bluuebunny/crossref_metadata_2025_split huggingface dataset:
Message
Authors: Suan, Jr. John Rodolfo 
Published: May 2021

Greetings of peace and good health!

I would like to commend the Editorial Staff of the Philippine Journal of Otolaryngology Head and Neck Surgery for this latest issue of our bi-annual publication headed by its Editor-in-Chief, Dr. Jose Florencio F. Lapeña, Jr. The Philippine Society of Otolaryngology - Head and Neck Surgery (PSO-HNS) is grateful for your tireless efforts in making this internationally recognized publication a great repository of research data in our field of specialty.

COVID-19 has changed the way we do almost everything. This global pandemic has presented a variety of challenges in all aspects of our lives and careers and the effects have lingered on more than a year after it started. The researchers and educators in our training institutions face a multitude of challenges unique to this current situation. The PSO-HNS is one with them in hoping that we can still come up with information useful in our field of specialty. May we all see opportunities for academic research improvement despite these challenges.
To the Lip and Beyond: A Case Report of a Midline Tessier 30 Cleft
Authors: Suarez John Dennis , Perez Galen Clark 
Published: May 2021

ABSTRACTObjective: To present the case of a midline Tessier 30 cleft in a baby boy who initially underwent a glossoplasty, cheiloplasty and mentoplasty.
Methods:Design: Case ReportSetting: Tertiary Government Training HospitalPatient: One
Result: A 4-month-old boy with a complete midline cleft of the lower lip, alveolus and mandible, and bifid distal tongue that was fused with the floor of the mouth, underwent glossoplasty, cheiloplasty and mentoplasty with subsequent excellent aesthetic outcome and normal oral competency.
Conclusion: Tessier 30 is a rare congenital midline mandibular cleft. Prompt glossoplasty, cheiloplasty and mentoplasty can correct the gross deformity, restore oral competency, and address functional needs such as feeding, swallowing and early speech development. Future bony repair will hopefully complete the reconstruction.
A Nurse Training Program for Robotic Skills Acquisition and Career Advancement
Authors: Gudeloglu Ahmet , Parekattil Sijo 
Published: May 2021

Objective: Robotic surgery presents the state of the art surgical techniques in the era of minimally invasive surgery. A nurse’s role in surgery has been altered with the development of robotics. Our unique program at Polk State College in Florida was a robotic nursing program in which we certified nurses after a great deal of training. In this study our goal was to assess the survey outcomes of this program and to see if there was room for any improvements.
Materials and Methods: We have successfully completed 4 three-day courses. During these courses we trained a total of 30 nurses and technicians. This special three-day course involved learning through online modules, didactic education, hands on training, and live surgery. We asked for their response to various questions about the course through an online survey. The trainees were asked to rank the questions about the program.
Results: We obtained 20 out of 30 responses from our certified trainees. Seventy-five percent of the certified trainees agree that this robotics nursing program has helped them advance in a career. Overall, 85% of the certified trainees stated that this program was beneficial to them, and 95% agree that they would recommend this robotic nursing program to others.
Conclusion: This survey demonstrated a well-designed robotics nurse-training program might help trainees to gain robotic skills. Also, they declared that their certification helped them make some kind of advance in their career.
FAMILY EDUCATION STRATEGIES IN CARING FOR CHILDREN WITH CONGENITAL ADRENAL HYPERPLASIA (CAH): A LITERATURE REVIEW
Authors: Erawati Meira , Lestari Maya Ajeng 
Published: May 2021

Families having children with congenital adrenal hyperplasia (CAH) may have low knowledge and awareness in some aspects of CAH management. Information and education regarding caring for children with CAH is essential for families so that they can provide proper care and treatment to their children. This study aims to describe the strategy of family education about caring for children with CAH from the existing literature. A literature review was performed by investigating relevant studies from online databases of Google Scholar, Science Direct, PubMed, and BioMed Central. Keywords of “education” and “children” and “congenital adrenal hyperplasia” and “family or parents” were used in searching the data. The results of the review showed various strategies that can be applied to provide education to families, especially parents. These strategies include providing detailed care instructions about adrenal crisis management, encouraging families/ parents to use positive and useful coping strategies, increasing knowledge and awareness on the use of medical alert IDs, providing Psychosocial Education Program (PEP), increasing nurses’ knowledge and comfort in providing education to families, and suggestions for improving the provision of family education. The provision of education to families or parents having children with CAH should consider some individual aspects such as emotional states, health literacy, learning styles, the amount of information, and knowledge assessment of each family/parent.
PENGARUH VARIASI SUDUT KAMPUH DAN KUAT ARUS TERHADAP KEKUATAN DAN KEKERASAN ST 60 PADA PENGELASAN SMAW
Authors: Karmanianto Rizki Bagas , Carsoni Carsoni , Ma’mun Hisyam 
Published: May 2021

Proses pengelasan merupakan proses penyambungan logam yang paling banyak digunakan pada saat ini. Pengelasan mempunyai banyak keuntungan antara lain: praktis, hasilnya dapat diandalkan, efisien, dan ekonomis. Shielded Metal Arc Welding (SMAW) atau las elektroda terbungkus merupakan proses pengelasan yang paling banyak digunakan. Penelitian ini bertujuan untuk mengetahui variasi sudut kampuh dan kuat arus pada SMAW terhadap kekuatan tarik dan kekerasan ST 60 dengan variasi sudut kampuh sebesar 60˚, 70˚, 80˚ dan 90˚ pada kuat arus las 115 A, 130 A dan 150 A. Dari hasil pengujian tarik tertinggi terjadi pada variasi sudut kampuh 90˚ dan kuat arus 150 A dengan nilai 629.09 MPa. Untuk pengujian kekerasan tertinggi terjadi pada variasi sudut kampuh 90˚ dan kuat arus 150 A dengan nilai 58.2 HRC. Dari hasil yang diperoleh dapat disimpulkan bahwa, semakin besar sudut kampuh maka semakin besar nilai kekuatan tarik dan kekerasan. Semakin besar kuat arus maka semakin besar nilai kekuatan tarik dan kekerasan material hasil pengelasan.
GOVERNMENT POLICIES MODELING IN CONTROLLING INDONESIA'S COVID-19 CASES USING DATA MINING
Authors: Enri Ultach , Sari Eka Puspita 
Published: May 2021

Since the positive case of covid-19 in Indonesia, the government has taken several policies with the purpose of controlling the spread of the covid-19 virus, which has been regulated in Government Regulation No. 21 of 2020. The purpose of research is to obtain a model of government policy in controlling cases of covid by using data mining classification techniques, and obtain attributes that have the greatest weight, as well as look at the impact of policies that have been carried out by the government on the cases of covid-19 in Indonesia. The methodology used in the research is Knowledge Discovery In Database (KDD). Based on the research that has been done, it can be concluded that the policies that have been done by the government in controlling cases of covid-19 can be said to be successful, the C4.5 algorithm is the algorithm that gives the best results compared to the Deep Learning algorithm, as well as the attribute that has the greatest weight is cancel public events. Secondary data will be used in this research.
Peningkatan Kinerja Pegawai Dalam Proses Pelayanan Administrasi Terpadu Kecamatan (Paten) Di Kantor Kecamatan Kelapa Dua Kabupaten Tangerang Provinsi Banten
Authors: Nurrahman Agung , Santoso Eko Budi , Sani Muhammad Fadli 
Published: May 2021

Penelitian ini memfokuskan pada peningkatan kinerja pegawai dalam proses Pelayanan Administrasi Terpadu Kecamatan (Paten) di Kantor Kecamatan Kelapa Dua Kabupaten Tangerang Provinsi Banten” Tujuan penelitian untuk mengetahui kinerja para pegawai dalam penyelenggaraan Pelayanan Administrasi Terpadu Kecamatan (PATEN). Penelitian dilakukan menggunakan metode kualitatif deskriptif. Teknik pengumpulan data dilakukan dengan cara observasi, wawancara, dan dokumentasi. Sementara teknik analisis data yang digunakan diawali dengan reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa Peningkatan Kinerja Pegawai Dalam Proses Pelayanan Administrasi Terpadu Kecamatan (Paten) Di Kantor Kecamatan Kelapa Dua Kabupaten Tangerang Provinsi Banten Tahun 2020 relatif baik. Hal ini dapat didasarkan dan bisa dibuktikan dengan melihat beberapa indikator pelayanan yang telah terpenuhi serta masyarakat yang sudah merasa terpuaskan bahwa dengan suatu pelayanan yang ada sekarang ini. Berdasarkan hasil penelitian, penulis menyarankan peningkatan kinerja pegawai kantor Kecamatan Kelapa Dua dengan cara: pertama, dapat meningkatkan sosialisasi dan informasi tentang Pelayanan Administrasi Terpadu Kecamatan kepada masyarakat desa dan kelurahan di Kecamatan Kelapa Dua. Kedua, mementingkan upaya dalam peningkatan kedisiplinan, keramahan serta kesopanan pegawai. Ketiga, adanya bimbingan serta arahan yang telah dilakukan oleh camat kepada pegawai Kantor Kecamatan Kelapa Dua terkait hal pelayanan serta upaya yang telah didapatkan.
The Pengaruh Kombinasi Terapi Akupresur dan Senam Nifas Terhadap Involusi Uteri Pada Ibu Nifas Di Praktik Mandiri Bidan
Authors: Lailiyana Lailiyana , Sartika Yan 
Published: May 2021

Tujuan penelitian ini adalah untuk mengetahui pengaruh kombinasi terapi akupresur dan senam nifas terhadap involusi uteri pada ibu nifas di Praktik Mandiri Bidan Kota Pekanbaru. Jenis penelitian ini adalah penelitian analitik dengan desain kuasi eksperimen. Sampel berjumlah berjumlah 45 orang ibu nifas yang diambil dengan teknik incidental sampling dan dibagi menjadi 3 kelompok perlakuan. Hasil penelitian didapat bahwa rata-rata tinggi fundus uteri 1 minggu postpartum pada kelompok yang dilakukan kombinasi senam nifas dan akupresur lebih rendah yaitu 2,70 cm (SD=1,236) dibanding kelompok yang dilakukan intervensi akupresur tanpa senam nifas yaitu 3,58 cm (SD=1,269) dan yang dilakukan senam nifas tanpa akupresur yaitu 4,95 cm (SD=1,575). Hasil uji anova pada derajat kepercayaan 95% didapatkan ada perbedaan rata-rata tinggi fundus uteri antara kelompok ibu nifas yang dilakukan intervensi kombinasi akupresur dan senam nifas dengan kelompok yang dilakukan senam nifas tanpa akupresur (p=0,000), ada perbedaan rata-rata tinggi fundus antara kelompok ibu nifas yang dilakukan akupresur dengan kelompok yang dilakukan senam nifas (p=0.023), tidak ada perbedaan rata-rata tinggi fundus antara kelompok ibu nifas yang dilakukan kombinasi akupresur dan senam nifas dengan kelompok yang dilakukan akupresur tanpa senam nifas (p=0,195). Kombinasi Terapi akupresur dan senam nifas lebih efektif mempercepat proses involusi
Analisis Faktor Penghambat Kepala Keluarga dalam Kepemilikan Jamban Keluarga
Authors: Fadel Fadel Achmad Haikal , Vera Yulyani  , Dhiny Easter Yanti  
Published: May 2021

Tujuan penelitian untuk menganalisis faktor penghambat kepala keluarga dalam kepemilikan jamban keluarga. Jenis penelitian yang digunakan dalam penelitian ini adalah metode kuantitatif dengan desain study cross sectional. Teknik pengambilan yaiu probabilitas sampling. Data primer peneitian meliputi karakteristik responden seperti jenis kelamin, Suku, Pendidikan terakhir dan Pekerjaan. Adapun variabel penelitian meliputi kepemilikan jamban, motivasi, sosial ekonomi dan tingkat pengetahuan. Analisis data menggunakan SPSS 22.0 dengan uji chi square kemaknaan 95%. Hasil penelitian menunjukkan bahwa adanya hubungan motivasi dengan kepemilikan jamban (p- value 0,002), ada hubungan antara sosial ekonomi dengan kepemilikan jamban (p- value 0,010, OR= 6,100), dan ada hubungan antara pengetahuan dengan kepemilikan jamban (p-value 0,029, OR= 3,739). Kesimpulan yaitu faktor penghambat kepala keluarga dalam kepemilikan jamban keluarga adalah rendahnya motivasi, rendahnya sosial ekonomi dan pengetahuan yang kurang baik di Desa Kedaung Kecematan Pardasuka
Inhibition of KCa3.1 Channels Suppresses Atrial Fibrillation via the Attenuation of Macrophage Pro-inflammatory Polarization in a Canine Model With Prolonged Rapid Atrial Pacing
Authors: He Shanqing , Wang Youcheng , Yao Yajun , Cao Zhen , Yin Junkui , Zi Liuliu , Chen Huiyu , Fu Yuntao , Wang Xi , Zhao Qingyan 
Published: May 2021

Aims: To investigate the role of KCa3. 1 inhibition in macrophage pro-inflammatory polarization and vulnerability to atrial fibrillation (AF) in a canine model with prolonged rapid atrial pacing.Materials and Methods: Twenty beagle dogs (weighing 8–10 kg) were randomly assigned to a sham group (n = 6), pacing group (n = 7) and pacing+TRAM-34 group (n = 7). An experimental model of AF was established by rapid pacing. TRAM-34 was administered to the Pacing+TRAM-34 group by slow intravenous injection (10 mg/kg), 3 times each day. After 7 days of pacing, the electrophysiology was measured in vivo. The levels of interleukin-1β (IL-1β), monocyte chemotactic protein-1 (MCP-1), tumor necrosis factor-α (TNF-α), CD68, c-Fos, p38, and NF-κB p65 in both atriums were measured by Western blotting, and the levels of inducible nitric oxide synthase (iNOS) and arginase1 (Arg-1) were measured by real-time PCR. Macrophage and KCa3.1 in macrophage in the atrium were quantized following double labeled immunofluorescent.Results: Greater inducibility of AF, an extended duration of AF and lower atrial effective refractory period (AERP) were observed in the pacing group compared with those in the sham group. Both CD68-labeled macrophage and the expression of KCa3.1 in macrophage were elevated in the pacing group and inhibited by TRAM-34, led to higher iNOS expression, lower Arg-1 expression, elevated levels of IL-1β, MCP-1, and TNF-α in the atria, which could be reversed by TRAM-34 treatment (all P &lt; 0.01). KCa3.1 channels were possibly activated via the p38/AP-1/NF-κB signaling pathway.Conclusions: Inhibition of KCa3.1 suppresses vulnerability to AF by attenuating macrophage pro-inflammatory polarization and inflammatory cytokine secretion in a canine model with prolonged rapid atrial pacing.
Impact of Concomitant Impairments of the Left and Right Ventricular Myocardial Strain on the Prognoses of Patients With ST-Elevation Myocardial Infarction
Authors: Lai Wei , Jie He , Jian-Xun Dong , Ling-Cong Kong , Jun-Tong Zeng , Bo-Zhong Shi , Dong-Ao-Lei An , Bing-Hua Chen , Song Ding , Zheng Li , Fan Yang , Yi-Ning Yang , Fu-Hua Yan , Jian-Cheng Xiu , Hu-Wen Wang , Jian-Rong Xu , Heng Ge , Jun Pu 
Published: May 2021

Background: The impact of concomitant impairments of left and right ventricular (LV and RV) strain on the long-term prognosis of acute ST-elevation myocardial infarction (STEMI) is not clear.Methods: We analyzed CMR images and followed up 420 first STEMI patients from the EARLY Assessment of MYOcardial Tissue Characteristics by CMR in STEMI (EARLY-MYO-CMR) registry (NCT03768453). These patients received timely primary percutaneous coronary intervention (PCI) within 12 h and CMR examination within 1 week (median, 5 days; range, 2–7 days) after infarction. Global longitudinal strain (GLS), global radial strain (GRS), and global circumferential strain (GCS) of both ventricles were measured based on CMR cine images. Conventional CMR indexes were also assessed. Primary clinical outcome was composite major adverse cardiac and cerebrovascular events (MACCEs) including cardiovascular death, re-infarction, re-hospitalization for heart failure and stroke. In addition, CMR data from 40 people without apparent heart disease were used as control group.Results: Compared to controls, both LV and RV strains were remarkably reduced in STEMI patients. During follow-up (median: 52 months, interquartile range: 29–68 months), 80 patients experienced major adverse cardiac and cerebrovascular events (MACCEs) including cardiovascular death, re-infarction, heart failure, and stroke. LV-GCS &gt; −11.20% was an independent predictor of MACCEs (P &lt; 0.001). RV-GRS was the only RV strain index that could effectively predict the risk of MACCEs (AUC = 0.604, 95% CI [0.533, 0.674], P = 0.004). Patient with RV-GRS ≤ 38.79% experienced more MACCEs than those with preserved RV-GRS (log rank P &lt; 0.001). Moreover, patients with the concomitant decrease of LV-GCS and RV-GRS were more likely to experience MACCEs than patients with decreased LV-GCS alone (log rank P = 0.010). RV-GRS was incremental to LV-GCS for the predictive power of MACCEs (continuous NRI: 0.327; 95% CI: 0.095–0.558; P = 0.006). Finally, tobacco use (P = 0.003), right coronary artery involvement (P = 0.002), and LV-GCS &gt; −11.20% (P = 0.012) was correlated with lower RV-GRS.Conclusions: The concomitant decrease of LV and RV strain is associated with a worse long-term prognosis than impaired LV strain alone. Combination assessment of both LV and RV strain indexes could improve risk stratification of patients with STEMI.Trial Registration:ClinicalTrials.gov, NCT03768453. Registered 7 December 2018 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT03768453.
Incidence and Risk Factors of Hypogonadism in Male Patients With Latent Autoimmune Diabetes and Classic Type 2 Diabetes
Authors: Cai Meili , Cui Ran , Yang Peng , Gao Jingyang , Cheng Xiaoyun , Sheng Chunjun , Li Hong , Sheng Hui , Qu Shen , Zhang Manna 
Published: May 2021

ObjectivesThis study aimed to compare the prevalence of hypogonadism between male patients with latent autoimmune diabetes (LADA) and type 2 diabetes (T2DM) and investigate the risk factors for hypogonadism in these patients.MethodsThis cross-sectional study evaluated 367 male patients with LADA (n=73) and T2DM (n=294) who visited the endocrinology department of Shanghai Tenth People’s Hospital between January 2016 and October 2019 for diabetes management. Sex hormones, lipid profiles, sex hormone-binding globulin (SHBG), glycosylated hemoglobin A1c, beta-cell function, uric acid, and osteocalcin were determined in serum samples. Hypogonadism was defined as calculated free testosterone (cFT) less than 220 pmol/L along with the presence of symptoms (positive ADAM score).ResultsThe rate of hypogonadism in the LADA and T2DM group were 8.2, and 21.7%, respectively (p=0.017). After adjusting possible confounders, the rate of hypogonadism in the LADA group was comparable to those of the T2DM group. Univariate logistic regressions demonstrated that age, BMI, fasting C-peptide, triglycerides, total cholesterol and uric acid were associated with hypogonadism in men with diabetes, BMI, triglycerides and estradiol were independent risk for hypogonadism in men with diabetes.ConclusionThis is the first evidence to explore the rate of hypogonadism in male patients with latent autoimmune diabetes (LADA). In the population requiring admission to a large urban hospital in China, the rate of hypogonadism was comparable to those of the T2DM group after adjusting for possible confounders. BMI, triglycerides and estradiol were independently associated with the presence of HH in male diabetic patients.
Low Free Triiodothyronine as a Predictor of Poor Prognosis in Patients With Myocardial Infarction With Non-Obstructive Coronary Arteries
Authors: Abdu Fuad A. , Mohammed Abdul-Quddus , Liu Lu , Zhang Wen , Yin Guoqing , Xu Bin , Xu Siling , Xu Yawei , Che Wenliang 
Published: May 2021

BackgroundLow free triiodothyronine (fT3) level is strongly associated with poor prognosis in various patient populations. However, the role of fT3 in the risk of clinical outcomes in myocardial infarction with non-obstructive coronary arteries (MINOCA) has not been studied. Our study aimed to evaluate the association between low fT3 levels and the clinical outcomes of MINOCA patients.MethodsA total of 218 MINOCA patients without a history of thyroid disease were enrolled in the study. Demographic, baseline clinical data, thyroid hormones, and other biochemical parameters were assessed in all patients. According to the fT3 levels, the present study was classified into two groups: the low fT3 group (fT3&lt;3.5 pmol/L) and the normal fT3 group (fT3 3.5-6.5 pmol/L). The endpoint of the study was major adverse cardiac events (MACE).ResultsFifty-nine patients were in the low fT3 group and 159 patients were in the normal fT3 group. Over the two years of follow-up, 36 MACE have occurred. The occurrence of MACE was higher in the low fT3 group compared with normal fT3 group (25.4% vs 13.2%; P=0.031). Kaplan-Meier survival curves showed a significantly increased risk of MACE in patients with low fT3 (log-rank P=0.027). Multivariable logistic regression analysis stated that high fT3 was independently associated with lower risk of MACE after two years of follow up (OR, 0.623; 95% CI, 0.399- 0.972; P=0.037).ConclusionLow fT3 levels were significantly associated with increased risk of MACE in patients with MINOCA. This finding suggests that the fT3 levels may serve as a potential biomarker in risk stratification of MINOCA patients.
Robustness of Indoor Aquatic Mesocosm Experimentations and Data Reusability to Assess the Environmental Risks of Nanomaterials
Authors: Nassar Mohammad , Auffan Mélanie , Santaella Catherine , Masion Armand , Rose Jérôme 
Published: May 2021

Indoor aquatic mesocosms are increasingly used in nanosafety to assess the behavior, fate, and impacts of engineered nanomaterials (ENMs) in aquatic environments using relevant exposure scenarios. The robustness of 60 L freshwater mesocosm experimentation was tested on the basis of the reusability of the data collected in a database named MESOCOSM regarding mesocosm experiments examining the environmental risks of CeO2 ENMs. We observed high reliability of the measured variables across replicates. The sensitivity of this mesocosm methodology was evidenced by the contrasted ecosystem responses revealed by a multivariate analysis. We also observed that adding variables to the data set up to 15% did not affect the outcome of the analysis of the results. This ability to buffer this variability demonstrates that the indoor aquatic mesocosms are robust tools contributing to the environmental risk assessment of ENMs, and stresses the benefit of reusing the data stored in databases such as MESOCOSM adhering to the findable, accessible, interoperable, reusable (FAIR) data principles.