bluuebunny/crossref_metadata_2025 huggingface dataset:
Integrating Digital Multimodal Composition into EFL Writing Instruction
Authors: Maghsoudi Najmeh , Golshan Mohammad , Naeimi Amin
Published: April 2022

Research background: Digital multimodal composition has recently received paramount attention in the instruction of second language writing. Gap in knowledge: Although the merits of digital multimodal composition have widely been acknowledged by many scholars, the instruction of English writing has still remained monomodal in Iran.Purpose of the study: The present quasi-experimental study aimed to investigate the differential impacts of the two types of writing (multimodal/monomodal) on English as a Foreign language (EFL) learners’ writing ability in terms of content, communicative achievement, organization, and language across five times.Methods: To this end, two intact groups, including 59 EFL learners at a university in southeastern Iran participated in the study. The participants were assigned into two comparison groups of multimodal (n = 30) and monomodal (n = 29) compositions. The students in the multimodal group composed five digital essays, while the monomodal group used only the textual mode to produce their essays throughout the semester. Following a repeated measures design, the researchers assessed the participants’ writing ability across five times. A mixed between-within ANOVA was conducted to address the research questions.Findings: The results revealed that both groups showed significant improvement in their writing ability across time. Furthermore, the multimodal group outperformed the monomodal group in their writing ability.Value added: The findings suggest that writing instructional practices in Iran should be redefined and updated to accommodate the needs and expectations of the twenty-first century learners.
The Effect of Comprehensive Written Corrective Feedback on EFL Learners’ Written Syntactic Complexity
Authors: Valizadeh Mohammadreza
Published: April 2022

Research background: The effectiveness of Corrective feedback has been a controversial issue and thus a central part of second language writing instruction worldwide.Gap in knowledge and Purpose of the study: It has been argued that the provision of written corrective feedback can affect the complexity of the written text negatively, and the issue is not sufficiently investigated. Therefore, this studyinvestigated the effects of two types of comprehensive written corrective feedback strategies: direct corrective feedback (DCF), and metalinguistic explanation (ME) on L2 learners’ written syntactic complexity.Methods: This study was quasi-experimental and used a pretest-intervention-posttest-delayed-posttest design. Participants were 90 Turkish EFL upper-intermediate learners, whose L2 proficiency and L2 writing skills were controlled by administering the Oxford Placement Test and the IELTS Writing Task 2 test. They were assigned to three groups: DCF, ME, and NF (i.e., no feedback on grammatical errors).The treatment/control period lasted for five weeks. Every week, each participant wrote an essay of argument-led type in class and then received the specified feedback. No work was done on writing for the two-week interval between the posttest and delayed posttest. Lu’s (2010) web-based L2 Syntactic Complexity Analyser was utilised to calculate the syntactic complexity measures. The MANOVA test was utilized to find the results.Findings and Value added: It was revealed the ME group was not significantly different from the NF group. The DCF group significantly outperformed the ME group in the clauses per sentence (C/S) of the texts both in posttests and delayed-posttests. The DCF group also significantly outperformed the NF group in the clauses per T-unit (C/T), complex T-units per T-unit (CP/T), and C/S in posttests, but the positive effect of the DCF on CP/T was not durable after the two-week interval.
The Effects of Extensive Journal Writing on the Vietnamese High-School Students’ Writing Accuracy and Fluency
Authors: Pham Vu Phi Ho , Tran Tuyen Thi Thanh , Nguyen Ngoc Hoang Vy
Published: April 2022

Background: The innovation of an extensive journal writing approach has made a big difference in the field of teaching academic writing. Previous studies found mixed results relating to whether journal writing could help students enhance their writing accuracy. Purpose: The purpose of the current study is to investigate whether extensive journal writing (EJW) affects EFL high school students’ writing accuracy and fluency in the writing classroom.Method: Sixty students in one of the high schools located in Tra Vinh city participated in the study. The quasi-experimental study was conducted in ten weeks. The participants were divided into two groups, namely the control group and the experimental group. Students’ writing papers, including pre-tests and post-tests, were collected for data analysis. Inter-raters were employed for analytic rating scales and written errors analysis. Results: The results show that extensive journal writing had significant effects on the students’ writing performances compared to those of students in the control group. Additionally, the number of words written in the students’ post-test was increasing. Implication: The current study’s findings were innovative to the body of literature as the EJW could help students enhance their writing performances.
The Role of Plurilingual Pedagogy in Affirming Immigrants’ Identities in Canada
Authors: Zeaiter Lana
Published: April 2022

Background and Purpose: This perspective article supports the need of an alternative plurilingual model to teaching languages to assert immigrants’ identities in Canada. Approach: It examines the interplay between language and identity in immigration contexts, and investigates current language teaching models, including limitations, adopted in Canada. Although the article discusses the case of Quebec where the official language is French, it is not limited or restricted to a specific context. The case of Quebec is only given as an example to illustrate potential challenges immigrants might face in Canada. Results and Implication: This article sheds light on advantageous future research orientations pertaining to immigrants’ identities in the language learning process. It can also inform language policies and pedagogies in Canada and other immigration contexts.
Preparation of 100mg/ml kanamycin solution v1
Authors: Molloy Jenny , not provided mowohnadine
Published: April 2022

Kanamycin is an aminoglycoside antibiotic which binds the 30S ribosomal subunit; causes mis-translation. It is used for the selection of cells containing Kanamycin-resistant plasmids on plates and on liquid media at a working concentration of 50-100 µg/mL. It is most often prepared as a 1000x working stock of 50 -100 mg/mL that is stored at -20 ºC. The kanamycin solution is measured and then mixed into a container of liquid or plate media before it has solidified. Cells are then streaked onto the plates or grown in the liquid media. Only cells containing the plasmids resistant to kanamycin will grow.
[RETRACTED] Goddess Molecule Complex Reviews – Is This A Weight Loss Formula For Long-term Results? v1
Authors: not provided officialtillypeters
Published: April 2022

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📢𝐅𝐚𝐜𝐞𝐛𝐨𝐨𝐤 : https://www.facebook.com/Goddess-Molecule-Complex-105135518850819 📢𝐘𝐨𝐮 𝐭𝐮𝐛𝐞 : https://www.youtube.com/watch?v=LWOnrGUIPtk
[RETRACTED] NextGen Keto Reviews - Does NextGen Keto Pills Scam Or Legit? v1
Authors: Keto Pills Reviews Express
Published: April 2022

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NextGen Keto Reviews - Does NextGen Keto Pills Scam Or Legit?
[RETRACTED] GlucoTrust Reviews: Does Gluco Trust Work? What They Won’t Show You! v1
Authors: not provided GlucoTrustSugar
Published: April 2022

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GlucoTrust
[RETRACTED] Keto Extreme ZA (South Africa) GREAT SUPPLEMENT FOR LOSING WEIGHT INSTANTLY! v1
Authors: Jarilloster Ja
Published: April 2022

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Keto Extreme Fat Burner South Africa
[RETRACTED] Vert3x Perk Male Enhancement - Is it Safe? Do NOT Buy Before Reading This! v1
Authors: A H
Published: April 2022

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within the limits of their education and training, provide advice and information on appropriate control
[RETRACTED] Oprah Winfrey CBD Gummies Reviews v1
Authors: CBD Gummies Uly
Published: April 2022

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Oprah Winfrey CBD Gummies Reviews
[RETRACTED] Keto Extreme Fat Burner South Africa : Shark Tank Reviews Official Store (Website)! v1
Authors: not provided justinbellysaw
Published: April 2022

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The greater part of the numberof inhabitants in the United States is managing hard to achieve the best thin figure by lessening every one of the additional fats from the body. Overweight circumstances make an individual frail and sluggish, which draws in a few medical problems. Keeping a sound way of life and a thin figure is important to have a solid existence. There is a high pace of positive results of the keto diet in the weight reduction venture. A great many people are into the keto weight reduction process. Yet, it functions admirably with the dietary enhancements that diminish every one of the additional fats from the body.
[RETRACTED] Vert3x Perk Male Enhancement v1
Authors: A H
Published: April 2022

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strategies, including health surveillance, risk communication, monitoring and on the evaluation of control strategies.
[RETRACTED] Sports Illustrated Intensi-T Reviews - One Capsule A Day Is All You Need To See Results (Work Or Hoax) v1
Authors: Illustrated Intensi-T Sports
Published: April 2022

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Sports Illustrated Intensi-T
[RETRACTED] Gorilla Flow Reviews: Ingredients, Facts, Price & Side Effects! v1
Authors: Flow Gorilla
Published: April 2022

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Gorilla Flow
[RETRACTED] Scam Alert:- GrownMD CBD Gummies - Shark Tank, Reviews, Website, Price, Where to buy v1
Authors: not provided jimmysems
Published: April 2022

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Thus, GrownMD CBD Gummies is regarded as the astonishing product. It comes with lots of health advantages which are highly hard to believe. Feel the proven link between a product that's therapeutic is organically developed in the USA.
[RETRACTED] Trimax Keto v1
Authors: Douglas Morris H
Published: April 2022

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mental health professionals who are trained to assess whether your child has a mental health problem.
The Impact of Economic Growth and Trade Openness on Environmental Degradation: Evidence from A Panel of ASEAN Countries
Authors: A'yun Indanazulfa Qurrota , Khasanah Uswatun
Published: April 2022

Global warming and climate change show a decrease in environmental quality. The main cause of global warming is the emission of carbon dioxide (CO2). This study aims to analyze the effect of economic growth and economic openness on environmental quality in ASEAN countries from 2010 to 2019. This research uses a panel data analysis method. The analysis results show that the variable economic growth has a negative and significant effect on carbon dioxide emissions. Meanwhile, the variables used for economic openness are exports, imports, and FDI. Export and FDI variables have a positive and significant effect on CO2 emissions, but there is no effect on imports. This study also used population variables as control variables and the result is there is no effect on CO2. Based on the results, it is necessary to have a carbon emission reduction policy for ASEAN countries using environmentally friendly technology.
A study of serum sodium and potassium levels in subjects of acute myocardial infarction in a tertiary care hospital in Eastern India
Authors: Das Siladitya , Saha Satyendra Nath
Published: April 2022

Background: Cardiovascular disease is one of the most common causes of morbidity and mortality around the world. In countries like India, there is difference in the lifestyle and behavioural risk factors among different areas. There is existence of rural-urban, Eastern-Western-Northern-Southern zonal differences. Studies done in other parts of India may not completely be applicable to Eastern Indian population. Serum electrolytes play an important role in maintaining electrophysiological homeostasis of the myocardial membrane, and alterations of these electrolyte levels can affect the pathogenesis, complications of myocardial infarction. Major serum electrolytes affecting the myocardial electrophysiological properties are sodium, potassium. Hence, this study was undertaken keeping in mind the miniscule lacunae in current knowledge especially pertaining to diseases in Eastern Indian population.Methods: 50 consecutive patients in the age group of 30-70 years admitted in the medicine department of Burdwan medical college with recent onset acute chest pain, diagnosed to be acute myocardial infarction were taken, their serum sodium, potassium levels were determined and these levels were compared among these patients with and without risk factors.Results: Serum sodium was decreased among patients with history of smoking, hypertension, BMI ≥25, complicated by atrial fibrillations. Serum potassium was decreased in patients with hypertension, BMI ≥25, ventricular premature complexes and increased in smokers, alcoholics.Conclusions: Electrolyte imbalances are common in patients of Acute Myocardial Infarction. Hypokalemia and hyponatremia were present and they were associated with cardiac complications. They adversely affect prognosis, so should be corrected.
Randomized double blind comparative study on efficacy and safety of oral oxaceprol 200 mg versus oral diclofenac 50 mg in patients with moderate osteoarthritis
Authors: Adamrafi P. G. M. , Prayaga Usha Kiran , Venkateswarlu B. S. S.
Published: April 2022

Background: Osteoarthritis of knee is the most common form of arthritis globally, approximately 250 million people are suffering from osteoarthritis of the knee alone throughout the world. It is a chronic joint disease leading to cause cartilage degradation that involves synovial Inflammation, Subchondral bone remodelling, and Formation of osteophyte pathologically, which leads to cause pain, joint destruction and difficulty in walking. Aim of the current study was to compare the safety and efficacy of oxaceprol 200 mg versus diclofenac 50 mg in patients with moderate osteoarthritis and to determine cost-effectiveness between these two drugsMethods: this is a randomized controlled study, in our study total of 94 patients were screened, of which 85 patients met inclusion & exclusion criteria. In this, 78 members gave written informed consent, they were randomly assigned by double-blind fashion into two treatment groups (oxaceprol and diclofenac). Results were analyzed by applying paired and unpaired student t-test by using SPSS softwareResults: In our study, both oxaceprol and diclofenac were extremely significant in reducing joint pain and joint stiffness and improving physical activity, but when comparing with one another oxaceprol group showed better results in improving physical activityConclusions: From our study, it is concluded that oxaceprol is equally efficacious as diclofenac in reducing knee pain, joint stiffness but more efficacious than diclofenac in improving physical activity of patients by enhancing bone remodelling.
Effect of honey and ginger mixture on productive cough in pediatrics patients
Authors: Jaybhaye D. L. , Chandra S. , Johar S. , Nagre A. S.
Published: April 2022

Background: Cough is common problem in pediatric age. Most of the parents use over the counter drugs along with cough syrups. Most of the cough syrup causes drowsiness and sedation as an adverse effect. So considering this we use ginger and honey mixture for treatment of productive cough to see its effectiveness. In Ayurveda, it is used since ancient time and in Indian it is used for home remedy for treatment of cough.Methods: We selected patient attended pediatric outpatient department (OPD) complaining of productive cough. We selected 90 patients and divided in to three groups 30 patient in each group. Group I we gave antibiotics, antihistaminic with syrup ascoril (ambroxol 30 mg/5 ml and levosalbutamol 1 mg/5 ml and guaifenesin 50 mg/5 ml). Group II antibiotics, antihistaminic with honey and ginger mixture. In group III we gave antibiotic with antihistaminic along with both honey and ginger mixture with syrup ascoril. After this complete follow up to 10 days on mobile performed. We observed for occurrence of any deterioration of condition with occurrence adverse effect and how many days were required for improvement of patient condition.Results: We got very promising results were we saw improvement in symptom in 6 day with honey and ginger group as compared to cough syrup group were p value is significant and highly significant (<0.005 and 0.001 respectively) with minimal acceptable adverse effect.Conclusions: So from our study we can conclude the honey and ginger mixture is promising treatment of productive cough with less side effects.
Evaluation of safety and tolerability of iron amino acid chelate therapy in pregnant women
Authors: Chandra Sunita , Mohanty Surya Narayan , Gupta Manju , Purohit Vinay , Parekar Reshma
Published: April 2022

Background: Anemia is a major health problem. Iron deficiency is the most common cause of anemia during pregnancy. It can be associated with increased preterm labor, preeclampsia, and maternal sepsis. It can also lead to fetal loss or even perinatal deaths. The aim of the study was to monitor the oral iron therapy [Iron Amino Acid Chelate (IAAC) equivalent to elemental iron 30 mg] administered according to hospital practice and to determine the safety, and tolerability of IAAC in pregnant women.Methods: The data of pregnant women attending the outpatient department of the hospital for antenatal care between March 2020 and February 2021 and prescribed IAAC was retrospectively analyzed. It was of interest to note the changes in the Hemoglobin (Hb) levels and serum ferritin levels. These parameters were considered as the primary efficacy parameter and were analyzed by the paired t-test.Results: The data indicated very well tolerance to IAAC preparation with increase in Hb levels. After 12 week of treatment, there were significant increases in hemoglobin levels with mean rise in Hb level was 7 to 9 gm/dL. A statistically significant difference was observed at the 4th, 8th, and 12th weeks from the baseline value to each evaluation in the Hb level due to the supplementation of oral iron.  The change in the serum ferritin levels was found to be statistically significant at the 12th week from the baseline values. Most of the women tolerated the oral IAAC preparationConclusions: This retrospective analysis showcased a significant improvement in the Hb and serum ferritin levels of pregnant women after 12 weeks.
A study on the effectiveness of nicotine and counselling in tobacoo smoking cessation
Authors: Bala Neetu , Bansal Rekha , Sharma Parveen K. , Kansal Dinesh , Prajapati Himani
Published: April 2022

Background: Effectiveness of pharmacotherapy and counselling has been suggested by various research workers in smoking cessation, but studies show variable results with pharmacotherapy. Also efficacy of counselling and pharmacological intervention differs from centre to centre. So we conducted this study, to observe the role of counselling and nicotine gums in our setup.Methods: 86 smokers willing to quit smoking were enrolled. Baseline counselling was provided at the time of enrolment, then at 1 week, 1 month, 3 months and at 6 months. Telephonic counselling was given to those who did not come for face to face counselling. Nicotine gums were prescribed for 3 months duration. At the end of 12 months, follow up outcome was measured.Results: At 1 week 24% smokers, at 1 month 23%, at 3 months 12% and at 6 months 33% smokers attended face to face counselling session. At 1 week 66%, at 1 month 57%, at 3 months 63% and at 6 months 59% smokers received telephonic counselling. Nicotine gums were used by only 76% smokers. Out of those who used nicotine gums, only 3% used gums for 3 months duration and 97% stopped prematurely. Among those who used gums, 29% experienced side effects. Total 22 (26%) smokers stopped smoking at 12 months.Conclusions: Less number of smokers coming for follow up counselling visits, suggest lack of motivation. Alternative counselling, like telephonic counselling, was much more accepted and was found to be helpful. Acceptance of nicotine gums was very less which also shows the lack of motivation. Abstinence rate of 26% shows that counselling and nicotine gums help in quitting smoking.
Drug utilization study of anti-hypertensive drugs and prescription pattern adherence with joint national committee-8 guideline
Authors: Suthar Karan M. , Dumra Gurusharan H.
Published: April 2022

Background: Hypertension is a major and serious non-communicable disease. It is also a major risk factor for cerebrovascular strokes, coronary artery thrombosis, and renal failure. The overall prevalence of hypertension in India is 29.8%. Joint national committee-8 guidelines on prevention, detection, evaluation, and treatment of high blood pressure highlight that aggressive blood pressure control is essential for the reduction of hypertension-associated morbidity and mortality.Methods: It was a cross-sectional, observational study. Prescriptions were collected from four pharmacy stores located in four different areas of Ahmedabad over a period of 2 months. These were analysed along with relevant co-morbidities and, the level of prescription pattern adherence was assessed as per JNC 8 guidelines. Appropriate statistical tests were applied for analyses of collected data.Results: A total of 321 prescriptions were collected. Out of them, 186(57.9%) were prescribed to male patients while 135 (42.1%) were for female patients. Mean systolic and diastolic blood pressure was found to be 152 mmHg and 91 mmHg respectively. The mean age of the patients was found to be 44.63 years. A total of 209 (65.1%), 91 (28.34%), 21 (6.54%) prescriptions had monotherapy, dual therapy, and polytherapy for treating hypertension respectively. Amlodipine (CCBs) was found to be the most commonly prescribed medicine as a monotherapy. The overall adherence rate was found to be 77.88%.Conclusions: The present study demonstrated that medical professionals are not completely adhering to standard guidelines while prescribing antihypertensive drugs. There is substantial scope for improvement, particularly the utilization of antihypertensive agents in patients of the pre-hypertension category, where non-pharmacological measures play an important role to treat the condition.
Asthma management with combination of fluticasone and formoterol: the Indian perspectiverspective
Authors: Jaboy Bibin , O. Rohit K. , . Ashna , A. Nithin , Selvaraj Harikrishnan , Khan Sujeer , Jamsheer A. K. , . Karthik , Salimath Shivalingaswamy , Ram Aravind , Viswesvaran B. , Purohit Vinay , Bhojwani Khushboo
Published: April 2022

Asthma is a major health problem globally that affects people across all the age groups. The prevalence of asthma is increasing worldwide, especially in the low- and middle-income countries. Asthma is controlled with inhaled corticosteroid (ICS) with as-needed or daily low-dose therapy. A step-up therapy to daily combination treatment with low- or medium-dose ICS/long-acting β-agonist (LABA) may be required for those with persistent symptoms. Asthma control levels are low despite the availability of many therapies. The efficacy of inhaled asthma therapy is dependent on the efficiency and reliability with which the drug is delivered to the lungs. Combination of an ICS and a LABA in a single inhaler is a safe, effective, and convenient treatment option for asthma management. Fluticasone and formoterol in combination ensure high potency action against anti-inflammation and rapid bronchodilation, and is a well-established ICS-LABA dual therapy. Rapid bronchodilator action of formoterol and fluticasone’s long-term action against inflammation are vital clinical attributes for optimal asthma maintenance treatment. Fluticasone/formoterol combination therapy is an efficacious and safe alternative treatment option for patients with moderate to severe asthma. The combination of the two in a single inhaler is beneficial with regards to ease of administration and patient compliance.
Carcinogen tainted generic drugs: a matter of concern
Authors: Bhardwaj Ankit , Mukherjee Shoma
Published: April 2022

The burden of non-communicable diseases is progressively on a rise across the globe with India contributing to a substantial quantum. Nearly 63% of total deaths in India are due to non-communicable diseases, of which 27% are due to cardiovascular diseases (CVDs). High blood pressure is among the most important risk factors for CVDs. Data (from 1950 to 2014) on hypertension in the Indian populace, revealed a high overall prevalence of 29.8% (95% CI 26.7-33.0), showing a constant rise and a marked increase in urban (33.8%) population than in rural (27.6%),
Clinical study of non-gall stone induced pancreatitis in a tertiary care centre
Authors: Dogra Varun , Ahmed Rabia Nazir , Peer Javid Ahmad , Gilkar Ishfaq Ahmad
Published: April 2022

Background: Acute pancreatitis is a serious condition caused by an acute inflammatory cascade in the pancreas usually with symptoms of upper abdominal pain and increased pancreatic enzymes in blood, urine, peritoneal fluid at least 3 times above the normal. Presence of permanent, morphologic and functional damage differentiates acute and chronic pancreatitis. Aims and objectives: The aims and objectives of this study was to study the aetiology of non-gall stone induced pancreatitis.

Methods: It was an observational hospital-based study, which was designed and conducted in the department of general surgery, school of medical science and research, Sharda University, Greater Noida.

Results: The mean age of study population was 33 years. Among 100 patients 5 patients were in age group of ≤20 years, 47 in 21-40 years, 31 in 41-60 years and 17 in >60 years. The study consisted of 100 patients among which the male to female ratio was 1.7. In our study, in 18% of the patient’s alcohol was found to be the causative agent of acute pancreatitis. Hypertriglyceridemia and drugs as causative factor were seen in 15 and 7 patients respectively. No cause could be identified in 30% subjects.

Conclusions: Acute pancreatitis is a disease with high morbidity and mortality throughout the globe. Among the non-gall stone induced pancreatitis idiopathic and alcohol was found to be the commonest causative factor followed by others.
Prosthodontic rehabilitation of a pediatric patient with hypohidrotic ectodermal dysplasia: a case report
Authors: Gupta Pinki , Singh Ankita , Yadav Himanshi
Published: April 2022

The aim of this case report was to prosthodontically rehabilitate and boost the psychological development of the patient. Ectodermal dysplasia is a hereditary condition presented with abnormal development of tissues of ectodermal origin such as hair, skin, nails, and teeth. This condition generally presented with following signs and symptoms; dental abnormalities, onychodysplasia, hypohidrosis, and hypotrichosis. Ectodermal dysplasia usually has an X-linked recessive trait, with most common being of hypohidrotic ectodermal dysplasia also known as Christ-Siemens-Touraine syndrome. This case report describes the prosthetic rehabilitation with conventional dentures in maxillary arch and tooth supported overdenture in mandibular arch of a young boy with hypohidrodic ectodermal dysplasia. Prosthetic treatment is very helpful to these patients from functional, psychological, and psychosocial points of view. Need for continued dental treatment is necessary.
Factors contributing to poor outcome in COVID associated mucormycosis
Authors: Sachdeva Kavita , Tom Stephy M. , Raj Lakshmy V. , Saini Soumya , Kabade Mayur V. , Shukla Amrita
Published: April 2022

Background: Mucormycosis is an uncommon but a fatal fungal infection that usually affects patients with altered immunity. Mucormycosis is proven to be a life-threatening condition. This occurred in the delta variant epidemic of coronavirus in India. This prompted us to conduct a systematic review of deaths in mucormycosis to know its temporal associations in relation to comorbidities, association with drugs being used in COVID-19 and overall characteristics of patients with its outcome.

Methods: This retrospective study was conducted over 21 deaths out of 140 mucormycosis patients in the tertiary care centre between time period from May 2021 to July 2021. Based on the detailed history, clinical examination, endoscopic examination, blood investigations and radiological investigations, data was collected and analysed.  

Results: In the study 19 patients were post covid and 2 were COVID positive at the time of admission to the hospital. 13 patients were having random blood sugars above 300 and 8 were having below 300 mg/dl. 13 patients had diabetic ketoacidosis. The maximum C-reactive protein (CRP) values was 200 and declined on treatment. The prothrombin time international normalized ratio (PT INR) values range between 0.99 and 1.3. Serum electrolytes were found to be normal in most of the patients. In the present study, 3 patients had electrolyte imbalance not responding to treatment. According to computed tomography/magnetic resonance imaging (CT/MRI) findings,12 had pansinusitis, 3 had pansinusitis with orbital cellulitis, 5 had pansinusitis with cavernous sinus thrombosis and 1 had pansinusitis with mandibular osteomyelitis.

Conclusions: Early diagnosis, prompt treatment of comorbidities and immediate surgical debridement prevents death in mucormycosis patients.
Prevalence of hypokalemia in a patients of post COVID-19 mucormycosis receiving injection liposomal-amphotericin B at tertiary care hospital
Authors: Sachdeva Kavita , Kabade Mayur V. , Shukla Amrita , B. Anjalikrishna , Raj Lakshmy V. , Maria Tom Stephy
Published: April 2022

Background: Hypokalemia is one of the most common electrolyte disturbances seen in clinical practice and in patients receiving liposomal-amphotericin B (L-AMB). The aim of this retrospective study was to examine the prevalence of hypokalemia in patients of post COVID-19 mucormycosis receiving L-AMB and to evaluate common presenting symptoms of hypokalemia in them.

Methods: The present study was conducted as a retrospective study on 100 patients of post COVID-19 mucormycosis who received L-AMB for 1st time between May 2021 and August 2021 at department of otorhinolaryngology and head and neck surgery, Netaji Subhash Chandra Bose medical college and hospital, Jabalpur, Madhya Pradesh, India.                                                                                                                  

Results: In the present study, hypokalemia of varying grades occurred in 23% of the patients, making it an adverse event that requires attention and correction. Hypokalemia is reported in middle aged adults, more in males compared to females and at doses less than 2 gm of L-AMB. Majority (91.30%) of the patients of mucormycosis who developed hypokalemia presented with generalized weakness, anorexia and muscle cramps followed by nausea which is seen in 82.60% patients. Constipation, bloating and abdominal pain being other presenting symptoms in them seen in 56.50%, 56.50% and 52.20% patients respectively.

Conclusions: Hypokalemia is a common electrolyte disorder occurring in patients receiving L-AMB which if undetected can be life threatening. Adequate medical management of these patients not only requires proper antifungal administration but also management of electrolyte imbalances related to the administration. L-AMB is a life-saving drug provided it is used judicially and with utmost care.

 
Impact of chronic otitis media on mental health
Authors: Thomas Imelda Rani , Ramlan Sharwak
Published: April 2022

Background: Chronic otitis media can lead to a decline in health-related quality of life as well as social behaviour, putting persons at risk for depression, anxiety, and interpersonal antagonism. The goal of this study is to look at the relationship between depression, anxiety, and stress and also to assess the quality of life in CSOM patients. Objectives of the current investigation was to study the correlation of depression, anxiety and stress in patients suffering from CSOM and to know the quality of life in patients suffering from CSOM.

Methods: This is a cross-sectional study conducted at tertiary care hospital of Karnataka. Ninety-four patients of chronic suppurative otitis media were included in the study. The measurement of hearing loss was carried out by pure tone audiometry and the depression, anxiety and stress were scored taking depression, anxiety and stress scale and quality of life was assessed with chronic ear survey questionnaire.

Results: Patients with bilateral ear affected was found to have statistically significant depression and anxiety. Positive correlations found between DASS and CES score with hearing loss.

Conclusions: Depression, anxiety and stress in patients with CSOM caused by symptoms and saactivity restriction should be assessed during and after treatments and risk factors should be identified so that counselling and appropriate medications can be utilized to treat it if required. It will guide health care providers and researchers in effectively managing the impacts of CSOM.
Role of preoperative tympanometric evaluation of eustachian tube in patients undergoing type-1 tympanoplasty for chronic otitis media
Authors: Gopalakrishnan Gopika , George Shibu
Published: April 2022

Background: A dysfunctional eustachian tube can cause failure of middle ear pressure regulation which leads to chronic otitis media and tympanoplasty failure. The functional status of eustachian tube can non-invasively be assessed prior to tympanoplasty by impedence audiometry. This help to predict the outcome of the procedure as well as aid surgeons to plan the surgery accordingly. The aim of the study was to determine the role of pre-operative tympanometric evaluation of eustachian tube function in patients with chronic otitis media.

Methods: This study was conducted on 42 patients with chronic otitis media underwent type-1 tympanoplasty in department of otorhinolaryngology, Government Medical College, Kottayam over a period of one year. Detailed history, clinical and audiological evaluation done. Type-1 tympanoplasty performed and reassessed after 3 months. Data compiled and analysed using SPSS.

Results: Intra-operative findings were similar to the audiometric results. Majority of patients with dysfunctional eustachian tube got a non-satisfactory hearing outcome compared to patients with good eustachian tube function, and this comparison is statistically significant with p value 0.006. The graft uptake in patients with dysfunctional eustachian tube is poor compared to patients with good eustachian tube function, which is statistically significant with p value 0.013.

Conclusions: Impedence audiometer can very reliably assess and ascertain eustachian tube dysfunction pre-operatively. The outcome of type-1 tympanoplasty in patients with eustachian tube dysfunction is uniformly poor. Better outcome probably would be gained by using more resilient materials like cartilage.
Study of bacteriology of chronic suppurative otits media in a teaching hospital: a prospective observational study
Authors: Paramban Shainshad Kondotty , Patil Mallikarjun N. , Neelamkavi Niya Joseph
Published: April 2022

Background: Otitis media (OM) is an infectious disease that frequently affects all age brackets, including children and adults. The morbidity and complication rates of OM have been increasing in developing countries due to poor medical environments for early treatment, resulting in reductions in quality of life. Appropriate early treatment, including the use of appropriate antibiotics, is essential, requiring information on bacteriology and antibiotic sensitivity. The objective of this was to study the bacteriology of chronic suppurative otitis media (CSOM) and provide recommendations according to susceptibility pattern to commonly used antibiotics based on the experience of ENT department in S. Nijalingappa Medical College.

Methods: Ear swabs were subjected to culture on specific culture media for bacterial growth for CSOM outpatients in S. N. Medical College, Bagalkot.  

Results: The most effective antibiotic is amikacin followed by gentamicin and cefotaxime in both isolates namely Pseudomonas spp and Staphylococcus aureus in infected ear discharge of CSOM patients in the ENT OPD.

Conclusions: It was observed that varieties of colonies were grown on the specific cultured medium. Appropriate antibiotics can thus be found to control infection in CSOM patients.
Driving High and Low: Heavy Vehicle Drivers and Their Supervisors Facing Digitalization
Authors: Alasoini Tuomo , Ala-Laurinaho Arja , Känsälä Marja
Published: April 2022

Our qualitative study in two Finnish companies examines the view presented as part of the ‘employment crisis’ debate that digitalization is leading to a significant substitution of the work of drivers of heavy road vehicles. The main effects of digitalization thus far on the drivers’ work have been automation of individual vehicle functions, speeding up the communication among them and between them and their supervisors, and more intensive control of work performance. The study does not find support for the claim about labor substitution in the foreseeable future, but, instead, indications of a widening digital divide between drivers and supervisors, leaving drivers as bystanders in learning processes associated with digitalization. Although the results cannot be generalized without reservation to different types of companies or business and labor market environments, the findings of the trends in the drivers’ work and labor market position probably have broader relevance.
Intraoperative Complications during Phacoemulsification in Cataract Surgery at a Tertiary Care Hospital
Authors: Daware Rajas Premraj , Balwir Dhiraj , Kokas Shweta
Published: April 2022

Background: Intraoperative and postoperative complications do occur in phacoemulsification technique especially with inexperienced individuals. Being a tertiary care centre, we perform a number of phacoemulsification surgeries every year. Aims and Objectives: The present study was planned to assess the intraoperative complications during phacoemulsification in cataract surgery and determine the visual outcomes after phacoemulsification for cataract. Material and Methods: It was a prospective observational study involving patients undergoing cataract surgery, conducted at Department of Ophthalmology, at Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, Maharashtra. The study was conducted over two years between August 2018 to November 2020 among 186 eyes. Results: Rate of intraoperative complication in our study was 9.1%. Among the complications, difficulty in nucleus emulsification (5.4%) was most common followed by posterior capsular rent (2.2%), CCC-related complication (1.6%). Iris prolapse occurred in 1.1% whereas detachment of Descemet’s membrane, vitreous loss and nucleus drop were noted in one (0.5%) patient each. Conclusions: In our study, rates of intraoperative complication was 9.1% that is comparable to previous reports. Difficulty in nucleus emulsification was most complication.
To Study Functional Outcome for Upper Limb Phalanx Fracture Treated by JESS Fixator
Authors: Wagh Nitin , Vetal Shrikant , Tidke Saurabh , Joshi Satyen
Published: April 2022

Purpose: To study functional outcome for upper limb phalanx fracture treated by Joshi’s External Stabilizing System (JESS) fixator. Material and Methods: 68 patients were operated for Upper limb phalynx fracture in a tertiary health care setup with JESS fixator and were reviewed at 3 weeks, 6 weeks and 3months. After the procedure, the patients were assessed for the functional outcome using DASH (Disabilities or Arm, Shoulder and Hand) scoring scale. Results: Mean Adjusted DASH scores of the operated finger over consequent visits at 3 weeks, 6 weeks, and 3 months. We found that the mean adjusted DASH score improved in each consequent visit as compared to the first visit for all the joints (p<0.001). Out of the total 68 study participants, 63 had no complications (92.65%). Only 5 study participants had complications, out of which 2 each had joint stiffness (2.94%) and superficial pin track infection (2.94%) while 1 had pin loosening (1.47%). Conclusion: From the results, we can safely conclude that JESS is an effective alternative treatment for fractures of the phalanges. It is cheap and easily available. Technically, also it is less demanding. Also there is a good functional outcome as suggested by our study findings in terms of improvement in the range of motion as well as the mean adjusted DASH scores over a period of three follow up visits planned at 3 weeks, 6 weeks and 3 months with very few complications.
Impact of Natural and Hand-Assisted Pollination on Cucumber Fruit and Seed Yield
Authors: Agbor David T , Acha Derick A , Eboh Kizito S , Morara Calvin N , Dohnji John D , Teche Lony M , Nkongho Raymond N
Published: April 2022

Pollination is an important agro-ecological service, necessary for fruits and seed production in 60-70% plant species. The purpose of this study was to demonstrate the importance of artificial pollination on the fruit and seed yield of cucumber in the wake of natural pollination decline. This research was conducted at Faculty of Agriculture and Veterinary Medicine, University of Buea, Cameroon. The experimental design was a randomized complete block design with four treatments and three replicates. The treatments were; open for foraging insects, assisted-hand pollination, hand emasculation, and caged with insect-proof net. Parameters such as number of bees and ants, vegetative and reproductive growth, weight of fruits, number of misshaped fruits, and weight of seeds were recorded. Data collected were subjected to ANOVA, P< 0.05 in SPSS package. Cucumber vegetative and reproductive parameters differed significantly (P<0.05) with highest in Caged with insect-proof net, assisted-hand pollination, and Caged with insect-proof net respectively. The highest number of honey bees were observed in Open for foraging insects 13 and differed significantly (P<0.05) across treatments. The highest weight of fruits and seeds yield was recorded in assisted-hand pollination 31.93 t/ha and 13.23 kg/ha respectively and differed significantly (P<0.05) across treatments. The number of misshaped fruits was highest in hand emasculation 9 and differed significantly (P<0.05) across treatments. Fruit yield correlated positively with number of honeybees (R2 = 0.65). The study demonstrates the significance of artificial pollination in increasing fruits and seed yield of cucumber and the role of honey bees in open pollination.
Management of Class-I and -II Miller Recession Using Modified Technique: A Case Report
Authors: Raoda Juanita Ramadhan Sitti , Mappangara Surijana , Medikawaty Rahma , Neormansyah Ingrid , Achmad Harun
Published: April 2022

Background: Gingival recession is characterized by the gingival margin move apically to the mucogingival junction and cause root surface exposure. It causes a high incidence of caries, hypersensitivity and interferes with the appearance of the patient. A variety of materials and periodontal plastic surgery procedures are available to correct mucogingival problems and cover the root surface. Some treatment modifications have been developed to obtain optimal root coverage and better esthetics so that the selection of suitable treatments can affect the treatment results.
Objective: To describe the treatment result of gingival recession using several modifications of gingival recession treatment.
Case Report: A 42-year-old woman presented to the Dental and Oral Hospital of Hasanuddin University with a chief complaint of sensitive teeth when eating sweets or rinsing. Intraoral examination revealed the malposition of teeth 43 and 33, causing traumatic occlusion. Moreover, there were gingival recessions in the maxilla and mandibular regions. Recession in the maxillary right (12, 13, 14, 15, 16) was treated with tunneling technique combined with platelet-rich fibrin (PRF); recession in the maxillary left (22, 24, 26) was treated with coronally advanced flap (CAF) technique combined with PRF; and recession on mandibular (33, 43) was treated with CAF technique combined with subepithelial connective tissue graft (SCTG).
Conclusion: All combination treatments gave satisfactory results for patients but different times of healing.
Keywords: coronally advanced flap, gingival recession, platelet-rich fibrin, subepithelial connective tissue graft, tunnel technique
Crown Lengthening for Obtaining Biological Width in Dental Restoration: A Case Report
Authors: Ilham Hutomo Dimas , Sunarto Hari , Ramadianti Fitria Adinda
Published: April 2022

Background: Biological width is a natural defensive space for periodontal tissue which is important for maintaining healthy periodontal tissue so that it can support the success of dental restoration treatment. The localized alveolar bone loss, gingival recession, localized gingival hyperplasia or a combination of all three can be caused by poor biological width restoration. Biological width is obtained through crown lengthening when restoration of teeth have caries or subgingival fractures under the gingival attachment. The crown-lengthening procedure is performed to increase the height of the clinical crown for restoring and improving the esthetics of the teeth.
Objective: This case report presents two cases of crown lengthening with osteotomy before the dental restoration procedure.
Case Report: The first case was of a 43-year-old woman who was referred from the prosthodontics clinic RSKGM FKG UI before making permanent restorations on tooth 13. Clinical examination showed red gums, swelling and caries that extended to subgingival especially in the distal part. A crown-lengthening procedure with an osteotomy was performed distally to increase the height of the clinical crown so that it had a good ferrule effect for the restoration of the tooth. The second case was of a 25-year-old female patient who had undergone root canal treatment by a general dentist. The clinical appearance of the tooth showed an imbalance in the height of the gingival zenith with the tooth next to it, and the clinical crown looked short. Crown lengthening with osteotomy was done to get a balanced zenith height.
Conclusion: Crown lengthening is a periodontal surgical treatment performed to obtain optimum biological width to support tooth restoration.
Keywords: crown lengthening, osteotomy, biological width