bluuebunny/crossref_metadata_2025 huggingface dataset:
Pedagogía social y artes mediales: propuesta innovadora de la escuela inclusiva
Authors: Bernaschina Diego
Published: June 2023

Este artículo consiste en una nueva visión del pensamiento freireano para ofrecer en la búsqueda innovadora de la implementación metodológica, tanto la educación multicultural (ymultilingüe) como la escuela inclusiva, desarrollando las actividades de artes mediales en el campo de la educación social. Nuestro objetivo es aplicar el método analítico de Freire y lasartes mediáticas para mejorar la educación escolar y promoverla inclusión educativa y social en las escuelas, a través de programaseducativos innovadores, y un ambiente de aprendizaje colaborativo y respetuoso que valore la diversidad cultural y la igualdad de oportunidades para todo el alumnado. La aproximación freireana al pensamiento se centra en la relación socioeducativaen el campo educativo. Propone integrar el desarrollo socioeducativo,teórico y práctico, en distintos valores y funcionamientos de la educación mediante la pedagogía crítica. Esta propuesta educativa busca separar las artes mediáticas para transformarel dilema de alfabetización crítica y mediática, y establecer unanueva relación entre la pedagogía crítica y la educación social.La influencia del pensamiento freireano implica conectar la culturay las artes en un programa de alfabetización mediática queincluya tanto la teoría como la práctica educativa. Finalmente,se propone abrir un debate para reflexionar sobre la formaciónde docentes y artistas para la “escuela virtual”, interactuando con estudiantes inclusivos de diversas culturas para crear obras artísticas y promover la independencia en actividades de artesmediales.
Competencia inclusiva en la práctica docente: análisis bibliográfico y propuesta de categorización
Authors: Laspina-Olmedo Tania , Montero Delfín
Published: June 2023

La educación inclusiva es un componente esencial de la educaciónregular, que implica que los docentes atiendan a la diversidad en sus aulas, por lo tanto, se espera que estén preparados para ejercer su profesión de manera adecuada. Para conocercuáles son las competencias necesarias para atender a estudiantescon Necesidades Educativas Especiales, el objetivo de estainvestigación es proponer una categorización teórica de las competencias más relevantes a través de las prácticas docentes pormedio de una revisión de instrumentos probados. Para lograr este objetivo, se llevó a cabo una revisión de 24 estudios cuantitativos que evalúan las competencias, la percepción y las prácticas inclusivas de los docentes en diversos países. Para la selección delos instrumentos, se establecieron ciertos criterios de selección, como palabras clave, año de publicación, índice de confiabilidad (Alpha de Cronbach) y estudios con análisis factorial, para garantizar la calidad y validez del constructo. A partir de losinstrumentos analizados, se identificaron 18 herramientas con87 diferentes dimensiones, que fueron clasificadas y categorizadas conceptualmente en cinco dimensiones principales: Procesopedagógico, Prácticas inclusivas, Trabajo colaborativo, Actitud yvalores y Desarrollo profesional. Estas categorías contemplan las competencias inclusivas que se considera que deberían poseer los docentes en su práctica profesional. El objetivo de este trabajo es contribuir a la revisión de la literatura sobre las competencias inclusivas en la práctica educativa. Esto para posteriormente proponer una herramienta válida en el contexto educativo, con la cual sea posible determinar, a través de un diagnóstico, las competencias que presentan los docentes de las instituciones educativas de nivel medio. El punto de partida fue una revisión detallada de 24 artículos científicos publicados en revistas de impacto, en las que encontramos diferentes cuestionarios que evalúan las competencias inclusivas de los docentes en varios países de América Latina, África, Asia, Europa y Medio Oriente, en el ámbito de la educación inclusiva. Para la selección tomamos en cuenta principalmente dos aspectos importantes, primero que hayan aplicado análisis factorial y segundo que tengan un índice de fiabilidad significativo. Como resultado, obtuvimos 18 investigaciones cuantitativas de las que analizamos las 87 dimensiones encontradas y las categorizamos conceptualmente en: Proceso pedagógico; Inclusión: adaptaciones y recursos; Trabajo colaborativo; Políticas inclusivas y Formación profesional. Los resultados presentan factores en común y concuerdan en que es necesario reforzar la formación del profesorado en el marco de las competencias inclusivas que son esenciales para realizar procesos inclusivos de calidad.
Aprendizaje basado en problemas para enseñar antropología forense en educación secundaria
Authors: Fernández-Laso María Cristina , Amores Anabel , Viciano Joan
Published: June 2023

El creciente interés por el Grado en Criminología en los últimosaños se ha debido principalmente a la emisión de series contemas forenses. Estas han generado una imagen distorsionadade la antropología forense que se ha traducido principalmenteen un aumento del número de discentes en el grado y, en numerososcasos, en una decepción por los contenidos del itinerarioformativo. Por ello, el conocimiento de la antropología forenseen la etapa preuniversitaria requiere diseñar proyectos de innovacióneducativa con metodologías activas que logren formar alalumnado en las áreas esenciales de esta disciplina. Este trabajopresenta los resultados de una propuesta de innovación, basadaen el Aprendizaje Basado en Problemas (ABP), implementadaen los cursos de tercero y cuarto de educación secundaria conel objetivo de evaluar la eficacia del ABP en el aprendizaje de laantropología forense. El alumnado se convierte en antropólogospor un día aplicando métodos y técnicas forenses para identificarvarios individuos a través de la experimentación y determinaciónde la estatura, el sexo y la edad. Los resultados del estudiomuestran que el ABP fomentó en el aula un ambiente motivador,colaborativo y un aprendizaje significativo para establecer laidentidad de los individuos; así como se percibió una aceptaciónmuy favorable del método y las técnicas del taller por parte delos participantes y el profesorado.
Uso de dispositivos móviles en el aula para dinamizar e incentivar el aprendizaje. Estudio de caso con alumnado de pregrado
Authors: Urcid Rodrigo
Published: June 2023

Este texto se desarrolla porque busca comprender cómo se pueden incorporar en el aula nuevas pedagogías basadas en el uso de dispositivos móviles. El objetivo de esta investigación es sustentar que el uso de smartphones, tabletas y laptops en el salón de clases es algo necesario y debe incorporarse como una práctica lúdica en los salones de clases. El enfoque metodológico es cualitativo; se tienen 63 personas como sujetos de estudio, las cuales se dividen en catorce grupos focales. Hay tres resultados esenciales: 1) es inevitable incorporar dispositivos móviles comoherramientas de trabajo en las clases; 2) los dispositivos son aliados del aprendizaje si se utilizan de forma adecuada; 3) se debe integrar la tecnología en los contextos educativos actuales. La principal discusión se enfoca en entender que los dispositivos móviles son un componente esencial que forma parte del estudiantado y del ser humano y que su uso es cada vez mayor. La conclusión es que prohibir su uso no es una opción viable, al contrario; el docente debe tener la capacidad de incluirlo en las sesiones y hacer que se convierta en una herramienta que fomenta el proceso de enseñanza y aprendizaje, es decir, la educaciónnecesita actualizarse y esa renovación debe abordarse desde un punto de vista que integre la tecnología con la innovación educativa.
Protocols for "Characterizing the diversity of enteric neurons using Dopamine Transporter (DAT)-Cre reporter mice". v1
Authors: not provided sherilyn.recinto
Published: June 2023

Dopaminergic neurons (DA) are the predominant cell type in the midbrain that synthesize dopamine, a neurotransmitter implicated in a number of behavioural processes, including motor function, the reward pathway, and satiety. In diseases affecting these neurons, such as in Parkinson’s disease (PD), there is growing evidence that the gut-brain axis and selective vulnerability of DA neurons plays a crucial role in disease. Most investigations relating to DA neurons in the gut rely on immunoreactivity to tyrosine hydroxylase (TH) - a rate-limiting enzyme in the production of dopamine. However, the reliability of TH staining as a marker of DA neurons has been questioned in recent years. Our aim is to perform a comprehensive characterization of DA neurons in the gut using a well-accepted reporter mouse line, expressing a fluorescent protein under the dopamine transporter promoter (DAT). Our findings confirm a unique localisation of DA neurons in the gut, and also unveil that there are discrete subtypes of DA neurons in the gut, which we characterised using both immunofluorescence and single cell transcriptomics. We observed distinct subtypes of DAT neurons expressing co-transmitters and modulators; some of them likely co-releasing acetylcholine, and a smaller population likely releasing nitric oxide; while others were positive for a slew of canonical DA markers (Vmat2, Girk2, Foxa2). Given the clear heterogeneity of DA gut neurons, further investigation is warranted to define their functional signatures and discover their inherent biological differences that put these cells at risk for neurodegeneration.
Investigation of Learning Experiences of Primary School Students with Mathematics Learning Disability with Authentic Activities
Authors: ÖZER ŞANAL Seda
Published: June 2023

This study aimed to examine the primary school children learning experiences with mathematics learning difficulties in authentic contexts. Eight primary school students with mathematics difficulties participated in the research as multiple case studies. Research data were obtained with three different data collection methods. These were determined as semi-structured interviews (before and after observation), in-class observation and document review. At the end, as the result of the data collection process, which lasted for a total of five months, the students’ opinions showed that; Mathematics teaching supported by authentic activities brought along features such as familiar problems, well-defined tasks, cognitive support, authentic assessment and reflection. In addition, it was seen from the student data who participated in all of the authentic tasks that; Students who participated in authentic tasks with their peers, teachers, or parents had higher completion rates.
Investigation of CEIT Undergraduate Program According to Teachers’ and Academicians’ Views
Authors: YÜNKÜL Eyup , GÜNEŞ Ahmet Melih
Published: June 2023

This study aims to reveal the effectiveness of the CEIT undergraduate program in line with the views of teachers and academicians. Phenomenology design, one of the qualitative research designs, was used in the study. The study group consisted of 14 individuals selected via multistage sampling. Of the participants, 8 were teachers who graduated from CEIT undergraduate program and 6 were academicians working in the CEIT program. In the study, a semi-structured interview form developed by the researcher was used as the data collection tool. The data obtained in the study were analyzed using the content analysis technique. In the study, both teachers and academics mentioned the computer class problems, insufficient class hours and lack of applied courses during the implementation of the program Regarding the distribution of the courses in the program, teachers stated that training on current software and field courses should be emphasized; academics stated that the number of field elective courses and the weekly hours of field elective courses should be increased.
Age-Based Digital Divide: Uses of the Internet in People Over 54 Years Old
Authors: Papí-Gálvez Natalia , La Parra-Casado Daniel
Published: June 2023

The digitization process is widespread and unrelenting. Compared with other European countries, Spain has a good position in the latest data compiled in the Digital Economy and Society Index. Direct use of communication and information technologies is high among the regions in Spain, where the national average in the region of Valencia stands out. However, despite this context, differences between population groups continue to be observed in different dimensions of the digital divide. This article explores this multidimensional gap among the midlife and older adult population. The research design adopts a mixed-method sequential design (questionnaire-based survey, follow-up with semi-structured interviews) to explore social positions in relation to access and use of technologies and the meanings that people ascribe to such positions and actions. A telephone survey was conducted with 1,800 people over 54 years of age residing in Valencia in September 2021, followed by 67 in-depth interviews. The results suggest that demographic and socioeconomic characteristics (level of education, age, and gender) determine people’s position in the digital divide. Qualitative discourses qualify these results by elucidating key aspects that could be acting as protectors of digital and social exclusion. They are related to the social and family context and the characteristics of digital service providers. The findings are useful to guide both public policies to promote digital inclusion and private market actors when designing their digital strategies.
Catching the Digital Train on Time: Older Adults, Continuity, and Digital Inclusion
Authors: Van Leeuwen Cora , Jacobs An , Mariën Ilse
Published: June 2023

As society has become more reliant on digital technology, it has changed the perception of the ageing experience to now include a digital component. However, not every older adult perceives digital technology as essential to their way of ageing. In this article, we asked 76 older adults with different patterns of digital technology use how they experience and perceive the role of digital technology in the context of their ageing. The thematic analysis results point to a more nuanced understanding of the importance of familial support, the role of personal history or continuity in older adults’ digital inclusion, and how they see the role of age in relation to digital technology. Furthermore, our findings show that ageism is both a barrier and a motivational factor for older adults. When ageism is based on the level of digital inclusion, it can cause a different ageing experience, one that is perceived as superior by those using digital technology. This leads to a precarious situation: It becomes essential to maintain digital skills to avoid the non‐digital ageing experience even as it becomes more difficult to maintain their skills due to the evolution of technology. Prior to the study, we created a conceptual framework to understand ageing in a more digitalised world. We used the findings of this study to test the conceptual framework and we conclude that the framework can clarify the role (or lack) of digital technology in the ageing experience of older adults.
“Sometimes I feel like they hate us”: The Society of American Archivists and Graduate Archival Education in the Twenty-first Century
Authors: Poole Alex H. , Todd-Diaz Ashley
Published: June 2023

The Society of American Archivists (SAA) has long involved itself with graduate-level archival education. It has sponsored committees and subcommittees, guidelines, roundtables/sections, student chapters, and pre-conferences. But limited empirical evidence exists regarding faculty members' view of SAA's involvement with graduate archival education. This exploratory qualitative case study employs semistructured interviews with full-time, tenure-track archival faculty. We address the ways in which SAA contributes to faculty members' teaching, faculty members' encouragement of students to join SAA, SAA student chapters and faculty advising, and how SAA might promote better communication, coordination, and collaboration between graduate archival education programs and practitioners. We contend that despite decades of effort on both sides, the relationship between graduate archival education programs and the Society of American Archivists remains disjointed, ultimately limiting the field's development. We offer recommendations and suggestions for future research to strengthen this relationship in the interest of improving student experience and the health of the profession.
β-Like DNA polymerases and prospects for their use as targets in chemotherapy of tumors
Authors: Davydov V.V. , Bukhvostov A.A. , Kuznetsov D.A.
Published: June 2023

DNA polymerases β are enzymes that perform repair of damaged DNA. In the cells of malignant tumors, there is a change in the production and properties of these enzymes, which is accompanied by altered viability of tumor cells. Analysis of the publications available in Russian and international databases (Pubmed, Elsevier) on the structure and properties of DNA polymerases β and their role in cell growth and proliferation, published over the past 20 years, has shown overexpression of genes encoding β-like DNA polymerases in many types of malignant tumors cells. This explains the maintenance of their viability and proliferative activity. Targeted inhibition of β-like DNA polymerases is accompanied by antiproliferative and antitumor effects. Stable paramagnetic isotopes of magnesium (25Mg2+) or other divalent metals (43Ca2+ and 67Zn2+) with uncompensated nuclear spin isotopes, as well as short single-stranded polydeoxyribonucleotides, can be used as promising antitumor pharmacophores.
Implication of integrin α5β1 in senescence of SK-Mel-147 human melanoma cells
Authors: Kozlova N.I. , Morozevich G.E. , Gevorkian N.M. , Kurbatov L.K. , Berman A.E.
Published: June 2023

Downregulation of α5β1 integrin in the SK-Mel-147 human melanoma culture model sharply inhibits the phenotypic manifestations of tumor progression: cell proliferation and clonal activity. This was accompanied by a 2-3-fold increase in the content of SA-β-Gal positive cells thus indicating an increase in the cellular senescence phenotype. These changes were accompanied by a significant increase in the activity of p53 and p21 tumor suppressors and components of the PI3K/Akt/mTOR/p70 signaling pathway. Pharmacological inhibition of mTORC1 reduced the content of SA-β-Gal positive cells in the population of α5β1-deficient SK-Mel-147 cells. A similar effect was observed with pharmacological and genetic inhibition of the activity of Akt1, one of the three Akt protein kinase isoenzymes; suppression of other Akt isozymes did not affect melanoma cell senescence. The results presented in this work and previously obtained indicate that α5β1 shares with other integrins of the β1 family the function of cell protection from senescence. This function is realized via regulation of the PI3K/Akt1/mTOR signaling pathway, in which Akt1 exhibits a non-canonical activity.
Tasks and evolution of microservice architecture
Authors: Клоков В.Н. , Вечерская С.Е.
Published: June 2023

В обзоре рассмотрена история развития микросервисной архитектуры, определены понятия микросервисной архитектуры и микросервиса, выполнено сравнение монолитной и микросервисной архитектур, что позволило обосновать выбор преимущественной архитектуры. Также рассмотрено несколько успешных кейсов использования микросервисной архитектуры и описаны условия, при которых выбор микросервисов является оптимальным.

The review examines the history of the development of micro-service architecture, defines the concepts of micro-service architecture and microservice, compares monolithic and microservice architectures, which made it possible to justify the choice of the preferred architecture. Several successful cases of using micro-service architecture are also considered and the conditions under which the choice of microservices is optimal are described.
International Family Law: Modern Problems, Ways to Solve Th em and the Role of International Lawyer in Resolving Family Disputes
Authors: Солдатов Р.Г. , Солдатова Д.Э. , Загайнов М.Р. , Кузнецова В.В. , Карчевская А.А.
Published: June 2023

Выделяются и  исследуются современные проблемы международного семейного права, а также способы их разрешения. Уделено особое внимание роли международного адвоката в разрешении семейных споров, осложненных иностранным элементом. Приведены примеры актуальных спорных ситуаций в области семейных отношений, выходящих за юрисдикцию одного государства. Проанализированы законодательства различных государств, регулирующие указанные правоотношения. Обозначены аспекты, в которых профессиональная юридическая помощь может быть необходима. Сделан вывод о необходимости модернизации действующего законодательства на международном и  национальном уровнях, учреждения должностей консультантов-специалистов при государственных судах как для судей, так и для сторон, организации ежегодных правовых форумов, освещающих проблемы международного семейного права и пути их решения, повышения профессиональной квалификации адвокатов в области международного семейного права.

The article highlights and explores the current problems of international family law, as well as ways to solve them. Particular att ention is paid to the role of an international lawyer in resolving family disputes complicated by a foreign element. The authors provide the examples of topical disputes in the field of family relations that go beyond the jurisdiction of one state. Th e legislation of various states regulating these legal relations is analyzed. The aspects in which professional legal assistance may be necessary are indicated. In the course of the study, the authors came to the conclusion that it is necessary to modernize the current legislation at the international and national levels, establish positions of specialist consultants in state courts, both for judges and parties. The article justifies the need to organize annual legal forums to highlight the problems of international family law and ways of their solution, raise professional lawyers’ skills in the field of international family law.
The matrilineal society of Meghalaya: trends of family planning and its implications on maternal health
Authors: Shullai Wansalan Karu , Singh A. Santa , Agarwal Manika
Published: June 2023

Background: The key health indicators pertaining to maternal health are TFR, contraceptive usage and MMR. As per the NFHS V, the use of any contraceptive method is 27.4% and total fertility rate is 2.9 in Meghalaya, which reflects on the poor performance of the state towards achieving the goals set by the National Health Policy 2017. The current MMR of Meghalaya is 211/1 lakh live birth, one of the highest amongst the Indian states. The two most important causes of maternal mortality in Meghalaya are post-partum haemorrhage and anaemia- both avoidable causes of maternal mortality related to higher order pregnancies and lack of adequate spacing between two consecutive pregnancies, thereby increasing the importance of contraceptive use. The aim of the study was to identify factors associated with poor uptake of contraceptive measures and their implications on maternal health in a matrilineal society.
Methods: A cross sectional study was conducted in the department of obstetrics and gynaecology, NEIGRIHMS where 200 patients, indigenous to Meghalaya, were recruited over a period of one year and were interviewed using a validated questionnaire pertaining to family planning practices.
Results: Factors such as number of live births, religion and residence were seen to influence the utilization of contraceptive methods.
Conclusions: There is still a wide gap to be filled- more sincere and dedicated efforts are needed to empower women to make informed decisions by   increasing awareness about the importance of family planning and its implications on maternal health.
Impact of lifestyle modifications on morbidities associated with polycystic ovarian syndrome
Authors: Mehrotra Ragini , Chaudhary Richa , Saxena Somya
Published: June 2023

Background: The study aimed to systematically review the efficacy of long-term (6 to 9 months) lifestyle modifications in the form of dietary modifications, weight loss interventions, and psychosocial and behavioural changes.
Methods: This observational study was done on 110 women with PCOS-like features for one year. Personal and menstrual history was recorded. General and systemic examination was done. Routine investigations of blood and urine were done. The level of hormones was evaluated. USG of the lower abdomen and pelvis was also done. The data were recorded and analysed statistically.
Results: Significant difference was observed in all parameters before and after lifestyle and behavioral modifications.
Conclusions: Lifestyle interventions may improve weight and BMI in women with PCOS. Women who underwent lifestyle modifications significantly improved menstrual and reproductive function. We considered adopting a healthy lifestyle with a low-calorie diet and physical exercise that will generate weight loss.
A correlation of clinical, hormonal and ultrasonography features of polycystic ovarian syndrome among adolescent and reproductive age group women attending OPD in Navodaya medical college
Authors: D. Rita , M. P. Geethanjali , Reddy Kappu Shanthi
Published: June 2023

Background: Polycystic ovarian syndrome is the most common complex endocrine disorder in women of reproductive age. It is characterized by an array of clinical, endocrinal and metabolic manifestation. Aim of this study was to examine the correlation between clinical, hormonal and ultrasonography features in women diagnosed as polycystic ovarian syndrome.
Methods: A cross sectional study of 100 reproductive age group women who had irregular cycles and polycystic ovarian morphology on ultrasound. Data about the menstrual history and anthropometric measurements were collected. Clinical observations were like hirsuitism and acanthosis nigricans was noted.
Results: In all 100 PCOS women were studied and analysed. The mean age was 24.27(±5.64), mean BMI was 26(±4.8). Among the PCOS women 82% had oligo menorrhoea, 38% had hirsuitism and LH:FSH ratio deranged in 37% cases. The association between women having oligomenorrhoea and obesity with PCO morphology on scan was statistically significant.
Conclusions: Young women who are diagnosed as dysregulated PCO are at a high risk to develop PCOD and long term sequel such as diabetes, hypertension and infertility. Lifestyle modification is advisable for managing symptoms and preventing long term complications and have a quality life.
Revisiting indication for hysterectomy according to PALM-COEIN classification and its correlation with histopathological examination reports
Authors: Shanmukhi Vazeer Bhavya , Vijaya Sree M.
Published: June 2023

Background: Hysterectomy is most common major gynaecological surgery. AUB is commonest indication for hysterectomy. Hysterectomy is done when medical/minimally invasive treatment methods fail. It provides permanent relief of symptoms and patient satisfaction. Aim of this study was to correlate the clinical preoperative diagnosis and histopathological findings of cases which needed abdominal hysterectomy.
Methods: This prospective study was conducted in Department of OBG at Mamata general hospital, Khammam, during December 2020 to December 2022. The patients were diagnosed based on history, clinical examination and ultrasonography reports. Patients with frank malignancies and uterine prolapse were excluded. Hysterectomy was done wherever it is indicated and the specimens were sent for histopathological examination (HPE). HPE reports were correlated with preoperative indication for hysterectomy.
Results: In this study 50 patients who underwent abdominal hysterectomy were studied. Data was recorded in terms of demographics, clinical features, indications of the hysterectomy and histopathological findings. It was observed that, most common clinical diagnosis was leiomyoma [21 women (42%)]. Among these 21 women, histopathological findings of 4 women were different (adenomyosis in 2 cases and unremarkable myometrium in 2 cases). Leiomyoma in myometrium, chronic papillary endocervicitis in cervix, hydrosalpinx in fallopian tubes and simple serous cysts in ovaries were the commonest histopathology noted.
Conclusions: Hysterectomy is most widely performed major gynaecological operation and histopathology is mandatory for confirming diagnosis and management. With the improvement in the different treatment options for AUB, hysterectomy in benign disease should only be done when all the other conservative options fail.
Serum calcium 125 level in normotensive and pre-eclamptic pregnancies in a tertiary care hospital
Authors: Sivaprasad Sahithya , S. R. Sheela , Nagaraj Shashidhar Kurpad
Published: June 2023

Background: Preeclampsia is one main reason for high-risk pregnancy. Among the disorders in hypertension, preeclampsia develops in antenatal period and it is defined by high blood pressure of more than 140/90 mmHg and arteriolar vasoconstriction, both of which lower uteroplacental perfusion and ultimately lead to placental hypoxia. The objectives of this study was (a) to estimate CA125 level in normotensive and pre eclamptic pregnancies; and (b) to predict severity of pre-eclampsia with CA125 levels with cut off value of CA125 level as 23.7 IU/ml.
Methods: This two year cross sectional study was conducted on all antenatal mothers bestween 20 -40 weeks gestational age getting admitted RLJH and research centre Tamaka (January 2021-December 2022), for the period of 2 years who fulfilled inclusion and exclusion criteria. Detailed clinical history along with antenatal examination was done. For each study subject the blood pressure was recorded. Complete blood picture was done and CA125 levels were done of the study subjects.
Results: Mean CA125 among normal subjects was 24.24±13.71 IU/ml and Mean CA125 among pre-eclampsia subjects was 30.61±15.69 IU/ml. There was a statistical significance found between two groups with respect to CA125.
Conclusions: In pre-eclampsia, CA125 was increased more compared to normotensive group. This indicates the importance in estimation of CA125 level in preeclampsia. The same has been determined with significant p value.
Enhancing gynaecological care: the obstetrics and gynaecological distress measurement scale
Authors: Kulkarni Aditi U. , Kothiwale Tanvi D. , Moras Elisa T.
Published: June 2023

Background: Gynaecological patients are evaluated using a few scales that are not population-targeted, so a targeted tool was required, particularly for the Indian population where these problems are prevalent.
Methods: A short interview was done after a top-down survey. Then, from the results of the pilot study, some items were retained after the deletion of others.
Results: Using Cronbach's alpha, a reliability coefficient of 0.907 was obtained. With a value of 0.867, the split-half coefficient demonstrated a good degree of internal consistency. Convergent validity was 0.62.
Conclusions: The OGDMS is a useful tool for detecting possible psychological distress in pregnant women. OGDMS is a standardised instrument which can be used by psychologists, physicians, and patients to pinpoint probable mental health-related problem areas.
Luteoma in pregnancy: a rare cause of threatened preterm labour!
Authors: Mishra Vineet V. , Rane Priyanka H. , Chhetry Manisha , Shah Kunur N.
Published: June 2023

Pregnancy luteoma is a rare non-neoplastic tumor-like mass of the ovary. They are usually asymptomatic and found incidentally during ultrasound imaging or surgery. Rarely do they present with pain abdomen mimicking threatened preterm labor. They regress spontaneously after delivery. We presented a case of a 29-year-old G4A3 with twin pregnancies and chronic hypertension who presented with acute flank pain, constipation, and occasional hardening of the uterus. A provisional diagnosis threatened preterm labor with suspected ureteric colic and cystitis was made. The patient was initially managed on the same line but on a detailed in-patient evaluation her ultrasound revealed bilateral multicystic ovaries with few hypoechoic areas inside it mostly suggestive of ‘luteoma of pregnancy’. The patient had acne, hirsutism, and chronic hypertension well controlled on antihypertensives. The patient delivered twins successfully by cesarean section and luteoma and symptoms were resolved postpartum after 4 months. Recognition of this entity is important so that malignancy can be ruled out and unnecessary surgery, with concomitant risk to both the mother and the fetus, is avoided.
Labial adhesion or fusion-an unusual cause of urinary incontinence in an elderly woman
Authors: Verma Divya , Kumar Sanjeev , Thakur Abhishek , Adangale Shweta
Published: June 2023

Labial adhesion/fusion is an uncommon cause of urinary and vulval complaints in adult females, with unknown incidence. We present a case report of an elderly woman who presented with voiding difficulty, recurrent urinary tract infection (UTI) and urinary incontinence. She was treated by surgical division of the adhesions and had complete resolution of her symptoms.
Conservatively managed spontaneous splenic rupture in pregnancy with severe preeclampsia: an interesting case report
Authors: Roy Oindrila , Sangwan Neetu , Madan Shikha , Singhal Savita
Published: June 2023

Spontaneous splenic rupture during pregnancy can be catastrophic with most of the cases needing splenectomy. We presence an interesting case of conservatively managed spontaneous splenic rupture in pregnancy. A 24-year-old G2P1L1 with 35 weeks gestation with previous LSCS severe preeclampsia and severe anaemia was referred from a peripheral centre. On examination, she was vitally stable with marked pallor and pedal oedema. Abdominal wall oedema and ascites was present, uterus was 28 weeks with FHS localised by Doppler. After 2 hours, patient complained of continuous pain abdomen. It was tense, tender with FHS non-localised, uterine fundus could not be made out. USG revealed a retroplacental hematoma of 3.5×2.2 cm with free fluid in the abdomen. Differential diagnosis of rupture uterus and abruptio placenta were made. Emergency laparotomy was done. Intraoperatively, 800 cc fresh hemoperitoneum was present, previous scar was intact and a live baby delivered by LSCS. Uterus, bilateral tubes and ovaries were normal. After the uterus was closed, fresh intraabdominal bleeding was still present. With the help of general surgeon, exploration was done and two long superficial splenic tears (grade 2 splenic injury) with continuous oozing were identified. Contact pressure was applied by gauze. Bleeding stopped and omental wrapping around spleen was done. Abdomen was closed after putting drain and patient was shifted to ICU for monitoring. After 27 days, patient was discharged in a stable condition. Thus, spontaneous splenic rupture should be considered in the diagnostic differential of hemodynamic instability in a case of severe preeclampsia. Emergency laparotomy before the setting of collapse and DIC are vital steps to save the spleen and improve feto-maternal survival.
The case of primary ovarian ectopic
Authors: Undinti Nagashree , Charumathi
Published: June 2023

Ovarian ectopic pregnancy is a rare form of ectopic pregnancy. It mimics tubal ectopic, difficult to distinguish on ultrasound imaging and clinical presentation. It mostly presents with rupture in first trimester. We presented this case in view of its varied tricky clinical presentation- which lead us into various differential diagnoses for pain abdomen and the least suspicion of an ovarian pregnancy. Laparoscopic management is needed for diagnosis and confirmation is only through a histopathological diagnosis. Even though it’s rare, still we need to be suspicious of this in all patients with acute lower abdominal pain and with no period of amenorrhoea.
Port site tuberculosis: is an epidemic on shore?
Authors: Ovi Mir Rasekh Alam , Hossain As Saba , Nasrin Shamima , Salahuddin Gazi Muhammad , Mustafa A. S. M. Feroz , Sagar SM Iftekhar Uddin , Hasan Tanvir
Published: June 2023

Background: Bangladesh has to carry an extensive burden of tuberculosis in varied form of presentation. In the era of minimally invasive surgery (MIS) port site tuberculosis is usually a rare incidence. Among all the infections it has been identified as a prolong burden for both patients and surgeons. This study was done to notify such rare complication of MIS and tried to find out is there really an upsurge of this infection in Bangladesh.
Methods: This retrospective study was done an urban area of Bangladesh during September 2020 to June 2021. 483 laparoscopic surgeries were done by six different surgeons in 5 different hospitals during September 2020 to January 2021. All surgeons have minimum five years experiences in laparoscopic surgery. 20 minutes emersion of the laparoscopic instruments into activated glutaraldehyde solution 2% (CIDEX) was used as method of chemical sterilization. Other surgical instruments were sterilized by conventional autoclave method.
Results: Among them 87 patients developed port infections. 66 (75.86%) patients of this 87 developed non-healing ulcer. Biopsy from the ulcer showed granulomatous tissue in 56 patients and the other 10 was nonspecific inflammation. CAT I anti-TB chemotherapy was initiated to all the patients and all improved by this therapy. Use of 3.54% glutaraldehyde instead of 2% or immersion of instruments for a longer period (more than 20 minutes) could be tried in larger scale to prove its efficacy.
Conclusions: National tuberculosis control program (NTP) should give more emphasis on cutaneous tuberculosis as the morbidity of this disease is high. Surgeons of Bangladesh should admit and report such incidences as, if it is documented in other areas of the country, it may need to develop a national guideline to prevent and treat port site tuberculosis.
A study of different treatment modalities in management of liver abscess at tertiary care center
Authors: Indrajeet Upadhyay Prabhakar , Tripathi Alok , Agrawal Saurabh , Mishra Mayank
Published: June 2023

Background: Of all the visceral abscesses, the liver accounts for 48%. When a purulent substance collects in the liver parenchyma as a result of bacterial, parasite, fungal, or combination infections, it is called liver abscess. It is prevalent in India, accounting for the second largest prevalence, owing to insufficient sanitation, overcrowding, and malnutrition. As the liver is a susceptible organ to producing abscesses, whereas amoebic liver abscess is the utmost frequent kind of abscess in the developing world’s tropical regions, pyogenic abscess is more prevalent in affluent nations. The aims and objectives were to study the etiology, clinical manifestation, and predisposing factors of liver abscess; to compare the conservative and surgical treatment modalities of liver abscess; and to find out the outcome of these patients.
Methods: After matching inclusion and exclusion criteria, 100 clinically diagnosed liver abscess patients were enrolled for this retrospective and prospective observational study. Patients were analysed for ultrasonography whole abdomen, complete blood picture and liver function test and subjected to conservative or surgical management.
Results: The study group of 100 patients consisted of 83 (83%) male and 17 (17%) female with mean age of 40 years (18-70). 89 (89%) patients managed conservatively and 11 (11%) patients underwent for surgery. Patients with conservative management were found to have significant differences between outcome.
Conclusions: This study concludes that conservative management has significantly better outcomes as compared to surgical management.
Clinical, radiological and surprise diagnosis of femoral hernia
Authors: Gandhi Chinmay Sumatilal , Mote Dajiram G.
Published: June 2023

The author has treated three cases of femoral hernias over the years. Femoral hernias are rare compared to inguinal hernias. Here, there were varied clinical presentations of all femoral hernias. Obstruction, strangulation and groin swelling were the presentations observed. Management of all varies according to presentation. Because of narrow neck and stiff femoral canal chances of complications are more. Use of minimal access techniques may reduce the morbidity of surgical treatment in emergency.
Piezosurgery in periodontology
Authors: Khan Shamiya , Khatri Manish , Bansal Mansi , Rehan Mohd. , Tripathi Pratiksha , Mishra Arti
Published: June 2023

Piezosurgery is a relatively new method derived from the Greek term “piezein” which means “to press tight or to squeeze”. Tomaso Vercellotti an italian physician invented it. He teamed up with Mectron Medical Technology, a medical device company was founded by Italian engineers Fernando Bianchetti and Domenico Vercellotti. It is a technique conceived to overcome the limitations of traditional bone cutting instruments in order achieve the most effective treatment with minimal amount of morbidity. It is used for bone removal and bone recontouring procedure on the principle of ultrasonic vibration. Piezoelectric effect generates an electrical charge when subjected to mechanical stress.
Pozycja prawna i zadania Kościelnego Inspektora Ochrony Danych w świetle unijnych i polskich regulacji
Authors: Ciechanowska Justyna
Published: June 2023

RODO jest aktem prawnym Unii Europejskiej, który wyznacza nowe standardy ochrony danych osobowych związane z ich przetwarzaniem. Przyjęte w nim rozwiązania są celowe i stanowią solidny fundament ochrony danych osobowych obywateli państw członkowskich Unii Europejskiej. Biorąc pod uwagę niezależność i autonomię Kościoła katolickiego przewidzianą m.in. w Konstytucji RP oraz Konkordacie między Stolicą Apostolską a Rzecząpospolitą Polską z dnia 28 lipca 1993 r., autor ma na celu przedstawienie statusu, sposobu wybierania, uprawnień i kompetencji Kościelnego Inspektora Ochrony Danych. Celem niniejszej analizy jest również odpowiedź, czy KIOD jako organ nadzoru w zakresie ochrony danych osobowych wykonuje zadania w sposób niezależny, tj. bez jakiegokolwiek wpływu z zewnątrz w toczące się postępowania.
Dyskryminacja ze względu na religię w zatrudnieniu z perspektywy relacji Państwo-Kościół – wybrane zagadnienia
Authors: Driczinski Sławomir
Published: June 2023

Opracowanie dotyczy wybranych aspektów funkcjonowania zasady niedyskryminacji ze względu na religię w zatrudnieniu. W tekście zostały poruszone tematy związane z samym pojęciem dyskryminacji ze względu na religię. Zasygnalizowano znaczenie orzecznictwa sądów międzynarodowych w polskim wewnętrznym porządku prawnym. Scharakteryzowano podstawowe regulacje prawne odnoszące się do podjętego tematu z częściowym uwzględnieniem dosyć ubogiego orzecznictwa. Dokonano też odniesienia do regulacji australijskiej zagadnienia dyskryminacji ze względu na religię, w kontekście potrzeby uporządkowania i poszerzenia przedmiotowej regulacji w polskim (a być może także europejskim) porządku prawnym.
Rada kapłańska w Kodeksie Prawa Kanonicznego z 1983 roku
Authors: Brinda Štefan
Published: June 2023

Biskup diecezjalny jest zobowiązany do ustanowienia rady kapłańskiej, która reprezentuje wszystkich kapłanów pełniących zadania duszpasterskie lub sprawujących urzędy w diecezji. Rada jest jego kolegialnym organem doradczym. Autor podaje krótki praktyczny komentarz na temat rady kapłańskiej według Kodeksu Prawa Kanonicznego z 1983 r. (kan. 495-501).
Features of the management of reproductive aged women with adenomyosis in the post-COVID period
Authors: Bulhar A.V. , Zaporozhchenko M.B.
Published: June 2023

Objectives: development of an algorithm for managing women of reproductive age with adenomyosis of I–IV degrees of severity after COVID-19 by studying anamnestic, clinical, laboratory indicators, results of instrumental and hardware research and determining personalized therapy and prevention.Materials and methods. We monitored 120 reproductive aged women with adenomyosis after COVID-19, who were divided into group B (60 women with adenomyosis of the I–II degree of severity) and group C (60 women with adenomyosis of the III–IV degree of severity). Groups B and C were divided into 2 subgroups: subgroups B1 and C1 received the proposed therapy; subgroups B2 and C2 received standard therapy.All women underwent a clinical and laboratory examination, which included the study of the general condition, clinical and biochemical parameters, examination of biological fluids (blood, urine, vaginal contents), histomorphological study of the tissues of uterus, ovaries, hardware and instrumental methods of examination. The results were evaluated before treatment, after 3, 6 and 12 months of therapy, comparing between groups B and C.Results. The effectiveness of the proposed algorithm is confirmed by a significant difference (p < 0.05) in the reduction of the frequency of complaints, symptoms of exacerbation of extragenital and gynecological pathology, stabilization of indicators of general blood test, functional liver tests, lipid and cholesterol metabolism, reduction of indicators of hypercoagulation, activity of biological markers of inflammatory processes, increase the vitamin D and magnesium values, positive changes in the vaginal biocenosis, a decrease in the frequency of herpes simplex virus types 1 and 2 detection, an increase in the number of Lactobacillus sp., positive dynamics of uterine ultrasound parameters, including the state of blood flow in a. uterus in the observation dynamics after 3, 6 and 12 months.Conclusions. Women of reproductive age with adenomyosis of various degrees of severity after suffering from the COVID-19 disease are subject to personalized dispensary supervision, which includes diagnostic, therapeutic, preventive measures in the dynamics of observation. The definition of the measures of such algorithm should be based on the results of proven pathological changes in the body, namely: exacerbation of extragenital diseases, combined gynecological pathology, blood hypercoagulation and microcirculation disorders, activity of biological markers of inflammation, levels of sex hormones, vitamin D, magnesium, state of vaginal biocenosis.
Late Wittgenstein by C. Geertz: ‘Thick Description’ as Anthropological Concept and Anthropologist’s Home Dwelling
Authors: Dzhulay Yurij
Published: June 2023

С. Geertz’s paying attention to the fact that late Wittgenstein’s network of concepts and images was always a guide for perfecting expression of his ideas. This allowed for exploring, in a new way, the sign of understanding an alien culture through returning to a man a feeling of friction under their feet. This mage of connecting to the everyday life of an alien culture has led C. Geertz to creating images of ethnographer’s everyday life in a “thick description” against a background of vivid images of “living a literary criticism” described by R. Wellek and A. Warren.With the very background of contemporary criticism’s expressive motives of excluding the studies in history of literature, which risked turning critics into antiquarians, and an imagined student’s cunning suggestion on accepting cryptographer’s operations as an equivalent of recognizing alien types of symbolic writing in a poet’s imagination, C. Geertz created an image of an ethnographer’s daily life in a form of “thick description.” This implies a non-mirrored similarity to reading a manuscript and criticizes the attempts to replace the interpretation of cultures to deсoding.C. Geertz’s appeal to K. Burke’s summing up of an ideal model of the strategy of transforming a literary description of an imaginary event into a description of the imaginary actions of the participants of this event under the name ‘Bovary’ emphasized the presence of only really existing events and actions in the descriptions of the old time cultures.However, C. Geertz’s appeal to S. Langer’s description of the influence of the “grande idée” on the development of sciences provoked the appearance of the most extensive description of the features of the presence of “rich description” in theoretical generalizations, which also contained instructions for protection against the seduction of “rich description” by ideas of this kind.