bluuebunny/crossref_metadata_2025_split huggingface dataset:
Chant and Be Happy: The Effects of Chanting on Respiratory Function and General Well-Being in Individuals Diagnosed with Depression
Authors: Kenny Molly , Bernier Raphael , DeMartini Carey 
Published: March 2019

The effects of chanting on respiratory function and general well-being in individuals with mild to severe depression were tested in this pilot study. A total of 10 women and 1 man participated in this 8-week-long chanting program. All of the participants had been previously diagnosed with mild to severe depression.
Several testing measures were employed. All subjects filled out a preliminary screening questionnaire and took the Beck Depression Inventory at the beginning of the study prior to their first chanting class and at the last meeting before chanting started. A 5-point Likert Scale Questionnaire was administered before and after each session. Spirometry was used to evaluate subjects' FVC, FEV, and FET. Each subject also self-administered pre and post peak/flow tests, taking the best of three forced exhalations before and after each chanting session.
At the end of 8 weeks, our results showed that participants increased their breath control and overall expiratory output level. Additionally, 10 of our 11 subjects surveyed showed an increase in their overall mood on the Beck Depression Inventory. The score for one participant remained the same. Preliminary results from this pilot study indicate that chanting is an effective means of increasing people's moods in the immediate present, as well as over an extended period of time in which chanting is performed at least once per week.
Is high flow nasal cannula as an effective oxygen delivery alternative in intensive care unit?
Authors: Patel Amrish , Atram Jitesh , Dumra H. S. , Dandnaik Mansi , Raval Gopal 
Published: March 2019

Background: High-flow nasal cannula (HFNC) oxygen therapy is carried out using an air/oxygen blender, active humidifier, single heated tube, and nasal cannula. It is an oxygen delivery system which uses air blender to deliver accurate oxygen concentration to the patient from 21% to 100% at desired temperature. It can be administered via wide bore nasal cannula or to the tracheostomy tube via connector. It can give upto 60L/min flow hence can generate positive end expiratory pressure between 2 to 7 cmH20. By providing humidified oxygen along with the high flow rates it satisfies air hunger and reduces work of breathing for the patient.Methods: This is a retrospective observational study. Patients with persistent hypoxia in spite of conventional oxygen therapy were treated with HFNC. Patients with possible need for immediate invasive ventilator support were excluded. Clinical respiratory parameters and oxygenation were compared under conventional and HFNC oxygen therapy.Results: Thirty patients, aged more than 18 years admitted in intensive respiratory care unit with acute hypoxemic respiratory failure from June 2017 to January 2018 were included in the study. Study period was of 6 months. Etiology of acute respiratory failure (ARF) was mainly pneumonia (n = 17), interstitial lung disease (n = 5), bronchial asthma (n=3) and others (n = 5). There was statistically significant reduction in respiratory rate (29.40 before Vs 23.50 after; P- <0.0001) and significant improvement in comfort level of the patient after HFNC therapy. Median duration of HFNC was 48 hrs (24-360) hours. Five patients were intubated later on and 4 died in the intensive care unit.Conclusions: Use of HFNC in patients with persistent ARF was associated with significant and sustained improvement of clinical parameters (respiratory rate). It can be used comfortably for prolonged periods.
Evaluation of Candida Score: a bedside scoring system for early antifungal therapy in non-neutropenic critically ill patients
Authors: Dash Chinmaya , Pal Abhinanda , Sinha Sulekha 
Published: March 2019

Background: Invasive Candida infections are the most common invasive fungal infections. Multiple site colonization plays a major role. Further decrease in host immunity (e.g. neutropenia, diabetes mellitus etc.) aggravates local invasion and dissemination which finally leads to candidemia. Hence the study was done to evaluate “Candida Score” in non-neutropenic critically ill patients for early antifungal therapy.Methods: In this prospective observational cohort study, all critically ill patients having sepsis or septic shock on admission or during their stay in ICU stay were included in the study. The components of “Candida Score” like severe sepsis, total parenteral nutrition, surgery, and multifocal Candida colonization were as per Leone et al. Clinical sepsis was given score of 2 if present and 0 if absent. The other variables were given score 01 if present and 0 if absent. The score more than 2.5 is considered significant.Results: Out of 78 patients admitted in the ICU a total of 26 blood culture positives were reported. The prevalence of Candidemia (based on culture) was 23.1% (n=06). The strains isolated were Candida non albicans (n=4, 66.7%) and Canida albicans (n=2, 33.3%). Candida was isolated in different samples other than blood culture of 26(33.33%). The most common specimen with Candida isolation was from urine (n=14, 60.87%), followed by endotracheal aspiration and sputum (n=3, 13% each) and BAL fluid (n=1, 04.3%). Among the isolates Candida non albicans (n=12, 52.2%) was more prevalent than Candida albicans (n=11, 47.8%). The prevalence was maximum for the age group of 60 to 69 years (42.31%) followed by 70 to 79 yrs and 50-59 yrs. Among all patients, 14 patients were referred in our hospital and 12 of them had a prolonged ICU stay (>10 Days). The patients with the Candida score ≥2.5 were 06 in numbers, of which 66.7% were having score 3 followed by one each of having score 4 and 5. Out of these 06 patients 04 received antifungal treatment. One patient with Candida score more than 03 succumbed to death without having antifungal treatment.Conclusions: Early identification of invasive candidiasis with the use of “Candida Score” in critically ill patients may help to initiate antifungal interventions and even help the treating physician or intensivist to formulate the more effective treatment algorithms.
Unilateral renal cystic disease: a case report study
Authors: Hakkim Shameer , R. Babu , K. Kishan Raj , Mallampati Seetha Rami Reddy 
Published: March 2019

Unilateral renal cystic disease (URCD) of kidney is a non-familial, extremely rare condition, characterized by replacement of the renal parenchyma of one kidney by a cluster of multiple cysts of varying size with a normal contralateral kidney. It is morphologically indistinguishable from autosomal dominant polycystic kidney disease (ADPKD); as such, hepatic and pancreatic cysts is not seen and shows no progressive deterioration in renal function; thus, differentiating ADPKD from URCD becomes important. We report a case of URCD documented by clinical and radiological imaging. A 21 year-old female, presented with history of mild lancinating pain in the left flank for 6 years which aggravated in the past 3 days, with no history of lower urinary tract symptoms. No significant family illnesses reported. Examination showed normal vitals and ballotability present and associated tenderness on deep palpation in left lumbar region. Laboratory findings were within normal limits. Ultrasonography of abdomen and pelvis showed left hydronephrosis with multiple cysts. CECT Abdomen revealed an enlarged left kidney (∼15×16×10 cm) filled with variable sized round, well-marginated multiple cysts. Renal ultrasound was performed on patient’s parents and her siblings and ruled out cystic renal disease. Hence, authors considered the diagnosis of URCD in this patient. In conclusion, treatment and managing guidelines of URCD have not been mentioned in any of the medical literatures. There is little information regarding the progression of URCD. Hence there is a need for further understanding of pathogenesis, progression and management of these patients.
Ağız ve Diş Sağlığı Merkezinde Örgütsel Bağlılık Analizi: Nicel Bir Araştırma
Authors: AK Murat 
Published: March 2019

Ülkemiz kamu sektörünün en önemli organizasyonlarından biri olan Sağlık
Bakanlığı'nda da son yıllarda yeniden yapılanma çalışmaları gündeme
gelmektedir. En son 15 08 2017 tarih ve 694 sayılı kanun hükmünde kararname ile
yeniden yapılandırılan Sağlık Bakanlığı teşkilat yapısında önemli ve köklü
değişiklikler gerçekleştirilmiştir. Bu çalışmada yeniden yapılandırılan Sağlık
Bakanlığı'nda tüm örgütler için son derece önemli bir konu olan örgütsel
bağlılığın analizinin yapılması hedeflenmektedir. Bu amaçla bu çalışmada Bartın
Ağız ve Diş Sağlığı Merkezi evreninde gerçekleştirilen örgütsel bağlılık
anketinden elde edilen bulgulara yer verilmektedir. Gerçekleştirilen anket
uygulaması sonucunda ağız ve diş sağlığı merkezinde görev yapan kamu
çalışanlarında örgütsel bağlılık, duygusal bağlılıkta 3,46, devam bağlılığında
3,38, normatif bağlılıkta ise 3,31
seviyesinde gerçekleşmektedir.
TEACHER OPINIONS ON FREE TIME LESSON: SCALE DEVELOPMENT AND VALIDATION
Authors: Ayda Orçun , Tezer Murat , Ayda Nedime Karasel 
Published: March 2019

The aim of this study is to establish opinions of primary school teachers towards the implementation of free time lesson at primary schools. Initially, a free time lesson survey was developed to obtain data from primary school teachers, in order to reach this aim. Data analysis revealed that primary school teachers agreed to the essentiality of free time lesson related applications in primary schools, and that these applications could develop students in a positive way. While teachers were indecisive towards questions stating some obstacles and negativities could develop in the free time lesson applications, they agreed that conditions essential to start free time lesson applications existed.
The Evolution of Treated Versus Untreated Femoroacetabular Impingement in a Professional Hockey Player with a 10-Year Follow-up
Authors: Buckley Patrick S. , Bolia Ioanna K. , Briggs Karen K. , Philippon Marc J. 
Published: March 2019

Case:
We describe the diagnosis, treatment, rehabilitation, and 10-year outcome of a National Hockey League (NHL) player who was treated successfully with hip arthroscopy for symptomatic femoroacetabular impingement (FAI) of the right hip. At the 10-year follow-up, the patient presented with contralateral hip symptoms consistent with FAI and radiographic progression of degenerative changes that were not present at the initial presentation.

Conclusion:
Untreated FAI may result in the progression of degenerative changes in the hip.
Treatment of a 4-Part Proximal Humeral Fracture with a Concomitant Glenoid Fracture in an Elderly Patient
Authors: Maassen Nicholas H. 
Published: March 2019

Case:
Reported here is a single case of a highly comminuted fracture of the proximal aspect of the humerus with substantial humeral head displacement and a concomitant glenoid fracture encompassing >20% of the glenoid width. The fractures were treated simultaneously with reverse total shoulder arthroplasty and open reduction and internal fixation, respectively.

Conclusion:
The 1-year follow-up demonstrated excellent pain control and a good functional outcome, with no signs of instability or implant complications.
Cylinder axis agreement: unexpected scenarios
Authors: Nabil Karim Mahmoud 
Published: March 2019

Abstract
Background

The purpose of this retrospective study was to evaluate cylinder axis agreement between manifest refraction (MR), cycloplegic refraction (CR), Allegro Oculyzer ІІ and Allegro Topolyzer-Vario.

Methods

We included 82 patients (32 males and 50 females, 28.1 ± 8.7 years old), with 156 eyes scheduled for wavefront optimized laser refractive surgery, photorefractive keratectomy (PRK) in 50 eyes and laser- assisted in situ keratomileusis (LASIK) in 106 eyes, for correction of simple, myopic, hyperopic or mixed astigmatism. Cylinder axis was determined under manifest and cycloplegic refractions and using Allegro Occulyzer ІІ and Allegro Topolyzer-Vario platforms. Cylinder axis agreement was assessed by Intra class Correlation coefficient, Pearson Correlation coefficient and by the method described by Bland and Altman.

Results

Intra class Correlation Coefficient and Pearson Correlation Coefficient showed statistically significant cylinder axis agreement between manifest refraction, cycloplegic refraction, Allegro Oculyzer ІІ and Allegro Topolyzer-Vario (p <0.001*).

Despite statistically significant cylinder axis agreement between the four measuring tools, 4 of 156 eyes (2.5%) showed unexpected discrepancy between Allegro Oculyzer ІІ and Allegro Topolyzer-Vario cylinder axis.

Conclusions

Although cylinder axis shows statistically significant agreement between manifest refraction, cycloplegic refraction, Allegro Oculyzer ІІ and Allegro Topolyzer-Vario, unexpected discrepancies occur.
Choroidal Structural Changes Correlate with Severity of Diabetic Retinopathy in Diabetes Mellitus
Authors: Wang Hui , Tao Yong 
Published: March 2019

Abstract
Background This study aimes to investigate the choroidal thickness and choroidal vascularity index (CVI) and their correlation with severity of diabetic retinopathy (DR) in diabetes mellitus (DM) patients. Methods An observational cross-sectional study was conducted of 104 eyes, which were divided into 4 groups: Healthy controls (n = 38), DM with no DR eyes (n = 22), non-proliferative DR (NPDR) eyes (n = 24), proliferative DR (PDR) eyes (n = 20). Optical coherence tomography (OCT) was performed. The total choroidal area (TCA), stromal area (SA), the luminal areas (LA) and CVI were compared. Results The CVI values was 67.53 ± 6.20 in controls and 63.43 ± 4.47 in DM eyes (P < 0.001). But there were no statistically significant differences in retinal nerve fiber layer (RNFL), retinal thickness and subfoveal choroidal thickness (SCT) measurements between the two groups (P = 0.407, P = 0.654 and P = 0.849; respectively). The vessel density values were significantly different in DM with no DR eyes, NPDR eyes and PDR eyes. (P < 0.001 for SCT, TCA and SA). The CVIs in the three groups were significant different CVI (P = 0.019). Conclusion Eyes of patients with DM showed decreased CVI compared with normal controls. Choroidal thickness and CVI significantly increased with severity of DR eyes compared with DM eyes and normal. Changes in CVI may predict DR development or recurrence before they are otherwise evident clinically. Choroidal blood flow deficit can be an early pathologic change in DR.
Occurrence and distribution of pharmaceuticals in raw, finished, and drinking water from seven large river basins in China
Authors: Lv Jia , Zhang Lan , Chen Yongyan , Ye Bixiong , Han Jiayi , Jin Ning 
Published: March 2019

Abstract
The occurrence of pharmaceuticals in the drinking water is a growing concern in China. In this study, we determined the concentration and distribution of 59 selected pharmaceuticals in raw, finished, and tap water samples from 79 drinking water treatment plants (DWTPs) in 15 cities, encompassing seven large river basins in China, using solid-phase extraction pretreatment and ultra-high-performance liquid chromatography–tandem mass spectrometry analysis. Forty-seven pharmaceuticals were detected in raw water samples, with detection rates of 1.27–96.20% and average concentrations of 0.09–128.87 ng/L. Forty-three pharmaceuticals were detected in finished water samples, with detection rates of 1.27–96.20% and average concentrations of 0.07–59.17 ng/L. Forty-two pharmaceuticals were detected in tap water samples, with detection rates of 1.27–94.94% and average concentrations of 0.07–58.43 ng/L. Purification methods implemented by DWTPs are capable of removing some pharmaceuticals from water treatment systems; however, low concentrations of pharmaceuticals were detected in drinking water, raising concerns about the possible human health implications of long-term exposure to low-dose pharmaceuticals. The detection and quantification of pharmaceuticals in municipal water samples presented in this study represent the most extensive analysis of commonly used pharmaceuticals and personal care products located in Chinese river basins.
Efficacy and Safety of Dipeptidyl Peptidase-4 Inhibitors in Kidney Transplant Recipients with Post-transplant Diabetes Mellitus (PTDM)- a Systematic Review and Meta-Analysis
Authors: Abdelaziz Tarek Samy , Ali Ahmed Yamany , Fatthy Moataz 
Published: March 2019

Background:
Kidney transplant recipients may develop post-transplant diabetes mellitus
(PTDM). Dipeptidyl peptidase 4(DPP-4) inhibitors are evolving agents in the management of patients
with diabetes mellitus.

Aims:
To evaluate the efficacy and safety of DPP-4 inhibitors in the management of post-transplant
diabetes mellitus (PTDM) in renal transplant recipients.

Methods:
We performed a systematic search of the electronic databases using keys words and Mesh
terms. Data were extracted and reviewed using structured proforma. A comprehensive review of the
eligible studies was performed independently by each of two reviewers; conflicts were resolved by the
third reviewer. The primary efficacy endpoint was the difference in glycosylated hemoglobin (HbA1c)
comparing any of the DPP-4 inhibitors to either placebo or other hypoglycaemic agent. The primary
safety endpoints were the worsening of graft functions and change in Tacrolimus trough level. We performed
the Random effect model using standardised mean difference.

Results:
We identified seven studies that were eligible for the systematic review; only one study compared
Sitagliptin to insulin Glargine. One study involved head to head comparison of three DPP-4 inhibitors.
The other five studies were pooled in the meta-analysis. DPP-4 inhibitors had a favourable
glycemic effect as measured by HbA1c when compared to either placebo or oral anti-hyperglycemic
medications (standardised mean difference in HbA1c = -0.993, 95% CI= -1.303 to -0.683, P=0.001).
DPP-4 inhibitors use did not result in significant change in eGFR ((standardised mean difference =
0.147, 95% CI= -0.139 - 0.433, p=0.312).) nor Tacrolimus level (standardised Mean Difference= 0.152,
95% CI= -0.172 to 0.477, P=0.354).

Conclusion:
Current evidence supports the short term efficacy and safety of DDP-4 inhibitor agents
in the management of post transplantation diabetes mellitus (PTDM) in kidney transplant recipients.
However, more RCTs are required to investigate the long-term safety and efficacy of these agents in
kidney transplant recipients.
Hepatitis B, C and Delta Viruses’ Infections and Correlate Factors Among Female Sex Workers in Burkina Faso, West-Africa
Authors: Ouedraogo Henri G. , Kouanda Seni , Goodman Sara , Lanou Hermann Biènou. , Ky-Zerbo Odette , Samadoulougou Benoît C. , Dabire Charlemagne , Camara Modibo , Traore Yves , Baral Stefan , Barro Nicolas 
Published: March 2019

Background:Female Sex Workers (FSW) have increased vulnerability to viral hepatitis B, C and D transmission. Our study aimed to assess the seroprevalence of hepatitis B, C and D viruses and their associated factors among FSW in Ouagadougou, Burkina Faso.Methods:This is a cross-sectional study among FSW at least 18 years old in Ouagadougou, Burkina Faso. Data were collected from February 2013 to May 2013 using Respondent-Driven Sampling (RDS). Hepatitis B, C, and D tests were performed on FSW storage serums using fourth generation ELISA kits. Survey-weighted bivariate and multivariate logistic regression analyses were performed using Stata version 14 to identify factors associated with viral hepatitis infections.Results:Population-weighted prevalence of viral hepatitis infections in FSW was respectively 18.2% (95%CI: 14.4-22.9) for Hepatitis B Virus (HBV), 10.6% (95%CI: 07.5-14.8) for Hepatitis C Virus (HCV) and 1.5% (95Cl: 0.2-10.3) for Hepatitis D Virus (HDV). Factors independently associated with HCV include positive HIV status, inconsistent condom use during the last 12 months, condom reuse with clients, sex with clients in the street, bars or public gardens. No sociodemographic or behavioral factors were independently associated with HBV infection.Conclusion:The prevalence of HBV and HCV was high among FSW and the prevalence of HDV was relatively low in this group in Burkina Faso. These findings suggest urgent and comprehensive prevention of these viruses through education for safer sex and behaviors, and immunization against HBV for FSW.
CAN STUDENT ASSESSMENT SHEETS REPLACE OBSERVATION SHEETS?
Authors: Kartowagiran Badrun , Wibawa Eka Ary , Alfarisa Fitri , Purnama Dian Normalitasari 
Published: March 2019

Observation is argued as the most suitable technique to assess the execution of authentic assessment. Unfortunately, it requires great amount of time and money. We need an alternative. Therefore, the purpose of this study was to develop an instrument in the form of a student assessment sheet on the implementation of authentic assessments in Mathematics subjects. This research is a development research that uses standard procedures for developing instruments. The result of the analysis with Aiken’s formula showed that every item of the instrument was in a good category. The result of the analyses using Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and Multitrait-Multimethod showed that the instrument had good construct validity. The result of reliability estimation using Cronbach Alpha (α) also showed that the instrument was in the reliable category. Thus, it can be concluded that the instrument in the form of student assessment sheets for assessing the implementation of authentic assessment in junior high school Mathematics learning is highly valid and reliable, which means that the developed instrument can replace the equivalent observation sheet.
THE ROLE OF SOCIAL CAPITAL IN THE IMPLEMENTATION OF CORPORATE SOCIAL RESPONSIBILITY (CSR): LESSON LEARNED FROM PT. UNILEVER INDONESIA TBK
Authors: Susilowati Kartika Dewi Sri 
Published: March 2019

This study was conducted to provide an overview on how the multi-stakeholders partnership model on the Black Soybeans Project capable of creating economic value to all parties involved in the project. This paper focuses strongly on the role of social capital in multi-stakeholders partnership model which was developed by PT. Unilever Indonesia Tbk in the implementation of corporate social responsibility in Bantul, Yogyakarta. In this research context social capital is defined as the networks, trust, norms and commitment that enable Unilever and its stakeholders to achieve mutual defined goals through collaboration. This is a post-positivist paradigm phenomenology-interpretive research. Data were collected by conducting in-depth interviews with key informants involved in the project e.g. university’s academicians, NGO, financial institutions, farmers, women/wives of farmers and Unilever of Indonesia Foundation. The study shows that the partnership was created based on the principle of symbiosis-mutualism, where each partner gets some benefits from its partnership. The partnership was developed to empower black soy beans farmers to provide a guarantee supply of black soybeans with a quantity, quality and price in accordance with the standards established by the Unilever. In cooperation with various stakeholders, Unilever has developed some production centers of black soybeans to fulfill it needs. By doing this, the company is able to improve the quality of life of the farmers. Therefore, this project has fulfilled two different values: economics (business) value and social value.