bluuebunny/crossref_metadata_2025_split huggingface dataset:
Inferior Gluteal Nerve Injury Due to Intramuscular Injection
Authors: FİDANCI Halit , ÖZTÜRK İlker , ARLIER Zülfikar 
Published: December 2020

Aim: The purpose of this study was to determine the clinical features of the inferior gluteal nerve (IGN) injury due to intramuscular (IM) injection.
Material and Methods: Patients with clinical and electrodiagnostic features of the sciatic nerve (SN) and possible IGN injuries due to IM injection were included in this retrospective study. The presence of an IGN injury was considered in patients with weakness in the gluteus maximus (GM) muscle or in those who demonstrated needle electromyography (EMG) abnormality in the GM muscle.
Results: There were 44 (95.6%) patients with an SN injury only, 1 (2.2%) patient with both an SN and an IGN injury, and 1 (2.2%) patient with an IGN injury only. The complaints of the patient with an IGN injury only occurred within hours to days after the IM injection; this patient had no muscle weakness. The complaints of the patient with both IGN and SN injuries occurred minutes to hours after IM injection; this patient had mild weakness in the plantar flexion of the foot. In 40 of the patients with only an SN injury, complaints occurred immediately after or within a few seconds following the IM injection, while complaints occurred within minutes to hours in the remaining 4 patients.
Conclusion: Although rare when compared to SN injury, the IGN can be injured by IM injection. Therefore, the GM muscle should be examined with needle EMG in patients with complaints associated with IM injection. Muscle weakness may not occur in nerve injuries due to IM injections.
Ocular Pathologies in Children with Mental Retardation: A Prospective Study
Authors: ARICAN Nurdan , TUNÇ Murat 
Published: December 2020

Aim: The aim of this study is to investigate the ocular pathologies in mentally retarded pediatric patients without Down syndrome or any certain chromosomal-genetic anomaly.
Material and Methods: A total of 189 patients, including 79 mental retarded and 110 healthy children, were included in this study between 2010 and 2011. Demographic factors (age, gender) of the patients, and affected side, visual acuity, esotropia, exotropia, anterior segment pathologies and posterior segment pathologies were evaluated. All pediatric patients in study group were divided as IQ level 70 according to Wechsler Intelligence Scale for Children-Revised Form.
Results: The mean age of the children with mental retardation was 11.85±6.19 (3-17) years, while the mean age of healthy children was 10.73±3.35 (3-15) years. While visual impairment was present in 8 of the 74 patients whose vision was evaluated, there was no impairment in the healthy group (p=0.001 and p=0.004 for right and left, respectively). Anterior segment pathology was detected in 2 (2.5%) cases, and posterior segment pathology in 3 (3.8%) cases in children with low IQ. While strabismus was detected in 7 (8.9%) patients with low IQ, no strabismus was found in healthy children. Five (6.3%) of the cases with mental retardation had exotropia and 2 (2.5%) had esotropia. Exotropia was found significantly higher in children with mental retardation compared to the control group (p=0.012).
Conclusion: Visual impairment, anterior-posterior segment pathology, exotropia had a high prevalence in children with mental retardation, and all ocular pathologies were related to low intellectual disability.
Single-parenting influence on child’s academic performances at MutareJunior School, Zimbabwe
Authors: Muhle Tendai Caithness 
Published: December 2020

The economic hardship that has plagued Zimbabwe has led to a shift from the traditionally intact family to a single-parenthood family. Many factors lead to single parenthood including divorce, separation of all kinds and deaths. Single parenthood negatively impacts on students’ academic development. The researcher explored influences of Single-Parenthood to Academic-Performances (AP) of Grade 6 and 7 students at Mutare Junior School in the Manical and Region of Zimbabwe. The researcher used ‘cross-sectional study design’ to collect data using criterion attainment tests, ‘the Wide Range Achievement Test Level 1 (WRAT-1)’ on 80 students under controlled situations having 40 Single-Parent-Homes (SPH)and 40Double-Parent-Homes (DPH)students. School-established examinations complemented data from theWRAT-1 outcome. Tables and ‘T-tests’ were used for analysis of data. Results revealed children from DPH performing statistically better on the criterion test than those from SPH (t = −4.928, significance value 0.05). The results also indicated males performing better than females both from SPH on the criterion test (t = −4.196, significance value 0.05). In future, research should focus on different single-parent homes to AP.

Keywords: Academic performance, influence, pupils, school, single parenting.
Thalassemia Phenotypes and Associated Mortality among Yemeni Patients: A Single-Center Retrospective Analysis
Authors: Thaker A.A. Abdulrahman  , Ali Alhaj  , Mokhtar E.M. Saif  
Published: December 2020

Objective: To retrospectively analyze thalassemia phenotypes and associated mortality among Yemeni patients seeking healthcare in Sana’a city, Yemen.
Methods: This retrospective, cross-sectional study was conducted in the medical center of Yemen Society for Thalassemia and Genetic Blood Disorders (YSTGBD) in Sana'a city from January 2010 to December 2016. Data about gender, age, governorate of origin, type of thalassemia and thalassemia-related mortality were retrieved from the records of 496 thalassemia patients. Data were then entered into an Excel spreadsheet, cross-checked for accuracy and presented as frequencies and proportions. Factors associated with deaths among thalassemia patients were analyzed using chi-square or Fisher’s exact tests.
Results: A total number of 496 patients attended the medical center of YSTGBD in Sana’a city in the period from January 2010 to December 2016. The majority of thalassemia patients were males (57.9%), and approximately half of the patients were aged 10 years or younger with a comparable proportion to those older than 10 years. Most thalassemia patients had β-thalassemia (92.7%), while 7.3% had α-thalassemia. The majority of patients were from Hajjah governorate (16.5%) followed by those from Sana'a (13.1%) and Amran (11.9%), while lower proportions ranging from 0.2% to 8.1% were recorded for patients from other governorates. Thirty out of the total attending thalassemia patients died, and mortality was significantly associated with recurrent transfusions of whole blood but not with the gender and age of the patients or thalassemia phenotype.
Conclusions: The majority of thalassemia patients seeking healthcare in Sana’a city suffer from thalassemia, where males represent more than half of them and the patients are almost equally distributed in relation to the cut-off age of 10 years. The mortality incidence among Yemeni thalassemia patients seeking healthcare is lower than that reported elsewhere in the world, and mortality was significantly associated with recurrent blood transfusions. Further studies to identify the genetic abnormalities associated with thalassemia are recommended together with the need for the launch of a national center for counseling, research and supervision of voluntary activities related to thalassemia and genetic blood disorders in Yemen.
Keywords: Thalassemia, Phenotype, Mortality, Yemen
Design, Analysis and Manufacturing Polymer Fiber Reinforced Composite Helical Spring
Authors: Hamed Hadeer Abdul Rasol , Ismail Mahmud Rasheed , Najam Abdul Rahman 
Published: December 2020

In this work it had been focused on the possibility of replacement of steel spring in suspension system by fiber reinforced polymer composite that is responsible for light weight of spring which leads to reduces the weight of vehicle and improve fuel efficiency. This type of spring used in motor cycles, light weight vehicle. The design will be simulated by ANSYS workbench. Then, E-Glass fiber has been used to fabricate helical compression spring of 40% fiber volume fraction of glass. with polyester resin. The deflection of glass reinforced composite spring is more than steel spring but within permissible limit. weight of composite spring is reduced by 57% than of steel.
KAJIAN VARIANCE MEAN RATIO PADA SIMULASI SEBARAN DATA BINOMIAL NEGATIF
Authors: Nisa Choirun , Aidi Muhammad Nur , Sumertajaya I Made 
Published: December 2020

The negative binomial distribution is one of the data collection counts that focuses on success and failure events. This study conducted a study of the distribution of negative binomial data to determine the characterization of the distribution based on the value of Variance Mean Ratio (VMR). Simulation data are generated based on negative binomial distribution with a combination of p and n parameters. The results of the VMR study on negative binomial distribution simulation data show that the VMR value will be smaller when the p-value is large and the VMR value is more stable as the sample size increases. Simulation data of negative binomial distribution when p≥0.5 begins to change data distribution to the distribution of Poisson and binomial. The calculation VMR value can be used as a reference for detecting patterns of data count distribution.
Extracorporeal Septoplasty for anterior septal deviation and deviated nose
Authors: Sigdel Brihaspati 
Published: December 2020

Background: Deviated nose and septum is challenging, which results in functional and cosmetic problems. It blocks the nose and makes person ugly. The classical septoplasty approach becomes unsuitable for such severe deviations. Extracorporeal septoplasty is a surgical technique for correcting a severely deviated nasal septum, which also corrects the aesthetic part of the nose. The objective of this study was to describe extracorporeal septoplasty for Deviated nose and anterior septal deviation.
Methods: A prospective observational outcome study was done in patients with Deviated nose and anterior septal deviation who underwent extracorporeal septorhinoplasty. Preoperative and postoperative evaluation was performed using a photographs, computerized tomography (CT) scan, and Nasal obstruction symptoms evaluation scale.
Results: A total of 38 consecutive patients were enrolled, out of which majority were male (24, 63.2%) with only 14 (36.8%) female. The ratio of male female was 1.7:1. All the subjects had deviated nasal septum. Among these, nose deviation was externally noticeable in 20 (52.6%) cases, whereas in remaining cases it was inconspicuous. There were 21(55.3%) patients where Nasal Septum was deviated to the right side followed by 17(44.7%) with left side deviation. There was a significant improvement in mean nasal obstruction symptoms evaluation postoperatively (71.2 versus 22.7 with p value equal to 0.01). According to the pre and postoperative photographs 17(44.7%) patients had good improvement, nine (23.6%) showed excellent improvement and the result was fair in six (15.7%) patients.
Conclusions: Extracorporeal septoplasty is effective in improving both nasal airway function and aesthetics in patients with severe Nasal Septal deviation.
Choices of Post-graduation Medical specialization among final year medical students, interns and medical officers working in different hospitals in Pokhara, Nepal
Authors: Acharya Karuna , Kandel Ishwar Sharma , Shrestha Abhisek 
Published: December 2020

Background: The intricate decision to pursue finally one speciality following post bachelor’s medical degree is affected by many factors in Nepal. The aim of the study was to elucidate the preference of specialty among final year medical students, interns and medical officers currently working in Pokhara city of Nepal.
Methods: Observational cross-sectional survey, conducted from 1st Feb to 30th April, 2020. 127 participants including doctors working in private and government hospitals of Pokhara, Nepal. Structured questionnaire was prepared and distributed to participants. Data were entered, validated in Microsoft Excel 2017 and analyzed in SPSS, version 25. Chi-squared and t-tests were applied for categorical and continuous variables respectively to test the statistical significance at 95% confidence level.
Results: Of the total respondents, 30.46% reported clinical subjects as their preferences, followed by any clinical and basic subjects (20.31%). For clinical, Internal medicine was preferred by 15.6%, Surgery by 9.3%, Dermatology by 6.25%, Orthopedics by 4.68%, Pediatrics, Health care management, Psychiatry, Otorhinolaryngology, Gynecology and Ophthalmology were reported by 3.9%, 2.3%, 1.5% and rest 0.7%, respectively. 64% of the participants chose their speciality based on their keen interest, and while 17.9%, 12.5% and 3.1% closed due to pressure from family members, experience while working and anticipation of good quality of life respectively.
Conclusion: High proportion of the respondents’ preferred clinical speciality. Most opted clinical speciality was Internal Medicine. This may lead to saturation in those areas of specialization and as a result leave the population underserved in other important areas basic science involving clinical teaching and learning.
Posterior-only versus combined anterior-posterior fusion in Scheuermann disease: a systematic review and meta-analysis
Authors: Lee Chang-Hyun , Won Young II , San Ko Young , Yang Seung Heon , Kim Chi Heon , Park Sung Bae , Chung Chun Kee 
Published: December 2020

OBJECTIVE
Combined anterior-posterior (AP) surgery is considered the gold standard for surgical treatment of Scheuermann kyphosis. There are trends toward posterior-only (PO) surgery for correcting this deformity because of the availability of multisegmental compression instruments and posterior shortening osteotomy. To date, surgical strategies for Scheuermann kyphosis remain controversial. The purpose of this study was to compare various surgical approaches for the treatment of Scheuermann kyphosis, including radiological correction and intraoperative outcomes, using a systematic review and meta-analysis.

METHODS
A comprehensive database search of PubMed, EMBASE, Web of Science, and Cochrane Library was performed to identify studies concerning Scheuermann kyphosis. The inclusion criteria were direct comparisons between AP and PO surgeries for Scheuermann kyphosis and assessment of the angle of thoracic kyphosis preoperatively and postoperatively. The authors used the principles of a cumulative meta-analysis by updating the pooled estimate of the treatment effect.

RESULTS
Data from 13 studies involving 1147 participants (542 patients in the AP group and 605 patients in the PO group) were included. The average age was 18.2 years for the AP and 17.9 years for the PO group. The overall mean difference of changes in thoracic kyphosis angles between the AP and PO surgeries was 0.23° (95% CI −2.24° to 2.71°). In studies in which posterior shortening osteotomies were not performed, PO surgery resulted in a significantly low degree of correction of thoracic kyphosis, with a mean difference of 5.59° (95% CI 0.34°–10.83°). Studies in which osteotomies were performed revealed that the angle of correction for PO surgery was comparable to that of AP surgery. Regardless of fixation methods, PO surgical approaches achieved comparable angles.

CONCLUSIONS
PO surgery using posterior osteotomies can achieve correction of Scheuermann kyphosis as successfully as AP surgery does. Reflecting the advancement of surgical technology, large prospective studies are necessary to identify the proper treatments for Scheuermann kyphosis.
TỔNG HỢP VẬT LIỆU IN DẤU PHÂN TỬ CHỌN LỌC CHO RHODAMINE B, ỨNG DỤNG PHÂN TÍCH RHODAMINE B TRONG THỰC PHẨM
Authors: NGUYEN VAN-TRONG , VAN THANH-KHUE , TRAN THANHTHUY , NGUYEN MINH-TU 
Published: December 2020

Vật liệu polymer in dấu phân tử (MIP) chọn lọc cho rhodamine B (RhB) đã được tổng hợp bằng phản ứng đồng trùng hợp giữa acrylamide (AM) và ethylenglycol dimethacrylate (EGDMA), với chất khơi mào azobisisobutyronitrile (AIBN). Khả năng hấp thụ tối đa RhB đạt được là 8,7 mg/0,1g vật liệu MIP. Tính chọn lọc của vật liệu MIP đối với RhB là 92,03 %, cao hơn so với tính chọn lọc trên phẩm màu rhodamine 6G, sudan I, sudan II (lần lượt là 57,4 %, 6,55 % và 3,36 %). Qui trình phân tích RhB đã được hiệu lực hóa trên nền mẫu thực phẩm nước ngọt, siro và bột ớt. Hiệu suất thu hồi đạt được từ 86,5 –95,6 % cho mẫu nước ngọt, 81,8 – 95,6 % và 80,8 – 94,7 % cho mẫu bột ớt. Giới hạn phát hiện (LOD) và giới hạn định lượng (LOQ) lần lượt là 10 µg/L và 33 µg/L. Cuối cùng chúng tôi ứng dụng phân tích RhB trong nền mẫu nước ngọt, siro và bột ớt, cả hai mẫu này đều không phát hiện RhB.
Studi Eksposisi tentang Penegasan Kembali Perjanjian Allah dengan Abraham dalam Kejadian 15:1-21
Authors: Yoseph Yoseph 
Published: December 2020

The Bible reveals that every believer is given the privilege of being an heir (John 1:12), including as an heir of God's promises (Rom. 8:17; Gal. 4:7; Eph. 3:6). Even so, believers can still experience difficulties in life. The Bible shows that believers can also experience fluctuations in faith as a result of circumstances that occur around them, such as Abraham's example. Therefore, the discussion of Abraham's experience in Genesis 15:1-21 in waiting for God's promises becomes an interesting topic and contributes to believers today in trusting God and His care during life's struggles. There is also scope for this article to focus on exposition studies regarding the reaffirmation of God's covenant with Abraham regarding heirs and the promised land. This research uses the descriptive-analytical method, which describes or provides an overview of the object of research. The object of research is in the form of data obtained through an exposition study of the text which is the subject of discussion. Based on research it is found that figures like Abraham, including believers, can experience doubts about God's promises. But on the other hand, God remains faithful in fulfilling His covenant to Abraham by reaffirming His promises bound in a covenant ceremonial (Covenant).Alkitab mengungkapkan bahwa setiap orang percaya diberikan hak istimewa yaitu sebagai ahli waris (Yoh. 1:12), termasuk sebagai pewaris dari janji-janji Allah (Rm.8:17; Gal. 4:7; Ef. 3:6). Meskipun demikian orang percaya masih dapat mengalami kesulitan hidup. Alkitab menunjukkan bahwa orang percaya juga dapat mengalami fluktuasi dalam hal iman sebagai akibat dari keadaan yang terjadi disekitarnya, seperti contohnya Abraham. Oleh karena itu, pembahasan tentang pengalaman Abraham dalam Kejadian 15:1-21 dalam menanti janji Allah menjadi topik yang menarik dan memberi kontribusi bagi orang percaya masa kini dalam mempercayai Allah dan pemeliharaan-Nya di tengah pergumulan hidup. Ada pun lingkup pembahasan artikel ini adalah seputar studi eksposisi mengenai penegasan kembali perjanjian Allah dengan Abraham tentang ahli waris dan tanah perjanjian. Penelitian ini menggunakan metode deskriptif – analitis, yaitu mendeskripsikan atau memberikan gambaran terhadap objek penelitian. Adapun objek penelitian itu berupa data yang diperoleh melalui studi eksposisi terhadap teks yang menjadi pokok pembahasan. Berdasarkan penelitian ditemukan bahwa tokoh seperti Abraham, termasuk orang percaya, dapat mengalami keragu-raguan terhadap janji Allah. Namun di sisi lain, Allah tetap setia dalam memenuhi perjanjian-Nya kepada Abraham dengan memberikan penegasan kembali janji-Nya yang diikat dalam sebuah seremonial perjanjian (Covenant)
The Healing Waters of Srebrenica in the Function of the Development of Tourism, Agriculture and Economy
Authors: Ramić Edin , Salkić Ensar , Salkić Besim 
Published: December 2020

Srebrenica, this small town in the northeastern part of Bosnia and Herzegovina, has been described for centuries as a picturesque place, rich in healing waters, ores, and diverse cultural heritage. Today, Srebrenica is a symbol of suffering and suffering, but also of missed opportunities for the renewal of life and economy in this area.
In the work we present, we deal with potentials that can renew life in the Srebrenica area. Thanks to its unique and very abundant natural resources, Srebrenica has been inhabited since ancient times, presumably since the Illyrians. Guber mineral water was used as a medicine for the treatment of skin diseases even before the arrival of the Romans in this area. The first written traces of mineral springs near Srebrenica were made by the Turkish travel writer Evlija Čelebija in the 17th century, traveling through BiH, and the Austro-Hungarians bottled the mineral water of the Spa "Guber" and sold it throughout the monarchy ("Guber-voda"). Mineral water has been bottled and exported since 1887. In 1886, the first scientific research of mineral springs was carried out in the area of the municipality of Srebrenica, when Viennese researchers recorded the existence of 48 mineral springs. Special attention of the Austro-Hungarian researcher prof. Dr. Ernes Ludwig was attracted by water from the source of the Velikog or Crni Guber, whose analysis was an excellent combination of minerals for the treatment of anemia.
In 1956, the Federal Ministry of Health of the SFRY and the Federal Institute of Medicines Commissions from Belgrade declared Crni Guber water a medicine. Thus, Crni Guber water is the only water that has been declared a medicine in the former Yugoslavia.
In the pre-war period, the total annual income of Banja Guber ranged from 1,200,000 to 1,500,000 US dollars. The company operated successfully until the last war in which, due to the war, there was a complete or partial destruction of certain facilities.
The aim of this paper is to determine the potential impact of Srebrenica medicinal water resources on the development of tourism, agriculture and economy.
Development of health tourism, increase of accommodation capacities, integration of agricultural producers and other activities enables rural development. By increasing the number of newly employed workers, household budgets, but also the overall economic development of Srebrenica, water could renew life in this area again.
Management of Advanced Stages of Chronic Kidney Disease Patients with the Administration of Renadyl Capsule: A Single Center Pilot Study in Bangladesh
Authors: Rahman Tanjina , Guhathakurta Sampurna , Chowdhury Akibul Islam , Munni Fahmida Karim , Rashid Harun Ur- , Arefin Shakib , Akhtaruzzaman M. , Habib Mohammad Asadul 
Published: December 2020

Background: Chronic kidney diseases become a public health concern as the rate of this diseases is increasing. Thus, the aim of the study was to evaluate the changes in key biomarkers in Bangladeshi CKD stages IV and V patients by using Renadyl capsule.
Study Design: Open label randomized placebo controlled clinical trial.
Methods: Data were collected from patients with CKD stage IV and V in 2017, in an out-patient setting in Kidney Foundation Hospital and Research Institute, Bangladesh. Patient’s information, medical history and clinical data were also collected. Health condition of the patients was collected by using SF-36 QOL questionnaire. Data were analyzed using SPSS software version 23.0.
Results: Administration of Renadyl capsule improved the clinical and biochemical data of the patients. Renadyl administration improved the filtration rate, kidney size, creatinine level, heart rate and liver function. Patient’s physical and mental health was also improved.
Conclusion: Renadyl administration appeared to be safe among chronic kidney patients with improved kidney function. However, more clinical trials are suggested to determine the efficacy and effects of Renadyl.