bluuebunny/crossref_metadata_2025_split huggingface dataset:
A QUALITATIVE ANALYSIS OF AWARENESS AND UTILIZATION OF SOCIAL SECURITY MEASURES AMONG THE ELDERLY IN KOCHI CORPORATION
Authors: Retnakumar Charutha , George Leyanna Susan , Chacko Maya 
Published: May 2020

Background: As per Census 2011, nearly 104 million people in India are above the age of 60 years. While in Kerala, 12.6 % of the population is elderly. The government of India has launched various social security schemes and concessions for the elderly. Hence, objective of this research is to study the awareness & utilization of social security measures. It also aimed to understand the motivators & barriers for utilization of social security measures among the elderly.
Methodology: A qualitative study was carried out in 5 geriatric care centres in the 65th division of Kochi. 7 FGDs were conducted in each of the geriatric clubs and 7 In-depth interviews were conducted among the Anganwadi workers, medical officers, public health workers, and welfare officers. The data was translated, transcribed, Coded, thematically analysed and conclusions were drawn after data triangulation.
Results: The awareness & utilization of various social security measures were found to be poor among the elderly. This was attributed to the lack of awareness among the community level workers regarding same. Pensions, railway concessions, and vayomitram project were the most popular schemes. Financial security among the pensioners through the schemes was a major motivator. While, the lack of awareness regarding the schemes and delay in processing the applications were the barriers identified.
Conclusion: Proper channelization of knowledge is important for the awareness generation among elderly and community level workers. This can further lead to effective utilization of the benefits provided.
FINDING A SIMPLIFIED CLINICAL SCORE FOR DIAGNOSIS AND TREATMENT OF ENDOMETRIOSIS WITHOUT CHOCOLATE CYST
Authors: Bagchi Bishista , Siddhartha Chatterjee , Arpan Chatterjee 
Published: May 2020

Introduction: This study has been proposed to evaluate the feasibility of trans-vaginal and trans-abdominal ultrasound in screening of endometriosis.
Methods: This was a retrospective observational study in which women with clinical symptoms, features and family history of endometriosis were included. Women with diagnosed endometriosis on treatment, with chocolate cystor adenomyosis were excluded. The ultrasound features in patients with suspected endometriosis were correlated with the laparoscopy findings and a new scoring system has been introduced to facilitate the management of the disease. Results: 2080 patients were examined clinically either by per-vaginal or by per-rectal examination (in adolescents, unmarried patients) and the findings were noted and ultrasound was performed. 489 of these women had undergone laparoscopy. Combined clinical score of 1-3 is associated with USG score 1. The visualisation shows that combined clinical score of 7-9 is associated with laparoscopy score 4 and combined clinical score of 1-3 is associated with laparoscopy score 2.Combined clinical score 10-12 is highly differentiated statistically. Conclusion: Clinical symptoms, signs along with USG findings have been seen to be quite helpful to screen endometriotic cases and thereby they should be followed up closely to detect its presence. In extremely doubtful cases laparoscopy should be performed for detection of the foresaid disease. It is very important to note that the clinical score and USG score corresponds to a large extent to laparoscopy score as mentioned in the results.
Keywords: endometriosis, trans-vaginal, trans-abdominal, ultrasonography, clinical, score, laparoscopy
List of abbreviations
USG – Ultrasonography
MRI –Magnetic Resonance Imaging
POD- Pouch of Douglas
VAS- Visual Analogue Scale
TVS- Trans-vaginal ultrasonography
TRUS- Trans-rectal ultrasonography
USL- utero-sacral ligament
A RETROSPECTIVE STUDY COMPARING PROXIMAL FEMORAL NAIL ANTI-ROTATION WITH CEMENTLESS BIPOLAR HEMIARTHROPLASTY FOR UNSTABLE FEMORAL INTERTROCHANTERIC FRACTURE
Authors: Bobade Satish , Bobade Sandesh , Deokate Pravin 
Published: May 2020

Background: Intertrochanteric femoral fractures are one of the most common types of bone fractures that are usually caused by severe direct or indirect force. It has also been estimated that nearly 50% of all the fractures are intertrochanteric fractures and the remaining are unstable fractures. Also, it has been found that the mortality related to hip fractures is as high as 15-20%. With an increase in the life expectancy of people, there has been a substantial increase in the number of patients with postmenopausal or senile osteoporosis.
Aim: To compare Proximal femoral nail anti-rotation with cementless bipolar hemiarthroplasty for unstable femoral intertrochanteric fracture
Methods: It was a retrospective study carried out at the Government Medical College, Baramati for a period of 1 year. One hundred patients were included for the scope of the study. Out of which 50 patients belonged to the PFNA group, and 50 patients belonged to the CPH group.
Results: The number of patients in the PFNA group was 50 and that in the CPH group was 50. Both groups show male preponderance. The mean age among both the groups was almost the same, and there was no statistically significant difference among the two groups regarding the mean age. The mean operation time for PFNA was 54.15±16.1 mins, and that of the CPH group was 76.69±15.89 mins. The mean bleeding time for PFNA was 133.12±33.16 ml, and that of the CPH group was 289.25±44.01 ml. There was no statistically significant difference among the ASAA grade scores of the two groups. There was no statistically significant difference among the Evans-Jensen classification of the two groups. The mean length of hospital stay for PFNA group was 7.89±2.0 days, and the mean hospital stay for CPH group was 6.54±1.9 days.
Conclusion: The current study depicted that CPH and PFNA are both safe and effective methods of treating elderly patients suffering from intertrochanteric fractures. However, it was found in the current study that CPH was found to have more mean operative time and increased blood loss. Still, the recovery and hospitalization time was almost similar in both the groups. Both the groups had almost similar ASA and Evans Jensen scores that made both the techniques equally safe
CLINICAL STUDY OF RESPIRATORY DISTRESS IN NEWBORN IN TERTIARY CARE CENTRE, RIMS RANCHI.
Authors: Naik Nagarjuna , Chaudhary Anil Kumar , Chaudhary Raghu Nandan , Ranjan Rakesh 
Published: May 2020

Background: Respiratory distress in neonates is the most common cause of admission to NICU in a tertiary care hospital. Identification of risk factors associated with development of severe distress and early diagnosis of cause is very important in the management of neonatal distress.
Methods: 110 consecutive born neonates with RD were studied and assessed for development of severe distress against onset, duration, oxygen requirement and outcome in terms of final diagnosis, mortality and treatment. Serial chest X- rays were done at 1 hour and 6 hours of onset of distress.
Results: BA (41%) was the commonest cause. Development of severe distress was more when onset is at 6 hours after birth (77%), duration persists more than 24 hours (65.5%) Ventilation was done in 26 cases and there was17% mortality.
Conclusions: Birth Asphyxia is the most common cause of respiratory distress in new-born. Almost 48% of new-born with respiratory distress develop severe respiratory distress which require intensive monitoring. Risk factors like high maternal age, primi-gravida mothers, more than 4 per vaginal examinations, meconium stained liquor, cesarean delivered new-borns, Small for gestation age, and 1 min Apgar score less than 7, birth weight less than 2.5Kg and male sex of new-born were associated with severe respiratory distress in new-borns.
Keywords: Respiratory distress, New-born, Risk factors, Chest x rays, Oxygen requirement
DO BIPOLAR PATIENTS LACK MIND READING; AN ATTEMPT TO ASSESS THROUGH PICTURE SEQUENCING TASK
Authors: Rathi Anant Kumar , Sharma Sandeep , Verma Kamal Kumar , Bishnoi Divya 
Published: May 2020

Background: This paper reports the performance of ICD-10 diagnosed Bipolar affective disorder (BPAD) patients on a well recognised measure of theory of mind (ToM) that commonly elicits group related differences in schizophrenia research.
Aims: (1) To assess Theory of mind in patients of Bipolar Affective Disorder.
(2) To examine effect of mood on Theory of Mind.
Method: Three groups were formed namely Control, BPAD (M) and BPAD (D). Each group was socio-demographically suitably matched and had 30 participants. Active symptomatology was assessed by using YMRS and MADRS in BPAD(M) and BPAD(D) cases respectively. Theory of mind was calculated using Landon and Clotheart (1999) Picture Sequencing Task.
Results: Relative to controls, bipolar patients performed significantly worse on the ToM relevant false belief script in picture sequencing task but not on other types of task stories. No significant difference was observed in the ToM performance between the phase of bipolarity.
Conclusion: The results support previous evidence of ToM deficit in BPAD and indicate a potential endophenotypic overlap in the phenomenology of both Schizophrenia and BPAD.
Keywords: Theory of Mind, YMRS, MADRS, Picture Sequence Task
IMPACT OF FLIPPED CLASSROOM ON FIRST MBBS STUDENTS IN RENAL PHYSIOLOGY.
Authors: Daulatabad Vandana S. , Kamble Prafull A. 
Published: May 2020

Introduction: Teaching by “flipped classroom” approach is evolving in medical science where students attempt significant pre-class preparations, while classroom time is utilized to achieve deeper levels of knowledge of the relevant topics.
Aim: To implement flipped classroom teaching method and to comprehend, analyse and evaluate the impact of this method in first MBBS students.
Settings and Design: 100 first MBBS students of Ashwini Rural Medical College, Solapur. It’s a cross-sectional observational study
Methods and Material: Study group comprised of 100 students, who were divided into two groups. Group-1 was exposed to flipped classroom (FCR) teaching method and Group-2 was subjected to traditional classroom teaching by same faculty. Study material like power-point presentations, links for the video lectures and page numbers of standard textbooks of the topics to be taught were shared with students belonging to FCR group. Pre-test was taken from both the groups before beginning of study. Classroom time was utilised for making students achieve deeper knowledge and understanding by self-directed learning methods for FCR group while non-FCR group was taught by didactic lecture sessions. Evaluation was done by post-test. Students belonging to FCR group were asked to give feedback about FCR teaching method.
Statistical analysis: Comparison of scores of pre and post-test was done between both the groups by using t-test. (p-value < 0.05-significant).
Results: The average score comparison of pre-test between group-1 and group-2 was not significant which depicts no intellectual difference between both groups whereas average score comparison of post-test between group-1 and group-2 was highly significant. The average marks scored in post-test were highly significant than the marks so scored in pre-test for group-1, whereas in group-2, the average marks scored in post-test were only significant than the marks scored in pre-test.
Students strongly agreed that they were able to understand the topic effectively and FCR was an interesting experience for learning.
Conclusions: The present study resulted in improved student’s performance in FCR group hence it gives us an insight that FCR would be a potential and greater educational tool for facilitators to help students reach deeper understanding of topics along with relevant exposure to different ways of pedagogy.
Keywords: Flipped Class room, Pedagogy, Active learning, Renal Physiology
COMPARATIVE EVALUATION OF THE MARGINAL ADAPTATION OF FOUR DIFFERENT COMPOSITE RESINS WITH OR WITHOUT PREHEATING – AN IN VITRO STUDY
Authors: R Mohanapriya , V Rajesh Gopal. , Kumar A. Arvind , Paulaian Benin , . Joselin , Kolden . Jai 
Published: May 2020

Background: Resin composites as direct posterior restorative material was associated with the polymerization contraction and microleakage. Different methods have been introduced to overcome these drawbacks by increasing the degree of monomer conversion and to minimize the polymerization shrinkage. Composite preheating is an innovative method to improve the handling and physical properties. So this study was done to evaluate the effect of prepolymerization warming of different composites on the marginal adaptation.
Materials and Methods: This in vitro study was conducted on 80 extracted human maxillary premolars. Class II cavities on the proximal surface were prepared with the dimensions of 4 mm buccolingual width, 2 mm axial depth, and gingival margin at the cementoenamel junction. They were divided into four groups of 20 teeth each and were restored accordingly: Group I – Bulkfill nanohybrid; Group II – Nanofill; Group III – Ormocer; Group IV – microhybrid composites. Each group was further sub - divided into subgroups of 10 teeth, according to the preheated composites and room temperature composites used. After restorative procedures, samples were sectioned in the mesiodistal direction through the centre of the restoration and analysed using Scanning Electron Microscope at 200x magnification and marginal gap width was measured in three areas at the axial wall using Image Processing and Analysis in Java (ImageJ 1.5 2a) software.
Statistical Analysis: Data was entered in Statistical Package for Social Sciences version 21 Software for Windows. The comparisons of four different composite materials with two subgroups were analyzed using Kruskal Wallis test. The level of significance was kept at p < 0.05.
Results: Preheating results in more gap formation with the bulk fill nanohybrid and Ormocer showed higher MQ4 scores than the room temperature composites. No statistically significant results were found. But the percentage of gap formation was comparatively higher in preheated composite group.
Conclusion: Within the limitations of the present study, it could be concluded that preheated composites showed poor internal marginal adaptation with increased frequency of gap formation.
Key words: Internal marginal adaptation, Ormocer, Filtek nanofill, Microhybrid, Tetric bulk fill
TO STUDY ANTIBIOTIC SENSITIVITY PATTERN OF NONFERMENTATIVE GRAM NEGATIVE BACILLI FROM VARIOUS CLINICAL SAMPLES IN A TERTIARY CARE HOSPITAL, JAIPUR.
Authors: Hemwani Kirti , Nirwan P.  S. , Shrivastava Preeti , Ramchandani Abhiraj 
Published: May 2020

Background: Nonfermentative gram negative bacilli (NFGNB) frequently considered as commensals or contaminants but the pathogenic potential of nonfermenters has been proved beyond doubt. They are resistant to commonly used antimicrobials.
Aim: This study was undertaken to identify the nonfermenters isolated from various clinical samples and to know their Antibiotic sensitivity pattern.
Materials and Methods: The present study was carried out on 150 strains of Nonfermenters isolated from 1200 various non repetitive clinical samples received in Department of Microbiology, NIMS Jaipur. Nonfermenters were identified using a standard protocol and their antibiotic susceptibility testing was performed with the help of the modified Bauer disc diffusion method.
Results: Out of 150 nonfermenters isolated, Pseudomonas aeruginosa was the most common isolate 134 (89.33%) followed by Acinetobacter baumannii 16 (10.67%). Among all clinical samples Pus and Wound Discharge yield maximum isolates of NFGNB i.e. 54 (36%) % followed by sputum (39.0%). Most sensitive drug against NFGNB was Polymyxin-B (100%) followed by Imipenem (86 %) and Amikacin (71.33 %).
Conclusion: Nonfermenters have a great potential to survive in a hospital environment so implementation of antibiotic stewardship programs and strict infection control practices will be required to prevent or slow down their emergence and spread.
Keywords: Nonfermenters, Polymyxin-B, Pseudomonas, Acinetobacter.
TO COMPARE THE NEED FOR INTRAVENOUS VASOPRESSOR (RESCUE) THERAPY FOR TREATING SPINAL ANAESTHESIA INDUCED HYPOTENSION AMONG PHENYLEPHRINE, EPHEDRINE AND CONTROL GROUPS.
Authors: Sharma Utsav , Thakur Kunwar Singh , Goyal Preeti , Choudhary Bhanu 
Published: May 2020

The study was undertaken in the Department of Anaesthesiology, Gajra Raja Medical College, Gwalior. The study included 90 patients (age 20-35 years) undergoing elective caesarean section under spinal anaesthesia.
Maximum hypotension was observed in control group. As compared to the control group, incidence of hypotension was significantly less in phenylephrine group as well as ephedrine group. Also comparing ephedrine and phenylephrine groups, although incidence of hypotension was low in phenylephrine group but it was not found to be significant.
The incidence of hypotension was significantly low in phenylephrine group (p=0.000) and ephedrine group (p=0.005). But when phenylephrine and ephedrine groups were compared, although incidence of hypotension was low in phenylephrine group but it was not found to be significant (p=0.869).
Keywords: Intravenous Vasopressor, Spinal Anaesthesia, Hypotension & Phenylephrine.
Indeks Kualitas Air Sungai Noemuti dan Analisis Sensitivitas
Authors: Santiari Made 
Published: May 2020

Noemuti River is a river located in the South Bikomi District with a length of 30 km that is monitored periodically by the North Central East Regency Environmental Service. Information on the results of this monitoring needs to be conveyed as simple information, one of which is in the form of a water quality index. This study aims to calculate the index value of water quality and conduct a sensitivity analysis. This research is a quantitative descriptive study using secondary data in the form of 2016-2018 monitoring results. The parameters included in the calculation of the water quality index are BOD, COD, TSS, Fecal Coliform, and Total Coliform. Data were analyzed using the pollution index formula to get a water quality index value. Sensitivity analysis was carried out with four scenarios, namely removing parameters a) Fecal Coliform b) Total Coliform c) Fecal Coliform and Total Coliform d) TSS. The Noemuti river water quality index value ranges from 0.26-5.28, with the category good quality to moderately polluted. Sensitivity analysis provides a picture of parameters that influences the water quality index value. The fourth scenario is a scenario that causes a change in the water quality index from the category of moderately polluted to lightly polluted on 2017 data in the second and third points. This means that TSS parameters must be considered to improve river water quality. Also, the loss of the Ci / Lij TSS value as the maximum value decreases the water quality index value means the maximum Ci / Lij value is very vital for the pollution index formula. From the results of the study, it can be concluded that the Noemuti river has been polluted, and TSS is a parameter that needs to be considered in arranging controlling water pollution recommendations.
Implementasi E-Legalisir Untuk Legalisir Ijazah & Transkrip Online pada Fakultas Ilmu Komputer Universitas Mercu Buana
Authors: Permana Yudha , Wijaya Herry Derajad 
Published: May 2020

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

Abstract
There are two concepts in the title that can be seen as “foreign” to the usual technical language. Both can have several meanings and thus we adapted them “flexibly” to the current needs. One way to understand the term “management” is through its functions: planning (defining purpose and means), organizing (defining tasks and methods), and direction (guidance, controlling), inspection (testing, comparing). It can also mean among other things, standpoint, circumstance, respect, or even character. Regarding the expression “damage management” the intended meaning here is reducing or to preventing damage to the tool, also improving the resistance of the tool material to damage, which besides material selection issues also has design, technology and operational aspects. This article gives an overview of some of these.
Roots of Great Innovation
Authors: Gallagher B Kathleen 
Published: May 2020

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