bluuebunny/crossref_metadata_2025_split huggingface dataset:
Glycopenic endometrium in infertility
Authors: Shivappa Prateek , Isaacs Roma , Mandrelle Kavita , Goyal Sunita 
Published: July 2022

Background: Infertility is a global health problem affecting 8-10% couples worldwide. Endometrium is considered to be sensitive indicator of ovarian, pituitary and hypothalamic function. The endometrium, which fails to produce adequate amount of glycogen is termed as ‘glycopenic uteri’. Glycopenic endometrium is said to be unfavourable for early blastocyst implantation leading to infertility in spite of ovulation. Endometrial aspiration/biopsy can be histologically dated based on the Dallenbach-Hellweg criteria which forms an essential part of histopathological examination of endometrium for infertility work-up. The aim of the study was to study the correlation of glycogen content with endometrial histomorphology in infertility.Methods: Cross-sectional observational study in which one hundred twenty-two endometrial specimens sent as curetting/ biopsy were studied. The Glycogen content of endometrium was graded from + to ++++ as given by Arzac and Blanchet. Statistical analysis was done on SPSS version 26.0. The categorical variables were represented by count (percentage) and the continuous variables were represented by mean±SD. The Chi-square test was used to find the association of glycogen content with infertility, the various phases of the endometrium and age.Results: Glycopenic endometrium was seen in 36.9% cases of infertility. Out of which, glycopenic endometrium was much more prevalent in patients with secondary infertility (47%) as compared to patients with primary infertility (35.1%). Conclusions: Glycogen depletion in secretory phase results in inadequate preparation of endometrium at the time of implantation. Assessment of glycogen is considered to be an essential part of histopathological examination.
Prevalence and risk factors of bone disease in patients with chronic pancreatitis: a cross sectional study
Authors: Kaidabettu Nithin Ramesh , Ramasamy Akilandeswari Alagan , Rathod Vivek , Mohamed Kani Shaikh , A. Anand , N. Arun 
Published: July 2022

Background: Osteopenia and osteoporosis is a highly prevalent condition and presents a tremendous public health burden. The association of bone disease has been recognized in several diseases of the git, resulting in established guidelines for screening in patients with malabsorptive disorders such as inflammatory bowel disease (IBD) and celiac disease. Increasingly, the risk of bone disease has been recognized in patients with chronic pancreatitis, who share similar risk factors as patients with other gastrointestinal disorders.Methods: This single-centre study was carried out in Kilpauk medical college. This study population consisted of 47 patients who were image confirmed cases of chronic pancreatitis. History of smoking, alcohol use was taken, body mass index, fecal elastase was measured. Dual-energy X-ray absorptiometry scan was used to examine bone mineral density (BMD) for the lumbar spine and bilateral femoral neck.Results: Of the 47 patients, 19 patients were chronic smokers and 28 patients had history of significant alcohol use. The prevalence of osteoporosis in patient group was 29.8% in patients with CP compared to Indian prevalence of 18.3% in previous studies. The prevalence of osteopenia was 48.9% in patients with CP compared to Indian prevalence of 49.9% in previous studies.Conclusions: Bone disease in CP can be attributed to several risk factors which act synergistically in propagating abnormal bone metabolism. Osteoporosis and osteopenia are underappreciated sources of morbidity in patients with chronic pancreatitis. Bone health management guidelines are urgently required in patients with chronic pancreatitis.
Docetaxel induced subacute interstitial lung disease in a patient with prostate cancer
Authors: Sanghai Rishav , Ghosh Shantanu , Saraf Saiyam , Mittal Stuti 
Published: July 2022

Interstitial lung disease (ILD) is a collective term for a group of disorders that result in inflammation and scarring of the lung interstitium. Although majority of the cases of ILD are idiopathic, some of the etiologies can range from viral infections; connective tissue disorders or drug injury. Docetaxel is an anticancer agent of taxoid family that can rarely cause pulmonary toxicity. It can be occasionally used for the management of advanced prostate cancer. The adverse effects of the medication are mediated by type I and type IV hypersensitivity reactions. Here, we reported a case of 68-year-old man with advanced prostate cancer who completed six cycles of chemotherapy with docetaxel and presented with shortness of breath, low-grade fever and cough two weeks after completion of scheduled regimen. Clinical examination revealed diffuse wheeze and decreased air entryon auscultation, oxygen desaturation and an ulcerative lesion on the left forearm. All his routine serum, sputum and autoimmune profile were inconclusive. The inflammatory markers (CRP, ESR) were raised but procalcitonin was in normal range. Pulmonary function tests were indicative of restrictive lung disease. Digital chest X-ray revealed diffuse opacification with prominent bronchovascular markings and HRCT of thorax reported bilateral scattered honeycomb appearance, subpleural opacities, centrilobular nodules with air trapping. Docetaxel induced interstitial lung disease (DILD) was diagnosed and the patient was advised with high dose systemic and inhalational steroids along with external oxygen support. Rapid clinical improvement was seen and the patient was eventually discharged with tapering doses of oral steroids, physiotherapy and close follow-up.
A case report of large adult sacrococcygeal teratoma with literature review
Authors: Akhtar Aisha , Ruiz-Vega Karla M. , Apostolides George Y. 
Published: July 2022

Sacrococcygeal teratomas rarely present in adulthood. Due to its rarity, accurate diagnosis is a clinical dilemma in adults. The patient was a 41-year-old female who presented with pelvic pain, low back pain radiating to the legs and chronic constipation. The patient underwent a CT scan which demonstrated a 6 cm presacral multiloculated mass compressing rectum. Prior to presentation at our clinic, she had an EUS and biopsy by gastroenterology, followed by diagnostic laparoscopy due to her past medical history of endometriosis. Her workup was negative for gynaecologic pathology which led to a surgical referral. We evaluated the images and took her to the operating room for posterior paracoccygeal retrorectal mass resection with coccygectomy and intraoperative flexible sigmoidoscopy. She had complete excision for pathologically proven mature 9 cm teratoma. Sacrococcygeal teratoma is rare in adults. A high index of suspicion is required for diagnosis. It should be in the differential diagnosis when dealing with presacral masses in adults. Complete excision is the treatment of choice.
Diagnosis of metachronous papillary thyroid cancer with elevated carcino-embryonic antigen levels in tracking rectal carcinoma
Authors: Chakaravarthi Karikal , Anbalagan Amudhan , Satyanesan Jeswanth 
Published: July 2022

Carcinoembryonic antigen (CEA) is a tumor marker that is mostly used to track patients with colorectal cancer (CRC). CEA is an indirect tumor marker that can be useful in both malignant and benign diseases. We presented the case of a 49-year-old man who had been monitored for a lower rectal adenocarcinoma since 2010. In 2010, he had an abdominoperineal resection. Previously completed both neoadjuvant and adjuvant chemo-radiotherapy. In 2019, he was planned to undergo parastomal hernia (PS) repair, but studies have shown elevated CEA levels. The CEA concentration was 27.6 ng/ml. Although there were no signs of recurrence, positron emission tomography (PET) and computed tomography (PET/CT) revealed considerable uptake in the left lobar thyroid. Papillary thyroid carcinoma (PCT) was found on fine needle aspiration cytology (FNAc). He underwent total thyroidectomy and CEA level reached the baseline after thyroidectomy.
Pediatric turbinoplasty: what is the impact of allergy on long-term outcomes?
Authors: Sousa Francisco Alves De , Azevedo Sara Raquel , Costa Sara , Pinto Ana Nóbrega , Soares Teresa , Coutinho Miguel Bebiano , Meireles Luís 
Published: July 2022

<p class="abstract"><strong>Background:</strong> The use of inferior turbinoplasty (IT) in pediatric patients is controversial, especially in the presence of allergic rhinitis. The objective of this study was to assess the long-term results of radiofrequency inferior turbinoplasty in allergic versus non-allergic children.</p><p class="abstract"><strong>Methods:</strong> Children operated between 2017 and 2019 and whose intervention included radiofrequency IT were included. Multiple scores were collected in 2021 through a telephone call to parents. A comparison was made between allergic children (AC) and non-allergic children (NAC). </p><p class="abstract"><strong>Results:</strong> 41 children were included. Parents of AC reported a higher degree of dissatisfaction with surgery (AC: 0.8±1 verses NAC: 0.2±0.5, p=0.026). AC revealed a greater dependence on medication in order to control nasal obstruction (41% in AC vs 6% in NAC, p=0.010). The total Nasal Obstruction Symptom Evaluation (NOSE) score was higher in AC (mean AC 26±25 verses mean NAC 5±12, p=0.003). The sinus and nasal quality of life 5 SN-5 score was higher in AC (mean AC 2.5±1 vs NAC mean 1.4±0.8, p&lt;0.001).AC had a lower score on the SN-5 quality of life scale (mean AC 6.6±2.4 vs NAC mean 8.3±1.8, p=0.014).</p><p class="abstract"><strong>Conclusions:</strong> Radiofrequency IT alone does not seem effective in the long-term resolution of nasal obstruction in AC.</p><p class="abstract"> </p>
A study of radiological assessment of chronic otitis media in both mucosal and squamosal disease
Authors: Murugesan Gowrishankar , Vadivel Suresh , Balu Sujatha 
Published: July 2022

<p class="abstract"><strong>Background:</strong> Chronic otitis media (COM) is common disease prevalent in India. Patients coming to OPD who were clinically diagnosed as chronic otitis media (COM) were evaluated using High resolution computerised tomography (HRCT) temporal bone. HRCT temporal bone is highly useful in knowing the disease involving middle ear cleft and adjacent structures. Previous studies have indicated the importance of HRCT temporal bone in mapping anatomy and middle ear disease status in COM patients. The aim of the study was to assess radiological findings of chronic otitis media in both types, and to choose management plan based on the involvement of structures.</p><p class="abstract"><strong>Methods:</strong> A prospective study was done in 100 COM patients with both mucosal and squamosal disease, using HRCT temporal bone scan and features analyzed. </p><p class="abstract"><strong>Results:</strong> Among 100 COM patients, 75 had mucosal disease, 25 had squamosal disease. In our study the most common age group was between 16 to 25 years (26%) and 46 to 55 years (24%). The male: female ratio was 2:3. In 100 clinically diagnosed COM participants, 10% of them were found to be radiologically negative. In 90% radiologically positive participants, findings showed radiolucent shadow in the mastoid and middle ear cavity(67%), ossicular involvement(35%) and adjacent structures like epitympanum (22%), hypotympanum (2%), tegmen tympani (3%), Prussak’s space (20%), scutum involvement (18%), sinus tympani (3%), were noted by HRCT.</p><p class="abstract"><strong>Conclusions:</strong> HRCT temporal bone is a highly reliable diagnostic tool used for preoperative assessment of all COM patients planned for surgery.</p>
Profile of hyperacusis and tinnitus among traffic police exposed to noise
Authors: Abdul Maqbool Mattathil , Rajmohan Deekshith , S. Hemaraja Nayaka 
Published: July 2022

<p class="abstract"><strong>Background:</strong> Traffic police are in constant risk for developing noise induced hearing loss. Studies have reported prevalent permanent threshold shift resulting to varying degrees of hearing loss. The present study was carried out with an aim of investing the prevalent Hyperacusis and Tinnitus among traffic police personnel of Mangalore, Karnataka. To profile Audiological investigations and document the prevalent Hyperacusis and Tinnitus signs and symptoms among traffic police.</p><p class="abstract"><strong>Methods:</strong> A total of 52 participants took part in the study in the age range of 24 to 45 years, with a mean value of 35.83±0.965 years. The study had 45 male ad 7 female participants. The Audiological evaluations were carried out. The pure tone audiometry was carried out using AC 40, two channel, diagnostic audiometer. Tympanometry was carried out using Middle ear Analyzer from Clarinet Inventis. To document the clinical signs and symptoms of Hyperacusis and Tinnitus, Modified Khalfa Hyperacusis questionnaire and Inventory of Hyperacusis Symptom (IHS) was used. </p><p class="abstract"><strong>Results:</strong> In our study, mean pure tone average (PTA) on right side was 13.10±0.710 dB and on left side was 13.25±0.874 dB. Pure tone average on right side ranged from 5 to 30dB and left side 4 to 30dB. It was also observed that four of the participants had mild level of Hyperacusis and one had moderate Hyperacusis and another participant with severe level Hyperacusis.</p><p class="abstract"><strong>Conclusions:</strong> There is a necessity to regularly monitor hearing skills and impact of noise on hearing health of traffic police personnel.</p>
Prevalence and determinants of left ventricular hypertrophy among elderly hypertensive patients attending tertiary health care center in West Bengal, India
Authors: Kushwaha Poonam , Yadav Bijay Prakash 
Published: July 2022

: Hypertension (HTN) is one of the most prevalent, modifiable and treatable causes of cardiovascular diseases in the elderly. Damage to cardiovascular system due to chronic hypertension causes hypertensive heart disease including left ventricular hypertrophy (LVH). It is a physiological adaptation to chronic blood pressure (BP) indicating grave prognosis and should be diagnosed early.Present study therefore aimed to assess LVH and other Cardio-vascular (CV) changes and to ascertain correlation between the electrocardiographic (ECG) and radiographic / chest x-ray (CXR) evidences and find out their determinants among elderly hypertensive patients.100 elderly hypertensive subjects were included in study. Cardio-vascular changes and LVH was assessed by using chest x-ray and ECG. Other bio-chemical investigations were done also.: 29% and 32% subjects had LVH detected by Chest x-ray and ECG respectively. Female, increasing age, family history and duration of HTN, smoking, alcohol consumption were found independent determinants of LVH. Subjects with LVH had higher mean blood pressures, mean pulse pressure and higher blood urea nitrogen than those without LVH. Micro-albuminuria was significantly more frequent in patients with LVH as detected by CXR. Fasting Blood sugar and dyslipidaemia was associated with greater odds of developing LVH.In low resource settings, where standard diagnostic tests are unavailable- chest x-ray and ECG are the useful tools for detection of cardio vascular changes / LVH among chronic hypertensive.
IMPLEMENTATION DESIGN OF CURRICULUM 2013 IN THE THEMATIC LEARNING PROCESS IN INTEGRATED ISLAMIC ELEMENTARY SCHOOL
Authors: Zaenuri Zaenuri , Rokhimawan Mohamad Agung 
Published: July 2022

In the 2013 curriculum, thematic learners are no longer teacher-centred but rather on students, learning is no longer one-way but more participatory because it is more student-centered. The focus of this research is to look at the implementation of thematic learning at SDIT Bina Ilmi Palembang. This research applies qualitative methods, namely taking descriptive approaches and field observations, as well as studying relevant books. Data retrieval techniques use observation and interview guidance instruments while data analysis techniques use Miles and Huberman's interactive analysis models, which include data reduction, data presentation, and conclusion drawing. The results showed that SDIT Bina Ilmi Palembang in the implementation of thematic learning of teacher using thematic guidebooks and packaging materials as best as possible by making learning media so that students could achieve affective, cognitive, and psychomotor aspects. The methods of implementation of the learning process used in thematic learning vary so that students do not get bored such as, role playing, Q&A, singing, assigning tasks, group discussions, observations, and exercises then also apply integrated methods, namely, study, exploration, formulate, present, apply (worldly and ukhrowi) in which students can play an active role and also other goals so that students do not only master the cognitive realm but its affective and psychomotor are constantly evolving.
INTEGRASI NILAI-NILAI MULTIKULTURAL DALAM SISTEM PENDIDIKAN DI PONDOK PESANTREN NURUL UMMAH KOTAGEDE
Authors: Qodat Aminul 
Published: July 2022

This research is motivated by misunderstanding in the attitude of pluralism that still leaves many problems. So students often gain Knowledge about religion which is based on exclusivism, Consequently the seeds of conflict continue to be embedded in religious experience and cognition of religion which is believed by students, in turn often become trigger of violence over The name of religion. Pesantren which is included in the national education system is an Islamic educational institution, which has a task to transform and integrate the values humanist, democratic, peaceful and tolerant in the life of santri in pesantren. The phenomenon makes the researcher to study how the integration of multicultural values ​​in the education system of Pesantren Nurul Ummah Kotagede Yogyakarta.
The results of the research concluded that: Integration of Multicultural Values ​​in Education System Pondok Pesantren Nurul Ummah Kotaged. Through the aspects, Curriculum Planning Education Madrasah Diniyah, Learning activities, examples of Educators, and Evaluation Education. Although there is no material and field Special studies related to Multicultural in pesantren, but Multicultural Values ​​have been integrated in various forms of daily activities both in the context of the pesantren environment and outside the pesantren, in the form of an unwritten curriculum or hidden curriculum. With found the existence of Humanist Democracy Value in the Pesantren Program, the Value of Justice in the Regulation, Equality Value in the Placement of students, and the Value of Togetherness, Tolerance and Value of Peace in the culture of Santri. So Multicultural Value is considered a form of respect for diversity and recognition pedagogical equilibrium a person who has the same right to obtain educational services, regardless of ethnicity, social status, language and type of education level.
IMPLICATIONS OF TEACHER CERTIFICATION ON PROFESSIONALISM AND WELFARE OF 21TH CENTURY PAI TEACHERS
Authors: Mansir Firman 
Published: July 2022

This research studies about the policy of Islamic teacher education (PAI) about the extent of teacher certification towards the professional attitude they have towards the development of students, especially in the context of the digital age. Teacher certification especially PAI teacher can give professionalism attitude towards students in various learning activities. Meanwhile, the welfare of PAI teachers in Indonesia has increased with the emergence of the certification policy. Furthermore, it has implications for PAI teachers to be able to improve their professionalism in conducting learning obligations. Thus, the process that occurring in the interaction between educators and students can run well. In the end, the goal of Islamic education is to form a muttaqien person realized to the maximum.
This research was a library library research that is research sourced from library materials using a qualitative approach. Therefore, it was an exploration of a number of data both primary and secondary data with concrete steps as follows: reading and examining in depth primary data such as books which are the results of research, theses or dissertations related to this topic. Therefore, Teacher education policies in the industrial revolution era 4.0 related to teacher certification especially PAI teachers need to be adjusted to the current context. Thus, teachers in Indonesia are not trapped between policy and reality on the ground faced by students. Our expectation is that there will be no more teachers in Indonesia complaining about their income, no more teachers being victimized by schools or foundations for those who have already been certified. Therefore, the teacher certification policy can make PAI teachers further increase their professionalism and welfare.
KECENDERUNGAN POLA PERILAKU AGRESIF DAN EKSPLOSIF REMAJA (STUDY KASUS PERILAKU DELINKUENSI PELAJAR DI YOGYAKARTA, PERSPEKTIF SOSIO-RELIGIUS-EDUKATIF)
Authors: Subiyantoro Subiyantoro , Nurrohmah Nurrohmah 
Published: July 2022

This study aims to determine the tendency of aggressive and explosive behavior of adolescents (student delinquency actors) in the Yogyakarta area, which in this case the researchers conducted research at the Sleman Police, Class 1 Child Correctional Center (BAPAS), and the Youth Social Protection and Rehabilitation Center (BPRSR). ) Yogyakarta in Sleman.
This qualitative research in collecting data using in-depth interviews / in-dept interviews, observation/observation, and documentation. The data analysis applies Miles and Huberman's theory, with the following steps: data reduction, data display, verification.
The results showed that the tendency of adolescent aggressive and explosive behavior had elements of revenge and trial and error. The factors causing aggressive and explosive behavior are caused by the underdevelopment of adolescents regarding the development of social cognition, the development of moral reasoning, and the development of a lack of understanding of religion. Besides that, family attention that is not optimal and the negative influence of "gang" are also factors that greatly influence this aggressive and explosive behavior. The solutions that the researchers offer are strengthening education in the family (the power of family), strengthening religious values, developing skills and there is a follow-up on the guidance program provided from the BPRSR at home, in this case, guided by the family.