bluuebunny/crossref_metadata_2025 huggingface dataset:
Determinantes sociais em saúde e internações por insuficiência cardíaca no Brasil
Authors: Albuquerque Nila Larisse Silva de , Oliveira Francisca Jane Gomes de , Machado Lucas Dias , Araujo Thelma Leite de , Caetano Joselany Áfio , Aquino Priscila de Souza
Published: November 2020

RESUMO Objetivo Analisar a relação entre determinantes sociais em saúde e internações por insuficiência cardíaca no Brasil. Método Estudo ecológico retrospectivo, cujas unidades de análise foram os municípios dos estados brasileiros. A variável desfecho foi a taxa de internação hospitalar por insuficiência cardíaca, e as variáveis independentes foram a cobertura da Estratégia Saúde da Família, repasse federal ao bloco da Atenção Básica, despesa executada com Atenção Básica, sobreposição da população feminina e componente etário acima de 60 anos. Adotaram-se técnicas regressivas por dados em painel, com estimação dos mínimos quadrados ponderados por efeito fixo. Resultados Foram analisados 26 municípios. Taxas de internação pelo diagnóstico apresentaram distribuição não uniforme entre as regiões, com mediana mais baixa na região Norte e mais alta na Sul. O modelo de regressão identificou relação entre taxa de internação pelo diagnóstico e cobertura da Estratégia Saúde da Família, repasses federais à Atenção Básica e sobreposição da população feminina. Conclusão Ocorrência de insuficiência cardíaca, uma condição sensível à Atenção Primária no Brasil, é influenciada por determinantes sociais em saúde representados por fatores demográficos, orçamentários e de cobertura de serviços de saúde.
Análise de conteúdo dos diagnósticos de enfermagem relacionados à incontinência urinária
Authors: Costa Juliana Neves da , Lopes Maria Helena Baena de Moraes , Lopes Marcos Venícios de Oliveira
Published: November 2020

RESUMO Objetivo Analisar o conteúdo dos diagnósticos de enfermagem relacionados à incontinência urinária da NANDA International e outros identificados na literatura. Método Estudo metodológico realizado com juízes expertos em disfunções miccionais e diagnósticos de enfermagem. Analisaram-se os diagnósticos de Incontinência Urinária de Esforço, Incontinência Urinária de Urgência, Incontinência Urinária Funcional e Incontinência Urinária por Hiperatividade Detrusora Neurogênica (antes denominado Incontinência Urinária Reflexa, na taxonomia da NANDA International) e Incontinência Urinária Mista e Incontinência Urinária Transitória. Aplicou-se o teste de Wilcoxon e considerou-se adequado o Índice de Validade de Conteúdo ≥0,85. Resultados Participaram 51 juízes. Os juízes sugeriram modificações nos elementos de todos os diagnósticos (inclusão, exclusão ou alteração no tipo de elemento previamente classificado). Conclusão Sugerem-se a manutenção dos quatro diagnósticos analisados na taxonomia da NANDA International, com modificações, e a inclusão dos diagnósticos de enfermagem Incontinência Urinária Mista e Transitória.
Disfunção sexual após tratamento para o câncer do colo do útero
Authors: Correia Rafaella Araújo , Bonfim Cristine Vieira do , Feitosa Kéllida Moreira Alves , Furtado Betise Mery Alencar Sousa Macau , Ferreira Daniela Karina da Silva , Santos Solange Laurentino dos
Published: November 2020

RESUMO Objetivo Descrever as características sociodemográficas, clínicas e relacionadas à vida sexual e identificar a disfunção sexual em mulheres após o tratamento do câncer do colo do útero. Método Estudo transversal que incluiu mulheres com idade ≥18 anos e conclusão do tratamento de três meses. Foram utilizados dois instrumentos: formulário com informações sociodemográficas, clínicas e relacionadas à vida sexual; e o Índice da Função Sexual Feminina para avaliar a função sexual das participantes sexualmente ativas, sendo valores do escore ≤26 classificados como disfunção sexual. A estatística descritiva foi utilizada para verificar associações através do teste de Mann-Whitney e qui-quadrado de Pearson ou exato de Fisher. Resultados Do total de 46 mulheres, 15 (32,61%) mantiveram relações sexuais após o tratamento e oito tiveram indicativo de disfunção sexual (escore de 21,66; desvio padrão=7,06). Os tipos de tratamento (p=0,03) e de radioterapia (p=0,01), e o estadiamento da doença (p=0,02) interferiram na função sexual. Os domínios do Índice da Função Sexual Feminina mais afetados foram lubrificação (p=0,03) e dor (p=0,04). Conclusão A disfunção sexual esteve presente nas mulheres estudadas com impacto negativo na qualidade de vida.
Vivências de interação entre mãe adolescente e enfermeira visitadora: um estudo fenomenológico
Authors: Agostini Flávia Corrêa Porto de Abreu-D’ , Charepe Zaida Borges , Reticena Kesley de Oliveira , Siqueira Lucíola D’Emery , Fracolli Lislaine Aparecida
Published: November 2020

RESUMO Objetivo Compreender as vivências de interação entre mães adolescentes e enfermeiras visitadoras no Programa Jovens Mães Cuidadoras. Método Pesquisa qualitativa, em que se utilizou o referencial teórico-metodológico da Fenomenologia Social, sendo realizadas entrevistas fenomenológicas com enfermeiras visitadoras e mães adolescentes. Resultados Participaram três enfermeiras visitadoras e nove mães adolescentes. A compreensão das vivências permitiu a elaboração de três categorias de contextos de significados relacionados ao tempo passado e presente: “As vivências de participação no Programa Jovens Mães Cuidadoras”; “A interação vivida por enfermeiras visitadoras e mães adolescentes”; “Parentalidade e papel maternal”. Conclusão A interação entre enfermeiras visitadoras e mães adolescentes no programa foi caracterizada como positiva, por proporcionar à mãe maior segurança em desempenhar seu papel maternal e parental. As atitudes das enfermeiras e das mães adolescentes se mostraram fundamentais para o estabelecimento de interação positiva.
Small-strain shear modulus and yielding characteristics of compacted high-plasticity clay
Authors: Kantesaria Naman , Sachan Ajanta
Published: November 2020

This experimental study describes the elastic and yielding response of compacted high-plasticity clay in conjunction with deformation characteristics at relatively larger strains for different stress paths and stress states. K0consolidated undrained triaxial compression and extension stress path tests were conducted on compacted Nagpur cohesive soil with bender element measurements to explore the elastic and yielding response of soil. The experimental results showed that the stress path direction had a significant impact on the stress–strain–strength properties of soil as the peak deviatoric stress was found to increase with the increase in stress path angle. The measured small-strain shear modulus (Gmax) values were observed to be a function of the mean effective stress (p′) with slight dependency on deviatoric stress (q). Gmaxwas found to reduce with increase in strain level during shearing. An attempt was made to formulate an empirical correlation for compacted cohesive soil based on the elastic shear stiffness in pre-yield conditions. This correlation was further used to determine the yielding criteria of compacted cohesive soil along with the other two well-established criteria of stress–strain and strain energy.
La lucha indígena por el agua en las comunidades de Nitiluisa y La Moya, Ecuador
Authors: Tuaza Castro Luis Alberto
Published: November 2020

En este artículo se estudia la lucha indígena por el acceso al agua, tomando los casos de las comunidades de La Moya y Nitiluisa, desde un acercamiento etnográfico. Se argumenta cómo en el pasado el agua era propiedad de los hacendados y de los mestizos, y a partir de la década de los setenta del siglo XX, los indígenas accedieron al agua por medio de la organización, el trabajo comunitario y el apoyo de aliados influyentes. Se concluye que el agua es el único bien que continúa articulando la acción colectiva indígena en un contexto caracterizado por la descomunalización.
A propósito de Las categorías gramaticales de Ignacio Bosque. ¿Una nueva perspectiva sobre sus relaciones y diferencias?
Authors: Ivanova Olga
Published: November 2020

Como unidades básicas de la sintaxis de cualquier lengua, las categorías gramaticales constituyen un objeto de estudio habitual en la gramática española. Sin embargo, el funcionamiento sintáctico de algunas unidades léxicas suscita serios problemas a la hora de adscribirlas de forma definitiva a una determinada clase. El presente trabajo ofrece una visión panorámica de cómo pueden ser tratados los problemas de clasificación de algunos elementos léxicos a partir de la segunda edición del manual Las categorías gramaticales: relaciones y diferencias, de Ignacio Bosque. Recoge, a partir de esta edición revisada del gramático, los ejemplos más llamativos de los escollos con los que uno puede toparse en el análisis sintáctico de las partes de la oración tradicionalmente denominadas léxicas y funcionales.
https://doi.org/10.17398/2660-7301.41.191
Una mirada a la trayectoria lexicológica y lexicográfica de Manuel Alvar Ezquerra
Authors: Castillo Carballo María Auxiliadora
Published: November 2020

El presente artículo se centra en realizar un recorrido por la trayectoria investigadora del profesor Manuel Alvar Ezquerra. Su dedicación al trabajo, enfocado hacia lalexicología y la lexicografía, ha dado lugar a una extensa obra en las que ha abordado siempre con rigor cuanto se proponía. Los repertorios de diversa índole que ha elaborado son, sin duda alguna, referentes en la producción lexicográfica, por lo que ha sido y sigue siendo imprescindible para el quehacer futuro.
https://doi.org/10.17398/2660-7301.42.307
Edit distance-based search approach for retrieving element-wise prosody/rhymes in Hindi-Urdu poetry
Authors: Khan Muhammad Yaseen
Published: November 2020

Background: Prosody (rhyming words) is a connatural element of poetry, throughout its reach, across thousands of languages in the world. Since medieval era, the Indic poetry (principally the Hindi/Urdu poetry) has created an impactful flamboyance w.r.t the subjects, styles, and other creative aspects in poetry. Besides the message of heartfelt poetry, we see the Qafiya (i.e., rhyming words) is the core element, without which we may not consider anything Hindi/Urdu poetry but merely a piece of writing; alongside it, Radif (i.e., a phrasal suffix to qafiya) is also considered next to the intrinsic part in Ghazals. In this regard, the contributions of this paper are one–the development of an optimal technique for the prosodic (qafiya) suggestions/retrieval in Hindi/Urdu poetry; and two–the qafiya suggestions based on the attached subsequent radif. Methods: The work in this paper involves usage of a 13.46 M tokens tri-script corpus of poetry. Instead of phonetic value matching, the proposed methodology employs four different Edit Distances (i.e., Levenshtein, Damerau–Levenshtein, Jaro–Winkler, and Hamming distance) as the comparison measures for prosodic suggestions. Findings: The proposed work shows better results in comparison to ‘Qaafiya Dictionary’ powered by rekhta.org. Moreover, w.r.t the inter-metric similarity and running time Jaro–Winkler appears to be the most optimal algorithm for the rhyme suggestion, whereas the Levenshtein distance is the laziest technique. Novelty/Applications: This work benefits researchers of Indic natural language processing for lexical look-ups and analysis of creative literature, especially poetry.
Some results in multiplicative metric space using absorbing mappings
Authors: Vijayabaskerreddy B
Published: November 2020

Objective/Aim: To generate three common fixed point results for four self mappings in complete multiplicative metric space (MMS). Method: The method involves applying of point wise absorbing mappings with different combinations such as complete subspace, reciprocally continuous and compatible mappings and semi-compatible mappings. Findings: All the results are supported by the provision of valid examples. Novelty/Improvement: The concept of reciprocally continuity along with semi compatible mappings is used which is weaker than the concept of continuity and compatibility.
Design and simulation of strip loaded and rib waveguide with integration of 2D material
Authors: Jainth Sandhya
Published: November 2020

Objective- To design Graphene-Silicon based rib waveguide and reduce the losses in the strip in order to meet the requirement for ultra-fast & ultrahigh optical bandwidth communication and computing in integrated optical devices. Method –Propagation losses and effective refractive index are the two key parameters. In order to meet the objective, the effects of Graphene for manufacturing passive devices/components in the field of Integrated Photonic like integrated optical waveguide have been analysed by measuring the changes in propagation losses and effective refractive index of the silicon photonics devices for operating at different wavelengths. Findings- We have presented the design and simulation of SOI (Silicon-on-Insulator) platforms with 2D layer materials (graphene) which has been used along with their mode of propagation, effective refractive index (ne f f ), propagation losses (dB/cm) and varying wavelength range for optimum performance. In addition to this, we have also calculated the boundary limit for both the speed and bandwidth. We also reported the development of Silicon rib waveguide, Graphene-Silicon based rib waveguide and Ge on SOI with graphene later at the top of strip waveguide.Minimum loss of strip waveguide is 2.9 dB/cm which has been obtained for Mid-IR wavelength generally used for high power mid- IR sensing.
Protocol for scoring animal calls on structural acoustic features prevalent in human music v1
Authors: M Schruth David
Published: November 2020

The following protocol was developed using ethnomusicological universals rhythm, tone, interval, repetition, transposition, and syllable diversity in order to look for them in animal calls. The literal feature definitions themselves are merged from various musical dictionary sources. And the spectrographic examples are from bird calls and songs.
Phytoestrogens in treatment of climacteric syndrome as an alternative to menopausal hormone therapy
Authors: Mazitova M. I. , Talipova I. R. , Mardieva R. R.
Published: November 2020

Here we review Russia-wide and international publications released over the last 5 years dedicated to phytoestrogens used in treatment of climacteric syndrome. Effects of isoflavones as the most examined agents are discussed acting on vasomotor, cognitive, psychological, urogenital and sexual symptoms as well as on the cardiovascular system, bones, and metabolic age-related changes. Despite obtaining controversial data resulting from the analysis, it may be concluded phytoestrogens hold promise as an alternative to menopausal hormone therapy. It is reasonable to conduct further extensive studies to evaluate efficacy and safety of using plant-derived compounds in postmenopausal women.
Subsidiarity Principle: In Search of a Balance between Centralization and Decentralization (State Legal Aspect)
Authors: Irkhin I. V.
Published: November 2020

The paper formulates the definition of the principle of subsidiarity, and indicates that this principle can be used as a tool to find and maintain an optimal balanced ratio between the volumes of centralization and decentralization in the regulation and implementation of domestic relations, as well as relations between supranational associations and their member-states. At the same time, it is emphasized that the organizational and functional-target variables of the principle of subsidiarity are oriented towards strengthening the decentralization of the public administration system (public authority) by fixing the presumption of priority right (along with guarantees) of lower units to exercise powers in specific subjects of competence. In addition, when applying the principle of subsidiarity, the strengthening of decentralization is due to the need to ensure the implementation of the resources of participatory democracy, as well as the focus on pluralization of the entire public administration system. The distinction between territorial and extraterritorial forms of decentralization is substantiated, the similarities and differences between the principle of subsidiarity and devolution, deconcentration and delegation of powers are revealed. The correlation relationship between the principle of subsidiarity and the characteristics of the state-territorial structure is analyzed. The author formulates the thesis that the subsidiarity principle can be implemented in any multi-level system of organization of public power, functioning on the basis of a synthesis of the principles of solidarity, adaptability, pluralism, autonomy, democracy. It is concluded that in its synthetic unity the achievement of efficiency, the establishment of pluralism and participatory democracy acts as a paradigm of the principle of subsidiarity.
Prospects for the realization of reproductive installations of russian families in 2021–2025 based on the data from the sociological-demographic research
Authors: Antonov Anatoly I. , Karpova Vera M. , Lyalikova Sofia V. , Lebed’ Olga L.
Published: November 2020

The article shows the characteristics of the changes in demographic structures and processes, as reflected in various configurations of sex and age pyramids, changing under the influence of a wide range of factors. The current trends in reproductive behavior are being considered. Based on the data from the sociological and demographic study (SeDOJ-2019), an analysis was conducted concerning the pregnancy history of women who participated in the survey, the probabilities of the reproductive events were investigated depending on the socio-demographic characteristics of the respondents in situations of reproductive choice, and the role of the reproductive attitudes in the context of reproductive behavior was determined. Furthermore, the results show that the use of contraception before pregnancy is not an unconditional indication for an induced abortion but only reduces the likelihood of having a baby. The presence of the interconnections between the level of need for children and the number of socio-demographic parameters (gender, age, education, number of children in the parental family, age of birth of the firstborn, etc.) is recorded, which can be used as reference in the establishment of the family-demographic policy, to effectively improve, with proper stimulation, the effectiveness in the realization of reproductive potential.
The role of the family in developing attitudes toward health and the home environment
Authors: Zhuravleva Irina V. , Lakomova Nina V.
Published: November 2020

The current study analyzes the role of the family as social institution in the process of forming adolescent attitudes to health and the home environment. The relevance of this topic is related to the need for society to significantly improve the health of adolescents. Two parameters pertain: the socioeconomic status of the parents and the type of family. The empirical basis for the analysis was mainly the result of two cohort studies, called Adolescent Health and the Environment, conducted by the Institute of sociology of the Russian Academy of Sciences, that used a single methodology in 1996 and in 2017. Research has shown that increasing the socioeconomic status and level of education of parents has a positive impact on the share of adolescents who care about their health, the environment, and on their level of concern for serious international problems. But the socioeconomic parameters of parents are insignificant when teenagers choose motives and factors of health care. The type of family with whom the adolescent lives and the number of children in the family does not affect the self-assessment of the adolescents health, the choice of factors and motives for health care, or concern for environmental problems. Comparing the results of two studies, conducted 20 years apart, under a single program sponsorship, shows a small number of changes associated with the formation of adolescent attitudes to health and the environment within the family. This process in the family occurs spontaneously, with much depending on the cultural and educational level of the parents. Such stability could be considered positive if it were not for the progressive deterioration of adolescent health recorded by statistics. The main differences between the two studies in the time context recorded were, first, a significant increase in the response rate of respondents with a good health self-assessment, which is associated with changes in social norms in the field of health. Second, with the violation of habitual dependence the higher the social status and higher parent level of education the better the childrens self-assessment of their health. This can be explained by the decline in the economic status of specialists with higher education in recent years, as well as the leveling of the General level of health culture in all status groups of society. In addition, the results indicate an increased environmental culture of behavior among adolescents over the decades.
Medico-social study on the opinions of parents on the problems of organizing medical care for children with cancer in the Russian Federation
Authors: Rykov Maxim Y. , Manerova Olga A. , Turabov Ivan A. , Kozlov Vasily V. , Reshetnikov Vladimir A.
Published: November 2020

To study the opinions of parents (legal representatives) on the problems of organizing medical care for children with oncological diseases, a medical and social study was conducted. This study aims to examine the opinions of parents on the problems of organizing medical care for children with oncological diseases. This study was conducted based on the developed questionnaire for recording the opinions of parents (legal representatives) on improving the organization of medical care for children with cancer. The questionnaire comprised 27 questions, in which the respondents were asked to choose one or more answer options for each of them. For objectivity, the questionnaires were filled in anonymously. This medical and social study showed that 81.1 1.9% of the respondents are not satisfied with the attitude of doctors and nursing staff toward them and their children, 15.9 1.8% are only partially satisfied, and 3 0.8% are fully satisfied (roughness in communication (35.8 2.4%), lack of sufficient attention from medical personnel (21.3 2.0%), and lack of interest in the success of treatment (19.7 2.0%)). The combination of these options was noted by 23.2 2.0% of respondents. As the preferred treatment site for their children, 63.7 2.4% of the respondents indicated a medical organization of federal subordination and 33.9 2.4% a medical organization located outside the territory of the Russian Federation, in which 57.4 2.4 % of the respondents mentioned the possibility of receiving a patient-oriented service and complex routing during treatment between the medical organizations in the Russian Federation as a reason for choosing. Furthermore, 12.7 1.6% of the respondents indicated a lack of confidence in the qualifications of medical personnel in the Russian Federation; 11.8 1.6%, the lack of comfortable conditions for examination and treatment; 5.3 1.1%, the lack of necessary diagnostic and treatment methods; and 12.8 1.6%, a combination of the listed options. Overall, the findings of this study indicate the need to further improve the organization of medical care for children with cancer: introducing patient-oriented approaches and improving patient routing to create a patient-centric health care system for organizing medical care for children with cancer are necessary.
Social mood of the residents of Moscow city at the beginning of the novel coronavirus pandemic (covid-19): possibilities of medical and sociological analysis
Authors: Reshetnikov Andrey V. , Prisyazhnaya N. V , Pavlov Sergey V. , Vyatkina Nadezhda Y.
Published: November 2020

A new coronavirus infection, which affected most countries in the world, besides the direct risk to the health and socio-economic well-being (stability) of the population, determined the large-scale coverage of states and societies with associated risks, including the observed transformation of social space, the increase in the phenomena of voluntary social isolation and encapsulation of part among the population, and the revision of the value of social ties. In temporal terms, the density of the observed changes in the social sentiments of society and the socio-structural characteristics of this period need both retrospective reflection and sociological analysis, as foresight analysis appears to be applicable to the current social situation. This study presents the results of a medical and sociological study (questionnaire survey), implemented during the beginning of the spread of the COVID-19 pandemic in Russia on a sample of residents of Moscow. According to the study, despite the high level of awareness of Muscovites about the immediate risk and consequences of the coronavirus infection on their health, the respondents are mainly concerned about the socio-economic consequences of the pandemic. At the same time, the ideas of the respondents about the post-pandemic world include a large-scale economic decline, a violation of the functionality of the health system, and an increase in social conflicts and social disunity in the society. The main difficulties of medical and sociological research (respondent recruitment and data collection) were determined by epidemiological conditions. The study toolkit was developed considering the main trends in the spread of infection in the country and the observed social sentiment of Russians, but the high dynamics of changes did not allow to cover a wider range of issues that became relevant for Muscovites in the self-isolation period (AprilMay), which determined the understanding of the need for a second wave of research (planned for autumn 2020).
Relevancia de la onicodistrofia en pacientes con alteración venosa crónica
Authors: Perarnau-Pauner Mónica , Giménez-Arnau Ana María , Escudero-Rodríguez José Román , Zalacaín-Vicuña Antonio J. , Rossell-Garriga Josep M.
Published: November 2020

Objetivo: El propósito fue evaluar la relación entre onicodistrofia y la alteración venosa crónica.Material y métodos: Se realizó un estudio observacional y transversal con 83 pacientes entre 40 y 84 años afectados de alteración venosa crónica, en un grado clínico de C0 a C6 en la escala CEAP. La valoración ungueal se llevó a cabo mediante iconografía y onicoscopia.Resultados: Las mujeres padecen más onicodistrofia que los hombres. Ambas extremidades inferiores presentan igual afectación onicodistrófica. El primer dedo tiene mayor afectación onicodistrófica que el tercero, cuarto y quinto. En la extremidad inferior izquierda, el quinto dedo tiene mayor afectación que el segundo y cuarto. Para la extremidad inferior derecha, el primer dedo tiene mayor afectación queel tercero, cuarto y quinto. Existe una asociación positiva entre la onicodistrofia en los pies y la enfermedad venosa crónica.Conclusiones: La onicodistrofia se observa mayoritariamente entre las mujeres, afecta a ambas extremidades por igual, el primer y el quinto dedo suelen ser los más afectados, su prevalencia aumenta cuanto mayor es el grado de patología venosa crónica
Abordaje quirúrgico de la enfermedad de Haglund: revisión bibliográfica
Authors: Lozano-Estepa Marta , Sánchez Gómez Rubén , Casado-Hernández Israel , Martínez-Jiménez Eva María , García-Carmona Francisco Javier
Published: November 2020

Objetivos: Conocer cuál de los dos abordajes quirúrgicos presenta menos complicaciones y mejores resultados post-quirúrgicos según las escalas descritas, para el tratamiento de la enfermedad de Haglund: endoscópico o abierto.Material y métodos: Se consultaron las bases de datos Pubmed,  Bucea, Enfispo y Dialnet, desde enero del 2003 hasta 2018, en español y en inglés, bajo los términos siguientes: “Haglund’s deformity”, “treatment Haglund”, “Haglund síndrome”, “Diagnostic Haglund”, "Haglund surgery”, “Calcaneal osteotomy”, “Haglund”.Resultados: Se incluyeron 33 artículos para la realización de este trabajo, de los cuales 13 eran estudios en los que se mostraba la comparación entre tratamiento quirúrgico abierto y endoscópico en sujetos con deformidad de Haglund. Se incluyeron 393 sujetos de los cuales se intervinieron 415 pies (161 por vía endoscópica y 187 mediante abordaje abierto). 58% de los sujetos tratados por endoscopia calificaron este tratamiento como excelente y las complicaciones reportadas, que fueron menores, sólo estuvieron presentes en 2 individuos, a diferencia de los tratados con cirugía abierta, donde 8 presentaron complicaciones menores y 5 complicaciones mayores.Conclusiones: El abordaje endoscópico tiene un porcentaje mayor de satisfacción según los resultados post-quirúrgicos obtenidos además de una menor tasa de complicaciones.
Caesarean section at Koudougou regional hospital centre: indications and prognosis
Authors: Wenceslas Djiguemde Nebnomyidboumbou Norbert , Martin Lankaonde , Eveline Savadogo-Komboigo B. , Rodrigue S. I. B. Sansan , Estelle Ouedraogo Wendlassida , Blandine Thieba-bonane
Published: November 2020

Background: Objective was to study the indications and the prognosis of cesarean section in the obstetrics and gynecology department of CHR Koudougou from August 1st to October 16th 2018.Methods: This was a cross-sectional study for descriptive purposes with prospective collection of data over the month and monitoring of parturients up to the 42nd day post caesarean section. The study covered the period from August 1 to October 16, 2018. Gestures received in the work room and those hospitalized for a scheduled cesarean were involved in this study.Results: This study involved 316 deliveries. The caesarean section rate was 34.8% (n=110). The average age was 26.75 years with extremes of 12 and 42 years. Term pregnancies represented 90.9%. History of cesarean section was observed in 47, 3%. The main groups contributing to the caesarean section rate represent: Groups 5 (9.5%), Group 1 (9.2%), Group 3 (5.1%), the scar uterus (17.3%) and suffering fetal (14.6%). The reported complications were 15.5% including 3.6% parietal suppuration and 0.8% stillbirth.Conclusions: The caesarean section occupies an important place in the maternity service of the RHC of Koudougou. Robson's group 5 was the largest contributor to the overall cesarean rate in our study. Measures should be taken in this group so that the uterine scar does not become an absolute indication for cesarean.
Obstetrical and neonatal prognosis of a teenage primiparous pregnancy at the Zafisaona Gabriel Majunga university hospital center
Authors: Ratsiatosika Tanjona A. , Rajaonarivony Marie Valerie , Randriamahavonjy Romuald , Rainibarijaona Lantonirina , Fanomezantsoa Jean Eustache , Rakotonirina Martial , Randaoharison Pierana Gabriel
Published: November 2020

Background: Women's fertility is early and high in Madagascar. Through this study, want to know the obstetric and neonatal risks in teenage primiparous pregnancies.Methods: Carried out a retrospective comparative study of teenage primiparous pregnancies who gave birth beyond 22 weeks of amenorrhea (SA) at the Zafisaona Gabriel Mahajanga university hospital between the period from January 1 to March 31, 2015. The control group is made up of first-time mothers aged 20 to 35 who gave birth in the same center.Results: The mean age of the patients was 16.77±1.12 years. In 43.1% of cases, the pregnancy was poorly followed. 22.41% of new-borns to adolescent mothers were hypotrophic at birth. Teenage primiparous pregnancies had a risk of poor pregnancy monitoring compared to their elders (RR: 2.17, 95% CI [1.35-3.47]) and a risk of giving birth to a low birth weight child (RR: 2.1, 95% CI [1.05-4.44]). The risk of preeclampsia, death in utero, caesarean section, instrumental extraction was identical between the two groups. Regarding the outcome of newborns, the frequency of premature birth, early neonatal infection, neonatal asphyxia, early neonatal death was not significant.Conclusions: Apart from fetal hypotrophy, adolescent girls have the same maternal, fetal and neonatal prognosis as their elders.
Incomplete abortion following medical method of abortion: study at a tertiary care teaching hospital at Bihar
Authors: . Pushpa
Published: November 2020

Background: Medical method of abortion (MMA) is a safe and effective method of abortion. Combination of mifepristone and misoprostol is most widely used. However, this is being randomly used by women without proper prescription which can lead to life threatening complications.Methods: This is an observational study done at Patna Medical College and Hospital, Patna, a tertiary care teaching hospital in Bihar, in a period of one year from March 2019 to February 2020. This is an attempt to study incomplete abortion after medical method of abortion and to observe the method of taking it among patients, with prescriptions or without it. Hundred women with incomplete abortion following MMA in 1st trimester of pregnancy were included. Patients’ age, parity, gestational age, locality, complaints, complications and treatment were noted. An information regarding method of administration and prescription noted.Results: 96% women used combined mifepristone plus misoprostol drug. Only 12% took the medicine on prescription of MBBS doctor, rest were all either self-administered or advised by quacks. Blood transfusion was required in 60% patients.Conclusions: Medical method of abortion is safe and effective but complications can occur if not used in accordance with guidelines. Women should be taught about and motivated for contraception. Adequate training to health care providers about comprehensive abortion care should be given.
A prospective randomised controlled study on the effects of myoinositol on ovarian functions and metabolic factors in women with polycystic ovarian syndrome
Authors: Singh Pooja , Biswal Suchismita , Verma Santosh Kumar
Published: November 2020

Background: Polycystic ovary syndrome is one of the most common endocrine disorder affecting five to ten percent women of reproductive age group. Myoinositol has been reported to be helpful in PCOS women with deranged metabolic and ovarian factors. In this study, we have evaluated the effects of myoinositol in women with PCOS.Methods: A total of 132 patients are included in the study. 66 patients in the study group were given myoinositol 4 gm daily for three months, while other 66 patients in the control group were given folic acid for the same duration. The parameters were evaluated at the beginning, six and twelve weeks after intervention.Results: After completion of 12 weeks, myoinositol was found to have a significant effect on reduction of BMI of the patients. No changes was seen in the fasting insulin levels, but a significant decrease in fasting blood sugar levels of patients was seen. Also, a significant increase in serum HDL was seen in the study group. Luteal phase serum progesterone was also increased in the study group.Conclusions: Myoinositol has got noticeable effects in reducing the BMI of PCOS women. We didn’t find any significant effect of the drug over the fasting insulin level. Serum HDL was increased in some patients. An increase in luteal phase progesterone was noticed which suggest that myoinositol may be beneficial in ovulation. However further studies are needed to establish the same.
Evaluation of maternal and fetal outcome in corona positive pregnant women
Authors: Maheshwari Bharti , Sharma Preeti , Pawar Kamini , Goswami Kirti
Published: November 2020

Background: COVID-19 has spread globally at an accelerated rate with rapid increases in cases and mortality. Viral pneumonia is one of the leading causes of pregnancy deaths worldwide. Physiological changes during pregnancy, such as reduced functional residual volumes, diaphragm elevation, and oedema of respiratory tract mucosa, as well as changes in cell immunity can lead to increased susceptibility to viral infections and can have worsened outcomes.Methods: The study was conducted after clearance from Board of Studies and Ethical committee in the Department of obstetrics and gynaecology, Muzaffarnagar medical college, Muzaffarnagar. It was a retrospective study. Out of total 1500 covid positive patients admitted in 3 months, 33 pregnant women were included which were covid positive.Results: The study population consisted of 16 (48.5%) women from 20-25 years, 12 (36.4%) women from 26-30 years and 5 (15.2%) women from above 30 years. There was history of exposure among all (100.0%) pregnant women with only 2 (6.1%) having symptoms of COVID-19.Out of 33, 8 patients were severelyanemic, 4 had preeclampsia, 2 cases had previous 2 LSCS, 5 previous 1 LSCS, 1 leaking pervaginum, 3 cases had fetal distress at admission. As per gestational age, 9 (27.3%) women had pre-term delivery, 21 (63.6%) had normal term delivery and 3 (9.1%) had post-term delivery. 13 women were primigravida and 20 were multigravida. The mode of delivery was LSCS among 24 (73%) and normal delivery among 1 (3.0%) women.Conclusions: In our study, there were no maternal and fetal complications among pregnant women with COVID-19.
Perivascular epithelioid cell tumour of the uterus: what do we know?
Authors: Wong Yvonne W. Y. , Kang Julian H. L.
Published: November 2020

Perivascular epithelioid cell neoplasm (PEComa) is a rare mesenchymal tumour characterized by distinctive histological and immunohistochemical perivascular epithelioid cells. These tumours can be found in various anatomic sites, with gynaecologic PEComas accounting for nearly one-fourth of reported cases in the literature. However, due to its non-specific clinical presentation and a lack of definitive radiological appearance, the diagnosis of PEComas remains challenging. In this case report, we describe a 45-year old lady suffering from urinary retention secondary to large uterine fibroids, who then underwent a total hysterectomy. Postoperative histopathology with immunohistochemical stains confirmed an unexpected finding of uterine PEComa. Although the treatment of gynaecologic PEComas remains controversial, complete surgical resection with negative margins is recommended. A multidisciplinary approach will be beneficial in determining the necessity of adjuvant therapy such as targeted therapy with mTOR inhibitors, especially for PEComas which exhibit aggressive and high-risk features.
Torsion in a massive hematosalpinx with a functional rudimentary horn: a rare cause of acute abdomen in adolescence, managed laparoscopically
Authors: De Arpita , Misra Renu , Jain Abhinav
Published: November 2020

Congenital anomalies of the female genital tract may remain undiagnosed till adolescence. Unicornuate uterus with a rudimentary horn is rare and found in 1 in 100000 women. A functional rudimentary horn may cause hematometra, hematosalpinx, endometriosis and its complications. This is a case of a 13-year-old girl who had a hematometra in a functional rudimentary horn and a hematosalpinx with torsion giving rise to an acute abdomen and a 16-week mass abdomen. Laparoscopy was done followed by detorsion, salpingectomy and transection of the rudimentary horn. This article should sensitize the need to correct the anomaly while preserving the reproductive potential of the girl. A review of the salient points of laparoscopy in such cases have been further discussed.
Acute necrotizing pancreatitis in a pregnant female diagnosed after caesarian delivery: a case report
Authors: Acharya Foram P. , Mukim Aditya A. , Acharya Prashant V.
Published: November 2020

Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10,000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. A 21 years old, primigravida presented to labour room at 33 weeks 2 days of gestation with complaint of abdominal pain. Per vulval finding showed pin-point vagina. (patient had history of transverse vaginal septum, and was operated for the same before conception). Patient was operated for caesarian delivery and Fenton’s repair done. Contrast-enhanced computed tomography showed signs of acute necrotizing pancreatitis with peripancreatic collection. AP in pregnancy remains a challenging clinical problem to manage. The general management of AP in pregnancy is supportive.
Large sporadic abdominal wall desmoid tumor due to repeated caesarean sections, a rare and long-term unexpected morbidity
Authors: Agrawal Priti , Agrawal Rishi , Lobo Anandi
Published: November 2020

We present a case of large abdominal wall desmoid tumor (DT) arising due to repeated caesarean sections (CS) in a young woman of reproductive age group and managed with wide resection of tumor and abdominal wall reconstruction (AWR). Our patient was a 30-year-old female, came with complaints of persistent abdominal pain associated with mass on abdominal wall and difficulty in walking for 2 years. Patient had 3 living children, all were delivered by CS. Ultrasonography and CT scan of abdomen with contrast revealed a large solid abdominal wall mass and FNAC was suggestive of benign spindle cell neoplasm. We performed a wide surgical excision of tumor. Abdominal wall reconstruction done with prolene mesh. Post-operative period was uneventful with satisfactory wound healing. DTs are rare tumors that occur anywhere in the body and have quite variable clinical behavior. In our patient this tumor had occurred sporadically about 4-5 years of last child birth. Repeated trauma of surgeries on the abdominal wall led to the catastrophic destruction of the musculature in our patient. In this case CT scan revealed solid lump on abdominal wall without any evidence of incisional or inguinal hernia and associated intraabdominal pathology. Our specimen tested positive for β catenin confirming DT. Surgery remains the main stay of treatment in all patients. In female patients presenting with lower abdominal wall tumor with history of previous CS or gynecological surgeries, DT should be considered.
World War II and the Great Patriotic War: to the 75th Anniversary of Victory
Authors: Chubaryan Alexander , Lebedeva Natalya , Sinitsyn Maxim , Sofronov Konstantin , Surzhik Dmitry
Published: November 2020

В учебном пособии, подготовленном сотрудниками Института всеобщей истории РАН, рассматривается комплекс геополитических, идеологических, экономических и социально-политических причин, приведших в итоге к началу Второй мировой и Великой Отечественной войны, подчеркивается ответственность нацистской Германии, развязавшей мировой конфликт. Также в пособии представлена история основных боевых сражений Великой Отечественной войны, процесс создания и деятельности Антигитлеровской коалиции, освещены трудные и дискуссионные вопросы, до сих пор вызывающие споры внутри профессионального сообщества историков. Особое внимание уделено Нюрнбергскому трибуналу, осудившему главных нацистских преступников и признавшему нацизм преступлением перед человечеством. Пособие разработано на новейших архивных материалах, ставших доступными читателю в последние годы, и содержит большое количество ссылок на открытые лишь недавно исторические документы Росархива и Центрального архива Минобороны России, которые могут быть использованы для самостоятельной работы.
Teaching Research on Practical Courses of Footwear Design Specialty in Colleges under CPS Mode
Authors: Shu Shiyi
Published: November 2020

With the continuous development and progress of the economy and society, the demand for talents in all walks of life is increasing, especially the need for professional and skilled talents to promote the innovation and progress of its industry. Therefore, after correctly recognizing this development status, the relevant education and teaching management units timely increased the emphasis on the cultivation of professional talents in colleges and universities, and introduced a series of advanced teaching models and theories in order to effectively promote the comprehensive development of talents. Good service should be used in actual work in the future.
Adaptive Generation Technology of Lightweight Cellular 3D Printing Path
Authors: Zou Zou
Published: November 2020

With the continuous develop ment and progress of the economy and society, the demand for innovative high- tech development in all walks of life has gradually increased, and the corresponding requirements have also been raised in due course. Because the development and application of advanced and innovative technologies can cover a wide range, it is also conducive to vigorously promote the improvement of the fineness of each production product, and better meet the actual development needs of society. Therefore, as a representative of innovative advanced technology, 3D printing technology should be innovated and optimized by relevant technical developers in order to enhance its practical adaptability.
Polskie teatry amatorskie w Wilnie w drugiej połowie XX wieku – powstanie i działalność
Authors: Stukus-Haník Katarzyna
Published: November 2020

Początki polskiego ruchu teatralnego w Wilnie związane są z zakonem jezuitów. Zapoczątkowany przez zakon ruch, rozwijał się na dworach. Za ojca polskiego teatru uważany był Wojciech Bogusławski, który stworzył w Wilnie pierwszy prawdziwy teatr. W takiej formie istniał on niespełna 100 lat, by następnie odrodzić się w 1905 r. za sprawą hrabiego Władysława Tyszkiewicza. Kolejne lata to wybudowanie teatru stałego oraz dalszy rozwój wileńskiej sceny, którego nie przerwały wydarzenia II wojny światowej i pierwsze lata powojenne, a jedynie go nieco osłabiły.

Głównym tematem niniejszego opracowania jest powstanie i działalność dwóch polskich teatrów amatorskich w Wilnie. Pierwszym z nich było Polskie Studio Teatralne (wcześniej Polski Zespół Dramatyczny), założone na początku lat 60. XX wieku przez lekarkę Janinę Strużanowską. Natomiast drugim powstały w tym samym czasie Polski Zespół Teatralny przy Pałacu Kultury Kolejarzy w Wilnie, później znany jako Polski Teatr w Wilnie. Zespół założyła zawodowa aktorka Irena Rymowicz. Funkcjonowanie tych zespołów teatralnych miało szczególne znaczenie w czasach, kiedy Litwa znajdowała się pod rządami radzieckimi. Władza ta w znacznym stopniu ograniczała litewskim Polakom kontakty z Ojczyzną. W związku z tym Polacy spragnieni polskiego słowa chętnie przychodzili na wystawiane przez grupy przedstawienia. Ich popularność nie zmalała po przemianach ustrojowych w 1991 r., a wręcz przybrała na sile. Pojawiły się bowiem nowe możliwości rozwoju, które starano się wykorzystać.

Z myślą o podtrzymywaniu rozwijającego się polskiego ruchu teatralnego, zaczęły się tworzyć teatrzyki szkolne. W latach 90. XX wieku działały one niemal w każdej polskiej szkole na terenie Wilna, ciesząc się zainteresowaniem uczniów.

Za datę końcową przedstawianej tematyki przyjęto umownie rok 2004, kiedy to Polska i Litwa wraz z innymi państwami weszły do Unii Europejskiej. W tym samym czasie zmieniły się pewne prawa i standardy, wymagające dodatkowej analizy.