bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gastric residual volume as a measure of feed intolerance/necrotising enterocolitis in very low birth weight infants: an observational cohort study
Authors: Kadam Rahul M. , V. V. Lakshmi Aparna Devi 
Published: January 2020

Background: To evaluate the efficacy of Gastric Residual Volume (GRV) as a measure of feed intolerance /Necrotising enterocolitis in Very Low Birth Weight (VLBW) infants.Methods: This prospective observational cohort study was done in a tertiary care hospital located in rural South India for a period of 2 years. All haemodynamically stable infants born between 30-34 weeks of gestation at birth and 1000-1500 grams of birth weight, admitted to Neonatal Intensive Care Unit (NICU) within first 24 hours of life during study period were enrolled in two groups; GRV group, where pre-feed gastric residual volume was checked and No-GRV group, where pre-feed gastric residual volume was not checked.Results: Both groups had similar baseline characteristics. In No-GRV group, the days to reach birth weight (12.1) and days to attain full feeds (8.0) were less when compared to GRV group. In No-GRV group, average duration of NICU stay in days (16.60) and parenteral nutrition (5.25) was less when compared to GRV group. No-GRV group does not have increased incidence of sepsis or mortality compared to GRV group. In this study there was increased incidence of NEC noted in GRV group (30%) when compared to No-GRV group (p value-0.02).Conclusions: In hemodynamically stable preterm VLBW infants, it is recommended not to check gastric residual volume routinely prior to the enteral feeding.
Effect of remedial teaching on the scholastic performance of children with learning disability
Authors: Vincent Areena C. , Elenjickal Manju G. , U. Sukumaran T. 
Published: January 2020

Background: To assess the effectiveness of remedial teaching in children with learning disability and to find association between IQ score and age of the child with their improvement.Methods: An interventional study using pre-post study design, took place in Child Development Centre (CDC) of tertiary care Medical College hospital. Participants includes 45 school going children of age group of 6-15 years. After initial diagnosis and IQ assessment, remedial teaching was given in CDC for 12 months. Techniques are chosen on an individual basis by formulating individualised education program (IEP) by special educators. Diagnosis and pre- post assessment were done using tool, NIMHANS SLD battery. Effectiveness was evaluated as improvement in class levels of students. Definite improvement was decided in each student if improvement was observed in 4 or more domains. Relationship of IQ score and age with their improvement in was noted.Results: In pretest, poor results were found in attention and copying in 39 children, reading in 41, comprehension and spelling in 42, written expression in 43, and arithmetic in 44. In posttest, good results with statistical significance (p<0.05) were found in attention in 33, copying in 27, reading in 24, arithmetic in 15, and spelling in 12 children. Definite improvement was noticed for 33% of students with significant association with age and not IQ score of the child.Conclusions: This study shows that remedial teaching can bring about significant changes in academic skills namely attention, copying, reading, arithmetic, and spelling. 33% had definite improvement in 4 or more domains. The improvement in academic skills following remedial teaching was dependent on the child’s age and not on IQ score.
Assessment of incidence rate and prognosis of metabolic syndrome among acute myocardial infarction: a longitudinal study
Authors: Uppin Archana M. , Badiger Raju H. , Sharma Gayatri , Soni Rishab , Parne Sowmya , Maddiri Pavan Kumar 
Published: January 2020

Background: The Metabolic Syndrome (METS) is a specific clustering of cardiovascular risk factors in the same person (abdominal obesity, atherogenic dyslipidemia, elevated Blood Pressure (BP), Insulin Resistance (IR), and a proinflammatory state. A recent review of insulin resistance syndrome revealed a rapid escalation of this syndrome among Indians and the prevalence of predominant component of METS varies from region to region. Hence the present study was undertaken to assess the incidence of Metabolic Syndrome and prognosis of metabolic syndrome among acute myocardial infarction patients.Methods: A longitudinal study was carried among Acute myocardial infarction patients, who were admitted to ICCU of Shri. B. M. Patil Hospital and Research Centre, Bijapur during November 2009 to March 2011. Sample size was calculated using the formula: n=4pq/L2. Sample size required was 92. Descriptive statistics and Inferential statistics were used to analyse the results.Results: The incidence rate of METS among AMI in our study was 48.7%. The complications were more common in METS group compared to those without METS groups. Recovery was better among those without METS group. There was a statistically significant association between complications and status of METS. The past history of DM was more common in METS. Hyperglycemia among the components of METS has strongest association with the outcome of death in patients of AMI.Conclusions: The metabolic syndrome is a highly prevalent condition among the patients with acute myocardial infarction and has detrimental impact on outcome Metabolic syndrome is also associated with a higher risk of severe heart failure and death.
Effects of calf thymus extract and L-carnitine on immunity and growth performance of broiler chickens
Authors: Soliman Mohamed A. , Gendy Hanem El , Hanbally Saber El 
Published: January 2020

<p class="abstract"><strong>Background:</strong> Increasing the bird’s wealth and increasing the growth rate are among the goals of increasing the animal wealth so; we studied the effects of L-carnitine and calf thymus extract on growth performance and immunity in broiler chickens.</p><p class="abstract"><strong>Methods:</strong> Eighty broiler chicks were divided into four groups, each group included twenty chicks. Group 1, was negative control with no treatment of feed or water. Group 2, the regular drinking water was replaced by L-carnitine-infused water (1 gram per liter). Group 3, the regular drinking water was replaced by calf thymus extract- infused water (1 ml per liter). Group 4, the regular drinking water was replaced by both L-carnitine and calf thymus extract- infused water. This treatment was administered from day 1 to day 30 of the cycle. Body weight, feed intake and feed conversion were assessed. The hemogram, leuckogram, total protein, globulin, albumin, phagocytic activity, phagocytic index and interleukin 2 were measured. </p><p class="abstract"><strong>Results:</strong> The hemogram and leuckogram parameters recorded a significant increase in treated groups compared to non treated group. The final body weight for all treatments was nearly the same, but slightly higher with application of L-carnitine. Phagocytic activity, index, TP, globulin and IL2 were significantly increased in treated groups.</p><p class="abstract"><strong>Conclusions:</strong> Both L-carnitine and thymus extract have significantly improved the general health condition, in addition, calf thymus extract improved not only the general body condition but also act has immunomodulatory effect which require more further studies.</p>
An evaluation of fixed dose combinations and it’s practices at medicine department of tertiary care hospital, Nepal
Authors: Shrestha Rajeev , Gurung Sushmita 
Published: January 2020

<p class="abstract"><strong>Background:</strong> A large proportion of fixed dose combinations (FDCs) are manufactured and used widely in Nepal. This study aimed to evaluate the FDCs and its utilization in medicine department of tertiary care hospital.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted for 50 days among admitted patients in the medicine department of tertiary care hospital, Nepal. A predesigned form was used to collect the data at the time of patient discharge. Only the oral FDCs were selected for study.<strong> </strong>Microsoft Excel 2007 was used for statistical analysis and data were presented as number and percentage in tabulated and figure forms. </p><p class="abstract"><strong>Results:</strong> Oral FDCs were used in 27.08% of admitted patients. A total of 295 FDCs were prescribed in 208 patients with 44 FDC items in 58 different brand names. Categorically, the most commonly used FDCs were of analgesics (34.24%) followed by antibiotics (25.76%) and vitamin supplements (22.71%). The 27.27% of FDCs prescribed contain more than two active pharmaceutical ingredients (APIs) up to nine and the highest number of APIs were found in vitamin supplements. All FDCs were prescribed in the brand names. The very few 2.27% and 4.55% of FDCs were prescribed from the essential medicine list of Nepal and world health organization, respectively.</p><p class="abstract"><strong>Conclusions:</strong> The use of FDCs listed in essential medicine list was very poor. Similarly, generic prescribing was also zero. The regulatory body must study the rationality of FDC before production, marketing, importing, and utilization in hospital.</p>
High resolution temporal bone computerized tomography in paediatric sensorineural hearing loss prior to cochlear implantation
Authors: Rafiq Suhail , Shafi Fahad , Mohiuddin Ajaz , Dar Sajjad A. 
Published: January 2020

<p class="abstract"><strong>Background:</strong> Congenital sensorineural hearing loss (SNHL) is one of the most common birth defects with incidence of approximately 1:1000 live births. Imaging plays an important role in the work up of cochlear implant candidates not only to identify inner ear congenital and acquired abnormalities or cochlear nerve anomalies but also to detect temporal bone abnormalities or variations that may alter surgical approach. Preoperative evaluation of cochleovestibular anatomy is an important component of the cochlear implant evaluation. The objective of the study was high resolution computerized tomography (HRCT) assessment of congenital ear anomalies before cochlear implantation.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted in the Department of Radio diagnosis and Imaging, GMC, Srinagar. 24 children in the age group of 1 to 12 years with unidentiﬁed causes of bilateral SNHL were subjected to HRCT over a period of 7 months from January to July 2019. </p><p class="abstract"><strong>Results:</strong> Eighteen patients had normal radiological scans and 6 had congenital anomalies. We had one each case of common cavity, bilateral labrynthine aplasia, incomplete partition type 1, Mondini’s deformity with dilated vestibular duct, Internal auditory canal stenosis and bilateral large vestibular aqueduct. Out of 18 patients without congenital anomaly, two had Korner’s septum and giant jugular bulb which were important for operating surgeon.</p><p><strong>Conclusions:</strong> HRCT temporal bone is superior at identifying the bony labyrinth, including enlarged vestibular aqueduct and caliber of internal auditory canal. HRCT temporal bone should be supplemented by magnetic resonance imaging especially for cochlear nerve assessment. It is the initial imaging modality of choice for assessment of congenital SNHL. </p>
Hearing assessment in patients with tympanosclerosis with intact tympanic membrane
Authors: Bandadka Ramya , Tarannum Afshan , Dhanapala Narasaiah 
Published: January 2020

<p class="abstract"><strong>Background:</strong> Tympanosclerosis is an irreversible, though not immutable, end result of any unresolved specific or nonspecific inflammatory disease of middle ear characterized by anatomical distortion resulting in functional impairment. The objective of the study was to assess hearing in patients with tympanosclerosis with intact tympanic membrane (TM) and to correlate degree of hearing loss with respect to site of tympanosclerotic patch on TM.</p><p class="abstract"><strong>Methods:</strong> This cross-sectional study was conducted at Bangalore Medical College and Research Institute, Bangalore during study period from November 2016 to May 2018. Thirty patients enrolled for study were subjected to otoendoscopy, pure tone audiometry and tympanometry. Site of tympanosclerotic patch on tympanic membrane and hearing loss were assessed and correlated statistically. </p><p class="abstract"><strong>Results:</strong> Thirty patients (13-males, 17-females), aged 6–73 years (average-39.5 years) who fulfilled inclusion criteria were included. 7 (23.3%) patients had bilaterally affected ears amounting to 37 tympanosclerotic ears. left ear was commonly affected 14 (46.6%). In most patients, tympanosclerosis of tympanic membrane was an incidental finding with patients being otologically asymptomatic. The locations of tympanosclerotic patch on TM were 9 (24.4%) postero-superior, 7 (18.9%) postero-superior and postero-inferior, 7 (18.9%) antero-inferior, 5 (13.5%) postero-inferior, 3 (8.1%) antero-superior, 3 (8.1%) antero-superior and antero-inferior, 2 (5.4%) antero-inferior and postero-inferior and 1 (2.7%) entire pars tensa. Hearing level ranged from 10-46.6 dBHL (normal to moderate) with majority (91.89%) of patients had hearing within 25 dBHL. 43.3% had conductive hearing loss, 2.7% had sensorineural hearing loss and rest had normal hearing. Correlation of site of tympanosclerotic patch on TM with degree of hearing loss was not statistically significant (p=0.058).</p><p class="abstract"><strong>Conclusions:</strong> Variations in the site of tympanosclerotic patch on TM do not affect degree of hearing loss.</p>
Primary nasal rhinosporidiosis - a ten year multicentre experience: what we know?
Authors: Rajendran S. , Ashok S. Shanmuga , Ramkumar Thalapathy 
Published: January 2020

<p class="abstract"><strong>Background:</strong> Rhinosporidiosis is a disease caused by <em>Rhinosporidium seeberi</em> that affects the mucous membranes primarily. Nose is the commonest organ to be involved. The authors of this paper with more than ten years of experience across various institutions in Tamil Nadu have analysed their cases and have found out that posterior lip of valve of hasner in the inferior meatus to be the site of attachment in primary nasal rhinosporidiosis irrespective of the endemicity of the region.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of seventy eight cases of primary rhinosporidiosis over a period of ten years (February 2009 to December 2019). Recurrent cases, those who did not come for follow up and who were operated under local anesthesia were not included in this study. All the patients (45) were subjected to endoscopic surgery for excision of the rhinosporidiosis under general anesthesia after informed written consent and sent for histopathological examination. </p><p class="abstract"><strong>Results:</strong> Most common age group being 25 to 50 years with male preponderance and the common site of occurrence is the posterior lip of valve of Hasner in the inferior meatus with seasonal variation with O+ve blood group preponderance. Most common clinical presentation is unilateral nasal obstruction.</p><p class="abstract"><strong>Conclusions:</strong> Rhinospordiosis is hyperendemic in Tiruvarur and Thiruvannamalai. The posterior lip of valve of hasner is the commonest site of attachment. Correct identification of the site of attachment and surgical excision with cauterisation prevents its recurrence.</p>
THE RELATIONS AMONG FIRM CHARACTERISTIC, CAPITAL INTENSITY, INSTITUTIONAL OWNERSHIP, AND TAX AVOIDANCE: SOME EVIDENCE FROM INDONESIA
Authors: Eka Putra Wirmie , Yuliusman  , Firsta Wisra Raeza 
Published: January 2020

Purpose of the study: This study is to determine the effect of profitability, leverage, company size, capital intensity, and institutional ownership simultaneously and partially on tax avoidance in Indonesia.
Methodology: This study uses a quantitative approach to the type of descriptive research. The population of this research is property, real estate, and building constructs companies from 2013 - 2017, as many as 63 companies, which listed on the Indonesia Stock Exchange (IDX). While the samples in this study were 31 companies. The data analysis method used is multiple linear regression analysis.
Principal Findings: Profitability, leverage, company size, and institutional ownership partially influencing tax avoidance. However, the intensity of capital partly does not affect tax avoidance.
Applications of this study: This study suggests that the government makes several efforts to intervene to increase tax literacy on companies, the public, and expand access to higher education, as well as improve the quality of the democratization process to enhance tax compliance in Indonesia.
Novelty/Originality of this study: This research brings new evidence on the relationship between profitability, leverage, company size, and institutional ownership on tax avoidance in Indonesia.
SUPPLY CHAIN STRATEGIES IN MEDIATING THE EFFECT OF KNOWLEDGE MANAGEMENT ON BUSINESS PERFORMANCE
Authors: Soetjipto Noer , Ermayanti Susilo Dwi , Riswanto Ari 
Published: January 2020

Purpose of the study: The study aims to determine the effect of variable mediation in this case the Supply Chain Strategic (SCS), on the influence of Knowledge Management (KM) on Business Performance (BP).
Methodology: The method used in this research is using quantitative descriptive studies using a simple dissertation approach and linear regression analysis with SPSS and Amos version 23, starting from the measurement of Confirmatory.
Main Findings: The main finding of this study is that the mediation variable, in this case, the Supply Chain Strategy (SCS) can mediate the effect of Knowledge Management on Business Performance carried out in the Small and Medium Enterprises (UKM) sector in Java Island, Indonesia in 2019.
Applications of this study: The implications of this study indicate that SCS has an important role in the development of future business, especially in Small and Micro Enterprises (SMEs).
Novelty/Originality of this study: SCS is used to mediate the effect of KM on BP on SMEs, and this is one of the Novelties in this study.
Implementação de serviços institucionais de administração de dados | Implementation of Institutional Data Stewardship Services
Authors: Marín-Arraiza Paloma , Vidotti Silvana 
Published: January 2020

RESUMO As tarefas de gestão de dados de pesquisa ao longo do processo de pesquisa têm se tornado muito importantes devido à alta produção de dados e à exigência da sua preservação. Tanto bibliotecas quanto seções de apoio à pesquisa de diversas instituições de ensino e pesquisa têm começado a implementar serviços para a gestão de dados e a profissionalização desta gestão. Com um caráter qualitativo, e após um levantamento bibliográfico em bases de dados abertas, contextualiza-se a gestão de dados de pesquisa, analisam-se os perfis profissionais e determinam-se três fases para a implementação institucional destes serviços: elaboração de uma política, estabelecimento de uma unidade de informação e integração de profissionais da gestão de dados.Palavras-chave: Administração de Dados; Dados de Pesquisa; Gestão de Dados de Pesquisa; Política de Dados; Serviços Institucionais. ABSTRACT The tasks of managing research data throughout the research process have become very important due to the high production of data and the requirement for its preservation. Both libraries and research support sections of various research institutions have started to implement services for data management and the professionalization of this management. With a qualitative character, and after a bibliographic search in open databases, research data management is contextualized, professional profiles are analyzed, and three phases are determined for the institutional implementation of these services: the elaboration of a policy, the establishment of an information unit and the integration of data management professionals.Keywords: Data Stewardship; Research Data; Research Data Management; Data Policy; Institutional Services.
Determination of Treatment Policy for Acute Surgical Disease of the Abdominal Cavity and Retroperitoneal Space in Patients with Late-Stage HIV Infection According to Multislice Computed Tomography and Magnetic Resonance Imaging Data
Authors: Klimova N. V. , Gaus A. A. , Darvin V. V. , Il'ina U. B. 
Published: January 2020

Objective: to determine treatment policy for an acute surgical disease in patients with late-stage HIV infection diagnosed using the data of the highly informative imaging techniques multislice computed tomography (MSCT) and magnetic resonance imaging (MRI). Material and methods. In 2008 and 2016, the authors examined 425 patients (320 men and 105 women) with acquired immunodeficiency syndrome (AIDS) who were treated at the surgical units of the Surgut Regional Clinical Hospital, by using the data of MSCT (Toshiba Aquilion 64, Japan) and MRI (Siemens 1,5T Magnetom Essenza, Germany) in identifying both local surgical and general mixed diseases.Results. Analysis of acute surgical diseases of the abdominal cavity and retroperitoneal space in patients with late-stage HIV infection determined that the treatment policy in this category of patients depended on clinical diagnostic data.Conclusions. 1. MSCT and MRI are highly informative techniques in diagnosing acute surgical diseases in patients with late-stage HIV infection. 2. The course of an acute surgical disease in patients with late-stage HIV infection in the presence of generalized opportunistic infection makes it preferable to perform minimally invasive surgical interventions.
Predicting the Success of Emergency Surgical Treatment of Acute Massive Pulmonary Embolism Based on the Results of Multislice Computed Tomography
Authors: Trofimova T. N. , Sukhova M. B. 
Published: January 2020

Objective – to assess the informativeness of multisclice computed tomography (MSCT) angiopulmonography in the assessment of peripheral blood flow and to determine the prognostic role of angiographic massiveness and volume of preserved peripheral blood flow as predictors of success of emergency surgical treatment of acute massive pulmonary embolism (PE). Material and methods. The article presents the results of 7-year work for the period from March 2012 to September 2019, which included a pilot retrospective stage (analysis of the results of 264 MSCT procedures with contrast enhancement for acute PE in patients aged 32 to 69 years for the period 2012–2013) and prognostic practical work (the second stage, analysis of the results of 974 MSCT procedures with contrast enhancement in patients aged 25 to 78 years for the period 2013–2019).Results. The obtained results and statistical dependences proved the influence of the saved volume of peripheral arterial pulmonary blood flow on the outcome of surgical treatment. The use of this indicator as an MSCT predictor reduced the hospital mortality rate from 7.2% to 3.5%. The analysis of the influence of the initial angiographic massiveness of PE on the outcome of surgical treatment has not been confirmed.Conclusion. According to the results of the study, we recommend the inclusion of segmental arterial pulmonary blood flow analysis by MSCT with contrast enhancement in the algorithm of preoperative examination of patients with acute massive pulmonary embolism in case of emergency surgical treatment.