bluuebunny/crossref_metadata_2025_split huggingface dataset:
Obstetric outcome in twin pregnancies complicated with single intrauterine fetal demise
Authors: Chaudhari Priyanka , Gupta Vinita , Sharma Anshu , Tandon Archna , Saxena Namrata , Nimonkar Shweta , Singh Shweta 
Published: June 2020

Background: It has been reported that single intrauterine fetal death in twin pregnancy occurs in 3.7-6.8% all twin pregnancies. The objective of this study was to evaluate the maternal and fetal demographic features and feto-maternal outcomes in twin pregnancies complicated with single intrauterine fetal demise and evaluation of available management guidelines.Methods: This retrospective study was conducted at obstetrics and gynecology department of SGRRIM and HS, Dehradun, Uttarakhand between January 2015 and December 2019. There was a total of 182 twin deliveries at study hospital during this period and 35 of these cases were complicated with single intrauterine fetal demise. Maternal age, parity, chorionicity of twin gestation, gestational age at single intrauterine fetal demise, gestational age at delivery, mode of delivery, birth weight, Apgar Score at birth, neonatal intensive care unit stay of newborn, maternal fibrinogen levels during pregnancy and delivery time and associated obstetric complications were analyzed in these cases of single intrauterine fetal demise with twin gestation. All monochorionic twin pregnancies were included in the study Group A and dichorionic twin in Group B.Results: The mean age of 32 patients included in study was 29.7±4.6 years. Twenty (62.5%) of these patients were dichorionic and 12 (37.5%) of these were monochorionic twin gestation. Single intrauterine fetal demise occurred in first trimester in 8 (25%) patients, during the second trimester 20 (62.5%) and 4 (12.5%) patients had third trimester single intrauterine fetal demise. Preterm deliveries occurred in 18 (56.3%) of patients and 8 (44.4%) of patients were of monochorionic and 10 (55.6%) of dichorionic twin patients. Among thirty-two patients, 11 (34.4%) patients had caesarean delivery and 21 (65.6%) patient had vaginal birth. No maternal or fetal mortality noted and none of the patients had maternal coagulation disorder.Conclusions: This study indicates that in cases of twin pregnancies with single fetal intrauterine demise with individualized management plan at higher centre and close maternal and fetal surveillance live fetus can be saved without any maternal risk.
Study of risk factors for preterm deliveries in a tertiary hospital
Authors: Berry Sapna D. , Sood Rajeev , Negi Kalpna , Kumar Naveen 
Published: June 2020

Background: Preterm labour and preterm deliveries are very challenging obstetric complications. Early identification of risk factors may help identify women at risk for preterm deliveries.Methods: A one-year observational study was conducted in the department of obstetrics and gynecology, IGMC Shimla, Himachal Pradesh from 1st August 2017 to 31st July 2018. All mothers who delivered between 24 to 37 weeks were subjected to a detailed history with respect to age, parity, previous pregnancy outcomes and to identify the presence of any risk factors. A thorough obstetric and systemic examination was done. Parametric and non-parametric test of significance were used to find the association between different quantitative and qualitative variable.Results: Incidence of preterm deliveries was 11.4%. Maximum cases were of age group 25-30 years. 71.7% belonged to lower socio-economic status. 54% cases were seen in multigravida. History of previous abortion was seen in 18.4% and 9.7% had history of preterm deliveries. 12% cases had history of 1st trimester bleeding. Spontaneous onset of preterm labour was seen in 55.1%. The significant risk factors associated were PIH and genitourinary infections.Conclusions: The risk factors of preterm birth to a large extent can be identified in antenatal period. Adolescent health education including good nutrition, good hygiene, counselling for contraception to reduce unintended pregnancies and birth spacing can lower the preterm birth rate. Better prenatal care, early identification of risk factors and complicated cases, regular follow up and proper management can help us in reducing preterm births.
A rare presentation of aorto-bronchial fistula and the relevance of open repair in endovascular era
Authors: Zulkifli M. Faizal Effendi , Marican M. Azri , Radzif Abdul Rashid M. , Azmi Muhammad Ibrahim , Muhammad Mohamad Arif , Jasid Abdul Muiz , Kamarulzaman M. Hamzah 
Published: June 2020

Aorto-bronchial fistula is a rare but potentially fatal condition due to torrential bleeding from erosion of aneurysmal wall into bronchial wall or lung parenchyma. It is usually associated with infection, lung transplantation, pulmonary malignancies, atherosclerotic and mycotic aneurysms, and anastomotic pseudoaneurysms after open or endovascular surgery. The typical presentation usually manifested by haemoptysis, but rarely the patient also can be presented with hematemesis and this will delay the definitive treatment. Surgical or endovascular repair is mandatory because non-operative management will lead to a poor prognosis due to massive bleeding from the fistula. We would like to present a unique case of an elderly man presented with intermittent haematemesis, in which he later developed profound haemoptysis and diagnosed with ABF. Although in the era of endovascular, the ABF was successfully treated via open thoracotomy, resection of thoracic aorta aneurysm, left lower lobe lobectomy, and completed with aortic repair using Gelweave aortic graft.
Right para duodenal hernia presenting as small bowel obstruction: a rare case report
Authors: Kakkar Dipanshu , Kochar Shubra , Prasad Sanjeev 
Published: June 2020

Internal hernias are rare congenital anomalies. The most common internal hernias are para duodenal hernias (53%) followed by pericaecal hernias 13%. Para duodenal hernia, a rare congenital anomaly that arises from an error of rotation of the midgut, is the most common type of intra-abdominal hernia. There are two types, right and left para duodenal hernia, the right being less common. Here we present a case of a 21 years old male presented in surgical emergency department non-passage of flatus and stools since, 5 days with associated nausea, vomiting and abdominal pain. Abdominal CT demonstrated signs of small bowel obstruction. A midline laparotomy was performed. Intra operative findings suggestive of right sided para duodenal hernia. Careful reduction of hernia and plication of sacs done with new D-J flexure formation. Para duodenal hernias are rare congenital entities. Left para duodenal hernia is more common than right. The right para duodenal hernia occurs when the pre arterial limb of the mid gut loop fails to rotate around the superior mesenteric artery. Symptoms may vary according to degree of obstruction or gut ischemia. Reduction of contents of the sac and plication of the sac to prevent further hernia formation and resection of small bowel in cases of gut gangrene remains the mainstay of the treatment.
The clinicopathological and radiological features of unilateral nasal mass in adults, a tertiary hospital experience
Authors: Aljafar Hadeel M. , Alenazi Eman R. , Alkhatib Abdulrahman M. , Alazzeh Ghaleb M. , Almomen Ali A. 
Published: June 2020

<p class="abstract"><strong>Background:</strong> Aim and objectives of the study were to analyze and study the diverse presentations of unilateral nasal mass and to identify the suggestive features of neoplastic pathology in adult’s population at a tertiary referral hospital.</p><p class="abstract"><strong>Methods:</strong> A retrospective analysis of 90 patients presented with unilateral sinonasal mass, reported to the Rhinology and Skull Base Clinic at the department of ENT in King Fahad Specialist Hospital, Dammam. The parameters include patient history, clinical assessments and histopathological examinations, which were supplemented with radiological investigations.In addition, demographic information and histopathological examinations for patients, who underwent surgical excision was analyzed for correlation with clinical diagnosis. </p><p class="abstract"><strong>Results:</strong> The reported cases are 55 males and 35 females with a median follow-up period of 12 months, ranging from 2-72 months. Nasal obstruction is the major symptom 34 (38%), 25 (27.8%) cases were reported with nasal mass and clinical diagnosis indicates 18 (20%) cases of malignancy. Type of disease and gender demonstrates low significance (p=0.023), whereas the diagnosis with age is highly significant (p=0.005).</p><p class="abstract"><strong>Conclusions:</strong> Carcinoma, inflammatory polyposis, inverted papilloma and allergic fungal sinusitis were the highest histological diagnosis. The clinical diagnosis and the suggestive features of radiological findings mostly resembled the histological findings. In contrary to the resemblance, the histological finding reveals the general diagnosis of nasal mass to the precise diagnosis, especially the fatal conditions like carcinoma. The high rate of malignancy and its suggestive radiological findings indicates that the specialists should consider the cases with caution to carryout histological analysis to rule out the probability of neoplasm.</p>
The effect of environmental noise on speech perception of individuals with sensorineural hearing loss: a prospective observational study
Authors: Sahoo Lokanath , Sahoo Krushnendu Sundar , Nayak Nitish Kumar 
Published: June 2020

<p class="abstract"><strong>Background:</strong> This study was done to identify the effect that environmental noises have on speech perception of individual with sensorineural hearing loss. The objectives were to develop evidence-based approach to support the need for sophisticated technology and to choose the better one for daily listening purposes of Hearing-Impaired individual to obtain a speech perception score when environmental noises are used as competing signal.</p><p class="abstract"><strong>Methods:</strong> The study was executed in three phases. In phase 1, developing a noise check list and recording the noise levels at different places by using sound level meter, in phase 2, analyzing the recorded noises into spectral and temporal distributions by using software and phase 3, testing the hearing loss individual’s syllables in the presence of recorded noises. </p><p class="abstract"><strong>Results:</strong> For 0 dB signal to noise ratio (SNR), the mean scores for white noise and temple noise were higher than for other noise types. The bus and auto noise conditions also showed significant difference in values between them. For +10 dB SNR, speech scores obtained for audiometry noise differed statistically from only restaurant and traffic noise. The traffic noise being the poorest differed statistically from all other noise types. On the other end of range, restaurant noise showed highest speech scores.</p><p class="abstract"><strong>Conclusions:</strong> The overall the scores were a lot higher for only restaurant noise and noise of travel in auto. These showed effect of masking release and that hearing impaired are better able to understand conversations in these situations at least.</p>
Endoscopic interlay tympanoplasty: our experience
Authors: K. Sajitha Bhaskaran , Kumar Naveen 
Published: June 2020

<p class="abstract"><strong>Background:</strong> Chronic otitis media is treated conventionally by tympanoplasty using a temporalis fascia graft using a microscope, through a post aural approach. The present study comprises of 50 cases of chronic otitis media, which were treated by endoscopic interlay technique of tympanoplasty, combining two novel approaches in otological surgery.</p><p class="abstract"><strong>Methods:</strong> Total of 50 patients were studied, with in a period of one year at our institution. All of them underwent type I endoscopic tympanoplasty by interlay method. All of whom were followed up for 6 months. Patients were evaluated in terms of graft uptake, improvement in hearing and rate of complications. </p><p class="abstract"><strong>Results:</strong> In the present study, we have recorded a graft uptake rate of 98%. The mean post operative air bone gap at the end of 6 months was 0.9 dB (p=0.001) which was statistically highly signiﬁcant.</p><p class="abstract"><strong>Conclusions:</strong> Endoscopic interlay tympanoplasty is a novel and preferred technique, which could be implemented in all cases of dry chronic otitis media.</p>
Clinico-pathological and radiological correlation of sino-nasal masses in a tertiary care center
Authors: Sahni Dimple , Kaur Gagandeep , Verma Peeyush , Kaur Rajwant , Singh Harpal 
Published: June 2020

<p class="abstract"><strong>Background:</strong> The nasal masses are most commonly encountered condition in outpatient department of otorhinolaryngology. The purpose of this study was to show the clinical, radiological and histopathological correlation of sino nasal masses.</p><p class="abstract"><strong>Methods:</strong> This study was conducted on 100 cases with sino nasal masses over a period of 2 years. A provisional diagnosis was made after clinical and radiological investigation which was confirmed with histopathological examination and the findings were correlated. </p><p class="abstract"><strong>Results:</strong> The number of non-neoplastic lesions were more than neoplastic lesions (75% vs 25%). Incidence was highest in the age group of 31-40 year (21%) with male to female ratio of 1.5:1. In our study among non-neoplastic lesion, inflammatory lesion had highest frequency (75%). We found clinical and histopathological correlation in 94.6% cases (p value 0.04). 93.33% cases correlated radiologically and histopathologically (p value 0.04). </p><p class="abstract"><strong>Conclusions:</strong> We concluded that for proper evaluation of sino nasal masses, clinical, radiological, histopathological evaluation should be carried out conjointly. Histopathologic evaluation remains the gold standard.</p>
ANALYSIS OF SHIFT FORM AND MEANING TRANSLATION OF POLITICAL NEWS IN INDONESIA ALYOUM.COM (SYSTEMATIC FUNCTIONAL LINGUISTIC APPROACH)
Authors: Alim Muhamad , Rafkahanum Rifa , Ma’mun Titin Nurhayati 
Published: June 2020

Purpose: The purpose of this research is to analyze and describe the shift in form and meaning of the translation of political news, some aspect that affects the shift in form and meaning of the translated text from the source language, and recommends the news translation techniques that can be used as learning methods for Arabic-Indonesian or Indonesian-Arabic.
Methodology: This research uses identity and distributional methods and data presentation methods using qualitative descriptive analysis. The theory referred to the shifting of form theory and the shifting of meaning theory.
Main Findings: The results of this research identified that the shifting of form consisted 57 data of structure shift (64%), 18 data of class shift (20%), 14 data of unit shift (15%), 1 data of intrasystem shift (0,1%) and the shifting of meaning 16 data gain of information (27,5%), 26 data loss of information (45%), and 16 data skewing of information (27,5%). Translation techniques are identified as follows: structural shifts include passive into active, direct sentences into indirect sentences, explanation at the end into the explanation at the beginning, nominal sentences into verbal sentences and class shifts, for example, verb into a noun or adjective, and unit shift including the words into phrases and vice versa, phrase into clause and the change of the number of the sentence.
Implications/ Applications: The aspects that affect the shift in the form and meaning of the text translation from the source text are the aspects of transfer which include linguistic aspects (lexical, syntactic, and textual) and extralinguistic aspects (cultural, thematic, and encyclopedic).
Novelty/Originality of this study: The current study will analyse indonesiaalyoum.com to present ways of Introducing Arabic to Indonesia and the translation techniques to learn Arabic- Indonesian or Indonesian-Arabic. In addition, it will contribute to the existing literature by providing an overview regarding the forms and meaning of the translation of political news and aspects that affect the shift in meaning.
Analyzing the use of mathematics apps in elementary school classrooms
Authors: Kay Robin 
Published: June 2020

Limited research has been conducted on the use of mathematics apps in elementary school environments. The purpose of this study was to examine student (n=127) and teacher (n=6) attitudes toward the use of constructive-based, mathematics apps in grades 4 to 6 and to explore what factors influence learning performance. Students rated the design and engagement value of mathematics apps high, and the learning value moderately high. Teachers were neutral about app design but rated the engagement and learning value high. Student learning performance increased significantly after using mathematics apps for remembering, understanding, applications and analysis-based tasks. Student gender, ability, attitudes, and age had no significant impact on student learning performance. On the other hand, teacher gender and strategies had a significant impact on student learning performance. Students scored 13% higher with female teachers, 24% higher when students used apps in pairs, and 21% lower with a teacher-led strategy.

Keywords: mobile apps, mathematics, elementary school, attitudes, learning performance
In dogs with metaldehyde intoxication, are benzodiazepines more effective than methocarbamol in relaxing muscles and reducing tremors?
Authors: Liatis T 
Published: June 2020

PICO question
In dogs with metaldehyde intoxication, are benzodiazepines (e.g. diazepam, midazolam) more effective than methocarbamol in relaxing muscles and reducing tremors?

Clinical bottom line
Category of research question
Treatment
The number and type of study designs reviewed
Five papers were critically reviewed. There were five retrospective case series
Strength of evidence
Weak
Outcomes reported
Currently, five retrospective case series exist in the literature which discuss metaldehyde intoxication cases treated mainly with benzodiazepines, a few of which had methocarbamol. There is not really any study to compare directly benzodiazepines with methocarbamol. In addition to that, factors such as commercial (e.g. the low availability of methocarbamol in the UK market compared to the US market), administrational (e.g. multiple administration routes of benzodiazepines) and pharmacological (e.g. lack of anticonvulsant function of methocarbamol), have played an important role in the treatment choice. Several case reports exist as well
Conclusion
Currently, there is insufficient evidence to determine whether benzodiazepines are more effective than methocarbamol in relaxing muscles and reducing occurrence of muscle tremors

How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision-making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
THE INNOVATION MODEL OF TURBINE ENGINE COMPRESSOR TO SIMULATE THE PERFORMANCE IN OIL AND GAS INDUSTRY
Authors: Fernando Damianus Mario Ricky , Waluyo Joko 
Published: June 2020

ABSTRACTIn 1997s, East Kalimantan had several oil and gas fields that had reservoir pressure in the High-Pressure category. However, a few years later, the pressure continued to decrease until it reached Low Pressure, so the compressor is needed to produce high-pressure. In this study, an explanation of the process of making a turbine engine performance simulation model in 2019 is discussed and predicting turbine engine performance in the following years. This is important because the compressor is a vital tool in the oil and gas industry. Furthermore, it works continuously so that performance must be considered. In general, the simulation model equation consists of several parameters that exist in the Brayton cycle in the gas turbine in steady conditions. Simultaneous equation solving in simulation models using the Newton-Raphson method. The simulation results show that the performance of the Turbine Engine Compressor in 2019 has a net power of 20.58 MW with a cycle efficiency of 23.06%. This can be developed for plans for maintenance applications to improve efficiency changes. Keywords: simulation, Newton -Raphson, gas turbine, pressure, compressor ABSTRAK Pada tahun 1997, Kalimantan Timur memiliki beberapa ladang minyak dan gas yang memiliki tekanan reservoir dalam kategori tekanan tinggi. namun beberapa tahun kemudian, tekanan terus menurun hingga mencapai tekanan rendah, sehingga kompresor diperlukan untuk menghasilkan tekanan tinggi. Dalam penelitian ini, dibahas tentang proses pembuatan model simulasi kinerja mesin turbin pada tahun 2019 dan memprediksi performa mesin turbin di tahun-tahun berikutnya. Hal ini penting karena kompresor adalah alat vital dalam industri minyak dan gas. dan itu bekerja terus menerus sehingga kinerja harus diperhatikan. Secara umum, persamaan model simulasi terdiri dari beberapa parameter yang ada dalam siklus brayton di turbin gas dalam kondisi stabil. Penyelesaian persamaan simultan dalam model simulasi menggunakan metode newton-raphson. Hasil simulasi menunjukkan bahwa kinerja kompresor mesin turbin pada 2019 memiliki daya bersih 20,58 mw dengan efisiensi siklus 23,06%. Penelitian ini dapat dikembangkan untuk rencana aplikasi pemeliharaan untuk meningkatkan perubahan efisiensi. Kata kunci: simulasi, Newton-Raphson, turbin gas, tekanan, kompresor
Karakteristik dan Stabilitas Fisik Krim Amniotic Membrane Stem Cell Metabolite Product dengan Penambahan SPACE Peptide
Authors: Ayun Nisa Qurrota , Erawati Tristiana , Prakoeswo Cita Rosita Sigit , Soeratri Widji 
Published: June 2020

Pendahuluan: Penggunaan growth factor dalam kosmetika adalah upaya yang menjanjikan dalam mengatasi masalah penuaan, namun juga menjadi sebuah tantangan tersendiri untuk pengaplikasiannya. Karakteristik dan stabilitas fisik merupakan parameter yang penting dalam formulasi sediaan, utamanya pada sediaan kosmetika yang mengandung growth factor karena dapat berpengaruh langsung terhadap efektifitas kandungan zat aktifnya. Tujuan: Mengevaluasi pengaruh perbandingan Amniotic Membran Stem Cell Metabolite Product (AMSC-MP) dan SPACE peptide (F1 = 1:0; F2 = 1:1; F3 = 1:2; F4 = 1:3) terhadap karakteristik dan stabilitas fisik krim antiaging AMSC-MP yang mengandung growth factor. Metode: Uji karakteristik sediaan dievaluasi dengan parameter organoleptis, pH dan daya sebar. Uji stabilitas fisik dilakukan dengan mengevaluasi karakteristik sediaan selama 21 hari penyimpanan. Hasil: Sediaan krim yang mengandung AMSC-MP dengan SPACE peptide memiliki karakteristik; rentang pH 5,8 - 6,5 hasil uji statistik dengan metoda ANOVA satu arah menunjukan perbedaan bermakna, daya sebar sediaan antara 5,6 - 7,2 cm hasil uji dengan metoda Kruskal Wallis menunjukkan tidak ada perbedaan yang bermakna, bau sedikit amis, warna putih susu dan tekstur lembut. Hasil uji stabilitas terhadap nilai pH dan daya sebar menunjukkan bahwa formula krim dengan penambahan berbagai konsentrasi SPACE peptide stabil selama penyimpanan 21 hari. Kesimpulan: Peningkatan konsentrasi SPACE peptide meningkatkan pH sediaaan namun tidak mempengaruhi daya sebar, bau, warna dan tektur sediaan. Semua formula sediaan krim AMSC-MP dengan SPACE peptide stabil selama 21 hari penyimpanan.