bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of eustachian tube dysfunction in middle ear pathologies
Authors: Singh T. Dinesh , Sudheer C. P. 
Published: December 2018

<p class="abstract"><strong>Background:</strong> Auditory tube dysfunction is suspected as primary cause of chronic otitis media and leads to surgical related complications in otitis media with tympanic membrane perforation. The diagnosis of eustachian tube malfunction is essential to know the pathogenesis of chronic otitis media.</p><p class="abstract"><strong>Methods:</strong> A total 150 cases and 75 age, sex matched control subjects between age group 20-50 years were selected. Pre and post-surgical history was noted and detailed ear examination, tympanometry was done. Auditory tube function was evaluated through Valsalva test, nasopharyngoscopy, pneumatic otoscopy. Intact tympanic membrane was assessed by Williams test, perforated tympanic membrane by Toynbee’s test. </p><p class="abstract"><strong>Results:</strong> Postoperative assessment of eustachian tube function by Toynbee’s test for 19 cases with failed tympanoplasty showed normal ET function in 5 cases, 8 cases had partial and 6 cases had gross ET dysfunction. Postoperative assessment ET function by William’s test showed 4 cases among 19 cases had partial ET dysfunction and 01 cases had gross ET dysfunction.</p><p class="abstract"><strong>Conclusions:</strong> Efficient surgical outcome of middle ear complications always depends on eustachian tube function. Most of the cases with residual CP showed partial or gross ET dysfunction. Patients with tubal dysfunction should be evaluated for underlying cause and treatable causes should addressed before proceeding for surgery as it increases the success rate of tympanoplasty.</p>
A comparative study of diagnostic nasal endoscopy and computerized tomography of paranasal sinus in diagnosing sino nasal disease
Authors: Belure Gowda P. R. , Vinay Kumar M. V. 
Published: December 2018

<p class="abstract"><strong>Background:</strong> Paranasal sinus diseases are one of the commonest causes of patients visit to an otolaryngologist. The symptoms are multiple and vague, while examination is often limited as sinuses cannot be examined directly. The objective of the study was to compare the diagnostic nasal endoscopy and computerized tomography findings of paranasal sinus in diagnosing sino nasal disease.</p><p class="abstract"><strong>Methods:</strong> A comparative study was conducted at Hassan Institute of Medical Sciences, Hassan for duration of one year from June 2017 to June 2018. All the patients attending the ENT OPD with sin nasal disease and who meets the inclusion criteria during the study periods were included in the study. A total of 100 Patients were included in the study and analyzed. </p><p class="abstract"><strong>Results:</strong> The most common diagnosis leading for diagnostic evaluation was chronic sinusitis. The septal deviation was best diagnosed using CT scan. CT scan was also found to effective and better than DNE in identifying the haziness in the sinus and checking the patency of sinus. DNE was found to better in identifying the secretion in the middle meatus.</p><p class="abstract"><strong>Conclusions:</strong> Sino nasal disease in the adults needs to evaluate using DNE and CT scan before planning for the sino nasal surgeries. Both the diagnostic techniques have merits over the other, but CT scan can give better view and reports of the sinonasal diseases.</p>
Study on incidence of fungal aetiology in cases of chronic rhinosinusitis: a teaching hospital based study
Authors: Singh Kamalpreet , Goyal Sunil , Gupta Arun 
Published: December 2018

<p class="abstract"><strong>Background:</strong> To study the presence of fungus and their types in nasal swabs taken from osteomeatal complex and in cases of nasal polyp from the nearest point of osteomeatal complex under endoscopic vision from the patients of chronic rhinosinusitis, using fungal culture and smear as the diagnostic method and to ascertain radiological, endoscopic and clinicopathological correlation.</p><p class="abstract"><strong>Methods:</strong> 100 patients with CRS attending ENT OPD at tertiary care hospital to know the presence of fungus and their types and correlate clinico-pathological findings among patients of CRS with positive fungal culture and staining with those without positive fungal culture and staining. </p><p class="abstract"><strong>Results:</strong> Positive fungal cultures and smear in all cases including those who underwent endoscopic sinus surgery tissue samples were submitted for fungal elements, eosinophilia and fungal culture. Evidence of fungal infection was obtained in 32% (n=32) cases. Amongst the total patients, in 68 (68%) patients fungal culture and smear were negative (Table 1). Correlation between CT score (Lund-Mackay) and endoscopic findings score (Lund- Mackay) among patients of CRS with positive fungal etiology and CRS without positive fungal etiology showed highly significant p value.</p><p class="abstract"><strong>Conclusions:</strong> The fungal infection is frequent in patients with chronic rhinosinusitis (32%), though on the lower side when compared to various other studies which have shown much more incidence of fungus in cases of CRS using advanced diagnostic tools and better methods of sample collection. Based on our results, <em>Aspergillus </em>(71.875%)<em> </em>was the most frequent isolated fungus in CRS patients followed by <em>Mucormycosis </em>and<em> Candida</em>.</p>
A case report of subglottic haemangioma
Authors: Karunakaran Vignesh , Swamirao Rajaganesh Kutuva , Natarajan Dhinakaran 
Published: December 2018

<p class="abstract">We report a case of 18 year old female who presented with hoarseness of voice and hemoptysis for 6 months eventually diagnosed as subglottic haemangioma through video laryngoscopy, CT imaging and histopathological examination of excision biopsy. The tumor excision was done by endolaryngeal surgery with tracheostomy under general anesthesia. The diagnosis of subglottic haemangioma, its management and prognosis were discussed.</p><p class="abstract"> </p>
A panoramic view of type 4 Kuhn cells, only one of its kind
Authors: Prasad K. C. , Mohiyuddin Azeem , Swapanthi M. B. , Harshita T. R. , Gopinath Induvarsha , Koneru Pratyusha , Nallencherry Mansheer 
Published: December 2018

<p class="abstract">There are different type of pneumatizing air cells in the frontoethmoidal region, as described by Kuhn el all, in this type IV Kuhn cell is that kind of cell which is completely isolated within the frontal sinus, or as Wormald described it as, fronto-ethmoidal cells extending more than 50% of its vertical height of the frontal sinus. In this study we would like to show a macroscopic or panoramic view of type IV Kuhn cell, which was a glorious view while performing an external approach, as there is no literature on type IV Kuhn cell with a panoramic view. Possibly this could be the first of its kind in medical literature. And therefore, this image can be incorporated in various studies for further references.</p><p class="abstract"> </p>
Comparing outcomes in cemented vs uncemented hemiarthroplasty in femoral neck fractures
Authors: Kapoor Udit , Chug Amit , Baranwal Govind , Patil Shaunak , Kumar Shubham 
Published: December 2018

<p class="abstract"><strong>Background:</strong> The optimal treatment choice for femoral neck fractures is often debated. In this study, we aimed to compare the functional outcome in elderly patients who underwent either cemented or uncemented hemiarthroplasty in our department.</p><p class="abstract"><strong>Methods:</strong> This prospective study included patients who were scheduled to undergo hemiarthroplasty for femoral neck fracture in the Department of Orthopedics, Dr DY Patil University School of Medicine, Navi Mumbai. Two study groups were made. One group had patients who underwent uncemented hemiarthroplasty and the second group had patients who underwent cemented hemiarhtroplasty. Surgery related information was collected from the operative notes of the surgeon. Post-operative complications, Visual Analogue Scale (VAS) scores and Harris Hip Score (HHS) were noted during the follow up period.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 30 patients in the uncemented group and 31 in the cemented group. All the baseline demographic and clinical variables were similar in both the study groups. Mean intraoperative blood loss and operative time was significantly higher among the patients who underwent cemented hemiarthroplasty as compared to uncemented group. Mean VAS score at the first month and sixth month follow up was significantly higher among patients in the uncemented group as compared to cemented group. Functional outcome was not signicantly different according to the HHS performed 6 months post-operatively.</p><p class="abstract"><strong>Conclusions:</strong> Patients in the cemented group had a higher intra-operative blood loss and longer operative time. However, the pain score on the VAS were significantly lower at first and sixth month follow up. Functional outcomes were not significantly different between the two study groups.</p><p> </p>
A Massive Arteriovenous Malformation arising from the Aorta causing Severe Pulmonary Hypertension
Authors: Kennelly Patrick John , Rea David , Crowe Suzanne 
Published: December 2018

Aortic arteriovenous malformations (AVMs) are rare vascular anomalies where the aorta communicates with adjacent venous structures, bypassing the capillary system. We report a case of a neonate born at 34 weeks gestation who presented at 3 weeks of life in respiratory distress. Echocardiography demonstrated severe pulmonary hypertension with right ventricular dilatation but an otherwise structurally normal heart. Clinical examination revealed a pulsatile abdominal mass with an audible bruit.
Abdominal ultrasound was performed and it demonstrated a large cystic mass arising from the inferior vena cava (IVC) with both arterial and venous vascular flow within it. Further evaluation with magnetic resonance angiography (MRA) showed a massive arteriovenous malformation from both left and right iliac arteries, and lumbar arteries communicating with the IVC. A decision was made with interventional radiology to attempt coiling of the vascular lesion. Following this procedure his pulmonary hypertension worsened in severity, culminating in acute heart failure and multi-organ dysfunction. A subsequent interventional radiology procedure found that there was no blood flow to his bowel or abdominal viscera. Cardiac arrest followed with an unsuccessful attempt at resuscitation. This case describes a presentation of severe pulmonary hypertension initially considered to be secondary to either congenital heart disease or intrinsic pulmonary disease, but which was found to be as a result of a very rarely occurring massive aortic AVM.
Incidence and Characteristics of Infants with Retinopathy of Prematurity in Croatia
Authors: Vucinovic Mirjana , Znaor Ljubo , Vucinovic Ana , Capkun Vesna , Bandic Julijana 
Published: December 2018

PURPOSE: To study the incidence of retinopathy of prematurity (ROP) in a neonatal intensive care unit in Croatia and obtain information on risk factors associated with ROP. There have been limited studies on ROP in Croatia where the screening for ROP and its treatment is still insufficient and not introduced in many intensive care units.
MATERIAL AND METHODS: This retrospective study included 247 premature infants admitted to the neonatal intensive care unit of University Hospital Split, over a 5-year period between January 2012, and December 2016. In this paper the relationship between clinical risk factors and the development of ROP was analyzed.
RESULTS: The overall incidence for ROP was 23,9 % (59 infants), for Type 1 ROP was 9,3% (23 infants); for Type 2 ROP was 14,6% (36 infants). Median gestational age (GA) and birthweight (BW) were significantly lower among infants with ROP versus those without ROP (29: 23-34 vs. 31: 23-34,p<0,001 and 1,180:630-2,000 vs. 1485:590-2000, p<0,001 respectively). Multivariate analysis showed that only BW (p=0,029) and small for gestational age (SGA) (p=0,045) predicted the development of ROP.
CONCLUSION: Birth weight and small for gestational age were the most significant risk factors for developing ROP. In comparison with studies from highly developed countries, infants with a much wider range of gestational age and birth weights are developing Type 1 ROP.
KOMUNIKASI ANAK TUNA RUNGU (STUDI ETNOGRAFI KOMUNIKASAI PADA ANAK-ANAK TUNA RUNGU DI SLB B YAKUT PURWOKERTO)
Authors: Handayani Muslih Aris 
Published: December 2018

This study aims to explain the communication model of deaf children in SLB B YAKUT Purwokerto, using a qualitative approach that is as a process that tries to get a better understanding of the complexity in interaction between humans. The results showed that in communicating, SLB B children prioritized verbal (oral) and non-verbal (gesture) languages. This can look good when in class or outside class. The events or the process of communicating the deaf with their fellow human beings and with normal people have their own uniqueness and distinctiveness because the deaf try to establish two existences. First, the existence of fellow deaf and existence in the eyes of normal people. Communication of deaf children, both deaf or with normal people, cannot be separated from communication elements, namely the messenger, message, channel and recipient of the message. Feedback can appear or not when the communication process occurs. AbstrakPenelitian ini bertujuan ingin menjelaskan model komunikasi anak tuna rungu di SLB B YAKUT Purwokerto, dengan menggunakan pendekatan kualitatif yaitu sebagai suatu proses yang mencoba mendapatkan pemahaman yang lebih baik mengenai kompleksitas dalam interaksi antar manusia. Hasil penelitian menunjukkan dalam berkomunikasi, anak-anak SLB B mengutamakan bahasa verbal (oral) dan non verbal (isyarat). Hal ini dapat terlihat baik ketika dalam kelas atau di luar kelas. Peristiwa atau proses komunikasi anak tuna rungu dengan sesamanya dan dengan orang normal memiliki keunikan dan kekhasan tersendiri karena para tuna rungu berusaha membangun dua eksistensi. Pertama, eksistensi sesama tuna rungu dan eksistensi di mata orang normal. Komunikasi anak tuna rungu baik sesama tuna rungu atau dengan orang normal tidak lepas dari unsur-unsur komunikasi yaitu penyampai pesan, pesan, saluran dan penerima pesan. Umpan balik (feedback) bisa muncul atau tidak ketika terjadi proses komunikasi.
مطالعه علل و عوامل موثر بر آسیب‌پذیری در ایستگاه‌های تقلیل فشار گاز با استفاده از مدل SVA و رویکرد مهندسی تاب‌آوري
Authors: عادل مظلومي , یاری مصطفی , حق‌بین علی‌اصغر 
Published: December 2018

مقدمه: يک سيستم آسيب‌پذير، ظرفيت بازيابي سريع پس از شوک‌ها را نداشته و ممکن است قادر به ارائه خدمات در شرايط تغييريافته نباشد. لذا هدف از انجام اين مطالعه، شناسايي نقاط آسيب‌پذير ايستگاه تقليل فشار گاز و ارتقاء سطح ايمني آن در برابر بحران‌هاي صنعتي با رويكرد مهندسي تاب‌آوري بود.
روش بررسی: اين مطالعه توصيفي تحليلي به صورت مقطعي و كاربردي در ايستگاههاي تيپ تقليل فشار گاز برون شهري انجام شد. قبل از انجام مطالعه نسبت به ترجمه و بومي‌سازي مستندات مربوط به روش ارزيابي SVA اقدام شد. پس از ترجمه فرم‌ها و رفع اشكالات مربوط به ترجمه و اصلاح آنها توسط پنل خبرگان، مراحل مطالعه در 6 فاز جداگانه و بر اساس تكنيك SVA و الگوي مربوطه به نمره‌دهي ، توسط پنل خبرگان(تيم VA) انجام گرفت.
نتایج: نهايتاً مشخص گرديد دو بحران صنعتي انفجار و آتش‌سوزي و افت فشار گاز با امتياز 75/3نسبت به ساير بحران‌هاي صنعتي ذكر شده اثرات سوء بيشتري بر ايستگاه، همسايگان و مصرف‌كنندگان گاز آن ايستگاه مي‌توانند داشته باشد. همچنين با اهميت‌ترين دارايي‌هاي ايستگاه CGS به ترتيب مربوط به Heater، شيرهاي ورودي و خروجي با امتيازهاي 8/2 و Turbine meter با امتياز 6/2 و بزرگترين تهديدات افت فشار گازو انفجار و آتش‌سوزي با امتياز 75/3 در ايستگاه‌ها تلقي شد و با عنايت به اعداد آسيب‌پذيري كه امتيازات كمتر از 123 از 500 را كسب نمودند، 15 مورد راهكار ارائه گرديد.
نتیجه‌گیری: به طور كلي مي‌توان گفت SVA در مقايسه با ساير روش‌هاي مديريت ريسك همچونHAZOP و QRA ديدي بازتر دارد و جهت جمع‌بندي ديدگاه‌هاي جذابيت، اهميت، تهديد و حفاظ‌هاي سيستم را نيز در نظر مي‌گيرد. استفاده از مدل SVA جهت شناسايي نقاط آسيب‌پذير ايستگاه CGS و تعريف راهكارهاي تاب‌آوري از ويژگي‌هاي بارز اين مطالعه بود.
واژه‌های کلیدی: ايستگاه تقليل فشار گاز، آسیب‌پذیری، مهندسی تاب‌آوری، شركت ملي گاز ايران
Functions of psychological healthy work place' components in preventing of work-family conflict perception
Authors: Ali (PhD) Mehdad , Tabrizi E (MA) Ghahremani 
Published: December 2018

Background: In today’s work settings, work-family conflict as a main stressor has become an important and influential factor as well as a strong predictor of various personal and work-related outcomes. Consequently, the main purpose of this research was to predict perceived work-family conflict through components of psychological healthy work place.
Methods: The study population included all employees of all public organizations of a city in Isfahan province, among them, large organization affiliated to Tehran Municipality with 832 employees, in the spring of 1395, among them, 202 were selected through random sampling. The research instruments consisted of work-family conflict and psychological healthy work place questionnaires. Data were analyzed by using of Pearson's correlation coefficient and stepwise multiple regression analysis.
Results: The results showed that there were significant negative relationship between all components of psychological healthy work place with perceived work-family conflict (P<0/01). Moreover, the result of stepwise multiple regression analysis showed that, from all components of psychological healthy work place, only access to money could predict significantly 18.7 percent of work- family conflict variances (P<0/01).
Conclusion: According to the findings, despite the association between components of psychological healthy work place with work-family conflict, "access to money" as one of the most important components is strongest and only predictor of work-family conflict. Consequently, work-family conflict perception could be decreased through increasing of psychological healthy work place' components.
Keywords: Psychological healthy workplace, work-family conflict, public organizations
GIS-based Decision-Support System Applications in Disaster Management
Authors: Gerdan Serpil 
Published: December 2018

Effective
decision-making in disaster requires new tools such as geographic
information system (GIS). This study examines how to use GIS tools disaster management
organizations and do they have GIS-based decision support system. Furthermore
it investigates whether organizations can collaborate with other organizations
and what are the challenges during the crises or disaster events. We found that respondents in the survey
indicated that all of their organization related to disaster management in Marmara
region in Turkey use GIS and they strongly agree that their organization has a
disaster and emergency response plan. They agree that emergency response is
challenging because of criticality of the task itself and limited response time.
Limited time and time pressure is the two major challenges of disaster
management because each planning action considered at the ordinary time. But in
times of crisis, unplanned situations may occur. That's why disaster management
needs to GIS-based emergency response planning and decision support system.
Manisa Pamuk Fiyatlarının Zaman Serisi Analizi Ve Yapay Sinir Ağı Teknikleri İle Tahminlenmesi Ve Tahmin Performanslarının Karşılaştırılması
Authors: Can Şengül , Gerşil Mustafa 
Published: December 2018

Tekstil sektörünün
bitkisel hammaddesi olarak kullanılan pamuk gerek ülkemiz gerekse dünyada
tarım, sanayi ve ticarette stratejik bir önem taşımaktadır. Ülkeler arası pamuk
ticareti ise pamuk borsaları aracılığıyla gerçekleşmektedir. Ülkemizdeki birçok
tarımsal ürünün değerini devlet belirler.
Ancak pamuk borsalar tarafından fiyatı belirlenen birkaç üründen
biridir. Bu çalışma kapsamında Manisa Tarım Borsasından yıllık pamuk fiyatları
alınmıştır. Alınan veriler analize uygun olacak şekilde düzenlenmiş ve weka
programında analiz edilmiştir. Zaman serisi ve yapay sinir ağı teknikleri
kullanılarak 2017 yılına ait fiyatların değer tahminleri yapılmıştır. Yapılan
tahminler MAE, MAPE ve RMSE değerleri
üzerinden karşılaştırılarak hangi tekniğin daha başarılı tahmin performansı
gösterdiğine karar verilmiştir. Elde edilen sonuçlar literatürdeki benzer
çalışma sonuçlarıyla da karşılaştırılmıştır. Tüm bu sonuçlar doğrultusunda
yapay sinir ağı tekniğinin daha başarılı sonuçlar elde ettiği görülmüştür.
Katılımcı Bütçeleme ve Kent Konseylerinde Katılımcı Bütçe Algısı: Manisa Yunusemre Belediyesi Kent Konseyi Örneği
Authors: Kayalıdere Gül , Çakır Sema 
Published: December 2018

Kamu
yönetiminde yaşanan gelişmelerle birlikte, halkın bütçelerin hazırlanma
sürecine doğrudan katılımlarını ve kamu harcamalarını izlemelerini sağlayan bir
model olarak katılımcı bütçeleme anlayışı gündeme gelmiştir. Toplumun yerel
düzeyde katılımcılığını esas alan bütçeleme tekniği, bütçeleme sürecinin temel
belirleyicisi konumundaki siyasi aktörlerin kararlarını denetleyici ve
yönlendirici bir yaklaşımdır. Yerel yönetimlerde katılımcı bütçeleme anlayışı
çerçevesinde halkın katılımını arttırmak ve bütçeleme sürecinde tercihlerini
yansıtmak amacıyla sürdürülebilir kentleşmeyi sağlamak için kent konseyleri
oluşumu ortaya çıkmıştır. Yerel halk temsilcilerinin bulunduğu kent konseyleri
katılımcı bütçeleme anlayışı ile belediye bütçelerinin hazırlanması sürecinde
önem kazanır. Dolayısıyla, katılımcı bütçeleme süreci ile kent konseyleri
arasında karşılıklı bir etkileşim söz konusudur.Demokrasinin
yaşama geçirildiği en temel birimler yerel yönetimlerdeki kent konseyleridir ve
kent konseyleri üyeleri bütçe hakkında yeterli bilgi ve beceriye sahip değil
ise alınacak kararlarda kamu kaynaklarının israfı söz konusu olabilir. Bu
noktada kent konseyi üyelerinin genel bütçe bilgisi ve bütçeleme sürecine
yönelik bilgi dağarcıkları önem kazanmaktadır. Bütçe algılarının ölçülmesi,
kent konseylerinin öneminin farkındalığını arttırabileceği düşünülmektedir. Bu amaçla, Manisa Yunusemre Belediyesi
Kent Konseyi üyelerinin bütçe algılarını ölçmeye yönelik olarak 91 kişilik bir
örneklem grubuna 5’li Likert Tipi anket uygulaması yapılmış ve SPSS programında
analizleri gerçekleştirilmiştir.

Çalışmada, genel bütçe bilgisi,
bütçeleme süreci ve kent konseylerinin öneminin farkındalığına ilişkin
değişkenler oluşturularak cinsiyet ve eğitim düzeyi açısından farklılık
gösterip göstermediği incelenmiştir. Araştırma sonucunda katılımcıların
bütçe sürecine ilişkin bilgi dağarcığı arttıkça, farkındalık düzeyinin
arttırdığı ancak bütçe hakkında genel bilgi dağarcığı ile farkındalık düzeyi
arasında böyle bir ilişki bulunmadığı tespit edilmiştir. Ulaşılan bu durum,
kent konseyi üyelerinin aslında teknik olarak genel bütçe bilgisine sahip
olmamalarına karşın bütçe süreci hakkında bilgili olduklarını ortaya koymuştur.