bluuebunny/crossref_metadata_2025_split huggingface dataset:
Diffusion kurtosis imaging in patients with locally advanced rectal cancer: current status and future perspectives
Authors: Granata Vincenza , Fusco Roberta , Reginelli Alfonso , Delrio Paolo , Selvaggi Francesco , Grassi Roberto , Izzo Francesco , Petrillo Antonella 
Published: April 2019

Morphological magnetic resonance imaging is currently the best imaging technique for local staging in patients with rectal cancer. However, morphological sequences have some limitations, especially after preoperative chemoradiotherapy (pCRT). Diffusion-weighted imaging has been applied to rectal cancer for detection of lesions, characterization of tissue, and evaluation of the response to therapy. In 2005, a non-Gaussian diffusion model called diffusion kurtosis imaging (DKI) was suggested.  Several electronic databases were evaluated in the present review. The search included articles published from January 2000 to May 2018. The references of all articles were also evaluated. All titles and abstracts were assessed, and only the studies of DKI in patients with rectal cancer were retained.  We identiﬁed 35 potentially relevant references through the electronic search. According to the inclusion and exclusion criteria, we retained five clinical studies that met the inclusion criteria.  DKI is a useful tool for assessment of tumor aggressiveness, the nodal status, and the risk of early metastases as well as prediction of the response to pCRT. The results of DKI should be considered in treatment decision-making during the work-up of patients with rectal cancer.
Interprofessional Perceptions and Attitudes Among Pharmacy and Family Nurse Practitioner Students
Authors: Vinluan Celeste M. , Verdell Amber , Ibarra Claudia , Giri Namita , Thai Diem 
Published: April 2019

Introduction: Interprofessional education (IPE) activities involving pharmacy (PharmD) and family nurse practitioner (FNP) students is understudied. Interactions between PharmD and FNP students have become important since most recent Accreditation Council for Pharmacy Education standards included a requirement for schools of pharmacy to have IPE. The primary objective of this study is to evaluate the perceptions and attitudes among PharmD and FNP students towards an IPE activity. Methods: Atleast 1 student from each discipline was assigned to one team and participated in simulated ambulatory care scenarios. A survey was completed by students after the activity, which mapped each survey statement to an Interprofessional Education Collaborative (IPEC) core competency. Results: Perceptions and attitudes between PharmD and FNP students were similar, with no significant differences except with 2 statements, one survey statement in the Teams and Teamwork core competency and another in the Roles/Responsibilities core competency. A less favorable response with more than half of FNP students reporting “strongly agree” (18%) and “agree” (35%) resulted for the statement regarding their professional roles in the IPE activity. Conclusion: PharmD and FNP students reported favorable perceptions and attitudes in each IPEC core competency after participation in the IPE activity. There may be a need to review the discipline’s professional role before participating in the activity.
Development of a Community Advance Care Planning Guides Program and the RELATE Model of Communication
Authors: Candrian Carey , Lasker Hertz Susan , Matlock Daniel , Flanagan Lierin , Tate Channing , Kutner Jean S. , Lum Hillary D. 
Published: April 2019

Objective: Quality communication is an important aspect of advance care planning (ACP). This study evaluates a certification program that trains lay people in communication skills to support community-based ACP conversations. Methods: The program was developed with an emphasis on communication skills training. The testing of the program included ACP Guides and conversation partners, who were hospice volunteers, to assess the use of communication skills in ACP conversations. The evaluation used direct observations of conversations between trained ACP Guides and conversation partners as well as semi-structured interviews with those trained to become ACP Guides and those participating in the conversation. Results: Twenty-two ACP Guides participated in the testing phase with a retention rate of 100% completing all 4 sessions. The RELATE model of communication emerged during program development and testing. Evaluation of 15 ACP Guides having ACP conversations found that trained ACP Guides could use the RELATE model of communication to support ACP conversations. Conclusion: A community–academic partnership developed an ACP Community Guides Program that trained individuals to have community-based ACP conversations. Next steps include additional testing of the program and RELATE in small numbers, especially among minority populations, to evaluate acceptability and usability of this approach. Practice Implications: Laypersons with concrete communication skills can facilitate effective peer-to-peer ACP conversations.
A rare case of sorafenib-induced severe hyponatremia
Authors: Khaja Misbahuddin , Torchon Frantz , Millerman Konstantin 
Published: April 2019

Background: Sorafenib is an anti-angiogenic tyrosine kinase inhibitor used to treat patients with renal cell cancer and advanced hepatocellular cancer. Common adverse effects of sorafenib are rash, diarrhea, nausea, and abnormal liver function test and hand-foot syndrome. Case presentation: Here, we present a case of a 90-year-old male who was prescribed sorafenib after being diagnosed with hepatocellular cancer. At 1 week after sorafenib initiation, he was admitted to the emergency room for an evaluation of weakness. The patient had hyponatremia, a common electrolyte abnormality seen in cancer patients. His hyponatremia improved when the sorafenib was stopped, suggesting that this was a rare case of hyponatremia induced by sorafenib. Conclusion: Although sorafenib is used in the treatment of hepatocellular cancer, it can cause life-threatening complication such as hyponatremia. Early identification of the cause of hyponatremia can prevent serious adverse event.
<p><strong>Two new species of <em>Allophrys</em> Förster from Australia (Hymenoptera: Ichneumonidae)</strong></p>
Authors: ZHOU ZICHEN , RESHCHIKOV ALEXEY , PANG HONG 
Published: April 2019

Two species of the genus Allophrys Förster are described from Australia: A. fuscipes sp. nov. and A. gauldi sp. nov. These are the first descriptions of Allophrys species from Australia. A key to the Australian species of the genus is also provided. Key words: taxonomy, key, Tersilochinae, parasitoid
Unique brain regions involved in positive versus negative emotional modulation of pain
Authors: Kornelsen Jennifer , McIver Theresa A. , Stroman Patrick W. 
Published: April 2019

Abstract

Background and aims
Research has shown that negative emotions increase perceived pain whereas positive emotions reduce pain. Here we aim to investigate the neural mechanisms underlying this phenomenon.

Methods
While undergoing functional magnetic resonance imaging of the brain, 20 healthy adult females were presented with negative, neutral, and positive emotion-evoking visual stimuli in combination with the presentation of a noxious thermal stimulus to the hand. Participants rated the intensity and unpleasantness of the noxious thermal stimulus during each of the valence conditions. General linear model analyses were performed on the imaging data for each valence condition and specific contrasts were run.

Results
Significant differences were detected for the emotional modulation of pain (EMP) between the positive and negative conditions. Unique to the positive condition, there was increased activity in the inferior parietal, parahippocampal/perirhinal, precuneus/superior parietal, and the prefrontal cortices. Unique to the negative condition, there was increased activity in anterior and posterior cingulate and angular gyrus.

Conclusions
Positive and negative EMP appear to involve different brain regions.

Implications
Although there is some overlap in the brain regions involved in the positive and negative EMP, brain regions unique to each condition are identified and, moreover, the regions identified are involved in internal and external focus, respectively, pointing to a potential mechanism underlying this phenomenon.
Clothing pressure alters brain wave activity in the occipital and parietal lobes
Authors: Liu Yunjuan , Wang Yan 
Published: April 2019

Abstract
Despite the importance of clothing pressure discomfort in the undergarment industry, a reliable unbiased measurement of clothing pressure discomfort has not been well-established. In the present study, we investigate changes in brain wave activity as a potential objective and consistent measuring tool for clothing pressure discomfort. We recorded α wave activity in 5 functional regions (30 channels) of the brain in 10 females with or without a girdle. We determined that α wave power spectrum significantly increases when the girdle is worn compared to when it is not worn, specifically in the parietal and occipital regions. These findings suggest that clothing pressure exerted by wearing a girdle mostly stimulates the parietal and occipital regions and that these regions should be investigated in future studies using α wave energy to measure clothing pressure discomfort.
Digital image recognition based on improved cognitive neural network
Authors: Liu Yuxi 
Published: April 2019

Abstract
This paper presents an innovative cognitive neural network method application in digital image recognition. The following conclusion can be drawn. Each point of the graph is transformed, and the original color of the transformed new coordinates is given to the point. If after all the points have transformed, if there is a point and no point has converted to this point, the point is not given a color. Then this point will form a hole or a stripe, and the color is the color of the point initialization. The innovative method can effectively separate the digital image recognition signal from the mixed signal and maintain the waveform of the source signal with high accuracy, thus laying the foundation for the next step of recognition.
A művi abortusz a férfi partner szemszögéből
Authors: Nagy Beáta Magda , Rigó Adrien 
Published: April 2019

Abstract: Induced abortion is an intervention that scientific research primarily addresses from the concerned women’s point of view in terms of either the causes or the consequences of the abortion decision. Nevertheless, each case of abortion involves a man as much as a woman (in the same vein as conception), which calls for the better knowledge of male partners’ needs, expectations and experiences related to induced abortion. The present summary addresses male partners’ status and importance in abortion care in a practical approach based on professional considerations. Available empirical findings suggest that male partners’ involvement in abortion care has importance both in protecting men’s emotional balance and in providing support for women in adapting to the abortion process. Male partners’ deeper involvement possibly includes roles such as seeing the female partner to the intervention, participation in pre-abortion counselling, presence during the intervention, and participation in post-abortion care. Related findings show that all of these forms of support are related to women’s positive abortion-related experiences and thus to their better recovery (provided that the female partner expresses a need for her male partner’s personal support). Furthermore, male partners’ involvement in abortion care enables health care providers to tailor counselling (information on the intervention, on possible consequences, on contraceptive methods etc.) to men’s specific needs. These practices facilitate partners’ joint and informed decision making, joint responsibility for conception or contraception, and eventually contribute to reducing the incidence of induced abortion. Orv Hetil. 2019; 160(18): 694–699.
Respon Netizen terhadap Dakwah bi al-Qalam K.H. Muhammad Arifin Ilham di Media Sosial
Authors: Tarwiah Siti , Fatoni Uwes 
Published: April 2019

This study is to know the extent of netizen's response to the preaching by writing of ustadz Arifin Ilham on social media Facebook. The aim is to know the attention, understanding, and acceptance of netizens to the preaching by writing of ustadz Arifin Ilham. This research used qualitative content analysis method, which is analyzing data in the form of comments given by netizens through emoticons, symbol and comment by finding symbols, classifying data, and analyzing. Based on the research results found: 1) attention of netizens in responding to the preaching by writing of ustadz Arifin Ilham in the form of emoticons and comments responses, 2) their understanding are positive, negative, neutral, and inappropriate comments on the theme, and 3) their acceptance are to desire to change for the better, to avoid the aqidah deviant, to more diligent worship, and to better morals.

Penelitian ini ingin mengetahui sejauh mana respon netizen terhadap dakwah bi al-qalam ustadz Arifin Ilham di media sosial Facebook. Dengan tujuan untuk mengetahui perhatian, pengertian, dan penerimaan dari netizen terhadap dakwah bi al-qalam ustadz Arifin Ilham. Penelitian ini menggunakan metode analisis isi kualitatif, yaitu menganalisis data berupa komentar-komentar yang diberikan netizen melalui simbol emotikon dan komentar dengan cara menemukan simbol, mengklasifikasi data, dan menganalisis. Berdasarkan hasil penelitian ditemukan: 1) perhatian netizen dalam memberikan respon terhadap dakwah bi al-qalam ustadz Arifin Ilham berupa respon emotikon dan komentar, 2) pengertian dalam bentuk komentar positif, negatif, netral, dan tidak sesuai tema, dan 3) penerimaan berupa keinginan untuk berubah menjadi lebih baik, yaitu terhindar dari aqidah yang menyimpang, semakin rajin beribadah, dan semakin baik akhlaknya.
Pesan Dakwah dalam Album Ketika Hati Bicara Karya Ebith Beat *A
Authors: Arifin Muhammad Tajul , Muhlis Atjep , Nase - 
Published: April 2019

This study aims to find out the message of da'wah contained in music as well as Ebith songs carried in an album entitled "When the Heart Speaks", which includes the message of creed, morals, and shari'ah. This research method is a qualitative research with content analysis approach, which is a step taken to obtain information from the contents of communication delivered in the form of symbol. Technique of collecting data in this research is through observation, interview, and documentation. The results showed that, Ebith songs that were carried on the album "When the Heart Speaks" very clearly indicate the existence of the message of da'wah, including the message of creed, morals, and shari'ah in it, because the lyrics of the songs sung in no way conflict with the Quran and Hadith. This is evidenced by the way Ebith is always consulted first to who knows more about religion before he poured it into a song lyrics.

Penelitian ini bertujuan untuk mengetahui pesan dakwah yang terkandung dalam lagu-lagu Ebith yang diusung dalam sebuah album berjudul “Ketika Hati Bicara”, yang mencakup pesan akidah, akhlak, dan syariat. Metode penelitian ini adalah penelitian kualitatif dengan pendekatan analisis isi, yang merupakan suatu langkah yang ditempuh untuk memperoleh keterangan dari isi komunikasi yang disampaikan dalam bentuk lambang. Teknik pengumpulan data dalam penelitian ini adalah melalui observasi, wawancara, dan dokumentasi. Hasil penelitian menunjukkan bahwa, lagu-lagu Ebith yang diusung dalam album “Ketika Hati Bicara” sangat jelas menunjukkan keberadaan pesan dakwah, termasuk pesan akidah, akhlak, dan syari’ah di dalamnya, karena lirik lagu yang dinyanyikannya sama sekali tidak bertentangan dengan Quran dan Hadis. Hal tersebut dibuktikan dengan cara Ebith yang selalu berkonsultasi terlebih dahulu kepada yang lebih tahu tentang agama sebelum menuangkannya ke dalam sebuah lirik lagu.
ANALISIS KARAKTERISTIK DIMENSI EKOLOGI UNTUK MENUNJANG PENGELOLAAN PULAU – PULAU KECIL TERLUAR (PPKT) SECARA BERKELANJUTAN DI KABUPATEN NUNUKAN, KALIMANTAN UTARA
Authors: Mustikasari Eva 
Published: April 2019

Sebagai salah satu pulau terluar dari propinsi termuda di Indonesia, tingkat pembangunan di Pulau Nunukan berkembang dengan pesat. Pembangunan tersebut tentu berdampak terhadap lingkungan perairan sekitar Pulau Nunukan. Pada Bulan April 2016 telah dilakukan pengambilan dan pengukuran data hidro oseanografi dan data luasan mangrove. Sedangangkan pada musim peralihan I (April) dan Musim Peralihan II (September) 2016 telah dilakukan survey pengambilan data fisika-kimia air laut di perairan Pulau Nunukan. Metode yang digunakan dalam penelitian ini adalah metode kualitatif dan kuantitatif dengan melakukan pengukuran in situ dan analisis laboratorium. Hasil menunjukkan bahwa kecepatan arus rata-rata mencapai 40 cm/detik, pH perairan berkisar antara 7.3 – 8.2, salinitas 30 – 37 ppm, sedangkan suhu berkisar antara 27 – 30 derajat Celsius. Terdapat 8 parameter yang dihasilkan yaitu: Suhu, derajat keasaman, Salinitas, Dissolve oxygen, Total Dissolve Solid, Kekeruhan, Konduktifitas, Densitas. Secara umum parameter yang terukur di perairan Pulau Nunukan masih dalam kondisi baik, hanya terlihat nilai suhu dan kekeruhan yang berada di luar ambang batas baku yang ditetapkan pemerintah. Dari karakteristik tersebut diatas maka perairan nunukan sangat cocok untuk area budidaya rumput laut Khusus untuk jenis Eucheuma sp. Sebaran indeks vegetasi pada tahun 2016 menunjukkan data kepadatan vegetasi mangrove yang sangat rendah.
Adjuvant urokinase: percutaneous drainage of post lower segment cesarean section intra-abdominal abscess
Authors: Khade Shweta Avinash , Jadhav Balaji , Meena Preeti 
Published: April 2019

The mortality in abdominal abscess is high, however the outcome has improved due to advances in image guided percutaneous interventional techniques. The main indications for the catheter drainage include treatment or palliation of sepsis associated with an infected fluid collection, and alleviation of the symptoms that may be caused by fluid collections by virtue of their size, and site. The single abscesses may be drained with ultrasound guidance only, whereas the multiple abscesses usually require computed tomography (CT) guidance and placement of multiple catheters. Percutaneous drainage provides an effective and safe alternative to more invasive surgical drainage but the success rate is lower for abscesses that have septa and are multilocular. Several clinical and in vitro studies suggest urokinase may be useful in such cases. To the knowledge, however, there has been no case of post LSCS intra-abdominal abscess in which intracavitary urokinase was administered. Therefore, we report a case of post LSCS multiseptated intra-abdominal abscess occurring in a 21-year-female. Conventional percutaneous tube drainage failed, but the use of transcatheter intracavitary urokinase was successful. Our results showed no significant change in hematologic studies and no bleeding complications. Intracavitary urokinase can be given safely during percutaneous drainage of an abscess, with no associated bleeding complications or changes in coagulation parameters.
Effectiveness of introduction of specialised female surgical clinic in a tertiary care hospital
Authors: Singh Atul Kumar , Sharma Anshuman , Pandey Shailja , Jain Siddharth , Sharma Vishal , Aggarwal Shubhangi 
Published: April 2019

Background: Specialised female surgical clinics are the need of the day and not addressed routinely in the Surgical Department. The management of surgical problems in female patients requires multidisciplinary approach mainly general surgery, obstetrics and gynaecology, general medicine, paediatrics, dermatology and psychiatry. The aim and objective was to introduce a new concept of subspecialty and super speciality in management of female surgical diseases.Methods: Prospective educational interventional study. 18 out of 60 sensitised interns were introduced and oriented in the specialised female surgical clinic. A total of 952 patients visiting the Clinic were studied. Statistical analysis was done.Results: Feedback of female patients were taken and recorded in a proformas and their analysis was done. There was a significant improvement in the knowledge and skill of the participating interns. 99.2% (944 cases) of the female patients were willing to continue their visit to such a specialized clinic in future.Conclusions: It can be concluded that there is a requirement and need of a fully functional specialized female surgical Clinic in our hospital.
Diagnostic value of C-reactive protein as a predictor of complicated appendicitis like perforated/gangrenous appendicitis
Authors: Choudhary Suresh Kumar , Yadav Bhanwar Lal , Gupta Shalu , Kumar Narender , Bansal Somendra , Verma Pradeep Kumar 
Published: April 2019

Background: Appendicitis is inflammation of appendix. Appendicitis remains the most common abdominal surgical emergency. There is no reliable specific marker for acute appendicitis and its complications. C- reactive protein is an acute phase reactant produced by the liver during the acute inflammation, which rises rapidly in presence of inflammation. CRP is a more sensitive and reliable indicator of inflammatory processes than ESR and leucocyte count. The aim of this study was to evaluate whether CRP predict the severity of appendicitis.Methods: This study was hospital based, observational study. After history and clinical examination, patient underwent USG whole abdomen. Diagnosis of appendicitis was established. After that patient underwent routine blood investigations including, CRP. After confirming diagnosis of appendicitis, patients underwent appendectomy and biopsy of appendix was sent for histopathological examination.Results: In our study, CRP value > 6.15mg/L has a sensitivity of 100.0% and a specificity of 54% in predicting complicated perforated or gangrenous appendicitis. The positive predictive value and negative predictive value of CRP were 100% and 61.54% respectively. The cut off level at around 6mg/dL needs to be handled carefully and a person with high CRP should undergo surgery immediately.Conclusions: This study clearly suggested that CRP leads to precise prediction of the severity of acute appendicitis for treatment. A person with high CRP should undergo surgery immediately ures.
Left sided obstructed Amyand’s hernia: a rare case report
Authors: Agrawal Akash , Vora Palak 
Published: April 2019

Amyand's hernia is a rare form of an inguinal hernia (less than 1% of inguinal hernias) which occurs when the appendix is a part of hernial sac. Because of anatomical position of the appendix, it is most commonly found in the right sided hernial sac and it can also be accompanied by the caecum and/or right colon. In rare case, Amyand’s hernia can appear on the left side also. Here we report a case of left sided amyand’s hernia with acute perforated appendicitis in a 58 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.