bluuebunny/crossref_metadata_2025_split huggingface dataset:
Recurrent sinonasal teratocarcinosarcoma treated with IMRT: a case report
Authors: Tudu Rajanigandha , Kumar Anup , Singh Rashmi , Raina Payal , Munda Praveer Kumar Singh 
Published: June 2019

<p class="abstract">Sinonasal teratocarcinosarcoma is a rare malignant tumour displaying aggressive growth .It is known to have poor prognosis with locoregional recurrence. So far, the most widely accepted therapeutic plan for its management has been surgery followed by adjuvant radiation. This study reports a case of 35 year old male diagnosed with sinonasal undifferentiated carcinoma who presented with neck node recurrence after 15 months of definitive radiotherapy. A 35 year old patient presented with nasal obstruction and epistaxis. CECT PNS revealed mass in ethmoid sinus with adjacent bony destruction and infiltration into maxillary sinus and nasal cavity. Biopsy revealed poorly differentiated carcinoma. Patient underwent neoadjuvant chemotherapy followed by definitive radiotherapy by IMRT. On follow up at 15 months, the patient presented with nodal recurrence. Biopsy from neck node revealed metastatic sinonasal teratocarcinosarcoma. The patient underwent neck dissection followed by adjuvant chemoradiation. The patient is currently on follow up and is disease free till date. Surgery alongwith adjuvant chemoradiation is a reasonable therapeutic approach of management for sinonasal teratocarcinosarcoma.</p><p class="abstract"> </p>
Rigid ventilating video bronchoscope with forceps for bronchoscopic foreign body removal in children
Authors: Jawale Sagar , Gupta Parthapratim , Kulkarni Bharti 
Published: June 2019

<p>Bronchoscopic foreign body removal is a potentially dangerous and challenging procedure in pediatric surgery. bronchoscopy under general anaesthesia is the gold standard of diagnosis and management of foreign body aspiration. A large ventilating channel and better control over the tip of the instrument and cheaper instrument are the merits of rigid bronchoscopy over flexible one. Traditionally a rigid tube alone is used for this purpose which has extreme limitations of vision and it is risky. Foreign body aspiration typically occurs in 6 to 18 month age and the size of glottis is very small at this age. In Indian children who are small and malnourished the large assembly of sheath and telescope mounted forceps does not pass through the glottis. To overcome the limitations of the traditional equipment I designed my own bronchoscopy equipment by my 15 year of experience in bronchoscopy. This type of device is reported for the first time in medical literature and patent is filed for it at Mumbai office.</p><p> </p>
A clinical study: management of distal tibial fractures with minimally invasive plating osteosynthesis
Authors: Singla Gaurav 
Published: June 2019

<p class="abstract"><strong>Background:</strong> Distal tibial fractures of bone poses major challenge to the trauma orthopaedic surgeons as this bone is subcutaneous associated with soft tissue injuries and precarious blood supply. Distal tibial fractures require accurate reduction, perfect articular restoration with stable fixation with minimal stripping of soft tissues, thereby preserving the blood supply. Minimally invasive osteosynthesis using locking plates has emerged as viable option of fixing such fractures due to poor results associated with open plating which leads to extensive soft tissues stripping and subsequently poor blood supply.</p><p class="abstract"><strong>Methods:</strong> 27 patients with closed distal tibial fractures with or without articular involvement without vascular compromise were treated with LCP fixation using MIPO technique studied from June 2017 to December 2018.<strong></strong></p><p class="abstract"><strong>Results:</strong> All fractures in our series united well at the end of 5 months with mean time to clinical and radiological union was 17 weeks. There was no case of implant failure while 2 patients had varus angulation. Very few soft tissue complications with excellent functional outcome were seen.</p><p><strong>Conclusions:</strong> We concluded that distal tibial fractures can be effectively managed with LCP using MIPPO technique with excellent functional outcome and avoiding the complications associated with other treatment methods. </p>
Comparative study between transforaminal epidural selective nerve root block versus interlaminar epidural in the treatment of lumbar radicular leg pain
Authors: Sadiq Mohammed , Hussain Syed Azher , Nayeemuddin Mohammed 
Published: June 2019

<p class="abstract"><strong>Background:</strong> Sciatic neuralgia is a result of nerve root oedema because of the inflammatory, immunological and mechanical factors. Steroid injections play an important role in the management of sciatic radiculopathy. Steroids act by reducing the oedema around the nerve roots and decreasing pain. Locally administered steroids have the advantage of reduced dosage and targeted delivery around the nerve roots. This forms the basis of epidural steroid injections. This can be given around the nerve root in the transforaminal space or in the interlaminar space. There is a paucity of literature comparing the two techniques of epidural steroid injections. We have done a randomized comparative trial, to compare the effectiveness of the two modalities of injection in the management of a single level unilateral foraminal disc herniation.</p><p class="abstract"><strong>Methods:</strong> Patients were randomized in two groups Group A: Transforaminal epidural (SNRB) and Group B: interlaminar epidural. Same dose of steroid was used in each group.<strong></strong></p><p class="abstract"><strong>Results:</strong> Immediate post injection, 2 week and 1 month transforaminal epidural (SNRB) was better compare to interlaminar epidural however at the end of 3 months the difference was not significant (p=0.08).</p><p><strong>Conclusions:</strong> Both transforaminal and interlaminar epidural injection are effective form of treatment in mild to moderate grade of disc disease. Both the technique provide short lasting relief in the symptoms associated with disc pathology, however pain management is better in transforaminal group compared to interlaminar group. Thus these techniques can be considered for delaying surgery and providing intermitant relief. </p>
An outcome analysis of intertrochanteric fracture of femur managed with proximal femoral nail antirotation II
Authors: Harshwardhan Hemeshwar , Jain Shubhanshu , Sharma Manish 
Published: June 2019

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures are common osteoporotic fractures in adults above 60 years with high mortality and morbidity. Common techniques for fixation of these fractures are sliding hip screw and plate or intramedullary nailing. Intramedullary nailing has advantage of short incision, less operative time, rapid rehabilition &amp; thus decreased medical complications. PFNA II is newer intramedullary implant developed to obtain better fixation strength in osteoporotic bones. Biomechanical studies has demonstrated that PFNA II blade has a significance of higher cut out resistance than other commonly used screw systems.</p><p class="abstract"><strong>Methods:</strong> Prospective follow up study carried out at J.L.N. Medical College Ajmer from 1 March 2017 to 31st October 2018. 30 patients with unstable intertrochanteric fractures were included and operated on fracture table in supine position with PFNA2. We measured operative time, duration of hospital stay, modified Harris hip score and complications.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of the patients was 70.83 years of age. The mean time in surgery was 38.2 minutes. The mean amount of blood loss in surgery was 110.8 ml. In implant related complications, 2 patients had cut out and 1 patient had pull - out of the implant. Functional results according to modified Harris hip scores was found to be excellent in 8 (30%) patients, good in 12 (40%) patients, fair in 7 (20%) patients and poor in 3 (10%) patients.</p><p><strong>Conclusions:</strong> Elderly patients treated with PFNA2 has good outcome as less operative time, minimal blood loss, early weight bearing, less union time and very few cases of medial penetration and back out of spiral blade. </p>
Confidence Interval based Quality Improvement for Non-normal Responses
Authors: ZEYBEK Melis 
Published: June 2019

Robust parameter design is an effective tool to determine the optimal
operating conditions of a system. Because of its practicability and usefulness,
the widespread applications of robust design techniques provide major quality
improvements. The usual assumptions of robust parameter design are that
normally distributed experimental data and no contamination due to outliers. Optimizing
an objective function under the normality assumption for a skewed data in
dual-response modeling may result in misleading fit and operating conditions
located far from the optimal values. This creates a chain of degradation in the
production phase, e.g., poor quality products. This paper focuses on skewed
experimental data. The proposed approach is constructed on the confidence
interval of the process mean which makes the system median unbiased for the
mean using the skewness information of the data. The response modeling of the midpoint of the
interval is proposed as a location performance response. The main advantages of
the proposed approach are that it gives a robust solution due to the skewed
structure of the experimental data distribution and does not need any
transformation which causes any loss of information in estimation of the mean
response. The procedure and the validity of the proposed approach are
illustrated on a popular example, the printing process study
Pengaruh Kurs, Suku Bunga BI, Indeks STI, Indeks KLSE dan Indeks MC Terhadap Indeks Harga Saham Gabungan Di BEI Periode September 2014-Desember2015
Authors: Dewi Melisa Puspita , Nurhayati Nurhayati , Paramu Hadi 
Published: June 2019

The aims of this research are to analyze the influence of Strait Times Index, Kuala Lumpur Stock Exchange index, and Manila Composite index on strengthening or weakening relation of exchange rate and BI rate against Jakarta Composite Index from September 2014-December 2015. This research used secondary data and a quantitative research . The type of research used is explanatory research ,the population are stock price indices in Bursa Efek Indonesia and sample used is Jakarta Composite Index which shows daily prices fluctuation of all stocks. Analysis methode used is moderated regression analysis. The results showed Strait Times Index able to strengthen exchange rate with Jakarta Composite Index and unable to strengthen BI rate with Jakarta Composite Index, Kuala Lumpur Stock Exchange index able to strengthen exchange rate and BI rate with Jakarta Composite Index, last Manila Composite index unable to strengthen exchange rate with Jakarta Composite Index and able to strengthen BI rate with Jakarta Composite Index.
Keywords: Strait Times Index, Kuala Lumpur Stock Exchange, Manila Composite, Indeks Harga Saham Gabungan, Moderated Regression Analysis.
Portal Venous Pressure Variation during Hepatectomy: A Prospective Study
Authors: Carrapita Jorge Gomes , Rocha Clara , Donato Henrique , Costa Alexandre , Abrantes Ana Margarida , Santos Jorge Nunes , Botelho Maria Filomena , Tralhão José Guilherme , Barbosa Jorge Maciel 
Published: June 2019

Introduction: Excessive portal venous pressure in the liver remnant is an independent factor in the occurrence of posthepatectomy liver failure and small-for-size syndrome. The baseline portal pressure prior to hepatectomy was not considered previously. The aim of this study is to assess the impact of portal pressure change during hepatectomy on the patient outcome.Material and Methods: Prospective observational study including 30 patients subjected to intraoperative measurement of portal pressure before and after hepatectomy. This variation was related to the patient outcome. Control group evaluation was assessed. Patient, disease and procedure features were considered. The optimal cut-off of portal pressure variation was determined. Linear regression or logistic regression was applied to identify predictors of the outcome.Results: The univariate analysis showed that portal pressure increase after hepatectomy was associated with coagulation impairment in the first 30 postoperative days (p < 0.05), and with the occurrence of major complications (p = 0.01), namely hepatic failure (p = 0.041). The multivariate analysis showed that portal venous pressure increase ≥ 2 mmHg is an independent factor for worse outcomes.Discussion: As in previous studies, this study concludes that, after hepatectomy, in addition to the functional liver remnant, other factors are responsible for deterioration of liver function and patient outcome, such as the portal pressure increase and the exposure to chemotherapy prior to hepatectomy. This work may influence the definition of future indications for portal influx modulation.Conclusion: Patient outcomes are influenced by the portal venous pressure increase: an increment ≥ 2 mmHg after hepatectomy seems to increase the risk of major complications.
COMBINATION OF ACUPUNCTURE THERAPY AND TURMERICLIQUORICE HERBS FOR CHRONIC COUGHING CASE
Authors: Purwanto Intan Fahdelasari , Imandiri Ario , Arifanti Lusiana 
Published: June 2019

Background: Coughing is a defense mechanism of the lung against several stimulants as well as to protecting the lung from any trauma. A long period of coughing about more than 8 weeks considered as Chronic coughing. Based on TCM, coughing is a manifestation of the lung which caused by an exogenous factor (such as cold wind and warm wind); and endogenous factor. It is classified as “ke” (coughing with loud sound without producing sputum) and “sou” (coughing with weak sound, however, producing sputum). Purpose: To know the effect of acupuncture therapy (Hegu LI4, Lieque LU7, Chize LU5) combined with herbs therapy (Curcuma domestica Val. and Glycyrrhiza Glabra L.) to reduce the Chronic coughing period. Methods: Acupuncture points were given 12 times within once per 2 days. The herbal therapy was given for 30 days in the form of tea drink twice per day, with a dose of each containing 4gr (1 tea bag). Result: The period of coughing were deteriorating, as well as improving the immune condition which was shown in hematological data of white blood cells. Conclusion: The combined therapy showed to diminish the chronic coughing within 30 days
MONOLIER (MONOPOLI 5R): INNOVATION OF MONOPOLY GAMES AS 5R LEARNING MEDIA FOR EARLY EDUCATION
Authors: Fardani Fransiska Ellisa , Ramdhani Ahmad Tajuddin , Khasanah Amalia Nur , Ramadhani Bayu Aji , Ananda Meysella , Istiqomah Nugraheni Nur , Rinawati Seviana 
Published: June 2019

Background: The understanding of 5R (Ringkas, Rapi, Resik, Rawat, and Rajin) is still low among the people. This is due to the lack of early education on the 5R concept. MONOLIER (Monopoly 5R) is an inovation of learning medium that teaches students to play and learn about 5R through monopoly games. Purpose: The purpose of this researcch was to study the effect of 5R education using games “MONOLIER” to the students knowledge of 5R. Method: This was experimental study using pre-post test method. The implementation technique is the authors interact with the respondents through education material about 5R for a month in four times. Then for indicator of success of educational program using pre and post test problem which processed by wilxocon test. Population were all 4th grade students of SD N 1 Kemiri, Kebakkramat, Karanganyar as well as a sample of 37 students. This research was conducted at SDN N 1 Kemiri Kebakkramat Karanganyar Regency with the time of May 2018. The variables in this study include the level of student knowledge about 5R before and after given 5R material. Result: The result showed that there was significantly improvement of the student kowledge of 5R after education with p value 0,000 (p <0,005. Conclusion: The education of 5R by using MONOLIER game was effectively improve the student knowledge of 5R.
ALLERGIC RHINITICAL THERAPY WITH ACUPUNCTURE, LEGUNDI AND TEMULAWAK HERBS
Authors: Septriana Maya , Purnamasari Novita , Studiawan Herra 
Published: June 2019

Background: Allergic rhinitis is an inflammatory disease of the nasal mucosa mediated by IgE (immunoglobulin E) with the main mediator histamine. Rhinitis in the science of Traditional Chinese Medicine (TCM) is called Bi Yuan (influenza) and Bi Zhi (nasal congestion). Cases of allergic rhinitis experienced by patients are complaints of repeated sneezing up to 10 times in the morning with rhinorrhea (runny nose). Patients classified as allergic rhinitis with differentiation of hot moist syndrome with splenic deficiency. Purpose: To prove the effect of acupuncture combination therapy on Yintang point (EXHN 3), Yinxiang (LI 20), Zusanli (ST 36), Taibai (SP 3) with herbal legundi (Vitex trifolia) and temulawak (Curcuma xanthorrhiza) in patients with allergic rhinitis. Methods: Handling allergic rhinitis with acupuncture and herbal therapy methods. Acupuncture therapy was carried out at Yintang point (EXHN 3), Yinxiang (LI 20), Zusanli (ST 36), Taibai (SP 3) with the principle of eliminating hot humidification and toning of the spleen. In herbal therapy, patients are given herbal legundi (Vitex trifolia) and ginger (Curcuma xanthorrhiza). Results: The active compounds viteosin-A, viteksikarpin, and vitetrifolin-E which can inhibit releasing histamine and curcumin as anti-inflammatory have an effect on sneezing in allergic rhinitis. In handling allergic rhinitis, acupuncture therapy given 12 times, once every two days. Herbal therapy given for 14 times, taken every 2 days interval, 3 times a day with a dose of 5.2 grams of legundi and 4.2 grams of ginger. This therapy overcome the symptoms of sneezing and rhinorrhea in allergic rhinitis. Conclusion: Acupuncture and herbal therapy can be used to overcome sneezing and rhinorrhea in allergic rhinitis.
PENERAPAN TEKNOLOGI PENDIDIKAN DI LEMBAGA PENDIDIKAN NONFORMAL
Authors: Hanum Fathia Fairuza , Suprayekti  
Published: June 2019

Teknologi pendidikan sebagai suatu disiplin ilmu terapan yang mengalami perubahan definisi dari waktu ke waktu membuat kawasan kajian dan kontribusi teknologi pendidikan dalam sistem pendidikan di Indonesia turut berubah. Penelitian ini dilakukan untuk mengidentifikasi penerapan kawasan teknologi pendidikan yang telah dilakukan di lembaga pendidikan nonformal yang ada di DKI Jakarta, sehingga dapat memperluas cakupan hasil penelitian mengenai penerapan disiplin ilmu teknologi pendidikan di lembaga pendidikan dan agar di kemudian hari para peneliti di Strata Satu (S1) bisa melakukan penelitian lanjutan. Penelitian ini termasuk dalam penelitian deskriptif dengan pendekatan survai. Penelitian ini bertujuan untuk mengidentifikasi penerapan kawasan teknologi pendidikan yang ada di lembaga pendidikan nonformal yang terdiri dari kawasan penciptaan, penggunaan, pengelolaan dan evaluasi. Penelitian ini dilakukan di LPBB Solusi Kayumanis dan PKBM Negeri 23 Jakarta pada bulan Juni sampai Oktober 2018. Pengumpulan data dilakukan dengan lembar angket, pedoman wawancara dan dokumentasi. Hasil penelitian, secara kuantitatif, seluruh kawasan teknologi pendidikan telah diterapkan di kedua lembaga pendidikan nonformal. Pada kawasan penciptaan dan pengelolaan kedua lembaga mendapatkan predikat baik, pada kawasan penggunaan kedua lembaga mendapatkan predikat sangat baik, sedangkan untuk kawasan evaluasi, LPBB Solusi Kayumanis mendapat predikat sangat baik dan PKBM Negeri 23 Jakarta mendapat predikat baik. Secara analisis deskriptif, beberapa indikator pada keempat kawasan sudah diterapkan dengan sangat baik karena lembaga telah memiliki aturan dan regulasi yang baik dalam melakukan penerapan. Ada juga beberapa indikator yang sudah diterapkan dengan baik, namun penerapannya masih sederhana dan terbatas, namun ada juga beberapa indikator yang belum diterapkan. Berdasarkan hal tersebut, maka teknologi pendidikan sebagai suatu bidang studi, kajian dan profesi perlu memperkenalkan diri lebih dalam ke lembaga pendidikan nonformal, agar dapat membantu lembaga didalam menciptakan, menggunakan, mengevaluasi dan mengelola produk-produk teknologi pendidikan yang dapat memfasilitasi belajar peserta didik.
Induced-Membrane Technique in the Management of Posttraumatic Bone Defects
Authors: Azi Matheus Lemos , de Almeida Teixeira Armando Augusto , Cotias Ricardo Britto , Joeris Alexander , Kfuri Mauricio 
Published: June 2019

Update
This article was updated on April 30, 2020, because of a previous error. On pages 1 and 10, in the byline section and author affiliation section, “Augusto de Almeida Armando Teixeira” now reads “Armando Augusto de Almeida Teixeira.”
An erratum has been published: JBJS Essent Surg Tech. 2020 June 2;10(2):e0099ER.

Background:
Critical-size bone defects are defined as bone defects where spontaneous regeneration is not expected without treatment
1
. The characteristics of bone defects (etiology, location, size, presence of infection, and soft-tissue conditions) vary greatly and, to be effective, the treatment method should address this variability. The induced-membrane technique, or Masquelet technique, is a method for treating critical-size bone defects
2,3
of various sizes and anatomic locations. It has been used to treat infected and noninfected bone defects and may be performed with a variety of fixation methods
2,3
.

Description:
The induced-membrane technique is a 2-stage procedure. The first stage consists of debridement followed by insertion of a polymethylmethacrylate (PMMA) spacer in the bone defect. The presence of the PMMA leads to a foreign-body reaction with the development of a thick pseudosynovial membrane that is extremely vascularized and rich in growth factors. The filling of the bone defect with the cement spacer prevents fibrous tissue invasion and allows the development of an optimal vascularized gap for bone-grafting. After 6 to 8 weeks, the membrane around the spacer is carefully opened for the removal of the spacer, which is then replaced by bone graft
2,3
, which can be expanded with allograft or biomaterials.

Alternatives:
Alternatives include vascularized or nonvascularized autologous bone graft, allograft, bone transport methods, titanium cages, megaprostheses, shortening, and amputation.

Rationale:
Posttraumatic bone defects frequently are associated with soft-tissue injury and infection that impair the local vascularization and the healing potential. The highly vascularized induced membrane may play a role in restoring the local regenerative capacity. Numerous studies have demonstrated its successful use in the treatment of posttraumatic bone defects in the hand, forearm, humerus, femur, tibia, and foot. The induced-membrane technique is especially advantageous in the treatment of infected bone defects because the presence of the spacer helps in the treatment of the infection by reducing dead space, acting as a local antibiotic carrier, and promoting some degree of bone stability
3–5
.