bluuebunny/crossref_metadata_2025_split huggingface dataset:
Work related muskuloskeletal disorders among dentists at the university dental clinic in Skopje
Authors: Rendžova Vasilka , Apostolska Sonja , Eftimoska Marina , Džipunova Biljana , Filipovska Vesna 
Published: April 2019

Summary
Introduction Musculoskeletal disorders (MSDs) are one of the most common types of work-related diseases that affect health workers, especially dentists. The aim of our study was to examine the presence of musculoskeletal disorders among dentists at the university dental clinic in correlation with risk factors.
Materials and methods A questionnaire survey was carried out among 78 dental practitioners aged between 20 to 60 years old, employed at the university dental clinic. Questions included data on physical and psychosocial workload, perceived general health and occurrence of musculoskeletal complaints in the past 12 months, chronic complaints, frequency and length of breaks, exercising habits as well as medical care seeking.
Results Pain in the back, neck and shoulders (84.6% / 85.9%) was the most common complaint among the majority of respondents, while reduced range of movement was noticed among significantly fewer subjects, mostly between 40-60 years of age. Prolonged statistic position was considered to be one of the main causes of MSDs (82.05%) while 73.08% of respondents stated at least two more reasons beside this one.
Conclusion The percentage of MSDs prevalence among dentists in public health sector is high. More extensive surveys should be undertaken to cover larger group of dentists from both private and public sector, in order to obtain complete analysis of the prevalence of occupational disorders in our country.
Periodontal health in children with diabetes mellitus type 1 in Montenegro
Authors: Đuričković Mirjana , Ivanović Mirjana , Samardžić Mira , Jovičić Olivera , Popović Zorica 
Published: April 2019

Summary
Introduction Separation of instruments in the root canal is one of the challenges in endodontic treatment. More specifically, nickel-titanium (NiTi) rotary instruments usually separate without previous deformation. The aim of this pilot study was to assess the effect of torsional stress on endodontic NiTi rotary instruments separation in simulated clinical conditions.
Materials and methods Research was conducted on a sample of 20 human teeth in laboratory conditions. Experimental procedure consisted of determining canal curvatures for each root on digital radiographs and root canal treatment using endodontic NiTi rotary instruments. Out of 20 teeth (60 canals), two groups were formed with similar root canal curvatures (10 pairs of teeth) and instrumented using NiTi rotary instrument with or without torque control.
Results Wilcoxon matched pair test showed no statistically significant difference in average number of instruments use with or without torque control (p>0.05).
Conclusion Even though there is no statistical significance in instrument separation when instruments were used with or without torque, there is tendency to experience sudden fracture of instruments after work without torsional control even after only few uses in clinical work.
Kira Sertifikası İçerikli Yeni Akidler: Enerji-Tarım Kira Ortaklığı ve Altına Dayalı Kira Sertifikası
Authors: KELES Yunus 
Published: April 2019

İnsanlar, temel ihtiyaçlarını karşılamaya yönelik
olarak çeşitli akidlere dayalı ticari faaliyetleri sürdüre gelmişlerdir. Yeni
ihtiyaçların getirdiği birçok alanda işleri kolaylaştıracak veya hızlandıracak
yöntemlere başvurulmuştur. Özellikle sermaye ve fon toplama araçlarının
çeşitlendiği günümüzde suistimale açık sorunlar da peşpeşe gelmeye başlamıştır.
Gerek ülkemizde gerekse dünyada artık normal hale gelen ekonomik krizlerin
temelinde vaadlere dayalı projelerin fon toplama maksadıyla ölçüsüz bir şekilde
suistimali ve borcun satımına dayalı şişirilmiş finans çarklarının beslenmesi
yatmaktadır. Ancak bu gibi vakıalar, hakiki ve selim bir niyetle yola çıkan,
kalkınmayı ve paylaşmayı hedefleyen müteşebbislerin önünü kesmek için bir
bahane olarak görülmemelidir. Artık
ekonomik faaliyetlerin çok hızlı ve karmaşık hale gelmesi nedeniyle
müteşebbislerin önüne çıkan sorunları ele almak ve çözümler üretmek
gerekmektedir. Yeni geliştirilen kira getirisine dayalı kira ortaklığı
sistemleri de bunlardan biridir.
STUDI KOMPARASI METODE MIGRASI SEISMIK DALAM MENGKARAKTERISASI RESERVOIR MIGAS DI BLOK KANGEAN, LAUT BALI MENGGUNAKAN INVERSI IMPEDANSI AKUSTIK BERBASIS MODEL
Authors: Sidiq Aditya P. , Manik Henry M. , Nainggolan Tumpal B. 
Published: April 2019

ABSTRAK Karakterisasi reservoir menjadi penting dalam tahapan eksplorasi minyak dan gas bumi. Salah satu hal yang dibutuhkan untuk mencapai keakuratan dalam mengkarakterisasi reservoir adalah penampang seismik yang sesuai dengan penampang aslinya. Struktur lapisan bumi yang kompleks mengakibatkan gelombang terdifraksi, sehingga penampang seismik mengalami pembelokan dari posisi sebenarnya. Penelitian ini menerapkan metode migrasi seismik Kirchhoff dan Stolt (F-K) untuk mengembalikan posisi reflektor pada waktu dan kedalaman yang sebenarnya pada data seismik 2D di Perairan Utara Bali. Data seismik diintegrasikan dengan data sumur APS-1 sebagai kontrol untuk diinversikan dengan teknik inversi berbasis model sehingga dapat mengkarakterisasi reservoir. Penelitian ini bertujuan membandingkan hasil migrasi seismik yaitu migrasi Stolt dan migrasi Kirchhoff untuk diinversikan menggunakan metode inversi berbasis model sehingga dapat diketahui sejauh mana kualitas data seismik mempengaruhi proses karakterisasi reservoir. Nilai korelasi dari hasil analisis regresi antara log impedansi inversi dengan log impedansi data sumur pada migrasi Kirchhoff sebesar 0,739 dan galat regresi sebesar 873,54, sedangkan pada migrasi Stolt memiliki nilai korelasi sebesar 0,698 dan nilai galat sebesar 1236,17. Hal ini menunjukkan bahwa migrasi Kirchhoff lebih baik dari migrasi Stolt baik secara kualitatif maupun kuantitatif dalam mengkarakterisasi reservoir hidrokarbon. ABSTRACTReservoir characterization is an important method in gas and oil exploration. In order to obtain accuracy for defining reservoir, required seismic image that similar to the actual seismic image. The complexity of earth structure could cause diffracted waves, therefore, seismic image was diffracted from its actual position. This study applies Kirchhoff and Stolt (F-K) seismic migration methods to restore the position of the reflector at the actual time and depth seismic data in North Bali. Seismic data is integrated with APS-1 well data as controls to be converted with model-based inversion techniques so as to characterize the reservoir. This study aims to compare the results of seismic migration namely Stolt and Kirchhoff migration to be converted using a model-based inversion method so that it can be seen to what extent the quality of seismic data influences the reservoir characterization process. Correlation value from the results of regression analysis between inversion log impedance and well impedance log data in Kirchhoff migration is 0.739 and regression error is 873.54, while the Stolt migration has a correlation value of 0.698 and an error value of 1236.17. This shows that Kirchhoff's migration is better than Stolt migration both qualitatively and quantitatively in characterizing hydrocarbon reservoirs.
STRUKTUR KOMUNITAS HUTAN MANGROVE PADA KAWASAN MEMPAWAH MANGROVE PARK DI DESA PASIR MEMPAWAH HILIR
Authors: Rumalean Amir Suharto , Purwanti Frida 
Published: April 2019

ABSTRAKMangrove pada kawasan Mempawah Mangrove Park (MMP) telah memberikan dampak positif bagi masyarakat dan lingkungan baik secara ekonomi maupun ekologi. Penelitian ini bertujuan untuk mengetahui keunggulan vegetasi mangrove pada kawasan MMP, hal ini dilakukan karena kurangnya data informasi tentang mangrove pada kawasan tersebut. Penelitian ini menggunakan metode survei dan observasi yang terdiri dari identifikasi dan pengukuran. Hasil penelitian menunjukkan bahwa nilai INP pada kawasan MMP sebesar 300% yang terdiri dari Avicennia marina 182,65%, Avicennia officinalis 34,72%, Rhizophora mucronata 54,93%, Nypa fruticans 22,85%, dan Terminalia catappa 4,85%. Tingkat kerapatan mangrove pada kawasan MMP masuk dalam kategori sedang dengan nilai 1093 pohon/ha. Indeks kesesuaian kawasan wisata pada kawasan MMP sebesar 81,82% atau masuk dalam kategori “Sesuai (S2)”, yang meliputi tutupan/ketebalan mangrove, kerapatan, obyek biota dan pasang surut. Nilai INP dan nilai tingkat kesesuaian kawasan menunjukkan bahwa struktur hutan mangrove pada kawasan MMP dalam kondisi baik dan dapat dikembangkan menjadi obyek wisata mangrove. ABSTRACTMangroves in Mempawah Mangrove Park (MMP) area have had a positive impact on society and the environment both economically and ecologically. This study aims to determine superiority of mangrove vegetation in the MMP area, this is done because lack of data information about mangroves. This research used survey and observation methods which consist of identification and measurement. The results showed INP value is 300% consisting of Avicennia marina 182.65%, Avicennia officinalis 34.72%, Rhizophora mucronata 54.93%, Nypa fruticans 22.85%, and Terminalia catappa 4.85% . Density of mangroves in the MMP area falls into the medium category with a value of 1093 trees / ha. The index of tourist areas in the MMP region was 81.82% or included in the category of "Suitability (S2)". Which includes the cover / thickness of mangrove, density, objects of biota and tides. INP value and level of suitability indicate the structure of mangrove forest in MMP area is good condition and can be developed into a mangrove tourism object.
HUBUNGAN KADAR GULA DARAH PUASA SAAT TERJADINYA STROKE DENGAN NIH STROKE SCALE PADA PASIEN STROKE ISKEMIK AKUT DI RSUP DR SARDJITO YOGYAKARTA
Authors: Hanjaya Hermawan , Paryono Paryono , Setyopranoto Ismail , Thursina Cempaka , Satiti Sekar 
Published: April 2019

Latar belakang : Hiperglikemia merupakan kejadian yang sering terjadi pada pasien stroke iskemik, Hiperglikemia bisa terjadi pada 20-50% pasien stroke iskemik akut. Hiperglikemia merupakan suatu hal yang berdampak buruk terhadap luaran klinis pasien stroke iskemik, dan juga dapat memperburuk angka kematian pasien stoke. Kadar gula darah puasa(GDP) merupakan salah satu indikator yang praktis dilakukan di praktek klinis untuk menilai kondisi hiperglikemia.
Tujuan : Untuk mengetahui hubungan antara kadar GDP dengan nilai NIH Sroke Scale (NIHSS) pada pasien stroke iskemik akut yang dirawat di RSUP dr Sardjito yogyakarta.
Metode : Terdapat 50 pasien stroke iskemik pada bulan Januari-Mei 2018 pada stroke registry yang akan diteliti. Penelitian merupakan penelitian potong lintang. Kadar GDP pasien diambil saat pertama admisi di rumah sakit, dan skor NIHSS akan dihitung saat awal dan akhir saat pasien keluar dari rumah sakit.
Hasil : Pada uji korelasi spearman antara kadar GDP dan nilai NIHSS ketika masuk ditemukan analisis statistik yang tidak bermakna (p=0.344), dan nilai serupa (p=0.504) ditemukan antara GDP dengan NIHSS keluar. Sedangkan, chi-square menunjukkan adanya hubungan yang bermakna (p=0.03) antara kadar GDP dengan NIHSS Cutoff 7, disertai dengan hubungan klinis yang bermakna, dengan perbedaan proporsi >30%. Uji mann-whitney pada hasil delta NIHSS awal dan akhir tidak menunjukkan adanya hasil yang signifikan (p=0.243) untuk NIHSS masuk, dan (p=0.173) pada NIHSS keluar. Pada uji perbedaan nilai GDP dengan kelompok NIHSS masuk³7 (raking rerata 32.5, n=13)dan <7(ranking rerata 23.04,n=37), p value=0.044. Hasil uji multivariat tidak dapat dilakukan dikarenakan nilai p dari faktor lain >0.25.
Simpulan : Terdapat hubungan antara kadar gula darah puasa dengan skor NIHSS masuk dengan nilai cutoff 7, dan juga memiliki nilai luaran NIHSS yang lebih buruk.
Kata Kunci : GDP, NIHSS, Stroke Iskemik Akut, Gula darah puasa
TRANSIENT BILATERAL VISUAL LOSS PADA PASIEN DENGAN DECOMPRESSION SICKNESS TIPE II
Authors: Indrayani Ida Ayu Sri , Ardjaja Yenita Khatania , Triningrat Anak Agung Mas Putrawati , Devi Anita 
Published: April 2019

Latar Belakang: Transient visual loss adalah hilangnya tajam penglihatan mendadak baik parsial maupun komplit pada satu atau kedua mata yang terjadi kurang dari 24 jam. Decompression sickness terjadi apabila gelembung gas (bubble) yang terbentuk pada saat tubuh mengalami penurunan tekanan ambient secara mendadak pada pembuluh darah (intravaskular), sistem muskuloskeletal, atau jaringan tubuh lainnya menimbulkan suatu gejala. Bubble di intravaskular dapat mengakibatkan obstruksi vaskular, menghambat aliran darah dan menyebabkan iskemia. Iskemia pada daerah occipital akan menyebabkan terjadinya transient bilateral visual loss.
Kasus: Pasien laki-laki berusia 23 tahun dengan keluhan penglihatan kabur yang terjadi mendadak setelah pasien naik ke permukaan dari kegiatan menyelam sedalam ± 5 meter selama 1 menit. Pasien dengan riwayat menarik napas dalam dan cepat beberapa kali sebelum melakukan free diving. Tajam penglihatan kedua mata pasien saat di rumah sakit adalah 4/60. Pemeriksaan segmen anterior dan posterior kedua mata dalam batas normal. Dilakukan terapi oksigen hiperbarik. Tajam penglihatan kedua mata pasien membaik menjadi 6/6 setelah terapi.
Diskusi: kasus transient bilateral visual loss pada pasien dengan iskemia occipital post free diving dicurigai disebabkan oleh adanya sumbatan intravaskular oleh bubble yang terbentuk pada decompression sickness. Diagnosis decompression sickness ditegakkan secara klinis dan dapat dipastikan bila gejala membaik setelah pemberian terapi rekompresi. Terapi oksigen hiperbarik merupakan terapi pilihan pada semua kasus dengan riwayat terpapar lingkungan hiperbarik atau kondisi unpressurized high-altitude. Mencegah terbentuknya bubble dalam tubuh adalah dengan menghindari faktor risiko terbentuknya bubble dan mematuhi cara naik ke permukaan (ascending) yang benar setelah diving.
Kata Kunci: Buta Mendadak Sementara, Decompression Sickness, Penyelam
Qualidade da informação da idade nos registros de óbito no Brasil, 1996-2015
Authors: Jacques Fatima Valéria Lima , Monteiro-da-Silva José Henrique Costa , Guimarães Raphael Mendonça 
Published: April 2019

Este artigo apresenta os resultados de uma pesquisa que teve como objetivo analisar a qualidade da declaração da idade nos registros de óbito no Brasil, de 1996 a 2015. Foi realizada uma análise por ‘idade simples’ dos microdados de óbitos no Brasil no período mencionado. A preferência por dígitos terminais 0 e 5 foi avaliada usando o índice de Whipple (IW). Já a preferência pelos dígitos terminais de 0 a 9 foi expressa usando o método de Myers (IM). A qualidade dos dados de idade foi alta no período [IWtot = 0,55 – 0,83 (masculino) e 0,71 – 0,93 (feminino); IM = 0,388 – 1,004 (masculino) e 0,430 – 1,589 (feminino)]. A qualidade da informação foi mais satisfatória entre homens e não houve tendência significativa a uma melhora, sugerindo sua estabilidade durante os 20 anos analisados. Foi encontrada preferência pelo dígito terminal 0 (zero) principalmente entre mulheres. Concluiu-se que os dados de óbito no Brasil, com relação à idade, são satisfatórios, podendo ser utilizados em análises demográficas e epidemiológicas.
Patient satisfaction in middle ear surgery under monitored anaesthesia care
Authors: Lama Maya , Sigdel Rohini , Gurung Sanish , Bogati Krishna , Ranjit Bibek 
Published: April 2019

Background: Monitored anaesthesia care is a specific anaesthesia service for diagnostic or therapeutic procedures performed under local anaesthesia along with sedation and analgesia titrated to a level with the provision to convert into general anaesthesia when required. We conducted a retrospective study to determine patient satisfaction in middle ear surgery under monitored anaesthesia care.
Materials and Methods: The number of patients undergoing middle ear surgery under monitored anaesthesia care, over a period of one year were included. They received sedation with midazolam 0.02 mg/kg and fentanyl 1 mcg/kg along with local anaesthetic infiltration. Patient’s satisfaction was measured using a five point Likert scale. Intraoperative pain, nausea, vomiting and other discomforts were inquired.
Results: The total number of patients was 64. Fifty-one patients (79.7%) were satisfied, 10 were neutral (15.6%) and 3 patients (4.7%) were dissatisfied with the technique. Earache (4.7%), followed by dizziness (3.1%) and bodyache (3.1%) were the most common cause of discomfort. Nausea occurred in 6 patients (9.4%) and vomiting in 5 patients (7.8%).
Conclusion: Middle ear surgeries can be performed under monitored anaesthesia care with good patient satisfaction.
Evaluation of Pregnancy Outcomes in Gestational Diabetes Mellitus
Authors: Sunar Lakshmi , Yan Zhu 
Published: April 2019

Objectives: To evaluate the pregnancy outcomes in the patients diagnosed with Gestational Diabetes Mellitus.
Materials and Methods: A retrospective study conducted on ninety-two patients, delivered in the First Affiliated Hospital of Liaoning Medical University, China from February 2014 to June 2015.
Results: The rate of Cesarean section was 36.95%, polyhydramnios 27.17%, macrosomia 21.73% and preterm delivery was14.13% respectively.
Conclusion: Gestational Diabetes Mellitus is recognized to be associated with increased rate of adverse pregnancy outcomes. This study demonstrated that the GDM has higher risk for polyhydramnios and macrosomia.
Hemodynamic effects of right pelvic wedge in patients undergoing elective cesarean section under spinal anesthesia
Authors: Sigdel Rohini , Lama Maya , Gurung Sanish , Gurung Bishal , Neupane Anil Prasad , Pun Asha , Shrestha Saindra 
Published: April 2019

Background: Several methods have been used to prevent post spinal hypotension including preloading, co-loading, use of vasopressors, placement of pelvic wedge, lumbar wedge and tilting of operating table in parturients undergoing cesarean section. We conducted a randomized controlled study to determine the hemodynamic effects of a standard pelvic wedge placed below the right hip immediately after the spinal block till the delivery of baby.
Methods: One hundred consenting women undergoing elective cesarean section under spinal anesthesia were randomly allocated to wedge group (N=50) and control group (N=50). A standard wedge was placed under the right pelvis soon after spinal anesthesia till the delivery of baby in wedge group whereas the control group remained supine. Hemodynamic parameters including blood pressure, heart rate, vasopressor consumption, other side effects like nausea, vomiting and neonatal outcome were also recorded.
Results: The incidence of hypotension and bradycardia was similar between groups (Wedge group 60% vs Control group 75.51%, p=0.125) before the birth of baby. The use of vasopressors (p=0.212), incidence of nausea (p=0.346) and Apgar score at 1 and 5 minutes (p=0.629, p=0.442) were also not statistically significant. None of the patients had vomiting.
Conclusion: In our study, the use of right pelvic wedge immediately after spinal anesthesia was not effective in preventing post spinal hypotension in elective cesarean section.
Metabolic Syndrome in Subclinical and Overt Hypothyroidism
Authors: Thapa Buddhi Bahadur , Tiwari Madhav , Gurung Sailesh , Gurung Man Bahadur , Kalauni Mukunda , Bhatta Bhup Dev 
Published: April 2019

Background: Sub-clinical hypothyroidism (SCH), overt hypothyroidism and metabolic syndrome (MetS) are recognized risk factors for atherosclerotic cardiovascular disease and Type 2 diabetes mellitus (DM- II).Thyroid function affects MetS parameters including blood pressure (BP), fasting blood sugar (FBS), serum triglycerides (TG) and high density lipoprotein cholesterol (HDL-C). But the relationship between MetS and thyroid functions is yet to be identified clearly. The present study is to investigate the frequency of MetS in patients of SCH and overt hypothyroidism.
Materials and Methods: A hospital based cross–sectional study was conducted at Swastik referral laboratory and research centre. In this study, 50 patients with overt hypothyroidism, 50 patients with SCH and 129 euthyroid controls were enrolled. National Cholesterol Education Program- Adult Treatment Panel III (NCEP-ATP III; 2005) revision criteria were used to diagnose metabolic syndrome. Thyroid function test (TFT: FT3, FT4 and TSH) was done by using chemiluminescence immunoassay (CLIA) and other tests by using a semi-auto analyzer. ANalysis Of VAriance (ANOVA) test was performed using SPSS (version 16.0).
Result: There was a significant difference in the mean of the waist circumference (p=0.031), BP systolic (p=0.010), BP diastolic (p<0.001)), FBS (p=0.001), serum HDL-C (p=0.031) and serum TG (p=0.003) between control, subclinical and overt hypothyroidism group (p<0.001). Prevalence of MetS was 25.6 % in euthyroid controls whereas 44.0% in the SCH group and 62.0% in the overt hypothyroid group (p<0.001).
Conclusion: Thyroid dysfunction may be responsible for the development of metabolic syndrome.
Study of Prevalence, Risk Factors and Hematological Parameters in Children Suffering from Iron Deficiency Anemia in a Tertiary Care Centre in Pokhara
Authors: Paudel Amrita Ghimire , Malla Kalpana Karmacharya , Shrestha Shree Krishna , Paudel Suresh Raj , Paudel Deepak Raj , Bastola Ramchandra , Sigdel Yagya Raj , Gurung Rupa 
Published: April 2019

Introduction: Iron deficiency anemia (IDA) is the most common anemia worldwide. It adversely affects the physical growth, cognition, behavior and the immune status of infants and children. There are limited number of studies in Nepal analyzing its prevalence, risk factors and diagnosis in pediatric population. Restriction of analgesics intake, increased intake of iron rich food and deworming are important determinants in the disease management.
Methods: Hospital based prospective comparative study was conducted in the Department of Pediatrics in Manipal Teaching Hospital from December 2014 to December 2016 enrolling all children aged 6 months to 5 years with anemia. Demographic profile, clinical features and information regarding risk factors were noted along with detailed physical examination. Iron profile was done to confirm diagnosis of IDA. Data was analyzed using SPSS 21.
Results: Out of 168 anemic children, 110 (65.45%) children were diagnosed as IDA. Dietary factors, pica and intake of analgesics/antipyretics were major risk factors. Serum iron, serum ferritin, transferrin saturation were low whereas total iron binding capacity was high in IDA.
Conclusion: Iron deficiency anemia is a common, preventable and easily treatable disease which has potentially serious consequences if not treated. Non compliance to exclusive breastfeeding in the first 6 months of life, introduction of cow’s/buffalo’s milk in the first year, pica and rampant use of analgesics/antipyretics are major risk factors.