bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intrahepatic cholestasis of pregnancy: maternal and fetal outcome and its correlation with serum bile acid levels
Authors: Sharma Bhawna , Arora Neetu , Dogra Kusum , Negi Kamal S. 
Published: October 2018

Background: Maternal, fetal, and neonatal outcomes in parturients with intrahepatic cholestasis of pregnancy (ICP) have been retrospectively documented. We aimed to present pregnancy outcomes of parturients with ICP who underwent delivery. The study was conducted during a 1-year period in a tertiary care centre.Methods: Data from 1 January to 31 December 2017 were collected to identify parturients with ICP.Results: Almost 3/4th of births came to a vaginal delivery (76.74%) and only 10 parturients had cesarean delivery. 4 of 10 parturients underwent nonelective cesarean section, while 6 had elective cesarean delivery. 15.15 % vaginal deliveries were instrumental. The most common indications for emergency LSCS and instrumental deliveries was fetal distress followed by failure to progress of labour. Most births occurred at or after 37 weeks of gestation (65%). Regarding neonatal outcomes in terms of birth weight and Apgar scores at 1 and 5 min, they were positive, as well. None of the babies had Apgar score < 7 at 5 minutes. No case of perinatal death was observed.Conclusions: Although the results were generally positive, larger studies need to be conducted to evaluate the maternal and fetal outcomes in ICP and correlation with serum bile acid levels.
The effects of maternal age and parity on birth weight in a tribal community of Kinwat, Nanded, Maharashtra, India
Authors: Narwade Ramdas G. , More Uttam B. 
Published: October 2018

Background: Low birth weight is an important determinant of childhood morbidity and mortality. Birth weight is a significant factor that determines vulnerability of risk of childhood illness and survival. Objective of the study was to correlate the maternal age and parity on birth weight in a tribal community.Methods: A cross-sectional study was carried out during April 2012 to June 2014 in More Nursing Home, Kinwat Dist. Nanded, Maharashtra. A total of 1611 patients from tribal area who delivered in the nursing home were enclosed for the study. Data was analyzed by using SSPS version-18.0.Results: In this study low birth weight babies were seen in 18.56% and 17.78% and 21.47% of female and male babies had low birth weight respectively, which was statistically significant. Mean birth weight increased as parity of mother increased. Low birth weight babies were born to the mother of younger age which was statistically significant.Conclusions: Health care of young age tribal mothers is important factor in curbing low birth weight babies.
Classification of cesarean section through Robson criteria: an emerging concept to audit the increasing cesarean section rate
Authors: Kant Anita , Mendiratta Shweta 
Published: October 2018

Background: There has been an increase in rate of cesarean section over last five decades. This is a matter of international public health concern as it increases the cesarean section related maternal morbidity. The aim of the present study was to audit the increasing rate of caesarean section.Methods: In the present study, all cases delivered by cesarean section during the period of six months were recorded and classified according to Robson's 10 group classification system. This was an attempt to see which clinically relevant groups contributed most to the cesarean deliveries.Results: There was a trend of increased percentage of cesarean section in group 5 and 2 respectively in present study. Increasingly sedentary lifestyle and poor tolerance to pain are adding to cesarean delivery on maternal request.Conclusions: We should judiciously make use of vaginal birth after cesarean section but not at the cost of maternal or fetal health. Standardization of indication of cesarean deliveries, regular audits and definite protocols in hospital will aid in curbing the rate of cesarean deliveries in hospitals.
Limb amputation secondary to pseudoamniotic band syndrome after selective fetoscopic laser photocoagulation: case report
Authors: Cunha Soraia S. , Coutada Rosália S. , Neiva Ana R. , Ribeiro Domingos C. 
Published: October 2018

Pseudoamniotic band syndrome (PABS) is a rare iatrogenic complication that occurs after invasive procedures in monochorionic twins for treatment of twin-twin transfusion syndrome (TTTS). Selective fetoscopic laser photocoagulation (SFLP) is a commonly performed procedure for the treatment of severe TTTS that may lead to complications such as preterm labor, preterm rupture of membranes, cerebral lesions and fetal death. PABS has been reported to occur in up to 3% of cases of TTTS treated with laser, leading to limb abnormalities. There are no identifiable risk factors and antenatal detection of PABS is rare, but possible. Thus, obstetricians should be aware of this possibility in pregnancies treated by laser therapy for TTTS. The authors report a case of a monochorionic biamniotic twin pregnancy submitted to SFLP for TTTS at 19 weeks of gestation with postnatal diagnosis of PABS, presenting with amputation of a fetal limb.
Study of serum lipid profile in Plasmodium falciparum malaria
Authors: Dungdung Ajith , Jalawadi Vishwanath Malakappa , Yadav Upendra Prasad 
Published: October 2018

Background: Malaria is a major public health problem in India with wide-ranging haematological and biochemical alterations. Plasmodium falciparum (P. falciparum) is one of four distinct species of the malaria parasite that afflict humans and pose a threat to public health. Under normal physiological conditions, liver ensures homeostasis of lipid and lipoprotein metabolism. Therefore, the aim of this study was to assess malaria infection and its association with lipid parameters changes. Hepatocellular damage often associated with severe and acute P. falciparum infections impairs these processes, leading to alteration in plasma lipid profile and lipoprotein patterns. An observation on the nature of dyslipidaemia in confirmed cases of P. falciparum malaria patients with reference to correlation if any that exists between malaria and lipid profile in these patients was performed.Methods: A case-control study was carried out on clinically and laboratory confirmed P. falciparum malaria positive patients attending the outpatient and inpatient department of RIMS Ranchi for a period of six months i.e. from January 2018 to June 2018, 100 participants were enrolled for the present study. 50 participants were P. falciparum malaria confirmed cases and 50 participants were without any clinical or laboratory evidence of malaria served as the control.Results: It revealed that the total cholesterol, HDL and LDL were significantly decreased -(P ≤0.05) while triglyceride and VLDL were not significantly changed in P. falciparum malaria patients (P ≥0.05).Conclusions: It can be concluded that alteration in lipid profile can be an index of severe malaria infection that may leads to poor prognosis, but specificity of malaria infection with lipid changes is questionable and need further studies.
Globus pharyngeus in women: observations and opinions
Authors: Subramanya B. T. , Basavannaiah Sphoorthi , Lohith S. 
Published: October 2018

<p class="abstract"><strong>Background:</strong> India has world’s fastest growing economy with second largest population in the world. But the health aspects of Indians are neglected even with vast health facilities and resources. Health is an important factor that contributes to well-being and economic growth especially women’s health which must be prioritised but is often ignored. Aims and objectives of the study were to identify the root cause for globus sensation in throat, to assess the percentage of factor causing this symptom and to educate women to eliminate this illusion of foreign body like sensation in the throat.</p><p class="abstract"><strong>Methods:</strong> All the women who consulted outpatient department with this symptom were evaluated clinically and investigated. </p><p class="abstract"><strong>Results:</strong> Anemia topped the list among all the probable causes for globus pharyngeus.</p><p class="abstract"><strong>Conclusions:</strong> Proper and adequate nutrition in women is a life-long process and it is important to eliminate the myth about Globus pharyngeus in women.</p>
Post-operative speech and swallowing in partial glossectomy patients: role of effective rehabilitation
Authors: Jain Shailesh Kumar , Raj Poonam , Singh S. K. , Chugh Rajeev , Gupta D. K. , Goyal Sunil 
Published: October 2018

<p class="abstract"><strong>Background:</strong> The tongue is a frequent site for oral carcinoma. Quality of life in such patients is often compromised post treatment in terms of speech and swallowing functions. Although swallowing and speech are included in several health-related quality of life scales, postoperative rehabilitation that influences these domains is not very well studied. This study was conducted to assess the speech and swallowing impairment after partial glossectomy for the tongue cancer patients and role of speech therapy and swallowing rehabilitation exercises in effective postoperative rehabilitation.</p><p class="abstract"><strong>Methods:</strong> 50 patients of carcinoma of the tongue managed with partial glossectomy as the definitive treatment were included in the study. Postoperative rehabilitation was offered to all patients, however 10 defaulted. Improvement in speech intelligibility, articulation and swallowing at 15 days, 1 month, 3 months and 06 months after surgery were recorded. </p><p class="abstract"><strong>Results:</strong> All three parameters of speech intelligibility, articulation and swallowing which were analysed showed improvements during each follow-up visit. Results obtained for both groups, on comparison showed statistically significant earlier improvement in patients who were receiving rehabilitation therapy versus those who were not receiving any rehabilitation.</p><p><strong>Conclusions:</strong> Postop speech and swallowing rehabilitation can be an effective tool for improving quality of life. It is imperative to develop easy and simple modules for rehabilitation for patients of oral cancers that can be practiced during the postop follow up and at home with the assistance of family members to ensure uncompromised quality of life post treatment.</p>
Etiology of dizziness among patients referring to an Iranian ear, nose and throat clinic
Authors: Saeedi Masoumeh , Ajalloueyan Mohammad , Abdollahi Farzaneh Zamiri , Choobdari Mohammadreza 
Published: October 2018

Background and Aim: Dizziness is one the most common complaints of patients in the emergency rooms. It has various etiologies and can lead to falling and other life-threatening injuries, especially in the elderly. Dizziness aff­ects the quality of life and results in negative emotional reactions. This research studied the etiology of dizziness in a three-year study.
Methods: This study was conducted on 650 patients with the complaint of dizziness, whose specialists suspected them of having possible vestibular involvement, referred to a tertiary audiology clinic from 2015 to 2018. Videonys­tagmography, electrocochleography and cervical vestibular evoked myogenic potentials were administered. Other medical tests including neu­rologic examinations, blood analysis, and brain imaging were performed based on patients’ complaints.

* Corresponding author: Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Piche-Shemiran, Enghelab Ave., Tehran, 1148965141, Iran. Tel: 009821-77530636, E-mail: audiology_zamiri@yahoo.com

Results: This was a descriptive study of dizzi­ness prevalence with different etiologies. Patie­nts’ age range was 18-85 years with mean (SD) age: 42.34 (13.12), including 377 (58%) females and 273 (42%) males. Patients’ chief complaints included vertigo in 64.8%, dizziness in 20.2% and imbalance in 15.1%. Vestibular disorders were identified in 49.2% of the referred patients. The patients’ final diagnosis in order of preva­lence were as follows: systemic involvement (292 cases), benign paroxysmal positional ver­tigo (187 cases), unilateral vestibular weakness (63 cases), endolymphatic hydrops (51 cases), bilateral vestibular weakness (37 cases), central involvement (20 cases), cervical (10 cases) and migraine-associated vertigo (8 cases).
Conclusion: About 49.2% of the patients refe­rred to the ENT clinic had actual vestibular involvement. Careful history taking, teamwork, and comprehensive evaluations are necessary to differentiate underlying cause and selecting app­ropriate treatment.
HUBUNGAN PENDIDIKAN ORANG TUA DENGAN SIKAP WIRAUSAHA MAHASISWA
Authors: Doriza Shinta , Jannah Wardatul , Yulastri Lilies , Maulida Ernita , Patrisia Dina 
Published: October 2018

The purpose of the study was to determine the relationship of parental education to student entrepreneurship attitudes. The research method uses associative quantitative approaches. Sampling technique with purposive sampling as many as 160 students who have attended Entrepreneurship courses. The results of the study using the Product Moment correlation test shows that there is a relationship between parental education with entrepreneurship attitudes in students of 0.643 with a significant level based on tcount = 10.55.
Keywords: Entrepreneurial attitude student, Parents' Education, Entrepreneurship

Abstrak
Tujuan penelitian untuk mengetahui hubungan pendidikan orang tua terhadap sikap berwirausaha mahasiswa. Metode penelitian menggunakan pendekatan kuantitatif asosiatif. Teknik pengambilan sampel dengan Purposive Sampling sebanyak 160 mahasiswa yang sudah mengikuti mata kuliah Kewirausahaan. Hasil penelitian dengan menggunakan uji korelasi Product Moment menunjukkan bahwa terdapat hubungan antara pendidikan orang tua dengan sikap berwirausaha pada mahasiswa sebesar 0,643 dengan tingkat seignifikan berdasarkan nilai thitung sebesar 10,55
Kata kunci: Sikap Berwirausaha Mahasiswa, Pendidikan Orang tua, Kewirausahaan
KESEJAHTERAAN DENGAN PRESTASI KERJA
Authors: Dudung Agus 
Published: October 2018

This study aims to find out if thereâ€™s a positive relationship between welfare and the work performance. The hypothesis research test by Product Moment correlation to get the correlation coefficient and to determine the conclusions used Student-t formula. The results obtained that correlation coefficient is 0.08 with the t-test 6.67. While t-table with a significance level of 5% and dk = 34 is 1.70, this means that t-count is higher than t-table so the alternative hypothesis Hi accepted and Ho hypothesis was rejected. The conclusion of this study is that there is a positive correlation between welfare and work performance.
Abstrak
Penelitian ini bertujuan untuk mengetahui apakah ada hubungan positif antara kesejahteraan dengan prestasi kerja. Uji hipotesis penelitian dengan korelasi Product Moment untuk mendapatkan koefisien korelasi dan untuk menentukan kesimpulan digunakan rumus Student-t. Hasil didapat koefisien korelasi adalah 0,08 dengan harga t didapat 6,67. Sedangkan t tabel dengan taraf signifkansi 5% dan dk = 34 adalah 1,70, ini berarti t hitung lebih besar dari t tabel sehingga dapat menerima hipotesis alternatif Hi dan menolak hipotesis Ho. Kesimpulan penelitian ini terdapat korelasi positif antara kesejahteraan dengan prestasi kerja.
Kata kunci: Kesejahteraan dan Prestasi kerja
Dinamika Dua-Dimensi Butiran Berbentuk Bola yang Terapung pada Permukaan Fluida yang Merambatkan Gelombang
Authors: Viridi Sparisoma , Nurhayati Nurhayati , Sabaryati Johri , Muliyati Dewi 
Published: October 2018

Simulasi dinamika butiran berbentuk bola pada permukaan fluida yang merambatkan gelombang dilakukan dengan menggunakan metode dinamika molekuler yang mengasumsikan bahwa superposisi gaya angkat dengan gaya gravitasi, yang diperlambat dengan gaya hambat fluida, menyebabkan benda dapat begerak dua-dimensi. Hal ini berbeda dengan hasil sebelumnya di mana benda hanya dapat begerak dalam satu dimensi dikarenakan ukuran bola Db << λf, sedangkan dalam pekerjaan ini Db < λf sehingga arah gaya angkat perlu diperhatikan. Secara teori gerak dua-dimensi akan cenderung menjadi gerak satu-dimensi bila nilai Db/λ kurang dari nilai tertentu, dan tetap dua dimensi bila melampaui nilai tertentu. Diperoleh dalam pengamatan selama 20 s bahwa frekuensi gelombang dapat mempengaruhi arah perpindahan benda berbentuk bola tersebut, menjadi searah atau berlawanan arah dengan arah rambat gelombang pada permukaan fluida.
Implications of Social and Legal Status on Immigrants' Health in Disaster Zones
Authors: Fussell Elizabeth , Delp Linda , Riley Kevin , Chávez Sergio , Valenzuela Abel 
Published: October 2018

This commentary highlights how immigrants who are linguistically isolated, have limited social networks, and lack legal immigration status experience unique health risks in disaster zones. Research on immigrants and disasters tends to focus on immigrants with these characteristics who are residents of disaster-affected areas, disaster recovery workers, or both. We review the sparse research literature and provide examples of innovative but underresourced programs that reduce immigrants’ exposure to disaster-related health hazards and economic exploitation in the recovery. We conclude with recommendations for advancing these initiatives while, simultaneously, addressing the anti-immigrant policies that contribute to these disaster-related inequities.
Prescription Drug Monitoring Program: Registration and Use by Prescribers and Pharmacists Before and After Legal Mandatory Registration, California, 2010–2017
Authors: Shev Aaron B. , Wintemute Garen J. , Cerdá Magdalena , Crawford Andrew , Stewart Susan L. , Henry Stephen G. 
Published: October 2018

Objectives. To estimate the effect of California’s prescription drug monitoring program’s (PDMP) registration mandate on use of the PDMP. Methods. We evaluated the effect of California’s mandatory PDMP registration law by fitting time series models on the percentage of clinicians registered for California’s PDMP and the percentage of clinicians who were active PDMP users (users who created ≥ 1 patient prescription reports in a given month) from 2010 through 2017. We also compared PDMP use among early PDMP adopters (clinicians who registered > 8 months before the mandatory registration deadline) versus late adopters (clinicians who registered ≤ 8 months before the deadline). Results. Mandatory registration was associated with increases in active PDMP users: 53.5% increase for prescribers and 17.9% for pharmacists. Early adopters were 4 times more likely to be active PDMP users than were late adopters. Conclusions. Mandatory registration was associated with increases in PDMP registration and use, but most new registrants did not become active users. Public Health Implications. Mandatory PDMP registration increases PDMP use but does not result in widespread PDMP usage by all clinicians prescribing controlled substances.
Ergovaline Concentration of Tall Fescue as Affected by Limestone Application
Authors: Kenyon Sarah L. , Roberts Craig A. , Kallenbach Robert L. , Lory John A. , Kerley Monty S. , Rottinghaus George E. 
Published: October 2018

Core Ideas
Limestone application reduced ergovaline concentrations by 20 ppb compared with non‐treated control plots.
This slight reduction in ergovaline concentrations is not enough to affect toxicosis, but the reduction occurred with a corresponding increase in soil pH, which can improve the growing conditions for pasture legumes and indirectly affect toxicosis.
Unlike limestone, other soil amendments, such as N and poultry litter, increase ergovaline concentrations and therefore create a sort of penalty for the producer.
Ergovaline is an ergot alkaloid produced by Epichloë coenophiala [(Morgan‐Jones & W. Gams) C.W. Bacon & Schardl], an endophyte in tall fescue [Lolium arundinaceum (Schreb.) Darbysh.] that causes fescue toxicosis. Ergovaline concentrations can be affected by soil nutrients such as N and P. However, its response to limestone has not been documented. This study evaluated the effect of limestone application on ergovaline concentration in established tall fescue. Limestone was surface‐applied in December 2011 on an existing ‘Kentucky 31’ tall fescue (95% infected with E. coenophiala) pasture near Alton, MO. Soils were sampled annually in October by collecting ten 6‐inch cores per plot; cores were divided into three increments: 0 to 1, 1 to 3, and 3 to 6 inches in depth. Whole tillers were harvested spring and autumn from 2012 to 2014 and analyzed for ergovaline concentration. Limestone increased (p < 0.01) soil salt pH [pH(s)] during the 3‐year period, and the greatest increase occurred at the soil surface. The soil pH(s) was 5.6 for the limestone‐treated plots and 5.0 for the non‐treated plots. Limestone application reduced (p < 0.10) ergovaline concentration by 20 ppb compared with non‐treated control plots. An important application of this study is that limestone did not increase ergovaline concentration as other soil nutrients have done, thereby making it possible to improve soil conditions for legume growth and pasture dilution without increasing the potential for fescue toxicosis. Future studies will explore the possibility of a greater reduction in ergovaline concentration with a larger increase in soil pH.
Enhanced‐Efficiency Fertilizer Impacts on Yield‐Scaled Nitrous Oxide Emissions in Maize
Authors: Graham Rebecca F. , Greer Kristin D. , Villamil Maria B. , Nafziger Emerson D. , Pittelkow Cameron M. 
Published: October 2018

Core Ideas
Enhanced‐efficiency fertilizers reduced N2O compared with anhydrous ammonia in two of three years.
SuperU reduced both area‐ and yield‐scaled N2O emissions in two of three years.
Soil inorganic N concentrations were not correlated with daily N2O fluxes.
Fertilizers ESN, SuperU, and UAN + nitrapyrin did not increase yield or grain N recovery efficiency.
Balancing efforts to mitigate nitrous oxide (N2O) emissions from crop production while increasing grain yields is an important challenge for agriculture. The objectives of this study were to assess N2O emissions, soil inorganic nitrogen (N) concentrations, grain yield, and grain N content for three enhanced‐efficiency nitrogen fertilizers (EENFs) compared with anhydrous ammonia in a rainfed corn system in Illinois over 3 yr (2015–2017). Treatments included a control (check) and four N sources applied at 202 kg N ha−1: injected anhydrous ammonia, stabilized urea containing urease and nitrification inhibitors (SuperU, Agrotain International), polymer‐coated urea (ESN, Agrium Advanced Technologies), and injected urea‐ammonium nitrate (UAN) + nitrapyrin. Significant reductions in N2O emissions were observed for several EENFs compared with anhydrous ammonia, but results were not consistent across treatments and years. SuperU reduced area‐ and yield‐scaled N2O emissions in two of three study years compared with anhydrous ammonia, while ESN had no N2O mitigation benefit. Injected UAN + nitrapyrin had the highest emissions in the first year but significantly decreased emissions in the second 2 yr. No treatment significantly improved yield or grain N content compared with anhydrous ammonia. In light of efforts to broadly promote EENFs in the US Midwest, these results demonstrate there is some promise for N2O mitigation, but the lack of clear crop productivity benefits combined with inconsistent N2O mitigation effects do not support the conclusion that EENFs inherently improve agronomic and environmental outcomes.