bluuebunny/crossref_metadata_2025 huggingface dataset:
The Associations Between Physical Activity and Mental Health Problems in Middle-aged Indonesians
Authors: Handayani Sri , Isfandari Siti , Effendi Diyan Ermawan , Agustiya Rozana Ika , Ardani Irfan , Nugroho Arief Priyo , Fitrianti Yunita
Published: July 2024

Objectives: Mental health issues have become a growing concern worldwide. Research has shown that regular physical activity (PA) can positively affect mental health. This study investigated the associations between PA and mental health problems (MHPs) in middle-aged Indonesians.Methods: The study utilized data from the 2018 Indonesian Basic Health Research Survey and used a cross-sectional approach. The participants included individuals aged 40-60 years who completed the 20-question Self-Reporting Questionnaire. A logistic regression was performed to analyze a sample of 263 930 data points.Results: Nearly 10.4% of the participants suffered from mental health issues. Notably, among those who did not engage in moderate and vigorous PA, a sign of MHPs was found in 12.5% of participants. Those who met World Health Organization standards for PA were less likely to experience MHPs (10.1%). This study found a significant association between PA and mental health. After adjusting for smoking, alcohol consumption, non-communicable diseases, and socio-demographic variables like age, sex, education, occupation, marital status, and residence, the connection between PA and mental health became even stronger (adjusted odds ratio, 0.81; 95% confidence interval, 0.78 to 0.85; p<0.001).Conclusions: Regular PA has been shown to affect mental health positively. Therefore, it is important to improve health education and efforts to raise awareness among middle-aged Indonesians about the importance of PA in maintaining good mental health.
Design and Application of Scenario-Based Perception of Smart Wearable Device Interaction Method
Authors: Chen Guanglin
Published: July 2024

At the moment, Internet technology is still in a rapid development phase, with more highperformance, low-power processor chips entering the market and the commercialization of the smart wearable device industry accelerating. Virtual reality, intelligent clouds, and other technologies are at the heart of today’s wearable technologies. It is a design product that employs cutting-edge technology to provide sturdy functioning and superior safety. However, the current study on smart wearable devices is more related to engineering technology, and there is relatively little research on the interaction behavior and user experience among users, devices, and environments. Incorporating the design object, application context, user experience, and other factors into the design of smart wearable devices can help promote the transformation of smart wearable devices from technology-driven to user experience-driven. Therefore, it is important to introduce the concepts of context-awareness and interaction design in the design of smart wearable devices. Through contextual cognitive theory, the study studies the contextual cognitive features of users, deconstructs and analyzes the interaction and experience of smart wearable devices, and discovers the relevant elements influencing user experience. The theoretical research results are then integrated with the interaction design system to connect the relationships among users, behaviors, scenes, and technologies, and a context-aware system for smart wearable devices based on scene perception is constructed. The influence of different aspects on the recognition accuracy of the system is analyzed, and the results show that the system proposed in this paper has very superior performance in gesture recognition.
Design and Experimental Study of Interactive Experiences in Architectural Heritage Education Based on Mobile Augmented Reality Technology
Authors: Zhong Jie , Peng Zhiming
Published: July 2024

As globalization accelerates and technology advances, the education and transmission of architectural heritage face new challenges and opportunities. Mobile augmented reality (MAR) technology offers innovative means for presenting and educating about architectural heritage, enhancing user experiences and interactivity through the overlay of virtual information. This study explores the application of MAR in architectural heritage education, examining its potential to enhance educational outcomes, increase user engagement, and foster awareness of heritage conservation. While the technology has been widely explored in other educational fields, its application in architectural heritage remains insufficient, particularly in the design of collaborative tasks, assessment of user satisfaction, and implementation of incentive mechanisms. This paper encompasses three research components: a detailed description of collaborative tasks in architectural heritage education using MAR, the development of a satisfaction model to evaluate the effectiveness of these tasks, and the construction of an educational collaboration incentive mechanism. Through this study, the paper not only enriches the application of MAR in cultural heritage conservation but also provides theoretical and empirical support for future related studies.
Netflix Originals: Performing the Private Lives of Marginalized Communities for a Global Audience
Authors: Kanesaka Kirk
Published: July 2024

The Western fascination with geisha began with the travels of Sadayakko (1871–1946) and Hanako (Ōhta Hisa, 1868–1945), the first geisha to perform overseas in the United States and Europe. Hanako’s captivating face inspired Auguste Rodin (1840–1917) to sculpt her numerous times, making her the only Asian he ever depicted. To Rodin, she symbolized Asian beauty and mystery, leading to her Orientalization. Early photographs of Japanese individuals sent to the West, often featuring geisha and kabuki actors, further fueled Western interest in geisha.
The West’s initial encounters with geisha were not part of the Meiji government’s official narrative. Sadayakko, often overlooked in Japanese history, was the first Japanese woman performer to travel to the West since the Meiji era. Early photographs of geisha were possible because many Japanese people were hesitant to pose for photography, fearing it could capture their souls.
Starting in the 2000s, Japan embraced its “soft power,” heavily exporting its cultural identity through the “Cool Japan” campaign, which aimed to market Japanese culture globally. Scholars analyze “Cool Japan” as a cultural phenomenon and its impact on national branding and Japanese nationalism. As technological advancements increased access to Japanese cultural goods, the ownership of Japan’s cultural narrative shifted away from the government’s campaign.
This paper explores Netflix’s role in disseminating Japanese culture globally, focusing on The Makanai: Cooking for the Maiko House (2023) and Midnight Diner: Tokyo Stories (2016, 2019). The Makanai challenges stereotypes surrounding maiko while Midnight Diner pairs Japanese recipes with heartwarming stories of overlooked individuals. Netflix redefines storytelling by featuring complex characters deeply rooted in Japanese culture, promoting active engagement among viewers and challenging Western stereotypes. Utilizing Édouard Glissant’s concept of opacity, this paper illustrates how Netflix content respects the complexity and mystery of Japanese culture, fostering a deeper understanding and respect.
Faire jardiner la rue pour en faire un jardin ? Le projet de la rue Kléber à Bordeaux à l’épreuve des pratiques et des représentations habitantes (2011-2016)
Authors: Ramos Aurélien
Published: July 2024

À partir du projet d’aménagement d’une rue-jardin conçu et mis en œuvre par la Ville de Bordeaux en 2011, cet article s’intéresse à la manière dont le jardin est utilisé par la municipalité comme levier pour modifier le regard des citadins sur leur rue, mais également leurs pratiques dans l’espace public. En analysant les formes d’interactions entre les habitants et leur rue, entre les habitants-jardiniers et les végétaux cultivés et entre les habitants eux-mêmes, nous montrons le décalage entre les ambitions municipales et la manière dont les habitants se saisissent de la requalification de la rue en rue-jardin. Si la végétation introduite dans la rue constitue un vecteur de transformation des pratiques et des interactions sociales des habitants, le projet de rue-jardin échoue à faire naître une dynamique collective autour des pratiques de jardinage de la rue, mais permet toutefois à des pratiques jardinières individuelles de coexister et de contribuer de manière dispersée à la fabrication du paysage de la rue.
Subjetividade, experiência e encontro de saberes
Authors: Lacomblez Marianne
Published: July 2024

O propósito do texto é de sistematizar as razões de circunspeção em relação a certos usos da noção de "subjetividade", nomeadamente na análise da relação com a atividade de trabalho. Esta noção, originária da filosofia, embora notoriamente ambígua, tem vindo a ganhar destaque nos últimos anos, reavivando polémicas variadas. São analisadas produções científicas que a utilizam, especialmente quando esta noção permite delinear um "panorama conceptualizado". São também apresentados modelos de intervenção assentes nesse quadro com o objetivo de clarificar alguns debates. Em segundo lugar, são discutidos modelos teórico-metodológicos e de intervenção que fazem parte de uma comunidade epistémica fundada na convicção, emancipada da noção de subjetividade, de que os avanços das disciplinas científicas que têm como objeto de estudo a atividade laboral resultam do seu encontro com os saberes experienciais. O texto sublinha ainda o carácter heurístico das análises comparativas e apela também à vigilância nas utilizações, por vezes indiscriminadas, da noção de subjetividade.
Os mal-entendidos da emancipação. Uma investigação ergológica
Authors: Martin Christine
Published: July 2024

Esta tese analisa as condições e as possibilidades de emancipação no trabalho através de um estudo realizado durante cinco anos nos portos petrolíferos de Fos e Lavera. Apoia-se numa abordagem ergológica para responder às necessidades da empresa e implementar uma política de prevenção primária dos riscos psicossociais. Ao alargar em seguida o campo de intervenção e introduzir as “entrevistas dialogadas”, a tese sustenta que a emancipação no trabalho não é apenas possível, mas é essencial para o bem-estar dos trabalhadores. Assim, propõe-se uma perspetiva alternativa à do sofrimento e da alienação no trabalho. Os resultados desta investigação situam-se na intersecção de domínios metodológico, filosófico e político.
L’invention d’une tradition : jalons pour une ethno-histoire du judaïsme messianique contemporain, le cas français
Authors: La Barbe Frank
Published: July 2024

Le judaïsme messianique contemporain est un mouvement religieux récemment établi qui s’est affranchi de la tutelle du christianisme protestant à l’aube du XXe siècle aux États-Unis. Se revendiquant d’une tradition ancienne, celle des premiers disciples de Yeshoua, il revendique une identité qui lui donnerait de plein droit l’appartenance au judaïsme bien que proclamant l’un des fondements du christianisme : la messianité totale de Jésus-Christ. Cet article explore les racines modernes et contemporaines du mouvement (du XVIe au XIXe siècles) et les difficultés théologiques comme culturelles qu’il rencontre en France pour s’imposer en tant que religion à part entière.
A Review and Comparative Study of Retrofit for the Energy Efficiency of Malaysian Heritage Buildings
Authors: Jamal Khairool Aizat Ahmad , Harun Siti Norlizaiha , Said Shahrul Yani
Published: July 2024

Historic buildings (HB) are invaluable embodiments of culture and identity. Retrofitting HB has become a strategic imperative in Malaysia, given their substantial presence of building stock, moreover these buildings grappled with contemporary challenges. Energy retrofit allows adaptation and reuse while prioritizing environmental sustainability. However, such notions are still in their infancy stage, hindered by the gap between understanding heritage preservation techniques and energy efficiency consideration. The lack of inclusive guidance is an obstacle, restricting widespread application of retrofit intervention in HB conservation. This chapter aims to identify current limitations of Malaysia's Conservation Guidelines (HBCG) through a comparative analysis with similar international guidelines. Findings reveal lack of interpretations for contemporary green issues, unlike the latter which allows broader interpretation. The paper suggests additional guidance for practitioners in navigating environmental challenges, emphasizing intangible considerations such as heritage values and identity.
Consequences of the COVID-19 Pandemic on Declining Cities, Urban Vacant Land Uses, Green Infrastructure, and Their Impact on Climate Change Hazards
Authors: Vargas-Hernandez José G. , Vargas-Gonzàlez Omar C. , Guirette-Barbosa Omar A. , Castañeda-Burciaga Selene
Published: July 2024

This chapter aims to analyze the implications between the declining and shrinking cities, urban vacant lands, urban land uses, green infrastructures, urban green areas, and their impact on climate hazards change. The analysis departs from the basic assumption that urban vacant land sites and spaces have a negative connotation, but supported by the appropriate policies and programs of incentives, can turn around and develop the essential green infrastructure to enable the mitigation of climate change hazards, economic growth, and socio ecological development. The method used is the analytical-descriptive base on the theoretical and empirical literature review. It is concluded that the land uses of vacant land sites more vacationed towards urban green innovation infrastructure and forest areas contribute to mitigate the climate change hazards.
Integration of Building Information Modelling (BIM) Into the Construction Project Scheduling
Authors: Soon Lam Tatt , Liew Jasmine Yi Xuan , Lim Tze Shwan , Kam Kenn Jhun , Leong Boon Tik
Published: July 2024

Construction management assumes a crucial role in overseeing a project's time, cost, and quality, particularly in large-scale projects. Building information modelling (BIM) is expected to enhance construction management by providing improved insights. To refine construction management further, 4D BIM can be integrated into projects by incorporating time or schedule-related information into the model, thereby establishing a more structured workflow. The aim of this research is to examine the application of 4D BIM in construction management, showcasing the value of BIM brings to construction projects. Additionally, the research also establishes a 4D BIM scheduling process for residential buildings and develops a 4D project scheduling workflow within a BIM environment. The research methodology includes desk analysis based on a case study of a residential building in Malaysia. This research serves as a guide for developers and contractors in simulating and accessing construction sequence scheduling within the context of 4D BIM implementation.
Review of Quantity Surveying Training in China Between 2002 to 2022 Based on CiteSpace
Authors: Huangfu Dongmei , Chang Yun Fah , Lim Sok Li
Published: July 2024

China's construction sector embarked on a journey of transformation with a “new engineering” strategy, beginning in 2016. Notably, two areas that have captured the attention of both industry and academics are the enhanced quality of quantity surveyors (QS) and the sustainable growth of the QS industry. This study focuses on the literature related to personnel training for QS over the last two decades. Utilizing the CiteSpace software for analysis, the authors examined the research status, focus, and trends in QS personnel training. The findings indicate growing scholarly interest in the training of QS personnel, with strong research focus on areas encompassing the definition of quantity surveying, higher vocational education, personnel training, innovation, and development. Furthermore, emerging areas such as new engineering, vocational education, curriculum ideology, political aspects, and BIM are anticipated to attract a lot of attention in the future.
Investigation of Heavy Vehicle Underrunning Guard Focusing for the Energy Absorbing Issue
Authors: Kertész József , Menyhárt József , Kovács Tünde Anna
Published: July 2024

The consequences of rear-end collision with a heavy vehicle could be significantly high risky, and the likelihood of the serious personal injury is notable high. The importance of an under-running guard is to increase the occupants survive and reduce the technical and personal injury. The lack of RUPD (Rear Underrun Protection Device) could involve fatal situations regarding to the occupants of the rear impacted personal car, therefore the application of this guard is not arbitrary option due to the strict national safety regulations. Analyzing the role of RUPD the distinction is made between two main functions. Due to the notable clearance between the floor height of the rear and the road, at the case of rear impact the cockpit of the personal car could be essentially abolished. The second expected function of RUPD to absorb impact energy as much as possible. The development a new RUPD or an improvement of recent one could be complex engineering task, since the absorbing ability and the proper strength requirement call for frequent contrast conditions during the construction designing. Taking into consideration of requirements of weight optimization the complexity of the designing could be even more complicated. One of the most ideal impact energy absorber could be the aluminium foam. Recent study investigates the ways to improve the amount of absorbed energy by the closed-cell aluminium foam using radial constrain during the compression. The second half of the study introduces a finite element analyses research related to the folding behavior of thin walled structures (crashbox) as energy absorber. By structures is analyzed and compared by the peak force at the moment of impact, the folding force fluctuation and the amount of absorbed energy.
Production Methods of High-Entropy Alloys
Authors: Juhász Gergely , Hareancz Ferenc , Fábián Enikő Réka , Vida Ádám
Published: July 2024

High-entropy alloys (HEAs) are a new and rapidly developing area of materials science, characterized by their high entropy content. High-entropy alloys have received considerable attention in recent years because of their properties, such as high tensile strength, corrosion resistance and excellent heat resistance. These materials have the potential to broaden material utilization in aerospace, automotive, energy, and other industries. There are three main manufacturing technology group to produce high entropy alloys. These groups are melting and casting, powder metallurgy, and deposition techniques. The manufacturing processes is essential to optimize the properties of the final product and meet the requirements of the application. The paper summarizes the four core effects and the production methods for high-entropy alloys.
Additive Manufacturing of a Flat Form Tool
Authors: Rahman Shahbaz , Bodzás Sándor
Published: July 2024

The aim of this study explores the application of additive manufacturing (AM) technique used to produce a cutting tool known as flat form tool. The study shows the advantages of using this new innovative technology and utilizing AM processes, such as 3D printing, to create these tools, examining factors like design flexibility, material optimization, and cost effectiveness. Furthermore, the paper shows the creation of the CAD models and 3D-printing through fused deposition modeling based on the CAD models. The aim of this study is to highlight the advancement in additive manufacturing technology that contributes to enhancing the overall manufacturing process of a flat form tool.
An Analysis of Comparative Static Structural FEA for Spiral Bevel Gears with Various Tooth Angles and Loads
Authors: Rahat Md Monirul Islam , Bodzás Sándor
Published: July 2024

The research investigates the application of static structural finite element analyses in studying spiral bevel teeth gear of Polski fiat with four tooth angles at 25, 30, 35, 40 degrees. The researchers simulated 16 times using Ansys, investigating all the load cases. These included elements such as deformations, normal stress, equivalent stress at the tooth contacts. Findings provide guidance on gear updating and improvement in gearbox gearing response, which enhance subsequent generation mechanical systems.
Investigation of Surface Roughness Determination Problems in Additive Manufacturing Technologies
Authors: László Noémi , Ficzere Péter
Published: July 2024

Besides conventional shaping methods like injection molding and extrusion, various additive manufacturing (AM) techniques have been steadily gaining prominence due to the numerous benefits they offer. These advantages include swift and uncomplicated shaping, the capability to produce components with intricate geometries during both the design and production phases, manufacturability enhancements, and cost-efficiency.In the context of the automotive industry, components produced often need to adhere to stringent standards. When it comes to these manufactured parts, the precision of processing and the quality of the surface represent the paramount complex metrics that dictate the performance attributes of the specific part.The surface roughness of parts produced by 3D printing depends on many factors: from CAD to stl (standard triangular language) conversation and from the chosen method, layer thickness, printing speed, printing temperature.It can be done surface modification by different methods: application of coatings, surface modification procedures (chemical, e.g. etching, physical, e.g. chipping (milling, turning), ironing (software based method)The surface roughness depends also the place of the investigation: Horizontal or vertical walls, sloping surfaces. Surface roughness also varies on the same surface by changing slope due to the staircase effect.Moreover the surface roughness depends on the method of the investigation parallel or perpendicular to the layers and the printing or infill direction.In the last two cases it should be a good choice to use Sa which is the extension of Ra (arithmetical mean height of a line) to a surface. It expresses, as an absolute value, the difference in height of each point compared to the arithmetical mean of the surface.In this paper, we explore this issue
Literature Review of Vibroacoustic Simulation in Geared Vehicle Power Transmission Systems for the Reduction of Radiated Noise
Authors: Horvath Krisztian , Zelei Ambrus
Published: July 2024

The radiated noise reduction of vehicular power transmission systems is one of the most actively researched areas. Noise not only impacts the comfort and safety of the driver and passengers but also regulated by the legislators. The simulation-based prediction of radiated noise of gear-drives is a rapidly evolving area and combines gear meshing models, finite element analysis, multibody dynamics and airborne noise simulation tools. The interfacing of these tools makes virtual noise prediction challenging. In this research, we conducted a literature review on vibroacoustic simulations, with a particular focus on reducing noise in power transmission systems. Based on the reviewed articles, it became evident that, although numerous measurement data are available, the usability of the data is limited. Most research focuses on individual stages of the structure and on smaller-sized powertrains. The measurement methods contain abundant valuable information; however, the literature lack of comprehensive articles that track the simulation process from the inception of excitation to body and air noises. Moreover, the majority of articles investigate the relationship between transmission error and NVH, considering it as a primary source of noise. New methodological approaches, such as the application of FEM meshes on gears, open new horizons in this domain. Throughout the literature review, we compiled potential noise-reduction solutions and highlighted directions for future methodology development research.
The holy fluke - an unusual scenario of lung paragonimiasis
Authors: Gogia Pratibha , Shenoy Shriram S. , Bhatnagar Tarun , Nautiyal Shruti , Lakha Sunil
Published: July 2024

Like many other foodborne parasites, lung fluke (Paragonimus species) was considered extinct and is now reemerging, especially in Eastern Asia, Africa, and South America. It commonly affects people consuming crabs and crayfish in their diet. This family of seafood and mollusks is considered an intermediate host for the parasite. Humans and other mammals, such as tigers and pigs incidentally consuming crustaceans, are the definitive hosts. Here, we present a case of pulmonary paragonimiasis in a strict vegetarian who developed the infestation, the possible cause being frequent baths in the holy river Ganges, a common practice amongst Hindus. Another interesting aspect of this case is that the patient presented with signs and symptoms mimicking tuberculosis, which is also endemic in the region. Presenting symptoms of hemoptysis, generalized malaise, and a normal chest X-ray were misleading, while Flexible Bronchoscopy (FB) with Bronchoalveolar Lavage (BAL) confirmed the diagnosis. The patient made a full recovery with appropriate treatment.
West Street Durban 1977 (2)
Authors: Ferreira Philna
Published: July 2024

As with many progressive towns, it is difficult to characterize the city centre of Durban, since development often necessitates the demolition of well-known landmarks. Structures of interest discussed in this article include the Trust Building, the Standard Bank, Adams Stationers and Booksellers, Greenacres, Colombo Tea and Coffee Shop, Chix, the Natal College for Advanced Technical Education and the Students' Union.
A merchant family in early Natal. Diaries and letters of Joseph and Marianne Churchill, 1850 to 1880
Authors: Eloff C.C.
Published: July 2024

No abstract available.
Westerse historiografie en geskiedenisfilosofie
Authors: Oberholster A.G.
Published: July 2024

No abstract available.
Cape Town in 1829
Authors: Phillips H.
Published: July 2024

After the British occupation (1806) the population of Cape Town had grown slowly; by 1829 the mother-city had more than 18 000 inhabitants comprising influential English traders, Dutch-speaking persons, Free Blacks and slaves. The general hygiene of the town was bad while health services left much to be desired. Living conditions of Poor Whites and Free Blacks were most unsatisfactory and had been aggravated by poverty, poor housing, diseases, and even epidemics. Ordinance 50, promulgated in 1828, placed the indigenous peoples on an equal footing with their European counterparts and integration was also socially acceptable. Yet the society was still dependent on a system of slavery and racial differentiation was still appreciable. The inadequate harbour facilities also retarded trade and general progress. Streets were dusty and unlit and the open canals ("grachts") were in a filthy and insanitary state. A few tiny suburbs (e.g. Sea Point and Wynberg) existed at this stage; local government in Cape Town was exercised by a government appointed magistrate and officials. A Supreme Court was created and in 1829 ten advocates and eleven attorneys practised in Cape Town. In contrast to the relatively poor social conditions, inhabitants enjoyed the benefits of ample educational and religious facilities. The cultural life of Cape Town flourished and fair provision was made for entertainment and recreation. By 1829 Cape Town was indeed a town beginning to develop a new character, mainly as a result of the influence of British immigrants.
Mapping global research in dental pulp regeneration: A 10-year bibliometric analysis
Authors: Mostafavi Yeganeh-Sadat , Iranmanesh Pedram , Khademi Abbasali , Mehrabi Raheleh , Sheikhshoaei Fatemeh , Mohammadi Masoud
Published: July 2024

Background:

Dental pulp regeneration aims to restore the function and vitality of the dental pulp, which is the soft tissue inside the tooth. Research in this field is effective in trying to improve clinical practices and procedures. This study aimed to analyze the literature related to dental pulp regeneration and to create a documented research perspective for this field.

Materials and Methods:

This bibliometric study analyzes the research outputs of the subject area of dental pulp regeneration indexed in the Web of Science database between 2013 and 2023. SciMAT software was used to visualize and predict the trends in research on the topic.

Results:

In general, it has been observed that the stem cell cluster consistently had the highest number of articles across all periods. As we progressed through time, the significance of this cluster continued to grow, eventually becoming a crucial component in the motor theme during the last period. In addition, a significant portion of the studies conducted during different periods focused on identifying suitable materials for scaffold formation. Various materials, including polymers and bioactive glasses, were proposed as viable options for scaffold formation in different periods.

Conclusion:

Dental pulp stem cells (DPSCs), scaffold networks, growth factors, and regulatory factors are the three main factors that influence dental pulp regeneration. By analyzing maps and thematic clusters in dental pulp regeneration research, as well as considering indicators such as repetition frequency, centrality, and citation of these clusters, researchers can identify the strengths, weaknesses, and gaps in current research.
Evaluation of dimensional changes in EndoSeal mineral trioxide aggregate and AH Plus sealers using micro-computed tomography imaging
Authors: Omidi Salma , Dehghani Mostafa , Alimohamadi Mona , Charati Jamshid Yazdani , Hashemi Reihaneh Sadat
Published: July 2024

Background:

Optimal dimensional stability is required for successful root canal treatment. A sealant called EndoSeal mineral trioxide aggregate (MTA) was recently introduced to the market due to its favorable physical and chemical properties. On the other hand, AH Plus (AHP) is considered the gold-standard seal.

Materials and Methods:

In this ex
vivo quasi-experimental study, 24 single-canal premolars extracted from humans were cleaned and shaped with a motorized and rotary file, then that is divided into two groups. The teeth of each group were filled with gutta F3 and each type of sealant. The teeth were scanned by a micro-computed tomography device after 24 h. After 7 days of storage in phosphate-buffered saline solution, the samples were re-scanned. Data were analyzed using SPSS software (version 21). Descriptive data were presented as frequency, percentage, mean, and standard deviation. The Shapiro–Wilk and Kolmogorov–Smirnov tests were used to investigate the normality of the data. The Mann–Whitney test was used to compare the two groups, and the differences were ultimately not significant. The level of significance was set at 0.05 (P < 0.05).

Results:

The mean differences between sealer volumes before and after the intervention were not significantly different between the two groups indicating that the EndoSeal MTA sealer is not inferior to the gold-standard root canal sealer, AHP.

Conclusion:

EndoSeal MTA can be considered a reliable sealer in endodontic treatments and be subjected to further investigation.
Clinical efficacy of periosteal pedicle graft as a barrier membrane in guided tissue regeneration: A systematic review and meta-analysis
Authors: Iyer Shraddha , Sidharthan Sangamithra , Gopalakrishnan Dharmarajan , Mehta Vini , Chetana Chetana , Guruprasad Meghana , Killedar Sharvari
Published: July 2024

Background:

The study aims to assess the clinical efficacy of periosteal pedicle graft (PPG) as a barrier membrane in guided tissue regeneration (GTR) for gingival recession, intrabony, and furcation defects.

Materials and Methods:

Electronic and hand searches were performed to identify randomized controlled/clinical trials investigating GTR using PPG, with 6-month follow-up. Primary outcomes recorded: probing depth (PD), clinical attachment level (CAL), bone fill, recession depth (RD) reduction, percentage of mean root coverage, keratinized tissue width (KTW), and bone defect area (BDA).

Results:

Thirteen articles were selected; 6 for recession, 2 for furcation, and 5 for intrabony. Meta-analysis was performed whenever possible, results expressed as pooled standardized mean differences (SMDs). In recession defects, the RD pooled SMD is 0.47 (95% confidence interval (CI) = [−0.50–1.44]), KTW pooled SMD is 1.30 (95% CI = [−0.30–2.91]), favoring PPG over the comparator. In furcation defects, PD pooled SMD is 1.12 (95% CI = [−2.77–0.52]), CAL pooled SMD is 0.71 (95% CI = [−1.09–2.50]), and bone fill pooled SMD is 0.67 (95% CI = [−3.34–4.69]) favoring PPG. In intrabony defects, PD pooled SMD is 0.54 (95% CI = [−2.12–1.04]), CAL pooled SMD is 0.23 (95% CI = [−1.13–0.68]), and BDA pooled SMD is 0.37 (95% CI = [−1.58–2.31]) favoring PPG. The results were not statistically significant.

Conclusion:

The current evidence indicates that PPG constitutes a valid and reliable alternative to collagen barrier membranes for successful GTR.
Shear bond strength of different tooth color restorative materials after using silver diamine fluoride in primary tooth dentin: An in vitro study
Authors: Memarpour Mahtab , Shafiei Fereshteh , Rafiee Azade , Khosronia Mahsa , Alizadeh Marzieh , Vossoughi Mehrdad
Published: July 2024

Background:

The main disadvantage of silver diamine fluoride (SDF) is its persistent dark coloring. The aim of this study was to cover this discoloration on affected primary tooth dentin with different materials and subsequently measure their shear bond strength (SBS).

Materials and Methods:

In this in vitro study total of 60 primary teeth were demineralized and randomly divided into five groups (n = 12). The tooth surfaces were treated with 38% SDF, and restorative cylinders were built on the dentin as follows: (1) phosphoric acid etching + GLUMA Universal Adhesive (GUA; etch-and-rinse mode) + composite resin (CR); (2) GUA (self-etch mode) + CR; (3) resin-modified glass ionomer (RMGI; Fuji II); (4) Surefil One (self-adhesive CR); and (5) TheraCem (self-adhesive resin cement) + CR. After restoration, the specimens were tested for SBS. Failure mode was determined by digital analysis and scanning electron microscopy. Data were analyzed by one-way analysis of variance and Tukey’s honest significant difference post hoc test. P <0.05 indicated statistical significance.

Results:

Group 1 had significantly higher mean SBS (P < 0.05) compared to Groups 2–5, while Group 5 had the least SBS (P < 0.001). Mean SBS differences between Groups 2 and 3 were not significant (P = 0.328). Group 4 had lower mean SBS than Groups 1 (P < 0.001) and 2 (P = 0.17). Most groups showed adhesive failure.

Conclusion:

CR associated with the universal adhesive in etch-and-rinse mode had much higher SBS than the other groups; therefore, we recommend it to cover the dark discoloration generated by SDF.
Dual Synchronous Primary of the Gastrointestinal and Genitourinary Tracts
Authors: Anand Sundeep , Gunasekaran Gautham , Paramasivam Surendran , Radhakrishnan Gautham Sidarth
Published: July 2024

Patients, who are diagnosed with a cancer, have a life time risk for developing another de novo malignancy depending on various risk factors. Hereby we present an interesting case report of a 50-year-old woman with double primary malignancy—involving gastrointestinal and genitourinary tracts.
Early Diagnosis Aids in Successful Management of Rare Complications of COVID-19: Spontaneous Pneumothorax and Pneumomediastinum with Cytokine Release Syndrome
Authors: Kumar Ankit , Kapoor Suraj , Dwara Saurabh
Published: July 2024

Coronavirus disease-2019 (COVID-19) has become a global pandemic and a health problem of epic proportions. The disease is mild in the majority of cases. Respiratory symptoms predominate and acute respiratory distress syndrome (ARDS) is the commonest complication associated with the disease. Chest X-ray plays an important role in the initial evaluation and follow-up of COVID-19 disease at different stages, more so, in resource-limited settings. It is useful to monitor disease progression and possibly to exclude other unusual causes of dyspnea. In this case series, we present a rare manifestation in COVID-19-positive patients: spontaneous pneumothorax and pneumomediastinum associated with the cytokine release syndrome (CRS) which was successfully managed at COVID care intensive care unit.
Determinant factors of under-five years severely wasted children in rural and sub-urban areas of Indonesia
Authors: Sulistyaningsih Erma , Wulandari Endang S. P. , Marchianti Ancah C. N.
Published: July 2024

Background:

Understanding the determinant factors contributing to severely wasted is crucial in decreasing the problem and meeting the World Health Global Nutrition Target by 2025. This study investigated the determinants of severely wasted among children under five years old in Indonesia’s rural and sub-urban areas.

Materials and Method:

This was a cross-sectional study of severely wasted children in rural and sub-urban areas in East Java, Indonesia. Collected data on individual characteristics, socio-economic status, nutrient intake, environmental and food sanitation, and health service utilization were obtained by structured questionnaires. An ordinal regression and Chi-square test were applied to determine the factors with a significance level 0.05.

Results:

As many as 25 respondents in rural areas and 30 in sub-urban areas were included after receiving informed consent. Age and household environmental and food sanitation were associated with severely wasted in rural and sub-urban areas, with P < 0.05. Meanwhile, family members, income, and calcium intake were only in rural areas. Birth spacing, nutrient intake, except calcium intake, and health care utilization were the only factors in sub-urban areas. The low-birth-weight history, sex, mother’s education, and the parent’s occupation did not correlate with the severely wasted in rural and sub-urban areas.

Conclusion:

The determinant factors of under-five years of severely wasted children in rural and sub-urban areas of Indonesia are different, so it is vital to design regional-based approaches to tackle the problem.
Assessment of prescription pattern and impact of statin in lipid profile among ischemic heart disease patients
Authors: Prabhakaran Sagar Kunnaruvath , Rawal Kala Bahadur , Utagi Basavaraj , Mateti Uday Venkat , Shetty Shraddha
Published: July 2024

BACKGROUND:

Analysis of prescription patterns and lipid profiles can play a crucial role in rational drug use and patient safety. This study aimed to analyze the prescription pattern and impact of statin in lipid profile among ischemic heart disease (IHD) patients.

MATERIALS AND METHODS:

A prospective observational study was conducted for 7 months in the cardiology department. IHD patients above 18 years and undergoing statin therapy for at least 3 months were enrolled. Patients with elevated liver enzymes and unfit for statin therapy, pregnant women, psychiatry patients, and critically ill subjects were excluded.

RESULTS:

Of the total participants, 214 (71.8%) were males and 84 (28.2%) were females, with a mean age of 62.55 ± 9.56 years. The most common age group diagnosed with IHD was between 60 and 69 years. Hypertension was observed in 64.4% of the patients, while diabetes was present in 55.7% as the most commonly associated comorbidities. The majority of patients (75.8%) received atorvastatin. The prescription pattern for various drug classes included proton pump inhibitors (93%), antiplatelet agents (82.2%), statins (82.2%), nitrates (60.4%), beta-blockers (34.6%), diuretics (16.8%), biguanides (17.4%), and insulin (15.1%). After 3 months of statin therapy, a statistically significant change was observed in the lipid profile (P < 0.001).

CONCLUSION:

Statin agents were the most frequently prescribed class of drugs, followed by antiplatelets. Significant improvements were observed in the lipid profile after a 3-month course of statin therapy. Effective therapeutic monitoring can significantly impact a positive health outcome in patients.
Promoting durable well-being among healthcare professionals via an interactive, online, wellness initiative
Authors: Kazemi Foad , Chakravarti Sachiv , Stephens Ryan , Ahmed A. Karim , Mukherjee Debraj
Published: July 2024

Burnout is recognized as a negative contributor to well-being within healthcare. The purpose of this study was to evaluate whether participation in the Peace Education Program (PEP), a 10-week wellness course, promoted durable improvement of burnout and wellness in a large academic medical center. We deployed PEP virtually through a series of free, interactive, online wellness sessions focusing on 10 domains: peace, appreciation, inner strength, self-awareness, clarity, understanding, dignity, choice, hope, and contentment. Two weeks before and six months following the sessions, we distributed de-identified surveys based upon the validated Schwartz Outcome Scale-10 (SOS-10) with Likert scale scores 0–6 to assess participant wellness. The Mann-Whitney U test was used to analyze statistical differences between post- and pre-course data. Sixty-nine faculty, trainees, and staff registered to participate, 21 participants completed the pre-course survey and 10 completed the post-course survey. The pre-course mean + standard error (SE) SOS-10 score was 43.2 ± 0.8, which improved to 51.0 ± 0.7 post-course (P < 0.001). Overall, all 10 domains demonstrated improved mean scores over time, with the five domains of “inner strength” (P = 0.008), “understanding” (P = 0.030), “peace” (P = 0.048), “choice” (P = 0.026), and “hope” (P = 0.020) demonstrating statistically significant score improvements six months after course completion. Participants completing ≥7 sessions benefited more than their counterparts and achieved statistically significant improvement in SOS-10 wellness scores (8.77 points) six months after course completion. Our findings demonstrate improved wellness in participants following peace education course completion. This free, interactive, online course may be utilized at other medical centers to improve wellness.
Investigation of the therapeutic education effect on glycemic control and quality of life of children and adolescents with type-1 diabetes mellitus: A non-randomized controlled study
Authors: Ait-Taleb Lahsen Hanaâ , Ragala Mohammed El Amine , Halim Karima , El Abed Hanane , Bouaazzaoui Amal , Zarrouk Yasmine , Zarrouq Btissame
Published: July 2024

BACKGROUND:

Type-1 diabetes mellitus (T1DM) is one of the most dreaded chronic diseases, especially in children or youth. To help patients and their families effectively manage their disease, structured therapeutic patient education (TPE) is essential.

MATERIALS AND METHOD:

The purpose of this non-randomized before and after controlled study was to assess TPE program effects. In total, 200 T1DM children and adolescents, aged 8–18 years, selected from two pediatric departments, were equally assigned to the intervention and control groups. The primary endpoints were differences between groups at 3 months follow-up in measured HbA1c and health-related quality of life (QoL) assessed by a validated questionnaire.

RESULTS:

At 3 months follow-up of a TPE intervention for T1DM children and adolescents, although there was no significant change in HbA1c for both groups, a significant improvement was observed in the maximum pre- and postprandial blood glucose levels (r: ~0.3; variation rates: -10,47% and -3,85%, respectively) in the intervention group, whereas there was a significant increase in the maximum and minimum of preprandial blood glucose levels in the control group (r: ~0.3, variation rates: 14.29% and 25%, respectively). Global and dimensional QoL mean scores variation rates showed a significant difference between groups, with an improvement in the intervention group (r ≥ 0.7, Cohen’s > 0.8) and a decrease in the control group (r ≥ 0.7).

CONCLUSION:

These results support the hypotheses of difference between the study groups in favor of better glycemic control and QoL for the intervention group.
The incidence of heart attacks among young individuals in Mosul City
Authors: Allo Rami , Tariq Mohammed , Natheer Munther , Hussein Hanaa
Published: July 2024

BACKGROUND:

Rapid socioeconomic progress has greatly affected the world, and the risk of cardiovascular diseases (CVDs) has increased. The growing burden of CVDs has become a major public health issue. The study aimed to identify the main risk factors that lead to the contribution of heart attacks among young people in Mosul City, Iraq.

MATERIALS AND METHODS:

The study was dependent on achieving the objectives through a descriptive study design that was performed in the emergency medical wards of three teaching hospitals in Mosul City, Iraq. The sample was the convenience of patients who were admitted to the emergency department and who had signs and symptoms of heart attacks during the period of data collection starting from November 1, 2022, until April 1, 2023. The participants were 247 cases recorded during that period, and their ages ranged between 20 and 45 years. The tool used in this study from the World Health Organization (WHO) is related to risk factors for CVDs and consists of eleven items.

RESULTS:

Approximately seventy percent of the study sample was male, 68.4% were less than 39 years, and 35.6% of them were diagnosed with heart diseases (angina and myocardial infarction) that require hospitalization, and there are several risk factors in the study sample, the most prominent of which were physical inactivity (88.6%), following unhealthy diet patterns (87.5%) and hypertension (69.3%).

CONCLUSION:

The study concluded that the risky health factors that contribute to the occurrence of heart attacks among young people in this study are hypertension, high blood cholesterol, unhealthy diet, heavy smoking, stress, family history, alcohol drinking, obesity, and diabetes mellitus (DB).
The survey of learning experience of pediatric injection among registered nurses and nursing students using a design thinking approach
Authors: Tantacharoenrat Chanita , Precharattana Monamorn
Published: July 2024

INTRODUCTION:

Pediatric injection is an essential skill of nursing. The survey of the learner’s experience during the learning process helps identify problems and leads to improvement. We here applied a three-phrase design thinking framework. The study aims to investigate (1) the registered nurses’ experience in learning injection technique, (2) the nursing students’ experience in learning injection, and (3) the cause of problems and to propose (4) a learning material that will be used to solve the encountered problems.

MATERIALS AND METHODS:

A cross-sectional study was applied. The study employed convenience sampling. Registered nurses from a tertiary hospital in Bangkok, Thailand, and fourth-year nursing students from a nursing school in Bangkok, Thailand, were selected. The data collecting tools contain a personal information form and the experience of injection learning. The inferential and descriptive statistics was used to analyze the data.

RESULTS:

The results show that the major issues of injection learning include selecting the correct site for injection and determining the needle length and injection angle and contamination.

CONCLUSIONS:

Therefore, teaching materials for the anatomy of the injection area and the technique to determine the correct size and depth of injection are needed.