lemoine César , López-García Dahiana , Arango-Manrique Adriana
Published: November 2023

The global energy transition has driven the adoption of renewable generation resources in distribution networks worldwide. This shift has presented new operational challenges for these networks. One such challenge involves determining the ideal sizing of these resources and the hosting capacity of the distribution networks to maximize their potential to enhance technical parameters within the system. This article proposes strategies to optimize the generation capacity and the selection of nodes in Colombian distribution networks, prioritizing nodes of lower voltage to improve reliability and continuity of supply. Specific methodologies are developed due to the passive and radial nature of these networks.
Świętość i grzech w wybranych filmach Federico Felliniego
Authors: Ziółkowska-Kurczuk Natasza
Published: November 2023

Przedmiotem artykułu jest poszukiwanie wątków chrześcijańskich obecnych w nieoczywisty sposób w wybranych filmach Federico Felliniego. Analizowane filmy Noce Cabirii, Rzym i Słodkie życie łączy przestrzeń społeczna Rzymu, naznaczonego zarówno piętnem antycznej kultury, jak i Watykanu, jako siedziby państwa kościelnego. Filmy spaja też finałowe portretowe ujęcie bohaterek, mające charakter metajęzykowego osobistego gestu reżysera. Omawiane obrazy różnią się sposobem narracji i strukturą, ale wszystkie stawiają pytania o zasady moralne i podają w wątpliwość, a nawet kwestionują wartości religijne i kulturowe, poszukując głębszego sensu. Rzym jawi się jako współczesne miasto grzechu (biblijna Sodoma i Gomora), gdzie świętość i czystość coraz trudniej odnaleźć.
“We Ask for Forgiveness”: Reflection on the Abuse Crisis in the Church in Press Releases
Authors: Narbona Juan
Published: November 2023

The sexual abuse crisis in the Catholic Church has been a global phenomenon. As with any crisis, it has also revealed a contradiction between what the Church should be and what, at times, it has been. We can consider crises as a painful and traumatic experience, but one that can serve to rediscover the importance and centrality of the values that have been betrayed. In many dioceses, religious congregations and episcopal conferences, the Church has had to communicate to public opinion the existence of these cases, express its sorrow – especially to the victims and their families – and report on the handling of these cases through press releases. By means of a comparative analysis of various press releases issued as a result of these painful cases, we wish to identify the values that dioceses, episcopal conferences and other realities wish to recover, the feelings expressed and other possible patterns that allow us to identify the reflection carried out internally in each case.
Media publiczne w erze posttelewizyjnej: nowe wyzwania
Authors: Jędrzejewski Stanisław
Published: November 2023

Świat mediów wkracza obecnie w erę posttelewizyjną, której wyznacznikiem są algorytmy jako podstawy regulacji przepływu informacji, platformy cyfrowe organizujące społeczeństwa wokół ich specyficznych praktyk i instytucji, a także platformy i narzędzia sztucznej inteligencji. Kończy się zatem dominacja mediów masowych – radia i telewizji, które były osią organizującą naszą wyobraźnię i codzienne funkcjonowanie. Nadawcy publiczni, przez lata kierujący uwagą milionów ludzi, poszukują dzisiaj nowych sposobów dotarcia do swoich odbiorców, którzy zwrócili się w stronę mediów społecznościowych. W artykule staram się pokazać, w jaki sposób media publiczne, wykorzystując nowe technologie (internet, serwisy społecznościowe, technologie mobilne, sztuczna inteligencja) adaptują się do funkcjonowania w erze posttelewizyjnej.
Anonymus Gesta Hungaroruma mint nyelvtörténeti forrás
Authors: Tóth Valéria
Published: November 2023

Anonymus Gesta Hungarorum című munkája a magyar nyelvtörténet fontos forrása, amely a 13. század elejének magyar nyelvéről ad számunkra információkat. A tanulmány azt mutatja be nagy vonalakban, hogy a geszta mint nyelvemléktípus általában és konkrétan Anonymus műve a nyelv­történeti kutatásokat milyen szempontból segítheti. A geszta 32. fejezetének szövege és a benne szereplő magyar nyelvű elemeken keresztül a helyesírás-történeti, hangtörténeti, nyelvjárás-történeti morfématörténeti, a szó- és névtörténeti vizsgálati lehetőségek és az ezek során szem előtt tartandó tényezők, kritériumok állnak az írás középpontjában. Szó esik emellett a gesztában érvényesülő normatörekvésekről, illetve a geszta magyar nyelvű elemeinek enciklopédikus feldolgozásáról is.
The Challenges and Solutions of Breaking Bad News in Midwifery: a Narrative Review
Authors: S Yosuflu , Z Taghiyani , F Haqqani
Published: November 2023

Introduction: Due to the high prevalence of adverse events during pregnancy and childbirth, the present study was conducted as a narrative review study investigating the challenges of disclosing bad news in the midwifery field and various intervention approaches for teaching bad news.
Method: This study is in the form of a narrative review and by searching Persian and English databases including Medline, PubMed, Embase, Web of Science, Scopus, CINAHL, IRANDOC, Google Scholar, Iranmedex, medlib, Sid, and Mag-Iran with key Words including bad news, midwifery, childbirth, pregnancy, spikes (S-P-I-K-E-S), midwifery education were conducted in the time range of 1990-2022. Finally, 20 quantitative and qualitative articles were included in the research.
Results: These articles were examined in two areas: the challenges of health personnel in conveying bad news and different strategies for teaching how to convey bad news. In studies, various techniques have been used to teach the delivery of bad news, such as Spikes protocol, ABCDE method, simulated patient or Mini-CEX, in the teaching of delivery of bad news in various fields of obstetrics, such as IVF failure, intrauterine death, etc. have been. The use of clinical encounter cards or CECs, Asci tests and Mini-CEX are techniques that were used to evaluate students.
Conclusion: Proper transmission of bad news is one of the challenges of healthcare personnel. Using appropriate educational techniques for students and medical personnel can reduce the negative consequences of inappropriate transmission of bad news.
Clinical Profile of Hypertensives at The Cardiology Consultation
Authors: ABDELBAKI M. , KHELAFI N. , EL HACHEMI A. , BEN MESSAOUD H.
Published: November 2023

Systemic hypertension is a global public health problem. It affects all parts of the population. In Algeria, according to the TAHINA 1 study, high blood pressure is the most common chronic pathology (24.8%). Despite numerous recommendations from learned societies 2.3.4.5 and the existence of effective therapies, a high percentage of patients remains uncontrolled 6.7.8. Our work aimed to study the clinical profile of hypertensives who presented to our cardiology consultation at the EPH in Laghouat. This is a longitudinal observational study running from October 2022 to June 2023. We collected 560 patients during daily consultations, lasting 10 months.
The results made it possible to describe the present risk factors, dietary habits and socioeconomic conditions.