bluuebunny/crossref_metadata_2025_split huggingface dataset:
Increased thiol/disulphide ratio in patients with ST elevation-acute coronary syndromes
Authors: TOPAL Fatih Esad , KARAKAYA Zeynep , AKYOL Pınar Yeşim , PAYZA Umut , ÇALIŞKAN Murat , TOPAL Firdevs , AKSUN Saliha , ERDOĞAN Serpil , NEŞELİOĞLU Salim 
Published: October 2019

Purpose: The aim of this study was to compare thiol/disulphide haemostasis levels between healthy volunteers and the patients who were admitted to emergency with the complaint of ST Elevation myocardial infarction (STEMI).Materials and Methods: This case-control study was carried out in the Department of Emergency Medicine. The participants consisted of 48 healthy volunteers and 48 hospitalized patients with STEMI. The thiol / disulphide level was evaluated in each study group. The association of Thiol levels (native/total) was evaluated in patients with STEMI.Results: No significant difference was found between the patients with STEMI and healthy volunteers regarding their age or gender. The disulphide (SS) levels were similar in both groups. The total thiol (TT) and native thiol (SH) levels were much lower and the SS/TT levels were much higher in the patients with STEMI when compared with the volunteers.
Conclusion: This study revealed that the oxidant/antioxidant ratio was shifted to the oxidative side in patients with STEMI. An abnormal thiol/disulphide state might be considered as an important factor in the pathogenesis and in monitoring the treatment response. The thiol resources may be used for diagnosis of STEMI.
A comparative study of using temporalis fascia autograft and dehydrated temporal fascia homograft in tympanoplasty
Authors: Bamaniya Hemendra , Ajmera Padam Chand 
Published: October 2019

<p class="abstract"><strong>Background:</strong> The objective of the present study was to compare the results of tympanoplasty operations performed using autograft temporalis fascia with those of dehydrated temporalis fascia homograft.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted in the department of ENT of Pacific Medical College and Hospital, Udaipur in duration from February 2014 to January 2015. The study included 90 patients of chronic suppurative otitis media with dry, central perforation of tympanic membrane. The patients were divided into two groups with 45 members in each group. In group A, temporalis fascia autograft was used and in group B, dehydrated temporalis fascia homograft was used for tympanoplasty. Results were evaluated in terms of graft uptake rate and hearing improvement. </p><p class="abstract"><strong>Results:</strong> There were 50 male and 40 female patients in the study. Most of the patients (43.33%) were of the age group 21-30 years, followed by age group 31-40 years (24.44%). Post-operatively, 95.55% patients in group A and 91.11% patients in group B showed successful graft uptake. Mean preoperative AB gap in group A patients was 31.46±6.78 dB which was reduced to 13.01±5.61 dB postoperatively. Similarly, in group B patients, AB gap was reduced from 29.81±5.99 to 12.92±6.01 dB postoperatively. No statistically significant difference was observed between groups while comparing pre and postoperative AB gap.</p><p class="abstract"><strong>Conclusions:</strong> The results of tympanoplasty done by using either homograft or autograft were the same so dehydrated temporalis fascia homograft can be used as an alternative graft material with the same success rate wherever possible with the advantage of reduction in duration of surgery.</p>
Traumatic perforations of tympanic membrane: a study of sixty patients
Authors: Gupta Anchal , Jamwal Padam Singh 
Published: October 2019

<p class="abstract"><strong>Background:</strong> Traumatic perforation of the tympanic membrane can lead to hearing loss. This study was undertaken to study the etiology of traumatic tympanic membrane perforations.</p><p class="abstract"><strong>Methods:</strong> This hospital based retrospective observational study was conducted in the department of ENT, SMGS Hospital, Jammu from January 2018 to January 2019. A detailed clinical and otoscopic examination was done and symptoms noted. Tuning fork tests and pure tone audiometry was done in all the patients. Tympanic membrane perforations were visualized using otoscope or examination under microscope was done. A conservative management approach was adopted, except for those with bloody or watery discharge who received oral/systemic antibiotics to prevent infections. </p><p class="abstract"><strong>Results:</strong> 60 patients were included in the study. Maximum patients were in the age group of 21-40 years accounting for 56.7% patients. The male to female ratio was 1.4:1. The most common complaint was tinnitus (90%), followed by pain in ear (81.6%), hearing loss (56.7%), aural fullness (45%), ear bleed (16.7%) and vertigo (5%). The most common etiology was physical assault by slaps and blows to ear (40%), followed by instrumentation (syringing and foreign body removal). In 40 (66.67%), left ear was involved whereas in 20 (33.33%) right ear was involved. 51 (85%) patients showed spontaneous healing within 3 months whereas 9 (15%) showed no healing and these 15% patients underwent tympanoplasty at the end of 3 months.</p><p class="abstract"><strong>Conclusions:</strong> Traumatic tympanic membrane perforations have a very good prognosis if they are treated at a right time.</p>
Is the femoral neck-shaft angle an independent risk factor for hip fractures? An observational study
Authors: Obande Bernard O. , Iyidobi Emmanuel C. , Eyichukwu Gabriel O. , Nwadinigwe Cajetan U. , Ekwunife Remigus T. , Ede Osita 
Published: October 2019

<p class="abstract"><strong>Background:</strong> The femoral neck-shaft angle (FNSA) has been implicated in the aetiology of hip fractures. The longer moment arm of a higher FNSA has been theorized to impart a greater deforming force to the greater trochanter, which may cause a hip fracture.</p><p class="abstract"><strong>Methods:</strong> A prospective study that involves adults with hip fractures and a control group matched for age and sex. The FNSA of both groups were measured on an anteroposterior X-ray of the pelvis. The mean FNSA were compared with a paired samples t-test, and a binary logistic regression analysis was run with the FNSA as a predictor variable and the presence of hip fracture as an outcome variable.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 150 patients were recruited for the study, 75 per group. The mean age of patients with hip fractures was 71.30 years (S.D.=14.34), and that of the control group was 73.94 years (S.D.=12.55), p=0.264. The mean FNSA of the study group was 133.96<sup>o</sup> (S.D.=3.77) while that of the control group was 131.05<sup>o</sup> (S.D.=3.86), p&lt;0.001. Increasing FNSA imparts a higher risk of having a hip fracture, O.R.=1.24 (95% C.I, 1.12-1.37).</p><p><strong>Conclusions:</strong> Individuals with higher FNSA demonstrated a significantly increased risk of developing hip fractures. However, the exact cut-off point of the FNSA, which predisposes to the risk of these fractures, remains to be elucidated. </p>
Demonstration of Effect of Oak Root Extract on Burn Wounds in Rats
Authors: BAYKAN Halit , SENEL Fatma 
Published: October 2019

Abstract

Objective: The aim of this study was to determine whether oak
root extract has protective role on burn injuries by using quantitative and
histopathological approaches.

Material and method: The study was conducted on 16 adult Sprague-Dawley
rats aged 8 weeks (weighing 350 g). The rats were assigned into 2 groups
including: group 1 consisting of rats employed as controls and group 2 in which
rats received oak root extract. After shaving dorsum of rats, second degree
burn injury was created at the right and left sides of the line representing
vertebral column in both groups. Wound care was provided by using normal saline
in group 1, while it was provided by using oat root extract in group 2. The
right side was used for macroscopic evaluations, while left side was used for histopathological
examination through biopsy samples obtained on the days 1, 3, 7 and 17. On the
day 17, the rats were sacrificed under ketamine anesthesia. Cutaneous tissue
samples were taken and macroscopic measurements were made by using a grid
paper. Edema, neovascularization, inflammatory cell infiltration and
re-epithelization were assessed on the histopathological examination.

Results: When compared to the control group, it was seen that the extent of burn
area was reduced and that degree of neovascularization, inflammatory cell
infiltration and re-epithelization was increased with decreased edema was
(p&lt;0.001). Keywords: Burn, oak root extract, healing, rat Özet:Amaç: Bu araştırmanın amacı ratlarda yanık yarası üzerine kantitatif, ve
histopatolojik yaklaşımlarla meşe kökü ekstresinin koruyucu rolu olup
olmadığını belirlemektir.Materyal ve metod: Çalışmaya 16 adet, 8 haftalık erişkin ve 350
gram ağırlığında Spraque-Dawley rat alındı ve ratlar iki gruba ayrıldı; grup 1:
kontrol grubu, grup 2; meşe ekstresi
uygulanan grup. Ratların sırt bölgesi traşlandıktan sonra columna vertebralisin
olduğu hat işaretlenip sağ ve solunda kalan bölgeye 2. derece temas yanığı
oluşturuldu. Grup 1 yanık alanı serum fizyolojik, Grup 2’ de ise meşe ekstresi
ile günlük pansuman yapıldı. Her bir ratın sırtındaki sağ bölge makroskopik,
sol bölge ise histopatolojik inceleme (1. 3. 7. ve 17. günlerde alınan biyopsi)
için kullanıldı. 17. gün de ratlar
ketamin anestezi altında iken sakrifiye edildi ve cilt doku örnekleri alındı ve
makroskopik olarak milimetrik kağıt ile ölçüm yapıldı. Histopatolojik
incelemede ödem, neovaskülarizasyon, enflamatuar hücre infiltrasyonu ve
re-epitelizasyon değerlendirildi.Bulgular: Meşe ekstresi uygulanan grup, kontrol
grubu ile karşılaştrıldığında yanık alanın azaldığı, neovaskülarizasyon, enflamatuar
hücre ve re-epitelizasyon derecesinin arttığı, ödemin ise azaldığı görüldü
(p&lt;0.001). Sonuç: Meşe kökü ekstresinin yanık yarasının iyileşmesinde etkili olduğu
görüldü.

Anahtar kelimeler: Yanık, meşe kökü ekstresi, iyileşme, rat,
PELAKSANAAN PERATURAN PEMERINTAH NOMOR 18 TAHUN 2016 DI RSUD KARAWANG
Authors: Nursanti Siti , Tayo Yanti , Utamidewi Wahyu 
Published: October 2019

Government regulations related to regional apparatus number 18 of 2016 changed the status of regional public hospitals from regional technical institutions to limited regional service units under the Karawang District Health Office. Decentralization of the health sector entered a new era, Government Regulation number 18 of 2016 made the Health Service the only government agency that deals with the health sector from starting to Promotive, preventive, curative and rehabilitative efforts. The purpose of this study was to determine the communication activities of the Karawang District Health Office in the application of Government Regulation number 18 of 2016. This study used a qualitative research method with a case study approach. Karawang Regency, and Chairperson of the Karawang Regency Hospital Supervisory Board. The results of this study are internal communication from the top down or the bottom up is easier to do both directly, and indirectly, direct communication is done by superiors by telephone and then followed up using official letters.
LITERASI MEDIA DIGITAL BERBASIS INDIVIDUAL COMPETENCE FRAMEWORK PADA ANGGOTA MAJELIS TAKLIM KOTA PALEMBANG PENGGUNA WHATSAPP
Authors: Meilinda Nurly , Murti Krisna , Maulina Novaria 
Published: October 2019

This study aims to determine the level of digital media literacy based on the individual competence framework in member of Majelis Taklim of Palembang City. This study uses a quantitative approach with a survey method based on the framework of the individual competence framework of the Europian Commission. This study involved 80 research respondents from members of the Taklim Assembly in Palembang City. the individual competence of Taklim members in using the WhatsApp application are in the advanced category, with details as follows: use skills are in the advanced category, critical understanding is in the advanced category, communicative abilities are in the advanced category. The advance category means that members of the Taklim assembly in the city of Palembang have been very active in using media, they are also aware and interested in various regulations that affect the use of digital media, especially WhatsApp. Respondents have deep knowledge of techniques and languages and can communicate and create messages. In the social field, respondents have been able to activate group collaboration that allows him to solve problems. The factors that encourage respondents to use WhatsApp are environmental factors and individual factors. Environmental factors are encouragement from family members and people around the respondents, while individual factors are a sense of motivation to be able to socialize and add information to themselves.
MEDIATING ROLE OF AFFECTIVE COMMITMENT AMONG SUBJECTIVE WELL-BEING, LEADERSHIP STYLE AND ORGANIZATIONAL CITIZENSHIP BEHAVIOR
Authors: Suparjo Suparjo , Sunarsih Endang Sri 
Published: October 2019

<p><em>The purpose of this study was to explore the role of Affective Commitment (AC) as a mediating variable in encouraging organizational citizenship behavior in Private Universities in Central Java, Indonesia. The study explains whether Affective Commitment (AC) is able to mediate the relationship between Leadership Style (LS) and Subjective Well-being (SWB) with Organizational Citizenship Behavior (OCB). The sample in this study is permanent staff and lecturers who work in Private Universities in Central Java. Data from 124 respondents were collected by utilizing the questionnaire.The sample sample used in this study is 150 respondents. It was taken by applying proportional random sampling. Only the 150 questionnaires distributed, 124 were returned, for a response rate of 82%.After processing and modifying the data, only 124 respondents used as the main resources analyzed by using Structural Equation Model (SEM). Statistical analysis reveals that there exists significant relationship between </em><em>Subjective well-being, </em><em>Leadership Style</em><em>, and Organizational Citizenship Behavior; likewise, Affective commitment mediates the relationship between </em><em>Subjective well-being, </em><em>Leadership Style</em><em>, and Organizational Citizenship Behavior. Limitations and future implementations of this research are also discussed</em><em></em></p>
Simultaneous Use of Kocher-Langenbeck and Lateral Window Approaches for Transverse Acetabular Fracture Open Reduction and Internal Fixation
Authors: Moran Thomas , Hadeed Michael M. , Yildirim Baris , Mathur Kishan , Yarboro Seth R. 
Published: October 2019

Case:
An otherwise healthy 39-year-old man presented after a fall from 30 feet with a right transverse, transtectal acetabular fracture. The fracture was not reducible with an isolated anterior or posterior approach. A simultaneous combined approach was used in the lateral decubitus position. The fracture was appropriately reduced and stabilized.

Conclusions:
This combined approach with the patient in the lateral decubitus position was effective without requiring repositioning of the patient during surgery. This technique may be helpful for reduction of challenging transverse acetabular fractures.
Failed Attempt of Total Hip Arthroplasty in a Patient with Klippel-Trenaunay Syndrome
Authors: Cirstoiu Catalin , Cretu Bogdan , Sandu Cristian , Dorobat Bogdan , Neagu Andrei , Serban Bogdan 
Published: October 2019

Case:
A 41-year-old man with Klippel-Trenaunay syndrome presented with pain and limited range of motion in his left hip due to secondary hip osteoarthritis. After preoperative assessment, which also included tomography and conventional arteriography, total hip arthroplasty by direct anterior approach was attempted, but rapid blood loss occurred during surgery and the procedure had to be stopped.

Conclusions:
Total hip arthroplasty should be undertaken with great caution in a patient with Klippel-Trenaunay syndrome. Preoperative conventional arteriography alone may not reveal the true extent of vascular malformations, which may lead to catastrophic results.
Two Rare Pustulose/spinose Morphotypes of Benthic Foraminifera from Eastern Ross Sea, Antarctica
Authors: Majewski Wojciech. , Stolarski Jarosław , Bart Philip J. 
Published: October 2019

AbstractHabitats proximal to grounded ice and below ice shelves are rarely studied for microfossils. A recently described, well-resolved deglaciation record from the Whales Deep Basin of the eastern Ross Sea provided an opportunity to study sub-fossil foraminifera in such settings. Among other foraminiferal taxa, two forms with pustulose/spinose ornamentation were especially important as they were restricted to habitats associated with proximity to the calving front or presence of an ice-shelf. Based on gradation from strongly pustulose/spinose to typical morphologies and existing molecular data, these rarely reported forms are considered to be morphotypes of Globocassidulina biora (Crespin, 1960) and Trifarina earlandi (Parr, 1950). They seemed to flourish in polynya areas near grounding-line and in sub-ice-shelf environments with bottom currents. Their unusual morphologies may be a response to limited food resources. These foraminifera deserve special attention because they appear to be restricted to extreme Antarctic environments and hence are potentially very important for paleoenvironmental reconstructions.
Palliative care nurse specialists' reflections on a palliative care educational intervention in long-term care: An inductive content analysis
Authors: Frey Rosemary Ann , Balmer Deborah , Boyd Michal , Robinson Jackie , Gott Merryn 
Published: October 2019

Abstract
Background: Older people in long-term care facilities are at a greater risk of receiving care at the end of life that does not adequately meet their needs, yet staff in long-term care are often unprepared to provide palliative care. The objective of the study was to explore palliative care nurse specialists’ experiences regarding the benefits of and barriers to the implementation of a palliative care educational intervention, Supportive Hospice Aged Residential Exchange (SHARE) in 20 long-term care facilities.
Methods: Reflective logs (465), recorded over the course of the yearlong SHARE intervention by the three palliative care nurse specialists from two local hospices, who were the on-site mentors, were qualitatively analyzed by two researchers utilizing inductive content analysis.
Results: Categories emerging from the logs include the importance of relationships, knowledge exchange, communication, and the challenges of providing palliative care in a long-term care setting.
Conclusion: Evidence from the logs indicated that sustained relationships between the palliative care nurse specialists and staff (registered nurses, healthcare assistants) as well as reciprocal learning were key factors supporting the implementation of this palliative care educational intervention. Challenges remain however in relation to staffing levels, which further emphasizes the importance of palliative care nurse specialist presence as a point of stability.
Sports participation related to injuries and illnesses among ambulatory youth with chronic diseases: results of the Health in Adapted Youth Sports study
Authors: Lankhorst Kristel , de Groot Janke , Takken Tim , Backx Frank 
Published: October 2019

Abstract
Background: Although sports participation leads to important health enhancement for youth with chronic diseases or physical disabilities (CDPD), it may pose an increased risk for injury or illness. This study investigated the incidence, type, severity and risks to (sports-related) injuries and illnesses among ambulatory youth with CDPD.
Methods: Over a 12-month period, every two weeks, the characteristics of injuries and illnesses were registered by an online questionnaire and phone-based interview. Physical activity level was measured with the Activ8 during one week. Complete data was available of 103 youngsters with CDPD (61 boys, 42 girls), with a mean age of 14.4 (SD=2.7) years. The personal characteristics, the injury and illness rates per 1000 hours of PA were investigated per group of organized sports participation per week (0, 1 or ≥2 times p/wk).
Results: Almost half of the youngsters sustained one or more injuries (46% ) or illnesses (42%) during one year. The injury rate per 1000 hours of PA between 0, 1 and ≥2 times per week of sports participation was 0.84, 1.88, 133 respectively and the illness rate were 1.87, 1.88 and 1.18 respectively. Differences between the rates were not statically significant. Most reported health problems had no subsequent restriction (49%) or other minor consequences (21%) in school, physical education or sports participation. Most reported health problems were contusions (41%) at the lower extremity (74%) and flu plus fever (58%).
Conclusions: Participation in sports ≥2 times per week does not pose a significant increased risk in the incidence of injury or illness per 1000 hours of PA in youth with CDPD compared to their peers who participate less frequent (once weekly) and compared to non-sports participants. Athletes who participate in sports at least twice weekly get injured mostly during their sporting activities, while peers who do participate in sports once a week or not at all, get injured during less intense physical activities during physical education lessons, ADL or non-organized sports and play in leisure time. The social impact of injuries or illnesses was limited.
Comparative study of Revogene GBS LB Assay and GeneXpert GBS LB Assay for the detection of Group B Streptococcus in prenatal screening samples.
Authors: Choera Tsokyi , Jung-Hynes Brittney , Chen Derrick J. 
Published: October 2019

Abstract
Background: Group B Streptococcal (GBS) infections in the United States are a leading cause of meningitis and sepsis in newborns. The CDC, therefore recommends GBS screening for all pregnant women at 35–37 weeks of gestation and administration of intrapartum prophylaxis (in those that tested positive) as an effective means of controlling disease transmission. Several FDA approved molecular diagnostic tests are available for rapid and accurate detection of GBS in antepartum women.
Method: In this study, we report a clinical comparison of the Xpert GBS LB assay and a novel FDA-cleared test, Revogene GBS LB assay. A total of 250 vaginal-rectal swabs from women undergoing prenatal screening were submitted to the University of Wisconsin’s clinical microbiology laboratory for GBS testing.
Results: We found 96.8% of samples were concordant between the two tests, while 3.2% were discordant with a positive percent agreement of 98.0% and a negative percent agreement of 96.5% between the Revogene GBS LB assay and the GeneXpert GBS LB assay.
Conclusion: Overall, we report that both assays perform well for the detection of GBS colonization in pregnant women.