bluuebunny/crossref_metadata_2025_split huggingface dataset:
Step-up protocol gonadotrophin versus laparoscopic ovarian drilling in clomiphene citrate resistant PCOS infertile women in two Iraqi hospitals
Authors: Abdull Thikra N 
Published: December 2020

Background: Polycystic ovarian syndrome is a common endocrine disorder affecting 6-10% of women of reproductive age and the most common cause of anovulatory infertility.
Objective: The aim of the study was to compare the effectiveness, side effects and outcomes of step-up gonadotrophin protocol versus laparoscopic ovarian diathermy (LOD) in infertile patients with clomiphene citrate resistant polycystic ovary syndrome.
Methods: The sample included women who attended our infertility clinic at Al-Elwiya Maternity Teaching Hospital and Kamal Al-Samarraee for Infertility and IVF Hospital in Baghdad/ Iraq from November 2013 to November 2014. Eighty cases of infertile women with polycystic ovarian syndrome who failed to ovulate with clomiphene citrate for six months where collected, forty women treated with step-up protocol with low dose recombinant FSH gonadotrophin which increased gradually according to ovulation response, another forty women treated with LOD. Ovulation monitoring in each group was done with transvaginal ultrasound to exclude monofollicullar, bifollicular ovulation, ovarian hyperstimulation syndrome, multiple pregnancy and pregnancy rate in each cycle for 6 cycles.
Results: Higher unifollicular ovulation and pregnancy rate in LOD than step-up protocol (91.4% & 25% versus 75% & 10%) respectively, while multifollicular and hyperstimulation rate were higher in gonadotrophin group (24.3% & 0.1% versus 8.50% & nil) respectively.
Conclusion: Ovulation induction and pregnancy rate per cycle was higher with LOD group, not time consuming, also there was no risk of hyperstimulation of the ovary or twin pregnancy as compared to the step-up protocol with gonadotrophin
A Case Report -Bilateral Giant Achilles Tendon Xanthomas Resection with a Tendon transverse Technique
Authors: Al-Shara Mohamed Baqir 
Published: December 2020

Background : Xanthomatosis is a disease in which large tendon tumors can occur, especially in the Achilles tendon. This disease is a rare interesting orthopaedic condition.
Case Report:A case of a twenty eight year old girl patient with giant bilateral Achilles tendon xanthomas in which both tumors were resected.
There was no ulceration on the both sides. The patient was treated by total resection of the lesion and reconstruction using tendon transfer of the Peroneus brevis and Flexor hallusis longus. Postoperative treatment consisted of six weeks lower leg cast immobilization followed by partial weight bearing. After 4 months the patient was able to walk pain free without any difficulties. It has been suggested that total resection with augmentation had associated with fewer complication of recurrent as compare with a subtotal resection. 10 months after surgery our patient had no signs of recurrence of Achilles tendon swelling.
Conclusion: Complete excision of the lesion is needed to reduce recurrence. Reconstruction of the defect is a challenge due to the large defect. Tendon transfer augmentation results in good functional outcome of the patient even in large defects.
Serum Ferritin and Body Mass Index in Chronic Telogen Effluvium among women attending the main dermatological outpatient clinics in BaghdadSerum Ferritin and Body Mass Index in Chronic Telogen Effluvium among women attending the main dermatological
Authors: H Al-Nakash Ali Abdulrazak , Abdul Raheem Yousif 
Published: December 2020

Background: Hair loss is a common distressing disease and challenging problem for many dermatologist. Telogen effluvium is the most common hair loss disease in which nutritional deficiencies may precipitate the disease through their effect on hair structure and growth.
Study Aim : Validating role of serum ferritin level and body mass index in Chronic Telogen Effluvium and analyzing association between these factors with socioeconomic, demographic, gynecological factors and weight loss effect. Establishing a nutritional preventive advice to improve treatment successfulness and decrease the disease occurrence.
Methods : A case series study on 327 chronic telogen effluvium patients (15-65 years old) main teaching dermatological outpatients' clinics in Baghdad. Data were collected by direct interview and questionnaire filling to analyze the associations between variables set in the data collection tool with serum ferritin level and body mass, which in turn may precipitate chronic telogen effluvium.
Results :Mean patients' age was 39±9 years, 93.6% of patients had serum ferritin below normal for hair cycle requirement (≤70μg/l). Serum ferritin significantly associated with age (p value= 0.002) and 41.1% of poor socioeconomic patients had serum ferritin ≤20μg/l.
Nearly half of the patients with ≥3 pregnancies, 43.9% of patients on weight-losing diet and 52.7% of those who actually lost weight had low ferritin levels with statistically significant associations. Being obese is a risk factor for having low serum ferritin (OR= 0.297).
Conclusion : Serum ferritin found to be ≤ 70μg/l in the majority of chronic telogen effluvium patients, which is significantly associated with patients' socioeconomic status, age, and weight status.
Management of COVID-19 in Children and Adolescents -A Practical Up-to Date Guideline
Authors: Al-Momen Hayder , Al-Tamimi Wisam Younis , Hussein Hussein khudhair , Raham Tareef Fadhil 
Published: December 2020

Sufficient high-quality data are unavailable to describe the management approach and guideline of COVID-19 disease in pediatric and adolescent population which may be due to mild presentation in most of cases and less severe complications than older ages.
World Health Organization was concerned with the establishment of an approved guideline to manage the increasing number of COVID-19 patients worldwide aiming to prevent or lessen COVID-19 global burden.
The clinical features have a wide spectrum starting from uncomplicated mild illness, mild-moderate pneumonia, severe pneumonia, acute respiratory distress syndrome, sepsis, septic shock, and multisystem inflammatory syndrome in children.
Many important definitions were developed to identify the COVID-19 case status including confirmed, suspected, and probable case.
Many laboratory tests may be beneficially done but reverse transcriptase – polymerase chain reaction (RT-PCR) for SARS-CoV-2 RNA is diagnostic.
Patient isolation and adequate intake of fluid and calories, antipyretics (preferably paracetamol), antibiotics (in secondary bacterial infections), and bed rest are the mainstay of approved supportive treatment. While oxygen supplementation may be added in moderate to severe cases; anticoagulation prophylaxis (enoxaparin) is strongly advised in children with certain situations where hypercoagulability state is identified, and therapy should be evaluated based on risk factors.
New approaches, drugs, and therapies are currently under research to manage COVID-19 pediatric and adolescent patients including antivirals (lopinavir/ritonavir, and favipiravir), remdesivir, tocilizumab, dexamethasone, convalescent plasma, and specific treatment of multisystem inflammatory syndrome in children (immunoglobulin, steroids, tocilizumab, anakinra, and aspirin).
The practical approach was summarized in a flow chart scheme to assist health care professionals to manage COVID-19 in children and adolescents within a rapid look though details are given in the text.
HUBUNGAN PENGETAHUAN MAHASISWI DAN DUKUNGAN ORANG TUA DENGAN PERILAKU MAHASISWI UNTUK MELAKUKAN KEBERSIHAN ORGAN REPRODUKSI DI AKADEMI KEPERAWATAN HERMINA MANGGALA HUSADA TAHUN 2019
Authors: Ria Anugrahwati Junita Maratur Silitonga, 
Published: December 2020

Adolescent reproductive health depends on adolescent knowledge about how to care for the reproductive organs, the participation of parents in providing information about cleanliness of the reproductive organs, this study aims to relate the knowledge of adolescent girls and support parents with student behavior to perform hygiene of reproductive organs at the Hermina Nursing Academy Manggala Husada. This study uses a descriptive correlation research design that is research conducted to see the relationship between the independent and dependent variables. This study uses a non-experimental quantitative method with a cross-sectional approach. The sample in this study were 67 first-rate female students. Data collection using a questionnaire. Analysis of the data used chi-square test. The result showed that respondents who had good knowledge were 47 respondents (70.1%), good parental support as many as 44 respondents (65.7%), and the behavior of adolescent girls to clean the reproductive organs well was 49 respondents ( 73.1%) Indicating that there was a relationship between knowledge and the behavior of adolescent girls to clean the reproductive organs (p value < ?), means that there was the relationship between parental support and the behavior of adolescent girls to clean the reproductive organs. It is expected that parents who have teenage girls can play an active role in providing information and education on how to maintain the cleanliness of the reproductive organs
Effects of Robot-Assisted Rehabilitation on Hand Function of People With Stroke: A Randomized, Crossover-Controlled, Assessor-Blinded Study
Authors: Lee Hsin-Chieh , Kuo Fen-Ling , Lin Yen-Nung , Liou Tsan-Hon , Lin Jui-Chi , Huang Shih-Wei 
Published: December 2020

Abstract
Importance: The effects of robot-assisted task-oriented training with tangible objects among patients with stroke remain unknown.
Objective: To investigate the effects of robot-assisted therapy (RT) with a Gloreha device on sensorimotor and hand function and ability to perform activities of daily living (ADLs) among patients with stroke.
Design: Randomized, crossover-controlled, assessor-blinded study.
Setting: Rehabilitation clinic.
Participants: Patients (N = 24) with moderate motor and sensory deficits.
Intervention: Patients participated in 12 RT sessions and 12 conventional therapy (CT) sessions, with order counterbalanced, for 6 wk, with a 1-mo washout period.
Outcomes and Measures: Performance was assessed four times: before and after RT and before and after CT. Outcomes were measured using the Fugl-Meyer Assessment–Upper Extremity (FMA–UE), Box and Block Test, electromyography of the extensor digitorum communis (EDC) and brachioradialis, and a grip dynamometer for motor function; Semmes–Weinstein hand monofilament and the Revised Nottingham Sensory Assessment for sensory function; and the Modified Barthel Index (MBI) for ADL ability.
Results: RT resulted in significantly improved FMA–UE proximal (p = .038) and total (p = .046) and MBI (p = .030) scores. Participants’ EDC muscles exhibited higher efficacy during the small-block grasping task of the Box and Block Test after RT than after CT (p = .050).
Conclusions and Relevance: RT with the Gloreha device can facilitate whole-limb function, leading to beneficial effects on arm motor function, EDC muscle recruitment efficacy, and ADL ability for people with subacute and chronic stroke.
What This Article Adds: The evidence suggests that a task-oriented approach combined with the Gloreha device can facilitate engagement in whole-limb active movement and efficiently promote functional recovery.
Sensorimotor and Cognitive Abilities Associated With Touchscreen Tablet App Performance to Support Self-Management of Type 2 Diabetes
Authors: Kravitz Neta , Levanon Yafi , Cukierman-Yaffe Tali , Nota Ayala , Kizony Rachel , Rand Debbie 
Published: December 2020

Abstract
Importance: Self-management programs (facilitated by mobile devices) may improve health and prevent secondary complications for older adults with diabetes. However, older adults may have difficulties using mobile devices because of neuropathy or cognitive dysfunction.
Objective: To identify sensorimotor and cognitive abilities associated with touchscreen tablet app performance to support self-management of diabetes in older adults.
Design: Cross-sectional study.
Setting: Outpatient Center for Successful Aging With Diabetes.
Participants: Forty-five older adults with Type 2 diabetes.
Outcomes and Measures: Dexterity (Purdue Pegboard Test), touch sensation (Semmes–Weinstein monofilaments), pinch strength (pinch gauge), cognition (Montreal Cognitive Assessment), and executive functioning (Trail Making Test) were assessed. Two apps were then used: Dexteria and SuCare. Demographic data, prior mobile device use, and diabetes severity (hemoglobin A1C [HbA1C]) were collected.
Results: Age and HbA1C accounted for 29.8% and 9.7%, respectively, of the total variance of Dexteria performance time (dominant hand). Dexterity (dominant hand) accounted for an additional 5.4% of the total variance of 45.1%, F(4, 40) = 10.021, p &lt; .001. Prior mobile device use, age, and diabetes severity accounted for 6.4%, 11.8%, and 26.4%, respectively, of the total variance of SuCare performance time. Executive functioning and dominant-hand dexterity accounted for an additional 9.5% and 9.4%, respectively, of the total variance of 61.0%, F(5, 39) = 14.75, p &lt; .001.
Conclusions and Relevance: Beyond age and diabetes severity, executive functioning and dominant-hand dexterity contributed to app performance, highlighting the importance of diabetes self-management. These findings may help determine suitable candidates for tablet use for self-management.
What This Article Adds: App performance is explained by the executive functioning and dexterity of older adults with Type 2 diabetes. These factors, in addition to age and diabetes severity, should be taken into consideration by occupational therapy practitioners in future mobile self-management programs.
Effect of Wi-Fi radiation on Salivary Cortisol levels
Authors: Mahila S , Devaki PR , Sai Kumar P 
Published: December 2020

Introduction and Aim: Sensitivity to electromagnetic radiation is the emerging health problem of the 21st century. The sensitivity to electromagnetic radiations has become the major issue to be highlighted as environmental intolerance to Wi-Fi. These Wi-Fi radiations are a form of stress and thereby tend to increase salivary cortisol levels. Hence this study was done to analyse the effect of Wi-Fi radiations on salivary cortisol levels. The aim of the present study is to study the effect of Wi-Fi radiation from mobile phone towers on salivary cortisol levels.
Materials and Methods: This study incorporated analysis of salivary cortisol levels in 72 healthy volunteers who were divided into two groups, subjects residing within 100 mts of the location of mobile phone towers and subjects who were residing outside 100 mts of the location of mobile phone towers and both groups were age & sex matched. The data was statistically analysed using the ANOVA with the SPSS software15.0 version.
Results: The study showed that the salivary cortisol level increased in those subjects staying within 100 meters of the location of mobile phone towers compared to the subjects residing outside 100 mts of the location of mobile phone towers. Conclusion: From this study, it is concluded that Wi-Fi radiation causes invisible damaging effects by increasing the levels of salivary cortisol and vigorous measures to be taken to safeguard ourselves from these radiations.
A comparative study to find the effectiveness of weight bearing exercises on stable platform versus wobble board, to improve balance and functional outcome of individuals with knee osteoarthritis
Authors: Kotteeswaran K. , Sindhura P. , Mohith Sesikiran P. , Subramani Manoharan Vengata 
Published: December 2020

Introduction and Aim: Knee osteoarthritis is a common degenerative disease, with its prevalence increasing with age and with multifactorial aetiology. It is a common cause of disability worldwide. Aim of the study is to compare the effect of weight bearing exercises on wobble board and stable platform in improving balance and functional outcome by the pre and post analysis.
Materials and Methods: Experimental study was conducted in Saveetha hospital, Chennai. Forty subjects including both males and females diagnosed with osteoarthritis knee within the age of 40 to 70 years were recruited and divided into two groups with 20 subjects in each group (Group A- 20 subjects, Group B- 20 subjects). Group A was given weight bearing exercises on wobble board along with interferential therapy, in 4 sets with 6 repetitions in each set and a rest interval of one minute between each set, 15 minutes per session, 3 days/week for 4 weeks and Group B was given weight bearing exercises on stable platform along with interferential therapy in 4 sets with 6 repetitions in each set and a rest interval of one minute between each set, 15 minutes per session, 3 days/week for 4 weeks.
Results: At the end of the study, data was analysed and there was improvement in balance and functional outcome.
Conclusion: This study concluded that patients with knee osteoarthritis had improvement in balance and functional outcome through weight bearing exercises given on wobble board along with interferential therapy compared to the patients who were given weight-bearing exercises on stable platform along with interferential therapy.
Keywords: Osteoarthritis; wobble board; stable platform; interferential therapy.
Pendidikan Humanistik Dalam Perspektif Al-Qur’an
Authors: Sarnoto Ahmad Zain , Muhtadi Mohammad 
Published: December 2020

Konsep pendidikan humanistik dalam al-Qur’an mengandung unsur diantaranya: a) Pendidikan manusia secara fisik dan biologis; b) pendidikan manusia secara batin dan psikologi; c) pendidikan manusia secara sosial dan d) pendidikan manuisa secara spiritual. Konsep manusia dalam perspektif al-Qur’an yang menjadi dasar pijakan bagi sebuah pendidikan yang humanis, meliputi: hakikat wujud manusia, potensi insaniyah manusia, dan tujuan penciptaan manusia. Humanisasi yang diterapkan dalam al-Qur`an tidak meninggalkan peran manusia di bumi sebagaimana fungsi dan perannya sebagai “imarah al-ardl,” dan sebagai hamba yang diwajibkan untuk mengabdi kepada sang khalik sebagaimana fungsi dan perannya sebagai “ibad.” Adapun pendidikan dengan paradigma humanis yang terdapat didalam al-Qur`an adalah: Pertama, menempatkan kembali seluruh aktifitas pendidikan (talab al-ilm) di bawah frame work agama yang bertujuan mencari ridha Allah. Kedua, adanya perbandingan antara pengetahuan agama dan pengetahuan umum. Ketiga, kebebasan dalam mengembangkan ilmu pengetahuan. Keempat, mengkaji ilmu pengetahuan yang membumi sehingga dapat diimplementasikan dalam kehidupan sehari-hari dan mulai mencoba melaksanakan strategi pendidikan yang integrative. Aktivitas hidup manusia berdasar dimensi spiritual sehingga tidak merugikan pihak lain. Pemikiran ini menekankan pengembangan potensi manusia supaya mampu memerankan diri sebagai ‘abd Allah dan khalifah Allah. Pendidikan ini ditujukan untuk membantu peserta didik dalam mengaktualisasikan potensinya supaya menjadi manusia mandiri dan kreatif yang sadar akan kehadiran Allah dalam dirinya.
Efektivitas Alat Peraga Edukatif (APE) Balok Dalam Mengembangkan Kognitif Anak Usia Dini
Authors: Shunhaji Akhmad , Fadiyah Nur 
Published: December 2020

The effectiveness of the use of teaching aids that are associated with cognitive development of early childhood, with the strategy of applying the method of playing blocks in the Kindergarten Plus Cinangka Sawangan Depok conducted by the teachers will determine the success of the effectiveness of the cognitive development of students, which are then developed routinely in accordance with the learning objectives It has been planned to be associated with the strategy of applying the method of playing blocks in accordance with basic competencies and learning indicators.
Learning practices that use block media at TK Permata Plus are less than optimal due to the ratio of learners whose number exceeds the number of available beam props, so learning cannot be maximized. The active involvement of children is needed to improve their abilities and further research is needed from various variations to contribute to the learning problem.
Playing with blocks can improve cognitive abilities of early childhood including: recognizing geometric shapes, recognizing colors. Make a Beam shape creation, sort objects based on five size or color seriations and classify objects into the same or similar group or in pairs with two variations.
Metode Tafsir Produk Sains Terapan Studi Tentang Terapi Stem Cell
Authors: Aziz Abdul 
Published: December 2020

Kesimpulan dari penelitian ini adalah, menemukan rumusan baru tentang suatu metode tafsir produk sains terapan, yang relatif sederhana, mudah dimengerti, cepat, dan sistematis. Rumusan baru tersebut, juga diujicobakan pada satu produk sains terapan modern-kontemporer, yaitu terapi stem cell. Dan, hasilnya bahwa terapi stem cell untuk pengobatan penyakit degeneratif, perawatan tubuh (penuaan), maupun reproduksi, menurut syariat agama Islam dibolehkan secara bersyarat.
Rumusan metode tafsir produk sains terapan tersebut dibangun berlandaskan kepada hadis Nabi Muhammad SAW, yang isinya tentang tiga sumber dalil hukum Islam, Al-Qur’an, hadis dan ijtihad. Maka, dibangun metode tafsir produk sains terapan yang terdiri atas sepuluh langkah, dengan urutan sebagai berikut: objek (yang dalam penelitian ini adalah produk terapi stem cell), produk yang dikaji (bahan, proses, dan aplikasi), pemilihan metode tafsir yang akan digunakan, pemilihan bentuk tafsir, memastikan jenis tafsir ilmi, memastikan jenis tafsir ahkam, lakukan pencarian status hukumnya dalam Al-Qur’an, dan atau menelusuri hadis, dan atau menggunakan jenis ijtihad, sampai kepada keluaran sebagai hasil akhir dari kajian, yaitu produk sains terapan yang dimaksud dibolehkan atau tidak menurut syariat agama Islam?
Pendekatan yang digunakan di dalam merumuskan metode tafsir produk sains terapan dimaksud, penulis gunakan metode ijtihad ulama dalam beristinbâth hukum, yaitu menggunakan metode istinbâth hukum Majelis Ulama Indonesia (MUI) karena adanya kesamaan, yaitu metode pencarian hukum. Namun, rumusan metode tafsir produk sains terapan yang ditemukan pada penelitian ini, relatif lebih sederhana, lebih mudah dimengerti, lebih cepat dan lebih sistematis, dengan tingkat kebenaran yang dapat dipertanggungjawabkan, karena kajiannya menggunakan diagram alir sepuluh langkah untuk setiap tahapan kajian bahan, proses dan aplikasi dari semua produk yang dikaji.
Metode yang digunakan di dalam penelitian ini adalah metode kualitatif, dengan berlandaskan kepada tiga sumber dalil hukum Islam yang disusun secara sistematis dan penggunaannya tetap berpedoman kepada kaidah-kaidah ilmu fikih yang sudah ada.