bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient with Huge Upper Esophageal Hemangioma
Authors: Geller Alex , Shvero Jacob , Alkan Uri 
Published: July 2019

ABSTRACTBackgroundCervical esophageal hemangioma is a rare benign tumor. Symptoms may include hematemesis, dyspnea, cough, dysphagia, and chest pain.ObjectivesTo describe a case of a large esophageal hemangioma in order to raise awareness of the condition and highlight the use of a cooperative endoscopic treatment approach by a gastroenterologist and otolaryngologist with excellent results. The literature on large esophageal hemangioma is reviewed.Materials and methodsAn otherwise healthy male presented with a huge hemangioma of the upper esophagus. Imaging showed the mass hanging on a narrow stalk attached to the posterior wall of the cricopharyngeus muscle, filling the lumen of the cervical and mediastinal esophagus. Resection was accomplished with a combination of flexible gastroscopy and microscope-assisted rigid direct laryngoscopy.ResultsPathologic evaluation showed a polypoid mass covered with squamous epithelium, with multiple engorged blood vessels. Some of the vessels were wide, surrounded by a thin wall, and others were narrow with a thick wall. The histology was compatible with arteriovenous hemangioma. There was no evidence of malignancy. At the 7-month postoperative follow-up, the patient appeared well, with no dyspnea or dysphagia. Our literature search yielded only two published cases of a huge hemangioma of the upper esophagus, which were treated by open resection. Ours is the first report of the use of endoscopic excision.ConclusionLarge esophageal hemangioma should be part of the differential diagnosis of dyspnea, dysphagia, persistent cough, or chest pain. A combined approach by a gastroenterologist and otolaryngologist, working cooperatively, can facilitate the correct diagnosis and provide optimum treatment.How to cite this articleAlkan U, Geller A, Shvero J. Patient with Huge Upper Esophageal Hemangioma. Int J Otorhinolaryngol Clin 2017;9(1):25-27.
Laryngeal Neuroendocrine Tumor: Atypical Presentation
Authors: Khurana Nita , Rai Varun 
Published: July 2019

ABSTRACTNeuroendocrine tumors of the larynx are the most common nonepidermoid tumors of the larynx and comprise less than 1% of the laryngeal tumors. Most of the symptoms and presentation mimic a usual laryngeal malignancy making the diagnosis difficult.How to cite this articleRai V, Malhotra V, Kumar N, Khurana N. Laryngeal Neuroendocrine Tumor: Atypical Presentation. Int Int J Otorhinolaryngol Clin 2017;9(1):32-34.
Improvements in the Occurrence, Management, and Outcomes of Postpartum Hemorrhage at a Teaching Hospital in Sri Lanka
Authors: Goonewardene Malik , Chetiyawardene Imali , de Silva Kalinga Sasika , Wickramasooriya Jayamini , Amarasinghe Yamuna 
Published: July 2019

SYNOPSIS
Using international and national standards and indicators, criteria based continuous clinical audits demonstrate that in-service training has reduced the occurrence of postpartum haemorrhage and improved its management and outcomes in a Teaching Hospital in Sri Lanka.
Predictors of Mortality of Critically Ill Gynecological Patients
Authors: Qureshi Rahat , Ahmed Sheikh Irfan , Raza Amir , Amerjee Azra 
Published: July 2019

ABSTRACT

Background
Gynecological patients with serious underlying morbidities require admission into intensive care units (ICUs) albeit being few in numbers.

Objectives
To review gynecological cases with non-pregnancyrelated illness, admitted to ICU with respect to diagnosis, associated risk factors, intervention required, aspects of management, and rate of mortality.

Materials and methods
Retrospective record view of gynecological patients admitted in the ICU from 2005 to 2014.

Setting
Aga Khan University Hospital, Karachi.

Findings
Twenty-six patients were admitted with complications secondary to gynecological indications. The most common reason was pulmonary edema (26.9%); sepsis was documented in 23.1% of all patients. Hemorrhagic shock was found in 11.5% gynecological ICU admissions, cardiogenic shock in 15.4%, and renal failure in 7.7%. Fourteen critically ill women with gynecological cancer were admitted to the ICU (ovarian cancer, n = 8; cervical cancer, n = 1; and endometrial cancer, n = 5). The overall mortality of gynecological patients was 26.92%. The most common interventions were mechanical ventilation (96%) followed by arterial line insertion (88%) and central line insertion (85%).

Conclusion
Critically ill gynecological patients requiring invasive mechanical ventilation, central hemodynamic monitoring, and invasive arterial pressure monitoring should be admitted to an intensive care unit.

How to cite this article
Qureshi R, Ahmed SI, Raza A, Amerjee A. Predictors of Mortality of Critically Ill Gynecological Patients. J South Asian Feder Obst Gynae 2016;8(2):96-100.
To Study Association between upper Gastrointestinal Symptoms and Body Mass Index in First Trimester of Pregnancy
Authors: Gautam Ashish , Nigam Asha , Rani Ruchi 
Published: July 2019

ABSTRACT

Aims
To study the association between upper gastrointestinal symptoms and body mass index (BMI) in the first trimester of pregnancy.

Objectives
To determine common upper gastrointestinal tract symptoms among women during their first trimester and to determine any association with the maternal BMI for their occurrence.

Materials and methods
Three hundred and forty-eight pregnant females during their first trimester who visited the outpatient department or causality were evaluated for their upper gastrointestinal symptoms. Their weight, height, and obstetric history were noted. Patients were evaluated for the presence of epigastric pain, nausea, vomiting, acid regurgitation, heart burn, early satiety, and loss of appetite after conception. Patients were grouped into three categories: Group A, with low BMI (< 20 kg/m2); group B, with average BMI (20—22.9 kg/m2); and group C, with high BMI (> 22.9 kg/m2). Symptoms were correlated with BMI.

Results
Patient were divided as follows: 26.6% (n = 92) were in group A, 53.6% (n = 185) were in group B, and 20.5% (n = 71) were in group C. In group A, 56 (60.8%) out of 92 developed new gastrointestinal symptoms and 51 out of 56 developed vomiting. In group B, 77 (41.6%) out of 185 developed new gastrointestinal symptoms and 40 out of 77 developed vomiting. In group C, 45 (63.3%) out of 71 developed new gastrointestinal symptoms and 29 out of 45 developed vomiting. Group A women are more prone to developing upper gastrointestinal symptoms than group B women, p-value being 0.003245 (< 0.05). Group C patients were more prone to developing upper gastrointestinal symptoms than group B patients. There is no statistical difference between groups A and C, p-value being 0.870 (> 0.05).

Statistical analysis used
Chi-square test.

Conclusion
Both high and low BMI are associated with more risk of development of upper gastrointestinal symptoms. Key message: Weight management prior to conception can reduce upper gastrointestinal symptoms during the first trimester.

Key message
Weight management prior to conception can reduce upper gastrointestinal symptoms during the first trimester.

How to cite this article
Gautam A, Nigam A, Agrawal P, Rani R. To Study Association between upper Gastrointestinal Symptoms and Body Mass Index in First Trimester of Pregnancy. J South Asian Feder Obst Gynae 2016;8(2):127-129.
Mode of Delivery for Peripartum Dengue (Critical Phase): Two Case Reports
Authors: Ramly Fathi , Suhaila Salini , Gugan Sundar , Rahman Aza Miranda Abd 
Published: July 2019

ABSTRACT

Background
Dengue is an important notifiable disease in tropical countries. Widespread capillary leakage poses big challenges in managing obstetrics population affected by dengue. Managing delivery during peripartum especially at a critical dengue phase is scarcely reported. We reported two peripartum dengue cases with two different modes of delivery.

Conclusion
Dengue in peripartum period is best managed by multidisciplinary input, particularly infectious disease experts and close monitoring involving ICU. Both modes of delivery are possible given that strict monitoring and mother optimization are put at prime.

How to cite this article
Ramly F, Suhaila S, Gugan S, Rahman AMA. Mode of Delivery for Peripartum Dengue (Critical Phase): Two Case Reports. J South Asian Feder Obst Gynae 2016;8(2):163-165.
Study of Length of Umbilical Cord at Term and Its Correlation with Fetal Outcome: A Study of 500 Deliveries
Authors: Sharma Seema , Soliriya Vijaya 
Published: July 2019

ABSTRACT

Introduction
Umbilical cord plays an important role in the life of the fetus. Though variations in shape and other features of umbilical cord are common, some variations can adversely affect the pregnancy outcomes.

Aims and objectives
The aim of our study was to study the correlation between the length of the umbilical cord in term gestation evaluated after birth and fetal outcome.

Materials and methods
This study was carried out on 500 patients admitted in our hospital. It was a prospective study. In this study, the length of umbilical cord was measured after delivery in subjects who fulfilled the inclusion criteria. Examination of umbilical cord was done regarding the presence of any loop around neck, trunk, number of loops of cord and positions, presence of true or false knots of cord, or any other cord abnormalities, such as cord varix and cord hematoma. Fetal parameters regarding sex, weight, and length of the newborn and Appearance, Pulse, Grimace, Activity, and Respiration (Apgar) score at 1 and 5 minutes were measured and its correlation with umbilical cord parameters was studied.

Results
In our study, the cord length varied from 16 to 144 cm. The mean cord length was 64.2 cm (±17.26 cm) and mean cord thickness was 1.21 cm (±0.39 cm). Maximum cases seen were in the group of cord length between 50 and 59 cm (27.8%). Lower sixth percentile was considered as short cord and upper sixth percentile was considered as long cord. A positive correlation existed between the cord length and birth weight and placental weight and body length of the newborn. There was no significant difference between sex of the fetuses and the cord length. Abnormal cord length cases (long and short group) have higher incidences of cord complications, and hence there was increased incidence of operative interference in such cases. The cases of long cord group had maximum number of lower segment cesarean section (46.43%). The significance was tested by using a chi-square test, and it was found to be statistically significant (p < 0.05). The incidence of birth asphyxia (21%) was significantly more in long and short cords as compared with normal length cords (p < 0.01).

How to cite this article
Sharma S, Soliriya V. Study of Length of Umbilical Cord at Term and Its Correlation with Fetal Outcome: A Study of 500 Deliveries. J South Asian Feder Obst Gynae 2016;8(3):207-211.
A Prospective Study to predict Vaginal Cytology and Bishop Score as Predictors of Onset of Labor
Authors: Mani Poonam , Dhingra Jasneet , Prateek Shashi 
Published: July 2019

Cover letter
Vaginal cytology reflects changes in estrogen and progesterone in pregnancy. The change represents a transition from predominance of navicular cells and clusters of intermediate cells (evidence of progesterone) to appearance of fewer or small sheets of clusters with abundance of superficial cells (evidence of progesterone withdrawal) at the onset of labor. Thus, vaginal cytology is a simple and inexpensive parameter to predict the onset of labor with ease. The vaginal smear yields unsurpassed speed and convenience.
Bishop score, a clinical parameter also predicts the onset of labor. At the onset of labor, Bishop score improves.
A Rare Case of Secondary Abdominal Pregnancy continuing up to Term with a Live Baby
Authors: Moitra Bratati 
Published: July 2019

ABSTRACT
Secondary abdominal pregnancy is a very rare condition. Outcome of secondary abdominal pregnancy with pregnancy continuing up to term and delivering a live baby by laparotomy is more rare. Management of secondary abdominal pregnancy depends on the gestational age of the fetus when diagnosed. If not diagnosed at the correct time patient may have life-threatening complications, for example, massive intraperitoneal hemorrhage, peritonitis, intestinal obstruction, intestinal perforation, fecal fistula formation, and lithopedion formation.

How to cite this article
Moitra B. A Rare Case of Secondary Abdominal Pregnancy continuing up to Term with a Live Baby. J South Asian Feder Obst Gynae 2016;8(2):249-251.
Forgotten Transvaginal Cervical Cerclage Stitch in First Pregnancy Benefits reaped till the Second Pregnancy
Authors: Kakade Aniket S , Kulkarni Yashwant , Mehra Anmol 
Published: July 2019

ABSTRACT
The cervical stitch is universally removed at 37 completed weeks or earlier if the patient goes in labor. The patient described was a rare incidence where the cervical stitch in the first pregnancy was forgotten and it was diagnosed in the second pregnancy. Since the patient did have a short cervical length in second pregnancy, the stitch was left in situ and was removed at term. A rare case is presented here where the cervical stitch in the first pregnancy benefited the second pregnancy.

How to cite this article
Kakade A, Kulkarni Y, Mehra A. Forgotten Transvaginal Cervical Cerclage Stitch in First Pregnancy Benefits reaped till the Second Pregnancy. J South Asian Feder Obst Gynae 2017;9(2):135-136.
Fetal Lung Surgery
Authors: Goynumer Gokhan , Api Olus , Yayla Murat , Sen Cihat 
Published: July 2019

ABSTRACT
Advances in technology and wide used of obstetric ultrasound have allowed an increase in the antenatal identification of fetal problems, such as fetal lung lesions. Technological advances in transducer and software technology have remarkably improved visualization of structures in the fetus. Additionally, newer understanding of the natural course of several malformations and new methods of in utero treatment, the evolution of fetal surgical techniques and anesthesia have made fetal surgery possible and have changed the course of evolution of lung defects before and after birth. Therefore, there is now an increasing demand for an accurate and timely diagnosis, counseling, and planning of appropriate management of the cases whether expectant management or in utero therapy at perinatal care centers with timely perinatal transfer.

How to cite this article
Sen C, Yayla M, Api O, Goynumer G. Fetal Lung Surgery. Donald School J Ultrasound Obstet Gynecol 2016;10(3):271-296.
Professionally responsible for counseling Pregnant Women about Abortion and Feticide
Authors: McCullough Laurence B , Chervenak Frank A 
Published: July 2019

ABSTRACT
We provide comprehensive, practical guidance for physicians on when to offer, recommend, perform, and refer patients for induced abortion and feticide based on the professional responsibility model of obstetric ethics. We begin by defining clinical terminology and elucidating autonomy-based and beneficencebased obligations as well as professional conscience and individual conscience. The obstetrician's role in counseling the pregnant woman about abortion and feticide should be based primarily on professional conscience, which is shaped by autonomy-based and beneficence-based obligations of the obstetrician to the pregnant and fetal patients, with important but limited constraints originating in individual conscience.

How to cite this article
Chervenak FA, McCullough LB. Professionally responsible for counseling Pregnant Women about Abortion and Feticide. Donald School J Ultrasound Obstet Gynecol 2016;10(3):321-325.
Ultrasound-based Decision Making on Stimulation Protocol for IVF Cycles
Authors: Nagori Chaitanya 
Published: July 2019

ABSTRACT
The essential quality of a successful assisted reproductive technology cycle is selection of the correct stimulation protocol for individual patient. This in our study is done by combining ultrasound parameters with the basic biometric parameters [age and body mass index (BMI)] of individual patient to tailor the stimulation protocol for every patient. The parameters used on ultrasound were ovarian size (volume), number of antral follicles, ovarian stromal resistance index and peak systolic velocity (PSV). We developed a scoring system using the abovementioned parameters. The score of the patient was used to calculate the dose of gonadotropins for ovarian stimulation in in vitro fertilization (IVF) cycle. In our experience, this scoring system has been proved to be very effective for optimum stimulation that would significantly reduce the incidence of ovarian hyperstimulation syndrome (OHSS) and also reduce the multiple pregnancy rates to acceptable levels.

How to cite this article
Panchal S, Nagori C. Ultrasound-based Decision Making on Stimulation Protocol for IVF Cycles. Donald School J Ultrasound Obstet Gynecol 2016;10(3):330-337.
Audio-Visual Aid: An Effective Means to improve Parental Awareness toward Habits and Malocclusion Prevention in Children
Authors: Kiran K , Dwivedi Swati , Arora Satyaki , Singal Deepa , Nikhra Varun , Chandra Neeraj 
Published: July 2019

ABSTRACT

Introduction
Malocclusion is a very prevalent disorder of children. These disorders are frequently the result of deleterious oral habits. These disorders and their etiology are very difficult to explain to the parent, but the advent of audio-visual aids has solved this dilemma for the clinician. They allow the clinician to make the parents understand problems and also to compare with normal individuals.

Aim
The aim of the present study was to evaluate the awareness of parent toward malocclusion and the efficiency of audio-visual aid in improving parent awareness and compliance toward treatment.

Materials and methods
A sample size of 100 was estimated which were selected randomly from patients coming to the Department of Pedodontics and Preventive Dentistry, IDS Bareilly. An audio-visual aid was prepared describing the oral habits and their associated malocclusions. A self-prepared questionnaire was presented to the parent before and after the audio-visual aid was shown to them. Their awareness and change in attitude was recorded.

Results
There was statistically significant (p ≤ 0.001) improvement in the knowledge and attitude toward treatment after audio-visual aids were used.

Conclusion
Audio-visual aid is effective in improving awareness toward malocclusion caused due to oral habits.

How to cite this article
Chandra S, Singal D, Arora S, Dwivedi S, Kiran K, Nikhra V, Chandra N. Audio-Visual Aid: An Effective Means to Improve Parental Awareness toward Habits and Malocclusion Prevention in Children. World J Dent 2014;5(2):98-101.
Evaluation of the Action of Chelating Agents on the Microhardness of Superficial Layer of Root Canal Lumen Dentin
Authors: Raghavendra Srinidhi Surya , Napte Bandu Devrao 
Published: July 2019

ABSTRACT

Aim
To evaluate the effect of different chelating agents on the microhardness of the superficial dentin layer of the root canal lumen.

Materials and methods
Forty-two extracted single rooted teeth were instrumented, and the roots were longitudinally sectioned in a buccolingual direction to expose the entire canal extension. The specimens were randomly distributed in four groups according to the final irrigation: Glyde File Prep (Dentsply Maillefer, Ballaigues, Switzerland), RC Help (Prime Dental Pvt. Ltd, Mumbai, India), Endo Prep RC (Stedman Anabond, Chennai, India), Dolo Endogel (Prevest Denpro Ltd, Jammu, India). A standardized volume of 50 ml of each chelating agent was used for 5 minutes. Dentin microhardness was measured with a Knoop indenter under a 50 gm load and a 15 seconds dwell time. Data was analyzed statistically by one-way analysis of variance ANOVA and post hoc multiple-comparison test at 5% significance level.

Results
Statistically significant difference was detected among the chelating agents by one-way ANOVA. Glyde File Prep and Dolo Endogel chelating agents differed significantly (p < 0.0001) in reduction of dentin microhardness from RC help and Endo Prep RC.

Conclusion
Glyde File Prep and Dolo Endogel are significantly better than RC Help and Endo Prep RC in reducing dentin microhardness.

How to cite this article
Napte BD, Srinidhi SR. Evaluation of the Action of Chelating Agents on the Microhardness of Superficial Layer of Root Canal Lumen Dentin. World J Dent 2014;5(2):124-128.
Factors affecting the Duration of Surgical Extraction of Impacted Mandibular Third Molars
Authors: Bede Salwan Y 
Published: July 2019

ABSTRACTAimThe aim of this study is to evaluate the effect of demographic, clinical, and radiographic factors on the duration of surgical extraction of impacted lower third molars.Materials and methodsThis retrospective study included patients who underwent surgical removal of impacted lower third molars, and the investigated factors were demographic data including age and gender, radiographic data including the impacted tooth angulation and depth of impaction and ramus relation, and clinical data including the state of eruption of the impacted teeth. These factors were evaluated for association with the duration of surgery. Descriptive statistical analysis included percentages and mean ± standard deviation (SD). Student's t-test was used to compare means between two groups, while for comparing the means among three or more groups for statistical significance, analysis of variance (ANOVA) test was used.ResultsForty patients were included: 20 (50%) males and 20 (50%) females. The age range was from 17 to 37 years with a mean ± SD of 23.4 ± 5.016 years. The duration of surgery (± SD) in all the patients ranged from 10 to 40 minutes with a mean of 25.8 ± 8.56 minutes. Clinically unerupted teeth and deep ramus relationship were associated with statistically significant increase in duration of surgical extraction.ConclusionThis study identifies state of eruption and ramus relation to be significant predictive factors, whereas other investigated factors, namely, age of patient, sex, angulation of teeth, and depth of impaction, were found to be not significant in determining the duration of surgery and hence, the difficulty of extraction.Clinical significanceDuration of surgical extraction of impacted mandibular third molars can be considered as an indicator for difficulty of surgical extraction. Difficult surgical extraction of impacted mandibular third molars can be anticipated in clinically unerupted teeth and those with deep ramus relationship.How to cite this articleBede SY. Factors affecting the Duration of Surgical Extraction of Impacted Mandibular Third Molars. World J Dent 2018;9(1):8-12.