bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hypercoagulable Thrombophilic Defect and Hyperhomocysteinemia with Recurrent Pregnancy Loss
Authors: Rooplata PG , Prasad Nagendra 
Published: July 2019

ABSTRACTSuccessful fetal outcome in any pregnancy is dependent on adequate placental circulation. Normal physiological changes in pregnancy produce a hypercoagulable state.Placental vasculature abnormalities may result in a number of gestational defects. They also can cause loss of pregnancy, intrauterine fetal death, intrauterine growth retardation, placental abruption, and preeclampsia.Hereditary thrombophilias are usually undiagnosed because most carriers are asymptomatic. Placental perfusion may be compromised by increased thrombosis that leads to pregnancy complications and recurrent pregnancy loss (RPL).We report a case of hypercoagulable thrombophilic defect and hyperhomocysteinemia with RPL.How to cite this articleRooplata PG, Nagarathnamma R, Prasad N. Hypercoagulable Thrombophilic Defect and Hyperhomocysteinemia with Recurrent Pregnancy Loss. J Med Sci 2016;2(3):50-52.
Nitrobenzene along with Organophosphorous Compound Poisoning
Authors: Karthik GS , Hosur Veeresh , Rangalakshmi S 
Published: July 2019

ABSTRACT
Major cause of premature mortality globally and 113,914 suicides are recorded annually from India. Variety of chemicals have been used. Nitrobenzene is used as a pesticide. Here, we report a case of acute poisoning with nitrobenzene which is an organic compound, where clinical evaluation and timely management, helped to save a life.

How to cite this article
Hosur V, Karthik GS, Rangalakshmi S, Sahajananda H. Nitrobenzene along with Organophosphorous Compound Poisoning. J Med Sci 2016;2(3):56-58.
Factors Affecting Quality of Home Based Long-term Care Provision for the Bedridden Patients in Chandigarh, North India
Authors: Singh Tarundeep , Minhas Amarjeet Singh 
Published: July 2019

ABSTRACT

Objective
To determine the factors affecting the quality of home based long-term care (LTC) provision for the adult bedridden patients in Chandigarh, India.

Materials and methods
This cross-sectional study was conducted on 100 bedridden patients in Chandigarh. Disability was assessed using the Katz index and an interview schedule based on Craig handicap assessment and reporting technique (CHART) was used to assess the care provision to the bedridden patients. Available medical records and brief medical examination were also conducted on the spot. Quality of care was assessed based on the Donabedian model. Factors associated with the quality of care provision, based on literature, were examined for association in the study cases.

Results
Mean age of the bedridden patients was 69 years. Sixtyeight patients lived in joint families. All had total dependence in the domains of bathing, dressing, toileting and transfer. The commonest cause of disability was neurological diseases. Mean duration of being bedridden was 16.4 months. Though the rates of complications like urinary infections (89%), bedsores (54%) were quite high, 57% patients reported satisfaction with the quality of care they were receiving. However, only 18 males and 6 females subjects were receiving good quality care according to our evaluation. Ownership of property/money by the subject was the only factor found to be associated with good quality of care. Gender of the subject, degree of disability, type of family in which the subject was living in and whether the patient is currently married or not did not seem to significantly affect the quality of care received by the subjects.

Conclusion
Though more than half of the study subjects reported subjective satisfaction with the quality of care being received, objective evaluation based on the study criteria showed that only a quarter were actually receiving good quality care. Furthermore, the economic worth seemed to positively influence the quality of care being received by the subjects.

How to cite this article
Singh T, Minhas AS. Factors Affecting Quality of Home Based Long-term Care Provision for the Bedridden Patients in Chandigarh, North India. J Postgrad Med Edu Res 2015;49(3):126-131.
Polymyositis
Authors: Cheema Yuvraj Singh , Gupta Parveen , Attri Sahil , Jamdagni Vipin , Mittal Deven 
Published: July 2019

ABSTRACT
Polymyositis is an uncommon inflammatory disease that causes muscle weakness affecting both sides of the body, typically the proximal muscles. Most commonly, it affects adults in their 30s, 40s, or 50s. Signs and symptoms usually develop gradually, over weeks or months. Raised creatinine phosphokinase (CPK) levels are commonly seen during the acute phase. The electromyogram characteristically shows a myopathic pattern. The affected muscles histopathologically demonstrate endomysial inflammation, lymphocytic infiltration, zonalmyofibrillar loss, and perifascicular atrophy. We report a male patient with a classical presentation of polymyositis.

How to cite this article
Cheema YS, Gupta P, Attri S, Jamdagni V, Mittal D. Polymyositis. J Postgrad Med Edu Res 2016;50(4):199-200.
Posttraumatic Late-onset Extradural Hematoma in Dorsal Spine: A Rare Presentation
Authors: Peswani Rahul , Trivedi Adarsh 
Published: July 2019

ABSTRACT
Spinal epidural hematoma is a rare condition, which may be due to trauma, coagulopathy, surgery, or epidural catheterization. Its incidence is estimated at 0.1/100,000/year. We report a case of late-onset extradural hematoma due to trauma causing compression, and was surgically evacuated followed by immediate neurological recovery of patient.

How to cite this article
Peswani R, Trivedi A. Posttraumatic Late-onset Extradural Hematoma in Dorsal Spine: A Rare Presentation. J Postgrad Med Edu Res 2017;51(1):30-32.
Resurgence of Serial Casting in Early-onset Scoliosis: Is It &ldquo;Old Wine served in a New Bottle&rdquo;?
Authors: Gopinathan Nirmal R , Viswanathan Vibhu K 
Published: July 2019

ABSTRACT
Casting as a treatment of scoliosis has been practiced since 1800s. However, the practice fell into disfavor following the serious chest deformities and thoracic constrictions secondary to casting, as well as tremendous improvements in the surgical modalities. Recently, there has been a resurgence of this technique in early-onset scoliosis (EOS) and it has been considered to be a definitive treatment modality and a delaying tactic prior to the inevitable surgery. It carries the triple advantages including correction of the spinal deformity, allowing spinal growth uninterruptedly as well as low complication rates. The current article elaborately discusses the role of serial casting in EOS.

How to cite this article
Viswanathan VK, Gopinathan NR. Resurgence of Serial Casting in Early-onset Scoliosis: Is It “Old Wine served in a New Bottle”? J Postgrad Med Edu Res 2017;51(2):79-83.
Idiopathic Generalized Root Agenesis
Authors: Gauba Krishan , Goyal Ashima , Kapur Aditi , Jaiswal Manoj A 
Published: July 2019

ABSTRACT
The shape and size of tooth roots are genetically predetermined. Clinical defects in root formation can manifest in the form of shortened roots, caused reported either by root agenesis or root resorption. The present case report is of a 17-year-old patient who reported with fully erupted permanent dentition, with roots only half of the normal length as seen in orthopantomograph. In the absence of any other significant finding, it is speculated that the arrested root development was most likely due to a genetic predisposition. Adequate and accurate records are critical from medical and legal point of view in the treatment of patients with potential problems in root agenesis.

How to cite this article
Jaiswal MA, Kapur A, Goyal A, Gauba K, Idiopathic Generalized Root Agenesis. J Postgrad Med Edu Res 2017;51(3):134-136.
Oral Presentation III
Authors: Rasihashemi Seyed Ziaeddin , Ramouz Ali , Rostambeigi Nassir 
Published: July 2019

ABSTRACT

BACKGROUND AND AIMS
Thyroid nodules occur in more than 50% of populations over 50 years, and only 5% of thyroid nodules are malignant. This study was aimed to evaluate Doppler ultrasonography (US) combined with elastography in the diagnosis of the malignant thyroid nodules with suspicious fine needle aspiration cytological (FNAC) results.

METHODS
From August 2012 to March 2013, 107 consecutive patients eligible for thyroid surgery enrolled in the study. All patients underwent FNAC study followed by conventional US, color Doppler US, and US elastography with a real-time instrument. Thyroid nodules ultrasonographic parameters were evaluated during conventional and color Doppler US study and elastography performed in order to calculate the strain index (SI) by dividing the strain value of the nodule by that of the peripheral normal parenchyma, prior to thyroidectomy.

RESULTS
Of 161 nodules in 107 patients, 76 (47.2%) were benign lesions and 85 (52.8%) were malignant. The overall Doppler US score depicted a sensitivity of 64% and specificity of 59%. Using a cut of 2.905, the sensitivity and specificity for elastography US were about 54 and 76% respectively, with positive predictive value of 71.8% and negative predictive value of 59.8%. Evaluating quantitative elastography combined with Doppler US, out of 68 nodules with positive peripheral halo ring, 44 had elasticity ≥ 2.905, which was statistically significant (p < 0.001).

CONCLUSION
Quantitative elastography combined with Doppler US is more accurate in thyroid nodules diagnosis comparing to other methods and can limit the use of FNAC and the subsequent thyroidectomy in patients with nondiagnostic or unsatisfactory cytological findings.
Drug-Induced Bullous Pemphigoid: Expect the Unexpected
Authors: Chandra Jagdish , Chatra Laxmikanth , Prashanth Shenai K , Agrawal Jayshree , Veena KM 
Published: July 2019

ABSTRACT
Several systemic factors are known to contribute oral diseases. At same time, the drugs used for the treatment of such systemic diseases itself might cause spectrum of clinical conditions. The identification of a positive agent becomes difficult when the patient is on multiple drug regimens.
Reporting a case of an elderly female patient, who was on regular medication for hypertension over 5 years, developed generalized bullous eruptions in couple of weeks after being treated with Ciprofloxacin and Paracetamol for urinary tract infection. The dermal lesion worsened with administration of Dapsone.
Spatiotemporal variability and decadal trends of snowmelt processes on Antarctic sea ice observed by satellite scatterometers
Authors: Arndt Stefanie , Haas Christian 
Published: July 2019

Abstract. The timing and intensity of snowmelt processes on sea ice
are key drivers determining the seasonal sea-ice energy and mass budgets. In
the Arctic, satellite passive microwave and radar observations have revealed
a trend towards an earlier snowmelt onset during the last decades, which is
an important aspect of Arctic amplification and sea-ice decline. Around
Antarctica, snowmelt on perennial ice is weak and very different than in the
Arctic, with most snow surviving the summer. Here we compile time series of snowmelt onset dates on seasonal and
perennial Antarctic sea ice from 1992 to 2014/15 using active microwave
observations from the European Space Agency's (ESA) European
Remote Sensing (ERS) 1 and 2 missions (ERS-1 and ERS-2), Quick
Scatterometer (QSCAT), and Advanced Scatterometer (ASCAT) radar
scatterometers. We define two snowmelt transition stages: a weak backscatter
rise, indicating the initial warming and destructive metamorphism of the
snowpack (pre-melt), followed by a rapid backscatter rise, indicating the
onset of thaw–freeze cycles (snowmelt). Results show large interannual variability, with an average pre-melt onset
date of 29 November and melt onset of 10 December, respectively, on
perennial ice, without any significant trends over the study period,
consistent with the small trends of Antarctic sea-ice extent. There was a
latitudinal gradient from early snowmelt onsets in mid-November in the
northern Weddell Sea to late (end of December) or even absent snowmelt
conditions in the southern Weddell Sea. We show that QSCAT Ku-band-derived (13.4 GHz signal frequency) pre-melt and
snowmelt onset dates are earlier by 20 and 18 d, respectively, than ERS
and ASCAT C-band-derived (5.6 GHz) dates. This offset has been considered
when constructing the time series. Snowmelt onset dates from passive
microwave observations (37 GHz) are later by 14 and 6 d than those from
the scatterometers, respectively. Based on these characteristic differences between melt onset dates observed
by different microwave wavelengths, we developed a conceptual model which
illustrates how the seasonal evolution of snow temperature profiles may
affect different microwave bands with different penetration depths. These
suggest that future multi-frequency active and passive microwave satellite
missions could be used to resolve melt processes throughout the vertical
snow column of thick snow on perennial Antarctic sea ice.
Seaport Sustainable: Use of Artificial Intelligence to Evaluate Liquid Natural Gas Utilization in Short Sea Shipping
Authors: González-Cancelas Nicoleta , Serrano Beatriz Molina , Soler-Flores Francisco 
Published: July 2019

Abstract
In the present research, a methodology is developed to determine the relationship between the variables that define the use of liquefied natural gas in short sea shipping in Europe, through the use of data-mining techniques. The project takes place in the European space, which includes data from 30 countries, the 28 members of the European Union plus Norway and Iceland. A Bayesian network is constructed with the 35 indicators selected, which are classified into five different categories: international trade and transport, economy and finance, population and social condition, environment and energy, and institutional and political. It is found that capacity of liquefied natural gas regasification terminals under construction and modal distribution of cargo transport by inland waters are the two root nodes of the network. In addition, the variables of transport and international trade and economy and finance become the most important in the decision to implement liquefied natural gas as marine fuel, while those of environment and energy and population and condition are the most dependent on the network.
طرق المكتبيون العمانيون واستراتيجياتهم في معالجة ارتفاع أسعار مصادر المعلومات الإلكترونية
Authors: العريمي، علي بن حمد بن خميس آل فنة , الحراصي نبهان بن حارث , العوفي علي بن سيف 
Published: July 2019

المستخلص
المكتبات الاكاديمية العمانية وبعد دخولها البيئة الرقمية والاشتراك في مجموعة من قواعد البيانات الإلكترونية
وفقاً لإمكاناتها المادية والتقنية، تأثرت، كحال المكتبات الأخرى، بارتفاع أسعار مصادر المعلومات. هذا التحدي كان
مفصلياً وله أبعاد كثيرة على الاستمرار في التميز في تقديم الخدمات والثبات، إذا لم يكن التنامي، في الاشتراك
في مصادر المعلومات الإلكترونية.
وعليه، فالهدف الرئيسي للدراسة الحالية هو التعرف على الخطط والاستراتيجيات التي أتبعها القائمين
على المكتبات الاكاديمية العمانية في تقليل آثار ارتفاع مصادر المعلومات الإلكترونية. وكنتيجة يمكن النظر في
تجارب عالمية أخرى أدرجتها الدراسات السابقة للنظر في مدى تشابه واختلاف نمط التفكير وأسلوب المعالجة
لهذه القضية. وهنا تكمن أهمية الدراسة كونها تحلل بعمق مدى قدرة مدراء المكتبات الاكاديمية العمانية
في إيجاد بدائل تتوافق من جهة مع رغبتهم ورغبة المستفيدين من مكتباتهم في توفير مصادر معلومات
إلكترونية عالية المستوى، ومن جهة أخرى، التوافق مع الميزانية المحدودة والاستمرار المتزايد في أسعار مصادر
المعلومات الإلكترونية.
ولتحقيق أهداف الدراسة استخدمت الدراسة المنهج الوصفي النوعي القائم على المقابلات الشخصية
المركزة والحوار المتبادل الذي ساعد على التعرف على اختلاف الخطط والاستراتيجيات التي أتبعتها كل مكتبة
ومدى فعاليتها ونتائجها. واشارت نتائج الدراسة بأن معظم المكتبات الاكاديمية العمانية استخدمت اسلوب
التفاوض مع الناشرين لتخفيض السعر مقابل التنازل في بعض الأحيان عن بعض المميزات التي توفرها قواعد
البيانات الإلكترونية كالدخول اللامحدود لأعداد المستفيدين في المرة الواحدة. كما أشارت النتائج الى استخدام
بعض المكتبات للمصادر المفتوحة كبديل لقواعد البيانات التجارية، كما توصلت الدراسة الى أن الاشتراك
التعاوني لمصادر المعلومات الالكترونية لغرض تقليل التكلفة غير ممارس حتى وقتنا الحاضر، عدا تجربة كليات
العلوم التطبيقية التابعة لوزارة التعليم العالي التي وحدت اشتراكها في قواعد البيانات والنظام الإلكتروني.
أوصت الدراسة بالاستفادة الأكبر من المصادر المفتوحة المتاحة عبر شبكة الإنترنت وبذل الجهد في تكشيفها
وتجميعها وعرضها عن طريق الموقع الالكتروني للمكتبات. كما أوصت بتطوير سياسات وتشريعات المكتبات
بحيث تتبنى استراتيجيات تتعلق بالتشارك في مصادر المعلومات الالكترونية، كونها وبحسب دراسة مجموعة
من التجارب الإقليمية والدولية تساهم في تقاسم تكاليف هذه المصادر وتقلل من تأثير ارتفاع الاسعار.
تقنية مراكز المعلومات :استثمار
خفي لقطاع الشركات
Authors: مكاوي محمد 
Published: July 2019

المستخلص لاشك ان المعلومات اليوم تعبتر هي أساس صناعة القرار ، سواء القرار السياسي أو التجاري أو خلافه ،
وبالقطع فان الاستثمار الامثل في أي مجال قائم في الاساس ليس فقط على الحصول على المعلومة ولكن
قائم على توظيف وتطويع المعلومات الصحيحة والدقيقة ، وبناءا علي ذلك فقد فطن مؤخرا جزء كبير
من قطاع الشركات في مصر الي أهمية تقنية المعلومات من حفظ واستدعاء بل وتوظيف المعلومات
محل الاهتمام كل في مجاله ، وأفرد لها جزءا من الميزانية لتطوير قطاعات نظم المعلومات باعتبارها عقل
ومرجعية وتاريخ الشركات وتوجهت الي مايعرف باقتصاد المعلومات.
والدراسة تقدم نموذجًا لقيمة وهوية المعلومات في إطار مجتمع المعلومات ، ثم تسقط هذه الاطلالة
النظرية على النواحي التطبيقية في قطاع الشركات في مصر ومدي الاموال التي يمكن توفيرها من جراء
استخدام تقنية المعلومات المستخدمة في إدارة الوثائق والمستندات والملفات.
وفي النهاية : تستخلص الدراسة عدة توصيات عملية ارشادية للشركات في إطار الاستثمار الامثل لكافة
مواردها.
Features of mobile provider education applications for prehospital trauma life support
Authors: Nieto-Gutierrez Wendy , Aguirre-Tipismana Luis , Torres-Mallma Cristina , Salazar-Rojas Ronald , Taype-Rondan Alvaro 
Published: July 2019

Many educational tools are used for prehospital trauma life support (PHTLS) training, including mobile apps. This study describes the currently available mobile apps for PHTLS training. Systematic searches in the Apple Store, Google Play Store, and BlackBerry World were conducted in December 2015. Two researchers performed all searches independently and collected their findings in different databases, which were later compared. Finally, a descriptive analysis was carried out. A total of 41 mobile apps that fulfilled the inclusion criteria were found. Among these, 97.5% (n = 40) were in English, 58.5% (n = 24) were updated in 2015, and 51.2% (n = 21) were not free. Of the 20 free apps, 85% (n = 17) did not require an internet connection for any function, 70% (n = 14) had no videos or animation, 10% (n = 2) had any game, and 70% (n = 14) had no institutional certification. In conclusion, it was found that PHTLS apps usually lack interactive content and institutional certification, which should be taken into consideration by users and researchers.
Correlation of inferior vena cava ultrasound with packed cell volume and clinical condition in children with dengue fever
Authors: Raman Radhika , Lakshmi Muthukrishnan 
Published: July 2019

Objective: To correlate collapsibility of the inferior vena cava (IVC) with packed cell volume (PCV) and clinical condition and to ascertain IVC collapsibility as a guide to estimate intravascular volume using bedside ultrasonography (USG) in children with dengue fever. Methods: A prospective observational study was conducted in the Pediatric Emergency Department of an academic hospital in India. Clinical data and PCV of children with dengue fever aged between 1 month to 18 years were documented. The collapsibility of IVC was determined using bedside ultrasonogram. Results: IVC collapsibility correlates with high PCV and dengue shock in children (p = 0.000). IVC was not collapsible in children with normal PCV (p = 0.000). The collapsibility of IVC correlated with the need for normal saline bolus (p = 0.000), colloids (p = 0.002), PICU admission (p = 0.015) and mortality (p = < 0.05). Conclusions: The assessment of intravascular volume status by determining IVC collapsibility using bedside USG is a helpful non-invasive tool in children with dengue fever.
Gestational diabetes mellitus screening and obstetrical complications: a review
Authors: Hasseb F. 
Published: July 2019

Gestational diabetes mellitus (GDM) is a common medical complication that can have a profound impact on the mother and infant. It is defined as Carbohydrate intolerance of variable severity with onset or first recognition during the present pregnancy. The definition applies irrespective of whether or not insulin is used for treatment or the condition persists after pregnancy. It does not exclude the possibility that unrecognized glucose intolerance may have antedated the pregnancy.
The fasting plasma glucose levels are lower in normal pregnancy than in the nonpregnant state, and this decline occurs before any rise in fasting plasma insulin levels can be detected. The fasting levels of glucose fall despite a rise in hepatic glucose production, which serves to provide the needs of the developing fetus. The rise in plasma glucose following an oral glucose load or a normal meal is exaggerated. This occurs despite an increase in insulin secretion in response to both oral and intravenous glucose and to normal meals. This indicates that insulin sensitivity declines as pregnancy progresses. The postprandial glucose and insulin levels are increased further in the pregnant woman who is obese. Although glucose tolerance deteriorates in human pregnancy, about 97 to 98% of all pregnant women retain a normal glucose tolerance and only 2 to 3% develop gestational diabetes. However, the prevalence of GDM depends upon the genetic characteristics and environment of the population under study.
Percutaneous transluminal coronary angioplasty experience in qatar: an analysis of more than 600 consecutive procedures
Authors: Gehani A.A. , Horak J. , Banna A. , Hockings B. , Gehani A.A. , Pomposiello J. , Chauhan L. , Hajar H.A. 
Published: July 2019

The present study describes the indications and results of 636 Percutaneous Transluminal Coronary Angioplasty (PTCA) procedures that were carried out in 596 patients. Of these, 366 (61.4 %) patients had Single Vessel Disease (SVD), 183 (30.7%) had Two Vessel Disease (2VD) and 47 (7.8%) had all Three Vessels Diseased (3VD). Dilatation of a single lesion was carried out in 564 (93.5%) patients. In another 41 (6.5%) patients, more than one vessel was dilated. The patients were predominantly male (562/596,93%) with a mean age of 46 (7.9 years. The indication for angiography was angina in 65.8% and for recent Acute Myocardial Infarction (AMI) in 34.2%. The number of procedures increased from 106 in 86-89 to 320 in 92-96 (an increase of 280%).
PTCA was carried out in the same session as the angiography in 113/596 (19%). In the remaining 81%, PTCA was planned as an elective procedure with a similar success rate (85% and 87% respectively, p=N.S). Females and Qatari patients had the highest success rates (97.6% and 90.5%) respectively.
The Left Anterior Descending (LAD) was the most frequently tackled vessel (53% of cases), Left Circumflex (LCX) in 20% and Right Coronary Artery (RCA) in 27%. For coronary stenoses, the overall success rate was 89%, being highest in the LAD (89.5%), lowest for LCX (82%) and moderate for RCA (88%). When faced with a total occlusion the overall success rate was 71% and was highest in RCA (84% success) and lowest in LCX (43%) and moderate in LAD (74%). Major complications were rare with only one mortality (1/596, 0.16%) and four emergency CABG is (4/596, 0.7%). Intracoronary stents were used as a bailout device in five patients and to obtain an optimal result in one patient.
Stents were technically successful in all but one case.