bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical versus radiological assessment of patients treated for deep vein thrombosis
Authors: Shingade Pravin , Shetty Iresh , Lad Aditya , Gope Debabrata , B. Sreekumar 
Published: January 2018

Background: Clinical versus radiological assessment of patients treated for deep vein thrombosis. Aims and objectives of this study were to evaluate the patient treated for deep vein thrombosis (DVT) with reference to clinical examination and radiological imaging. To compare the predictive value of clinical methods versus radiological methods in the assessment of recovery of a patient following treatment of DVT. To study the sensitivity and specificity of the clinical and radiological methods used in assessing the effectiveness of treatment of DVT.Methods: A prospective observational study was conducted on 80 patients of 18-50 years age groups with deep venous thrombosis treated with standard treatment protocol at Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune over a period of 2 years. All patients were assessed clinically and radiologically using colour Doppler, post treatment at an interval of 3 months and 6 months. Results: At the end of 3 months of treatment, to detect complete recovery, the clinical assessment was found to have a lower sensitivity (56.25%) and specificity (81.25%) on comparison with radiological assessment. At the end of 6 months of treatment, to detect complete recovery, the clinical assessment was found to have a relatively better sensitivity (100%) but lower specificity (65.31%) on comparison with radiological assessment when compared to assessment after 3 months of treatment.Conclusions: The study has suggested that clinical assessment of patients after treatment of DVT has a varied value as far as complimenting radiological assessment of the same series of patients is concerned. When assessing patients after 3 months of treatment, clinical methods were found to be far inferior to radiological methods while after 6 months of treatment they were found to be on par with radiological methods. Hence, clinical methods can be used along with radiological methods for assessment, but radiological methods remain gold standard.
Risk factors for the diabetic foot infection with multidrug-resistant microorganisms in South India
Authors: Kathirvel Manikandan , Prabakaran Viswakumar , Jayarajan Jayalakshmi , Sivakumar Ajay , Govindan Vimalkumar 
Published: January 2018

Background: To analyse the risk-factors contributing to infection with multidrug-resistant organisms.Methods: 150 diabetic patients with foot ulcer were prospectively studied. Detailed clinical history and clinical examination of the ulcer were done for all patients. The microbiological profile was analyzed for each patient. Using internationally accepted criteria, the multidrug-resistant organisms were identified. Risk factors for acquiring MDRO infection were identified using appropriate statistical tools.Results: MDRO were isolated from 99 patients of 150 (66%). 54.8% (153 out of 279) of isolated organisms were multidrug-resistant organisms. By univariate analysis poor glycaemic control, previous hospitalisation, previous history of amputation, previous antibiotic usage, size of the ulcer, necrotic ulcer, recurrent ulcers, higher grade of ulcer, the presence of osteomyelitis, the presence of retinopathy, peripheral vascular disease, neuropathy and polymicrobial culture, were significantly associated with MDRO infected foot ulcers. Analysis by logistic regression indicated that only two factors significantly increased the risk of acquiring MDRO infection. They are recurrent ulcer (OR = 3.39, p <0.05, 95% CI = 1.081-10.664) and higher grade of ulcer (OR = 13.44, p <0.001, 95 % CI =3.595-50.278).Conclusions: The prevalence of MDRO is alarmingly high in infected diabetic foot ulcers. Recurrent ulcers and higher grade of ulcers are more prone to acquire MDROs.
A study of prostatic fossa packing: a modified technique in Freyer’s prostatectomy for achieving hemostasis
Authors: Shrivastava Deepak , Negi Shubham , Gharde Pankaj , Verma Ramsewak 
Published: January 2018

Background: Benign prostatic hyperplasia is one of the most common old age related benign tumor of urinary tract of men. Though now a day the gold standard treatment is only TURP, but this facility is still out of reach for majority of rural population of India. The rate of complications has come down heavily but still complete hemostasis remains a major concern for these patients.Methods: This present study was conducted at the center from March 2014 to December 2016, the aim of present study was to see the effectiveness of bladder packing on blood loss, complications and comfort of patient in the cases of Benign prostatic hyperplasia (BPH) admitted at in patient department of surgery.Results: A Total of 90 cases of BPH (Benign Prostatic Hypertrophy) were operated by Freyer’s suprapubic transvesical prostatectomy. All the patients presented with symptoms of BPH. A detailed clinical history and examination of all patients was recorded and AUA (American Urological Association), International Prostate Symptom Score (IPSS) was calculated. On table clear urine was confirmed with naked eyes and no Foley’s traction was given. After 72 hours of the surgery, pack was removed, saline irrigation was continued for 5 days. The patient was discharged on the 8th post-operative day after removal of stitches.Conclusions: The prostatic fossa packing technique without any traction is effective in control of postoperative bleed, it is an acceptable option where transurethral resection of prostate(TURP) is not available.
A clinical study on ventral hernia at a tertiary care hospital
Authors: H. Suresh Clement , Bharath P. Vamshi , M. Harsha Omkar , Reddy Bharath Kumar 
Published: January 2018

Background: Ventral hernias comprise the second most common hernial presentations in the surgical world. This study was undertaken to know the different clinical types, age incidence, predisposing factors for ventral hernia and also to study the post-operative results of different operative procedures. objective of present study was to investigate clinical profile of patients with ventral hernia.Methods: Forty cases of abdominal wall hernia were studied during the period of 2 years. Informed consent was obtained. Detailed history, thorough clinical examination was carried out. Patients were operated with standard surgical procedure. They were followed for 3-18 more months to observe occurrence of complications among them. Data was analyzed using proportions and presented.Results: Sixty percentage were Incisional hernia following an operation and remaining contributed to 40%. 22.5% patients had presented with complications like irreducibility, obstruction and strangulation. The presence of associated diseases, large hernia, poor condition of local tissue (muscle), all make the surgical management of ventral hernia a complex problem. Each patient was evaluated separately and thoroughly, and his surgery planned so as to obtain satisfactory results. Different methods of surgical procedures were undertaken in this study. The post-operative complication rate was minimal that is 12.5% and the recurrence rate observed was 0% but the sample size and follow up period (3-18 months) was short, in view of which I am not able to give a definite.Conclusions: Good pre-operative evaluation and preparation; sound anatomical knowledge and meticulous attention to surgical detail are the most important factors for prevention of post-operative complications and recurrence of hernia.
Ingestão dietética e fatores associados ao consumo alimentar de universitários brasileiros: uma revisão
Authors: Rossetti Francini Xavier 
Published: January 2018

O presente artigo teve como objetivo revisar a literatura sobre hábitos alimentares de universitários brasileiros e identificar possíveis condicionantes. A revisão consistiu na busca de artigos publicados entre 2004 e 2014 nas bases de dados Pubmed, Lilacs e Scielo, por meio da combinação dos termos: college students, university, nutrition, diet, food consumption, eating habits, food intake, dietary intake. Outra estratégia foi a busca manual nas listas de referências dos artigos identificados e selecionados por meio da pesquisa eletrônica. Optou-se por excluir publicações com amostra indivíduos exclusivamente do sexo feminino, selecionando-se 9 artigos para análise. Os principais fatores associados ao consumo alimentar entre universitários brasileiros foram rendimento familiar, dupla jornada de estudo e trabalho, área do curso de graduação, estado nutricional, sexo e local de realização das refeições. A produção científica sobre consumo alimentar de universitários brasileiros é escassa, destacando-se maiores contribuições nos últimos 5 anos. Em relação aos métodos utilizados, predominam questionários de frequência alimentar. A análise sob a ótica de padrões de consumo alimentar, a necessidade de relacionar o consumo com medidas de desfecho e a necessidade de estudos longitudinais com essa população se fazem necessários, levando em consideração delineamentos adequados, do ponto de vista dos condicionantes do consumo alimentar do ponto de vista sociodemográfico, ambiental e individual.
Flow Simulation in a 2D Bubble Column with the Euler-lagrange and Euler-euler Method
Authors: Weber Andreas , Bart Hans-Jörg 
Published: January 2018

Object:Bubbly flows, as present in bubble column reactors, can be simulated using a variety of simulation techniques. It is presented, how Computational Fluid Dynamics (CFD) methods are used to simulate a pseudo 2D bubble column using Euler-Lagrange (EL) and Euler-Euler (EE) techniques.Method:The presented EL method uses the open access software OpenFOAM to solve bubble dynamics with bubble interactions computedviaMonte Carlo methods. The estimated bubble size distribution and the predicted hold-up are compared with experimental data and other simulative EE work with a reasonable consensus for both. Benchmarks with state of the art EE simulations shows that the EL approach shows good performance if the bubble number stays at a certain level, as the EL approach scales linearly with the number of bubbles simulated. Therefore, different computational meshes have been used to account for influence of the resolution quality.Conclusion:The EL approach indicated faster solution for all realistic cases, only deliberate decrease of coalescence rates could push CPU time to the limits. Critical bubble number - when EE becomes superior to the EL approach - was estimated to be 40.000 in this particular case.
Perceptions, Attitudes and Self-care Practices on Management of Hypertension Among Hypertensive Patients at Teaching Hospital, Batticaloa District, Sri Lanka
Authors: Kisokanth G , IMPS Ilankoon , K Arulanandem , KT Sundaresan , CSE Goonewardena , J Joseph 
Published: January 2018

Objective:
Hypertension is an important public health challenge in both developing and developed countries. It is one of the commonest causes of death in Sri Lanka. The patients’ perception, beliefs and attitudes about management of hypertension have an independent effect on patients’ compliance in adapting their lifestyle behaviors. Thus, the purpose of this study was to describe the adapting self-care practices, attitudes among patients with hypertension.

Methods:
The cross sectional descriptive study was carried out among 424 hypertensive patients attending medical clinics, Teaching Hospital, Batticaloa, Sri Lanka. Systematic sampling technique was used to select participants. Interviewer administered questionnaire was used to collect the information and descriptive statistics was applied using SPSS software. Ethical clearance was obtained.

Results:
Majority was females (59%) and the mean age of the participants was 60.4 years (SD± 9.6) with 1-5 years duration. More than 65% of patients agreed that ‘Doctors listen and concern their problems’. More than half of the participants also agreed that ‘Doctors clearly explain their condition’ while majority agreed that ‘I can manage my disease’. About 92.0% have reported that they have not checked their blood pressure at home. Majority of participants (88%) agreed that ‘Avoidance of extra salt in their diet is good’. About 33.0% disagreed that ‘Regular physical exercise is essential to control blood pressure’. About 24.0% of participants disagreed that it is ‘Good to have fruits than deserts and sweets’ while less than 40.0% participants disagreed that ‘high blood pressure affects kidney functions, vision, blood vessels, and lead to stroke and ischemic heart disease’.

Conclusion:
Majority of the hypertensive patients believe that Doctors understand and concern about their disease and have also developed confidence in self-care. Though, creating a short clinic appointment with adequate knowledge need to be encouraged for their adapting self-practices on factors related to patients and physicians .
Identidad social en la periferia urbana. Nosotros y la metrópoli / Social identity in urban periphery. We and the metropoli
Authors: Casas Álvarez José Gustavo 
Published: January 2018

Resumen:En este trabajo se presenta el análisis de las narrativas de identidad, de habitantes en una localidad en conflicto. Los resultados presentados tienen como contexto los procesos de transformación del territorio por la construcción de un conjunto de interés social. Las narrativas de identidad, recopiladas en trabajo de campo manifestaron los procesos de conservación, cambio y resistencia entre lo rural y lo urbano en el municipio de Chalco, Estado de México.Résumé:Cet article présente les analyses des récits d'identité, d'une ville avec leur population en conflit. Les résultats présentés ont comme contexte, le processus de transformation du territoire par la construction d'un ensemble de maisons d'intérêt social. Les récits d'identité, résumées dans ce travail de terrain manifestent le processus de conservation, le changement et la résistance entre le milieu rural et urbain dans la municipalité de Chalco, État de Mexico.Abstract:This paper presents the analyses of identity narratives, of a town with their population in conflict. The results presented have like context the transformation process the territory by the construction of a set of houses of social interest. The identity narratives, summarized in this field work manifested the process of conservation, change and resistance between the rural and urban in the municipality of Chalco, State of Mexico.
PERSEPSI PRESEPTOR TERHADAP KEY INDICATORS KOMPETENSI PHARMACEUTICAL CARE PADA PRAKTEK KERJA PROFESI APOTEKER DI APOTEK
Authors: Ardiningtyas Bondan , Marchaban Marchaban , Kusnanto Hari , Fudholi Achmad 
Published: January 2018

Praktek Kerja Profesi Apoteker adalah tahap penting untuk meningkatkan keterampilan pharmaceutical care mahasiswa. Tidaklah mudah bagi preseptor untuk menilai peningkatan kompetensi mahasiswa dalam waktu yang singkat, sehingga diperlukan key indicators.Penelitian ini bertujuan untuk mengetahui apa saja key indicators kompetensi pharmaceutical care pada Praktek Kerja Profesi Apoteker di Apotek berdasarkan persepsi preseptorditinjau dari tingkat kepentingan dan resiko kejadian medication error. Penelitian ini adalah penelitian deskriptif ekploratif menggunakan rancangan cross sectional observation menggunakan kuessioner. Subyek penelitian adalah seluruh preseptor PKPA di Daerah Istimewa Yogyakarta sebanyak 22 preseptor, dengan kriteria inklusi: mendapatkan rekomendasi dari organisasi profesi dan bersedia menjadi responden. Kriteria eksklusi adalah preseptor yang mengundurkan diri ketika penelitian berlangsung. Indikator kunci ditetapkan berdasarkan nilai mean rank tertinggi. Hasil penelitian diperoleh 11 indikator kompetensi ditinjau dari tingkat kepentingan (indikator nomor 13; 14; 19;12; 18; 1; 16; 22; 2; 15; dan 33) .dan 11 indikator kompetensi ditinjau dari tingkat resiko kejadian medication error(indikator nomor 14; 16; 12; 13; 22; 9; 15; 8; 23; 17; dan 19).Indikator hasil intersection (irisan) dari kedua kelompok indikator tersebut diperoleh 7 key indicator yaitu indikator nomor 12, 13, 14, 15, 16, 19 dan 22 sebagai key indicatorskompetensi pharmaceutical care pada PKPA di Apotek berdasarkan persepsi preseptor yaitu: menyerahkan obat disertai informasi obat, menyampaikan informasi obat dengan benar, menyiapkan obat dengan benar, melakukan peracikan obat bila diperlukan, membuat etiket obat,melakukan pelayanan informasi obatdan memberikan konseling kepada pasien.
The Utility of Urinalysis in Determining the Risk of Renal Relapse in ANCA-Associated Vasculitis
Authors: Rhee Rennie L. , Davis John C. , Ding Linna , Fervenza Fernando C. , Hoffman Gary S. , Kallenberg Cees G.M. , Langford Carol A. , McCune W. Joseph , Monach Paul A. , Seo Philip , Spiera Robert , St. Clair E. William , Specks Ulrich , Stone John H. , Merkel Peter A. 
Published: January 2018

Background and objectives
The significance of persistent hematuria or proteinuria in patients with ANCA-associated vasculitis who are otherwise in clinical remission is unclear.

Design, setting, participants, & measurements
A post hoc analysis was conducted using participants enrolled in two randomized, placebo-controlled clinical trials who had active GN due to ANCA-associated vasculitis, had positive ANCA, and achieved remission by month 6. Dipstick and microscopic urinalyses were performed at each visit. Persistent hematuria or proteinuria for at least 6 months and the cumulative duration of hematuria were examined. Renal relapse was defined as new or worsening red blood cell casts and/or worsening kidney function according to the Birmingham Vasculitis Activity Score for Granulomatosis with Polyangiitis.

Results
There were 149 patients included in this study: 42% had persistent hematuria, and 43% had persistent proteinuria beyond 6 months. Persistent hematuria was associated with a significantly higher risk of relapse, even after adjusting for potential confounders (subdistribution hazard ratio, 3.99; 95% confidence interval, 1.20 to 13.25; P=0.02); persistent proteinuria was not associated with renal relapse (subdistribution hazard ratio, 1.44; 95% confidence interval, 0.47 to 4.42; P=0.53). Furthermore, greater cumulative duration of hematuria was significantly associated with a higher risk of renal relapse (adjusted subdistribution hazard ratio, 1.08 per each month; 95% confidence interval, 1.03 to 1.12; P<0.01). The median time to renal relapse was 22 months.

Conclusions
In patients with ANCA-associated vasculitis and kidney involvement who achieve remission after induction therapy, the presence of persistent hematuria, but not proteinuria, is a significant predictor of future renal relapse.
The Effect of Real Earnings Management on Auditor Scrutiny of Management's Other Financial Reporting Decisions
Authors: Commerford Benjamin P. , Hatfield Richard C. , Houston Richard W. 
Published: January 2018

ABSTRACT
Recent research reveals that accruals-based earnings management (AEM) is decreasing while real earnings management (REM) is increasing, suggesting the correlation is due to regulatory scrutiny. However, based on Correspondent Inference Theory, we predict and find that when management uses REM, auditors are more restrictive of management's subjective estimates, making it more difficult for management to use income-increasing AEM. Our experiment manipulates the presence versus absence of REM, and whether the audit difference potentially impacts the client's ability to meet an earnings target. Using a serial mediation model, we find that when auditors observe REM, they perceive these operating decisions as aggressive, leading them to perceive management as aggressive, ultimately causing greater proposed adjustments on an unrelated audit difference. We contribute to the literature by demonstrating that when auditors observe REM, their altered perceptions about management can cascade, affecting how they respond to management estimates in unrelated financial statement accounts.
Pegada hídrica em indústria de beneficiamento de jeans no Agreste Pernambucano
Authors: Viana Mirella Alexandre , Lira Elizabete Buonora de Souza , Coelho Carla de Paula Gomes , Bezerra Ana Paula Xavier de Gondra , Lorena Emmanuelle Maria Gonçalves , Holanda Romildo Morant de 
Published: January 2018

A indústria de beneficiamento têxtil é um setor que apresenta elevado potencial poluidor, pois em seus processos demandam grandes volumes de água e geram efluentes quimicamente complexos. Em resposta à necessidade de implementar técnicas e ferramentas voltadas ao gerenciamento do uso sustentável da água foi criado o conceito Pegada Hídrica (PH), que consiste no cálculo do volume total de água consumida de forma direta e indireta pelos seres humanos e nos processos de produção. Por ser um tema ainda pouco discutido, o objetivo desse estudo consistiu em avaliar a Pegada Hídrica Azul do processo de beneficiamento do jeans em quatro lavandarias têxtil localizadas no Pólo de Confecções do Agreste de Pernambuco. Foi realizada entrevista telefônica com quatro empresas (A, B, C e D) de beneficiamento de jeans localizadas na cidade de Caruaru, Pernambuco. Considerando os dados obtidos, foi possível realizar uma estimativa da pegada hídrica do processo para cada empresa estudada, onde as mesmas apresentaram PH de 17.74, 24, 14.93 e 60 litros por peças, respectivamente. Concluiu-se que o conhecimento da pegada hídrica do processo de beneficiamento têxtil mostrou que essa atividade é caracterizada como de significativo potencial poluidor devido ao elevado volume de água necessário para o seu processo produtivo e que o reuso e o correto manejo das águas residuais pode funcionar como alternativas mitigadoras.
MISPERCEPTION IN UNDERSTANDING SOFT SKILLS CONCEPT: A MULTI-CASE STUDY IN ELEMENTARY SCHOOLS OF INDONESIA
Authors: Musnandar Aries 
Published: January 2018

Sejak Alfred Binnet dan Theodore Simon (1905) memperkenalkan IQ (Intelligence Quotient) banyak pihak
menganggap IQ sebagai faktor penting keberhasilan unjuk kerja seseorang di berbagai sektor kehidupan tidak
terkecuali sektor pendidikan. Tujuan penelitian ini adalah untuk mendalami penting dan perlunya pengembangan
soft skills siswa di sekolah-sekolah khususnya tingkat SD. Penelitian menggunakan metode kualitatif dengan jenis
studi kasus dan rancangan studi multi kasus yang menggaris bawahi kegiatan pembuatan makna, sebagaimana
pendekatan interpretive research menjadi dasar memahami fenomena sosial dari aktivitas pendidikan.
Berdasarkan temuan penelitian diketahui secara substantif bahwa pemahaman guru, kepala sekolah, staf terkait
dan orang tua siswa terhadap konsep soft skills masih kurang dan terbatas. Kegiatan belajar mengajar di sekolah
berorientasi akademik dengan metode pembelajaran yang mengabaikan pentingnya pembentukan soft skills siswa.
Disamping itu, soft skills dianggap tidak terkait dengan prestasi akademik, sehingga aktivitas pembelajaran kurang
melibatkan potensi bagi peningkatan soft skills siswa. Di sisi lain ditemukan bahwa sekolah yang menaruh
perhatian pada aspek-aspek pengembangan soft skills pada akhirnya dapat mengaktifkan potensi siswa meraih
ketercapaian belajar akademik optimal. Akhirnya, secara formal dapat dikemukakan bahwa manajemen
pembelajaran soft skills siswa perlu dan penting diterapkan dalam pendidikan khususnya di jenjang pendidikan
dasar
MORFOLOGI GENDER DALAM BAHASA ARAB DAN INGGRIS (ANALISIS KONTRASTIF DALAM FUNGSI PENGAJARAN BAHASA ARAB)
Authors: Ardiansyah Ardiansyah 
Published: January 2018

This research purposes is to explain gender mark lingual units whether in Arabic or English on
morphology level addressed to language pronounciation. Contrastive analysis results can be
used to understand Arabic gender by making english as language connections. The data taken
from relevant dictionaries because it is one of written language container. The data proceed
using three stages : data supply, data analysis and data analysis results supply. On analysis
stage: this research using contrastive methods. This research conclusion that both languages
have more diffences than similarities. Arabic has dominated by bound morpheme while English
has dominated by free morpheme or lexical.