bluuebunny/crossref_metadata_2025_split huggingface dataset:
Access to Health Care and Control of ABCs of Diabetes
Authors: Zhang Xuanping , Bullard Kai McKeever , Gregg Edward W. , Beckles Gloria L. , Williams Desmond E. , Barker Lawrence E. , Albright Ann L. , Imperatore Giuseppina 
Published: April 2012

OBJECTIVE
To examine the relationship between access to health care and diabetes control.

RESEARCH DESIGN AND METHODS
Using data from the National Health and Nutrition Examination Survey, 1999–2008, we identified 1,221 U.S. adults (age 18–64 years) with self-reported diabetes. Access was measured by current health insurance coverage, number of times health care was received over the past year, and routine place to go for health care. Diabetes control measures included the proportion of people with A1C &gt;9%, blood pressure ≥140/90 mmHg, and non-HDL cholesterol ≥130 mg/dL.

RESULTS
An estimated 16.0% of known diabetic adults were uninsured. Diabetes control profiles were worse among uninsured than among insured persons (A1C &gt;9% [34.1 vs. 16.5%, P = 0.002], blood pressure ≥140/90 mmHg [31.8 vs. 22.8%, P &lt; 0.05], and non-HDL cholesterol ≥130 mg/dL [67.1 vs. 65.4%, P = 0.7]). Compared with insured persons, uninsured persons were more likely to have A1C &gt;9% (multivariate-adjusted odds ratio 2.4 [95% CI 1.2–4.7]). Compared with those who reported four or more health care visits in the past year, those who reported no health care visits were more likely to have A1C &gt;9% (5.5 [1.2–26.3]) and blood pressure ≥140/90 mmHg (1.9 [1.1–3.4]).

CONCLUSIONS
In people with diabetes, lack of health care coverage is associated with poor glycemic control. In addition, low use of health care service is associated with poor glucose and blood pressure control.
Stability of a Numerical Method for a Space-time-fractional Telegraph Equation
Authors: Ford Neville J , Xiao Jingyu , Yan Yubin 
Published: April 2012

AbstractIn this paper, we introduce a numerical method for solving the space-time
fractional telegraph equation. The numerical method is based on a quadrature formula approach and
a stability condition for the numerical method is obtained. Two numerical examples are given and the stability regions are plotted.
The Impact Study of a Statcom on Commutation Failures in an HVDC Inverter Feeding a Weak AC System
Authors: Khatir Mohamed , Zidi Sid-Ahmed , Fellah Mohammed-Karim , Hadjeri Samir , Flitti Mohamed 
Published: April 2012

The Impact Study of a Statcom on Commutation Failures in an HVDC Inverter Feeding a Weak AC SystemThe Static Synchronous Compensator (STATCOM) devices are pure power electronics devices that use voltage source, IGBT, IGCT or GTO based converters to generate reactive current. This paper illustrates the effect of STATCOM connected whit an HVDC inverter feeding a weak AC network, on the recovery from commutation failures following AC side disturbances. MATLAB/SIMULINK simulation results have demonstrated the robust performance of the proposed system based on the first CIGRÉ HVDC Benchmark model against commutation failures.
Effect of Sex Ratio in the Litter in Which Polish Large White and Polish Landrace Sows were Born on the Number of Piglets Born and Reared
Authors: Rekiel Anna , Więcek Justyna , Wojtasik Monika , Ptak Jarosław , Blicharski Tadeusz , Mroczko Leszek 
Published: April 2012

Effect of Sex Ratio in the Litter in Which Polish Large White and Polish Landrace Sows were Born on the Number of Piglets Born and RearedThe aim of the study was to determine the effect of sex ratio in the litter in which Polish Large White (PLW) and Polish Landrace (PL) sows were born on the number of piglets born and reared to 21 days of age. Results obtained in nucleus herds from one breeding region were analysed. A total of 518 multiparous sows (179 PLW and 339 PL) were evaluated based on data from their litters (790 PLW and 1540 PL litters). The proportion of females in the litter in which the sow was born served as a basis for dividing the females into groups: group 1 <40%, group 2 - 40-50%, group 3 - 50-60%, group 4 - 60-70%, group 5 >70%. Significant differences in the average number of piglets born were found between the groups for PLW sows; compared to sows from groups 1, 2 and 3, females from group 5 gave birth to 8.0% (P≤0.05), 9.4% (P≤0.01) and 6.6% more piglets (P≤0.01), respectively, and compared to sows from group 2, those from group 4 gave birth to 5.1% more piglets (P≤0.05). The average number of piglets born and reared to 21 days by PL sows did not differ significantly between groups. The greater the proportion of females in the litter in which the PLW sow was born, the greater the preweaning mortality of piglets: 0.79, 0.87, 0.99, 1.02 and 1.24 piglets in groups 1 to 5, respectively. Preweaning mortality of PL piglets (0.93, 0.89, 0.81, 0.76 and 0.65 in groups 1 to 5, respectively) decreased with increasing proportion of females in the litter of origin and was lower than that of PLW piglets. It seems appropriate to account for the sex ratio of the litter in which the gilts were born when selecting them as mothers of the next generation as part of herd replacement; this parameter may improve fertility and production efficiency.
Performance and Egg Quality of Hens from Conservation Flocks Fed a Diet Containing Maize Distillers Dried Grains with Solubles (DDGS)
Authors: Krawczyk Józefa , Sokołowicz Zofia , Świątkiewicz Sylwester , Koreleski Jerzy , Szefer Maja 
Published: April 2012

Performance and Egg Quality of Hens from Conservation Flocks Fed a Diet Containing Maize Distillers Dried Grains with Solubles (DDGS)The objective of the study was to evaluate laying performance and quality indices of consumption and hatching eggs in hens from conservation flocks fed a diet containing maize distillers dried grains with solubles (DDGS). A total of 360 Greenleg Partridge (Z-11) and Rhode Island Red (R-11) hens, included in the genetic resources conservation programme in Poland, were investigated. The good performance obtained by layers fed the DDGS diet indicates that maize distillers dried grains with solubles can serve as a useful source of protein in the nutrition of hens from conservation flocks, partly replacing imported soybean meal. The dietary inclusion of DDGS improved laying performance while maintaining hatchability traits and the quality of consumption eggs. The DDGS diet had an effect on nutritionally important egg quality traits, i.e. increased protein content of egg albumen and increased concentration of oleic and linoleic acids in yolk lipids, with a simultaneous increase inn-6:n-3PUFA ratio. Dietary inclusion of DDGS also increased yolk colour intensity and Haugh units while having no effect on eggshell quality.
Effect of Breed and Feeding System on Content of Selected Whey Proteins in Cow's Milk in Spring-Summer and Autumn-Winter Seasons
Authors: Brodziak Aneta , Barłowska Joanna , Król Jolanta , Litwińczuk Zygmunt 
Published: April 2012

Effect of Breed and Feeding System on Content of Selected Whey Proteins in Cow's Milk in Spring-Summer and Autumn-Winter SeasonsThe objective of the present study was to evaluate the effect of breed and feeding system on the content of selected whey proteins in cow's milk collected in the spring-summer and autumn-winter periods. A total of 2,278 milk samples from Black- and Red-and-White variety of Polish Holstein-Friesian cows and Simmental and Jersey cows were examined. In each sample the content of selected whey proteins, i.e. alpha-LA, beta-LG, lactoferrin, BSA and lysozyme, was analysed by RP-HPLC method. Evaluation of the simultaneous effect of breed and production season on whey protein content showed significant interactions (P≤0.05 and P≤0.01) for all analysed whey proteins. The milk of Simmental cows kept in the conventional system was characterized by a higher content of whey proteins (with the exception of BSA), in comparison to the cows managed under TMR system. Furthermore, for most of the evaluated components, except the content of BSA and lysozyme and the alpha-LA/beta-LG ratio, the simultaneous effect of feeding system and production season was also found.
Diagnosis of Primary Task-Specific Lower Extremity Dystonia in a Runner
Authors: McClinton Shane , Heiderscheit Bryan 
Published: April 2012

Study Design Resident's case problem. Background A 56-year-old man was referred to physical therapy for analysis of unusual gait, first noticed 3 years previously when running. Prior to this evaluation, the patient had seen multiple orthopaedic, sports medicine, and neurological specialists while undergoing repeated and extensive testing. Ten months of testing and treatment, including conservative and surgical management, did not provide an explanation for the gait abnormality or result in improvement of the patient's condition. Diagnosis The patient's physical examination was relatively unremarkable, considering the severity of the gait abnormality. Distinct abnormalities were apparent with computerized gait analysis and dynamic electromyography, and, when combined with the physical examination findings, led to a suspicion of the task-specific disorder of runner's dystonia. The patient was referred to a neurologist specializing in movement-related disorders, with a final confirmed diagnosis of primary task-specific dystonia with first onset during running (ie, runner's dystonia). Discussion Idiopathic, task-specific dystonia of the lower extremity is documented as a very rare occurrence, yet increasing trends in running participation may result in a higher incidence of this condition. Improved awareness of runner's dystonia in the present case might have enhanced the clinical decision-making process and resulted in more timely and effective treatment solutions. Clinical examination findings, including computerized gait analysis and electromyography, in conjunction with imaging, blood, and genetic testing, can aid in the diagnosis of runner's dystonia. Level of Evidence Differential diagnosis, level 4. J Orthop Sports Phys Ther 2012;42(8):688–697, Epub 20 April 2012. doi:10.2519/jospt.2012.3892
Short-Term Effects of Kinesio Taping Versus Cervical Thrust Manipulation in Patients With Mechanical Neck Pain: A Randomized Clinical Trial
Authors: Saavedra-Hernández Manuel , Castro-Sánchez Adelaida M. , Arroyo-Morales Manuel , Cleland Joshua A. , Lara-Palomo Inmaculada C. , Fernández-de-las-Peñas César 
Published: April 2012

Study Design Randomized clinical trial. Objective To compare the effectiveness of cervical spine thrust manipulation to that of Kinesio Taping applied to the neck in individuals with mechanical neck pain, using self-reported pain and disability and cervical range of motion as measures. Background The effectiveness of cervical manipulation has received considerable attention in the literature. However, because some patients cannot tolerate cervical thrust manipulation, alternative therapeutic options should be investigated. Methods Eighty patients (36 women) were randomly assigned to 1 of 2 groups: the manipulation group, which received 2 cervical thrust manipulations, and the tape group, which received Kinesio Taping applied to the neck. Neck pain (11-point numeric pain rating scale), disability (Neck Disability Index), and cervical-range-of-motion data were collected at baseline and 1 week after the intervention by an assessor blinded to the treatment allocation of the patients. Mixed-model analyses of variance were used to examine the effects of the treatment on each outcome variable, with group as the between-subjects variable and time as the within-subjects variable. The primary analysis was the group-by-time interaction. Results No significant group-by-time interactions were found for pain (F = 1.892, P = .447) or disability (F = 0.115, P = .736). The group-by-time interaction was statistically significant for right (F = 7.317, P = .008) and left (F = 9.525, P = .003) cervical rotation range of motion, with the patients who received the cervical thrust manipulation having experienced greater improvement in cervical rotation than those treated with Kinesio Tape (P<.01). No significant group-by-time interactions were found for cervical spine range of motion for flexion (F = 0.944, P = .334), extension (F = 0.122, P = .728), and right (F = 0.220, P = .650) and left (F = 0.389, P = .535) lateral flexion. Conclusion Patients with mechanical neck pain who received cervical thrust manipulation or Kinesio Taping exhibited similar reductions in neck pain intensity and disability and similar changes in active cervical range of motion, except for rotation. Changes in neck pain surpassed the minimal clinically important difference, whereas changes in disability did not. Changes in cervical range of motion were small and not clinically meaningful. Because we did not include a control or placebo group in this study, we cannot rule out a placebo effect or natural changes over time as potential reasons for the improvements measured in both groups. Level of Evidence Therapy, level 1b. J Orthop Sports Phys Ther 2012;42(8):724–730, Epub 20 April 2012. doi:10.2519/jospt.2012.4086
Clinical presentation of congenital neck mass in children
Authors: Siddique Mazharul Alam , Hossen Mahbuba , Taous Ahmmad , Salam Kazi Shamimus , Siddiquee Belayat Hossain , Tarafder Kamrul Hasan 
Published: April 2012

Background: Congenital neck mass is a very common problem in children in Otolaryngology & Head-Neck Surgery and Paediatric Surgery Department but data of our country is inadequate and there is lack of published study. This study will help to diagnose congenital neck masses, evaluate the success of surgical treatment in our country.Objective: To assess the frequency of congenital neck mass in children and to see the clinical presentation of different congenital neck mass.Study design: Cross sectional prospective study.Place of study: Department of Otolaryngology  Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Dhaka Medical College Hospital (DMCH)l, Dhaka and Mymensingh Medical College Hospital (MMCH), Mymensingh.Methodology: Patients below the age of 18 years with congenital neck mass who presented to three tertiary level hospitals from January 2010 to December 2010 were included in this study. Total thirty six patients were purposively selected. Age, gender, types of swelling and location were examined, investigations were done. Data was analyzed with SPSS software and was presented in the form of tables, diagrams and pie charts.Results: 36 patients with different congenital neck swelling were examined. Out of 36 patients, thyroglossal cysts were commonest- 21(58.33%). Other congenital lesions were as follows: Branchial cyst 7(19.44), Lymphangioma 3(8.33%), Haemangioma 3(8.33%), Dermoid cyst 2(5.55%). Midline was most common location 21 (58.33%).Conclusion: Congenital neck masses constitute important differential diagnosis for neck masses. These masses constitute diagnostic and therapeutic challenges for many clinicians. Correct diagnosis, safe and complete surgical excision requires sound knowledge of the location and extent of these masses. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10409 Bangladesh J Otorhinolaryngol 2012; 18(1): 16-22
Analyzing various non-surgical treatment modalities for laryngopharyngeal reflux
Authors: Owais M , Rahil M , Anees M , Aakib H , Raul A 
Published: April 2012

Objective:To compare the outcomes of various medical treatment modalities for laryngopharyngeal reflux.Study design: Prospective study design.Methods: 150 patients were divided into three groups (A, B, C) based on the mode of intervention used for the control of LPR. Each study group enrolled 50 patients using random tables. Group A: These patients were put on a twice daily dosage of esomeprazole(20 mg b.d.) and domeperidone(10 mg b.d. ) for four months Group B: These patients were put on b.d. dosage of esomeprazole(20 mg) and domeperidone(10 mg): and also received counseling for dietary and lifestyle changes. The duration of treatment was for four months. Group C: These patients received, in addition to above, 10 mg of amitriptyline (tricyclic antidepressant) b.i.d , again for four months.Results: The success achieved in controlling LPR was defined as greater than 50 % improvement in baseline symptoms. The success achieved in Group A was 46 %, in Group B was 54 % and in Group C was 40 %. The relative change in RSI over any given period of time was significantly higher than the relative change in RFS. The relative change in RSI over first month was 30.99%, which is significantly higher than the relative change of RFS (6.39%) over the same period. The mean RSI scores during four months of treatment fell from 20.67 to 8.9 (p < 0.01) in Group A, from 23.3 to 8.6 (p < 0.01) and from 21.3 to 10.8 (p < 0.05) in Group C. The mean RFS during four months fell from 15 to 6.5 (p < 0.05) in Group A, from 16 to 6.4 (p < 0.05) and from 15 to 6.4 (p < 0.05) in Group C.Conclusions: All the three interventions had a statistically significant impact on the signs and symptoms of LPR. However, higher success rates were achieved in Group B where patients were put on a b.i.d dosage esomeprazole and domeperidone nad counseled for lifestyle and dietary changes. Paradoxically, success rates achieved in Group C was lower than other groups, possibly because of the anticholinergic effects of amitriptyline causing dry mouth and dry throat. The symptomatic improvement was seen much earlier than the improvement in laryngoscopic findings. This was evidenced by the fact that relative change in RSI was much higher than the relative change of RFS over a given period of time. If diagnosed with enough surety and certainty, patients of LPR do not need any antidepressant medications as these medications may not have any role in the treatment of same and may, however, worsen the condition owing to their anticholinergic side effects. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10413 Bangladesh J Otorhinolaryngol 2012; 18(1): 42-47
Incidence of haemorrhage after tonsillectomy
Authors: Kamal Mohammad Shah , Farzana Rubina , Humayun Abu Hena Mohammad Parvez , Huq AHM Zahurul , Rahman Md Mostafizur 
Published: April 2012

Tonsillectomy is probably the most common operation performed by an Otolaryngologist. One of the most significant complications is post-operative haemorrhage. Episodes of post tonsillectomy haemorrhage are unpredictable and sometimes life threatening. The aim of the present study was to find out the incidence of reactionary haemorrhage after tonsillectomy. A prospective study was conducted at Shaheed Shamsuddin Ahmed Hospital, Sylhet from April 2010 to March 2011. We had selected 112 cases undergoing tonsillectomy. Tonsillectomy was done by cold steel dissection technique and bipolar diathermy haemostasis. Post operatively every patient was treated with pain killer (diclofenac sodium and paracetamol), antibiotics (amoxicillin and cloxacillin) and hydrogen peroxide mouth wash. Postoperative follow-up was done till the tonsillar fossa healed. The incidence of reactionary haemorrhage was 2.68%, primary and secondary haemorrhage was 0%. In our series haemorrhage (2.68%) was higher than that reported in most publications and may be due to inadequate per-operative haemostasis. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10415 Bangladesh J Otorhinolaryngol 2012; 18(1): 55-58
Benign fibrous histiocytoma of the external auditory canal: Case report and literature review
Authors: Rashid Nur Hashima A , Goh Bee See , Ghani Fauzah A , Saim Lokman 
Published: April 2012

Background: The benign fibrous histiocytoma (BFH) is a mainly dermal neoplasm composed of a mixture of fibroblastic and histiocytic cells. It is usually reported as occurring on the extremity, retroperitoneum or orbit but not commonly in the other head and neck regions.Methods: A ten-year old girl presented with a right external auditory meatal mass for 6 months. Clinical examination showed a small, firm non-tender swelling on the antero-inferior part of the cartilagenous external auditory canal. An excisional biopsy was performed without complication.Results: Clinical and histopathological examinations with immunohistochemical studies were consistent with the diagnosis of BFH of the external auditory canal. There was no local recurrence to date.Conclusions: BFH is an uncommon benign neoplasm of the head and neck and none has been previously described occurring in the external auditory canal. Complete local excision is the mainstay of treatment with excellent prognosis. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10424 Bangladesh J Otorhinolaryngol 2012; 18(1): 77-80
Preauricular pilomatrixoma in a 3 year-old girl: A case study
Authors: Hirbod H , Ameli F , Swamintanhan M , Goh BS 
Published: April 2012

Objectives: To report a case of preauricular pilomatrixoma in a 3-year-old girl.Methods: Retrospective review on a case reportResults: A three-year-old girl presented with six month history of painless right pre-auricular swelling that was gradually increasing in size. The mass was small, soft, non tender with normal overlying skin. She underwent excisional biopsy of lesion and histopathological examination showed pilomatrixoma. She was well post operatively and no recurrence after 2 years of follow up.Conclusion: Pilomatrixoma is often misdiagnosed clinically as epidermoid cyst, sebaceous cyst, dermoid cyst, foreign body reaction, calcification in lymph node, fat necrosis, pyogenic granuloma, chalazion and keratoacanthoma, but a high index of suspicion and careful histological examination of its characteristic clinical feature can help clinicians to differentiate it from other tumors. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10426 Bangladesh J Otorhinolaryngol 2012; 18(1): 84-86
Solitary posterior triangle neck mass as the rare sole presentation of papillary thyroid carcinoma
Authors: Mohamad Irfan , Win Thin Thin , Salleh Md Salzihan Md , Abdullah Baharudin 
Published: April 2012

Introduction: Papillary thyroid carcinoma is the most common differentiated thyroid malignancy. It offers good prognosis and the presentation is usually consistent with an enlarged thyroid, mostly solitary nodule which biochemically euthyroid and radiologically normal appearance. On rare occasions, the thyroid gland enlargement can present together with multiple neck lymphadenopathy.Case report: We report a case of middle aged man presented with a posterior neck mass without any other symptom. Histopathology report of the excised mass confirmed the diagnosis of, papillary thyroid carcinoma which warranted total thyroidectomy and neck dissection. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10427 Bangladesh J Otorhinolaryngol 2012; 18(1): 87-90
Exostoses of the external auditory canal
Authors: Litu Mani Lal Aich , Al Mamun Abdullah , Alam Zahedul , Haque Rojibul , Hanif Abu , Hossain Amjad 
Published: April 2012

Auditory exostoses are bone masses located in the external auditory canal. Currently, most researchers agree that the environment (especially water temperature, but also atmospheric temperature and wind action) plays a pivotal role in the development of exostosis. Exostoses are a condition in which the external auditory canal becomes stenotic secondary to hyperplastic bone formation. Also known as surfers ear, exostoses are thought to be a reactive process from repeated stimulation by cold water because it occurs commonly in populations such as beach lifeguards and surfers. Exostoses are usually asymptomatic and discovered on routine otoscopy. Rarely, exostoses become sufficiently obstructive to impair hearing or cause recurrent otitis externa. Exostoses are almost always bilateral, symmetric, and occurring in the medial portion of the external auditory canal. Tthe authors report a case of bilateral external auditory canal exostoses in an adult male treated with surgical excision. DOI: http://dx.doi.org/10.3329/bjo.v18i1.10428 Bangladesh J Otorhinolaryngol 2012; 18(1): 91-95