bluuebunny/crossref_metadata_2025_split huggingface dataset:
Frecuencia y características de la automedicación en pacientes con cefalea en atención primaria en Lambayeque, Perú
Authors: Saldaña-Flores Denis , Villalobos-Ticliahuanca Giancarlo , Ballón-Manrique Benigno , León-Jiménez Franco 
Published: January 2017

Objetivos: Determinar la frecuencia y describir las características de la automedicación en pacientes con cefalea que acuden a un centro de atención primaria en Lambayeque. Material y métodos: Estudio descriptivo transversal con muestreo probabilístico de tipo sistemático realizado en pacientes atendidos por cefalea en un centro de atenciónprimaria. Se aplicó una encuesta validada por expertos. Resultados: Se entrevistaron 348 pacientes. El promedio de edad fue 59,9 ± 14,5 años; 308/348 (88,5%) fueron del sexo femenino; 283/348 (81,3%) fueron de Chiclayo; 158/348 (45,4%) tuvieron migraña como antecedente. La frecuencia de automedicación fue 256/348 (73,5%); 34,7% lo hacían dos semanas del mes, 67,9% 1 a 2 días de la semana. En 80% la cefalea tenía una duración menor de 6 horas; 69% consumieron “sólo pastillas”; el medicamento más usado por los pacientes fue paracetamol: 174/256(67,96%). El motivo más frecuente para no acudir al médico fue: “Ya sé lo que recetan los médicos”: 33,6%. No se encontró asociación entre los datos sociodemográficos y el auto medicarse. En los pacientes que acudían por primera vez a consulta, la automedicación fue mayor (p<0,001). Los pacientes que se automedicaban tenían menos semanas al mes y días a la semana con cefalea. Conclusiones: La frecuencia de automedicación en pacientes con cefalea es elevada. Los pacientes no acuden a consulta porque refieren saber lo que los médicos van a prescribirles. Los que se automedicaban tuvieron menos semanas del mes y días de la semana con cefalea.
Acceptance and Commitment Therapy (ACT) for Improving the Quality of Life Patients Suffering Cancer
Authors: Suhardin Saverinus , Kusnanto Kusnanto , Krisnana Ilya 
Published: January 2017

Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya. Method: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level α=0.05. Result: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted. Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality.
The effectiveness of psycho education towards depression, anxiety and stress level of patients with pulmonary tuberculosis
Authors: Suryani Suryani , Widianti Efri , Widianti Efri , Hernawati Taty , Hernawati Taty , Sriati Aat , Sriati Aat 
Published: January 2017

Pulmonery Tuberculosis is a chronic pulmonary disease that affects physicallly and psychosocially for the patients . Until now, the government’s programs in overcoming this disesase still focus on treatment and prevention of infection. The programs has not yet to lead to a psychosocial problem of the patients whereas the psychosocial impact has a big influence on treatment compliance and prognosis of patients with Pulmonery Tuberculosis. This study was quassy experiment to test the effect of psychoeducation on the level of stress, anxiety and depression of Patients with pulmonary tuberculosis. 74 patients with Pulmonery Tuberculosis involved in this study divided into two group (37 involved in intervention and 37 involved as control group). The result of the study showed that psychoeducation was effective in reducing stress, anxiety and depression of the patients with Pulmonery Tuberculosis. Psycho education should be provided for patients with pulmonary tuberculosis at the Community health Center. Keywords: intervention, psychoeducation, pulmonary tuberculosis,
Trends in Fluid-Waste Generation From the Hydraulic Fracturing and Operation of Shale-Gas Wells in Pennsylvania From 2012 to 2014
Authors: Severin Blaine F. , Ringler Eric , Chatterton Bill , Hayes Thomas D. 
Published: January 2017

Summary
As the shale-gas-extraction industry grows, solidifies, and ultimately matures, there is much speculation regarding the types, magnitudes, and fates of the various types of wastes generated. As part of a life-cycle-modeling effort by the authors that attempts to project water-, salt-, and solid-waste generation over a period of the life of well fields, we are interested in understanding both the short-term and long-term trends in well drilling, waste handling, truck traffic, and the resulting bilateral economic issues such as carbon footprint and volatile carbon emissions. The State of Pennsylvania (2015) maintains an excellent waste-permit database for the natural-gas industry that is publicly available. This paper examines the more than 85,000 line entries in the six biannual reports from Pennsylvania from January 2012 through December 2014 to develop trends that are useful to a wide range of practitioners that may not have the time to delve deeply into the database. Topics examined include well-drilling activity, immediate flowback, produced-water generation, and their fate. These are examined on a county-by-county basis. Perhaps the most-sensitive analyses concern estimates of truck traffic and potential for recycle of fluids as such fracturing water. The 2012–2014 database predates the recent economic downturn in the energy sector and the subsequent hiatus in gas drilling. These data present a baseline for future comparisons in waste-management challenges.
Factores asociados al desempeño en organismos operadores de agua potable en México
Authors: Salazar Adams Alejandro , Lutz Ley América N. 
Published: January 2017

En este estudio se investigan los factores asociados con el desempeño de los organismos operadores de agua en México, mediante el análisis de la estructura de correlación de los principales indicadores para una muestra de 106 de ellos. Se clasificaron a partir de un análisis de cluster sobre componentes más importantes, para identificar patrones de eficiencia relacionados con variables contextuales. Los resultados indican que el volumen de agua no contabilizada es mayor en organismos con más empleados, por cada mil tomas. Esto también se correlaciona con bajos costos de producción y tasas elevadas de precipitación. Las ciudades más grandes y desarrolladas tienen mejor acceso a los servicios de agua potable y alcantarillado; aunque la cobertura tiende a ser menor en las que crecen con mayor rapidez. El porcentaje de recaudación y el ingreso promedio por metro cúbico son mayores en localidades con micromedición alta, donde también la relación ingreso-costo es mejor.
Identificación de clusters espaciales y su especialización económica
Authors: Villarreal González Amado , Flores Segovia Miguel Alejandro 
Published: January 2017

El presente estudio se centra en el contexto geográfico del sector de la innovación, mediante la exploración de la distribución de grupos de grandes empresas y establecimientos en México. Con la aplicación de técnicas de la estadística espacial local, se pretende identificar, cuantificar y localizar aglomeraciones (clusters espaciales) de empresas. Después se calcula su nivel de especialización relativa en términos de la composición del empleo, para determinar las ramas industriales características de cada uno. Los resultados sugieren siete elipses de la agrupación jerárquica de primer orden, donde la mayor proporción del empleo total la ocupa la fabricación y manufactura de vehículos de motor en Ciudad Juárez, Monterrey y Guanajuato-Querétaro; el cluster espacial situado en el Distrito Federal en la manufactura farmacéutica y medicinal; en Tijuana, la fabricación de equipos de audio y video; en Jalisco los semiconductores y manufactura de otros componentes electrónicos y en Reynosa los equipos de comunicación.
Uma nova revista para novos tempos
Authors: Assunção Costa Lindemberg , Ribeiro Pinto Charleston 
Published: January 2017

A produção científica em saúde aumentou de forma vertiginosa nas últimas décadas, não sendo diferente nas áreas de avaliações de tecnologias em saúde, farmacoeconomia e assistência farmacêutica. O número de grupos de pesquisa atuantes nessas áreas de conhecimento é um indicador desse avanço. É nesse contexto que nasce o Jornal de Assistência Farmacêutica e Farmacoeconomia (JAFF): uma nova revista que objetiva articular a práxis, a ciência e a política de forma transdisciplinar, peculiar a nosso tempo, destinada a professores, pesquisadores e estudantes de Farmácia e de outras Ciências da Saúde, profissionais de saúde e gestores de serviços e sistemas de saúde.
Odontogenic myxofibroma- Report of a rare entity
Authors: Poudel P , Bajracharya B , Bhattacharya S , Bajracharya D , Singh S , Pokhrel P , Desar B 
Published: January 2017

Odontogenic myxofibroma is a rare, benign tumor, which is considered to be the variant of odontogenic myxoma. It is locally infiltrative, aggressive and has high recurrence rate. Only 24 specific cases of myxofibroma have been reported since 1950 and only two cases have been reported with excessive calcifications till 2012. Here, we report a rare case of Odontogenic myxofibroma with calcifications in 53 years old female patient who presented with the chief complain of swelling. The final diagnosis of Odontogenic myxofibroma was established after histopathological and immunohistochemical examination.
CHANDRA CHARACTERIZATION OF X-RAY EMISSION IN THE YOUNG F-STAR BINARY SYSTEM HD 113766
Authors: Lisse C. M. , Christian D. J. , Wolk S. J. , Günther H. M. , Chen C. H. , Grady C. A. 
Published: January 2017

ABSTRACT
Using Chandra, we have obtained imaging X-ray spectroscopy of the 10–16 Myr old F-star binary HD 113766. We individually resolve the 1.″4 separation binary components for the first time in the X-ray and find a total 0.3–2.0 keV luminosity of 2.2 × 1029 erg s−1, consistent with previous RASS estimates. We find emission from the easternmost, infrared-bright, dusty member HD 113766A to be only ∼10% that of the western, infrared-faint member HD 113766B. There is no evidence for a 3rd late-type stellar or substellar member of HD 113766 with L
x > 6 × 1025 erg s−1 within 2′ of the binary pair. The ratio of the two stars’ X-ray luminosity is consistent with their assignments as F2V and F6V by Pecaut et al. The emission is soft for both stars, kT
Apec = 0.30–0.50 keV, suggesting X-rays produced by stellar rotation and/or convection in young dynamos, but not accretion or outflow shocks, which we rule out. A possible 2.8 ± 0.15 (2σ) hr modulation in the HD 113766B X-ray emission is seen, but at very low confidence and of unknown provenance. Stellar wind drag models corresponding to L
x ∼ 2 × 1029 erg s−1 argue for a 1 mm dust particle lifetime around HD 113766B of only ∼90,0000 years, suggesting that dust around HD 113766B is quickly removed, whereas 1 mm sized dust around HD 113766A can survive for >1.5 × 106 years. At 1028–1029 erg s−1 X-ray luminosity, astrobiologically important effects, like dust warming and X-ray photolytic organic synthesis, are likely for any circumstellar material in the HD 113766 systems.
ANATOMY OF DEPLETED INTERPLANETARY CORONAL MASS EJECTIONS
Authors: Kocher M. , Lepri S. T. , Landi E. , Zhao L. , Manchester W. B. 
Published: January 2017

ABSTRACT
We report a subset of interplanetary coronal mass ejections (ICMEs) containing distinct periods of anomalous heavy-ion charge state composition and peculiar ion thermal properties measured by ACE/SWICS from 1998 to 2011. We label them “depleted ICMEs,” identified by the presence of intervals where C6+/C5+ and O7+/O6+ depart from the direct correlation expected after their freeze-in heights. These anomalous intervals within the depleted ICMEs are referred to as “Depletion Regions.” We find that a depleted ICME would be indistinguishable from all other ICMEs in the absence of the Depletion Region, which has the defining property of significantly low abundances of fully charged species of helium, carbon, oxygen, and nitrogen. Similar anomalies in the slow solar wind were discussed by Zhao et al. We explore two possibilities for the source of the Depletion Region associated with magnetic reconnection in the tail of a CME, using CME simulations of the evolution of two Earth-bound CMEs described by Manchester et al.
THE LONG-TERM CENTIMETER VARIABILITY OF ACTIVE GALACTIC NUCLEI: A NEW RELATION BETWEEN VARIABILITY TIMESCALE AND ACCRETION RATE*
Authors: Park Jongho , Trippe Sascha 
Published: January 2017

ABSTRACT
We study the long-term (

years) radio variability of 43 radio-bright active galactic nuclei (AGNs) by exploiting the database of the University of Michigan Radio Astronomy Observatory monitoring program. We model the periodograms (temporal power spectra) of the observed light curves as simple power-law noise (red noise, spectral power

) using Monte Carlo simulations, taking into account windowing effects (red-noise leak, aliasing). The power spectra of 39 (out of 43) sources are in good agreement with the models, yielding a range in power spectral index (β) from ≈1 to ≈3. We fit a Gaussian function to each flare in a given light curve to obtain the flare duration. We discover a correlation between β and the median duration of the flares. We use the derivative of a light curve to obtain a characteristic variability timescale, which does not depend on the assumed functional form of the flares, incomplete fitting, and so on. We find that, once the effects of relativistic Doppler boosting are corrected for, the variability timescales of our sources are proportional to the accretion rate to the power of 0.25 ± 0.03 over five orders of magnitude in accretion rate, regardless of source type. We further find that modeling the periodograms of four of our sources requires the assumption of broken power-law spectra. From simulating light curves as superpositions of exponential flares, we conclude that strong overlap of flares leads to featureless simple power-law periodograms of AGNs at radio wavelengths in most cases.
A SPECTACULAR BOW SHOCK IN THE 11 keV GALAXY CLUSTER AROUND 3C 438
Authors: Emery Deanna L. , Bogdán Ákos , Kraft Ralph P. , Andrade-Santos Felipe , Forman William R. , Hardcastle Martin J. , Jones Christine 
Published: January 2017

ABSTRACT
We present results of deep 153 ks Chandra observations of the hot, 11 keV, galaxy cluster associated with the radio galaxy 3C 438. By mapping the morphology of the hot gas and analyzing its surface brightness and temperature distributions, we demonstrate the presence of a merger bow shock. We identify the presence of two jumps in surface brightness and in density located at ∼400 and ∼800 kpc from the cluster’s core. At the position of the inner jump, we detect a density jump by a factor of 2.3 ± 0.2, while at the location of the outer jump, we detect a density drop by a factor of 3.5 ± 0.7. Combining this with the temperature distribution within the cluster, we establish that the pressure of the hot gas is continuous at the 400 kpc jump, while there is a pressure change by a factor of 6.2 ± 2.8 at the 800 kpc jump. From the magnitude of the outer pressure discontinuity, using the Rankine–Hugoniot jump conditions, we determine that the sub-cluster is moving at M = 2.3 ± 0.5, or approximately 2600 ± 565 km s−1, through the surrounding intracluster medium, creating the conditions for a bow shock. Based on these findings, we conclude that the pressure discontinuity is likely the result of an ongoing major merger between two massive clusters. Since few observations of bow shocks in clusters have been made, this detection can contribute to the study of the dynamics of cluster mergers, which offers insight into how the most massive clusters may have formed.
Comparative Study of the Restoration Quality in Cavities prepared with Er:YAG Laser in Quantum Square Pulse Mode and Conventional Method
Authors: Kallis Antonis , Tolidis Kosmas , Gerasimou Paris , Gutknecht Nor , Koliniotou-Koumpia Eugenia 
Published: January 2017

ABSTRACTNowadays, dental treatment has been enriched by the use of lasers. The introduction of the novel treatment parameter of quantum square pulse (QSP) constitutes an additional challenge to older techniques, promising minimally invasive treatments. The aim of this study is to comparatively investigate the quality of cavity preparations using erbium-doped yttrium-aluminum-garnet (Er:YAG) laser with QSP technology as opposed to the conventional bur. The Er:YAG laser (2940 nm) has been used at 120 mJ energy level in QSP and medium short pulse (125 μs) modes. Subsequently, the dentin and enamel surfaces were examined using scanning electron microscopy techniques and compared with cuttings prepared with conventional bur. The laser-treated dentin samples exhibited relatively homogenous surfaces without smear layer and with open dentinal tubules. Laser-treated enamel showed scaly surfaces but again free of smear layer. In contrast, both dentin and enamel samples treated with the conventional bur showed abundance of smear layer, groove marks, small-scale cracks, and closed dentinal tubules.How to cite this articleKallis A, Tolidis K, Gerasimou P, Gutknecht N, Koliniotou-Koumpia E. Comparative Study of the Restoration Quality in Cavities prepared with Er:YAG Laser in Quantum Square Pulse Mode and Conventional Method. Int J Laser Dent 2016;6(1):31-37.
Lipoma of the Larynx: Our Experience
Authors: Jain Ankit A , Desai Binhi H 
Published: January 2017

ABSTRACT

Objective
Four cases of laryngeal lipoma are presented with a discussion of their differential diagnoses and management.

Materials and methods
Case report and literature review.

Results
Laryngeal lipomas, though a fairly rare entity, are occasionally the cause of persistent hoarseness of voice. An accurate diagnosis is important and the management may vary from surgical excision to only wait and watch policy, as these tumors are usually slow growing. A discussion of the presentation and management of four cases of laryngeal lipoma managed by us is documented with a review of literature.

Conclusion
Laryngeal lipomas have no set management protocol. A custom-made plan for each patient should be charted out depending on the symptoms of the patient and extent of the lipoma.

How to cite this article
Nerurkar NK, Jain AA, Desai BH. Lipoma of the Larynx: Our Experience. Int J Phonosurg Laryngol 2016;6(2):89-92.
Comparison of Anterior Chamber Parameters between Normal and Keratoconus Eyes using Scheimpflug Photography
Authors: Ali Nagla Hassan , AbdElKhalek Mohammed Othman , Elghoneimy Hanan 
Published: January 2017

ABSTRACT

Aim
To evaluate anterior chamber indices including anterior chamber depth (ACD) and anterior chamber volume (ACV) with the progression of keratoconus using a rotating Scheimpflug camera to determine the sensitivity and specificity of these parameters in discriminating keratoconus from normal eyes.

Materials and methods
After full ophthalmological examination in the Memorial Institute of Ophthalmic Research, the patients are divided into two groups: Group I consisting of 50 eyes of normal control. Group II consists of 50 eyes of moderate keratoconus. All the subjects were evaluated with a Pentacam Scheimpflug camera (Oculus, Wetzlar, Germany). Keratoconic eyes were evaluated by vertical asymmetry (VI), keratoconus index (KI), thinnest corneal thickness (TCT) with front elevation at thinnest location (F.Ele.Th) and back elevation at thinnest location (B.Ele.Th) and then divided into three groups according to mean keratometer (K) readings: Mild (K = less than 47.0 D), moderate (K = 47.0 to 52.0 D), and severe (K = 52.0 D or higher), and ACD and ACV were obtained after exclusion of mild and severe cases.

Results
With the progression of the disease, there was statistically significant differences in ACD and ACV measurements between the normal and moderate keratoconus eyes with progressive increase in the ACD and ACV with disease progression.

Conclusion
Anterior chamber parameters including depth and volume showed significant increase with moderate keratoconus than control.

How to cite this article
Ali NH, AbdElKhalek MO, El Ghonemy HM. Comparison of Anterior Chamber Parameters between Normal and Keratoconus Eyes using Scheimpflug Photography. Int J Kerat Ect Cor Dis 2016;5(3):105-108.
Ferrara Intrastromal Corneal Ring Segments
Authors: Torquetti Leonardo , Sandes Jordana 
Published: January 2017

ABSTRACT
The Ferrara intrastromal corneal ring segments (ICRS) are designed to treat ectatic corneal disorders, especially keratoconus. They have been used to reshape keratoconic corneas to improve uncorrected visual acuity, best-corrected visual acuity, contact lens tolerance and to delay or prevent the need for keratoplasty. Intrastromal corneal ring segments have several distinct and important advantages. The Ferrara ICRS have been used largely in several countries for the treatment of primary and secondary ectatic corneal disorders. This article reviews the latest data published and the clinical experience/findings on the treatment of keratoconus by the Ferrara ICRS implantation.

How to cite this article
Torquetti L, Sandes J, Ferrara G, Ferrara P. Ferrara Intrastromal Corneal Ring Segments. Int J Kerat Ect Cor Dis 2016;5(3):114-127.
High-order Aberrations in Keratoconus
Authors: Hefner-Shahar Hagar , Erdinest Nir 
Published: January 2017

ABSTRACT
With all the technological advances today and the increasing number of people undergoing refractive surgery, the importance of detecting keratoconus (KC) prior to surgery has become evident. Although by using a topographer we can detect early stage KC, however, by using wavefront analysis technology, we are able to detect KC at an even earlier stage.
Every eye possesses a number of aberrations. However, in a KC patient's eye, there are approximately five to six times the numbers of high-order aberrations (HOAs) than in a healthy eye. Using this technology to detect and assess the HOAs, it was found that in a KC cornea, it is possible to detect at a very early stage a much higher value of vertical coma aberrations compared with a normal eye. By using this technology, it is possible to study and understand the characteristics of the quality of the image on the retina, thereby understanding its impact on the patient's visual quality.

How to cite this article
Hefner-Shahar H, Erdinest N. Highorder Aberrations in Keratoconus. Int J Kerat Ect Cor Dis 2016;5(3):128-131.