bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of the effectiveness of high resolution ultrasound with MRI in patients with temporomandibular joint dısorders
Authors: Yılmaz Dilek , Kamburoğlu Kıvanç 
Published: February 2019

Objectives: To assess the effectiveness of a high resolution ultrasound for temporomandibular joint (TMJ) evaluation in comparison to MRI in patients with TMJ disorders. Methods: Our study comprised 50 patients (35 female and 15 male) with a mean age of 30.61. Clinical examination was performed. Bilateral imaging of TMJ was conducted by using a high-resolution ultrasound and 1.5 Tesla MR. Diagnostic accuracy of ultrasound was assessed for disc displacement and joint effusion in comparison to MRI. Sensitivity (Se), specificity (Sp), positive predictive value (PPV), negative predictive value (NPV), and accuracy (Ac) were calculated for ultrasound. Measurements were compared by Bland & Altman and intraclass correlation coefficient (ICC). Significance level was set at p < 0.05. Results: Most frequent complaints were noise 42 (84%) and 34 (68%) pain. For disc position assessment with ultrasound for both sides and closed-open mouth, sensitivity, specificity, PPV, NPV and accuracy ranged between, 0.88 – 1, 0.60 – 0.87, 0.70 – 0.97, 0.75 – 1, and 0.84 – 0.98, respectively. For the diagnosis of effusion with ultrasound for both sides, sensitivity, specificity, PPV, NPV and accuracy ranged between 0.65 – 0.81, 0.91 – 1, 0.96 – 1, 0.45 – 0.46 and 0.72 – 0.84, respectively. ICC values calculated for intraobserver agreement for right and left TMJ for all measurements were found to be statistically significant (p < 0.001). ICC values ranged between 0.964 and 0.995 suggesting excellent correlation among ultrasound and MRI. In general, for ultrasound measurements we found a mean difference ranging between −0.182 and +0.130 mm in comparison to MRI. Conclusion: Ultrasound can be suggested as an adjunct to common imaging modalities in the assessment of TMJ.
Pentraxin-3 and inflammatory biomarkers related to posterolateral thoracotomy in Thoracic Surgery
Authors: Dongel Isa , Gökmen Ayşegül Aksoy , Gönen Ibak , Kaya Selçuk 
Published: February 2019

Objective: Posterolateral thoracotomy is the most frequently used operation in thoracic surgery, and may initiate an inflammatory process. We aimed to evaluate inflammatory response of the body to posterolateral thoracotomy.
Methods: This study was conducted between January 2013 and June 2014. Blood samples were drawn from 36 patients who underwent posterolateral thoracotomy preoperatively, and on postoperative days one, three and seven The levels of PTX-3,CRP and WBC in the serums of the patients were identified. All the results were recorded and analyzed.
Results: PTX-3 levels were found statistically significantly higher in patients with lung cancer and/or aged above 65 years. There were significant differences in WBC and CRP levels between preoperative levels and on those on postoperative days one, three and seven but not for PTX-3. The area under the curve(AUC) levels in the receiver operating characteristics(ROC) analysis, which was performed to estimate the strength of PTX-3 in the differentiation of malignant and benign patients was found statistically significant(p<0.05).
Conclusions: The present study suggests that the novel inflammatory marker PTX-3 may be used in the diagnosis and follow-up of prognosis as a biomarker of inflammatory response in patients with lung cancer. However, it showed that PTX-3 levels are insignificant to identify the levels of inflamatuar response due to posterolateral thoracotomy in thoracic surgery.
How to cite this:Dongel I, Gokmen AA, Gonen I, Kaya S. Pentraxin-3 and inflammatory biomarkers related to posterolateral thoracotomy in Thoracic Surgery. Pak J Med Sci. 2019;35(2):464-469. doi: https://doi.org/10.12669/pjms.35.2.181
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The relationship between premenstrual syndrome and anger
Authors: Yeşildere Sağlam Havva , Basar Fatma 
Published: February 2019

Objective: Premenstrual Syndrome (PMS) is a significant disorder affecting the daily life of women of reproductive age. The aims of this study was to determine the PMS prevalence and the examination of the relationship between PMS and anger.
Methods: This was a cross sectional study. The study was carried out with 720 women between the ages of 15-49 living in the province of Kutahya, Turkey. A Personal Information Form, the Premenstrual Syndrome Scale (PMSS) and the State-Trait Anger Scale (STAS) were used to collect data.
Results: The PMS prevalence was 48.75%. There was a statistically significant difference between the groups in terms of constant anger, anger-in, anger-out and anger control subscales (p <0.001). The average scores of women with PMS for constant anger anger-in and anger-out was significantly higher. The anger control scores were at a significantly lower level.
Conclusion: Women with PMS had higher anger and lower anger control levels. It should be advisable to recommend anger control management and provide social support so these women can cope with the symptoms. The result of our study emphasizes the importance of careful assessment of anger in women with premenstrual symptoms.
How to cite this:Saglam HY, Basar F. The relationship between premenstrual syndrome and anger. Pak J Med Sci. 2019;35(2):515-520. doi: https://doi.org/10.12669/pjms.35.2.232
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Neonatal Vitamin D status and the risk of neonatal sepsis
Authors: Ozdemir Abdurrahman Avar , Cag Yakup 
Published: February 2019

Objective: To evaluate the maternal and neonatal 25-hydroxyvitamin D [25(OH)D] levels and the effect of 25(OH)D levels on the development of neonatal sepsis.
Methods: This prospective study was performed in the neonatal intensive care unit of Medicine Hospital/Biruni University between November 2017 and September 2018. Fifty one term infants with sepsis group and 56 term infants with control group were included in this study. Blood samples for whole blood count, CRP, Ca, P, ALP, 25(OH)D and culture were obtained from all neonates.
Results: Mean vitamin D levels for the neonates and their mothers were found to be 12.4±8.5 ng/ml and 13±8.7 ng/ml, respectively. There was a significant correlation between maternal and newborn 25(OH)D levels (r=0.72, p<0.01). The number of the newborns with vitamin D deficiency was significantly higher in the sepsis group (n=31, 60.8%) than in the control group (n=30, 53.6%; p=0.00), corresponding to significantly lower levels of vitamin D in the sepsis group (11±5.5 ng/ml vs. 13.8±10.6 ng/ml; p=0.012). Similarly, maternal vitamin D levels was significantly lower in the sepsis group than in the control group (10.8±5.6 ng/ml vs. 14.9±10 ng/ml; p=0.001).
Conclusion: Our findings suggest that there may be an association between vitamin D deficiency and neonatal sepsis.
How to cite this:Ozdemir AA, Cag Y. Neonatal Vitamin D status and the risk of neonatal sepsis. Pak J Med Sci. 2019;35(2):-420-425. doi: https://doi.org/10.12669/pjms.35.2.342
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Expression of CD44v6 and lymphatic vessel density in early gastric cancer tissues and their clinical significance
Authors: Sun Yuting , Yu Xiaowei , Li Mengdi , Zou Zhenhong 
Published: February 2019

Objective: To explore the relationships between expression of CD44v6, lymphatic vessel density (LVD) and the clinicopathological parameters of patients.
Methods: One hundred early gastric cancer tissues, 55 high-grade gastric intraepithelial neoplasia (HGIN) tissues, 60 low-grade gastric intraepithelial neoplasia (LGIN) tissues and 60 chronic superficial gastritis tissues were collected and set as gastric cancer group, HGIN group, LGIN group and gastritis group respectively. The expression of CD44v6 and LVD of patients in all the groups were detected using two-step immunohistochemical method to analyze the relationships between the expression of CD44v6 and lymphatic vessel density in early gastric cancer tissues and their relationships with the clinicopathological parameters of patients. The values of LVD in predicting lymph node metastasis in early gastric cancer were evaluated using receiver operating characteristic (ROC) curve.
Results: The positive expression of CD44v6 and LVD in the gastritis group, LGIN group, HGIN group and gastric cancer group gradually increased. The positive expression of CD44v6 and LVD in early gastric cancer tissues were in no correlation with the gender, age, tumor site, maximum diameter, differentiation degree and invasion depth (P>0.05) and in a correlation with lymphatic metastasis and lymphatic vessel invasion (P<0.06). The positive expression of CD44v6 in the early gastric cancer tissues was in a positive correlation with LVD (P<0.05). The analysis of ROC curves suggested that the area under ROC curve of predicting lymphatic metastasis of early gastric cancer with LVD was 0.837 (95% CI: 0.756~0.910), and the cut-off value was 14; the corresponding sensitivity and specificity were 63.6% and 90.2 respectively.
Conclusion: The expression of CD44v6 and LVD in early gastric cancer tissues are in a close correlation with the clinicopathologic features, and joint detection of expression of CD44v6 and LVD can be taken as the indicator of gastric cancer metastasis.
How to cite this:Sun Y, Yu X, Li M, Zou Z. Expression of CD44v6 and lymphatic vessel density in early gastric cancer tissues and their clinical significance. Pak J Med Sci. 2019;35(2):549-554. doi: https://doi.org/10.12669/pjms.35.2.464
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The outcomes of transobturator tape intervention in the treatment of stress urinary incontinence: Two years’ follow-up
Authors: Şık Bulat Aytek , Copur Hanife , Aba Yılda Arzu 
Published: February 2019

Objective: To evaluate the clinical outcomes and the effects on quality of life of transobturator tape surgery during a 2-year follow-up period in our clinics.
Methods: Eighty-seven patients with stress or mixed urinary incontinence who underwent transobturator tape surgery were included in the study conducted in Istanbul. Taksim. Training. and Research Hospital Gynecology and Obstetrics Clinic, between 2011 and 2013. The patients’ demographic features, incontinence questionnaires, quality of life scores [Incontinence Impact Questionnaire (IIQ-7) and urinary distress inventories (UDI-6)], examination findings, urodynamic results, stress tests, Q tip tests, number of daily pads, ultrasonography, surgery, and cystoscopy results were recorded. Patients were evaluated 23-27 months (mean: 25.40±1.31 months) after their discharge in terms of symptoms, quality of life scores, urodynamic findings, complications, and stress test.
Results: Sixty-three (72.4%) patients had stress incontinence and 24 (27.6%) patients had mixed urinary incontinence. No perioperative complications were observed in our study. After a follow-up period of two years, a significant improvement was detected in the IIQ-7 and UDI-6 questionnaires when compared with the preoperative period. Moreover, the objective cure rate was found as 88.5% (n=77). De novo urge incontinence was obtained in 5.7% (n=5) of patients and was treated with anticholinergics. Perineal pain was present in 3 (3.44%) patients and was treated with analgesics and cold packs. In 2 (2.29%) patients, vaginal mesh erosion was detected and full recovery was achieved with an excision. Urinary retention and bladder perforation was not seen in any patients.
Conclusion: Our study revealed a high objective cure rate, and an improvement in symptoms and quality of life with the transobturator tape operation.
How to cite this:Sik BA, Copur H, Yilda Arzu ABA. The outcomes of transobturator tape intervention in the treatment of stress urinary incontinence: Two years’ follow-up. Pak J Med Sci. 2019;35(2):477-482. doi: https://doi.org/10.12669/pjms.35.2.603
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The Association of Discharge Before Noon and Length of Stay in Hospitalized Pediatric Patients
Authors: James Hailey J , Steiner Michael J , Holmes George M , Stephens John R 
Published: February 2019

BACKGROUND AND OBJECTIVESTo optimize patient throughput, many hospitals set targets for discharging patients before noon (DCBN). However, it is not clear whether DCBN is an appropriate measure for an efficient discharge. This study aims to determine whether DCBN is associated with shorter length of stay (LOS) in pediatric patients and whether that relationship is different between surgical and medical discharges.METHODSFrom May 2014 to April 2017, we performed a retrospective data analysis of pediatric medical and surgical discharges belonging to a single academic medical center. Patients were included if they were 21 years or younger with at least one night in the hospital. Propensity score weighted multivariate ordinary least squares models were used to evaluate the association between DCBN and LOS.RESULTSOf the 8,226 pediatric hospitalizations, 1,531 (18.61%) patients were DCBN. In our multivariate model of all the discharges, DCBN was associated with an average of 0.27 day (P = .014) shorter LOS when compared to discharge in the afternoon. In our multivariate medical discharge model, DCBN was associated with an average of 0.30 (P = .017) day decrease in LOS while the association between DCBN and LOS was not significant among surgical discharges.CONCLUSIONSOn average, at a single academic medical center, DCBN was associated with a decreased LOS for medical but not surgical pediatric discharges. DCBN may not be an appropriate measure of discharge efficiency for all services.
Cheek augmentation with dermal fillers: considerations for optimal results
Authors: Dennison Tracey 
Published: February 2019

The popularity of dermal filler injections to treat a range of aesthetic concerns continues to rise worldwide. One area that can be effectively treated using dermal fillers is the cheeks. A lifted, rounded and volumised cheek can help to reflect ambient light to the eyes and restore a youthful look to the face. However, it is important that the rest of the face is considered when planning treatment, as treating one area and neglecting others can lead to an unbalanced look. Furthermore, female and male patients may desire different treatment outcomes, and it is important that this is considered when developing a treatment plan. This article explores the factors that must be considered when volumising the cheeks using dermal fillers. This includes patient assessment, skin quality, predicting outcomes, managing expectations, and product and volume selection. Differences between treating male and female patients are discussed.
Paul Ricoeur: o el reconocimiento como experiencia de donación mutua
Authors: Rebok María Gabriela 
Published: February 2019

En este artículo se aborda la importancia del reconocimiento mutuo en la filosofía socio-política contemporánea, desde la perspectiva de Ricoeur, y se marca la recepción, pero también la diferencia, respecto de las propuestas de Hegel y su actualización en Honneth. Destacamos que el aporte peculiar de Ricoeur consiste en su énfasis, puesto tanto en el lado activo como en el pasivo del reconocimiento, en un camino que atiende sobre todo a las huellas del don y su agradecimiento, como también a la centralidad del recibir. El nervio es una cierta "generosidad del deseo", su carácter festivo-ceremonial y simbólico, que culmina en estadosdepaz y ágape. El reconocimiento así posibilitado en un régimen de sobreabundancia se revela como fundadorderelación.
Origen y estructura. Análisis de la noción de origen en el pensamiento de H. Rombach
Authors: Garrido-Maturano Ángel E. 
Published: February 2019

El artículo reconstruye las nociones de origen y estructura en el pensamiento de H. Rombach y analiza la significación ontológica y el riesgo antropológico del fenómeno del origen. Primeramente, el análisis indica por qué el origen significa el modo ontológico-trascendental primordial de génesis del ser y resulta irreductible a y presupuesto por las nociones de "fundamento", "causa eficiente" o "inicio". Luego elucida la significación estético-ontológica propia del modo de originar del origen. Finalmente explicita el intento de la voluntad humana de querer convertir el origen en su producto como el riesgo principal que afrontan los procesos de génesis por origen.
Kampung Tematik Sebagai Upaya Melestarikan Seni Dan Budaya Daerah di Jurang Blimbing Tembalang Semarang
Authors: Irhandayaningsih Ana 
Published: February 2019

Kampung tematik sebagai upaya melestarikan Seni dan Budaya daerah di jurang Blimbing Tembalang semarang, merupakan judul dari penulisan ini. Dilatar belakangi dengan keadaan masyarakat yang memiliki potensi seni dan budaya tapi belum dibina secara maksimal yang mendorong penulisan ini. Metode yang digunakan adalah observasi langsung ke lokasi dusun Jurang Blimbing dan wawancara langsung kepada masyarakat yang tahu keberadaan kesenian dan budaya yang ada di Jurang Blimbing. Dari penelitian ini mendapatkan hasil bahwa pembentukan kampung tematik sangat diperlukan sebagai upaya melestarikan seni dan budaya masyarakat. Terutama di dusun Jurang Blimbing ini, pembentukan kampung tematik Seni dan Budaya sangat bermanfaat sekali bagi keberlangsungan seni dan budaya yang ada di masyarakat, terutama seni kuda lumping, kethoprak dan kaligrafi. Selama ini ketiganya sudah ada dalam masyarakat akan tetapi belum dibina secara maksimal sehingga keberadaanya dikuatirkan lambat laun akan hilang jika tidak kita lestarikan. Pembentukan kampung tematik menjadi hal yang sangat penting untuk menunjang pelestraian Seni dan Budaya disamping juga bisa menambah pendapatan masyarakat.
SPATIAL PATTERN OF RICE FIELD PRODUCTIVITY BASED ON PHYSICAL CHARACTERISTICS OF LANDSCAPE IN CITARUM WATERSHED, WEST JAVA, INDONESIA
Authors: Purwono Nugroho , Aprianto Arif 
Published: February 2019

This research analyse the pattern of rice field productivity. It was identified from the characteristics of the land component based on physiographic condition through landscape perspective. Identification of productivity pattern has been done partially based on each typology of land components into several segment of the Citarum watershed, West Java Province, Indonesia. Spatial autocorrelation through GIS tool was used as the method in this research. By using moran’s I (index) measurement, degree of dependency of these variables are generated to find the spatial pattern. The result of this study is separated the value of productivity based on segments of watershed, the values of the average of productivity are upstream (6.39 ton/Ha), middle stream (6.52 ton/Ha), and downstream (7.17 ton/Ha), sequentially. The highest productivity is in the downstream area (9.83 ton/Ha) and the lowest is in the upstream area (4.55 ton/Ha). In accordance with physiographic typology showed the rice field in the middle stream has more variation than the upstream or teh downstream area. The highest of average rice field productivity is on alluvial plain. Overall, the rice field productivity on the hills is higher rather that other types of landform the stuctural formation is more dominant, in addition. The spatial pattern shows the distribution of rice field productivity most likely to clustered based on the similarity of physiographic type. Statistically, it has p-value <0.01 and z-score >2.58 (239.26) correspond to Spatial Autocorrelation (Moron’s I). This positive value means a less than 1% likelihood that this clustered pattern could be result of random choice, which the rice field productivity value has similar pattern to others. Thus, it can be generated that the pattern of rice field productivity has a very close relation with the physical characteristics which associated of each typology of land components.
MAKNA KONSEPTUAL KATA KERJA DERU DALAM ASAHI SHINBUN EDISI 42435 DAN 42437
Authors: Kurniawan Eko 
Published: February 2019

(Title: Conceptual Meaning of Verb Deru in Asahi Shinbun Issue No. 42435 and 42437) This study aims to assess information about the conceptual meaning of verb deru in Asahi Shinbun issue no. 42435 and 42437. Research based on the theory of Kindaichi (1988) for analyzing conceptual meaning of verb deru in many contexts and theory of Bunkacho (1981), Matsuura (1994) for comparing. This is a kind of qualitative research. The method used in this research is the descriptive analysis. Source of data in this study is Asahi Shinbun issue no. 42435 and 42437. While the data in this study are sentences containing verb deru that represent in many contexts. Data collection technique which used is observing method. The results showed, conceptual meaning of verb deru in Asahi Shinbun are based on the theory of Kindaichi (1988) and theory of Bunkacho (1981), Matsuura (1994) for comparing: go out, give argument, enter, go forward, appear, go to office or attend, published, cause, do, answer telephone, follow, experience, have/has, reported, deported and known.
GEISHA : ANTARA TRADISI DAN CITRA BURUK
Authors: Suliyati Titik 
Published: February 2019

Known as a developed and modern country, Japan still preserves traditions imerged and developed since centuries ago. These unique traditions still exist and colour the life of modern Japanese society. One of these traditions that possesed the uniqueness is the life of Geisha . Up till now the life of Geisha is a misterious one and many Japanese people even do not want to know. People outside Japan who do not understand the life of Geisha and Japanese culture consider that Geisha is like a whore. This idea is not entirely true although the profession of a Geisha and a whore is to intertain the guests who hire them. The difference between a Geisha and a whore lies in their training : Geisha should undergo special and phase by phase training. Unlike a whore that depends on her physical beauty and ability to make love, a Geisha not only posseses beautiful physic but she has to posses ability in some tradition ceremonies, conduct and wide general knowledge. Bad impression toward a Geisha is when she did mizuage. Mizuage is to give her virginity to a man that pays her highly. In doing her duty a Geisha does not always give sexual service, but principally she intertain guests by singing, playing musical instrument, dancing, serving tea (cha-no-yu) and chatting with partner. A Geisha gives sexual service only to danna. Pricipally a Geisha can not be called a whore. Keywords : Geisha,Japanese tradition, bad image
HUBUNGAN MANUSIA DAN ETOS KERJA DALAM KOTOWAZA JEPANG
Authors: Trahutami Sri Wahyu Istana 
Published: February 2019

(Title: Human Relationship and Work Ethos in Japanese Kotowaza). Kotowaza ‘proverbs’ are nuggets of traditional wisdom which have been passed down through the ages, can be found in many societies in the world. Proverbs like a guidance for humans to act and behave in their daily lives. We can know how people perceive work through kotowaza. Kotowaza teaching us to work hard, diligent, tenacious and so on. The doctrine of goodness is a guide for the community where the proverbs born.