bluuebunny/crossref_metadata_2025_split huggingface dataset:
Significance of ultrasound pelviometry in the diagnostics of anatomical and clinical narrow pelvis
Authors: Mudrov Viktor A. , Chatskis Elena M. , Nizhegorodtseva Daria A. , Tttjan Elena V. 
Published: January 2018

Rational management of labor with a narrow pelvis is one of the most difficult sections of practical obstetrics, because narrow pelvis is the main cause of birth trauma and childhood disability.
The aim of the study was to determine significance of ultrasound pelviometry in the diagnostics of anatomical and clinical narrow pelvis. On the basis of maternity hospitals of Trans-Baikal Region in the years 2013-2017 was held retrospective and prospective analysis of 150 labor histories, which were divided into 3 equal groups: group 1 – pregnant women with normal sizes of the large pelvis, group 2 – pregnant women with macrosomia, group 3 – pregnant women with a reduced sizes of the large pelvis. Ultrasonic pelvimetry included measurement of direct and transverse sizes of the planes of the pelvic cavity and the angle of the pubic arc through the integrated use of abdominal, transvaginal and translabial sensors of ultrasound machine Toshiba Aplio 500. In the group of pregnant women with normal sizes of the large pelvis frequency of diagnosis of anatomical narrow pelvis used by ultrasound pelvimetry is 32%. In the group of pregnant women with macrosomia is dominated the normal size of the pelvic cavity (62%) and “wide pelvis” (18%). In 20 % of cases the diagnosis of anatomical narrow pelvis in group 3 was not confirmed by the data of ultrasonic pelvimetry. The most common forms of the narrow pelvis were the transversal pelvis (46%), the simple flat pelvis (14%), the uniformly narrow pelvis (10%). On the basis of mathematical modeling defined pattern, which is expressed by the formula:

where AE – angle extension of the head, PC – angle of the pubic arc, TD1 – transverse size of the plane of the entrance, TD2 – transverse size of the plane of the output, FD1 – direct size of the plane of the entrance, FD2 – direct size of the narrowest part of the pelvic cavity, GA – gestational age, BPD – biparietal size, OFD – fronto-occipital size of the fetus’s head. When the value of the coefficient less than 1 is projected clinically narrow pelvis (r2 = 0,92). Thus, ultrasonic pelvimetry allows to determine not only the size of the pelvic cavity, but also to predict clinically narrow pelvis.
Loss of temperature and pain sensation as risk marker of neurological complications in surgical correction of severe spinal deformity
Authors: Shchurova Elena N. , Saifutdinov Marat S. , Ryabykh Sergei O. 
Published: January 2018

Background. Treatment of severe spinal deformity remains a challenging surgical problem, with an iatrogenic injury to the spinal cord being a critical complication. There is a high risk of neurological deficit following surgical correction of a severe spinal deformity.
Aim. To determine the relationship between the extent of disturbed thermal and pain sensations at Th1-S2 dermatomas and the intensity of the spinal cord pathways’ responses to surgical correction of the severe spinal deformity.
Material and methods. We reviewed 58 patients with severe spinal deformities of different etiologies (mean age, 15.7±0.8 years). All patients underwent surgical deformity correction followed by thoracic/thoracolumbar spine fixation by using a variety of internal transpedicular fixations. Intraoperative neurophysiological monitoring (IONM) with transcranial motor-evoked potentials (MEPs) was used during operative interventions. Preoperative and postoperative thermal and pain sensations were assessed in Th1-S2 dermatomas to the right and left by using an electrical aesthesiometer.
Results. The extent of disturbed preoperative and postoperative thermal and pain sensations in Th1-S2 dermatomas before and after correction of spinal deformities correlated with the response type scale (I–V) of the spinal cord pathways to the surgical correction we offered. Correlation between the response type and characteristics of thermal and pain sensations was mostly revealed by the test results for the thermal pain threshold (thermal analgesia). The incidence of postoperative thermal analgesia increased monotonically from patients with response type I (persistent MEP form and amplitude-time parameters close to the baseline) to patients with response type V (higher risk of neurological complications). The overall rate of thermal analgesia increased after surgical correction of the spinal deformity relative to the baseline and was higher (≤8%) in patients with response type V.
Conclusions. Surgeons and neurophysiologists who perform IONM should give careful attention to patients with severe spinal deformity who exhibit marked postoperative thermal analgesia.
Maternal attitude as a resource for overcoming the psychological consequences of a severe form of an orthopedic disease
Authors: Pyatakova Galina V. , Vissarionov Sergey V. , Lebedeva Ekaterina I. 
Published: January 2018

Introduction. Idiopathic scoliosis in a surgical pathology stage creates a difficult situation in the life of sick adolescents. There may be signs of marked neuropsychic stress, fear, helplessness, and behavioral deviations in adolescents suffering from the scoliotic disease. Hence, it is important to study the factors of protection and external adaptation resources that are crucial for coping with psychological difficulties in adolescence. One such resource is the maternal attitude, including emotional support.
Material and methods. Sixty women were enrolled in the study, 30 of whom were mothers of patients of a pediatric orthopedic clinic who had been diagnosed as having idiopathic scoliosis of 3–4°, and 30 were mothers of adolescents without disorders of the musculoskeletal system. The method used the A.Ya. Varga and V.V. Stolin diagnostics of parental attitude, the SF-36 quality of life questionnaire, and C.D. Spielberg’s self-evaluation technique for determining the level of situational and personal anxiety (adaptation of Y.L. Khanin). Average statistics were calculated, the statistical significance of differences in comparisons was calculated by performing Student’s test, and correlation analysis was performed by calculating Spearman’s correlation coefficients.
Results. The attitudes of the parents of the healthy adolescents and those of adolescents with idiopathic scoliosis were characterized by a predominance of positive feelings and a desire to provide emotional support to the adolescent proportionally while recognizing the difficulties in the child’s life situation. A mother’s positive attitude toward her child under treatment in a surgical clinic for correction of a severe spinal deformity may be distorted by her anxiety and depressive feelings, which may reduce the mother’s ability to provide emotional support in a situation difficult for the child. An important component in the system of psychological care for adolescents with idiopathic scoliosis may be professional psychological support focused on harmonization of child–parent relations.
Deciphering the Role of the Barr Body in Malignancy: An insight into head and neck cancer
Authors: Sharma Deepti , Koshy George , Gupta Shruti , Sharma Bhushan , Grover Sonal 
Published: January 2018

X chromosome inactivation is the epitome of epigenetic regulation and long non-coding ribonucleic acid function. The differentiation status of cells has been ascribed to X chromosome activity, with two active X chromosomes generally only observed in undifferentiated or poorly differentiated cells. Recently, several studies have indicated that the reactivation of an inactive X chromosome or X chromosome multiplication correlates with the development of malignancy; however, this concept is still controversial. This review sought to shed light on the role of the X chromosome in cancer development. In particular, there is a need for further exploration of the expression patterns of X-linked genes in cancer cells, especially those in head and neck squamous cell carcinoma (HNSCC), in order to identify different prognostic subpopulations with distinct clinical implications. This article proposes a functional relationship between the loss of the Barr body and the disproportional expression of X-linked genes in HNSCC development.
Evaluation of Family Planning Counselling in North Jordan
Authors: Okour Abdulhakeem M. , Saadeh Rami A. , Zaqoul Mona 
Published: January 2018

Objectives: Counselling plays a key role in enhancing reproductive services, providing contraception-related information and supporting long-term family planning for women of childbearing age. This study aimed to evaluate family planning counselling sessions in selected governmental and private clinics in northern Jordan. Methods: This cross-sectional study was conducted between January and June 2016 in Irbid, Jordan. A total of 200 women attending two private clinics affiliated with the Jordanian Association for Family Planning and Protection (JAFPP) and six governmental clinics were invited to participate in the study. Counselling sessions were attended by an independent observer and evaluated with regards to their compliance with the standard Greet, Ask, Tell,Help, Explain, Return (GATHER) framework. Results: A total of 198 women participated in the study (response rate: 99.0%), including 80 women (40.4%) from JAFPP clinics and 118 (59.6%) from governmental clinics. In total, 42.9% of the counselling sessions were deemed adequate, with providers applying 80% or more of the GATHER framework, while 26.8% of the sessions were deemed semi-adequate and 30.3% were considered inadequate. Counselling services provided in the governmental clinics were significantly less adequate than those provided in JAFPP clinics (P <0.001). Conclusion: The quality of counselling services in governmental family planning centres in Jordan needs to be improved to ensure that women receive the highest possible level of care. Healthcarepolicymakers should therefore focus on developing and supporting effective family planning counselling services in northern Jordan.
Thyrotoxic Neuropathy: A rare cause of acute flaccid paraplegia
Authors: Al-Wahaibi Aiman K. , Kumar Santosh , Al-Risi Ali , Wali Farook 
Published: January 2018

Acute polyneuropathy is a rare manifestation of severe hyperthyroidism. We report a 22-year-old Omani male who presented to the Sohar Hospital, Sohar, Oman, in 2016 with acute-onset rapidly progressive flaccid areflexic paraplegia as the presenting manifestation of thyrotoxicosis. Nerve conduction studies revealed mixed axonal and demyelinating polyneuropathy in both the motor and sensory nerves. Treatment of the hyperthyroidism with β-blockers and carbimazole along with physiotherapy resulted in the patient’s full recovery and the alleviation of his symptoms. Besides highlighting this rare association, this report underscores the importance of including thyroid function tests in the evaluation of patients with acute polyneuropathy.
Intravenous Remifentanil Analgaesia for an Obstetric Patient with Type I Neurofibromatosis and a Factor V Leiden Mutation
Authors: Gálvez José L. , Errando Carlos L. , Serrano Silvia , Martín-Ayuso Marga , Valverde-Mantecón José M. 
Published: January 2018

Type I neurofibromatosis is characterised by altered skin pigmentation and the growth of benign tumours, particularly along the peripheral nerves and central nervous system. We report a 36-year-old primigravida woman in labour who was admitted to the obstetric suite of the Hospital Sant Joan de Déu, Barcelona, Spain, in 2007 with hypothyroidism, type I neurofibromatosis and a factor V Leiden mutation. Due to a lack of cranial and spinal imaging data, an epidural was not indicated; instead, continuous intravenous remifentanil analgaesia was administered. The remifentanil infusion was self-titrated by the patient using a visual analogue scale, with the dosage ranging from 0.01 to 0.25 μg/kg/minute. Due to rotational dystocia, Kjelland-type forceps were used during the delivery. After birth, the infant was found to have Apgar scores of 9 and 10, with no maternal or neonatal adverse effects observed. Although still controversial, remifentanil may be a successful alternative for analgaesia in similar cases; however, the specific risks and benefits for each patient should be considered prior to administration.
Gingival Leiomyosarcoma in a Young Woman: Case report and literature review
Authors: Viviano Massimo , Miracco Clelia , Lorenzini Guido , Baldino Gennaro , Cocca Serena 
Published: January 2018

Leiomyosarcoma (LMS) is a rare mesenchymal malignancy, of which 3–10% of cases occur in the head and neck region. We report a 22-year-old woman who was referred to the University Hospital of Siena, Italy, in 2016 with an ostensibly benign asymptomatic lump on the mandibular gingiva. The lesion grew rapidly, causing otalgia in the right ear. An excisional biopsy was performed and primary LMS was diagnosed histologically. Subsequently, the patient underwent radical re-excision of the perilesional mucosa, a partial bone resection and the extraction of four teeth. No recurrences or metastases were detectable at a 20-month follow-up. This report discusses the differential diagnosis of LMS with regards to other benign and malignant lesions and reviews the recent literature on primary and secondary oral LMS. Due to its innocuous clinical features—including its asymptomatic nature and presentation at a young age—this aggressive malignancy can go undetected; therefore, an early histopathological diagnosis is crucial.
Pembentukan Peraturan Kebijakan Berdasarkan Asas-Asas Umum Pemerintahan yang Baik
Authors: Suratno Sadhu Bagas 
Published: January 2018

The creation of policy is one of the prerogatives of a free and uninhibited (freies ermessen, or free discretion) government administrations. Although freies ermessen grants free authority to the government, within the framework of national the law said the government should still observe legislation and the Principles of Good Governance. However, at the implementation level, there are still many policies that which are difficult to put into effect due to ambiguous interpretation and conflicts of interest, thus resulting in legal uncertainty. Based on this, there needs to be an affirmation of the position taken by the Indonesian government regarding the contradictory relationship between written law and implementation, so as to ensure the appropriate application of the principles of freies ermessen.
Keywords: Policy Rules, Freies Ermessen, Legislatin, Good Governance Principles
LEGAL INSTRUMENTALISM TO LAW NUMBER 6 YEAR 2014 ON VILLAGES IN WELFARE STATE PARADIGM
Authors: Prasetya D. Eka Juli , Isharyanto Isharyanto 
Published: January 2018

This work deliberates legal instrumentalism to gain nonlegal interest. It is commonly known that besides normative framework, a law also integrates nonlegal issues and other interests. Law in macro level is aimed to ideally integrate sub-systems such as economics, politics, and so on. The existence of Act of Village Number 6 of 2014 which is able to facilitate the idealized nonlegal achievements needs to be confirmed. The welfare state paradigm is used as a benchmark for tracking review of norms as well testing consequences of legal substance. It reveals that provisions Act of Village Number 6 of 2014 achieves its idealized goals indicated by village welfare in terms of authority optimization of authority for the achievement of the welfare state at the village level.Keyword: legal instrumentalism, welfare state, village
Effect of Natural Fe2O3 Doping on Performance of Lithium Phospate Ceramic Glass as Secondary Battery Cathode
Authors: Effendi Mukhtar , Rahmawati Dina , Cahyanto Wahyu Tri , Widanarto Wahyu 
Published: January 2018

Natural Fe2O3 doped lithium phosphate Ceramic-glass was made by glass route method at 900 oC with the composition of 5Li2CO3:15ZnO : x Fe2O3: (80 – x) P2O5­ where x = 0; 0.5; 1.5 (in mol percent). Thermal stability of sample was studied through determination of glass temperature Tg and crystal temperature Tc. XRD pattern and LCR meter measurement were carried out to determine phase, structure and ionic conductivity of the ceramic-glass samples. LiFePO4 was formed at 1.5% addition of Fe2O3. Ionic conductivity rise up by the increasing Fe2O3 concentration. The highest electric conductivity is 8,42 x 10-4 S/cm which was obtained at 1.5% addition of Fe2O3
A Cytotoxic Rocaglate Compound from The Stembark of Aglaia argentea (Meliaceae)
Authors: Hidayat Ace Tatang , Farabi Kindi , Harneti Desi , Nurlelasari Nurlelasari , Maharani Rani , Mayanti Tri , Supratman Unang , Shiono Yoshihito 
Published: January 2018

The Aglaia genus belong to Meliceae family is unique plant species because the presence of rocaglate and rocaglamide which is so far isolated only from Aglaia genus, indicate that type of this compound as a chemical marker for the genus of Aglaia. This type of compound known to have strong activity, such as insecticide and cytotoxic. This study describe the isolation, structure elucidation, and cytotoxic activity of an isolated rocaglate compound. Dried stembark of A. argentea extracted with methanol and partition between n-hexane, ethyl acetate, and n-butanol, respectively The extracts were tested against P-388 murine leukemia cells and the ethyl acetat showed strongest activity with IC50 value of 15.5 mg/mL. The ethyl acetate then was separated and purified with chromatography technique to obtain isolated compound 1. The chemical structure of isolated compounds were elucidated by spectroscopic methods including one and two-dimensional NMR as well as high-resolution mass spectrometric analysis and identified as a methyl rocaglate. Compound 1 showed strong cytotoxic activity with an IC50 value of < 0.1 μg/mL.
Dolegliwości bólowe wynikające z zaburzeń stawów krzyżowo-biodrowych oraz więzadeł działających bezpośrednio i pośrednio na stawy
Authors: Jagucka-Mętel Wioletta , Machoy-Mokrzyńska Anna , Nowicki Adam , Sobolewska Ewa 
Published: January 2018

Patologie stawu krzyżowo-biodrowego oraz więzadeł pośrednich i bezpośrednich tego stawu są jedną z przyczyn dolegliwości w obrębie odcinka lędźwiowo-krzyżowego kręgosłupa, pośladka i kończyn dolnych. Dolegliwości bólowe pochodzące z zablokowania stawu krzyżowo-biodrowego mylone są często zobjawami pochodzenia korzeniowego. Zastosowanie odpowiednich testów funkcjonalnych umożliwia postawienie właściwej diagnozy.
Case Study on Successful Deployment of Open Hole Multi Stage Fracturing Completion at a Mature Gas Condensate Field in Pakistan
Authors: Farid Syed Munib , Ahmed Hassaan , Mangi Shahid Hameed , Ali Syed Dost , Ahmed Ijaz , Mahmood Amer 
Published: January 2018

Abstract
With the continuous increase in global energy demands, it has become imperative to get the most out of the existing reserves in developed fields. While focusing on maximizing productivity, the conventional methods of well completions are not always optimal. Cemented Liner Completions in multi-layered reservoirs can at times be in-efficient and thereby create issues of zonal isolation and well integrity, besides causing irreversible damage to reservoir sections. To overcome these obstacles, and to provide an added advantage of selective stimulation in multiple zones, industry is gradually moving towards open-hole multi Stage Frac Completions.
This paper presents an operational overview of first ever deployment of an open-hole completion in a mature gas condensate field located in Potohar region in Pakistan. It had been a norm in this field to hydraulically fracture the two producing zones after cementing the liner. However, often the fold of increase was very marginal despite establishing the hydraulic fracturing design patterns for this field with confidence. In addition, these stimulating operations were frequently compromised because of well and completion design constraints.
Execution of open hole completion resulted in gains in the operational efficiency, improved well productivity and had cost benefits which are analyzed against offset wells completed as cased-hole. One interesting observation made is the comparison of un-stimulated base case for the well under discussion against various offset wells located in the field that were hydraulically fractured and how it outshines them with respect to the net production gains. This can be attributed to the characteristic of open-hole completions that provides maximum reservoir contact with minimal formation damage. Based on this experience, it is recommended on integrating and experimenting with relatively new, yet industry established, ideas into field development plans for mature fields with respect to completion design. This can have a lasting impact in extending the plateau production region of the field.
Stochastic Optimization Approach to Surfactant-Polymer Flooding
Authors: Ahmed Hassaan , Awotunde Abeeb A. , Sultan Abdullah S. , Al-Yousef Hasan Y. 
Published: January 2018

Abstract
The research presents an effective way for the optimization of one of the enhanced oil recovery mechanism; surfactant-polymer flooding by the application of two stochastic evolutionary algorithms namely Covariance Matrix Adaptation-Evolutionary Strategy (CMAES) and Invasive Weed Optimization (IWO). The optimized parameters include the well placement, time duration for water and chemical flooding, and chemical injection rates in injection wells while net present value (NPV) served as the objective function.
Surfactant Polymer (SP) flooding has proved to be an efficient enhanced oil recovery (EOR) mechanism in recent times. Research has been done on the efficiency of SP flooding by optimizing different properties of surfactant and polymer such that the process results in an improved oil recovery. However, these optimizations are based on the sensitivity studies which limit the researchers to search the optimum solution within a specific domain without extensively exhausted the search space. Stochastic techniques, however, showed a way to efficiently optimizes the SP flooding process even with higher number of optimization parameters.
Detailed optimization results for several cases considered in this research are presented. Channeled reservoir and fully heterogeneous reservoir are the two reservoir models used for the optimization of SP flooding process. The maximization of NPV for SP flooding using well placement optimization and without well placement optimization is also compared for both reservoirs utilizing CMAES and IWO. Furthermore, all cases are compared with the base case of simple waterflooding. Statistical analysis is done for all the cases for several realizations and the realizations are ranked according to the best, median and worst, based on the NPV values for each case. The consideration of having such a higher number of optimized parameters is to fully evaluate the potential of considered stochastic optimization techniques to converge to a global maximum for NPV as opposed to conventional sensitivity analysis. Results suggested that these stochastic evolutionary algorithms have a potential to be utilized as the optimization tool for field development of reservoirs having higher number of parameters to be optimized.
The successful evaluation of considered stochastic evolutionary algorithms (CMAES and IWO) proved that these algorithms can successfully be used for the optimization of field development plan under higher number of parameters to be optimized that cannot be achieved using sensitivity analysis or gradient based optimization algorithms.