bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTEGRATINGG ORAI APPLICATION IN TEACHING ENGLISH AT SENIOR HIGH SCHOOL
Authors: Halimah Halimah , Helmie Jauhar , Susulawati Nuraeni 
Published: March 2019

As an English teacher in the era of industrial revolution 4.0 it is hoped that a teacher is able to apply any kinds of teaching media to create the teaching and learning atmosphere joyfully and to support in gaining the teaching and learning objectives effectively. There are numerous teaching media based on technology. One of them is Orai Application that is applied in teaching and learning of English especially speaking fluency. Today, all graduates face a world transformed by technology, in which the Internet, cloud computing, and social media create different opportunities and challenges for formal education systems. Higher education in the fourth industrial revolution is a complex, dialectical and exciting opportunity which can potentially transform society for the better. The fourth industrial revolution is powered by artificial intelligence and it will transform the workplace from tasks based characteristics to the human centred characteristics. This paper is aims to explore the use of Orai application in classroom teaching speaking in assisting student’s speaking fluency.
Elektrik Yaralanması Nedeniyle Başvuran Çocukların Klinik, Demografik Özellikleri ve Klinik Sonucu Etkileyen Faktörler: Tek Merkez Çocuk Acil Kliniği Deneyimi
Authors: Berksoy Emel Ataş , Yazıcı Selçuk 
Published: March 2019

Objective: The aim of this study was to determine the demographic and clinical characteristics of childhood electrical injuries and to determine the factors affecting clinical outcome.
Materials and Methods:The data of 112 patients who applied to the emergency department between January 2008 and December 2015 were retrospectively analyzed. The patients were divided into three groups as under 6 years of age, 6 to 10 years old and 10 years of age and over, and the relationship between the groups in terms of electricity supply and voltage, the occurrence of injury, clinical complaints and laboratory values were examined.
Results: 78 (69.6%) of the patients were male and 34 (30.4%) were female. The median age was 5 years (11 months-15 years). 101 of the patients (90.2%) had injured with low-voltage current and 88 (78.6%) were injured in the house environment. According to the electrical source, the most frequent causes of injury were plug sockets under the age of six years (67.9%), electrical cable between the ages of six to ten years (39.4%), electrical devices over ten years of age (41.6%). Two patients had sinus bradycardia and four patients had soft tissue trauma due to fall.None of the patients had deep tissue damage, severe burn and renal failure. Troponin I, liver and kidney function tests, serum electrolytes, leukocyte levels were normal in all patients.Conclusion: The majority of electrical injuries in children were due to low voltage current and preventable household contact. Further investigations may not be required in low-voltage electrical injuries with ...
Clinico-epidemiological profile of malaria cases admitted in a tertiary care hospital, in South India
Authors: Krishna Pankajala Amritha , Kumar Hemant 
Published: March 2019

Background: Malaria is a global health problem leading to huge morbidity and mortality. India accounts for 4% of global malaria cases and 52% of malaria deaths outside the African region. A disease that was relatively unknown in Mangaluru till 1990, has shown consistent rise till 2015 killing nearly 300 people. Though, declining trends are being observed since 2015, yet its incidence continues to be high. Present study was undertaken to study clinical as well as epidemiological factors associated with malaria transmission in Mangaluru.Methods: A record based retrospective study was conducted in A J Institute of Medical Sciences and Research Centre Mangaluru tertiary care hospital. The data was retrieved from the Medical Record Department of the hospital for three years i.e. 2015 to 2017 and analysed.Results: A total of 1779 confirmed cases of malaria were admitted during the study period. Out of these 1309 (73.58%) cases were due P. vivax, 73 (04.10%) cases due to P. falciparum 306 (17.20%) cases had mixed infections while species of remaining 91 (05.11%) cases remained unspecified. A peak in the number of inpatients was seen in June while mean duration of hospital stay was 5.17±3.31 days. A total of 252 (14.16%) patients had one or more severe manifestations of malaria as per WHO guidelines.Conclusions: The present study reveals that majority of admitted malaria cases were young adult males belonged to urban area. Majority of the cases were infected by Plasmodium vivax or had mixed infections.
Nipah virus outbreak in India: is it a bat-man conflict?
Authors: Narayan Vinod A. 
Published: March 2019

Nipah virus infection is a newly emerging zoonotic disease that spreads from animal to human. The fruit bats are the one of the carriers of Nipah virus which gets transmitted from bats to other animals mainly through body fluids. Nipah can cause asymptomatic infection to the acute respiratory syndrome and fatal encephalitis in human beings with a dreadful mortality rate of 70 per cent. This review article focused on role of bats in ecosystem and preventive measure to contain the virus by improving public health. In 2018 the outbreak of Nipah in Kerala state of India claimed 17 lives. It has indeed opened Pandora’s box exposing the role of general public, health department and social media and so on. The early detection and the well-oiled medical infrastructure in the state did wonders. Though social media have been accused of spreading misinformation leading to culling of bats, the people of Kerala responded with positive frame of mind. Prompt and synchronized efforts of all stakeholders like health workers, state government, scientists, researchers and central government led to timely and successful control of Nipah virus cases in Kerala.
Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study
Authors: Al-Zaabi Khalid , Al-Adawi Samir , Jaju Sanjay , Jeyaseelan Lakshmanan , Al-Sibani Nasser , Al-Alawi Mohammed , Al-Abri Mohammed , Al-Abri Rashid 
Published: March 2019

Objectives: This study aimed to evaluate cognitive and behavioural changes among 9–14-year-old Omani children with obstructive sleep apnoea (OSA) after an adenotonsillectomy (AT). Methods: This naturalistic observational study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, between January 2012 and December 2014. Omani children with adenotonsillar hypertrophy (ATH) underwent overnight polysomnography and those with confirmed OSA were scheduled for an AT. Cognitive and behavioural evaluations were performed using standardised instruments at baseline prior to the procedure and three months afterwards. Results: A total of 37 children were included in the study, of which 24 (65%) were male and 13 (35%) were female. The mean age of the males was 11.4 ± 1.9 years, while that of the females was 11.1 ± 1.5 years. Following the AT, there was a significant reduction of 56% in mean apnoea-hypopnoea index (AHI) score (2.36 ± 4.88 versus 5.37 ± 7.17; P <0.01). There was also a significant positive reduction in OSA indices, including oxygen desaturation index (78%), number of desaturations (68%) and number of obstructive apnoea incidents (74%; P <0.01 each). Significant improvements were noted in neurocognitive function, including attention/concentration (42%), verbal fluency (92%), learning/recall (38%), executive function (52%) and general intellectual ability (33%; P <0.01 each). There was a significant decrease of 21% in both mean inattention and hyperactivity scores (P <0.01 each). Conclusion: These results demonstrate the effectiveness of an AT in improving cognitive function and attention deficit hyperactivity disorder-like symptoms among children with ATH-caused OSA. Such changes can be observed as early as three months after the procedure.Keywords: Adenoidectomy; Obstructive Sleep Apnea; Cognitive Function; Behavior; Attention Deficit Hyperactivity Disorders; Children; Oman.
Clinical Aspects, Immunophenotypic Analysis and Survival Rate of Chronic Lymphocytic Leukaemia Patients in Erbil City, Iraq
Authors: Hasan Kawa M. 
Published: March 2019

Objectives: Chronic lymphocytic leukaemia (CLL) is characterised by an accumulation of clonal B cells in the blood, bone marrow and lymphatic tissue. This study aimed to evaluate the clinical and immunophenotypic characteristics and survival rate of CLL patients. Methods: This retrospective study was conducted at the Nanakaly Hospital for Blood Diseases & Oncology in Erbil, Iraq, between January 2011 and December 2017. A total of 105 CLL patients were assessed to determine clinical presentation and staging, immunophenotype and survival rate. Results: The median age of the patients was 65 years and 63.8% were male. The main clinical presentations were splenomegaly (64.8%), pallor (61.9%) and lymphadenopathy (60%). More than half of the patients presented at an advanced clinical stage according to the Rai and Binet staging systems (59.1% and 55.2%, respectively). All CLL cases expressed both cluster of differentiation (CD)19 and CD5, 67.6% had monoclonal kappa light chains and 21% expressed CD38. The five-year overall survival (OS) rate was 61.3%. The mean duration of five-year survival was 41.3 months (95% confidence interval: 36.4–46.3 months). There were no correlations between survival and sociodemographic, clinical or laboratory characteristics. Conclusion: In comparison to the existing Western literature, Iraqi CLL patients more frequently presented with hepatosplenomegaly and at a more advanced clinical stage. In addition, the five-year OS rate was much lower.Keywords: Lymphoproliferative Disorders; Chronic Lymphocytic Leukemia; Immunophenotyping; Survival Rates; Iraq.
Physicians’ Perceptions of Electronic Prescribing with Electronic Medical Records in Kuwaiti Primary Healthcare Centres
Authors: Almutairi Bashair A. , Potts Henry W. W. , Al-Azmi Saadoun F. 
Published: March 2019

Objectives: This study aimed to evaluate physicians’ perceptions of electronic prescribing in Kuwaiti primary healthcare centres. Methods: This cross-sectional study was conducted between June and August 2017 among 368 physicians from 25 primary healthcare centres in Kuwait. Data were collected from the participants using a self-reported questionnaire, including sociodemographic characteristics, previous experience with computers and awareness, knowledge and use of e-prescribing systems and their functional features. In addition, perceptions of the benefits and levels of satisfaction associated with e-prescribing were explored. Results: A total of 306 physicians completed the survey (response rate: 83%). The majority had positive perceptions regarding the use of e-prescribing, particularly in terms of time-savings (86%), healthcare quality (84%), productivity (80%) and clinical workflow and efficiency (83%). However, many respondents indicated that e-prescribing systems required additional improvements in terms of functionality. Conclusion: Most physicians in primary healthcare centres in Kuwait recognised the importance of e-prescribing to improve the quality of patient care, streamline workflow, increase productivity and reduce medical errors. However, there is a need to improve the design and infrastructure of e-prescribing systems, which may aid in the adoption of such systems in Kuwait.Keywords: Computer-Assisted Drug Therapies; Electronic Prescribing; Electronic Medical Records; Physicians; Primary Healthcare; Kuwait.
Knowledge and Attitudes Towards First Aid Measures Among Medical Students at Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
Authors: Alshuwayrikh Abdulrahman , Aljethaily Abdulrahman , Alosaimi Faris , Alshaya Osama , Alasmari Abdullah , Al-Makhdob Mohammed , Alkhonezan Saleh , Khan Salahuddin 
Published: March 2019

Objectives: This study aimed to evaluate knowledge and attitudes towards first aid (FA) measures among medical students at the Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia. Methods: This cross-sectional study was conducted between September and December 2016 among 600 medical students in different academic years at Al-Imam Mohammad Ibn Saud Islamic University. Knowledge and attitudes towards FA measures were evaluated using a modified version of a previously validated questionnaire. Data were compared between students with previous FA training and those without previous FA training. Results: A total of 259 medical students were included (response rate: 43%). Of these, 43% had previously received FA training and 63% had witnessed an emergency first-hand. Mean theoretical (5.93 ± 2.50 versus 4.49 ± 2.08; P <0.001) and practical (4.29 ± 2.62 versus 2.90 ± 2.17; P <0.001) knowledge scores were significantly higher among students with previous FA training compared to those without training; however, there was no significant difference in mean attitude score (5.60 ± 1.66 versus 5.39 ± 1.66; P = 0.329). Conclusion: The medical students, particularly those without previous FA training, demonstrated weak levels of FA knowledge. Such findings necessitate the inclusion of FA training in medical curricula in Saudi Arabia.Keywords: First Aid; Emergency Treatment; Medical Education; Knowledge; Attitudes; Saudi Arabia.
The Effect of a Self-Efficacy-Enhancing Intervention on Perceived Self-Efficacy and Actual Adherence to Healthy Behaviours Among Women with Gestational Diabetes Mellitus
Authors: Al-Hashmi Iman , Hodge Felicia , Nandy Karabi , Thomas Elizabeth , Brecht Mary-Lynn 
Published: March 2019

Objectives: This study aimed to evaluate the effectiveness of a self-efficacy-enhancing intervention (SEEI) on perceived self-efficacy and actual adherence to healthy behaviours among women with gestational diabetes mellitus (GDM). Methods: This comparative pre-post study was conducted at the Antenatal Clinic of the Sultan Qaboos University Hospital, Muscat, Oman, between October 2016 and January 2017. A total of 90 adult Omani women with GDM were randomised to either a control group receiving standard prenatal care or a SEEI group. The SEEI group received an additional health education session and biweekly text messages to encourage adherence to healthy behaviours. All participants completed self-reported standardised questionnaires to determine perceived self-efficacy and actual adherence at baseline and after four weeks. Results: At baseline, there were no significant differences between the control and SEEI groups in mean scores for perceived self-efficacy (122.9 ± 19.9 versus 118.2 ± 19.5; P = 0.26) or actual adherence to healthy behaviours (3.1 ± 1.2 versus 3.2 ± 1.0; P = 0.23). However, after four weeks, there was a significant positive difference between the SEEI and control groups in terms of pre-post change in scores for both perceived self-efficacy (9.9 ± 19.6 versus −1.8 ± 17.6; P <0.05) and actual adherence to healthy behaviours (1.5 ± 1.1 versus 0.4 ± 0.8; P <0.01). Conclusion: The SEEI was found to significantly improve perceived self-efficacy and actual adherence to healthy behaviours among a group of Omani women with GDM.Keywords: Attitude to Health; Health Behaviors; Self Efficacy; Patient Adherence; Gestational Diabetes; Oman.
An Adolescent with Progressive Enlargement of Digits: Case report and proposed diagnostic criteria for macrodystrophia lipomatosa
Authors: Paul Binoy J. , V. Raveendran A. 
Published: March 2019

Macrodystrophia lipomatosa (ML) is a rare congenital non-hereditary condition caused by an increase in all mesenchymal elements. We report a 14-year-old girl who presented to the Medical Outpatient Department, Kunhitharuvai Memorial Charitable Trust Medical College, Kozhikode, India, in 2017 with progressive enlargement of digits. An X-ray and T1-weighted magnetic resonance imaging scan showed enlargement of the phalanges of the middle and index finger of the left hand with an overgrowth of soft tissues. The patient was subsequently diagnosed with ML. As the condition is benign and usually asymptomatic, no medical treatment was deemed necessary. This report describes a case of ML and proposes a set of diagnostic criteria to aid clinicians in the differential diagnosis of the condition.Keywords: Congenital Disorders; Gigantism; Macrodactyly of the Hand; Differential Diagnosis; Case Report; India.
A Case of Pure Matrix Ureteral Stone: A rare type of urinary calculi that may be overlooked
Authors: Elawdy Mohamed M. , El-Halwagy Samer , Razek Yasser A. , Alsenani Abeer R. , Almazroui Sultan 
Published: March 2019

Matrix stones are a rare form of urinary calculi with a low mineral content. We report a 63-year-old female patient who presented to the Sohar Hospital, Sohar, Oman, in 2018 with unexplained left flank pain and constipation. She had a history of chronic renal failure (CRF) and had previously undergone haemodialysis (HD). Non-contrast computed tomography (CT) did not show any renal or urinary stones. However, a left-sided ureteroscopy revealed a yellow-coloured stone that was soft in consistency occupying the proximal 5 cm section of the ureter. Many attempts at forceps extraction were required for complete clearance. A global quantitative composition analysis revealed the extracted stone to be composed entirely of protein-matrix material. Matrix stones require a high index of suspicion as they are sometimes radiolucent and cannot be visualised on CT scans. Risk factors include being female and a history of urinary tract infections, CRF and HD.Keywords: Urolithiasis; Ureteral Calculi; Diagnostic Imaging; Ureteroscopy; Case Report; Oman.
Dialogic teaching in Turkish courses: What the teachers say and what they do?
Authors: Aygun Hanife Esen 
Published: March 2019

In this research, it is aimed to investigate in depth the thoughts and practices of primary teachers regarding the practice of dialogical teaching. This research is designed as a phenomenological. Within the scope of the study, the researcher examined the conditions under which the experiences of dialogic teaching in the learning-teaching process are realised, focusing on the phenomenon of dialogical teaching. Research data are gathered through interviews and observations. 11 primary teachers participated in the interviews as well as with the observations in the classroom of four teachers. In the analysis of the interview data, Moustakas data analysis technique is used. The findings of the interviews show that teachers care about interaction and try to regulate the learning environment accordingly. On the contrary, the findings obtained from the observations do not support the interviews. It is observed that the learning environment is monologue rather than dialogic.

Keywords: Dialogic teaching, primary teachers, interaction in class.
The competency levels of disabled students who study in university
Authors: Godovnikova Larisa V. , Gerasimova Aleksandra S. , Galchun Yana V. , Shitikova Elena V. 
Published: March 2019

The article is devoted to the problem of inclusive education of students with disabilities at the university. The article analyses the study of the readiness of students with disabilities to research activities. The success of studying at a university depends on the psychological readiness of disabled students to educational and professional activities. Research activities are the main type of educational and professional activities. We studied the readiness levels of students with disabilities from the Belgorod State National Research University for the research activities. We obtained interesting data on the levels of the disabled studentsâ€™ readiness to research activities. Most disabled students are not ready for the research activities. Students with disabilities experience difficulties in self-regulation, their goals in research activities are related to internal well-being, the communicative orientation is the leading emotional focus in research activities; the motivation to research activities is reduced. Efforts should be made to improve disabled students' university activities.
Keywords: Disabled students, inclusive education, readiness for research activities, psychological and pedagogical support.
User experience and design thinking as a global trend in healthcare
Authors: Stola Krzysztof 
Published: March 2019

Human-centered design describes a process and methodology that begins and ends with accommodating the needs and desires of our end users – the patients, families, providers, and other stakeholders, who each play a crucial role in the innovative healthcare creation process. Based on the desktop research it was found that human-centered design methodologies and tools are trending in the different fields and areas of healthcare design systems. It was found that customer-centric approach is the key fact of innovation creation process whether it is product or service, technology or organization level. The conclusion is that it is time for healthcare to start solving real people problems by implementing the human-centered approach in order to achieve high results and create innovative solutions that will match their customers and stakeholders needs and desires.
Bilateral Eccrine Angiomatous Hamartoma with Symmetric Volar Wrist Nodules
Authors: Alexander Clayton , McCarthy Edward F. , Puttgen Katherine B. , Deune E. Gene 
Published: March 2019

Case:
We describe a 13-year-old girl with bilateral symmetric eccrine angiomatous hamartoma (EAH) on the volar aspect of the wrists. The lesions were painless and had been enlarging progressively for 1 year; the enlargement of the nodule on the right wrist was more substantial than that on the left wrist. She had palmar hyperhidrosis, which has a known association with EAH.

Conclusion:
To our knowledge, bilateral symmetric EAH has been reported only 3 other times in the literature. In all 3 of these cases, the lesions were on the dorsum of the hands or the wrists. We believe that this is the first report of this rare presentation on the volar aspect of the wrist. The symmetry suggests that the lesions may be the manifestation of a systemic or mechanical cause.
Casuística de Diagnósticos do Laboratório de Patologia Veterinária no ano de 2014
Authors: Mendes Ricardo Evandro , Rhoden Leandro Anderson , Casagrande Renata Assis , Stedille Fernanda Agustini , Christ Ricardo , Piva Manoela Marchezan 
Published: March 2019

Este trabalho apresenta a casuística de diagnósticos no ano de 2014 do Laboratório de Patologia Veterinária do IFC Campus Concórdia. Foram 121 diagnósticos em bovinos, 29 em ovinos e 46 em suínos, totalizando 196. Destes, 165 (84,2%) foram através de necropsias e 31 (15,8%) através de amostras formolizadas enviadas por veterinários. Em bovinos as doenças mais incidentes foram endocardite com 6 casos (5,0%), babesiose e peritonite com 5 casos cada (4,1%); e leucose enzoótica bovina com 4 casos (3,3%). Já em ovinos foi hemoncose com 7 casos (24,1%) e em suínos foi circovirose com 9 casos (19,6%); colibacilose com 7 casos (15,2%) e doença do edema com 6 casos (13,0%).
Casuística de Diagnósticos do Laboratório de Patologia Veterinária no ano de 2015
Authors: Mendes Ricardo Evandro , Rhoden Leandro Anderson , Gabriel Mateus Eloir , Gris Anderson , Cechin Renan Augusto , Baldi Kelen Regina Ascoli 
Published: March 2019

Este trabalho apresenta a casuística de diagnósticos no ano de 2015 do Laboratório de Patologia Veterinária do IFC Campus Concórdia. Foram 212 diagnósticos em bovinos, 24 em ovinos e 52 em suínos, totalizando 196. Destes, 211 (73,3%) foram através de necropsias e 77 (26,6%) através de amostras formolizadas enviadas por veterinários. Em bovinos as doenças mais incidentes foram babesiose com 11 casos (5,2%); hemoncose, intoxicação por Pteridium arachnoideume leucose enzoótica bovina cada um com 10 casos (4,7%); e endocardite com 8 casos (3,8%). Já em ovinos foi hemoncose com 5 casos (21,0%) e suínos úlcera gástrica com 6 casos (11,5%); hepatose dietética com 5 casos (9,5%) e doença de Glässer com 4 casos (7,7%).