bluuebunny/crossref_metadata_2025_split huggingface dataset:
Morcellation: Its Origin and Where It is heading to?
Authors: Ghoshal Soma , Mittal Anushree , Manjula BC 
Published: September 2015

ABSTRACT
A morcellator is a device used to cut, grind and extract tissue. This minimally invasive procedure is designed to help patient heal faster while removing the tissue that is causing the problems. The Food and Drug Administration (FDA) gave its approval for this device in 1993. Since then, nearly two dozen similar devices have hit the market.
The authors review the available literature in order to put into perspective current status and position of morcellation in clinical practice. The evolution of morcellation over the course of years, its advantages and recent controversies and various other methods of specimen retrieval their advantages and disadvantages are discussed. Morcellation being one of the techniques, has been in the news with FDA discouraging the use of these devices as they can lead to spread of cancerous tissue or they can lead to dissemination of undiagnosed cancer.
We also discussed the recent innovations in morcellators and its techniques and through this topical discussion try to come to some conclusion.

How to cite this article
Manjula BC, Manchanda R, Mittal A, Ghoshal S. Morcellation: Its Origin and Where It is heading to?. J South Asian Feder Obst Gynae 2015;7(2):77-82.
Spontaneous Heterotopic Pregnancy
Authors: Bajwa Jasreet Kaur , Mann Ankita , Rudra Samar 
Published: September 2015

ABSTRACT
The prevalence of heterotopic pregnancy is increasing worldwide, due to the widespread practice of assisted reproductive technology and the availability of more precise diagnostic techniques. However, spontaneous heterotopic pregnancy is a rare clinical condition where it occurs in a natural conception. It has a historic incidence of 1 in 30,000. We report a case of 30 years old women, gravida 6, para 3, abortion 2 without having any risk factor for ectopic pregnancy who conceived spontaneously and was diagnosed ultrasonographically as heterotopic pregnancy, i.e. with concomitant right tubal pregnancy and intrauterine gestation. The patient presented with pain in lower abdomen and was managed laparoscopically. Due to its rarity, a high degree of clinical suspicion is required to make a diagnosis of heterotopic pregnancy. Thus, we infer that the diagnosis of heterotopic pregnancy should be suspected in all women in the reproductive age, reporting with early pregnancy.

How to cite this article
Bajwa JK, Mann A, Rudra S, Singh S. Spontaneous Heterotopic Pregnancy. J South Asian Feder Obst Gynae 2015;7(2):83-85.
Medical Management of Placenta Accreta with Methotrexate: Review of Two Cases
Authors: Singh Yoginder , Raghav Vinod , Kapur A 
Published: September 2015

ABSTRACT
Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach for its management. The incidence of placenta accreta has increased over the years. Women at greatest risk of placenta accreta are those who have myometrial damage caused by a previous cesarean delivery. Although recognized obstetric risk factors allow the identification of most cases during the antepartum period, the diagnosis is occasionally discovered at the time of delivery when there is difficulty in delivery of placenta. In general, the recommended management of suspected placenta accreta is planned preterm cesarean hysterectomy with the placenta left in situ because attempts at removal of the placenta are associated with significant hemorrhagic morbidity. Recently, adjuvant therapy with methotrexate has been used in the treatment of morbidly adherent placenta in patients desiring further child bearing. We present two cases where medical management was successful.

How to cite this article
Singh Y, Raghav V, Kapur A. Medical Management of Placenta Accreta with Methotrexate: Review of Two Cases. J South Asian Feder Obst Gynae 2015;7(2):86-88.
Idiopathic Thrombocytopenic Purpura in Pregnancy
Authors: Rajeswari KS , Sivasundari M , Sithara D 
Published: September 2015

ABSTRACT
Idiopathic thrombocytopenic purpura (ITP) is a diagnosis of exclusion. It is an autoimmune disorder caused by development of IgG autoantibodies, directed against a number of platelet glycoproteins. A 26 years, primigravida, booked from 30 weeks of gestation, admitted at Sri Ramachandra Medical College and Hospital at 36 weeks of gestation, with gestational hypertension and severe thrombocytopenia with a platelet count of 45,000/mm3. She was treated with intravenous steroids during her antenatal period for thrombocytopenia. She delivered a healthy baby girl of weight 2.4 kg by cesarean section and was breastfed. Intraoperatively, platelet transfusion was given. Postoperatively, she was on methyl prednisolone following which a good increment in the platelet count was noticed and then discharged. The aim is to clarify when thrombocytopenia in pregnancy is clinically important, to provide guidance regarding diagnosis, management options and information about potential risks to the mother and the fetus along with the review of relevant literatures.

How to cite this article
Sithara D, Rajeswari KS, Sivasundari M. Idiopathic Thrombocytopenic Purpura in Pregnancy. J South Asian Feder Obst Gynae 2015;7(2):95-96.
Role of Anti-Müllerian Hormone in Gynecology: A Review of Literature
Authors: Kumar Naina , Singh Amit Kant 
Published: September 2015

ABSTRACT
Anti-müllerian hormone (AMH) or Müllerian inhibiting substance (MIS), is a dimeric protein part of the transforming growth factor (TGF)-beta subfamily. It plays two important roles in follicle genesis. First, it delays entrance of primordial follicle into pool of follicles in growth and secondly, it decreases the sensitivity of ovarian follicle toward follicle-stimulating hormone (FSH). The ovary-specific expression pattern in granulosa cells of growing non-selected follicles makes AMH an ideal marker for size of the ovarian follicle pool. This review summarizes recent literature concerning AMH and its role in various gynecological conditions.

Methods
The literature regarding AMH was searched from various English language journals and published peer-reviewed articles on Pubmed, MEDLINE and Google Scholar till 2014.

How to cite this article
Kumar N, Singh AK. Role of Antimüllerian Hormone in Gynecology: A Review of Literature. Int J Infertil Fetal Med 2015;6(2):51-61.
Naloxone Breeding Effectiveness in Rat Suffering from Nitric Oxide-induced Polycystic Ovary Syndrome
Authors: Karami Manizheh , Lakzaei Fatemeh , Nadoushan MohammadReza Jalali 
Published: September 2015

ABSTRACTBackground and objectivePolycystic ovary syndrome (PCOS) can be induced in Wistar rats by over production of nitric oxide (NO). This study evaluated the efficacy of naloxone on the breeding characteristics of rats suffering from nitric oxide induced PCOS.Materials and methodsTwenty-four female Wistar rats(200–250 gm) were kept as virgin under standard conditions. They were divided into four groups (n = 6). One group of the animals received L-arginine (50 mg/kg) intraperitoneally (i.p.) for 9 days/once a day. Another group was administered naloxone hydrochloride (0.4 mg/kg, i.p.) prior to injection of L-arginine. The third group was injected solely naloxone. Control group received saline solution (1 ml/kg, i.p.). After the treatments, all female rats were coupled with the intact males. They were then separated by observation of vaginal plaques; it was considered as day 0 of pregnancy. Eventually, they were operated on days 18 to 19 of the gestation to collect the animals’ ovaries. The samples were studied for pathological evidence. The fetal number and weight along with the fetal crown-rump length (CRL) were measured.ResultsThe ovaries obtained from the L-arginine treated group had large cysts with thickened granulosa cell layer in contrast to those of the control or naloxone treated rats (p < 0.0001). The number of fetus though showed a decrease in the L-arginine treated rats (3 ± 1), but the fetal weight or fetal CRL did not change (p > 0.05).ConclusionThis study may clearly illustrate the polycystic characteristics in the L-arginine treated group. It may particularly display the breeding efficacy of naloxone in rats with PCOS.How to cite this articleKarami M, Lakzaei F, Nadoushan MRJ. Naloxone Breeding Effectiveness in Rat Suffering from Nitric Oxide-induced Polycystic Ovary Syndrome. Int J Infertil Fetal Med 2015;6(2):67-72.
Single Incision Gasless Laparoscopic Myomectomy
Authors: Jesudian Gnanaraj 
Published: September 2015

ABSTRACT
Uterine fibroids are a common finding in women presenting for evaluation of infertility. Laparoscopic myomectomy has now become an accepted procedure in urban areas as many of the women prefer minimally invasive procedures. We describe the method of doing single incision laparoscopic myomectomy that offers all the advantages at a fraction of the cost of laparoscopic surgery in urban areas.

How to cite this article
Jesudian G. Single Incision Gasless Laparoscopic Myomectomy. Int J Infertil Fetal Med 2015;6(2): 84-87.
An Interesting Case of Fetal Cardiac Rhabdomyometa in Pregnancy
Authors: Shivananjaiah Chaitra , Manjula NV , Swarup Asha 
Published: September 2015

ABSTRACTMrs S was detected to have fetal cardiac rhabdomyometa at 30 weeks of gestation, as the fetal echo showed multiple nonobstructive cardiac rhabdomyometa with normally connected heart and premature atrial contractions. Magnetic resonance imaging (MRI) showed no obvious cranial tubers. As the condition was isolated, patient was conservatively followed-up. Patient had an uneventful vaginal delivery. Post-delivery, fetal echocardiography showed multiple masses on the left and right side of the cardia on the tricuspid valve and was opined conservative management in view of high risk, had limited benefit for surgical intervention and as the condition would likely to improve over time. baby was stable at discharge and was put on tablet propranolol 10 mg ¼ thrice daily for selflimiting arrhythmias.How to cite this articleJyothi GS, Shivananjaiah C, Manjula NV, Swarup A. An Interesting Case of Fetal Cardiac Rhabdomyometa in Pregnancy. Int J Infertil Fetal Med 2015;6(2):92-95.
Piezosurgery in Periodontics
Authors: Anitha K , Devi Sakthi , Swaminathan Mythili , Karthikeyan I 
Published: September 2015

ABSTRACT
Piezosurgery is a new and innovative method that uses piezoelectric ultrasonic vibrations to perform precise and safe osteotomies. It was first invented by Tomaso Vercelotti to overcome the limitations of traditional instruments in oral bone surgery. Its use was first reported in the field of preprosthetic surgery alveolar crest expansion and sinus grafting. It provides substantial improvement dental/implant surgery, benefiting the surgeon by ease of use and the patient by minimizing surgical trauma and promoting rapid healing. Manual is used to remove small amounts of bone in areas with relatively less dense mineralization. The manual instruments are difficult to control in cortical bone, particularly where precise osteotomies are essential. They are mostly applied for gross cutting of large bone segments. Motor Driven instruments are often used when bone is very dense. Motor driven instruments transform electric or pneumatic energy into mechanical cutting action using the sharpened edge of burs or saw blades. These instruments generate a significant amount of heat in the cutting zone that must be minimized by water irrigation overheating of adjacent tissue may alter or delay the healing response. The reduced rotational speed decreases not only frictional heat but also cutting efficiency. Motorized cutting tools also decrease tactile sensitivity, slower rotational speed necessitates increased manual pressure which increases the macro-vibration of the cutting tool and further diminishes sensitivity. This article discusses about the wide range of application of piezoelectric technique.

How to cite this article
Devi S, Swaminathan M, Karthikeyan I, Anitha K. Piezosurgery in Periodontics. Int J Prosthodont Restor Dent 2015;5(2):51-55
Prosthetic Management of Palatally Placed Maxillary Impacted Canine
Authors: Shambharkar Vaibhao Ishwar , Shaikh Sameera , Sonare Shweta , Bajaj Ganesh 
Published: September 2015

ABSTRACT
Treatment of asymptomatic impacted maxillary canines in adults is inevitable when primary canine becomes lost through extraction or exfoliation or when the impacted tooth becomes symptomatic. Treatment alternatives include an orthodontic procedure to bring the unerupted tooth to the dental arch or prosthetic replacement of the missing tooth. This is an alternative treatment that involves simultaneous placement of implants into extraction sockets of the teeth for replacement of maxillary canine. This treatment modality avoids the need for conventional preparation of teeth as part of prosthetic reconstruction or prolonged orthodontic treatment aimed at bringing the impacted canine to the dental arch.

How to cite this article
Shambharkar VI, Shaikh S, Sonare S, Bajaj G. Prosthetic Management of Palatally Placed Maxillary Impacted Canine. Int J Prosthodont Restor Dent 2015;5(2): 56-59.
DETERMINANTES SOCIOCOMPORTAMENTAIS E VULNERABILIDADE DE CRIANÇAS DA EDUCAÇÃO INFANTIL À PEDICULOSE
Authors: Pinheiro Fernanda Gomes Magalhães Soares , Madi Rubens Riscala , Vaez Andreia Centenaro , Pereira Jesana Batista , Melo Cláudia Moura 
Published: September 2015

O espaço escolar é associado à alta infestação pelo piolho de cabeça. Este trabalho objetivou caracterizar os determinantes sociocomportamentais e a vulnerabilidade de pré-escolares à infestação por Pediculus humanus capitis no município de Aracaju, estado de Sergipe. A pesquisa de campo exploratória foi realizada de junho a agosto de 2014, na microrregião do bairro Augusto Franco, no domínio familiar (unidades domésticas) e escolar (Escola Municipal de Ensino Infantil). A análise dos dados utilizou a estatística descritiva, teste Quiquadradode Pearson e Odds Ratio. Aproximadamente de 64% (30/47) dos entrevistados recebem até 1 salário mínimo e possuem residência própria, a quantidade de filhos foi entre 2 e 3 crianças. 30% tiveram piolho, destas, 40% realizaram tratamento medicamentoso e 13,3% catação manual. Questões como a pediculose devem ser consideradas no contexto da situação, com metodologia participativa e dialógica no contexto familiar e escolar.
PRODUÇÃO DO PLANO DE EDUCAÇÃO PERMANENTE EM SAÚDE: UM RELATO DE EXPERIÊNCIA NO OESTE CATARINENSE
Authors: Vendruscolo Carine , Zocche Denise , Dutra Altamir Trevisan 
Published: September 2015

Relato da experiência de elaboração do Plano de Ações Regionais de Educação Permanente em Saúde na macrorregião oeste do estado de Santa Catarina em 2014, mediante o olhar dos representantes dos gestores da saúde e da educação, dos trabalhadores da saúde, das instituições formadoras e do controle social – quadrilátero da formação. A oficina contou com a representação dos 26 municípios da região, tendo representados os segmentos que compõem a Comissão de Integração Ensino Serviço. Após concluídos os trabalhos de grupos, todos se reuniram em plenária para aprovação das propostas que emergiram. Destacou-se a pouca representatividade do controle social em cada um dos municípios, a presença de Secretários Municipais da Educação e a participação da categoria profissional enfermagem, representando as instituições formadoras. A experiência confirmou os pressupostos do quadrilátero e as discussões geraram oportunidades significativas de encontros, traduzindo a complexidade, a riqueza e a potência dos movimentos de Educação Permanente.
ADESÃO AO EXAME COLPOCITOPATOLÓGICO POR FUNCIONÁRIAS DO SERVIÇO PÚBLICO FEDERAL
Authors: The Pereira Dayse , OSELAME GLEIDSON BRANDÃO , Dutra Denecir De Almeida , DE OLIVEIRA ELIA MACHADO , Neves Eduardo Borba 
Published: September 2015

Objetivou-se analisar o perfil de servidoras, em quatro órgãos do serviço público federal na cidade de Curitiba, estado do Paraná e suas percepções quanto à realização do exame colpocitopatológico. Tratou-se de estudo descritivo, no ano de 2014, com 110 servidoras. Os resultados mostraram que 38,19% (n=42)apresentavam idade superior a 50 anos. Entre os fatores de risco para o câncer de colo de útero, 7,27% (n=08) eram fumantes; 32,72% (n=36) não praticavam exercício físico; 26,36% (n=29) faziam uso de contraceptivos e6,36% (n=07) não realizavam o exame preventivo conforme orientação médica. Sobre o exame 54,57% (n=60) responderam não apresentar nenhuma dificuldade. Relativo à visão das servidoras a respeito da patologia 38,19%(n=42) acreditavam ser importante para o diagnóstico precoce. Portanto, prevaleceram mulheres com idade superior aos 50 anos, não fumantes, praticantes de atividade física, sem uso de contraceptivos e que realizam oexame preventivo anualmente.
DIRETRIZ PARA CUIDADOS PALIATIVOS PRESTADOS A PACIENTES SUBMETIDOS A TRANSPLANTE DE CÉLULAS TRONCO HEMATOPOÉTICAS
Authors: Reksua Vivian Maria , Paganini Maria Cristina 
Published: September 2015

Estudo de abordagem qualitativa como o objetivo de propor diretrizes de cuidados paliativos aos pacientes submetidos a transplante de células tronco hematopoéticas. O cenário foi um hospital de ensino em Curitiba, estado do Paraná. O estudo foi desenvolvido em 2014 em duas fases: a primeira, exploratória, com entrevistas semiestruturadas com 12 enfermeiros. Da análise de conteúdo emergiram três temas: 1) Percepção sobre a experiência do cuidado paliativo no trabalho; 2) Sentido atribuído ao cuidado paliativo; 3) Interação profissional-família em cuidado paliativo. Na segunda fase foram realizados encontros com os enfermeiros, para propor e aprovar diretrizes aos cuidados paliativos. A definição de diretrizes pode facilitar e beneficiar a prática do cuidado, junto ao paciente, família e equipe multiprofissional, no final de vida e no enfrentamento da morte.
ADESÃO AO TRATAMENTO HEMODIALÍTICO: PERCEPÇÃO DOS PACIENTES RENAIS CRÔNICOS
Authors: Maciel Camilla De Godoy , Ferraz Rafaela Novaes , Tito Borba Anna Karla De Oliveira , Frazão Iracema Da Silva , França Vanessa Vieira 
Published: September 2015

Estudo descritivo, exploratório, de abordagem qualitativa que objetivou identificar fatores que interferem na adesão ao tratamento hemodialítico na percepção dos pacientes renais crônicos. Participaram 35 pacientes assistidos por um serviço público de hemodiálise em uma capital do Nordeste do Brasil, com coleta das informações entre maio e agosto de 2014. As informações foram coletadas por meio de questionário semiestruturado e analisadas pelo software ALCESTE. Os principais fatores que influenciaram na adesão foram: dificuldade de transporte, déficit de conhecimento sobre a doença, limitações do tratamento, transtornos vivenciados nas sessões de hemodiálise, controle das taxas pelos exames laboratoriais, fé, máquina de hemodiálise e suporte social. Considera-se, portanto, que os fatores que interferem na adesão são complexos, tornando-se necessária atuação multidisciplinar para a compreensão desse fenômeno e o desenvolvimento de estratégias educativas com vistas à conscientização dos indivíduos sobre a importância da adesão ao tratamento e possível melhoria da qualidade de vida.
HUMANIZAÇÃO NO PROCESSO DE TRABALHO NA PERCEPÇÃO DE ENFERMEIROS DE UNIDADE DE TERAPIA INTENSIVA
Authors: Martins Júlia Trevisan , Galdino Maria José Quina , Garanhani Mara Lúcia , Sammi Keity Mayumi , Trevisan Gabriela Schmitt 
Published: September 2015

Objetivou-se identificar os fatores que propiciam e dificultam a humanização entre os trabalhadores de enfermagem, na percepção de enfermeiros de uma unidade de terapia intensiva. Pesquisa qualitativa-descritiva realizada em 2012, com 10 enfermeiros que atuavam em uma unidade de terapia intensiva de adultos de um hospital universitário paranaense. Os dados coletados por entrevista semiestruturada foram analisados segundo a análise de conteúdo. Emergiram duas categorias: fatores que propiciam e fatores que dificultam a humanização laboral entre os trabalhadores de enfermagem. Concluiu-se que os fatores contributivos para a humanização relacionavam-se ao trabalho realizado em equipe, ao bom relacionamento interpessoal, ao reconhecimento por colegas, pela instituição e pelo próprio trabalhador, à comunicação efetiva, e aos valores pessoais. Já a falta de reconhecimento pelo trabalho desenvolvido e as atitudes de individualismo foram fatores que dificultavam a concretização das relações, para se estabelecer a humanização entre os trabalhadores.
PREVENÇÃO DE ÚLCERAS POR PRESSÃO: AVALIAÇÃO DO CONHECIMENTO DOS PROFISSIONAIS DE ENFERMAGEM
Authors: Silva Rocha Layrianne Emmanuely , De Freitas Gomes Ruas Edna , Dias Santos Jaciara Aparecida , De Almeida Lima Cássio , Almeida Carneiro Jair , Marques da Costa Fernanda 
Published: September 2015

Objetivou-se avaliar o conhecimento da equipe de enfermagem sobre medidas de prevenção de úlceras por pressão em adultos e idosos. Pesquisa descritivo-exploratória e de abordagem quantitativa. Foi utilizado questionário estruturado, a partir do teste de conhecimento de Pieper. A coleta de dados ocorreu entre outubro e dezembro de 2013. O software Statistical Package for the Social Sciences versão 18.0 subsidiou a análise descritiva e bivariada dos dados. Entre os 85 profissionais, a média global do teste aplicado foi 84,21% para os enfermeiros e de 68,42% para os técnicos de enfermagem. Apenas 22% dos enfermeiros acertaram mais que 90% do teste de conhecimento e apenas 12% dos técnicos atingiram essa nível. Houve diferença estatisticamente significante entre o maior tempo de serviço, maior idade e categoria profissional, indicando maior conhecimento, sobretudo pelos enfermeiros em alguns aspectos. Há deficiência de conhecimento, necessitando de intervenções educativas constantes e efetivas, a fim de melhorar a assistência.
Vijf jaar deelgeschilprocedure – een evaluatie
Authors: de Groot S.J. , van Oers J.E. 
Published: September 2015

Vijf jaar deelgeschilprocedure – een evaluatie
De auteurs bespreken de belangrijkste bevindingen uit het onderzoeksrapport ‘Deeltjesversneller in het recht’ over de deelgeschilprocedure. Bekeken is of de bevindingen uit het rapport overeenkomen met de literatuur en verschenen rechtspraak in deelgeschilprocedures. In aanvulling daarop analyseerden zij de 65 gepubliceerde deelgeschiluitspraken over de periode na het door Wesselink uitgevoerde onderzoek. Besproken wordt of de door Wesselink geconstateerde ontwikkelingen zich ook in de rechtspraak na de onderzoeksperiode blijven doorzetten.
De verhaalsmogelijkheden bij schade door een ongeschikte medische hulpzaak anno 2015
Authors: Hiemstra J.T. 
Published: September 2015

De verhaalsmogelijkheden bij schade door een ongeschikte medische hulpzaak anno 2015
Indien een patiënt schade heeft geleden ten gevolge van een lekkend borstimplantaat, een niet goed sluitende hartklep, een heup die metaaldeeltjes afgeeft of een andersoortige medische hulpzaak, rijst de vraag of, en zo ja, op wie hij deze schade zou kunnen verhalen. In dit artikel wordt besproken welke actoren de patiënt zou kunnen aanspreken, waarbij met name gekeken zal worden naar recente ontwikkelingen op het gebied van de aansprakelijkheid van deze actoren.
Meer duidelijkheid over procedurele aspecten van hoger beroep en cassatie tegen een deelgeschilbeschikking
Authors: Overes J.S. 
Published: September 2015

Meer duidelijkheid over procedurele aspecten van hoger beroep en cassatie tegen een deelgeschilbeschikking
De Hoge Raad heeft bij arrest van 19 juni 2015 bepaald dat tussentijdse cassatie na tussentijds hoger beroep tegen een deelgeschilbeschikking mogelijk is. Hiertoe is wel verlof van het gerechtshof vereist, tenzij het hof in hoger beroep de zaak zelf heeft afgedaan. Tussentijds hoger beroep en tussentijdse cassatie tegen een deelgeschilbeschikking is een dagvaardingsprocedure. Hierbij gelden de normale regels met betrekking tot de proceskostenveroordeling; artikel 1019aa Rv is aldus niet van toepassing, zo geeft de Hoge Raad aan. In deze bijdrage gaat de auteur op het arrest en de achterliggende zaak in, en geeft hij commentaar op de beslissingen in deze zaak.