bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE ROLE OF ULTRASONOGRAPHY IN THE DETECTION OF UROLITHIASIS IN PATIENTS WITH ACUTE RENAL COLIC
Authors: Gosavi Sanjay Narayangiri , Meena Virendra K , Tambi Ayush 
Published: August 2020

This study was conducted to assess the diagnostic Ultrasonography compared to unenhanced helical CT scan in detecting urinary stones in patients with acute renal colic. This retrospective study comprised of 156 patients who undergo unenhanced urinary tract CT scan and ultrasonography for thought of urolithiasis. Both techniques were used to resolve the presence or absence, site, size, and number of urinary stones, as well as company of any other intra-abdominal pathology. For statistical analysis, the sensitivity, specificity, predictive values, and diagnostic accuracy of ultrasonography were deliberate considering unenhanced CT scan as a gold normal. Unpaired two-tailed student’s t-test was used for judgment between mean size of true positive, false positive, and false negative stones. There were 68 patients having 115 urinary stones. Ultrasound identified 54 stones, missed 43, and falsely diagnosed 18 stones. The mean size of true positive, false positive, and false negative stones were 4.8 ± 3.3 mm, 6 ± 1.8 mm and 4.18 ± 3 mm, respectively. There were 23 patients with other intra-abdominal pathologies, equally detected by both techniques. Ultrasound helped in identifying the cause of acute flank pain in 62% of cases. The overall sensitivity, specificity, positive and negative predictive values, and correctness of ultrasonography in the diagnosis of renal stone disease were 58%, 91%, 79%, 78%, and 78%, respectively. Our study suggests that, despite its limited value in detecting urinary stones, ultrasonography should be performed as an initial assessment in patients with acute flank pain. Unenhanced helical CT should be reserved for patients in whom ultrasonography is uncertain.
Keywords: Ultrasonography, CT scan
NEUROSONOGRAPHY SPECTRUM OF HYPOXIC ISCHEMIC ENCEPHALOPATHY
Authors: Jakhar Sunil , Parihar Bineeta Singh , Bhandari Anu , Mendiratta Kuldeep , Bagarhatta Meenu 
Published: August 2020

Introduction: Neonatal hypoxic-ischemic encephalopathy (HIE) is a very catastrophic condition that may result in severe neurologic deficits or even death. Neuroimaging with transcranial ultrasound (US) is a valuable tool in the workup of patients with HIE. The pattern of brain injury depends on the severity and duration of hypoxia and degree of brain maturation.1
Aim: To study imaging spectrum of various stages of HIE
Objective: To determine severity of HIE on basis of Neuro-sonography.
Settings and Design: The study was conducted at J K Lone Paediatric hospital attached to SMS hospital. It is a Prospective study.
Materials and Method: Pre term neonates having some history of hypoxia antenatally or perinatally like placental abruption, low Apgar at delivery, seizures coming to JK lone Paediatric Hospital attached to SMS hospital referred to Dept of Radiodiagnosis for evaluation of HIE were scanned using Transcranial ultrasound it included grayscale on Hitachi machine.
Results- Different grades of HIE changes were witnessed. Out of 33 cases:
5 neonates were sonographically normal, 3 showed grade 1 GMH, 3 showed grade 2 GMH, 4 showed grade 3 GMH and 4 showed grade 4 . 3 neonates showed grade 1 PVL, 2 grade 2 PVL, 4 showed grade 3 PVL, 5 showed grade 4 PVL. In doppler findings of ACA, it was noted the RI (resistive index) was on the higher side.
Conclusion: Neurosonography and doppler is very helpful non-invasive tool to detect early changes of HIE and assess severity and progression of hypoxic brain injury.
Keywords: HIE, hypoxic brain injury, germinal matrix haemorrhage and periventricular leucomalacia
STUDY TO ANALYZE THE DRUG SENSITIVITY PROFILE OF THE PATIENTS SUFFERING FROM SORE THROAT: AN OBSERVATIONAL STUDY.
Authors: . Abhiniti , Lal Pawan Kumar 
Published: August 2020

Aim: to analyze the drug sensitivity profile of the patients suffering from sore throat.
Materials and Methods: The present prospective observational study was conducted in the Department of ENT, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar. Among 200 patients of either gender and of any age group attended the OPD of the ENT presented with the complaint of sore throat, throat pain, throat irritation, throat itching and foreign body sensation were recruited. A thorough ENT examination is done including ear examination, throat examination, and nasal examination. Throat swab samples collected through a sterile culture sensitivity tube and sent to microbiological lab and culture sensitivity reports collected from the patients during follow up visits.
Results: majority of the patients were male 58.5% and rest 41.5% were female. Gram negative organisms are detected in (70.5%), Gram positive organisms detected (21.0%), and no organism detected (8.5%) of the swab samples.
Conclusion: gram positive organisms were resistant to benzyl penicillin or ampicillin, clindamycin, ciprofloxacin or levofloxacin and sensitive to tetracycline, gentamicin, linezolid. Gram negative organisms were resistant to ampicillin, amoxyclav and sensitive to pipracillin or tazobactum, cefoperazone, amikacin, gentamicin, imipenem, cefepime, ciprofloxacin.
Keywords: couture, throat swab, gram positive, gram negative, throat infection
NEO DENTIST AT FUTURE CROSS ROADS: A SURVEY
Authors: Zabroo Mohammad Ali Bhat , Quazi Syeda Shamima Nastaran , Ara Nuzhat , Changmai Arindom , Kumar Arunoday 
Published: August 2020

Face in general is an index of personality. Facial appearance has a great impact on overall self esteem of an individual and dentists have a vital role in enhancing their patient’s personality. It’s not just a tooth treating profession but a personality developing profession. Despite being a lucrative job, recent trend has shown an attitude change in student’s persuing dentistry. Hence a questionnaire based study was conducted in Jaipur Dental College to access the attitude of young dentist’s regarding their knowledge, thinking and future goals.
Aim: The aim is to bring the sufferings of dental graduates in light of the peers of the community to take some tough decisions to curb the menace.
Material and Method: A questionnaire related to various aspects of dentistry was prepared. After obtaining proper written permission from the college authorities, the questions were answered in hard copy format of the questionnaire.
Results: The questionnaire results revealed that only half of the dentists have chosen their profession by their own will whereas others have been into the profession by either parents will or some other reasons.
Keywords: Questionnaire, dental graduates, establishments
Clinical Application of Near-infrared Autofluorescence Detection of Parathyroid Glands in Thyroid Surgery
Authors: Wan Hui , Xu Juanfang , Yu Zhengyang 
Published: August 2020

The purpose of this paper is to compare and analyze the advantages and disadvantages of near-infrared autofluorescence (NIRAF) imaging, nano-carbon negative imaging and conventional naked eye recognition technology in recognizing parathyroid glands during surgery, and to preliminary evaluate the effectiveness, safety and feasibility of NIRAF imaging in the recognition of parathyroid glands. The clinical trials retrospectively analyzed 36 patients, including 12 patients in Group A (NIRAF imaging group), 12 patients in Group B (nano-carbon negative imaging group), and 12 patients in Group C (conventional naked eye recognition group). The number of parathyroid glands recognized during surgery in Group A was more than that in Group B and C. The time taken to recognize parathyroid glands in Group A was shorter than that in Group B and C. There was no significant difference in the average calcium ion levels of the three groups A, B and C before surgery. After surgery, the average calcium ion level of Group A was not significantly different from that of Group B, but it was higher than that of Group C, and the difference was significant. The incidence of postoperative hypocalcemia in Group A was not significantly different from that in Group B, but it was lower than that in Group C. The incidence of postoperative symptomatic hypocalcemia in Group A was lower than that in Group B and C. Compared with traditional technology, NIRAF can recognize more parathyroid glands during surgery, take less time, and make the probability of postoperative hypocalcemia and symptomatic hypocalcemia lower during thyroid surgery. It needs noninvasive and simple operation. It is a kind of safe, effective and feasible parathyroid gland recognition technology, which is worth further exploration.
Discussion on the Construction of Experimental Technical Team of Higher Engineering Education under the Background of “Double First-class” Construction
Authors: Li Jianyong , Li Jianfeng , Jiang Zhaoliang , Zhu Zhenjie 
Published: August 2020

“Double first-class” construction is a major strategic plan made by China in the new historical period. Under this background, this paper analyzes the main problems existing in the construction of the experimental technical team in higher engineering education, such as inadequate understanding, inadequate management, inadequate incentive, and inadequate guarantee. It studies the construction of experimental technical team from four aspects: management methods, a personnel introduction and mobility mechanism, evaluation and incentive methods and construction and training measures. Based on the idea of “four-dimension integration” innovation-driven post-performance, “three levels and two categories” experimental technical team construction scheme of higher engineering education is put forward.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU IBU HAMIL DALAM MELAKUKAN DETEKSI DINI RISIKO TINGGI KEHAMILAN
Authors: Mardiyanti Ika , Anggasari Yasi 
Published: August 2020

Setiap kehamilan mempunyai kemungkinan terjadi komplikasi dapat membahayakan ibu atau bayi, baik pada kehamilan risiko rendah, maupun risiko tinggi. Salah satu upaya untuk mencegah kehamilan risiko tinggi ibu hamil adalah dengan melakukan deteksi dini risiko tinggi pada kehamilan. Penelitian ini bertujuan untuk mengetahui faktor-faktor apa yang berhubungan dengan perilaku ibu hamil dalam melakukan deteksi dini risiko tinggi kehamilan di PMB Ika Mardiyanti Desa Jedong Cangkring Prambon Sidoarjo.
Penelitian ini menggunakan rancangan kuantitatif dengan desain penelitian cross sectional. Sampel dalam penelitian ini diambil dengan tehnik simple random sampling. Metode pengumpulan data menggunakan data primer, dengan melakukan anamnesa terhadap perilaku ibu hamil dalam deteksi dini kehamilan risiko tinggi. Analisis data menggunakan uji statistik Regresi linier.
Hasil penelitian menunjukkan (56,7%) responden berusia risiko rendah (20-35 tahun), (83,3%) berpendidikan menengah, (80%) berpendapatan cukup, (60%) berpengalaman, (63,3%) berpengetahuan cukup, (40%) tidak pernah terpapar media, (60%) perilaku tidak tercapai. Analisis statistik dengan regresi linier didapatkan ρ>0,05 yang berarti faktor usia, pendidikan, pendapatan, pengalaman, pengetahuan, paparan media tidak berpengaruh terhadap perilaku.
Kesimpulan Tidak ada faktor yang berpengaruh secara signifikan terhadap perilaku ibu hamil dalam melakukan deteksi dini risiko tinggi kehamilan di PMB Ika Mardiyanti Diharapkan bidan meningkatkan KIE tentang deteksi dini kehamilan risiko tinggi sehingga mampu menurunkan angka kejadian komplikasi kehamilan dan persalinan.
PENGARUH SOSIALISASI KESIAPSIAGAAN BENCANA MELALUI METODE SIMULASI TERHADAP PENINGKATAN KETRAMPILAN DALAM MENGAHADAPI BENCANA PADA MAHASISWA SIAGA BENCANA (MAGANA) UNIVERSITAS NAHDLATUL ULAMA SURABAYA
Authors: Winoto Priyo Mukti Pribadi , Zahroh Chilyatiz 
Published: August 2020

Kesiapsiagaan bencana merupakan serangkaian kegiatan yang dilakukan untuk mengantisipasi bencana melalui pengorganisasian serta melalui langkah yang tepat guna dan berdaya guna. Namun masih banyak diantara kita belum siap apa yang harus dilakukan jika terjadi bencana. Penelitian ini bertujuan untuk mengetahui pengaruh sosialisasi terhadap ketrampilan mahasiswa untuk meningkatkan ketrampilan dalam mengahadapi bencana.
Penelitian ini menggunakan rancangan kuantitatif dengan desain penelitian cross sectional. Sampel dalam penelitian ini diambil dengan tehnik simple random sampling. Metode pengumpulan data menggunakan data primer, dengan memberikan sosialisasi dalam bentuk penyuluhan dan demonstrasi, selanjutnya melihat ketrampilan remaja dengan mengggunakan ceklist. Analisis data menggunakan uji statistik Willcoxon.
Hasil penelitian menunjukkan (65%) responden berusia 16-18 tahun, (60%) tidak pernah mendapatkan informasi tentang kebencanaan.Analisis statistik dengan Willcoxon didapatkan ρ=0,003<α=0,05 artinya ada pengaruh simulasi kebencanaan terhadap ketrampilan, dan dari hasil Mann Withney didapatkan ρ=0,007<α=0,05 artinya ada beda ketrampilan antara kelompok intervensi dan kelompok kontrol.
Kesimpulan ada pengaruh pemberian simulasi terhadap ketrampilan pada mahasiswa siaga bencana. Diharapkan perawat mampu meningkatkan pemahaman dan ketrampilan masyarakat tentang penatalaksanaan kegawatdaruratan di komunitas.
Mental Health Education in Australian Paramedic Curriculum – a Scoping Review
Authors: Parent Alex , Smith Ryan , Townsend Ruth , Johnston Tania 
Published: August 2020

Introduction Mental health represents a growing concern for health services in Australia. Paramedics are increasingly becoming the first point-of-contact for patients experiencing an acute mental health episode. Despite this increasing prevalence of cases there is an established body of literature outlining that paramedics feel inadequately trained to manage these patients. Aim This research aimed to identify how the management of acutely unwell mental health patients is included in paramedic curricula in Australia. Methods A scoping review methodology was used in association with a thematic analysis of university learning outcomes related to mental health education for Bachelor of Paramedic programs in Australia. It was identified that there are considerable discrepancies between university learning outcomes for mental health education of paramedics. Discussion Mental health management of patients is not integrated throughout curricula, with most students only being exposed to mental health education once in their degree usually as a theoretical subject with no specific mental health practice placement. Further, the existence of discrepancies regarding mental health management education between paramedic courses creates an unequal minimum standard of education among graduating paramedic students. Conclusion Given the prevalence of mental health cases and the special powers that paramedics have to manage these cases, as well as the fact that mental health does not discriminate between jurisdictions (ie. patients present and should be managed similarly in all states and territories), the authors argue that special consideration by the profession should be given to mandating a consistency in mental health management education across all paramedic Bachelor degree programs.
Mental Health of School-Going Children during Existing Lockdown Situation Due to COVID-19 Pandemic in Bangladesh
Authors: Hossain Muhammad Anwar , Rahman Sanjida , Karim Md Rezaul 
Published: August 2020

During this epidemic of COVID-19, children are in need of much concentration and profound love of the senior family members. Although the measures taken by the organizations are necessary to prevent the spread of the novel coronavirus, they may be causing widespread mental health issues, including depression and loneliness. Therefore, it is imperative that parents have to spend the lion-share of time with children while listening to them cordially. Parents can participate in sports with them to help them stay fit so that they can enjoy commemorating moments. However, in this additional time, the parents can also make them habituated to practice the rules of health, so does social distancing.
Bangladesh Journal of Infectious Diseases 2020;7(1):33-37
Intervención de la terapia del lenguaje en las alteraciones deglutorias y de la voz en pacientes con cáncer de cabeza y cuello
Authors: Mora-Umaña Ingrid , Alvarado-Murillo Alexandra , López-Torres Carolina , Solano-Rojas Carolina 
Published: August 2020

Introducción: En Costa Rica, la incidencia de cáncer de cabeza y cuello para el año 2016 fue de 68,3%, con una mortalidad por esta causa del 25,4%. Este tipo de cáncer se origina en las vías aerodigestivas, tiroides y glándulas salivares y genera alteraciones muy importantes en la deglución y la generación de la voz. Este artículo tiene como objetivo definir la intervención de terapia del lenguaje en las alteraciones deglutorias y de la voz en pacientes con cáncer de cabeza y cuello. Metodología: Se realizó una revisión narrativa basada en la revisión bibliográfica de artículos de revisión en inglés y español, libros publicados a partir del año 2000 al 2019 y el criterio de expertos, por ejemplo, terapeutas del lenguaje quienes han trabajado en la intervención de pacientes con cáncer de cabeza y cuello. Se utilizaron como motores de búsqueda Pubmed, Medline y Biblioteca de la Universidad Santa Paula; los descriptores utilizados fueron head and neck cancer, OR cancer treatment OR chemotherapy OR radiotherapy AND dysphagia OR disturbances in voice OR phonation OR deglution OR breathing OR vocal cords AND Therapy. Se revisaron un total de 25 artículos y se incluyeron 11 que cumplieron los criterios de inclusión. Resultados: según los artículos revisados y el criterio de las terapeutas del lenguaje de Costa Rica, en la intervención de las alteraciones deglutorias, se utilizan técnicas compensatorias (cambios posturales, la modificación de consistencia, la modificación del volumen y velocidad de presentación del bolo) y técnicas de rehabilitación (maniobras deglutorias, ejercicios específicos para la movilidad orofacial, técnicas de facilitación y terapia miofuncional), cuanto a las alteraciones de voz, se utilizan técnicas como la higiene vocal, trabajo vocal y las maniobras posturales. Conclusión: en Costa Rica las cifras del CCC equivalen al 3,5% en la población masculina y un 12% en las mujeres. Estos pacientes generalmente reciben tratamiento médico, el cual ocasiona efectos secundarios que pueden provocar alteraciones deglutorias y de la voz. El Terapeuta del Lenguaje cumple una función clave para pacientes sobrevivientes de cáncer de cabeza y cuello, ya que debe identificar y rehabilitar las alteraciones deglutorias y de la voz resultantes de la patología o su tratamiento, mediante técnicas compensatorias y de rehabilitación, técnicas de higiene vocal, trabajo vocal y maniobras posturales.
Pembuatan Kerajinan Bunga Berbahan Kulit Jagung Ditinjau dari Prinsip-prinsip Seni Rupa dan Kerajinan
Authors: Utami Astari , Soeprayogi Heri , Azis Adek Cerah Kurnia 
Published: August 2020

This study aims to determine the work of flowers made of corn husk on the work of students of class X MS 1 and X SOS 2 of SMA Negeri 1 Kabanjahe. The limitation of the problem in this study focuses on the work of flowers made of corn leather with the review of the principles of fine arts and crafts . The population in this study were grade X students of SMA Negeri 1 Kabanajahe, with 352 students divided into 7 classes for X MS and 4 classes for SOS X. In this study the authors took a sample of 1 class for class X MS 1 and X SOS 2 with a total of 32 works using the Clusster Random Sampling technique. The reason is because the number of students is too much so the author limits the sample by comparing the work of students of class X MS 1 with students X SOS 2. In this study the writer will examine the work of flower craft made from corn skin based on the principles of fine arts and crafts. The method used in this research is qualitative descriptive method. Data collection techniques used are the work of students' crafts, documentation and observation. The results showed that the work of corn husk craft in class X SMA N 1 Kabanjahe in terms of the fine arts and craft principles of class X MS 1 students obtained an average number of grades 80.47 categorized well while class X SOS 2 students received an average grade of an average of 78.60 with a good category.
الموازنة الصفرية ومقومات نجاحها في العراق
Authors: سدخان سناء محمد 
Published: August 2020

ان الموازنة بصورة عامة هي خطة عمل تعدها الحكومة وتعمل على تقديمها الى السلطة التشريعية لغرض اقرارها ، وتترجم فيها سياستها الاقتصادية والاجتماعية الى اهداف سنوية رقمية . ولغرض معرفة فعالية الموازنة العامة فلا بد من ان ترتبط بادوات التخطيط المالي الاخرى كسياسة التسليف وسياسة النقد الاجنبي وتقاس بالنتائج الاقتصادية والاجتماعية وليس بالنتائج المالية فقط .
ولتجنب القصور الذي رافق الموازنة بسبب استخدام الاسلوب التقليدي الا وهو موازنة البنود ولايجاد المعالجات للخروج من الازمات المالية التي تمر بها البلدان بصورة عامة والعراق بشكل خاص في ظل الظروف الاقتصادية الغير مستقرة. مما يستوجب ايجاد الحلول والمعالجات لمواجهة هذه الازمات ، فكانت الموازنة الصفرية هي احد الحلول وذلك لضغط النفقات العامة ورفع الايرادات . وبالاضافة الى ذلك الاستفادة من تجارب الدول الاخرى التي كان لها السبق في تطبيق هذا النموذج من الموازنة كالولايات المتحدة الامريكية واليابان واوربا اذ طبق واثبت نجاحه في القطاعات الصناعية والمؤسسات الاقتصادية منذ عام 1978. وان تطبيق هذا النوع من الموازنة لا يخلو من المعوقات سواء اكانت الادارية او القانونية وكذلك قد يصطدم بالتعامل السلبي بسبب رفض التغيير الا انه يمكن تجاوز هذه العقبات من خلال وضع مقومات لغرض انجاحه وهذه المقومات تتمثل بالتعامل بايجابية وجدية مع هذا النوع من الموازنة وبناء نظام معلوماتي متكامل وتوفير البنى التحتية اللازمة كما ان من مستلزمات ومقومات نجاحه هو التطبيق التدريجي له وصولا الى تطبيقه في كافة المؤسسات والمرافق العامة .
النظرية الشخصية المحددة لدور للإرادة في اختيار القانون الواجب التطبيق
Authors: شبي كريم مزعل , عبود ثامر داوود 
Published: August 2020

ان استقرار قاعدة قانون الإرادة لم يتم بشكل نهائي إلا في نهاية القرن التاسع عشر وفي رحاب المذاهب الفردية ، تلك المذاهب التي نتجت من رحمها النظرية الشخصية ، وهذه النظرية ترتكز على مبدأ سلطان الإرادة والاعتراف للفرد بحقوق مصدرها طبيعته الإنسانية الحرة ، وان حقه في الحياة هو الأساس لكل الحقوق الأخرى ، وهذا الحق يمنح إرادته القدرة على إنشاء المراكز القانونية بصورة مستقلة على القانون الذي يقصر دوره على تمكين الفرد والسماح له من استعمال الحقوق التي يتمتع بها ، وبذلك يتحقق مبدأ سلطان الإرادة في مجال العقود ، حيث تصبح الإرادة مصدر القوة الملزمة للعقد ، ويكون أطراف العقد بمثابة مشرعين لالتزاماتهم بحسب نصوص وبنود العقد .
تُعد مسالة تحديد القانون الواجب التطبيق على العقد الدولي من أهم المسائل القانونية التي تثيرها دراسة هذه العقود ، لأن تحديد قانون معين يقوم بتنظيم وحكم العقد ليس مجرد تفضيل أو ترجيح قانون على آخر على نحو نظري دون ان يأخذ بحسبان النتائج المترتبة على هذا التحديد ، بل ان هناك جدوى عملية للدراسة هذه تكشف عن ان تحديد القانون الواجب التطبيق من خلال دور الارادة وفق النظرية الشخصية يرتب نتائج وآثاراً قانونية غاية في الأهمية على مجمل العملية العقدية ، إذ يشكل القانون المطبق على العقد الأساس الذي يجري في نطاقه تقدير مدى صحة العقد من ناحية ، والذي ترتكز عليه حقوق والتزامات أطرافه من ناحية أخرى وان الارادة ليست مطلقة في هذا الجانب انما هي محددة باتجاهات ولكل اتجاه معاييره المحددة.
ونظراً لأهمية موضوع اختيار القانون الواجب التطبيق لحل مشكلة تنازع القوانين ودور الارادة حسب النظرية الشخصية في العقود الدولية من أهم موضوعات البحث التي أثارت وتثير جدلاً وخلافاً في نطاق الدراسات والاتجاهات الفقهية والقضائية المتعلقة بها ، نظراً للتطور والتنوع الكبيرين اللذين أصابا أنماط هذه العقود ، واللذين أديا إلى ان أصبحت غالبية التشريعات الوطنية عاجزة عن مجاراة هذا التطور بقواعد ونصوص تعالجها.