University Department Research Articles

The "machine translation + post-machine translation editing" model on the YiCAT platform: using the example of the discipline "Stylistic post-machine text editing" for first-year graduate students of the Higher School of Translation of Moscow State University

In this article, the author analyzes the process of machine translation and post-machine editing by Chinese students in classes on the discipline "Stylistic post-machine text editing" using the YiCAT translation platform, which uses a model of combining machine translation and post-machine editing in order to organize the educational process and allocate study time. In 2017, the Russian government approved the "Digital Economy Plan of the Russian Federation", as a result of which the digitalization process gradually penetrated into all scientific spheres. The author of the article concludes that Russian universities should pay more attention to teaching machine translation and post-machine translation editing. In addition, the article presents the idea that the translation departments of modern universities should focus on the introduction and application of translation technologies and the latest translation tools in the framework of teaching translation skills. There are only a few hundred articles in Russia dealing with the specifics of machine translation. Most of them are devoted to the study of existing limitations, development opportunities and ways to improve machine translation systems. At the same time, there are extremely few articles dealing with the features of post-machine editing of the translation text. The number of such articles does not exceed several dozen. Thus, there are many challenges in the field of post-machine translation editing research that should be addressed as soon as possible so that the field of post-machine translation editing can correspond to the era of artificial intelligence. At the same time, Russian universities should pay attention to the teaching of disciplines involving machine translation tools and post-machine editing skills. Large translation faculties should actively use translation technologies and machine translation tools in the classroom, add new academic disciplines implying the familiarization and application of such technologies and tools by students, as well as integrate such disciplines into the framework of existing training programs for specialists in the field of translation. All this will allow universities to form a reliable basis for the education of modern and qualified specialists who meet the requirements of the new era.

Effect of Tongue Position on Facial Morphology of Pakistani Adults and Different Growth Patterns.

To determine the effect of tongue position on facial morphology of Pakistani adults and different growth patterns. Cross-sectional study. Place and Duration of the Study:Department of Orthodontics, Karachi Medical and Dental College, Karachi, Pakistan, from January to April 2021. The study included individuals aged 17 to 30 years with no history of prior orthodontic treatment, absence of wound, burn, or scar tissue in the neck region, comfortable breathing through the nose, absence of deglutition disorder, and a skeletal Class I or II relationship. The exclusion criteria were a cleft lip or palate, or a history of chronic mouth breathing, snoring, or tonsillectomy. According to their skeletal relationships, the subjects were split into three groups; Group I (low-angle), Group II (normal growth), and Group III (high-angle). Vertical growth pattern was assessed on radiograph by interpreting the values of NS / ML (nasion-sella / mandibular plane) angle, and angle formed between FH / ML (Frankfort horizontal plane / mandibular plane). A predesigned proforma was used to record all the measurements made on pre-treatment lateral cephalograms by the sole investigator. Data were analysed using SPSS 24.0. Data from the lateral cephalogram of 79 patients, consisting of 18 (22.8%) males and 61 (77.2%) femaleswho met the inclusion criteria, were analysed.The sample included 15 low-angle, 45 normal vertical growth, and 19 high-angle cases. Fifty participants had Class I skeletal relationships, while 29 had Class II relationships. According to the ANOVA test, FH / ML and NS / ML measurements showed no statistically significant variations in tongue position and growth trends. There was no statistically significant difference between tongue position and facial morphology of Class I or II subjects with different vertical growth patterns. However, there was a statistically sufficient evidence showing the tongue height was greater in Class I skeletal relationship patients as compared to Class II skeletal cases (p = 0.008). Tongue position, Tongue space, Tongue length, Growth pattern.

--------Comparison of Hybrid-Simulation-Based Teaching with Traditional Teaching of Pharmacology.

To compare the outcome of traditional teaching with hybrid simulation-based teaching for undergraduate medical students. Place and Duration of the Study: Department of Pharmacology, Jinnah Medical and Dental College, Karachi, Pakistan, from June to August 2023. Quasi-experimental study. One hundred students from MBBS 3rd year were included in the study after taking the informed consent. Participants were divided into two cross-over groups and sampling was done randomly. Group A: (even roll numbers, n = 50) was the control group, taught by traditional lecture on positive inotropic medicines. Group B: (with odd roll numbers, n = 50) was the intervention group, taught the same topic by simulation-based teaching through 5 case scenarios. The teaching of this group was reinforced by role plays. Scores of post-test and retention test were compared by applying the Student's t-test. Students taught by traditional lectures i.e., Group A, their post-test mean scores were 30.7 ± 5.6, whereas Group B scored 45.7 ± 3.3, taught by hybrid stimulation (p <0.001). Retention test (MCQs based) was conducted after one month in which Group A obtained a mean score of 18.8 ± 9 with a passing percentage of approximately 30, whereas Group B obtained a score of 41.3 ± 5.6 (p <0.001). Hybrid-simulation-based teaching improved the immediate test scores as well as retention. Traditional teaching, Hybrid-simulation, MCQs, Retention test, Intervention group.

Concussion Reduction in Division I and II Athletes: Effects of Simple Cervical Spine Exercise Regimen.

Primary preventative medicine lacks a consensus on effective concussion prevention strategies for collegiate athletes. Cervical strength has been identified as a potential factor in concussion risk reduction. This study evaluates the impact of a commercially available, portable cervical muscle stretching and strengthening device, NeckX®, on cervical strength, range of motion (ROM), and concussion incidence in collegiate athletes participating in high-concussion-risk sports. A single-arm prospective cohort study was conducted with 162 collegiate athletes from various sports. Participants underwent a 12-week neck exercise protocol using the NeckX® device. Clinical data, including neck strength and ROM, were collected at weeks 0, 6, and 12. Concussion incidence was self-reported by participants and cross-referenced with records from the athletic department. Data were analyzed for significant neck strength and ROM changes throughout the 12-week study. A two-way analysis of variance multiple comparisons with the Tukey-Kramer significant difference test was utilized, using the Holm-Sidak method, with an alpha of 0.05. All athletic teams experienced a significant increase in cervical strength during the 12-week intervention (α = 0.05, p < 0.05). Increases in cervical flexion and extension force were most consistent between teams. Cervical ROM increased significantly in male and female soccer players (α = 0.05, p < 0.05). The overall incidence of head and neck injuries, including concussions, was reduced to 6.60% during the study period, the lowest recorded value in the university's athletic department history. The use of the NeckX® device for 12 weeks was effective in enhancing pericervical muscle strength and ROM while reducing concussion incidence in collegiate athletes participating in high-concussion-risk sports. Interestingly, the positive outcomes were consistent for both males and females, indicating the universal advantages of neck training among collegiate athletes. These findings support existing research on the benefits of cervical strengthening exercises for reducing concussions in collegiate athletes and highlight the convenience and affordability of using this device.

Relationship between forensic medicine education, stress factors, and mobbing perception from the perspective of specialists in Turkey's universities

IntroductionThe current situation needs to be presented with scientific data to ensure and improve the quality of specialist training. This study examined the quality of education, instructor competence, stress factors, mobbing, and their interconnections in the domain of forensic medicine specialty education in Turkey. Materials and methodsThis cross-sectional study was conducted through an anonymous, web-based survey targeting forensic medicine specialists who have completed their specialist training in university forensic medicine departments within the last three years. The survey consisted of questions regarding issues included in the core education curriculum, educator characteristics, and perceptions of stress and mobbing. Based on the responses provided, the relationships between these factors were statistically analysed. Results72.7 % of the study population completed the survey. Nearly half of the participants (46.3 %) did not consider the number of instructors adequate. The quality of instructors (scientific competence, educational and teaching skills, interpersonal relations, accessibility, management, and problem-solving abilities) was determined to be partially sufficient (mean = 3.36). Approximately one-third of the respondents indicated that instructors made the greatest contribution to their specialist training, whereas the proportion of those who said otherwise was much higher. Education received for topics included in the core curriculum was partially sufficient level (mean = 3.04). It was observed that there was a significant relationship between the instructor characteristics, sufficiency score of the taught topics, and perception of mobbing (p < 0.01). The sufficiency scores of instructor characteristics had a 1.02-fold impact on sufficiency ratings of the topics covered in residency training. Among the respondents, 76.9 % reported encountering stress factors during their specialty training, with the most frequently exposed stress factor (52.2 %) being disorganisation within the training program. Among the participants, 22.8 % reported experiencing mobbing. ConclusionsEducation and instructor qualifications were correlated; however, stress factors and mobbing adversely affected education. A close association was observed between education, instructors, stressors, and mobbing. Thus independent and objective auditors tasked with verifying whether institutions meet the established educational standards need to be established.

Telemedicine at a University Ophthalmology Practice During the Beginning of the COVID-19 Pandemic.

The aim of the research was to evaluate the use of teleophthalmology at a university practice during the COVID-19 pandemic, specifically examining precision, effectiveness, and patient satisfaction. Telemedicine visits were offered to new and established patients requesting appointments with the Stony Brook University Department of Ophthalmology between March 30 and June 2, 2020. Records from these visits were reviewed for chief complaint, past medical and ocular history, diagnoses, treatment/management, and providers' sub-specialty. Precision was determined by comparing agreement between diagnoses of the telemedicine visit with those of the subsequent in-person visit. The decision to follow up in person was made by the physician and patient. Diagnostic precision as well as progression, improvement, or stability of patients' symptoms were determined by the physician's assessment at follow-up visits. Post-telemedicine visit satisfaction surveys were sent to all patients. Telemedicine visits were offered to 783 patients, 520 (66.4%) of whom accepted. Of these 520 patients, 409 (78.7%) were established and 105 (20.2%) had in-person, follow-up visits. Overall, the diagnostic precision of the follow-up visits was 89.5%. Precision differed significantly across ophthalmologic subspecialties. Of the patients who had in-person follow-up visits, 56.8% remained stable, 32.4% improved, and 10.8% worsened. Established patients presented with more extensive ocular histories/procedures and experienced a higher percentage of worsening symptoms/disease stage compared to new patients. Oculoplastics/orbit was the most prevalent diagnostic subspecialty that worsened. Surveys were sent to all patients completing telemedicine visits, 15.0% of whom responded. Overall satisfaction was 91.9%, although only 23.0% of respondents preferred telemedicine to an in-office visit. Telehealth provides high levels of precision and patient satisfaction for a wide range of ophthalmologic visits, although most patients still prefer in-office examinations. Employing teleophthalmology for follow-up and emergency care may provide patients with an effective alternative during pandemic situations and beyond.

Scientific (Astro) tourism activities in Armenia and in South West and Central Asian region

Scientific Tourism activities have been initiated in a number of countries during the recent decades. Armenia was among the first countries developing Scientific Tourism and most probably the first to develop Astro Tourism. We were the first to introduce the term “Astronomical Tourism” (or “Astro Tourism”). This includes visits to astronomy-related sites (astronomical observatories, astronomical institutes, astronomy-related university departments, ancient sky/astronomy-related sites, medieval universities, planetariums, space/astronomy museums, etc.) but not only. The organization of astronomical meetings, schools, camps and other events with involvement of many visitors, we also consider as Astro Tourism activities. We give an overview of our activities, including the main project; development of Astro Tourism in the SWCA region. A detailed study of Astro Tourism sites in Armenia, Georgia, Iran, Kazakhstan, Tajikistan, Turkey and (in addition) Uzbekistan was carried out, namely, modern astronomical observatories and institutes, ancient astronomy-related sites, medieval universities, planetariums, astronomy/space museums, etc. A webpage was built representing Astro Tourism in SWCA region. We also discuss the Scientific Tourism and Tourism in general as disciplines for studies and not only as service. We will share our experience on Scientific/Astro tourism activities and discuss how different items may be implemented in different regions.

A Picture is Worth A Thousand Words: Reflections on One Photograph and Interlibrary Loan

Images can be powerful tools that can convey information in a variety of ways. This reflective piece frames the experience of working as a Student Casual Assistant in Western University's Interlibrary loan department around the unexpectedly ongoing life of a single photograph which has been used by several people to express the work of an often overlooked library department.

Characteristics, content, and instructors in emergency and urgent medicine courses in the medical departments of Spanish universities

Characteristics, content, and instructors in emergency and urgent medicine courses in the medical departments of Spanish universities

Assessment of the Efficacy of Orally Administered Lycopene in Improving the Mean Maximum Incisal Opening in Individuals Suffering from Oral Submucous Fibrosis

Objective: To compare the effectiveness of orally administered lycopene versus a placebo in increasing mean maximum incisal opening in patients with oral submucous fibrosis (OSF). Methodology: This randomized controlled trial, conducted at the Oral and Maxillofacial Surgery Department of Lahore Medical and Dental College from January to July 2020, enrolled 68 eligible patients. Two groups were formed: Group 1 (received oral lycopene) and Group 2 (received placebo). A block size of 4 was utilized for patient allocation, alternating between groups until the sample size was met. Both groups underwent a comprehensive 3-month treatment plan, including habit cessation and daily physiotherapy involving tongue spatula insertion between teeth (with spatula replacement). Only Group 1 received an additional 40mg oral lycopene daily. Follow-up appointments occurred monthly for 3 months, measuring maximal incisal opening with a Vernier Caliper. Results: Baseline incisal opening was 25.39 ± 2.92 mm in Group 1 and 25.23 ± 3.03 mm in Group 2. At the 3-month mark, Group 1 showed an incisal opening of 31.71 ± 2.84 mm, while Group 2 had 28.31 ± 2.98 mm. The mean change in incisal opening was 6.32 ± 0.96 mm for Group 1 and 3.08 ± 0.90 mm for Group 2. Group 1 exhibited a significantly higher mean change in incisal opening compared to Group 2 (p=&lt;0.001). Conclusion: Lycopene administration is more effective than a placebo in improving mouth opening in OSF patients. Therefore, lycopene should be considered as a treatment option to enhance maximal incisal opening and improve the quality of life for individuals with OSF. Keywords: Maximum incisal opening, Oral submucous fibrosis, lycopene orally, Nutt eating

Pattern of occupational lung disease among industrial workers attending a medical college of Eastern India.

Occupational lung diseases (OLDs) contribute a significant proportion to the global burden of pulmonary morbidities but are grossly misdiagnosed due to the relative lack of attribution given to occupational exposures. Obstructive lung diseases are known to be associated with long-lasting disability and loss of earning capacity (LOEC) among workers in industrial setups, thus reducing nationwide productivity. In this context, the study aimed to find out the pattern of OLD and factors associated with the severity of it among patients in a tertiary care hospital. The study was a record-based secondary data analysis conducted in the Medical Records Department of a Medical College in Kolkata. A computerized database of patients attending Special Medical Board (SMB) examinations from the Department of Medical Records was utilized for data collection. A data abstraction format was constructed to collect information on pulmonary morbidity, occupational exposure, and sociodemographic and behavioral variables. Extracted data were analyzed in Microsoft Excel and Statistical Package for Social Sciences (SPSS) software. After a review of records, it was shown that 62.3% (66 out of 106 people) of the study subjects had an obstructive type of OLD, the most common being Jute Byssinosis. A negative correlation (Spearman's ρ = -0.136) was found between pulmonary function (FEV1/FVC) and LOEC (%) in the study subjects. In the multivariable logistic regression, exposure to organic dust was found to be significantly associated with worsened lung function {adjusted-Odd's Ratio (95% Confidence Interval) =3.11 (1.1-8.8), P value = 0.03}. OLD is an understated health issue, especially in an industrial diaspora of developing countries, like India. Healthcare facilities should utilize their resources properly for the advancement of medical surveillance in industries where organic dust is produced. Health education of the stakeholders regarding the consequences of OLDs and the benefits of preventive primary approaches will go a long way in alleviating the burden of disease.

Effect of Self-Differentiation on Trait Anxiety and Authenticity of University Students

The aim of this study is to analyze the effect of self-differentiation on trait anxiety and authenticity in university students. The sample consists of a total of 333 university students (244 female and 89 male) studying in various departments of a state university who volunteered to participate in the study. Differentiation of Self Inventory—Short Form (DSI-SF) was used to measure self-differentiation levels; “Trait Anxiety Scale” was used to measure trait anxiety levels; and “Authenticity Scale” was used to measure the authenticity levels of university students. The results obtained were analyzed both with SPSS and AMOS programs. The correlation between variables was observed with SPSS analysis. The analyses were tested at .05 and .01 significance levels using SPSS 25.0 package programme. The PROCESS (Model 4) Macro was used in SPSS to examine the mediating effect of anxiety in the relationship between self-differentiation and authenticity. The findings of the research indicated that the relationship between self-differentiation and authenticity in university students was partially mediated. The study also demonstrated the positive predictive value of self-differentiation at the level of authenticity in university students. The findings were then discussed in relation to the existing literature, with some suggestions for future research made.

Changes in Blood Vessel Morphology in Erythematous Skin of Atopic Dermatitis Patients

Background: Atopic dermatitis is an inflammatory skin disease characterized by erythematous changes and abnormalities in microvasculature. Regarding the research questions, this cross-sectional study conducted from January 5 to July 5, 2019 at Watim Medical and Dental College, Rawat and the findings on observed vascular alterations supposed to present the mean age, standard deviation and p-value as follows: Objectives: , the morphology of the blood vessels in the erythematous skin of the patients with AD and controls matched based on their age will be examined. Study Design: A Cross-sectional study. Place and Duration of Study: from 05-Jan-2019 to 05-Jan-2020 in the Department Pathology, Watim Medical and Dental College Rawat, Pakistan. Methods: This descriptive cross sectional study recruited the patients from the Department of Pathology, Watim Medical and Dental College, Rawat over a period of six months from January 5, 2019 to July 5, 2019. Adult patients, comprising 100 in number, diagnosed to have atopic dermatitis were used in the study. The patient ages were noted down and dermoscopy of the morphological changes occurring in the blood vessels at erythematous lesions were observed. Descriptive statistics were used in a bid to calculate mean age, standard deviation as well as the p-value. This research study was reviewed and cleared by the Institution’s ethical committee before its conduct. Results: Patients 100 Patients were selected for the study, Moreover the patients diagnosed with atopic dermatitis were between the age group of 18-65 years with mean age of 35. 4 years (SD 12. 7), refer to the table 1. Morphological assessment of blood vessels in erythematous skin showed that 60% of the patients were having abnormal morphological pattern whereas 40% of patients demonstrated normal morphology (table 2). Co-relating and comparing the normal and altered Vascular architecture mathematical statistics revealed the fact with P-values equal to 0. 045 (Table 4). The findings of increased vascular alterations in lesions of atopic dermatitis evident from the results in Table 5 indicate that blood vessel alterations are associated with the severity of skin condition rashes. Conclusion: our study identify that extensive vascular changes at the skin of those with atopic dermatitis while stressing on the importance of these changes in disease progression. Targeted therapies for the aforementioned vascular changes could be promising in the future as compared to the ones that address mere clinical manifestations. Keywords: AMD, Vasculature, Redness of the Skin, Swelling.

Gender differences in the academic career: evidence from the accounting and finance departments

PurposeThe aim of this research is to examine gender differences in the context of research productivity, research collaboration and academic promotion.Design/methodology/approachThis research analyzes data related to 863 academics in the accounting and finance departments in Turkish universities by using OLS, Binary Logistic, Ordered Probit and Multinomial Probit Regressions.FindingsThe findings show that female academics have in overall a representation ratio of 32%, and that there are no significant differences regarding the opportunities for female academics to be employed in public compared to private, and in high-rank compared to low-rank universities. The results also indicate that female academics have lower research impact compared to male academics, and that this difference is more pronounced for professors, and in universities with low ratio of female representation, and also in public universities. In addition, female academics engage more in research collaboration and are less likely to hold the academic title of full professor than male academics.Practical implicationsThe findings of this study provide significant signals about the need for improving gender policies that mitigate the conditions adversely affecting research productivity and impact by considering the supporting circumstances for female academics and improving the representation ratio, which also can play vital role in reducing discrimination and bias and contribute to better research and scientific environment.Originality/valueTo the author’s knowledge, this article is the first to examine gender effect regarding research productivity, research collaboration and academic promotion in Turkish universities.

ОСОБЕННОСТИ СТРОЕНИЯ СЕМЯПРОВОДОВ У КРОЛИКОВ

The aim of the study is to investigate the anatomical and histological structure of the ductus deferens in representatives of the order Lagomorpha. The results of the micromorphology of the vas deferens in representatives of the order Lagomorpha are presented. Histological preparations were prepared and exami¬ned at the Omsk State Agrarian University (Department of Anatomy, Histology, Physiology and Pathological Anatomy). The objects of the study were material obtained from five sexually mature male Californian rabbits. For histological examination, pieces of organs were selected using the generally accepted method. Sections were stained with hematoxylin and eosin, as well as the Van Gieson method. Morphological, histological, morphometric and statistical methods were used in the study. The ductus deferens in rabbits is a paired tubular organ. The thickness of the mucous membrane of the left ductus deferens varies within 85.77 ± 3.13 μm, of the right ductus deferens was 136.14 ± 3.20 μm. The thickness of the muscular membrane of the left ductus deferens was 287.16 ± 3.48 μm, of the right ductus deferens was 333.79 ± 4.07 μm. The thickness of the adventitia of the left ductus deferens was 246.08 ± 4.75 μm, of the right ductus deferens was 258.56 ± 3.84 μm. During the study, special attention was paid to the adaptation of the muscular layer, which demonstrates a high degree of development and the ability to powerful peristaltic contractions, ensuring the movement of sex cells to the urethra. We can also assume the formation of sphincter systems of the ductus deferens in the indicated anatomical areas.

Formation of the Mandibular Condylar Cartilage in Human Specimens Between 10 and 15 Weeks of Gestation

Background: The study examines some morphological and histological factors that may contribute to condylar cartilage (CC) formation. The specimens used were consecutive sections obtained from 20 human fetuses ranging in age from 10 to 15 weeks. The vascular canals (VC) emerge in the CC and initiate the process of intramembranous ossification. The mandibular condylar cartilage is crucial for the growth and function of the mandible, and it also contributes to the development of the Temporomandibular joint. Understanding the development of mandibular condylar cartilage throughout the early stages of gestation is essential for detecting congenital craniofacial deformities. Objectives: Examine the stages of MCC development in human samples from fetuses at 10-15 weeks of gestation. Study Design: A descriptive Cross-sectional Study. Place and Duration of Study: Department of Anatomy and Obstetric Nowshera Medical College from 15th Nov 2020 to 1st Jun 2021. The changes in the shape and size of the bones and the processes of bone formation should also be determined. Methods: The current study is descriptive, cross-sectional, and involves post-mortem human fetal specimens aged 10-15 weeks. The specimens were obtained from the Department of Obstetrics of QHAMC after miscarriages and intrauterine deaths. The absence of external and congenital malformations was verified. Light microscopic and histological assessment was done with the aid of H&amp;E-stained sections. Results : Twenty fetal specimens were used in the study, with an average gestation period of 12. 5 weeks (±1. 5 weeks). Histological analysis revealed gradual chondrocyte maturation and the beginning of the ossification process. At ten weeks, MCC was comprised of undifferentiated mesenchymal cells. At twelve weeks, it is possible to observe the differentiation of chondrocytes and early ossification. At 15 weeks, the ossification stages of the CRL were at a superior level with the hypertrophic chondrocytes and mineralized cartilage. The p-values for differences in developmental stages between the gestational ages were less than 0. Hence, the differences were statistically significant. Conclusion: The MCC in human specimens at 10–15 weeks' gestation undergoes considerable morphological transformation and commences the ossification process. Knowledge of these stages is essential in identifying and intervening in congenital craniofacial disorders. The authors recommend that future studies focus on investigating molecular processes that may contribute to the development of MCC. Keywords: Mandibular condylar cartilage, Development, Gestation, Ossification

The Effect of Student Quotas on Design Education in Interior Architecture Departments

Interior architecture education is a comprehensive field that encompasses design, creativity, and various educational subjects such as art, project management, furniture design, and building knowledge. Due to its multidimensional nature, it has become one of the most popular departments in universities. However, the lack of awareness about the scope and limitations of interior architecture education, coupled with students not meeting the required qualifications, has resulted in a significant increase in the student population in these departments. In this study, the impact of this excessive enrollment on the quality of education in interior architecture departments is analyzed. By examining the literature on interior architecture education, it was found that the existing infrastructure, both in terms of technical resources and faculty members, needs to be improved to accommodate the growing student population. The study suggests that a balance should be established between student quotas and the resources available to ensure a high-quality education in interior architecture.

Sex Determination through Pelvic Bone Using Anteroposterior Radiographs

Background: Forensic anthropology uses digital radiography to identify victims' gender, despite the population-specific nature of determining gender from bones, offering a cost-effective and straightforward method. The objective of the study was to evaluate the accuracy of the digital radiography technology for sex recognition of the selected participant group in Hyderabad, Sindh Time and location: Cross-sectional study conducted by department of Forensic medicine Liaquat University of medical and Health Sciences Jamshoro and Isra University Hyderabad at the outpatient of Liaquat University hospital, Hyderabad from February to May 2023. Methods: The study included male and female patients aged 18-50 years and was authorized by the Research and Ethics Committee LUMHS. Study participants were divided into two groups; male and female. Differences in pelvis bone fragments parameters like iliac height, inter-acetabular distance, pelvic inlet (breadth), acetabulum diameter, pubic length, Ischial length and ischio-pubic index on digital x-ray radiographs of both groups were examined and compared. Results: A statistically significant difference (p&lt;0.05) in bony prominence parameters including inter-acetabular distance, acetabular diameter, breadth of the pelvic inlet, pubic length, ischial length and ischio-pubic index was observed between group A and group B. The study revealed that the accuracy in recognizing male individuals through ileum height (68.8%), inter-acetabular distance (64.7%), and the pelvic inlet breadth (61.0 %) Conclusion: The iliac height, inter-acetabular distance, pelvic inlet (breadth), inter-acetabular diameter, pubic length, Ischial length and ischio-pubic index on radiographs (x-rays) of pelvic bones are a reliable bone fragments parameters in sex determination with high precision.

Prevalence and association of placental lesions with obstetrical features and outcome: data from French prospective study

Since the Consensus Statement diffused by the Amsterdam Placental Workshop Group, knowledge of the meaning of placental vascular malperfusion has become essential in the unavoidable analysis of obstetrical history in a patient followed for autoimmune disease or any other maternal comorbidity. We aimed to analyse the prevalence of various placental lesions from a 6-months prospective observational study and to correlate the various placental profiles to obstetrical outcome, maternal diseases and pregnancy treatments. The frequency of foetal vascular malperfusion lesion could be estimated at 8.7%, in our population and to understand its neonatal associations. The study groups consisted of 208 consecutive women which ended the pregnancy and have placental analysis during the period of the study. From December 2015 to October 2017, from overall 4398 delivered pregnancies in university obstetrical department, 208 (4.7%) placental analysis have been done and included in the study. The placental analysis have been done for vascular obstetrical complications during the pregnancy (n = 106; 51%), unexplained abnormal foetal heart rate tracings (n = 59; 28,3%), suspicion of intra-amniotic infection (n = 12; 5,7%%), term new-borns Apgar score <7 or arterial cord blood pH ≤ 7 (n = 7; 3,5%), spontaneous preterm delivery (n = 19; 9,1%), intrahepatic cholestasis of pregnancy (n = 5; 2,4%). An adverse obstetrical event was noted in 87 cases (42%): preeclampsia or HELLP syndrome (n = 15; 7%), FGR (n = 59; 28%), gestational diabetes (n = 33; 16%) and gestational hypertension (n = 19; 9%). Placental histological analysis showed abnormal vascular features in 159 cases (76%), inflammatory features in 16 placentas (8%), vascular and inflammatory features in 10 cases (4%), chorioamnionitis in 38 cases (18%) and absence of any abnormality in 43 cases (21%). A cluster analysis of histological features allowed distinguishing three placental patterns: a normal pattern characterised by the absence of any placental lesions, an inflammatory pattern characterised by the presence of villitis and/or chronic intervillositis; a vascular pattern with the presence of thrombosis, maternal floor infarct with massive perivillous fibrin deposition, infarction and chronic villositis hypoxia. Women with inflammatory placental profile have significantly increased frequencies of tobacco use (50% vs. 9%; P = 0.03), pathological vascular Doppler (50% vs. 5%; P = 0.001), FGR (100% vs. 14%; P = 0.0001) and oligohydramnios (67% vs. 5%; P = 0.0001) than those with normal placentas. A higher rate of vascular or inflammatory lesion were observed in women with Hypertensive disorder of pregnancy, where as those with inflammatory pattern have significantly more frequent FGR (100% vs 34%; P = 0.02) and oligohydramnios (67% vs 5%; P = 0.0002). The placenta analysis is important to understand the origin of adverse obstetrical outcome and the risk for subsequent pregnancy.

Identifying innovations produced by primary health care centers and evaluating their scalability: the SPRINT Occitanie cross-sectional study in France

BackgroundPractice-based research is one of the levers identified by the World Health Organization (WHO) to strengthen primary health care. The scaling of health and social care innovations has the potential to reduce inequities in health and to expand the benefits of effective innovations. It is now rapidly gaining the attention of decision-makers in health and social care, particularly in high-income countries.To meet the challenge of declining numbers of primary care physicians in France, Multi-professional Healthcare Centers (MHC) were created to bring together medical and paramedical professionals. They are a source of innovation in meeting the health challenges facing our populations.Specific methodology exists to identify health innovations and assess their scalability. A working group, including end-users and specialists, has adapted this methodology to the French context and the University department of general practice of Montpellier-Nîmes (France) launched a pilot study in Occitanie, a French region.ObjectiveTo identify and evaluate the scalability of innovations produced in pluri-professional healthcare centers in the Occitanie region.MethodsA pilot, observational, cross-sectional study was carried out. The SPRINT Occitanie study was based on a questionnaire with two sections: MHC information and the modified Innovation Scalability Self-Administered Questionnaire (ISSaQ), version 2020. The study population was all 279 MHC in the Occitanie region.Results19.3% (54) of MHC in the Occitanie region, responded fully or incompletely to the questionnaire. Four out of 5 U-MHCs were represented. Five MHC presented multiple innovations. The average per MHC was 1.94 (± 2.4) innovations. 26% of them (n = 9) had high scalability, 34% (n = 12) medium scalability and 40% (n = 14) low scalability. The main innovation represented (86%) were healthcare program, service, and tool.ConclusionsIn our cross-sectional study, a quarter of the innovations were highly scalable. We were able to demonstrate the importance of MHC teams in working on primary care research through the prism of innovations. Primary-care innovations must be detected, evaluated, and extracted to improve their impact on their healthcare system.