bluuebunny/crossref_metadata_2025_split huggingface dataset:
Laparoscopic ovarian drilling-plus: a one-stop management approach for PCO-associated infertility
Authors: Darwish Atef M. , Kamel Momen A. , Othman Essam R. , Mohammed Sawsan N. , Abbas Ahmed M. 
Published: October 2017

Background: The current study aims to estimate additional values of laparoscopic intervention for diagnosis and treatment of concomitant pelvic pathologies among infertile women with clomiphene-resistant polycystic ovarian syndrome (PCOS) subjected to laparoscopic ovarian drilling (LOD) in comparison to non-PCOS infertile women subjected to diagnostic/therapeutic laparoscopy.Methods: A prospective cross sectional observational study was carried out in the Endoscopic unit of a tertiary care university hospital. The study included 232 infertile women planned for laparoscopy were divided into a study group A (116 cases) with clomiphene-resistant PCOS and a control group B (116 cases) without PCOS. Each group was further subdivided into two subgroups according to the presence and absence of risk factors (RF) for adhesion formation. Diagnostic/operative laparoscopy was done. The main study outcome was the prevalence of any pelvic abnormalities seen during laparoscopy.Results: Both groups showed insignificant difference regarding socio-demographic history and basic data. Laparoscopy detected pelvic pathologies in 44 cases (37.9%) and 86 cases (74.1%) in both groups respectively. In group A, we diagnosed pelvic pathologies in 29 (32.6%) and 15 (55.6%) cases with and without RF respectively while in group B they were diagnosed in 76 (84.4%) and 10 (38.5%) cases with and without RF respectively. If compared to women with unexplained infertility, PCO patients without risk factors have an insignificant but higher prevalence of pelvic abnormalities. All concomitant pelvic pathologies in both groups were treated on a one-stop (see and treat) basis.Conclusions: Detection and proper management of associated pelvic pathologies at laparoscopy is a valuable additional advantage of LOD particularly in women with positive risk factors. LOD plus see and treat associated pathologies is a time saving and prompt management approach for women with PCO–associated infertility.
Epidemiology of MTP in a tertiary care center over a period of 3 years
Authors: Sharma Bhawna , Saxena Namrata , Sharma Anshu , Arora Neetu 
Published: October 2017

Background: Medical termination of pregnancy was legalized in India under the MTP act of 1971 which states that all the women can legally have an abortion up to 20 weeks of gestation if indicated. This study is a retrospective analysis of incidence, indication, the age group availing the facility, socio-demographic and obstetric profile of MTP seekers and the method of contraception followed after MTP.Methods: A retrospective 3-year data was analyzed by MTP register of the hospital as a reference.Results: The incidence rate of MTP is 96/1000 live births in the institute. The main reason for MTP is failure of contraception which highlights the unmet need of contraception and counselling. Majority of the age group availing MTP belonged to 16-20 years. Most of the women were from urban slums, were illiterate and belonged to class IV and V according to Prasad’s classification. Mostly MTP seekers were parous, having ≥2 living children, and maximum no. of them went to private hospitals for their previous MTP. Medical method was the most favoured method of the care giver as well as of the patient. OCP was the choice of contraception after MTP. Religious difference is still very evident in availing MTP services which can be minimized by tactful counselling. Conclusion: MTP act of 1971 opened new horizons for the unwanted pregnancies. Young population opting for MTP indicates the unmet need of contraception and counselling suggesting that implementation and integration of MTP services should be at the root level.
Prospective study of fetomaternal outcome in epilepsy in pregnancy in a tertiary care hospital
Authors: C. Raji , D. Sekar 
Published: October 2017

Background: Epilepsy is the second most common neurological disorder in obstetrics after migraine. There are conflicting reports about the effect of epilepsy on pregnancy. Objective of present study was to evaluate fetomaternal outcome in patients with epilepsy.Methods: This prospective study was conducted in Government Thanjavur medical college hospital, Tamil Nadu, India over a period of 15 months from January 2015 to March 2016 in all epilepsy cases. Total 110 epilepsy cases were admitted. In all cases maternofetal outcome were noted.Results: This study showed that the incidence of epilepsy in pregnancy in our hospital is 0.6%. 86.36% of patients were treated with antiepileptic medications during their pregnancies. Pregnancy complications were anemia, gestational diabetes mellitus, gestational hypertension, intrauterine growth retardation, premature rupture of membrane, and vaginal bleeding. Live birth rate was 91.82%. Low birth weight babies were recorded in 24 (21.82%) infants. Only one baby had congenital anomaly of cleft lip and palate.Conclusions: There was no significant increase in the risk of complications of pregnancy or delivery.Frequency of cesarean section is not increased in epileptic patients. There is no undue risk to pregnancy and childbirth in most of the cases.
Polyflagellated macrocephalic spermatozoa: failure factor in IVF/ICSI
Authors: Mohamed Fanny , Jean-Marc Dia , Stephane Adjoussou , Founzegue Coulibaly , Minata Fomba , Edele Aka , Abdoul Koffi , Mamourou Kone 
Published: October 2017

The authors report two cases of male infertility characterized by spermatic abnormalities of polyflagellated macrocephalic spermatozoa type affecting the entire gametes population. They demonstrate, on the one hand, the technical limitations of microinjection with such spermatozoa due to the large volume of their head and, on the other hand, the unfavourable outcome of the IVF-ICSI with this type of spermatozoa carrying abnormalities constituent. Molecular analysis of the somatic DNA of these subjects revealed a homozygous c.144delC mutation of the Aurora Kinase C gene. Consanguinity at the level of these subjects’ parents appears to be the main risk factor. This situation constitutes a factor of failure of the IVF and leads to direct the couple towards the donation of gametes or the adoption as solution to the parental project.
Challenges, hurdles and possible approaches to improve cancer care in developing countries – A short breakdown of the status quo and future perspective
Authors: Brookman-May Sabine D. , Rodriguez-Faba Oscar , Langenhuijsen Johan F. , Akdogan Bulent , Linares Estefania , Minervini Andrea , Klatte Tobias , Volpe Alessandro , Brausi Maurizio , Marszalek Martin 
Published: October 2017

<p>It was estimated that in 2012, 57% of the incidence and 65% of cancer deaths have occurred in developing countries, and in the future, the incidence of cancer-related mortality is even expected to rise significantly in these countries. Despite this alarming data, there are still significant disparities in access to cancer care and cancer control between developing nations and higher income countries. There are several hurdles for cancer patients in developing countries which impair adequate treatment, including very little access to programs of cancer prevention and screening measures, early diagnosis and adequate surgical and medical tumor treatment. In this review article, we provide a short assessment and breakdown of the main barriers for proper cancer treatment admission and provide a perspective on potential approached and solutions to enhance cancer research and care in developing countries. </p>
Value of Specialty Certification as a Kangaroo Caregiver
Authors: Kukla Aniko , Ludington-Hoe Susan M. 
Published: October 2017

ABSTRACTKangaroo care (KC), also known as skin-to-skin contact, saves lives, but fewer than 50% of newborns and mothers in U.S. hospitals receive KC because of lack of knowledge and skill competency. Because nurses can increase knowledge and skill competency through a certification course, the value of certification as a kangaroo caregiver and administrative incentives for certification as a kangaroo caregiver were evaluated in 71 neonatal intensive care and maternal–newborn unit nurses who completed an electronic questionnaire and the Perceived Value of Certification Tool. Nurses highly valued their KC certification, agreeing with 17 of 18 positive value statements. KC certification increased salary for a few, but institution-based incentives for KC certification are still limited and recognition of KC certification is needed.
Tomographic evaluation of atrophic maxilla rehabilitated with autogenous and xenogeneic block grafts
Authors: Sawada Julio Cesar Lara , Padovan Luis Eduardo Marques , Da Silveira Bernardo Mattos , Peres Fernando Gianzanti , Claudino Marcela 
Published: October 2017

Aim: The aim of this study was to evaluate the dimensional stability of autogenous and xenogenous bone blocks after grafting procedures using cone beam computed tomography Material and Methods: Autogenous (n=6) and xenogeneic (n=7) bone graft blocks were evaluated after 8 (T1) and 16 (T2) months. A dimensional analysis was carried using linear measurements of the height and thickness of the blocks in the tomographic exam.Results: For the autogenous bone blocks, there was a reduction in height of 1.42mm (10.06%) and a reduction in mean thickness of 1.24mm (29.60%). For the xenogeneic bone blocks, the mean height reduction was 1.38mm (10.02%) and the mean thickness reduction was 0.97mm (18.81%) with remodeling (26.62%). However, there were no significant differences between the xenogeneic and autogenous bone blocks (p=0.366).Conclusions: The results showed no differences in the dimensional stability of autogenous or xenogenous bone graft blocks. However, clinical and experimental studies with longer follow up periods are needed to elucidate the mechanisms involved in the remodeling process of bone grafts.
Methemoglobinemia After Paracetamol Ingestion: A Case Report
Authors: Queirós Catarina , Salvador Pedro , Ventura Ana , Lopes Daniela 
Published: October 2017

Methemoglobinemia is a potentially fatal condition, mainly acquired after intoxication by certain drugs. To this date, only three cases associated with paracetamol have been reported. This case report describes a patient with autosomal dominant polycystic kidney disease undergoing hemodialysis who was self-medicated with acetaminophen for seven days (at a daily dose of 3 g); the patient went to the hospital after noticing the appearance of a diffuse brownish skin tone, without other symptoms. Arterial blood analysis revealed an increase in methemoglobin levels, with biochemistry showing an increase in total bilirubin and alanine aminotransferase. Paracetamol was discontinued and on reassessment nine days after the onset of symptoms the patient had a clear improvement in her skin color, with normalization of methemoglobin levels.
A Experiência duma Norma de Atuação no Traumatismo Crânio-Encefálico Ligeiro em Idade Pediátrica: Estudo Longitudinal de Três Anos
Authors: Matias Joana , Almeida Sofia , Ferrito Sofia , Queiroz Ana Margarida , Dias Alves Ana , Tavares Ana , Amorim Andreia , Calhau Paulo , Saraiva de Melo Isabel 
Published: October 2017

Introdução: Os traumatismos crânio-encefálicos são frequentes em Pediatria, habitualmente ligeiros e sem lesões intracranianas. A tomografia computorizada crânio-encefálica é o exame de eleição, implicando radiação ionizante, não existindo consenso nas indicações nos traumatismos crânio-encefálicos ligeiros. Uma atitude expectante é uma opção adequada na maioria dos casos. Os autores pretenderam comparar os doentes internados e submetidos a tomografia computorizada crânio-encefálica com os doentes internados sem tomografia computorizada crânio-encefálica, inferindo a segurança da norma de atuação em vigor na nossa instituição.Material e Métodos: Estudo analítico longitudinal retrospetivo, durante três anos, de doentes com menos de 15 anos admitidos na Urgência Pediátrica e internados por traumatismos crânio-encefálicos ligeiros. Amostra organizada num grupo A (internados com tomografia computorizada crânio-encefálica) e num grupo B (internados sem tomografia computorizada crânio-encefálica).Resultados: Amostra de estudo constituída por 206 doentes: 81 (39%) grupo A e 125 (61%) grupo B. Sintomas, nomeadamente vómitos, foram mais frequentes no grupo B (91% e 61% vs 75% e 35%, p < 0,05); hematoma epicraniano volumoso e afundamento ósseo no grupo A (11% e 12% vs 0%, p < 0,05). Realizou-se tomografia computorizada crânio-encefálica em 39% dos doentes estudados (crianças com sinais de alarme à observação ou evolução não favorável durante o internamento); 43% tinham alterações (29 doentes apresentavam fratura, 18 doentes apresentavam lesões intracranianas). Três doentes foram submetidos a neurocirurgia. Não registámos óbitos, reinternamentos ou sequelas neurológicas.Discussão: As lesões intracranianas clinicamente significativas foram pouco frequentes. A atitude preconizada de vigilância hospitalar das crianças e adolescentes com traumatismos crânio-encefálicos ligeiros sintomáticos, sem alterações significativas ao exame objetivo, não pareceu ter implicado riscos acrescidos.Conclusão: A utilização criteriosa da tomografia computorizada crânio-encefálica permitiu reduzir o número de exames e a exposição a radiação ionizante.
“I am an Old Car, My Engine is not Powerful Anymore,” A Senior Teacher’s Voice on his ICT Learning, Obstacles and Its’ Implications for Teachers’ Development
Authors: Suryani Adi 
Published: October 2017

<p class="Abstract" align="center"><span lang="EN-GB"> </span></p><p class="Abstract"><span lang="EN-GB">The infiltration of ICT into education sector is inevitable. ICT can assist teachers in their teaching and learning practices. However, some teachers may not digital natives who are ready and can learn ICT quickly or happy to learn it naturally and effortlessly. Difficult choice between staying in comfort zone or following technological changes frequently happens to old (senior) teachers. For them, this era can be different from their era. Consequently, they may feel the tension of transition between convention or how they usually do and modernity or follow recent technological changes. This paper aims to explore a senior teacher’s feeling and thinking on his ICT learning efforts, forces, pressures, obstacles and its’ consequences for teachers’ learning and development or what we (other teachers) can reflect on his ICT learning experiences. The data are collected through interview and written response. The data show that the teacher is struggling to learn up-dated ICT and adapt to changes. He is trying to go across the border of his comfort zone. However, during his ICT learning process, he is restrained by his own self-constraints, including internal motivation, lack of self-confidence, age, energy and capacity to learn. He also finds obstacles and pressures from his social and physical surroundings. Social comparison, emerging conflict, unsupportive team culture and lack of external motivation are several restrictions of his ICT learning. This indicates that ICT learning needs more than knowledge/cognition on the technical operation, but it involves a broader spectrum of learning: affective, social, situated, self-directed and experiential learning. </span></p>
ANALISIS DUKUNGAN KELUARGA DALAM KEMANDIRIAN LANSIA DI DESA PAYUNGSARI KECAMATAN PEDES KABUPATEN KARAWANG
Authors: Al Munawaroh Annisa , Doriza Shinta , Hamiyati Hamiyati 
Published: October 2017

Lansia (lanjut usia) adalah seseorang yang karena usianya mengalami perubahan biologis, fisik, kejiwaan dan sosial. Ukuran kemandirian lansia dapat dilihat dengan cara lansia melakukan aktifitasnya sendiri tanpa bantuan dari orang lain. Dukungan keluarga diperlukan untuk dapat menjadi fasilitator yang menjembatani antara lansia dengan lingkungan dan masyarakat. Penelitian ini bertujuan untuk mengetahui bagaimana dukungan keluarga dalam kemandirian lansia di desa Payungsari kecamatan Pedes kabupaten Karawang. Penelitian tentang â€œAnalisis Dukungan Keluarga dalam Kemandirian Lansiaâ€ ini menggunakan pendekatan kualitatif, yaitu penelitian dengan menggunakan fakta dan interpretasi yang sesuai. Dalam penelitian ini, peneliti mencoba untuk mengetahui dan mengerti bagaimana kondisi lansia, latar belakang orangtua yang tinggal dengan keluarga mereka, dan bagaimana keluarga mendukung lansia dapat mandiri di lanjut usia. Hasil penelitian ini menunjukkan bahwa komponen yang paling dominan dari dukungan keluarga adalah dukungan nyata, dukungan penghargaan dan dukungan emosional. Penelitian ini menemukan bahwa satu dari delapan responden yang mendapatkan dukungan keluarga, dan satu responden yang mendapatkan empat komponen dari dukungan keluarga.
Pengaruh Dukungan Sosial Keluarga Terhadap Kualitas Hidup Lansia di Panti Werdha Ria Pembangunan Jakarta Timur
Authors: Arini Dwi , Hamiyati Hamiyati , Tarma Tarma 
Published: October 2017

Dukungan sosial serta kepedulian pada Lanjut usia yang diperoleh dari keluarga, kerabat dan masyarakat sangat diperlukan agar lansia tidak mengalami masalah seperti kurang mendapat perhatian dan kasih sayang, merasa kesepian,depresi dan merasa dirinya tidak berguna. Dukungan yang bersumber dari orang-orang terdekat merupakan sistem pendukung bagi lansia untuk dapat terus aktif ditengah keterbatasan yang dialaminya. Penelitian ini bertujuan untuk mengetahui pengaruh dukungan sosial keluarga terhadap kualitas hidup lansia. Penelitian menggunakan metode survei dengan pendekatan korelasi yang dilakukan pada lanjut usia yang tinggal di Panti Werdha Ria pembangunan Cibubur, Jakarta Timur. Penelitian ini dilaksanakan pada bulan maretâ€“mei 2016. Teknik pengambilan sampel pada penelitian ini menggunakan teknik purposive sampling dengan sampel sabanyak 44 orang. Perhitungan statistik pada penelitian ini menunjukkan bahwa dukungan sosial keluarga dan kualitas hidup lansia di Panti Werdha Ria Pembangunan memiliki tingkat kategori kuat. Dukungan sosial keluarga terhadap kualitas hidup lansia menghasilkan nilai korelasi (0,611) yang berarti dukungan sosial keluarga berpengaruh sebesar 37,34% terhadap terbentuknya kualitas hidup lansia. Kesimpulan dari penelitian ini adalah ho ditolak dengan hasil thitung (6,350). Ttabel (2,016) sehingga ho diterima, yaitu terdapat pengaruh yang signifikan antara dukungan sosial keluarga terhadap kualitas hidup lansia.
MODEL PENDIDIKAN PROFESI GURU TERINTEGRASI KOLABORASI SMK PRODUKTIF BERBASIS RESEARCH
Authors: Abas Tati , Maeliah Mally , Rohaeni Neni , Jubaedah Yoyoh 
Published: October 2017

Tujuan jangka panjang dari penelitian ini adalah untuk menghasilkan Model Pendidikan Profesi Guru Terintegrasi Kolaborasi SMK Produktif Berbasis Riset. Target khusus yang dicapai dari penelitian tahun ke dua ini adalah menghasilkan: (1) Model Pendidikan Profesi Guru Terintegrasi Kolaborasi SMK Produktif, (2) Bahan Ajar Pendidikan Profesi Guru Terintegrasi Kolaborasi SMK Produktif, (3) Instrumen penilaian proposal dan laporan Penelitian Tindakan Kelas, (4) Artikel hasil penelitian yang diplubikasikan dalam jurnal nasional. Penelitian ini menggunakan pendekatan Research and Development; meliputi tahap studi pendahuluan, tahap pengembangan model dan tahap uji validasi model. Pada tahap studi pendahuluan dilakukan: (1) Studi penjajagan ujicoba model, (2) Penetapan subjek ujicoba model Pendidikan Profesi Guru Terintegrasi Kolaborasi SMK Produktif berbasis Research. Pada tahap studi pengembangan dilakukan: (1) Ujicoba Model Pendidikan Profesi Guru Terintegrasi Kolaborasi SMK Produktif berbasis Research, (2) Evaluasi dan penyempurnaan model. Pada tahap uji validasi model dilakukan: (1) Validasi Model melalui Expertjudgement akhli dan praktisi, (2) Evaluasi dan penyempurnaan model hingga menghasilkan Model Pendidikan Profesi Guru Terintegrasi Kolaborasi SMK Produktif berbasis Research sebagai Model Final.
Classroom Talk and Computational Thinking
Authors: Jenkins Craig W 
Published: October 2017

This paper is part of a wider action research project taking place at a secondary school in South Wales, UK.Â The overarching aim of the project is to examine the potential for aspects of literacy and computational thinking to be developed using extensible â€˜build your own blockâ€™ programming activities.Â This paper examines classroom talk at an extracurricular programming club and focuses in particular on dialogue relating to computational thinking.Â Learners spent a number of weeks carrying out an activity designed using the Snap programming tool.Â The activity was themed around language and the task was to devise a collection of fixed-form poetry.The findings are in two parts.Â First is a dialogue analysis using the SEDA coding scheme.Â This analysis revealed a number of learner interactions showing evidence of reasoning.Â Second, examples of talk sequences are provided in order to examine how the reasoning identified in the interactions relate to what we may recognise as computational thinking.Â The paper concludes by considering how dialogic approaches in the classroom potentially have an important role to play in the process of teaching young people to think computationally.
Effect of vacuum UV irradiation on the concentration of dissolved cyanobacterial toxin microcystin-LR
Authors: Chintalapati P. , Mohseni M. 
Published: October 2017

Abstract
This study investigated the capability of vacuum UV to reduce the concentration of cyanobacterial toxin microcystin-LR (MC-LR) using low-pressure Hg lamps emitting 185 nm and 254 nm light. A collimated beam setup was used to irradiate samples of MC-LR solutions prepared in Milli-Q® water. The impact of competing water compounds was tested using solutions containing dissolved organic carbon (DOC), alkalinity (NaHCO3), and chloride (NaCl). Results showed that MC-LR in pure water at typical concentrations found in cyanobacterial bloom waters (17 and 40 μg/L) could be reduced below detection limits (0.5 μg/L) within one minute of irradiation time by a UV dose less than 40 mJ/cm2. A solution with a much higher initial concentration of MC-LR (870 μg/L) did show a reduced degradation rate. The presence of competing compounds does appear to reduce observed MC-LR degradation rates with the greatest impact caused by DOC followed by alkalinity followed by chloride. MC-LR degradation appears to occur by both direct photolysis by 254 nm photons and by advanced oxidation by hydroxyl radicals generated from 185 nm photons. Vacuum UV has shown promising capability at reducing MC-LR concentration.
Volumetric modeling of two sludge piles from water treatment plants in a Brazilian reservoir
Authors: Almeida Aline Mansur , Wada Eduardo Yukio Basílio , Wasserman Julio Cesar 
Published: October 2017

Abstract
Water treatment plants are designed to continuously produce drinkable water, meeting defined criteria of potability. However, besides potable water, these plants produce sludges that are disposed of in the environment. The present work aimed to evaluate the sludges generated in two water treatment plants and disposed of in the margin of the Juturnaíba dam. Since alum has been used as a flocculating agent in these two plants, the concentrations of aluminum were measured in the sludges and in surface sediments. The generated piles are extremely soft to walk on and difficult to measure, so indirect modeling procedures had to be applied. The calculated mass of the sludge piles at each plant are similar and respectively 60,370 and 61,479 tons. The aluminum content of the residues, calculated according to its dosage, was 33.2 and 32.6 g kg−1 in the piles from the two plants. The amount of alum dosed to the water corresponds almost to the excess of aluminum in the sludge, compared to the sediments. It was concluded that regardless of the fact that residues are disposed of in very restricted areas, they are directly in contact with the water and may constitute a threat for the environment and humans’ health.