bluuebunny/crossref_metadata_2025_split huggingface dataset:
Our seven years experience of rural cervical cancer screening in Lucknow, India
Authors: Misra Jata Shanker , Srivastava Anand Narain , Singh Shivani 
Published: October 2021

This study was undertaken with aim to create awareness among rural women regarding hazards and risk factors of carcinoma cervix and offering single life time cytological screening for early detection of the disease. This was essential as majority of the rural women were illiterate and have poor personal genital hygiene. The present screening program was planned through organizing camps by counseling and motivating 100 women from each village for undergoing Pap smear examination. During last 7 years, a total of 186 camps have been organized in three Blocks of Lucknow, India and 2949 of the 5286 women attending the camps underwent Pap test. Cytological findings were analyzed in these 2949 women in relation to different risk factors of the disease.The squamous intraepithelial lesions of cervix (SIL) were seen in 498 cases (16.8%) while atypical squamous epithelial changes of unknown significance (ASCUS) were observed in only 234 (8.2%). The SIL incidence was found high for all risk factors of cervical cancer like young age, multiparity and vaginal discharge. Candida albicans was found more common and associated with inflammatory and SIL conditions of cervix.The organization of rural cervical cancer screening programs through camp approach and offering single life time cytological examination of cervical smears in rural women may prove very effective in the detection of large number of SIL cases, the adequate treatment of which will check the progression of the disease and minimize the incidence of carcinoma cervix and associated mortality in rural India.
Prevalence of anti-thyroid peroxidase antibodies in the first trimester pregnancy and its impact on maternal and fetal outcomes in a tertiary care centre in Bangalore
Authors: H S Shruthi , Arunkumar Nalini , Patil Ravi N 
Published: October 2021

: Hypothyroidism during pregnancy has an adverse effect on both mother and child. The maternal and foetal risk is higher in TPOAb (Thyroid peroxidase antibody) positive women compared to women with negative TPO Ab. The recent ATA (American Thyroid Association) guidelines recommend that pregnant women with TSH (Thyroid Stimulating Hormone) concentration above 2.5mU/L should be evaluated for TPOAb status and LT4(levothyroxine) treatment should be considered with TSH values between 2.5mU/L and 4.0mU/L only when TPOAb status is positive.: All the pregnant women booked in first trimester underwent testing for TSH levels and subsequently for anti TPO Ab if TSH levels were between 2.5-4 mIU/ml. The hospital based prevalence of women with anti TPO Ab positive status was determined. These pregnancies were followed till term and the maternal and foetal complications associated with TPO Ab positive and negative status were compared. Total of 400 pregnant women were included. The hospital prevalence of women with anti TPO antibodies in first trimester of pregnancy with TSH values between 2.5- 4 mIU/ml was found to be 23.5%. Anti TPO antibody positive status was significantly more associated with antenatal complications especially GDM and IUGR as compared to patients with anti TPO antibody negative status (47.8% v/s 23.2%, p value 0.001).: Women with TPO Ab positive status are to be vigilantly monitored for early detection and management of various antenatal complications. Determining anti TPO Ab status helps in avoiding unnecessary treatment of the women with TPO Ab negative status and TSH between 2.5-4mIU/ml.
Effect of metformin in treating polycystic ovarian syndrome among women attending a tertiary care setting -A prospective observational study
Authors: Mondal Suresh Chandra , Sarkar Pinaki 
Published: October 2021

To determine the efficacy of metformin on clinical profile and metabolic disorders in women with polycystic ovarian syndrome. Polycystic ovarian syndrome, is a heterogeneous endocrinological disorder affecting women of reproductive age and metformin was introduced to influence the pathogenesis.: A prospective observational study was conducted on 100 women with polycystic ovarian syndrome, attending department of gynaecology in a tertiary care setting and were divided into two group of 50 each. Metformin was used in 50 patients for one year. Rest 50 patients were advised about diet control and exercise. The parameters like body mass index (BMI), weight, hormonal imbalance, ovulation, and menstrual changes were analysed in both groups. Descriptive statistics for mean, SD were carried and chi-square test was used to test statistical significance using coGuide version V.1.0 and p value set at &#60; 0.05.: The mean age was 25±10 years. Both the groups were comparable with respect to BMI and weight. There was a significant difference between the groups with respect to fasting insulin, which reduced to 7.44±1.12 from 11.97±2mIU/ml, testosterone levels reduced to 0.59±0.1 from 0.76±0.3 mIU/ml, luteinizing hormone levels reduced to 8.55±2 from 20.01±7.3 mIU/ml, and LH:FSH ratio reduced to 1.11±0.1 from 2.31±0.2 mIU/ml. In the metformin group, 22 (44%) participants were anovulation before treatment, and ovulation started in 15 (30%) after treatment which was not seen other group.Clinical, hormonal, and biochemical changes in polycystic ovarian syndrome may effectively be treated by metformin.
A cross-sectional study on knowledge, attitude and practice towards contraception among medical students in a tertiary care center of coastal Karnataka, India
Authors: Inukollu Pranadeep Reddy , Solipuram Divya , Sunny Anna , Kothagadi Aravind , Pandey Deeksha 
Published: October 2021

High rates of unplanned pregnancies are due to continued gaps in awareness and access to contraception. An exemplary health care infrastructure would play a major role in resolving this issue. To investigate knowledge, attitude and practice towards contraception among medical students in a tertiary care center of Karnataka. A cross-sectional study was conducted including 100 undergraduate medical students during September 2018 to February 2019 using predesigned questionnaire on contraception and analyzed using percentages. Nearly 93% of students chose condom as best way to prevent sexually transmitted infections and 47% chose emergency contraceptive pills as risk factor for ectopic pregnancy. Failure rates of natural methods was 20-25% according to 33% of the students. Majority of participants believed that both sexes have equal responsibility for contraception and chose intrauterine contraceptive devices as best contraception for nulliparous women. Oral contraceptive pills had least failure rates as per 70% of the subjects compared to diaphragm, condom or natural methods. Irregular bleeding was considered as most common side effect of oral contraceptives by half of participants while 91% thought condoms were best for couples who were not regularly sexually active. Around 84% of undergraduates preferred to consult a doctor for contraceptive advice and were comfortable discussing contraception with partner. Overall, students had reasonably good knowledge on contraception. Similar studies in future would pave the way for upgrading current health curriculum to strengthen knowledge base of future clinicians.
Prevalence of common urogenital infections among menstrual cup users
Authors: Ghanshamnani Lata , Adithyan Ambily , Saharan Sandhya , Pikale Sangeeta 
Published: October 2021

There has been an increased awareness among girls and women in India, especially from middle and higher income group on menstrual cup, due to health or environmental reasons. Use of various sanitary products during menstruation can impact menstrual health with incidence of urogenital infection like rashes, irritation etc. being common among women. To determine prevalence of symptoms related to urogenital infections before and after switching to menstrual cups. In this retrospective self-reported study, females using menstrual cup were administered a questionnaire consisting of questions related to symptoms of urogenital infections in their lifetime. A total of 301 menstrual cup users were included in this study. The most common symptom reported by the respondents included rashes (48%), itching (48%), abdominal pain (40%.), foul smelling white discharge (22%), excessive white discharge (20.6%) and burning sensation while passing urine (15%). The prevalence of the symptoms was lower after switching to menstrual cups. Among the most common symptoms, 92% women were relieved from rashes, 79% from symptoms of itching and 42% from abdominal pain. Approximately, 1-5% women reported symptoms only after switching to menstrual cups.The results demonstrate lower prevalence of symptoms of urogenital infections among women when compared to their previously used menstrual product. Symptoms of urogenital infections did not affect the acceptance and continuance of menstrual cups usage. Additional clinical studies will be required to compare changes in occurrence of symptoms post switching to menstrual cups and develop linkage between these symptoms with usage of menstrual cup.
Placenta thickness: A sonographic index for foetal gestational age estimation
Authors: Jinadu Faosat O , Nelson-Paseda Adedolapo O , A Ottun Tawaqualit , Olumodeji Ayokunle M 
Published: October 2021

A healthy placenta is crucial for foetal well-being, growth and development and neonatal survival. Foetal sonographic biometric parameters are crucial in obstetric decision making. This study correlated placenta thickness with foetal biometry in the estimation of gestational age (EGA) and estimated foetal weight (EFW). This was a prospective cross-sectional study in which 400 healthy pregnant women at gestational ages of 13 to 37 weeks, who attended antenatal clinic at the Lagos State University Teaching Hospital, were consecutively recruited. Obstetric ultrasound (USS) was performed to assess placenta thickness (PT), USS EGA and EFW in each study participant. Correlation of these parameters was done using Pearson’s correlation. A regression equation used to assess the relationship between PT and EGA was determined using linear regression analysis at confidence interval of 95% and p-value&#60;0.05. The mean age of the women studied was 30.8±4.8 years. The mean PT ranged from 14.50±0.71 mm at 14 weeks to 36.58±1.54 mm at 37 weeks (wks). There was strong positive correlation between PT and USS EGA (r=0.968, p=0.000). A significant positive correlation was also noted between PT and EFW (r=0.900, p=0.000). There was no correlation between PT and maternal characteristics such as parity(r=-0.015, p=0.772) or maternal age(r=0.018, p=0.720). Ultrasound determined placenta thickness correlated linearly and positively with estimated gestational age and foetal weight. A regression equation of estimated PT was derived as follows; PT(mm) = 1.011 EGA (wks) – 0.663. Ultrasound determined placenta thickness correlates linearly and positively with estimated gestational age and foetal weight.
To evaluate the tests of antepartum fetal surveillance for predicting adverse perinatal outcome in pregnancy with IUGR
Authors: Babu Mahesh , H U Bhavya , Sundar S Shyam 
Published: October 2021

IUGR is one of the most common pregnancy complications which substantially increase risk of adverse neonatal outcome. The sequelae of IUGR include stillbirth, neuro-developmental delay in childhood and high risk of diseases like hypertension, diabetes in adulthood. Therefore, IUGR in pregnancy warrants intensive antepartum fetal surveillance to ensure optimal perinatal outcome.To evaluate the tests of antepartum fetal surveillance like AFI, BPS and Doppler ultrasound, alone and in combination for predicting adverse perinatal outcome in pregnancy with IUGR.This was a prospective observational study done on 100 pregnant IUGR women &#62; 34weeks of gestation, at a tertiary care centre in Karnataka, from June 2017 till December 2018. They were monitored by tests of fetal surveillance like Amniotic Fluid Index (AFI), Bio Physical score (BPS) and Doppler ultrasound. Tests done within 48 hours before labour and its relation to perinatal outcome were assessed. Continuous data such as age, height, weight were described by mean and standard deviation. The sensitivity specificity, positive and negative predictive value were calculated for each test.The statistical difference between the normal and abnormal tests of antepartum fetal surveillance in relation to perinatal outcome was significant. Diagnostic accuracy of Doppler was 67%, BPS and AFI was 69%. In case of combination of findings of BPS and Doppler, the accuracy rose to 75%.Biophysical profile was most reliable diagnostic method than Doppler in predicting adverse outcome. Sensitivity increased when BPS and Doppler was combined which is beneficial in predicting perinatal outcome.
Comparison of various regimens of itraconazole in treatment of acute vulvovaginal candidiasis
Authors: Dhoot Dhiraj , Prabhat Piyush , Mayadeo Lalita , Mahajan Harshal 
Published: October 2021

One of the most striking change in the current scenario is the increasing occurrence of non-albicans vulvovaginal candidiasis (VVC), which is considered as the major cause of recurrence, relapse and chronic VVC in India. In the present study we evaluated the effectiveness of three different regimens of itraconazole in the treatment of acute VVC.The present randomised, three arm comparative clinical study involved 123 women aged 18 years or above with symptomatic acute VVC. These patients were randomised (41 patients in each group) to receive either itraconazole 200 mg twice daily for 1 day (group I), 200 mg twice daily for 2 days (group II) or 100 mg twice daily for 3 days (group III). Effectiveness was evaluated on the basis of clinical cure (total symptom score), mycological cure (negative KOH test). All the groups were effective in relieving signs and symptoms (p&#60;0.05), but on comparison between all groups, there was statistical difference between Group II and Group I & III (p&#60;0.05) and Group III & I (p&#60;0.05). Complete cure i.e. disappearance of signs and symptoms and negative KOH test was maximum in group II (44%) as compared to groups I (12%) and III (17% of the patients). Relapse was least in seen in 11 patients (27%) in Group I, 3 patients (7%) in Group II and 7 patients (17%) in Group III. All the 3 regimens were well tolerated.In the present study, 2 day high dose itraconazole therapy was found to have better effectiveness compared to conventional regimens. Longer duration of therapy might be required to attain even better cure rates, especially when the incidence of Non Albicans vulvovaginal candidiasis is rising in all parts of the country.
Message from editor
Authors: Maree Kobus 
Published: October 2021

Message from Editor

Dear reader,

It is a privilege for us to publish Volume 10, Number 3, of the Global Journal of Guidance and Counseling: Current Perspectives. The COVID-19 pandemic which surfaced in 2019 spread throughout the world, slowing down activities in various sectors. Most people have lost a sense of balance as a result of the pandemic. We therefore see the need to offer guidance and counselling to our readers, to help them maintain a balance amid this global pandemic.
The five (5) papers published in this current issue were carefully selected from a list of submitted papers. The current issue covers papers submitted from five different countries from three continents. The papers which were submitted by researchers from Northern Cyprus, Ghana, Iran, Nigeria and Zimbabwe cover a list of topics including; Examining the relationship between academic procrastination behaviours and problematic Internet usage of high school students during the COVID-19 pandemic period; Relationship between personality factors and marital conflict resolution strategies among spouses in Abuja Municipal Area Council FCT Abuja; Peer pressure as a predictor of career decision-making among high school students in Midlands Province, Zimbabwe; Influence of demographic factors on guidance needs of teacher trainees in Ghana; Self-efficacy and identity statuses in students of Iran.
We would like to appreciate our highly skilled authors for their inputs and submissions for this issue. Our reviewers also worked hard to make sure the quality of accepted papers were of high quality and we acknowledge their efforts. Many thanks to our publishing team as well.
We desire that this issue inspires you and keeps you expectant for the next issue. Enjoy reading!!

Best regards
Prof. Dr. Kobus Maree
Editor
Investigation of Turkish activities applied in support education room for hearing impaired students in inclusive environment
Authors: Akay Elif 
Published: October 2021

It is observed that the number of students with hearing impairment placed in inclusive practices in our country has increased rapidly. In parallel, the need for support special education services to be provided in these environments also increases. Support education room is one of the support special education services offered in line with the needs of the student. The aim of this research is to examine the literacy activities applied in Turkish lessons within the scope of support education room service. This research was designed as an action research. The participants of the research; Three hearing-impaired students who receive inclusive education in the fourth grade of primary school are researchers, general education classroom teachers and validity committee members as support education room teachers. Research data was collected with videotape recordings of real classroom interactions, validity committee sound recordings and meeting minutes, lesson plans, reflective research diary, student products and archive documents. The data were analyzed by the researcher and the validity committee members during and after the research process. During the research process, text analysis, question-answer creation, story map creation and space filling activities were applied in Turkish lessons. As a result of the research, it was seen that the students were able to explain the texts they read, guess the meaning of the words they did not know, use the question-answer strategy, determine the text structures, summarize the text, and place words in the text in syntax and meaning. Research results of the hearing impaired students in Turkey is expected to provide support to the training room to offer programs to create benefits for their perspectives on lessons and Turk.
Keywords: Hearing impaired student, inclusion, support education room, literacy activities
What do gifted students expect from the information technology course?
Authors: Öngöz Sakine , Aksoy Dilara Arzugül 
Published: October 2021

The aim of this study is to determine the perspectives of gifted students on computer and to reveal their expectations and suggestions regarding the scope and operation of the courses they will take in the field of information technologies. In this context, it was tried to determine the students' interest in the computer, their evaluation of the information technologies they took in the past and what subjects they want to improve themselves in this field. Within the scope of the research conducted in qualitative design, a meeting was held in which 6 faculty members who are experts in the field of Computer and Instructional Technologies Education, 5 teachers working in the Science and Arts Center and 13 students of different age groups attending the Science and Arts Center were brought together. Faculty members answered current questions by providing up-to-date information on their areas of expertise. Various applications have been carried out with the participation of teachers and students, focusing on the use of up-to-date hardware and software. After the meeting, written opinions of the students about computer thoughts, which topics they want to improve themselves and their suggestions for Information Technologies courses were taken. The data obtained from the video recording and written forms made during the meeting were analyzed and the findings were reached. Students mostly want to improve themselves on programming and coding and to be a designer, not a user of ready-made software in their areas of interest. There is an expectation that courses in information technology include programming, game development, animation / cartoons, use of different software and hardware, algorithm, 3D modeling / graphic design and recognition of current technologies. BÄ°LSEM teachers stated that students can take Information Technologies courses individually or in small groups according to their interests, and that the courses to be given by the academic staff will be beneficial.
Keywords: Gifted students, Computer, Information Technologies course, BÄ°LSEM
EDITORIAL
Authors: Kurt Adile Askim 
Published: October 2021

To readers of Journal of Education and Special Education Technologyâ€™s (JESET) Issue in 2017. From 2015 till this days, we, as editorial team of JESET, aimed and made an effort to gain researches on technology in special education, have high quality and unique findings. We believed that just this kind of researches could useful for literature and our audiences such as readers, researchers, trainers, instructors in special education and educational technologies area. In this frame of journal we pleased to present you an article, written by Ä°skender Volkan SANCAR, SÃ¼leyman Burak TOZKOPARAN and Hatice Ferhan ODABAÅžI. The study represents a content analysis of scientific articles on the use of mobile technologies in special education. Within this scope, 19 out of 51 articles that are published in journals indexed in SSCI and/or ERIC were selected in compliance with inclusion and exclusion criteria. Findings show that a great majority of the studies focused on disabilities such as autism spectrum disorder, downâ€™s syndrome and intellectual disability. Most of the studies were conducted in the USA and focused on skill acquisition/improvement. Product design, usage or usability studies as well as research on visually and hearing impaired individuals were scarce.
Consequently, I would like to express my thanks to all the contributors who helped us to publish this issue.
Yours sincerely,
Associate Professor Doctor Adile Askim KURT