bluuebunny/crossref_metadata_2025_split huggingface dataset:
EFFECT OF AMLODIPINE ON ENTEROPATHY INDUCED BY INDOMETHACIN IN RATS
Authors: ANNOUF YARA , AL-LAHAM SHAZA , AL-SHATTI EYAD 
Published: May 2020

Objective: Non-steroidal anti-inflammatory drugs (NSAIDs) have become well known for causing gastroduodenal mucosal damage. In addition, they are also known to affect the small intestine in humans. Amlodipine is a third-generation dihydropyridine-type calcium channel blocker; it can inhibit inflammatory cytokines and enhance antioxidant defenses. The aim of this study was to evaluate the effect of Amlodipine on indomethacin-induced enteropathy in rats.
Methods: Enteropathy was induced by subcutaneous indomethacin (Indo) prepared in 5 % sodium bicarbonate administrated at a dose rate of 9 mg/kg for two days at 24h intervals. Amlodipine (10 mg/Kg body weight po) was administrated for seven consecutive days beginning 24 h after the first Indo injection. Rats were sacrificed under ether anesthesia on the 8th day. The small intestinal injury was assessed by body weight loss, small intestine weight/length ratio, macroscopic damage, histological study, as well as by biochemical measurement of reduced glutathione (GSH), lipid peroxides and superoxide dismutase (SOD) activity in the small intestine tissue.
Results: The results showed that Amlodipine didn't decrease body weight loss, it decreased small intestine weight/length ratio, macroscopic and microscopic small intestinal damage scores caused by administration of Indo. It also increased SOD activity and decreased lipid peroxidation. The effect on the level of GSH wasn't observed. No statistical significance was observed when previous findings were compared to Indo induced enteropathy group (p>0.05).
Conclusion: Amlodipine didn't produce an obvious enhancement in enteropathy induced by Indo in rats.
Analisa Penggunaan Sensor Proximity LJC 18 A3-B-Z/Bx Sebagai Salah Satu Sensor Prototype Cucimobil Otomatis
Authors: Abdul Rozaq Imam , Noor Rohman Mohammad 
Published: May 2020

Saat ini mobil pribadi banyak digunakan masyarakat indonesia sebagai salah satu alat transportasi. Makin pesatnya perkembangan dunia otomotif, memberikan peluang usaha bagi jasa perawatan mobil. Salah satu peluang dalam usaha bagi perawatan mobil adalah dengan cara mendirikan car wash (cucian mobil). Berdasarkan permasalahan diatas maka timbulah ide untuk membuat prototype alat cuci mobil otomatis dan membutuhkan sensor yang dapat digunakan sebagai penanda posisi mobil yaitu sensor Proximity LJC 18 A3-B-Z/Bx. Metode yang digunakan dalam penelitian ini adalah dengan Metode Research and Development (RnD) yaitu dengan cara menganalisis 2 buah sensor proximity LJC 18 A3-B-Z/Bx dengan berbagai parameter. Parameter yang digunakan dalam menganalisis sensor adalah bahan atau material yang dapat dideteksi dan jarak yang dapat dideteksi oleh sensor. Hasil dari pengujiaan sensor proximity LJC 18 A3-B-Z/Bx yang pertama dapat mendeteksi material Plat besi, Besi, Dempul, Fiber, Kaca, Kayu, Plastik, Karet, Mobil Mainan dan jarak yang dapat dideteksi oleh sensor proximity LJC 18 A3-B-Z/Bx yang pertama adalah 2mm, sedangkan pengujian sensor proximity LJC 18 A3-B-Z/Bx yang kedua dapat mendeteksi material Plat besi, Besi, Dempul, Fiber, Kaca, Kayu, dan jarak yang dapat dideteksi oleh sensor proximity LJC 18 A3-B-Z/Bx yang pertama adalah 1 mm sehingga yang akan digunakan dalam prototipe alat cuci mobil otomatis adalah sensor proximity LJC 18 A3-B-Z/Bx yang pertama.
IMPLEMENTACIJA LEAN ALATA U KOMPANIJU ,,UNIVEREXPORT”
Authors: Milanović Branko 
Published: May 2020

Ovaj rad opisuje inicijativa da se u kompaniji počne sa uvođenjem lean-a. U radu je opisan jedan logistički centar, i njegova potreba za uvođenjem i primenom lean alata. Primenom određenih alata kroz praktične primere, teži se postizanju određenih rezultata za unapređenje logističkog sistema, i njegovog skladišta prevashodno.
UPRAVLJANJE POŽARNIM RIZIKOM KOD SKLADIŠTENJA SEMENA ULJARICA
Authors: Ostojić Nikola 
Published: May 2020

Požarne opasnosti u toku prerade i skladištenja uljarica (suncokreta, soje, uljane repice) mo­gu biti izražene ukoliko nije primenjena adekvatna pre­ventivna zaštita. Veliki rizik postoji od samozagrevanja i samopaljenja mase semena uljarica tokom skladištenja u silosima usled neadekvatnog i nestručnog vođenja tehnološkog procesa. Budući da samoupala može rezultirati tinjajućim požarima koji su izuzetno teški za gašenje, razumevanje i sprečavanje ovog procesa ima veliki značaj. Cilj ovog rada je da se objasne uticajni faktori na početak i intenzitet inicijalnih procesa. Na eksperimentalnom primeru u laboratoriji utvrđeni su fizičko-hemijski parametri i minimalne temperature paljenja semena sa ciljem pronalaženja ključnih uzroka nastanka požara u uljnoj industriji i predstavljanja rešenja za smanjenje rizika nastanka požara.
What Motivates Teachers to Stay Faithful to the Teaching Profession?
Authors: Carls Kathryn Medina 
Published: May 2020

This descriptive research inquired on the motivational factors that made teachers stay faithful to the teaching profession. There were 18 teacher–participants from the public and private basic education and secondary school of the City Schools of Dasmarinas. The qualitative part was done through triangulation and was participated by 18 teachers or significant others whose responses shed light on the prime question: ”what made teachers stay faithful to the teaching profession” asked through- narrative inquiry. However, in the journey of searching for the best motivational factors, some weak areas were discovered that paved the way to the formulation of an effective framework of analysis that would help address the not so strong points that hamper teaching effectiveness. Findings revealed that as to personal attributes, the teacher-participants served their schools for more than 6 years; working at their best always; recognition and prestige matters a lot for them; remuneration/ and other benefits were essential for them and equally important was, whatever they will be getting after retirement; with very satisfactory teaching performance; undoubtedly satisfied of the teaching profession, and did find teaching as a stable job. Conversely, there were some factors that teacher-participants were not so happy about and so the framework of analysis was formulated striking the balance between the strong and weak points. The framework has a universal C that stands for competence. C serves as the overall environment of the school with the strong motivational factors under its umbrella that must be sustained/fostered for the teachers to stay faithful to the teaching profession such as prestige and recognition; accountability and remuneration and other benefits. For the teacher-participants, these factors were all significant. The same factors motivated them to stay dedicated to the teaching profession. However, there were found motivational factors considered weak points that hamper teaching effectiveness and forwarded the following recommendations: (a) strengthen the policy on workload reduction and preparation time for learning materials hence, reduce stress; (b) provision for recreational activities that can foster greater camaraderie among employees; (c) provision for a more objective criteria on selection of teachers to participate in seminars funded by the school which must be related to the discipline they teach; (d) review seminar re-echo policy; offer strategic career development plans deemed needed for teachers’ continual improvement; and (e) provision for scholarships programs that can further enhance the potentials of teachers. Toward the end, this study hopes to open doors of improvement and encouragement that could add more flavor to the noblest profession.
Pattern of cervical biopsy results in cases with cervical cytology interpreted as higher than low grade in the background with atrophic cellular changes
Authors: Li Yilan , Shoyele Olubunmi , Shidham Vinod B. 
Published: May 2020

Objective:
The cytomorphological changes associated with atrophic cellular pattern (ACP) in cervical cytology smears may mimic high-grade squamous intraepithelial lesion (HSIL). Due to this, there may be higher chances of cytomorphological overinterpretation in cases with ACP. Estrogen therapy (ET) (topical or systemic) would reverse the changes related to atrophy and repeat Pap smear after ET should correct the false positives. This approach would minimize the unindicated invasive interventions. However, performing immediate biopsies following “higher than low-grade squamous intraepithelial lesion (LSIL) (atypical squamous cells-cannot exclude HSIL, low-grade squamous intraepithelial lesions-cannot exclude HSIL, and HSIL) interpretations” in such cases, is a general trend. Pap smears with “higher than LSIL interpretations” in association with ACP over a period of 10 years were selected.

Materials and Methods:
A total of 657,871 cases over 10 years were reviewed, of which 188 Pap smears interpreted as higher than LSIL interpretations with ACP were selected randomly for this study.

Result:
Of these 188 cases, 67 underwent biopsies which were reviewed and compared with 67 biopsies performed for “higher than LSIL interpretation” cases without ACP. The follow-up biopsy material was reviewed including elective p16 immunohistochemistry with other clinical details including high-risk HPV test results as indicated.

Conclusion:
The findings demonstrated that Pap smears with ACP have higher false positives due to tendency for cytomorphologic overinterpretation as compared to non-ACP group.
Utility of coping mechanisms in children with learning disabilities to arrive at the similimum: A case series
Authors: Tamboli Madhavi Prashant , Dhawale Kumar M. 
Published: May 2020

Objectives:
In India, learning disabilities (LD) constitutes about 10–20% of scholastic problems in children. The standard way of treating these children is through remediation. An extra-mural Research Project supported by the Department of AYUSH (2008–2011) comprised a single blind, case–control study conclusively proved the value of homeopathy intervention in the treatment of LD. It is difficult to locate the characteristics in the written expressions of LD. This paper, explores through the use of a case series the most appropriate method, of identifying and incorporating the characteristic coping techniques used by these children to deal with their disability into the totality. The totality, thus erected, is processed through the use of various repertorial or nonrepertorial approaches.

Materials and Methods:
Detailed case histories of the children diagnosed with LD including data from the caregiver/s and the child were studied. The evolutionary behavioural expressions of the children were noted and analysed to derive the coping mechanisms utilized. These contributed to the characteristics which in turn defined the approach to the totality and further the similimum.

Results:
Incorporation of coping mechanisms with expressions at the mental and physical level was invaluable in leading to the similimum. The results indicated a significant change not only in the expressions of the LD but also in a better adaptation of the child to the environment.

Conclusion:
Identifying and valuing the coping mechanisms are of value in arriving at the similimum in children with LD.
Role of ABO blood type in delayed cerebral ischemia onset and clinical outcomes after aneurysmal subarachnoid hemorrhage in an ethnic minority urban population
Authors: Unda Santiago René , Vats Tarini , Ramos Rafael De la Garza , Cezaryirli Phillip , Altschul David J. 
Published: May 2020

Background:
In recent years, the role of ABO blood type moved into focus through the discovery of different hemostaseologic properties with importance in many diseases including subarachnoid hemorrhage (SAH). However, the role of ABO blood type in delayed cerebral ischemia (DCI) onset, clinical progress, and outcome after SAH is to date largely unexplored. Our aim was to explore the role of ABO blood group in DCI and clinical outcomes after aneurysmal SAH (aSAH).

Methods:
A retrospective analysis was made with data collected from patients who presented aSAH at our single- academic center from 2015 to 2018. We included demographic, clinical, and imaging variables in the univariate analysis and in the subsequent multivariate analysis.

Results:
A total of 204 patients were included in this study. About 17.9% of “O” type patients developed a DCI while DCI was reported in only 8.2% of non-O type patients (P = 0.04). “O” type was an independent risk after in the logistic regression after adjusting for significant factors in the univariate analysis (OR=2.530, 95% CI: 1.040- 6.151, P = 0.41). Compared to “non-O” type patients, “O” type patients had a trend to have poorer outcomes at discharge (25.5% vs. 21.3%, P = 0.489) and at 12–18 months (21.1% vs. 19.5%, P = 0.795). However, there were no significant differences.

Conclusion:
Our study evidenced that patients with “O” blood type have higher risk of DCI onset after aSAH. Although these findings need to be confirmed, they may aid to improve DCI prevention and outcome predictions.
Hirayama disease – Early MRI diagnosis of subacute medullary ischemia: A case report
Authors: Galletta Karol , Gaeta Michele , Alafaci Concetta , Vinci Sergio , Longo Marcello , Grasso Giovanni , Granata Francesca 
Published: May 2020

Background:
Hirayama disease (HD) is a rare, benign, and self-limiting motor neuron disorder that results in selective motor impairment of the C7-T1 myotomes. It is characterized by progressive, unilateral, or bilateral asymmetric muscle atrophy of the distal upper extremities and myelopathy.

Case Description:
A 23-year-old male presented with bilateral atrophy of the thenar/hypothenar eminences/ interosseous muscles, plus left-hand weakness. The cervical MRI documented subacute ischemic damage of the distal cervical cord. To rule out a tumor and reduce questionable cord compression, the patient underwent a C5–C6 anterior cervical discectomy and fusion (ACDF) immediately followed by a laminectomy with durotomy and to obtain a spinal cord biopsy. When the histology confirmed focal cord ischemia consistent with HD, it was clear that both operations were unnecessary.

Conclusion:
Establishing the diagnosis of HD is based on clinical findings and MRI/flexion MR features which include the demonstration of an increased T2-weighted intramedullary cord signal, enlargement of the posterior epidural space, and segmental spinal cord atrophy. The presence of HD should be recognized as a “nonsurgical entity,” and conservative nonsurgical management should be employed.
Anterior sacral meningocele complicated by rectothecal fistula and rectorrhea: A Case report and review of the literature
Authors: Rahimizadeh Abolfazl , Ehteshami Saeed , Rahimizadeh Ava , Karimi Mona 
Published: May 2020

Background:
Anterior sacral meningocele (ASM) is a rare congenital anomaly. It is characterized by herniation of the dura through a defect in the anterior sacrum. Rarely, however, it may extend to the rectal area through a rectothecal fistula with or without rectorrhea.

Case Description:
Here, we present a case of ASM associated with a rectothecal fistula and rectorrhea. Surgical closure of the ostium of the cyst through a posterior approach resulted in long-term improvement

Conclusion:
An ASM with both rectothecal fistula and rectorrhea is extremely rare.
Retro-odontoid pseudotumor (pannus) with Forestier’s disease presenting with severe tetraparesis: A case report and literature review
Authors: Bamps Sven , Roosen Gert , Put Eric , Plazier Mark , Vanvolsem Steven , Wissels Maarten , Donkersloot Peter , Duyvendak Wim 
Published: May 2020

Background:
A retro-odontoid pannus is often associated with inflammatory diseases. It can also have a noninflammatory cause due to chronic atlantoaxial instability.

Case Description:
Here, we report a patient with diffuse idiopathic skeletal hyperostosis and a severe noninflammatory retro-odontoid pannus who rapidly improved after posterior craniocervical decompression and arthrodesis.

Conclusion:
Transoral resection of the pannus, followed by posterior stabilization, is a common treatment for this condition. The pannus can, however, also reduce after posterior stabilization alone (e.g., craniocervical decompression).
Recurrent dysphagia after lower posterior cervical fusion
Authors: Ishikawa Yoshinori , Miyakoshi Naohisa , Hongo Michio , Kasukawa Yuji , Kudo Daisuke , Shimada Yoichi 
Published: May 2020

Background:
Although dysphagia following posterior craniocervical fixation is well known, the incidence after mid-lower posterior cervical fixation is not well described. Here, we presented a case of recurrent dysphagia in a 72-year-old male following C3–T3 posterior cervical fixation and discussed its etiology.

Case Description:
A 72-year-old male sustained a cervical fracture in a fall; he was neurologically intact. The cervical/thoracic MR and CT studies documented ankylosing spondylitic changes in the cervicothoracic spine, a C5/6 disc herniation, and a C7 vertebral fracture. He underwent posterior cervical C3 to T3 fusion without decompression. For the 1st postoperative day, he complained of dysphagia without hoarseness, and fiberoptic endoscopy revealed poor esophageal mobility. For the next 6 postoperative years, he continued to require repeated attempts at the dilation of the esophageal entrance but remained reliant on a feeding tube.

Conclusion:
Posterior cervical fixation restricts cervical motion and may restrict expansion of the esophageal duct leading to permanent postoperative dysphagia requiring continued feeding tube utilization.
Relying too much on upfront radiosurgery: Indolent course misinterpreted as effectiveness of radiosurgery in a case of skull base chondrosarcoma
Authors: Malik Puneet , Sahoo Sushant Kumar , Gupta Kirti , Salunke Pravin 
Published: May 2020

Background:
Skull base lesions are still considered surgically challenging and primary gamma knife radio surgery (GKRS) is gaining popularity. However the effectiveness of GKRS may be overrated especially in lesions with indolent course.

Case Description:
We report a case of chondrosarcoma, mimicking a trigeminal schwannoma treated with upfront radio surgery. Relatively lower dose was administered in view of proximity to the brainstem. The patient was asymptomatic and the size of the lesion remained static for over a decade. This was misinterpreted as effectiveness of GKRS. The lesion grew after a decade necessitating surgery.

Conclusion:
With popularity of upfront GKRS, suboptimal but maximal safe radiation dose is usually prescribed for lesions close to critical structures like brainstem. In these cases the long indolent natural course of the pathology, as in the case of chondrosarcoma may be misconstrued as success of radiosurgery. An extended follow up beyond this static period is necessary before concluding its effectiveness.
Pituitary apoplexy causing acute ischemic stroke: Which treatment should be given priority
Authors: Ahn Jae-Min , Oh Hyuk-Jin , Oh Jae-Sang , Yoon Seok-Mann 
Published: May 2020

Background:
Pituitary apoplexy is syndrome of sudden onset of headache, visual loss, pituitary dysfunction, and altered consciousness. Pituitary apoplexy followed by acute cerebral ischemia is extremely rare. Here, we introduced the case of successful surgical resection of pituitary adenoma which induced acute cerebral ischemia.

Case Description:
A 78-year-old man with a known pituitary macroadenoma presented with decreased consciousness and left hemiparesis. Magnetic resonance image (MRI) and computed tomography (CT) showed large pituitary macroadenoma with hemorrhage and diffusion-perfusion mismatch of right internal carotid artery (ICA) territory. Conventional angiography was done and severe stenosis of bilateral ICA and prominent flow delay of left ICA were noted at paraclinoid segment. Microscopic tumor mass removal with transsphenoidal approach was performed. Final pathological diagnosis was pituitary adenoma with apoplexy. Immediately after surgery, his symptoms were disappeared. Follow-up image studies revealed much improved perfusion in right ICA territory and patency of bilateral ICAs.

Conclusion:
Direct compression of ICA is rare complication of pituitary apoplexy, which caused cerebral ischemia. Conventional angiography should be necessary for accurate diagnosis and prompt surgical decompression should be the treatment of choice.
Nutrition and corona virus: Plan a diet in a pandemic
Authors: Suchitra M R  , Parthasarathy S  
Published: May 2020

The corona virus pandemic is causing the worst ever health disaster in the recent decades. Continuously newer drugs are being tried for the same with variable success. There has been much talk about one’s immunity and the corona survival. There are a lot of traditional food items which can increase the immunity with an additional benefit of some antiviral properties. Citrus fruits, sitaphal, apple papaya are among the fruits. Vegetables including broccoli, onion, garlic and green leaves are a few vegetables. Nuts, ginger, turmeric, pepper, egg yolk, shell fish, mushroom are some of the miscellaneous dietary supplements which have both properties. In a pandemic scenario, diet and nutrition can be an important supplement to pharmacy to counter viruses. We have tried to give complete menu for a day with such properties. The major hiccup may be the non-availability of certain foods. Hence, we have also suggested many alternate recipes to tackle this problem. This sample menu and their alternatives are being given for a normal adult. Needy changes should be contemplated according to age, sex, body mass index and daily physical activities.
Analysis of Ogan Ilir Regency's Kelakar River Runoff Discharge in Micro Hydro Power Plant (PLMTH) Planning
Authors: Ramadhani Renny Citra , Yerizam Muhammad , Indrayani Indrayani 
Published: May 2020

Micro hydro power plant (PLTMH) is an alternative source of electrical energy for the community where by using this PLTMH the community can utilize the existing river flow as electricity generation. The country of Indonesia has many rivers and creeks that can be used optimally in producing alternative electricity. Kelakar River, located in Ogan Ilir Regency has the potential to be developed as a Micro Hydro Power Plant (PLTMH) that can be used to supply electricity in the region around the Ogan River. Data analysis includes: catchman area analysis, rainfall analysis, calculation of rainfall intensity plan, calculation of runoff discharge, and analysis of river flow rates. Based on the analysis that has been done, the Kelekar river runoff discharge is QRmax of 211.109 m3/second and QRmin of 15.732 m3/second. From this result, the selection of turbines to be used in PLTMH planning is Propeller Type turbines.