bluuebunny/crossref_metadata_2025 huggingface dataset:
Micro-CT Analysis of the Root Canal Configuration of Maxillary Second Molars with Fusion
Authors: KESKİN Cangül , ÖZDEMİR Özgür , KELEŞ Ali
Published: August 2022

Purpose: The present study investigated the root canal configuration of maxillary second molars with root fusion using micro-computed tomography (micro-CT).

Materials & Methods: A total of 136 fused maxillary second molars were scanned with micro-computed tomography. Images were transferred to CTAn v.1.18.8 software (Bruker-microCT) to obtain three-dimensional models. The specimens were classified according to the fusion type. According to Vertucci, classification of the root canal configuration of fused roots was determined using CTVol v. 2.3.2.0 (Bruker-microCT) and DataViewer v.1.5.6 (Bruker-microCT) softwares. The specimens that could not be represented were also specified. The frequency of canal configuration according to the fusion type was calculated.

Results: For Type 1 fusion (n=40) and Type 2 fusion (n=22), the most common canal configuration for mesiobuccal (MB), distobuccal (DB) and palatal (P) canals was Type I. In type 3 fusion specimens (n = 21), DB and P canals were completely fused in 1 sample in accordance with Vertucci type IV, while in the remaining specimens, types II, I, V, VI and IV were observed in decreasing order in the MB canal. In type 4 fusion, MB and DB canals were completely fused in 4 of 21 specimens and showed Vertucci type VI, II, I and III configurations. In the remaining 17 samples, MB had Vertucci type I, II, IV, V, VI, VII configurations, while DB showed type I, V and III configurations. In 7 samples with type 5 fusion all canals displayed different configurations. In type 6 fusion, the canal configurations of 6 samples could not be classified. Type II, I, and V configurations were seen in 9 of the remaining 19 samples with a single canal.

Conclusion: Vertucci type I was the dominant canal configuration in the P and DB, however, MB showed much more diverse configurations either independently or when included in fusion.
Knowledge Skills and Attitudes of Dentistry and Dental Clinic Assistant Students Related to Online Pedodontics Lecture During the Covid-19 Pandemic
Authors: ÖZER Hazal , FİDANCIOĞLU Yasemin Derya , ABAKLI İNCİ Merve
Published: August 2022

Background: In Turkey, with the Covid-19 pandemic, an online education system has been introduced, as is the case all over the world. Since March 2020, dentistry(D) and dental clinic assistant(DCA) students have taken pedodontics lessons online. This research; Necmettin Erbakan University Faculty of Dentistry and dental clinic assistant students aim to evaluate the efficiency of the education given in the online pedodontics course, the student's satisfaction, and the online course system.

Methods: In the questionnaire, there are multiple-choice questions about methods of accessing the online education system and access knowledge and skills of students. In addition, various propositions about pedodontics classes were presented to students to be answered with the Likert scale consisting of 1-5, strongly disagree, disagree, undecided, agree, and strongly agree options. This questionnaire was conducted over the internet, with anonymity for the identity of students. IBM SPSS Statistics 25 program was used for statistical evaluations.

Results: Survey participated by 88D and 59DCA students; 40.1% of students reported that they connected to lessons via their mobile phones and tablets. Statistically, a significant difference was not found between the two groups in terms of difficulty and effort levels in their connection to classes(p=0.622,p=0.348). In the contribution of pedodontics to students' knowledge levels, was found that the knowledge levels of students with easy access to the internet at the beginning and end of lessons were significantly different from those with difficult access(p=0.002). Lecturers' skill level and their competence do not differ significantly according to groups. A statement that watching webinars is more beneficial than online education has been the proposition with the lowest mean score.

Conclusions: Dentistry and dental clinic assistant students faced various difficulties adapting to the online education system. This internet and technology-based system caused inequalities in education levels of students, tried to be balanced lecturers. While the pandemic process continues unpredictably, lecturers have a great responsibility to make pedodontics lesson reach their goals fairly.
Effects of Different Beverages on Color Stability of Bulk-Fill Restorative Materials
Authors: ÖZYURT Esra , KURT Ayşegül
Published: August 2022

Purpose: The aim of the study is to evaluate the color stability of a conventional composite resin and bulk-fill composite resins.

Material Methods: A total of 120 samples of 10 mm diameter and 2 mm thickness were prepared from three bulk-fill (Beautifil Bulk-Fill, Filtek One Bulk-Fill, Tetric N-Ceram Bulk-Fill) and one conventional composite (Z250) and light cured. Initial color measurements were made with a spectrophotometer. Samples for each composite were randomly divided into 3 groups (black, kombucha and matcha tea) (n = 10). The samples were kept in the solutions for 12 days, and the color measurement was repeated. The values of ΔL, Δa, Δb and ΔE00 were calculated. SEM images were taken from a randomly selected sample from each group. Two-way analysis of variance (ANOVA) with Bonferroni correction was used to evaluate the color parameters.

Results: Beautifil composite showed the greatest change in all values of E00, ΔL, Δa, and Δb., Filtek One and Tetric N-Ceram had the highest ΔE00 values values after Beautifil, respectively, and there was no difference between Z250 and Tetric N-Ceram. The lowest ΔL value belonged to Z250 composite, there was no difference between Tetric N-Ceram and Filtek One. Tetric N-Ceram had the highest Δa value after Beautifil and, there was no difference between the Z250 and Filtek One. Filtek One had the highest Δb value after Beautifil, there was no difference between the Tetric N-Ceram and Z250.

Conclusion: Beverages can negatively affect the surface properties of bulk-fill composite resins in terms of color stability.
EVALUATION OF ORAL HEALTH LITERACY OF PREGNANT WOMEN
Authors: YETER Gönül , ŞENGÜL Fatih
Published: August 2022

Aim

Oral health literacy is the capacity of individuals to receive and understand the health information and services necessary to make appropriate oral health decisions. Low oral health literacy is associated with insufficient oral health knowledge and behaviors. The aim of our study was to assess the level of oral health literacy of pregnant women and their ability to recognize words on the REALD-30 scale, as well as their knowledge of the meaning of words.

Methods

300 pregnant women between the ages of 18-45 who were admitted to the Obstetrics and Gynecology outpatient clinic of Ataturk University Faculty of Medicine participated in our study. The TREALD-30 scale, consisting of 30 words, determines the ability to read dental words. Participants received 1 point for each correctly read word in TREALD 30. A total of 0-30 points were scored. In addition, the word scores that participants knew the meaning of were evaluated under the heading TREALD-30-M. Analysis of the collected data was carried out in SPSS v26 program.

Results

The average age of the participants was 31.2 years and the average educational status was 13 years. It was found that 31% of participants had their first pregnancy. 66.7% of respondents were housewives and 9.7% were health workers. The number of words that can only be read was determined as 29, the number of those that can be read by knowing their meaning was 17, and the number of those that cannot be read was determined as 3 words. As the level of education increased, oral health literacy increased (p
Effect of Omega-3-Rich Fish Oil on TNF-  Expression in Mice's Colonic Tissue Induced with Azoxymethane (AOM) and Dextran Sodium Sulphate (DSS)
Authors: Wiyarta Elvan , Kusmardi Kusmardi , Hanafi Midoen Yurnadi
Published: August 2022

Objective: Colorectal cancer (CC) is one type of cancer with a high incidence worldwide. Many therapeutic techniques have been for CC but have not yet yielded satisfactory results. Fish oil has potential as an alternative therapy for CC through its anti-inflammatory effects. Here, we want to investigate that effect on TNF-α expression using omega-3-rich fish oil (FO). Methods: FO was injected into Swiss mice that have been induced (2% in drinking water) with DSS for seven consecutive days. Animals were separated into six groups: normal, negative control, positive control, solvent control, and FO groups (3 and 6 mg/kg body weight/day). All animals were sacrificed, and the colons were collected then stained with anti-TNF-α. The stained sections were subsequently examined with ImageJ based on colour density. Results: Based on the H-Score of each group, FO 3 mg and 6 mg has significantly decreased the expression of TNF-α compared to the negative control (p=0.001 and p=0.009). Conclusion: FO administration was able to inhibit the expression of TNF-α on mice's colonic tissue induced with AOM and DSS.
A rare case of cholecystoduodenal fistula and gallstone impaction causing gallstone ileus: A case report
Authors:   Department of General Surgery, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia., Junloong Chiew , AM Maizatul Aliaa ,   Department of General Surgery, Hospital Sultanah Aminah, Johor Bahru, Johor, Malaysia., Z Ismazizi ,   Department of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia., AA Zainal ,   Department of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Published: August 2022

Gallstone ileus is a rare cause of gastrointestinal (GI) complication of gallstone that causes mechanical intestinal obstruction due to gallstone impaction in the gastrointestinal tract. About less than 1% of intestinal obstruction is caused by this. Patients may present with non-specific signs and symptoms. Surgical relief of gastrointestinal obstruction remains the mainstay of operative treatment. Classical findings on plain abdominal radiography include (1) pneumobilia; (2) intestinal obstruction; (3) an aberrantly located gallstone; and (4) change of location of a previously observed stone. The current surgical procedures are: (1) simple enterolithotomy; (2) enterolithotomy, cholecystectomy, and fistula closure (one-stage procedure); and (3) enterolithotomy with cholecystectomy performed later (two-stage procedure). We describe a case of gallstone ileus.
Jejunal diverticular disease complicated with spontaneous perforation: A rare case of acute abdomen and literature review
Authors:   Department of Surgery of the Upper Digestive System, Hospital da Cidade Group, Salvador, Bahia, Brazil., Silano Flávio , Neves Vanessa Costa ,   Department of Surgery of the Upper Digestive System, Hospital da Cidade Group, Salvador, Bahia, Brazil., Amaral Ricardo Bandeira de Melo ,   Department of Surgery of the Upper Digestive System, Hospital da Cidade Group, Salvador, Bahia, Brazil., Carvalho Rodolfo ,   Department of Surgery of the Upper Digestive System, Hospital da Cidade Group, Salvador, Bahia, Brazil., Amaral Paulo Cezar Galvão do ,   Department of Surgery of the Upper Digestive System, Hospital da Cidade Group, Salvador, Bahia, Brazil.
Published: August 2022

Introduction: The jejunal diverticular disease is an uncommon clinical pathology. In general, these diverticula are an incidentaloma found on imaging exams that can be seen in elective surgeries for other purposes. In a minority of cases it causes symptoms which result from serious complications such as perforation. Case report: A 56-year-old male patient, previously healthy and without comorbidities, was admitted to the emergency department due to abdominal pain which had started 24 hours ago, without improvement. On examination, the patient was in pain and in Mohammedan prayer's position in bed and had a distended abdomen with signs of peritoneal irritation. An abdominal tomography showed massive distension of intestinal loops and free fluid in the peritoneal cavity. He underwent exploratory laparotomy which showed multiple diverticula in the jejunum and one of them was perforated. Segmental enterectomy with primary anastomosis was performed. Conclusion: Complicated jejunal diverticular disease should be ranked among the differential diagnoses in acute perforating abdomen. Segmental jejunal resection is the treatment of choice. Keywords: small bowel diverticulum; jejuno-ileal diverticula; diverticulitis; perforation; acute abdomen; surgery.
Tosse acuta: per la prima volta, una chiara raccomandazione a favore dell'uso dell'ambroxolo come trattamento sintomatico
Authors: Mueck Tobias
Published: August 2022

Secondo le linee guida della German Respiratory Society, la tosse acuta da raffreddore non accompagnata da indicazioni cliniche di polmonite o altri campanelli d'allarme è uno degli ambiti in cui si può ricorrere all'automedicazione. La durata (fino a due settimane) è determinante ai fini della classificazione della tosse come "acuta". Sulla base della valutazione di alcuni studi randomizzati controllati, gli autori delle linee guida hanno concluso che l'ambroxolo (come vari prodotti erboristici) riduce la durata e/o l'intensità della tosse associata a bronchite acuta. Il destrometorfano è raccomandato dagli autori delle linee guida per il trattamento della tosse secca e fastidiosa associata a infezione delle vie respiratorie superiori.
Ambroxol minskar hostfrekvensen (både dag- och nattetid) och förbättrar därigenom såväl koncentrationsförmåga som livskvalitet
Authors: Mueck Tobias
Published: August 2022

I denna apoteksbaserade studie ställde man frågor till kunder som hade använt någon av fyra olika läkemedelsformer av ambroxol för akut hosta. Resultaten påvisade den terapeutiska nyttan med ambroxol vid självmedicinering för akut hosta. De olika läkemedelsformerna uppvisade en jämförbar effekt.
Lindring av akut hosta med hjälp av slemhinneskyddande oral lösning av hostmedicin
Authors: Mueck Tobias
Published: August 2022

Två randomiserade, blindade, kontrollerade multicenterstudier undersökte behandlingseffekten av en kemisk-mekanisk barriär i övre luftvägarna, vilken bestod av hostmedicin baserad på polysackarid-harts-honung, till barn med akut hosta i samband med förkylning. Den slemhinneskyddande effekten gav signifikant lindring av pediatrisk hosta jämfört med karbocysteinlösning eller placebo. Den gynnsamma effekten var särskilt tydlig hos barn med allvarlig hosta och/eller hostepisoder om natten.
La farmacocinetica dell'ibuprofene: confronto tra la combinazione a dose fissa ibuprofene più caffeina, ibuprofene sale di lisina e ibuprofene acido. Risultati di due studi a dose singola (randomizzati, monocentrici, in crossover e in aperto)
Authors: Weiser Thomas
Published: August 2022

Gli analgesici contenenti ibuprofene in forma prontamente solubile (es. come sale di lisina) sono stati sviluppati allo scopo di assicurare un più rapido sollievo dal dolore rispetto a quello prodotto dall'ibuprofene acido grazie a una maggiore velocità di assorbimento nel tratto gastrointestinale. Dal momento che il grado di pienezza dello stomaco può influire significativamente sull'assorbimento, due studi hanno esaminato la farmacocinetica dell'ibuprofene sale di lisina e dell'ibuprofene acido (in combinazione con la caffeina) assunti a stomaco vuoto (a digiuno) e dopo una colazione standard. L'assorbimento dell'ibuprofene sale di lisina è stato più rapido solo in caso di assunzione a stomaco vuoto; dopo una colazione standard, il tempo necessario per il raggiungimento della concentrazione plasmatica massima è stato più breve con ibuprofene acido (più caffeina) che con ibuprofene sale di lisina. Poiché generalmente gli analgesici non vengono assunti a stomaco vuoto, questi dati ridimensionano i presunti vantaggi dell'ibuprofene sale di lisina.
Kofein – energizující a aromatický, ale bezpečný!
Authors: Weiser Thomas
Published: August 2022

Evropský úřad pro bezpečnost potravin provedl komplexní posouzení rizik a dospěl k závěru, že pravidelnou celoživotní konzumaci od 18 let věku ve výši až 400 mg kofeinu denně u zdravých dospělých osob a až 200 mg u těhotných a kojících žen lze považovat za bezpečnou. Průřezový průzkum různými zeměmi u 95% respondentů vykázal konzumaci kofeinu v rámci bezpečného rozmezí.
Аналгетици с адюванти - комбинирани аналгетици с кофеин
Authors: Weiser Thomas
Published: August 2022

Преглед, извършен от Cochrane Collaboration, сравнява аналгетичния ефект на обикновен аналгетик с комбинация от аналгетик и кофеин. Добавянето на кофеин значително увеличава процента на пациентите, които са изпитали ефективно облекчаване на болката при всички изследвани болкови състояния. Авторите не откриват доказателства за сериозни нежелани събития, свързани с аналгетика или кофеина.
Analgetika s adjuvans – kombinovaná analgetika s kofeinem
Authors: Weiser Thomas
Published: August 2022

Organizace Cochrane Collaboration provedla srovnání analgetických účinků běžného analgetika s kombinací téhož analgetika a kofeinu. U všech sledovaných bolestivých stavů se přidáním kofeinu výrazně zvýšil podíl pacientů, u nichž došlo k účinné úlevě od bolesti. Autoři nenalezli žádná hlášení závažných nežádoucích příhod souvisejících s analgetikem či kofeinem.
Makrogol – léčba zácpy založená na směrnicích
Authors: Eberlin Marion , Schuett Tanja
Published: August 2022

Zvýšení frekvence stolice a zlepšení její konzistence hrají rozhodující úlohu při úlevě od zácpy. Mezinárodní i národní směrnice uznávají pozitivní účinek makrogolu na oba tyto parametry, podložený bohatými důkazy. Považuje se za dobře snášený a bezpečný. Některé směrnice do stejné míry doporučují stimulační laxativa bisakodyl a pikosulfát sodný.
Dexibuprofen – portrét léčiva
Authors: Gazova Andrea , Kyselovic Jan , Koscova Eva
Published: August 2022

Dexibuprofen, farmakologicky účinný enantiomer ibuprofenu, vykazuje dobrou účinnost u akutní i chronické bolesti. Tento přehled shrnuje výsledky studie, které potvrzují, že dexibuprofen je účinnou a bezpečnou alternativou ve srovnání s ibuprofenem a ostatními inhibitory cyklooxygenázy.
Rinitis alérgica y contaminación atmosférica: Nueva evidencia clínica con fexofenadina hidrocloruro 180 mg
Authors: Murrieta-Aguttes Margarita , Volonte Marina
Published: August 2022

La exposición a los contaminantes atmosféricos y el cambio climático son factores que contribuyen a aumentar la prevalencia y la exacerbación de los síntomas de la rinitis alérgica (RA). Fexofenadina 180 mg ha demostrado ser eficaz para aliviar los síntomas de la RA producidos por el polen y potenciados por la contaminación atmosférica en un ensayo clínico aleatorizado y controlado (estudio FEXPOLSAR) que utiliza un modelo controlado, reconocido y validado de tolerancia a los alérgenos de la RA.
Bisacodilo: resultados exhaustivos para un uso eficaz y seguro en el estreñimiento
Authors: Landes Sabine , Eberlin Marion , Lange Robert
Published: August 2022

Por primera vez desde que se autorizó el bisacodilo en la década de 1950, una revisión actualizada proporciona un resumen exhaustivo de los datos farmacológicos y clínicos relativos a este laxante procinético y secretagogo. Sobre la base de los conocimientos adquiridos tras numerosos años de experiencia con el fármaco, la revisión ofrece una orientación práctica en el asesoramiento a los pacientes a fin de garantizar un uso aún más eficaz y seguro del bisacodilo.
Metaanálisis reciente sobre la eficacia del aceite de menta en el síndrome del intestino irritable
Authors: Weigmann Harald
Published: August 2022

El metaanálisis demostró que el aceite de menta es un agente medicinal eficaz y seguro para tratar los síntomas del síndrome del intestino irritable. En siete estudios clínicos, el aceite de menta fue claramente superior al placebo en cuanto a la mejora de los síntomas generales del síndrome del intestino irritable. En relación con los efectos secundarios, no se detectaron diferencias estadísticamente significativas entre el aceite de menta y el placebo.
Анализ археозоологического материала средневекового торткуля Талапты (по итогам раскопок 2021 г.)
Authors: Акымбек Ералы Шардарбекулы , Шагирбаев Мамбет Сапарбекович
Published: August 2022

В статье впервые в научный оборот вводятся результаты археозоологического анализа материалов средневекового торткуля Талапты (Х–ХІ вв.), полученных в полевом сезоне 2021 г. Целью исследований является определение и сравнительный анализ видового состава животных в хозяйстве средневекового населения Таласской долины. В ходе изучения остеологического материала была поставлена задача определить видовой состав палеофауны, элементы скелета и возрастные особенности. В результате было исследовано 816 костей животных, в общей сложности, из которых 550 костей определены до вида. Среди остеологических материалов доминируют домашние животные, также встречаются кости диких животных и птиц. Доля домашних животных составляет – 95%, диких – 5%. Доля мелкого рогатого скота среди выявленного объема костей домашних животных – 52,4%. На втором месте – кости крупного рогатого скота (31,1%), на третьем – лошадей (9,2%). Среди домашних животных кости верблюда встречались крайне редко – 1,1%. На большинстве костей фиксируются следы ударов (на поверхности костей крупного рогатого скота и лошадей). Структура костного материала, индексы раздробленности показывают, что это – типичные «кухонные остатки». Анализ остеологической коллекции торткуля Талапты – позволяет получить важную информацию о средневековой фауне региона и особенностях ведения хозяйства древним населением.
自閉症譜系障礙兒童在靜態情境下情緒辨識表現及眼動研究
Authors: 陳則銘 陳則銘 , Che-Ming Chen 胡中凡 , Jon-Fan Hu 鳳華 , Hua Feng 羅雅芬
Published: August 2022

自閉症譜系障礙者的臨床症狀之一是欠缺解讀他人情緒線索的能力。過往眼動儀之相關研究以探究自閉症譜系障礙兒童在單純臉孔的情緒辨識表現為主，鮮少針對社會情境的刺激素材來了解自閉症譜系障礙兒童的眼動凝視型態。本研究的主要目的是以眼動儀了解自閉症譜系障礙兒童與一般發展兒童在靜態情境下的情緒材料的辨識力與凝視型態之表現。本研究共招募21名自閉症譜系障礙兒童作為實驗組，搭配21名學前一般發展兒童作為對照組，年齡介於四至七歲，實驗的素材為具生態特性情境下的五種情緒照片(高興、難過、生氣、害怕，以及驚訝)，依變項為五種情緒之情緒辨識的正確率，以及在不同興趣區間的凝視時間。研究結果顯示：在靜態情境下的情緒辨識表現中，整體情緒及個別之高興、難過、生氣、害怕等情緒，自閉症譜系障礙組的辨識正確率皆顯著低於一般發展組；只有在驚訝的情緒辨識表現上，二組受試者的辨識正確率沒有達顯著差異。在凝視時間的表現中，自閉症譜系障礙組與一般發展組於情境中各興趣區的平均凝視總時間呈現顯著差異；但，在驚訝情緒中，組別與各興趣區則無顯著差異。最後依據研究結果與發現，提供對自閉症譜系障礙兒童的情緒辨識研究與教學之建議。

 

One core characteristic of individuals with autism spectrum disorders (i.e., ASD) is difficulties in social interaction, which affect their understanding of others’ emotions and lead to dysfunction in social life. The present study used an eye-tracking technique to examine performance of emotional recognition and AOI gaze pattern of the emotional stimuli under the static condition among 21 children with ASD and 21 without, ranging from four to seven years of age. The dependent variables included the number of correct responses in labeling the emotions- happy, sad, anger, fear, and surprise in the static condition and their AOI gaze duration. The results revealed that when presenting the static pictures of happy, sad, angry, and fear, the mean scores of correct responses among children with ASD were significantly lower than that of their typically developing counterparts. However, no difference was found between the two groups for the emotion of surprise. Likewise, a significant difference was uncovered between the two groups in AOI gaze duration for all emotions except for the surprise emotion.The present study offers recommendations for teaching children with ASD about emotions and a new direction for future research.

 
Comparison of Safety and Efficacy of Intrauterine Foley’s Catheter Balloon and Uterovaginal Packing in Patients with Excessive Vaginal Bleeding after Vaginal Delivery
Authors: Khalid Andleeb , Khan Bushra , Kousar Shermeen , Rizwan Humera , Malik Sumera , Jamil Amina
Published: August 2022

Objectives: To compare the safety and efficacy of uterovaginal packing and Foley’s catheter balloon tamponade in patients with excessive vaginal bleeding following vaginal delivery. Design : RCT ( Randomized Controlled Trial). Setting : Obstetrics & Gynaecology Deptt. , HFH ( holy family hospital) , RWP. Duration: Six Months. Materials & Methodology: 94 females who presented with excessive vaginal bleeding ( > 500 ml) following vaginal delivery, 18 to 40 years of age , gestational age (GA) ≥37 weeks were included. Patients with retained products of conception, PPH due to perineal, cervical or vaginal tear and coagulation disorders were excluded. The patients were distributed equally into 2 groups ; a and b based on the lottery method. Group a was managed with uterine packing and Group b was managed by the Foley’s catheter balloon tamponade. Efficacy and safety in both groups was measured. Results: In my study, efficacy was significantly high in uterine packing group (Group a) compared to Foley’s catheter balloon tamponade (group b) (89.36% versus 68.09%; respectively) with p-value of 0.012. In my study, safety was significantly high in uterovaginal packing group (Group a) compared to Foley’s catheter balloon tamponade (group b) (72.34% versus 31.91%; respectively) with p-value of 0.0001. Conclusion: Uterovaginal packing is more secure, prompt and efficient procedure to manage excessive hemorrhage after delivery compared to Foley’s catheter balloon tamponade. Keywords: Hemorrhage, uterovaginal packing ,foley’s balloon tamponade.
Characteristics and Presentation of Women with Ectopic Pregnancy
Authors: Saqib Shazia , Umer Sabeena , Khanam Saadia , Mudassir Asma Qamar , Bano Nosheen , Nighat Sumera
Published: August 2022

Objective: To determine characteristics and presentation of women with ectopic pregnancy (EP). Study Design: A cross-sectional study. Place and Duration of the Study: The Department of Obstetrics & Gynaecology, Sialkot Medical College, Sialkot Pakistan from January 2021 to December 2021. Material and Methods: A total of 39 women aged between 18 to 45 years and diagnosed with EP were included. Age, parity status, clinical presentation, diagnostic modality and sides affected were noted. A special proforma was designed to record all study data. For statistical analysis, SPSS version 26.0 was employed. Numeric data was shown as mean and standard deviation while categorical variables were represented as frequencies/percentages. Results: In a total of 39 women with ectopic pregnancy, mean age was 28.6±6.4 years while 23 (59.0%) women were aged between 18 to 30 years. There were 9 (23.1%) women who were nulliparous. Residential status of 22 (56.4%) women was rural in 22 (56.4%) patients. Condition of tube revealed ruptured EP among 37 (94.9%) women. Most common clinical presentation was abdominal/pelvic pain in 37 (94.9%) women while amenorrhea and vaginal bleeding were observed in 32 (82.1%) and 30 (76.9%) women respectively. Conclusion: Most commonly observed clinical presentation among women with ectopic pregnancy were abdominal/pelvic pain, amenorrhea and vaginal bleeding while almost half of the patients presented with shock. Keywords: Amenorrhea, abdominal pain, ectopic pregnancy, shock, vaginal bleeding.
Efficacy of Early Therapeutic Hypothermia after Cardiac Arrest on Neurological Outcome in ICU Patients
Authors: Sohaib Muhammad , Naqvi Syed Mazhar Ali , Ishaq Muhammad Haseeb , Jahangir Muhammad Usman , Ali Akhtar , Ansari Imran Sharif
Published: August 2022

Objective:To learn about efficacy of early therapeutic hypothermia affects neurological outcomes in post cardiac arrest patients. Study design: Quasi Experimental study. Place and duration of study: Study was conducted from May 2021 to Feb 2022 at Department of critical care management services hospital Lahore. Methodology: Patients having age 18 to 70 years were included in the study. The daily neurological assessment was carried out when sedation was off till patient was discharged by critical care physician. The results were expressed in cerebral performance categories On the basis of neurological outcome patients were divided in two groups. Group A (good outcome) consists of patients of cerebral performance category 1 and 2, while group B (poor outcome) consists of patients of cerebral performance category 3 and 4. Results: Total 60patients were included in study. 10 patients of group A and 22 patients of group B have died during hospital stay. Mean age of patients in Group A (good prognosis) was 56.72 ± 9.11 years and in Group B (poor prognosis) it was 53.85 +7.95 years. The starting temp which was taken before inducing hypothermia was 35.28 0C (mean) in group A and 35.75 0C in group B which was statistically significant (p= 0.04). Coldest temp achieved in group A was 33.07 0C and in group B it was 33.25 0C which was statistically significant (p= 0.01). Conclusion: Among patients of in hospital cardiac arrest the overall survival rate and better neurological outcome was seen in patients in whom therapeutic hypothermia was induced as soon as possible after successful resuscitation as compare to those in which usual treatment was given. Keywords: cardiac arrest, therapeutic hypothermia
Comparison of Analgesic Requirement and Pain Intensity in Lower Segment Cesarean Section (LSCS) with Ketofol and Conventional Induction of General Anesthesia
Authors: Khosa Misbah Siddique , Siddiqa Aisha , Ejaz Syeda Taskeen , Ahmad Mirza Shakeel , Aziz Muhammad Abdul , Naqvi Syed Aushtar Abbas
Published: August 2022

Objective: to compare the analgesic requirement and pain intensity in LSCS with ketofol and conventional induction of general anesthesia Study Type: randomized controlled trial Study Place and Duration: department of Anesthesiology at Ghazi Medical College & Teaching Hospital, Dera Ghazi Khan, from 1st January 2019 to 30th June 2019. Material and methods: 100 adult participants (20–40 years) ASA physical status 1 and 2, with no previous case of neurologic or cardiovascular undergoing LSCS operations were enlisted in a randomised prospective comparative study after receiving approval from the ethical research committee. Patients were divided into two groups, each with 50 patients: group P (propofol) and group KP (ketamine) (ketofol). The surgeon picked a closed envelope as the method of randomization. Visual analogue scale was used to assess the postoperative pain where, 0 means no pain, 1-3 means mild pain, 4-7 means moderate pain, and 8-10 means severe pain using a visual analog scale, where 0 means no pain, 1-3 means mild pain, 4-7 means moderate pain, and 8-10 means severe pain. Furthermore, the need for postoperative analgesia was examined, including the need for fentanyl. Results: The majority of the patient's Group P and Group KP had 0 VAS scoresof28 (56.0%) and 26 (52.0%), respectively, (p=0.475). Intra operation fentanyl was required 3 (6.0%) in Group P and 1 (2.0%) in Group PK, (p=0.307). While, post-operation fentanyl was required 7 (14.0) in Group P and 4 (8.0) in Group PK, (p=0.338). Conclusion: Ketofol as an induction agent can be used as an alternative which is relatively safe and show less side effects in comparison to propofol alone. Keywords: Ketamine, propofol, ketofol, pain intensity, analgesia requirement, conventional induction, general anesthesia
US and MRI contribution in non-puerperal uterine inversion: A case report
Authors: Amsiguine Najwa , Ismail Halfi Mohamed , Najlae Elghorfi , Allali Nazik , Latifa Chat
Published: August 2022

Uterine inversion is a rare and potentially life-threatening complication. It is mainly of two types: puerperal and non-puerperal with further subdivision into complete and incomplete. Earlier diagnosis was crucial in order to avoid irreversible damage to the reproductive organs and adjacent structures. We present a case of a 45-year-old woman where the imaging diagnosis of her chronic pelvic pain fortuitously revealed a non-puerperal uterine inversion. This rare case emphasized the importance of a better understanding of the pelvic anatomy by radiologist in order to facilitate the comprehension of such pathologies with lost clear anatomy in imaging.
The influence of biochar pyrolysis temperatures on the efficiency of soil amendment for Imazapic sorption
Authors: Ismael Daniele Aparecida Monteiro , Netto André Maciel , Da Silva João Paulo Siqueira , Amaral Ademir , Almeida José Vitor Chaves de
Published: August 2022

Weeds are responsible for losses in sugarcane productivity, often requiring the application of herbicides to control their infestation in crops. One of the herbicides commonly used in sugarcane cultivation is Imazapic. However, this chemical can be leached into environmental compartments when applied to soil, contaminating it. Scientific research has shown that the soil amended with biochar can reduce the leaching of herbicides, avoiding environmental pollution. Therefore, the present work aimed to evaluate the adsorption efficiency of Imazapic in a dystrophic Yellow Ultisol amended with biochar cultivated with sugarcane. Biochars were produced with sugarcane bagasse by pyrolysis at temperatures of 300, 500, and 700ºC to evaluate the adsorption capacity of Imazapic by the soil amended with biochar. The experiments revealed an increase in Imazapic adsorption with soil amended with biochar and that the adsorptive potential is more significant for pyrolyzed biochars at higher temperatures. In this way, the biochars produced can reduce the risks of groundwater contamination by increasing the residence time of Imazapic in the surface layer of the soil, being subject to the action of microbial degradation and other forms of degradation.
O papel de árvores isoladas na composição e abundância de espécies herbáceas em ambiente semiárido
Authors: Feitoza Magda Oliveira Mangabeira , Kiill Lúcia Helena Piedade , Araújo Elcida de Lima , Silva Suzene Izídio da , Ferraz Elba Maria Nogueira
Published: August 2022

O sombreamento da copa das árvores pode influenciar o estabelecimento de plântulas e a regeneração das florestas em áreas antropogênicas. Objetivou-se avaliar o papel do sombreamento de árvores isoladas sobre a riqueza e a densidade de ervas em dois locais (parcelas sombreadas pela copa de Spondias tuberosa Arruda e parcelas a pleno sol) dentro de três habitats (floresta jovem – 3 anos; floresta madura > 50 anos; e em um Banco de Germoplasma Ativo - BAG de S. tuberosa) de ambientes semiáridos. Em cada local foram alocadas 15 parcelas de 1X1 m, totalizando 30 parcelas por habitat. Diferenças na riqueza e densidade média de ervas entre os locais e habitats foram avaliadas por uma ANOVA aninhada, com teste a posteri de Tukey. A riqueza total de ervas do BAG e das florestas jovem e madura foi de 29, 19 e 23 espécies, respectivamente, existindo diferença estatística na riqueza média de espécies. A densidade média de ervas foi significativamente maior no BAG a pleno sol, mas não diferiu nas condições de sombreamento e a pleno sol das florestas jovem e madura. A prática de manter árvores isoladas em áreas antropogênicas tende a ser positiva para a riqueza de espécies e negativa para a densidade de ervas.
Different modalities in management of temporomandibuolar joint dislocation
Authors: Saleh Ahmed Fathi , Elsharrawy Eman Abdelhalim , Elsholkamy Mohammed Ahmed , Eldesoky Gehan Gamal Eldin
Published: August 2022

The pathophysiology of mandibular dislocation involves the combination of three factors: loosening of the capsule and the TMJ ligaments, a prominent eminence, and muscular spasm.Initially, loosening of the capsule and ligaments allows the condyle to perform non-physiological and excessive motions, bypassing the articular eminence. This condition can be seen during simple activities such as laughing and yawning, during long dental consultations, during orotracheal intubation, and in episodes of vomiting. The treatment of chronic symptomatic TMJ hypermobility may be organized into; bony alteration, alteration of associated musculature and alteration of the ligaments.
Public health through the prism of personnel security
Authors: Hrynzovskyi Anatolii М , Dovhan Valerii I. , Bielai Serhii V. , Arziantseva Daria А. , Zakharkevych Nаtaliya Р.
Published: August 2022

The functional safety is a key management task, considering that public organizations have to work in the rapidly changing environment, in the conditions of growing competition in the medical sphere, and spread of influence of information technology on the development of a public organizations.The situations when administration is more interested in the impact of natural and technological aspects on the safety of an organization happens more often, while the main threats are coming from people though, and in many cases from employees. The aim is to substantiate the scientific and theoretical provisions on the essence of personnel safety of a public organizations and to establish future measures to strengthen it. We used methods of analysis and synthesis, comparative and monographic methods. The results and conclusions of our work are the management of personnel safety of a health care institution is an integral part of the personnel management system of a public organizations, aimed at identifying, neutralizing and preventing risks and threats that are associated with the use of personnel and can potentially lead to negative consequences for a public organizations. It also requires the protection of employees, the creating of favorable conditions for work, meeting needs and achieving development goals.
Development of professional competence of students in conditions of informatization of the educational process
Authors: Khodjiev Muksin T. , Sultanov Otabek S. , Rakhimov Bakhtiyor Kh.
Published: August 2022

This article reveals the essence of the concept of "Development of information and communication competence among students", the general structure of information and communication competence, the system of basic and special competencies, pedagogical and psychological factors in the development of information and communication competence among students. students and in the subject "Information Technology" based on learning opportunities.
Evaluation of antiulcer, antioxidant potency of manuka honey and cinnamon powder mixture in Wistar rats using experimental rat models
Authors: Das Saumya , Singh Veena D. , Bind Amit , Anamika Anamika , Gupta Satya Prakash , Kumar Roshan
Published: August 2022

Inflammation of the lining of the stomach is one of the most prevalent health problems that people face. In this study, the effects of herbal medication on the digestive system were examined in relation to the use of the cold-water immersion technique. Material & Methods:  Male albino 6-week-old albino rats weighing 200-250 g each were used in the investigation. For three months, the animals were housed in the animal facility of the NIET Pharmacy Institute at 20°C (3°C) and 50-60% relative humidity. Researchers discovered non-lethal cold-water immersion in a small sample of six rats that caused stomach ulcers. After an 18-hour fasting, rats were immersed in ice-cold water. Researchers were able to examine the mucosa by isolating the stomach of rats.    Result:  In a model of cold-water immersion, honey has a unique effect on ulcer severity. esomeprazole is a medication used to treat acid reflux. According to phytochemical screening, the presence of flavonoids, triterpenes, and the anti-oxidant capacity of the crude drug mixture enhances antioxidant status and promotes mucus production. These elements may be responsible for the protective effect on stomach ulcer treatment. Conclusion:  The content of flavonoids and triterpenes of honey and cinnamon powder mixture should be analyzed.
Sonographic measurement of the renal size in a normal adult population in Erbil, Kurdistan Region- Iraq
Authors: Saleem Barzhang Qasm , Hanary Salah Mohammed
Published: August 2022

Background: Renal parameters have an important role in the anatomical, pathological and clinical fields and many factors can have a role in determining the renal parameters hence, making normal renal parameter references are essential. Objectives: To find out the renal size and volume of a sample of Kurdish people and to assess  their association with age, sex, and body mass index (BMI) to make a reference for measurement of renal size in Kurdish population. Methods: A descriptive cross-sectional study was conducted on 350 subjects who were selected through a purposive sampling method in Erbil city from April 2021 to April 2022. Almost all of the candidates were received in a private clinic. The sample was composed of 161(46%) males and 189(54%) females between the ages of 18-72years normal adults. Sonographic Renal parameters were estimated and BMI index was calculated. Significant differences were found among renal size and volume and sex, age, and BMI. Results:  Significant factors associated with renal size and volumes were age, sex, and BMI. Apart from no significant differences in the means of the renal lengths between males and females, other renal parameters are larger in the left kidney and among males.
Customer churn analysis in banking sector: Evidence from explainable machine learning models
Authors: Guliyev Hasraddin , Yerdelen Tatoğlu Ferda
Published: August 2022

Although large companies try to gain new customers, they also want to retain their old customers. Therefore, customer churn analysis is important for identifying old customers without loss and developing new products and making new strategic decisions for retaining customers. This study focuses on the customer churn analysis, that is a significant topic in banks customer relationship management. Identifying customer churn in banks will helps the management to classification who are likely to churn early and target customers using promotions, as well as provide insight into which factors should be considered when retaining customers. Although different models are used for customer churn analysis in the literature, this study focuses on especially explainable Machine Learning models and uses SHapely Additive exPlanations (SHAP) values to support the machine learning model evaluation and interpretability for customer churn analysis. The goal of the research is to estimate the explainable machine learning model using real data from banking and to evaluate many machine learning models using test data. According to the results, the XgBoost model outperformed other machine learning methods in classifying churn customers.
The Impact of Christianity by Friend’s Missionaries among the Tiriki People
Authors:   Africa International University, Chenani Daniel , Karanja John ,   Africa International University, Mwalwa Matthews ,   Africa International University
Published: August 2022

This article aimed to describe the impact of Christianity on the culture and traditions of the Tiriki people in Hamisi Constituency, Vihiga County. Tiriki community refers to the Bantu people who came to the western part of Kenya and intermarried with the Kalenjin community staying there by then. The investigating will be based on the keywords in the title of this article and shortly discussing the important the growth of Christianity in Hamisi Constituency, Vihiga County. The article further looks into the growth of the church and describes the impact of Christianity on Tiriki people in terms of Christianity, education, socio-politics, and health. Here I shall consider my discussions on the history of Friends Missions in the area since the earlier nineteenth century. As far as Friends missionaries are concerned, it recognizes the activities done by the Friends Missionaries in terms of positive and negative development force introduced by Christianity while noting several things that improved the lives of the people, such as health facilities and education. On the other hand, Christianity led to the downgrade of the African customs and culture, which it saw as pagan and evil; the religion also led to social problems. Some of the social problems caused by Christianity was a complete change to the lifestyles and introduction of new ways of living that caused cultural clash among the community. The missionary work was to evangelize and spread the gospel of God among the Tiriki people in the western part of Kenya. Keywords: Friends Mission Church, Tiriki, Western Kenya, Impact
KOMUNIKASI ANGGOTA KOMUNITAS LOMBOK INFLUENCER DALAM MENINGKATKAN BRAND AWARENESS UMKM HINDU DI KOTA MATARAM
Authors: Trismia Indriyani Ni Putu , Wirata I Wayan , Sudarma Made , Sutama I Wayan
Published: August 2022

Komunitas Lombok Influencer merupakan komunitas pertama dan terbesar yang menghimpun para selebgram di Nusa Tenggara Barat. Komunitas ini bertujuan membantu UMKM dan pelaku usaha dalam memilih selebgram untuk mempromosikan produk mereka dan meningkatkan brand awareness dari produk yang dipasarkan. Sejauh ini sudah terdapat dua UMKM Hindu yang menggunakan jasa Komunitas Lombok Influencer yaitu Raos Udeng Bali dan Simfony Kebaya Botique. Penelitian ini bertujuan menganalisis peran komunikasi komunitas, strategi komunikasi, dan implikasi komunikasi anggota Komunitas Lombok Influencer dalam meningkatkan Usaha Mikro Kecil dan Menengah Hindu di Kota Mataram. Untuk menganalisis hal tersebut menggunakan teori Stimulis Organism Respons (SOR) dan teori Uses and Gratifications. Penelitian ini menggunakan metode penelitian kualitatif, sedangkan teknik pengumpulan data menggunakan observasi, wawancara, dan dokumentasi. Analisis data menggunakan pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukkan komunikasi komunitas Lombok Influencer memiliki peran penting dalam meningkatkan brand awareness UMKM Hindu baik secara internal maupun eksternal. Pemanfaatan media digital yang berkembang merupakan strategi yang dimaksimalkan oleh admin Lombok Influencer, anggota komunitas, dan UMKM Hindu dalam mempromosikan postingan kontennya, serta hasil dari konten tersebut berupa insight postingan dari masing-masing selebgram yang dipilih.
STRATEGI KOMUNIKASI PEMBINAAN MENTAL PRAJURIT DAN PNS HINDU KOREM 162/WIRA BHAKTI DIMASA PANDEMI COVID-19
Authors: Mustini Ni Wayan , Sutama I Wayan
Published: August 2022

Pembinaan mental bagi prajurit dan PNS di lingkungan Korem merupakan upaya menjaga stabilitas mental prajurit. Berbagai tantangan yang dihadapi dalam konteks menjalankan tugas negara, maka salah satu pembinaan mental yang dilakukan berkaitan dengan penguatan pemahamanakan ajaran agama.  Penelitian ini bertujuan mengetahui bentuk pembinaan mental rohani, strategi pembinaan, serta menganalisis kendala yang dihadapi dalam pembinaan mental rohani prajurit dan PNS Hindu Korem 162/Wira Bhakti dimasa pandemi Covid-19. Penelitian ini menggunakan pendekatan deskriptif kualitatif dengan pengambilan data menggunakan meode observasi, wawancara, dan dokumentasi. Hasil penelitian menunjukkan bentuk pembinaan mental rohani di Korem 162/Wira Bhakti  dimasa  pandemi menggunakan metode (1) Dharma Wacana, (2) Dharma Tula, (3) Dharma Gita, (4) Dharma Yatra. Strategi pembinaan mental berdasarkan pada fungsi komando yaitu: (1) dengan mencari dan meminta penyuluh agama yang bergantian agar tidak merasa jenuh, (2) dengan menggunakan sarana dan menyampaikan cerita-cerita agama, (3) Tema penyampaian dikemas sesuai kontek kekinian. Sedangkan kendala yang dihadapi dikarenakan tugas dinas yang tidak bisa ditinggalkan (tugas khusus) dari pimpinan, minimnya penyuluh yang berkompeten yang disiasati dengan solusi mengadakan kerjasama dengan Bidang Bimas Hindu, serta dengan memanfaatkan media online seperti media sosial Whatsapp.
KOMUNIKASI MEDIA FILM WEB SERIES (ANALISIS ISI FILM “LITTLE MOM”)
Authors: Wiwik Eka Putri Ni Luh , Titah Pratyaksa I Gede
Published: August 2022

Film Little Mom bercerita mengenai permasalahan yang sering dialami oleh para remaja, khususnya mereka yang mulai mengenal cinta. Pengawasan orang tua yang minim menyebabkan remaja rentan hamil diluar nikah. Analisis data menggunakan metode analisis isi. Adapun hasil penelitian antara lain pada adegan Naura dan Yuda sedang ciuman di dalam kamar terdapat pesan motivasi intrinsik, pesan motivasi insentif positif, pesan motivasi kebutuhan keamanan, pesan motivasi percaya diri. Pada adegan Naura memegang obat untuk menggugurkan kandungan terdapat pesan motovasi N-Ach, pesan motivasi N.Aff, pesan motivasi N-Ach. Pada adegan Yuda dan Naura datang ke dukun beranak terdapat pesan motivasi kebutuhan akan keamanan, pesan motivasi instrinsik.