bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Evaluation of the Aesthetic Outcomes of Octyl-2-Cyanoacrylate Skin Adhesive and Ethilon Suture in Maxillofacial Surgery - A Randomised Clinical Study
Authors: Balkawade Ruchita , Asnani Usha , Natarajan Srivalli , Baviskar Padmakar , Ahuja Suraj , Patkar Nitesh 
Published: July 2024

Abstract

Introduction:
Wound closure methods have evolved, attributed to the armamentarium including the synthetic sutures, staples, surgical adhesive tapes and, most recently, the cyanoacrylate tissue adhesives. Cyanoacrylates have shown promising results in terms of aesthetic outcomes in other fields of surgery. The aim of this study is to compare the aesthetic value of Dermabond over Ethilon suture when used in case of facial surgical incisions. The purpose of this study was to demonstrate the efficacy of Dermabond for wound closure in the head-and-neck region.

Materials and Methods:
This study involved 20 subjects undergoing maxillofacial surgery. In 10 subjects, skin closure was done with conventional suturing (Ethilon) and other 10 subjects with tissue glue (2-octyl cyanoacrylate). Observations regarding skin closure time and scar assessment were made, and their results were compared.

Results:
The mean time for closure in the Dermabond group was 217.2 ± 42.0 s and for Ethilon suture group was 383.3 ± 140.2 s. Dermabond was significantly better than Ethilon sutures at both 1 month and 3 months with P = 0.001 and P < 0.001, respectively. For Dermabond, the average score improved from 8.2 ± 2.5 at 1 month to 6.1 ± 1.6 at the 3rd month. The improvement was statistically significant (P = 0.001) for Ethilon sutures; the average score improved from 12.0 ± 1.2 at 1 month to 10.2 ± 2.0 at 3rd month. The improvement was statistically significant (P = 0.038).

Discussion:
Adhesive glue appears to be superior to conventional suturing in clean elective surgeries. It is a safe and effective method of skin closure with less operative time and better cosmesis of the scar.
Marcus Gunn Syndrome – A Rare Neural Misdirection Phenomenon Case Report
Authors: Salema Hamza Javed , Joshi Samir , Pawar Sudhir Ramlal , Nair Vivek Sunil , Koranne Vaishali , Limbdiwala Zainab Zakir 
Published: July 2024

Abstract

Rationale:
This case report describes the Marcus Gunn phenomenon (MGP), an infrequent type of congenital unwanted contractions of facial muscles that occurs in 4%–6% of patients with congenital ptosis. The defining characteristic of MGP is the affected eyelid lifting in a manner similar to the opening of the mouth.

Patient Concerns:
It addresses a 45-year-old man who was examined in the dental clinic with a severely decayed tooth. He exhibited evidence of normal vision and synchronous movement of his lips and eyelid.

Diagnosis:
The conditions matched those of the autosomal dominant disorder with incomplete penetration, the MGP. The carious tooth was restored without the necessity for any surgical intervention.

Treatment:
The patient was given appropriate dental treatment without any surgical intervention for Marcus Gunn Syndrome.

Outcome:
After receiving routine fillings to treat dental caries, the patient stopped complaining of pain.

Take-away Lesson:
This case report reveals insight into a situation that has been speculated to be an example of neural redirection syndrome, in which impulses from the trigeminal nerve’s motor unit are naturally redirected into the levator palpebrae superioris muscles of the upper eyelid and the superior pterygoid muscle.
Triple tunnel and triple intraocular lenses (IOL): Modified scleral fixated IOL in a case of double dislocated IOL
Authors: Sood Gitanjli , Mahajan Sandeep 
Published: July 2024

Abstract
We present a challenging case of a 60-year-old female who underwent cataract surgery in the right eye (RE) 10 years back. On presentation, visual acuity in RE with aphakic correction was 6/18, and the patient had a superior corneal scar with iris incarceration. Fundus examination revealed an attached retina and healthy optic nerve head with two dislocated rigid intraocular lenses (IOLs). The patient underwent vitrectomy with temporal scleral tunnel for explanting the IOLs. The same tunnel was used for scleral fixation of IOL whose haptics were buried into two opposite-facing scleral partial thickness scleral tunnels made at 12 and 6 o’clock. Thus, we describe a newer technique of sutureless scleral fixated IOL where scleral pockets are used for fixating three-piece IOL without the use of any suture, glue, or specialized IOL.
Post-typhoid fever retinitis
Authors: Shrinkhal  , Garg Pragati , Shukla Ruchi , Singh Swarastra Prakash , Banerjee Nilakshi 
Published: July 2024

Abstract
A 34-year-old male presented with a sudden, painless decrease in vision in both eyes in the past 7 days. He had a history of an episode of fever 7 days before ocular symptoms and had been treated with three doses of injection cefixime (1.5 g) and antipyretics based on a positive Widal test. On detailed fundus examination, both eyes showed creamy white superficial lesions with ill-defined margins, suggestive of retinitis, with a few hemorrhages along the inferior arcade. The diagnosis of both eyes’ post-typhoid fever retinitis was made, and he was investigated for complete blood count, peripheral smear, erythrocyte sedimentation rate, and human immunodeficiency virus Tridot test, which were normal. He was treated with oral cefixime (400 mg) twice daily and oral prednisolone 1 mg/kg body weight for 7 days. The patient showed significant improvement after the treatment.
A closer look at ankyloglossia in children—A case series
Authors: Vellore Krishna P. , Kondamadugu Saigeeta , Challa Santosh K. , Ganesh Mayuri , Kumari Kanchan , Sharma Deepanshi , Bartarya Treyi 
Published: July 2024

ABSTRACT
Ankyloglossia, often known as tongue-tie, is characterized by a small lingual frenum that obstructs normal tongue movement. It is a rare congenital oral abnormality. The most significant clinical symptom of movement restriction is evaluated clinically by requesting the patient to protrude and elevate their tongues, where the “heart-shaped” tongue can be seen. In children, ankyloglossia can lead to breastfeeding difficulties, speech disorders, poor oral hygiene, and bullying during childhood and adolescence. Regarding the management of ankyloglossia and its clinical importance, there are always divergent views. For successful outcomes, postoperative tongue exercises and speech therapy are essential. These treatments can also measure tongue motions to examine the sounds of letters and words. Recently, the laser approach has been frequently used in dentistry to treat children with ankyloglossia. The present clinical case series of ankyloglossia in children describes a variety of treatments, including electrocautery, laser, and scalpel. Kotlow’s classification, the patient’s age, and patient cooperation played a role in the treatment decision. All of the surgical methods described are effective, but they all call for a trained expert. Both the laser and the electrocautery methods were regarded as suitable for children and safe processes. This case series highlights the significance of early tongue-tie diagnosis and treatment to avoid complications and facilitate improvement in eating and speaking issues. Considering children’s fear and anxiety, laser frenectomy provides a more efficient and comfortable treatment for both the child patient and the dentist when compared to the other two methods.
Does pregnancy alter voice quality?
Authors: Subramaniam Vijayalakshmi , Subramaniam Barathi S , Rai Sheetal , Rao Smitha B , Nayaka Hemaraja S , Zubaer Sania , Kallikkadan Hebin H 
Published: July 2024

ABSTRACT

Context:
Female voice is extremely sensitive to hormonal changes. The changes in the levels of estrogen and progesterone during pregnancy trimesters affect voice by causing edema or swelling of the vocal fold tissues.

Aims:
The present study was designed to quantify the subtle changes in voice objectively in terms of acoustic and aerodynamic parameters related to hormonal changes associated with pregnancy and their variation across the trimesters of pregnancy among the participants in comparison with postpartum pregnant women.

Settings and Design:
Prospective case control observational study conducted at Yenepoya Medical College Hospital, Yenepoya (Deemed to be University), Mangalore, Karnataka, South India.

Methods and Materials:
A total of 40 participants in the age group of 20–45 years took part in the study. Thirty pregnant women in three different trimesters (10 in each) were compared with postpartum group for selected acoustic and aerodynamic parameters of voice.

Statistical Analysis Used:
Descriptive statistics and analysis of variance.

Results:
The selected acoustic parameters like average fundamental frequency, shimmer in dB, and harmonics-to-noise ratio (HNR) of pregnant woman showed a statistically significant difference as compared to postpartum women.

Conclusions:
Perceived quality of voice and ease of production are different across the timeline of pregnancy. Maximum phonation duration was reduced among pregnant women. Significant differences were observed in the values of fundamental frequency, Shimmer, and HNR among pregnant women as compared to postpartum women indicating decreased quality and increased effort of voice production as the time progresses from conception to delivery.
Pregnancy and perinatal outcomes of women with SARS-CoV-2 infection during pregnancy
Authors: Kong Choi Wah , To William Wing Kee 
Published: July 2024

Abstract

Introduction:
This study aimed to compare the pregnancy and perinatal outcomes of women with and without severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy.

Methods:
Women who delivered in an obstetric unit from March 2022 to October 2022 were recruited. The history of vaccination and SARS-CoV-2 infection during pregnancy was recorded. The pregnancy and perinatal outcomes of women with and without SARS-CoV-2 infection were compared.

Results:
A total of 1015 women were recruited — 41.5% had SARS-CoV-2 infection during pregnancy and 25.2% were unvaccinated. The incidences of preeclampsia, gestational diabetes mellitus and caesarean section were similar between the two groups. There were more preterm deliveries (9.0% vs 5.1%, P = 0.01) and more late preterm deliveries of between 33 and 36 + 6 weeks (6.2% vs. 3.7%, P = 0.03) in the SARS-CoV-2 infection group. There were no statistically significant differences between the two groups in perinatal outcomes, including birthweight, incidence of small for gestational age, low Apgar scores, and neonatal intensive care or special care baby unit admissions. There were no differences in pregnancy and perinatal outcomes between women infected in the first/second trimester and those infected in the third trimester, except for lower mean birthweight (3180 g vs. 3292 g, P = 0.04). There were no major differences in pregnancy outcome between vaccinated and unvaccinated women.

Conclusion:
The pregnancy and perinatal outcomes of women who were infected with SARS-CoV-2 during gestation appear favourable.
Deploying artificial intelligence in the detection of adult appendicular and pelvic fractures in the Singapore emergency department after hours: efficacy, cost savings and non-monetary benefits
Authors: Quek John Jian Xian , Nickalls Oliver James , Wong Bak Siew Steven , Tan Min On 
Published: July 2024

Abstract

Introduction:
Radiology plays an integral role in fracture detection in the emergency department (ED). After hours, when there are fewer reporting radiologists, most radiographs are interpreted by ED physicians. A minority of these interpretations may miss diagnoses, which later require the callback of patients for further management. Artificial intelligence (AI) has been viewed as a potential solution to augment the shortage of radiologists after hours. We explored the efficacy of an AI solution in the detection of appendicular and pelvic fractures for adult radiographs performed after hours at a general hospital ED in Singapore, and estimated the potential monetary and non-monetary benefits.

Methods:
One hundred and fifty anonymised abnormal radiographs were retrospectively collected and fed through an AI fracture detection solution. The radiographs were re-read by two radiologist reviewers and their consensus was established as the reference standard. Cases were stratified based on the concordance between the AI solution and the reviewers’ findings. Discordant cases were further analysed based on the nature of the discrepancy into overcall and undercall subgroups. Statistical analysis was performed to evaluate the accuracy, sensitivity and inter-rater reliability of the AI solution.

Results:
Ninety-two examinations were included in the final study radiograph set. The AI solution had a sensitivity of 98.9%, an accuracy of 85.9% and an almost perfect agreement with the reference standard.

Conclusion:
An AI fracture detection solution has similar sensitivity to human radiologists in the detection of fractures on ED appendicular and pelvic radiographs. Its implementation offers significant potential measurable cost, manpower and time savings.
Trends in electrocardiographic and cardiovascular manifestations of patients hospitalised with COVID-19
Authors: Ngiam Jinghao Nicholas , Liong Tze Sian , Koh Matthew Chung Yi , Goh Wilson , Sim Meng Ying , Chhabra Srishti , Chew Nicholas Wen Sheng , Annadurai Jayagowtham Krishan , Thant Sandi Myo , Chai Ping , Yeo Tiong-Cheng , Poh Kian Keong , Tambyah Paul Anantharajah , Sia Ching-Hui 
Published: July 2024

Abstract

Introduction:
Early in the coronavirus disease 2019 (COVID-19) pandemic, a low incidence of cardiovascular complications was reported in Singapore. Little was known about the trend of cardiovascular complications as the pandemic progressed. In this study, we examined the evolving trends in electrocardiographic and cardiovascular manifestations in patients hospitalised with COVID-19.

Methods:
We examined the first 1781 consecutive hospitalised patients with polymerase chain reaction-confirmed COVID-19. We divided the population based on whether they had abnormal heart rate (HR) or electrocardiography (ECG) or normal HR and ECG, comparing the baseline characteristics and outcomes. Cardiovascular complications were defined as acute myocardial infarction, stroke, pulmonary embolism, myocarditis and mortality.

Results:
The 253 (14.2%) patients who had abnormal HR/ECG at presentation were more likely to be symptomatic. Sinus tachycardia was commonly observed. Troponin I levels (97.0 ± 482.9 vs. 19.7 ± 68.4 ng/L, P = 0.047) and C-reactive protein levels (20.1 ± 50.7 vs. 13.9 ± 24.1 μmol/L, P = 0.003) were significantly higher among those with abnormal HR/ECGs, with a higher prevalence of myocarditis (2.0% vs. 0.5%, P = 0.019), pulmonary embolism (2.0% vs. 0.3%, P = 0.008) and acute myocardial infarction (1.2% vs. 0.1%, P = 0.023). After adjusting for age and comorbidities, abnormal HR/ECG (adjusted odds ratio 4.41, 95% confidence interval 2.21–8.77; P < 0.001) remained independently associated with adverse cardiovascular complications. Over time, there was a trend towards a higher proportion of hospitalised patients with cardiovascular complications.

Conclusion:
Cardiovascular complications appear to be increasing in proportion over time among hospitalised patients with COVID-19. A baseline ECG and HR measurement may be helpful for predicting these complications.
Ensuring XML quality and compatibility in large collections that span decades of content
Authors: Gross Mark 
Published: July 2024

One of the promises of XML applications and related technologies is the consistency and longevity of data created through their use. But meeting the promise doesn’t happen without careful curation. In practice, for large applications such as JATS, there are many users of varying skill levels, with differing understanding of the XML process. With the complicating factor that diverse users may also be using diverse versions of the standard tag set, inconsistencies tend to accumulate as these large document collections grow.
Although issues such as missing DOIs, bad xrefs, duplicate IDs, invalid assets, and other structural problems in the XML may not always result in invalid documents, they are nonetheless problems for the usability and sustainability of a collection. This paper highlights automated solutions useful for fixing large amounts of JATS and BITS XML, ensuring that content is current with the latest DTDs and internally consistent across the collection.
When women do algorithms: a semi-generative approach to overlay crochet with iXML and XSLT
Authors: Tovey-Walsh Bethan 
Published: July 2024

“Crochet” is what we call it when women do algorithms. A crochet pattern can be quite a complicated algorithm. For example, overlay crochet involves using two (usually contrasting color) yarns to create interwoven grids. Overlay patterns can be expressed as grids of squares, so they are very easy to represent using a coordinate system, which can then be translated into a visual representation.
Enter iXML! To translate textual material into an overlay crochet design, I first wrote a set of pattern specifications for the letter shapes of the Latin alphabet. Using iXML, I then processed a text to extract a list of capital letters, and inserted the patterns in place of their matching letters. An XSLT stylesheet extracted these pattern pieces as a text file, and a second iXML grammar joined the individual pattern specifications into a single scarf pattern. Transforming this into SVG with an XSLT stylesheet allowed manual tweaking to ensure that the letter-shapes sat well in combination with one another. The result is a scarf pattern with a hidden message, generated semi-randomly by patterns in the input text, with a little aesthetic tweaking to make it harmonious. And the result of *that* is a very nice, warm scarf!
Desain Pembelajaran Open-STAD (Student Teams Achievement Division) Terhadap Hasil Belajar Siswa SMK (Sekolah Menengah Kejuruan)
Authors: Nida’ Khoirotun , Untari Rahmania Sri 
Published: July 2024

Sebagian besar siswa tidak dapat menghubungkan antara apa yang telah dipelajari dan cara mengaplikasikan informasi tersebut dalam situasi nyata. Mereka mampu mengingat informasi dengan baik, namun kurang memahami secara mendalam mata pelajaran yang dipelajari. Penelitian ini bertujuan untuk membandingkan hasil belajar siswa sebelum dan sesudah diberi perlakuan Desain Pembelajaran Open-STAD (Student Teams Achievement Division). Jenis penelitian ini menggunakan metode penelitian kuantitatif dengan menggunakan desain quasi-eksperimen, desain eksperimen One Group Pretest-Posttest satu kelas diberi perlakuan sebelum dan sesudah melakukan pretest-posttest, sehingga dapat dibandingkan hasil belajar siswa sebelum dan sesudah perlakuan dengan Desain Pembelajaran Open-STAD. Subyek penelitian ini adalah siswa kelas X TKJ (Teknik Komunikasi Jaringan) SMK yang berjumlah 14 siswa. Hasil penelitian menunjukkan bahwa penerapan Desain Pembelajaran Open-STAD terhadap hasil belajar siswa SMK memiliki pengaruh yang signifikan dengan presentase ketuntasan nilai pre-test mendapatkan hasil sebesar 39%, sedangkan presentase ketuntasan nilai post-test mendapatkan hasil sebesar 75%. Hal tersebut juga dinyatakan berdasarkan nilai rata-rata pretest < posttest dan nilai signifikansi yang didapatkan 0,000 < 0,05. Direkomendasikan pada penelitian selanjutnya adalah menggunakan kelas pembanding untuk melihat seberapa efektif dari desain pembelajaran Open-STAD.
Optimizing the capture of aerosol particles to protect the environment
Authors: Есенов М.К. , Раматуллаева Л.И. , Волненко А.А. , Ивахнюк Г.К. 
Published: July 2024

Бұл мақалада газ-дисперсті қатты материалдар жүйесінде процестерді жүргізу үшін агрегаттарды экологиялық жаңғырту мәселелері ашылады және барабанды кептіру агрегатындағы аэрозоль ағынын бөлудің ғылыми негіздері қарастырылады. Тегіс және цилиндр тәрізді арналарда аэрозоль ағыны бөлшектерінің турбулентті-инерциялық тұндыруын бағалау көрсетілген. Тегіс және цилиндрлік беттерде аэрозоль ағынының динамикалық жылдамдығы анықталды. Аэрозоль ағынын бөлу тиімділігін бағалаудың энергетикалық тәсілі қарастырылды. Барабанды кептіргіште аэрозоль ағынының бөлшектерін бөлу тиімділігін бағалау ұсынылған. Келтірілген зерттеулер кептіру агрегаттарының жұмысын оңтайландыруға және олардың өнімділігін арттыруға арналған жаңа тәсілдер мен әдістерді ұсынады. Олар газдисперсиялы қатты материалдарды өңдеу технологияларын әрі қарай дамытуға қажетті маңызды деректерді ұсынады, бұл қоршаған ортаға теріс әсерді азайтуға ықпал етеді
This article reveals the problems of environmental modernization of aggregates for conducting processes in a system of gas – dispersed solid materials and considers the scientific basis for the separation of aerosol flow in a drum drying aggregate. Evaluation of turbulent-inertial deposition of aerosol flow particles in smooth and cylindrical channels is shown. On smooth and cylindrical surfaces, the dynamic speed of the aerosol flow is determined. An energy approach to assessing the efficiency of aerosol flow distribution was considered. It is proposed to evaluate the efficiency of separation of Aerosol Jet particles in a drum dryer. The cited studies suggest new approaches and methods for optimizing the operation of drying aggregates and increasing their productivity. They provide important data necessary for the further development of technologies for processing gasdispersed solid materials, which will contribute to reducing the negative impact on the environment
В данной статье раскрываются вопросы экологической модернизации агрегатов для проведения процессов в системе газодисперсных твердых материалов и рассматриваются научные основы распределения аэрозольного потока в барабанном сушильном агрегате. Показана оценка турбулентно-инерционного осаждения частиц аэрозольного потока в гладких и цилиндрических каналах. Определена динамическая скорость потока аэрозоля на гладких и цилиндрических поверхностях. Рассмотрен энергетический подход к оценке эффективности распределения аэрозольного потока. Предложена оценка эффективности разделения частиц аэрозольного потока в барабанной сушилке. Приведенные исследования предлагают новые подходы и методы оптимизации работы сушильных агрегатов и повышения их производительности. Они предоставляют важные данные, необходимые для дальнейшего развития технологий переработки твердых газодисперсных материалов, что способствует снижению негативного воздействия на окружающую среду
Démarches d’éducation interculturelle et citoyenneté inclusive en République d’Irlande : avancées et limites dans les programmes, écoles et centres de formation
Authors: Fischer Karin 
Published: July 2024

Devenue terre d’immigration à partir des années 1990, la République d’Irlande a cherché à développer une approche dite interculturelle dans le système scolaire, dans le but affiché de construire une école et une société inclusives. Cette approche, soutenue et portée par les organisations enseignantes, a pris diverses formes, parmi lesquelles une évolution significative de l’enseignement de l’histoire et de l’éducation à la citoyenneté, ainsi que la publication de directives sur l’éducation interculturelle en 2005/2006 : le présent article propose une analyse critique et contextualisée de ces nouvelles orientations. L’angle privilégié est celui d’une étude de politique éducative, fondée sur des analyses de contenu des différents programmes, directives et prises de position des principaux acteurs et actrices, en regard du contexte du système éducatif irlandais et d’études de terrain menées dans les écoles et dans certains centres universitaires de formation par des sociologues de l’éducation, eux-mêmes ou elles-mêmes le plus souvent impliqué-es dans la formation des futur-es enseignant-es au sein de ces centres. On peut parler d’évolutions relativement radicales dans le contexte irlandais, dans une perspective de transformation sociale, qui trouvent cependant leurs limites dans le fossé entre théories, discours et pratiques, des écoles aux instituts de formation.