bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hungry Bone Syndrome (HBS) in Patients Operated for Primary Hyperparathyroidism (PHPT): A Six-Year Experience
Authors: Padilla-Baraoidan Rhoda Zyra M. , Capuli-Isidro Maria Jocelyn , Cudal Beinjerinck Ivan B. , Embestro-Pontillas Ayezl A. 
Published: April 2019

Objective: To review cases of adult patients who develop Hungry Bone Syndrome (HBS) after parathyroidectomy for Primary Hyperparathyroidism (PHPT) in a tertiary care center in the Philippines and describe the clinical features, pre-operative preventive measures done, and risk factors for HBS.
Methods:
Study Design: Retrospective case note review
Setting: Tertiary Private Hospital
Participants: Chart review of adult Filipino patients who underwent parathyroidectomy for PHPT at Makati Medical Center from January 2011 to December 2016 was conducted and evaluated according to the inclusion and exclusion criteria. Medical information obtained included clinical parameters, biochemical results, operation performed, pathology, length of hospital stay and complications if with any.
Results: From among 20 adult Filipino patients (mean age 55 years; 13, 65% female) who underwent parathyroidectomy for PHPT, HBS was found in 7 (35%). Most common pre-operative symptoms of hypercalcemia were musculoskeletal complaints. To prevent HBS, all were hydrated prior to surgery, while some were given bisphosphonates and diuretics. The most common parathyroid gland imaging used for pre-procedure localization was Tc 99m Sestamibi scan with single photon emission computed tomography (SPECT) and 19 (95%) had parathyroid adenoma on post-operative histopathologic report. Among biochemical and clinical factors that may be risk factors for HBS, those with HBS had significantly lower pre-operative 25-hydroxyvitamin D, higher BUN, phosphate and alkaline phosphatase (ALP) than those without HBS. Of these, only ALP showed significant association with HBS (OR = 107.17, p = <0.0001). Length of hospital stay was longer among those with HBS, although not statistically significant.
Conclusion: Knowledge on post-parathyroidectomy HBS for PHPT may aid clinicians on pre-operative prevention and post-operative monitoring. Thirty-five percent (7) of our patients presented with HBS post-parathyroidectomy for PHPT from 2011 to 2016. An abnormal ALP level pre-operatively may be a risk factor in developing HBS post-parathyroidectomy for PHPT.
Keywords: primary hyperparathyroidism, hungry bone syndrome, Philippines
Risk Factors for Recurrent Papillary Thyroid Carcinoma
Authors: Gloria Jonel Donn Leo S. , Pontejos Alfredo Quintin Y. , Grullo Precious Eunice R. 
Published: April 2019

Objective: To identify risk factors associated with disease recurrence among Filipinos with papillary thyroid carcinoma (PTC).
Methods:
Design: Retrospective cohort study
Setting: Tertiary National University Hospital
Participants: 76 patients diagnosed with papillary thyroid carcinoma, classified as low and low-to-intermediate risk (2015 ATA classification) that underwent total thyroidectomy with or without neck dissection from 2010-2014 and were followed up from 10 months to 5 years. Log rank and Cox regression analyses were used to determine significant risk factors for recurrence.
Results: 29 (38.15%) had recurrence. On univariate analysis, age, tumor size, multifocality, extrathyroidal extension, presence of lateral neck nodes and RAI therapy were statistically associated with recurrence. However, on multivariate analysis, no clinicopathologic factor was statistically associated with recurrence.
Conclusion: Age of >45 years, female sex, tumor size of >2 cm, multifocality, presence of microscopic extrathyroidal extension, and lymph node metastasis might contribute to the recurrence of papillary thyroid cancer while post-operative radioactive ablation may have some protective effect. However, this study suggests that other factors must be included in the model to better understand the relationship between these factors and recurrence.

Keywords: papillary thyroid cancer, thyroid neoplasm, recurrence
Joseph Anthony R. Rivera, MD (1980-2016)
Authors: Gelera January E. 
Published: April 2019

It is an honor to write this tribute to honor Dr. Joseph Anthony ‘Otep’ Rivera (1980-2016) – a friend, colleague, teacher, brother, uncle and son.
How do you describe a person, a friend, who led an extraordinary life, that the loss of his companionship and example defies measurement?
Can his life be measured by his accomplishments in his field of work, patients’ illnesses dispelled, and injuries healed? Perhaps. As important as his labor was though, as certain and measurable his accomplishments are, what remains of Otep in our memories will be his warmth and humanity.
Otep and I were batch mates, and anyone familiar with the circumstances of this unique relationship knows there can be no small degree of friction and quarreling on occasion. We had our share, but he would drop any issue of contention to help me in times of need.
Otep had a relaxed approach to problem solving, displaying initiative and ingenuity in organizing the resources needed to solve any challenge. His passion for community service was recognized by his colleagues, and deeply appreciated by the people he helped.
He had a charismatic personality that drew people to him. People listened to him, followed him. What made him special was his love for people, all people. This was apparent by the work he chose. Yes, he was a doctor. Yes, he trained to be an ear, nose and throat specialist. However, this was not enough for him. He devoted his extra time working as an emergency medical technician, responding to emergency calls. He also found time to be a firefighter during his days off. I don’t know how he found the time. Given his other responsibilities, it simply defies the laws of physics. After residency, aside from establishing his private practice, he taught clinical ENT to medical students at Our Lady of Fatima Medical University. He also worked as the Chief Medical Officer of the Municipality of Apalit, Pampanga. His work as a rural health provider left the people of Apalit not only with better medical care, but also with the awareness they now had a new friend.
During residency, we remember Otep as a dependable, resourceful, committed friend, who loved life and all it offered. His passion for cars was legendary. If you had car trouble, you asked Otep. If you want to trade or buy cars, you asked Otep. You could ask Otep, even if you were stuck in traffic (he had a solution for everything). In addition, he was fun to work with, always ready to tell an anecdote or two to lift one’s spirit and make the workplace fun and enjoyable.
His life may have been cut short by an incurable illness, but to me, it was a life well lived. Otep was a cherished friend to many, an awesome brother and uncle and a loving son—he will be missed, but never forgotten by those who are fortunate enough to have known him.
Reliability and Validity of the Filipino Sino-Nasal Outcome Test (SNOT) 22
Authors: Maningding Christine Anne C. , Roldan Rodante A. 
Published: April 2019

Objective: To translate the Sino-Nasal Outcome Test (SNOT) 22 into Filipino, and establish the validity and reliability of the Filipino version of the Sino-Nasal Outcome Test (SNOT) 22.

Methods:
Design: Prospective Cohort
Setting: Tertiary Government Training Hospital
Participants: Twenty one (21) patients with rhinosinusitis with or without nasal polyposis were administered the Filipino SNOT 22 to determine reliability. Sixty three (63) patients with rhinosinusitis with or without nasal polyps and forty eight (48) controls were recruited for the validity study.

Results: The Filipino SNOT 22 had a Pearson correlation of 0.618 significant at the 0.01 level and a Cronbach’s alpha of 0.76. The calculated Z-Score was 7.21 with p-value < .00001 significant at p < .05. The value of U was 300 with a critical U value at 1512.

Conclusion: The self administered Filipino SNOT 22 is a reliable and valid tool for measuring QOL among Filipino patients with rhinosinusitis.

Keywords: sinusitis, reliability and validity, quality of life, sino-nasal outcome test 22
Crab Shell Impaction in the Larynx with Aphonia
Authors: Parekh Nayan M. , Kashyap Prashant R. 
Published: April 2019

Objective: To report a case of crab shell impaction at the glottic level presenting only as aphonia and cough.
Methods
Design: Case Report
Setting: Tertiary Government Hospital
Patient: One (1)

Results: A 36-year-old male, who presented in emergency with sudden aphonia after a meal, was found to have crab shell with leg spines impacted at the glottic level. Due to its large size, ragged edges and the sharp spines stuck in the tissue, endoscopic removal needed a prior tracheostomy. All pieces were extracted, with no bleeding, laceration or tissue damage. The patient completely recovered with normal vocal folds and a normal voice at follow up.
Conclusion: Our experience suggests that an impacted foreign body may warrant a tracheostomy to secure the airway prior to extraction, and avoid any possible complications including laryngeal injury.
Keywords: foreign body, larynx, crab shell, loss of voice
Carlos F. Dumlao, MD (1950-2018)
Authors: Pontejos Alfredo Q.Y. 
Published: April 2019

Carlos F. Dumlao, ‘Caloy’ as he is fondly called by friends, was born in Bayombong, Nueva Vizcaya on November 4, 1950. He studied in the Bayombong Central School for elementary, then the Nueva Vizcaya High School, graduating valedictorian from both schools. He took his B.S. Pre-Med in the University of the Philippines (U.P.) Diliman, finishing in 1970. He then entered the U.P. College of Medicine and graduated in 1975. He is a brod in the Mu Sigma Phi Fraternity where I got to know him. He was one-year senior and he would always have a helping hand to anyone in need. He looked fearsome because of his bulk and stance but deep inside he had a soft heart and was very humble, for a guy who happened to be a son of a governor.

Faith would have that we would be together again in the Department of Otolaryngology in the Philippine General Hospital. He was my immediate senior and helped and taught me the rudiments of surgery. He was one of the "fastest guns alive" that he could finish a laryngectomy in an hour.

Because of the prodding of Dr. Mariano B. Caparas, he took up the challenge of practicing in Baguio with the objective of establishing a training program there. The first few years were a challenge to him because he was not welcome there. The senior surgeons frowned on the fact that he performed head and neck surgery, particularly thyroidectomy. But he persisted and even befriended them. He succeeded in forming a Department of Otolaryngology - Head and Neck Surgery in the Baguio General hospital. He gave much of his time and talent to that department and has produced a good number of diplomates and fellows.

He was unpretentious. What you see is what you get. He was also a true friend and a dedicated family man. He was faithful to Josie, his wife and his children Janie, Dessy, Biboy, Joboy and Popo.

One measure of success of a leader is the number of successors you have produced. He has done well in this. He has given much of himself to Baguio General Hospital, the Philippine Society of Otolaryngology – Head and Neck Surgery (PSO-HNS) Northern Luzon Chapter and to the PSO-HNS as a whole. His legacy will live on in his graduates in Baguio General Hospital and through his son Popo who just passed the Philippine Board of Otolaryngology – Head and Neck Surgery diplomate board examinations. Caloy, you have left you mark in Northern Luzon, particularly in Baguio City. May you rest in peace in God’s bosom.
ENHANCE PROMOTION STRATEGIES CV UTERO GO INTERNATIONAL
Authors: Eka Albertus , Solis Roberto J Albuja , Voight Lea , Nuriah Nuriah , Win Swe Swe , Kawther Ashknani 
Published: April 2019

With ongoing globalization, many business opportunities emerge all over the world. Operating business in one single country means to fail at exploiting additional profit from exporting one’s product or service globally.
The following report will analyst the business operations of the company Utero, a creative design agency, responsible for brand, design and consultant services and located in Indonesia. As the company is already very successful in their country of origin, they should start exporting their services to other countries, to grow and yield additional profit.
In order to do so, we will construct a marketing plan for Utero, based on a thorough analysis of the company’s background, its vision, mission and organizational structure. Also, we are going to assess the readiness of the company to do international marketing. Finally, we are going to give advice on how to successfully develop and implement international marketing, to enter markets all over the world.
We found, that Utero should implement different marketing strategies, such as publishing a video of the firm online to increase brand awareness and spread it on social media networks such as Facebook. Other possible ideas would be to create a company-based Facebook page or create advertisement that will be displayed on YouTube.
In general, our report aims at leading the company Utero on a successful path for further development and we believe that our proposed marketing plan will enable the company to significantly expand their business.
IMPROVE THE PROMOTION STRATEGY OF KAN JABUNG
Authors: Ummah Faiqotul , Iddo Charistantya , Hakimy Abdul Wahab , Amalia Shelma , Minggus Tommy , Cutrona Ludovica Fortunata 
Published: April 2019

KAN Jabung is a cooperative established in 1979. KAN Jabung is a cooperatives that run several business. But, the main business for KAN Jabung is product from cow. Producing dairy milk for people is one of the core business. Lately, milk is become a vital need for people. Milk is the best way to maintain human good health. Delicious taste will never bored people who consume milk. In fact, milk consumption is raising year by year. But, people in the outskirt of the town still has a minimum consumption. So, team 22 think a strategy that suit in these facts. The strategy is going to take an advantage from minimal educating about milk. Milk nutrition isn’t just about the vitamin or calcium, but natural nutrition from milk still brought by the pasteruate ways. Because in UHT way, the nutrition is wasted because of heat and the company has to fill artificial nutrition and in people mindset natural is always better than artificial.
Our effort is based on KAN Jabung vision and mission. Being competitive agribusiness cooperatives, and grow sustainably is KAN Jabung vision. This vision means that KAN Jabung has to improving steadily and sustain the profit. Taking segment in family and kids, KAN Jabung hope is to penetrate this product until accepted by citizen in uptown and downtown.
Displasia Tanatofórica: a propósito de un caso clínico
Authors: Morales Carrasco María Fernanda , Moreno Ponce Estiward Mauricio , Moreno Ponce Klever Patricio 
Published: April 2019

La displasia Tanatofórica es una displasia esquelética esporádica, letal en el período neonatal, ocurre en 1 por 10000 a 35000 nacidos vivos. El término se deriva de la palabra griega thana- tophorus, que significa “traer la muerte”. Las características de ésta incluyen un acortamiento severo de las extremidades inferiores, una longitud de tronco normal, tórax estrecho, costillas cortas, pulmones subdesarrollados, macrocefalia con frente amplia y ojos prominentes. Existen dos subtipos clínicamente definidos: el tipo I, caracterizado por una forma normal del cráneo y un fémur curvo que se asemeja a un auricular telefónico. El tipo II se asocia con cráneo en forma de trébol y fémur recto. Es una patología autosómica dominante, se debe a mutaciones en el gen que codifica el receptor 3 del factor de crecimiento fibroblástico (FGFR3), que ha sido asignado al cromosoma 4p 16.3. Se presenta el caso de en una paciente de 23 años, tercera gesta, dos abortos anteriores, con diagnóstico de embarazo de 29 semanas y un diagnóstico ecográfico de displasia tanatofórica que acude al Servicio de Patología Obstétrica del Hospital Gineco-Obstétrico Isidro Ayora para recibir asesoría prenatal y definir una conducta terapéutica.
Sifat Fisikokimia Jagung Hibrida (Zea mays L.) Pada Beberapa Waktu Pemanenan
Authors: Arsyad Muh 
Published: April 2019

Panen yang dilakukan sebelum atau setelah masak fisiologis akan berpengaruh terhadap kualitas fisik dan kimia biji jagung. Salah satu aspek penanganan pasca panen yaitu pemanenan pada waktu yang tepat dan dimaksudkan agar jagung yang dipanen dapat bertahan lama, tidak mengalami kerusakan serta kandungan gizi yang terdapat pada bahan pangan tidak banyak mengalami perubahan. Tujuan penelitian adalah mengetahui pengaruh umur pemanenan terhadap sifat fisikokimia jagung hibrida dari segi kadar air, berat biji jagung dan kandungan kadar abu dan mengetahui umur pemanenan yang optimal terhadap fisikokimia jagung hibrida. Penelitian dilakukan dengan mengukur kadar air, kadar abu dan berat biji jagung dengan umur panan yang berbeda yaitu 100 HST, 110 HST, dan 120 HST dan dilakukan pengolahan data dengan menggunakan Rancangan Acak Lengkap (RAL) dan apabila berbeda nyata maka dilanjutkan dengan uji lanjut BNJ. Hasil penelitian ini menunjukan bahwa sifat fisikokimia jagung hibrida saat pemanenan berpengaruh sangat nyata baik terhadap kadar air dan berat jagung maupun pada kadar abu jagung hibrida. Jagung yang dipanen pada waktu lama secara umum mengalami penurunan kadar air, kadar abu dan berat biji jagung. Pemanenan 100 HST memiliki kadar abu dan berat biji yang optimum sedangkan untuk kadar air pada umur pemanenan 120 HST.
DETERMINATION OF THE PERIOD OF MARKOV CHAIN’S TRANSITION MATRIX FOR MILITARY MANPOWER PLANNING IN INDONESIAN NAVY
Authors: Wahyuli Agus 
Published: April 2019

<table width="605" border="1" cellspacing="0" cellpadding="0"><tbody><tr><td valign="top" width="416"><p> </p><p><strong>Abstract</strong></p><p> </p><div><p class="Els-history-head"> </p></div><p>Human resources are very important organizational assets thus it is only natural that every organization gives more attention to human resource management, including the Indonesian Navy (TNI AL). The approach to human resource planning in military organizations focuses on two aspects, including long term planning with strategic objectives and short term planning with operational objectives. This long term planning is oriented towards the continuation of the procurement, availability, and balance of the number of personnel (human resources) in each rank in the future. An analysis to find out and plan the condition of Navy personnel in the future is needed, which is called the analysis of the Markov chain. There are at least three stages of the Markov chain process, including determining the state, the transition matrix, and the initial vector value. The transition matrix describes changes from one state to another state in the next period of time. The transition matrix formed is the basis of the subsequent analysis, including the calculation of the number of personnel per rank in the future. Determining the length of the matrix period is done by comparing several transition matrices with various moving average orders. The result obtained suggests that the best transition matrix is the one with moving average orders six, including the transition matrix with the smallest value of Mean Square Error (MSE).</p><p> </p><div><p class="Els-keywords">Keywords: Markov Chain, Military Manpower Planning, Transition Matrix, Indonesian Navy</p></div><p> </p></td></tr></tbody></table>
The Chronicles of The Renaissance Group
Authors: Giovannetti Michael Joseph 
Published: April 2019

The Renaissance, French for “rebirth”; Italian, Rinascimento, from re - “again” and nascere -“to be born”, was a cultural movement that initiated in Florence, Italy, in the Late Middle Ages and later spread to the rest of Europe, encompassing periods from the Fourteenth to the Seventeenth Century. This time was focused on the improvement of various disciplines, through a revival of ideas from antiquity, by employing new, creative approaches to thinking and doing. The influence of the Renaissance movement affected art, literature, philosophy, politics, science, religion, politics and other aspects of intellectual inquiry.

What does the Renaissance movement of Fourteenth Century Italy have to do with The Renaissance Group (TRG) of 21st century America? The times and places may be very different, but as we review TRG’s contributions to teacher education from the 1980s to the present, a time during which The Renaissance Group laid a strong foundation to shape this national consortium of colleges, universities and professional organizations, we may discover more similarities between the two entities than imagined.
Innovative PDS Partnerships for Effective Teaching and Learning
Authors: Balch Bradley 
Published: April 2019

Would you like to breathe energy into your university-school district partnership? At Indiana State University (ISU), two clinical immersion imperatives and four partnership contexts provide an innovative focus that adds deeper meaning and intentionality to educator preparation. Our educator preparation programs had been migrating to more clinically intensive programming for several years, but the support of our K-12 partners was essential if we were to emphasize early and continuous clinical teaching experiences to enhance preparation efforts. As a first step, we developed the distinctive Teachers of Tomorrow Advancing Learning (TOTAL) internship for elementary and special education majors and an immersion program for secondary and all-grades majors.
Common Core State Standards (CCSS) – Higher Education’s Role In Developing Education Professionals: An Evaluation of the Network for Instructional Support and Enhancement (NISE) Program at the University of Central Missouri
Authors: Allen Tammy , Ammon Scott , Breshears Amie , Drace Brad , Huseman Jennifer , Jensen Dan , Orcutt Vicki 
Published: April 2019

With the implementation of Common Core State Standards (CCSS), K-12 teachers, counselors, and administrators will be held accountable for meeting the explicitly defined standards of college and career readiness for every high school graduate. An equivalent and reciprocal challenge is also placed upon universities to prepare future education professionals to successfully meet the expectations for CCSS downstream outcomes. This will require significant changes to higher education processes to ensure rigorous teacher preparation which includes not only best practices in pedagogy, but also full understanding of the standards set forth by the CCSS. However, opportunities for developing in pedagogy and CCSS do not commonly exist. In an attempt to improve pedagogical rigor of new faculty members, the Network for Instructional Support and Enhancement (NISE) Program at the University of Central Missouri was initiated in the fall semester of 2012. Comprised of an orientation and mentoring process, this study provides an evaluation of the programs strengths, deficiencies and specific suggestions for enhancing the program. The research is limited because it was conducted at the mid-point of the pilot delivery of the complete program. Qualitative analysis was conducted on data collected from university senior leaders, NISE Program committee members and new faculty about their perceptions of the program’s delivery and impact.