bluuebunny/crossref_metadata_2025_split huggingface dataset:
The interjection in old Romanian texts
Authors: Manu Magda Margareta 
Published: September 2017

The paper tries to identify the special problems posed by the study of interjection based on the examination of a corpus of texts from the old Romanian (1600–1780), referring to texts from modern Romanian. We have watched how certain interjectional formations have acquired, through diachronic expansion, new grammatical, semantic and pragmatic values.
The structure of the paper is the following: the introduction (§1) summarizes the author’s position on the status of the interjection category at a morphosyntactic, semantic and pragmatic level (§1.1) and on the relation between different linguistic structures and their grammaticalization / pragmaticalization process (§1.2). The second section (§2) refers to the specific routes followed by the evolution of the various categories of the analysed interjections, from the old Romanian to the modern Romanian: the presentatives adecă, iată, ni (§2.1), the hortatives haide, ni (§2.2), the addressing particles bre, măi (§2.3), the connectors with demarcation signal function adevăr, amin (§2.4). The third section (§3) has as objective the description of a species of delocutive derivation, illustrated in Romanian by the lexicalized semantic variants of the secondary interjection Doamne!. The study concludes with several final considerations regarding the results of the research (§4).
Non-operative treatment of acute appendicitis in selected patients
Authors: Agaoglu Nazim , Ulusahin Mehmet 
Published: September 2017

Background: Surgical approach for acute appendicitis (AA) is a standard live saving treatment method. The purpose of this study was to assess the feasibility, initial safety and success rate of non-operative treatment of AA in selected patients.Methods: Selected AA patients were enrolled in this prospective study (non-operative treatment). This was based on IV antibiotic therapy and followed up with oral antibiotic. Patients who declined to participate or excluded were managed with appendectomy and considered as controls. The primary goal of the study was to determine the feasibility, initial safety, early and late success rates of non-operative management. Secondary outcomes include hospital length of stay and charge, days of missed works and return to normal activity at home of patients treated non-operatively in comparison to appendectomy group.Results: In non-operative group (36 patients), 7 patients failed to response and managed by appendectomy with early success rate of 80.5%. Three patients experienced recurrent attacks of AA were managed with appendectomy. Late success rate was 72.2%. In appendectomy group (53 patients) one patient with adenocarcinoma of the colon detected during surgery and in ten patients the appendix was perforated. One patient died due to generalized peritonitis. In non-operative group length of stay and hospital charge were lower but only days to resume home activities and days of missed work were shorter and statistically significant as compared to appendectomy group.Conclusions: This study confirms the feasibility, safety and optimum success rate of non-operative treatment of early AA in selected patients.
Diagnostic value of C-reactive protein and neutrophil-limphocyte ratio in perforated appendicitis at Hasan Sadikin Hospital Bandung
Authors: Rudiman Reno , Ruchimat Tommy , Ferdinand Yohanes 
Published: September 2017

Background: The diagnosis of appendicitis depends on the subjective criteria of clinical examination. However, distinguishing acute perforated appendicitis (local peritonitis) and non-perforated is often difficult especially in the elderly population that usually not clinically specific unless it has developed into generalized peritonitis. Between the non-perforated acute appendicitis and perforate should be distinguished because of different surgical approaches. C-reactive protein (CRP) and neutrophil-lymphocyte ratios are known to be associated with various conditions such as malignancy, heart disease, and inflammation, including acute perforated appendicitis. This examination not only is cheaper, but also feasible and available in peripheral hospitals compared to other supports such as ultrasound or CT scan, but this examination has not been routinely used so the purpose of this study is to examine the diagnostic accuracy of both laboratory parameters so as to assist a surgeon to determine whether the case of appendicitis has been perforated or not and can provide information to patients and the families about the diseases and surgical techniques to be performed.Methods: This study used cross sectional analytic in two groups, appendicitis with and without perforation group to know the value of sensitivity, specificity, positive predictor value, negative predictor value, from CRP and RNL in both groups.Results: Of the 46 patients who met the inclusion criteria, the mean age of patients with perforated appendicitis was 33.73±17.101, male sex counted 26 patients (56.5%) and women 20 patients (43.5%). Based on ROC curve analysis, CRP = 76,65 and RNL = 8,825 were obtained, and sensitivity, specificity, positive guess, negative prediction and accuracy value for CRP were 88.0%, 71.4%, 78 %, 5%, 83.3% and 80.4%; While for RNL of 64.0%, 80.9%, 80.0%, NDN, and 71.7%.Conclusions: CRP and RNL have a strong diagnostic value and is moderately strong in cases of perforated appendicitis.
Difficulties in resuscitating adult skeletal injury and trauma: a systemic review
Authors: Al-ajmi Turki Abdullah S. , Salah Al-hussain Abdullah , Fuad Al-Abdulqader Mohammed 
Published: September 2017

Background: Trauma resuscitations are complicated, high-risk, and time-sensitive actions that need the coordination of different specialists arriving from multiple areas in the hospital. This systematic review aimed to understand the main key challenges of trauma resuscitations using a broad search in various database.Methods: A systematic review of published articles between the years 2000 and 2016 was conducted using different electronic databases such as PubMed, Medline and Embase to identify studies evaluating trauma resuscitations challenges. Different keywords were used in this study to recognize relevant articles. The titles of all articles were scanned in the first stage. Irrelevant articles were omitted and the abstracts of the rest articles were reviewed in the second stage. Finally, the full text of all articles which met the inclusion and exclusion criteria were reviewed and a data extraction sheet was made to summarize all the articles. Data were analyzed descriptively.Results: Twenty studies were reviewed including; RCT (3 studies), QRCT (5 studies), and descriptive study (12 studies). The results showed that there are four main trauma resuscitation challenges including pre-hospital challenges, error-related challenges, equipment and technical challenges, and finally general challenges.Conclusions: Trauma resuscitation is one of the most critical aspects of emergency care. It is necessary to promote resuscitation care and focus on patient outcomes in terms of mortality and more importantly, functional outcomes. Considering these main factors affecting trauma resuscitation will improve patients’ outcomes and help those who are engaged in providing services.
Prevalence of Helicobacter pylori in peptic ulcer perforation
Authors: John Binni , P. Mathew Bipin , Chandran C. Vipin 
Published: September 2017

Background: Helicobacter pylori have an important role in the pathogenesis of peptic ulcer disease. The aim of the present study was to observe the prevalence of H. pylori in peptic ulcer perforation cases and the rationale of H. pylori eradication therapy post operatively and to investigate factors associated with peptic ulcer.Methods: This cross-sectional study was conducted at the Department of general surgery, Government Medical College, Kottayam for a period 20 months from March 2012 to October 2013 after getting approval from institutional ethics committee. A total of 113 patients were participated in the study after meeting inclusion criteria. After getting written consent from the patients with perforated peptic ulcer, resuscitation and laparotomy was performed in the emergency department. H. pyloriinfection was confirmed by histopathological examination by Giemsa staining. Based on the histopathological report, the prevalence of H. pylori infection in the patients was assessed and was given appropriate H. pylori eradication regimen.Results: The mean age of presentation of the patients was 52.81±14.5 years. Male to female ratio was 4.14:1. Out of 113 cases, 67 cases (59.3%) had duodenal ulcer perforation while 46 cases (40.7%) had gastric ulcer perforation. Of them 53(46.9%) cases were positive H. pylori positive. No significant association was found between the incidence of H. pylori infection in peptic ulcers with smoking, hypertension, diet intake, NSAIDS intake. In our study association between H. pylori and diabetes mellitus (p=0.02) found to be significant which can be further investigated.Conclusion: According to our study the prevalence of H. pylori infection in perforated peptic ulcer disease is 47% which must be considered as significant. Hence all the patients undergoing laparotomy for peptic ulcer perforation should be investigated for H. pylori infection and if positive we must start the anti H. pylori regimen for them, which is more cost effective.
Comparative study on efficacy of fistulotomy and Ligation of intersphincteric fistula tract (LIFT) procedure in management of fistula-in-ano
Authors: G. Vinay , K. S. Balasubrahmanya 
Published: September 2017

Background: Fistula-in-ano is one of the most common benign anal conditions in daily surgical practice. Present study aims at comparing the efficacy of open fistulotomy and ligation of intersphincteric fistula tract (LIFT) procedure based on its post-operative outcomes.Methods: A comparative study was carried out among 50 subjects attending Department of Surgery, K. R. Hospital, Mysuru over a period of 10 months. Subjects of either sex diagnosed with anal fistula were included in the study. Patients with recurrent fistulas, Crohn’s disease, anal or distal rectal cancers were excluded from the study. Descriptive statistics, unpaired t-test, Fischer exact chi-square test were used to analyse the results.Results: The mean age group of the study subjects was 44.6±8.34 and 41.3±9.71 years among fistulotomy and LIFT procedure group respectively. The gender distribution showed a higher number of males (38) as compared to females (12). There was 23 inter-sphincteric, 2 trans-sphincteric fistula in fistulotomy group and 22 inter-sphincteric, 3 trans-sphincteric fistula in LIFT group. The average operative time for fistulotomy was significantly shorter at 19.6 minutes, compared with 28.4 minutes for LIFT procedure. Wound infection detected in 1 (4%) and 2 (8%) subjects in fistulotomy and LIFT groups, respectively. 1 (4%) subject among fistulotomy group developed anal incontinence. The average healing time for fistulotomy was 8 weeks compared to 3 weeks for LIFT procedure. Total 3 (12%) subjects developed recurrence in LIFT procedure, but no recurrence was observed in fistulotomy group.Conclusions: LIFT procedure is effective and sphincter saving technique for fistula in ano with shorter healing time and lower incidence of postoperative anal incontinence, as compared to open fistulotomy.
A comparative study between aloe vera gel dressing and conventional dressing in chronic wounds
Authors: Athavale Virendra S. , Khandalkar Shivmurti N. , Mahawar Megha , Shetty Iresh , Lad Aditya 
Published: September 2017

Background: The aim of this study was to evaluate the effectiveness and rate of healing of Aloe vera gel in treatment of chronic wounds, to compare the effectiveness of Aloe vera gel with conventional dressing (normal saline and povidone iodine) and to assess the percentage reduction of wound healing with Aloe vera gel dressing.Methods: The study was conducted at Dr. D. Y. Patil Medical College and Hospital, DPU University, for a period of 2 months (from January 2017 to March 2017) and is a prospective and comparative randomized type of study using 50 cases (Group A and Group B, 25 each). The study was approved by the Institute’s Ethics Committee.Results: Data analysis showed that at the end of 4 weeks, mean surface area in Group A is reduced to 4.58 cm2 from 9.79 cm2 which is higher than that in the control group. Also, the average rate of healing in Aloe vera gel is more than control group. Percentage reduction in ulcer surface area was calculated to be much more in Group A as compared to Group B.Conclusions: The study concluded that Aloe vera gel is highly effective in treatment of chronic ulcers and stimulates the growth of wound healing. Thus, reducing the hospital stay. Apart from being efficacious in wound healing, Aloe vera gel is safe product. No allergic reactions/infections were associated with Aloe vera gel. Aloe vera gel not only heals faster but is also cost effective.
Diagnostic value of serum bilirubin in appendicular perforation
Authors: M. N. Mallikarjuna , Uday Utpala 
Published: September 2017

Background: Hyperbilirubinemia has been well documented in relation to acute appendicitis. This study tries to establish the diagnostic value of this parameter in determining the severity of acute appendicitis.Methods: This is a prospective analytical study conducted on 100 patients with acute appendicitis. All patients were subjected to clinical evaluation and investigations; including liver function tests. The diagnosis was confirmed peri-operatively and postoperatively by histopathological examination. The data was compiled and analysed.Results: The incidence of complicated appendicitis was found to be 18%, defined as evidence of gangrene, or microscopic or gross perforation on histopathological examination. Among these total serum bilirubin (TSB) was raised in 17 cases (17%) and statistically significant correlation was established by p-value <0.001. The mean of TSB level was higher in perforated appendicitis than in cases of acute appendicitis (0.57±0.26 mg/dL; range 0.1-1.2 versus 1.68±1.09 mg/dL; range 0.8-4.8 mg/dL). TSB was shown to have specificity of 96.4%, sensitivity 88.2%, PPV 83.3% and NPV was 97.6%. The diagnostic accuracy of raised bilirubin for diagnosis of appendicular perforation was calculated to be 95.0%. The rise in bilirubin was mixed in type (both indirect and direct). There could not be established any correlation between the liver enzymes and appendicitis or its complications.Conclusions: This study ascertains the predictive value of serum bilirubin in acute appendicitis patients as an indicator of severity. Raised bilirubin in the setting of acute appendicitis identifies higher probability of appendicular perforation.
Esophageal atresia and Tracheoesophageal fistula with associated anomalies in a tertiary care hospital of north India
Authors: Prasad Jagdeesh 
Published: September 2017

Background: Esophageal atresia (EA) with or without Tracheoesophageal fistula (TEF) has been described as the epitome of pediatric surgery and the management of these neonates require high degree of skill, manpower and tertiary care. This clinical study was undertaken to identify the EA and TEF cases along with the pattern of associated anomalies causing mortality in Varanasi .Methods: This prospective study included 53 patients of EA with TEF who underwent primary esophageal anastomosis. Their clinical profile, time of presentation, various associated anomalies, sex distribution, and their effect on mortality and morbidity were observed.Results: Mortality was high (41.64%) among patients who reached the tertiary centre late i.e. >24 hours. The incidence of low birth weight babies is approximately 75% and mortality rate increased with low birth weight. Almost 2/3 of patients had clinical or radiological evidence of pneumonia. The mortality was very high in severe pneumonia 66.7% as compared to 15% patients without pneumonia. Septicaemia and leak were most common complications. The mortality in septicemic patients is high (77.8%). The overall incidence of associated anomalies was 47%. Early surgical intervention improved the survival of EA with TEF with major GIT associated anomalies. The overall survival rate was 60.37% and mortality was 39.67%.Conclusions: Although we have improved a lot in managing these cases of EA with TEF, but we have to do much more to achieve our goal of near 100% survival.
Adenoid cystic carcinoma right breast: a rare case report
Authors: V. Shruthikamal , S. Reshma , S. Rajesh 
Published: September 2017

Adenoid Cystic carcinoma of the breast is a rare neoplasm accounting for 0.1% of breast carcinomas, and presenting most commonly as a painful breast lump. In contrast to the aggressive nature of adenoid cystic carcinoma at other sites, adenoid cystic carcinoma of the breast has a favourable prognosis, lymph node involvement or distant metastases seldom occur. Treatment is basically of modified radical mastectomy. Chemotherapy, radio therapy and hormonal treatment have been infrequently used. We report a case of 60 years old woman with adenoid cystic carcinoma of the right breast managed with MRM.
KAJIAN PELAYANAN BUS ANTAR KOTA DALAM PROPINSI UNTUK MENGAKOMODASI PERMINTAAN PERJALANAN PENGGUNA BUSDI TERMINAL TIRTONADI SURAKARTA
Authors: Novitasari Vera , Nurhadi Kuswanto , Andini Isti 
Published: September 2017

<p><strong><em>Abstract:S</em></strong><em>urakarta city has a transport network nodes or terminals, Terminal Tirtonadi. The existence of a passenger bus fleet AKAP and AKDP continued to decline from 2010 to 2013 while in one day, the bus terminal Tirtonadi approximately 6000 people conducting the transportation of various routes stretch. This is due to AKAP bus services and AKDP less well from the bus waiting time is too long and less regular bus arrival. This study is expected performance of the bus at Terminal Tirtonadi accommodate travel demand bus users can be known. Approach to research conducted using quantitative descriptive approach. Data collection techniques done several ways including field survey and survey institution. The sampling technique used in conducting this research is quota sampling, sampling amount taken is 360 pieces. In the analysis performed it is known among other things, on weekdays for operational performance bus at the bus terminal bus performance Tirtonadi gained some less appropriate among other cost, bus waiting time and comfort level. As for the bus performance is the perception by the bus, it was concluded that all buses operating performance is moderate, not too good or not too bad. For the holidays, obtained operational performance bus at Terminal Tirtonadi there are some who do not fit between the other rates, waiting times, and the comfort level. As for the bus performance is the perception by the bus, it was concluded that all buses operating performance is moderate, not too good or not too bad.</em><em></em></p><p><em> </em></p><strong><em>Keyworsd:</em></strong><em>AKDP Buses, Bus operating performance, Terminal Tirtonadi</em>
NIED’s V-net, the Fundamental Volcano Observation Network in Japan
Authors: Tanada Toshikazu , Ueda Hideki , Nagai Masashi , Ukawa Motoo ,   National Research Institute for Earth Science and Disaster Resilience (NIED) Tennodai, Tsukuba, Ibaraki 305-0006, Japan,   Department of Earth and Environmental Sciences, College of Humanities and Sciences, Nihon University, Tokyo, Japan
Published: September 2017

In response to the recommendation of the Council for Science and Technology (Subdivision on Geodesy and Geophysics), the National Research Institute for Earth Science and Disaster Resilience (NIED) constructed a network of stations to observe 11 volcanoes: Tokachidake, Usuzan, Tarumaesan, Hokkaido-Komagatake, Iwatesan, Kusatsu-Shiranesan, Asamayama, Asosan, Kirishimayama, Unzendake, and Kuchinoerabujima. At each new station, a borehole seismograph and tiltmeter, a broadband seismograph, and a GNSS (GPS) were installed. Now, NIED has established 55 stations at 16 volcanoes, adding five volcanoes, namely, Izu- Oshima, Miyakejima, Ogasawara Iwoto, Mt. Fuji and Nasu-dake, and has constructed a new volcano observation network linking the 11 original volcanoes. NIED calls the combination of the new and earlier network the fundamental volcano observation network (V-net).Under a fully open policy, data from the borehole seismographs and tiltmeters, broadband seismographs, rain gauges, barometers,and quartz thermometers in the pressure vessels of the borehole seismographs and tiltmeters are distributed to institutes such as the Japan Meteorological Agency and universities in real time over NIED’s conventional seismic observation data distribution system. GNSS (GPS) data are regularly distributed to relevant research institutes, such as the Geospatial Information Authority of Japan, using file transfer protocol (FTP). In addition, since everyone can use these data for the promotion of volcano research and volcanic disaster prevention, it is now possible to view seismic waves and download data from NIED’s website.
Photons and electrons for the study of a white veil covering some walls in prehistoric caves
Authors: Chapoulie Rémy , Bassel Léna , Mauran Guilhem , Ferrier Catherine , Queffelec Alain , Lacanette Delphine , Malaurent Philippe , Bousquet Bruno , Motto-Ros Vincent , Trichard Florian , Pelascini Frédéric , Rodriguez Vincent 
Published: September 2017

Our research deals with the evolution of wall surfaces in prehistoric caves. The focus of this paper is dedicated to the structural and chemical characterization of a white concretion partially covering some walls in caves. In one of the caves, a non-ornate one which became a laboratory-cave (the Leye cave at Marquay, Dordogne, France) located in the Vézère valley, a set of physical methods has been proposed and tested on the first samples taken: SEM-EDXS, cathodoluminescence and laser-based techniques such as Raman spectroscopy and Laser Induced Breakdown Spectroscopy and LIBS. Thus two facies mainly composed of calcium carbonate crystals have been determined: moonmilk and coralloids. The identification of theses crystalline phases is the first step of an ambitious research project that plans to understand the development of unexpected layers on the cave walls of the famous ornate caves listed as part of the UNESCO cultural heritage sites. This first set of data provides good insight to the structure and the physico-chemical composition of the involved materials. Future works will be dedicated to bring knowledge about the facies chronology, the climatic conditions of environment (temperature, CO<sub>2 </sub>rate and air velocities) over a long period.