bluuebunny/crossref_metadata_2025_split huggingface dataset:
Internally Heated Porous Convection: An Idealized Model for Enceladus' Hydrothermal Activity
Authors: Le Reun Thomas , Hewitt Duncan R. 
Published: June 2020

AbstractRecent planetary data and geophysical modeling suggest that hydrothermal activity is ongoing under the ice crust of Enceladus, one of Saturn's moons. According to these models, hydrothermal flow in the porous, rocky core of the satellite is driven by tidal deformation that induces dissipation and volumetric internal heating. Despite the effort in the modeling of Enceladus' interior, systematic understanding—and even basic scaling laws—of internally heated porous convection and hydrothermal activity are still lacking. In this article, using an idealized model of an internally heated porous medium, we explore numerically and theoretically the flows that develop close to and far from the onset of convection. In particular, we quantify heat‐transport efficiency by convective flows as well as the typical extent and intensity of heat flux anomalies created at the top of the porous layer. With our idealized model, we derive simple and general laws governing the temperature and hydrothermal velocity that can be driven in the oceans of icy moons. In the future, these laws could help better constraining models of the interior of Enceladus and other icy satellites.
Mapping Jupiter's Mischief
Authors: Visscher Channon 
Published: June 2020

AbstractNew results (Grassi et al., 2020, https://doi.org/10.1029/2019JE006206) from analysis of Juno Jovian Infrared Auroral Mapper (JIRAM) 4‐ to 5‐μm observations provide updated latitudinal abundance profiles and measurements of the spatial distribution of H2O, NH3, PH3, GeH4, and AsH3 in Jupiter's troposphere near the 3‐ to 5‐bar level. The observed compositional variations provide new constraints on processes shaping chemical abundances in the cloud‐forming region of the troposphere, including vertical and horizontal atmospheric mixing, meteorology and cloud formation, transport‐induced quenching, and photochemistry. Along with recent results from the Juno Microwave Radiometer (MWR) for NH3 and H2O abundances far below the clouds, the JIRAM measurements of key disequilibrium tracer species can also be used to explore the coupled dynamics, chemistry, and bulk composition of Jupiter's deep atmosphere. The heavy element abundance inventory on Jupiter is a key constraint for the development and assessment of giant planet formation models. Combined with prior ground‐based, spacecraft, and in situ observations, the Juno results suggest near‐uniform (∼2–4 times) enhancements over protosolar abundances for several heavy elements in Jupiter's atmosphere, giving new clues about the composition of the material accreted, the timing and location of formation, and the internal evolution of Jupiter over the history of the solar system.
Multi-domain potential biomarkers for post-traumatic stress disorder (PTSD) severity in recent trauma survivors
Authors: Ben-Zion Ziv , Zeevi Yoav , Keynan Nimrod Jackob , Admon Roee , Kozlovski Tal , Sharon Haggai , Halpern Pinchas , Liberzon Israel , Shalev Arieh Y. , Benjamini Yoav , Hendler Talma 
Published: June 2020

AbstractContemporary symptom-based diagnosis of post-traumatic stress disorder (PTSD) largely overlooks related neurobehavioral mechanisms and relies entirely on subjective interpersonal reporting. Previous studies associating biomarkers with PTSD have mostly used symptom-based diagnosis as the main outcome measure, disregarding the wide variability and richness of PTSD phenotypical features. Here, we aimed to computationally derive potential biomarkers that could efficiently differentiate PTSD subtypes among recent trauma survivors. A three-staged semi-unsupervised method (“3C”) was used to firstly categorize individuals by current PTSD symptom severity, then derive clusters based on clinical features related to PTSD (e.g. anxiety and depression), and finally to classify participants’ cluster membership using objective multi-domain features. A total of 256 features were extracted from psychometrics, cognitive functioning, and both structural and functional MRI data, obtained from 101 adult civilians (age = 34.80 ± 11.95; 51 females) evaluated within 1 month of trauma exposure. The features that best differentiated cluster membership were assessed by importance analysis, classification tree, and ANOVA. Results revealed that entorhinal and rostral anterior cingulate cortices volumes (structural MRI domain), in-task amygdala’s functional connectivity with the insula and thalamus (functional MRI domain), executive function and cognitive flexibility (cognitive testing domain) best differentiated between two clusters associated with PTSD severity. Cross-validation established the results’ robustness and consistency within this sample. The neural and cognitive potential biomarkers revealed by the 3C analytics offer objective classifiers of post-traumatic morbidity shortly following trauma. They also map onto previously documented neurobehavioral mechanisms associated with PTSD and demonstrate the usefulness of standardized and objective measurements as differentiating clinical sub-classes shortly after trauma.
Quality of life after breast cancer: Assessment, relevance and effective interventions
Authors: Schmidt Martina , Steindorf Karen 
Published: June 2020

AbstractHealth-related quality of life is of great relevance for breast cancer patients at all stages, both during treatment and in the medium and long term after treatment. Quality of life is becoming increasingly important as an end point in licensing studies for new treatments and in scientific studies comparing different therapies. In addition to a brief global assessment of quality of life, other important patient-reported outcomes should be assessed. Patients with breast cancer often report limitations due to fatigue, sleep problems, sexual and/or climacteric problems, cognitive problems, mental problems and loss of physical performance. Quality of life after breast cancer could probably be further increased if education, screening and treatment of these symptoms were a systematic part of oncological care.
Can Inflammatory Hematological Parameters be a Guide to Late-onset Fetal Growth Restriction?
Authors: kırmızı Demet Aydogan , Baser Emre , Onat Taylan , Caltekin Melike Demir , Kara Mustafa , Yalvac Ethem Serdar 
Published: June 2020

AbstractPurpose To compare the rates obtained from hematological parameters in cases of late-onset idiopathic fetal growth restriction (FGR) with healthy pregnancies and to evaluate the effect on neonatal outcomes.Methods The study group consisted of 63 pregnant women with late-onset idiopathic FGR and the control group consisted of 91 healthy pregnant women. The determined rates were calculated from the control hemograms of patients at 28 weeks. Both groups were compared for neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and other parameters.Results NLR, leukocyte and neutrophil levels were significantly higher in the FGR group (p<0.05). There was no significant difference in PLR, platelet and lymphocyte levels between the groups (p>0.05). To predict FGR, the best cut-off value of NLR was determined to be 4.11 with 56% sensitivity and 88% specificity values.Conclusion Neutrophil, lymphocyte and platelet interactions have an important role in FGR development. Inflammation can be involved in the etiopathogenesis in late-onset FGR.
PATIENT UNDERGOING COMBINED RIGHT RADICAL NEPHRECTOMY AND RIGHT ATRIAL TUMOUR EXCISION: ANAESTHETIC MANAGEMENT
Authors: Kamath Manjunath R. , P. Krishna Prasad , Gopalakrishnan Mundayat , P. Rajeev T. 
Published: June 2020

AbstractWe describe anaesthetic management of a rare case of right atrial tumour with right renal mass posted for combined excision of right atrial tumor and right radical nephrectomy. Anaesthesia plan was combined thoracic epidural anaesthesia & general anaesthesia. Right renal mass was removed through the anterior subcostal incision, followed by the right atrial mass excision through the midline sternotomy incision under cardiopulmonary bypass. Issues related to the possibility of inferior vena cava (IVC) thrombus & its extension into the right atrium and the subsequent removal, pain management, ideal position of the central venous access, cardiopulmonary bypass with a single kidney are discussed.
SINGLE COMPLETE DENTURE IN MANDIBULAR ARCH OPPOSING NATURAL DENTITION– A CASE REPORT
Authors: Kaira Laxman Singh , Singh Richa 
Published: June 2020

AbstractSeveral difficulties are encountered in providing a successful, single complete denture treatment. This case report deals with successful rehabilitation of completely resorbed mandibular ridge opposing a full complement of natural teeth prosthetically incorporating metal denture base in place of the conventional Poly Methyl Methacrylate material to combat the masticatory forces from natural dentition and improve the longevity of the prosthetic rehabilitation, at the same time improving the strength of the mandibular denture base.
A CORRELATIONAL STUDY ON BLOOD PRESSURE, STRESS AND BODY MASS INDEX (BMI) AMONG BSC NURSING STUDENTS IN A SELECTED COLLEGE OF NURSING UDUPI DISTRICT
Authors: Helen Sheen , Jose Tessy Treesa , Nayak Asha K 
Published: June 2020

AbstractIncreasing trend of hypertension and overweight have become a global health problem among youngsters. Over weight is strongly related to high blood pressure and the consequences of the increasing prevalence of overweight will be enormous in the future. Students in nursing profession are adolescents and they may have adjustment problems with new surroundings such as hostel, hospital and new curriculum. The stress experienced may predispose them to have increased blood pressure. A Cross sectional, correlational survey was conductedon blood pressure, stress and body mass index (BMI) among 200 BSc. Nursing Students in a selected college of nursing in Udupi District. The objectives of the study were to determine the blood pressure (BP), body mass index (BMI) and stress level of BSc nursing students, to compare the BP, BMI and stress of various batches of BSc nursing students and to determine the relationship among Blood pressure, BMI and stress. It is observed that 45% of the subjects were in pre hypertensive stage, and 3% in hypertension stage. Majority of the subjects had normal BMI. Moderate stress was experienced by 95.5% of the subjects. Study found a weak but positive correlation between BMI and BP and negative correlation with stress. A significant difference was found in mean stress score among four batches of students. There was no significant difference in BMI and BP of four batches of students. As nursing students experience stress, adequate support structures for clinical areas, preceptorshipprogrammes and the availability of student counselling services may be helpful to cope with the stress experienced.
INFLUENCE OF DYSLIPIDEMIA ON SOMATIC NEUROPATHY IN TYPE 2 DIABETES MELLITUS
Authors: K. Subbalakshmi N. , N. Sathyanarayana Rao K. , R. Adhikari P.M. , Pai Sheila R. 
Published: June 2020

Abstract
Introduction: Dyslipidemia is an established cardiovascular risk factor. But its influence on somatic neuropathy (PNP) in diabetes mellitus is not clear.
Objective of the study: This study assessed the association between lipids and PNP in diabetes mellitus.
Materials and Methods: 101 type 2 diabetics with recently done fasting lipid profile were included. Lipid profile included fasting total cholesterol, LDL- cholesterol, HDL- cholesterol and triglycerides. Based on the neurological examination diabetics were divided into two groups: with PNP (n = 53) and without PNP (n = 48). Severity of PNP was quantified based on total scoring of all the definite clinical signs of PNP. 30 healthy subjects matched for age and sex with PNP group served as control. Statistical analysis was done with suitable statistical tests. Statistical significance was taken to be at p-value less than 0.05.
Results: Mean total cholesterol, triglycerides, LDL cholesterol of PNP group was significantly higher compared to non-diabetic control (p < 0.05; < 0.01; < 0.001 respectively). There was no significant difference in any of the lipids between with PNP and without PNP groups. Among the lipids, correlation was observed only between triglycerides and PNP severity score (r = 0.37, p < 0.01). Mean age and duration of diabetes of PNP group was significantly higher compared to without PNP group (p < 0.01; < 0.01 respectively).
Conclusion: Dyslipidemia persists in type 2 diabetics. Hypertriglyceridemia is correlated with severity of PNP. Higher age and duration of diabetes are associated with PNP in type 2 diabetes.
A STUDY ON OCCURRENCE OF SELECTED RISK FACTORS OF PREGNANCY AMONG ANTENATAL WOMEN WITH A VIEW TO DEVELOP AN INFORMATION BOOKLET
Authors: Varghese Neethu , Fernandes Philomena 
Published: June 2020

AbstractThe descriptive study was conducted to determine the occurrence of selected risk factors of pregnancy among antenatal women. Structured interview schedule was used to assess the risk factors of pregnancy among antenatal women. 150 samples were selected by purposive sampling technique. The study findings revealed that increased maternal age, short stature, increased blood pressure, abortion, decreased hemoglobin and GDM were the most prevalent risk factors in the study sample. There was significant association between gravid state and abortion (cal=26.78, p<0.05), gravid state and age (cal=9.79, p<0.05), education and hemoglobin level (cal=6.02, p<0.05) at 0.05 level of significance.
MOLECULAR DETECTION OF RUBELLA VIRUS GLYCOPROTEIN AMONG WOMEN OF CHILDBEARING AGE IN LOKOJA
Authors: Kolawole O M , Suleiman M M , AlabI O , Ogah I J , Amuda O O 
Published: June 2020

Abstract
Background: The gene order for the Rubella virus (RV)40S RNA is 5' -p150-p90-C-E2-E1-3' and the complete nucleotide sequence of RV has been determined for three strains. The RV core is surrounded by a host-derived lipid bilayer containing 5-6nm long spikes composed of the E2 and E1 glycoproteins
Objective(s): Molecular detection of Rubella virus glycoprotein after serum screening of 240 women attending Federal Medical Centre Lokoja (FMC) via IgG and IgM ELISA.
Method: Cross-sectional study was carried out in Obstetrics and Gynecology clinic at FMC Lokoja. Serology for anti RV-IgG and IgM was done for 240 blood samples after serum separation. Polymerase Chain Reaction (PCR) was done for rubella cDNA via RUB 2 & 7 and RUB 8 & 11 specific primers and this was sequenced using dye terminator cycle sequencing.
Result: 231(96.25%) of 240 and 4(1.7%) of 231 subjects were positive to Rubella IgG and IgM respectively after assay. PCR band result had 320bp on 1kb DNA plus ladder of 0.9μg/lane and live blast of the 320 length sequence result revealed a Rubella membrane glycoprotein E1 (Rubella_E1). All subjects that had blood transfusion were positive to Rub-IgG (p=0.566) while 3(1.6%) of 168(88.9%) respondents with no blood transfusion were IgM positive (P= 0.537). 61(32.6%) of 67(35.8%) respondent who reported history of rash were positive to Rub-IgG (p=0.057) and of 30(22.7%) that has had a miscarriage, 29(22.0%) was positive to Rub-IgG (p=0.731)
Conclusion: Rubella virus membrane glycoprotein E1, an important structural type 1 membrane protein in the entire pathogenesis of rubella virus has been confirmed in this locality.
Effectiveness of awareness programme on prevention and management of diaper dermatitis among mothers of children of age 0 to 1 year
Authors: S. Maya K. , M. Pai S. , D'Souza Anjalin 
Published: June 2020

AbstractThe prevalence of diaper dermatitis in India is 4-35 % in the first 2 years of life. The incidence triples in babies with diarrhoea. A pre experimental study was conducted among the mothers of infants to determine the effectiveness of awareness programme on prevention and management of diaper dermatitis. The study was conducted in Kasturba Hospital, Manipal, Karnataka, India, among 42 mothers of children of age 0 to 1 year. The samples were selected through purposive sampling. Initially the level of knowledge, attitude and practice on prevention and management of diaper dermatitis were assessed by administering a structured questionnaire to mothers. Awareness programmes was given on the second day and on 8th day a posttest was carried out and a significant improvement in knowledge(t=13.813, p=0.02),attitude(t=8.34, p=0.01) and practice(t=11.32, p=0.01) were identified. The study findings showed that the awareness programme was effective in increasing the knowledge, attitude and practice on prevention and management of diaper dermatitis among the mothers of infants.
Management of Abrasions in Oral and Maxillofacial Surgery - A Review
Authors: C. Muralee Mohan , S. Gopinath Thilak P. , Shetty Pratiksha , Rai Ashish J. , Gohil Saurabh M. 
Published: June 2020

AbstractSoft tissue injuries, whether isolated or in combination with other injuries, are among the most common traumatic craniofacial injuries encountered by emergency department personnel and maxillofacial surgeons. Despite this high incidence, there are very few studies that systematically investigate the management of these injuries and therefore, there is no widely accepted classification scheme or treatment algorithms to guide evaluation and treatment. As a result, most critical management decisions are left exclusively to the discretion of the treating surgeon with limited prospective or retrospective data, beyond personal experience, available to guide treatment. This may lead to many disparate approaches to both short-term and longterm management. In this review article, we give a brief account of management of facial abrasions, including tetanus prophylaxis, pain assessment, cleaning, definitive closure and dressing of facial abrasions.
Anaesthesia management in a child with Apert syndrome with craniosynostosis
Authors: Parate Leena Harshad , Nagaraj M.C. 
Published: June 2020

AbstractApert syndrome is a rare congenial anomaly with multisystem involvement. It is characterized by craniosynostosis, midfacial hypoplasia and global syndactyly. Altered upper and lower airway anatomy, multiple visceral anomalies and multiple repeat surgeries are main anaesthetic challenges. Here we report a case of seven month old child with Apert syndrome who was posted for posterior sagittal anorectoplasty.
Tandem Traction Bow Appliance for the Treatment of Skeletal Class III Malocclusion
Authors: K. Shetty Prajwal , Udeshi Priyanka S , N. Kuttappa M. , P. Nanda kishore , S. Ravi M. , S. Nayak Krishna U. 
Published: June 2020

AbstractBackground and Objectives: Skeletal class III is a growth related discrepancy which continues and becomes more severe until active growth is completed. Approximately three percent of Indian population exhibits class III malocclusion. This can be due to a mid face deficiency, a large mandible or their combination. Various treatment modalities are available for correction of class III malocclusion in growing children, one of which is the Tandem Traction Bow Appliance (TTBA). This study was planned and designed to evaluate the dental and skeletal effects of TTBA used for the correction of skeletal Class III malocclusion with maxillary deficiency.
Materials and Methods: An in-vivo study designed to study the effects of TTBA on class III malocclusion with maxillary deficiency. The study was carried out on ten patients (age 6-12 years). Pre and post lateral cephalograms were traced and analyzed. Paired t test was used to compare values.
Result: The significant changes seen in the dental and skeletal parameters were upper and lower incisor retraction, Increase in ANB angulations and forward and downward movement of the maxillary arch.
Conclusion: TTBA is effective in early treatment of Skeletal Class III malocclusion. Being intraoral, patient compliance is improved, thus making TTBA easier to use, both for the clinician as well as for the patient.
MANAGEMENT OF SOFT TISSUE INJURIES – CASE SERIES
Authors: Mohan Muralee , Prasad B Rajendra , Sharma S M , Shetty Tripthi , S. Priyadharsana P 
Published: June 2020

AbstractSoft tissue injuries, whether isolated or in combination with other injuries, are amongst the most common traumatic craniofacial injuries encountered in our day to day practice.Soft tissue injuries may involve the skin, subcutaneous tissue, underlying muscle or a combination of any of these elements. Although rarely life-threatening, the treatment of these injuries can be complex and may have significant impact on the patients' facial aesthetics and function. Hence one should know the “do's and don'ts”.Disfigurement following trauma, has a detrimental effect on the victim's personality and future. Therefore such cases should be most appropriately managed with thorough knowledge of applied anatomy, an aesthetic sense and meticulous tissue handling, along with surgical skills to repair composite structures.
Major Bleeding after Surgical Revascularization with Dual Antiplatelet Therapy
Authors: Deppe Antje Christin , Schlachtenberger Georg , Gerfer Stephen , Choi Yeong-Hoon , Zeriouh Mohamed , Liakopoulos Oliver , Wahlers Thorsten C.W. 
Published: June 2020

Abstract
Objective Patients with acute coronary syndrome are treated with dual antiplatelet therapy containing acetylsalicylic acid (ASA) and P2Y12 antagonists. In case of urgent coronary artery bypass grafting this might be associated with increasing risks of bleeding complications.
Methods Data from 1200 consecutive urgent operations between 2010 and 2018 were obtained from our institutional patient database. For this study off-pump surgery was excluded. The primary composite end point major bleeding consisted of at least one end point: transfusion ≥ 5 packed red blood cells within 24 hours, rethoracotomy due to bleeding, chest tube output >2000 mL within 24 hours. Demographic data, peri-, and postoperative variables and outcomes were compared between patients treated with mono antiplatelet therapy, ASA + clopidogrel (ASA-C) +ticagrelor (ASA-T) or +prasugrel (ASA-P) < 72 hours before surgery. Furthermore, we compared patients with dual antiplatelet therapy with ASA monotherapy.
Results From 1,086 patients, 475 (44%) received dual antiplatelet therapy. Three-hundred seventy-two received ASA-C (77.7%), 72 ASA-T (15%), and 31 ASA-P (6.5%). Major bleeding (44 vs. 23%, p < 0.0001) was more frequently in patients receiving dual therapy with higher rates of massive drainage loss within 24 hours (23 vs. 11%, p < 0.0001) of mass transfusion (34 vs. 16%, p < 0.0001) and rethoracotomy (10 vs. 5%, p = 0.002) when compared with ASA. In this analysis, ASA-T and ASA-P were not associated with higher bleeding complications compared with ASA-C.
Conclusion Dual antiplatelet therapy is associated with higher rates of major bleeding. Further studies should examine the difference in the prevalence of major bleeding complications in the different dual antiplatelet therapy regimes in patients requiring urgent surgery.