bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of intratympanic injection of dexamethasone in the treatment of subjective idiopathic tinnitus
Authors: Shetty Sandeep , George Ammu , Chandrashekar Shilpa , Prakash Bhadravathi Ganesh 
Published: June 2019

<p class="abstract"><strong>Background:</strong> To study the efficacy of intratympanic injection of dexamethasone in cases of subjective idiopathic tinnitus.</p><p class="abstract"><strong>Methods:</strong> Prospective interventional study at the Department of ENT, JSS Medical College and Hospital, Mysore, in which 45 patients diagnosed clinically as subjective idiopathic tinnitus, for a duration of 2 years from October 2016 were included in the study. The patients were subjected to 3 intratympanic injections of dexamethasone once in a week for 3 weeks. They received a 0.5 ml intratympanic injection of 4mg/ml dexamethasone solution. After topical anaesthesia, using a 2 ml syringe and a spinal needle no. 22, the assigned solution was administered under direct vision using an endoscope in the postero- inferior quadrant of the tympanic membrane. They were followed up at the end of 1 and 3 months from the last injection. Tinnitus handicap inventory was repeated during the follow up and was compared to the value at presentation. </p><p class="abstract"><strong>Results:</strong> There was a statistically significant improvement in the THI at the first follow up compared with the baseline THI. Whereas there was no statistically significant change in improvement rate from the 1st follow up to the 2nd follow up (p=0.7), however there is decrease in the improvement, which means the improvement is temporary, and starts reverting by the second visit to some extent.</p><p class="abstract"><strong>Conclusions:</strong> It was observed that the improvement in the tinnitus was for a short term after intratympanic injection of dexamethasone.</p>
Isolated teres major rupture in an amaturer volleyball player
Authors: Opondo Everisto A. 
Published: June 2019

<p>Isolated lesions to the teres major muscle are extremely rare. These injuries have been report in cases reports only due to the rarity of these injuries. I report the case of an amateur volleyball player who suffered an isolated injury to the teres major while volleyball for recreational purposes. The clinical presentation was confirmed by clinical examination and MRI scanning. Conservative treatment was chosen and consisted of brief immobilization and analgesics, followed by rehabilitative treatment. The patient recovered quickly from a conservative regime of physiotherapy and analgesics. The results and the data from the literature suggest that non-operative rather than surgical treatment is preferable in isolated lesions to the teres major muscle. </p>
Pre-Exposure Prophylaxis Counseling in a Community Sexual Health Clinic for Men Who Have Sex with Men in Lisbon, Portugal
Authors: Ribeiro Sofia , Rocha Miguel 
Published: June 2019

Introduction: Pre-exposure prophylaxis is defined as the use of antiretroviral drugs to prevent HIV acquisition in uninfected individuals. Recognizing the increasing use of informal pre-exposure prophylaxis in Portugal, CheckpointLX, a community clinic targeted to men who have sex with men in Lisbon, Portugal, began offering counselling and follow-up services prior to formal introduction. This study aims to characterize pre-exposure prophylaxis users attending CheckpointLX before formal pre-exposure prophylaxis introduction in Portugal, and those who were referred to pre-exposure prophylaxis in the National Health Service following formal approval of pre-exposure prophylaxis.Material and Methods: Data was collected by peer counsellors between May 2015 and September 2018 and inserted in a database. Medical care followed the European AIDS Clinical Society recommendations for pre-exposure prophylaxis eligibility, initiation and follow-up. For formal pre-exposure prophylaxis, the General-Directorate for Health’s Pre-exposure Prophylaxis guidelines checklist was used.Results: Until the end of May 2018, CheckpointLX had a total of 90 appointments for wild pre-exposure prophylaxis, of which 64 (71%) were first time visits. As for the 380 service users referred to the National Health Service, most were Portuguese (n = 318, 84%), and the mean age was 31 (8.9) years old. Condomless sex in the last six months with partners of unknown HIV status was the most common eligibility criteria (n = 59, 83%).Discussion: Pre-exposure prophylaxis delivery should be complemented with effective information on the importance of immunization and education on safer practices of drug administration, in the scope of broader preventive sexual health care.Conclusion: Much remains to be done in Portugal to ensure that pre-exposure prophylaxis is available to those who need it the most. Offering pre-exposure prophylaxis at community clinics could be a first step.
Políticas de internacionalización de la educación superior en la Argentina
Authors: Garcia Pablo Daniel , Claverie Julieta , Fernández Lamarra Norberto Rafael 
Published: June 2019

La internacionalización de la educación superior es un fenómeno cercano en el tiempo, el cual ha cobrado mayor impulso hacia finales de la década de los ´80 e inicios de la década de los 90 como producto de los cambios devenidos en las economías y sociedades debido al proceso de globalización. En Argentina y en la región, la internacionalización de la educación superior se ha acentuado en las últimas dos décadas. Esta tendencia se observa en el importante crecimiento de las actividades que académicos de universidades latinoamericanas desarrollan en universidades extranjeras, el alto número de estudiantes que cursan sus estudios en universidades de otros países; la multiplicación de programas de educación a distancia; la aparición de carreras de grado y posgrado con doble titulación; el surgimiento y consolidación de redes universitarias nacionales e internacionales y para la convergencia regional, entre otros aspectos. Este artículo se propone dar cuenta de aspectos generales, lineamientos, objetivos y estrategias puestas en marcha por las políticas de internacionalización de la República Argentina en las últimas décadas y en especial busca dar cuenta de una forma innovadora de desarrollo de la internacionalización: la promoción de las universidades en el exterior. El artículo se ha construido a partir de la recopilación e información pública sobre el desarrollo de los programas vinculados a la internacionalización de la Educación Superior a cargo del Ministerio de Educación de Argentina.El artículo incluye una síntesis teórica de los debates contemporáneos en torno a la internacionalización de la educación superior para luego dar cuenta de las principales acciones de la política pública en lo que respecta a los alcances y desafíos aún pendientes en materia de internacionalización de la educación superior en el país y en particular, del Programa de Promoción de la Universidad Argentina.
El sur global en la educación superior en Uruguay
Authors: Martinez Larrechea Enrique Daniel Andrés , Chiancone Adriana 
Published: June 2019

En el caso de Uruguay, la Universidad de la República constituyó en sí misma el sistema de Educación Superior y las principales iniciativas de internacionalización están de algún modo vinculadas a ella. A partir del año 2000, algunas universidades del emergente subsistema privado desarrollaron asimismo exitosos programas de internacionalización. Sin embargo, la dimensión internacional se orientó principalmente al relacionamiento con otras macro universidades públicas, o con las universidades públicas y privadas del mundo desarrollado. La perspectiva del Sur Global no apareció explicitada en los enfoques locales de internacionalización de la Educación Superior con excepción de la Fundación IUSUR, institución emergente, miembro del Grupo Internacional de Estudios y Pesquisas sobre Educación Superior -GIEPES- coordinado por la Universidad de Campinas -UNICAMP. De acuerdo a lo antes señalado, y en base a análisis documental y revisión bibliográfica, se busca caracterizar el origen, el proceso y los resultados de la internacionalización de IUSUR, como un elemento central de una estrategia regional de desarrollo y que constituye la base misma del proyecto institucional.
Evaluation Study of English Textbook for Indonesian Junior High Schools
Authors: Khusniyah Nurul Lailatul 
Published: July 2019

The aim of this study is to get the quality of the English textbook for Junior High School that was designed by the government. Is it appropriate with the students and context needs? Method of research is the evaluation method through content analysis. Model of evaluation is Discrepancy Evaluation Model (DEM) to know suitability or unsuitability of textbook using criteria of evaluation. The instrument of assessment has 8 criteria, namely goals, approach, language content, skills, topics, methodology, teacher’s book, and practical consideration. Validation of instrument is judgment expert. The result of research found that the English textbook “Bahasa Inggris Think Globally Act Locally Class IX” has a good quality. It can be seen from the percentage of criteria, such as goals 80.8%, approach 82,8%, language content 81%, skills 81,3%, topics 87%, methodology 78.8%, teacher’s book 56.8%, and practical consideration 82.3%.
An Instructional Model for Enhancing EFL Learners' Speaking Proficiency
Authors: Syarifudin Syarifudin 
Published: July 2019

Due to the central role of speaking skill and its escalating demands of instruction in various levels of education in Indonesia, a myriad of teaching approaches and strategies have been applied to equip learners with the competences enabling the development of this skill. As a widespread approach to English language teaching (ELT), which gains its popularity within the context of EFL, Communicative Language Teaching (CLT) is geared towards learners’ communicative competence comprising of grammatical competence, discourse competence, sociolinguistic competence, and strategic competence as the underlying abilities of speaking proficiency. The development of these competences can be better facilitated when learning takes its place both in and outside classrooms as the latter provides potential promises for learners’ speaking proficiency development. For this reason, this paper presents learners’ challenges for learning speaking, the model activities in and outside classrooms, the importance of speaking instruction and the components of communicative competence and speaking proficiency.
ANALISYS OF DUST LEVELS AND MASKS USAGE BEHAVIOR ON RESPIRATORY DISORDER COMPLAINTS OF RICE MILLING WORKERS
Authors: Rahma Ratih Andhika Akbar , Afif A Dian , Bintoro A Elnanda 
Published: June 2019

Background: The Impementation of occupational safety and health at home industry in Ponorogo is not yet optimal, one of them is rice milling industry which produces rice dust during the production process. Dust levels that exceeds the threshold limit value may cause respiratory disoder complaints. The use of masks that conform with standard is one of way to reduce dust exposure to workers. The objective of this research is to analyze the dust level and masks usage behavior on respiratory disorder complaints of rice milling workers in Gegeran Village, Sukorejo, Ponorogo. Methods: This research used the observational analytical method with the cross-sectional design. Its population was 23 workers. The samples of research were taken by using the total sampling technique. Measurement of dust level used high volume sampler. Measurement of masks usage behavior and respiratory disorder complaints used questionnaire. Data analysis used Lambda test in SPSS program version 24. Result: Dust levels of rice milling indoor and outdoor exceeds the threshold limit values, each of them is 598,3 mg/m3 and 11,08 mg/m3. Score of use mask behavior is 72,5%. Rice milling workers that have respiratory disorder complaints is 19 workers (83%). The result of Lambda test shows that there is no significant correlation between dust levels and masks usage behavior with respiratory disorder complaints. Conclusion: Dust levels and masks usage behavior has no significant correlation to respiratory disorder complaints of rice milling workers in Gegeran Village, Sukorejo, Ponorogo.
THE CORRELATION OF CHEMICAL EXPOSURE AND PERSONAL HYGIENE WITH IRRITANT CONTACT DERMATITIS AMONG WORKERS IN THE PRODUCTION WORKER
Authors: Rosanti Eka , Rudyarti Edwina , Diwa Mochammad Azel Putra Sunda 
Published: June 2019

Background: The production process at PT. X using oxalic acid as a mixture of Gum Rosin and Turpentine. Oxalic acid is corrosive and toxic and readily oxidized by water and oxygen that can cause irritation, rashes, burns, and damage to the skin and can cause irritant contact dermatitis. Irritant contact dermatitis cases reached 85% in the workplace. This is caused by direct exposure to chemicals, lack of attention to hygiene, sanitation and the lack of use of personal protective equipment. Purpose: This study aimed to study the correlation of chemicals exposure and personal hygiene with the incidence of irritant contact dermatitis on production workers of PT. X. Methods: This was a quantitative research with cross-sectional approach. The population was 35 workes of PT. X. The sampling technique used total sampling, while data analysis by using Pearson Correlation test. Results: The test results showed that there was a significant correlation between the exposure of the chemical with the occurrence of irritant contact dermatitis with p value = 0.047, whereas the correlation between personal hygiene with the incidence of irritant contact dermatitis with p value = 0.202 (insignificant). Conclusion: the exposure of chemicals significantly correlate with the occurence of contact dermatitis among the workers, while the personal hygiene had no correlation with the occurrence of irritant contact dermatitis of workers.
DETERMINATION OF LOCAL DIAGNOSTIC REFERENCE LEVEL (LDL) PEDIATRIC PATIENTS ON CT HEAD EXAMINATION BASED ON SIZE-SPECIFIC DOSE ESTIMATES (SSDE) VALUES
Authors: Latifah Risalatul , Jannah Naily Z. , Nurdin Dezy Z.I , P Budi 
Published: June 2019

Background: CT Scan provides the biggest contribution in receiving radiation doses in patients. Especially in pediatric patients or children. Local DRL (Diagnostic Reference Level) is an effort to optimize radiation for patients in every health facility. During this time the LDRL value is determined from the CTDIvol displayed from the CT Scan workstation. However, CTDI has a weakness which is irrelevant for wide-beam CT and is only a tool output dose, not paying attention to patient size. SSDE is a dose correction based on the patient's geometry. Purpose: This study aims to determine the estimation of pediatric patient dose profiles on head CT scan based on SSDE values to determine LDRL. Methods: The study was conducted by collecting data on pediatric patient doses with an age range of 0-1 years, 2-5 years and 6-10 years who underwent a head CT scan within the period from July to December 2017. The samples were measured lateral and anterior-posterior diameter for determine the correction factor. The results of the CTDIvol record and conversion factor will determine the SSDE value. The third quartile data from SSDE is specified as LDRL. The SSDE value in the three groups shows the same trend which is smaller than the CTDIvol value. The correction of the factor gives estimates of doses received by patients reduced by 2.6%, 8.5% and 20% respectively for ages 0-1 years, 2-5 years and 6-10. Acceptance of patient doses is influenced by tube tension, filament current, rotation time, scan length, number of phases and pitch. Conclusion: From the results of the SSDE value, DRL values can be determined for the age group 0-1 years, 2-5 years and 6-10 years respectively 23,1±1,5 mGy, 24,3± 1,8 mGy and 27, 5± 10,5mGy.
MENINGKATKAN KEMAMPUAN MENULIS CERITA PENDEK MELALUI MEDIA KLIPING KORAN UNTUK SISWA PAKET C SETARA SMA
Authors: Sadid Agus 
Published: June 2019

Writing is one of the four skills studied in the Indonesian language lesson. Unfortunately, many students find that it is difficult to make a short story. Writing needs the media to pull out ideas when the students write the short stories. This study aims to investigate the usage of the newspaper clipping media to improve the studentsâ€™ short story writing skills. The research method employed was a quantitative approach with a quasi-experiment design and the new version of SPSS data analysis. The research was conducted from April to May 2017 at SKB Sumbawa regency. The findings showed that (1) by using the newspaper clipping media, there was a significant improvement of the package C (equal to Senior High School Level) studentsâ€™ short story writing skills in SKB Sumbawa regency, (2) there was an increase of the post-test result to 80% (Good), (3) the result of t-test was 13.253>1ttable=2.021 which meant that there was a significant correlation of using the newspaper clipping media (x1) to the short story writing skill (x2). Based on the research the result, it is suggested that (1) it is important to use the newspaper clipping media in the writing lesson, (2) a joyful learning should use a media and (3) the usage of the newspaper clipping media is strongly recommended to improve the package C (equal to Senior High School Level) studentsâ€™ short story writing skill.

References
Arsyad, A. (2003). Media pembelajaran. Jakarta: PT. Rajawali Pers.
Arikunto, S. (2010). Prosedur penelitian suatu pendekatan praktik. Jakarta: Rineka Cipta.
Aminuddin. (2014). Pengantar apresiasi karya sastra. Bandung: Sinar Baru Algensindo.
Dalman, H. (2012). Keterampilan menulis. Jakarta: Raja Grafindo Persada.
Daryanto. (2013). Media pembelajaran. Yogyakarta: Penerbit Gava Media.
Kementerian Pendidikan dan Kebudayaan. (2014). Buku siswa bahasa Indonesia ekspresi diri dan akademik (edisi revisi 2014). Jakarta: Pusat Kurikulum dan Pembukuan, Balitbang Kemdikbud.
Poerwadarminta, W.J.S. (1986). ABC karang mengarang. Yogyakarta: U.P.Indonesia.
Rani, A., Arifin, B., & Martunik. (2013). Analisis wacana: Tinjauan deskriptif. Malang: Surya Pena Gemilang.
Syafiâ€™ie, I. (1990). Pragmatik dalam pengajaran bahasa Indonesia dalam antilan purba (ed. Kepragmatikan). Medan: IKIP Medan.
Tarigan, H.G. (2008). Menulis sebagai suatu keterampilan berbahasa. Bandung: Penerbit Angkasa.
Wahidah. (2015). Efektivitas penggunaan model picture and picture dalam keterampilan menulis cerpen siswa kelas X SMA Islam Diponegoro Wagir tahun ajaran 2014/2015. Skripsi. Malang: Universitas Islam Malang.
Wahyuni, S., & Ibrahim, A.S. (2012). Asesmen pembelajaran bahasa. Malang: PT.Refika Adiatma.
Capillary Index Score Derived from Computed Tomography Angiography as An Indicator of Collateral Flow after Acute Ischemic Stroke
Authors: Kai Shang , Zhang Xiaoxing , Li Yuehua 
Published: June 2019

Abstract
Background

The capillary index score (CIS) determined from DSA is used to evaluate cerebral collateral flow in acute ischemic stroke (AIS) caused by cerebral artery occlusion. Our aim was to determine the reliability of CIS calculated from MIP-CTA images as an alternative to DSA-based CIS, as CTA is less invasive and less expensive.

Methods

Clinical and imaging data of 40 patients with AIS caused by cerebral artery occlusion within 6 h from symptom onset were collected. CIS was calculated from CTA and DSA images. Patients were classified into the favorable collateral flow group if CIS was ≥2 (fCIS), and into the poor collateral flow group if CIS was <2 (pCIS). Agreement between the methods was evaluated using the Kappa test. Logistic regression was performed to explore the relationship between CTA-based CIS and clinical outcomes.

Results

The two methods had high consistency (Kappa = 0.72), and the diagnostic accuracy of CTA for CIS classification was 87.5%. The decrease in the NIHSS score at discharge was not significantly different between the fCIS and pCIS groups according to CTA (p = 0.156), while the 90-day mRS was higher in the pCIS group (p = 0.04). High CTA-based CIS and low blood glucose at admission were significantly correlated with good outcome.

Conclusion

CIS calculated using CTA is as reliable as DSA-based CIS for assessing collateral flow in AIS, and is also a good predictor of clinical outcome. This index could be useful for guiding patient selection and treatment strategies for AIS.
Effects of Dexmedetomidine on cerebral oxygen saturation in patients undergoing laparoscopic hysterectomy: a randomised ,parallel-group study
Authors: Yang Qianqian , Qian Haitao , Wang Bing , Duan Fenyu , Zhu Mengxun , Cheng Zhi , Zhang Xiaobao , Zhao Zhibin 
Published: June 2019

Abstract
Abstract
Background:This study is to investigate the relationship between the Trendelenburg position and regional cerebral oxygen saturation (rSO2) during laparoscopic hysterectomy and possible effects of Dexmedetomidine on cerebral hypoxia of patients undergoing this surgery.
Methods: Randomized, prospective and single-blinded study. Patients aged 20 to 65 years are enrolled in this trial,25 in each group. Saline and Dexmedetomidine were infused into petients of Control group and Dexmedetomidine group respectively. Regional cerebral oxygen saturation (rSO2) and hemodynamic parameters were recorded before and after induction of anesthesia and once every 20 min in the Trendelenburg position and 10 min after supine position. We determined prospectively the association of the development of cerebral desaturation and the patient’s position with clinical outcomes of the entire surgery.
Results: There was no significant difference between these groups according to demographic characteristics. Right and left rSO2 values of patients in control group decreased at 20 min,40 min and 60 min in the Trendelenburg position, but they increased 10 min after changed to supine position.For Dexmedetomidine group,rSO2 were improved during the Trendelenburg position constantly. The relationship between rSO2 values and cognitive dysfunction was not significant.
Conclusion:Dexmedetomidine provides higher rcSO2 values during the Trendelenburg position for laparoscopic hysterectomy.
Trial registration: Chinese Clinical Trial Registry. No: ChiCTR1800019174. Prospective registration.
Key words: NIRS,rSO2,Trendelenburg position, Dexmedetomidine
DMFT status in 12 years old Iranian population: A systematic and meta-analysis study
Authors: Amini Saeed , Moradzadeh Rahmatollah , Anbari Zohreh , Nazari Javad , Alimehr Mostafa , Amiresmaili Mohammadreza 
Published: June 2019

Abstract
Backgrouand

Because of the end of permanent teeth eruption duration, 12 years old age has encountered with a great importance. The aim of this study is to determine DMFT status of this age group using systematic review and meta-analysis method.

Methods

Internal and external databases on the basis of inclusion and exclusion criteria were searched using the considered keywords. Heterogeneity and the quality of studies were assessed using I2 index and STROBE checklist. Forest plot was plotted using Random Effects Model. Funnel plot and Eggers’ test used to indicate publication bias.

Results

95 studies with 12145 total persons and 393 mean person in each study were entered to the final step of meta-analysis. Using Random Effects model, total mean DMFT of 12 years olds was estimated 2.01 (1.83-2.19) and separately for girls and boys was estimated 2.10 (1.95-2.26) and 2.16 (1.94-2.38), respectively. Funnel plot and Eggers’ test were insignificant which indicate reliability of the study results and low publication bias.

Conclusion

The results indicated that mean DMFT of 12 years old population is 2.01 which this mean in boys is higher than girls ones. These permanent teethes need to be in the mouth lifetime, but have encountered with problems in the age of eruption. Review and reforms in dental health system seem necessary.