bluuebunny/crossref_metadata_2025 huggingface dataset:
Концепция этоса технонауки Б. Г. Юдина и проблема технонаучной нормативности
Authors: Шевченко Сергей Юрьевич
Published: December 2018

В настоящей статье технонаука рассматривается в предложенной Б. Г. Юдиным оптике в качестве консолидированного положительными обратными связями контура, включающего лабораторию, бизнес, общество и медиа. Под технонаучной нормативностью понимается совокупность способов взаимного приписывания обязательств и ответственности между участниками контура технонауки. Данные коммуникативные процессы служат одним из основных предметов рассмотрения в современной аналитической философии. При этом моделирование процессов приписывания обязательств в контуре технонауки требует расширения и дополнения предложенных аналитическими философами концепций рациональности и «дискурсивной игры» (Р. Брэндом). Также показано, что для концептуализации общественной поддержки технонаучных инициатив недостаточно представлений о потребительском выборе в рамках свободного рынка. Последние должны быть дополнены концептом ценностно-ориентированного потребительского поведения, понимаемого как финансовое и нефинансовое общественное инвестирование.

Одним из феноменов, наиболее важных для реконструкции технонаучной нормативности, является готовность социальных групп, составляющих элементы контура технонауки, к тому, что обещания представителей лаборатории и бизнеса, сформулированные на старте определенного проекта, не будут выполнены. При этом речь не только о готовности разделить бремя рисков венчурных инициатив, но о способности каждого агента технонаучного контура к локализации целей и обязательств на каждом конкретном этапе его развития. 

Социальное поведение — готовность сообществ инвестировать в развитие контура технонауки — выступает и причиной, и результатом приписывания высказыванию о будущем роли обещания. Для того чтобы отличить обещание (как приписывание обязательств) от простой формулировки ожидаемого образа будущего, необходимо двояким образом оценить контекст высказывания. Во-первых, определить закончен ли стартовый, венчурный этап реализации проекта, в рамках которого артикулируются обещания. Во-вторых, определить, насколько они конкретны и обращены к конкретной социальной группе.
Ceramic crown inlays as alternative to substitute defects of side teeth with light-conforming composites
Authors: Olesov E. E. , Novozemtseva T. N. , Tikhonov V. E. , Olesova V. N. , Kaganova O. S.
Published: December 2018

A clinical and functional examination of the maxillofacial area was performed in 280 patients with the defects of the lateral teeth being replaced with ceramic crown inlays or light-cured composites three years ago. Computer methods were used to assess the articulation, occlusion and tone of the masticatory muscles on the T-Scan III and Bio EMG III devices. In a third of the lateral teeth, an unreasonable increase in indications to composite fillings has been established – when more than 50.0% of the occlusal surface is destroyed. Indicators of dental status are significantly better when using ceram- ic inlays compared with fillings made of composite material in the long term after treatment of multiple caries. Ceramic crown inlays prevent occlusal-articulatory disorders and dysfunction of the masticatory apparatus, characteristic in long-term periods for patients with multiple caries when replacement of lateral teeth defects with fillings made of composite.
Clinical case: severe course of adenoviral conjunctivitis with a hemorrhagic component complicated by a toxic-allergic reaction against a pregnancy
Authors: Trubilin V. N. , Poluninа E. G. , Andzhelova D. V. , Kasparova E. A. , Evstigneeva Yu. V.
Published: December 2018

One of the manifestations of adenovirus keratoconjunctivitis – extensive subconjunctival hemorrhages – is the characteristic of rather rare hemorrhagic form of conjunctivitis of severe course. Patients, especially pregnant women, with clinical manifestations of adenoviral conjunctivitis of severe course with a hemorrhagic component complicated by a toxic-allergic reaction, require close attention not only from ophthalmologists. It is necessary to conduct a comprehensive examination, including: general blood test, coagulogram, consultation of the therapist. Clinical signs of deterioration, in the early days of the disease, against the backdrop of treatment, is a clinical feature of the course of adenovirus infection, which should be informed to the patient. The use of a complex approach using the domestic non-toxic inducer of interferon formation of Poludan (polyA:polyU complex) in instillations and injections, supplemented by scraping-massage with a glass rod of the tarsal conjunctiva, facilitating the elimination of adenovirus from conjunctival follicles, quickly and effectively reversed the phenomenon of severe AVC. The appointment of corticosteroid therapy, regardless of the severity of the toxic-allergic reaction, is shown no earlier than 7 days after the manifestation of the disease.
Birinci Basamağa Başvuran Bireylerde Hipertansiyon Risk Faktörleri
Authors: ŞAHİN Nuran , DÖNER GÜNER Pınar , DİRİCAN Emre , YENGİL Erhan , ÖZER Cahit
Published: December 2018

Amaç: Çalışmamızda birinci basamağa başvuran bireylerdeki hipertansiyonun risk faktörlerinin belirlenmesi ve belirlenen faktörlere göre risk katsayılarının bulunması amaçlandı.Gereç ve Yöntem: Kesitsel tanımlayıcı tipte olan çalışmamızda 2016 yılının Mart ayı içerisinde bir aylık süre zarfında Serinyol, Karaali, Anayazı’daki Aile sağlığı merkezlerine başvuran ve çalışmaya katılmayı kabul eden 18 yaş üstü hastalara hipertansiyon risk faktörlerini sorgulayan anket uygulandı. Anketler uygulandıktan sonra elde edilen veriler hipertansiyon ile ilişkili olduğu düşünülen risk faktörleri açısından değerlendirildi.Bulgular: Değerlendirmeye alınan 281 hastanın 104’ü (%37) hipertansiyonu olan ve 177’si (%63) hipertansiyonu olmayan hastalardan oluşmaktadır. Çalışmamızda 65’i (%62,5) kadın 39 ‘u (%37,5) erkek olan hipertansiyonlu hastaların yaş ortalaması 47.32 ± 17.41’dir. Hipertansiyonu olmayan 101 (%57,1) kadın 76 (%42,9) erkek katılımcının yaş ortalaması 37.55 ± 13.97’dir. Tek değişkenli analiz sonuçlarına göre hipertansiyon için risk faktörü olduğu belirlenen parametrelerle yapılan lojistik regresyon analizinde Beden Kitle İndeksi (BKİ) (p=0.001, OR:3.707), ek hastalık (diabetes mellitus, kalp hastalığı, kolesterol) varlığı (p=0.002, OR: 6.883) ailede hipertansiyon olması durumu (p=0.001, OR: 2.776), ilaç kullanımı (p=0.545), hastaların yürüyüş yapmaması (p=0,844), beslenme (yağlı-tuzlu) alışkanlığı (p=0.001, OR:1.615) olarak bulunmuştur. Sonuç: Hipertansiyon için bulunan risk faktörlerinin kontrol altına alınması ve takip edilmesi kardiovasküler rahatsızlıkları, serebrovasküler rahatsızlıklar vb. gibi birçok hastalığın altında yatan etkenin önüne geçilmesinde önemli rol oynamaktadır.
La fauna fantástica en Fragmentos del Apocalipsis: la reconceptualización espacial del Dragón Feo
Authors: Rozas Arceo Alba
Published: December 2018

En el presente trabajo se ofrece una aproximación contrastiva a la conceptualización de la Coca, dragón mitológico popular gallego, como Dragón Feo en la obra Fragmentos de Apocalipsis, autoría de Gonzalo Torrente Ballester, en función de su tratamiento espacial. Con este propósito, se analiza la concepción de dicha criatura mitológica en la tradición gallega y la deconstrucción espacial del dragón llevada a cabo por Torrente en su obra, a partir de la relación entre espacio, experiencia y organización del conocimiento, de acuerdo con las aportaciones de la geografía literaria y las geografías personales de David Lowenthal. This essay offers a comparative approach to the conceptualization of the Coca, a Galician popular mythological dragon, as a Dragón Feo in the book Fragmentos de Apocalipsis by Gonzalo Torrente Ballester, focusing on its spatial treatment. With this goal, it analyzes the conception of the mythical creature in Galician tradition and the spatial deconstruction of the dragon that Torrente does in his book, working from the relationship between space, experience and organization of knowledge, following the principles of literary geogprahy and personal geographies established by David Lowenthal.
De Enrique II a Juan II: aproximaciones decimonónicas
Authors: Ribao Pereira Montserrat
Published: December 2018

En este monográfico reunimos diez trabajos que abordan, desde perspectivasestéticas y genéricas diferentes, la reescritura ochocentista de los primeros Trastámarade Castilla, desde Enrique II hasta Juan II, desde los hechos de Montiel (1369) hastael ajusticiamiento de don Álvaro de Luna (1453), principio y fin de una época decontiendas bélicas y poéticas ante cuyos sugestivos argumentos sucumbieron losgenios creadores más diversos.
Enrique II de Castilla en la literatura romántica: la sombra de Pedro el Cruel
Authors: Catalán Romero Noemí
Published: December 2018

El presente estudio tiene como objetivo el análisis del tratamiento que realiza la literatura románticade la figura de Enrique II de Castilla, teniendo en cuenta la relevancia de este personaje histórico comofundador de la dinastía de los Trastámara, cuyo origen está enmarañado en el telar de la bastardía y el fratricidio.Analyzing the treatment about the figure of Enrique II of Castilla by Romantic Literature, is the aim ofthe following study. Needless to say that the was the forefather of Trastámara’s dynasty, which complicatedbeginning was led by bastardy and fratricide.
Un romántico comprometido: José María Bonilla y Don Álvaro de Luna, condestable de Castilla (1838)
Authors: Placín Alonso Leticia
Published: December 2018

El presente trabajo centra su atención en el estudio de Don Álvaro de Luna, Condestable de Castilla, drama histórico en prosa y verso del escritor valenciano José María Bonilla, estrenado en Valencia en 1838. En ese momento, solo un lustro después de la muerte de Fernando VII y en plena guerra carlista, Bonilla, periodista y fundador él mismo de diversos periódicos de corriente liberal encarna los postulados de la primera generación romántica. Como dramaturgo, el drama histórico le sirve para manifestar su posicionamiento frente a los acontecimientos políticos de su época, a partir de una estética romántica cuyos principales rasgos analizo en el título que me ocupa.The present paper is centred on the study of Don Álvaro de Luna, Condestable de Castilla, historical dramaboth in prose and verse, by the Valencian writer José María Bonilla, which was first performed in Valenciain 1838. At that moment, just five years after the death of Fernando VII and in the middle of theCarlist War, Bonilla, journalist and founder himself of several liberal-thinking journals embodies thepostulates of the first romantic generation. As a playwright, historical drama is used by him to voice hispositioning regarding the political events of his time, based on romantic aesthetics whose main traits analyse in the present title.
Álvaro de Luna (1840), de Antonio Gil y Zárate, ante la prensa de su tiempo
Authors: Rodríguez Lorenzo María del Carmen
Published: December 2018

En el presente trabajo llevo a cabo el análisis de las reseñas aparecidas en los periódicos de la épocasobre Don Álvaro de Luna (1840) de Antonio Gil y Zárate. Gracias a este estudio, podemos saber cuál fue la repercusión de la obra, cómo fue acogida por el público, cómo fue la representación de los actores,los días que estuvo en escena, qué se le criticó y qué se le alabó al autor… teniendo siempre presente elinterés que suscitó el estreno de esta obra después del escándalo que había supuesto Carlos II el hechizado (1837).In the present work I carry out the analysis of the reviews appeared in the newspapers of the epochon Don Álvaro de Luna (1840) of Antonio Gil y Zárate. Thanks to this study, we can know which wasthe repercussion of the work, how it was received by the public, how it was the representation of theactors, the days that it was in scene, what criticized him and that boasted to the author … bearing inmind always the interest that provoked the premiere of this work after the scandal that one supposedof previous work of the author: Carlos II el hechizado (1837).
"Las aves y animales de la oscura y encantada selva do habitamos": tipología y función de los animales en la novela pastoril española = "Las aves y animales de la oscura y encantada selva do habitamos": Tipology and function of animals in Spanish Pastoral Novel
Authors: González García Francisco Javier
Published: December 2018

En este trabajo se analizan las figuras de animales reales presentes en la novela pastoril española de los siglos xvi y xvii, género inaugurado por Jorge de Montemayor con la obra Los siete libros de la Diana (1559). A esta siguió una veintena de obras, cuyo género llegará hasta las tres primeras décadas del siglo xvii. En todas ellas se refiere gran variedad de animales, cuya función suele ser siempre la misma. Sin embargo, a medida que el género evoluciona, aparecen animales fabulosos, tales como las serpientes y perros gigantes.In this paper it is analyzed the figures of real animals in the Spanish pastoral novel of the sixteenth and seventeenth centuries, genre inaugurated by Jorge de Montemayor with the work Los siete libros de la Diana (1559), and many will come to the first three decades of the seventeenth century. They refer va­riety of animals, whose role is usually always the same in all of them. However, as the genre evolves, fabulous animals, such as snakes and giant dogs appear.
“Duermen bajo las aguas” (1955), de Carmen Kurtz: entre la autocensura y el asomo de una voz crítica en la posguerra española = “Duermen bajo las aguas” (1955), of Carmen Kurtz: between the self-censhorship and the emergence of a critical voice in the Spanish post-war
Authors: Rodríguez-Moranta Inmaculada
Published: December 2018

El artículo se enmarca en el análisis y recuperación de la obra narrativa de Carmen Kurtz (1911-1999), cuya producción novelística para adultos comprende trece obras de carácter realista y social. Duermen bajo las aguas (Premio Ciudad Barcelona, 1955) no tuvo problemas con la censura, y quizás por ello resul­ta una obra especialmente interesante. Se tratará de analizar cómo, en su primera incursión en la novela, la escritora se debatió entre la autocensura y el asomo de una voz crítica, pues, si bien evitó tratar de manera directa los efectos de la guerra y la posguerra española –trasfondo del relato-, introdujo una velada crítica a los mitos difundidos por el Régimen franquista en relación al papel de la mujer a través de su protagonista, Pilar, personaje en el que se centra este trabajo.The article is part of the analysis and recovery of the narrative work of Carmen Kurtz (1911-1999), whose novelistic production for adults includs thirteen works of a realistic and social nature. Duermen bajo las aguas (Ciudad de Barcelona Reward, 1955) had no problems with the censorship, and perhaps for that reason it becomes a particularly interesting work. It will be tried to analyze how, in her first incursion in the novel, the writer was debated between the “self censorship” and the appearance of a critical voice, because, although she avoided to treat in direct way the effects of the war and the Spanish postwar pe­riod - background of the story -, introduced a critic veiled of the myths spread by the Franco regime in relation to the role of women through its protagonist, Pilar, a character in which this work is centered.
Reflejo en un estudio de corpus de la evolución y frecuencia de la dialefa en la versificación española = Evolution and frequency of dialefa in Spanish poetry according to a corpus analysis
Authors: Alcoholado Feltstrom Antonio
Published: December 2018

Entre los fenómenos métricos, la dialefa ha experimentado una evolución desafortunada en la versifi­cación española desde el s. xiii hasta nuestros días, pasando de tener carácter de canon en la escansión del mester de clerecía a aparecer en una proporción de escaso valor en comparación con su fenómeno adverso, la sinalefa. Este trabajo atiende a dicha evolución y sus implicaciones preceptivas según se reflejan en el análisis de un corpus de 18471 versos.Among the meter phenomena, dialepha (hiatus in between words) has evolved in an unsuccessful fash­ion ever since the 13th Century to nowadays, changing roles from being a scansion rule for the Ministry of Clergy poets to becoming an exception if compared to its opposite phenomenon, synalepha. This pa­per focuses on the said evolution and its normative implications according to its reflection in a corpus built on 18471 lines.
Usos de la mitología en el Panegírico a Felipe V, de Enríquez de Navarra = Uses of mythology in the Panegírico a Felipe V, by Enríquez de Navarra
Authors: Portela Lopa Antonio
Published: December 2018

El presente trabajo estudia algunos aspectos del uso de la mitología en el Panegírico a Felipe V de Enríquez de Navarra. La figura del soberano y la de su consorte se perfilan elogiosamente a través de elementos positivos, entre los que ocupan un lugar principal los dioses y los héroes antiguos (Marte, Júpiter, Belona, Venus, Flora, Hércules).This paper studies some aspects of the use of mythology in the Panegyric to Philip V, written by Enríquez de Navarra. The figure of the sovereign is outlined through positive elements, among which the ancient gods occupy a principal place (Mars, Jupiter, Belona, Venus, Flora, Hercles).
Un experimento con “El Peregrino son Errante: la Boscarecha” de Pedro Espinosa = An experiment with “El Peregrino son errante: la Boscarecha” by Pedro Espinosa
Authors: Garrote Bernal Gaspar
Published: December 2018

Estudio del poema con que Pedro Espinosa, antes de 1603, se convirtió en motor de la innovación métrica que supuso la silva. El artículo analiza la boscarecha desde la doble perspectiva sincrónica (como construcción artificiosa dotada de especiales mecanismos rítmicos) y diacrónica, en la evolución del petrarquismo español y contando con la presión a que somete al sistema literario la aparición de una vanguardia.Study of the poem that turned Pedro Espinosa, before 1603, into the driving force that innovated meter with the silva. This article analyses the boscarecha from the double synchronic and diachronic perspective: as an artful construction featuring special rhythmic mechanisms, and inside the evolution of Spanish Petrarchism and the pressure it implies for a literary system the emergence of a vanguarde.
Juan Carlos Elijas. Balada de Berlín, PrefaciodeEduard Wald, Zaragoza, Los libros del gato negro, 2017, 88 pp.; y La sustancia última del mundo, PrólogodeEdwarWoodsFlores, Teruel, Ayuntamiento, 2017, 60 pp.
Authors: Balcells Doménech José María
Published: December 2018

Reseña
Javier Sánchez Zapatero, Max Aub: Epistolario español, prólogo de José Carlos Mainer, Kassel Edition Reichenberger, 2016, 237 pp.
Authors: Balcells Doménech José María
Published: December 2018

Reseña
Gerardo Piña Rosales, Carlos E. Paldao y Graciela S. Tomassini (eds.), Rubén Darío y los Estados Unidos, Nueva York, Academia Norteamericana de la Lengua Española, 2017, 279 pp.
Authors: Balcells Doménech José María
Published: December 2018

Reseña
Antalya’da Küçükbaş Hayvancılıkta Sürdürülebilirliğe Etki Eden Ekonomik Faktörlerin Değerlendirilmesi
Authors: ÖZALP Meral , SAYIN Cengiz
Published: December 2018

Bitkisel
ve hayvansal gıda talebi nüfus artışına bağlı olarak artış göstermektedir.
Hayvansal üretim talebi de bununla paralel bir şekilde artmaktadır. Antalya ili
sahil bandı örtü altı üretimi ve turizm sektörü açısından elverişlidir. Buna
karşın, yayla bandında yer alan bölgeler hayvancılık için uygun bir ortam
sağlamaktadır. Turizm sezonunda kent, nüfusunun üstünde nüfus ağırladığından,
bitkisel ve hayvansal gıda talebinde de artış yaşanmaktadır. Buna bağlı olarak,
kentin artan hayvansal gıda talebinin karşılanmasında hayvansal üretim önem
kazanmaktadır. Antalya’da koyun ve keçi yetiştiriciliğinin hayvansal üretim
içerisinde belirgin bir payı vardır. Küçükbaş hayvancılık, süt ve süt ürünleri
ile et üretimi bakımından sahil bandında artan hayvansal gıda ihtiyacının
önemli bir bölümünü karşılamaktadır. Ancak, bunun sürdürülebilir olması
açısından ekonomik etkenlerin beklentileri karşılaması gerekmektedir. Küçükbaş
hayvancılıkta sürdürülebilirlik; pek çok ekonomik, kültürel, politik ve
sosyo-ekonomik faktörden etkilenmektedir. Bu nedenle, küçükbaş hayvancılıkta
sürdürülebilirliğe etki eden ekonomik faktörlerin incelenmesi izlenecek
politikaların kurgulanması aşamasında önem taşımaktadır. Bu doğrultuda, bu
çalışmada Antalya ili örneğinde küçükbaş hayvancılık süt üretim faaliyetinde
sürdürülebilirliğe etki eden ekonomik faktörlerin değerlendirilmesi amaçlanmıştır.
Çalışmanın ana materyalini Antalya ilinde damızlık küçükbaş hayvan
işletmelerinden yüz yüze anket yolu ile elde edilen orijinal (birincil) veriler
oluşturmaktadır. Alan araştırması Batı Akdeniz Bölgesi’nde gerçekleştirilmiş,
örnekleme yöntemi olarak tabakalı örnekleme metodu kullanılmıştır. Batı Akdeniz
Bölgesi’nde gerçekleştirilen araştırma kapsamında 3 ilde toplam 151 anket
yapılmış, bu çalışmada sadece Antalya ilinde gerçekleştirilen 72 anket
kullanılmıştır. Araştırma dönemi 2016 Ekim ve 2017 Eylül arasını içeren 1
yıllık dönemi kapsamaktadır. Elde edilen sonuçlara göre Antalya’da küçükbaş
hayvancılık süt üretimi faaliyetinde yem masrafları %40’lık payı ile en büyük
masraf kalemini oluşturmaktadır. Antalya’da küçükbaş hayvancılık süt üretiminin
ekonomik olarak sürdürülebilirliğini sağlamak için süt üretimi gelirini
artıracak ve yem masraflarını azaltacak önlemlerin alınması ve yetiştiricilerin
daha fazla destekleme kaleminden yararlanabilmesi için gerekli düzenlemelerin
yapılması gerekmektedir.
Design of Uniform and Nonuniform Circular Arrays Comparison with FFA and RLS
Authors: Mubeen Dr Suraya
Published: December 2018

Multiple antennas can be arranged in various geometrical configurations to form antenna array with high directive radiation pattern. Linear antennas are limited in their steering capability. The circular arrays ar   more popular in recent years over other array geometries because they have the capability to perform the scan in all the directions and considerable change in the beam pattern which provide 3600 total coverage. Circular arrays are less sensitive to mutual coupling as compared to linear and rectangular arrays since they do not have edge elements. They can be used for beam forming in the azimuth plane for example at the base stations of the mobile radio communication systems as the components for signal processing. FFA design method of circular apertures for narrow beam width and low side lobes has been reported by Taylor. It includes the development of continuous circular aperture distributions, which contain only two independent parameters, A & , where A is related to the design of side lobe level and  is a number controlling the degree of uniformity of the side lobes.
A Control Chart Based on Two-piece Normal Distribution Using Repetitive Sampling
Authors: Rao Gadde Srinivasa , Aslam Muhammad , Azam Muhammad , Jun Chi-Hyuck
Published: December 2018

In this manuscript, a control chart is designed for two-piece normal distribution using repetitive sampling. The necessary measures to determine the average run lengths for in control and out-of-control process are given. The average run lengths are presented for various specified parameters and shift constants. The efficiency of the proposed chart is compared with the existing control chart using single sampling. The application of the proposed chart is given with the help of an example.
Stochastic Restricted Liu Type estimator for SUR model
Authors: Omara Tarek Mahmoud
Published: December 2018

In this paper, we introduce new Stochastic Restricted Estimator for SUR model, defined by StochasticÂ  Restricted Liu TypeÂ  SUR estimator (SRLTSE) . The propose estimator has deal with multicollinearity in SUR model if there is a degree of uncertainty in the parameters restriction. Moreover, the superiority of (SRLTSE) estimatorÂ  was derived with respect to mean squared error matrix (MSEM) criteria. Finally, a simulation study was conducted. This simulation used standard mean squares errorÂ  (MSE) criterion to illustrate the advantage between StochasticÂ  Restricted SUR estimator (SRSE), StochasticÂ  Restricted Ridge SUR estimator (SRRSE), and StochasticÂ  Restricted Liu TypeÂ  SUR estimator (SRLTSE) at several factors.Â
Bayesian Skew Normal Seemingly Unrelated Regression Modelling of Gross Regional Domestic Product
Authors: Santosa Agus Budi , Iriawan Nur , Setiawan Setiawan , Dokhi Mohammad
Published: December 2018

The assumption of the error normality in the regression model was often questioned especially in cases where there was an outlier, which causes the behavior of asymmetric data. To overcome this, without data transformation, we could use skew distribution. This distribution was very important and applicable in various fields of science such as finance, economics, actuarial science, medicine, biology, investment. Skew Normal distributions had been proven to have a convenient for calculating bias in data with asymmetric behavior. This study aims to model SUR with Skew Normal error using Bayesian approach applied to East Java GRDP data. This study would compared two types of models, namely models with Normal distributed errors and models with Skew Normal distributed errors. The result of parameter estimation with Bayesian approach shows that SUR Skew Normal model was more suitable for East Java GRDP modeling rather than using normal error model. This was based on their smaller Root of Mean Square Error (RMSE), Mean Absolute Error (MAE) and Mean Absolute Percentage Error (MAPE) value.Â
The Generalized Transmuted Poisson-G Family of Distributions: Theory, Characterizations and Applications
Authors: Yousof Haitham , Afify Ahmed Z , Alizadeh Morad , Hamedani G. G. , Jahanshahi S. , Ghosh Indranil
Published: December 2018

In this work, we introduce a new class of continuous distributions called the generalized poissonfamily which extends the quadratic rank transmutation map. We provide some special models for thenew family. Some of its mathematical properties including RÃ©nyi and q-entropies, order statistics andcharacterizations are derived. The estimations of the model parameters is performed by maximumlikelihood method. The Monte Carlo simulations is used for assessing the performance of the maximumlikelihood estimators. The â€¡exibility of the proposed family is illustrated by means of two applicationsto real data sets.
Clinical epidemiological study of uterine prolapse
Authors: K. Parvathavarthini , A. Vanusha
Published: December 2018

Background: Pelvic organ prolapse is one of the common gynaecological problem in India among the parous and aged women. Though the pelvic organ prolapse is not life threatening if left untreated it can lead to many social issues and also it reduces the quality of life of a woman. Thus, this study aims at generating epidemiological data on uterine prolapse in a clinical setting and identifying its risk factors so that appropriate measures can be taken to prevent the same.Methods: It was a descriptive case control study. Using a study proforma the required information was collected from the patients admitted with uterine prolapse (case) and from amongst the patient’s attendees of Gynaecology ward (control). Obtained data were compared and analyzed using appropriate statistical methods.Results: Uterine prolapse contributes to about 5.9% of the total gynecological patients admitted during the study period. The mean age of presentation with uterine prolapse was 50.1years the mean number of deliveries was higher in case compared to the control with the mean of 4 deliveries. Out of 130 patients, only 13.9% of them had institutional delivery while the others had home delivery.Conclusions: Uterine prolapse is strongly associated with age, parity and place of delivery. As the risk factors for uterine prolapse are easily preventable public health awareness programme must be conducted on its risk factors there by reducing the incidence of prolapse and decreasing the morbidity caused by it.
Hysteroscopy: an effective tool in post-menopausal bleeding
Authors: Junnare K. K. , Desai G. J. , Shekhawat G. S.
Published: December 2018

Background: Postmenopausal bleeding is a condition where endometrial carcinoma is to be ruled out. Traditionally, D and C is the preferred method for diagnosis in such condition. Other diagnostic modalities like trans vaginal ultrasonography (TVS) and hysteroscopy are being used for diagnosis in the cases of PMB. The objective of this study is to evaluate the efficacy and accuracy of TVS and hysteroscopy in women with postmenopausal bleeding (PMB).Methods: One hundred postmenopausal women with vaginal bleeding underwent TVS and hysteroscopy. Endometrial tissue was obtained by curettage and sent for histopathology examination. The results of TVS and Hysteroscopy were compared against HP report.Results: Hysteroscopy was successful in 98 patients. Endometrial histopathology revealed proliferative, secretory and atrophic endometrium in 26, 7 and 23 patients respectively. Polyp was diagnosed in 13 patients. Endometrial hyperplasia was detected in 11 patients and endometrial malignancy in 14 patients. All patients with endometrial hyperplasia and malignancy had ET (endometrial thickness) more than 4 mm, except one patient with endometrial malignancy who had 4 mm ET. The sensitivity and specificity of TVS for suspecting endometrial pathology at ET 4mm were 93% and 69.6%, respectively. Hysteroscopy had sensitivity of 95.2%, specificity of 92.8%, with diagnostic accuracy of 93.8%.Conclusions: Hysteroscopy was found to be the more sensitive and specific than Transvaginal sonography for diagnosing endometrial pathologies. Hysteroscopy is safe and effective for detecting endometrial pathologies in patients with PMB.
Role of sildenafil citrate therapy in pregnant women with foetal growth restriction and oligohydrominos from Northern India
Authors: Joshi Priyanka , Chouhan Madhubala , Choudhary Nidhi , Singh Abhishek
Published: December 2018

Background: No specific treatment is available for severe early-onset IUGR. To best of my knowledge, very few studies have assessed the potential benefit of Sildenafil therapy targeted to improve perinatal outcomes in pregnancies complicated by severe early-onset IUGR in Indian pregnant women.Methods: The present hospital based prospective study was carried out on one hundred ANC pregnant women with early and late fetal growth restriction and oligohydrominos at Pannadhai Mahila Chikatsalya, Rabindra Nath Tagore (RNT) Medical College, Udaipur, during Jan to Dec 2017. Sildenafil citrate 25 mg three times in a day was  administered until delivery. Study subjects were subjected to fetal Doppler and ultrasound twice a week after the Sildenafil administration.Results: After sildenafil therapy, out of total 45 cases of IUGR alone, 39 cases (86.66 %) had improvement. Out of 35 cases of oligohydramnios alone, 28 cases (80 %) had improvement.  Out of 20 cases having both IUGR and Oligohydramnios 16 had improvement (80 %) and only 4 cases did not show any improvement. Among gestation age 27-30 weeks group at the time of admission, there were total 10 cases out of which 5 (50 %) had early premature delivery (32-34 weeks), 3 (30 %) had late premature delivery (34-37 weeks) and 2 cases (2 %) had term delivery i.e. between 37-39 weeks after giving sildenafil treatment.Conclusions: The findings of the present study indicate that sildenafil citrate may offer a potential therapeutic strategy to improve outcomes in pregnant women facing foetal growth restriction and oligohydrominos.
Oral nifedipine versus nitroglycerine patch for tocolysis in preterm labour
Authors: Sharma Nidhi , Rani Shikha , Huria Anju , Chawla Deepak
Published: December 2018

Background: Preterm delivery is a major cause of neonatal mortality and morbidity. Various modalities have been used to prediction of patient at risk of preterm labor. But due to multi-factorial etiology these predictors are not always useful. Tocolysis has a major role in arresting preterm labor. The purpose of this study was to compare the safety and efficacy of oral nifedipine with transdermal nitroglycerine in the inhibition of preterm labour.Methods: This single blinded randomized control trial was conducted in the labour room of department of Obstetrics and Gynecology from January 2011 to June 2012. One hundred women with singleton pregnancy between 28 weeks to 34 weeks preterm labour and no contraindication for tocolysis were enrolled in the study. After taking the informed consent subjects were randomized into two groups. Randomization was done by random number table. Fifty-one subjects in nifedipine group received oral nifedipine (Tab Depin 10mg). Forty-nine subjects receiving transdermal nitroglycerine patch (Nitroderm Patch 10) were included in NTG group. The variables analysed were delay in delivery for 48 hours, 7 days or more than 7 days, period of gestation at delivery and side effect profile of drugs.Results: The percentage of women delivering after 48hours of administration of nifedipine group (52.9%) and nitroglycerine group (53.1%). Failure of tocolysis, defined as delivery within 48 hours, with nitroglycerine group (32.7 %) was comparable to nifedipine (33.3 %). Headache was significantly higher in nitroglycerine group as compared to nifedipine group (p≤0.001). Maternal tachycardia was more common in nifedipine group compared to NTG group (p=0.001).Conclusions: Oral nifedipine and transdermal nitroglycerine have similar efficacy as tocolytic agent in patients with preterm labour.
Serum CRP level in day of ovum pickup and embryo transfer as a predictor for success in patients undergoing IVF/ ICSI
Authors: Mohamed Mofeed F. , Zakria Abd El-Moneim M. , El-Sayed Walid M.
Published: December 2018

Background: This study was performed to determine the level of serum C-reactive protein (CRP) in day of ovum pickup and embryo transfer as a predictor for success in patients undergoing In-Vitro Fertilization (IVF) and Intracytoplasmic Sperm injection (ICSI).Methods: This study was a cross sectional study (prospective) that was conducted in assisted reproduction unit in Al-Azhar University Hospital on 50 infertile patients who were candidate for IVF/ICSI, using standard long protocol, blood was drawn two times during cycle, in the day of ovum pick up and the day of embryo transfer.Results: In (70.6 %) the serum of CRP level was higher in day of embryo transfer than day of ovum pick up. The ratio of CRP level in the day of embryo transfer to the day of ovum pick up was heigher (1.54) in patients who became pregnant after ICSI, patients with less than this ratio have not been pregnant.Conclusions: Controlled ovarian hyper stimulation and puncture of ovaries can potentiate systemic stimulation so increasing serum CRP level in day of embryo transfer rather than day of ovum pick up can predict success in patients undergoing IVF/ICSI.
Gestational diabetes mellitus and obstetric outcomes in a Ghanaian community
Authors: Bawah Ahmed Tijani , Ngala Robert Amadu , Seini Mohammed Mustapha , Ussher Francis Abeku , Alidu Huseini , Kwame Wumbee Joshua Dokurugu , Yeboah Francis Agyeman
Published: December 2018

Background: This study was aimed at evaluating effect of Gestational diabetes mellitus (GDM) and maternal characteristics on pregnancy outcomes. GDM has several risk factors including; advanced maternal age, ethnic background, obesity and family history of diabetes mellitus. These pregnancy complications are associated with fetal morbidity and mortality and may lead to macrosomia and shoulder dystocia. Others are stillbirth, miscarriages, preterm and small for gestational age babies.Methods: This was a retrospective case-control study which compared maternal characteristics and pregnancy outcome among pregnant women with and without GDM. Diagnosis of GDM was done in accordance with the American Diabetes Association (ADA) criteria. Weight and height were determined and Body mass index (BMI) calculated. Pregnancy outcome was determined at the end of pregnancy and information on maternal characteristics obtained using questionnaire and patient folders.Results: Those who developed GDM were significantly older (OR=1.772; 95% CI=1.432-2.192; P<0.0001) and had higher BMI (OR=1.637; 95% CI=1.004-1.289; P=0.044) than those who did not. A significant number of those who developed GDM also had stillbirths (OR= 5.188; 95% CI=1.093-24.613; p=0.038) and cesarean deliveries (OR=14.362; 95% CI=3.661-56.335; p= 0.001).Conclusions: Women who develop GDM are more likely to deliver stillborn or macrosmic babies and may require surgical intervention in order to have normal deliveries.
Comparative study of user friendliness of paperless partogram compared to WHO partogram in preventing prolonged labour
Authors: M. Faswila , Rao Smitha B.
Published: December 2018

Background: Partogram is being used since 1954 when Friedman described it for monitoring progress of labour. The Paperless Partogram proposed by Dr. Debdas is a low-skill method for detection of abnormal labour. The objective of the present study was to know efficacy and user friendliness of paperless partogram in comparison with WHO partogram in monitoring and management of labourMethods: It’s a comparative study. Total of 100 patients were included in the study where half of the patients were monitored by paperless partogram and the other half by WHO modified partogram. The plotting of the WHO partographs started as soon the cervical dilatation was 4 cm along with regular painful uterine contractions. In the paperless partogram calculation will be two times, an ALERT ETD (estimated time of delivery) and an ACTION ETD. The outcome of labour will be recorded at the end of each partographs.Results: Paperless partogram was better than WHO partogram in terms of documentation, ease of use, learning, time factor, cost effectiveness and monitoring of labour, identification of abnormal labour.Conclusions: In present study paperless partogram was found to be preferred for monitoring of labour.
Combined hysteroscopy and laparoscopy in evaluation of female infertility
Authors: Gandotra Nikita , Rizvi Syed Masuma , Sharma Preeti
Published: December 2018

Background: Infertility has always been one of the most elusive symptom complexes that perplex the best gynecologists and affects about 10-15% of reproductive age couples.Methods: This descriptive study was conducted in the Postgraduate Department of Obstetrics and Gynaecology at Government Medical College, Jammu  for a period of 18 months in which 100 infertile females attending  OPD for infertility workup were subjected to detailed relevant history taking followed by physical examination. Diagnostic hysteroscopy and laparoscopy along with laparoscopic chromopertubation was carried out after written informed consent including minimal therapeutic interventions if required.Results: Out of 100 patients included in the study, 67 (67%) presented with primary infertility and 33 (33%) presented with secondary infertility. Combined laparoscopy and hysteroscopy was normal in 13% (13) of cases. Out of 100 patients, abnormal laparoscopic findings were noted in 73% of patients: Endometriosis ( 13%),Polycystic ovaries (12%), Unilateral tubal block (11%), Pelvic inflammatory disease (9%).Abnormal hysteroscopic findings were noted in 47% of patients: Submucous myoma (8%),unilateral ostial block (8%),Endometrial polyp (7%), Hyperplasic endometrium (7%), Cervical stenois (6%).Most common cause of infertility in present study on Combined hysteroscopy and laparoscopy was Endometriosis (13%) followed by Polycystic ovaries (12%),Uterine myoma (12%) out of which 5% myomas were diagnosed on laparoscopy and 8% on hysteroscopy and 1%  had myoma diagnosed on both hysteroscopy and laparoscopy. In the primary infertility group most, common finding was Polycystic ovaries (16.4%)  followed by Endometriosis (14.9%) and uterine myoma (14.9%) while in patients suffering from secondary infertility, most patients had Bilateral tubal block (18.2%), Pelvic inflammatory disease (12.1%), Unilateral tubal block (12.1%), intrauterine adhesions (12.1%).Conclusions: Combined Hysteroscopy and Laparoscopy is a quintessential tool that provides cost-effective, comprehensive and single set-up diagnostic aid in infertile patients.
A prospective observational study conducted in tertiary teaching hospital of Uttar Pradesh to compare safety and efficacy of PPIUCD and interval IUCD (380A)
Authors: Gupta Nidhi , . Akanksha
Published: December 2018

Background: The objective of this study was to compare the efficacy and safety of PPIUCD and interval IUCD.Methods: This was a prospective observational study conducted on women attending the OPD and indoor services of S.N. Medical college, Agra. 800 women willing for PPIUCD insertion were included in the study after informed consent excluding chorioamnionitis, PROM>18 hours, unresolved PPH and puerperal sepsis. Another 200 willing women were inserted interval IUCD according to MEC criteria of WHO. All were followed up for 1 year.Results: It was found that rate of expulsion was more in PPIUCD group compared to interval IUCD group (6%vs 1.5% p value <.05),rate of removal was almost similar in both groups (11.5%inPPIUCD and 14%in interval IUCD group), cause of removal was mainly social in PPIUCD group while bleeding was more in interval IUCD group compared to PPIUCD (85.7%vs26%).Conclusions: Postpartum insertion of IUCD is a safe effective, feasible and reversible method of contraception.
Study of fetomaternal outcome of teenage pregnancy in a tertiary care hospital-MGMGH
Authors: Devi Gayathrie , . Kayalvizhi , M. Poovathi
Published: December 2018

Background: The objective is to study the fetomaternal outcome in teenage pregnancy at MGMGH for the study period of 6 months from April 2018 to September 2018. Teenage pregnancy is a worldwide health problem. WHO defined adolescence as the period from 10-19 years. It is a serious health problem in a developing country like India. Teenage pregnancy is associated with high risk of prematurity, low birthweight, preeclampsia and anaemia. The NHFS IV 2015 -2016 estimates that overall teenage pregnancy in India 7.9%.Methods: It is a retrospective study conducted in a tertiary care hospital at MGMGH, Trichy over a period of 6 months.251 teenage pregnant women delivered at our institution were selected for the study out of 4508 total deliveries during the study period. Parameters including incidence, age, parity, booking status, educational and socioeconomic status, medical disorders, antepartum, intrapartum, postpartum complications, mode of delivery and neonatal outcome were studied.Results: Study showed the incidence of teenage pregnancy at our MGMGH is 5.56%. Among these teenage pregnant women 47.1% had anaemia, 23.1% had gestational hypertension,4.8% of women had eclampsia, 22.3% % had preterm delivery. Lscs rate was 27.1%,70.29 % had Normal vaginal delivery,1.6% had instrumental deliveries, 31.5% had low birth weight babies,28.2 % NICU admissions, 2.9% perinatal deaths.Conclusions: Teenage pregnancy is associated with increased incidence of anaemia, pre-eclampsia, eclampsia, preterm delivery, instrumental delivery, low birth weight and perinatal death. By improving socio economic status, education, nutrition, good antenatal care, public awareness, institutional delivery and postnatal care help in reducing maternal and perinatal morbidity and mortality in adolescent pregnancy.
Comparative study of non-descent vaginal hysterectomy with abdominal hysterectomy
Authors: Patel Tejal L. , Patel Rinkal R. , Vaghela Vaibhavi
Published: December 2018

Background: Hysterectomy is one of the most common operation performed in Obstetrics and Gynecology next to caesarean section. Due to its advantages vaginal hysterectomy are more and more performed now. Only drawback is lack of expertise. Present study focuses on comparison between outcomes in abdominal versus vaginal hysterectomy and to determine which route of hysterectomy is superior, safer and effective.Methods: The study is a prospective study conducted in the department of obstetrics and Gynecology. Civil hospital, Ahmedabad between the period of Jan 2016 to 2017. Of 100 patients. Fifty patients who underwent hysterectomy by vaginal route are taken as study group A, and the remaining 50 patients who underwent by the abdominal route are taken as study group B.Results: Majority of women undergoing hysterectomy were in age group of 30-50 years; postmenopausal age group women were less;13 NDVH and 5 in AH. Majority of the women were multipara in both age groups. Menorrhagia was found to be major indication with 42 in NDVH and 40 in AH. There is much significant difference in the postoperative pain in both groups with less in NDVH group. There is not much significant difference in blood loss in both the groups. Postoperative complications were more with AH.Conclusions: Thus, it can be concluded that NDVH is feasible, safe and provide more patient comfort without increasing the duration of surgery and other post-operative complications.
Management of postpartum iron deficiency anemia: review of literature
Authors: Saber Mohamed , Khalaf Mohamed , Abbas Ahmed M. , Abdullah Sayed A.
Published: December 2018

Anemia is a condition in which either the number of circulating red blood cells or their hemoglobin concentration is decreased. As a result, there is decreased transport of oxygen from the lungs to peripheral tissues. The standard approach to treatment of postpartum iron deficiency anemia is oral iron supplementation, with blood transfusion reserved for more server or symptomatic cases. There are a number of hazards of allogenic blood transfusion including transfusion of the wrong blood, infection, anaphylaxis and lung injury, any of which will be devastating for a young mother. These hazards, together with the national shortage of blood products, mean that transfusion should be viewed as a last resort in otherwise young and healthy women. Currently, there are many iron preparations available containing different types of iron salts, including ferrous sulfate, ferrous fumarate, ferrous ascorbate but common adverse drug reactions found with these preparations are mainly gastrointestinal intolerance like nausea, vomiting, constipation, diarrhoea, abdominal pain, while ferrous bis-glycinate (fully reacted chelated amino acid form of iron) rarely make complication. Two types of intravenous (IV) preparations available are IV iron sucrose and IV ferric carboxymaltose. IV iron sucrose is safe, effective and economical. Reported incidence of adverse reactions with IV iron sucrose is less as compared to older iron preparations (Iron dextran, iron sorbitol), but it requires multiple doses and prolonged infusion time. Intramuscular iron sucrose complex is particularly contraindicated because of poor absorption. It was also stated that when iron dextran is given intravenously up to 30% of patients suffer from adverse effects which include arthritis, fever, urticaria and anaphylaxis.
Clinical significance and treatment of striae gravidarum during pregnancy: a review article
Authors: Abbas Ahmed M. , Kamel Fatma M. , Salman Safwat A.
Published: December 2018

Abdominal stretch marks found during pregnancy may be indicative of poor skin elasticity. One who does not have stretch marks may have better skin elasticity and may be less likely to tear perineal and vaginal tissue during vaginal delivery. Striae gravidarum (SG) is a common phenomenon of stretch marks observed during pregnancy that may be an indicator of poor skin elasticity. The type and amount of collagen in connective tissue are considered to determine the individual’s elastic index. The skin surface is made up of a complex network of crossing thin lines. The two-dimensional relationship between primary and secondary lines determines the skin texture and its grade of irregularity. SG is caused by changes in the structural connective tissue due to a hormonal elect on the alignment and reduced elastin and fibrillin in the dermis. Severity scoring of SG was observed using the numerical scoring system of Atwal. This score provides a rank based on observation of four areas in which SG is most commonly observed (abdomen, hips, buttocks, and breast).