bluuebunny/crossref_metadata_2025_split huggingface dataset:
Kyphosis and canal compromise due to refracturing of an L1 cemented vertebra managed with posterior surgery alone
Authors: Rahimizadeh Abolfazl 
Published: November 2019

Background:
An already cemented vertebral body rarely refractures and its occurrence may be signaled by the reappearance of pain and/or significant vertebral collapse/kyphosis resulting in canal compromise and neurological deterioration.

Case Description:
An 81-year-old male originally underwent an L1 kyphoplasty for an osteoporotic compression fracture. Nine months later, he presented with the late onset of recurrent collapse of the cemented vertebral body, leading to pain, kyphosis, and canal compromise. Surgery warranted total L1 corpectomy, reconstruction of the anterior column, and a posterior fixation through a purely posterior approach (posterior vertebral column resection [pVCR]).

Conclusion:
Here, we presented the safety/efficacy of utilizing a purely posterior approach (e.g., including L1 corpectomy, reconstruction of the anterior column, and posterior fusion: pVCR) in the management of a repeated fracture of a cemented L1 vertebra resulting in kyphosis and canal compromise.
Iatrogenic lumbar giant pseudomeningocele: A report of two cases
Authors: Rahimizadeh Abolfazl , Mohsenikabir Nima , Asgari Naser 
Published: November 2019

Background:
Iatrogenic lumbar pseudomeningoceles are an uncommon complication of lumbar spinal surgeries. This pathology is an extradural, encapsulated, and cerebrospinal fluid collection which develops as a consequence of an inadvertent, unrepaired dural tear. If a pseudomeningocele grows beyond 8 cm in length, it may be classified as “giant.”

Case Description:
Two adult females with giant pseudomeningoceles due to remote lumbar laminectomy were presented. Both patients were surgically managed.

Conclusion:
Iatrogenic lumbar giant pseudomeningocele is rare. Notably, their surgical management is similar to that utilized to treat routine pseudomeningoceles.
Diskriminasi Pendidikan Masyarakat Terpencil
Authors: Firdaus Firdaus , Sulfasyah Sulfasyah , Nur Hanis 
Published: November 2019

The research entitled "Discrimination in remote community education (Case study of Buntu Mondong village in Buntu Batu District, Enrekang District" aims to determine the existence of education discrimination in remote communities in Buntu Mondong village, Buntu Batu District, Enrekang District, with qualitative research methods. This research was conducted by observing the condition of the school which includes the condition of students, teachers and infrastructure as well as the conditions in the surrounding environment which also influence the quality of education.The data has been collected, then analyzed descriptively.The results of the study illustrate the occurrence of educational discrimination in the Gura SDN NO. educators and infrastructure facilities that cause education in the area to be not optimal.The available educators lack excellence in midwives and have low quality so that what is given to their students is also mediocre. a Less quality educator, Infrastructure that supports the learning process teaches very little, so the learning process often experiences obstacles. By that, especially for the government and education implementers should increase attention to education in remote areas, especially in SDN NO 79 Gura. Keywords: Discrimination, Education, Remote Communities
Influenza a H1N1 characteristics on hajj occasion 2018 Makkah Region, KSA.
Authors: Ahmad Imran Nazir , Farid Muhammad Ajmal , Chaudhary Hammad Tufail , Imran Iffat , Rasul Khan Rizwan , Saqib Ali , Turkistani Ahmad , Asiri Ahmad , Swida Abdullah 
Published: November 2019

Objectives: To see the clinical characteristics and laboratory parameters of influenza A (H1N1) infection on hajj occasion 2018. Introduction: World Health Organization in 2009 declared H1N1 as pandemic, when about 70 countries documented approximately 30,000 cases of H1N1 infection. Saudi Arabia is representing a hot zone for influenza virus epidemics especially during Hajj gathering. Commonly H1N1 infection presents with flue like symptoms. Influenza infection is a major public health threat especially area like Makkah. Study Design: It was observational study. Setting: Done in Security Forces Hospital Makkah. Period: On hajj occasion from July to August 2018. Material and Methods: Total 50 admitted patients in isolation were included in study. Data was collected and analyzed using SPSS version 24. Results: In this study 08% patients had H1N1 +ve out of total patients included in study. Predominantly (75%) were < 14 years with 75% males. The most common presenting symptoms of these patients were Cough (100%), Fever (100%), breathlessness (75%), throat pain (50%), runny nose (75%), headache and lethargy (50%). Twenty five percent patients had hypoxia. Leukopenia was seen in 50% patients and thrombocytopenia was not documented in any patient. Liver Function Tests were deranged in 75% patients and Renal Function Tests were normal in all patients. Number of complications (pneumonia) was 25%. Conclusion: Clinical features and serological markers of influenza A +ve patients were same as reports globally and in KSA.
Rheological and Mechanical Performance of Asphalt Binders and Mixtures Incorporating CaCO3 and LLDPE
Authors: Mohd Hasan Mohd Rosli , You Zhanping , Mohd Satar Mohd Khairul Idham , Mohd Warid Muhammad Naqiuddin , Mohd Kamaruddin Nurul Hidayah , Poovaneshvaran Sharvin 
Published: November 2019

This study was conducted to assess the performance of modified asphalt binders and engineering properties of mixtures prepared with incorporation 3 vol% and 6 vol% of calcium carbonate (CaCO3), linear low-density polyethylene (LLDPE), and combinations of CaCO3 and LLDPE. The rheological properties of control and modified asphalt binders were evaluated using a series of testing such as rotational viscometer (RV), multiple stress creep recovery (MSCR) and bending beam rheometer (BBR) tests. Meanwhile, four-point beam fatigue test, the dynamic modulus (E*) test and tensile strength ratio (TSR) test were conducted to assess the engineering properties of asphalt mixtures. Based on the findings, the RV and MSCR test result shows that all modified asphalt binders have improved performance in comparison to the neat asphalt binders in terms of higher viscosity and improved permanent deformation resistance. A higher amount of CaCO3 and LLDPE have led modified asphalt binders to better recovery percentage, except the asphalt binders modified using a combination of CaCO3 and LLDPE. However, the inclusion of LLDPE into asphalt binder has lowered the thermal cracking resistance. The incorporation of CaCO3 in asphalt mixtures was found beneficial, especially in improving the ability to resist fatigue cracking of asphalt mixture. In contrast, asphalt mixtures show better moisture sensitivity through the addition of LLDPE. The addition of LLDPE has significantly enhanced the indirect tensile strength values and tensile strength ratio of asphalt mixtures.
The Anneal Temperature Effect on the BTO and NZFO Flims and Their Capacitance - Inductance Integrated Device
Authors: Zheng Zhen , Shi Yuhao , Liang Xinyu , Wang Chunqing 
Published: November 2019

In this paper, a novel capacitor-inductor integrated structure was proposed. The dielectric material BaTiO3 (BTO) and ferromagnetic material Ni0.5Zn0.5Fe2O4 (NZFO) was prepared by sol-gel method. Phase composition and morphology of the thin films were characterized by XRD, SEM and AFM. The effect of annealing temperature on film crystallinity, surface morphology, dielectric properties and ferromagnetism were investigated. When the annealing temperature was 700 °C, the BTO film and the NZFO film got the better dielectric properties and ferromagnetic properties. Then the BTO thin film was spin-coated on the substrate, and the NZFO thin film was in-situ sintered on the BTO thin film. The composite film possessed both ferromagnetism and dielectric properties. Finally, an inductive coil was fabricated on the BTO/NZFO composite film to produce a capacitance and inductance integrated device.
Prediction of Heat Transfer Coefficient and Pressure Drop in Wire Heat Exchanger Working with R-134a and R-600a
Authors: Mahdi Louay Abd Al-Azez , Lateif Ahmed Yusef 
Published: November 2019

An experimental and theoretical works were carried out to model the wire condenser in the domestic refrigerator by calculating the heat transfer coefficient and pressure drop and finding the optimum performance. The two methods were used for calculation, zone method, and an integral method. The work was conducted by using two wire condensers with equal length but different in tube diameters, two refrigerants, R-134a and R-600a, and two different compressors matching the refrigerant type. In the experimental work, the optimum charge was found for the refrigerator according to ASHRAE recommendation. Then, the tests were done at 32˚C ambient temperature in a closed room with dimension (2m*2m*3m). The results showed that the average heat transfer coefficient for the R-600a was higher than the R-134a, so the length of the wire tube was longer with R-134a than R-600a. The pressure drop for the smaller tube diameter was higher than the other tube. The second law thermodynamic efficiency was higher for R-600a, which reached 41%. The entropy generation minimization analysis showed that the R-600a refrigerant type and smaller tube diameter are approached the optimum point.
A Comparison Study of Brine Desalination using Direct Contact and Air Gap Membrane Distillation
Authors: Khalaf Ahmed Shamil , Hassan Asrar Abdullah 
Published: November 2019

Membrane distillation (MD) is a hopeful desalination technique for brine (salty) water. In this research, Direct Contact Membrane Distillation (DCMD) and Air Gap Membrane Distillation (AGMD) will be used. The sample used is from Shat Al –Arab water (TDS=2430 mg/l). A polyvinylidene fluoride (PVDF) flat sheet membrane was used as a flat sheet form with a plate and frame cell. Several parameters were studied, such as; operation time, feed temperature, permeate temperature, feed flow rate. The results showed that with time, the flux decreases because of the accumulated fouling and scaling on the membrane surface. Feed temperature and feed flow rate had a positive effect on the permeate flux, while permeate temperature had a reverse effect on permeate flux. It is noticeable that the flux in DCMD is greater than AGMD, at the same conditions. The flux in DCMD is 10.95LMH, and that in AGMD is 7.14 LMH. In AGMD, the air gap layer made a high resistance. Here the temperature transport reduces in the permeate side of AGMD due to the air gap resistance. The heat needed for AGMD is lower than DCMD, this leads to low permeate flux because the temperature difference between the two sides is very small, so the driving force (vapor pressure) is low.
Gallium-assisted growth of InSb nanowire
Authors: Wang T. , Jiang T. , Meng X. 
Published: November 2019

Indium antimony (InSb) nanowires have been synthesized by chemical vapor deposition and we found that adding gallium as the other evaporation resource can increase the density of nanowires and no doping pollution. For the growth of InSb nanowire, Au film was annealed to form Au nanoparticles as catalysts and explain its catalytic principle. We thought that gallium which coated on the surface of Au nanoparticles assisted nucleation and growth of InSb nanowire in the early stage. The diameter of the InSb nanowires was 60–100nm and 1-5μm in length. The grown nanowires have good crystallinity. We found that the surface of InSb was oxidized, and the main oxide was indium oxide. We discovered the tip morphologies of nanowires are different and discussed the causes of this phenomenon in detail.
Dismenorrea primaria en las adolescentes: manejo en la atención primaria
Authors: Garro Urbina Valeria , Thuel Gutiérrez Mónica , Robles Arce Valeria 
Published: November 2019

La dismenorrea primaria es el síntoma más común asociado a la menstruación y se puede clasificar en dismenorrea primaria, que es el dolor pélvico asociado a la menstruación en ausencia de patología pélvica subyacente, y en dismenorrea secundaria, que es cuando se puede atribuir la sintomatología a alguna patología pélvica de fondo. La prevalencia de esta patología es altamente subestimada y varía ampliamente. El proceso patológico no se ha entendido de manera completa, pero según investigaciones es el resultado del aumento de producción de prostaglandinas y leucotrienos, con el resultante incremento de la actividad miometrial. El diagnóstico se basa principalmente en una historia clínica exhaustiva y un examen físico dirigido, aunque la respuesta al tratamiento también corrobora el diagnóstico. El principal objetivo del tratamiento de la dismenorrea es la reducción del dolor y mejorar la funcionalidad de las pacientes, siendo la primera línea los antiinflamatorios no esteroideos y la terapia hormonal.
Comportamentos antiesportivos e de fair play em categorias de base do futsal
Authors: De Morais Amanda Oliveira , Souza Silvia Regina de , Bosquetti Marcella Andressa , Santos Guilherme Gomes dos 
Published: November 2019

Este estudo avaliou os comportamentos de seis treinadores e 64 atletas de futsal das categorias Sub 9 e Sub 15 em relação a antiesportividade e fair play. Foram filmados 12 jogos, os comentários dos treinadores gravados e recolheu-se cópia da súmula. Os jogos eram assistidos e os dados registrados (faltas com contato, comportamentos antiesportivos e de fair play dos atletas e o comportamento dos treinadores em relação aos comportamentos dos atletas). Os resultados mostraram maior ocorrência de comportamentos de fair play entre os atletas da Sub 15. A taxa de comportamentos antiesportivos foi baixa em ambas as categorias, sendo a gravidade desses comportamentos menor para a categoria Sub 9. Os treinadores foram indiferentes aos comportamentos antiesportivos e de fair play de seus atletas. Sugere-se que as contingências específicas da modalidade podem contribuir para alterar a frequência desses comportamentos em competições.
Palavras-chave: Psicologia do Esporte. Atletas e treinadores. Comportamento moral.
ANALISIS KUALITAS BUTIR SOAL FISIKA KELAS X SEKOLAH MENENGAH ATAS
Authors: Anita Anita , Tyowati Sulis , Zuldafrial Zuldafrial 
Published: November 2019

<p class="abstrak">Penelitian bertujuan untuk mendeskripsikan kualitas butir soal pada bank soal Fisika secara kualitatif dan kuantitatif dan untuk mengetahui tingkat pemahaman siswa dalam menyelesaikan soal berdasarkan taksonomi Bloom pada mata pelajaran Fisika kelas X di SMA Negeri 2 Bunut Hulu Kabupaten Kapuas Hulu. Metode yang digunakan metode penelitian kombinasi, bentuk penelitian <em>concurrent embedded strategy</em> dan menggunakan rancangan penelitian kuadran IV. Hasil penelitian adalah: (1) Secara kualitatif berdasarkan konstruk, segi materi dan bahasa secara keseluruahn telah sesuai; dan (2) Secara kuantitatif berdasarkan proporsi tingkat kesukaran tidak seimbang. Daya pembeda 30% kategori jelek, 37,5% kategori cukup, 20% kategori baik, 12,5% sangat jelek. Efektivitas pengecoh 80% berfungsi, tingkat kevalidan sebesar 65%, reliabilitas sebesar 0,65 dengan kategori sedang sehingga soal dapat dipercaya untuk mengevaluasi siswa, persentase jumlah kemampuan siswa yang mampu mengerjakan soal pada setiap aspek berdasarkan taksonomi Bloom C1 (pengetahuan) 70%, C2 (pemahaman) 42,44%, C3 (penerapan) 35,83%, C4 (analisis) 18,33%, dan tidak terdapat soal C5 dan C6.</p><p><strong> </strong></p><strong>Kata Kunci: </strong>kualitas, butir soal, analisis.
ANALISIS PENGARUH TINGKAT PENGETAHUAN MASYARAKAT TERHADAP TINDAKAN SWAMEDIKASI DIARE AKUT DI KECAMATAN PONTIANAK TIMUR
Authors: Robiyanto Robiyanto , Rosmimi Monika , Untari Eka Kartika 
Published: November 2019

<p>Penelitian bertujuan untuk: (1) mengetahui ada tidaknya pengaruh karakteristik meliputi usia, jenis kelamin, pekerjaan, dan pendidikan terhadap tindakan swamedikasi diare akut; dan (2) Menganalisis pengaruh tingkat pengetahuan terhadap tindakan swamedikasi diare akut pada masyarakat yang tinggal di Kecamatan Pontianak Timur. Penelitian tergolong penelitian observasional dengan rancangan penelitian potong lintang. Pengambilan sampel dengan metode <em>quota sampling</em> dengan jumlah subjek penelitian sebanyak 60 responden. Teknik pengumpulan data dengan penyebaran kuesioner. Uji statistik data menggunakan <em>c</em><em>hi square test</em>. Kesimpulan dari penelitian menunjukkan bahwa: (1) Usia dan pendidikan memiliki pengaruh terhadap pengetahuan swamedikasi; dan (2) Tingkat pengetahuan responden ternyata berpengaruh terhadap tindakan swamedikasi<em> </em>diare akut.</p><p><strong>Kata Kunci: </strong>diare akut, swamedikasi, tingkat pengetahuan.</p>
Cryopreserved human umbilical cord versus acellular dermal matrix patches for in utero fetal spina bifida repair in a pregnant rat model
Authors: Mann Lovepreet K. , Won Jong H. , Trenton Nicholaus J. , Garnett Jeannine , Snowise Saul , Fletcher Stephen A. , Tseng Scheffer C. G. , Diehl Michael R. , Papanna Ramesha 
Published: November 2019

OBJECTIVEDespite significant improvement in spinal cord function after in utero spina bifida (SB) repair compared with traditional postnatal repair, over half of the children who undergo this procedure do not benefit completely. This lack of benefit has been attributed to closure methods of the defect, with subsequent spinal cord tethering at the repair site. Hence, a regenerative patch or material with antiinflammatory and anti-scarring properties may alleviate comorbidities with improved outcomes. The authors’ primary objective was therefore to compare cryopreserved human umbilical cord (HUC) versus acellular dermal matrix (ADM) patches for regenerative repair of in utero SB lesions in an animal model.METHODSIn vivo studies were conducted in retinoic acid–induced SB defects in fetuses of Sprague-Dawley rats. HUC or ADM patches were sutured over the SB defects at a gestational age of 20 days. Repaired SB defect tissues were harvested after 48–52 hours. Tissue sections were immunofluorescently stained for the presence of neutrophils, macrophages, keratinocytes, meningeal cells, and astrocytes and for any associated apoptosis. In vitro meningeal or keratinocyte cell coculture experiments with the ADM and HUC patches were performed. All experiments were scored quantitatively in a blinded manner.RESULTSNeutrophil counts and apoptotic cells were lower in the HUC-based repair group (n = 8) than in the ADM patch repair group (n = 7). In the HUC patch repair group, keratinocytes were present on the outer surface of the patch, meningeal cells were present on the inner surface of the patch adjacent to the neural placode, and astrocytes were noted to be absent. In the ADM patch repair group, all 3 cell types were present on both surfaces of the patch. In vitro studies showed that human meningeal cells grew preferentially on the mesenchymal side of the HUC patch, whereas keratinocytes showed tropism for the epithelial side, suggesting an inherent HUC-based cell polarity. In contrast, the ADM patch studies showed no polarity and decreased cellular infiltration.CONCLUSIONSThe HUC patch demonstrated reduced acute inflammation and apoptosis together with superior organization in regenerative cellular growth when compared with the ADM patch, and is therefore likely the better patch material for in utero SB defect repair. These properties may make the HUC biomaterial useful as a “meningeal patch” during spinal cord surgeries, thereby potentially reducing tethering and improving on spinal cord function.
Gunshot wounds to the head: racial disparities in inpatient management and outcomes
Authors: Chiu Ryan G. , Fuentes Angelica M. , Mehta Ankit I. 
Published: November 2019

OBJECTIVESeveral studies have indicated that racial disparities may exist in the management and outcomes of acute trauma care. One segment of trauma care that has not been as extensively investigated, however, is that of cranial trauma care. The goal of this study was to determine whether significant differences exist among racial and ethnic groups in various measures of inpatient management and outcomes after gunshot wounds to the head (GWH).METHODSIn this study, the authors used the Nationwide (National) Inpatient Sample (NIS) to investigate all-cause mortality, receipt of surgery, days from admission to initial intervention, discharge disposition, length of hospital stay, and total hospital charges of those with GWH from 2012 to 2016. A 1:1 propensity score–matched analysis was conducted to evaluate the effect of race on these endpoints, while controlling for baseline demographics and comorbidities.RESULTSA total of 333 patients met the inclusion and exclusion criteria: 148 (44.44%) white/Caucasian, 123 (36.94%) black/African American, 54 (16.22%) Hispanic/Latinx, and 8 (2.40%) Asian. African American patients were sent to immediate care and rehabilitation significantly less often than Caucasian patients (RR 0.17 [95% CI 0.04–0.71]). There were no significant differences in mortality, length of stay, rates of surgical intervention, or total hospital charges among any of the racial groups.CONCLUSIONSThe authors’ findings suggest that racial disparities in inpatient cranial trauma care and outcomes may not be as prevalent as previously thought. In fact, the disparities seen were only in disposition. More research is needed to further elucidate and address disparities within this population, particularly those that may exist prior to, and after, hospitalization.
Clinico-Microbiological Profile of Infective Keratitis in a Tertiary Care Hospital, Eastern India
Authors: Paty Bimoch Projna , Maitreyi Tadepalli , Padhi Sanghamitra , Parida Banojini 
Published: November 2019

Background: Infective Keratitis (Microbial Keratitis) is an infection of the cornea caused by a wide spectrum of microbial agents. Its main clinical presentation is a Corneal ulcer that is defined as a Loss of corneal epithelium with infiltration and suppuration of the underlying stroma. According to the World health organization (WHO), corneal diseases are among the major causes of vision loss and blindness in the world today, second only to cataract in overall importance. Aim: To isolate and identify the pathogenic organism Method: The study was conducted in 45 patients diagnosed with corneal ulcer attending Ophthalmology OPD, MKCG Medical College and Hospital, Berhampur over a period of 2 months. The material was scraped from the leading edge and base of the ulcer and was inoculated onto Blood agar, Mac Conkey agar and Sabouraud Dextrose agar for culture and onto 2 slides for Gram’s stain and 10% KOH wet mount. The antibiotic susceptibility testing was done by Kirby Bauer’s disc diffusion method. Results: Out of a total of 45 patients, 35were males. The majority of the patients belonged to the age group of 50-60 years. Pain, Redness, Hypopyon was most commonly seen in Bacterial keratitis. In Fungal Keratitis, Redness (80%), Blurred vision (80%) was seen. The most common occupation was Farmers (66.6%). Trauma was the most common risk factor (23 isolates). The majority were bacterial isolates (29 isolates, 64.4%) followed by fungal (5 isolates, 11.1%). The predominant isolate was Staphylococcus aureus (68.9%). Staphylococcus aureus showed 70% sensitivity to Moxifloxacin and 65% sensitivity to Gentamycin. Conclusion: Knowledge of the local prevalence of etiological agents of IK and their susceptibility patterns helps in guiding ophthalmologists to select appropriate antibiotic for empirical therapy.