bluuebunny/crossref_metadata_2025 huggingface dataset:
Spectrum of Population Availing COVID-19 Teleconsultation Services during COVID-19 Pandemic: A Cross-Sectional Study in a Tertiary Care Center of Eastern India
Authors: Sahu Subhakanta , Dora Susmita S. , Singh Arvind K. , Mishra Abhisek , Patro Binod K. , Subba Sonu H.
Published: July 2023

The COVID-19 pandemic has created a defining situation globally, and the outpatient services were also affected due to the closure of many healthcare facilities. The study was conducted to know the spectrum of the population availing teleconsultation and their needs for consultation. A cross-sectional study conducted in AIIMS Bhubaneswar, India, from May 2021 to June 2021in which the beneficiaries availing of the COVID-19 teleconsultation service were taken as study was participants and a total of 423 participants participated in the study. The proportion of participants who availed of the services in the age group 20–39 years was 67.8%. The participants from the urban area were 81%. Very few or almost nil participation were observed in the category of semiskilled, unskilled, and unemployed occupations. The reasons for availing of teleconsultation services were, for the treatment of COVID-19 disease (45%), distressed consultation for the medication (21%), and seeking advice for testing (13%), related to COVID-19 vaccination (6%) and 9% consulted to know the prognosis of the disease. Steps should be taken to expand the teleconsultation services to the underserved rural community and the people with lower educational status.
Smokeless Tobacco as a Risk Factor for Type 2 Diabetes Mellitus in South East Asia Region: Systematic Review and Meta-Analysis
Authors: Sawane Harshawardhan B. , Shetiya Sahana H.
Published: July 2023

Background:

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder of which prevalence has been increasing steadily all over the world. There is a need of understanding the role of tobacco products in diabetes mellitus, especially smokeless tobacco (ST) products.

Objective:

To analyze if ST is a determinant for T2DM among patients in South East Asia Region (SEAR) and secondly to obtain the pooled prevalence of use of ST in T2DM patients/participants from these studies.

Materials and Methods:

PubMed, Google Scholar, EBSCO, and Scopus are the databases that were searched to find desired manuscripts, which fulfilled the inclusion criteria to undertake this systematic review and meta-analysis (SRMA). Meta-analysis was carried out to determine the pooled effect size for the odds ratio of ST use in T2DM with 95% CI. MedCalc statistical software was used followed by the DerSimonian and Laird method under the random effect model.

Results:

A total of 8 manuscripts were involved in the systematic review and 7 in the meta-analysis. Odds of 1.39 indicating increased frequency of using ST among T2DM patients or survey participants was observed, which was not significant with C.I. 95% (0.843–2.288) and P < 0.001 with high heterogeneity. The pooled prevalence of use of ST in T2DM is 24.08% (CI 15.67 to 33.64) under random effect model with I2 inconsistency of 97.16% in 8 studies from India and Bangladesh.

Conclusion:

This pooled analysis shows that ST use is not a risk factor for T2DM. The number of studies included in the SRMA from SEAR is limited having no representation from Myanmar, Bhutan, Timor Leste, and Sri Lanka.
The Impacts of Heat Stress on the Cognitive Performance Parameters of Taxi Drivers
Authors: Dabaghi Elahe , Dehghan Habibollah , Shakerian Mahnaz
Published: July 2023

Aim:

Cognitive function factors have been reported as an effective factor in the incidence of traffic accidents. The aim of this study was to investigate the effect of heat stress on the cognitive performance parameters of taxi drivers.

Materials and Methods:

This prospective cohort study was performed on 29 taxi drivers in both winter and summer. The parameters studied in this study were precision, speed of work, attention, short-term auditory memory, concentration skills, mental fatigue, the wet bulb glob temperature index, and the thermal comfort parameters.

Results:

The mean and standard deviation of drivers age was 52.24 ± 8.28 years. People's performance in terms of speed, precision, number of errors, and attention in the summer morning shift was better than the winter evening shift, but these parameters dropped sharply in the evening shift in the summer. There was a statitistically significant difference between these parameters in the morning and evening of summer (P< 0.05).

Conclusion:

The results of this study showed that heat stress reduces the precision, speed of work and attention and increases the number of errors and mental fatigue of drivers. Therefore, it is necessary to plan to improve the working conditions of drivers to prevent the reduction of drivers' cognitive performance and improve driving conditions.
SSRI induced hypnic jerks: A case series
Authors: Kumar Rakesh , Ali Syed Naiyer , Saha Shatabdi , Bhattacharjee Subir
Published: July 2023

A hypnic jerk is an abrupt, involuntary, nonrepetitive contraction of muscles of the body that occurs during the onset of sleep in stage 1 of nonrapid eye movement sleep. Various physiological and stressful stimuli can precipitate hypnic jerks with no further neurological sequelae. Although selective serotonin reuptake inhibitor (SSRI) medications are well known to disturb the normal sleep cycle and cause rapid eye movement sleep behavioral disorders, there were only a few case reports of them causing hypnic jerks and those were reported due to Escitalopram only. Here is a case series of four cases of hypnic jerks found to be associated with the use of various SSRIs, Escitalopram, Sertraline, and Fluoxetine. Clonazepam was found to be very effective in reducing the hypnic jerks associated with SSRIs. In all the cases, the sleep-induced Electroencephalogram was normal.
Predictors, prevalence, and patterns of cyberbullying among school-going children and adolescents
Authors: Ranjith Prabhu James , Vranda Mysore Narasimaha , Kishore M. Thomas
Published: July 2023

Background:

Cyberbullying is a major health issue across the globe as it affects the mental health and well-being of the victims, especially children and adolescents, since there is a dearth of studies in the Indian setting. This study aimed to understand the predictors, patterns, prevalence, mental health problems, and coping of cyberbullying among adolescents.

Methods:

The study adopted a cross-sectional explorative design with 484 adolescents studying in 8thto 12thstandards recruited through convenient sampling. The Cyberbullying Online Aggression Survey Instrument (COASI), Strength and Difficulties Questionnaire (SDQ), Coping with Cyberbullying Questionnaire (CWCBQ), and Internet usage pattern were administered to collect the data. Multinomial logistic regression was used to find the predictors of the only cyber-victim, only cyber-offending, and both cyber-victim and cyber-offending.

Results:

The findings showed that 14.5% of teenagers were victims of cyberbullying, 5.8% were offenders, and 13.8% were both victims and offenders. The predictors for “cyber-victimization” were father’s education and religion. The predictors of “cyber-offenders” were grade, Internet usage, and father’s occupation. Adolescents identified as both cyber-victims and cyber-offenders were predicted by gender, grade, religion, and father’s employment.

Conclusion:

The study indicated a high prevalence of cyber-victimization and cyber-offending among adolescents with many psychosocial risk factors. The findings highlighted the need for a school-based cyberbullying intervention program to address the issues using a whole-school approach.
Lived-in experiences of health care professionals affected with COVID-19
Authors: Govindan Radhakrishnan , Gandhi Sailaxmi , Nattala Prasanthi , Rajeswari Bingi
Published: July 2023

Background and Objective:

Healthcare providers (HCPs) were vital during the COVID-19 pandemic. The healthcare providers affected by COVID-19 underwent various life changing events while continuing their profession during the pandemic. This study is aimed to explore the lived-in experiences of HCPs affected by COVID-19 at a tertiary care Mental Health Institute in India.

Materials and Methods:

The sampling method was purposive. Twenty two HCPs (eight nursing educators, seven nursing officers, five contractual cleaning workers, and two laboratory technicians) participated in the interviews conducted by the researchers to obtain the lived-in experiences of HCPs who have recovered from COVID-19. Researchers used a sociodemographic form and an interview guide to collect the data. Interviews were audio recorded and analyzed by using Atlas-ti-9 software.

Results:

All the participants were female, and they revealed various physical, psychological, and social issues faced by HCPs while balancing home and workplace. Thematic data analysis resulted in the emergence of two themes and 11 subthemes related to life changing events.

Conclusion:

The findings concluded that although the healthcare providers had working experience in the field of mental health, they too experienced mild psychological issues like anxiety, depression, and fear of death because of this pandemic situation.
A rare case report of pseudo-pregnancy in a menopausal female
Authors: Sharma Mini , Shankar Pavitra , Kukreti Prerna , Kataria Dinesh
Published: July 2023

Pseudo-pregnancy is an uncommon psychiatric presentation, often having a complex interplay of psycho-social factors making it difficult to manage. It is common to present in the reproductive age range, rarely in postmenopausal women. We are reporting a rare presentation of a 48-year post-menopausal widowed HIV-positive female with no live issues having two years of secondary amenorrhea complaining to have documented weight gain and experience of perceiving fetal movements for the past 5 months. However, she persistently insisted on antenatal care despite repeated reports of ultra-sonographic pelvis imaging and gynecological examination pointed toward menopausal changes and the absence of any live issue. This case report emphasizes the clinical presentation and management strategies for patients with pseudocyesis, a peculiar and rare psychiatric manifestation.
Somatic symptoms in schizophrenia: Association with socio-demographic and clinical characteristics, disability and quality of life
Authors: Sood Mamta , Ganesh Ragul , Mahapatra Ananya , Verma Rohit , Chadda Rakesh K.
Published: July 2023

Background and Aims:

There is lack of research on somatic symptoms in schizophrenia. We aimed at finding prevalence and types of somatic symptoms in patients with schizophrenia and assessed their association with socio-demographic and clinical characteristics.

Methods:

We assessed somatic symptoms using Patient Health Questionnaire–15 (PHQ-15) in 93 patients with schizophrenia diagnosed on ICD10-DCR. Scale for Assessment of Positive Symptoms and Scale for Assessment of Negative Symptoms, WHO Disability Assessment Schedule 2.0, WHO Quality of Life (BREF) Hindi version and Liverpool University Neuroleptic Side-Effect Rating Scale were used to assess psychopathology, disability, quality of life and side effects.

Results:

Significant somatic symptoms (n ≥5 on PHQ-15) were present in 62 (67.7%) patients with schizophrenia. Forty three (69.4%) had mild (n= 5-9 on PHQ-15), 17 (27.4%) had moderate (n= 10-14 on PHQ-15), and only 2 (3.2%) had severe (n= ≥15 on PHQ -15) somatic symptoms. Mean somatic symptoms score on PHQ-15 was 7.28 (± 3.83); 96.8% reported feeling tired, 76.3% had constipation or diarrhoea, 67.7% trouble in sleeping, 61.3% nausea or indigestion, 52.7% back pain and 51.6% headache. Patients with somatic symptoms were older in age, had longer duration of illness and treatment, and had more negative symptoms. They had higher disability and poor quality of life especially in physical domain.

Conclusion:

Somatic symptoms are common in patients with schizophrenia and are associated with chronicity, refractoriness and negative symptoms, significant disability and poor quality of life. Thus during routine clinical practice, somatic symptoms should be assessed and managed in these patients.
Brief intervention to enhance cessation of smokeless tobacco use in newly diagnosed patients with head and neck cancers: A randomized controlled trial in patient-relative dyads
Authors: Tikka Sai Krishna , Shukla Avinash , Arora Ripu D. , Singh Sharda , Mahant Supriya , Verma Sachin , Singh Lokesh K.
Published: July 2023

Introduction:

Tobacco use is a major causative factor for head and neck cancers (HNC). Continued use of tobacco even after cancer diagnosis is common and is associated with all-cause and cancer-specific mortality, cancer recurrence and poor treatment response. Evidence suggests that behavioral interventions, help achieve greater smoking cessation rates in HNC patients. However, intervention studies focussed on HNC patients using smokeless tobacco, which is more common than smoking in India, are sparse.

Materials and Methods:

We conducted a parallel arm randomized controlled trial (RCT) on dyads of patients with recently diagnosed HNC and a close relative. The experimental arm received a brief tobacco cessation intervention (BTCI) and the control arm received treatment as usual (TAU); 27 and 25 dyads in each arm completed the trial.

Results:

Overall for the dyads using SLT, the relative risk of continuing to use SLT was 3.23 times higher (odds ratio = 7.01) if BTCI was not undertaken at one-month follow-up and 4.43 times higher (odds ratio = 8.65) at 3-months follow-up. For patients only, the relative risk of continuing to use SLT at one-month and 3-months follow-ups was 4.99 and 12.04 times higher, respectively, if BTCI was not undertaken. For relatives only, the corresponding relative risk values were 2.14 and 2.2.

Conclusion:

We conclude that BTCI delivered to patient-relative dyads, compared to TAU, is effective in enhancing the discontinuation rates of the use of SLT in newly diagnosed patients with HNC. This form of intervention is significantly effective for discontinuing SLT use in the relatives too.
Disability and its correlates among persons with bipolar disorder: Exploratory findings from the bipolar disorder course and outcome study from India (BiD-CoIN study)
Authors: Grover Sandeep , Avasthi Ajit , Chakravarty Rahul , Dan Amitava , Chakraborty Kaustav , Neogi Rajarshi , Desouza Avinash , Nayak Omkar , Praharaj Samir Kumar , Menon Vikas , Deep Raman , Bathla Manish , Subramanyam Alka A. , Nebhinani Naresh , Ghosh Prasonjit , Lakdawala Bhavesh , Bhattacharya Ranjan
Published: July 2023

Aim:

This study aimed to evaluate the disability and its correlates in persons with Bipolar Disorder during the remission phase.

Materials and Methods:

As part of the multicentric study, 773 patients with bipolar disorder, currently in clinical remission, were evaluated for disability on the Indian Disability Assessment Evaluation Scale.

Results:

About one-fifth of the participants had some level of disability in the domain of self-care, one-third had some level of disability in the interpersonal domain, one-fourth had some level of disability in communication and understanding, and a maximum proportion (43.7%) had some disability in the domain of work. Overall, about one-fifth (18.4%) were considered to have a benchmark disability (i.e., disability >40%). In terms of correlates, those with a disability had a short duration of current remission, a higher number of manic and mixed episodes, a higher mean number of total episodes, spent more time in the episodes, had lower severity of the depressive episodes, higher residual depressive and manic symptoms, had overall higher manic affective morbidity, had a higher level of cognitive deficits, and had poorer insight.

Conclusion:

A significant proportion of patients with bipolar disorder have disability in work domain, and the presence of residual symptoms of either polarity are associated with higher level of disability.
Management of adnexal cyst in an adolescent through the principles of Mutravaha srotorodha: An experience
Authors: Prajitha P. K. , Dhiman Kamini
Published: July 2023

Adnexal cysts are any fluid-filled sac-like structures involved in the adnexa. These may include ovarian cysts as well as paraovarian cysts. Often, these cysts are physiological and regress under conservative therapy. The persistence of cysts is an indication of surgery. According to Ayurveda, Granthi (~nodular swelling) or sac like structures develop in female reproductive system due to accumulation of Kleda (~moistening). The improper excretion of Kleda is often due to Mutravaha srotorodha (~obstructive pathology of the urinary tract). Hence, Kledahara (~treatment for excess fluid accumulation), Lekhana (~therapeutic scrapping), and Shophahara (~treatment of swelling) drugs with specific action on Mutravaha srotas (~urinary tract) were found to be promising. In the present case report, an adolescent girl with an adnexal cyst (paraovarian cyst) of 5.3 cm × 4.8 cm (volume: 62.7 ml) non-responsive to allopathic treatment was diagnosed as Granthi in Sroni pradesha (~female pelvic region) associated with Mutravaha srotorodha. She was treated with internal medicines (Gokshuradi guggulu, Chandraprabha vati, Samshamani vati, Usheerasava, and Punarnavasava) for a period of four months from January 2, 2021 to April 13, 2021, and further from June 15, 2021 to July 05, 2021. Ultrasonography report after the completion of treatment showed no evidence of cyst. This case report provides some encouraging leads toward applying Ayurveda principles in the management of conditions such as adnexal cysts.
Shirodhara and Abhyanga for better sleep, reduced mental stress, and improved heart rate variability: A case report
Authors: Javed Danish , Anwar Sana , Gupta Divya , Dhama Yudhveer
Published: July 2023

Mental stress and insomnia are very common complaints nowadays among young individuals. Stress not only impacts mental well-being but it is also responsible for poor cardiac activity. A 32-year-old male patient having mental stress, anxiety, fatigue, and insomnia was managed with Ayurvedic External Therapy Module (AETM) having Shirodhara (~therapeutic oil streaming over the scalp), Sarvanga abhyanga (~therapeutic massage), and Sarvanga swedana (~sudation therapy) sessions of one hour duration daily for ten days. The patient was evaluated for cardiovascular and autonomic changes in Heart Rate Variability (HRV) by HRV camera smartphone application, Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and Perceived Stress Scale (PSS) Score for mental stress. The results found excellent changes in HRV time domain and frequency domain, a decrease in low-to-high frequency ratio suggesting parasympathetic activation, a 46.15% reduction in global PSQI score, and a 55.56% reduction in PSS score. This case study suggests that AETM sessions are not only effective in decreasing mental stress and improving sleep quality, but it also improves cardiac parameters.
Management and outcome of locally advanced oral squamous cell carcinoma
Authors: Bera Rathindra N. , Tandon Sapna , Singh Akhilesh K. , Boojar Fargol M. A. , Jaiswal Gaurav , Borse Shraddha , Pal Uma S. , Sharma Naresh K.
Published: July 2023

Management of locally advanced OSCC is multimodal. No single therapy has been proved to be efficacious. However there is a trend towards surgical intervention in operable disease. In this review we appraise the various therapies used for the management of locally advanced OSCC. We review the literature with regards to the various treatment options for locally advanced OSCC. We categorically divided the manuscript into resectable, unresectable and technically unresectable disease. Surgery is the ideal treatment modality for resectable disease. For unresectable disease concurrent chemoradiation appears to improve survival compared to radiotherapy alone. Induction therapy might downstage tumors in the unresectable category. Targeted and Immunotherapy is reserved for recurrent, metastatic or platinum refractory OSCC. Management of locally advanced OSCC is multimodal with surgery playing the primary role. In the event where the tumor is in operable concurrent chemoradiotherapy is regarded as the best treatment modality. Induction chemotherapy currently cannot be recommended for resectable or even unresectable oral squamous cell carcinomas. However for technically unresectable disease it might play a role in improving respectability but it depends on the response of the tumor. Targeted therapy and immunotherapy is currently used for recurrent, metastatic and/or platinum refractory Head and Neck cancers. Currently it is not recommended for initial management of locally advanced disease.
Effect of preoperative ibuprofen on pain after lower third molar removal: A randomized controlled trial
Authors: Gupta Sameer , Gupta Sunil Kumar , Mittal Ankur , Passi Deepak , Goyal Jyoti
Published: July 2023

Aim:

The aim of the study is to predict the effect of preemptive analgesics in the third molar surgery and to analyze whether the number and frequency of postoperative analgesics are reduced following the administration of preemptive analgesics.

Materials and Methods:

The present study was carried out on 50 patients who reported to the Department of Oral and Maxillofacial Surgery for removal of their impacted mandibular third molar. The patients were randomly divided into two groups of 25 patients each – Group A (test group) patients receiving ibuprofen (400 mg) half an hour before the surgery and placebo half an hour after surgery and the Group B (control group) patients receiving placebo half an hour before the surgery and ibuprofen (400 mg) half an hour after surgery. Both groups of patients will be instructed to avoid any drug but those prescribed (ibuprofen 400 mg SOS and rescue medication of tramadol 50 mg SOS) and not to seek any medical help elsewhere for postoperative problems. The pain was recorded using a visual analog scale.

Results:

Demographic data in the study show females (8%) and male (92%) patients. The average time taken for surgery was more in the control group (58.36 min) as compared to the test group (55.64 min) with no statistically significant difference. Values of pain score, medication score, number of rescue medication, and frequency at different time intervals (at baseline, after 3 h, 6 h, 24 h, and 7 days) are expressed in terms of mean and standard deviation, respectively, and the result shows the statistically significant difference for pain score at baseline and 7th-day time interval only. The distribution of different types of impaction and different types of elevation/odontotomy shows a significant association in test and control groups.

Conclusion:

Preoperative ibuprofen decreases the frequency and intensity of the pain. We believe that since this preoperative ibuprofen seems to be beneficial without any adverse effects, it may be used routinely in the 3rd molar surgeries and even in routine extraction.
Missed injuries associated with maxillofacial trauma
Authors: Tiwari Arunesh Kumar , Agrawal Amiya , Pal Uma S. , Singh Geeta , Katrolia Ravi , Jain Deepika K.
Published: July 2023

Background:

Maxillofacial trauma in polytrauma settings is often associated with multiple injuries both trivial and life threatening, and their timely detection is the mainstay of definitive trauma management for preventing mortality and morbidity. Emergency management of all the patients reporting to our maxillofacial unit is either done by our center or they have been managed at the peripheral health care facility and relatively stable patient is referred to us. Anecdotally, we found inadequacies in transport methods, diagnosis, and detection of associated injuries in the patients referred to us from the peripheral health care facility. To substantiate our finding, this observational study has been planned.

Objective:

To identify, diagnose, and document missed injuries associated with the maxillofacial trauma.

Materials and Methods:

All the trauma patients referred to the maxillofacial unit directly from the peripheral health care facility during the period of October 2017 to March 2019 were included in this study.

Results:

We observed a total of 270 patients having both pure maxillofacial trauma and patients having documented other injuries associated with maxillofacial injuries. In our maxillofacial unit, functioning as a secondary screen, head to toe clinical examination was performed to document any previously missed out injuries. Missed injuries diagnosed by us included spinal injuries, temporal bone fractures, fractures of the styloid process, and even head injury.

Conclusion:

Frequent reassessment of trauma patients at all levels of trauma care and training health care personnel particularly those at peripheral health care facility and those involved in prehospital care are pivotal in managing the trauma patients in most efficient manner.
Comparative evaluation of temporal fascia and dermal fat graft in the management of temporomandibular joint ankylosis
Authors: Sami Abdus , Hashmi Ghulam Sarwar , Rahman Sajjad Abdur , Rahman Tabishur , Ansari Md. Kalim
Published: July 2023

Introduction:

Temporomandibular joint (TMJ) ankylosis is a debilitating condition usually afflicting children and young adults, causing long-term functional, aesthetic, and severe psychological impacts on the lives of these patients.

Objective:

To compare the postoperative outcomes after using one of the most commonly employed inter-positional graft, i.e., temporalis fascia, and a recently introduced ‘more suitable’ graft, i.e., dermal fat.

Methods:

A prospective study in which 20 patients of TMJ ankylosis were randomly assigned into two groups of 10 patients each. Temporalis fascia was used as an inter-positional graft in one group, while dermal fat graft was used in the other group. Post-surgical clinical parameters were evaluated, including interincisal mouth-opening and pain.

Results:

Interincisal mouth opening at six months was greater in group A (32.1 ± 12.93) as compared to group B (33.8 ± 4.89), but statistically, it was not significant (P = 0.478). The mean pain score in group A was 4.60 ± 1.17, 1.50 ± 0.70, 0.20 ± 0.42 on day 1, 7, and 15, respectively. The mean pain score in group B was 4.10 ± 0.99, 1.30 ± 0.48, 0.20 ± 0.42 on day 1, 7, and 15, respectively.

Conclusion:

Both the graft materials work well in terms of maximum interincisal opening. For more clarification, a larger sample size with a longer duration of follow-up is needed to validate the study.
Comparison of three different approaches in treatment of mandibular condylar fractures – Our experience
Authors: Mansuri Zaki , Dhuvad Jigar , Anchlia Sonal , Bhatt Utsav , Rajpoot Dewanshi , Patel Hiral
Published: July 2023

Background:

The principal transfacial routes described to approach condylar process fractures are preauricular, retromandibular, high submandibular, and their various modifications. The selection of a specific surgical approach mainly depends on the level of condylar fracture, displacement/dislocation of the proximal segment and time elapsed from the date of trauma. Not too many studies proclaim a unanimous consensus on “gold standard” approaches for particular levels of fracture.

Aim:

This study was conducted with the aim to lay down guidelines for determining the ideal surgical approach for treating different condylar fractures based on different clinical situations.

Methodology:

This prospective study was conducted on 60 patients that underwent open reduction internal fixation of condylar fractures according to preset study design. Inclusion criteria were fracture displacement more than 10 degrees, dislocation, shortening of ramal height more than 2 mm. Patients having maxillofacial fractures other than mandible and condylar fractures in edentulous patients were excluded from this study.

Results:

The risk of facial nerve injury was more in endaural group and parotid fistula was more evident in retromandibular subparotid group but there was no statistical difference between the groups. The surgical scar was inconspicuous in all three groups. Excellent results were achieved in the other parameters such as mouth opening, range of motion, bite force, and occlusion with all the three approaches. Postoperative CT scan showed satisfactory anatomical reduction.

Conclusion:

This study concludes that the decision-making on the approach to be selected for any particular condylar fracture depends on the level of fracture, presence of fracture dislocation, and time elapsed from the date of trauma.
A comparative analysis between intra articular injections of injectable platelet rich fibrin versus platelet rich plasma in the management of temporomandibular disorders: A randomized control trial
Authors: Sharma Preeti , Aurora Jitender K. , Dubey K N , Tandon Parul , Tiwari Shamita
Published: July 2023

Background:

Platelet concentrate has become an increasingly popular alternative source of growth factors for several types of dental and surgical procedures. It improves healing and stimulates cell proliferation, matrix remodeling, and angiogenesis. The injectable platelet-rich fibrin (i-PRF) has various advantages over platelet-rich plasma (PRP). The aim of our study was to evaluate the efficacy of intra-articular injections of i-PRF versus PRP in the management of temporomandibular disorders (TDMs).

Method:

The prospective randomized study involved 14 patients (N = 28 joints) of internal derangement between the age groups of 20 to 50 years divided randomly into two groups with seven patients (N = 14 joints) in each group. For all the patients, arthrocentesis was carried out in the first sitting followed by intra-articular injections of PRP and i-PRF in group I and group II, respectively, at 1-month interval for 6 months. A single surgeon has performed the procedure. All patients were assessed clinically for pain, maximal mouth opening (MMO), lateral movement, protrusive movement, and joint sounds and radiographically for disc position and joint effusion (JE).

Results:

Pain reduction, MMO, lateral movement, protrusive movement, and joint sounds were significant in both groups with more significance in group II. Disc position had improved toward normal in both groups and showed significant changes in both groups at the 9-month follow-up with better results in group II.

Conclusion:

PRP and i-PRF injections are regarded as simple and safe methods with potential beneficial effects and are cost-effective. In this preliminary study, i-PRF has been found to be scoring better in terms of efficacy over PRP across all set parameters.
Data science analysis of Vassiliev invariants and knot similarity based on distributed machine learning
Authors: Huo Chenggang
Published: July 2023

INTRODUCTION: Knot theory has a long history, and as a branch of topology, it has received extensive attention. At present, the scientific analysis of data based on the similarity of Vassiliev invariants and knots under machine learning technology is the focus of the mathematical community. However, at present, there are some difficulties in the research work on the similarity of Vassiliev invariants and knots. These difficulties not only delay the progress of Vassiliev invariants research, but also slow down the speed of knot similarity research.OBJECTIVES: However, with the acceleration of the intelligent process, various intelligent technologies have been applied in the research of mathematics, biology and physics, providing excellent help for the research of many disciplines. Therefore, machine learning technology could be used to carry out new research on Vassiliev invariants and knot similarity.METHODS: Traditional knot analysis technology was combined with machine learning technology to find a more efficient and stable way of exploring Vassiliev invariants and knot similarity. his paper proposed a research method of data scientific analysis based on Vassiliev invariants and knot similarity under machine learning technology. Its purpose was to combine traditional knot research methods with machine learning technology to improve the efficiency of knot research. The algorithm proposed in this paper was the knot Vassiliev invariant analysis algorithm based on machine learning, which could use the intelligent and efficient analysis algorithm of machine learning technology to process the data of complex knots. This algorithm has improved the accuracy of the analysis of knot characteristics, and reduced the analysis time and the memory consumption at runtime.RESULTS: By testing the similarity between the Vassiliev invariant based on machine learning and the knot, the results showed that the analysis accuracy of the traditional Vassiliev invariant computing technology for the chiral characteristics, the number of intersections and the number of knots in the knot image was 84.25%, 83.27% and 85.56% respectively. The accuracy of knot Vassiliev invariant analysis algorithm based on machine learning for these indicators was 91.87%, 92.66% and 92.12% respectively. Obviously, the knot Vassiliev invariant analysis algorithm based on machine learning was superior to the traditional knot computing technology, and its analysis results were more excellent.CONCLUSION: In general, the research topic proposed in this paper has been proved to be of practical value. This research result proved that machine learning technology could play an excellent role in the current knot research, which correspondingly expanded the research direction of Vassiliev invariants and knot similarity.
Students' feedback- An effective tool towards enhancing the Teaching Learning Process
Authors: Mangla Monika , Mehta Vaishali , Pattnaik Chinmay Ranjan , Mohanty Sachi Nandan
Published: July 2023

INTRODUCTION: Evaluation is a key activity to improve the quality of service in every domain. However, it becomes quite challenging to measure the performance in some areas. Teaching is one such domain where it is bit intricating to evaluate the performance of teaching community. Here, in this work, authors have proposed effective usage of students’ feedback to enhance the quality of teaching learning process.OBJECTIVES: The objective of this paper is to scientific and well-defined approach for teacher’s performance evaluation. This can help the faculty to identify the strengths and weaknesses of their teaching and evaluation methods.METHODS: Data analysis and data visualization techniques have been used gain useful insights of the stduents’ feedback on various parameters. In order to carry out the simulation, authors have considered the teaching learning process in an engineering college.RESULTS: It is evident from the results obtained 12 that more than 50% agree that the feedback system is fare and beneficial for the quality improvement in teachers.CONCLUSION: Such analysis not only provides the useful insights regarding avenue for im-provement, but also helps the management for appraisals to outperforming teachers.
Analysis of N6-methyladenosine-modified mRNAs in diabetic cataract
Authors: Cai Lei , Han Xiao-Yan , Li Dan , Ma Dong-Mei , Shi Yu-Meng , Lu Yi , Yang Jin
Published: July 2023

The prevalence of diabetes mellitus is increasing in resource limited settings. Simultaneously, there has been an increase in the number of novel therapies for the management of diabetes mellitus. However, use of novel antidiabetic therapies is limited because of major market access challenges in resource limited settings. Niching products to those patients with the highest absolute risk for major adverse cardiovascular outcomes, and thus most likely to benefit from the therapy, are less likely to have negative budget impact for funders. To improve access, and reduce morbidity and mortality, requires alignment amongst key stakeholders including patient advocacy groups, health care professional councils, national departments of health, the pharmaceutical industry, treasury and finance departments.
Access to novel anti-diabetic agents in resource limited settings: A brief commentary
Authors: Naidoo Poobalan , Naidoo Kiolan , Karamchand Sumanth , Leisegang Rory F
Published: July 2023

The prevalence of diabetes mellitus is increasing in resource limited settings. Simultaneously, there has been an increase in the number of novel therapies for the management of diabetes mellitus. However, use of novel antidiabetic therapies is limited because of major market access challenges in resource limited settings. Niching products to those patients with the highest absolute risk for major adverse cardiovascular outcomes, and thus most likely to benefit from the therapy, are less likely to have negative budget impact for funders. To improve access, and reduce morbidity and mortality, requires alignment amongst key stakeholders including patient advocacy groups, health care professional councils, national departments of health, the pharmaceutical industry, treasury and finance departments.
Detection, management, and prevention of diabetes-related foot disease in the Australian context
Authors: McNeil Scott , Waller Kate , Poy Lorenzo Yves S , Mateevici Olimpia C , Telianidis Stacey , Qi Sara , Churilov Irina , MacIsaac Richard J , Galligan Anna
Published: July 2023

The prevalence of diabetes mellitus is increasing in resource limited settings. Simultaneously, there has been an increase in the number of novel therapies for the management of diabetes mellitus. However, use of novel antidiabetic therapies is limited because of major market access challenges in resource limited settings. Niching products to those patients with the highest absolute risk for major adverse cardiovascular outcomes, and thus most likely to benefit from the therapy, are less likely to have negative budget impact for funders. To improve access, and reduce morbidity and mortality, requires alignment amongst key stakeholders including patient advocacy groups, health care professional councils, national departments of health, the pharmaceutical industry, treasury and finance departments.
PENGARUH LAYANAN BIMBINGAN KONSELING DALAM MENGATASI PERILAKU BULLYING DI SDN CISAAT RAMBAY
Authors: Yuliani Lia , Hopeman Teofilus Ardian
Published: July 2023

Abstract: This research was conducted to find out the behavior of bullying that occurs in Cisaat Rambay Public Elementary School and how to deal with it. This type of research is quantitative using observation, interviews and documentation. The population in this study were students and homeroom teachers of class VI, Cisaat Rambay State Elementary School. Research activities are carried out by socializing bullying behavior followed by data collection. The research data was obtained by conducting direct discussions with students and homeroom teachers. From the results of the research conducted, it can be concluded that there are still cases, one of which is physical bullying. The teacher in responding to the case by intervening and keeping the perpetrator away from the target victim of bullying as well as advising and giving appropriate punishment.Keywords: Character, Counseling Guidance, Bullying, Education Abstrak: Penelitian ini dilakukan untuk mengetahui perilaku bullying yang terjadi di Sekolah Dasar Negeri Cisaat Rambay serta cara dalam menanganinya. Jenis penelitian ini adalah kuantitatif dengan menggunakan metode observasi, wawancara dan dokumentasi. Populasi dalam penelitian ini adalah siswa dan wali kelas VI Sekolah Dasar Negeri Cisaat Rambay. Kegiatan penelitian dilakukan dengan melakukan sosialisasi tentang perilaku bullying dilanjut dengan pengambilan data. Data penelitian diperoleh dengan cara melakukan diskusi secara langsung dengan siswa dan wali kelas. Dari hasil penelitian yang dilakukan dapat disimpulkan masih terdapat adanya kasus salah satunya bullying bersifat fisik. Guru dalam menanggapi kasus tersebut dengan cara melerai dan menjauhkan pelaku dari korban target pembullyan serta menasehati dan memberi hukuman yang sesuai.Kata Kunci: Karakter, Bimbingan Konseling, Bullying, Pendidikan
Civic Placemaking: disseny, espai públic i cohesió social. Marianao, Sant Boi de Llobregat
Authors: Paez Roger , Valtchanova Manuela , Montes Toni , Aguirre Rodrigo
Published: July 2023

El projecte de recerca Civic Placemaking: Disseny, Espai Públic i Cohesió Social (CP) busca promoure la cohesió social i la integració intercultural de manera orgànica i eficaç a través de projectes d’arquitectura efímera que tinguin impacte en l’espai públic, fomentin una ciutadania proactiva en la presa de decisions sobre el seu entorn, i estimulin el sentit de pertinença i el civisme actiu. CP1 treballa al barri de Marianao explorant les capacitats de l’arquitectura efímera per transformar la percepció de l’espai públic per part de la comunitat que l’habita.
Zadání architektonického a uměleckého díla v raném novověku. Mezi hospodářskými dějinami a dějinami umění
Authors: Knoz Tomáš
Published: July 2023

Neither economic history nor art history can exist today without a consistent interdisciplinary and transdisciplinary approach. Historians of social and economic history must take into account in their research that the commissioning of an architectural or artistic work (not only) in the early modern period is not merely one type of economic investment, but that it represents a distinctive type of human action characterized by its artistic and spiritual value. Art historians, when studying the sources accompanying the commissioning of architectural works, must take note that, on the basis of the same principles, works that are usually perceived as non-art were commissioned in the early modern domain. Interdisciplinary and transdisciplinary research of this type cannot do without the interconnection of economic, social and legal history from the position of historical science, and from the position of art history, the interconnection of art history, cultural history and the history of lifestyle cannot be omitted.
Anemia, parasitosis y estimación del estado nutricio mediante evaluación antropométrica, hematológica, exámenes coproparasitoscópicos y manejo nutricional en niños de 0 a 6 años de Pueblo Mayo, Sonora.
Authors: FELIPE ORTEGA FONSECA XIMENA , Ruiz Lopez Liliana , Icedo Garcia Ramona , Balderrama Carmona Ana Paola
Published: July 2023

La anemia es la disminución de hemoglobina en los eritrocitos debido a un déficit en el consumo de alimentos con hierro o a la mala absorción intestinal de este micronutriente. Las parasitosis pueden afectar la absorción de los nutrientes debido a inflamaciones o daño en la mucosa o tejido intestinal; los niños generalmente son más susceptibles a padecer infecciones debido a microorganismos patógenos principalmente por sus estilo y condiciones de vida, incrementando estos padecimientos en zonas rurales donde las condiciones sanitarias son deficientes. Es por esto por lo que esta investigación tuvo por objetivo determinar la presencia de anemia por deficiencia de hierro, parasitosis y estimación del estado nutricio en niños de 0 a 6 años de la comunidad rural de Pueblo Mayo, en el sur del estado de Sonora, México por medio de evaluaciones hematológicas, antropométricas y parasitarias, e intervención mediante talleres de educación alimentaria saludable, suplementación vitamínica y tratamiento antiparasitario. Los resultados de este trabajo reportaron una parasitosis en el 98% de los niños evaluados, en la evaluación nutricional 42% de los niños presentaron perímetros abdominales elevados, 18 % presentaron grasa corporal disminuida, 12% presenta cráneo de tamaño aumentado para peso y talla. Los resultados nos indican que los niños presentan una desnutrición crónica, presentando un 32% de los niños anemia microcítica. A todos los niños diagnosticados con parasitosis se les brindó tratamiento antiparasitario y suplementación con vitamina A para fortalecer su sistema inmunológico y se recomendaron dietas para disminuir la condición de anemia y pláticas para mejorar sus hábitos de higiene personal y en la preparación de alimentos.
CURSOS MOOCs COMO MEDIO DE LA INTERNACIONALIZACIÓN DEL CURRÍCULO A TRAVÉS DE LA RESPONSABILIDAD SOCIAL UNIVERSITARIA
Authors: Vélez Tellez Miguel Armando , Pérez Mendoza Marcos , Cuevas Álvarez María Cruz
Published: July 2023

Los cursos en línea masivos y abiertos también conocidos como MOOCs han permitido que personas de diversas partes del mundo puedan profesionalizar sus conocimientos a su propio ritmo de manera autogestiva y autocalificable, volviéndose en un área de oportunidad de ampliar la oferta educativa y que sirva como ingreso adicional para las instituciones de educación superior. El presente estudio cualitativo tiene como objetivo identificar los beneficios que brindan los cursos MOOCs a la internacionalización del currículo desde la perspectiva de la Responsabilidad Social Universitaria. Se destacan dentro de los beneficios la formación en competencias y la profesionalización de saberes orientado hacia la dimensión internacional para la resolución de problemas. Desde la perspectiva de RSU la reducción de la huella ecológica, la reducción de uso de recursos y autosustentable.
Satisfacción Laboral y su Influencia en la Satisfacción al Cliente de una Empresa de Distribución
Authors: Córdova Cárdenas Gilberto Manuel , Espinoza Urbina Cecilia Esmeralda , Salazar Verde Ivan De Jesus
Published: July 2023

En este trabajo se aborda el impacto que tiene la satisfacción del personal en la satisfacción del cliente en una empresa distribuidora Veterinaria. Por lo que se definió como propósito principal correlacionar la satisfacción del personal y la satisfacción del cliente. Para este estudio de tipo no experimental, descriptivo, correlacional se invitaron a participar a 10 médicos veterinarios que fungían como vendedores de la empresa, a quienes se les aplicó el instrumento Satisfacción Laboral SL- SPC. De igual forma se contó con la participación de 40 clientes de la empresa ya mencionada, quienes están distribuidos por las tres sucursales, a quienes se les aplicó el instrumento de Satisfacción del Cliente. Como resultados se encontró una relación positiva entre los niveles de satisfacción de los vendedores de la distribuidora y los niveles de satisfacción de los clientes. Además, una diferencia significativa entre los niveles de satisfacción en las diferentes sucursales. Se concluye que mientras se cuente con una mayor satisfacción laboral por parte de los miembros de la empresa, existirá una mayor satisfacción por parte de sus clientes comprobando así, la importante relación que tienen ambas variables; cabe señalar que cada sucursal cuenta con un nivel de satisfacción laboral distinto, pero correspondiendo significativamente con el nivel de satisfacción del cliente para cada caso.
Pesquisas em ensino de Zoologia
Authors: Vinholi Júnior Airton José , Trajano Valéria da Silva
Published: July 2023

Esta pesquisa buscou apresentar o estado do conhecimento sobre o ensino de Zoologia, em suas diversas subáreas, visando traçar um panorama, tendências e principais considerações nesse campo do conhecimento. Para a construção do corpus de dados, foram utilizados artigos publicados em periódicos entre 2006 e 2020, considerando a periodicidade das publicações, instituição do(s) autor(es), local de desenvolvimento, procedimentos de pesquisa, nível de ensino trabalhado e subárea da Zoologia. Foram encontrados 73 artigos, com predominância de publicações entre 2017 a 2019. As pesquisas concentram-se, em sua maioria, nas regiões Nordeste e Sudeste, em instituições públicas de ensino, por meio de intervenções, propostas e sequências didáticas diferenciadas. Predominaram, nos estudos, aspectos comparativos entre os filos e/ou classes de vertebrados e invertebrados.