bluuebunny/crossref_metadata_2025_split huggingface dataset:
Utility of high resolution computed tomography in pre-operative evaluation of cholesteatoma
Authors: Jacob Amith , Sreedhar Sandeep , Choolakkaparambu Aboobakker Anwar Sadath , Bashir Nalakath Kunjhimon 
Published: June 2020

<p class="abstract"><strong>Background:</strong> Prior knowledge about temporal bone anatomy and extent of cholesteatoma may help the ENT surgeon to plan the surgery and avoid impending complications. This study aims to evaluate the role of pre-operative high resolution computed tomography (HRCT) in cholesteatoma and to compare HRCT findings with intra-operative findings.</p><p class="abstract"><strong>Methods:</strong> A diagnostic evaluation study was performed among 30 atticoantral cholesteatoma cases presenting in the ENT outpatient department of MES Medical College in Malappuram, Kerala over a period of one and half years. The intraoperative findings were considered as the gold standard to which the radiological features were compared and the sensitivity, specificity and predictive value of HRCT were determined. </p><p class="abstract"><strong>Results:</strong> High sensitivity of HRCT was noted in detecting soft tissue in mesotympanum 94.4% and aditus ad antrum 94.1%. Low sensitivity 59% was noted in detecting stapes erosion when compared to malleus and incus erosions. Except in conditions of soft tissue in epitympanum, dural plate dehiscence and sclerotic mastoid, a high specificity of 100% was noted in all other findings.</p><p><strong>Conclusions:</strong> This study reaffirms the usefulness of HRCT in pre-operative evaluation of cholesteatoma-atticoantral type. </p>
Chronic rhinosinusitis and its correlation with endoscopic anatomy of nose and paranasal sinuses: a cross-sectional study
Authors: Ghosh Nachiketa , Das Debabrata , Majumdar Sayantani , Dey Arijit , Haldar Debdutta 
Published: June 2020

<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis (CRS) is a common condition characterized by inflammation of nose and paranasal sinuses and is associated with significant morbidity and healthcare expenditure. The study was undertaken to evaluate the endoscopic findings in different cases of CRS and correlating those findings with the clinical features and severity of symptoms.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was carried out at the outpatient Department of Otorhinolaryngology, R. G Kar Medical College and Hospital, Kolkata in a span of 18 months. A total of 56 patients who attended the outpatient department during the study period and met the inclusion criteria as well gave consent for participating in the study were taken as the sample size. The data was collected using history taking proforma. </p><p class="abstract"><strong>Results:</strong> Out of 56 patients, 51.8% were female, the most commonly affected age group was 31-40 years with 28.57% of patients. Majority of the patients 30.40% presented within one year of onset of symptoms, all the variables of clinical symptoms shows positive correlation statistically with the endoscopic findings, the most common anatomical variation was deviated nasal septum (DNS) present in 51.78% patients.</p><p><strong>Conclusions:</strong> A more extensive and detailed study needs to be done to determine conclusively whether the severity of symptoms can be used to predict the severity of disease in patients diagnosed as having chronic rhinosinusitis</p>
Oral submucous fibrosis: a study of qualitative and analytical treatment using intralesional injections: placental extract versus combination of steroid with hyaluronidase
Authors: Kale Meena Vishwanath , Gaikwad Ninad Subhash 
Published: June 2020

<p class="abstract"><strong>Background:</strong> One of the premalignant conditions in oropharynx is oral submucous fibrosis (OSMF). It is a chronic debilitating condition of unknown etiology leading to fibrosis of mucosa affecting the oropharynx, esophagus and thus causes decreased mouth opening and dysphagia respectively. The disease is of multifactorial etiology with addictions, nutritional, micro elements and antioxidants deficiencies. In India males are more affected than females, due to their stress related excessive, irresponsible chewing habits. The available management is for symptomatic relief and at present there is no definitive treatment is available.</p><p class="abstract"><strong>Methods:</strong> We have studied 60 cases diagnosed with OSMF with mild to moderate restricted mouth opening. Most of patients were between 17 to 55 years of age selected by randomized clinical trial. Its management was divided into 2 groups where group A was treated with a combined intralesional regimen of injection triamcinolone 40mg and hyaluronidase 1500 IU, while group B was treated with injection of 2ml placental extract. Each group has given a single dose intralesional injection per week for six weeks. </p><p class="abstract"><strong>Results:</strong> It was a comparative study of improvement in effectiveness on mouth opening and reduction in burning sensation of oral cavity seen in group A regimen than group B. Those having persistent trismus, needed surgery.</p><p class="abstract"><strong>Conclusions:</strong> No effective treatment available but along with intralesional injection can give symptomatic relief. In addition, cessation of habits, antioxidants oral hygiene helps in improvement of OSMF.</p>
The role of concha bullosa in chronic rhinosinusitis: our experience at a tertiary care hospital
Authors: Fathima Afshan , Arabhanvi Ramappa , Shamanna Karthik , Joy Lyra 
Published: June 2020

<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis (CRS) is a common and persistent illness that otorhinolaryngologists encounter commonly. It is an important cause of morbidity and accounts for major loss of income. Anatomical variations of the lateral wall of the nose have been reported which can predispose to CRS. The aim of the present study was to determine the percentage of concha bullosa in patients with CRS and to ascertain its relationship with chronic rhinosinusitis.</p><p class="abstract"><strong>Methods:</strong> 100 patients attending the ENT outpatient department, Bangalore Medical College and Research Institute between December 2018 and 2019 were included in the study. Patients clinically diagnosed as CRS underwent diagnostic nasal endoscopy (DNE) and computed tomography (CT) scan of nose and paranasal sinuses, following which the relationship between concha bullosa and CRS was determined. The results were tabulated in excel sheet. Chi square test was applied for qualitative data. </p><p class="abstract"><strong>Results:</strong> Of the 100 patients of CRS, 40 were males and 60 females. Of the 40 male patients, 16 showed presence of concha bullosa and of the 60 female patients, 28 showed concha bullosa. Headache (92%) was the most common presenting symptom in our study. A statistically significant correlation was noted between the presence of concha bullosa and chronic maxillary sinusitis (p value &lt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> Concha bullosa is one of the most common anatomical variations of the lateral wall of the nose. The presence of concha bullosa plays a significant role in the development of chronic rhinosinusitis particularly in chronic maxillary sinusitis.</p>
Post-auricular dermoid cyst- uncommon lesion at an uncommon site
Authors: Kathuria Bhushan , Dhingra Himani , Arora Madhuri , Rana Deepshikha 
Published: June 2020

<p>Dermoid cyst in the post auricular region is a rare occurrence, with only a handful of cases described in the literature. It is an uncommon benign midline cyst which arises in the sub-cutaneous plane, but deeper extension into bone to intra-cranial and intra-calvarial has been reported. The usual presentation is asymptomatic, but it can present as a swelling gradually progressing in size, pain following secondary infection or rupture of the cyst. Malignant transformation of the cyst is exceedingly rare but has been reported. Here we discuss a case of a middle aged female with left dermoid cyst in the mastoid region which was excised surgically and showed no recurrence in the 6 month post-operative period. It is imperative to mention that the removal of the cyst with its wall in entirety is required to prevent recurrence. The final diagnosis is made based on the histo-pathological examination of the excised specimen. </p>
Adenoid cystic carcinoma of arytenoid: a rare tumor at a rare site
Authors: Krishnappa B. D. , Akshay B. K. 
Published: June 2020

<p>Pedunculated primary adenoid cystic carcinoma of larynx is an uncommon form of malignant neoplasm. This case is an extremely rare entity and hence reported. Until today this type of carcinoma is not reported in medical literature. A 55 year old female patient came with 6 months history of dyspnoea and foreign body sensation in throat and occasional change of voice. Micro laryngeal surgical excision of the pedunculated polyp was done under general anaesthesia using diathermy cautery and specimen was sent for histopathological examination, perineural spread of the tumour is highlighted. The pedunculated polyp from the arytenoid looked like a benign lesion and histopathological examination showed the lesion to be adenoid cystic carcinoma. </p>
El buen diseño para lograr autonomía en el entorno de playa para la población con movilidad reducida
Authors: Rivera-Picado Ada Luz 
Published: June 2020

El artículo consiste en el desarrollo de un buen diseño de producto, cuyo objetivo permita el desplazamiento autónomo en el entorno de playa, con el fin de contribuir al disfrute de la población con movilidad reducida.
El buen diseño se describe mediante tres variables: usabilidad (accesible y seguro), experiencia de usuario (a través de satisfacción y versatilidad del producto) y diseño emocional (estética universal). Dichas variables se evaluaron a través de: trabajo etnográfico, basado en la observación de campo; entrevistas, encuestas y testeos con usuarios.
De esta manera, se busca abarcar el buen diseño, gracias a la autonomía del usuario en el entorno de playa y la satisfacción de realizar actividades para su bienestar social y personal. Por último, otro fin es promover la cultura inclusiva y la movilidad sostenible.
Desarrollo de un sistema de objetos inteligentes para mejorar la experiencia de acampar
Authors: Ulloa-Ovares Eduardo , Barrantes-Gamboa Pilar , Linares-Ramírez Maricruz , Berman-Fernández Lior 
Published: June 2020

El proyecto consistió en el desarrollo de un sistema de objetos inteligentes que contribuyan a mejorar la experiencia de acampado. Muchas personas anhelan disfrutar de la naturaleza, pero no se atreven a realizar esta actividad por las incomodidades que pueden presentarse. Según el estudio realizado, las principales necesidades están relacionadas con la ambientación del entorno y las labores de cocinado. Con base en esta información, se definió el concepto de diseño “comodidad asistida” como guía y a partir de él se desarrollaron múltiples propuestas hasta llegar a una solución.
Se planteó un sistema inteligente compuesto por una linterna y fogata portátiles: la linterna busca satisfacer las necesidades de entorno como la iluminación y entretenimiento, mientras que la fogata resuelve las tareas de cocina. Las propuestas fueron depuradas mediante una evaluación para verificar el grado de cumplimiento de los requerimientos iniciales. El diseño seleccionado fue desarrollado en un prototipo de alta fidelidad y validado utilizando métodos iterativos por parte de usuarios afines para la mejora del sistema.
PEMANFAATAN APRS (AUTOMATIC POSITION REPORTING SYSTEM ) BERBASIS IoT (INTERNET Of THINGS) SEBAGAI MEDIA PENGAMATAN CUACA
Authors: Irsan Muhamad , Ismawan Fiqih 
Published: June 2020

ABSTRACTThis paper reports on the potential use of Automatic Packet Reporting System (APRS) technology as weather observations. Observations and measurements made through the process of recording information captured at the APRS data reception station on the aprs.fi site are based on the coordinate points monitored, especially in the Greater Jakarta area. This study aims to have a data package taken at the aprs.fi site reported in real time at each coordinate point believed to be able to be used as information to predict early weather observations based on system requirements. The method will be used by observing and analyzing potential APR system users based on the number and measurement of data by the APRS Internet System (APRS-IS) system on the aprs.fi site. The results showed high reliability on the use of IoT technology in the Automatic PacketReporting System (APRS) as a weather observation, measurement of air humidity, directional pressure can be the current solution. Keywords: APRS; IoT; humidity; weather monitoring; ABSTRAKPenelitian ini melaporkan tentang potensi penggunaan teknologi Automatic Packet Reporting System (APRS) sebagai pengamatan cuaca. Pengamatan dan pengukuran yang dilakukan melalui proses perekaman informasi yang ditangkap di stasiun penerimaan data APRS pada situs aprs.fi berdasarkan titik koordinat yang terpantau khususnya di wilayah Jabodetabek. Penelitian ini bertujuan dengan adanya paket data yang diambil pada situs aprs.fi yang dilaporkan secara real time pada tiap titik koordinat diyakini mampu dijadikan informasi untuk memprediksi pengamatan cuaca secara dini berdasarkan kebutuhan sistem. Metode yang akan digunakan dengan melakukan observasi serta menganalisis potensi pengguna sistem aprs berdasarkan jumlah dan pengukuran data oleh sistem APRS Internet System (APRS-IS) pada situs aprs.fi. Hasil penelitian menunjukkan adanya reliabilitas yang tinggi pada penggunaan teknologi IoT pada Automatic PacketReporting System (APRS)sebagai pengamatan cuaca, pengukuran kelembaban udara, tekanan arah mata angin dapat menjadi solusi saat ini.. Kata Kunci : APRS; IoT; kelembaban udara; monitoring cuaca;
VALUING RECYCLED WASTE PAPER BY THE DESIGN AND MANAGEMENT OF A BOOK COVER MODEL-YRR.18
Authors: Rajagukguk Jenny Ria 
Published: June 2020

ABSTRACTNatural materials are increasingly limited, encouraging the use of materials such as waste materials that have not been widely used for building materials or manufacturing products. Waste paper has been used as a material for the book-YRR.18 book cover through management and design approaches. The waste paper materials used are better than those used to produce this book cover: cellulose = 45.80% = pentosan 25.90% and lignin = 22.60%. Therefore, this research aims to provide product design from environmentally friendly materials and analysis of the value of its products in terms of loss-profit, so that it can be a profitable business potential for book producers in Indonesia as well as encourage book producers in Indonesia to being involved in efforts to save the environment.Keywords: Waste Paper Material; Product Value; Design Book Cover Model-YRR. 18. ABSTRAKBahan-bahan alami yang semakin terbatas, mendorong penggunaan bahan-bahan seperti bahan limbah yang belum banyak dimanfaatkan untuk bahan bangunan atau pembuatan produk. Kertas bekas selama ini digunakan sebagai bahan pembuatan sampul buku Model -YRR.18 melalui pendekatan manajemen dan desain. Bahan limbah kertas yang digunakan lebih baik daripada yang digunakan untuk memproduksi sampul buku ini adalah: selulosa = 45,80% = pentosan 25,90% dan lignin = 22,60%. Oleh karena itu, penelitian ini bertujuan untuk memberikan desain produk dari bahan ramah lingkungan dan analisa nilai produknya dari sisi loss-profit, sehingga dapat menjadi potensi bisnis yang menguntungkan bagi produsen buku di Indonesia sekaligus terlibat dalam upaya penyelamatan lingkungan.Kata kunci: Bahan Limbah Kertas; Nilai Produk; Desain Sampul Buku Model-YRR.18.
Identifikasi Pengaruh Proses Perebusan dan Penggorengan Kacang Tolo (Vigna unguiculata L. Walp.) terhadap Komposisi Fitosterol
Authors: Sugijanto Noor Erma Nasution , Makayasa Citra Hayu Adi , Deseria Gita , Bridgeta Rahmania Alrika Ilma , Putri Miftakhul Rohmah , Setiawan Catur Dian , Sugijanto Sugijanto 
Published: June 2020

Pendahuluan: Kacang tolo (Vigna unguiculata L. Walp.) merupakan polong-polongan multiguna dapat berfungsi sebagai hipokolesterolemik. Kacang tersebut mengandung protein tinggi dan rendah lemak, sebagai bahan makanan dikonsumsi dengan cara direbus maupun digoreng. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi komposisi fitosterol pada kacang tolo yang mentah, direbus, dan digoreng serta mengidentifikasi pengaruh proses perebusan dan penggorengan kacang tolo terhadap komposisi fitosterol. Metode: Seluruh sampel diperoleh dari Pasar X, Y, dan Z, area Jawa Timur. Masing-masing sampel diekstraksi dengan n-heksana, aseton, dan kloroform kemudian dianalisis dengan Kromatografi Lapis Tipis (KLT), Attenuated Total Reflection-Fourier Transform Infrared (ATR-FTIR), Kromatografi Gas-Flame Ionization Detector (KG-FID), dan Kromatografi Gas-Mass Selective Detector (KG-MSD). Hasil: Analisis KLT dan ATR-FTIR menunjukkan adanya kandungan fitosterol pada kacang tolo. Analisis dengan KG-FID menunjukkan adanya kolesterol, kampesterol, stigmasterol, dan sitosterol pada kacang tolo mentah dan direbus dari Pasar X, Y, dan Z sedangkan kacang tolo yang digoreng dari Pasar X hanya mengandung stigmasterol dan sitosterol. KG-MSD menunjukkan adanya kolesterol, kampesterol, stigmasterol, dan sitosterol pada kacang tolo mentah, direbus, dan digoreng. Kesimpulan: Kacang tolo mentah, direbus, dan digoreng dapat diidentifikasi adanya ke-empat fitosterol, yaitu kolesterol, kampesterol, stigmasterol, dan β-sitosterol. Proses perebusan dan penggorengan kacang tolo berpengaruh terhadap komposisi fitosterol.
Tata Kelola Perlindungan Warga Negara Indonesia dalam Melakukan Peran Digital Diplomasi
Authors: Mahfudzi Nazar El 
Published: June 2020

Globalisasi Teknologi Informasi dan Komunikasi (TIK) membawa arus imigrasi Indonesia keseluruh dunia dengan ruang lingkup keberadaan Tenaga Kerja Indonesia (TKI) dan diaspora Indonesia yang berada di Luar Negeri. Tulisan menjelaskan bagaimana pola hubungan kebijakan perlindungan dan tata kelola dalam melakukan peran digital diplomasi. Pada tahapan ini, digitalisasi teknologi telah dilakukan oleh Direktorat Perlindungan Warga Negara Indonesia (WNI) dan Bantuan Hukum Indonesia (BHI) dibawah naungan Kementrian Luar Negeri Indonesia. Maka argumentasi penulisan menggunakan teori Bjola kedalam beberapa analisis kebijakan dan sistem standar layanan dan perlindungan warga negara Indnesia (WNI) yaitu; digitalisasi dokumen dan data, pembangunan infrastruktur perlindungan Warga Negara Indonesia (WNI), peningkatan kapasitas sumberdaya dan agenda setting.
PEMBERDAYAAN PEREMPUAN MELAKUKAN DETEKSI DINI KANKER SERVIKS MELALUI PELATIHAN METODE REPRODUCTIVE ORGAN SELF EXAMINATION (ROSE) SEBAGAI UPAYA DETEKSI DINI PENYAKIT KANKER SERVIKS
Authors: Triharini Mira , Yunitasari Esti , Armini NK A. , Kusumaningrum Tiyas , Pradanie Retnayu , Nastiti Aria Aulia 
Published: June 2020

Pendahuluan: Angka kejadian kanker serviks yang masih cukup tinggi dipengaruhi oleh perilaku deteksi dini yang masih rendah. Beberapa puskesmas di kota Surabaya telah memiliki program pemeriksaan IVA tes, namun capaian masih rendah karena motivasi ibu untuk melakukan deteksi dini masih kurang.Metode: Reproductive Organ Self Examination (ROSE) merupakan metode sederhana yang dapat dilakukan oleh para ibu sendiri untuk melakukan mengetahui adanya masalah di organ reproduksinya. Pendidikan kesehatan perlu dilakukan untuk meningkatkan pengetahuan dan sikap ibu tentang kanker serviks. Kegiatan pengabdian pada masyarakat ini memiliki tujuan untuk meningkatkan perilaku ibu di wilayah kerja Puskesmas Mulyorejo dalam melakukan deteksi dini kanker serviks melalui metode IVA serta teknik ROSE. Metode pelaksanaan adalah dengan penyuluhan materi kanker serviks dan ROSE, dan dilanjutkan dengan tanya jawab dengan peserta. Kegiatan pemeriksaan IVA tes juga dilakukan langsung setelah pelaksanaan penyuluhan..Hasil: Hasil yang didapatkan dari kegiatan pengabdian masyarakat ini adalah peningkatan pengetahuan dan sikap ibu dalam melakukan deteksi dini kanker serviks. Beberapa ibu bersedia untuk melakukan pemeriksaan IVA tes menunjukkan bahwa adanya peningkatan motivasi setelah pelaksanaan kegiatan penyuluhan.Kesimpulan: pelatihan deteksi dini kanker serviks melalui metode ROSE dapat meningkatkan kesadaran masyarakat dalam melakukan deteksi dini dalam upaya mengendalikan kanker serviks. Setelah pelaksanaan pengabdian masyarakat ini diharapkan ibu akan tetap rutin melakukan deteksi dini dengan didukung peran aktif kader dan tenaga kesehatan.
U.S. Foreign Policy Towards Iranian Nuclear Threat from Bill Clinton to Donald Trump Administration
Authors: Perwita Anak Agung Banyu , Razak Muhammad Ilham 
Published: June 2020

Iranian nuclear threat remains one of the most pressing issue throughout the history of US foreign policy. Ever since the islamic revolution occured in Iran in 1979, Iran hostile activities in Middle East has been a major threat for US security interest, in particular when Iran started to build its ambition to build its nuclear weapon. Having said that, this article aims to discuss US foreign policy toward the threat of Iranian nuclear program from Bill Clinton administration until Trump Administration. By using thematic analysis from Braun and Clarke, this article would scrutinize the internal and external factors of US foreign policy toward Iran and then seeks to understand the change and continuity of US foreign policy from Bill Clinton until Trump administration. From the analysis, it was found that US foreign policy has been influenced a lot by its internal and external factors, resulting in different responses of US foreign policy in each administration. Moreover, US foreign policy has been consistent to put Iranian nuclear threat as its major security threat despite differ in its foreign policy. However, the withdrawal of US under Trump in Joint Comprehensive Plan Of Action (JCPOA) deal has provided an inconsistency of US foreign policy with its previous administration.
Pengaruh Keterlibatan Food and Agriculture Organization (FAO) dalam Upaya Peningkatan Produktivitas Pertanian Pasca-Konflik Krisis Pangan Etnis Rohingya di Myanmar
Authors: Sadewa Dzikiara Pesona , Heryadi Dudy , Hidayat Taufik 
Published: June 2020

Artikel ini membahas bagaimana pengaruh keterlibatan Food and Agriculture Oganization (FAO) dalam upaya peningkatan produktivitas pertanian pasca konflik krisis pangan etnis Rohingya di Myanmar, dimana ketika adanya konflik yang terjadi antara etnis Rohingya dan Rakhine di tahun 2012. Konflik tersebut pada akhirnya berdampak terhadap krisis pangan khususnya di wilayah Rakhine yang di tinggali oleh etnis Rohingya, padahal pada kenyataanya wilayah tersebut menjadi salah satu wilayah yang potensial dalam peningkatan sektor pertanian di Myanmar namun di sisi lain wilayah tersebut juga bukan hanya wilayah yang rawan konflik namun juga wilayah yang rawan akan bencana Metode di dalam penulisan artikel ini menggunakan metode kualitatif kemudian di analisis secara deskriptif selain itu juga Dalam teknik pengumpulan data,, peneliti menggunakan cara melalui penelusuran studi pustaka (Library Research), baik dari berita online maupun berita resmi dari pemerintah Myanmar dan berita resmi yang dikeluarkan dari FAO hasil dari penelitian ini menunjukan bahwa dengan adanya keterlibatan FAO dengan cara melakukan kerjasama dengan pemerintah Myanmar dalam mengoptimalisasi sektor pertanian di wilayah Rakhine menjadi cara yang efektif dalam memberikan pengaruhnya terhadap etnis Rohingya yang tinggal di wilayah Rakhine dimana dengan upaya peningkatan produktivitas pertanian di wilayah konflik tersebut dapat mengurangi ketergantungan bantuan dan dapat meningkatkan ketersediaan pangan sehingga dapat mengurangi korban yang kelaparan dan krisis pangan yang di alami oleh etnis Rohingya di Myanmar