bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ultrasonic cutting and coagulation device versus conventional diathermy dissection in thyroid surgery: prospective randomized trial
Authors: Singhal Aditya , Baskota Dharma Kant , Acharya Kunjan 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The objective of this study was to compare the operative time and postoperative outcomes in thyroid surgeries using the ultrasonic cutting and coagulation device with conventional diathermy dissection. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This study was a prospective, interventional, cohort study. The patients were randomized in two groups by lottery system. The patients operated with ultrasonic device were labeled as Group A: UCCD and by conventional diathermy as Group B: CDD. The operative time, postoperative drain volume, pain score on VAS and complications were assessed and compared in between the two techniques of surgery. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Total of 18 males and 58 females underwent thyroid surgery with age ranging from 17 to 75 years. The operative time in UCCD group was less than CDD group (93.29 min vs. 106.59 min; p=0.06). The cumulative mean amount of drain was found to be less in UCCD group, this difference was statistically significant (77.86 ml vs. 138.05 ml; p=0.00018). The drain was removed earlier in UCCD group, this comparison was also statistically significant (2.49 days in UCCD group vs. 3.02 days in CDD group; p=0.000009). The mean pain score was found to be statistically significant on all the postoperative days in UCCD group. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The patients experienced less pain and complication while using UCCD as technique for surgery. Hence, ultrasonic device using both cutting and coagulating mode at the same time is efficient in hemostasis and lesser post-operative pain, and found to be advantageous.</span></p>
Myringoplasty: underlay versus overlay techniques- a comparative study
Authors: S. G. Mahesh , Pai Vishwas K. , Pavithran Pallavi , P. S. Nithin 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Chronic suppurative otitis media is an inflammation of the mucoperiosteal lining of the middle ear cleft. 10% of Indian population suffers from hearing impairment. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The study comprises of 60 patients admitted in the department of ENT and head and neck surgery, AJIMS, Mangalore between June 2015 and May 2017. All patients suffered from CSOM, tubotympanic type. Selection criteria was patients with CSOM, TTD type with no or minimal SNHL, AB gap more than 20dB, absence of ossicular defects, no history of previous ear surgery and was operated on worse hearing ear. Exclusion criteria were atticoantral disease, ossicular defects, previous ear surgery, otomycosis and systemic diseases. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The majority of the patients were between the age group of 20-40 years. Out of the 60 patients, 28 were male and 32 female. 8 patients with moderate size and 20 with large perforations underwent underlay myringoplasty. For onlay corresponding numbers were 17 and 13. 26 patients (86.7%) who underwent underlay and 27 patients (90%) who underwent overlay had good hearing improvement. 43.3% of the group had significant hearing improvement at 6 months follow up. 20 patients had pneumatised and 40 patients had sclerotic mastoids in the study. Graft take up was 90% for underlay and 96.6% for overlay. The hearing loss was more with larger perforations.18 patients with large perforations who underwent underlay had good hearing improvement versus 13 for overlay whereas for moderate perforations, only 8 patients had good hearing improvement for underlay versus 15 for overlay. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The hearing improvement obtained with underlay and overlay myringoplasty are comparable. The cellularity of mastoid has no influence on the hearing improvement. The size of the perforation correlates well with the degree of hearing loss. Underlay myringoplasty seems to give better results for large perforations, overlay for moderate sized ones.</span></p><p class="abstract"> </p>
Study of pathology of ossicles in non-cholesteatomatous chronic suppurative otitis media, its repair and outcome
Authors: Vijay Bharath Reddy C. R. , Santhosh Reddy M. 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">If the ears have perforation of long standing durations, even without cholesteatomas, they remain infected. Three times as many operations were performed in the United States in 1978 for this disease as were performed for cholesteatoma. The objective of the study was to study of pathology of ossicles in non-cholesteatomatous chronic suppurative otitis media, its repair and outcome. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a clinical study of patients presented to outpatient, department of Vijayanagar Institute of Medical Sciences, Bellary during the period of November 2004 to November 2005 with non-cholesteatomatous chronic suppurative otitis media. This study is aimed to study the various ossicular abnormalities encountered in non-cholesteatomatous chronic suppurative otitis media and their reconstruction techniques. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">12 ears (40%) had central and 18 ears (60%) had subtotal perforation. The average hearing loss in patients with isolated erosion of lenticular process of incus was 50.72±6.95 dB. In our study, autologous incus was used for ossicular reconstruction in 14 (46.67%) patients and homologous septal cartilage in 10 (33.33%) cases. Twenty-nine of the 30 cases underwent myringostapediopexy (type IIIb tympanoplasty) with the ossicular graft as short columella between the tympanic membrane graft and the stapes superstructure. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Excellent results were noted only with the autologous incus graft. 28.57% of the total patients with autologous incus graft showed excellent post-operative results. Good results were found for autologous incus, homologous septal cartilage and teflon PORP, with percentage of 28.57, 50 and 25% respectively.</span></p>
A comparative study of superiorly based circumferential tympanomeatal flap tympanoplasty with anteriorly anchoring flap tympanoplasty in large, subtotal, and anterior tympanic membrane central perforations in chronic suppurative otitis media of mucosal type
Authors: Rathi Amitkumar , Gite Vinod , Bhargava Sameer , Shetty Neeraj 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The main objective of the study was to assess and compare the graft uptake, hearing improvement, complications in large, subtotal, and anterior moderate perforations by each technique viz; superiorly based circumferential tympanomeatal flap tympanoplasty (STT)/full cuff and anterior anchoring flap tympanoplasty (AAT)/anterior tucking. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">In our study of 30 cases age group in the range of 10 years to 60 years. The mean air bone gap for the 8 patients with anterior moderate perforation was 31.75 db, for 17 patients with large central perforations was 38.75 db and for 5 patients with subtotal perforations was 41.4 db. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Mean air bone gap closure after 3 months of surgery in the STT group was 21.4 db while that after 6months of the surgery for the same group was 22.06 db. Mean air bone gap closure after 3 months of surgery in the AAT group was 18.2 db while that after 6months of the surgery for the same group was 18.73 db. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Comparing the air bone gap closure in patients who underwent surgery by AAT and STT technique we found that there is no statistical difference. Both techniques (viz: superiorly based circumferential tympanomeatal flap tympanoplasty and anteriorly anchoring flap tympanoplasty) can be used for the repair of large, subtotal, and anterior tympanic membrane central perforations in chronic suppurative otitis media of mucosal type.</span></p>
Evaluation of efficacy of fixed dose combination of montelukast and levocetirizine compared to monotherapy of montelukast and levocetirizine in patients with seasonal allergic rhinitis
Authors: Bylappa Kiran , Silvia C. R. Wilma Delphine 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Allergic rhinitis (AR) is a global health problem. Almost 10%–25% of population worldwide is affected by AR. Seasonal allergic rhinitis (SAR) is caused by an IgE-mediated reaction to seasonal aeroallergens and is fairly easy to identify because of the rapid and reproducible onset and offset of symptoms in association with pollen exposure. SAR can result in hyperresponsiveness to allergens. Treatment of allergic rhinitis is aimed to achieve optimal symptom control and reduce nasal congestion, sneezing and rhinorrhea over the course of the entire day and night. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Out of total 274 subjects, 92 subjects in the FDC of montelukast 10 mg and levocetrizine 5 mg group, 92 subjects in montelukast 10 mg group and 90 subjects in levocetrizine 5 mg group were enrolled in the study. The total study duration was 16 days. Criteria for evaluation of primary efficacy were mean change in daytime nasal symptoms score from baseline to end of treatment. Mean change in night time symptoms score from baseline to end of treatment. Mean change in daytime eye symptoms score from baseline to end of treatment. Patient's and physician's global evaluation of allergic rhinitis at the end of treatment. Mean change in rhinoconjunctivitis quality-of life score from baseline to end of treatment. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Primary efficacy endpoint that fixed dose combination (FDC) of montelukast 10 mg and levocetirizine 5 mg was superior to montelukast 10 mg monotherapy or levocetirizine 5mg monotherapy in the treatment of patients with seasonal allergic rhinitis. Other secondary endpoints and global impression results are also supporting the therapeutic benefit of fixed dose combination over monotherapy. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">FDC of montelukast 10 mg and levocetirizine 5 mg was superior to montelukast 10 mg monotherapy or levocetirizine 5 mg monotherapy in the treatment of patients with seasonal allergic rhinitis.</span></p>
Clinical findings and risk factors associated with oral cancer: a prospective study
Authors: Gupta Yashna , Singh Parvinder , Bedi Neeru , Garg Pardeep , Singh Banipal Raja Paramjit 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Oral cancer is associated with high morbidity and mortality and therefore it represents a grave health problem worldwide. However there is scarcity of the studies in the literature regarding the prognostic factors amongst the subjects. The aim of the present study is to determine the various risk factors and the most commonly affected sites by the oral squamous cell carcinoma amongst subjects of different age groups. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">The present prospective comparative study was conducted at the Department of Radiotherapy at Guru Gobind Singh Medical College and Hospital during a period of three months i.e. from April 2016 to June 2016. Patients were evaluated every week for a period of approximately 2 weeks. Examination of the oral cavity was done using probe and mouth mirror by trained personnel. TNM classification was used to classify tumour. Patient’s habits like alcohol and tobacco intake were also recorded. Complete demographic information was obtained from all the patients. All the data thus obtained was arranged in a tabulated form and analysed using SPSS software. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The study included a total of 60 subjects. There were 11 females in the study and 49 males in the study. There were 18.3% (n=11) subjects having cancer of tongue. There were 23.3% (n=14) subjects having cancer of buccal mucosa. Alveolar ridge carcinoma was seen in 8.3% (n=5) subjects. There were 22 patients (30%) having stage III carcinoma. Majority of the subjects i.e. 70% (n= 38) were at stage IV A according to TNM classification. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">From the above study we can conclude that there is lack of awareness amongst the people about oral cancer. They mostly present during advanced stage of the disease. Most of the subjects are males, showing there predisposition towards harmful habits.</span></p>
Rhinolith a forgotten entity: our experience in remote hilly population of Uttarakhand
Authors: Bansal Chetan , Singh V. P. , Nautiyal Deeksha 
Published: February 2018

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Rhinoliths are mineralized foreign bodies in the nasal cavity and are diagnosed based on the presenting illness and clinical examination. Giant nasal stones are very rare in occurrence, since improved diagnostic techniques now make it possible to identify foreign bodies at an early stage of disease. The aim of the study was to revisit this rare and forgotten clinical entity with the variations in presentation in the hilly population of uttarakhand and treatment revisited.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We report a case series of 33 patients with rhinoliths who presented to our institute over a period of 10 years, from January 2007 to January 2017. </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Average age was 25.48 years (range: 5 years to 60 years). 19 were female and 14 male. The incident was reported by a family member/attendant in 12.1% of cases (4 cases), discovered following nasal symptoms in 84.84% (28 cases) and was incidentally discovered in 3.03% (1 case). Symptoms comprised rhinorrhea associated with unpleasant nasal odor in 30.3% of cases (10 cases), epistaxis in 15.1% (5 cases), symptoms of sinusitis in 18.12% (6 cases), ozena in 6% (2 cases)and nasal obstruction in 84.84% (28 cases). There was one case of massive bilateral rhinolith presenting with bilateral symptoms which required an open approach in today’s era whereas all other cases were managed endoscopically. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Although rhinoliths are a rare occurrence, attending doctors should be aware of this entity and should have a high index of suspicion in cases with progressive unilateral nasal obstruction, unilateral rhinorrhea, unilateral nasal bleeding. In rare cases, rhinolith should be kept in mind as a differential diagnosis and also in bilateral nasal symptoms also specially if the symptoms are long standing.</span></p>
Effectiveness of minimally invasive endoscopic sinus surgery in alleviating the symptom complex in chronic rhino-sinusitis
Authors: Reddy M. Santhosh , Reddy C. R. Vijay Bharath 
Published: February 2018

<p class="abstract"><strong>Background:</strong> Early surgical intervention has been found to be better in terms of patient satisfaction compared even with the medical management. The objective of the study was to study effectiveness of minimally invasive endoscopic sinus surgery in alleviating the symptom complex in chronic rhino-sinusitis.</p><p class="abstract"><strong>Methods:</strong> Retrospective review of the chronic rhino-sinusitis data of 164 patients done, who undergone functional endoscopic sinus surgery with or without septoplasty between 2005 and 2013. Any recurrence of symptoms and radiological evidence recorded in the patient notes. The number of patients who undergone revision surgery also recorded. </p><p class="abstract"><strong>Results:</strong> The recurrence rate of symptoms and sinus disease was 20% (33 patients). There was no relation between the severity of the symptoms and the amount of disease seen in the CT scans. The two patients, who had purulent sinusitis, WERE completely relieved of their headaches and resumed their routine work soon after the operation. About 90% patients improved regarding nasal obstruction, 75% patients improved of nasal discharge, 60% patients showed improvement for sneezing. There were adhesions in about 6% patients and polyps recurred in 30% of patients. The recurrence of symptoms improved with medication in majority of patients.</p><p><strong>Conclusions:</strong> The meticulously performed functional endoscopic surgery effectively improved symptom complex. If properly performed it is effective in alleviating all the symptoms and decrease recurrence rate and complications can be kept at negligible levels. Hence it offers a clear advantage in reducing complications and recurrence rates in sinus disease. </p>
A retrospective study comparing treatment outcomes of spontaneous healing, scaffolding with silastic sheet and gelfoam in patients with traumatic tympanic membrane perforations
Authors: Patel Monika , Kaushik Maitri , Dehadaray Arun , Gaikwad Viraj 
Published: February 2018

<p class="abstract"><strong>Background:</strong> Objective of the study was to compare the treatment outcome of conservative management, intervention with silastic sheet and gelfoam mixed with autologous blood in traumatic perforations of tympanic membrane.</p><p class="abstract"><strong>Methods:</strong> A retrospective study was conducted on 69 patients; with traumatic ear perforation were treated by conservative management, silastic sheet placement and gelfoam with autologous blood. Patients data every week and minimum of 4 visits was documented. On follow up data was reassessed in terms of symptom improvement, healing of perforation, duration for healing and development of secondary infection. Statistical analysis was done using Fischer’s exact test. </p><p class="abstract"><strong>Results:</strong> Out of the 69 patients group1 consisted of 38 patients, group2 had 19 and group3 had 12 patients. The age ranged from 02-72 years, with greater incidence in females. In group 1 though the healing rate was very good symptom improvement was gradual. The symptom improvement in both group 2 and 3 were satisfactory and highly significant p&lt;0.001. The difference in healing outcome of three modality of treatments was found significant p&lt;0.05 but the occurrence of infection and local reaction did not affect the healing outcome at the end p&lt;0.05.</p><strong>Conclusions:</strong> Traumatic TM perforations have a high chance of healing. Treatment outcome should not consider only healing status as a sole measure but symptom relief from distressing symptoms like ear buzzing or tinnitus and hearing loss should also be considered. Use of scaffolding method can be useful in such cases. Hence selection of proper treatment modality should be considered based on patient complaints.
Rosai Dorfman disease: a case report
Authors: Pol Ong Yazid Bin , Siow Ping Loong , Kiang Khor Foo , Ching Gan Soon , Madatang Angeline Bt , Samsudin Ahmad Toha Bin 
Published: February 2018

<p class="abstract">Rosai Dorfman disease (RDD) is a rare granulomatous disease that typically presents with massive lymphadenopathy. To our knowledge, there have only been 650 cases reported worldwide. It is more common among adults and has characteristic clinical, radiological and histopathological findings. Here, we present a case of RDD in a 51 year-old man with massive submental lymphadenopathy which was not responding to antibiotics. Computerized Tomographic Scan showed ill-defined non-enhancing soft tissue density while fine needle aspiration for cytology displayed emperipolesis which is seen in patients with RDD. The swelling followed a benign course and reduced in size progressively without further intervention.</p><p class="abstract"> </p>
Benign cemento-ossifying fibroma: a rare case report
Authors: Singh Gurbax , Kaur Jasmine , Davessar Jai Lal , Kansal Latika , Singh Ajay 
Published: February 2018

<p>Cemento-ossifying fibroma (COF) is a benign fibro-osseous lesion commonly seen in the head and neck regions. It is considered as a benign, locally aggressive neoplasm that requires surgical excision. COF has traditionally been considered to be slow growing. We report a case of 11 year-old girl who presented to the ENT Department of our hospital with 7 months history of nasal obstruction, proptosis and headache. Computed Tomography scan images showed a mass in the right nasal cavity. This case is notable because involvement of the sphenoid sinus is rare. </p>
The Influence of Classroom Management toward Students’ English Achievement at SMU Muhammadiyah Salatiga (A Case Study of Second Year Students of SMU Muhammadiyah Salatiga in the Academic Year of 2004/2005)
Authors: Triyono Triyono 
Published: February 2018

This research aims to find out the influence of classroom management toward students’ achievement in English. The research was conducted at SMU Muhammadiyah Salatiga, Central Java, Indonesia. The writer focuses on the second year students in the academic year of 2004/2005. It is a Quantitative Research. Questionnaire and direct observation are the instruments used to take the data. The score of classroom management of SMU Muhammadiyah Salatiga is 87.6%, fairly high. While the score level of the second year students of SMU Muhammadiyah Salatiga is 72%. This score level is satisfactory category of achievement level of most students. It means that better classroom management influences better English achievement.Keywords:Classroom Management; Achievement; SMU Muhammadiyah
The Types of Cohesion Used in the ‘Issues of the Day’ Strip in the Jakarta Post
Authors: Agustina Wulan 
Published: February 2018

This study is aimed at describing discourse studies especially at cohesion from reader’s opinion strip. This is literary research, so the writer uses descriptive qualitative approach. In this research, documentation and note taking technique are used to collect the data. There are two objectives of the research: 1) to carry out the types of grammatical cohesion used in the “Issues of the Day” strip in The Jakarta Post on March 2012 edition and 2) to find out the types of lexical cohesion used in the “Issues of The Day” strip in The Jakarta Post on March 2012 edition. After investigating the English sentences used in the “Issues of the Day” strip in The Jakarta Post on March 2012 edition, the writer found several findings as follows: 1) based on the analysis of grammatical cohesion, the writer found there are references, substitutions, ellipsis, and conjunctions; 2) based on the analysis of lexical cohesion, the writer found repetitions, synonyms, hyponyms, meronyms, antonyms, and collocations. The writer expects that it is able to contribute the science of linguistic and able to be guidance for all readers.Keywords:cohesion; ‘Issues of the Day’ strip