bluuebunny/crossref_metadata_2025_split huggingface dataset:
Osteoartrit hastalarında ağrı şiddeti: yeni bir ölçek
Authors: ATAOĞLU Safinaz , ANKARALI Handan , ANKARALI Seyit , KOÇAK Sona 
Published: April 2018

Amaç: Bu çalışmada, osteoartrit tanısı almış hastaların, ağrı eşiği, ağrı şiddeti ve ağrının bıraktığı etkileri değerlendirmek için görselliğe ve kolay anlaşılabilirliğe önem veren, şiddeti daha ayrıntılı tanımlayan yeni bir ölçek geliştirilmesi planlandı. Gereç ve Yöntem: Çalışma, kesitsel tipte planlanan bir anket ve ölçek araştırmasıdır. Gönüllü olup araştırmaya alınma kriterlerine uyan, osteoartrit tanısı almış 76 hastaya anket uygulandı. Geliştirilen ölçekte, 3’ ü çok şiddetli, 3’ ü az şiddetli ağrı deneyimini ve 2’ si oteoartrit kaynaklı ağrı etkisini sorgulamaktaydı. Ölçekte, görsellik ve kolay anlaşılma ön plana çıkartıldı, ağrıyı daha ayrıntılı değerlendirme fırsatı sunuldu ve ağrı eşiğini belirlemede alternatif bir yaklaşım sunuldu. Bulgular: Ölçeğe uygulanan faktör analizi ile yapı geçerliliğinin olduğu ve 3 faktör içerdiği belirlendi. Ölçek maddelerinin iç tutarlılıkları iyi düzeyde ve istatistik olarak anlamlı bulundu. Sorulara verilen cevaplardan elde edilen puanlar arası uyum yüksek düzeyde çıktı. Çok ve az şiddetli ağrıları sorgulamaya yönelik hazırlanan sorulara verilen cevaplar birlikte dikkate alınarak hastalar ağrı eşiği düşük ve yüksek olarak iki gruba ayrıldı. Ayrıca osteoartrit ağrı şiddetinin, deneyimlenmiş en kötü karın ağrısından anlamlı farklılık göstermediği, ancak en kötü diş ve baş ağrısına göre daha hafif olduğu belirlendi. Sonuç:. SH-ağrı şiddeti ve ağrı eşiği ölçeğinin, yapı geçerliliğinin olması, iç tutarlılığa sahip olması, ölçekte yer alan sorulara verilen cevaplar arası uyumun yüksek olması ve ağrı şiddeti ile ağrı etkileri arasında anlamlı korelasyonun bulunması nedenleriyle geçerliliği ve güvenilir sonuçlar ürettiği söylenebilir.
What can a mother die of at the Parakou University Hospital Center in Africa?
Authors: Adisso Sosthene , Agbossaga Gisele-Estelle T. , Ntakwinja Mukanire 
Published: April 2018

Background: Maternal mortality is a scourge that severely undermines Benin and affects its development. The fact is that despite the efforts that have been made for decades, the causes remain unchanged. What is the evolution of maternal deaths in the maternity CHUD of the Borgou-Alibori which serves the departments of the Borgou and the Alibori populated by 1,245,264 inhabitants? The objectives of the present study aim to assess the ratio of maternal deaths, profile of deceased women, causes of death.Methods: This study took place at the maternity CHUD-B and covered a five-year period from January 1, 2010 to December 31, 2014. This is a retrospective, cross-sectional, analytical and descriptive study covering 113 cases of maternal death. Results: During this period, we noted from 2010 to 2014 an evolution from 953 to 1388 deaths for 100,000 live births. The deceased women were for the most part illiterate, without any profession and married. The main direct causes of maternal deaths in order of frequency are hemorrhage 47.7%, eclampsia 19.5%, infection 9.8%, dystocia 3.5%. Indirect causes account for 19.5% of maternal deaths. The administration of emergency obstetric care has occurred under conditions where the third delay is found in 22.1% of cases with as the dominant factor the non-availability of blood products. Conclusions: In the face of these circumstances, it is necessary to revise the system of the management of the Gravido-puerperium in the peripheral formations and in the maternity of the CHUD-B and then the conditions of transfer in order to positively influence the reduction of the mortality Maternal.
Current trends of consanguineous marriages and its association with socio-demographic variables in Pakistan
Authors: Khan Fouzia Zahid Ali , Mazhar Syeda Batool 
Published: April 2018

Background: A high proportion of marriages in South and Middle East Asia are contracted between close biological relatives due to cultural preference as it is a deeply rooted social fashion among these societies. The aim of this study was to determine the frequency of consanguineous marriages and ascertain their relationship to relevant sociodemographic variables. Methods: This was a cross sectional descriptive study conducted in tertiary care hospital of Islamabad. Data were collected on a specially designed questionnaire form. Age of participants, their education, socioeconomic status, castes and number of anomalous children born to these participants, degree of consanguinity and reasons of preferences were inquired. Results: Out of 300 women chosen by convenience sampling technique, 62% had consanguineous marriages, and 38% had a non-consanguineous union. The mean age of women presenting to maternal and child health centre was 27 years. The average age of a woman having consanguineous marriage was 21 years in contrast to 24 years for non-consanguineous nuptial. About 18% of women in consanguineous marriages were illiterate as compared to 5.4% (p = 0.001) of women in non-consanguineous unions. First cousin marriages were more common among certain castes like Rajput and Awan. None in the consanguineous group had any anomalous baby in contrast to non-consanguineous who had two anomalous children (p = 0.0001). There was no significant association between type of marriage and the number of miscarriages (p=0.69).Conclusions: This study showed UA-S/D ratio and UA-RI>2SD are significant predictors of perinatal deaths and immediate neonatal resuscitation in preeclampsia. Acute fetal distress in labour or neonatal nursery admission could not be predicted.
Correlation of efficacy of cerebro placental ratio with adverse perinatal outcome in clinically suspected IUGR pregnancies
Authors: Singh Geeta , Gupta Neerja , Singhal Sangeeta , Sharma Pramod Kishor 
Published: April 2018

Background: IUGR is a most common and complex problem in modern obstetrics. Most commonly use methods to assess fetal condition are BPP and NST which are not sensitive for predicting better perinatal outcome. Present study was an effort to evaluate the role of ratio of pulsatility index (PI) of middle cerebral artery and umbilical artery which is called cerebro placental ratio as the most sensitive, specific and accurate predictor of adverse perinatal outcome in clinically suspected IUGR Pregnancies.Methods: 50 clinically suspected IUGR Pregnancies attending antenatal clinics Muzaffarnagar Medical College and Hospital, Muzaffarnagar were subjected to Doppler ultrasound evaluation Doppler velocity wave form of umbilical artery and fetal middle cerebral artery were obtained. Pulsatility index ratio of MCA and umbilical artery (cerebro placental ratio) was evaluated in each case. Abnormal ratio is defined as CPR<1.08 considered as cut of value. Ratio was coo related clinically with perinatal outcome.Results: Out of 50 antenatal cases, 63% neonates had birth weight <2.5 kg. There were 6 IUD’S and 44 live births, 9 neonates were admitted to NICU, 7 neonates had 5 min. APGAR score <7 and 13 neonates were born by emergency CS. Of the 6 IUDS, 4 cases had reversal of blood flow umbilical artery and 2 cases had absent diastolic flow. In all cases of reversal Diastolic flow, IUD occurred within 7 days of diagnosis. Conclusions: CPR is the most sensitive, specific and accurate parameter in prediction of adverse perinatal outcome and thus can help in decreasing perinatal mortality.
Maternal outcomes in patients with previous one lower segment caesarean section undergoing trial of labour: prospective observational study
Authors: . Veeramma , Mahajan Puneeta 
Published: April 2018

Background: The incidence of caesarean section is on the rise and has increased 2-3 folds from the initial rate of 10% during the last decade. The objective of the present study was to compare maternal outcomes in successful and failed trial of labour in women with previous one LSCS.Methods: This prospective observational study was carried out in Department of obstetrics & Gynaecology, Sanjay Gandhi memorial Hospital, New Delhi during 2015-2016 and included 150 gravid women with previous LSCS. The study was undertaken during March 2015 to May 2016. The ethical committee approval for the study has been taken.Results: out of 150 patients who had given a trial of labour, 64.7% (97) underwent successful VBAC and 35.3 %( 53) underwent emergency repeat LSCS. Majority of cases 59.3% were in age group <25 years followed by 36.7% in age group of 25-30 years. Most of the cases are para one 72.7% and remaining are multipara (27.3%). LSCS group: 83% para1 and 17% are multipara. VBAC group: 67.01 % para 1 and 32.9% multipara. There is no significant statistical difference between parity and mode of delivery. (p=0.591). Majority of cases 52.7% were in between 37-39 weeks and 47.3% cases were in between 39-42 weeks. Majority cases 89.3% had Bishop’s score 4-6 and 10.7% had Bishops score >6.Conclusions: This study reveals that successful VBAC rate was 64.7% and 35.3% emergency repeat caesarean section.
Study of the cases of severe acute maternal morbidity at a tertiary care centre
Authors: Jamal Shehla , Srivastava Ruchi , Jain Arpit , Chutani Nimmi , Agarwal Shelly , Mehta Archana , Gupta Samta 
Published: April 2018

Background: Reduction in the maternal morbidity has been the key strategy towards achievement of Millennium Development Goal. Despite exhaustive measures at all levels, the decline has been slow. WHO in 2007 established a technical working group to identify cases of severe acute maternal morbidity. It served dual goals to identify the causes and pointing out delays leading to SAMM. SAMM is now an established superior indicator of surviving women’s health and allows uniform comparisons. The present study was conducted with an aim to identify cases of SAMM at our centre. The objective is to determine the frequency of maternal near miss and conduct an epidemiological survey.Methods: This retrospective study was conducted in the department of Obstetrics and Gynecology and ICU of School of Medical Sciences and Research, Greater Noida, from November 2014 to October 2017. All the cases identified as SAMM, as per WHO 2009 criteria (modified according to the local protocol), were included in the study. Results: During the study period there were a total of 2252 delivery, out of which 2051 were live births. There were 123 SAMM cases and 47 were excluded out of study. So, study was done on 76 cases of SAMM, and on 11 maternal deaths in the study period. Calculated MNM incidence ratio was 37.05 per 1000 live births. A mortality index of 12.64% was calculated. MNM to maternal death ratio was 6.9:1. Major identifiable cause for SAMM was hypertension (35.5%)), followed by haemorrhage (18.4%). Haematologic system was the commonest organ system involved. 67.8% of the admissions were done in critical condition.Conclusions: Maternal mortality and SAMM cases shared characteristics, and study of SAMM cases can provide an insight into the causative etiology and give time for early intervention.
Is emergency cesarean section more risky than elective cesarean section in women with previous cesarean section?
Authors: Dhillon Balwan Singh , Chandhiok Nomita , Rao M. Vishnu Vardhana 
Published: April 2018

Background: Cesarean section is one of the most performed surgical procedures all over the world, but unfortunately cesarean sections are associated with a great deal of maternal morbidity and mortality. In the past the rate of cesarean section has increased for many avoidable and unavoidable indications both in developed and developing countries. The objective of this study was to compare maternal morbidity and mortality in elective repeat cesarean section (El-RCS) and emergency repeat cesarean section Em-RCS.Methods: Prospective data was recorded on management practices, associated complications and morbidity and mortality on 15664 consecutive cases of previous cesarean section reporting at 30 medical colleges/teaching hospitals for delivery.Results: Of the 15664 women with a previous cesarean section, 5399 (34.5%) women underwent elective repeat cesarean section, 7752 (49.5%) women who underwent emergency repeat cesarean section and 2513 (16.0%) had successful trial of labor (S-TOL). There was failed trial of labor (F-TOL) in 1522 cases and requiring an emergency cesarean section for delivery of baby. Therefore, total no. of 7752 women had an emergency cesarean section. The overall maternal morbidity was 22.5%, 20.7% in Em-RCS and El-RCS respectively. Blood loss was more than 1000ml in 7.2% of Em-RCS where as in El-RCS it was 8.8%, blood transfusion was 7.5% in Em-RCS where as it was 6.5% in El-RCS, dehiscence of scar in Em-RCS was 4.7% as compared to 2.2% in El-RCS, uterine rupture was 1.2% in Em-RCS as compared to 0.7 % in El-RCS found statistically significant. Post-operative complication was 5.9% cases in Em-RCS where as in El-RCS was 5.8% (p=0.79 non-significant). Maternal mortality was reported in 12 (0.2%) cases of Em-RCS as compared to 5 (0.1%) cases in El-RCS (p=0.37) which was not statistically significant. Conclusions: Maternal morbidity was found more in emergency repeat cesarean section than in elective repeat cesarean section. Complications and referral of women who are likely to undergo cesarean section should be diagnosed at an early stage so that the maternal morbidity and mortality can be prevented.
Foley catheter with vaginal prostaglandin E2 gel versus vaginal prostaglandin E2 gel alone for induction of labour: a randomized controlled trial
Authors: Garg Ruchika , Vardhan Shailza , Singh Saroj , Singh Richa 
Published: April 2018

Background: Induction of labour is significant when continuing pregnancy possess adverse effect on health of mother and her unborn baby. Different methods have been used for induction of labour. At present there is very less literature regarding simultaneous use of Foleys catheter and PGs. The present study was done to compare the efficacy of using intracervical Foleys catheter and PGE2 gel simultaneously versus PGE2 gel alone for induction of labour.Methods: Prospective study, conducted in department of obstetrics and gynaecology for duration of 6 months. 100 women requiring induction of labour were included in the study and were randomly divided into two groups. 50 women were included in group A (simultaneous use of intracervical Foley catheter with PGE2 gel) and 50 women were included in Group B (intravaginal insertion of PGE2 gel only).Results: Maternal age, gestation age, parity, indication of induction and primary Bishops score were comparable in both the groups. Mean induction to active phase interval in both groups which was 5.8±0.80 hours in Group A and 6.23±0.40 hours in Group B. Also mean time taken from induction to delivery in Group A was 10.08±5.6 hours and in Group B was 14.6±6.9 hours which was significantly less in Group A. The rate of vaginal delivery in group A and Group B was 66% and 58% respectively which was slightly more in Group A but was not significant.Conclusions: In the present study we conclude that simultaneous use of mechanical method with Foleys catheter and PGE2 gel is better and more effective method for induction of labour than PGE2 alone. However, large sample size is required to reach more confirmatory results.
Observational study of HSG with laparoscopic correlation in infertility patients
Authors: Dubbewar Avinash , Nath Saumen Kanti 
Published: April 2018

Background: Uterine abnormalities contribute to 10% of infertility cases and 50% of women with recurrent early pregnancy loss whereas fallopian tube abnormalities contribute to 20% of such cases.Methods: Total 61 patients of infertility and subfertility undergoing evaluation and treatment at our centre were selected for HSG. Total 25 patients from this group have undergone diagnostic laparoscopy, their findings were correlated with HSG findings retrospectively.Results: All the patients in the study group were either primary or secondary infertility patients. Of the 61 patients of infertility, 49 were in primary infertility group and 12 were in secondary infertility group. The age of patients was between 23 and 35 years. The average duration of primary infertility was 5 years and secondary infertility was 3.5years. Total 61 patients underwent HSG, 42(68.8%) patients had normal findings and 19(31.14%) patients had abnormal findings. In abnormal findings 4(6.55%) were Mullerian abnormalities and 15(24.59%) were either unilateral or bilateral tubal block. Total 25 patients underwent diagnostic laparoscopy out of 61 patients. The sensitivity of HSG was 90% and specificity was 60 % with positive predictive value of 60% and negative predictive value of 90% as compared to diagnostic laparoscopy. Tubal block was defined as any form of tubal occlusion detected at HSG and finally confirmed on laparoscopy. In our laparoscopy findings, peri-adnexal adhesions were found in 5 (20%) of the blocked tubes on laparoscopy. Endometriosis was detected in 1 (4%) of the blocked tubes and suspected intra-tubal block in 2 (8%).Pelvic inflammatory disease was found to contribute in 3 (12%).Conclusions: HSG demonstrates high sensitivity in our study. So, it should be used as the initial investigation for identifying uterine abnormality and tubal patency. As the specificity is less, we suggest that laparoscopy is necessary to recognize those cases of tubal block, which were unrecognized or wrongly recognized on HSG. In addition, the patients who were found to have tubal block on HSG, laparoscopy helps in finding the cause of infertility like existence of peritubal adhesions and endometriosis that can guide appropriate therapy.
A study on association of preoperative anaemia and obesity with causes and postoperative outcome in women undergoing hysterectomy for abnormal uterine bleeding
Authors: Parkavi S. Manju , Jayasree M. , Sasikala R. 
Published: April 2018

Background: Abnormal uterine bleeding is most commonly encountered in 10-20% of women in reproductive age. The objectives of the study are to assess the proportion and association with causes and postoperative outcome of preoperative anaemia and obesity in women with abnormal uterine bleeding who underwent hysterectomy.Methods: This was a retrospective observational record-based study conducted in the Dept. of Obstetrics and Gynaecology of Sri Manakula Vinayagar Medical College and Hospital(SMVMCH), Pondicherry. The study population consisted of 169 patients who were admitted for abnormal uterine bleeding and underwent hysterectomy from January 2016 to December 2016 for a period of one year.Results: The mean age was 43years.The mean value of haemoglobin on admission was 9.89g/dl. The distribution frequencies of patients by WHO BMI classification as underweight, normal, overweight and obesity are 8, 59, 78 and 24 respectively. The distribution frequencies of patients by WHO anaemia classification as no anaemia, mild, moderate are 34, 37 and 98 respectively. Seventy-six patients had blood transfusion. Six patients had urinary tract infection and all of them were anaemic and obese. Two patients had developed respiratory tract infection and none of the patients had developed deep vein thrombosis. Conclusions: Preoperative anaemia was more common in patients with fibroid and associated with increased morbidity in immediate postoperative period. There is more prevalence of SSI among overweight and obese women.
Celiac disease and pregnancy in Indian scenario
Authors: Verma Anupam , Tyagi Preeti , Singh Anu 
Published: April 2018

Celiac disease is a chronic lifelong inflammatory condition of gastrointestinal tract specifically the small intestine. We report a case of pregnancy outcome in a patient with celiac disease (gluten sensitive enteropathy) diagnosed during the investigations of recurrent abortions and intermittent diarrhoea since childhood. A 32 years old patient who had four abortions and loss of a premature baby was diagnosed as celiac disease during investigations of recurrent abortions and diarrhoea since childhood. After stabilisation of disease she conceived spontaneously. Patient had regular follow up in some private institute. She was referred to our hospital as a case of IUGR with color Doppler changes with breech presentation with sluggish fetal movements at 37 weeks and emergency caesarean section was performed. A male fetus with 2.25 kg AS 7, 9 at birth was delivered. The cause of her recurrent pregnancy losses and previous preterm birth was celiac disease. Celiac disease (CD) is an immune-mediated enteropathy caused by a permanent sensitivity to gluten in genetically susceptible individual. It may also lead to serious maternal and fetal complications because of systemic effects of disease however a successful pregnancy outcome is possible when pre-gestational diagnosis is made and proper management of disease during pregnancy is achieved.
KOMUNIKASI VERBAL ANAK PESISIR USIA 7-8 TAHUN PADA TRANSAKSI PENJUALAN PRODUK KEBUDAYAAN DENGAN TURIS MANCANEGARA
Authors: Rustan Edhy , Subhan Subhan 
Published: April 2018

This study aims to obtain a description of childrenâ€™s second language verbal communication skills aged 7-8 years in the activity of buying and selling transactions with foreign tourists. This research was conducted in South Coastal Coast of Central Lombok Regency of West Nusa Tenggara. This research is a qualitative study of case study by Milles and Hubberman model data analysis technique with four stages of interalain analysis (1) data collection, (2) data reduction, (3) data display and (4) drawing conclusion. The results of this study indicate that the verbal communication skills of coastal children are obtained partially covering three linguistic components; vocabulary, shipping and grammatical arrangement. The process of acquiring verbal communication skills is influenced by two factors, namely family pressure and self-exposure of children to the coastal tourism environment that encourages children to sell cultural products to foreign tourists. For these purposes, coastal children use two common patterns of second language verbal communication, ie direct verbal communication patterns (spoken word) and indirect verbal communication patterns (writing word).
Keyword: Verbal communication skill, Children aged 7-8 years.
Penelitian ini bertujuan untuk memeroleh gambaran kemampuan komunikasi verbal bahasa kedua anak usia 7-8 tahun dalam kegiatan transaksi jual beli dengan turis mancanegara. Penelitian ini dilakukan di Pesisir Pantai Selatan Kabupaten Lombok Tengah Nusa Tenggara Barat. Penelitian ini adalah studi kasus dengan teknik analisis data model Milles dan Hubberman dengan empat tahapan analisis yang meliputi (1) pengumpulan data, (2) reduksi data, (3) display data, dan (4) penarikan kesimpulan. Hasil analisis menunjukkan bahwa kemampuan komunikasi verbal anak pesisir pantai cenderung diperoleh secara parsial; mencakup tiga komponen kebahasaan antaralain kosakata, pelafalan dan susunan gramatikal. Adapun proses pemerolehan kemampuan komunikasi verbal tersebut dipengaruhi oleh dua faktor yaitu tekanan keluarga dan ekspos diri anak pada lingkungan pariwisata pantai yang mendorong anak untuk berjualan produk-produk kebudayaan kepada para turis mancanegara. Untuk kepentingan tersebut, anak pesisir pantai menggunakan dua pola umum komunikasi verbal bahasa kedua, yaitu pola komunikasi verbal langsung (spoken word) dan pola komunikasi verbal tidak langsung (writing word).
Kata Kunci: kemampuan komunikasi verbal, anak usia 7-8 tahun