bluuebunny/crossref_metadata_2025 huggingface dataset:
Determination of Lactose Intolerance and Effect of Supplementing Lactose Hydrolyzed Milk among Elderly Population of Urban Vadodara
Authors: Sheth Mini , Bhattacharyya Debanjana
Published: April 2023

Lactose intolerance is the inability to digest lactose which may lead to gastrointestinal symptoms. These symptoms hinder nutrient absorption and cause discomfort. The objective of the study was to determine lactose intolerance and determine the effect of lactose hydrolyzed milk supplementation to lactose intolerants among geriatric population. A semi-structured questionnaire was developed to assess gastrointestinal symptoms post-consumption of various foods. Hydrogen breath analyser test (HBT) was conducted to determine lactose intolerance and further divided into mild, moderate, and severe categories of lactose intolerance. Lactose intolerants are supplemented with lactose hydrolyzed milk (LHM) for 6 weeks. The highest gastrointestinal symptoms were observed in 37.4% of the subjects’ post-milk and milk products consumption whereas cereal products exhibited the least (2.73%). HBT revealed that 55.5% of the subjects were lactose intolerant. A significant improvement (P < 0.05) in energy, protein, calcium, and fat intakes was observed post-supplementation by 3%, 3.30%, 43.62%, and 4.19%, respectively. There was an increase in normal category body weight by 6.7% post-LHM supplementation. No significant changes (P < 0.05) were observed in quality of life before and after intervention. Conclusion: Lactose-intolerance was 55.5% among the studied geriatric population. All the elderlies (100%) were able to tolerate LHM without experiencing any gastrointestinal disturbances for 45 days.
Barefoot Training Survey: Novel Experiences of Barefoot Training on Habitually Shod Runners
Authors: Azeem Zafar , Rathod Priyanshu , Palekar Tushar , Khisty Abha
Published: April 2023

Running is the most popular means of physical activity among people all over the world. Shoe wear design has evolved over a period of time, however, running-related injuries continue to surge. Barefoot form of running has been advocated as a possible training approach to reap the benefits of running in the era of modern shoes. Limited evidence of reduction in torques and forces on the lower extremities is available for barefoot running, however, how far this corresponds to injuries is yet to be studied. The aim of this survey was to examine factors related to performance and injury in runners who have tried barefoot training with an emphasis on including a habituation phase to accustom to barefoot running. A 10-question survey regarding the experiences of runners (sprinters and marathoners) athletes who participated in barefoot training program was prepared and communicated electronically through email. All participants were state and national level athletes and habitually trained in shoe before participating in the barefoot training. A total of six participants who took part in the training were given the survey questionnaire. About 60% of respondents believed barefoot training will help to heal from repetitive injuries widely supported by media in form of blogs, books, and scientific papers in this area. About 17% of these respondents sought suggestions from their coaches, physical therapists, and trainer to pursue barefoot training. Initially, participants were apprehensive of participating into barefoot training (67%). Participants preferred running on grass and treadmill to prevent from injury. All participants agreed on implications of barefoot training to achieve sports-specific performance improvement in running performance. No injuries were reported after the completion of barefoot training with no new injuries being reported. The previous studies have reported biomechanical changes caused by barefoot training with a hypothetical prediction of reducing injury risk. The survey showed that barefoot training was perceived to be positive experience for all the runners with no injuries being reported at the end of the training.
A Study on Assessment of Nutritional Awareness among the Migratory Tribal Pregnant Women of Punjab
Authors: Miglani Vandana , Gautum Anamika
Published: April 2023

Nutritional deficiency in women is of particular concern because they may get pregnant and face the added nutritional, physical, and emotional demands of pregnancy, childbirth, and nursing. The objective of the study is to assess the nutritional awareness among the migratory tribal pregnant women of Punjab. The interview method was used to investigate the nutritional awareness of tribal pregnant women. Three hundred pregnant women were selected as sample population from four different tribal groups of Punjab. Structured questionnaire was used as a tool. The majority of the respondents 272 (90.67%) did not have knowledge about the nutritional requirement of the pregnant women, government policies of Iron, and Vitamin A supplementation for pregnant women for combating anemia, iron Vitamin-A-rich rich food, addition of citrus fruits in their diet, the importance of germinated food grains, folic acid-rich foods, nutritional deficiency disease during pregnancy, iodine deficiency during pregnancy, consumption of Iron and Folic acid Supplements in their diet, quantity of food intake during pregnancy, harmful effects of Under Nutrition, source of carbohydrates, protein, iron, vitamin and minerals, importance of nutrition in fetus growth, weight gain during pregnancy, water intake during pregnancy, absorption of Calcium and Iron in the body, the need of Vitamin-C in the body, and need of Zinc in the body.
Exploring the Analgesic Potential of Homeopathic Formulation of Tincture Apis
Authors: Kashyap Pooja , Singh Lovedeep , Kaur Harpreet , Kaur Naveneet , Kaur Navjot , Bhatti Rajbir
Published: April 2023

Apis is a homeopathic formulation developed from the venom of Apis mellifera. Apis is extensively used to treat various skin disorders, pleurisy, and peritonitis. The Global Burden of Disease Study 2016 firmly stated the high prominence of pain and pain-related diseases are the leading cause of disability and disease burden globally. The current investigation was aimed to explore the analgesic effect of homeopathic formulation tincture Apis using formalin induced flinching, acetic acid induced writhing and Eddy’s hot plate test. Tincture Apis pretreatment significantly reduced the number of flinching’s in both neurogenic and inflammatory phase in formalin test. Moreover, in Acetic acid and Eddy’s hot plate test, tincture Apis pre-treatment significantly reduced the acetic acid induced writhing’s and increased the paw licking latency, respectively. The effect of Apis was prominent to that observed with standard diclofenac in formalin and acetic acid test. Amino acid analysis revealed that tincture Apis contains 14 amino acids including seven essential amino acids. Furthermore, morphological studies revealed that administration of 10 times concentrated tincture Apis had no visible changes in acute toxicity screening such as change in skin color, salivation, convulsions, tremors, diarrhea, and paralysis or mortality in 14 day study. However, abnormal movement of body and eye were observed in the first 4 h. Overall outcome of present study revealed that tincture Apis has an excellent analgesic potential, which might be linked to the presence of essential amino acids including leucine, histidine, and GABA in tincture Apis.
Potential Impact and Perspective of Shift Work on Fitness of Security Guards: A Review
Authors: Singh Shivangi , Kiran U. V. , Pandey Padmini
Published: April 2023

At present, almost all the institutions either government or private sector require security guards. Sometimes, they need to be work in adverse conditions such as extreme hot, cold, pollutions, narrow workplaces, steady body position, unbalanced prolonged working hours, shift work, underpaid, and uncertainty. These guards provide services in fixed and rotatory shift work system based on the organization requirement or needs. This occupation involves a stress on physical and mental health which directly affects the fitness as of allied with vocal and physical aggression. It affects social and family life, sleep disorders, gastrointestinal diseases, metabolic system disorders, endothelial dysfunction, musculoskeletal disorders, circadian rhythms, diabetes, accident possibility, etc. Few of the symptoms are temporary or associated to particular stage of time, but most of the stress affects for longer period or even for life. Hence, these issues should be taken seriously and need to be plan the shift schedules and their working conditions as both shift work and security guards are equally demanding and important.
Analytical Method Development and Validation Protocol for Antiepileptic Agent – Rufinamide
Authors: Kakad Gayatri , Borse Sandhya L. , Bendale Atul R. , Borse Laxmikant B. , Naphade Vaishali D. , Jadhav Anil G.
Published: April 2023

This study developed and validated a new, sensitive, appropriate, clear, accurate, and robust reversed-phase high-performance liquid chromatography (RP-HPLC) method for determining Rufinamide in bulk medication and tablet formulation. The separation was performed using an HPLC method with a UV detector and Openlab EZ chrome workstation programme, Kromasil C18, 250 mm X 4.6mm ID, 5 μm column, Methanol: 0.025% TFAA (60:40%V/V) was pumped at a flow rate of 1.0 mL/min and detected at 212 nm. The new RP-HPLC method resulted in a 3.22minute retention time for Rufinamide, which was optimized by trial and error. Over a concentration range of 0.5-7.5 μg/mL, the linearity of the established method was confirmed with a correlation coefficient (r2) of 0.99994. The precision of the approach was determined to have a percentage RSD of less than 2.0 percent. The % recoveries were found to be within the acceptable range. The LOD and LOQ were determined to be 0.10 ug/mL and 0.31 ug/mL, respectively. The developed and validated RP-HPLC system takes less time and can be used in the industry for routine quality control/analysis of bulk drug and marketed Rufinamide products.
What Do Patients Expect from Total Knee Arthroplasty: A Qualitative Study
Authors: Kripa Sai , Suhail Ammar
Published: April 2023

Patient expectations are key predictors of post-total knee arthroplasty (TKA) health outcomes. The expectations dictate the pain levels, functional outcomes, and disability post-surgery. The study aims at exploring pre-operative expectations of patients from TKA. The study sample (n = 15) consisted of participants diagnosed with knee osteoarthritis who had opted for elective replacement surgery. The mean (SD) age of the participants was 72.07 (5.7). The principles of the qualitative research approach guided the study’s methodology. The primary author conducted face-to-face semi-structured interviews, which were audio-recorded and transcribed verbatim. Each interview lasted for 15–30 min. The transcribed verbatims were thematically analyzed. The participants expected surgery to relieve their pain, improve their functional status, and make them productive for society. They also expected to be socially active and get rid of their medications. Participants lived experiences modulated their expectations. The study findings emphasize that health-care providers must consider the expectations of individuals undergoing surgery. Patients should be educated about realistic goals and attainments from surgery to ensure better post-operative health outcomes.
Solid cancer mortality risk in the Southern Urals populations exposed to radiation cohort: 1950-2019
Authors: Krestinina L. Yu. , Silkin S. S.
Published: April 2023

The objective of the study is to obtain direct risk estimates of solid cancer mortality for members of the Southern Urals Populations Exposed to Radiation Cohort. Materials and methods: the cohort was first created in 2018 and combines all the residents of the Southern Urals exposed to radiation in the territory of the Techa River and East Urals Radioactive Trace. Combining individuals exposed in the two radiation accidents increased the number of cohort members to 62.5 thousand people, the number of solid cancer cases included in the analysis to 4,511 and the number of person-years at risk to 1.956 million with the maximum follow-up period up to 70 years. The analysis was conducted with the use of regression analysis and a simple parametric model for excess relative risk. Maximum likelihood method was used to calculate 95% confidence intervals. Stomach dose was taken as an analogue of the dose to soft tissues accumulated over the entire follow-up period, and calculated using the updated Dosimetry System-2016 in the Urals Research Center for Radiation Medicine. Results: the analysis revealed a statistically significant linear dependence of solid cancer mortality rates on the dose, which confirms and clarifies the conclusions of previous studies. Solid cancer mortality ERR was 0.078/100 mGy. The increase of the statistical power of the analysis due to the increase of the cohort size and extension of the follow-up period enabled to obtain statistically significant ERR values for certain population groups by sex, ethnicity and other parameters. It refines the previously obtained values, reduces uncertainty and allows using the data to refine the radiation safety standards for the population exposed to radiation in various situations.
Radiological situation in the young pine forest that grew after the Chernobyl accident
Authors: Ramzaev V. P. , Barkovsky A. N. , Varfolomeeva K. V. , Nekrasov V. A.
Published: April 2023

After the Chernobyl accident, a certain proportion of agricultural land was withdrawn from normal use due to significant radioactive contamination. Forestry is one of the options currently under consideration to return the abandoned agricultural land to economic circulation in Russia. When using former agricultural land for forestry in radioactively contaminated areas, it is important to have an assessment of the potential radiation doses for forestry workers and the public. The aim of this study was to assess the radiological situation in a young pine forest planted and grown after the Chernobyl accident in the resettlement zone on a former arable field. A nearby old pine forest, which had grown before the Chernobyl accident, was taken for comparison. The study of the radiological situation was performed in the period 1998–2022. In the young forest, 137Cs was fairly evenly distributed in the upper 20 cm soil layer; further with depth, the activity concentration of 137Cs sharply decreased. In the old forest, the maximum activity concentration of 137Cs in the soil was in the top 0–2 cm layer. The activity concentration of 137Cs decreased with depth. In 1998, the average value of the absorbed dose rate in the air from 137Cs+134Cs was lower by a factor of 3 in the young forest compared to the old forest. The difference was associated with differences in the vertical distributions of 137Cs in the soil. Over time, the absorbed dose rate in air from 137Cs+134Cs decreased at both sites with the same effective halftime period of 21.7 year. The activity concentration of 137Cs in the biota (pine trees, edible mushrooms) in the young forest was lower by a factor of 4–30 compared to the old forest. The “forest” component of the external effective dose to adults from the 137Cs source in the young forest was lower by a factor of 3 compared to the old forest. The “forest” component of the internal effective dose from 137Cs was lower by a factor of 10 when eating edible mushrooms from the young forest compared to the old one. In general, the performed study shows that the use of radioactively contaminated abandoned arable land for forestry can be expedient and justified from a radiological point of view.
Public exposure in the Orenburg region due to natural sources of ionizing radiation. Part 1: Results of the comprehensive survey of settlements in the eastern districts of the Orenburg region
Authors: Kormanovskaya T. A. , Romanovich I. K. , Vyaltsina N. E. , Gaevoy S. V. , Bondar L. V. , Kononenko D. V. , Saprykin K. A. , Kokoulina E. S. , Balabina T. A. , Koroleva N. A.
Published: April 2023

The paper presents results of a comprehensive radiation survey conducted in 2019 in six districts of the eastern part of the Orenburg region in 37 settlements with previously found elevated levels of activity concentration of natural radionuclides in tap water from groundwater sources of drinking water supply. The survey included measurements of indoor radon concentrations and EEC in residential and public buildings, as well as measurements of ambient dose equivalent rate of gamma radiation indoors and outdoors. The survey revealed that annual average indoor radon EEC in many residential buildings in 23 settlements and public buildings in 25 settlements exceeded the hygienic norm (action level) of 200 Bq/m3 adopted in Russia for existing buildings. The highest values of annual average indoor radon EEC were obtained in residential buildings in Novovinnitskoe (1242 Bq/m3), Bratslavka (987 Bq/m3) and Anikhovka (942 Bq/m3) in Adamovsky district, and in public buildings in Kvarkeno (2291 Bq/m3) in Kvarkensky district, Karabutak (1114 Bq/m3) and Novovinnitskoe (923 Bq/m3) in Adamovsky district. The established hygienic norms in terms of ambient dose equivalent rate indoors and outdoors were not exceeded in the surveyed settlements. Results of the survey showed that the main reason for high indoor radon concentrations in residential and public buildings in the settlements of the eastern part of the Orenburg region is not related to the usage of tap water from groundwater sources of drinking water supply with elevated levels of activity concentration of natural radionuclides.
Unjustified referrals to radiological examinations and their impact on the collective effective dose of patients in outpatient medical organizations
Authors: Lantukh Z. A. , Tligurov Yu. A. , Soldatov I. V. , Tolkachev K. V. , Druzhinina Yu. V. , Shatenok M. P. , Ryzhov S. A. , Vasilyev Yu. A.
Published: April 2023

In recent years, an increase in the collective dose from medical exposure has been recorded annually, which is associated with an increase in the availability of high-tech methods of medical care and an increase of their percentage in the structure of X-ray studies. However, any exposure to ionizing radiation on a patient is associated with an increased risk of stochastic effects. The justification principle is the most effective to ensure the radiation safety of patients. The article considers in detail the experiment on the application of the justification principle in medical organizations. The aim of the study was to evaluate the incidence of unjustified referrals to radiological examinations and their impact on the collective effective dose of patients in outpatient medical organizations. As a result, it was ound, that the collective dose from studies with unjustified referrals contributes 21% to the annual collective dose from X-ray studies in outpatient medical organizations. The result obtained confirms the need to ensure the availability of information on clinical recommendations, the accumulated effective dose and patient characteristics in medical information systems, and proves the importance of using this information when prescribing X-ray radiological studies.
Role of Body Language and Appearance on Interpersonal Relationships at Workplace
Authors: Begum Bushra , Azam Mohd
Published: April 2023

Body language is a significant aspect of modern communications and relationships. Appearance at workplace has been a debatable topic whether it affects the productivity or not. Right body language and appearance of a person helps in making positive interpersonal relationships at workplace which foster a healthy environment and thus enhances the performance of employees which results in better productivity. This research is aimed at examining the importance of body language and appearance on interpersonal relationships at workplace. During interactions at workplace, visual aspects like body language and appearance are a great contributor in creating impression on others mind. This impression will decide the interpersonal relationships at the workplace because people want to be associated with personalities with great appearance and body language.
Role of eWOM in Selecting Branded and Unbranded Electronic Products Online
Authors: Singh Gunjan , Singh Vinitendra P
Published: April 2023

The prior studies reflected that eWOM has significant positive impact on different marketing outcomes but study of impact of eWOM on online purchase intention is comparatively a less explored area. Prior research has demonstrated a strong influence of eWOM on consumers. However, it is not known whether individuals react differently to eWOM when it concerns branded products rather than unbranded products. This paper therefore examines the impact of branded and unbranded electronic products on consumers’ reaction towards positive and negative eWOM. The study is conducted to highlight the customer preference of branded and unbranded electronic products by reviewing eWOM patterns online in Lucknow, Uttar Pradesh region. The current study is limited to the sample size of 150 customers who purchased electronic products online. The study depicts that both the perception level as well as behavioural level show that eWOM has a stronger influence on purchase intention for unbranded electronic products as compared to branded electronic products. At a perception level negative messages are seen as more negative when concerning branded electronic products rather than unbranded electronic products. Thus, the role of eWOM in selecting branded and unbranded electronic products in online context is examined in the paper.
Digital Transformation-Effect of Social Media on Digital Buying Behaviour of Teenagers
Authors: Beri Jaya , Kumari Pallavi
Published: April 2023

Internet and social media have become an integral, inseparable and definite part of our lives and thus it plays an important role in purchase decision of varied kinds of products online where teens are considered to play a crucial changing factor. This study attempt to reveal the various factors of Internet and social media that influences the purchase decision among teens of Patna and Ranchi considering online peer communication, social networking groups, Brand/company pages online and several other factors. In-depth literature reviews reveals the growth of social media and internet as a key to teenager socialization and teen profiling remains a challenge along with several other factors e.g.; Brand interaction through social media page, online social groups of brand influencers along with cultural effect on teen socialization. Hypothesis testing is done using ANOVA suggests a significant trend in involvement of demographic/environmental factors as a key influencer in purchase decision making style of the teenagers. Socialization process is analyzed among 330 respondents .The result shows a positive influence of antecedent variables like age, social media and peer involvement in purchase decision making and product involvement in family decision making. The study is significantly important for companies who are attempting to make a mark in minds of the teenagers who are not only a potential future consumer but is also a lucrative present costumer. This study will be useful for business operating online, researchers and for all those business that are connected with E-commerce.
A Study on the Attitude of Healthcare Professionals Towards Quality Accreditation
Authors: Rawal Kunal , Pareek Nishtha
Published: April 2023

Accreditation of hospitals is considered one of the most relevant mechanisms to achieve improvement in the quality and safety of healthcare (8). Worldwide, accreditation is gaining popularity as an effective mechanism for external assessment of healthcare quality. It is considered a method to address the issue of healthcare quality and safety. Accreditation is the independent and systematic assessment of a hospital against defined standards and recognition of a certain level of achievements of those standards by an external body. It is a process of certifying the credibility of an organization. In healthcare, accreditation recognizes and certifies the capability of a healthcare organization in delivering an acceptable standard of healthcare services, which is based upon excellent and safe practices. In this study, healthcare professionals' attitude toward quality accreditation is examined to know about their accountability. Total of 604 healthcare professionals such as; consultant physicians/surgeons, duty doctors, nursing staff, paramedical staff/allied healthcare staff, hospital administrators/managers, others (housekeeping in-charge/blue collar employees and healthcare academicians from public, private and run by Trust located in the North and Central India were randomly chosen. Through the application of factor analysis two components are explored, i.e., service quality and adaptability. One way of ANOVA was applied and found that a difference among the categories of healthcare professionals is observed for these components.
The Significance of Integration for Business Operations in Logistics and Supply Chain Management
Authors: Tiwari Abhishek , Roy Sourabh S.
Published: April 2023

This conceptual paper connects the logistical functions as they relate to important business processes to highlight thesignificance of integration in supply chain management (SCM). Business processes are frequently developed at the strategiclevel but are never precisely identified in SCM or logistics. Logistics and SCM are not directly related to demand management,customer relationship management (CRM), supplier relationship management (SRM), and customer service management(CSM). This essay identifies the literature that has discussed the value of integration and how business processes can beuseful when carrying out important logistics tasks in the context of supply chains.
An Indonesian Adaptation of The Students’ Preparedness for University e-Learning Environment Questionnaire
Authors: Junus Kasiyah , Sadita Lia , Siswantining Titin , Vitasari Diana Nur
Published: April 2023

Although most students are digital natives, online learning requires different skills as compared to conventional face-to-face learning. This paper aims to adapt and test the reliability and validity of the Students’ Preparedness for the University e-Learning Environment questionnaire developed by Parkes et al. into Bahasa Indonesia.  The original questionnaire covers a wide range of competencies relevant to e-learning preparedness for university e-learning environments in three dimensions. Prior to reliability and validity checking, pilot testing is conducted to test the unidimesionality of the instrument and the rating scale. An item-match analysis test is also carried out to observe the suitability of each item. Then, the final version of the questionnaire is administered to a large representative sample of respondents for whom the questionnaire is intended. The results show that, with a total of 1446 students from a public university in Indonesia as respondents, the adapted questionnaire is valid and reliable.
Evaluating uncertainty in climate change impacts on peak discharge and flood volume in the Qaran Talar watershed, Iran
Authors: Imani Toktam , Delghandi Mahdi , Emamgholizadeh Samad , Ganji-Noroozi Zahra
Published: April 2023

This study evaluates the effects of climate change (CC) on runoff properties over the case study of the Qaran Talar watershed located in Iran. To consider the two main sources of uncertainty, i.e., Greenhouse Gases emission (GHG) scenarios and outputs of Atmosphere-Ocean General Circulation Models (AOGCMs), a daily rainfall time series was generated for two future periods (2021-2050 and 2070-2099) at three risk levels of 0.1, 0.25 and 0.50. 22 AOGCMs outputs following two emission scenarios (RCP4.5 and RCP8.5) were used. The results showed that the uncertainty of climate change scenarios was primarily owing to the uncertainty of GCMs outputs. Regarding the 2021-2050 period, under both emission scenarios, the increases in peak discharge and flood volume (FV) were estimated to reach 70, 50, and 30% at three risk levels of 0.1, 0.25 and 0.50, respectively, compared to the recent past period. As the current century draws to a close, the difference between the results of the two emission scenarios becomes apparent so that in the far-future period (2070-2099), the RCP8.5 scenario estimates and FV more than the RCP4.5 scenario does. Additionally, it was found that the uncertainty caused by AOGCMs was more than that by GHG emission scenarios.
Impacts of COVID-19 lockdowns on water quality along the coast of Morocco
Authors: Azidane Hind , Primadona Noir Purba , Boko Michel , ElBouhaddioui Mohammed , Magrane Bouchain
Published: April 2023

Due to the COVID-19 pandemic, most of the marine activities and all the anthropogenic activities along the coast have been shut off for several months. The total suspended matter (TSM) was analyzed before and during COVID-19 lockdown in the coast of Morocco. Therefore, the aim of this study was to assess all the changes reflected through the coast in April of 2018, 2019, 2020 and 2021. In the absence of the ground observations during this period, the remote sensing data was used in this study. The results showed a gradual reduction in TSM concentration, indicating a positive improvement during the lockdown period. The TSM concentrations during this period decreased by 40.59% on average compared with the pre-lockdown period. Further, the turbidity in the water has reduced at each stretch of the rivers. Remote sensing is a powerful tool for analyzing turbidity over the whole littoral areas, even in the absence of field observations. The ongoing pandemic shows that an ocean with cleaner water is possible. These findings provide a general reference on the state of the Moroccan coast that could contribute to improve policy and future monitoring program.
Intentional replantation: case report of an alternative treatment for endodontic therapy failure
Authors: Flares BARATTO FILHO  , José Roberto VANNI  , Orlando LIMONGI  , Luiz Fernando FARINIUK  , Rosana TRAVASSOS  , Diana Santana ALBUQUERQUE
Published: April 2023

The aim of this study was to present an alternative treatment after the occurrenceof endodontic therapy failure. The authors report a clinical case of a secondmaxillary permanent molar, which was indicated for intentional replantationas an alternative treatment. Extraction was performed followed by apicoectomyof the three roots and radicular decontamination with citric acid (pH=1) for 1min; the roots were then retro-obturated with amalgam and the tooth replantedin the alveolus. The extra-buccal period lasted 15 min. Clinico-radiographicalfollow-up examinations were done at 2, 3 and 5 years and no symptoms orradicular resorption were found. There was bone neo-formation at the palatalroot that had presented a periapical lesion. Intentional replantation can beindicated correctly as an alternative treatment for cases in which conservativeendodontic therapy or surgical technique cannot be performed.
Reparo em resina composta indireta: avaliação do tratamento mecânico da superfície
Authors: Luciano MADEIRA  , Edgar Camargo COSTA
Published: April 2023

O objetivo deste estudo é comparar o efeito do tratamento macro emicromecânico da superfície na resistência à tração de reparos em resinacomposta indireta. Corpos de prova de resina composta pós-polimerizadaforam confeccionados inteiros para o grupo controle e pela metade para osgrupos experimentais. Os corpos de prova foram armazenados por 30 diasem saliva artificial antes da realização do tratamento de superfície. Otratamento macromecânico foi feito com pontas diamantadas esféricas, e omicromecânico, por intermédio do jateamento da superfície com partículasde óxido de alumínio por 10 segundos. Após condicionamento da superfíciecom ácido fosfórico 37%, o agente adesivo foi utilizado sem fotopolimerizaçãoantes da adição do material reparador. Após o teste de resistência à tração,observou-se que a resistência dos reparos foi sempre inferior à força coesivado material, mas estatisticamente inferior somente no grupo que recebeuretenções macromecânicas. Comparando os tratamentos de superfície, ogrupo que sofreu jateamento com partículas de óxido de alumínioapresentou valores de resistência à tração estatisticamente superiores aogrupo que recebeu retenções macromecânicas. Com base nos resultados épossível concluir que o jateamento da superfície proporciona reparos emresina composta indireta com melhores valores de resistência.
Avaliação de duas velocidades aplicadas no Profile.04 no tempo de retratamento endodôntico do sistema Thermafil
Authors: Aline Raquel KRÜGER  , Caroline Alfredo FABRE  , Flares BARATTO FILHO  , José Roberto VANNI  , Orlando LIMONGI  , Luiz Fernando FARINIUK  , Erica Lopes FERREIRA
Published: April 2023

O objetivo deste trabalho foi comparar o tempo gasto pelo sistemaProFile.04 na remoção do material obturador do canal radicular em dentesobturados com o sistema Thermafil. Foram utilizados 30 caninos, divididosem dois grupos. Os espécimes foram preparados e então obturados como sistema Thermafil. Duas semanas após a obturação, iniciou-se oretratamento com o sistema ProFile.04, sendo a velocidade no grupo I de350 rpm e 2.000 rpm no grupo II. Os tempos de remoção foram submetidosà análise estatística, e houve diferença estatisticamente significante entreos dois grupos experimentais, sendo o grupo II mais rápido.
Estudo comparativo da ação do formocresol e glutaraldeído pós-pulpotomia – revisão de literatura
Authors: Sandra Maria Alves SAYÃO MAIA  , Paulo Gama RIBEIRO  , Érica Cristina MARCHIORI
Published: April 2023

As exposições pulpares ocasionadas por lesões de cárie ou traumas,na dentição decídua, freqüentemente resultam na necessidade depulpotomia, compreendida pela remoção do tecido que preenche acâmara pulpar – ou seja, polpa coronária – e proteção doremanescente radicular com um medicamento. Tal procedimentoconservador pulpar está indicado em dentes decíduos que seencontrem em fase inicial do processo de rizólise ou, idealmente,naqueles em que tal processo ainda não tenha se iniciado, além dosque apresentarem características inflamatórias reversíveis, requisitobásico para a manutenção da vitalidade pulpar. A presenteinvestigação teve por objetivo contribuir para a decisão terapêuticaacerca do uso do formocresol ou glutaraldeído como agentes químicosnas pulpotomias de dentes decíduos. A conclusão é que tanto oformocresol como o glutaraldeído não são fármacos totalmentebiocompatíveis, no entanto a pulpotomia seguida do uso doglutaraldeído sugere ser superior àquela com formocresol, poisapresenta menor índice de reações pulpares indesejáveis, quandousado a 2% por tempo igual a 5 minutos.
Estudo da prevalência de cárie dentária na dentição permanente em crianças de 6 a 12 anos da rede pública de ensino no município de Joinville (SC)
Authors: Claudia Gastaldi de M. M. Lopes CORREA  , Sylvio MONTEIRO JR.  , Maria Dalva SCHROEDER
Published: April 2023

Este estudo avaliou a prevalência de cárie e o índice de CPO-D em 640crianças escolares de 6 a 12 anos da rede pública de ensino, na cidade deJoinville (SC). A utilização de água de abastecimento fluoretada (métodosistêmico e contínuo), somada a pastas dentais, bochechos ou suplementos,determinou baixos índices de cárie em Joinville. A cidade apresentou umCPO-F de 2,6 aos 12 anos na população estudada, o que está de acordocom o preconizado pela Organização Mundial de Saúde.
Análise dos acidentes e complicações em cirurgias de terceiros molares inferiores retidos ocorridos em Curitiba (PR)
Authors: Fabiano Geronasso SIMÕES  , Gustavo Paizani SANTOS  , Márcia OLANDOSKI  , Odilon GUARIZA
Published: April 2023

A retenção dentária, principalmente dos terceiros molares, apresenta-secomo um problema de freqüência relevante que atinge indivíduos de todasas camadas sociais. Em termos estatísticos, o maior volume dessas inclusõesfica por conta dos terceiros molares, os inferiores com maior incidência queos superiores. Acidentes e/ou complicações são inerentes a qualquer atocirúrgico bucal. Tendo isso em vista, o objetivo deste trabalho foi analisar osacidentes e as complicações em cirurgias de terceiros molares inferioresretidos, por intermédio de questionário direcionado aos especialistas emCirurgia e Traumatologia Bucomaxilofacial. Neste estudo foram incluídos28 cirurgiões-dentistas, cujo tempo médio como especialista em Cirurgia e Traumatologia Bucomaxilofacial foi de 15,1 anos, com desvio-padrão de11,8 anos. O tempo mediano foi de 14,5 anos, o menor tempo de especialistaobservado foi de 1 ano e o maior foi de 47 anos. Considerando-se que otem po com o especialista apr esentou gr ande disper são entr e ospesquisados, os resultados obtidos no estudo em relação às diversasperguntas do questionário foram analisados pelo número de casos porano. Os resultados alcançados foram 61% de lesões do nervo alveolarinferior, 54% de hemorragia transoperatória e 50% de lesões do nervolingual. Conclui-se com o presente estudo que o número de acidentes ecomplicações é baixo, tornando-se ainda menor quando o tempo docirurgião-dentista na especialidade cresce.
Os efeitos dos fatores hormonais nos tecidos periodontais
Authors: Maria Dalva de Souza SCHROEDER  , Constanza Marin ODEBRECHT  , Maurício Colin Barbosa CORDEIRO  , Claudia Gastaldi de M. M. Lopes CORREA
Published: April 2023

Os autores apresentam um caso clínico de gengivite associada à placabacteriana, provavelmente influenciada por fatores hormonais (puberdade).São abordados no presente relato os aspectos clínicos, bem como o resultadoobtido após a realização de tratamento adequado.
Conduta clínica do cirurgião-dentista ante a avulsão dental: Revisão de literatura
Authors: Sandra Maria Alves SAYÃO MAIA  , Rosana Maria Coelho TRAVASSOS  , Érika Barbosa MARIZ  , Samuel do Monte MACÊDO  , Thiago Alves de ALENCAR
Published: April 2023

A avulsão dental caracteriza-se pela exarticulação do dente de seualvéolo. Sabe-se que a conduta clínica adotada após tal trauma não éunânime. O presente estudo compilou os trabalhos referentes aavulsões dentais, tendo por objetivo propor a conduta clínica maisadequada, analisando os procedimentos sugeridos pelos diversosautores. Ainda existe hesitação na conduta a ser tomada por partedos cirurgiões-dentistas diante da referida situação, mas há consensosobre o melhor meio de armazenamento quando o dente não éreimplantado no momento da avulsão e o tipo de contenção utilizada.A medicação intracanal a ser usada ainda é tema bastante controverso,bem como o uso de medicações perirradiculares antes do reimplante.
Dentes supranumerários retidos interferindo no tratamento ortodôntico
Authors: Luís Francisco Gomes REIS  , Allan GIOVANINI  , Eli Luis NAMBA  , Emanuela Lindaura Fazolin Matias da SILVA  , Michelle Andressa GARCIA
Published: April 2023

Dente supranumerário é definido como um distúrbio de desenvolvimentocaracterizado pela presença de um ou mais elementos dentários fora do númeroconsiderado normal de uma arcada. Na maioria das vezes o diagnóstico dapresença desse elemento é feito por exames radiográficos de rotina e tambémse torna imprescindível para o profissional quanto ao protocolo de tratamentoa ser seguido. O objetivo deste estudo é realizar uma revisão de literatura eapresentar um caso clínico de extração de dente supranumerário na face lingualda mandíbula. Com este trabalho concluiu-se que é importante dar atenção àpresença de dentes supranumerários para executar um planejamento cirúrgicoadequado, limitando possíveis complicações.
Injeção acidental de hipoclorito de sódio na região periapical durante tratamento endodôntico: Relato de caso
Authors: Renata Grazziotin SOARES  , Cristhiane DAGNESE  , Luis Eduardo Duarte IRALA  , Alexandre Azevedo SALLES  , Orlando LIMONGI
Published: April 2023

A finalidade deste trabalho foi relatar um caso clínico em que ocorreua injeção acidental na região periapical da solução irrigadora dehipoclorito de sódio 2,5% durante tratamento endodôntico de umprimeiro molar superior. Os autores demonstraram, por meio dadescrição deste caso clínico, que soluções concentradas de hipocloritode sódio, quando extrudadas inadvertidamente para a região periapical,causam danos teciduais, desconforto para o paciente e,conseqüentemente, dúvidas quanto à habilidade do cirurgião-dentista.
Avaliação da resistência de união de sistemas adesivos autocondicionantes em esmalte hígido e desgastado
Authors: Rubens Nazareno Garcia  , Bruno Valcanaia ZANINI  , Levi Dutra COSTA  , Maria Augusta LUZ  , Tarik TARABAINE  , David Rivero TAMES  , Márcia Gonçalves LUCENA  , Marcelo GIANNINI
Published: April 2023

Os objetivos deste estudo foram avaliar a resistência de união aomicrocisalhamento de sistemas adesivos autocondicionantes do tipoall-in-one em esmalte bovino hígido e desgastado e discutir algunsconceitos que envolvem esses adesivos no substrato esmalte. Forampreparados 78 incisivos bovinos com auxílio de lixas de carbeto desilício até obtenção de amostras de esmalte hígido e desgastado comaproximadamente 150 mm2. Aplicaram-se os adesivos Adper SingleBond 2 (3M Espe), One-Up Bond F Plus (Tokuyama Dental) e HybridBond (Sun Medical), e matrizes Tygon foram posicionadas sobre cadaamostra de esmalte hibridizado, sendo preenchidas em seu volume interno com o compósito Z250 (3M Espe). Após fotoativação,removeram-se as matrizes e expuseram-se os corpos-de-prova (n=13),que foram armazenados em água destilada a 37ºC por uma semana.Decorrido esse período, os corpos-de-prova foram unidos ao dispositivode teste e ensaiados em uma máquina universal de ensaios (EMIC DL500), com velocidade de 0,5 mm/min. A resistência de união foi calculadaem Mpa, e os dados foram analisados estatisticamente pela Anova epelo teste de Tukey (p<0,05). Os resultados indicaram que os dentescom esmalte desgastado apresentaram maior média de resistência deunião para todos os adesivos testados. O adesivo Adper Single Bond 2teve maior média de resistência de união, com diferença estatisticamentesignificativa em relação aos adesivos autocondicionantes, que nãoapresentaram diferença estatística entre si.
Lesões endoperiodontais – considerações clínicas e microbiológicas
Authors: Carolina Fiamoncini FAGUNDES  , Carmen Mueller STORRER  , Andrea Maria de SOUSA  , Tatiana M. DELIBERADOR  , Tertuliano R. LOPES
Published: April 2023

A polpa e o periodonto possuem uma estreita ligação entre si, e umpode interferir na saúde do outro. São vários os caminhos pelosquais essa interação ocorre; os principais são o forame apical, oscanais acessórios, os canais laterais e os túbulos dentinários.Quando uma lesão acontece ao mesmo tempo na polpa e noperiodonto de um dente, é denominada lesão endoperiodontal. Umcorreto diagnóstico é de suma importância para o estabelecimentodo melhor plano de tratamento das lesões endoperiodontais. Otratamento delas consiste na terapia endodôntica, na terapiaperiodontal ou ambas. Similaridades são encontradas nas florasmicrobianas da polpa e do periodonto, mas os tipos microbianosexistentes no canal são mais restritos do que os encontrados noperiodonto. Neste artigo, uma revisão de literatura foi realizadacom o objetivo de auxiliar no conhecimento clínico e microbiológicodas lesões endoperiodontais. O presente trabalho fará uma breve revisão de literatura abordando os efeitos que os tecidos periodontale pulpar podem exercer um sobre o outro, a fim de ajudar na escolhada melhor forma de tratamento.
Agentes mirins de saúde: uma estratégia para formar multiplicadores de conhecimento
Authors: Rubens Nazareno GARCIA  , Elisabeth Barth ALMEIDA  , Elisa Gugelmin DISTÉFANO  , Elisa FARENZENA  , Rafaela MENEGOL  , Denise MENEGAT  , Malú MAURICIO  , Alice Cesário PEREIRA  , Bruna Larissa DEGOBI
Published: April 2023

Introdução e objetivos: Além de atores, as crianças podem participarativamente no processo de educação em saúde. Os objetivos desteprojeto foram ensinar educação em saúde para algumas criançasassistidas pela Combemi/Unidade São Judas (Itajaí/SC) e avaliar se aestratégia de formação dos agentes mirins de saúde foi efetiva paraque estes pudessem se tornar multiplicadores de conhecimento. Material e métodos: Foram selecionadas sete crianças de 7 anos deidade, nomeadas agentes mirins de saúde, que inicialmente fizeramuma avaliação oral composta por seis questões (duas de cada área –Fonoaudiologia, Nutrição e Odontologia). Durante o períodosubsequente de oito meses, os agentes mirins receberam treinamentosobre educação em saúde e no final desse período fizeram umaavaliação escrita com cinco questões de cada área. Resultados econclusão: A análise das avaliações realizadas no início e no términodo projeto comprova que a adoção da estratégia de formação dosagentes mirins de saúde parece ser um método eficiente, na medidaem que as crianças colocam em prática o que aprendem, tornando-semultiplicadoras de conhecimento. Os registros efetuados podemter aplicação direta na avaliação e reorientação do programa, assimcomo individualmente no modelo liberal das áreas profissionaisenvolvidas.
Comparação da infiltração apical entre os cimentos obturadores AH Plus, Sealapex, Sealer 26 e Endofill por meio da diafanização
Authors: Cristina REISS-ARAÚJO  , Sinara Saúde de ARAÚJO  , Flares BARATTO FILHO  , Luciana Carvalho REIS  , Sandra Rivera FIDEL
Published: April 2023

Introdução e objetivo: Analisar a infiltração dos cimentos AH Plus®,Sealapex®, Sealer 26® e Endofill® por meio da diafanização. Materiale métodos: Cinquenta dentes humanos unirradiculares tiveram suascoroas removidas e seus canais preparados pela técnica de Oregonmodificada. Depois do preparo químico-mecânico, os dentes foram obturados com cone de guta-percha e quatro diferentes tipos decimentos endodônticos: grupo I: AH Plus®; grupo II: Sealapex®; grupoIII: Sealer 26® e grupo IV: Endofill®. Os outros dois grupos servirampara o controle positivo (cinco dentes) e negativo (cinco dentes). Apósa obturação, os dentes permaneceram em soro fisiológico a 0,9% por60 dias, simulando a situação de umidade bucal. Passado esse período,eles foram impermeabilizados com três camadas de esmalte de unhae, depois de secos, imersos em tinta nanquim e colocados na estufa a37°C por 48 horas. Após esse intervalo de tempo, as unidades de estudoforam lavadas em água corrente por 24 horas, as camadas de esmalteforam removidas com lâmina de bisturi e os dentes foram diafanizados.Resultados e conclusão: Os resultados mostraram diferençasinsignificantes entre os materiais testados, tendo assim umcomportamento semelhante na infiltração marginal apical.
Avaliação comparativa entre o diâmetro de cones estandardizados e cones secundários B8 calibrados por régua calibradora, distando 1 mm das suas pontas (D1)
Authors: Fernanda WAECHTER  , Raquel de Oliveira ANTUNES  , Luis Eduardo Duarte IRALA  , Orlando LIMONGI
Published: April 2023

Introdução e objetivos: O presente estudo teve como objetivos avaliare comparar as medidas do diâmetro D1 de cones estandardizados esecundários calibrados com régua calibradora por meio da mediçãodo primeiro milímetro dos cones com um paquímetro digital. Materiale métodos: Utilizaram-se dez cones de guta-percha estandardizadosde cada calibre (#25, #30, #35 e #40), marcas Dentsply/Maillefer e Tanari, e cones secundários B8 calibrados por régua calibradora,perfazendo um total de 160 cones. Com o auxílio de um paquímetrodigital eletrônico foi verificado o diâmetro a 1 mm da ponta do cone(D1). Resultados: Em uma das marcas houve diferença significativaentre os cones padronizados e os calibrados. Quando se comparou ocalibre dos cones padronizados das duas marcas, também ocorreudiferença estatística, o que não aconteceu com os cones calibradospor régua calibradora. Conclusão: Os cones Tanari, em média, tiveramum resultado superior aos calibrados e aos da marca Dentsply, nessaordem.