bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of glaucoma cases with gonioscopy and optical coherence tomography
Authors: Gandhi Yash , M Solu Trupti 
Published: March 2020

Glaucoma is the second leading cause of blindness in the adult population of India. Diagnosis and management depends on categorization of Glaucoma into open or closed angle. : To compare the accuracy of Gonioscopy and Anterior Segment Optical Coherence Tomography (ASOCT) in studying the structures of anterior chamber angle of the eye and find out the agreement between them in detecting angle closure. Cross -sectional observational study. The present study is a hospital based cross-sectional study of patients between 20 to 80 years of age with Glaucoma attending the outdoor patient department in a tertiary care government hospital (New civil hospital), Surat. Patients having Corneal Opacity, and anti-Glaucoma surgeries done were excluded. All diagnosed cases of Glaucoma were evaluated by Gonioscopy in the dark with a Goldman 3 mirror lens Gonioscope at high (16x) magnification for static assessment (without indentation). A narrow slit beam, 2mm* 1mm, was cast during Gonioscopy, avoiding direct illumination over the pupil. The angle in each quadrant was graded with the Shaffer grading system. Anterior Segment OCT was done by TOPCON 3D OCT-1 MAESTRO machine. Imaging was performed in dark room conditions. Patients were imaged gazing straight ahead. Imaging of a single meridional section of the Anterior Chamber Angle at superior, inferior, temporal and nasal quadrants were performed. Grading of Anterior Chamber Angles on AS-OCT is termed as Closed if there is no visualization of Scleral Spur and/or any degree of irido-trabecular contact. kappa value, sensitivity & specificity, positive & negative likelihood ratio. Total 50 Glaucoma patients were examined by Gonioscopy and AS OCT. Total number of Angles examined were 400. Total number of Angles closed on Gonioscopy were 136 (34%). Total number of Angles closed on AS OCT were 190 (47.5%). Agreement between Gonioscopy and AS OCT in detecting angle closure in all 4 quadrants was ‘Moderate to Good’ by Kappa Value.
Comparasion of intraoperative triamcinolone and Bevacizumab with conjuctival autograft alone in pterygium surgery
Authors: Kumar Sunil 
Published: March 2020

Pterygium is a degenerative condition of subconjuctival tissue that undergoes elstotic degeneration and proliferates as vascular granulation tissue under the epithelium. This ultimately encroaches the cornea destroying its epithelium, superficial stroma and the Bowman’s membrane. It is occurs more commonly on the nasal side than the temporal side, but it can occur on both sides (double pterigium). Pathogenesis is mainly implicated to ultraviolet radiation exposure. It has highest prevalence and in the tropical areas near the equatorand to lesser abd milder degree in cooler climates. The increased levels of proangiogenic factors like basic fibroblast growth factor (BFGF), transforming growth factor Beta (TGF-b), vascular endothelial growth factor(VEGF) and platelet derived growth factor(PDGF) are responsible for formation and recurrence of Pterygium; however the most important of this growth factor is VEGF.To compare the efficacy of intraoperative subconjuctival injection of Triamcinolone and Bevacizumab with conjunctiva autograft alone in primary Pterygium surgery.Total 150 patients divided in three groups (50 patients of each group), underwent primary Pterygium surgery between MAY 2016 to APRIL 2017. In group A, Conjuctivialauto graft alone was done while in groups B & C, it was combined with Intraoperative Subconjuctival Injection of Triamcinolone (0.2mg/ml) and Bevacizumab, (2.5mg/0.1ml).Recurrence rate at 12 month was more in auto graft alone (group A) than in the auto graft in combination with Triamcinolone (group B) and Bevacizumab (group C) respectively.: Subconjuctival injection of Triamcinolone & Bevacizumab can be combined with Conjuctivialauto graft intraoperatively to prevent but Triamcinolone may prefer due to more cost effectiveness.
Post traumatic amnesia as a predictor for development and recovery of visual field defects following mild traumatic brain injury (mTBI)
Authors: Das Matuli , Kumar Das Narendra 
Published: March 2020

Mild traumatic brain injury can trigger long term visual dysfunction in the form of visual field defects which can disrupt the normal lifestyle of any individual and other rehabilitation efforts resulting in social and professional distress. Post traumatic amnesia is one of the predictors of severity in mTBI.The purpose of this study was two fold (i)To find out the association between post traumatic amnesia and visual field defects following mild traumatic brain injury. (ii) The implication of post traumatic amnesia on the development and recovery of visual field defects post mTBI. Hospital based prospective, analytical, observational study. A total of 260 patients with the diagnosis of mTBI were studied. Diagnosis of mTBI was based on the WHO Operational criteria for clinical identification of mTBI.Visual field index (VFI) was taken to estimate the extent of visual field damage because it is a global index which expresses the amount of visual field loss as a percentage relative to the sensitivity of a reference group of healthy observers.The Galveston orientation and amnesia test (GOAT) was applied to assess post traumatic amnesia. The study period was from July 2017 to March 2019. Each patient with mTBI was examined for Visual field defects at 1 month, 6 months and 1 year post injury. The main observation of this study were (i) It is important to look for visual field defects even in mild traumatic brain injury for atleast 6 months post injury because during this period the appearance of visual field defect peaked. (ii) There is a strong possibility of developing visual field defects among the group of patients who presented with the history of post traumatic amnesia following mild traumatic brain injury (P=0.0001) (iii) If a patient with mild traumatic brain injury suffers from visual field defects, possibility of his/her symptoms persisting beyond 12 months increases significantly if there is history of post traumatic amnesia (P=0.0001).Mild traumatic brain injury can trigger long term visual dysfunction in the form of Visual field defects. Our results will help in providing information regarding development, progress and outcome of visual field defects following mild traumatic brain injury.
Analysis of conjunctival flora in diabetic and non-diabetic individuals and their antibiotic sensitivity pattern
Authors: Vadodaria Bansari , Ashtamkar Saurabh , Maheshgauri Rupali , Motwani Divya , Sharma Aakriti 
Published: March 2020

To compare the conjunctival flora of diabetic individuals and non-diabetic individuals and assess their antibiotic sensitivity pattern. A hospital based cross-sectional and descriptive study was carried out from September 2016 to August 2018 with 92 patients of age group from 40-70 years, to assess the conjunctival flora and antibiotic sensitivity pattern in diabetic and non-diabetic individuals without any pre-existing ocular diseases and adnexal disease. The rate of positive culture in Group A (Diabetics) was significantly higher as compared to Group B (Non-Diabetics) (21.7% vs. 4.3% respectively) (p&#60;0.05). It was noted that there was a significantly higher incidence of the bacteria, Staphylococcus epidermidis in Group A (Diabetics) as compared to Group B (Non-Diabetics) (p&#60;0.05). The antibiotic sensitivity of bacteria isolated in patients in Group A (Diabetics) showed the following observations - in Staphylococcus epidermidis, Staphlococcusaureus maximum sensitivity was seen with Gentamicin. A higher positive culture rate was seen in diabetic individuals as compared to non-diabetic individuals. It was then concluded that, as gentamicin shows maximum sensitivity to gram-posit ive and gram-negative organisms, Gentamicin is the drug of choice which takes cares of gram positive as well as gram negative bacteria and can be considered as routine pre-operative topical medication.Pre-operative cataract work up.
PERCEPATAN JURNAL KEWIRAUSAHAAN DAN BISNIS MENUJU AKREDITASI NASIONAL
Authors: Susantiningrum Susantiningrum , Triharyanto Eddy , Yudhistira Bara , Hantari Dimar 
Published: March 2020

<p><em>Jurnal Kewirausahaan dan Bisnis (JKB) has p-ISSN and e-ISSN. In 2017 JKB socialization activities were carried out to publish the journal to all regions in Indonesia and to attract more varied writers, especially those from outside Universitas Sebelas Maret (UNS). Furthermore, JKB development activities are needed towards reputable journals by adopting the Direktorat Jenderal Pendidikan Tinggi Regulation No. 1 of 2014 concerning Accreditation Guidelines for Scientific Issues. This study aims to improve the quality and capacity of management study centers, especially in managing Jurnal Kewirausahaan dan Bisnis towards reputable journals, such as by preparing national journal accreditation requirements. Activities that have been carried out included: initial coordination of activities, submitting to the national index institute, workshop on simulation of journal appraisal towards national accreditation, and workshop on the national accreditation program for JKB.</em></p><em>Keywords: journal, institution, entrepreneurship, accreditation</em><p> </p><p> </p>
Application of Mesh Adaptive Derivative-Free Optimization Technique for Gas-Lift Optimization in an Integrated Reservoirs, Wells, and Facilities Modeling Environment
Authors: Khoshkbarchi Mohammad , Rahmanian Mohammad , Cordazzo Jonas , Nghiem Long 
Published: March 2020

Abstract
Gas-lift is an important artificial lift strategy for increasing the production of hydrocarbons from heavy oil and offshore reservoirs with declining pressure. The optimum design and operation of gas-lift has a considerable impact on the optimum production and economics of the entire field and can only be achieved by considering all related variables in connected reservoirs, gas-lifted wells and facilities. Therefore, it is essential to formulate the gas-lift model as an optimization problem within an integrated modeling environment, where all the time dependent physical and operational constraints of reservoirs, wells and facilities can be collectively taken into account during the time evolutionary modeling of the asset. However, this could pose a computationally challenging problem for most derivative based optimizers, as some of the governing equations and models representing the gas-lifted asset could be very nonlinear, physically or mathematically discontinuo us, and the system may not have a solution under some of the conditions proposed by the optimizer due to physical operational restrictions or infeasibility. To overcome these problems we applied a mesh adaptive direct search (MADS) derivative free optimization technique to optimize the gas-lift problems in an integrated reservoir, wells and production facilities environment. The results proved the suitability of the MADS strategy for optimizing these systems particularly for systems with narrow or discontinuous boundaries of physical operation.
Efficient Coupled Multiphase-Flow and Geomechanics Modeling of Well Performance and Stress Evolution in Shale-Gas Reservoirs Considering Dynamic Fracture Properties
Authors: Liu Lijun , Liu Yongzan , Yao Jun , Huang Zhaoqin 
Published: March 2020

Summary
Significant conductivity losses of both propped hydraulic fractures and unpropped natural fractures are widely observed by laboratory experiments and field studies in shale-gas reservoirs. Previous studies have not well-considered the effects of dynamic fracture properties, which limit the accurate prediction of well performance and stress evolution. In this study, an efficient coupled flow and geomechanics model is proposed to characterize the dynamic fracture properties and examine their effects on well performance and stress evolution in complex fractured shale-gas reservoirs. In our proposed model, a unified compositional model with nonlinear transport mechanisms is used to accurately describe multiphase flow in shale formations. The embedded discrete fracture model (EDFM) is used to explicitly model the complex fracture networks. Different fracture constitutive models are implemented to describe the dynamic properties of hydraulic fractures and natural fractures, respectively. The finite-volume method (FVM) and finite-element method (FEM) are used for the space discretization of flow and geomechanics equations, respectively, and the coupled problem is solved by the fixed-stress split iterative method. The coupled model is validated against classical analytical solutions. After that, the proposed model is used to investigate the effects of hydraulic-fracture and natural-fracture properties on production behavior as well as pressure and stress evolution of shale-gas reservoirs. With the dynamic fracture properties incorporated, our model can predict the well production more accurately, and provide more realistic stress evolution that is essential for the design and optimization of refracturing and infill-well drilling.
Functional Outcomes and Complications of Intramedullary Fixation Devices for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis.
Authors: Hoogervorst Paul , Dam Tess van , Verdonschot Nico , Hannink Gerjon 
Published: March 2020

AbstractBackground An alternative to the current gold standard in operative treatment of displaced midshaft clavicle fractures (DMCF) using plate osteosynthesis, is internal fixation by means of intramedullary fixation devices. These devices differ considerably in their specifications and characteristics. The aim of this systematic review is to generate an overview of functional outcomes and complications in the management of DMCF per available intramedullary device.Methods A systematic review was conducted to identify all papers reporting functional outcomes, union rates and/or complications using an intramedullary fixation device for the management of midshaft clavicle fractures. Multiple databases and trial registries were searched from inception until February 2020. Meta-analysis was conducted based on functional outcomes and type of complication per type of intramedullary fixation device. Pooled estimates of functional outcomes scores and incidence of complications were calculated using a random effects model. Risk of bias and quality was assessed using the Cochrane risk of bias and ROBINS-I tools. The confidence in estimates were rated and described according to the recommendations of the GRADE working group.Results Sixty-seven studies were included in this systematic review. The majority of studies report on the use of Titanium Elastic Nails (TEN). At 12 months follow up the Titanium Elastic Nail and Sonoma CRx report an average Constant-Murley score of 94.4 (95%CI 93-95) and 94.0 (95%CI 92-95) respectively (GRADE High). The most common reported complications after intramedullary fixation are implant-related and implant-specific. For the TEN, hardware irritation and protrusion, telescoping or migration, with a reported pooled incidence 20% (95%CI 14-26) and 12% (95%CI 8-18), are most common (GRADE Moderate). For the Rockwood/Hagie Pin, hardware irritation is identified as the most common complication with 22% (95%CI 13-35) (GRADE Low). The most common complication for the Sonoma CRx was cosmetic dissatisfaction in 6% (95%CI 2-17) of cases (GRADE Very low). Conclusion Although most studies were of low quality, good functional results and union rates irrespective of the type of device are found. However, there are clear device-related and device-specific complications for each. The results of this systematic review and meta-analysis can help guide surgeons in choosing the appropriate operative strategy, implant and informing their patient.
Spatial distribution and determinant factors of Female Genital Mutilation among reproductive age women in Ethiopia, 2016; Based on Ethiopian National Demographic and Health Survey
Authors: Muluneh Atalay Goshu , Kassa Getahun Molla , Merid Mehari WoldeMariam 
Published: March 2020

Abstract
Background : Though condemned and considered as a crime by the countries government, Female Genital Mutilation (FGM) remains a common public health problem in Africa and Ethiopia as well. Thus, this study was aimed to assess the spatial distribution and associated factors of female genital mutilation in Ethiopia based on the Ethiopian demographic and Health survey 2016 data. Method: This is a secondary data analysis of Ethiopian Demographic and Health Survey (EDHS) 2016 data based on 7,163 women who were included for FGM interview. The data was weighted using sampling weight as recommended by the program. The MS excel and ArcGIS 10.3 softwares were used for data cleaning and spatial analysis respectively. Global and local level clustering was assessed. For the none spatial data and the determinant factors, data cleaning and analysis was done using STATA 14. Multi-level mixed effect logistic regression model was fitted. Variables with P-value <0.25 in the bi-variable analysis were fitted in the multi-variable analysis. Finally, variables with p-value <0.05 with 95% CI of adjusted odds ratio were reported as a statistically significant determinants of FGM. Result : Female genital mutilation was spatially clustered (Global Moran’s I: 0.46, p<0.001). Significant hot spot clusters were found in Amhara, Oromia, Southern Nations Nationalities and Peoples (SNNP) regions. Mothers age >30 (AOR=2.41, 95% CI: 1.78,3.26) years, never in union (AOR=0.31, 95%CI: 0.22, 0.44), currently not working (AOR=0.71, 95%CI: 0.55, 0.92), women who considered FGM to be continued (AOR=2.86, 95%CI: 1.75, 4.68), not heard of FGM (AOR=0.22, 95%CI: 0.08,0.62), had no formal education (AOR=1.67, 95% CI: 1.03, 2.71), muslim (AOR=3.90, 95%CI:2.5, 6.09) and protestant (AOR=1.76, 95%CI: 1.25, 2.97), and those who thought of FGM as required by religion (AOR=1.99, 95%CI: 1.31,2.99) were found to be significant determinants of female genital mutilation. Conclusion: Female genital mutilation was spatially clustered with hotspot areas located. in Amhara, Oromia, and SNNP regions . Age of the mother, religion, occupation, educational level, marital status, information about Female genital mutilation, and intention about FGM to be stopped or continued were significant determinants of female genital mutilation
Measuring the effectiveness of digital nursing technologies: Development of a comprehensive digital nursing technology outcome framework based on a scoping review
Authors: Krick Tobias , Huter Kai , Seibert Kathrin , Domhoff Dominik , Wolf-Ostermann Karin 
Published: March 2020

AbstractBackground: Digital nursing technologies (DNT) comprise an expanding, highly diverse field of research, explored using a wide variety of methods and tools. Study results are therefore difficult to compare, which raises the question how effectiveness of DNT can be adequately measured. Methods currently used might not be sufficient for certain specific nursing contexts. A comprehensive outcome framework that shows the multitude of possible outcome areas could be useful to generate more comparable results. The aim of the present study is to develop an outcome framework for DNT and to indicate which outcome areas have been most frequently evaluated in previous studies and how this has been done. Methods: We combined an inductive and deductive approach to develop the framework. The numerical analysis is based on a scoping review focussing on the effectiveness of DNT for persons in need of care, formal or informal caregivers or care institutions. Nine databases were included in the screening: Medline, Scopus, CINAHL, Cochrane Library, ACM Digital Library, IEEE Xplore, the Collection of Computer Science Bibliographies, GeroLit and CareLit. Additional literature searches and expert interviews were included. Results: The developed framework comprises four outcome target groups and 47 outcome areas. There are considerable differences in the researched outcome areas for the individual outcome target groups. Persons in need of care were by far the most frequently surveyed, particularly with respect to their psychological health. There are much fewer studies on formal and informal caregivers, and it is particularly noticeable that the quality of life of both groups has rarely been investigated. Care process quality was most frequently researched for organisations. Conclusion: We were able to provide a comprehensive DNT outcome framework, thereby identifying the outcome tools used and the less researched outcome areas. We recommend a detailed investigation of all areas and tools in future research projects with a view to initiating a discussion on the differing importance of existing outcome areas and on a standardisation of outcome tools. We also recommend the development of outcome areas for the macro level of effectiveness assessment. Keywords: Technology, Care, Nursing, Framework, Effectiveness, Effect, Digital, Outcome, Evidence
Relationship between Night shift work, Eating Habits and BMI among Nurses in Lebanon
Authors: Samhat Zeinab , Attieh Randa , Sacre Yonna 
Published: March 2020

Abstract

Background The objective of this cross-sectional study was to evaluate the relationships between night shift work, eating habits and body mass index (BMI) among Lebanese nurses. Methods A total of 307 nurses were randomly selected from five hospitals located in Beirut. Data about demographic and professional characteristics, anthropometric measures, dietary habits and intakes were collected through a validated questionnaire. To study the relationship between night shift work, eating habits and BMI, chi-square test, t-test and logistic regressions were used. Results The majority of nurses (78. 2%) had irregular meals timing with a significant decrease in the number of complete meals consumed during the day and an increase in the number of snacks consumed during night (p<0. 05). The most consumed snacks during night shifts were sweets and potato chips. The findings highlighted that BMI and waist circumference significantly increased with the number of years of work (r=0.175; p<0.05) and the cumulative number of night shifts hours over the entire work history (r=0.135/p< 0. 05). Conclusion : Night shift work is positively associated with abnormal eating patterns and BMI among Lebanese nurses. However the increase in BMI is not related to eating habits.