bluuebunny/crossref_metadata_2025_split huggingface dataset:
Functional and radiological outcome of proximal femoral nailing versus dynamic hip screw in unstable intertrochanteric femur fractures
Authors: Parikh Kushal Nikhil , Parmar Chintan , Patel Mitesh , Shah Shalin Bharat 
Published: October 2018

<p class="abstract"><strong>Background:</strong> Intertrochanteric femur fractures account half of the hip fractures in elderly, the other majority being neck of femur fracture. 35-40% of intertrochanteric are unstable (Tronzo’s classification type 3, 4 and 5). The dynamic hip screw (DHS) has achieved widespread acclaim in the last few years and is currently considered to be the standard device for outcome assessment. Though, the DHS has been shown to produce good results, but complications are frequent, particularly in unstable inter-trochanteric fracture. The advantage of Proximal Femur Nailing fixation is that it provides a more biomechanically stable construct by reducing the distance between hip joint and implant. The goal of this study is to assess the clinical and radiographical outcomes of the DHS (load bearing implant) and PFN (load sharing implant) for the treatment of Intertrochanteric hip fractures.</p><p class="abstract"><strong>Methods:</strong> We assessed the same in 52 cases of unstable femur fracture 26 operated with DHS and 26 with PFN and followed up with sequential radiographs for radiological union and sequential interview with Harris hip score calculation for functional outcome assessment.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients operated for unstable intertrochanteric femur fracture with Proximal femoral nailing had better Harris hip scores (excellent 4, good 14) compared to dynamic hip screw group (Excellent 6, good 5) and earlier weight bearing (At 18 weeks, 100% in PFN compared to 65.5% in DHS). PFN has lesser incidence of postoperative complications (15% in PFN compared to 38% in DHS).</p><strong>Conclusions:</strong>The proximal femoral nail has better functional outcome in terms of Harris hip score and early radiologic union in unstable intertrochanteric fractures of femur. <p> </p>
Comparison of functional outcome of ultrasound guided glenohumeral and subacromial methylprednisolone acetate injections in frozen shoulder
Authors: Chopra Mayur , Vasdev Attique 
Published: October 2018

<p class="abstract"><strong>Background:</strong> Frozen shoulder also known as adhesive capsulitis is a common cause for limitation of motion and pain of the shoulder joint with an incidence of 2-5% in the general population. The aim of the study was to assess the functional outcome of ultrasound guided glenohumeral and subacromial methylprednisolone acetate steroid injection in patients with frozen shoulder.</p><p class="abstract"><strong>Methods:</strong> 120 patients with frozen shoulder were randomly divided into 2 groups according to site i.e. glenohumeral and subacromial. Ultrasound-guided methylprednisolone acetate (80 mg) injection was administered. At follow up pain was being measured using VAS scale and functional outcome was measured using the DASH score and Constant score at day 0, 1 followed by 1, 3, 6 weeks and at 3 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> The VAS score of glenohumeral decreased from 6.5±0.95 to 2.25±0.86 at 3 months and in subacromial it decreased from 6.37±1.07 to 2.3±0.72. DASH score in glenohumeral group decreased from 66.95±9.9 to 27.45±9.31 at 3 months and in the subacromial group it decreased from 67.52±10.65 to 26.81±11.14 at 3 months. In glenohumeral group Constant score increased from 46.63±7.18 to 72.66±7.38 at 3 months and in the subacromial group it increased from 47.92±6.91 to 70.28±6.97 at 3 months.</p><p class="abstract"><strong>Conclusions:</strong> Spontaneous recovery does not necessarily occur even after a long period, so we recommend that these modalities should be offered to all patients with frozen shoulder and it would be of more value if carried out at an early stage of the disorder.</p>
Role of tourniquet in post-operative pain after total knee replacement surgery: a case control study
Authors: Rai Mayur , Mohapatra Amlan , . Radhesh , Bhandary Bhaskar 
Published: October 2018

<p class="abstract"><strong>Background:</strong> Intraoperative use of tourniquet to double the systolic blood pressure during total knee replacement (TKR) is used commonly for maintaining bloodless field. The aim of this study is to understand the role of tourniquet in post-operative pain after a TKR.</p><p class="abstract"><strong>Methods:</strong> Using a case-control design we enrolled 20 patients who underwent TKR with intraoperative use of tourniquet and 20 age and gender matched controls who underwent TKR without the use of tourniquet, from November 2014 till May 2016 in the Department of Orthopedics at the A.J. Institute of Medical Sciences, Mangalore. Baseline demographic information was collected for all patients and pain was measured using simplified verbal scale (SVS). Statistical analysis was performed using unpaired t-test and ANOVA.<strong></strong></p><p class="abstract"><strong>Results:</strong> Average age of cases and controls was 62.8±7.47 and 63.1±7.21 years respectively, with no significant difference between them. The average SVS score on Day 1 was significantly different between the cases and controls, p value 0.0032. On Day 2 and Day 3 SVS scores were not different significant. For cases the mean difference was 0.77 and -1.3 when we compared scores of SVS on Day 2 and Day 1. For control subjects mean difference was 0.939 and 0.760 when we compared SVS scores on Day 3 and Day 1.</p><p class="abstract"><strong>Conclusions:</strong> We found significantly lower post-operative pain upto Day 3 in patients who underwent TKR without a tourniquet.</p><p> </p>
Devastating complications of intravenous line/drugs extravasation in hand
Authors: Maharaj Ramesh Chandra , Sethy Ram Chandra , Chand Dillip Kumar , Mishra Nihar Ranjan , Panigrahi Sibasish 
Published: October 2018

<p class="abstract"><strong>Background:</strong> Peripheral intravenous (IV) line insertion for treatment purpose is a common practice and a very simple procedure in hospitals undertaken worldwide. These intravascular lines are crucial in resuscitation, allow vital medication to be administrated, and can be used to monitor the patients vital parameters. Thus the complications due to it like phlebitis, leaking or extravasation are usually we come across. This study reviews some serious complications of peripheral intravenous infusion in hand and discusses the treatment approaches and its an endeavour to provide information regarding healthy practise of IV line insertion, recognising complications at the earliest and treat them accordingly.</p><p class="abstract"><strong>Methods:</strong> In our study, we have received 30 cases with devastating complications due to post IV line extravasation in hand in which most of them intervened surgically. Though these complications most of the time subside of its own for which these are frequently underestimated but sometimes there may be serious enough to endanger the limb at risk and threaten the life with devasting complications like septicaemia.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our series, we have got abscess or necrotising fasciitis in (17%), compartment syndrome with VIC (10%), Gangrene (13%), cellulitis (30%), non-healing ulcer (20%), suppurative thrmbophlebitis (10%) etc.</p><p class="Body"><strong>Conclusions:</strong> Hence, this study should encourage the health personnel to have good knowledge about the drug to be used, to practice healthy technique of IV line insertion, to diagnose the complication if any, at a earliest possible time and if the complication is already established, then they should not hesitate to take the help of proper speciality dealing with hand. </p>
COMPARATIVE CHARACTERISTICS OF THE FIT CERAMIC RESTORATIONS ― A PILOT STUDY
Authors: Мирзоева Мария , Mirzoeva Maria , Жолудев Сергей , Zholudev Sergey 
Published: October 2018

Importance. The development of digital dentistry allows the use of new technologies to create orthopedic structures. Scanners in orthopedic dentistry are becoming an integral part of quality prosthetics. To work with new scanners requires not only the ability to perform the scanning procedure itself, but also to understand how accurately the scanner reproduces the surface relief. To determine the contact density of all-ceramic inserts in the removed teeth, this study was carried out.
Objectives. Experimental comparison of the accuracy of the adhesion of all-ceramic inserts made using the VT Dental scanner (Russia).
Methods. The study was conducted at the Department of Orthopedic Dentistry of the State Pedagogical University in the UGMU, in the Urals Branch of the RAS of the Institute of Geology and Geochemistry. acad. A.N. Zavaritsky - in the laboratory of physical and chemical methods of research. Removed molars and premolars of the upper and lower jaws in an amount of 20 pcs. They were processed, prepared under the all-ceramic inserts on the occlusal surfaces. Scanners for registering the relief of cavities: VT Dental (Russia), D500 (3Shape, Denmark), InEos Blue (DentsplySirona, Germany). The device for milling: Wieland dental zenotec select hybrid. The material of the tabs is E.MAX Press (Ivoclar Vivadent, Germany). Cements for fixation: RelyX Ultimate (3M ESPE, USA), Multilink Automix (Ivoclar Vivadent, Germany), MaxCem Elite (Kerr, Italy). The made inserts were fixed in equal parts in the cavities of the removed teeth on the presented cements, longitudinal sections of the remote molars and premolars were created. The method of investigation is scanning electron microscopy. Statistical processing was carried out in Gretl software.
Results. As a result of the scanning electron microscopy of 20 sections in aggregate, data were obtained on the accuracy of the adherence of a ceramic insert made using a VT Dental scanner (Russia) that did not significantly differ from the data obtained with other scanners by 0.4, the scanning accuracy was 95% (CI 1.3-1.9). The results obtained do not exceed the permissible probable error (p≤0,05).
Conclusions. The density of adherence of all-curly inserts in the cavity that were scanned by the VT Dental scanner (Russia) tends to the maximum permissible taking into account the scanning error and in comparison with the world analogues of the scanning device.
Misafir Editörden
Authors: KARTAL Ayça 
Published: October 2018

Değerli okuyucular, Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi’nin, 3-5 Mayıs 2018 tarihlerinde Muş Alparslan Üniversitesi’nde düzenlenen STEM ve Eğitim Bilimleri Kongresi’nin (STEMES’18) Özel Sayısı ile karsınızda olmanın mutluluğunu yaşıyoruz.
GIYÂSÎ VE ŞİİRLERİ
Authors: KESİK Beyhan 
Published: October 2018

Son
yıllarda şiir mecmuaları klasik Türk edebiyatı araştırmacılarının başvurduğu önemli
kaynaklardan biri olmuştur. Derleyicisinin ve yazıldığı dönemin kültürel ve
edebî birikimini de aksettiren bu eserler, divan sahibi ve özellikle de usta
şairlerin beğenilen şiirlerinin yanı sıra bunların divanlarına girmeyen
şiirlerini de ihtiva etmesi bakımından önemli bir kaynaktır. Mecmuaların önemi
bununla sınırlı değildir. Her şeyden önce divan sahibi olmayan, edebiyat
tarihlerinde kendilerine yer bulamayan şairlerin varlığının ispatı mecmuaların
yardımıyla olmuştur. Nitekim, birtakım yeni araştırmalar hiçbir kaynakta adı
geçmeyen şairlerin yaşamış olduğunu bizlere bildirmektedir. Bununla birlikte
bazı kaynaklarda kırıntılar halindeki biyografik bilgilerin arasına
serpiştirilen birkaç beyitle değinilen şairlerin şiirlerine de klasik
edebiyatın kırk ambarı olarak nitelendirilen mecmualarda tesadüf etmekteyiz. Bunlardan
biri de XVI. yüzyıl şairlerimizden Gıyâsî’dir.

Hakkında bilgi edinebildiğimiz tek
kaynak Ahdî’nin Gülşen-i Şu’arâ adlı
tezkiresidir. Gıyâsî, her şeyden önce geleneğin kurallarını bilip bu dairede
şiirler kaleme almış bir şairdir. Bu çalışma ile şair tanıtılıp şiirleri bir
arada verilmeye çalışılacaktır.
Efektivitas Sumber Pembelajaran Sejarah
Authors: Prananda Moh. Namiraz , Sarkadi Sarkadi , Ibrahim Nurzengky 
Published: October 2018

Abstrac: This study aims to describe the effectiveness of learning resources in history learning by using documentary films to foster interest in learning history and nationalism of students. This study uses descriptive qualitative methods. The time for this study began from March to July 2018. At SMAN 61 Jakarta and SMAN 103 Jakarta. Data collection techniques by observation, interviewing informants were students who took history learning with the documentary film media and key informants, subject teachers who used the Opinion expert documentary. This study describes some of the findings and discussion of the research, namely what the teacher's goal is to use the documentary, how students' interest in learning after watching the film and the film can foster student nationalism. The goal of the teacher to use documentary films as a medium is to help students make it easier to absorb the lessons that teachers convey. In terms of interest, students are more interested in learning history and learning independently. The film effectively fosters student nationalism. students better understand the meaning of Indonesian nationalism after doing the learning.
Abstrak: Penelitian ini bertujuan untuk mendeskripsikan efektivitas sumber belajar pembelajaran sejarah dengan menggunakan film dokumenter untuk memupuk minat belajar sejarah dan nasionalisme siswa. Penelitian ini menggunakan metode deskriptif kualitati. Waktu penelitian ini dimulai dari maret sampai juli 2018. Di SMAN 61 Jakarta dan SMAN 103 Jakarta. Tehnik pengumpulan data dengan observasi, wawancara informan yaitu siswa yang mengikuti pembelajaran sejarah dengan media film dokumenter tersebut dan key informan, guru mata pelajaran yang menggunakan film dokumenter expert Opinion. Penelitian ini menjabarkan beberapa temuan dan pembahasan penelitian yaitu apa tujuan guru menggunakan film dokumenter tersebut, bagaimana minat belajar siswa setelah menonton film tersebut serta filmtersebut dapat memupuk nasionalisme siswa. tujuan guru menggunakan film dokumenter sebagai media adalah untuk membantu siswa agar lebih mudah untuk menyerap pelajaran yang guru sampaikan. Untuk segi minat, siswa lebih terterik belajar sejarah danbelajar secara mandiri. Film tersebut efektif memupuk nasionalisme siswa. siswa lebih mengerti makna dari nasionalisme Indonesia setelah melakukan pembelajaran tersebut.
Penggunaan Novel Sejarah sebagai Sumber Belajar Sejarah
Authors: Khotimah Khusnul 
Published: October 2018

This study aims to find out how the use of historical novels as a source of learning in 15 State Senior High School of DKI Jakarta. The research method is descriptive method on survey technique, survey using Proportional Random Sampling technique.The results show that history teachers have a lot to know about the history novel. Nevertheless, the historical novel has not been widely used by history teachers. there are factors that have been used or not used the historical novel as a source of learning. The internal factors used by history novels by teachers are personally teachers depart from the hobby of reading fiction books especially historical novels and external factors the use of historical novels is that teachers feel the curriculum and school environment support the use of free and creative learning resources. Meanwhile, internal factor is not used by history novel by teacher is teacher do not know about the history novel external factor is, teacher feel student tend not interested to read. Both those who have used and have not used argue that the library in school is not sufficient enough for the availability of story books and novels about history. The benefits of using novel history according to the teacher is as one of the media development of literacy and can explain the imaginative nature and teachers are interested in using historical novels to support the affective side of students.

Penelitian ini bertujuan untuk mengetahui bagaimana penggunaan novel sejarah sebagai sumber belajar di 15 SMA Negeri DKI Jakarta. Penelitian ini menggunakan metode deskriptif dengan teknik survey, surve menggunakan teknik Proportional Random Sampling. Hasil penelitian menunjukan bahwa guru sejarah sudah banyak mengetahui tentang novel sejarah. Meskipun begitu, novel sejarah belum cukup banyak digunakan oleh guru sejarah. Terdapat faktor atas sudah digunakan atau belum digunakannya novel sejarah sebagai sumber belajar. Faktor internal digunakannya novel sejarah oleh guru adalah secara pribadi guru berangkat dari hobi membaca buku fiksi terutama novel sejarah dan faktor eksternal digunakannya novel sejarah adalah guru merasa kurikulum dan lingkungan sekolah mendukung penggunaan sumber belajar yang bebas dan kreatif. Sementara, faktor internal tidak digunakannya novel sejarah oleh guru adalah guru tidak mengetahui tentang novel sejarah faktor eksternalnya adalah guru merasa anak didik cenderung tidak tertarik untuk membaca. Baik yang sudah menggunakan maupun belum menggunakan berpendapat bahwa perpustakaan di sekolah tidak cukup memadai untuk ketersediaan buku-buku cerita dan novel tentang sejarah. Adapun manfaat menggunakan novel sejarah adalah sebagai salah satu media pengembangan literasi dan dapat menjelaskan yang sifatnya imajinatif dan guru berminat menggunakan novel sejarah guna menunjang sisi afektif siswa.
Focal choroidal excavation complicated with choroidal neovascularization in young and middle aged patients
Authors: Tang Wenyi , Zhang Ting , Shu Qinmeng , Jiang Chunhui , Chang Qing , Xu Gezhi , Zhuang Hong 
Published: October 2018

Abstract
Background

To investigate the clinical and optical coherence tomography (OCT) features of focal choroidal excavation (FCE) complicated with choroidal neovascularization (CNV) in young and middle aged patients.

Methods

We performed a retrospective review of 26 patients with FCE accompanied by CNV. All patients underwent a complete ophthalmic examination. We analyzed the clinical characteristics of patients, focusing on the spectral-domain OCT features. All patients received intravitreal injection of anti-vascular endothelial growth factor (anti-VEGF) agents. And we assessed the changes of central retinal thickness and best-corrected visual acuity (BCVA) after anti-VEGF therapy.

Results

The mean age of 26 patients was 35.5 ± 7.3 years (range, 21 - 48 years). Of the 26 FCE lesions, 11 were located subfoveally, 6 were parafoveal, and 9 were extrafoveal. The mean FCE depth was 129.8 ± 50.3 μm, and the mean width was 901.3 ± 306.0 μm. The FCE depth was correlated positively with the width, but not correlated with age or refractive error. CNV was located within the excavation (19 eyes) or adjacent to the excavation (7 eyes). After anti-VEGF therapy, the central retinal thickness was significantly reduced and the BCVA was significantly improved. In the absorption process of subretinal fluid, we found that the fluid in the excavations needed to be absorbed at the last. A small amount of residual fluid could still be seen in a few deep excavations even after a long-term follow-up.

Conclusions

FCE may be an important reason to cause CNV. Especially in young patients with idiopathic CNV, we should pay attention to the use of OCT to check the presence of FCE. Anti-VEGF therapy is generally effective for CNV associated with FCE.
Laboratory-scale investigation on the role of microalgae towards a sustainable treatment of real municipal wastewater
Authors: Petrini S. , Foladori P. , Andreottola G. 
Published: October 2018

Abstract
Engineered microalgal-bacteria consortia are an attractive solution towards a low-cost and sustainable wastewater treatment that does not rely on artificial mechanical aeration. In the research conducted for this study, a bench-scale photo-sequencing-batch reactor (PSBR) was operated without external aeration. A spontaneous consortium of microalgae and bacteria was developed in the PSBR at a concentration of 0.8–1.7 g TSS/L. The PSBR ensured removal efficiency of 85 ± 8% for chemical oxygen demand (COD) and 98 ± 2% for total Kjeldahl nitrogen (TKN). Nitrogen balance revealed that the main mechanisms for TKN removal was autotrophic nitrification, while N assimilation and denitrification accounted for 4% and 56%, respectively. The development of dense microalgae–bacteria bioflocs resulted in good settleability with average effluent concentration of 16 mgTSS/L. The ammonium removal rate was 2.9 mgN L−1 h−1, which corresponded to 2.4 mgN gTSS−1 h−1. Although this specific ammonium removal rate is similar to activated sludge, the volumetric rate is lower due to the limited total suspended solids (TSS) concentration (three times less than activated sludge). Therefore, the PSBR footprint appears less competitive than activated sludge. However, ammonium was completely removed without artificial aeration, resulting in a very cost-effective process. Only 50% of phosphorus was removed, suggesting that further research on P uptake is needed.
Öğretmenlerin Örgütsel Vatandaşlık Davranışlarının Yordayıcısı Olarak Örgütsel Sosyalleşme
Authors: Yıldırım Çayhan , Keskinkılıç Kara Sultan Bilge 
Published: October 2018

Bu araştırmanın
amacı öğretmenlerin
örgütsel sosyalleşme düzeylerinin örgütsel vatandaşlık davranışlarının yordayıcısı olup
olmadığını belirlemektir. Yordayıcı
ilişkisel tarama türünde desenlenmiş olan araştırmanın örneklemini İstanbul
iİi Esenyurt İlçesinde bulunan 14 Lisede görev yapan 480 öğretmen
oluşturmaktadır. Veri toplama aracı olarak Örgütsel Sosyalleşme Ölçeği ve Örgütsel Vatandaşlık Davranışı
Ölçeği kullanılmıştır.
Araştırmadan elde edilen sonuçlara göre lise öğretmenlerinin örgütsel
sosyalleşme düzeyleri genel puan ortalamaları çok katılıyorum düzeyinde iken en
yüksek algıladıkları boyut amaç ve değer boyutu tamamen katılıyorum düzeyinde,
en düşük algıladıkları boyut örgüt dili ve tarihi boyutu katılıyorum
düzeyindedir. Öğretmenlerinin örgütsel vatandaşlık düzeyleri genel puan
ortalamaları tamamen katılıyorum düzeyinde iken en yüksek algıladıkları
centilmenlik ve yardımlaşma boyutlarında tamamen katılıyorum düzeyinde, en
düşük algıladıkları sivil erdem boyutu çok katılıyorum düzeyindedir. Öğretmenlerin
örgütsel sosyalleşme düzeyleri ölçeğinin
mesleki yeterlik, kişilerarası ilişkiler, örgüt tarihi ve dili, örgüt
politikası, örgütsel amaç ve değerlere uyum düzeyi ile örgütsel vatandaşlık
düzeyleri ölçeğinin centilmenlik, vicdanlılık, sivil erdem ve yardımlaşma boyutları arasında orta düzeyde pozitif
ilişki olduğu sonucuna ulaşılmıştır. Araştırmada, ayrıca, öğretmenlerin
örgütsel sosyalleşme düzeylerinin örgütsel vatandaşlık davranışlarını yordadığı
sonucuna ulaşılmıştır