bluuebunny/crossref_metadata_2025_split huggingface dataset:
Managing a live music performance: A supply-side analysis
Authors: Manners Bianca , Saayman Melville , Kruger Martinette 
Published: March 2015

Purpose and objective: The purpose of this research is to determine what managers regard as important critical success factors in ensuring a memorable visitor experience at a live music performance.Problem investigated: When organising a live music performance, it is evident that the various characteristics that form part of the visitor experience have to be considered. The critical success factors of live music performances from the supply side are fundamental, since the costs of organising live music performances are high, the needs of the visitors are constantly changing and competition plays a major role in the success of such events. Management furthermore constantly needs to be aware of the ever-changing external environment by determining what factors visitors consider to be vital for a rewarding experience at a major music event. This is extremely important since the concept of experience has become more pervasive, mainly given that the event sector, such as live music performances, has adopted experience as a tool to make individual businesses more competitive, as the organisations operating within this sector exist to provide consumers with an experience.Design and/or methodology and/or approach: A qualitative research method, by means of interviews, was used to obtain the relevant information from the selected participants. All the data collected in the process were transcribed into text and presented in narrative form. The six steps of data analysis and interpretation were applied to analyse the data.Findings and impications: The following four major themes emerged from the analysis; each theme was differentiated in terms of various categories and subcategories. Theme 1:The most important aspects for a memorable visitor experience; Theme 2:Main purpose when organising a live music performance; Theme 3:Important aspects regarding the management of a live music performance; Theme 4:Timing of event management. Based on the research conducted on the critical success factors from a supply side, the following findings emerged. Firstly, it is evident that the critical success factors differ significantly from one tourism sector to another. Therefore, more qualitative research should be applied with regard to critical success factors in other tourism operations. Secondly, comparing the results of the qualitative research reveals significantly more in-depth information than those of the various quantitative research studies conducted on critical success factors. Thirdly, it is evident that the pre-event, during-event and post-event planning phases differ from event to event. Lastly, it is evident that there is no common guideline with regard to creating a memorable visitor experience.Conclusion: Determining the critical success factors for memorable live music performances (from the supply side) in South Africa enables management to improve the current management plans in order to ensure an outstanding memorable visitor experience whilst also improving the overall success rate.
What is ‘the sign of the Son of man in heaven’ (Mt 24:30)?
Authors: Nel Marius 
Published: March 2015

What does the ‘sign of the Son of man in heaven’ in Matthew 24:30 denote? In broad terms, there are two ways to interpret the phrase. Firstly, that the coming of the Son of man in the clouds is the ‘sign of the Son of man’ and the phrase explains the sign, much like lightning is depicted as a sign in Matthew 24:27. Secondly, the sign is interpreted in terms of various objects that will precede the coming of the Son of man. What is the significance of the term, ‘the signof the Son of man?’ In the discussion the phrase juxtaposed with its context in the Gospel, the apocalyptic discourse with its judgement on the established religious institution of the Jews as represented by the temple in Jerusalem, before its exegesis is discussed. The purpose is to describe the possible denotations for ‘the sign in heaven of the Son of man’.Wat is ‘die teken van die Seun van die mens’ in die hemel (Matt 24:30)? Waarop dui die ‘teken van die Seun van die mens in die hemel’ in Mattheus 24:30? Breedweg is daar twee maniere om die frase te interpreteer. In die eerste plek is die koms van die Seun van die mens in die wolke die ‘teken van die Seun van die mens’; die frase verduidelik die teken soos weerlig as ’n teken soos dit in Mattheus 24:27 gebruik word. Tweedens kan die teken geïnterpreteer word ten opsigte van die verskillende voorwerpe wat die koms van die Seun van die mens voorafgaan. Wat is die betekenis van die term, ‘die tekenvan die Seun van die mens?’ In die bespreking word die frase teenoor sy konteks in die Evangelie geplaas, naamlik Jesus se apokaliptiese diskoers met sy oordeel oor die gevestigde godsdienstige instelling van die Jode soos deur die tempel in Jerusalem verteenwoordig is. Hierna word die eksegese van die teks bespreek. Die doel is om die moontlike denotasies van ‘die teken in die hemel van die Seun van die mens’ te beskryf.
Respiratory complications in the early post-operative period following elective craniotomies
Authors: Bharati Sachidanand , Pandia Mihir , Rath Girija , Bithal Parmod , Dash Hari 
Published: March 2015

Abstract
Background and Aims: Respiratory complications are of major concern after intracranial procedures. The objective of the study was to assess the incidence of respiratory complications in the initial 72 hours after elective craniotomies and to identify the associated risk factors. Materials and Methods: Patients undergoing elective craniotomies were studied prospectively. Information pertinent to history, physical examinations, investigation reports, perioperative events and outcome at discharge of the patients were recorded. Occurrence of any sign or symptom of respiratory system, need for reintubation/increased ventilatory support within 72 hours of surgery were considered as post-operative respiratory complication. Relationships of numerical variables and categorical variables with post-operative respiratory complications (PRCs) were assessed via T test and Chi-square (or Fisher’s exact). Multivariate analysis using multiple logistic regression was performed for finding independent risk factors for respiratory complications. Results: Out of 961 patients, 137 (14.3%) patients developed PRC within 72 hours of surgery. Ninety-nine (10.3%) patients developed purulent tracheobronchitis. The patients who had PRC had longer hospital stays and poor Glasgow Outcome Scale at hospital discharge. The variables found as independent risk factors were tachycardia, blood transfusion in the intraoperative period and Glasgow Coma Scale (GCS) deterioration, hypokalemia and fever in the post-operative period. Conclusions: Respiratory complications within first 72 hours of elective craniotomies were common and were associated with prolonged hospital stay and poor neurological outcome. The variables which were found as independent risk factors were tachycardia, blood transfusion in the intraoperative period and GCS deterioration, hypokalemia and fever in the post-operative period.
Unusual association between spinal cord tumour and perioperative arrhythmia
Authors: Chauhan Vikas , Bindra Ashish , Bithal Parmod 
Published: March 2015

AbstractThere are multiple causes of perioperative arrhythmias. Some have underlying cardiac disease while others accompany systemic pathology. Use of anaesthetic agents in the intraoperative period is also a known cause of rhythm abnormalities. Preoperative benign arrhythmias may progress to serious ones in intraoperative period. The trigger may be a transient insult such as hypoxemia, cardiac ischaemia, catecholamine excess or electrolyte abnormality. Thus, presence of arrthymia in the preoperative period adds to preoperative work-up and especially in the elective surgery settings, they call for additional opinion and patient evaluation. However, not all arryhthmias are amenable to drug treatment and modalities like pacing, some require just careful watch in the perioperative period. We report a patient with thoracic intramedullary space occupying lesion who presented to us with multiple ventricular ectopics on electrocardiography, which eventually disappeared with tumour removal. The case highlights the association of multiple ectopics with spinal tumour and their management.
Anaesthetic implications in a patient with Morquio A syndrome
Authors: Mahajan Charu , Adarsha K. , Jena Bhagya , Gupta Devendra , Srivastava Shashi 
Published: March 2015

AbstractIn patients with Morquio A syndrome, almost all the systems of body are affected and this has a bearing on their anaesthetic management. Herein, we describe the management of child with Morquio A syndrome with atlanto-axial dislocation who underwent posterior fixation under general anaesthesia.
Maffucci syndrome: Anaesthetic management and review of literature
Authors: Singh Gyaninder , Bindu Barkha , Pandia Mihir , Bithal Parmod 
Published: March 2015

AbstractMaffucci syndrome is a rare, nonhereditary disorder manifesting early in life. The syndrome is characterized by presence of multiple hemangiomas and enchondromas mostly affecting the extremities. Haemangiomas are usually cutaneous, but may sometimes be visceral as well. Enchondromas commonly affect the long bones of the extremities. However, other areas including skull, ribs, vertebrae, larynx and trachea may also be involved. The presence of these lesions in the trachea and/or oropharynx may compromise the airway and cause difficulty during tracheal intubation. Complete airway examination and investigation is important to rule out any such lesion in a patient of Maffucci syndrome before planning for general anaesthesia with tracheal intubation.
Medical Management of Dysfunctional Menorrhagia: Is Ormeloxifene a Safe and Efficacious Therapeutic Choice?
Authors: Gupta Nidhi 
Published: March 2015

ABSTRACT

Objective
To assess the efficacy and safety of ormeloxifene (centchroman) in the medical management of menorrhagia.

Materials and methods
One hundred and twenty women with menorrhagia were recruited for the study. One hundred women were analyzed. Ormeloxifene was given to each patient— 60 mg twice a week for 3 months and then once a week for 1 month. Patients were followed up at 2, 4, 6 months of therapy, then at 6 months after treatment was stopped. Menstrual blood loss (MBL) was measured objectively by a pictorial blood loss assessment chart (PBAC) score and subjectively by a visual analog scale (VAS).

Results
The mean age of the patients was 38.2 years with a mean parity of 2.4. The mean duration of menorrhagia was 13 months with 8 days as mean duration of bleeding and a mean cycle length of 26 days. 58.7% of the patients had bulky uterus on per vaginum examination done by the same observer. The mean endometrial thickness on transvaginal scan was 8.7 mm. The different study parameters were evaluated in patients treated with ormeloxifene and it showed a significant reduction in median PBAC score from 252 to 102.8, presence of clots from 64 to 12%, incidence of dysmenorrhea from 22 to 8% and mean endometrial thickness from 9.7 to 6.7 mm. There was also a significant elevation in the mean hemoglobin levels from 8.85 gm/dl to 10.6 gm/dl. The menstrual pattern of patients treated with ormeloxifene were encouraging. Eight percent of the women became ammenorhoeic after 6 months of therapy, 22% had scanty period, 56% had average flow, 12% had heavy from and only 2% had very heavy flow. It was further seen, that even though the PBAC score increased to 112.7 after stopping treatment for 6 months, but still it was lower than the pretreatment level (252). The percentage of patients who had an initial history of passage of clots during periods decreased from 64 to 12% and also 22% of patients who complained of mild to severe dysmenorrhea improved and only 8% of the patients complained of mild dysmenorrhea.

Adverse effects
Included ovarian cyst (14%), cervical erosion and discharge (11%), gastric upset (9%), headache (5%) and weight gain (3%).

Conclusion
Ormeloxifene is an effective and safe therapeutic option for the medical management of menorrhagia.

How to cite this article
Gupta N. Medical Management of Dysfunctional Menorrhagia: Is Ormeloxifene a Safe and Efficacious Therapeutic Choice? J South Asian Feder Menopause Soc 2014;2(2):65-70.
Rice Grain in Uterine Cavity: Rare Presentations in Rural Nepalese Postmenopausal Farmer with Uterovaginal Prolapse
Authors: Baral Josei , Rana Ashma , Gurung Geeta 
Published: March 2015

ABSTRACT

Background
Foreign bodies are less common in uterine cavity than vagina, and are less frequently seen in older women than prepubertal or premenarchal girls. When found in the uterus, these foreign bodies are usually forgotten intrauterine contraceptive device or retained fetal bones, objects which were introduced in the former case or the remnants of conceptus parts that was inadvertently retained as in the latter circumstances. Here, we are going to concentrate in foreign body that made its way into the uterine cavity unaided.

Aim
To study rice grain as retained intrauterine foreign body in women with prolapsed uterus.

Methods
Collection of series of cases of rice grain in the uterine cavity of women exposed to vaginal hysterectomy and pelvic floor repair for uterine prolapse from the year 2004 till date, from the Department of Obstetrics and Gynecology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.

Results
The rice grains as foreign body were entirely seen in postmenopausal multiparous women with the long standing cases of major degree of uterovaginal prolapse, chronicity affirmed by cervical hypertrophy and keratinization. These intrauterine rice grains, 1 to 3 in numbers were found at various level within the uterine cavity with resultant pyometra formation and urinary retention posing surgical difficulties in two cases.

Conclusion
Possibilities of rice grain as foreign body must be kept in mind in the complicated cases of uterovaginal prolapse posted for hysterectomy.

How to cite this article
Baral J, Rana A, Gurung G. Rice Grain in Uterine Cavity: Rare Presentations in Rural Nepalese Postmenopausal Farmer with Uterovaginal Prolapse. J South Asian Feder Menopause Soc 2014;2(2):79-82.
Urinary Incontinence: The Distressing Problem
Authors: Agrawal Neha 
Published: March 2015

ABSTRACT
The prevalence of urinary incontinence (UI) in India is as high as 30%. Since, patients do not directly report the problem of incontinence leading questions regarding incontinence should be a routine part of history taking in gynecology.
Older patients may assume that UI is a normal consequence of aging. Incontinence is not a normal part of ageing, but it becomes a clinical problem in ageing women due to trauma of child birth, acute and chronic illnesses, loss of estrogenic stimulation at menopause and weaker pelvic support.
A stepped management strategy is recommended beginning with lifestyle modification, then behavioral therapy, then medications and finally surgery. First-line treatment to women with stress or mixed UI is pelvic floor exercises.1
Bladder training lasting for a minimum of 6 weeks should be offered as first-line treatment to women with urge or mixed UI. Most urinary incontinence can be evaluated and treated in the primary care setting after careful history and simple clinical assessment. Initial treatment, for both urge urinary incontinence and stress urinary incontinence, is lifestyle modification and pelvic floor muscle treatment. Urinary urgency responds to bladder training and pharmacotherapy with anticholinergic medication. Pharmacotherapy has a limited place in stress incontinence.

How to cite this article
Singh S, Garg R, Agrawal P, Agrawal N. Urinary Incontinence: The Distressing Problem. J South Asian Feder Menopause Soc 2014;2(2):83-86.
Managing Vasomotor Symptoms in Menopausal Women
Authors: Tandon Amit , Jain Meenal , Kumari S Shantha 
Published: March 2015

ABSTRACT
Patients usually under-report symptoms of incontinence. Therefore, improved physician-patient communication is vital. Most urinary incontinence can be evaluated and treated after careful history and simple clinical assessment. Initial treatment, for both urge urinary incontinence and stress urinary incontinence, is lifestyle modification and pelvic floor muscle exercises. Urgency responds to bladder training and drug therapy with anticholinergic medication. Pharmacotherapy has a limited place in stress incontinence.

How to cite this article
Malhotra J, Garg R, Kumari SS, Tandon A, Jain M, Malhotra N. Managing Vasomotor Symptoms in Menopausal Women. J South Asian Feder Menopause Soc 2014;2(2):87-90.
A Rare Case of Trocar Site Endometriosis managed Laparoscopically
Authors: Ghoshal Soma , Manjula BC , Mittal Anushree 
Published: March 2015

ABSTRACT
Abdominal wall endometriosis, also known as scar endometriosis, is extremely rare and mainly occurs at surgical scar sites. To our knowledge, 15 case reports related to trocar site endometriosis have been published in the English language and literature to date. The traditional age old management of scar endometriosis has been wide local excision leaving a healthy margin, but recently laparoscopy has emerged out to be the management of choice even in cases of scar endometriosis. Herein, we present the case of a 39-year-old woman (who had been previously operated on for left ovarian endometrioma 11 years ago by laparoscopy) with the complaint of a painful mass at the right suprapubic trocar site in a cyclic pattern. Consequently, the scar endometriosis was excised laparoscopically, following which the patient was completely relieved of her symptoms.

How to cite this article
Mittal A, Manchanda R, Manjula BC, Ghoshal S. A Rare Case of Trocar Site Endometriosis managed Laparoscopically. J South Asian Feder Menopause Soc 2014;2(2):91-94.
Intrapartum Vaginal Myomectomy of a Prolapsed Cervical Fibroid
Authors: Nanda Anuja , Gupta Vineeta , Kumari Nidhi , Srivastava Madhuri 
Published: March 2015

ABSTRACT
Cervical and vaginal fibroid may be seen in less than 1% of the pregnant women. During labor, they may be responsible for obstruction or cervical dystocia. Usually in such cases, cesarean section is done to deliver the baby. An extensive literature search has shown only few case reports outlining vaginal myomectomy of a prolapsed cervical fibroid during pregnancy and none during labor. We are reporting a case of cervical fibroid which prolapsed outside the introitus during early labor resulting in obstructed labor for which intrapartum vaginal myomectomy was done to facilitate vaginal breech delivery.

How to cite this article
Gupta V, Kumari N, Srivastava M, Nanda A. Intrapartum Vaginal Myomectomy of a Prolapsed Cervical Fibroid. J South Asian Feder Menopause Soc 2014; 2(2):99-100.
A Case Report of Ovarian Fibrothecoma mistaken for a Fibroid
Authors: Rani G Usha , Syamala O , LNU Rukshana , LNU Amulya 
Published: March 2015

How to cite this article
Rukshana, Amulya, Syamala O, Rani GU. A Case Report of Ovarian Fibrothecoma mistaken for a Fibroid. J South Asian Feder Menopause Soc 2014;2(2):101.
Ureterovaginal Fistula after Use of Harmonic Scalpel in Total Laparoscopic Hysterectomy: Possible Causes and Successful Management
Authors: Arpita De , Sharma Archana 
Published: March 2015

ABSTRACTWe report a case of a woman presenting with continuous dribbling of urine since her total laparoscopic hysterectomy with harmonic scalpel three months back. A clinical examination, three swab test and IVP confirmed a left sided uretrovaginal fistula. A ureteroneocystostomy was done and she recovered full bladder control. In this case we try to find the reasons and the finer points of harmonic use to prevent such an injury.How to cite this articleArpita D, Sharma A. Ureterovaginal Fistula after use of Harmonic Scalpel in Total Laparoscopic Hysterectomy: Possible Causes and Successful Management. J South Asian Feder Menopause Soc 2014;2(2):111-112.
Youssef's Syndrome
Authors: Nath Prakash Kumar , Samal Mamata , Mohanta Chintamani , Mahapatra Sanjaya 
Published: March 2015

ABSTRACT
Vesicouterine fistula (Youssef's syndrome), a rare complication of cesarean section is presented. A 35-year-old female had vesicouterine fistula with symptoms of apparent amenorrhea, cyclic hematuria and meconuria following cesarean section. The patient was treated by abdominal hysterectomy and the fistula tract was repaired.

How to cite this article
Nath PK, Samal M, Pradhan K, Mohanta C, Mahapatra S. Youssef's Syndrome. J South Asian Feder Menopause Soc 2014;2(2):113-114.
Delayed Minimally Invasive Injection of Allogenic Bone Marrow Stromal Cell Sheets Regenerates Large Bone Defects in an Ovine Preclinical Animal Model
Authors: Berner Arne , Henkel Jan , Woodruff Maria A. , Steck Roland , Nerlich Michael , Schuetz Michael A. , Hutmacher Dietmar W. 
Published: April 2015

Abstract

Cell-based tissue engineering approaches are promising strategies in the field of regenerative medicine. However, the mode of cell delivery is still a concern and needs to be significantly improved. Scaffolds and/or matrices loaded with cells are often transplanted into a bone defect immediately after the defect has been created. At this point, the nutrient and oxygen supply is low and the inflammatory cascade is incited, thus creating a highly unfavorable microenvironment for transplanted cells to survive and participate in the regeneration process. We therefore developed a unique treatment concept using the delayed injection of allogenic bone marrow stromal cell (BMSC) sheets to regenerate a critical-sized tibial defect in sheep to study the effect of the cells' regeneration potential when introduced at a postinflammatory stage. Minimally invasive percutaneous injection of allogenic BMSCs into biodegradable composite scaffolds 4 weeks after the defect surgery led to significantly improved bone regeneration compared with preseeded scaffold/cell constructs and scaffold-only groups. Biomechanical testing and microcomputed tomography showed comparable results to the clinical reference standard (i.e., an autologous bone graft). To our knowledge, we are the first to show in a validated preclinical large animal model that delayed allogenic cell transplantation can provide applicable clinical treatment alternatives for challenging bone defects in the future.

Significance
From a translational point of view, a comprehensive study is presented, the results of which show that percutaneous injection of allogenic BMSCs into the biodegradable composite scaffold 4 weeks after the defect surgery led to significantly improved bone regeneration compared with preseeded scaffold/cell constructs and scaffold-only groups. Biomechanical testing and microcomputed tomography showed results comparable to those of the clinical gold standard, namely autologous autograft. To the authors' knowledge, this is the first study to display in a validated preclinical large animal model that delayed allogenic cell transplantation could provide clinical treatment alternatives for challenging bone defects in the future.