bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pattern of contraceptive use at a family planning clinic in Southern Nigeria
Authors: Nonye Enyidah Esther I. , Enyidah Nonyenim S. , Eshemogie Chisomaga 
Published: May 2020

Background: Contraception is very important in preventing unwanted pregnancies thereby reducing maternal and child mortality as well as improving the lives of women and their families. This paper aims to determine the pattern of contraceptive usage, uptake rates of the contraceptives, the socio-demographic characteristics and sources of information on contraceptive use at the Rivers State University Teaching Hospital (RSUTH) during the study period.Methods: This was a retrospective study of clients’ records in family planning clinic at RSUTH over a period of ten years. Their records were retrieved, reviewed; data extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0.Results: There were 1893 contraceptive acceptors attending family planning clinic between 1st January, 2008 and 31st December, 2017 in the centre. The uptake rate of the contraceptives throughout the study period was on the downward trend. Over half of the clients (60.7%) were within the age range of 30-39years and 6 (0.3%) were below 20 years. Age range for the study was 19-51years. Majority of the users (66.1%) were multipara. Modal parity was para 3 and 1862 clients (98.4%) had formal education. Most of the clients were married 1814 (95.8%) and of Christian religion 1813 (95.7%). Most preferred contraceptive method was the intrauterine contraceptive device (IUCD), 814 (43%). Clinical personnel were the commonest source of information accounting for 1425 (75.3%).Conclusions: There was a downward trend in the use of contraceptives during the study period. Most clients were in their thirties, married, educated and multiparous.
Frey’s procedure: short term follow up results in terms of pain, endocrine and exocrine status, a tertiary care centre experience
Authors: Sugumar C. , Balakumaran S. , Mundra Mukund 
Published: May 2020

Background: Chronic pancreatitis, a debilitating disease which affects the patient to an extent to render him bedridden sometimes and often make him/her unable to perform daily work, leading to poor quality of life, severe emotional stress and financial burden. Frey’s procedure one of the most commonly performed surgery in patient of chronic pancreatitis with stones in pancreatic duct and small inflammatory head mass. This procedure had shown promising results in terms of pain control with unclear outcome with respect to exocrine and endocrine status.Methods: Study was conducted in Government Kilpauk Medical College, Chennai during March 2016 to December 2019. Total 21 patients were followed up for 18 months and Post-operative pain was analysed using pain scoring system used by Bloechle et al. Exocrine status in terms of diarrhea, bloating sensation and Fecal Elastase level(preoperative and postoperative) were analysed. Patient glycaemic status were also analysed and compared. Patient Nutritional status was analysed in terms of weight gain.Results: In this study there was significant improvement in pain after surgery in terms of VAS pain Score (Preop Mean-82.14, Post-op Mean- 9.76, p<0.001) , frequency of pain (Preop Mean-78.57, Post-op Mean- 14.29, p<0.001), analgesia required (Preop Mean-15, Post-op Mean- 3.10, p<0.001), and inability to work due to pain (Preop Mean-80.95, Post-op Mean- 11.90, p<0.001). Overall total Pain score was significantly improved after surgery (Preop Mean-256.67, Post-op Mean- 39.05, p<0.001). There was significant weight gain and significant improvement in Fecal Elastase level in patients following surgery, however there was no significant difference in pancreatic exocrine status on the basis of symptoms.Conclusions: Frey’s procedure is very effective in pain control in properly selected patients of chronic calcific pancreatitis, and it also improves nutritional status of patient. Frey’s procedure might improve patient exocrine and endocrine status but further multicentre studies are needed to come to a conclusion.
Hematological parameters in dengue fever: A study in tertiary care hospital
Authors: Subhaschandra Kadadavar Smita , Lokapur Veeranna , Nadig Deepak , M H Prabhu , Masur Deepa 
Published: May 2020

Dengue fever has been known for more than a century in the tropical countries. Dengue fever is now the most common cause of arboviral disease in the world, with an estimated annual occurrence of 100 million cases of dengue fever and 250,000 cases of dengue hemorrhagic fever and a mortality rate of 25,000 per year. Most cases of dengue hemorrhagic fever are reported from Asia, where it is a leading cause of hospitalization and death among children. Dengue fever presents with confusing clinical profile and has to be differentiated from other febrile illnesses like malaria, typhoid, leptospirosis etc. Dengue is diagnosed by reverse transcription polymerase chain reaction (RT-PCR) and detection of NS1 antigen with corresponding IgM, IgG antibodies by Enzyme immunoassay & Immunochromatographic test. These tests may not be available in the periphery. So the hematological parameters like platelet count, hematocrit, lecocyte count and peripheral smear findings will aid in the diagnosis of Dengue Fever.100 cases with proven diagnosis of dengue by serology were taken. Detailed history, physical examination and investigations including Complete blood count, coagulation profile, Liver function tests were done. Their stay in hospital and outcome were observed.Dengue infection was more common in adult age group with slight male preponderance. It presented commonly as dengue fever with other constitutional symtoms. Petechial ecchymosis was the most common sign elicited clinically. Hematological findings like raised hemotocrit, platelet count and atypical lymphocytes were seen in majority of the cases. Supportive treatment was the mainstay mode of management. Overall mortality was seen in 2% of the cases.Raised hematocrit, thrombocytopenia, leucopenia and atypical lymphocytes in the peripheral smear will aid in early diagnosis of Dengue infection. Early recognition and prevention rather than treatment of complications is most important for favourable outcome of the disease.
Correlation between Gleason score of adenocarcinoma prostate and serum PSA levels in the western Himalayan region of India
Authors: Sharma Neelam , Kumari Kavita , Asotra Sarita , Sharad Satyendra , Sharma Renu 
Published: May 2020

The diseases of the prostate gland are the major cause of morbidity and mortality among adult males worldwide. Prostate cancer is the most common malignant tumour in men over the age of 65 years. The present study was done to evaluate the histomorphological spectrum of malignant lesion of prostate and to establish the correlation between S.PSA (Serum Prostate-Specific Antigen) levels and Gleason’s grade in the Western Himalayan region of India.Histopathological examination of 100 prostatic tissue was done. Serum PSA assessed and its values were correlated with Gleason’s grading of prostate cancer.Malignancy was found in 29 per cent of cases. Conventional adenocarcinoma encountered in 96.6 per cent cases. Undifferentiated carcinoma was reported in 3.4 per cent cases. Serum prostate-specific antigens level was increased in 93.1% of malignant cases. More than 10ng/ml was seen in 68.9 per cent cases. Mean S.PSA level in malignancy was 122.9ng/ml. The Commonest Gleason’s score being seven (37.9 percent).This prospective study concluded that there is a higher percentage of prostatic carcinoma in the Western Himalayan region of India. PSA is found to be a sensitive marker for the diagnosis of prostate cancer. With a cut off value 4ng/ml sensitivity was found to be 93.75% and specificity was 46.15%, and there is a positive correlation between Serum PSA level and Gleason’s grading. Mean serum PSA level of moderately and poorly differentiated carcinoma was 32.15ng/ml and 325.3ng/ml respectively.
THE MARKETING STRATEGY OF MADURA TOURISM INDUSTRY AREA TROUGH SUSTAINABLE DEVELOPMENT BASED GENDER
Authors: Mohammad Mohammad Taqiuddin , Hannan Abdul , Maadi Alan Suud 
Published: May 2020

Being declared in 2015 in Rio De Janeiro, Brazil, sustainable development goals (SDGs) has an aim to answer various humanitarian-environment crisis of millennium era (MDGs). One of the main problems which become a focus is woman’s participation. Especially in development context, whether in international, national, or local scope. This paper entitle, The Marketing Strategy of Madura Tourism Industry Area trough Sustainable Development Based Gender. In particular, this study has an aim to analyze the existential of Madura woman, dealing with the area development based SDGs. Various crucial issues which become a focus of this study namely; the dynamic Madura tourism industry, sustainable development concept, and development idea based gender. The three crucial issues above will be elaborated based on the three research problems below: 1).How is the existence of Madura tourism? 2).Whatis the definition of sustainable development? 3). How is the position of gender plays a role and strategic function in marketing activity of Madura tourism industry for the next? This study is qualitative method. The data of this paper is from two sources namely primary and secondary data. The theory perspective of this study is using area marketing theory of Richard Florida and Femenis George Ritzer theory. In general, this paper has an aim to describe how the dynamic Madura tourism industry is, this study has big contribution in offering the Madura development idea, especially in promoting the local industry area to sustainable development area carrying the spirit of equality. Keywords: Marketing area, Madura tourism, sustainable development, Gender.
Identifikasi Sebaran Episenter Dan Hiposenter Gunungapi Guntur Berdasarkan Data Seismik dengan Menggunakan Metode Geiger
Authors: Diaz Nandaru , Sugestiani Ni Kadek , Suantika I Gede 
Published: May 2020

Telah dilakukan identifikasi hiposenter gempa Gunungapi Guntur pada bulan Juni 2016 dengan menggunakan metode Geiger. Lokasi hiposenter gempabumi penting dilakukan untuk identifikasi sumber gempa, pemetaan sebaran gempa dan analisis kegempaan. Hasil penelitian menunjukkan pola sebaran episenternya terdistribusi pada gugusan komplek Gunung Guntur sampai Gunung Masigit pada kedalaman 0 – 10 km yang dihitung dari puncak Gunungapi Guntur.
Comparison of Porous Tantalum Acetabular Implants and Harrington Reconstruction for Metastatic Disease of the Acetabulum
Authors: Houdek Matthew T. , Ferguson Peter C. , Abdel Matthew P. , Griffin Anthony M. , Hevesi Mario , Perry Kevin I. , Rose Peter S. , Wunder Jay S. , Lewallen David G. 
Published: May 2020

Background:
The periacetabular region is a common location for metastatic disease. Although large lytic acetabular defects are commonly treated with a hip arthroplasty with a cemented component according to a Harrington-style reconstruction, the use of highly porous uncemented tantalum acetabular components has been described. Currently, there are no direct comparisons of these reconstructive techniques. The purpose of this study was to compare the outcomes of the Harrington technique and tantalum acetabular component reconstruction for periacetabular metastases.

Methods:
From 2 tertiary sarcoma centers, we retrospectively reviewed 115 patients (70 female and 45 male) with an acetabular metastatic defect who had been treated between 2002 and 2015 with a total hip arthroplasty using either the cemented Harrington technique (78 patients) or a tantalum acetabular reconstruction (37 patients). The mean patient age was 61 years, and the most common Eastern Cooperative Oncology Group status was 3 (39 patients). The mean follow-up for surviving patients was 4 years.

Results:
An additional surgical procedure was performed in 24 patients (21%). Harrington-style reconstructions were more likely to require a reoperation compared with tantalum reconstructions (hazard ratio [HR], 4.59; p = 0.003). The acetabular component was revised in 13 patients (11%); 5 patients (4%) underwent revisions that were due to loosening of the acetabular component. The 10-year cumulative incidence of revision of the acetabular component for loosening was 9.6% in the Harrington group and 0% in the tantalum group (p = 0.09). The mean Harris hip score significantly improved following reconstruction (31 to 67 points; p < 0.001), with no significant difference (p = 0.29) between groups.

Conclusions:
In patients with periacetabular metastatic disease treated with total hip arthroplasty, an acetabular reconstruction strategy utilizing highly porous tantalum acetabular components and augments successfully provided patients with a more durable construct with fewer complications compared with the cemented Harrington-style technique.

Levels of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
A Unique and Characteristic Cam FAI Morphology in Young Patients with Comorbid Inflammatory Conditions
Authors: Seth Akshay , Yen Yi-Meng , Tourn Diego , Smit Kevin , Carsen Sasha 
Published: May 2020

Background:The relationship between femoroacetabular impingement (FAI) and inflammatory medical comorbidities has not been established in the pediatric population. The purpose of this study was to investigate the prevalence of inflammatory conditions in pediatric patients with FAI and the morphology of the associated deformity.Methods:We performed a retrospective cohort study of 90 patients who were diagnosed with FAI in our institution’s adolescent hip clinic from January 2016 to March 2018. Patients with an inflammatory comorbidity were identified. Standard quantitative radiographic FAI measurements as well as qualitative femoral head-neck junction morphology were analyzed.Results:Eight patients (8.9%) with 11 symptomatic hips were found to have an inflammatory condition. These 8 patients all had cam deformities. Nine of the symptomatic hips in this subset of patients had a negative femoral offset, where the cam deformity extended beyond the anterior margin of the femoral head. Qualitative assessment revealed a unique head-neck morphology with a prominent and “sharp-edged” bump at the head-neck junction, which resembled an inflammatory beak. In comparing patients with and without inflammatory comorbidities, a marked difference was found for alpha angles (difference, 26.6°; 95% confidence interval [CI], 18.2° to 35.0°) but not for age at diagnosis (difference, 0.5 years; 95% CI, −0.8 to 1.6 years) or the lateral center-edge angle (difference, 1.9°; 95% CI, −3.9° to 7.7°).Conclusions:At our institution, 8.9% of pediatric patients with FAI were found to have an inflammatory comorbidity. These patients presented with a characteristic prominent “sharp-edged” head-neck morphology that standard radiographic measurements captured as a negative femoral offset and a larger alpha angle than was seen in patients without systemic inflammatory disease. Awareness of the characteristic cam deformity that was found in these patients may help to identify patients with undiagnosed inflammatory conditions. This unique deformity also raises questions regarding the possible role of physeal inflammation in the development of cam deformities and indicates a need for additional studies to investigate the relationship between systemic inflammatory diseases and FAI.Level of Evidence:PrognosticLevel IV. See Instructions for Authors for a complete description of levels of evidence.
Research on the Satisfaction Impact Factors of China-Eurasia Expo: From the Perspectives of Local Residents and Exhibitors
Authors: Li Jianglong , Liu Wei , Feng Yueyang , Wang Zongshui , Zhao Hong 
Published: May 2020

AbstractUnderstanding the satisfaction impact factors of China-Eurasia Expo is important to hold and improve the Expo. This paper divides the impact factors of satisfaction into local residents and exhibitors’ aspects. Firstly, this paper constructs a five-dimension conceptual model to measure the local residents’ satisfaction which consists of the degree of promoting economic development, environmental protection, cultural quality, urban convenience and urban brand image of the China-Eurasia Expo. 898 valid questionnaires were collected and structural equation model (SEM) was used to validate the constructed model and the proposed hypotheses were proved; the path coefficients of cultural quality, urban convenience and urban brand image to locals’ satisfaction are all greater than 0.90, indicating that they have high impacts on local residents’ satisfaction, while the path coefficient of the degree of promoting economic development to residents’ satisfaction is 0.695, indicating a relatively low impact. Secondly, this paper constructs a five-dimension conceptual model of exhibitors’ satisfaction which includes infrastructure, management level, service quality, organizing effect, and advancement. 708 valid questionnaires were collected and SEM was used to valid the constructed model and the proposed hypotheses. The results show that the five path coefficients to exhibitors’ satisfaction are higher than 0.7, all hypotheses were proved.
Study on the Measurement of Industrial Structure “Sophistication, Rationalization and Ecologicalization” Based on the Dynamic Analysis of Grey Relations — A Case Study of Beijing-Tianjin-Hebei
Authors: Yuan Shiyi , Sun Xiaopeng , Chen Weiguo , Li Yongwu 
Published: May 2020

AbstractThe Beijing-Tianjin-Hebei region is one of the regions with the most dynamic economies, highest degrees of openness, strongest innovation capacities and largest populations, as well as an important engine driving China’s economic development. Currently, the development of the Beijing-Tianjin-Hebei region faces many difficulties, including an inefficient distribution of regional functions, imbalance in industrial structure, low sophistication, and serious overburdening of resources and the environment. Promoting the overall coordinated development of the region has become an urgent challenge. In this paper, according to the conventions of industrial structure optimization, the three core indicators of regional industrial structure rationalization, sophistication and ecologicalization are constructed. With the help of the grey dynamic correlation model, the three indicators are coupled with the economic growth rate, and the industrial structure optimization index of the Beijing-Tianjin-Hebei region is comprehensively measured. The study shows that rationalization of the industrial structure in the Beijing-Tianjin-Hebei region is increasing but that this trend is not obvious; sophistication of the industrial structure is relatively high and has also been operating at a high level; however, the overall ecological level of the industrial structure in the Beijing-Tianjin-Hebei region is not high and presents the characteristics of high in the middle and low at both ends. In terms of the relationship between industrial structure and economic growth in the Beijing-Tianjin-Hebei region, ecologicalization of the industrial structure has the greatest influence on economic growth, followed by sophistication of the industrial structure, and rationalization of the industrial structure has the weakest influence.
Multi-faceted function of vitamin K with particular consideration of vitamin K2 – literature review
Authors: Niemiec Aleksandra , Stasiak Urszula , Wasilewska Anna , Przybylski Dawid , Marchelek-Myśliwiec Małgorzata , Nowosiad-Magda Monika 
Published: May 2020

AbstractIntroduction: Vitamin K, discovered in the 1930s, is a very important compound for the human body, performing many functions. The most well known of them are calcium homeostasis and coagulation. Nowadays it is apparent that many more beneficial multiorgan aspects of vitamin K exist.The aim of the study was to review the properties of vitamin K and to show its potential therapeutic value.Materials and methods: Medline databases (PubMed) and other scientific sources were searched.Results: Vitamin K shows a multifaceted effect on the proper functioning of the human body: preventing coronary vessel calcification, maintains normal blood pressure, has neuroprotective effects, reduces the risk of myocardial infarction, slows the process of osteoclastogenesis, and influences the production of bone reabsorption factors. In addition, vitamin K supplementation has been shown to reduce the risk of hepatocellular carcinoma (HCC) by interfering with tumour cells cycle and inducing their apoptosis. The pro-apoptotic activity of menaquinone is not limited to HCC only, but also to other cancers such as glioblastoma multi-forme, breast cancer or bladder cancer, which reveals the importance of vitamin K in oncology. Possibly, introduction of vitamin K to the therapy may improve malignancy treatment outcomes.Conclusions: Vitamin K derivatives participate in many metabolic pathways of the human body. Their multifaceted activity may be used both in prevention of many diseases and in their potential treatments. However, further multicentre studies are necessary to understand better possible therapeutic properties of vitamin K derivatives.
Assessment of the quality of the 4th year surgical curriculum at the Pomeranian Medical University in Szczecin for the academic year 2016/2017
Authors: Żyluk Andrzej , Szlosser Zbigniew 
Published: May 2020

Abstract

Introduction: The objective of this study was assessment of the course, quality and accomplishment of 4th year surgical curriculum in Pomeranian Medical University in Szczecin (in Poland) for the academic year 2016/2017.

Materials and methods: A questionnaire-survey was carried out in a group of 97 Polish students in the 5th year of the Medical Faculty just before the seminar-block of surgery. Main topics of the questionnaire items concerned students’ opinion on the expected usefulness of the acquired surgical knowledge for future medical practice, acquired manual skills, classes conducted in the operative theatre and overall organization of classes.

Results: Knowledge from general surgery was scored by students the highest as potentially most useful for future medical practice. Assisting in operations and learning manual skills (mostly inserting stitches on a pig trotter) was considered the most valuable portion of surgical curriculum. These skills were also believed to be the closest to the meaning of the term “skill/competency-oriented teaching” surgery. Theatre classes were considered valuable only for students assisting in operations, but for most of the passive observers it was a waste of time. Less than a half the students took history and examined patients with common urological and surgical disorders. Most (96%) responders considered an inadequate amount of time assigned for manual skills and ward-round teaching the greatest drawback of the 4th year surgical curriculum.

Conclusions: Outcomes of this study showed the students’ expectations in surgery lessons in 4th year of university curriculum and what a grade of its performance was. Awareness of this may have an effect on modification of the curriculum and methods of undergraduate teaching surgery.