bluuebunny/crossref_metadata_2025_split huggingface dataset:
Feasibility of Minimal Inferior Meatal Antrostomy and Fiber-Optic Sinus Exam for Fungal Sinusitis
Authors: Choi Yeonjoo , Kim Bo-Hyung , Kang Sung-Ho , Yu Myeong Sang 
Published: June 2019

Background/objective The aim of this study was to evaluate the usefulness of simultaneous middle and inferior meatal antrostomies (SMIAs) as a treatment modality in patients with maxillary fungal sinusitis and to compare the efficacy of SMIA with that of conventional middle meatal antrostomy (MMA). Methods A retrospective study was performed on consecutive patients with noninvasive fungal maxillary sinusitis. Twenty-one patients underwent endoscopic sinus surgery with SMIA group and the remaining 24 patients were treated with the conventional MMA group. Medical records were reviewed for history, clinical presentation, radiographic findings, surgical intervention, complications, and outcomes. Outcomes consisted of the visual analog scale (VAS) for the main symptoms and maxillary sinus endoscopic scores. The stenosis or obstruction of the antrostomy site and postoperative mucociliary function was also evaluated. Results VAS scores for facial pain and nasal discharge/postnasal drip were significantly improved in the SMIA group. The maxillary endoscopic score was also significantly reduced in the SMIA group. There were no significant differences between 2 groups with respect to the preoperative Lund–Mackay score, VAS score of nasal obstruction, nasal bleeding, postoperative mucociliary function, and MMA patency. Conclusions The SMIA technique is useful for identifying and removing fungal debris that cannot be reached through the MMA and could bring better surgical outcomes.
A Pilot Study of Olfactory Training in Older Hyposmic Adults
Authors: Lamira Jensine M. , Soler Zachary M. , Schlosser Rodney J. 
Published: June 2019

Background Olfactory loss is a common problem that significantly impacts quality of life. Olfactory training (OT) has been used most commonly for viral and traumatic olfactory dysfunction (OD) in younger subjects with hopes of neural regeneration, improved olfactory function, and subjective well-being. The objective of this study was to investigate the impact of a novel form of OT using 12 odors in participants over 45 years of age with objective OD. Methods Twenty-nine participants underwent OT using 12 standardized odor pens for a duration of 6 months. Objective OT of Threshold, Discrimination, and Identification and patient-reported outcomes were assessed at baseline and after 6 months of OT. Results Of the 29 participants who entered the protocol, only 16 subjects completed all 6 months of OT. Significant improvements were seen in overall Threshold Discrimination Identification (TDI; mean 4.40 points, P = .007), Discrimination (mean 1.44 points, P = .019), and Identification (mean 2.02 points, P = .011). Forty-four percent of subjects who completed OT achieved a mean clinically important difference of at least 5.5 points on TDI. Conclusion There was no significant change in patient-reported outcome measures, and no baseline factors were associated with change in olfaction. In this study, OT with 12 odors improves objective olfaction in nearly half of the older adults with OD. Further investigation is necessary to determine the impact of improved olfaction on overall health outcomes.
Acute total hip arthroplasty in acetabular fractures using modern porous metal cup
Authors: Malhotra Rajesh , Gautam Deepak 
Published: June 2019

Purpose: The aim of this study was to report the clinical and radiological outcome of using the modern porous metal cup in patients undergoing acute total hip arthroplasty (THA) for selected subset of acetabular fractures. Patient and methods: Eighteen patients with acetabular fracture underwent acute THA with modern porous metal cup from a single manufacturer. Fifteen males and three females with a mean age of 46.4 years (range 21–57 years) were ambispectively followed up for a minimum period of 48 months. All patients were evaluated clinically with Harris Hip Scores (HHS) and radiographically with serial X-rays. Results: No patient was lost to follow-up. The HHS was excellent in nine patients, good in six patients, fair in two patients, and poor in one patient. All the fractures were united and the cups were well integrated. There was no lucent line seen in any acetabular zones on the X-rays. One patient had infection, which resolved with debridement. There was one dislocation following fall, which was reduced by closed means and remained stable. One of the two patients with heterotopic ossification had restricted movement of hip but not restricting the activities of daily living. No failures of acetabular component were seen in the study. Conclusion: The current study showed that the modern porous metal cup provides sufficient primary stability and appear suitable for primary THA in acute acetabular fractures at mid-term follow-up: (i) In selected fractures, acute THA can be extended to young adult patients as well. (ii) Modern porous metal cup may provide sufficient stability with or without additional fixation required.
Patient-centered benefit-risk analysis of transcatheter aortic valve replacement
Authors: Marsh Kevin , Hawken Natalia , Brookes Ella , Kuehn Carrie , Liden Barry 
Published: June 2019

Background: Aortic stenosis (AS) treatments include surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR). Choosing between SAVR and TAVR requires patients to trade-off benefits and risks. The objective of this research was to determine which TAVR and SAVR outcomes patients consider important, collect quantitative data about how patients weigh benefits and risks, and evaluate patients’ preferences for SAVR or TAVR. Methods: Patients were recruited from advocacy organization databases. Patients self-reported as being diagnosed with AS, and as either having received AS treatment or as experiencing AS-related physical activity limitations. An online adapted swing weighting (ASW) method – a pairwise comparison of attributes – was used to elicit attribute tradeoffs from 93 patients. Survey data were used to estimate patients’ weights for AS treatment attributes, which were incorporated into a quantitative benefit-risk analysis (BRA) to evaluate patients’ preferences for TAVR and SAVR. Results: On average, patients put greater value on attributes that favored TAVR than SAVR. Patients’ valuation of the lower mortality rate, reduced procedural invasiveness, and quicker time to return to normal quality of life associated with TAVR, offset their valuation ofthe time over which SAVR has been proven to work. There was substantial heterogeneity in patients’ preferences. This was partly explained by age, with differences in preference observed between patients <60 years to those ≥60 years. A Monte Carlo Simulation found that 75.1% of patients prefer TAVR. Conclusions: Most AS patients are willing to tolerate sizable increases in clinical risk in exchange for the benefits of TAVR, resulting in a large proportion of patients preferring TAVR to SAVR. Further work should be undertaken to characterize the heterogeneity in preferences for AS treatment attributes. Shared decision-making tools based on attributes important to patients can support patients’ selection of the procedure that best meets their needs.
Prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia
Authors: Koprivnikar Helena , Zupanič Tina , Drev Andreja , Jeriček Klanšček Helena 
Published: June 2019

Introduction: While the co-use of tobacco and cannabis is common among adolescents, no data on this topic is currently available for Slovenia. The purpose of this study was therefore to explore the prevalence and characteristics of tobacco and cannabis co-use in 15-year-old students in Slovenia.Methods: We analysed the data obtained from a representative sample of 15-year-old Slovene students (n = 1615) who took part in the 2014 Health Behaviour in School-Aged Children international cross-sectional survey, and performed a chi-square test and multivariate logistic regression analyses.Results: Lifetime tobacco and cannabis use was reported by 19.5 % of 15-year-old students with no gender difference (p = 0.108) and was associated with history of drunkenness (OR = 8.18, 95 % C.I. 5.74−11.64), friends' use of cannabis (OR = 3.93, 95 % C.I. 2.67−5.79) and tobacco (OR = 1.83, 95 % C. I. 1.25−2.69), and with lower perceived family support (OR = 0.88, 95 % C.I. 0.80−0.97). Current co-use was reported by 7.2 % with no gender difference (p = 0.136) and was associated with a history of drunkenness (OR = 8.06, 95 % C.I. 4.43−14.67), friends' use of cannabis (OR = 3.72, 95 % C.I. 2.23−6.19) and living in a reconstructed family (OR = 3.33, 95 % C. I. 1.74−6.40).Discussion and conclusion: Our study advocates for expanding preventive and cessation programmes from one to more psychoactive substances. Peers and family are the key factors which need to be addressed in theseprogrammes. They can be reached through the school and healthcare systems. Environmental prevention measures, including legislative measures, create environments promoting healthy choices and thus contribute to the reduction of such co-use.
Razlike med ocenjevanjem in samoocenjevanjem kliničnega usposabljanja s strani kliničnih mentorjev in študentov Fakultete za zdravstvo Angele Boškin
Authors: Kalender Smajlović Sedina , Smodiš Marta 
Published: June 2019

Uvod: Klinično usposabljanje študentov zdravstvene nege se zaključi z ocenjevanjem in samoocenjevanjem. Namen raziskave je bil ugotoviti razlike med ocenjevanjem kliničnega usposabljanja s strani kliničnih mentorjev in med samoocenjevanjem s strani študentov visokošolskega strokovnega programa Zdravstvene nege na Fakulteti za zdravstvo Angele Boškin.Metode: Raziskava je temeljila na kvantitativni neeksperimentalni opisni metodi. Podatki so bili zbrani s pisno analizo dokumentov; kot instrument je bila uporabljena primerjalna lista ocen in točk s 122 ocenjevalnih in samoocenjevalnih obrazcev za klinično usposabljanje v študijskem letu 2015/2016. Pridobljeni podatki so bili analizirani s pomočjo opisne statistike, t-testa za neodvisne vzorce in enofaktorske analize variance. Za statistično pomembne podatke so bile upoštevane razlike, kjer je bila vrednost statistične značilnosti p ≤ 0,05.Rezultati: Statistično značilna razlika se pojavlja tako v oceni / samooceni aktivnosti zdravstvene nege (t = 5,519, p < 0,001) kot tudi v oceni/samooceni profesionalnega vedenja na kliničnem usposabljanju (t = 3,686, p < 0,001). Študenti tretjega letnika (n = 41, = 19,6, s = 1,1) se na področju komunikacije samoocenijo z več točkami kot študenti prvega in drugega letnika, čeprav med vsemi tremi letniki ni statistično značilnih razlik (F = 2,907, p = 0,059). Diskusija in zaključek: Klinični mentorji ocenijo izvajanje aktivnosti zdravstvene nege z več točkami kot študenti zdravstvene nege. V točkovanju profesionalnega vedenja na kliničnem usposabljanju se pojavljajo razlike med oceno/samooceno. Raziskava ugotavlja razlike med oceno in samooceno kliničnega usposabljanja s strani študentov Fakultete za zdravstvo Angele Boškin in kliničnih mentorjev.
Zadovoljstvo državljanov Republike Slovenije z zdravstvenimi storitvami v Sloveniji
Authors: Zupanc Terglav Barbara , Selak Špela , Vrdelja Mitja , Kaučič Boris Miha , Gabrovec Branko 
Published: June 2019

Uvod: Merjenje zadovoljstva pacientov z zdravstvenimi storitvami je pomemben kazalec razvoja vsakega zdravstvenega sistema. Zadovoljstvo pacientov je pomemben in pogosto uporabljen indikator za merjenje kakovosti zdravstvene oskrbe. Prispevek se osredotoča na ugotavljanje zadovoljstva državljanov Republike Slovenije s trenutnim zdravstvenim sistemom.Metode: Uporabljena je bila deskriptivna neeksperimentalna vzorčna metoda. Merski instrument je bil strukturiran vprašalnik. Uporabljena je bila metoda snežene kepe. Na spletni vprašalnik je skupno odgovorilo 693 oseb, 488 oseb je vprašalnik v celoti izpolnilo. Podatki so bili analizirani z opisno statistiko, korelacijsko analizo, faktorsko analizo in linearno regresijsko analizo.Rezultati: Sodelujoči v raziskavi v največji meri cenijo prijazen in spoštljiv odnos zdravstvenih delavcev ter njihovo razpoložljivost za hitro pomoč. Negativno ocenjujejo čakanje na obravnavo v čakalnici, telefonsko nedosegljivost, nezanimanje za osebne razmere pacienta in kratek čas obravnave pri zdravniku. Med najpomembnejše spremenljivke, ki vplivajo na zadovoljstvo pacientov, lahko uvrstimo: čakanje v čakalnici na pregled, dovolj časa, ki ga zdravnik nameni pacientu, zanimanje za osebne razmere, zaupanje v strokovne odločitve zdravstvenega osebja, vključevanje v odločanje o zdravljenju in občutek popolnega zaupanja.Diskusija in zaključek: Zdravstveni delavci lahko v zdravstvenem sistemu pomembno vplivajo na zadovoljstvo pacientov. Usmerjenost v kakovostno obravnavo in spoštljivo komunikacijo povečuje zaupanje pacientov v zdravstveni sistem in zaupanje v strokovne odločitve zdravstvenega osebja, kar pa lahko ključno vpliva na uspešnost zdravstvene obravnave posameznika.
Diferensiasi Metode Penentuan Awal Bulan Hijriyah: Kajian Perspektif Teori Evolusi Sosial Herbert Spencer
Authors: Basthoni M 
Published: June 2019

THE -- method of determining the beginning of the month of Hijrah is constantly differentiated. Several approaches have been made by experts to understand the phenomenon, both the socio-cultural comparison approach between the conditions of the Prophet Muhammad's time and the current conditions as well as the astronomical-normative approach to verses that have been the root of these differences of opinion. In contrast to previous studies, this paper tries to find the pattern of the differentiation phenomenon and the background of the occurrence with the perspective of Social Evolution Theory proposed by Herbert Spencer. This study shows that the phenomenon of differentiation is a natural process that sequentially follows the following patterns and stages. (1) the stage of increasing the size, (2) the stage of the complexification, (3) the differentiation stage, and (4) the integration stage.
Turun Melayu: Konstruksi Identitas Orang Dayak Muslim di Desa Kuala Rosan Kalimantan Barat
Authors: Lathifah Af’idatul 
Published: June 2019

The province of West Kalimantan is known as a province inhabited by Dayak etnhnic. However, it cannot be denied that Malay also became the ethnic group dominated the province. The existence of Malay also brings new religion to Dayak, namely Islam. The conversion of the Dayak religion into a Muslim certainly has cultural consequences. Dayak customs that are in part contrary to Islamic teachings must certainly be abandoned. Going down to Malays is the choice of Dayaks when they embrace Islam. Religious conversion is also followed by the conversion of culture, thus forming a new cultural community that is different from the Dayak and at the same time different from the Malays.
Choumiryou dan Harapan Hidup Orang Jepang
Authors: Trahutami Sriwahyu Istana 
Published: June 2019

The life expectancy of Japanese is the highest in the world, an average of 83 - 84 years. This makes Japan a world role model in order to be able to live long and healthy lives. Many factors influence the high life expectancy of Japanese, one of which is food. Japanese food or washoku (和 食) has already become widely known and widely accepted. Along with this, Japanese basic ingredients or choumiryou (調味 料) are becoming well known. The purpose of this study is to describe the influence of choumiryou on the high life expectancy of Japanese. This study used descriptive qualitative method. The results of this study indicate that basic choumiryou has a large influence on the health of Japanese people. Although some basic spices are not good for health, this does not prevent Japanese from consuming them. Japanese consume choumiryou in a safe portion that does not damage health. In addition, the role of the basic choumiryou in the high life expectancy of Japanese people can also be seen from various kinds of substances that are good for health contained in the basic sashisuseso choumiryou. The taste of choumiryou has always been maintained by the Japanese for the sake of acquiring a distinctive Japanese flavor that has a characteristic soft taste.
Komodifikasi Tradisi Bedah Blumbang sebagai Objek Wisata Budaya di Kabupaten Semarang
Authors: Lathifah Af’idatul , Wiyatasari Reny 
Published: June 2019

Tourism is one of the most important sectors in the development process in the country of Indonesia. Cultural tourism development in various regions has led to cultural commercialization practices. Cultural commercialization includes the reconstruction of art and traditions and the practice of everyday life into stage performances that can be enjoyed by tourists. Gintungan Hamlet is one of the hamlets located at the of Mount Ungaran. In this hamlet there is a spring (pennant). The spring has until now become the center of the bedah blumbang ritual. Bedah blumbang that has been going on for decades has inevitably experienced various changes. These changes include changes in the procedures for implementing, completing ceremonies, and involving the community. At the stage of the procession, the tradition of blumbang surgery has become a place for cash exchange market activities with bazaar performances. The commodification of tourism in this blunt surgical tradition has a negative and positive impact. The negative impact is that there are various fundamental changes in its implementation, especially in determining the timing of implementation. The positive impact is that tourism development is also accompanied by infrastructure development that can be used widely by the people of Gintungan Hamlet, the opening of information from inside and outside the hamlet, and revitalizing the tradition of blunt surgery. this research uses ethnographic methods
Performance Evaluation of Hybrid Optical Amplifier for Ultra Dense Wavelength Division Multiplexed Optical Network at Narrow Channel Spacing
Authors: Malik Deepak , Wason Amit 
Published: June 2019

Abstract
In this paper, a competent flat gain hybrid optical amplifier is proposed with an optimum arrangement of erbium doped fiber amplifier (EDFA) and Raman amplifier. Attempts are made to design a hybrid optical amplifier for100 channels, 10 Gbps super dense wavelength division multiplexed (SDWDM) systems at channel spacing of 0.1 nm. Work capacity of the system was compared on the basis of various parameters, viz., noise figure and gain that determined the performance of the system. The gain spectrum of the hybrid optical amplifier depends upon the parameters viz., laser input power, pump power and pump wavelength of the amplifier. It was found that for wavelength range 1,560.38–1,579.59 nm, a flat gain of 4.34 dB is achieved for input power of −10 dB with noise figure variation of 0.818 dB without using any gain flattering scheme. Being simple and cost effective, this hybrid optical amplifier could be recommended for gain flatness characteristics and acceptable noise figure for dense wavelength multiplexed systems.
A New Criterion for Construction of Instability Maps in Hot Deformation
Authors: Salari O. , Abdi A. , Aghaie-Khafri M. 
Published: June 2019

Abstract
A new instability criterion has been developed to identify safe and unsafe regions in hot deformation of metals. The instability function takes into account both the material variable (m) and process variable (ε˙) as well as the efficiency of power dissipation (η). The proposed instability function is based on Narayana Murty’s efficiency of power dissipation expression and can be used for a wide range of materials, including materials in which the stress-strain curve does not obey the power law. Different criteria as well as the new one were used for construction of the instability maps for the Mg-4Sn alloy, single-phase brass, and aluminum alloy AFNOR 7020. Concerning the Mg-4Sn alloy, compression tests were conducted at the temperature range of 300°C–500°C and strain rates of 0.001–1 s−1. It has been shown that the prediction of Prasad and Narayana Murty instability criteria is more conservative than the new presented criterion.
QUALITY IMPROVEMENT OF CAST CYLINDRICAL BAR OF VACUUM INDUCTION MELTING FROM INCONEL 718 ALLOY AT PJSC “RUSPOLIMET”
Authors: Demchenko A. I. , Korzun E. N. , Chernyshov E. A. 
Published: June 2019

The analysis of technological processes of smelting and casting of cylindrical bars from Inconel 718 alloy, obtained in a vacuum induction furnace at PJSC “Ruspolimet”, was performed. The existing technology does not ensure the production of a sound bar of the required quality due to the presence of porosity in the axial zone, and also due to liquation at the macro level of elements such as chromium, nickel, niobium. The results have shown the need to adjust the parameters of casting and solidification of bars from the Inconel 718 alloy. The task to get high-quality sound bar was set without changing the main technical parameters of production, namely: type of furnace – vacuum induction furnace with capacity of 3 tons; material of the furnace lining – ceramics based on aluminum oxide Al2O3 ; type of the casting mold – cylindrical mold for bar diameter of410 mm; diameter of crystallizer for vacuum-arc remelting –450 mm. With the use of the Thermo-Calc program (version 2017a), the solidus temperatures for the equilibrium solidification process and for the non-equilibrium process were clarified, which were 1211 °С and 1091 °С, respectively. Based on the results obtained, the casting speed (SCM LP) system corrects casting speed by reducing the diameter of the casting nozzle from 32 to28 mm and casting temperature by reducing it from 1470 to1460 °C. According to the corrected technology, a batch of bars has been smelted. From the bar of the first batch, transverse templates were selected to determine the chemical composition and longitudinal temp lates for metallographic analysis. Metallographic studies have been carried out that suggest a decrease in porosity of axial zone of the bar and a decrease in phase separation at the macro level. Based on the results obtained, the authors proposed to introduce approp riate changes in casting technology. It is shown that computer modeling of metallurgical processes of metal casting and crystallization allows developing a technology of obtaining a high-quality bar already at the first redistribution, while avoiding appearance of products that do not meet customer requirements.