bluuebunny/crossref_metadata_2025 huggingface dataset:
FINDING A SIMPLIFIED CLINICAL SCORE FOR DIAGNOSIS AND TREATMENT OF ENDOMETRIOSIS WITHOUT CHOCOLATE CYST
Authors: Bagchi Bishista , Siddhartha Chatterjee , Arpan Chatterjee
Published: May 2020

Introduction: This study has been proposed to evaluate the feasibility of trans-vaginal and trans-abdominal ultrasound in screening of endometriosis.

Methods: This was a retrospective observational study in which women with clinical symptoms, features and family history of endometriosis were included. Women with diagnosed endometriosis on treatment, with chocolate cystor adenomyosis were excluded. The ultrasound features in patients with suspected endometriosis were correlated with the laparoscopy findings and a new scoring system has been introduced to facilitate the management of the disease. Results: 2080 patients were examined clinically either by per-vaginal or by per-rectal examination (in adolescents, unmarried patients) and the findings were noted and ultrasound was performed. 489 of these women had undergone laparoscopy. Combined clinical score of 1-3 is associated with USG score 1. The visualisation shows that combined clinical score of 7-9 is associated with laparoscopy score 4 and combined clinical score of 1-3 is associated with laparoscopy score 2.Combined clinical score 10-12 is highly differentiated statistically. Conclusion: Clinical symptoms, signs along with USG findings have been seen to be quite helpful to screen endometriotic cases and thereby they should be followed up closely to detect its presence. In extremely doubtful cases laparoscopy should be performed for detection of the foresaid disease. It is very important to note that the clinical score and USG score corresponds to a large extent to laparoscopy score as mentioned in the results.

Keywords: endometriosis, trans-vaginal, trans-abdominal, ultrasonography, clinical, score, laparoscopy

List of abbreviations

USG – Ultrasonography

MRI –Magnetic Resonance Imaging

POD- Pouch of Douglas

VAS- Visual Analogue Scale

TVS- Trans-vaginal ultrasonography

TRUS- Trans-rectal ultrasonography

USL- utero-sacral ligament
A RETROSPECTIVE STUDY COMPARING PROXIMAL FEMORAL NAIL ANTI-ROTATION WITH CEMENTLESS BIPOLAR HEMIARTHROPLASTY FOR UNSTABLE FEMORAL INTERTROCHANTERIC FRACTURE
Authors: Bobade Satish , Bobade Sandesh , Deokate Pravin
Published: May 2020

Background: Intertrochanteric femoral fractures are one of the most common types of bone fractures that are usually caused by severe direct or indirect force. It has also been estimated that nearly 50% of all the fractures are intertrochanteric fractures and the remaining are unstable fractures. Also, it has been found that the mortality related to hip fractures is as high as 15-20%. With an increase in the life expectancy of people, there has been a substantial increase in the number of patients with postmenopausal or senile osteoporosis.

Aim: To compare Proximal femoral nail anti-rotation with cementless bipolar hemiarthroplasty for unstable femoral intertrochanteric fracture

Methods: It was a retrospective study carried out at the Government Medical College, Baramati for a period of 1 year. One hundred patients were included for the scope of the study. Out of which 50 patients belonged to the PFNA group, and 50 patients belonged to the CPH group.

Results: The number of patients in the PFNA group was 50 and that in the CPH group was 50. Both groups show male preponderance. The mean age among both the groups was almost the same, and there was no statistically significant difference among the two groups regarding the mean age. The mean operation time for PFNA was 54.15±16.1 mins, and that of the CPH group was 76.69±15.89 mins. The mean bleeding time for PFNA was 133.12±33.16 ml, and that of the CPH group was 289.25±44.01 ml. There was no statistically significant difference among the ASAA grade scores of the two groups. There was no statistically significant difference among the Evans-Jensen classification of the two groups. The mean length of hospital stay for PFNA group was 7.89±2.0 days, and the mean hospital stay for CPH group was 6.54±1.9 days.

Conclusion: The current study depicted that CPH and PFNA are both safe and effective methods of treating elderly patients suffering from intertrochanteric fractures. However, it was found in the current study that CPH was found to have more mean operative time and increased blood loss. Still, the recovery and hospitalization time was almost similar in both the groups. Both the groups had almost similar ASA and Evans Jensen scores that made both the techniques equally safe
CLINICAL STUDY OF RESPIRATORY DISTRESS IN NEWBORN IN TERTIARY CARE CENTRE, RIMS RANCHI.
Authors: Naik Nagarjuna , Chaudhary Anil Kumar , Chaudhary Raghu Nandan , Ranjan Rakesh
Published: May 2020

Background: Respiratory distress in neonates is the most common cause of admission to NICU in a tertiary care hospital. Identification of risk factors associated with development of severe distress and early diagnosis of cause is very important in the management of neonatal distress.

Methods: 110 consecutive born neonates with RD were studied and assessed for development of severe distress against onset, duration, oxygen requirement and outcome in terms of final diagnosis, mortality and treatment. Serial chest X- rays were done at 1 hour and 6 hours of onset of distress.

Results: BA (41%) was the commonest cause. Development of severe distress was more when onset is at 6 hours after birth (77%), duration persists more than 24 hours (65.5%)  Ventilation was done in 26 cases and there was17% mortality.

Conclusions: Birth Asphyxia is the most common cause of respiratory distress in new-born. Almost 48% of new-born with respiratory distress develop severe respiratory distress which require intensive monitoring. Risk factors like high maternal age, primi-gravida mothers, more than 4 per vaginal examinations, meconium stained liquor, cesarean delivered new-borns, Small for gestation age, and 1 min Apgar score less than 7, birth weight less than 2.5Kg and male sex of new-born were associated with severe respiratory distress in new-borns.

Keywords: Respiratory distress, New-born, Risk factors, Chest x rays, Oxygen requirement
DO BIPOLAR PATIENTS LACK MIND READING; AN ATTEMPT TO ASSESS THROUGH PICTURE SEQUENCING TASK
Authors: Rathi Anant Kumar , Sharma Sandeep , Verma Kamal Kumar , Bishnoi Divya
Published: May 2020

Background: This paper reports the performance of ICD-10 diagnosed Bipolar affective disorder (BPAD) patients on a well recognised measure of theory of mind (ToM) that commonly elicits  group related differences in schizophrenia research.

Aims: (1) To assess Theory of mind in patients of Bipolar Affective Disorder.                        

          (2)  To examine effect of mood on Theory of Mind.

Method: Three groups were formed namely Control, BPAD (M) and BPAD (D). Each group was socio-demographically suitably matched and had 30 participants. Active symptomatology was assessed by using YMRS and MADRS in BPAD(M) and BPAD(D) cases respectively. Theory of mind was calculated using Landon and Clotheart (1999) Picture Sequencing Task.

Results: Relative to controls, bipolar patients performed significantly worse on the ToM relevant false belief script in picture sequencing task but not on other types of task stories. No significant difference was observed in the ToM performance between the phase of bipolarity.

Conclusion: The results support previous evidence of ToM deficit in BPAD and indicate a potential endophenotypic overlap in the phenomenology of both Schizophrenia and BPAD.

Keywords: Theory of Mind, YMRS, MADRS, Picture Sequence Task
IMPACT OF FLIPPED CLASSROOM ON FIRST MBBS STUDENTS IN RENAL PHYSIOLOGY.
Authors: Daulatabad Vandana S. , Kamble Prafull A.
Published: May 2020

Introduction: Teaching by “flipped classroom” approach is evolving in medical science where students attempt significant pre-class preparations, while classroom time is utilized to achieve deeper levels of knowledge of the relevant topics.

Aim: To implement flipped classroom teaching method and to comprehend, analyse and evaluate the impact of this method in first MBBS students.

Settings and Design: 100 first MBBS students of Ashwini Rural Medical College, Solapur. It’s a cross-sectional observational study

Methods and Material: Study group comprised of 100 students, who were divided into two groups. Group-1 was exposed to flipped classroom (FCR) teaching method and Group-2 was subjected to traditional classroom teaching by same faculty. Study material like power-point presentations, links for the video lectures and page numbers of standard textbooks of the topics to be taught were shared with students belonging to FCR group. Pre-test was taken from both the groups before beginning of study. Classroom time was utilised for making students achieve deeper knowledge and understanding by self-directed learning methods for FCR group while non-FCR group was taught by didactic lecture sessions. Evaluation was done by post-test. Students belonging to FCR group were asked to give feedback about FCR teaching method.

Statistical analysis: Comparison of scores of pre and post-test was done between both the groups by using t-test. (p-value < 0.05-significant).

Results: The average score comparison of pre-test between group-1 and group-2 was not significant which depicts no intellectual difference between both groups whereas average score comparison of post-test between group-1 and group-2 was highly significant. The average marks scored in post-test were highly significant than the marks so scored in pre-test for group-1, whereas in group-2, the average marks scored in post-test were only significant than the marks scored in pre-test.

Students strongly agreed that they were able to understand the topic effectively and FCR was an interesting experience for learning.

Conclusions: The present study resulted in improved student’s performance in FCR group hence it gives us an insight that FCR would be a potential and greater educational tool for facilitators to help students reach deeper understanding of topics along with relevant exposure to different ways of pedagogy.

Keywords: Flipped Class room, Pedagogy, Active learning, Renal Physiology
COMPARATIVE EVALUATION OF THE MARGINAL ADAPTATION OF FOUR DIFFERENT COMPOSITE RESINS WITH OR WITHOUT PREHEATING – AN IN VITRO STUDY
Authors: R Mohanapriya , V Rajesh Gopal. , Kumar A. Arvind , Paulaian Benin , . Joselin , Kolden . Jai
Published: May 2020

Background: Resin composites as direct posterior restorative material was associated with the polymerization contraction and microleakage. Different methods have been introduced to overcome these drawbacks by increasing the degree of monomer conversion and to minimize the polymerization shrinkage. Composite preheating is an innovative method to improve the handling and physical properties. So this study was done to evaluate the effect of prepolymerization warming of different composites on the marginal adaptation. 

Materials and Methods: This in vitro study was conducted on 80 extracted human maxillary premolars. Class II cavities on the proximal surface were prepared with the dimensions of 4 mm buccolingual width, 2 mm axial depth, and gingival margin at the cementoenamel junction. They were divided into four groups of 20 teeth each and were restored accordingly: Group I – Bulkfill nanohybrid; Group II – Nanofill; Group III – Ormocer; Group IV – microhybrid composites. Each group was further sub - divided into subgroups of 10 teeth, according to the preheated composites and room temperature composites used. After restorative procedures, samples were sectioned in the mesiodistal direction through the centre of the restoration and analysed using Scanning Electron Microscope at 200x magnification and marginal gap width was measured in three areas at the axial wall using Image Processing and Analysis in Java (ImageJ 1.5 2a) software.

Statistical Analysis: Data was entered in Statistical Package for Social Sciences version 21 Software for Windows. The comparisons of four different composite materials with two subgroups were analyzed using Kruskal Wallis test. The level of significance was kept at   p < 0.05.

Results: Preheating results in more gap formation with the bulk fill nanohybrid and Ormocer showed higher MQ4 scores than the room temperature composites. No statistically significant results were found. But the percentage of gap formation was comparatively higher in preheated composite group.

Conclusion: Within the limitations of the present study, it could be concluded that preheated composites showed poor internal marginal adaptation with increased frequency of gap formation.

Key words: Internal marginal adaptation, Ormocer, Filtek nanofill, Microhybrid, Tetric bulk fill
TO STUDY ANTIBIOTIC SENSITIVITY PATTERN OF NONFERMENTATIVE GRAM NEGATIVE BACILLI FROM VARIOUS CLINICAL SAMPLES IN A TERTIARY CARE HOSPITAL, JAIPUR.
Authors: Hemwani Kirti , Nirwan P.  S. , Shrivastava Preeti , Ramchandani Abhiraj
Published: May 2020

Background: Nonfermentative gram negative bacilli (NFGNB) frequently considered as commensals or contaminants but the pathogenic potential of nonfermenters has been proved beyond doubt. They are resistant to commonly used antimicrobials.

Aim: This study was undertaken to identify the nonfermenters isolated from various clinical samples and to know their Antibiotic sensitivity pattern.

Materials and Methods: The present study was carried out on 150 strains of Nonfermenters isolated from 1200 various non repetitive clinical samples received in Department of Microbiology, NIMS Jaipur. Nonfermenters were identified using a standard protocol and their antibiotic susceptibility testing was performed with the help of the modified Bauer disc diffusion method.

Results: Out of 150 nonfermenters isolated, Pseudomonas aeruginosa was the most common isolate 134 (89.33%) followed by Acinetobacter baumannii 16 (10.67%). Among all clinical samples Pus and Wound Discharge yield maximum isolates of NFGNB i.e. 54 (36%) % followed by sputum (39.0%). Most sensitive drug against NFGNB was Polymyxin-B (100%) followed by Imipenem (86 %) and Amikacin (71.33 %).

Conclusion: Nonfermenters have a great potential to survive in a hospital environment so implementation of antibiotic stewardship programs and strict infection control practices will be required to prevent or slow down their emergence and spread.

Keywords:  Nonfermenters,  Polymyxin-B, Pseudomonas, Acinetobacter.
TO COMPARE THE NEED FOR INTRAVENOUS VASOPRESSOR (RESCUE) THERAPY FOR TREATING SPINAL ANAESTHESIA INDUCED HYPOTENSION AMONG PHENYLEPHRINE, EPHEDRINE AND CONTROL GROUPS.
Authors: Sharma Utsav , Thakur Kunwar Singh , Goyal Preeti , Choudhary Bhanu
Published: May 2020

The study was undertaken in the Department of Anaesthesiology, Gajra Raja Medical College, Gwalior. The study included 90 patients (age 20-35 years) undergoing elective caesarean section under spinal anaesthesia.

Maximum hypotension was observed in control group. As compared to the control group, incidence of hypotension was significantly less in phenylephrine group as well as ephedrine group. Also comparing ephedrine and phenylephrine groups, although incidence of hypotension was low in phenylephrine group but it was not found to be significant.

The incidence of hypotension was significantly low in phenylephrine group (p=0.000) and ephedrine group (p=0.005). But when phenylephrine and ephedrine groups were compared, although incidence of hypotension was low in phenylephrine group but it was not found to be significant (p=0.869).

Keywords: Intravenous Vasopressor, Spinal Anaesthesia, Hypotension & Phenylephrine.
浅谈建筑工程中工程造价的预算与控制
Authors: 沈 旭 , 陈 仁付
Published: May 2020

随着市场经济的快速增长,现代企业制度的不断完善,建筑业对工程预算管理的准确性的要求越来越高,因为优秀的预算管理控制不但可以降低工程造价,而且还能合理的控制成本。所以本文主要对建筑工程中工程造价的预算与控制进行分析探讨。
浅析房屋建筑施工中的地基施工技术
Authors: 郭 卫华
Published: May 2020

在房屋建筑工程中地基施工使其重要环节,其施工的效果将对安全生产以及建筑质量等产生直接影响。因此,在进行地基施工的过程中应选用科学合理的施工技术,促使施工组织管理的有效加强,进而为地基施工的顺利看展奠定良好的基础。
中央空调系统的安装施工技术要点分析
Authors: 欧阳 祖军 , 侯 兴义
Published: May 2020

随着社会的发展以及人民生活水平的提高,中央空调已经越来越多的应用在各个场合。但中央空调的施工安装技术本身涉及到多项学科部门的交叉,也并非单独的工程建设可以完成,需要有所借鉴,因此可以说给了安装工程更多的挑战。本文主要從中央空调系统的安装施工进行分析。
浅析建筑工程造价的动态管理控制
Authors: 韦 柳青
Published: May 2020

对于建筑工程来说,造价管理是整个工程建设的核心要素,对工程的顺利施工和发展具有重要影响。动态化成本管理和控制对于工程有着重要意义,是提高企业核心竞争力的关键手段。本文将针对建筑工程造价的动态管理采取分析,同时结合具体的造价管理存在的问题进行探讨,给建筑行业奠定一定基础。
关于城乡规划中的美丽乡村建设的思考
Authors: 李 婷婷
Published: May 2020

我国新农村建设中有一项重要战略就是乡村振兴,而乡村振兴除了经济方面进行提高外还有一个关键部分就是建设美丽乡村。习总书记曾说过,即使未来国家的城镇化水平达到了七成以上,还是有四到五亿人在农村,绝对不能让农村成为荒芜的农村、留守的农村、变成记忆中的故园。城镇化要发展,新农村建设以及农业现代化也要不断推进,只有同步发展才能够相得益彰,要不断推动城乡一体化进程。我们从美丽乡村的概念含义出发,阐述一些关于在城乡规划中建设美丽乡村的思考。
高速公路工程建设中合同管理分析
Authors: 陈 意智
Published: May 2020

改革开放以后,交通运输业不断发展,人们对高速公路的管理问题也越来越关注,高速公路的合同管理有利于促进高速公路的和谐稳定发展,确实值得重视。下面就我国目前高速公路合同管理中面临的挑战,针对性的提出优化高速公路合同管理的具体措施,这对促进我国高速公路健康稳定发展具有积极的意义。
小区健身器材互动性设计研究
Authors: 李 佳晓 , 陈 晶锐 , 魏 冉
Published: May 2020

小区健身器材作为居民日常健身休闲中不可缺少的一部分,对居民有效进行锻炼以及情感交流可以起到积极的作用。然而随着时代的发展,人们对于小区健身器材的需求不再仅仅是满足于健身,而是有了更高层次的需求。本论文主要对小区居民在实际锻炼过程的互动行为及需求进行分析,通过结合互动设计理念对互动系统的四要素的深入分析,以此提出增强器材互动性的设计方法,让之前枯燥乏味的健身锻炼变得丰富、有趣。
探析土木工程施工管理要点
Authors: 谭 昊林
Published: May 2020

随着土木工程建设数量的增多,社会对土木工程施工质量的重视力度也在增加,施工管理变得越来越重要。本文就对土木工程施工管理要点进行分析探讨,对施工中存在的问题提出合理的解决措施,以期提高土木工程建设质量,促进行业的良好发展。
建筑工程施工现场的质量管理探讨
Authors: 刘 永念
Published: May 2020

质量管理是建筑工程施工现场管理的重点、难点所在,注重对施工全过程管理,合理配置材料、设备和人员,确保施工活动规范有序展开,提升建筑工程施工质量。本文就建筑工程施工现场质量管理展开分析,明确质量管理重要性,剖析质量管理中的问题,制定合理有效的质量控制措施践行到实处,以期打造高质量的建筑工程项目。
谈如何做好水利工程质量控制管理工作
Authors: 张 思毅 , 金 燕子 , 陈 华杰
Published: May 2020

水利工程是国民经济和社会发展的重要基础设施,各级政府都十分重视水利事业发展,坚持大搞水利基础建设,改善农业生产条件和生态环境,促进区域经济的快速发展。国家每年拔大批的款项用于水利建设,除了特大型、大中型的水利工程外,小型水利工程也是星罗棋布,难以计数。若这些水利工程施工的质量不到位,将会使新建工程的质量得不到保障,给国民经济和人民生命财产带来无穷的隐患,水利工程不分大小,其施工质量都是相当重要的。
建筑工程管理创新研究
Authors: 冯 道首
Published: May 2020

建筑业作为我国的支柱产业,在我国经济建设中具有重要的意义和作用,所以,我们应该足够重视奖励建筑行业的管理模式。但是,我国建筑工程管理中仍有许多细节,在一定程度上影响和阻碍了建筑工程行业的发展。针对这种情况,本文将研究和讨论建筑工程管理的创新,以更好地满足我国建筑业管理模式的发展需求。
建筑设计中新技术和新材料的应用浅析
Authors: 赵 秀梅 , 李 青
Published: May 2020

随着国民经济以及科技的不断发展,建筑领域也跟着进步,而材料以及技术也不断的提升,在建筑领域中也逐渐应用越来越多的先进材料以及技术。现阶段,在建筑市场中有越来越多的建筑企业,其竞争力也逐渐加剧,因此,为了将自身市场地位维持,在建筑设计中就要借助新材料以及新技术。因此,本文分析了新材料以及新技术在建筑设计中的应用。
建筑工程招标代理质量管理策略浅析
Authors: 韦 婷
Published: May 2020

建筑工程招标代理可为企业提供高质量的服务。现阶段,建筑工程规模日益扩大,数量逐年增加,建筑工程招标代理行业也取得了前所未有的进步。工程招标代理与建筑市场经济秩序存在密切联系,并成为建筑行业发展中的关键,故而务必高度重视建筑工程招标代理的质量管理工作。
港口建设工程中机电设备的质量控制探究
Authors: 余 德松
Published: May 2020

港口经济是国民经济发展的重要部分,在港口建设工程中,机电设备的质量与使用效率是影响工程进展及质量的重要因素。机电设备是保证工程实施的基础条件,在港口建设工程实施中,综合分析影响设备质量的诸多因素,并在此基础上制定和实施针对性的质量管理措施,对保证机电设备质量与港口建设工程实施有积极的促进作用。
EVALUASI PENGGUNAAN OBAT ANTIHIPERTENSI DI PUSKESMAS IKUR KOTO KOTA PADANG PERIODE 2018
Authors: Laura Anne , Darmayanti Anita , Hasni Dita
Published: May 2020

Hipertensi ialah suatu peningkatan tekanan darah sistolik dari 130 mmHg dan tekanan darah diastolik lebih dari 80 mmHg pada dua kali pengukuran dengan selang waktu lima menit dalam keadaan tenang. Hipertensi merupakan salah satu penyakit yang tidak menular yang menjadi masalah penting dalam kesehatan. Satu dari lima orang dewasa di seluruh dunia mengalami peningkatan tekanan darah dan menyebabkan 9,4 juta kematian di seluruh dunia setiap tahunnya. Jumlah kematian akibat hipertensi di Indoneis pada tahun 2018 adalah 44,1. Kasus hipertensi terbanyak di Kota Padang tahun 2018 terdapat di Puskesmas Ikur Koto Kota Padang sebanyak 88% atau 1.920 jiwa. Penelitian ini bertujuan untuk mengetahui evaluasi penggunaan obat antihipertensi di Puskesmas Ikur Koto Kota Padang Periode 2018. Jenis penelitian ini adalah jenis penelitian deskriptif kategorik. Penelitian ini akan dilakukan di Puskesmas Ikur Koto Kota Padang. Penelitian dilakukan pada April sampai November tahun 2019. Pengambilan sampel dilakukan dengan teknik purposive sampling dan didapatkan sampel sebanyak 39 orang. Data univariet dianalisis dan disajikan dalam bentuk table distribusi frekuensi. Hasil paling banyak pada jenis kelamin perempuan yaitu 25 orang (64,1), paling banyak pada usia 51 sampai 60 yaitu 19 orang (48,7%) dan paling banyak memiliki jenis hipertensi stadium 1 yaitu 26 orang (66,7%). Ketepatan indikasi pengobatan yaitu 26 orang (66,7%). Jenis obat tunggal terbanyak yaitu 39 orang (100%). Ketepatan dosis yaitu 26 orang (66,7%). Evaluasi penggunaan oabt antihipertensi di Puskesmas Ikur Koto Kota Padang yang terbanyak adalah perempuan usia 51 sampai 60 tahun dengan pengobatan tunggal, ketepatan indikasi dan dosis yang sesuai.
The short-term result of distal pancreatectomy with splenic preservation
Authors: Tri Phan Minh , Ky Do Hoai , Quoc Vo Truong , My Doan Tien , Chi Pham Huu Thien
Published: May 2020

The tumor of pancreatic body and tail are relatively rare compared to those of head of pancreas. Splenic preservation in pancreatic carcinoma’s surgery should be decided on every case. This study to determine the feasibility of distal pancreatectomy with splenic preservation, the rate of early complications of splenectomy surgery to preserve the spleen and the factors: tumor size, tumor location, tumor characteristic to help assess the possibility of preserving the splenic vessels in distal pancreatectomy with splenic preservation.

retrospective study, case series description for all patients aged 16 years and older with distal pancreatectomy and splenic preservation from 01/01/2012 to 31/12/2017.

We had 47 case of distal pancreatectomy with splenic preservation. There were 26 cases of splenic preservation with preserving the splenic vessels (Kimura technique), 13 cases of splenectomy but not preserving the splenic vessels (Warshaw technique). There were 16 cases of laparoscopic surgery, 31 cases open surgery, general complication in surgery 11 cases. The mean age was 41.13 (17-76 years old). The mean hospital stay was 7.7 days (3 days - 21 days). General complication after surgery in 7 cases, pancreatic fistula in 5 cases, no cases need re-operation, no mortality.

The rate of intraopertative incidence was 23.4%; complications after surgery 14.9%. No case of re-operation or mortality in the study. Factors such as tumor size, tumor location, tumor characteristic did not help assess the possibility of preserving the splenic vessels in of distal pancreatectomy with splenic preservation.
Tracheomalacia due to trachea compression related to benign goiter
Authors: Tieu Duc Chi , Hoang Hoa Quoc
Published: May 2020

Tracheomalacia can result from long-standing compression by a large goiter. The cartilaginous rings of the trachea may be weakened or destroyed by long-standing compression, causing loss of structural support. Tracheomalacia after resectioning of benign goiter compressing trachea was an important issue. It has extended the time of mechanical ventilation, increased the risk of failure extubating and mortality.

Descriptive and prospective study. From November 2014 to January 2017, we have collected 102 patients who had benign goiter compressing trachea and had thyroidectomy. Tracheomalacia was diagnosed and managed intra and postoperatively.

Recognition of women accounted for the majority of 81.4%. The average age was 54.5 years old and the average duration of goiter was 5 years. The patients were hospitalized with the main symptom of dysphagia accounting for 21.6% and difficulty breathing when lying down was 16.7%. On CT scan, the average Goiter was 270g, the average narrow airway diameter was 8.4 mm, of which 12.7% of patients had narrow tracheal diameter <5mm. The rate of tracheomalacia was 4.9%. There were statistically significant differences between the 2 groups with and without tracheomalacia: elderly patients (p = 0.041); goiter long-standing time (p = 0.07); symptoms of positional dyspnea on lying (p = 0.003) and tracheal diameter compressed (p = 0.001).

Tracheomalacia should be noted in patients older than 65 years old, goiter exist longer than 5 years and goiter is over 200g.
Pengaruh Kompetensi Pedagogik Guru Sains terhadap Hasil Belajar Siswa Kelas VII SMP Se-Kecamatan Kota Kefamenanu
Authors: Nahak Konsulatriks Noviyanti , Atini Blasius , Kolo Sefrinus M. D.
Published: May 2020

Research with the title "Analysis of White Shrimp Abundance in the Abudenok Estuary of Malacca Regency". The purpose of this study was to determine the abundance of white shrimp in the Abudenok Malacca estuary and to find the parameters of the physical-chemical relationship to the abundance of white shrimp in the Abudenok estuary of Malacca Regency. The subject of this research is White Shrimp. The research data were obtained from the results of fishing catches using a 4 m diameter net. The study was conducted once a week for three weeks in the central and lower reaches of the Abudenok estuary. The results of the analysis of the abundance of white shrimp data shows the composition of the catch is different every week. In the first week the middle Estuary catches 158 white shrimp while the downstream Estuary captures fighting 234 tails In the second week the middle Estuary catches white shrimp winning 147 tails while the downstream Estuary catches white shrimp caught 356 tails. In the second week the middle Estuary catches 174 white shrimp while the downstream Estuary catches fighting 276 white shrimp. Effect of physical-chemical parameters on the abundance of 21.5 0C - 29 0C, current velocity of 0.13 ms-0.18 ms-1, salinity of 26.00 ppt - 29.00 ppt and sand substrate. The author concludes that the abundance of white shrimp in the Abudenok estuary is influenced by physical-chemical parameters, especially temperature, current speed and substrate.
Pengaruh Pemberian Pakan Alami dan Buatan terhadap Pertumbuhan dan Kelangsungan Hidup Benih Ikan Lele Dumbo (Clarias gariepinus Burchell.) di Balai Benih Sentral Noekele Kabupaten Kupang
Authors: Rihi Apriani P
Published: May 2020

Research on the effect of natural and artificial feed on the growth and survival of African catfish at the Noekele Central Seed Center in Kupang Regency, East Nusa Tenggara Province. The center only uses artificial food as fish food while natural food has never been used, therefore researchers are motivated to use natural food then researchers want to see how the influence of natural food is. The purpose of this study is to determine the effect of natural and artificial feeding on the growth and survival of African catfish (Clarias gariepinus Burchell) at the Noekele Central Seed Center in Kupang Regency, knowing the implementation of research results on the learning process of biology at school. The method used in this study is an experimental study using an experimental design that is Completely Randomized Design (CRD) with 3 treatments, each treatment was repeated 3 times namely P0 (Control), P1 (Pellets), and P2 (Silkworms). The data analysis technique used in this study was that this study was analyzed using analysis of variance (Anova) in accordance with the Completely Randomized Design (CRD). The average subsequent treatment was tested using the Duncan Multiple Range Test (DMRT) with a significant level of 5%. The results showed that the treatment of artificial feed (pellets) and natural feed (silk worms) showed significant differences between the treatments for growth and survival of Dumbo catfish (Clarias gariepinus Burchell.). The highest absolute length growth results were found in the P2 treatment of natural silk worm feed of 3.10 cm and the absolute weight of 2.68 grams of survival of African catfish (Clarias gariepinus Burchell.) Highest seeds in natural and artificial food which was 100%.
Indeks Kualitas Air Sungai Noemuti dan Analisis Sensitivitas
Authors: Santiari Made
Published: May 2020

Noemuti River is a river located in the South Bikomi District with a length of 30 km that is monitored periodically by the North Central East Regency Environmental Service. Information on the results of this monitoring needs to be conveyed as simple information, one of which is in the form of a water quality index. This study aims to calculate the index value of water quality and conduct a sensitivity analysis. This research is a quantitative descriptive study using secondary data in the form of 2016-2018 monitoring results. The parameters included in the calculation of the water quality index are BOD, COD, TSS, Fecal Coliform, and Total Coliform. Data were analyzed using the pollution index formula to get a water quality index value. Sensitivity analysis was carried out with four scenarios, namely removing parameters a) Fecal Coliform b) Total Coliform c) Fecal Coliform and Total Coliform d) TSS. The Noemuti river water quality index value ranges from 0.26-5.28, with the category good quality to moderately polluted. Sensitivity analysis provides a picture of parameters that influences the water quality index value. The fourth scenario is a scenario that causes a change in the water quality index from the category of moderately polluted to lightly polluted on 2017 data in the second and third points. This means that TSS parameters must be considered to improve river water quality. Also, the loss of the Ci / Lij TSS value as the maximum value decreases the water quality index value means the maximum Ci / Lij value is very vital for the pollution index formula. From the results of the study,  it can be concluded that the Noemuti river has been polluted, and TSS is a parameter that needs to be considered in arranging controlling water pollution recommendations.
El gobierno corporativo como factor crítico del éxito empresarial en el sector salud.
Authors: Jervis Jálabe David , Orozco Africano Julio , Ortiz Ibañez Luis , Alvis Zakzuk Jannina , Beltran Venegas Tulia
Published: May 2020

Los beneficios que el Buen Gobierno Corporativo (BGC) acarrea para las empresas, como las características propias de su estructuración y su fortalecimiento que mayor consenso han logrado en empresarios y estudiosos, permitió determinar su presencia en dos empresas del aseguramiento en salud de la región caribe colombiana, además de valorar la relación de causa-efecto entre ambas desde la percepción de sus respectivos Gerentes Generales. Se realizaron de entrevistas estructuradas, a partir de las cuales se buscó probar la hipótesis que el éxito empresarial exhibido por las dos empresas, se encuentra fuertemente relacionado con la estructuración y fortalecimiento de un BGC. Para el caso de las empresas analizadas, los resultados muestran que aunque no se encontraron la totalidad de las características recomendadas en la literatura, ni la percepción de relación entre ellas y todos los logros organizacionales referidos, si se encontró evidencia de la relación entre las características presentes y los desarrollos esperados que constituyen la base de su éxito organizacional.
El uso de ATLAS.ti en la investigación histórica: el caso del análisis iconológico de monumentos funerarios
Authors: Paredes Quiroz Lourdes Adriana
Published: May 2020

En este artículo se presenta cómo fue utilizado el programa Atlas.ti en una investigación histórica en particular. Aunque es cada vez más frecuente el uso de diferentes CAQDAS entre los historiadores, el objetivo de este documento es presentar Atlas.ti como una herramienta que puede ayudar en el manejo y análisis de un corpus voluminoso de información. Se presenta el caso del análisis de los monumentos funerarios construidos entre 1875 y 1930 en el estado de Aguascalientes.
Implementasi E-Legalisir Untuk Legalisir Ijazah & Transkrip Online pada Fakultas Ilmu Komputer Universitas Mercu Buana
Authors: Permana Yudha , Wijaya Herry Derajad
Published: May 2020

Fakultas Ilmu Komputer Universitas Mercu Buana merupakan salah satu fakultas yang memiliki alumni yang banyak sehingga permintaan legalisir juga berbanding lurus dengan jumlah alumni. Sistem google form yang telah berjalan dinilai kurang efektif dalam pendataan dan pengajuan serta user interface yang kurang menarik. Terlebih memakan waktu untuk alumni dalam proses pengajuannya. Penelitian sebelumnya telah memberikan solusi dalam pembuatan website legalisir online dalam studi kasus yang berbeda. Penulis akan memberikan solusi berupa pembuatan website e-legalisir dengan menggunakan metode Extreme programming serta penerapan sistem query pada database agar lebih mudah. Selain itu, penggunaan algoritma FIFO yang sesuai dengan kriteria antrian pengajuan akan meminimalisir kesalahan dalam proses legalisir itu sendiri dengan menerapkan antrean berdasarkan urutan pengguna yang pertama kali mengunggah bukti pembayaran. Ditambah lagi dengan User interface yang menarik dan mudah dipahami. Hasil dari penelitian ini adalah sistem E-legalisir Fakultas Ilmu Komputer Universitas Mercu Buana yang telah siap dilaksanakan. Pengujian black box memberikan hasil validÂ  dari setiap feature yang telah dibuat serta System Usability Scale yang memberikan kategori baik. E-legalisir ini dan diharapkan mampu digunakan untuk mempermudah pemrosesan legalisir yang ada di Fakultas Ilmu Komputer Universitas Mercu Buana.
Aplikasi Literasi Digital Berbasis Web Dengan Metode R&D dan MDLC
Authors: Samosir Ridha Sefina , Purwandari Nuraini
Published: May 2020

Pada era Revolusi Industri 4.0, teknologi terus berkembang semakin canggih seperti teknologi internet, komputasi awan, dan algoritma machine learning. Teknologi tersebut menjadi salah satu komponen penting perkembangan keilmuan di perguruan tinggi. Dengan internet, banyak sekali literasi berbasis dijital yang dapat dimanfaatkan oleh mahasiswa untuk menambah wawasan atau pengetahuannya. Tetapi sumber literasi yang beredar kurang sistematis atau urutan materi yang kurang tepat. Selain itu, materi tersebut kurang terstruktur atau kurang sesuai dengan capaian pembelajaran mata kuliah yang telah ditentukan. Ada banyak sekali materi literasi yang beredar tetapi belum dapat dipastikan kebenaran dan kevalidan dari materi literasi tersebut karena kebanyakan materi literasi tidak menyertakan sumber referensi. Kondisi seperti ini membuat mahasiswa bingung ketika mengakses materi tersebut. Mahasiswa tidak dapat memastikan tingkat kebenaran dan ketepatan dari materi tersebut. Oleh karena itu, penelitian ini mengusulkan sebuah media literasi dijital berbasis teknologi yang dapat dikustomisasi sesuai kebutuhan perguruan tinggi baik dari sisi isi, struktur maupun atribut lainnya. Hal ini berarti bahwa materi literasi yang disajikan dapat disesuaikan dengan capaian pembelajaran yang telah dirumuskan oleh institusi. Sehingga tujuan dari penelitian ini adalah pembuatan sebuah media literasi dijital yang menyajikan materi pembelajaran secara sistematis dan terstruktur bagi mahasiswa di perguruan tinggi. Sistem literasi dijital ini dibangun dengan menggabungkan metode R&D dan MDLC.
Thomas More's Letter to William Gonell and the Goal of Education
Authors: Boyle John F.
Published: May 2020

In this essay, I examine the structure and language of More's letter to William Gonell, the tutor to More's children, so as to understand what More takes to be most important in the education of his children. Indeed, the circumstances of the letter's composition suggest that More writes in reply to Gonell's objection to More's educational directives. More's reply from court suggests that he viewed Gonell's opposition as a family crisis that required More to articulate his fundamental principles of humanist education.
Some Aspects of Damage Management for Cutting Tool Materials
Authors: Gyula Bagyinszki , Enikő Bitay
Published: May 2020

There are two concepts in the title that can be seen as “foreign” to the usual technical language. Both can have several meanings and thus we adapted them “flexibly” to the current needs. One way to understand the term “management” is through its functions: planning (defining purpose and means), organizing (defining tasks and methods), and direction (guidance, controlling), inspection (testing, comparing). It can also mean among other things, standpoint, circumstance, respect, or even character. Regarding the expression “damage management” the intended meaning here is reducing or to preventing damage to the tool, also improving the resistance of the tool material to damage, which besides material selection issues also has design, technology and operational aspects. This article gives an overview of some of these.
Arylesterase Activity of Paraoxonase-1 in Serum and Cerebrospinal Fluid of Patients with Alzheimer’s Disease and Vascular Dementia
Authors: Romani Arianna , Trentini Alessandro , van der Flier Wiesje M. , Bellini Tiziana , Zuliani Giovanni , Cervellati Carlo , Teunissen Charlotte E.
Published: May 2020

Background: It has been suggested that circulating Paraoxonase-1 (PON1) and apolipoprotein A1 (APOA1), which closely interacts with the antioxidant enzyme, could be implicated in Alzheimer’s disease (AD) and vascular dementia (VaD) development. This study aimed to evaluate PON1 changes in serum and cerebrospinal fluid (CSF) as evidence for its association with AD or VaD. Methods: Serum PON-arylesterase activity was measured in patients with AD, VaD, and CONTROLS distributed in two cohorts: Ferrara cohort (FC: n = 503, age = 74 years) and Amsterdam Dementia cohort (ADC: n = 71, age = 65 years). In the last cohort, CSF PON-arylesterase, CSF β-amyloid1-42, p-tau and t-tau, and imaging biomarkers were also measured. Results: AD and VaD patients of FC showed significantly lower levels of serum PON-arylesterase compared to CONTROLS, but this outcome was driven by older subjects (>71 years, p < 0.0001). In the younger ADC, a similar decreasing (but not significant) trend was observed in serum and CSF. Intriguingly, PON-arylesterase per APOA1 correlated with t-tau in AD group (r = −0.485, p = 0.002). Conclusion: These results suggest that decreased peripheral PON-arylesterase might be a specific feature of older AD/VaD patients. Moreover, we showed that PON-arylesterase/APOA1 is inversely related to neurodegeneration in AD patients, suggesting a prognostic usefulness of this composite parameter.
Design and Simulation of Internal Flowing Twisted Conduits for Cooling of Lithium-Ion Batteries through Thermal Characterization
Authors: Madani Seyed Saeed , Schaltz Erik , Knudsen Kær Søren
Published: May 2020

Lithium-ion batteries are extensively used for electric vehicles, owing to their great power and energy density. A battery thermal management system is essential for lithium-ion batteries. With the extensive utilization of liquid-cooling approaches for lithium-ion batteries’ thermal management, temperature homogeneity is considerably influenced by coolant distribution. A lower temperature of the cooling fluid brings about a lower temperature of the cell, but the relation and the amount are important to be analyzed. The cooling efficiency is considerably influenced by the flowing conduit arrangement in the cooling plate. Different parameters are affected by the cooling performance of the battery pack. Consequently, the effect of entrance temperature of coolant fluid, current rate, environment temperature, entrance velocity of the coolant fluid, and plate material on the performance and efficiency of a battery thermal management system were investigated. In this investigation, the program ANSYS/FLUENT was employed as the numerical solver to solve the problem. The simulation was accomplished after the end of the discharge. It was seen that the temperature distributions were the most sensitive to the entrance velocity of coolant fluid. It was concluded that the entrance velocity of coolant fluid has the greatest impact on the cooling efficiency and performance of the cold plate.
Evaluation of Indolocarbazoles from Streptomyces sanyensis as a Novel Source of Therapeutic Agents against the Brain-Eating Amoeba Naegleria fowleri
Authors: Rizo-Liendo Aitor , Sifaoui Ines , Cartuche Luis , Arberas-Jiménez Iñigo , Reyes-Batlle María , Fernández José J. , Piñero José E. , Díaz-Marrero Ana R. , Lorenzo-Morales Jacob
Published: May 2020

Naegleria fowleri is an opportunistic pathogenic free-living amoeba which is able to rapidly colonize the central nervous system (CNS) and causes a lethal infection known as primary amoebic meningoencephalitis (PAM). Furthermore, more than 98% of the known cases of PAM are fatal and affect mainly children under 12 and young adults. Until now, no fully effective therapeutic agents against N. fowleri are available and hence the urgent need to find novel agents to treat PAM. At present, PAM therapy is based on the combination of amphotericin B, miltefosine, among others, with unwanted toxic effects. Recently, our team isolated various indolocarbazoles (ICZs) from the culture of a mangrove strain of Streptomyces sanyensis which showed activity against kinetoplastids and the Acanthamoeba genus. Hence, in this study, the activity of the previously isolated ICZs, staurosporine (STS), 7-oxostaurosporine (7OSTS), 4′-demethylamino-4′-oxostaurosporine, and streptocarbazole B, was evaluated against two type strains of N. fowleri. Furthermore, the performed activity assays revealed that STS was the most active ICZ presenting an inhibitory concentration 50 (IC50) of 0.08 ± 0.02 µM (SI 109.3). Moreover, STS induced programmed cell death (PCD) in the treated amoebae by triggering DNA condensation, mitochondrial disfunction, cell membrane disruption, and reactive oxygen species (ROS) generation. Therefore, STS could be a promising therapeutic agent against PAM.
Making Detroit Sound Great
Authors: Chucherdwatanasak Nathinee
Published: May 2020

After its 2010–11 contentious strike, the Detroit Symphony Orchestra (DSO) reinvented itself as “the most accessible orchestra on the planet.” This post-strike vision and its subsequent strategies reflected corporate entrepreneurship’s two phenomena: corporate venturing and strategic renewal. The DSO’s entrepreneurial turn enabled the orchestra to be more flexible strategically and structurally, broadened its role to become both nonprofit cultural organization and social-service institution, and helped the DSO contribute to revitalizing Detroit. Still, as most activities took place in Downtown/Midtown and Metro Detroit neighborhoods, the DSO was still far from being a true advocate for citizens of its very own city.
Roots of Great Innovation
Authors: Gallagher B Kathleen
Published: May 2020

What is the relationship between a city’s entrepreneurial climate and the sustainability of arts and culture nonprofits?  Business, the arts, and innovation do not exist in isolation.  New York Times writer David Brooks (2011) opined, “The roots of great innovation are never just in the technology itself.”   The significance and value of the arts as community assets has sparked public intervention to leverage the arts to generate a variety of instrumental benefits. The arts were famously positioned as being of significant value for knowledge workers, the creative class, and the entrepreneurs powering the knowledge economy.  This has been portrayed, largely, as a one-way relationship in which the arts benefit cities economic pursuits.  Such depictions fail to consider the influence of open systems and recognize how communities simultaneously influence the population of arts and culture organizations.  This paper asks, “How do entrepreneurship levels affect the population dynamics of arts and culture nonprofits?”  The interactions between the formation and exit of nonprofit arts organizations and entrepreneurial climate of the 50 US states for the period from 1989 to 2012 are analyzed using negative binomial regression.  Higher entrepreneurial climates are associated with lower incidences of nonprofit arts and culture formations and lower exits.  The implications of this and opportunities for additional research are discussed.
Una regina invisibile: Elvira di Sicilia (1103-1135)
Authors: Cantarella Glauco Maria
Published: May 2020

Elvira di Castiglia-León, figlia di re Alfonso VI, fu la prima moglie di Ruggero II, conte di Sicilia e re dal 25 dicembre 1130, che sposò intorno al 1117; dunque fu la prima regina di Sicilia. Morì giovane e praticamente non lasciò tracce di sé, ma questo non spiega perché la storiografia se ne sia praticamente disinteressata o abbia cercato interpretazioni talmente generiche da non avere troppa consistenza. Questo saggio si propone di riprendere la questione e di esplorare il contesto della vicenda.
Narrativas digitais: a palpitante forma de contar histórias
Authors: Laudares Ellen Maira de Alcântara , Goulart Ilsa Do Carmo Vieira
Published: May 2020

No presente artigo foi efetuada a investigação da literatura infantil digital por meio dos aplicativos de contação de histórias. Ele tem por objetivo apontar as principais características e potencialidades dessa literatura, desde as histórias contadas pelos narradores orais, até as contações no meio digital. Para esse fim, incumbe-se de uma pesquisa exploratória com foco qualitativo, a começar pela sondagem dos aplicativos de contação de histórias disponíveis gratuitamente para download nos sistemas operacionais Android e IOS. O subsídio teórico está fundamentado nas discussões de Lévy, Chartier, Castells, Bruner, Murray, Benjamin e demais autores que dialogam sobre a temática. Constatou-se que os aplicativos de contação de histórias funcionam de forma a envolver o leitor, assim como ocorre na contação de histórias presencial. Há, no teor digital, grande número de reprodução das histórias clássicas da literatura infantil mundial, de forma que o narrador oral se torna presente, dando ao leitor acesso aos títulos universalmente difundidos, repassando, assim, a memória desses enredos de uma geração a outra, ao passo que existem muitas histórias de cunho social e religioso, que refletem, desse modo, uma visão cultural da sociedade, preferindo-se a confessionalidade.
Literatura eletrónica para crianças: o caso do projeto “Murais e Literatura: A Criação Digital em Contexto Educativo”
Authors: Torres Rui , Machado Ana Maria , Aguilar Ana Albuquerque e , Andrade Júlia , Estefani Thales , Pereira Luís Lucas
Published: May 2020

Este artigo tem como objetivo apresentar e descrever um projeto de literatura eletrónica para crianças em curso na Universidade de Coimbra, Portugal. Para tal, começa-se por propor um contexto de enquadramento, caracterizando a multimédia digital, baseada na integração interdisciplinar e na interação; o cibertexto e a ergodicidade textual, que assentam na abertura e na estrutura narrativa labiríntica; e o hipertexto, com suas estruturas rizomáticas, entendido como rede textual não-linear apoiada em estruturas modulares. Estes conceitos, assim considerados definidores da literatura eletrónica, são posteriormente aplicados a uma literatura digital infantil, dessa forma sustentando a abordagem subjacente à conceptualização deste projeto. Na descrição do projeto, abordam-se as estratégias de exploração didático-pedagógica do mesmo, propondo desse modo um modelo que possa vir a ser adotado em contextos escolares diferenciados.
Overview of Existing Weightless Environment Facilities for Training Cosmonauts.
Authors: Kiselev M.L. , Zaytsev M.A. , Nesmeyanov V.V. , Kuzovov O.V.
Published: May 2020

The paper overviews existing hydrolabs in various countries, considers their design features and technical characteristics as well as tasks tackled to in the cosmonaut training process.
Our Gagarin.
Authors: Solovyova I.B.
Published: May 2020

The author addresses to the time of the beginning of the space age of mankind and to the personality of Yuri Alekseyevich Gagarin, the first cosmonaut of the planet.