Use of oxidized regenerated cellulose (Surgicel Nu-Knit) as a hemostat in laparoscopic endometriotic cystectomy: a case report

Ovary is one of the common sites for occurrence of endometriosis. Endometriosis contributes to a major cause of infertility in young women. Apart from infertility, endometriosis is one of the important causes of severe secondary dysmenorrhea and chronic pelvic pain. Endometriotic cystectomy is often required in endometriotic cysts more than 3 cm in size.  A 33 year old patient married for 4 years with primary infertility was diagnosed to have an endometriotic cyst of the ovary measuring 4x3 centimeters. Patient underwent laparoscopic endometriotic cystectomy under general anesthesia. Intraoperatively, the right ovary was enlarged and was adherent to the posterior surface of uterus and the uterosacral ligament of the same side. Adhesiolysis was done followed by removal of the ovarian endometriotic cyst. Post cystectomy oozing was controlled by application of Oxidized regenerated cellulose (Surgicel Nu-Knit) on the bleeding points. Postoperative course of the patient was uneventful and she was discharged after 7 hours in stable condition

Gender authorship trends in spine research publications - Research across different countries from 1976 to 2020.

•Gender trends in authorship showed an increase in female authors from 1976 to 2020.•In 2020, Europe had the highest and Asia the lowest proportion of female authors.•The Netherlands had the highest proportion of women and Japan the lowest

A new ankylosaurid skeleton from the Upper Cretaceous Baruungoyot Formation of Mongolia: its implications for ankylosaurid postcranial evolution

A new articulated postcranial specimen of an indeterminate ankylosaurid dinosaur from the Upper Cretaceous (middle-upper Campanian) Baruungoyot Formation from Hermiin Tsav, southern Gobi Desert, Mongolia includes twelve dorsal vertebrae, ribs, pectoral girdles, forelimbs, pelvic girdles, hind limbs, and free osteoderms. The new specimen shows that Asian ankylosaurids evolved rigid bodies with a decreased number of pedal phalanges. It also implies that there were at least two forms of fank armor within Ankylosauridae, one with spine-like osteoderms and the other with keeled rhomboidal osteoderms. Unique anatomical features related to digging are present in Ankylosauridae, such as dorsoventrally fattened and fusiform body shapes, extensively fused series of vertebrae, anteroposteriorly broadened dorsal ribs, a robust humerus with a well-developed deltopectoral crest, a short robust ulna with a well-developed olecranon process, a trowel-like manus, and decreased numbers of pedal phalanges. Although not fossorial, ankylosaurids were likely able to dig the substrate, taking advantage of it for self-defence and survival

New oviraptorid embryos from Bugin-Tsav, Nemegt Formation (Upper Cretaceous), Mongolia, with insights into their habitat and growth

Eggs containing well-preserved skeletons were collected from Bugin-tsav, an Upper Cretaceous locality in the Nemegt Formation, Ömnögov\u27 Aimag, Mongolia. These embryos, found in a weathered nest of eggs, are oviraptorid theropods. Eggshell morphotype is Elongatoolithidae, typical of theropods, including basal birds. Bone histology indicates that all embryos were probably close to hatching, based on the degree of ossification and in comparison with ossification patterns in living birds. Maturity of ossification indicates that oviraptorids hatched at a precocial stage of development. Two of the embryos are relatively large, while the other is 25% smaller, suggesting that size disparity of hatchlings in oviraptorids may be a consequence of asynchrony in egg laying. © 2008 by the Society of Vertebrate Paleontology

Community Perspectives on the On-Farm Diversity of Six Major Cereals and Climate Change in Bhutan

Subsistence Bhutanese farmers spread across different agro-ecological zones maintain large species and varietal diversity of different crops in their farm. However, no studies have been undertaken yet to assess why farmers conserve and maintain large agro-biodiversity, the extent of agro-ecological richness, species richness, estimated loss of traditional varieties and threats to the loss of on-farm agro-biodiversity. Information on the number of varieties cultivated by the farmers for six important staple crops were collected from nine districts and twenty sub-districts spread across six different agro-ecological zones of the country to understand farmers reasons for maintaining on-farm crop diversity, estimate agro-ecological richness, species richness and the overall loss of traditional varieties, to know the famers’ level of awareness on climate change and the different threats to crop diversity. The results from this study indicated that an overwhelming 93% of the respondents manage and use agro-biodiversity for household food security and livelihood. The average agro-ecological richness ranged from 1.17 to 2.26 while the average species richness ranged from 0.50 to 2.66. The average agro-ecological richness indicates a large agro-ecological heterogeneity in terms of the different species of staple crops cultivated. The average species richness on the other hand shows that agro-ecological heterogeneity determines the type and extent of the cultivation of the six different staple cereals under consideration. The overall loss of traditional varieties in a time period of 20 years stands at 28.57%. On climate change, 94% of the farmers recognize that local climate is changing while 86% responded that they are aware of the potential impacts of climate change on their livelihoods. Climate change and associated factors was considered the most imminent threat to the management and loss of on-farm agro-biodiversity. The results from this study indicate that on-farm agro-biodiversity conservation, development and utilization programs have to be more specific to the different agro-ecological zones considering the agro-ecological heterogeneity. Attention has to be given to individual crops that have low average species richness and high percentage of loss of traditional varieties. The impact of climate change could offset the traditional seed system which primarily supports the persistence of on-farm agro-biodiversity in several ways

A knowledge, attitudes, and practices study on ticks and tick-borne diseases in cattle among farmers in a selected area of eastern Bhutan.

Livestock farming plays an important role in supporting the livelihood of resource-poor subsistence farmers in Bhutan. However, ticks and tick-borne diseases (TBDs) are one of the major constraints to livestock farming due to their negative effect on health and production. To date, no study has been conducted in Bhutan to assess farmers' knowledge, attitude, and practices (KAP) about ticks and TBDs in cattle, although such information is essential in ensuring the development and adoption of effective prevention and control measures. Therefore, a KAP survey was conducted among 246 cattle owners in the Samkhar sub-district of eastern Bhutan in June 2019, using a structured questionnaire. Based on our scoring criteria, 52% [95%CI: 45.5-58.4] had adequate knowledge about ticks as potential vectors of diseases. Logistic regression analysis showed that the individuals who practiced a stall-feeding system of cattle rearing were 2.8 times [OR = 2.8 (95%CI: 1.66-4.78)] more likely to have adequate knowledge than others. Sixty-eight percent [95%CI: 62.5-74.4] had a favorable attitude toward tick prevention and control programs. Men were 1.95 times [OR = 1.95 (95%CI: 1.09-3.55)] more likely to have a favorable attitude than women, and the individuals who practiced a stall-feeding system were 2.59 times [OR = 2.59 95%CI: 1.45-4.78)] more likely to have a favorable attitude than others, after adjusting for the effect of other variables in the model. Overall, only 38% [95%CI 32.5-45] of the respondents reported tick infestation as one of the most important animal health problems, but 100% reported using acaricides to control ticks in cattle. Despite a high level of acaricide usage, the level of knowledge was low among the farmers interviewed. Findings from this study underline the importance of considering identified knowledge gaps and initiating education efforts to improve the adoption of effective tick prevention and control measures among farmers

Asia Now Surpasses Europe in Spine Research Productivity : An Analysis from 1976-2020

Study Design. Bibliometric Review Objective. This study aims to understand the worldwide research productivity trends in spine-related research over the past five decades. Summary of Background Data. ?? ??? Methods. We evaluated original research articles published in four prestigious journals on spine research (European Spine Journal, Journal of Neurosurgery: Spine, Spine, and The Spine Journal) from 1976 to 2020. For one year of each decade, the origin of the first and the senior author was assigned to their region of origin. For the year 2020, a detailed analysis of countries and states of origin was performed, and the number of articles was normalized by registered MDs per country (per 10,000 population). Results. We included a total of 4,436 articles and 8,776 authors for analysis. From 1976 to 2020, the percentage of publications originating from North America decreased (77% – 38%). In contrast, Asian contributions drastically increased (3% – 36%), whereas articles originating from Europe only slightly raised (20% – 22%). In 2020, the USA was the most productive country worldwide (34% with most articles from New York (19%), followed by China (16%) and Japan (10%). After normalization to registered MDs (per 10,000 population), the USA proved to have the highest number of articles. Besides this, India now ranked fourth and Egypt eighth in terms of the most productive countries per MDs. Conclusion. North America contributed the largest share of all articles published in the last five decades. Asia, which ranks second in 2020, has overtaken Europe. Normalization to registered MDs can be a helpful tool to reflect a country's research productivity more accurately. Level of Evidence: