bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surgical Treatment of Nasal Polyposis: A Comparison between Cutting Forceps and Microdebrider
Authors: Tirelli Giancarlo , Gatto Annalisa , Spinato Giacomo , Tofanelli Margherita 
Published: November 2013

Background Nasal polyposis (NP) is defined as a specific form of chronic rhinosinusitis (CRS), characterized by bilateral and multifocal polyps. Functional endoscopic sinus surgery represents the gold standard therapy when medical treatment fails. The availability of different tools raises the question of which one provides significant advances in technique and surgical outcome. This study considered the outcome of the surgical treatment of NP in relation to several comorbidities and the surgical device used: the microdebrider versus the Blakesley traditional forceps. Other studies compared the two instruments but did not evaluate the clinical relevance of history of comorbidities such as asthma, allergy, and eosinophilia. Methods A prospective randomized single-blind study was designed to analyze 311 cases of bilateral CRS with NP. Each patient served as his/her own control, meaning that one side was operated on using the Blakesley forceps and the opposite side using the microdebrider. The follow-up period was 13.3 ± 1.2 months. Results The Blakesley forceps caused a significantly lower NP recurrence rate than the microdebrider (p < 0.001), which was more effective in preventing synechia formation (p < 0.05). Only asthma was significantly associated with a higher recurrence rate, without being influenced by the instrument used (p < 0.001). Conclusion The manual instrument allowed for a significantly lower recurrence incidence but yielded a higher rate of synechia formation compared with the microdebrider. Only asthma was significantly associated with a poorer clinical outcome, and gender, age, allergy, and eosinophilia did not affect the surgical prognosis.
Characterizing Rhinitis Subtypes
Authors: Bernstein Jonathan A. 
Published: November 2013

Background Allergic rhinitis (AR) is estimated to affect 20–25% of the United States population and thus accounts for a significant portion of our annual total health care expenditure, especially when one includes all of the concomitant disorders associated with rhinitis such as asthma and sinusitis. Given the prevalence of chronic rhinitis, the significant comorbidities associated with this condition, its overall health burden, and dissatisfaction by allergy sufferers with treatment outcomes, it is essential that the allergist and otolaryngologist develop a consensus approach for the evaluation, diagnosis, and treatment of chronic rhinitis subtypes. Methods This study was designed to achieve this end point. Investigators have taken several clinical, physiological, and mechanistic approaches toward better characterizing rhinitis subtypes. An accurate diagnosis directed at differentiating AR, nonallergic rhinitis, and mixed rhinitis is essential to ensure that treatment(s) prescribed will lead to more favorable clinical outcomes. Results An accurate history taking into account age of symptom onset, family history, quantification of inciting allergic and/or nonallergic triggers, and seasonality followed by aeroallergen skin testing to assess atopic status has been shown to be the most useful approach for clearly differentiating rhinitis subtypes. Conclusion Other cellular, cytokine, genetic, and physiological markers have thus far been proven to be less useful. Ultimately, treatment response to medications will be most effective when they are individualized to the patient's diagnosis.
Effectiveness of Lumbar Drains on Recurrence Rates in Endoscopic Surgery of Cerebrospinal Fluid Leaks
Authors: Albu Silviu , Emanuelli Enzo , Trombitas Veronica , Florian Ioan S. 
Published: November 2013

Background In cerebrospinal fluid (CSF) leakage endoscopic repair, lumbar drains (LDs) were used in an attempt to increase success rates. To critically assess the relationship between use of LDs and recurrent leaks, we embarked on this randomized prospective study. Methods Patients undergoing CSF leak repair between 2000 and 2012 were randomized into two groups: 75 patients were managed without LDs and in the other group of 75 patients an LD was always placed. Different parameters were analyzed to identify their relationship with failures: occurrence of increased intracranial pressure (ICP), body mass index, smoking habits, existence of diabetes, chronic corticosteroid use, previous sinus surgery, etiology (traumatic, iatrogenic, or spontaneous leak), site, and size of the CSF leak. Results Success rate was 93% for the whole group. Patients managed with LDs attained 95% success rate and those without LD attained 92%; the difference is not significant (p = 0.2). The only factor predictive of recurrence is increased ICP: 77% success rate versus 97% for traumatic leaks and 96% for iatrogenic leaks. Recurrence rates were identical in the two groups with increased ICP, regardless of the use of a LD (23%). Conclusion In this study, success rates of CSF repair were not associated with the use of LDs. However, the small number of cases with high success rates precludes appropriate statistical analysis.
Investigating What Second Language Learners Do and Monitor under Careful Online Planning Conditions
Authors: Ahmadian Mohammad Javad , Tavakoli Mansoor 
Published: November 2013

Abstract: This study used quantitative analyses complemented by the retrospective data obtained through a stimulated recall procedure to address three interrelated issues: (a) whether second language learners use online planning opportunities to carefully plan their speech to enhance the quality of the language they produce, (b) what kinds of self-repair behaviour the pressured and careful online planning conditions are likely to induce speakers to make, and (c) the way careful online planning affects EFL learners’ oral L2 performance as measured in terms of complexity, accuracy, and fluency. Thirty intermediate EFL learners were asked to perform an oral narrative task under careful and pressured online planning conditions. Results of the qualitative and quantitative analyses revealed that L2 learners use the planning time to monitor their speech for grammatical accuracy, to retrieve and monitor the appropriate lexical items, and to plan the message they will communicate. In addition, it was found that careful online planning conditions induce learners to execute more error repairs and fewer appropriacy and different-information repairs compared to the pressured online planning condition. An analysis in terms of complexity, accuracy, and fluency measures testified to the positive effects of careful online planning on L2 oral performance.
Les principes du revenu de solidarité active au regard des expériences étrangères
Authors: Marc Céline , Thibault Florence 
Published: November 2013

The principles of «revenu de solidarité active » in light of other countries’ experience.
The revenu de solidarité active (RSA or working solidarity income) is a major reform in French social protection. Firstly, it replaced the minimum welfare benefits paid to people of a working age, along with the associated bonus mechanisms and has been added to the calculation of the «prime pour l’emploi » . Secondly, it is a significant income supplement for poor workers, with the objective being both to ensure financial support and to prompt a return to work. Based on a comparison with US and UK measures (the EITC and WTC and CTC respectively) which have long been contingent on employment-related benefits, the authors attempt better to understand the expected effects from the RSA. Thanks to the MYRIADE microsimulation model developed by the Caisse nationale des allocations familiales, an
ex-ante assessment of this measure and of several alternative scenarii is presented with emphasis on the role played by each component in the scale.
L'arme cinglante de l'ironie et de la raillerie dans le débat présidentiel de 2012
Authors: Charaudeau Patrick 
Published: November 2013

Dans les débats politiques, les actes humoristiques ne sont pas de mises, sauf dans des émissions de télévision − lesdits talk shows d’infotainment − qui s’y prêtent en en faisant leur raison d’être. Mais le débat politique est un genre marqué au coin du sérieux qui en son fondement ne s’y prête pas, et encore moins quand il s’agit d’un débat en face à face avec la solennité de l’enjeu présidentiel. Cependant, on sait qu’en même temps chacun des débatteurs est là pour gagner, et gagner auprès d’un public qui attend de voir lequel va l’emporter sur l’autre. Pour ce faire, chacun doit faire assaut de stratégies argumentatives, mais comme les débatteurs savent que celles-ci ne sont pas toujours probantes, ils tentent d’atteindre le contradicteur à coups de flèches empoisonnées. Or, parmi les différents procédés humoristiques, l’ironie et le sarcasme (ou la raillerie) sont ceux qui se prêtent le mieux à la stratégie de disqualification de l’adversaire dont le but est de le délégitimer et de lui ôter tout crédit. Dans le débat de 2012, les deux candidats ne se sont pas privés d’user d’ironies et de sarcasmes. La forte tension qui a présidé aux échanges entre les deux candidats explique que ceux-ci se soient « lâchés » de temps en temps. Mais il est intéressant d’observer que la manière dont chacun s’y est pris est révélatrice de leurs différences et permet de dire lequel des deux s’en sort le mieux en termes d’image.
Necrotizing Fasciitis
Authors: Sadasivan Jagdish , Maroju Nanda Kishore , Balasubramaniam Anandh 
Published: November 2013

ABSTRACTNecrotizing fasciitis (NF) is among the most challenging surgical infections faced by a surgeon. The difficulty in managing this entity is due to a combination of difficulty in diagnosis, and also of early as well as late management. For the patient, such a diagnosis means prolonged hospital stay, painful dressings, an extended recovery, and in some unfortunate cases even loss of limb or life. Necrotizing fasciitis is a fairly common condition in surgical practice in the Indian context resulting in a fairly large body of clinical experience. This article reviews literature on MEDLINE with the key words ′′necrotizing,′′ ′′fasciitis,′′ and ′′necrotizing infections′′ from 1970, as well as from articles cross referenced therein. The authors attempt to draw comparisons to their own experience in managing this condition to give an Indian perspective to the condition.
Efficacy of communication amongst staff members at plastic and reconstructive surgery section using smartphone and mobile WhatsApp
Authors: Wani Shabeer Ahmad , Rabah Sari M. , AlFadil Sara , Dewanjee Nancy , Najmi Yahya 
Published: November 2013

ABSTRACT
Objective: The objective of this study is to assess the efficacy of smartphone and its WhatsApp application as a communication method amongst the staff of plastic and reconstructive surgery section at tertiary care health facility. Materials and Methods: From January 2012 onwards, the authors used smartphones and its WhatsApp application as a communication method amongst their team for various aspects of patient management and as a tool for academic endorsements. Results: During the period of this study, there were 116 episodes regarding patient management, which were handled, in a timely fashion by using this application. In addition opinion of rotating residents in the section was sought regarding the efficacy of this method of communication. Overall majority of residents were satisfied with this mode of communication. Conclusions: This new method of communication is an effective method for clinical and academic endorsements. The method is cheap and quick and easy to operate.
Gross anatomy of superficial fascia and future localised fat deposit areas of the abdomen in foetus
Authors: Kumar Pramod , Pandey Arvind Kumar , Kumar Brijesh , Aithal K. S. , Dsouza Antony Sylvan 
Published: November 2013

ABSTRACT
Background: The development and popularity of body contouring procedures such as liposuction and abdominoplasty has renewed interest in the anatomy of the superficial fascia and subcutaneous fat deposits of the abdomen. The study of anatomy of fascia and fetal adipose tissue was proposed as it may be of value in understanding the possible programing of prevention of obesity. Objectives: The present study was undertaken to understand the gross anatomy of superficial fascia of abdomen and to study the gross anatomy of future localized fat deposits (LFDs) area of abdomen in fetus. Materials and Methods: Four fetus (two male & two female) of four month of intrauterine life were dissected. Attachments & layers of superficial fascia and future subcutaneous fat deposit area of upper and lower abdomen were noted. Results: Superficial fascia of the abdomen was multi layered in mid line and number of layers reduced laterally as in adult. The future abdominal LFD (localized fat deposits) area in fetus shows brownish-white blubbary tissue without well-defined adult fat lobules. Conclusion: The attachment and gross anatomy of superficial fascia of the fetus was similar to that in adults. The future LFD areas showed brownish white blubbary tissue with ill-defined fat lobules.
Facial contouring with parascapular free flap: A case series of 22 cases
Authors: Kalra Guru Dayal Singh , Gupta Ram Krishna 
Published: November 2013

ABSTRACT
Background: The facial asymmetry correction in complex craniofacial malformations presents a challenging problem for reconstructive surgeons. Progressive hemifacial atrophy (HFA) and hemifacial microsomia (HFM) can manifest in different grades of severity. Most patients require only soft-tissue augmentation. Free flaps are the best option for correction of severe facial soft-tissue deficiency. Materials and Methods: Twenty-two patients of HFM and HFA were included in this study from January 2006 to March 2009 in the Department of Plastic and Reconstructive Surgery, SMS Medical College and Hospital. In all cases, atrophy correction was done using de-epithelialised parascapular free flap with the de-epithelialised surface was placed under the skin. A small skin paddle was taken for monitoring. Results: All cases were reconstructed with de-epithelialised parascapular free flap. There was no flap loss in this series. Hematoma was noted in five cases. Debulking and removal of skin paddle were done in all cases after 6 months. Atrophy recurrence was not observed in any of the cases on follow-up. Conclusion: Contouring of face in cases of HMF and HFA is satisfactorily done with the parascapular free flap. It gives better cosmetic results with minimal donor site morbidity. Facial vessels are better recipient vessels for anastomosis. Keeping de-epithelialised surface of flap under the skin helped in preventing sagging.
A Study of Metaphorical Stories Used by Occupational Therapists to Describe Their Working Lives
Authors: MacKey Hazel 
Published: November 2013

Introduction: This paper describes five metaphorical stories that occupational therapists use in talking about and making sense of health service reforms, and discusses the value of reflecting on metaphorical stories to increase understanding of healthcare practice and concepts of professionalism. Methods: A narrative approach was used to examine how occupational therapists define, experience and practice their work, and describe their professional ‘selves’. The empirical research was conducted over a 12-month period across five National Health Service organizations. Fourteen participants were interviewed three times during this period and were asked to keep monthly diaries of critical incidents. Findings: Five dominant types of ‘stories’ were identified and given appropriate metaphorical titles: the battle, the love story, the magazine, the journey, and the pantomime. The research article notes the salient features and implicit relationships selected as important in each story. The stories illustrate how occupational therapists relate to and mediate change, by constructing experiences in ways that facilitate making sense of a situation and seeing a possible direction to take. Conclusions: The article suggests that exploring metaphorical stories encourages reflexivity and analytical decision making by illuminating the choices available when mediating change.
Assessment of Acid Neutralizing Capacity in Cola-based Drinks and Energy Beverages by Artificial Saliva
Authors: de Oliveira Marcelo Tomas , Felix Kariny Ramos , Bressan Maria Claudia , Kanis Luiz Alberto 
Published: November 2013

ABSTRACT

Objective
To assess the pH of regular and light cola-based drinks and energy drinks, and examine the acid neutralizing capacity by the addition of artificial saliva.

Materials and methods
Ten packages of each product purchased locally at different stores were evaluated. The pH was measured by a pH-electrode calibrated in standard buffer solutions. To assess the pH neutralizing capacity, 1 ml/min of artificial saliva was added until a pH of 5.5 set as a cutoff point was reached in the tested solution. The data were subjected to analysis of variance (ANOVA), at the 0.05 significance level.

Results
The surveyed beverages had an initial acidic pH, ranging between 2.3 and 3.4. The average amount of saliva required to raise the pH of the cola-based drinks above 5.5 ranged between 6.0 and 6.8 ml. Energy drinks used volumes between 11.3 and 12.5 ml; however, it was not possible to achieve a pH of 5.5

Conclusion
According to the methodology used, it was concluded that: (1) All beverages analyzed showed an initial acidic pH. (2) There was no statistical difference between the initial pH level and acid neutralization by the addition of artificial saliva in both regular and light drinks. It was not possible to reach the appropriate pH, set as the cutoff point, for the energy drinks.

How to cite this article
Felix KR, Bressan MC, Kanis LA, De Oliveira MT. Assessment of Acid Neutralizing Capacity in Cola-based Drinks and Energy Beverages by Artificial Saliva. J Contemp Dent Pract 2013;14(4):578-581.
Assessment of 2D:4D in Subjects with Anteroposterior Mandibular Dysplasia
Authors: Premkumar Sridhar , Gurumurthy Bhuvaneswari 
Published: November 2013

ABSTRACT

Objectives
To compare 2D:4D ratio which is determined by testosterone levels with patients having orthognathic, retrognathic and prognathic mandibles.

Materials and methods
The study was performed at Chennai, on 320 subjects of which, 60 subjects (32 males and 28 females) had retrognathic mandible; 55 subjects (25 males and 30 females) had prognathic mandible and 205 subjects (98 males and 107 females) had normal mandible. All the subjects had a normal maxilla and were in the age group of 18 to 25 years. 2D:4D ratio was determined using the photocopies of the ventral surface of right hand made with vernier calipers of 0.01 mm accuracy. Statistical analysis was undertaken using Student's t- test, ANOVA test and TukeyHSD test.

Results
(i) Low 2D:4D is seen in subjects with mandibular prognathism, (ii) Among females, low 2D:4D is seen only in prognathic mandible.

Conclusion
These findings highlight the fact that testosterone plays an important role in mandibular growth. Thus 2D:4D, a least invasive and reproducible procedure can be used as an early marker for mandibular progathism, and as a diagnostic tool in correlating the mandibular growth with causal relations between hormones and craniofacial development.

How to cite this article
Premkumar S, Gurumurthy B. Assessment of 2D:4D in Subjects with Anteroposterior Mandibular Dysplasia. J Contemp Dent Pract 2013;14(4):582-585.
Antibiogram Pattern of Oral Microflora in Periodontic Children of Age Group 6 to 12 Years: A Clinicomicrobiological Study
Authors: Hafiz KA Abdul , Fysal N , Jose Santhosh , Kulshrestha Reena , Arora Dimple , Vasudevan Sanjay 
Published: November 2013

ABSTRACTAimThe study was carried out to see the diversity of oral microflora and its antibiotic sensitivity test in children of age group 6 to 12 years was carried.Materials and methodsTotal 50 patients of age group 6 to 12 years were analyzed for their oral microflora and then checked for the antibiotic susceptibility test. The samples that were collected were incubated at 37°C for 48 hours. Once dispersed samples were taken and Gram staining was done, also they were spread on to a number of freshly prepared agar plates and incubated to allow cells to form microbial colony.ResultsThe result showed microflora common in all types, Gram-positive facultative anaerobic rods and cocci. In normal children Gram-positive facultative anaerobic and fermenting cocci were predominant where as in children with caries growth of microbiota that were Gram-negative and positive, capnophilic, motile and anaerobic rods and cocci belonging to members of genera S. mutans and A. actinomycetemcomitans was seen.ConclusionBy the present study it has been concluded that the number of bacteria determined by microscopic counts was twice as high in caries patients as in healthy sites, and also recommended that amoxicillin, ampicillin and amikacin are the most effective antibacterial drugs for the treatment of dental caries.How to cite this articleFysal N, Jose S, Kulshrestha R, Arora D, Abdul Hafiz KA, Vasudevan S. Antibiogram Pattern of Oral Microflora in Periodontic Children of Age Group 6 to 12 Years: A Clinicomicrobiological Study. J Contemp Dent Pract 2013; 14(4):595-600.
Effect of Different Polishing Systems and Drinks on the Color Stability of Resin Composite
Authors: Gurgan Sevil , Berber Asll , Cakir Filiz Yalcin , Baseren Meserret 
Published: November 2013

ABSTRACT

Aim
The purpose of this study was to evaluate the color stability of resin composit using different finishing systems and drinks.

Materials and methods
Composit disks (5 mm diameter, 2 mm thickness) were prepared for each nanofilled composite using a brass mold. The specimens were divided into 5 finishing system groups Mylar strip (Mylar, DuPont, Wilmington, Del., USA), Soft Lex (3M™ ESPE™ St. Paul, MN, USA), Enhance (Dentsply-DeTrey GmbHD Konstanz, Germany), Hiluster (KerrHawe, Bioggio, Switzerland), Opti Disc (KerrHawe, Bioggio, Switzerland) and each group was divided into 10 subgroups (n = 10) and stored for 24 hours at 37°C in different drinks water coffee, coffee with sugar, tea, tea with sugar, diet coke, coke, light sour cherry juice or sour cherry juice. Color of all specimens was measured before and after exposure with a spectrophotometer using CIE L*a*b* relative, and color changes (ΔE*) were then calculated. The data were analyzed with a twoway analysis of variance (ANOVA), and mean values were compared by the Tukey HSD test (p = 0.05).

Results
For the drinks, the lowest ΔE* values were observed in the water and highest ΔE* values were observed in sour cherry juice. When drinks with and without sugar were compared, all groups with sugar demonstrated a higher color difference than without sugar. For the different finishing systems, Mylar strip group demonstrated signicantly highest color change; Enhance groups demonstrated signicantly lowest color change.

Conclusion
Finishing treatments and storage solutions significantly affect the color stability of resin composite. The presence of sugar in drinks increased the color difference compared to drinks without composit.

Clinical significance
Polishing techniques and drinking drinks with sugar may affect the color of esthetic restorations.

How to cite this article
Berber A, Cakir FY, Baseren M, Gurgan S. Effect of Different Polishing Systems and Drinks on the Color Stability of Resin Composite. J Contemp Dent Pract 2013; 14(4):662-667.