bluuebunny/crossref_metadata_2025_split huggingface dataset:
What is actually the warning label on the package of cigarettes?
Authors: Tanasic Branislav R. 
Published: February 2018

The year 1965 was very significant in the history of the tobacco industry. It was passed Cigarette Labeling and Advertising Act, which obliged the tobacco corporations to set up the labels on the health warning on every packet of cigarettes intended for sale in the USA. To remind you, this was passed Cigarette Labeling and Advertising Act, which obliged the tobacco corporations to set up the labels on the health warning on every packet of cigarettes intended for sale in the USA. This work examines the real effect of health warning label on the package of cigarettes. Why such a clear and unambiguous warning text has no influence on reducing the number of smokers. What is the secret of the controversial nature of this label? These are the main questions that this research is trying to resolve. The study involved 50 participants, aged 20 to 40 years, active cigarette smokers with dominant right hand. EEG recorded respecting the prescribed standard of electroencephalographic scanning.Research has shown to what extent the warning label does not affect the smokers to reduce the number of cigarettes but actually incentive the desire to smokers to light up a new cigarette. Conducted EEG monitoring just proved that the warning label is actually hidden message which smokers cannot resist, and this is a feature of the first-class subliminal message.
A clinical study of Fournier’s gangrene and use of honey dressing in treatment
Authors: Ugane Subodh P. , Kalbagwar Shrikant K. , Kurane Sanjot B. 
Published: February 2018

Abstract- backgroundFournier’s gangrene is necrotizing fasciitis involving genitals and perineal regions. Fournier’s gangrene is a surgical emergency. If not treated immediately it spreads rapidly causing septicemia leading to death. Mainstay of treatment is surgical and regular dressing. Various dressing materials are available like eusol, in our study we use Honey as dressing material. This is a small work to attempt to study incidence, etiology and pathogenesis and use of dressing for the treatment of Fournier’s Gangrene.Materials and methods in our study we study 40 male patients of Fournier’s gangrene. We studied clinico- pathology of disease and use of honey dressing for the management of Fournier’s gangrene. Out of 40 patients 18 were treated with honey as dressing material and remaining 22 with eusol.Results- 40 patients were admitted and majority of patients were in age group > 60 years mean age was 54.08 _ 15.47 years. Majority of patients belonged to lower socioeconomic class 82.5%. Most of patients presented in hospital within 7 days of initial symptoms. In this study etiological causes found in 85% of patients and among which most common were urogenital causes 32.5%. Majority of patients had chronic alcoholism and bad hygiene as predisposing factors. 25% were associated with diabetes mellitus. In this study 12% of patients were HIV positive. Most common organism found in pus culture was E.coli (42.5%) followed by Coagulase negative Staphylococci in 32.5%, Klebsiella in 12.5%, Pseudomonas in 7.5% and no organism were isolated in 5%.Mean days required for healthy granulation by honey dressing was 9.62+- 4.5 days and for eusol was 10.5 +- 3.79 days. In our study mortality was 22.5%.
A qualitative study to conceptualize levels of awareness, acceptance and expectations in parents of children with cerebral palsy in Gujarat, India
Authors: Ramanandi Vivek H. , Jayswal Maitry D. , Panchal Dhara N. 
Published: February 2018

Background: Caring for a child with a disability presents a multifaceted challenge for managing and coping with the child’s functional limitations and possible long term dependence to the caregiver and family. A wide range of psychosocial problems are experienced by the parents of children with CP. As an important member of the rehabilitation team, Physiotherapists comes in regular and long term contact with family and care givers of the CP child. This increase responsibilities of a physiotherapist from more than just dealing with sensory-motor rehabilitation of a CP child to understand need and expectations and guide/counsel the caregiver, parents or family as and when needed. Studies like this can provide valuable information for designing a family centered care program for children with CP. Objective of present study was to identify the main concepts which represent levels of awareness, acceptance and their expectations in parents of children with cerebral palsy in Gujarat.Methods: Qualitative research design using in-depth semi structured interviews was used for the study. Total 21 parents were selected using purposive sampling and were interviewed till data saturation was achieved. The main descriptive elements regarding their levels of awareness, acceptance and expectations were extracted using content analysis method.Results: Common themes such as disturbed social relationships, health problems, financial problems, worries about future of the child, need for more support services, and lack of adequate number of trained physiotherapists were experienced by the parents.Conclusions: A wide range of experiences were described by the parents of children with CP. Studies like this can provide valuable information for improving depth and quality of rehabilitation services by a physiotherapist through a family centered care program for children with CP.
Study of renal profile in septicemic neonates
Authors: Bhutada Sharwari J. , Bokade Chandrakant M. 
Published: February 2018

Background: Neonatal sepsis can cause multiorgan involvement causing neonatal morbidity and mortality. The kidneys are an important organ affected in septicemic newborns. In this study we evaluated the renal functions and its association with various risk factors along with outcome in septicemic neonates.Methods: This study was a prospective observational study conducted in a tertiary care teaching hospital. The sample size was 276 cases of septicemic new-borns and study duration was 2 years. The profile of acute renal failure (ARF) and various risk factors were studied in a sample of 276 septicemic neonates. Detailed clinical examination and investigations were done to confirm the diagnosis of neonatal sepsis and the occurrence of ARF was studied among these septicemic newborns. Risk factors like birth weight, gestational age, shock, etiological agents, DIC were studied for the occurrence of ARF and mortality in ARF patients among septicemic neonates.Results: 30.07% of septicemic neonates developed ARF. DIC (p value=0.014), shock (p value=<0.0001), gestational age (p value=0.005), birth weight (p value=0.003), were found to be analytically significant for the occurrence of ARF. Birth weight (p value=0.006), age of onset of sepsis (p value=0.019), shock (p value =<0.0001), oliguria (p value =<0.0001), and DIC (p value=0.015) were significant predictors of mortality in ARF among septicemic neonates.Conclusions: Awareness and early identification of various risk factors and ARF in septicemic neonates can prevent morbidity and mortality among neonates.
Maternal hypothyroidism and neonatal outcome
Authors: R. Shravani M. , D. Tharashree C. , T. Yashodha H. 
Published: February 2018

Background: Hypothyroidism is widely prevalent in pregnant women and the rate of detection, especially in a developing country like India, has not kept pace with the magnitude of the problem. The present study was conducted to evaluate thyroid function in neonates born to mothers with hypothyroidism.Methods: A prospective observational study was conducted in KIMS Hospital Tertiary care center for 6 months. A total of 106 neonates born to mothers with hypothyroidism were included in the study. Thyroid functions of these babies were assessed at 72 hours of life.Results: In present study, 11.8 % of mothers were hypothyroid of which 87 % were subclinical hypothyroidism and 13 % of overt hypothyroidism due to adaptation of universal screening rather than targeted screening for hypothyroidism which would otherwise go unrecognised and untreated.Conclusions: All the babies had normal TSH and T4 levels which was probably due to early diagnosis and timely initiation of treatment to the mothers with hypothyroidism.
Patient satisfaction in health care facility in hilly areas of Uttarakhand
Authors: B. Venkatashiva Reddy , Gupta Arti , Semwal Vandana , Singh Amit Kumar 
Published: February 2018

Background: Patient satisfaction is a proxy indicator of the quality of doctor or hospital performance. The present study aimed at to assess the patient satisfaction in the outpatient department of rural and urban health training centre, Uttarakhand, North India.Methods: A hospital based cross sectional study. Simplified questionnaire was used for interviewing patients. For measurement of patient satisfaction in the outpatient department patient satisfaction questionnaire 18 was used with additional indices for nursing and paramedical staff.Results: A total of 200 patients participated in the study. Overall majority of them were females 112 (60%). Mean age of the patients was 40.4±19.5 years. Mean distance travelled to reach health facility was 13.5±21.6 km. The mean score for general satisfaction was 3.96±0.63, for financial aspects was 3.82±0.71, for accessibility and convenience was 3.81±0.65, for interpersonal manner of doctor 4.29±0.78, for communication of doctor 4.38±0.67, for technical quality was 4.05±0.58 and for time spent during the visit was 4.21±0.70. In the hierarchical stepwise multiple linear regression analysis the final model explained 85% of the variance in patient satisfaction.Conclusions: Overall, patients expressed satisfaction with the care provided. These ratings may reflect modest patients' expectations as well as acceptable circumstances and performance.
Anatomical variations in patients with chronic sinusitis
Authors: Kumarasekaran Pragadeeswaran , Yadhava krishnan Rajprakash Dharmapuri , Sriraman Gurumani 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">C</span><span lang="EN-IN">hronic sinusitis is repeated bouts of acute infection or persistent inflammation of the sinuses. The range of anatomic variants that can interfere with the mucociliary drainage of osteomeatal complex including concha bullosa, deviated nasal septum, uncinate process variations, ethmoid bulla, paradoxical middle turbinate, agger nasi and Haller cells. This is also important in surgeon point of view to know about detail knowledge of lateral nasal wall, paranasal sinuses, surrounding vital structures and anatomical variation. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Observational case series study in which 90 cases of chronic rhinosinusitis patients attending the ENT outpatient department from November-2015 to November-2016 in Shri Sathya Sai Medical college and Hospital, who had chronic sinusitis for more than three months duration not responding to the medical line treatment and who are willing to undergo functional endoscopic sinus surgery are studied and statistically analysed. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In our study we found anatomical variation in 93% of chronic sinusitis patients. In our study it was observed that 52% of patients with two anatomical variation, 41% patients presented with single anatomical variation and 7% patients presented with no anatomical variation. In our study deviated nasal septum was the most common anatomical variant noted followed by unilateral concha bullosa, medialized uncinate process, paradoxical middle turbinate, haller cell and agger nasi. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">In our study it was concluded that presence of anatomical variations is common in patients with chronic sinusitis. Presence of more than one anatomical variations significantly contributes to disease process.<strong> </strong>Deviated nasal septum is the most common anatomical variation in our study followed by concha bullosa, medialized uncinate process.</span></p>
Our experience of auricular hematoma treatment in wrestlers
Authors: Kirdak Vilas R. , Chintale Sambhaji G. , Shaikh Kaleem , Jatale Sonali 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Traditional Indian wrestlers, in contrast to wrestlers outside do not routinely wear protective head gear. So they are at increased risk of recurrent auricular hematoma, often resulting in sever auricular deformity like cauliflower ear or hematoma of ear. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is retrospective study of analysing 40 cases of auricular hematoma in Wrestlers evaluating treatment and outcome in all cases carried out in our institute at JIIUS IIMSR, Warudi, Badnapur, Jalna over period from September 2014 to September 2017 surgical technique used was incision drainage and mattress suture. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The study material comprised of 40 cases all being wrestlers of auricular hematoma using the incision and drainage technique with mattress suture of pinna. All the wrestler were male as the game is predominantly played among men’s in India the average age of patient study was 26 yrs range between 16 to 35 yrs. 16 wrestlers had very bad cauliflowering of the both ear after earlier treatment while 4 patient had cauliflowering of one ear before being seen us for the new auricular hematoma. 8 patients develop second hematoma on the same ear at different location after receiving the treatment after six month while 6 of the patient developed hematoma on the opposite site ear after six month of treatment. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">In the management of auricular hematoma in sport person like wrestler’s simple incision and drainage followed by mattress suture without any pressure bandage with antibiotic application appears to be prompt treatment.</span></p>
Correlation between degree of hearing loss and intraoperative findings in tubotympanic type of chronic suppurative otitis media
Authors: Dudda Ravi , Rangaiah Sowmya Tumkur , Prasad M. Hanumantha , Balaji Nagavara Kalegowda 
Published: February 2018

<p class="abstract"><strong>Background:</strong> The aim of tympanoplasty done for tubotympanic type of chronic suppurative otitis media (CSOM) should not only be to achieve a dry ear, but also to give hearing improvement to the patient. Aim of this study was to determine the correlation between size and site of tympanic membrane perforation with degree of hearing loss and correlation between ossicular chain status and degree of hearing loss on pure tone audiometry.</p><p class="abstract"><strong>Methods:</strong> Patients with tubotympanic CSOM with hearing loss upto 60 dBHL undergoing tympanoplasty were examined to know the site and size of tympanic membrane(TM) perforation. Intraoperative findings pertaining to middle ear and ossicles were noted. </p><p class="abstract"><strong>Results:</strong> Out of 52 patients of tubotympanic type of CSOM, hearing loss was least (31.18±7.46 dBHL) in small perforations of the TM and highest in subtotal perforations (48.74±7.83 dBHL) which was statistically significant. Hearing loss was significantly more in posterior perforation (46.61±7.02 dBHL) than in anterior perforation of TM (32.65±8.77 dBHL).<strong> </strong>There was a statistically significant difference in pure tone average hearing loss between intact ossicle group (32.87±9.77 dBHL)<strong> </strong>and eroded ossicle group (43.39±9.60dBHL). Difference in air bone gap was also significant between intact ossicle group (24.09±9.56 dB) and eroded ossicle group (31.02±9.83 dB). Multiple ossicles were eroded in nineteen patients with incus being the most commonly eroded ossicle.</p><p><strong>Conclusions:</strong> In this study, hearing loss increased with increased size of TM perforation and also with posterior perforation. Incus was found to be the most commonly eroded ossicle. Multiple ossicles were seen eroded most commonly when hearing loss was moderate. The surgeon will be better equipped to do ossiculoplasty in view of these preoperative findings and also to counsel the patient better about their expectation of hearing improvement following surgery. </p>
A clinical study of epistaxis
Authors: Sampigethya Sawanth , Cherian Elizabeth , Pratap Deepika , Mani Ivan , Bhat Vadisha Srinivas 
Published: February 2018

<p class="abstract"><strong>Background:</strong> Epistaxis is one the common emergencies in Oto-rhino-laryngology. It may occur in any age and in either gender. Cause of epistaxis range from simple self-limiting condition to more sinister malignancy which needs a radical approach. Hence, one should evaluate these patients appropriately and identify the cause to treat them accordingly. The present work was undertaken with the aim of studying the demographic profile of patients with epistaxis, its causes and management.</p><p class="abstract"><strong>Methods:</strong> The present study consisted of 60 patients who came with complaint of epistaxis. The patient’s detailed history was obtained. Detailed systemic examination and ENT examination was performed on patients in the study. Patients were investigated and treated as per the standard hospital protocol. </p><p class="abstract"><strong>Results:</strong> Out of the total 60 cases of epistaxis, 65% were males and 35% were females. Most of our cases were aged more than 50 years (31.7%) with mean age of 38.56 years. Most common etiology of epistaxis in present study was hypertension (20%), followed by acute rhino-sinusitis (15%). Commonest cause in children was deviated nasal septum and acute rhinosinusitis while in young adults, trauma was the common cause. Most common cause in elderly was hypertension. Medical management was done in most of the cases (65%) while anterior and posterior packing was done in 20% and 10% cases respectively. Three cases underwent electro-cauterization of bleeding point.</p><p><strong>Conclusions:</strong> Epistaxis can be seen in anyage. However the etiology of this condition varies with age. Understanding of the etiology helps in better evaluation and treatment of the case. </p>
Descriptive Analysis of Writing Composition from the Ideas to the Paragraph
Authors: Nurrohmah Titik 
Published: February 2018

What are the ways to discover the ideas to write? How to organize the ideas into the paragraph? To answer these questions, the writer conducted a qualitative research that the object of the research is writing composition on the discovering the ideas and organize it into paragraph. The writer used descriptive method. For obtaining the data, the writer used library method as the instrument and used secondary sources that constituted secondhand information, such as reference book. Meanwhile, in analyzing the data, the writer used an expository writing. There were several ways in discovering ideas as the result of this study. Those included remembering experience, getting people opinion about particular subject by giving evidence, finding a great deal by asking other people about their experience and going to the library to get any ideas. Whereas, to organize the ideas into paragraph, someone has to do some steps, such as selecting a subject, planning a composition and making an outline.Keywords: Writing Composition; Idea; Paragraph
A Pragmatic Analysis and Sociological Perspective on Pearl S Buck’s The Good Earth
Authors: Santosa Rochmat Budi 
Published: February 2018

This paper observes the struggle for life of East Asia people that was portrayed in the novel The Good Earth. The Good Earth is also portrayal of a true account experienced by its author, Pearl S Buck. She got inspiration from the life of farmer in China. She wrote this novel using the original name as the main character. Those names are Wang Lung and O Lan. They are couple and their life is on farm. The objectives of this study are to find the pragmatic and sociological aspects of the Novel. This research applies content analysis approach to understand the pragmatic and sociological life in Chinese society, especially in the novel. The finding of the study shows that the utterances in the novel reflect various speech acts i.e. expressive, assertive, commisive, persuasive, directive, and phatic. In the sociological aspect, the life of rural people in Chine is somewhat similar with that of in Indonesia. Otherwise, rural people have life style in common i.e. working hard, struggle for life, defending their belonging, and loving the nature. Keywords: pragmatic analysis; sociological perspective; Good Earth.
Automation of sedimentation test
Authors: Turlej T. 
Published: February 2018

Abstract
This paper reports on the development of an automated method to perform sedimentation tests on a suspension, to study the settling and sedimentation behaviour of particle suspension. The standard method for measuring sedimentation rate is the jar test, but this is burdened with some errors: the possibility of misinterpretation of the interface or subjective readings by technicians. In order to overcome these problems, there are many different methods that exclude subjective mistakes. The proposed solution automatically detects the phase separation boundary and, by use of a moving camera, plots the real-time sedimentation curve. The good agreement of settling curves between the manual method, another CCD image processing method and the current technique demonstrates the reliability of the system. This system can be used for testing different types of suspensions. The article presents a comparison of the commonly used method of image analysis and the proposed solution with a tracking camera, based on the example of a coal suspension.
Activity assessment of microalgal-bacterial consortia based on respirometric tests
Authors: Rossi S. , Bellucci M. , Marazzi F. , Mezzanotte V. , Ficara E. 
Published: February 2018

AbstractRespirometric techniques are useful tools to evaluate bacterial activities in activated sludge processes due to their fast execution and the possibility to obtain several kinetic parameters from a single test. Using such techniques in microalgae-bacteria consortia treating wastewater could allow a better understanding of mutual interactions between the microbial populations as a function of environmental parameters. This work aims at developing and testing a novel experimental respirometric protocol to determine oxygen uptake rates and oxygen production rates by a microalgae-bacteria consortium. The defined protocol is characterized by alternating light/dark regimes and by dosing substrates/inhibitors to selectively activate/inactivate microalgal and bacterial metabolisms. The protocol was then applied on microalgal and bacterial consortia, which were grown on the liquid fraction of black water from biogas plants fed on agricultural and municipal waste sludge. Results elucidate the presence and activity of microalgae and nitrifying bacteria in the tested systems, suggesting that the respirometric tests could be included into monitoring procedures of photobioreactors/algal ponds.