bluuebunny/crossref_metadata_2025_split huggingface dataset:
TO EVALUATE THE OUTCOME OF TYMPANOPLASTY TYPE I USING DRY AND WET TEMPORALIS FASCIA GRAFT: A RANDOMIZED CONTROL TRIAL.
Authors: . Abhiniti , Lal Pawan Kumar 
Published: August 2020

Aim: to evaluate the outcome of tympanoplasty type I using dry and wet temporalis fascia graft.
Methods The present Randomized control trial was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar . Among 100 patients attended the OPD of the ENT and diagnosed with chronic suppurative otitis media. Patients were divided into 2 groups of 50 each: one group underwent dry graft tympanoplasty and the other underwent wet graft tympanoplasty.
Results: The dry graft and wet graft groups had overall surgical success rates of 82 and 88 per cent, respectively; this finding was not statistically significant. A statistically significant high fibroblast count was observed in wet grafts.
Conclusion: The present study concluded that the dry or wet temporalis fascia graft did not affect the outcome of type I underlay tympanoplasty significantly. However, using wet temporalis fascia could shorten the duration of surgery in type I underlay tympanoplasty.
Keywords: tympanoplasty; wet graft, dry graft, temporalis fascia
TO EVALUATE THE OUTCOME OF PLATE FIXATION FOR DISPLACED OLECRANON FRACTURES: AN ANALYTICAL STUDY.
Authors: Choudhary Angad Kumar 
Published: August 2020

Objectives: To evaluate the outcome of plate fixation for displaced olecranon fractures
Materials and Methods: the present retrospective study was conducted in the Department of Orthopedics Jawaharlal Nehru Medical College, Bhagalpur from jan 2018 to October 2018. Total 25 patients who underwent plate fixation of displaced olecranon fractures were reviewed by two surgeons were independently.
Results: mean arc of elbow motion 106.20 with range of motion from 10.20-116.70 and excellent clinical outcome was reported among 76% cases as per Broberg and Morrey scale. 22 patients achieved fracture union during 6 months follow up period.
Conclusion: Plate fixation is an effective treatment option for displaced olecranon fractures with a good functional outcome and a low incidence of complications.
Keywords: Olecranon, Fracture, Plate fixation, Ulna
DETERMINE THE EFFECT OF VITAMIN D SUPPLEMENTATION ON PREGNANCY OUTCOME: A COMPARATIVE STUDY.
Authors: Narayan Nutan , Roy Dipti 
Published: August 2020

Aim: to determine the effect of vitamin D supplementation on pregnancy outcome.
Materials and methods: The present prospective comparative interventional study was conducted in the Department of Obstetrics and Gynecology, Nalanda Medical College and Hospital, Patna, Bihar. Total 60 patients were divided in to two groups. Group I (n=30): received only routine iron, folic acid and calcium supplementation (irrespective of vitamin D level). Group II (n=30): vitamin D supplementation (irrespective of vitamin D level) in the form of oral cholecalciferol sachet 60,000IU weekly till 10 weeks along with routine iron, folic acid and calcium supplementation.
Results: Pre-eclampsia was observed in 26.7% of the patients who didn’t receive vitamin D supplement whereas the group I which received supplementation showed on pre-eclampsia in 6.7% of the patients (p=0.001).
Conclusion: This study concludes that there is significant role of vitamin D supplementation in pregnant women in prevention of pre-eclampsia.
Keywords: pre-eclampsia, vitamin D, singleton
OUTCOME OF PROXIMAL FIBULAR OSTEOTOMY IN ISOLATED MEDIAL COMPARTMENT OSTEOARTHRITIS OF KNEE: A COMPARATIVE STUDY.
Authors: Choudhary Angad Kumar 
Published: August 2020

Aim: Outcome of Proximal Fibular Osteotomy in isolated medial compartment Osteoarthritis of Knee.
Material and Methods: The present study was conducted in the department of Orthopedics Jawaharlal Nehru Medical College, Bhagalpur from july 2018 to jan 2019. 36 patients amounting to 50 knee joints (male and female between 40-60 years age group) with medial compartment OA Knee were recruited. Medial joint spaces along-with visual analogue score for pain were recorded pre-operative, immediate post-operative and at final follow up.
Result: Significant improvement in mean visual analogue pain score (VAS), from 7.02 preoperative to 3.39 at the final follow up was observed (p-value <0.001). Medial joint space opening from 1.01 to 4.11 at final follow up was observed.
Conclusion: The objectives as well as functional outcome after proximal fibular osteotomy were satisfactory.
Keywords: Medial compartment Osteoarthritis Knee, PFO
TO DETERMINE THE VARIOUS CLINICAL PRESENTATIONS, UNDERLYING IMMUNOCOMPROMISED CONDITION, COMPLICATION OF ACUTE INVASIVE FUNGAL RHINOSINUSITIS (AIFRS): AN OBSERVATIONAL STUDY.
Authors: . Abhiniti , Lal Pawan Kumar 
Published: August 2020

Aim: to determine the various clinical presentations, underlying immune-compromised condition, complication of acute invasive fungal rhinosinusitis (AIFRS).
Materials and Methods: The present prospective observational study was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar, India. Among 40 patients of acute invasive fungal sinusitis that underwent treatment as inpatient basis. Nasal swabs from the middle meatus were subjected to potassium hydroxide mount and if fungal elements were identified, then fungal culture was done. Post-operatively, tissue removed from the sinuses was sent for histopathological examinations.
Results: majority of the patients were male 57.5% and rest 42.5% were female. Patients having Diabetes Mellitus were found to be more susceptible to acute and invasive fungal sinusitis. The common presenting symptoms were nasal obstruction followed by rhinorrhea, epistaxis, headache, fever, facial swelling. Most common complication reported in this study was Cavernous sinus thrombosis 11 (27.5%).
Conclusion: acute invasive fungal sinusitis is most common in immunocompromised patients, with the highest incidence in patients with uncontrolled diabetes mellitus. The most consistent finding of acute invasive fungal sinusitis was mucosal necrosis and black crust/debris.
Keywords: acute invasive fungal sinusitis, diabetes mellitus, cavernous sinus thrombosis
COMPARATIVE STUDY OF SEQUENTIAL COMBINED SPINAL EPIDURAL ANAESTHESIA VERSUS SPINAL ANAESTHESIA IN HIGH RISK GERIATRIC PATIENTS FOR MAJOR ORTHOPAEDIC SURGERY
Authors: . Sheetal 
Published: August 2020

Sequential combined spinal epidural anaesthesia (Sequential CSEA) is probably the greatest advance in central neuraxial block in this decade for high risk geriatric patients because here the advantages of both spinal and epidural anaesthesia are summated avoiding the side effects. This study is designed to compare the clinical effects of sequential combined spinal epidural anaesthesia versus spinal anaesthesia in high risk geriatric patients undergoing major orthopaedic procedure.
Sixty patients aged 65 to 80 years, ASA III were randomly allocated into two equal groups. Group A (n=30) received sequential combined spinal epidural anaesthesia with 1 ml (5 mg) of 0.5% hyperbaric bupivacaine with 20 mg fentanyl through spinal route, and the expected incompleteness of spinal block was managed with small incremental dose of 0.5% isobaric bupivacaine through epidural catheter, 1.5 to 2 ml for every unblocked segment to achieve T10 sensory level. Group B (n=30) received spinal anaesthesia with 2 ml (10 mg) of 0.5% hyperbaric bupivacaine and 20 mg of fentanyl.
Both the groups showed rapid onset, excellent analgesia and good quality motor block.
Group A showed a significantly less incidence of hypotension (p< 0.01) along with the provision of prolonging analgesia as compared to group B.
So sequential combined spinal epidural anaesthesia is a safe, effective, reliable technique with stable haemodynamic along with provision of prolonging analgesia compared to spinal anaesthesia for high risk geriatric patients undergoing major orthopaedic surgery.
Keywords: Sequential combined spinal epidural anaesthesia, Spinal anaesthesia, Fentanyl, Geriatric
CLINICAL ASSESSMENT OF HERBAL FORMULATION IN REDUCING OXIDATIVE STRESS CAUSING SPERMATOGENETIC DISORDERS USING THE ROS, D- ROMS AND MDA TESTS
Authors: Gupta Mradu , Mondal A. K. 
Published: August 2020

Background: Several Ayurvedic textbooks describe Sida cordifolia Linn. and Glycyrrhiza glabra Linn. for their anti-inflammatory, antipyretic, antioxidant and sexual properties. After obtaining good results in treatment of male sexual disorders during pre-clinical studies, this clinical trial was taken up to assess the antioxidant properties responsible for spermatogenetic activity of aqueous extract of roots of these two plants.
Methods: The study uses subjective evaluation of primary symptoms, estimation of Testosterone levels, sperm analysis and evaluation of oxidative stress levels for assessing the therapeutic efficacy of research formulation through placebo controlled clinical trials on 80 males having lack of sexual desire and non-satisfactory sexual life divided in four study groups. Group I was the control group while Group II received Sida cordifolia Linn., Group III Glycyrrhiza glabra Linn. and Group IV was administered both these plants mixed equally. The tests for assessment of oxidative stress levels include the d-ROMs test, ROS determination by ELISA Sandwich kit and the determination of MDA level by ELISA method test.
Results: The three drug treated groups (II, III and IV) showed significantly higher therapeutic efficacy in respect of primary symptoms, Testosterone levels and sperm morphology 7 motility as compared to the control group. The decrease in d-ROM value was 2.01% in Group I while it was 16.61%, 12.56% and 20.87% respectively in Groups II, III and IV. Similarly, % decrease in ROS concentration was 4.15, 4.71 and 4.23 in case of Groups II, III and IV while % decrease in oxidative stress marker MDA was 13.58, 12.65 and 13.89 in these treatment groups as compared to very nominal changes in Group I.
Conclusions: During clinical trial, the three drug treatment groups showed significantly higher therapeutic efficacy as compared to the control group. Among these three groups, Group IV containing both Sida cordifolia Linn. and Glycyrrhiza glabra Linn. exhibited the highest improvement, followed by Group II containing Sida cordifolia Linn. and then Group III containing Glycyrrhiza glabra Linn. The results of the clinical study confirm the antioxidant and spermatogenetic action of the research formulations.
Key words: Ayurvedic formulation, Sida cordifolia Linn., Glycyrrhiza Glabra Linn., clinical trial, antioxidant
EFFICACY OF HEMIARTHROPLASTY FOR HUMERAL FOUR-PART FRACTURES IN ELDERLY
Authors: Bobade Satish , Bobade Sandesh , Deokate Pravin 
Published: August 2020

Background: There are four anatomic parts of the proximal humerus namely, head, greater tuberosity, lesser tuberosity, and surgical neck. 140 ͦ is the approx angle that is formed by the neck-shaft of the humeral. With prevalence rate of 5-6% among the elderly its incidence increase with the advancement in the age. There are various factors affecting this advancement of the elderly patients towards the proximal humerus including increasing age, osteoporosis, age, sex and other similar factors.
Aim: To study the efficacy of Hemiarthroplasty for Humeral Four-part Fractures in Elderly Patients
Methods: It was an observational study. 30 patients were taken up for the study, who were diagnosed with humeral fracture. All the patients were included in the study after getting written consent from them. Radiography was done for all the patients from an AP view, a lateral shoulder view in the scapular plane, and of the axilla according to the Neer’s classification.
Results: The above table shows that the number of patients was 10 and that of the female patients was 20. The mean age for the patients was 75.45±10.69 years. The VAS score before treatment was found to be ranged from 50-90 and the VAS score after treatment was found to be ranged from 75-95. The above table shows that the VAS pain was 20 in 3 months follow up time that increased to 25 in 1 year follow up time. The VAS disability score within 3 months follow up was 53 that reduced to 47 in 1 year follow-up period. The CMS activity score was in 3 months follow-up was 10.5 and that in 1 year follow up was 15. The CMS mobility after 3 months follow-up was 13 that increased to 22 in 1 year follow-up period.
Conclusion: In the light of above results and discussion it is evident that the Hemiarthroplasty is a more viable option for reducing pain and increasing mobility in elderly patients suffering from four-part humeral fracture as compared to any other operative technique.
STUDY OF ANTIDIABETIC EFFECT OF POLYHERBAL EXTRACT IN ALLOXAN INDUCED DIABETIC RATS
Authors: Pranita Kale , Shubhada Mangrulkar , Varsha Barethiya 
Published: August 2020

Diabetes mellitus is a metabolic disorder in which there is defect in insulin secretion high blood sugar levels over a prolonged period. The polyherbal extract under study contain extract of Eugenia jambolana (seed) , Citrulus colocynthis (fruit), Terminaliachebula ( Fruit) , Curcuma amada (Rhizome) , Syzigium cumini ( seed) in combination shows decrease in levels enhace gluconeogenesis from protein and Amino acid with accumulation of glycogen in liver. Crude drugs like Eugenia jambolana, Mamordica charantia, Terminalia Chebula, and Black cumini increase secreation of insulin from B-cells of islets of pancrease. The proposed study is to investigate the effectiveness that of combination of these herbs as a polyherbal extract formulation in treatment of type II diabetic model. In the present study, experimental diabetes was induced Alloxan dose 150 mg/kg(Group ll), Diabetic standard diabetic rats were treated with oral dose of (metformin) 10mg/kg (Grouplll), group iv, v, vi) Diabetic rats were treated with an polyherbal extract 50mg/kg, 100mg/kg, 150mg /kg respectively. Drugs Metformin and polyherbal extract were given once in daily. The dietry regimen for 21 days, during which blood glucose level and lipid profile measured at 0,7,14,21 day of study using blood from rats retroorbital plexus. A high dose (200 mg/kg) of polyherbal extracts treatment group produce significant decrease in plasma glucose level.
Keywords: Diabetes, Eugenia jambolana, Citrulus colocynthis, Mamordica charantia, Gymnema stylvestre
CLINICAL AND BACTERIOLOGICAL PROFILE IN NEONATAL SEPTICEMIA AND ANTIBIOTIC SUSCEPTIBILITY PATTERN IN A RURAL TERTIARY CARE HOSPITAL
Authors: Dutta Krishna Pada , Puria Nitin Gyaras 
Published: August 2020

Background: Neonatal sepsis is an important cause of morbidity & mortality among NICU graduates. The etiology of neonatal septicemia has variations depending upon various customs and practices in the perinatal and neonatal period and geographical area. Therefore, knowledge of microbial profile and antimicrobial susceptibility is very important for management of neonatal sepsis. The aim of our study is to determine the bacteriological profile of neonatal septicemia and the antimicrobial sensitivity pattern.
Methods: This prospective study was conducted in the NICU of Department of Pediatrics, KD Medical College, Hospital and Research Centre Mathura (U.P.) among 100 neonates from july 2019 to December 2019. Two ml of venous blood was taken from each neonate & cultured by automated BacT/Alert & VITEK2 method for rapid isolation & sensitivity test. A structured proforma was used to gather information for baseline features like age, gender, birth weight, gestational age, mode of delivery of the neonate and age of onset of illness.
Result: In the present study, both Gram-negative & Gram-positive organisms are responsible for neonatal sepsis. Klebsiella pneumoniae was found to be the predominant pathogen followed by Staphylococcus aureus. Most organisms are multi-drug resistant.
Conclusion: Cefotaxim, amikacin, meropenam and vancomycin were found useful in treating neonatal septicemia and hence incorporated in our institutional antibiotic policy for use in NICU. Authors recommend an effective infection-control programme, regular antibiotic sensitivity surveillance, encouragement of rational antibiotic use. It will reduce nosocomial infections and development of bacterial resistance.
Keywords: Neonatal sepsis, antimicrobial susceptibility, Klebsiella, antibiotic susceptibility surveillance.
PERSONALISATION OF A DENTURE
Authors: Quazi Syeda Shamima Nastaran , Zabroo Mohammad Ali Bhat , Das Manjula , Nongthombam Rajesh. S. , Kumar Arunoday 
Published: August 2020

Dentures, whether complete or partial, are the mostly used prosthesis worldwide by the people who are in lack of their natural teeth. Dentures have become a necessity for them for esthetic, functional and psychological reasons. Personalisation of the prosthetics (dentures etc.) has become a challenging job for the dental surgeons worldwide. It is also useful in forensic dentistry for identification of individuals in natural or human aggressive calamities. Though various methods have been described for identification of dentures but none of them fulfill all the requirements prescribed by American Dental Association (ADA). Here, a method for personalisation of denture will be described which is cosmetically appealing and cost effective. Besides, it satisfies most of the requirements laid down by ADA simply by adding up a few steps in the procedure of denture fabrication.
Keywords: Denture Tagging, Denture Labeling, Denture Marking, OHP sheet.
Basic Methods and Ideas of TCM Quality Consistency Evaluation
Authors: Liu Tianyi 
Published: August 2020

The complexity of traditional Chinese medicine (TCM) itself determines that the quality evaluation of traditional Chinese medicine is more difficult than that of single-component chemical medicine. At present, the outbreak of COVID-19 has made the importance of traditional Chinese medicine well demonstrated. Traditional Chinese medicine has played an important role in fighting the epidemic and treating a series of other diseases. Therefore, we need to establish a comprehensive quality consistency evaluation system of traditional Chinese medicine as soon as possible to promote the better application of traditional Chinese medicine. This article expounds the basic methods and ideas of the quality consistency evaluation of traditional Chinese medicine, hoping to provide a good reference for researchers in this field.
The Drivers of Structural Changes
Authors: Liu Jianfang 
Published: August 2020

Structural change is an important feature in the process of economic growth. Most economies in the process of economic growth have appeared similar structural adjustment. The primary industry labor share declines; the tertiary industry labor share increases; the secondary industry labor share presents an inverted u-shaped change. This paper aims to analyze the driving mechanism of structural transformation from the perspectives of supply, demand, input and output, international trade and government public expenditure, and finally make a prospect for future structural transformation research from the perspectives of producer heterogeneity and consumer heterogeneity as well as the fourth wave of technological change — artificial intelligence.
La fabrique de l'intégration
Authors: Di Donato Flora , Garros Elodie , Lavanchy Anne , Mahon Pascal , Zittoun Tania 
Published: August 2020

Le débat sur l’intégration des étrangères et des étrangers revient régulièrement au cœur de l’actualité suisse. La notion d'"intégration réussie" est notamment centrale dans le cadre de la naturalisation, une procédure longue et complexe, au déroulement parfois surprenant.
Fruit d’une recherche scientifique menée sur la base de cas concrets par cinq spécialistes en sciences sociales et en droit, cet ouvrage explore la signification du concept d’intégration en tant que critère permettant d’accéder à la nationalité, du point de vue des autorités comme de celui des personnes candidates à la naturalisation. Et l’on y constate que l’expression "Les faiseurs de Suisses", mise en avant par le film du cinéaste Rolf Lyssy, en 1978, que l’on croyait appartenir au passé, reste pertinente.
ANALYSIS OF ECONOMIC STATUS WITH SCIENTIFIC CONTRACEPTION SELECTIONS IN BPM MOGITA TLANAKAN PAMEKASAN
Authors: Hardini Nova Purmahardini Purma 
Published: August 2020

Abstract
In the effort of decreasing the rate of population, government, implement the family plan program in order to make the quality family in year 2018. Many use injection hormonal contraception since it has the effective work, practice, cheap and safe relatively. In selecting the contraception effected by several factors, for instance age, education, work, parity, knowledge, resident, economic status, decision in the household, and culture. Economic status can influence someone in choosing the contraception particularly injection contraceptive.
The purpose of this search is to know the relationship between economic status and injection contraception selecting.
Research design is using analytic with cross sectional. This research was conducted at BPM Mogita Tlanakan Pamekasan starting from July 01, 2018 to August 31, 20018. Population is all the family plan acceptor and sample taking was done by probability sampling with sampling random simple with sample size is 49 respondents.
The research result denoted that from 49 respondents, 10 of then have the high economic statuses who are wearing injection are 3 persons and not are 7 persons. 14 respondents have the mid-economic status are wearing injection us 11 person and not is 3 persons and 25 respondent have the low economic status are wearing injection is 23 person and are not is 2 persons.
By using the Mann Whitney statistic with level of significant is 0,05 was obtained count ≤ thus H0 was rejected, meaning that there is difference economic status with selecting the injection contraception and non-injection at di BPM Mogita Tlanakan Pamekasan.
Of the result research can be drawn the conclusion that economic status constitutes factor that influence the injection family plan selecting. In which they have the low economic status tend to choose the injection family plan than the high one. However, it needs the further research with seeing and enter the other factors that influence in contraception selecting.
Keywords: economic status, injection contraception selecting.