bluuebunny/crossref_metadata_2025_split huggingface dataset:
El progresivo empoderamiento de la mulier frente a la violencia de género y las desigualdades=The progressive empowerment of the mulier against gender violence and inequalities
Authors: Catalán Elisa Muñoz 
Published: June 2020

ResumenCon la realización del presente trabajo, pretendemos ofrecer un análisis jurídico de la legislación estatal vigente en materia de igualdad de género y no discriminación, las últimas reformas en Comunidades Autónomas como Andalucía, y los posibles retos, por tratarse de un derecho humano y fundamental. Se ha reparado en aquellos ámbitos donde se manifiestan las desigualdades entre hombre y mujer, y en los problemas que subyacen a los supuestos de violencia de género. Así como se ha profundizado en el papel que tradicionalmente ha desempeñado la mujer en la Historia, especialmente la mujer romana -mulier, uxor o materfamilias-, y su progresivo empoderamiento. Por tanto, abordar la necesaria igualdad de género puede resultar un punto de partida para futuros planes y políticas activas que ayuden a superar las trabas que aún existen.AbstractWith the completion of this work, we intend to offer a legal analysis of current state legislation on gender equality and non-discrimination, the latest reforms in Autonomous Communities such as Andalusia and possible challenges, as it is a human and fundamental right. Especially observed are those areas where inequalities between men and women are manifested, and in the problems underlying the assumptions of gender violence. As well as the role that women have traditionally played in History, especially Roman women -mulier, uxor or materfamilias-, and their progressive empowerment have been deepened. Therefore, addressing the necessary gender equality can be a starting point for future plans and active policies that help to overcome the obstacles that still exist.
Aportes historiográficos para los estudios de género y ciencia en Argentina=Historiographic contributions to gender and science studies in Argentina
Authors: Lione Sacha Victoria 
Published: June 2020

ResumenEl objetivo del presente trabajo es revisitar la historiografía sobre género y ciencia, para pensar algunas claves desde dónde se mira el campo científico en clave de género en Argentina. Para ello, en primer lugar, se propone reconstruir en trazos generales las diferentes líneas de historia de la ciencia desde una perspectiva de género y las indagaciones realizadas en el campo. En segundo lugar, abordar los aportes que los estudios de género han realizado a la historiografía y, en especial, a la historia de la ciencia en Argentina. Por último, indagar algunas corrientes actuales que vinculan los estudios de la historia y de género, para proponer algunas líneas de análisis o puentes posibles del campo de estudio que expanda sus fronteras. AbstractThe aim of the present work is to revisit the historiography on gender and science, to think about some keys from where the scientific field is looked at in terms of gender in Argentina. Firstly, it is proposed to reconstruct in general terms the different lines of history of science from a gender perspective and the inquiries carried out in the field; Secondly, to address the contributions that gender studies have made to historiography and, especially, to the history of science in Argentina; Finally, investigate some current trends that link the studies of history and gender, to propose some possible lines of analysis or bridges of the field of study that expands its borders.
A prospective study of acceptability, safety and demographic profile for post placental intrauterine contraceptive device
Authors: Jain Neha , Choudhari Hemangi K. 
Published: June 2020

Background: The objective of this study was to study the acceptance rate, safety, demographic profile and complication of post placental intrauterine contraceptive device (PPIUCD).Methods: Study was prospective, interventional study, held in department of Obstetrics and Gynaecology at authors tertiary care centre. Number of participants was 280. Counselling about family planning was done in antenatal OPD and indoor ward. Total duration of study was 18 months. Selection of participants done based on selection criteria. Participants who accepted postplacental intrauterine contraceptive device as method of contraception followed up to 6 weeks postnatal for complication related to PPIUCD.Results: Authors noted that acceptance rate of PPIUCD was 13.6% and main reason for acceptance was its long acting reversible nature and main reason for denial was ‘do not want contraception immediately’. In present study there was statistically significant association between parity and birth order. However, literacy, urban locality and employment had positive influence over acceptance. If good technique of insertion will be used than expulsion rate will also reduce as seen in present study i.e. expulsion rate only 2.6 %.Conclusions: Post placental intrauterine contraceptive device is one of the best long acting reversible contraceptive methods. It does not affect breast milk production. Woman does not need extra visit to clinic for contraception and she is ensured that she has adequate contraception before getting discharge from hospital. PPIUCD provide adequate birth spacing between two children which reduces maternal and child morbidity.
Effectiveness of modified mattress suture closing technique over conventional lower segment caesarean section closing technique
Authors: Singh C. P. , Pitale Devdatt Laxman 
Published: June 2020

Background: The objective of this study was to compare the thickness of the scar and relative thinning of the uterinewall following conventional LSCS closing technique versus new closing technique (modified mattress Suture) and any additional surgical procedure in each group.Methods: A total of sixty patients undergoing primary caesarean for obstetric indications and who were willing for the study were included. In 30 patients uterus was closed by conventional double layer technique (the first layer is suturing with absorbable suture in a continuous running fashion. After first layer is complete, a second continuous stitch is used to invert the first layer, inverting stitch may be horizontal or vertical using same suturing material) and in 30 patient uterus was closed by new modified mattress technique. In both groups same suture material (vicryl 1-0) was used. Measurement of the thickness of scar site and corresponding posterior wall thickness was done following 6 months of caesarean section.Results: The possible parameters of better technique i.e., the mean scar thickness is more and relative as well as percentage thinning is less with this new technique of uterine closure although statistically not significant. Conclusions: Modified mattress suture technique is a single step procedure and gives the feel of double layer uterine closure. Hence the time taken, material. Used and the cost involved will be less along with excellent hemostasis.
Can pleural packing be an effective solution for uncontrollable intra or post-operative hemorrhage
Authors: Zribi Hazem , Ammar Abderrahmen , Abdelkbir Amina , Bouacida Imen , Maazaoui Sarra , Mestiri Tahar , Marghli Adel 
Published: June 2020

Background: Uncontrollable bleeding during thoracic surgery has been a challenging problem faced by surgeons. The aim of this study was to clarify the usefulness of pleural packing as a good alternative to control hemorrhage and to deduce the common point between those patients.Methods: This was a retrospective case series study of eight patients who underwent thoracic surgery with uncontrollable intrathoracic haemorrhage and shock which required intrathoracic packing from January 2014 to December 2019.Results: During the study period, eight patients underwent thoracic surgery with uncontrollable intrathoracic haemorrhage and needed packing. Successful hemostasis was achieved in all cases after pleural packing. The mean age was 58.5 years and six patients were males. The common point was the history of pulmonary tuberculosis which was with invasive pulmonary aspergillosis for two patients. Incision was a posterolateral thoracotomy in all cases and six patients required pulmonary resection (five lobectomy and one bilobectomy), one patient required decortication, and one had tumorectomy of a paragonglioma located in the Barety’s space. The unpacking took place right after 48 hours. An arrest of the bleeding was noticed in all the remaining patients. The mean time of the mechanical ventilation was 11 days. Complications included atelectasis and infectious pneumonitis. We noted one case of death.Conclusions: Intrathoracic packing may be an effective and feasible technique in managing uncontrollable post-operative hemorrhage when the life of patients is in danger. This technique should always be considered for patients with tuberculosis history.
Laparoscopic versus open appendectomy in children with complicated appendicitis in a tertiary teaching hospital
Authors: Sreekantamurthy Pramod , Chinmayee Bhavana , . Sharath 
Published: June 2020

Background: Acute appendicitis in children is the most common surgical emergency. Good outcomes have been reported with laparoscopic appendectomy (LA) in children for uncomplicated appendicitis. But the use of laparoscopy for complicated appendicitis in children is more controversial. Higher incidences of postoperative abdominal and wound infections have been reported. The purpose of this study was to retrospectively compare LA and open appendectomy (OA) for complicated appendicitis in children.Methods: The outcome of 73 patients with complicated appendicitis was retrospectively analyzed. There were 36 children in the LA group and 37 in the OA group. Data collection included demographics, duration of symptoms, type of complicated appendicitis, operative time, resumption of diet, early and late complication, length of hospitalization and duration of antibiotic use.Results: No significant difference was found with respect to age, duration of symptoms and total leucocyte count between two groups. The operative time for LA (55.83±4.81 minutes for LA versus 67.16±4.27 minutes for OA; p=0.0001) was shorter. Patients in the LA group returned to oral intake earlier (2.83±0.31 days for LA versus 3.84±0.33 days for OA; p=0.001) and had a shorter length of hospital stay (5.11±0.55 days for LA versus 7.92±1.06 days for OA; p=0.0001). The incidence of wound infection in group LA was 5.5% compared to 18.9% in OA group.Conclusions: The laparoscopic technique for complicated appendicitis in children is feasible, safe. Laparoscopic appendectomy should be the initial procedure of choice for most cases of complicated appendicitis in children.
Study of the association of serum procalcitonin with leukocytosis in predicting complicated acute appendicitis
Authors: Patel Thana Ram , Jain Amit , Agarwal Lakshman , Choudhary Vakta Ram , Bijarniya Dinesh 
Published: June 2020

Background: Delay in the diagnosis of complicated appendicitis and its treatment results in an increased rate of postoperative morbidity, mortality and hospital stay. The diagnosis of appendicitis rests on a combination of signs of inflammation such as fever, pain and tenderness; leukocytosis, and elevated C-reactive protein levels, interleukin-6 (IL6) and procalcitonin. Raised level of serum procalcitonin in bacterial infection has been used to further improve the diagnosis of complicated AA.Methods: One-hundred ten patients of appendicitis confirmed by intra-operative findings and final pathologist report, who underwent appendectomy consisting 25 women (22.73%) and 85 men (77.27%) with a mean age of 25 years (age range 15-55 years) were included in this study. Serum procalcitonin value was measured by chemi E411 Cobas method (chemilumiscent immunoassay system) using the B.R.A.H.M.S PCT kit. Serum PCT level >0.5 ng/ml was consider as risk for progression to severe systemic disease.Results: At a 0.5 ng/dl cut-off value of PCT, the sensitivity and specificity of PCT level measurement for acute complicated appendicitis prediction was 90% and 97.14% respectively. Association between WBC count and PCT value shows the sensitivity and specificity in 40 case of acute complicated appendicitis prediction was 86% and 75% respectively.Conclusions: Both the higher PCT values and leukocytosis correlates well with infectious post-operative complications for acute appendicitis and it can help to carry out timely surgical intervention which is highly recommended in complicated appendicitis(correlates PCT >0.5 ng/dl).
You are not yourself when you are hungry: a rare case of malignant insulinoma
Authors: Amaral Maria Joao , Alexandrino Henrique , Meireles Daniela , Oliveira Rui Caetano , Serodio Marco , Tralhao Jose Guilherme 
Published: June 2020

We present a rare case of high-grade functional neuroendocrine carcinoma of the pancreas secreting insulin. Our patient, an 80 years old woman, presented with neuropsychiatric symptoms consistent with hypoglycaemia that regressed with food intake and dextrose administration. Abdominal imaging showed a pancreatic tumour with invasion of the spleen and lymph node metastasis, highly suggestive of an insulinoma as the cause of the hypoglycaemia. The patient underwent left pancreatectomy with splenectomy and atypical gastric resection. The postoperative course of our patient was uneventful, with complete remission of the hypoglycaemic episodes, and the definitive histological examination showed three poorly differentiated large cell neuroendocrine carcinomas of the pancreas.
Torsion of caecal appendices epiploicae: mimicking acute appendicitis
Authors: Roshini A. P. , Samant Dattaprasad , Noronha F. P. 
Published: June 2020

Acute appendicitis is a common cause for pain in the right iliac fossa, which requires urgent surgical intervention. However, at the time of surgery, if the appendix is normal, the surgeon has to search for other causes of acute abdominal pain including rare etiologies, such as torsion of appendices epiploicae and subsequently its gangrene. We report the case of a 45 years old female who presented with right lower abdominal pain, rebound tenderness and guarding in right iliac fosse, with regular menstrual cycles and no urinary complaints. Investigation revealed leucocytosis and ultra-sonography abdomen was suggestive of an inflamed appendix in the right iliac fossa with free fluid. Intra-operatively, we found a normal appendix with gangrene of the appendices epiploicae which had undergone torsion. She underwent excision off appendices epiploicae with appendicectomy with uneventful post-operative period. Histopathology of the appendices was suggestive of congestion. Preoperative diagnosis of this condition is rarely made.
A clinicopathological study of the lesions of paranasal sinuses causing proptosis
Authors: Anchery Vineeth Abraham , Kavathur Viswanathan 
Published: June 2020

<p class="abstract"><strong>Background:</strong> The orbit and its contents lie in close proximity to the paranasal sinuses. The aim of the study was to analyse the lesions of paranasal sinuses causing proptosis.</p><p class="abstract"><strong>Methods:</strong> All patients with proptosis secondary to paranasal sinus disease were taken up for a systematic otolaryngological and ophthalmological clinical evaluation and investigation using a standard proforma. Incidence of various disease of paranasal sinuses causing proptosis, age and sex distribution, incidence of different symptoms and signs and its association with proptosis were estimated. The reversible and irreversible nature of the proptosis in relation to the degree of proptosis and the histopathological nature of the disease were studied. </p><p class="abstract"><strong>Results:</strong> Malignant diseases were found to be the commonest lesion that caused proptosis. Squamous cell carcinoma was the most common histopathological type. Invasive fungal sinusitis among inflammatory and inverted papilloma among benign tumours were the commonest lesions that cause proptosis. Male preponderance was seen in the inflammatory and malignant lesions and the commonest symptoms were headache and nasal obstruction. Malignancies caused faster proptosis than benign and inflammatory lesions. Analysis of X-ray and computed tomography (CT) findings were also done.</p><p class="abstract"><strong>Conclusions:</strong> Malignant lesions are the most common para nasal sinus disease that cause proptosis. Duration of illness and degree of proptosis varied with the underlying disease process. With inflammatory proptosis some underlying sinus pathology in addition to the sinusitis is found in all cases. CT is a better modality to identify underlying pathology.</p>
A comparative study of preoperative and postoperative hearing after type I tympanoplasty using temporalis fascia graft at Dr. B. R. Ambedkar Medical College, Bengaluru
Authors: M. Muniraju , Hegde Smita 
Published: June 2020

<p class="abstract"><strong>Background:</strong> The objective of the study was to identify the factors which significantly influence type 1 tympanoplasty success.</p><p class="abstract"><strong>Methods:</strong> A prospective study was performed on 30 patients who underwent type 1 tympanoplasty via underlay technique using temporalis fascia graft from December 2017 to September 2019 in a teaching hospital. Outcome measures were graft uptake rate and hearing gain. The factors assessed were the age and sex, preoperative condition of the ipsilateral and contralateral ears, perforation size, presence of tympanosclerosis, and whether simultaneous cortical mastoidectomy was performed. </p><p class="abstract"><strong>Results:</strong> None of the factors proved to have a significant influence on tympanic membrane closure or hearing gain.</p><p class="abstract"><strong>Conclusions:</strong> The success rate of a type 1 tympanoplasty is dependent on the skills of the surgeon and the type of graft used. Age, sex, laterality of the disease, duration of dry ear, size of the perforation, presence of tympanosclerosis and simultaneous cortical mastoidectomy have no bearing on hearing gain.</p>
Congenital anomalies in childhood encountered during clinical practice by an otorhinolaryngologist
Authors: Goswami Abhilasha , Sharma Kalpana , Biswas A. K. 
Published: June 2020

<p class="abstract"><strong>Background:</strong> The otorhinolaryngological developmental anomalies are predisposed by a number of factors like genetic factors, intrauterine infection and maternal nutritional deficiencies. The otorhinolaryngological anomalies may be associated with other systemic maldevelopments.</p><p class="abstract"><strong>Methods:</strong> A total of 134 cases of congenital otorhinolaryngological childhood anomalies, fulfilling the inclusion criteria, who presented to the out-patient department were examined for a period of one year from January 2019, and were included in the study. They were thoroughly evaluated by undertaking a detailed history and clinical examination. Whenever required, additional investigations were performed. After carrying out the necessary investigations, the cases were either managed surgically or conservatively. Data was evaluated using proper statistical tools. </p><p class="abstract"><strong>Results:</strong> Out of the 134 cases, 64.9% were male and 35.1% were female. In our study, 116 cases presented in the first decade of life and 18 cases presented in the second decade of life, up to 18 years of age. The most common childhood congenital anomaly was congenital deafness, which accounted for 44% of all cases.</p><p class="abstract"><strong>Conclusions:</strong> Encountering cases of congenital anomalies in childhood is quite common during practice of otorhinolaryngology. Parents of the suspected children should be counselled properly to investigate other systemic anomalies. Medical and surgical management of the condition should be undertaken hand in hand with adequate counselling.</p>
Anterior nasal packing: does it affect middle ear pressure?
Authors: Pragadeeswaran K. , Yadavkrishnan Raj Prakash , Raja Roopak Visakan 
Published: June 2020

<p class="abstract"><strong>Background:</strong> Eustachian tube maintains middle ear pressure equal to that of atmosphere. Its function may be deranged due to variety of factors like adenoids, cleft palate, nasogastric tubes, allergy, nasopharyngeal intubations and also by nasal packing following septal surgery. Our aim was to evaluate the effect of anterior nasal packing protocol, on eustachian tube function, followed in our ENT Department for nasal surgeries.</p><p class="abstract"><strong>Methods:</strong> A descriptive study was done on 60 patients undergoing nasal surgery from March to November 2018 was done in the ENT Department of a tertiary care hospital.<strong> </strong>All patients underwent pre-operative otoscopic examination followed by tympanometry. Tympanometry was repeated following nasal surgery with nasal pack in situ and again 24 hours after removal of pack. The results of all these 3 impedance audiometries were tabulated and analysed. </p><p class="abstract"><strong>Results:</strong> Pre-operatively both ears in all the patients showed type a tympanometry, which implied normal eustachian tube function. Out of 60 patients who underwent nasal surgeries, 40 had abnormal impedance tympanograms immediately after surgery. 26 patients had abnormal impedance tympanogram after pack removal. These patients were treated with nasal decongestants and antibiotics which were routinely prescribed as a post-operative prophylaxis. These patients 1 week after pack removal recorded a normal tympanogram.</p><p class="abstract"><strong>Conclusions:</strong> Changes in middle ear pressure following nasal packing associated with most nasal surgeries were transient but not severe. Hence, we conclude that anterior nasal packing for 24 hours is considered safe, if no other co-morbid factors for altering middle ear pressures are present.</p>
Various spectrum of lesion in palatine tonsil underwent for tonsillectomy in tertiary care center: a two years retrospective study
Authors: Kumar Gaurav , Sharma Ritu , Pal Desh , . Geeta 
Published: June 2020

<p class="abstract"><strong>Background:</strong> Palatine tonsils are paired masses of lymphoid tissue which act as immunologic barrier against the entry of pathogenic organism into the respiratory and digestive tracts. Despite their protective function, tonsils are prone to infection. Chronic tonsillitis is a disease with repeated attacks of acute tonsillitis or a sub-clinic form of a resistant or poorly treated infection. Objective of the study was to know the various clinico-pathological finding in palatine tonsil underwent for tonsillectomy.</p><p class="abstract"><strong>Methods:</strong> This was a retrospective study where 105 cases (unilateral-15, bilateral-86 and tonsillar biopsy in 04) of histopathologically identified tonsillectomy specimens were included. The available data for all the patients as regards to age, sex and clinical symptoms was collected. Representative bits were taken from formalin fixed tonsillectomy specimens in which hematoxylin and eosin (H and E) staining was done. </p><p class="abstract"><strong>Results:</strong> Amongst the cases, 79 cases showed chronic tonsillitis. Other lesions were chronic tonsillitis with actinomycosis in 11 cases, acute on chronic tonsillitis in 07 cases, granulomatous tonsillitis in 03 cases, Acute ulcerative tonsillitis with micro abscesses in 01 case and Reactive lymphoid hyperplasia in 02 case. Two malignancies were observed - one case of poorly differentiated carcinoma and another case of lymphoma.</p><p class="abstract"><strong>Conclusions:</strong> This study showed that chronic tonsillitis is a common problem facing in all age groups and histopathology play a key role in diagnosing both benign and malignant lesion of tonsil therefore deciding the proper management.</p>