bluuebunny/crossref_metadata_2025_split huggingface dataset:
Manual lymphatic drainage and therapeutic ultrasound in liposuction and lipoabdominoplasty post-operative period
Authors: Masson Igor F. B , de Oliveira Bruna D. A , Machado Aline Fernanda Perez , Farcic Thiago Saikali , Júnior Ivaldo Esteves , Baldan Cristiano Schiavinato 
Published: March 2014

ABSTRACT
Background: Physiotherapy in the plastic surgery post-operative (PO) is essential to provide means for an adequate and fast recovery as it restores function through the use of physiotherapeutic procedures. Aim: The aim of the following study is to verify the effects of the association between the manual lymphatic drainage and the therapeutic ultrasound on pain, oedema and the tissue fibrosis in liposuction and lipoabdominoplasty PO. Design: This is a clinical trial prospective. Materials and Methods: Eighteen women aged between 18 and 60 years participated in this study, in the late PO period following lipoabdominoplasty or liposuction in the abdomen, flanks and lower trunk, which showed tissue fibrosis of the flanks and abdomen regions. They were divided into two groups: Liposuction group and lipoabdominoplasty group. A total of twelve sessions of therapeutic ultrasound followed by the manual lymphatic drainage were performed. The patients were assessed with regard to pain, oedema and tissue fibrosis in different moments: Initial assessment, during assessment and final assessment through the application of the protocol of evaluation of cysts fibrosis levels. Statistical Analysis: The test of equality for two proportions and the confidence interval test for mean to evaluate the distribution of variables. The significance level adopted for statistical tests was 5% (P < 0.05). Results: There was a statistically significant reduction of pain, swelling and tissue fibrosis in both groups. Conclusion: the association between manual lymphatic drainage and the therapeutic ultrasound reduced the swelling and the tissue fibrosis and made pain disappear in liposuction and lipoabdominoplasty PO period.
Custom-made approach to a patient with post-burn breast deformity
Authors: Bayram Yalcin , Sahin Cihan , Sever Celalettin , Karagoz Huseyin , Kulahci Yalcin 
Published: March 2014

ABSTRACTSecond and third degree burns on breasts at preadolescent period may cause severe breast deformations. This deformation can be variable depending on severity and location of the burns, personal adolescent patterns, and treatment modality in acute burn period. A 21 year old female patient admitted to our department for her breast deformation due to burn contracture at the inferior pole of the right breast. On physical examination we defined that development of the volume of the right breast was equal to the left, and inferior pole of the right breast was flattened due to contracture, and nipple was projected to inferior. We found that inframammary crease of the right breast was 2 cm lower than that of left; andthe distance of nipple-inframamary crease was 4.7 cm while areola-inframmary crease was 2 cm. New nipple-areola complex level was identified according to left breast’s level. Medial and lateral lines were planned to merge inferiorly at 2 cm above inframmary crease in a plan similar to vertical mammaplasty. Superior pedicle carrying nipple areola was desepitelised. Lower parenchymal V flap was transposed superiorly and attached to the pectoral muscle. Inferior parts of the lateral and medial glandular flaps were excised to form new inframammary crease. The desired laxity of skin at the lower pole was obtained by performing a new Z- plasty between lateral and medial skin flaps. Breast symmetry was confirmed by postoperative objective measurements between left and right breasts. Patient’s satisfaction and aesthetic appearance levels were high. Breasts deformation patterns caused by burns, trauma and mass exsicion due to cancer could not be addressed with traditional defined techniques. Special deformations can be corrected by custom made plannings as we presented here.
A Comparative Study of 25 mcg vs 50 mcg of Vaginal Misoprostol for Induction of Labor
Authors: Bharathi Anjanappa , Kumar K Ashok , Ganga A Pavana 
Published: March 2014

ABSTRACT

Objectives
To compare the efficacy and safety of 25 mcg intravaginal misoprostol vs 50 mcg misoprostol for induction of labor.

Material and methods
This study group consisted of 100 cases of low-risk singleton pregnancies attending the antenatal clinic of SAH and RC, or admitted to the antenatal ward. Study group included singleton pregnancy, Over 37 weeks of gestation with Vertex presentation, with unfavorable cervix (bishop score <4) and patients not in labor with reactive fetal heart rate pattern with intact membranes.
Women were randomized to either 25 mcg (n = 50) or 50 mcg (n = 50) of intravaginal misoprostol. The dose was repeated every 4 hours (maximum number of doses limited to 3 doses). The main outcome was induction vaginal delivery interval.

Results
Induction delivery interval was significantly less with 50 mcg misoprostol —9.45 hours in comparison to 25 mcg 14.2 hours (p-value <0.001), most cases delivered vaginally with 25 mcg misoprostol p value < 0.013, cesarean section rates were high in 50 mcg misoprostol group p-value <0.007, the proportion of women delivering vaginally with single dose of vaginal misoprostol was high in 50 mcg group, i.e. 64%, incidence of maternal complications like tachysystole and hyperstimulation was more with 50 mcg group.

Conclusion
In the present study, it is concluded that 25 mcg of misoprostol is safe and effective for labor induction.

How to cite this article
Bharathi A, Kumar KA, Ganga AP. A Comparative Study of 25 mcg vs 50 mcg of vaginal Misoprostol for Induction of Labor. J South Asian Feder Obst Gynae 2013;5(3):111-115.
Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup
Authors: Nanda Smiti , Malhotra Vani , Malik Roopa , Lakra Pinkey , Chauhan Meenakshi B 
Published: March 2014

ABSTRACT

Objective
Uterine pathologies are the cause of infertility in 15% of infertile couples and their correction is associated with improved pregnancy rates. This prospective study was carried out to compare hysterosalpingography (HSG) with hysteroscopy (HSC) in evaluation of uterine pathology.

Study design
The research was approved by the institutional review board. A total of 100 infertile women were included in the study. HSC and HSG were performed in the follicular phase and the findings were compared. Student's t-test and chi-square test were applied wherever applicable. Degree of agreement between the two procedures was calculated using kappa estimates.

Results
Thirteen percent of the women had abnormal HSG regarding the uterine cavity while 20% had abnormal HSC findings (chi-square value 1.77, p > 0.05). Sensitivity of HSG in detecting uterine cavity abnormality was 50% and specificity 98.1%. Positive predictive value was 76.9% and negative predictive value was 88.5%. Result of HSG was false negative in 10% of women and false positive in 3%. In 77% of patients, both HSG and HSC were normal and in 10% of patients, both were abnormal. The degree of agreement between HSG and HSC as calculated by kappa estimates was 0.545.

Conclusion
Hysteroscopy should be considered essential while investigating infertile women. Since HSG provides valuable information about tubes, it may supplement the hysteroscopic assessment.

Keywords
Hysterosalpingography, Hysteroscopy, Uterine cavity.

How to cite this article
Chauhan MB, Lakra P, Nanda S, Malik R, Malhotra V. Hysterosalpingography vs Hysteroscopy: Role in Assessment of Uterine Factor during Infertility Workup. J South Asian Feder Obst Gynae 2013;5(3):116-119.
A Comparative Study of Two Disposable Supraglottic Devices in Diagnostic Laparoscopy in Gynecology
Authors: Goswami Sebanti , Chattopadhyay Suman 
Published: March 2014

ABSTRACT

Introduction
This prospective study compares the efficacy of two disposable supraglottic airway devices with separate gastric access and integral bite block, the inflatable cuff of the LMA SupremeTM against the noninflatable i-gelTM cuff in providing an adequate seal for laparoscopic surgery.

Materials and methods
Ninety women of ASA grade I and II undergoing diagnostic laparoscopy with Trendelenburg position were randomly allocated to receive either size 3 LMA Supreme or i-gel. Induction and maintenance protocols were similar and patients were not paralyzed. We compared the airway leak pressure, ease and time to insert the device and a 10 FG nasogastric tube through it, and to note complications if any.

Results
There was no difference in airway leak pressure between the two devices (24.4 ± 4.0 vs 23.6 ± 3.8 cm H2O, p > 0.05). Forty-one (91%) LMA Supremes and forty (88.8%) i-gels were successfully inserted on the first attempt, with similar ease, and comparable times (13.8 ± 4.9 sec for LMA Supreme vs 14.5 ± 6.7 sec for i-gel; p > 0.05). Gastric tube insertion was easier and achieved more quickly with LMA Supreme compared to i-gel (9.0 ± 3.1 sec vs 14.3 ± 7.5 sec, respectively; p < 0.01), but clinical significance of this finding is questionable. There was blood on removal of four LMA Supremes and three i-gel. Four patients in the LMA Supreme group and one patient in the i-gel group experience mild postoperative sore throat.

Conclusion
Both LMA Supreme and i-gel are equally effective ventilator devices for diagnostic gynecological laparoscopic procedures.

How to cite this article
Chattopadhyay S, Goswami S. A Comparative Study of Two Disposable Supraglottic Devices in Diagnostic Laparoscopy in Gynecology. J South Asian Feder Obst Gynae 2013;5(3):124-128.
Uterine Artery Pulsatility Index as an Emerging Promising Marker in the Management of Gestational Trophoblastic Neoplasia
Authors: Mukhopadhyay Partha , Bag Tara Sankar , Kyal Amit , Saha Dipta Prasun , Neogi Monalisa , Soreng Prabodh 
Published: March 2014

ABSTRACT

Objective
Increasing new blood vessel formation (neoangiogenesis) within tumors is one of the adverse prognostic factors for survival in several cancers. Neoangiogenesis in vivo can be assessed by Doppler ultrasonography by measuring uterine artery pulsatility index (UAPI) in patients with gestational trophoblastic neoplasia (GTN). In this study we assessed whether UAPI can be an independent prognostic factor predictive of response to chemotherapy.

Methods
This was a prospective observational study conducted in Medical College, Kolkata from May 2011 to December 2012. Twenty-two patients of GTN had their FIGO prognostic scoring done, 19 patients were of low risk (scored ≤T6) and three patients were of high risk (score > 6). The 3 high risk GTN patients were excluded from the study. The study population therefore consisted of 19 low risk (scored ≤6) patients of GTN who were treated with fortnightly cycles of 50 mg of methotrexate IM on days 1, 3, 5 and 7 and with 15 mg of folinic acid rescue IM on days 2, 4, 6 and 8. Treatment was continued in all patients till hCG values were negative and 2 further cycles of chemotherapy were given. The patients were followed up with UAPI and serum β-hCG levels every 2 weeks following chemotherapy to assess whether fall in β-hCG correlated with rise in UAPI values following chemotherapy. Data collected were analyzed using standard statistical protocol.

Results
The β-hCG concentration of these patients at the time of diagnosis ranged from 1400 to 210,000 mIU/ml and UAPI varied from 0.47 to 2.1. The mean β hCG of these 19 patients before chemotherapy (week 0) was 63705.47 mIU/ml and subsequently following chemotherapy at the end of 16 weeks was 1.64 mIU/ml. The mean UAPI before chemotherapy (week 0) was 1.33 and following chemotherapy at the end of 16 weeks was 1.952. All patients achieved complete remission with chemotherapy. The fall in beta-hCG levels corelated with the rise in UAPI values.

Conclusion
This study provides proof of principle that the UAPI can serve as a noninvasive in vivo measure of functional tumor vascularity, which independently can predict the response to chemotherapy.

How to cite this article
Kyal A, Mukhopadhyay P, Bag TS, Saha DP, Neogi M, Soreng P. Uterine Artery Pulsatility Index as an Emerging Promising Marker in the Management of Gestational Trophoblastic Neoplasia. J South Asian Feder Obst Gynae 2013;5(3):139-141.
Abdominal Ectopic Pregnancy: A Diagnostic Dilemma
Authors: Ambreen Afshan , Intsar Ayesha 
Published: March 2014

ABSTRACT
Abdominal pregnancy is a rare event but is associated with significant morbidity and mortality. The incidence of abdominal pregnancy is 1 in 10 000 live births. We report a case on an abdominal pregnancy that presented at 17 weeks of gestation and was not picked up till then on previous ultrasound reports and was eventually diagnosed when presented as missed abortion with placental hemorrhage. The clinical presentation of abdominal pregnancy varies, and the diagnosis depends on a high index of suspicion. Ultrasonography is useful for early diagnosis of the condition. The treatment of the placenta is a matter of controversy. In general, expectant management is suggested. When the placenta is left behind, the use of prophylactic methrotrexate is advocated in some cases although expectant management with serial B-hCG monitoring has also shown to result in subsequent placental shrinkage. An awareness of abdominal pregnancy is very important for reducing associated morbidity and mortality.

How to cite this article
Ambreen A, Intsar A. Abdominal Ectopic Pregnancy: A Diagnostic Dilemma. J South Asian Feder Obst Gynae 2013;5(3):163-165.
Charming Witches:
Authors: Purkiss Diane 
Published: March 2014

ABSTRACT
This article examines the charms transcribed in detail in Thomas Potts's pamphlet The wonderfull discouerie of witches in the countie of Lancaster (1613), hitherto treated only briefly by historians. All the charms are related closely to authentic and well-attested older and mostly late medieval traditions of charming, identified here. After considering the possibility that Potts includes these charms as part of his anti-Papist polemical stance, the article then ponders the ways in which the charms are both meticulously detailed and also garbled. Through an examination of the role of gabbling or garbling in both medieval high magic and in Protestant anti-Latin satire, the place of garbled or ungrammatical Latin in particular is presented as an integral part both of magic and of antipopery. In particular, the reference to the Five Wounds in one of the charms is read as bringing together the themes of authentic remembrance of Catholic religious practice and fear of Catholic insurgency harking back to the rebellions of the past.
Steps that count! A feasibility study of a pedometer-based, health-promotion intervention in an employed, South African population
Authors: Pillay Julian David , Kolbe-Alexander Tracy Lynn , Proper Karin I , Van Mechelen Willem , Lambert Estelle Victoria 
Published: March 2014

Background. The emergence of the pedometer as a useful motivational aid for increasing physical activity (PA) has supported its use in PA interventions. Objectives. To examine the feasibility of a 10-week pedometer-based intervention complemented by regular motivational messages, to increase ambulatory PA; and to determine the minimum sample size required for a randomised, controlled trial (RCT). Methods. Participants, sourced by convenience sampling of employees from an academic institution, were randomly assigned to either an intervention group (IG) (n=11) or control group (CG) (n=11), following baseline health measurements and blinded pedometer wear (week 1). Participants in the IG subsequently wore an unblinded pedometer (10 weeks) to self-monitor daily steps. Individualised messages using pedometer data (IG) and general motivational messages (IG and CG) were provided bi-weekly. Blinded pedometer wear (IG and CG) and a feedback questionnaire (IG) were completed at week 12. Pedometer data were compared between the IG and CG at week 12. Results. Participants’ perceptions of the intervention supported the benefit of the pedometer as a useful motivational aid and a reminder to increase steps per day. Occupational sitting time and inability to incorporate PA into daily routine emerged as the main barrier to adherence. Steps per day increased more in the IG (mean ± standard deviation (SD) 996±1 748) than in the CG (mean±SD 97±750). Modest improvements were noted in all clinical measures (IG). Conclusion. Based on the improvement of 1 000 steps/day (IG), a minimum of 85 participants in the IG and CG, respectively, is required for a future RCT (80% power; p<0.05). We recommend a minimum of 150 participants in each group to account for loss to follow-up and to allow for subgroup analyses.
Field identification of groundwater flow systems and hydraulic traps in drainage basins using a geophysical method
Authors: Jiang Xiao‐Wei , Wan Li , Wang Jun‐Zhi , Yin Bin‐Xi , Fu Wen‐Xiang , Lin Chang‐Hong 
Published: March 2014

AbstractGroundwater flow systems and stagnant zones in drainage basins are critical to a series of geologic processes. Unfortunately, the difficulty of mapping flow system boundaries and no field example of detected stagnant zones restrict the application of the concept of nested flow systems. By assuming the variation in bulk resistivity of an aquifer with uniform porosity is mainly caused by groundwater salinity, the magnetotelluric technique is used to obtain the apparent resistivity of a profile across a groundwater‐fed river in the Ordos Plateau, China. Based on the variations in apparent resistivity of the Cretaceous sandstone aquifer, the basin‐bottom hydraulic trap below the river has been detected for the first time, and its size is found to be large enough for possible deposition of large ore bodies. The boundaries between local and regional flows have also been identified, which would be useful for groundwater exploration and calibration of large‐scale groundwater models.
Decrypting geophysical signals at Stromboli Volcano (Italy): Integration of seismic and Ground‐Based InSAR displacement data
Authors: Di Traglia F. , Cauchie L. , Casagli N. , Saccorotti G. 
Published: March 2014

AbstractWe present the integration of seismic and Ground‐Based Interferometric Synthetic Aperture Radar system (GBInSAR) displacement data at Stromboli Volcano. Ground deformation in the area of summit vents is positively correlated with both seismic tremor amplitude and cumulative amplitudes of very long period (VLP) signals associated with Strombolian explosions. Changes in VLP amplitudes precede by a few days the variations in ground deformation and seismic tremor. We propose a model where the arrival of fresh, gas‐rich magma from depth enhances gas slug formation, promoting convection and gas transfer throughout the conduit system. At the shallowest portion of the conduit, an increase in volatile content causes a density decrease, expansion of the magmatic column and augmented degassing activity, which respectively induce inflation of the conduit, and increased tremor amplitudes. The temporal delay between increase of VLP and tremor amplitudes/conduit inflation can be interpreted in terms of the different timescales characterizing bulk gas transfer versus slug formation and ascent.
Approximation of Model Predictive Control Laws for Polynomial Systems
Authors: Canale M. , Cerone V. , Piga D. , Regruto D. 
Published: March 2014

AbstractA fast implementation of a given predictive controller for polynomial systems is introduced by approximating the optimal control law with a piecewise constant function defined over a hyper‐cube partition of the system state space. Such a state‐space partition is computed in order to guarantee stability, an a priori fixed trajectory error as well as input and state constraints fulfilment. The presented approximation procedure is achieved by solving a set of nonconvex polynomial optimization problems, whose approximate solutions are computed by means of semidefinite relaxation techniques for semialgebraic problems.
Decoupled Robust Velocity Control for Uncertain Quadrotors
Authors: Liu Hao , Hou Xiaolei , Kim Jonghyuk , Zhong Yisheng 
Published: March 2014

AbstractIn this paper, a decoupled robust velocity control method is investigated for a quadrotor. Although the quadrotor dynamics involves inter‐axis coupling and nonlinearity, the quadrotor system is divided into four single‐input single‐output (SISO) subsystems. For each subsystem, a linear time‐invariant robust controller is proposed, which uses its own states and consists of a nominal controller and a robust compensator. The nominal controller is designed by the proportional‐integral‐derivative (PID) control method to achieve the desired tracking for the nominal system. A robust compensator is added to restrain the influence of the parametric uncertainties, nonlinear dynamics, coupling, and external disturbances. The tracking error of each subsystem is proven to converge into an a priori set in the neighborhood of the origin in a finite time. Experimental results on the quadrotor demonstrate the effectiveness of the proposed control method.
Investigation of thermochemical biorefinery sizing and environmental sustainability impacts for conventional supply system and distributed pre‐processing supply system designs
Authors: Muth David J. , Langholtz Matthew H. , Tan Eric C.D. , Jacobson Jacob J. , Schwab Amy , Wu May M. , Argo Andrew , Brandt Craig C. , Cafferty Kara G. , Chiu Yi‑Wen , Dutta Abhijit , Eaton Laurence M. , Searcy Erin M. 
Published: March 2014

AbstractThe 2011 US Billion‐Ton Update estimates that by 2030 there will be enough agricultural and forest resources to sustainably provide at least one billion dry tons of biomass annually, enough to displace approximately 30% of the country's current petroleum consumption. A portion of these resources are inaccessible at current cost targets with conventional feedstock supply systems because of their remoteness or low yields. Reliable analyses and projections of US biofuels production depend on assumptions about the supply system and biorefinery capacity, which, in turn, depend upon economic value, feedstock logistics, and sustainability. A cross‐functional team has examined combinations of advances in feedstock supply systems and biorefinery capacities with rigorous design information, improved crop yield and agronomic practices, and improved estimates of sustainable biomass availability. A previous report on biochemical refinery capacity noted that under advanced feedstock logistic supply systems that include depots and pre‐processing operations there are cost advantages that support larger biorefineries up to 10 000 DMT/day facilities compared to the smaller 2000 DMT/day facilities. This report focuses on analyzing conventional versus advanced depot biomass supply systems for a thermochemical conversion and refinery sizing based on woody biomass. The results of this analysis demonstrate that the economies of scale enabled by advanced logistics offsets much of the added logistics costs from additional depot processing and transportation, resulting in a small overall increase to the minimum ethanol selling price compared to the conventional logistic supply system. While the overall costs do increase slightly for the advanced logistic supply systems, the ability to mitigate moisture and ash in the system will improve the storage and conversion processes. In addition, being able to draw on feedstocks from further distances will decrease the risk of biomass supply to the conversion facility.