bluuebunny/crossref_metadata_2025_split huggingface dataset:
Inclusive Models of Resource and Self-Contained Classes for Children with Autism Spectrum Disorders in Nizhny Novgorod Region. Organizational Aspects
Authors: Guseva N.Y. 
Published: April 2022

Nineteen resource and self-contained classes for 99 children with autism spectrum disorders have been opened in Nizhny Novgorod region over the past two years. The article considers the models of inclusive education organization: "resource class" and "self-contained class" for these students. The factors influencing the choice between the considered models are analyzed, the data of surveys of parents of children with autism spectrum disorders, identifying their needs and requests are given. The article discusses the educational conditions of 54 students in resource and self-contained classes who have completed their first year. An analysis of the level of parents' and teachers' satisfaction with the educational process and the results achieved is given on the basis of their surveys. Based on two years of experience, a step-by-step algorithm for preparing for the opening of resource and self-contained classes was developed. The suggested algorithm can be useful for opening new classes, including in other regions.
Adoption Social Media- Movie Based Learning Project (SMMBL) To Engage Students' Online Environment
Authors: Muthmainnah  , Obaid Ahmed J. , Al.Mahdawi Raghda Salam , Khalaf Haitham Abbas 
Published: April 2022

Developing ICT as English Language Teaching (ELT) materials in Indonesia is still being studied in higher education contexts. Nowadays, amid covid 19 there are many tools, apps and technologies are being integration in virtual classroom. ICT can be used as media for teaching and learning process it should be related today’s fact by integrating ICT easy enough to share it and easy to access by the students’ technologies devices (Muthmainnah, et.all, 2021 and Apriani et.al, 2021 The purposes of this study is to investigate the impact of development instructional design incorporating social media- movie based learning project (SMMBLP) in Computer Science Faculty in learning English to engagement student’s online environment. The method of this study is quantitative research and used pre-experimental design to investigates the impact of SMMBLP on students’ English skill and student’s motivation in ELT. The participants in this study were the first semester students of Computer Science Faculty academic year 2020-2021 at Universitas Al Asyariah Mandar consisted 40 students. The data were collected by test; pre-test, post-test and questionnaire. The result of the study implied the impact on integration social media- movie based learning project (SMMBLP) that very effective to enhancing students’ English skill and motivation. The study suggests SMMBL can be integration in online or Hybrid/ Blended environment for the next education teaching model in ELT for EFL students.
Factor Analysis Affecting the Implementation of the Generative Learning Model with a Cognitive Conflict Strategy in the Computational Physics Course during the COVID-19 Pandemic Era
Authors: Akmam A , Hidayat R , Mufit F , Jalinus N , Amran A 
Published: April 2022

This study aimed to analyze the factor model affecting the implementation of the Generative Learning Model with a Cognitive Conflict Strategy in the Computational Physics Course during the COVID-19 pandemic era. This study used quantitative descriptive data. The research respondents were 105 Physics study program students who took the Computational Physics course for the 2020/2021 academic year. A questionnaire with the Likert Scale used for the survey has been tested for validity by experts and limited tryout. The questionnaire used has high validity and reliability. Data were used for modeling structural equations through Exploration Factor Analysis (EFA). EFA results were used to determine the level of Confirmatory Factor Analysis (CFA) to obtain a complete Structural Equation Modeling. The results show that dynamic interactions and interdependent correlations are formed between variables that affect the implementation of Computational Physics learning. After analyzing the 20 (twenty) variables, it was formed 5 (five) factors affecting the implementation of the Generative Learning Model with a Cognitive Conflict Strategy in the Computational Physics Course. The five influencing factors are 1) the learning syntax and teaching materials used (x1); 2) the activity of expressing ideas (disclosure) and model practice (x2); 3) learning styles and creative thinking (x3); 4) Attitudes and final target score of learning (x4); 5) attitude towards learning materials and learning methods (x5). The five factors produce a model F = 0.366 x1 + 0.161 x2 + 0. 959 x3 + 0.682 x4 + 0. 549 x5.
Aftershocks Preferentially Occur in Previously Active Areas
Authors: Page Morgan T. , van der Elst Nicholas J. 
Published: April 2022

Abstract
The clearest statistical signal in aftershock locations is that most aftershocks occur close to their mainshocks. More precisely, aftershocks are triggered at distances following a power-law decay in distance (Felzer and Brodsky, 2006). This distance decay kernel is used in epidemic-type aftershock sequence (ETAS) modeling and is typically assumed to be isotropic, even though individual sequences show more clustered aftershock occurrence. The assumption of spatially isotropic triggering kernels can impact the estimation of ETAS parameters themselves, such as biasing the magnitude-productivity term, alpha, and assigning too much weight to secondary rather than primary (direct) triggering. Here we show that aftershock locations in southern California, at all mainshock–aftershock distances, preferentially occur in the areas of previous seismicity. For a given sequence, the scaling between aftershock rates and the previous seismicity rate is approximately linear. However, the total number of aftershocks observed for a given sequence is independent of background rate. We explain both of these observations within the framework of rate-and-state friction (Dieterich, 1994).
Utility of clinical methods and ultrasonography compared to actual birth weight in estimating the fetal birth weight
Authors: Y Swapna , Arjumand Aamina 
Published: April 2022

It is important to find out the most effective method for monitoring the growth of the fetus. The method should also identify the women with problematic pregnancy prone to IUGR so that early action can be taken to prevent adverse consequences.To study the utility of clinical methods and ultrasonography compared to actual birth weight in estimating the fetal birth weight A Hospital based Comparative Longitudinal Study was carried out among 200 antenatal women. Symphysio-Fundal Height (SFH) measurements and fetal weight was estimated by simplified Johnson’s formula: McDonald’s measurement for estimation of SFH wasdone i.e., distance from height of fundus to the upper edge of pubic symphysis.SFH at different weeks of gestation from 24 weeks until delivery was noted with a non-stretch centimeter tape. Fetal weight was estimated by Hadlock’s formula using USG.Sensitivity of 74.55% and specificity of 95.17% was observed for Johnson’s method while sensitivity of 90.91% and specificity of 98.62% by USG method. Mean difference between birth weights estimated by USG compared to actual birth weight was lesser (59.73 gm) compared to 418.96 gm by Johnson’s method. Mean error by USG was less (127.86 gm) compared to Johnson’s method (437.23 gm). Johnson’s method was found to be have less percentage error overall, across the birth weight categories. Overestimation of actual birth weight by USG method was seen in 131 cases compared to 192 cases by Johnson’s method. Of the two methods studied for estimation of fetal weight, ultrasonographic method, i.e., Hadlock’s formula has better predictable results in fetal weight estimation, compared to clinical method, i.e., Johnson’s formula
Role of colour doppler indices in diagnosing intrauterine growth restriction in high risk pregnancies in second and third trimester
Authors: Sujana Kanamatha Reddy 
Published: April 2022

Intrauterine growth restriction (IUGR) is associated with impaired neurological development of child, increased morbidity and increased risk of death during perinatal period. Doppler ultrasound during pregnancy is a useful tool for early detection of IUGR and this helps in early management to prevent further complications associated with IUGR.To study efficacy of color doppler in diagnosing Intrauterine growth restriction in high risk pregnancies in second and third trimester.Diagnostic efficacy study was conducted among 100 subjects with high risk pregnancy presenting in second and third trimester. IUGR was suspected when there was a growth lag of &#62;4 weeks between gestational age and fundal height. Further two-dimensional ultrasound was performed. Bi-parietal diameter, Head circumference, Abdominal circumference, Femur length were noted, estimated fetal weight was calculated. IUGR fetuses were identified if abdominal circumference is&#60;5 percentile and estimated fetal weight was&#60;10 percentile for that gestational age. Vessels studied were Uterine artery, Umbilical artery, Middle cerebral artery, Ductus venosus. The doppler indices studied were RI, PI, S/D, Cerebro-Placental ratio (CPR). Majority were of 22-25 years (52.5%); 53.75% were primigravida; 41.25% presented at 33-37 weeks; 46.25% had gestational hypertension. The overall sensitivity of doppler indices as seen in the present study was good (89.9%) but specificity was only 9.1%. Among the other indices, CPR had the best diagnostic utility with sensitivity=64%; specificity=100% and PPV=100% followed by umbilical artery doppler with sensitivity=55.1%; specificity=81.8% and PPV=96.1%.The overall color doppler indices are highly sensitive in detection of IUGR and lacks the specificity. CPR and Umbilical artery doppler can be used with more reliability.
Neonatal outcome in hypertensive disorders of pregnancy in tertiary care centre
Authors: Ganguly Sristi , Mohanty Supriya , Pradhan Madhusmita , Champatiray Jyoti Ranjan 
Published: April 2022

Hypertensive disorders of pregnancy, contribute to significant neonatal mortality and morbidity, with complications ranging from prematurity, low birth weight and respiratory morbidities.This study is a observational study done in tertiary care hospital in Cuttack, Odisha during the period December 2018 to November 2020. Mothers, aged 18 to 36 years, beyond 20 weeks of pregnancy with hypertensive disorders complicating pregnancy admitted, with booked pregnancy and regular antenatal check-up were included in the study. Those with underlying chronic diseases like chronic diabetes mellitus, chronic renal failure, chronic hypertension, heart disease, twin or multiple pregnancy and polyhydramnios were excluded. The neonates born followed and outcomes noted. Data analysed using SPSS 26 and results expressed in percentage and comparison across the groups done using Chi Square test / Fisher's Exact Test as appropriate.: Among 150 mothers, majority were suffering from severe preeclampsia (36%) followed by gestational hypertension (27.3%), with most (66.7%) being a term pregnancy. 20.9% were stillbirths and 34% needed NICU admission for various complications. The most common neonatal complication noted was intrauterine growth retardation. A significant association noted between the severity of hypertension and maturity (p&#60;0.001), birth weight (p=0.001), delivery outcome (p=0.001) and neonatal complications (p=0.009). The delivery outcome, gestational age and birth weight, along with neonatal complications had a significant association with increasing severity of the hypertension. Thus, there is urgent necessity for strict protocols to screen, early detection and efficient management of these disorders in pregnant women, in order to ensure a safe outcome for both mother and newborn.
Comparison of surgical biliary bypass and biliary metallic stents for palliation of incurable malignant distal bile duct obstruction: A prospective observational study
Authors: Kulkarni Mukund P , Naik Nagaraj 
Published: April 2022

: Management of obstructive jaundice from periampullary and pancreatic head malignancies is mostly palliative. With advancements in endoscopic and stent technology and instrumentation, endoscopic interventions are gaining popularity and acceptance over surgical relief of jaundice. To study efficacy of surgical biliary bypass over biliary metallic stents for palliation of incurable malignant distal bile duct obstructionProspective observational study was carried out among 77 patients withincurable malignant distal bile duct obstruction. 45 of them chose to undergo surgical bypass while 32 agreed to undergo metallic stenting. Parameters like improvement in jaundice, procedure related morbidities, need for re-hospitalization, need for re-intervention, quality of life and survival were compared in two groups. Chi square test and t test were applied to compare two groups. : There was prompt and good relief of jaundice in both groups. There was one procedure related mortality in each group. The morbidities were comparable. The stented patients were hospitalized for a cumulative mean period of 34.1 days compared to 14.2 days in the surgical bypass group (p= 0.0001). The global quality of life, pain, nausea, vomiting and appetite were significantly better in the surgical bypass group. There was significantly improved overall survival in the surgical bypass group (163.5 days vs. 150 days, p= 0.0001). urgical bypass offers safe and superior palliation to obstructive jaundice from inoperable periampullary and pancreatic head cancer.
Left ventricular dysfunction in patients with HIV/AIDSon HAART in correlation with CD4 count
Authors: Behera Bibhu Prasad , Thomas Teena , Sen Ranjan Kumar , Sarangi Jagannath 
Published: April 2022

According to World Health Organization (WHO) global HIV report 2019, people living with HIV is about 38 million. Especially after the advent of antiretroviral therapy (ART), in PLHIV, cardiovascular complications signify an increasingly important health concern. This vastly active HAART regimen has provided more efficient prophylactic treatment. With the increased duration of survival, this has progressed to an increased episodes of cardiovascular complications associated with PLHA. The following review overviews the left ventricular dysfunction in patients with HIV infection on HAART focusing on early diagnosis, therapy and prognosis. It is a Cross sectional study conducted on HIV infected patients attending ART clinic and admitted in medicine wards of MKCG medical college & Hospital from MARCH 2017 to OCTOBER 2018 were included in the study. Maximum patients were in the age group 25 – 49 years (68.44%) in our study. Mean age of the study group 41.32 + 11.24 years. Gender distribution shows that 82.46% of the patients were males and 14.04% were females. 4 (7%) patients have cardiac disorder. All the patients having cardiac disorders are male. Only 2 patients (3.5%) had left ventricular dysfunction with reduced ejection fraction. Males are involved more than females. Most patients are in the middle age group between 25 – 49 years. Heterosexual mode was the most common mode of transmission. Most of the study population belonged to rural area 61.4%. Three patients (5.3%) were on anti tubercular drugs. The systolic LV dysfunction was found in 50% of PLHA patients with cardiac disorders. CD4 count was positively correlated with fractional shortening. Presence of cardiac dysfunction was significantly associated with the adherence to ART treatment.
A prospective study on variations in haematological parameters in pulmonary tuberculosis
Authors: Kalidoss Abinayaa , Narmadha C. 
Published: April 2022

: In India tuberculosis is a communicable infectious bacterial disease caused by Mycobacterium tuberculosis causing major public health problem. The present study is a prospective study of various haematalogical parameters in sputum positive pulmonary tuberculosis.: The study included thirty patients of fresh pulmonary tuberculosis with sputum positive for acid fast bacilli (AFB). It was conducted for a period of three months in the institution of Coimbatore medical college hospital. The various hematological parameters were analyzed by means of automated cell counter and peripheral smear examination. The smears were stained with Ziehl Neelsen stain used to identify acid-fast organisms mainly mycobacteria. : The study included 30 cases of newly detected pulmonary Tuberculosis patients who were positive for acid fast bacilli out of which 6 were females and 24 were males. Maximum number of cases were found in between 40-60 years of age. The commonest hematological findings were anemia 100% then raised ESR 93.33%, followed by, thrombocytosis 16.66%., neutrophilia 56.66%, leukocytosis 56.66% and lymphocytosis 6.66%. The commonest peripheral smear picture was microcytic hypochromic anemia 63.33% followed by normocytic normochromic anemia 30% then macrocytic anemia 6.6%.Various changes in haematological parameters has been observed in patients with patients who are sputum positive for pulmonary tuberculosis. The present study is being done to evaluate the hematological profile in tuberculosis and analyse the variations in hematological manifestations. These parameters acts as a valuable tool to reduce the morbidity and mortality thus aids in improving then prognosis in patients with pulmonary tuberculosis.
Does early separation of the neonate impact the knowledge, attitudes and feeding practices of their mothers? - A cross sectional study in a rural teaching hospital in Telangana
Authors: Preethi Subramanian , Sandhya Dasari , Raj Chitgupikar Sudharshan , Anusha Saini 
Published: April 2022

: Promotion of knowledge on breast feeding improves the attitude and breast feeding practices of mothers. Studies regarding knowledge, attitude and practices of breastfeeding among Indian mothers are limited, with no studies among mothers of neonates admitted to NICU. Hence this study was planned.1): To assess the difference in knowledge, attitude and practices regarding breast feeding between mothers whose neonates were admitted in NICU ≤24 hours of birth, and whose neonates were admitted ≥96 hours of birth. 2): To assess gap in knowledge to feeding practices among both groups.: A Cross Sectional KAP (Knowledge, Attitude and Practice) study.: 440 postnatal mothers of neonates admitted to NICU between 1June 2019 to 31 December 2020 were included. Based on age at admission of their neonates to NICU, mothers were divided into 2 groups. 1group comprised of 205 mothers of neonates admitted to NICU ≤24 hours of life and 2group comprised of 235 mothers of neonates admitted ≥96 hours of life. Data was collected from mothers on KAP of breast feeding by interview, on a pretested questionnaire by the primary researcher.: The group 2 mothers whose neonates were admitted at ≥96 hours of life demonstrated better KAP which was statistically significant. There was no significant difference noted in implementation of knowledge to practices among all 440 mothers. Out of 440 mothers, only 17% had knowledge to initiate breast feeds within 1hour after birth & 15% fed the babies within 1hour after birth. 88% of mothers had knowledge that colostrum should be fed & 82 % practiced it; 80% knew that pre-lacteals should be avoided & 87% practiced it; 68% were aware of burping the baby; 91% practiced burping before putting the baby down. Early separation of neonates from mothers impacts the knowledge, attitude and practices towards breastfeeding. Poor attendance at the antenatal counselling clinic is also a contributing factor.
Immunohistochemical expression of K-ras protein and p53 in chronic pancreatitis and precursor lesions of pancreatic carcinoma- 5 year study in a tertiary care centre
Authors: S Preethamol , P S Prasanth 
Published: April 2022

K-ras mutation is an early event and p53 mutation is a late event in the tumorigenesis pathway of carcinoma associated with Chronic Pancreatitis. To identify the immunohistochemical expression of K-ras protein and p53 in surgical specimens of pancreas with chronic pancreatitis.: A 5 year study of chronic pancreatitis with associated pancreatic lesions received in the Histopathology Department, Government Medical College, Trivandrum. All cases of chronic pancreatitis, (n=60) were histopathologically examined along with the adjacent pancreatic tissue which showed precursor lesions. Immunohistochemical expression of K-ras protein and p53 in all cases were studied. In a total 60 cases of chronic pancreatitis, adjacent pancreatic tissue showed ductal adenocarcinoma in 20 cases (30%). Pancreatic Intraepithelial neoplasm (PanIN) was present in 6 cases accounting for 10%. 1 case was IPMN and one case was associated with serous cystadenoma. 7% of chronic pancreatitis showed K-ras mutations. Immunostaining for mutated p53 protein always was negative. p53 was positive in Pan IN 1A , Pan IN 1B, IPMN and carcinoma cells in 0 of 4(0%), 0 of 2(0%), 0 of 1(0%), and 18 of 20(90%), respectively, and K-ras was positive in 3 of 4 (75%), 2 of 2(100%), 1of 1(100%) and 12 of 20(60%), cases respectively. Chronic pancreatitis and precursor lesions may progress to the development of pancreatic cancer. Further molecular studies for evaluation of oncogenes may be done in future for targeted therapy in pancreatic cancer.
Cytomorphological spectrum of cervicovaginal infections and their prevalence with clinical correlation on pap smears: A three-year retrospective study
Authors: Kumar Uma , Singhal Udita , Jain Pooja , Trivedi Shalini 
Published: April 2022

Cervical-vaginal infections are one of the most common infections seen in women of the reproductive age group. The important infectious agents in Gardnerella vaginalis, Candida, and Trichomonas vaginalis. Pap smear cytology is used as an important screening test for various epithelial cell abnormalities and cervical cancer. It is also useful in the diagnosis of various pathogenic microorganisms causing cervicovaginal infections. To determine the prevalence of cervicovaginal infections on Pap smears, and study their cytomorphology and clinical correlation. : This is a three-year retrospective study from June 2018 to May 2021 performed on conventional Pap smears in the Pathology laboratory of a Government hospital in North India. The prevalence of various cervicovaginal infections was determined and their cytomorphological spectrum was studied. The Bethesda System of classification was followed for reporting Pap smears. All the females attending Gynaecology OPD of the hospital with various complaints were included. Females with a history of cervical cancer and unsatisfactory samples were excluded from the study. Out of the total number1344 pap smears examined during the three years, 1291 (96.058%) were reported as NILM, remaining 53(3.044%) were diagnosed as epithelial cell abnormalities and cervical cancer. Among the 1291 cases of NILM, 421(32.61%) smears were positive for specific pathogenic microorganisms. Out of, 421 smears, examined,254(60.33%) were BV followed by136 (32.30%) of candida infection. Trichomonas contributed to 22(5.22%) cases, whereas in one case (0.23%) each of Actinomyces and HSV was seen. Mixed infection by Trichomonas and leptothrix was seen in 4(0.950%) cases and Candida and leptothrix contributed to 3(0.712%) cases. Cervico-vaginal infections are an important cause of morbidity in the reproductive age group. Cervical cytology is an invaluable method to diagnose these infections. About 90% of infections are caused by Bacterial Vaginosis and Candida. All women of the reproductive age group should undergo a Pap smear examination for timely diagnosis and proper management of cervicovaginal infections.