bluuebunny/crossref_metadata_2025 huggingface dataset:
“Recognition of Cuban Independence”: Henry Adams and Empire Building
Authors: Medeiros da Silva Edgardo
Published: November 2022

Drawing on the correspondence of Henry Adams (1838-1918), one of the keenest observers and commentators on US politics throughout the second half of the  nineteenth-century, this paper examines a report he prepared on behalf of Senator James Donald Cameron (1833-1918) of Pennsylvania, a member of the Senate Committee on Foreign Relations, entitled “Recognition of Cuban Independence” (1896), to try and justify the right of intervention of the United States in the cause of Cuban independence. Centered on two major arguments, national interest and the existence of a government already in place on the island of Cuba, the document in question, which hitherto has not been subject to any major scholarly examination,  embodies many of the principles Adams felt should have guided American foreign policy at the time, bringing to light the extent to which he was a firm believer in the “manifest destiny” of the United States to help Latin American colonies break away from their European rulers within the framework of the Monroe Doctrine.
UPAYA PENGEMBANGAN WISATA SASTRA BERBASIS FOKLOR MELALUI WISATA RELIGI MAKAM MANTINGAN DI JEPARA (KAJIAN SASTRA PARIWISATA)
Authors: Lita Aulia Norma
Published: November 2022

Konsep simbiosis mutualisme antara wisata dan sastra menjadikan keduanya manarik untuk diteliti. Sastra memberikan gambaran mengenai tempat wisata melalui deskripsi di dalamnya, sedangkan wisata menjadi tempat referensi bagi penulis untuk mengungkapkan keindahanya melalui karya sastra. Keduanya saling melengkapi dan memberikan sumbangsih yang besar dalam dunia pariwisata maupun pengetahuan melalui membaca. Selain sastra tulis, hasil sastra lisan yang mampu mendatangkan wisatawan adalah wisata religi. Melalui cerita lisan dari masyarakat yang turun temurun menjadikan wisata religi semakin popular di era sekarang. Salah satunya adalah wisata religi yang ada di Mantingan Jepara. Tujuan dari penelitian ini adalah mengembangkan wisata sastra berbasis foklor melalui wisata religi makam Mantingan di jepara. Metode yang digunakan adalah deskriptif kualitatif, dengan pendekatan foklor sebab data yang diperoleh berwujud lisan dan dokumen tentang sejarah Ratu Kalinyamat dan Sultan Hadirin. Sumber data berupa foklor hasil wawancara dan informasi dari media sosial seputar perjuangan Ratu Kalinyamat dan Sultan Hadirin. Teknik pengumpulan data berupa baca, simak, dan catat. Teknik analisis menggunakan model interaktif. Hasil penelitian menunjukkan bahwa makam Mantingan dapat dikembangkan sebagai upaya pengembangan wisata sastra berbasis foklor melalui wisata religi di jepara baik melalui sastra lisan maupun sastra tulis. Salah satunya Atraksi yang memuat sejarah masjid, sejarah perjuangan, sejarah kisah cinta dan nilai-nilai yang dapat diteladani dari Ratu Kalinyamat dan Sultan Hadirin. Ratu kalinyamat diabadikan dalam patung Tiga Wanita yang paling berpengaruh di Jepara, nama Desa Kalinyamat dan Sultan Hadirin diabadikan sebagai salah satu nama Rumah Sakit di Jepara.
NILAI PENDIDIKAN KARAKTER DALAM TRADISI LISAN PONDOK PESANTREN DARUNNAJAH KELUTAN
Authors: Yulianto Doni
Published: November 2022

Tradisi lisan merupakan tradisi sastra yang mencakup ekspresi kesustraan warga suatu kebudayaan yang disebarkan dan diturunkan secara lisan dari mulut ke mulut. Karena tradisi lisan merupakan ekspresi lisan sebuah komunitas budaya suatu masyarakat bersifat pluralitas, maka wujud, bentuk, tema, dan fungsi berbeda. Salah satu fungsi tradisi lisan adalah sebagai sarana internalisasi nilai pendidikan karakter. Berdasarkan dengan pengertian tersebut peneliti mengambil judul pendidikan karakter dalam tradisi lisan pondok pesantren Darunnajah Kelutan. Khususnya nilai pendidikan karakter relegius dan kerja keras.Penelitian ini bersifat deskriptif kualitatif. berupa uraian hasil analisis dari berbagai tradisi lisan. Peneliti bertindak sebagai pengamat penuh dan instrumen utama. Metode pengumpulan menggunakan interview, observasi, dokumentasi. Adapun langkah-langkah analisi data yaitu: pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Pada tradisi lisan pondok pesantren Darunnajah Kelutan nilai pendidikan karakter segi relegius yaitu patuh, penghormatan, sabar, rendah hati dan pendidikan karakter kerja keras yaitu semangat, Rasa ingin tahu
PERAN MITOS SEBAGAI PROMOSI WISATA CANDI BAJANG RATU DI KABUPATEN MOJOKERTO
Authors: Fadhila Aulia Zahra , Andalas Eggy Fajar
Published: November 2022

Berkembangnya mitos yang ada di Candi Bajang Ratu sampai saat ini masih memiliki peran tersendiri bagi masyarakat. Hal tersebut dikarenakan banyaknya masyarakat yang mempercayai kebenaran mitos yang sampai saat ini masih ada di Candi Bajang Ratu. Tujuan dari penelitian ini adalah untuk mendeskripsikan peran mitos sebagai promosi wisata Candi Bajang Ratu. Penelitian ini dilakukan menggunakan metode kualitatif dengan pendekatan etnografi. Penelitian dilakukan dengan teknik wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa terdapat empat mitos yang masih berkembang di Candi Bajang Ratu memiliki peran tersendiri sebagai promosi wisata bagi sebagian besar pengunjung yang datang, serta terdapat pengunjung yang mempercayai mitos di Candi Bajang Ratu dengan melakukan setiap tradisi yang terkait pada mitos tersebut.
COMPARISONAL ANALYSIS OF LITERATURE CRITICISM METHODS OF IBNU QUTAIBAH AND HB. JASSIN
Authors: Kurnia Ulfa , Tasnimah Tatik Maryatut
Published: November 2022

Sastra umumnya berbentuk puisi, prosa, dan drama. Pembahasan puisi, prosa, dan drama disebut kritik sastra. Kritik sastra biasanya menunjukkan kelebihan atau kekurangan sebuah karya sastra. Kritik sastra membantu pembaca memahami karya sastra. Penelitian ini bertujuan untuk mengidentifikasi persamaan dan perbedaan metode kritik sastra lintas negara dan zaman yang berbeda, yaitu membandingkan metode kritik sastra Ibnu Qutaibah dan Hb. jassin. Penelitian yang digunakan dalam artikel ini adalah penelitian kepustakaan. Analisis data dalam penelitian ini menggunakan analisis kualitatif dengan pendekatan berpikir deduktif dan komparatif. Sumber data dalam penelitian ini berdasarkan literatur klasik dalam kitab Syi'ru Wa Syuara' karya Ibnu Qutaibah dan kitab HB. Jassin Paus Sastra Indonesia karya Pamusuk Eneste sebagai data primer. Hasil penelitian menunjukkan bahwa Ibnu Qutaibah dan HB. Jassin dalam mengkritisi atau menilai puisi dalam bukunya sangat objektif, bukan berdasarkan subjektivisme dengan melihat kelas sosial penyair. Perbedaannya terletak pada kaidah penilaian karya sastra baik dari segi bahasa, makna, maupun kaidah kebahasaan.
An analytical study of food security indicators for farm households in the coastal area of Syria
Authors: Almukaddem Leen , Alali Jamal , Habib Wael
Published: November 2022

As Syria enters its tenth year of crisis, the problem of food insecurity has increased and has become a critical issue at the local and global levels. The aim of this research is to measure the farm households’ food security status in the coastal area, using a set of internationally approved measures, which are the Food Consumption Score (FCS), the Reduced Coping Strategies Index (rCSI), and the Consolidated Approach to Reporting Indicators of Food Security (CARI). The research relied on collected preliminary field data using a questionnaire form during the months of October and November of 2019, the study was conducted on a random sample of 382 farm households distributed between Lattakia and Tartous governorates based on their percentage of the total number of households. The results showed that the food consumption score gave the lowest level of food insecurity among households, followed by the Food Security Index of the Consolidated Approach to Reporting Indicators of Food Security. While the reduced coping Strategies Index gave the highest level of household food insecurity, where the value of these three indicators was 20.6, 21.6, 47.2% respectively. The study recommended the necessity of using multiple indicators to measure the different dimensions of food security, and that the combination of indicators can improve the measurement of food insecurity, as this reduces the false possibilities, whether positive or negative, and the misclassification of households’ food security status.
Pelatihan Menjaga Gigi Kuat dan Gusi Sehat untuk Senyum Komunitas Penyintas Kanker ‘Kita Bahagia’ Jakarta Selatan
Authors: Cloudya Panjaitan Caesary , Lestari Sri , Suwandi Trijani , Fibryanto Eko , Livia Florencia
Published: November 2022

Cancer is the second-highest worldwide health problem that hasmortality rate after cardiovascular disease. Chemotherapy and radiotherapy are the most frequently used treatments by patients with known side effects on dental and oral health, such as brittle teeth, bleeding gums, and dry mouth, making it difficult for patients to perform therapy and lower the body's resistance. This community service (PkM) was carried out boldly in the Cancer Survivor Community 'Kita Bahagia' to increase knowledge about maintaining dental and oral health after therapy. This PkM was attended by 55 participants for 3 hours. The material given is about the impact of post-therapy on the hard and soft tissues of the oral cavity and maintaining dental and oral health regularly in the form of power points, e-flyers, and interested videos. The training was evaluated by undertaking a pre-post test containing 20 oral health questions. There was an increase in participants' knowledge of 17.28% within an average pre-test score of 61.27% to 78.55% in the post-test. The participants were very enthusias, as seen from the many questions asked during the live activities and via chat zoom. Within this activity, we hoped that the dental and oral health of post-therapy cancer survivors can be well maintained with good application and to other community members, families, and the wider community.
Inferior ST-Segment Elevation Caused by Occlusion of Left Anterior Descending Artery
Authors: Sheibani Hossein ,   Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran,   Vice-chancellery of Treatment, Shahroud University of Medical Science, Shahroud, Iran,   Hossein Sheibani Shahroud University of Medical Sciences, Shahroud, Iran Phone: +98 9129582317 E-mail: sheybani@shmu.ac.ir, Kheirieh Amirhessam ,   Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran, Azmoodeh Elham ,   Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
Published: November 2022

Here we present a case of a 70-year-old man with acute myocardial infarction caused by left anterior descending artery occlusion presenting as ST elevation in the inferior leads that suggested an occlusion of the right coronary artery. In contrast, coronary angiography results indicated a complete occlusion of the proximal left anterior descending coronary artery. We reported our observation in electrocardiographic data and coronary angiography and its changes after a percutaneous coronary intervention, and then we discuss its pathophysiologic mechanism.
Outcome of Children with Wilms’ Tumor in Developing Countries
Authors: Bahoush Gholamreza ,   Department of Pediatrics, Ali-Asghar Children Hospital, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran,   Gholamreza Bahoush, Associate Professor of Pediatrics,Pediatric Hematologist and Oncologist, SIOP member.Ali-Asghar Children Hospital, Department of Pediatrics, Faculty of Medicine,Iran University of Medical Sciences, Tehran, Iran Phone: 00989121992316 E-mail: bahoush.gh@iums.ac.ir, Saeedi Elahe ,   Department of Pediatrics, Ali-Asghar Children Hospital, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
Published: November 2022

Wilms’ tumor is the most common kidney tumor of childhood. The outcome of this malignant tumor has improved due to the improvement of therapeutic strategies. The most important factor in determining the prognosis of these patients is the histopathology subtype of the tumor; unfavorable histopathology is seen in only 11.5% of the patients, which accounts for 52% of deaths. Therefore, the aim of this study was to determine the outcome of children with Wilms’ tumor referred to our hospital over a period of 10 years. This is a retrospective cohort study, and the target population included all patients with Wilms’ tumor referred to Ali Asghar Hospital and were treated according to the National Wilms tumor study 4 (NWTS-4) protocol. All patients’ data were extracted from the medical records of the department. Overall survival and event-free survival (EFS) were analyzed by the Kaplan Mayer method in the SPSS software, version 23. Fifty-two patients (24 male and 28 female patients) with Wilms’ tumor were included. The mean age of the subjects was 40 months. The most common stage among boys and girls was stage II (23.08% and 28.85%, respectively). Our findings revealed that the overall five-year survival of patients was 87±5%; this figure was determined as 100% for boys and 76.8% ± 1.6 for girls (P = 0.018). Our findings show a dramatic improvement in the outcome of children with Wilms’s tumor, and our results are comparable with other results from developed countries. Gender may be an independent prognostic factor of children with Wilms’ tumor.
The Effect of Music Therapy and Aromatherapy with Chamomile-Lavender Essential Oil on the Anxiety of Clinical Nurses: A Randomized and Double-Blind Clinical Trial
Authors: Zamanifar Somayeh ,   Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran, Bagheri-Saveh Mohammad Iraj ,   Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran, Nezakati Aram ,   Department of Medical Surgical Nursing, Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran, Mohammadi Rozhin ,   Department of Midwifery, Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran, Seidi Jamal ,   Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran,   Jamal Seidi Clinical Care Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences, Sanandaj, Iran Fax: +988733660092 Mobile: +989183781006 E-mail: jamal.seidi@yahoo.com
Published: November 2022

Nurses may be anxious due to critical and emergencies, and anxiety can affect their professional performance. Non-pharmacological interventions, as a safe method, can reduce anxiety.

This study aimed to determine the effect of music therapy and aromatherapy with chamomile - lavender essential oil on the anxiety of clinical nurses.

This was a randomized, double-blind clinical trial. One hundred twenty nurses from clinical wards of Besat Hospital in Sanandaj, Iran, were selected between 2018 and 2019 by purposeful sampling. The samples were randomly assigned to three groups with different interventions, namely music therapy, both aromatherapy with chamomile-lavender essential oil and music therapy, and aromatherapy with chamomile-lavender essential oil, along with a control group as well. The anxiety of nurses was measured based on the Beck Anxiety Inventory before the intervention and after three work shifts. The data were analyzed using the SPSS v.22 software. One-way ANOVA was used to test the hypotheses.

The findings showed that the mean scores of the anxiety of nurses after the intervention in the three groups namely the group for which music therapy was applied, the group for which aromatherapy with chamomile-lavender essential oil was used and the group for which both music therapy and aromatherapy with chamomile-lavender essential oil were applied, were (39.28), (37.82) and (40.03), respec�tively. Therefore, the obtained mean score of each group was significantly lower than that of the control group (56.08) (p < 0.0001).

The results showed that the interventions of music therapy and aromatherapy with chamomile-lavender essential oil could reduce the anxiety of nurses. Therefore, it is recommended to use music therapy and aromatherapy with chamomile-lavender essential oil to reduce the anxiety of nurses in the clinical setting.
Functional tests in patients with ischemic heart disease
Authors: Avram Rodica Lucia ,   Cardiology Department, Sf. Pantelimon Emergency Hospital, Bucharest, Romania,   2. Internal Medicine Department, Carol Davila Medicine and Pharmacy University, Bucharest, Romania, Nechita Alexandru Cristian ,   Cardiology Department, Sf. Pantelimon Emergency Hospital, Bucharest, Romania,   Internal Medicine Department, Carol Davila Medicine and Pharmacy University, Bucharest, Romania, Popescu Marius Nicolae ,   Internal Medicine Department, Carol Davila Medicine and Pharmacy University, Bucharest, Romania,   Rehabilitation Department, Elias Emergency Hospital, Bucharest, Romania, Teodorescu Matei ,   Internal Medicine Department, Carol Davila Medicine and Pharmacy University, Bucharest, Romania,   Rehabilitation Department, Elias Emergency Hospital, Bucharest, Romania, Ghilencea Liviu-Nicolae ,   Internal Medicine Department, Carol Davila Medicine and Pharmacy University, Bucharest, Romania,   Cardiology Department, Elias Emergency Hospital, Bucharest, Romania,   Liviu-Nicolae Ghilencea, Cardiology Department, Elias Emergency Hospital, Bucharest, Romania. E-mail: liviu.ghilencea@yahoo.com, Turcu Diana ,   Cardiology Department, Elias Emergency Hospital, Bucharest, Romania, Lechea Elena ,   Cardiology Department, Elias Emergency Hospital, Bucharest, Romania, Maher Sean ,   Surgery Department, St. Vincent’s University Hospital, Dublin, Ireland, Bejan Gabriel Cristian ,   Internal Medicine Department, Carol Davila Medicine and Pharmacy University, Bucharest, Romania,   Private Medical Practice Office Bejan Gabriel Cristian, Bucharest, Romania, Berteanu Mihai ,   Internal Medicine Department, Carol Davila Medicine and Pharmacy University, Bucharest, Romania,   Rehabilitation Department, Elias Emergency Hospital, Bucharest, Romania
Published: November 2022

Lately, easier and shorter tests have been used in the functional evaluation of cardiac patients. Among these, walking speed (WS) and Timed Up and Go (TUG) tests are associated with all-cause mortality, mainly cardiovascular and the rate of re-hospitalization, especially in the elderly population. We prospectively analyzed a group of 38 patients admitted to the Cardiology Clinic from Elias Hospital, Romania, with chronic coronary syndrome (CCS) (n=22) and STEMI (n=16). We assessed the patients immediately after admission and before discharge with G-WALK between the 1st and 30th of September 2019. Our study group had a mean age of 62.7±12.1 years. Patients with a low WS were older (69.90±12.84 vs. 59.90±10.32 years, p=0.02) and had a lower serum hemoglobin (12.38±1.20 vs. 13.72±2.07 g/dl, p=0.02). The WS significantly improved during hospitalization (p=0.03) after optimal treatment. The TUG test performed at the time of admission had a longer duration in patients with heart failure (14.05 vs. 10.80 sec, p=0.02) and was influenced by patients’ age (r=0.567, p=0.02), serum creatinine (r=0.409, p=0.03) and dilation of right heart chambers (r=0.399, p=0.03). WS and TUG tests can be used in patients with CCS and STEMI, and are mainly influenced by age, thus having a greater value among the elderly.
Localization of Impacted Canines - A Comparative Study of Computed Tomography and Orthopantomography
Authors: Mohammed Asadullah Khan ,   Department Of Orthodontics, Sri Balaji Dental College, Hyderabad, Telangana, India,   Dr Asadullah Khan Mohammed Reader, Department Of Orthodontics, Sri Balaji Dental College Hyderabad, Telangana E-mail: marvelviks@gmail.com Phone: +917993434679, Sravani Garepally ,   Department Of Orthodontics, Sri Balaji Dental College, Hyderabad, Telangana, India, Vallappareddy Deepti ,   Department Of Orthodontics, Sri Sai College Of Dental Surgery, Vikarabad. Telangana, India, Rao Annamaneni Rakesh ,   Department Of Orthodontics, Sri Sai College Of Dental Surgery, Vikarabad. Telangana, India, Qureshi Arshad ,   Department Of Orthodontics, Sri Sai College Of Dental Surgery, Vikarabad. Telangana, India, Prasad Anisha N ,   Department Of Orthodontics, Sri Balaji Dental College, Hyderabad, Telangana, India
Published: November 2022

Our aim was to evaluate the location of impacted canines and their proximity to the lateral and central incisor to assess the prognosis of the impacted canine and compare the reliability of 2D versus 3D imaging solutions.

We carried a prospective study on 17 subjects with impacted maxillary canines. Later, the patients underwent radiologic examination, i.e., sectional computed tomography and orthopantomography. The obtained records were compared regarding the location of the impacted maxillary canine, the proximity and resorption of the impacted canine to the lateral and central incisors, the prognosis of the impacted canine, and the linear distance of the canine from the vertical and horizontal reference lines drawn.

Eleven males (45.8%) and 13 females (54.1%), 11 (45.8%) impacted canines on the right side, and 13 (54.1%) on the left side, as well as 2 (8.3%) transpositions, were noted. Buccally impacted teeth caused less resorption of the adjacent teeth. Among the 24 teeth examined using orthopantomography with the sector method, 3 (12.5%) teeth were found in sector 1. There were 8 (33.33%) teeth in sector 2, and 11 (45.8%) of the impacted canines were in sector 3. In localizing impacted maxillary canines, computed tomography revealed an increased accuracy of 31% compared to orthopantomography.

Even though both computed tomography and orthopantomography revealed similar records, computed tomography showed more accuracy, also having an added advantage of its 3D viewing capabilities in precise localization of the impacted maxillary canine.
Intestinal Dysbiosis As a Possible Predictor of Very Early Preterm Labor in Pregnant Women With Metabolic Syndrome
Authors: Mykolaivna Pavlovska Oksana ,   First Department of Obstetrics and Gynecology, Odessa National Medical University, Odessa, Ukraine,   Oksana Mykolaivna Pavlovska, First Department of Obstetrics and Gynecology, Odessa National Medical University, Valikhovskiy Lane, 2, Odessa, 65082, Ukraine. E-mail: oksanaodmed@i.ua. Phone: + 38-050-549-88-59, Mykolaivna Pavlovska Kateryna ,   First Department of Obstetrics and Gynecology, Odessa National Medical University, Odessa, Ukraine, Mykolaivna Heryak Svitlana ,   Second Department of Obstetrics and Gynecology, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine, Volodymyrovych Khmil Stefan ,   First Department of Obstetrics and Gynecology, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine, Yevhenivna Gorban Nataliia ,   Lukianova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine, Kyiv, Ukraine
Published: November 2022

The work assessed the state of the intestinal microbiocenosis in 52 puerperae at the in whom the pregnancy developed against the background of the metabolic syndrome. The diagnosis of metabolic syndrome was determined according to the criteria approved by the World Health Organization for pregnant women. The state of intestinal microbiocenosis was assessed by a bacteriological examination of feces immediately after delivery. The content of the main representatives of the obligate microflora (bifidobacteria, lactobacilli, native intestinal bacilli, fecal streptococci) and facultative (conditionally pathogenic) microorganisms (representatives of the genus Prоteus, Klebsiella, pathogenic strains of E. coli, Staphylococcus epidermidis, Enterobacter, Citrobacter, Clostridium difficile, Candida fungi) was determined. Cultures were made on appropriate growth media.

At the time of birth, all patients of group I showed signs of intestinal microbiocenosis disorder. At the same time, 13 (54.2%) puerperae were diagnosed signs of dysbiosis of II degree, 9 (37.5%) with signs of III degree, which were generally characterized by a significant decrease in the content of the main representatives of obligate microflora (Bifidobacterium, Lactobacillus, Escherichia coli, Fecal streptococci) with simultaneous high contamination of Candida albicans and Clostridium difficile. So, it can be considered as a possible predictor of very early preterm birth in women with MS. In pregnant women with MS, but who gave timely birth (group II), dysbiotic disorders were detected to a lesser extent. Thus, in 13 (46.4%) patients, initial signs of intestinal dysbiosis (first degree) were detected in 4 (14.3%) patients (second degree). In 11 (39.3%) puerperae of group II, microbial indices indicated normal eubiotic ratios.
Tissue-engineered Maxillofacial Skeletal Defect Reconstruction by 3D Printed Beta-tricalcium phosphate Scaffold Tethered with Growth Factors and Fibrin Glue Implanted Autologous Bone Marrow-Derived Mesenchymal Stem Cells
Authors: Ananthakrishnan Nair Manju ,   Department of Oral and Maxillofacial Surgery, PAHER University, Udaipur, India,   Manju Ananthakrishnan Nair Department of Oral and Maxillofacial Surgery, PAHER University, Udaipur, India E-mail: drmanjoy@gmail.com, Shaik Khadar Vali ,   Department of Oral and Maxillofacial Surgery, PAHER University, Udaipur, India, Kokkiligadda Adiseshu ,   Department of Biotech Engineering, Virchow Biotech Private Limited, Hyderabad, India, Gorrela Harsha ,   Department of Oral and Maxillofacial Surgery, MNR Dental College and Hospital, Hyderabad, India
Published: November 2022

The study aimed to investigate whether a 3D printed beta-tricalcium phosphate (β-TCP) scaffold tethered with growth factors and fibrin glue implanted autologous bone marrow-derived mesenchymal stem cells would provide a 3D platform for bone regeneration resulting in new bone formation with plasticity. Twenty 3D printed β-TCP scaffolds, ten scaffolds engrained with osteogenic mesenchymal stem cells with fibrin glue (group A), and ten scaffolds used as a control group with β-TCP scaffold and fibrin glue inoculation only (group B) were included in the study. Cell infiltration, migration, and proliferation of human osteogenic stem cells on the scaffolds were executed under both static and dynamic culture conditions. Each scaffold was examined post culture after repeated changes in the nutrient medium at 2, 4 or 8 weeks and assessed for opacity and formation of any bone-like tissues macroscopic, radiographic, and microscopic evaluation. Significant changes in all the prerequisite parameters compiled with an evaluated difference of significance showing maxillofacial skeletal repair via tissue engineering by β-TCP scaffold and MSCs remains will be the most promising alternative to autologous bone grafts and numerous modalities involving a variety of stem cells, growth factors from platelet-rich fibrin.
The Prevalence and Trend of Metabolic Syndrome in the South-East of Iran
Authors: Farmanfarma Khadijeh Kalan ,   Department of Epidemiology & Biostatistics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran, Ali Kaykhaei Mahmoud ,   Department of Epidemiology & Biostatistics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran, Mohammadi Mehdi ,   Department of Epidemiology & Biostatistics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran, Adineh Hussein Ali ,   Department of Epidemiology and Biostatistics, School of Health, Iranshahr University of Medical Sciences, Iranshahr, Iran, Ansari-Moghaddam Alireza ,   Department of Epidemiology & Biostatistics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran,   Department of Epidemiology and Biostatistics, School of Health, Iranshahr University of Medical Sciences, Iranshahr, Iran
Published: November 2022

Metabolic syndrome (Mets) is a set of metabolic disorders including abdominal obesity, insulin resistance or disorders of glucose absorption and metabolism, lipid disorders, and hypertension, which increases the risk of chronic diseases including type 2 diabetes, cardiovascular diseases, cancer, and mortality. Therefore, the present study aimed to determine the trend of Mets and its components in Zahedan, a city located in South-East of Iran, from 2009 to 2017. A total of 761 individuals aged >20 years were followed from 2009 to 2017. The frequency of metabolic syndrome was measured at two-time points based on four criteria: International Diabetes Federation (IDF), National Cholesterol Education Program-Third Adult Treatment Panel (NCEP-ATP III), Third Adult Treatment Panel (ATP III), and American Heart Association and the National Heart Lung and Blood Institute (AHA/NHLBI). The prevalence of Mets ranged from 16.6 (95% CI: 13.9 - 19.2) (ATP III) to 23.70% (95% CI: 20.6 - 26.6) (AHA/NHLBI) in 2009. Accordingly, it increased from 5.2% to 7.3% during the study period using different criteria such that the frequency of Mets varied from 21.8 (95% CI: 18.8 - 24.7) (ATP III) to 31.0% (95% CI: 27.7 - 34.3) (AHA/NHLBI) in 2017. The increasing trend was prominent among females, persons aged <40 years, and those with the lowest educational level. Two components of Mets (abdominal obesity and diabetes) increased in prevalence, whereas elevated blood pressure, hypertriglyceridemia, and low HDL declined. The study revealed an annual increase rate of about 1% in the prevalence of metabolic syndrome. Therefore, the increasing trend of some components of Mets highlights the urgency of addressing these components as health priorities.
Salivary and Serum Glucose Levels in Diabetes Mellitus Patients versus Control – A Randomised Control Trial
Authors: Kumar Avanindra ,   Department Of Oral Pathology and Microbiology, Patna Dental College And Hospital, Patna, India, Kumar Tanoj ,   Department Of Oral Pathology, Patna Dental College And Hospital, Patna, India,   Tanoj Kumar, Professor And Head, Department Of Oral Pathology, Patna Dental College And Hospital, Patna-4, India. Phone: +919431647732. E-mail: dr.tanoj@rediffmail.com, Bhargava Manish ,   Department Of Oral Pathology, Manav Rachna Dental College, Faridabad, Hayana, India, Raj Rachna ,   Department Of Public Health Dentistry, Patna Dental College And Hospital, Patna, India, Vaibhav Vikas ,   Department Of Dentistry, Vardhman Institute Of Medical Science, Pavapuri, Nalanda, Bihar, India, Kishore Jay ,   Bihar Government, Primary Health Centre, Sahdei Buzurg, Vaishali, Bihar, India
Published: November 2022

Oral fluids provide a readily available and non-invasive medium for the diagnosis of a wide range of diseases and clinical situations. Diabetes mellitus is a common chronic metabolic disorder that affects millions of people. Our objective was to compare the salivary and serum glucose levels in patients with diabetes mellitus and healthy individuals. Two ml of unstimulated whole saliva was collected by the spitting method. Also, 2 ml of the patient’s intravenous blood was obtained from the forearm’s median cephalic vein. Both the samples were centrifuged at 2000 rpm for 2-3 minutes. Ten μl of both saliva and serum were taken out and added to glucose reagent. These were kept in a temperature-controlled water bath at 37°C for 10 minutes. The color change was noted, and the optical density was measured in a semi-auto analyzer.

The presence of glucose was detected in both groups; however, the levels were raised in people with diabetes compared to healthy individuals. The present study indicated a substantial increase in salivary and serum glucose levels in diabetic patients compared to healthy controls. The concentration of glucose in saliva increases with the increase in serum glucose concentration.
Prevalence and Intensity of Periodontal Disease in Individuals with Metabolic Syndrome
Authors: Hlushchenko Тatiana Anatolyevna ,   Department of Therapeutic Stomatology, Bukovinian State Medical University, Chernivtsi, Ukraine,   Тatiana Anatolyevna Hlushchenko Assistant of the Department of Therapeutic Stomatology, Bukovinian State Medical University E-mail: gta89@ukr.net, Batig Victor Markianovich ,   Department of Therapeutic Stomatology, Bukovinian State Medical University, Chernivtsi, Ukraine, Borysenko Аnatoly Vasylovych ,   Department of Therapeutic Stomatology, O.O. Bohomolets National Medical University, Kyiv, Ukraine, Tokar Olha Mykhaylivna ,   Department of Pediatric Dentistry, Bukovinian State Medical University, Chernivtsi, Ukraine, Batih Іryna Viktorivna ,   Department of Therapeutic Stomatology, Bukovinian State Medical University, Chernivtsi, Ukraine, Vynogradova Olena Mykolayivna ,   Department of Therapeutic Dentistry, Faculty of Postgraduate Education, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine, Boychuk-Tovsta Oksana Grygorivna ,   Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine
Published: November 2022

Metabolic syndrome is one of the actual problems of modern medicine because of its high prevalence in the general population and its essential role in the development and progression of cardiovascular diseases.

In the last decade, studying the relationship between metabolic syndrome and periodontal diseases has attracted many scientists’ attention. Based on this, the study of the clinical features of periodontal diseases in the early stages of metabolic syndrome is relevant and necessary for timely and successful pathogenetic therapy.

The purpose of our study was to investigate and analyze the prevalence and intensity of periodontal disease in people with metabolic syndrome. To solve this goal, we surveyed 190 people with metabolic syndrome who were registered at the endocrinological clinic in Chernivtsi. They formed the main observation group. The comparison observation group included 90 people without metabolic disorders. The age of the patients ranged from 25 to 55 years. Periodontal disease was detected in 155 of 190 patients with metabolic syndrome (81.58 ± 2.82%). In 90 patients without endocrinological pathology, the prevalence of periodontal disease was 1.2 times lower (65.56 ± 5.04%; p <0.01). Generalized periodontitis prevailed in the structure of periodontal diseases in patients with metabolic syndrome: 26.45±3.56% cases were in the second stage of generalized periodontitis (GP), and 21.94±3.33% in the third stage of GP, р<0.01. Therefore, the metabolic syndrome, as a state with a high risk of diabetes development, creates conditions for the formation and rapid progression of inflammatory-destructive periodontal lesions.
Outcomes of Surgery with Vaginal Native Tissue for Posterior Vaginal Wall Prolapse Using a Special Technique
Authors: Sohbati Samira ,   Department of Obstetrics and Gynecology, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran, Hajhashemi Maryam ,   Department of Obstetrics and Gynecology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran, Eftekhar Tahereh ,   Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran, Deldar Maryam ,   Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran, Radnia Nahid ,   Department of Obstetrics and Gynecology, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran, Ghanbari Zinat ,   Department of Obstetrics and Gynecology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran,   Zinat Ghanbari, Department of Obstetrics and Gynecology, Vali-e-Asr Hospital, Imam Khomeini Hospital Complex, Tohid Square, Tehran, Iran.Postal Code: 1419733141 Phone: +989121305814 E-mail: Zghanbari@tums.ac.ir
Published: November 2022

There are several techniques for repairing prolapse in the posterior vaginal compartment, yet there is no general agreement on the best surgical procedure. This study was performed to investigate the outcomes of the common vaginal route technique for posterior vaginal wall prolapse repair in the first Iranian fellowship teaching center for female pelvic floor disorders. This prospective cohort study was performed on women with posterior vaginal wall prolapse with or without prolapse of other vaginal compartments who underwent surgery between 2014 and 2018 in a referral center for female pelvic floor disorders. A follow-up period of 12 months was considered. Patients subjected to the transvaginal technique by attachment of the rectovaginal fascia to the pericervical ring using vaginal native tissue were included. Among the 107 patients, the Pelvic Floor Distress Inventory-20 (PFDI-20) scores were 141.87 ± 34.48 and 100.87 ± 26.48 before and after surgery, respectively, showing the significant improvement of patient’s symptoms after surgery in the 12-month follow-up. Comparing Pelvic Organ Prolapse Quantification (POP-Q) results before and after surgery, a significant improvement in patients’ conditions was seen at the 12-month follow-up. Based on the results of the present study, the surgical procedure of the rectovaginal fascia attachment to the pericervical ring in posterior vaginal wall prolapse repair seems an effective surgical intervention without significant morbidity in the short-term follow-up.
Knowledge and Skills Level on Oral Health Among Students at the “Ferdinand I” Military Technical Academy in Bucharest
Authors: Dan Ancuta Dumitrita ,   Titu Maiorescu University, Bucharest, Romania,   Ancuta Dumitrita Dan, PhD Student,2 Aleea Ciceu Street, bl.A13, sc.1, ap.40 District 4, Romania, Bucharest.Phone: 0040 721 288 298 E-mail: aniela_ana1982@yahoo.com, Ghergic Doina Lucia ,   Titu Maiorescu University, Bucharest, Romania
Published: November 2022

The increase in the number of clinical cases with varying levels of damage to dental structures among young adults due to caries and excessive consumption of sweets and acidic beverages leads to questions about why there is an increase of cases despite all means of information. Is there a lack of interest in oral health among young adults? The aim of this study was to evaluate the knowledge and skills level of the students regarding oral health in order to conceive and implement an oral health educational program adapted to their needs and interests.

The survey method using a questionnaire was administered to students in the first, second, and third academic year at the “Ferdinand I” Military Technical Academy (Bucharest, Romania) in March 2019 and included general data and specific information about oral health. We noted a relatively high participation in this study (73.91% agreed), although 71% have not participated in campaigns and training programs about oral health. The participants showed a high degree of interest in dental aesthetics, although 59% consider dental caries to be the main problem affecting their oral-dental health. It is imperative to introduce an educational module regarding oral health for military students, and not only, in order to materialize knowledge by adopting healthy attitudes and behaviors, avoiding high financial and biological costs for both the patient and the healthcare system.
The Spin of Electrons and the Proof for the Action of Homeopathic Remedies
Authors: Vithoulkas George ,   University of the Aegean, Mytilene, Greece,   George Vithoulkas, University of the Aegean, 81100 Mytilene, Greece E-mail: george@vithoulkas.com, Berghian-Grosan Camelia ,   National Institute for Research and Development of Isotopic and Molecular Technologies, Cluj-Napoca, Romania
Published: November 2022

In the last 200 years, the action of the highly diluted homeopathic remedies has been proved by their curative effect on the human organism. In this work, a hypothesis concerning the mystifying question about this action is proposed. The hypothesis suggests that any pathology, either functional or structural, can be detected in the change of the overall energy of the human body. Such energy is constituted by fields of force according to quantum physics. More precisely, every disturbance of the human organism affects the spin on electrons of different elements within the human body, and their reset could take place with an agent similar to the electromagnetic force that created the problem. This statement has been proved by the correct homeopathic treatments, as it can be seen in many published cases. The hypothesis is based on two approaches, the idea of the spin of electrons and the vital force, and their scientific relevance.
Quality of Life after Flatfoot Surgery in the Pediatric Population
Authors: Sterian Alin Gabriel ,   Department of Pediatric Orthopedics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania,   Alin Gabriel Sterian, MD Department of Pediatric Orthopedics,Carol Davila University of Medicine and Pharmacy 37 Dionisie Lupu, 050474,Bucharest, Romania E-mail: drsterian@gmail.com, Ulici Alexandru ,   Department of Pediatric Orthopedics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Published: November 2022

Flatfoot is a common deformity in the pediatric population and has a multitude of causes. Sometimes, it can be a normal finding in children, and treatment should not be guided only based on the appearance, but rather after thoroughly assessing the patient and the impact it has on the child’s daily life. In this paper, we describe the quality of life that the patients are experiencing after the surgical treatment of this pathology. We made a comparison between the most used techniques for correcting flatfoot and insisted on the postoperative comfort of the patient, rehabilitation, and the time it took to get back to their daily routine. The comparison was made between Mosca calcaneal lengthening osteotomy, Grice extraarticular arthrodesis, arthroereisis and triple arthrodesis of the foot. All of the surgeries were performed by the same doctor at “Grigore Alexandrescu” Emergency Hospital for Children in Bucharest. From the data collected, we propose that newer, minimally invasive techniques could be used in treating this pathology in order to help the patient feel better in the postoperative period and avoid some of the complications regularly encountered when using the old techniques.
Ghrelin Levels and Decreased Kidney Function in Patients with Early Stages of Chronic Kidney Disease Against the Background of Obesity
Authors: Vasylivna Gubina Nataliia ,   Department of Clinical Pharmacology and Pharmacotherapy, Ivano-Frankivsk National Medical University of Ministry of Health of Ukraine, Ivano-Frankivsk City, Ukraine,   Nataliia Vasylivna Gubina,Ivano-Frankivsk National Medical University of Ministry of Health of Ukraine,2 Halytska, Ivano-Frankivsk, 76010, Ukraine,Phone: +380509705595 E-mail: natali.gubina1974@gmail.com, Hryhorivna Kupnovytska Iryna ,   Department of Clinical Pharmacology and Pharmacotherapy, Ivano-Frankivsk National Medical University of Ministry of Health of Ukraine, Ivano-Frankivsk City, Ukraine, Hryhorovych Mishchuk Vasyl ,   Department of Clinical Pharmacology and Pharmacotherapy, Ivano-Frankivsk National Medical University of Ministry of Health of Ukraine, Ivano-Frankivsk City, Ukraine, Dmytrivna Markiv Halyna ,   Communal Non-profit Enterprise “Central City Clinical Hospital” of Ivano-Frankivsk City Council, Ivano-Frankivsk City, Ukraine
Published: November 2022

The importance of kidney damage in obese patients is due to the increasing incidence of nephropathies associated with metabolic disorders, their predisposition to a progressive course of the disease, and the need to optimize early disease detection.

The purpose of our work is to study the level of cystatin C, ghrelin, and their interrelation in patients with early stages (I-II) of chronic kidney disease (CKD) against the background of obesity.

The indicators of daily microalbuminuria in patients of both groups were studied, and it was found that in patients with stage 2 CKD with obesity, it was 1.2 times higher than in patients with stage 1 CKD with obesity. Patients of the second group revealed a direct middle correlation between daily albuminuria and body mass index (BMI), which indicates deterioration in the functional state of the kidneys against the background of obesity.

We obtained an increase in the serum concentration of cystatin C in stage 2 CKD with obesity, reflecting the state of glomerular filtration and the degree of renal function decrease. Correlation analysis showed a positive relation of cystatin C with increased urinary albumin excretion in both groups, plasma creatinine content, BMI, and age.

Simultaneously with the increase in the level of cystatin C and the decrease in the glomerular filtration rate, there was an increase in ghrelin levels in stage 2 CKD and the progression of obesity, while such dependence was not seen in stage 1 CKD.
Correlation between ASA Grade with reversal of Hartmann’s procedure – a retrospective study
Authors: Farah Muhaned ,   Department of Colorectal Surgery, Lewisham and Greenwich Trust, London, United Kingdom,   Muhaned Farah, Department of Colorectal Surgery, Lewisham and Greenwich Trust, London, United Kingdom. E-mail: muhaned.farah@yahoo.com, Sorelli Paolo ,   Department of Colorectal Surgery, Lewisham and Greenwich Trust, London, United Kingdom, Kerwat Rajab ,   Department of Colorectal Surgery, Lewisham and Greenwich Trust, London, United Kingdom, Oke Okatokundo ,   Department of Colorectal Surgery, Lewisham and Greenwich Trust, London, United Kingdom, Ng Philip ,   Department of Colorectal Surgery, Lewisham and Greenwich Trust, London, United Kingdom
Published: November 2022

Hartmann’s procedure involves resecting the rectosigmoid colon, closure of the distal rectal stump, and forming an end colostomy for complicated left colon diverticulitis or malignancy. Recovery from the initial operation can, in a second stage, be followed by a reversal stage with the restoration of bowel continuity. This study aimed to assess the reversal rate and its correlation with demographic data, ASA grade, and length of hospital stay. All patients who underwent Hartmann’s emergency procedure from 2014 to 2018 at Lewisham and Greenwich hospital were enrolled in this retrospective study. Data was collected from the inpatient electronic files and NELA (UK National Laparotomy Audit). 118 patients were included in the study, with 57.6% females and a median age of patients of 69 years (range 35–91). Findings of the study indicate that the most common indications for Hartmann’s procedure were diverticular complications 60% (n=71) and benign perforated sigmoid or rectosigmoid cancer 16% (n=19). The average length of hospital stay was 24 days (range n=2 – 212 days). The reversal rate was 34.9% (41/118 cases). No significant difference was observed between gender and length of hospital stay in relation to the reversal rate while there was a significant correlation between age and ASA grade in relation to reversal rate; the calculated P values were recorded as (<0.000) and (<0.009) respectively. Our results show that the highest reversal rate was observed in younger and fitter (I–II) ASA grade patients. The most common medical complication from reversal of Hartmann’s procedure was an anastomotic leak (n=6, 16.7%). Reversal rate of Hartmann’s procedure was 34.9%. The average timeframe for reversal was within 18–20 months. There was a significant correlation between age and ASA grade in relation to reversal rate.