bluuebunny/crossref_metadata_2025_split huggingface dataset:
RECURRENCE OF THYROGLOSSAL DUCT CYST AFTER SISTRUNK OPERATION.
Authors: Manandhar Sriti , Kandel Dillu Ram , Panthi Niranjan 
Published: February 2020

Introduction: Thyroglossal duct cyst (TGDC) is the most common form of congenital anomaly in the head and neck region with prevalence of 7%. Embryologically the thyroglossal duct tract gets atrophied by fifth to tenth week of gestation. If it does not atrophied it results in TGDC and operation is the treatment of choice. However, in spite of standard surgical treatment there is recurrence of cyst. Eight percent of thyroglossal duct cyst may reoccur after adequate surgical excision.
Objectives: To identify the recurrence of thyroglossal duct cyst after standard sistrunk’s operation.
Methodology: A retrospective chart review performed in all the patients who were diagnosed with thyroglossal duct cyst and were managed by Sistrunk operation in B.P Koirala Institute of Health sciences, department of ORL and Head and Neck surgery from 2013 January1to 2015 December 31.The study was conducted on 37 patients’ age ranging from 4years to 68years. All the patients who had undergone Sistrunk’s operation and histopathologically diagnosed with thyroglossal duct cyst were analysed through hospital records. All records were reviewed for age, sex, location of cyst in neck and with relation to hyoid bone, postoperative complication and recurrence.
Results: There was male predominance 67.56% and female only 32.43%.The most of the patients were between 1-15 yrs age group (48.64%). Thirty two patients presented with infrahyoid thyroglossal cyst and five patients with suprahyoid thyroglossal cyst. The post operative complications were in the form of wound dehiscence, haematoma, seroma, infection and there were two cases with recurrence out of thirty seven patients after Sistrunk operation in the form of persistence discharging sinus.
Conclusion: A Sistrunk’s operation is effective in treating primary thyroglossal duct cyst with a comparably low recurrence rate. The intraoperative rupture of cyst is the most important risk factors predicting postoperative recurrence of thyroglossal duct cyst. Meticulous dissection of the thyroglossal duct cyst is very essential for the better surgical outcome.
Does parity affect abdominal endurance causing low back pain among women?
Authors: Khadgi Bimika , Acharaya Ranjeeta Shijagurumayum , Karki Arpita 
Published: February 2020

Introduction: Low back pain (LBP) is common worldwide and is leading cause of disability. Abdominal endurance promotes body posture, position, balance, urinary continence, pelvicalignment and low back health. In Nepal, women have high level physical activities and need good endurance to perform those activities. During pregnancy and postpartum,woman’s body undergoes remarkable changes up to 1 year resulting in pelvic pain, back pain and incontinence and other associated problems.Transverse abdominusis not as active as before pregnancy resulting in inadequate muscular stabilization in spine. Hence, study intends to measure abdominal endurance and compare among nulliparous, primiparous and multiparous women with association to low back pain.
Objectives: To compare the abdominal endurance among nulliparous, primiparous and multiparous women and to assess the association of abdominal endurance with LBP.
Methods: Non- parous and parous women of 20-30 years with 100 sample size are included tomeasure abdominal endurance by Pressure Biofeedback Unit and Nordic questionnaire was administered to identify low back pain.
Results: Mean abdominal endurance found among nulliparous was 3.5mm of Hg, primiparous was 3.4mm of Hg and multiparous was 3.2mm of Hg. Chi-square test showed 45.5%nulliparous,48.5% primiparous and 52.9% multiparous women have below average abdominal endurance and 33.3%, 57.6% and 70.6% nulliparous, primiparous and multiparous women have low back pain(LBP) respectively. The association between LBP and abdominal endurance is 0.155.
Conclusion: Abdominal endurance decreases with increasing parity and LBP increases with parity. Further research with large sample size is needed to explore the association between the LBP and abdominal endurance.
Cleft Lip and Palate Surgery: Prevalance of Intraoperative Airway Complications in a Tertiary Center in Nepal
Authors: Thapa Ajay Singh , Yadav Rajesh Kumar 
Published: February 2020

Introduction: Cleft lip and palate is one of the most common congenital malformations. Different syndromes have been described in association with cleft lip and palate, some of which have considerable anesthetic implications, and many involve potential airway problems.
Objective: This study aimed to find the incidence of airway complications during cleft surgeries.
Methods: The descriptive cross sectional study was conducted in College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, Nepal over a period of one year from March 2017 toFebruary2018. All the 146 patients received general anesthesia. The parameters studied were incidence of difficult mask ventilation, difficult intubation, laryngospasm, bronchospasm, aspiration of blood and secretion. Univariate analysis of demographic and occurrence of complications was done.
Results: A total of 146 patients underwent cleft surgery over the study duration out of which 42(28.76%) were female and 104(71.23%) were male. Isolated cleft lip was seen in 104 (71.23%) patients among whom 42 (28.76%) had right sided, 50 (34.24%) had left sided and 12 (8.21%) had bilateral cleft lip. Isolated cleft palate was seen in 12 (8.21%) patients. Combined cleft lip and palate was seen in 30 (20.54%) patients. Prevalence of difficult mask ventilation, difficult laryngoscopy, difficult intubation, incidence of bleeding during intubation, bronchospasm and post extubationlaryngospasmwere4 (2.73%), 11 (7.53%), 6 (4.10%), 2 (1.36%), 2(1.36%) and 4(2.73%).
Conclusion: In cleft repair surgeries, difficult laryngoscopic view is the most common problem followed by difficult intubation and difficult mask ventilation. Complications like laryngospasm, bronchospasm and laryngoscopy related bleeding are not uncommon. Vigilant perioperative preparation and continuous monitoring is essential to prevent complications during cleft repair surgery in paediatric patients.
Clinico-pathological Analysis of Malignant Eyelid and Adnexal Tumors Presenting to a Tertiary Eye Hospital Of Eastern Nepal
Authors: Kafle Prerna Arjyal , Hamal Diwa , Sahu Sabin , Poudyal Priza , Kafle Santosh Upadhyaya 
Published: February 2020

Introduction: Eye lid and adnexal tumours are one of the major problems we see in the oculoplastic department. Malignant eye lid tumours are rare in comparison to benign and diversity in its clinical presentation makes it difficult to diagnose earlier. Eyelid malignancies can mimic a host of benign neoplasms and other less aggressive neoplastic or non-neoplastic inflammatory conditions and need differentiation before definitive therapy is planned. Out of 90% of all skin cancer occurring in head and neck region 10% occurs in the eyelid. A histopathological study confirms the diagnosis that can be correlated with patient history and other clinical data.
Objectives: To study the clinicopathological correlation and its outcome in patients with malignant eyelid and adnexal tumours presenting at Biratnagar eye hospital.
Methodology: Details of the cases of histopathologically proven malignant eyelid and adnexal tumours presenting to the department of oculoplasty from July 2016 to August 2019 were recorded. The duration of disease, presenting symptoms, risk factors, demographic data, clinicopathological correlation with its accuracy and mode of treatment were analyzed using SPSS 17.
Results: Out of total 28 patients, male were 53.6% and female were 46.4%. The mean age of presentation was 60.5±11.8 years. 53.6% tumors were located in upper lid, 39.9% were located in lower lid and 7.1 % were located in medial canthus. Basal cell carcinoma and sebaceous gland carcinoma were the most common type of malignancies (35.7% each) followed by 28.6% of squamous cell carcinoma of eyelid. The clinicopathological correlation revealed 75% of clinical accuracy. Different types of reconstructions were done according to the size and site of the defect. Modified Hughes procedure for lower eyelid defect was the most common procedure performed (32.1%), followed by 14.3% Cutler beard, 28.6% Cutler beard with post auricular cartilage graft, 10.7% Glabellar flap rotation 7.1% had combined procedure and 4.3% direct closure .
Conclusion: Sebaceous cell carcinoma and Basal cell carcinoma were the most common malignant tumors followed by squamous cell carcinoma. The upper lid was the most common site for such malignancy. Histopathological examination was useful for the establishment of complete and accurate diagnosis, which led to further management and follow up protocol for malignant eyelid tumours.
Correlation of Serum LDH Level in Perinatal Ashyxia as a Marker of Hypoxic Ischemic Encephalopathy
Authors: Singh Sandip Kumar , Rijal Shikha , Giri Arun 
Published: February 2020

Introduction: Perinatal Asphyxia is common cause of multiorgan dysfunction in neonates. It leads to significant mortality and morbidity. Serum lactate dehydrogenase (LDH), if measured can differentiate asphyxiated neonates from non-asphyxiated neonates.
Objectives: To find whether serum LDH can distinguish an asphyxiated from a non-asphyxiated term neonate. To co-relate serum LDH level in perinatal asphyxia with various stages of HIE and to see whether it can predict mortality.
Methodology: This is a prospective study done from June 2018 to May 2019 in NICU of Nobel Medical College, on child with Perinatal Asphyxia. All neonates included in the study underwent thorough clinical and neurological examination. Severity of HIE was done by Sarnat & Sarnat staging criteria. Serum LDH level were measured in all the cases. Statistical analysis was done using SPSS 11.
Results: 90 neonates with perinatal asphyxia were enrolled and 30 normal neonates were enrolled as controls. The number of neonates with LDH level > 600U/L was significantly more in cases with perinatal asphyxia group as compared to controls (non-asphyxiated) with ‘p’ < 0.001. Serum LDH level was progressively high in relation to stages of HIE and difference between mean LDH level between neonates expired and survived was statistically significant with ‘p’ <0.001.
Conclusion: Serum LDH level is a reliable indicator of perinatal asphyxia and helps to differentiate different stages of HIE.
Altitude and Ecological distribution of genus Litsea (Lauraceae) in Western Ghats of Karnataka, India
Authors: Srinivas S.G. , Krishnamurthy Y.L. 
Published: February 2020

India is a subcontinent in the world with varied climatic regions, topographic variation results in the very diverse ecological diversity. Litsea is a largest genus in the family Lauraceae differentiated by its dioecious nature, distributed in tropical and subtropical regions which is influenced by some environmental factors. Present research work focussed on distribution of genus in the central Western Ghats of Karnataka, India. Litsea species were collected from 2013 to 2018 in different sampling sites. A total of 12 species were identified and reported from this region. The diversity indices of Litsea vary from species to species as well as region to region. L. floribunda is frequently distributed in all the study sites and it showed highest density when compared with other species, whereas, L. deccanensis distributed only in Sakaleshpur region and it showed lower diversity. The highest number of Litsea species occurred in Sakaleshpur region (10 species) and Mullayyanagiri region having only one species that is L. floribunda. The results indicate that Litsea distribution and diversity is rich in moderate rainfall regions of Western Ghats. The macro and micro nutrients of the soil in the study area reflects the distribution of the genus. There is a gradual increasing in tendency of the species richness with increasing elevation when compared with lower elevated regions. The genus also showed more sensitive and positive association with the elevation factor.
Soviet Judiciary in Fighting Religious Cults in Crimea (20-80s of XX Century)
Authors: Katunina N.Yu. , Katunina Olena V. 
Published: February 2020

From the earliest times, the very existence of Soviet power to combat religion and tirades, along with methods of economic and ideological pressure, actively using legal factors, is a rather strict system.
Following the massive unveiling of solidarity and white army officials who were unable to leave the peninsula in November 1920, they began to form in the Crimea various branches of government, including their judicial system, which was published in a new regime of elements of legitimacy. However, the legal system created on the peninsula was annexed to a radical political system, so when there were various problems, they were members of principles of political expediency, not morality and rights.
PENGARUH KUALITAS PELAYANAN TERHADAP KEPUASAN NASABAH (PADA PT. BANK SYARIAH MANDIRI CABANG PONDOK PINANG)
Authors: Susanti Novia , Syahrian Arsyad 
Published: February 2020

Tujuan dari penelitian ini adalah untuk mengetahui Pengaruh Kualitas Pelayanan Terhadap Kepuasan Nasabah Pada PT. Bank Syariah Mandiri Cabang Pondok Pinang. Metode Penelitian yang digunakan dalam penelitian ini bersifat deskriptif dengan pendekatan kuantitatif, yaitu dengan mendeskripsikan keadaan responden serta deskripsi variabel penelitian. Sifat penelitian dalam penelitian ini, populasi sebanyak 3207 orang dan sampel sebanyak 97 orang menggunakan sampel slovin. Teknik analisis data menggunakan Uji Validitas, Reliabilitas, Uji Koefisien Korelasi, Uji Linier Regresi Sederhana, Uji Signifikan (t), serta koefisien determinasi (R2) dengan menggunakan bantuan program IBM SPSS Statistik Versi 24. Hasil penelitian ini menunjukkan variabel independen yang di uji berpengaruh secara bersama-sama positif dan signifikan terhadap variabel dependen melalui uji t, korelasinya sebesar 0,997 menandakan hubungan yang sangat kuat, dan regresinya yaitu Y = 0,622 + 0,896 X artinya setiap perubahan nilai variabel independen (X) akan diikuti oleh perubahan variabel dependen (Y) yaitu sebesar 9,312, sedangkan angka Adjusted R Square sebesar 0,995 menunjukkan 99,5% variasi atas kepuasan nasabah yang dapat dijelaskan oleh variabel independen tersebut, dimana sisanya 0,5% dijelaskan oleh variabel-variabel lain diluar penelitian ini. Hasil penelitian menunjukkan bahwa kualitas pelayanan secara parsial dan simultan memiliki pengaruh yang postif dan signifikan terhadap kepuasan nasabah pada PT. Bank Syariah Mandiri Cabang Pondok Pinang. Kata Kunci : Kualitas Pelayanan; Kepuasan Nasabah
Estudo das Pressões Respiratórias Máximas após Exposição à Radioterapia de Mama em Mulheres: um Estudo-Piloto
Authors: Mello de Ávila Thays , De Souza Ferraz Vanessa , Miziara Barbosa Suzi Rosa , Schiaveto de Souza Albert , Marks Guido , Gomes de Souza Pegorare Ana Beatriz 
Published: February 2020

Introdução: No câncer de mama, a radioterapia pós-operatória é amplamente usada para reduzir a incidência de recorrência local da doença. Entretanto, a irradiação das estruturas torácicas implica riscos, especialmente para os pulmões. Objetivo: Estudar as pressões respiratórias máximas (PRM) após exposição à radioterapia de mama em mulheres. Método: Estudo prospectivo observacional realizado no Hospital de Câncer Alfredo Abrão em Campo Grande, estado de Mato Grosso do Sul – MS. A amostra deste estudo foi composta por mulheres (N=8) expostas à radioterapia de mama após cirurgia de quadrantectomia. Avaliou-se a força dos músculos respiratórios por meio da pressão inspiratória máxima (Pimáx) e pressão expiratória máxima (Pemáx), utilizando-se do aparelho portátil denominado manovacuômetro. O exame foi realizado antes da primeira sessão de radioterapia e após a 25ª sessão, correspondendo ao último dia de tratamento radioterápico. Também foram avaliados o peso e a altura para medir o índice de massa corporal, os sintomas respiratórios clínicos de dispneia com o uso da Escala de Dispneia Medical Research Council e a caracterização de tosse com os Critérios Comuns de Toxicidade Pulmonar, em classificação da pneumonite clínica. Resultados: Os valores da Pimáx resultaram em 95,90±23,86 e 81,20±23,12 (média±desvio padrão da média - p=0,035) em relação ao percentual ideal, caracterizando diminuição significativa ao se comparar antes e após a exposição à radioterapia. Observou-se nível de significância de p<0,05, teste t-student e pareado. Conclusão: O estudo das PRM antes e após a exposição à radioterapia de mama evidenciou diminuição significativa da Pimáx.
Analisis Mikrostruktur Partikel Zirkoniakalsia-silika (ZrO 2 -CaO-SiO ) Dari Pasir Zirkon Alam Indonesia Menggunakan Metode Spray Pyrolysis
Authors: Karlina Elin , Djustiana Nina , Joni I Made , Febrida Renny , Panatarani Camellia , Zakyah Akhyar Dyni 
Published: February 2020

Indonesian Natural Sand, Zircon, is an Indonesia’s natural resource that contains zirconia, silica, titania and alumina. In Dentistry, zirconia as one of the content in natural zircon sand, have the potential to be the material for filler composites. The purpose of this research was to analyze the Zirconia-Calcium-Silicate Particle (ZrO2CaO-SiO2) synthesized from Indonesia natural sand, zircon, in microstructural way. Methods: By synthesizing ZirconiaCalcium-Silicate particle (ZrO2-CaO-SiO2) from Indonesia natural zircon sand, using spray pyrolysis method. A precursor solution that is used consists of zirconil nitrate (Zr (NO3) 2), sodium silicate (Na2SiO3), and calcium hydroxide (Ca (OH) 2). Variations in the temperature of the reactor that are used were 4000C, 4500C, and 5000C with a feed rate of 6 L / min and a piezoelectric frequency of 1.7 MHz. Result showed that the better content in zirconia-calcium-silicate is the one that was synthesized at a temperature of 4500C, based on the results of EDS, SEM and XRD. The composition that is obtained in the zirconia-calcium-silicate particle has a ratio of 1: 14: 4 with the size of 500-1000nm, and has a tetragonal crystal zirconium silicate structure and dicalcium monoclinic silicate. From this research it can be concluded that the result that was synthesized at a temperature of 4500C is adequate to use as a filler based on the characterization result of SEM and XRD.
Pengaruh Perendaman Pada Saliva Buatan Selama 14 Hari Pada Glass Fiber Non Dental Dan Glass Fiber Dental Terhadap Perlekatan Bakteri Streptococcus Mutans
Authors: Dewi Zwista Yulia , Widjijono Widjijono , Setyowati Erna Prawita 
Published: February 2020

The material in the oral cavity will be coated by saliva. The humidity of material that is immersed in water will increase from time to time. Longer immersion time in water causes an increase in the absorption of water by a material. Non-dental glass fiber can be used as an alternative replacement for fiber glass dental. The advantages of dental glass fiberis widely available with reasonably priced. Fiber glass non dental commonly used as building materials and automotive. Streptococcus mutans bacteria have the ability to stick to the whole surface of the mouth, including dental materials. The purpose of this study is to determine the effect of dental glass fiber and non-dental glass fiber immersion in artificial saliva for 14 days to the adhesions of Streptococcus mutans bacteria.Fiber used in this study is E-glass fiber dental(Fibersplint, Polydentia SA, Switzerland), non-dental glass fiber A (LT, China), flowable composite (CharmFil Flow, Denkist, Korea) and silane coupling agent (Monobond S, Ivoclar Vivadent, Liechtenstein). Subjects were divided into three groups, each group consisting of 5 samples. Streptococcus mutans bacteria was planted in BHI media and calculated by plate count method. Results were analyzed using ANAVA. From the research it showed that the average dental glass fiber bacterial adhesions value was (953.4 ± 7.19), non-dental glass fiber(953.4 ± 7.19) while the composite resin without using fiber glass (848 ± 7.07). Statistical analysis showed a variable composition have a significant effect (p <0.05). The conclusion of this research that the alkali metal content in the fiber glass can affect the amount of bacteria Streptococcus mutans adhesions.
Perbandingan Hipersensitivitas Tipe IV Akibat Paparan Remanium Gm800 Dan Stainless Steel 316L
Authors: Hafizi Ikmal , Widjijono Widjijono , Soesatyo Marsetyawan HNE 
Published: February 2020

Stainless steel and cobalt chromium is a metal that is used in dentistry. Stainless steel (SS) 316L has good corrosion resistance, but there are still many cases of hypersensitivity due to the use of such materials. Remanium GM800 is a cobalt-based alloy which is relatively mild with the advantages of having a high fracture resistance, high modulus of elasticity and resistance to corrosion. The research aims to know type IV hypersensitivity reactions for cobalt chromium GM800 applications compared with 316L Stainless steel. The research was conducted through the test GPMT (Guinea Pig Maximization Test). The pre-research phase does CoCr patch/SS/control application to 3 guinea pigs of each group with concentrations of 5%, 10%, 20%, 40%, and 80%. Primary research begins with intradermal induction on the backs of guinea pigs for 7 days with a suspension of A (50% FCA emulsion dan 50% Propylene glycol), B (SS/CoCr/blank dan Propylene glycol) and C (50% SS/CoCr/blank suspension and 50% FCA) on the left and right backs of guinea pigs. On the 8th day induction results topical concentration of 40% for 24 hours, then opened to see the reaction and closed again for 48 hours. After that, the research was continued with challenge phase by attaching patch 5% concentration for 14 days. On the 28th day was observed erythema and edema on the skin of guinea pigs followed by sacrifice in order to obtain specimen to do immunohistochemical staining by ED antibodies. The result showed 316L SS cause 40% of the samples sensitized that were grouped in moderate classification, while CoCr GM800 cause 20% of the samples sensitized so classified in the mild classification in triggering type IV hypersensitivity reaction. Histopathology examination showed that 42% of the visual field SS 316L specimen expressed macrophages, while only 28% expressed macrophages in CoCr GM800 specimen. The conclusion of this study CoCr GM800 trigger type IV hypersensitivity reaction is lower than SS 316L.
Pengaruh Polyethylene Fiber pada Material Resin Komposit Terhadap Jumlah Koloni Streptococcus mutans
Authors: Larasati Karina , Siswomihardjo Widowati , Sunarintyas Siti 
Published: February 2020

Fiber reinforced composite (FRC) is a material made of polymer matrix and fiber. Polyethylene fiber is one of the commonly used fiber due its good strength. FRC in the oral cavity will interact with saliva and microorganisms.S. mutans is microorganisms present in oral cavity. The purpose of this study was to determine the effect ofpolyethylene fiber on FRC to S. mutans colony counts. Flowable composite and polyethylene fiber are material used in this study. Bar-shaped samples sized 5 x 4 x 2 mm (n = 4) immersed in 5 mL saliva for 1 hour, then immersed in suspension containing S. mutans and incubated for 24 hours at 37°C. The suspension diluted to 10 then 0.1 mL of the dilution were put in a solid medium and incubated for 48 hours at 37°C. Streptococcus mutans were grown on solid media was determined by direct count. Data were statistically analyzed using unpaired t-test. The results of unpaired t-test showed a significance difference of S. mutans colony between composite resin and FRC with polyethylene fiber (p <0.05). The conclusion from this study was the addition of polyethylene fiber on the composite material significantly increased the number of colonies of Streptococcus mutans.