bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awareness among anesthesia residents pertaining to various intubation techniques in craniofacial surgery
Authors: Tuli Malti , Orvakonde Shreyas , Shrinivas T R , Manchikalapudi Jyothsna , Rathod Dhananjay , Patel Jignaben 
Published: March 2021

Aim:
This study was intended to evaluate the knowledge and clinical skill of anesthesia residents pertaining to various intubation techniques employed in craniofacial surgery.

Materials and Methods:
A cross-sectional survey research design was employed in this study. A self-administered questionnaire survey was used to validate the knowledge and clinical skill of anesthesia residents pertaining to various intubation techniques employed in craniofacial surgery. In this regard, a preliminary study with a convenience sample of 156 anesthesia residents studying in various medical institutions across South India was conducted so as to assess the knowledge and clinical skill of anesthesia residents pertaining to various intubation techniques employed in craniofacial surgery. This study, while limited in sample size, benefits the craniofacial surgeons and anesthetists as target readers to assess the knowledge and clinical skill of anesthesia residents pertaining to various intubation techniques employed in craniofacial surgery

Results:
The results of this study reveal that majority of the anesthesia residents encountered craniofacial surgery during their residency period. However, only 19.87% have performed various intubation techniques that are employed in craniofacial surgery. Nearly 38.46% of the participants felt that blind awake intubation is the most difficult intubation technique to employ in the head-and-neck region and requires expertise. Nearly 78.84% of the participants felt that special training is required for handling craniofacial surgical cases under general anesthesia.

Conclusion:
The results of this study reveal that there is a dearth of knowledge and clinical exposure among anesthesia residents regarding various intubation techniques employed in craniofacial surgery. Educational and quality improvement initiatives in various intubation techniques could enhance anesthesia residents' knowledge and clinical exposure in managing various craniofacial surgical cases.
Augmentation of the Calf Region with Autologous Fat and Platelet-Rich Plasma-Enhanced Fat Transplants
Authors: Bilkay Ufuk , Bicer Ahmet , Özek Zeyyat Cüneyt , Gurler Tahir 
Published: March 2021

Background:
Contour and volume deficiencies in the calf region, either unilateral or bilateral, may raise an esthetic concern in affected individuals. There are numerous methods described for volume augmentation or contour reshaping in this region including implant placement, autogenous tissue transfer, liposuction, and/or fat injections. The authors present their series of patients to whom they performed fat injections with or without platelet-rich plasma (PRP) enrichment for addressing this problem.

Methods:
Fifty-two patients who had undergone calf lipostructuring procedure(s) in our clinic were included in this retrospective study. The procedure was repeated with a fixed value of fat volume per leg until a satisfactory limit for both the patient and the senior author could be achieved. Regarding the analysis of outcome, the number of sessions needed to be repeated was recorded for each patient.

Results:
125 cc of fat was injected per session per leg. Ten patients were treated with PRP enriched fat transplants while 42 were treated with fat only. The mean number of sessions was 2.76 (min. 2, max. 6). For the group treated with PRP-enriched fat grafts a mean 2.00 number of sessions had to be carried out while the mean was 2.95 for the patients in the fat-only group. The mean number of sessions to achieve our goal was significantly lower in the PRP-enriched fat injected group (P < 0.001).

Conclusion:
Addition of PRP significantly reduces the need of repeated operations to achieve the best possible outcome in lipostructuring around the calf region.

Level of Evidence:
Retrospective comparative study, level III.
Complicated Patients with Cleft Lip and Palate
Authors: Demiröz Anil , Celik Ugur , Yalcin Can Ege , Aydin Yagmur 
Published: March 2021

Background:
Cleft lip and palate is one of the most commonly seen congenital deformities. The aim of treatment should be providing normal speech, normal nutrition, normal appearance, and adaptation of the child in society. Thus, the importance of multidisciplinary approach in this patient group is high. In this study, we aim to present the patient results obtained from cleft lip and palate meeting records, with the attendance of plastic surgeon, ear, nose, throat surgeon, orthodontist, speech therapist, pedodontist, nutrition nurse and pediatrician, and genetics specialist when needed.

Materials and Methods:
Patient records of cleft lip and palate meeting held between September 1998 and September 2018 were evaluated retrospectively. The patients regarded as complex cases were examined in these meetings.

Results:
Seven hundred and five patients were regarded as complex cases to be examined at the cleft lip and palate meetings in this 20-year period. One hundred and five of these patients (15%) had the history of being inbred. Ninety-eight patients (14%) had additional anomaly of other systems. Thirty-six patients (5%) suffered from the cleft of lip and primary palate only. Cleft palate patient numbers for Veau Class 1, 2, 3, and 4 was 12 (2%), 99 (14%), 297 (42%), and 246 (35%), respectively.

Conclusions:
Creating multidisciplinary teams consisted of specialists from various fields is an accepted method for handling of this patient group. These multidisciplinary teams not only provide the patients to have care by professionals from different specialties at once but also have the benefits of data unification.
To Study the Effect of Activated Platelet-Rich Plasma in Cases of Androgenetic Alopecia
Authors: Kumar Vijay , Sharma Navneet , Mishra Brijesh , Upadhyaya Divya , Singh Arun Kumar 
Published: March 2021

Context:
Growth factors released from platelets act on stem cells in the bulge region of follicles and thus stimulate the development of new hair follicles.

Aims:
Primary aim of the study was to assess the efficacy and safety of activated platelet rich plasma in AGA.

Settings and Design:
Prospective double arm non-randomized pre-post study.

Material and Methods:
Activated Platelet-rich plasma was injected in either anterior half of alopecia scalp in first 20 patients and posterior half in next 20 patients (Group I) and the other half was injected with placebo (Group II). Each patient received a total of 5 session of aPRP, 15 days apart.

Statistical analysis used:
Quantitative variables were compared using student T test and Mann-Whitney Test between two groups. A p value of < 0.05 was considered statistically significant.

Results:
40 male patients with a clinical diagnosis of AGA (stage II to VI) were recruited but only 35 patients completed the whole study. At 1 month and 3 months follow-up, Group I showed statistically significant increase in hair count, hair density and anagen/telogen ratio as compared to Group II.

Conclusion:
aPRP is a safe and good alternative to medical treatment. It seems to have a stabilizing effect on hair fall and may be considered as a measure to prevent progression of alopecia in early stages.
A Novel Technique for Trochanteric Region Soft-Tissue Reconstruction
Authors: Bas Soysal , Durgun Mustafa 
Published: March 2021

Aims:
Due to the complex anatomical structure of the trochanteric region, the options for reconstruction are relatively limited. This study aims to present a unique reconstruction of trochanter defects using a coxal region perforator flap and geometric planning to standardize the flaps.

Subjects and Methods:
Twelve patients with trochanteric defects that had been repaired with coxal region perforator flap following tumor excision between June 2016 and January 2019 were included in this study. The patients were aged between 20 and 68 years. Patients were evaluated with regard to age, gender, etiology, defect side and size, flap size, number of perforators, and complications.

Results:
Two patients were operated on for squamous cell carcinoma, one for Marjolin's ulcer, two for malignant melanoma, two for malignant fibrous histiocytoma, and five for dermatofibrosarcoma. Defect sizes ranged between 8 cm × 7 cm and 12 × 10 cm. The smallest flap size was 13 cm × 7 cm and the largest flap size was 21 cm × 10 cm. Nine flaps were raised from the single perforator, and three flaps were raised from two perforators. Venous congestion was seen in one patient postoperatively. There was no flap loss, infection, hematoma, suture detachment, and limitation of hip and knee movements in the patients.

Conclusions:
The pedicled perforator flaps are elevated over the major perforators located close to the defect in many parts of the body. Thus, low surgical morbidity is achieved, and surgery time is decreased. Furthermore, as in this study, preserving the muscles and preventing the functional deficits in the movement hip joint the body's major joint of the body, reveal the importance of using coxal region perforator flaps for reconstruction in ambulatory patients.
Co-infection of a mosquito borne arbovirus and parasite in dogs in Kaduna and Zaria metropolis, Kaduna state, Nigeria: A Case Report
Authors: Oluyinka Fasanya , Kabir O. A. , Natala A. J. 
Published: March 2021

During a survey in Kaduna and Zaria metropolis for West Nile virus and Dirofilaria in dogs, a single case of co-infection of the two organisms was observed in a dog. These organisms are both mosquito borne and are of great zoonotic importance.Running title: Co-infection of West Nile virus and Dirofilaria in dogs.
Keywords: West Nile virus, dogs, Dirofilaria, co-infection
Effect of site sanitation on the safety performance of workers on construction sites in Minna, Nigeria
Authors: Shittua Abdullateef Adewale , Ahmadb Hawwa Ibrahim , Isahc Alhassan Mohammed , Mohammedd Mohammed Ndagi 
Published: March 2021

Studies have shown that site sanitation practices are capable of improving the health and safety (H&S) performance of construction companies. In spite of this, evidence has shown that the level of compliance to these practices by construction firms is still poor. This study evaluated the effect of site sanitation on the safety performance of workers on construction sites. Data were obtained through a well-structured questionnaire. Analysis of data was done using Relative Importance Index (RII), Mean Item Score (MIS) and Spearman’s Rank Correlation. It was found that provision of first aid facilities is the measure most complied with on sites (RII = 0.96); relationship between level of compliance to good sanitation measures and accident rate is not significant; and provision of Personal Protective Equipment is the most effective strategy for minimising rate of accidents (MIS = 4.95). It was concluded that the effect of site sanitation on safety performance of workers on construction sites in Minna is not significant. It was thus recommended that construction firms should always comply with the measures for enhancing good sanitation on sites, especially “Provision of drinking water”, in order to improve safety performance on site.
Key words: Construction, Safety, Sanitation, Performance, Workers.
Uso de fungicidas en el manejo postcosecha de limón persa (Citrus Latifolia)
Authors: Dávila Lezama María del Rosario , Lorenzo Flores Néstor Manuel , Ramírez Hernández Teresita , Ángel Lara María Alva , Real Garrido Carlos Jesús 
Published: March 2021

Estudios realizados, han identificado que los hongos responsables que limitan la vida de anaquel de los cítricos son principalmente: Penicillium digitatum (55-80%); Penicillium italicum (2-30%); Alternaria citri y A. alternata (8-15%); Botrytis cinerea (8-20%): Colletotrichum gloesporioides (2.5-6%); Geotrichum candidum (2-3%); Rhizopus stolonifer y R. oryzae (1-3%); Phytophtora citrophtora (2%) (Salvador et al., 2007). El objetivo del experimento Evaluar la efectividad de dos fingicidas para el control de enfermedades provocadas por hongos en limón persa (Citrus latifolia) en postcosecha. El Proyecto se realizó en Cuajilote, Cuitláhuac, Ver. Trasladando las muestras al laboratorio general número 4 de la Facultad de Ciencias Biológicas y Agropecuarias, región Orizaba-Córdoba, de la Universidad Veracruzana. Los tratamientos donde se aplicaron los fungicidas Bankit Gold® (Azoxystrobin + Fludioxonil) y Magnate Sulphate® (Imazalil) en limón persa (Citrus latifolia) en el proceso de postcosecha, no tuvieron presencia de patógenos que provocan daños en el fruto por lo cual los fungicidas cumplieron con su objetivo, sin embargo, el tratamiento 1 (testigo absoluto) tuvo presencia del patógeno Penicillium spp. en su evaluación a los 30 DDA, esto, basándonos en los resultados de los análisis microbiológicos de limón persa (Citrus latifolia), la contaminación por Penicillium spp. probablemente fue en el almacenamiento del limón persa (Citrus latifolia). Respecto a los resultados de las propiedades fisicoquímicas están dentro los parámetros de calidad.
Composición de nidos de aves silvestres en parques urbanos y periurbanos del centro del Estado de Veracruz, México
Authors: Flores Peredo Rafael , Zárate Tirado Xóchitl , Bolívar Cimé Beatriz del Socorro , Mella Méndez Isaac , Rosas Ronzón María del Coral , Domínguez Espinosa Paola Ivette 
Published: March 2021

La urbanización modifica la abundancia y tipo de materiales naturales usados por aves en la nidación. La incorporación de materiales antrópicos (de uso humano) al nido es riesgosa para los polluelos y el éxito reproductivo de las poblaciones. En este trabajo se evalúa la composición de nidos de aves silvestres en parques urbanos y periurbanos de Xalapa y Coatepec, Veracruz, México. Durante marzo- julio 2017, se eligieron dos parques urbanos y tres periurbanos en Xalapa y uno urbano en Coatepec, donde se colectaron en general diez nidos inactivos por mes en cada parque. Los nidos fueron secados y los materiales separados y pesados en una balanza analítica considerando cuatro criterios: material vegetal (MVE), material de origen animal (MOA), material de sustrato (MSU) y antrópico (MAN). Por cada tipo de material se obtuvo el porcentaje relativo. Un ANOVA con interacciones de dos vías (tipo de material y tipo de parque) fue utilizado para establecer diferencias en los porcentajes relativos transformados a raíz cuadrada del arcoseno. Un ACP mostró grupos de los materiales usados. Sólo la composición de nidos fue diferente entre tipos de materiales (F3,1312 = 2637.26, P < 0.001) siendo el MVE y MSU mayormente representados 1.28 ± 0.016 y 0.24 ± 0.016 (media del arcoseno ± EE). Dos componentes explicaron el 93.2% de la variación. El CP1 (2.2203 eigenvalor) se relacionó con el peso del MOA y el MAN, y el CP2 (1.5077 eigenvalor) con el MVE. Se concluye que las aves usaron mayor MVE en sus nidos con fines estructurales y de revestimiento, independientemente del ambiente urbano o periurbano.
Efecto nematicida y fungicida de extractos hidroalcohólicos de Piper lapathifolium y P. melastomoides
Authors: Carmona Hernández Oscar , Lozada García José Armando , Fernández María del Socorro , Luna Rodríguez Mauricio , Martínez Hernández María de Jesús , Guerrero Analco José Antonio 
Published: March 2021

El género Piper ha mostrado tener efectos biocidas sobre diferentes organismos nocivos para la agricultura como lo son nematodos y hongos fitopatógenos. Debido a que mayoría de estos organismos son contralados o erradicados con compuestos químicos tóxicos, se han estado buscando alternativas para sustituirlos, incluyendo el uso de extractos naturales, como los de Piper. En este sentido el presente trabajo se evaluó el efecto nematicida y fungicida de extractos hidroalcohólicos (ETOH: H2O 7:3) de Piper lapathifolium y P. melastomoides. El efecto nematicida se determinó en Panagrellus ridivivus en un ensayo a 24 horas y se estimó la Concentración Letal Media (CL50). El efecto fungicida se evaluó en Fusarium oxysporum y F. solani, por el ensayo de dilución en placa. La Concentración Efectiva Media (CE50) se estableció mediante el modelo de Probit. Los resultados mostraron que P. melastomoides presentó efecto nematicida a concentraciones menores de 5 mg/mL con una CL50 de 2.32 mg/mL, en el caso de P. lapathifolium no presentó actividad en los nematodos, en el caso de la actividad fungicida este extracto fue el que tuvo mayor actividad en ambas especies de Fusarium (CE50: 26.32 y 5.83 mg/mL), mientras que para P. melastomoides se presentó una menor actividad. Se concluye que P. melastomoides tiene efecto nematicida y P. lapathifolium fungicida.
Rethinking Sustainable Development Goals (SDGs) among Karen “Longneck” Women Hill Tribe in Northern Thailand
Authors: Dania Maya 
Published: March 2021

The Karen tribe, originating from a branch within the Burmese Kayan ethnic group, now comprises the most considerable portion of Thailand's ethnic highland population. The tribe has been migrating throughout Thai-Myanmar mountainous border, as the impact of armed conflict between Karen nationalist and Burmese government since the 1950s and as democracy faltered in Myanmar. In the last two decades, the number of Karen people who migrated to Chiang Rai has been increasing due to the new industry of tribal tourism in the province. However, for Thai people, the hill tribe people are still considered alien or the other, but their presence must be integrated into Thai society. Therefore, the Thai government issued a special identity card for the hill tribes identifying them as people belonging to ethnic minorities, yet, non-Thai citizens. There are currently three categories to recognize hill tribe people in Thailand based on the Cabinet resolutions and laws passed to reflect the level of the state's acceptance of the citizenship status. However, this policy brings contradictive sense, especially in terms of citizenship rights and fulfilling SDGs for the hill tribes. This research focuses on Karen "longneck" women that live in tambon Nanglae, Amphoe Mueang Chiang Rai, named Kayan Lahwi, or the Padaung, the sub-group of the Red Karen. This research's primary purpose is to specifically perceive the impact of Thai citizenship laws on the current social-economic sustainability of the Padaung Karen women living in tambon Nanglae, Amphoe Mueang, Chiang Rai. This research applied qualitative methods by using literature data, interviews, and participant observation to gather information. Close inspection will reveal challenging issues for Padaung Karen women in Chiang Rai to achieve sustainability in income (SDG 1), food security (SDG 2), health (SDG 3), and education (SDG 4) for their community.
Holocene phototrophic community and anoxia dynamics in meromictic Lake Jaczno (NE Poland) using high-resolution hyperspectral imaging and HPLC data
Authors: Makri Stamatina , Lami Andrea , Tu Luyao , Tylmann Wojciech , Vogel Hendrik , Grosjean Martin 
Published: March 2021

Abstract. Global spread of hypoxia and less frequent mixing in lakes is a
major growing environmental concern. Climate change and human impact are
expected to increasingly deteriorate aquatic ecosystems. The study of
processes and drivers of such changes in the past provides a great asset for
prevention and remediation in the future. We used a multiproxy approach
combining high-resolution bulk pigment data measured by hyperspectral
imaging (HSI) with lower-resolution specific chlorophyll types and carotenoids
measured by HPLC to examine Holocene trophic state changes and anoxia
evolution in the meromictic Lake Jaczno, NE Poland. A redundancy analysis (RDA)
including pollen-inferred vegetation cover, temperature and human impacts
provides insight into specific conditions and drivers of changing trophic
and redox states in the lake. Anoxic and sulfidic conditions were established in
Lake Jaczno after initial basin infilling 9500 years ago. Until 6700 cal BP,
lake trophy was relatively low, water turbidity was high and green sulfur
bacteria (GSB) were abundant within the phototrophic community, suggesting a
deep oxic–anoxic boundary and weak stratification. The period between
6700–500 cal BP is characterized by constantly increasing lake production
and a gradual shift from GSB to purple sulfur bacteria (PSB), suggesting a
shallower oxic–anoxic boundary and pronounced stratification. Yet, the
presence of spheroidene and speroidenone in the sediments indicates
intermittent anoxia. After 500 cal BP, increasing human impact,
deforestation and intensive agriculture promoted lake eutrophication, with a
shift to PSB dominance and establishment of permanent anoxia and meromixis.
Our study unambiguously documents the legacy of human impact on processes
determining eutrophication and anoxia.
PEMERIKSAAN KADAR KREATININ PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT JIWA PROVINSI SULAWESI TENGGARA
Authors: Idris Sri Aprilianti 
Published: March 2021

Skizofrenia merupakan gangguan jiwa yang umum terjadi yang ditandai dengan kerusakan pada pikiran, emosi, dan perilaku. Pengobatan jangka panjang memiliki efek farmakologi yang dapat mengganggu kesehatan apabila terlalu sering mengkonsumsi obat akan meningkatkan resiko kerusakan ginjal dan fungsi hati. Kreatinin merupakan produk penguraian ginjal, kreatinin disintesis di hati dan terdapat dalam semua otot rangka. Tujuan penelitian ini untuk mengetahui kadar kreatinin pada pasien skizofrenia di Rumah Sakit Jiwa Provinsi Sulawesi Tenggara. Metode penelitian yang digunakan adalah metode kuantitatif. Jenis penelitian yang digunakan adalah deksriptif, yakni melakukan uji laboratorik untuk mengetahui hasil pemeriksaan kadar kreatinin pada pemeriksaan darah pasien skizofrenia. Hasil penelitian hasil pemeriksaan kadar kreatinin pada pasien skizofrenia di rumah sakit jiwa kota kendari dengan jumlah sampel 25 orang terdapat 7 orang sampel atau 28% memiliki kadar kreatinin yang normal, sedangkan 18 orang sampel atau 72% memiliki nilai kreatinin yang tinggi.
Pengaruh Kinerja Keuangan Terhadap Pertumbuhan Laba Pada Perusahaan Manufaktur Sub Sektor Industri Semen Yang Terdaftar Di Bursa Efek Indonesia (BEI)
Authors: Marjuno Mahar , Djamereng Asdar , Anas Priliyadi Anas 
Published: March 2021

Tujuan dari penelitian ini adalah untuk mengetahui apakah variabel Current Ratio (CR), Debt to Equity Ratio (DER) dan Return On Equity (ROA) mempunyai pengaruh terhadap pertumbuhan laba pada perusahaan manufaktur Sub Sektor Industri Semen yang terdaftar di Bursa Efek Indonesia. Populasi yang digunakan dalam penelitian ini adalah perusahaan manufaktur Sub Sektor Industri Semen yang terdaftar di Bursa Efek Indonesia dengan periode pengamatan selama 8 tahun sejumlah 6 perusahaan. Sampel sebanyak 4 perusahaan. Teknik penentuan sampel menggunakan metode purposive sampling. Data diuji menggunakan uji asumsi klasik dan regresi linear berganda serta pengujian hipotesis dengan menggunakan aplikasi SPSS. Berdasarkan hasil analisis data menunjukkan bahwa variabel Curent Ratio (CR) secara parsial tidak berpengaruh signifikan terhadap pertumbuhan laba. Debt to Equity Ratio (DER) secara parsial tidak berpengaruh signifikan terhadap pertumbuhan laba dan Return on Equity (ROE) secara parsial berpengaruh tidak signifikan terhadap pertumbuhan laba. Secara simultan Curent Ratio (CR), Debt to Equity Ratio (DER) dan Return on Equity (ROE) tidak berpengaruh signifikan terhadap pertumbuhan laba.