bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sounding Shakespeare: An Interdisciplinary Educational Design Project in English and Music
Authors: Pande-Rolfsen Marthe Sofie , Heide Anne-Lise 
Published: January 2020

This article outlines Sounding Shakespeare, an interdisciplinary project in Music and English, carried out with student teachers in Norway. The aims of the project are to explore and develop new ways of working with Shakespeare cross-curricularly through educational design research, focusing on creative and aesthetic processes in order for student teachers to gain experience in working across subjects, and to decrease their fear factor of using Shakespeare in the classroom. The current curriculum changes in Norwegian primary and secondary education (Fagfornyelsen) focus on experimentation, exploration and creative processes, and these are guiding educational principles that also provide a foundation for the Sounding Shakespeare project. Our research into student teachers’ experiences of working with Shakespeare’s texts, constitute the starting point for this article. In the project, students worked in two different workshops with Speech and Music Composition to collaborate and devise a performance based on A Midsummer Night’s Dream as their focus text. Through voice and prosody, students explored the musicality of Shakespeare’s text, and through music composition, students experimented with soundscapes in creative processes. In the final part of the workshops, students collaborated towards performances. Based on our collected data, our main finding shows how music can become a guiding agent for a meaningful experience of literature.
Deep vein thrombosis risk stratification in intensive care unit patients: a pressing need
Authors: Patel Viral B. , Ghosh Labani M. , Vaishnav Bhalendu 
Published: January 2020

Background: Risk stratification of deep vein thrombosis in patients admitted to ICU and incorporating DVT risk assessment score as a regular practice were the aim of the present study.Methods: This study was carried out in 67 patients admitted in ICU >18 years of age, over one year. Patients with confirmed DVT, <48 hours of stay, thrombocytopenia, diagnosed coagulation disorders, those who have received DVT prophylaxis in last 1 month and those with active bleeding were excluded. It was a cross sectional observational study. A SMART assessment score and pretest probability scoring card was used. Mechanical or pharmacological prophylaxis was given to those with moderate and high risk for DVT.Results: As per SMART assessment score 4.5%, 41.8%, 6% and 23.9% had no, moderate, high and highest risk of developing DVT. As per the pretest probability scores 76%, 20.9% and 3% were in low, moderate and high-risk group. Both scoring systems are comparable (p=0.001). There was significant association between paralysis (p value was 0.003), central venous access (p value was 0.006), patient bed ridden for >72 hours (p value was 0.009) and risk group.Conclusions: Prolonged bed rest, paralysis and central venous access are the most important contributing conditions for high risk of DVT. Risk stratification should be routinely performed in ICU. SMART assessment tool and pre-test probability scores are both equally efficacious in identifying high risk patients for DVT. Both mechanical and pharmacological means of DVT prophylaxis are equally effective in preventing DVT.
Comparative study of some routinely measured Serum biochemical parameters between acute exacerbation of Chronic Obstructive Pulmonary Disease and stable Chronic Obstructive Pulmonary Disease patients in a tertiary care hospital of Kolkata: an attempt to make simple prognostic indicators
Authors: Chakraborty Subhankar , Misra Swapnendu , Jha Sumanta , Kodali Sukanta , Mandal Abhijit 
Published: January 2020

Background: Patients with COPD often have exacerbations which frequently require hospitalization, resulting in higher mortality rates and costs than patients managed at OPD. Some easily available blood parameters in both stable COPD and AECOPD patients are measured that can be done in every patient even in poor resource settings. Finally, Results were analysed statistically to find out if there is any presence of significant difference of biochemical profile in stable COPD patients and AECOPD patients with or without any prognostic significance.Methods: In institution based observational case control study, authors measured 1. FBS and PPBS 2. Serum Urea and Creatinine 3. Serum Electrolytes- Na+, K+, Cl- 4. LFT 5. Uric acid in both stable COPD(n=50) and AECOPD (n=50) patients. Finally, Results were analysed statistically to find out if there is any presence of significant difference of biochemical profile in stable COPD patients and AECOPD patients.Results: AECOPD patients had statistically significant higher urea, uric acid levels and higher fasting hyperglycemia than stable COPD patients. Hypernatremia, hyponatremia and hyperkalemia, hypokalemia - all were significantly higher in AECOPD group. Low level of serum bilirubin and higher level of AST and ALP were common in AECOPD patients. AECOPD patients with high urea value (>50 mg/dl) (but not high creatinine) was associated with poor patient outcome in respect to ICU transfer, death and prolonged hospital stay. Low bilirubin, high ALP and AST level in AECOPD patients was associated with higher ICU transfer and mortality but only high ALP level was associated with prolonged hospital stay. High uric acid level (>6 mg/dl) was a major determinant of ICU transfer, mortality and prolonged hospital stay.Conclusions: Predicting exacerbation by these parameters early in the course of disease can decrease morbidity and mortality as well as health care cost to great extent. By measuring the changes in it can also be predicted early who will need ICU support in future and who can be treated at ward.
The effect of guava juice toward haemoglobin levels in pregnant women
Authors: Wahyuntari Evi , Wahtini Sri 
Published: January 2020

Background: The prevalence of anemia among pregnant women is 33-75% in developing countries. Iron deficiency is a common cause of anaemia. Absorption of iron can be achieved by increasing the content of diets containing vitamin C or ascorbic acid (AA) such as those in vegetables and fruit. The purpose of this study was to assess the effect of guava juice on the haemoglobin levels of pregnant women.Methods: The study was conducted using quasi-experiment. Sample was determined by the consecutive sampling method. 29 respondents were selected from each group. Both groups were given iron supplements of 2x1 for 2 weeks, while the control group besides receiving iron supplement therapy also consumed 200 ml/day guava juice for 2 weeks, with the inclusion criteria of third trimester pregnant women, anemia, no pregnancy complications and willing to be a respondent by signing an informed consent. Exclusion criteria not having a routine ANC at the Kalasan primary Health. Data collection was conducted using demographic data questionnaire, Observation Sheet of the provision of Fe tablets and guava juice and the measurement of hemoglobin levels with a hemocue.Results: There was an increase in Haemoglobin levels in the group given iron supplement therapy and consumption of 200 ml guava juice/day for 2 weeks with a p value of <0.05.Conclusions: Consumption of guava juice of 200 ml/day for 2 weeks increases the haemoglobin in pregnant women with anemia.
Mini percutaneous nephrolithotomy: its role in the management of renal stone and our tertiary care centre experience
Authors: Thakur Avinash Pratap Singh , S. Darsan 
Published: January 2020

Background: Miniaturized percutaneous nephrolithotomy (PCNL) procedures for urolithiasis have gained increased popularity in recent years. To decrease the complications of conventional PCNL by reduced tract size led to the development of Mini PCNL, which makes the use of 15-18F sheaths in place of 24-30F of conventional PCNL. It has developed rapidly and become a popular technique of renal stone management with reduced morbidity and excellent outcome. Authors report our experience with Mini PCNL for the treatment of renal stone.Methods: In between his August 2015 and January 2018, sixty patients with the diagnosis of unilateral single medium size (8-20mm) renal stone were identified. Patient’s demographical, clinical, diagnostic and procedural data were recorded. All patients were evaluated by history taking, physical examination and laboratory investigations. Radiological evaluation was done with X ray kidney, ureter and bladder region (KUB) and also with renal ultrasonography followed by computed tomography (CT). All patients underwent Mini PCNL using 12F nephroscope and 16.5/17.5F sheath. Holmium: YAG laser was used for stone fragmentation. No nephrostomy tube was used routinely. Treatment outcome was assessed in terms of operative time, haemoglobin drop, hospital stay and stone free rate.Results: Complete stone fragmentation was achieved in 41 out of 60 patients using Mini PCNL, so initial stone free rate was 68.3%. After 4 weeks of surgery total 53 patients were stone free (88.3%), 5 patients required some auxiliary procedure for complete clearance of stone and other 2 were managed conservatively. The mean operative time was 48.28 min, mean haemoglobin drop was 0.74gm/l and mean postoperative hospital stay was 54.22 hours. After 12 weeks postoperatively all patients were stone free. There were no significant postoperative complications, and all had good quality of life.Conclusion: Mini PCNL technique appears to be safe and effective alternative to conventional PCNL for moderate size renal calculi. It is usually related to less blood loss and shorter hospital stay than the standard method. It can achieve good stone-free rates with minimal complications and low morbidity. Mini PCNL can also be considered as a good alternative to retrograde intrarenal surgery and shockwave lithotripsy in selected cases. However, further high quality studies with larger sample size are required in future.
Retroperitoneal lymphangiectasia: a great clinical masquerade
Authors: Manwar Siddhant Uttam , Joshi Manisha Vishnu , Shetty Devdas Sudhakar , Bhalerao Upendra Diwakar 
Published: January 2020

Retroperitoneal lymphangiectasia is a very rare lymphatic disorder characterized by abnormal proliferation of lymphatics. We present series of 3 cases of retroperitoneal lymphangiectasia which are diagnosed in our institute with the help of Ultrasonography (USG), Computed Tomography (CT) and Magnetic resonance imaging (MRI) of abdomen and pelvis with unusual clinical presentation. We include clinical features and imaging findings of this disorder with its pathogenesis and diagnosis. Two of the cases were clinically masquerading as hernia and one case was mimicking varicocele. Thorough clinical examination and USG, colour Doppler, CT and MRI are extremely helpful imaging investigation that aid in differentiating these lesions from hernia/ varicocele and the cross sectional imaging like CT and MRI can depict the anatomical extent of the disease.
Role of neoadjuvant chemotherapy in downstaging locally advanced breast carcinoma, selection of surgical procedure and its outcome
Authors: Nirhale Dakshayani S. , Sooraj Rizhin , Rawat Anshu 
Published: January 2020

Background: In clinical practice all cases of locally advanced breast carcinoma (LABC) warrant chemotherapy followed by multimodality care. Neoadjuvant chemotherapy (NACT) has been the mainstay in the management of LABC. The main aim of NACT is to downstage and prevent systemic micrometastasis early.Methods: This was a prospective study conducted on 36 diagnosed cases of stage III locally advanced breast cancer coming to the Dept. of Surgery, Dr. D. Y. Patil Medical College and hospital, Pune for a period of 2 years from 2017-2019. The effectiveness of neoadjuvant chemotherapy was assessed based on clinical, pathological and radiological response.Results: Among 36 LABC cases, maximum number of patients fell in the 41-50 years (41.6%) and presented in the Infiltrating ductal carcinoma group with a clinical stage IIIA disease. The response to NACT showed that a total of 12 patients (33.3%) showed complete clinical response and 30 patients were downstaged after neoadjuvant chemotherapy which was statistically significant. Only 4 out of the total 12 complete clinical responders went for Breast conservative surgery. Seroma formation was found to be the most common post-operative complication.Conclusions: LABC subjected to neoadjuvant chemotherapy based on taxanes/Anthracyclines show good clinical and radiological response. Patients preferred modified radical mastectomy due to the lack of awareness and low socioeconomic strata.The type of surgery did not increase the chance of recurrence in the follow up period.
Effect of Nebulized Morphine vs. Intravenous Morphine in Decreased Pain in Renal Colic Patient
Authors: Nikouyeh Mehrnaz , Jafari nedoushan Mohammad ali , Vakili Mahmood , Hajimaghsoudi Majid , Bagherabadi Mehdi , Saadatyar Ali 
Published: January 2020

Introduction: Renal colic refers to one or more acute and painful short-term attacks due to the movement and excretion of kidney stones. The aim of this study was to determine the effect of intravenous morphine and inhaled morphine on pain relief in renal colic patients.
Methods: This clinical trial study was performed on 50 patients of Shahid Sadoghi Hospital and Shahid Rahnemoon Hospital with renal colic symptoms who were randomly divided into two groups. The first group received 5 mg intravenous morphine and 5 cc normal saline (placebo) and the second group received 10 mg inhaled morphine and 5 cc normal saline. Severity of pain was assessed at the time of emergency and onset of Visual Analog Scale and then questionnaires were completed at 10, 20 and 30 minutes intervals. The data through SPSS Inc., Chicago, IL; Version 16 and the Friedman, Mann-Whitney, and Chi-square tests were analyzed.
Results: Our study showed the mean intensity of pain was 9.52±1.12 (nebulized) and 9.24±1.51 (intravenous) on admission without significant difference (p=0.46). After 10 minutes, mean pain intensity in both nebulized and intravenous groups was 7.76±1.3 and 6.68±2.03, respectively. There was a significant difference between the two groups (p=0.03). After 20 minutes, the mean pain intensity was 5.68±1.72 and 4.32±2.17, respectively, and the difference between the two groups was significant. After 30 minutes, the mean intensity of pain in two groups of nebulized and intravenous was 3.88±3.14 and 3.36±3.34, respectively. The difference between the two groups was not significant (p = 0.57).The mean pain intensity in the intravenous method was lower than the nebulized, but in the nebulized method it was showed a decreasing trend.
Conclusion: Nebulized morphine relieves pain in the patients with renal colic, but pain relief is faster by intravenous morphine. Accordingly, this method is more preferred in renal colic patients.
THE USE OF POWERPOINT AS MEDIA OF LANGUAGE TEACHING ON STUDENTS’ SPEAKING SKILL
Authors: Nur Aziz Imam , Ani Setyo Dewi Yuli 
Published: January 2020

Purpose of the study: Powerpoint is one of the communication tools which used to presenting learning material, and this article aims to know the use of PowerPoint as media that can improve students’ speaking skill.
Methodology: The researcher uses the Pre-experimental method one group Pretest-Posttest design by regulating pretest to measure the subordinate variable, test treatment, and regulating posttest.
Main Findings: The result shows that posttest frequency is higher than pretest frequency by compering median 12.6> 12.2. it means that PowerPoint provides video, audio, animation, slideshow, etc. can improve students’ speaking skills.
Applications of this study: The population in this research are all of the students of MA Al-Asyhar Bungah Gresik with 20 social learners and 23 science learners class.
Novelty/Originality of this study: Media makes the students more understand, the instructor must prepare the exciting material, by using interesting media it helps students more understand. Because the use of media will stimulate students' understanding, the teacher can use interested and straightforward media which can make them focus on the material.
A Quality Improvement Initiative: Improving Mammogram Screening Rates Among Low-income Hispanic Women in Primary Care
Authors: Walker-Smith Tammy Lynn , Baldwin Sara 
Published: January 2020

BackgroundLow-income women of predominantly Hispanic ethnicity between the ages of 50–74 who receive primary care services in a South Texas region experienced a 12% disparity gap for women completing a screening mammogram in the last 2 years when compared to Hispanic women nationally.ObjectiveThe purpose of this quality improvement (QI) initiative is to design and implement interdisciplinary evidence-based interventions to improve the screening mammogram completion rates in a primary care clinical setting.MethodsFollowing a systematic review and selection of two evidence-based breast cancer risk screening tools, a pre-post intervention was conducted. The Knowledge-to-Action (KTA) framework was used to train staff and providers to implement the screening tools. The Breast Cancer Risk Assessment Tool (BCRAT) and the National Health Interview Survey (NHIS) provided triggers for initiating a screening mammogram.ResultsEvidence-based screenings triggered mammogram initiation resulting in a 7.21% improvement in screening mammogram completion rates over a 3-month time period.Conclusion/Implications for NursingThe outcomes discussed in this report provide guidance for new policy considerations and clinical protocol initiatives along with processes to improve mammogram completion rates.
Analisis Kepuasan Pelanggan Terhadap Sarana Prasarana dan Lokasi Perumahan Menggunakan Metode Quality Function Deployment (Studi Kasus Perumahan Griya Pesona Karangrejo Banyuwangi)
Authors: Putri Mangesti Carissa , Koesoemawati Dewi Junita , Trisiana Anita 
Published: January 2020

Perumahan merupakan kebutuhan yang sangat penting bagi masyarakat. Kepuasan konsumen atas pembelian rumah yang ditawarkan merupakan impian dari setiap pengembang. Perumahan Griya Pesona Karangrejo Banyuwangi merupakan kawasan perumahan yang sedang berkembang ke tahap 4. Penelitian ini bertujuan untuk mengetahui kondisi eksisting perumahan sudah sesuai dengan standar perumahan yang ada, mengetahui variabel apa saja yang menjadi priorotas dari konsumen berdasarkan kualitas produk, sarana prasarana, lokasi dan kualitas pelayanan menggunakan metode QFD (Quality Function Deployment) dan penentuan strategi perbaikan yang harus dilakukan pengembang menggunakan analisis IPA (Importance Performance Analysis). Pengumpulan data dilakukan dengan cara wawancara dan penyebaran kuisioner kepada penghuni perumahan.Dari hasil penelitian didapatkan hasil identifikasi kondisi eksisting dilapangan, Perumahan Griya Pesona Karangrejo Banyuwangi belum sepenuhnya memenuhi standar perumahan yang ada. Urutan variabel yang diprioritaskan diambil 5 variabel yang terbesar dari raw weight yaitu sarana ruang terbuka hijau, perkerasan jalan/paving, keamanan terhadap banjir, lebar dan kondisi jalan utama dan fasilitas pembuangan air kotor/drainase. Dalam penentuan strategi perbaikan berdasarkan analisis IPA pengembang harus melakukan perbaikan jalan sesuai dengan standar dan membangun saluran drainase sesuai standar serta melakukan pengecekan terhadap kualitas produk sebelum diserahkan kepada konsumen.
Farklı Organik ve İnorganik Azotlu Gübre Uygulamalarının Roka Bitkisininin (Eruca sativa Mill.) Azot Fraksiyonları ve Bitki Besin Maddesi İçeriği Üzerine Etkileri
Authors: YAĞMUR Bülent , OKUR Bülent , TUNCAY Özlem , EŞİYOK Dursun 
Published: January 2020

Öz

Amaç: Bu çalışmada; roka
bitkisinin (Eruca sativa Mill.)
farklı azot formlarını içeren gübrelerle 2 yıl boyunca yetiştirilmesi sonucu
yapraklarındaki nitrat, nitrit ve toplam azot birikimi ile bitki besin
maddelerinin değişimi incelenmiştir.

Materyal
ve Metot: Sera
çalışması olarak yürütülen denemede farklı azot kaynakları olarak; çiftlik gübresi (100 ton ha-1),
Ca(NO3)2 (150 kg N ha-1) ve (NH4)2SO4
(150 kg N ha-1) kullanılmıştır. Tesadüf parselleri deneme desenine
göre 3 tekerrürlü olarak yürütülen denemede roka yapraklarının hasat edilmesi
sonrası azot fraksiyonları ile diğer besin madde içerikleri ve verimi
saptanmıştır.

Bulgular
ve Sonuç: Her
iki yıl için de rokanın verimi, azot, nitrat ve nitrit içerikleri üzerine
özellikle nitratlı gübrelerin etkisi istatistiksel olarak % 5 düzeyinde ve
önemli olarak belirlenmiştir. Amonyumlu gübre ve çiftlik gübresi de nitratlı
gübreyi izlemiş ve daha az etkili olmuşlardır. Ekim zamanı ve azotlu gübre
çeşitlerinin rokanın makro ve mikro besin elementi içeriği üzerine etkileri
önemli olmamıştır.
Indirect impact of violent events on Emergency Department utilization and disease patterns
Authors: Makhlouf-Obermeyer Carla , Sharara Eman , El-Eid Ghada , Hitti Eveline 
Published: January 2020

Abstract
Background The health effects of war and armed conflict on casualties and mental health of those directly exposed has been well described, but few studies have explored the indirect health effects of violent events. This paper assesses the indirect health impact of several violent events that took place in Beirut in 2013-2014 on ED visit utilization and disease patterns. Methods As tracked by media reports, there were 9 violent events in Beirut during 2013-2014. We compared visits to the Emergency Department of a major medical center during weeks when violent events happened and weeks without such events (the preceding week and the same week in preceding years). After re-coding de-identified data from the medical records of 23,067 patients, we assessed differences in the volume of visits, severity index, and discharge diagnoses. Individual control charts were used to analyze ED visit trends post-event. Results Comparisons of weeks with violent events and weeks without such events indicate that the socio-demographic characteristics of patients who visited the Emergency Department were similar. Patients seen during violent weeks were significantly more likely to be admitted to the hospital, and to have a lower emergency severity index, indicating greater acuity of their conditions. The discharge diagnoses that were significantly higher during violent event weeks included anxiety disorders, sprains, and gastritis. Daily ED visits dropped post events. Conclusions The results indicate that violent events such as bombs, explosions, and terrorist attacks reverberate through the population, impact patterns of ED utilization immediately post-event and are associated with adverse health outcomes, even among those who are not directly affected by the events.