bluuebunny/crossref_metadata_2025 huggingface dataset:
The concept of succession evasion: An invisible behavior in the organization
Authors: Salehi Tahmine , Ashghali-Farahani Mansoureh , Mirzaee Mohammadsaeed
Published: July 2024

BACKGROUND:

The opposite of succession planning is a new concept called succession evasion; A deep understanding of this concept helps to correct the training process of competent staff in nursing management. This study was conducted with the aim of explaining succession evasion as a new concept in nursing management; Also, as an invisible aspect of organizational behavior in the field of management.

MATERIALS AND METHODS:

The current research was conducted using a qualitative approach and conventional content analysis methods. The participants included nursing managers selected using the purposeful sampling method based on the entry and exit criteria. The code of research ethics and required permits were received. The method of semi-structured interviews was used to collect data, and the time of the interviews varied between 39 and 90 minutes. All data was recorded and transcribed. The method proposed by Graneheim and Lundman was used for data analysis. Guba and Lincoln’s criteria were used for the accuracy and robustness of the data. MAXQDA software was used for data management.

RESULT:

The subcategories related to succession planning included “Fear of succession planning,” “Talent suppression,” “Belief in the permanence of the position,” and “Obstructing the growth of others.”

CONCLUSION:

Succession evasion as an undesirable organizational behavior had four primary categories, fear of succession planning, talent suppression, belief in-Popsition stability, and obstruction to the growth of others. It is recommended to use the findings of this study in the context of further explanation of the concept of succession evasion as the opposite of succession planning in future research, and also, to use this concept for planning nursing management.
Predictors of performing preventive behaviors against affliction with COVID-19 based on vaccination: An application of the health belief model
Authors: Eftekhari Adel , Baghian Najmeh , Yoshany Nooshin , Dehghan Moori Abadi Fatemeh , Jambarsang Sara , Dehghani Mohammad Hossein , Askari Roohollah
Published: July 2024

BACKGROUND:

Nowadays, the COVID-19 pandemic has become one of the greatest global threats to human communities. Presently, the most important solution to deal with this pandemic is to fully comply with health protocols along with general vaccination. Given the increased vaccination rate in the community and the change in the thought of some people in the field of durable immunity and changing health behaviors, the present study determined the predictors of preventive behaviors against affliction with COVID-19 in two vaccinated and non-vaccinated groups based on the health belief model in the Iranian population aged 15–65 years.

MATERIALS AND METHODS:

This descriptive-analytical study was conducted cross-sectionally in 2022. A sample size of 500 Yazdi citizens was selected using the convenience non-random sampling method using the contact numbers received from the SIB system of the Iranian health deputy. They were examined online in two vaccinated and unvaccinated groups. The instrument used was Delshad Noghabi et al.’s questionnaire which was based on the health belief model. Due to the adjustment of the questionnaire according to the target group, its validity and reliability were re-checked and confirmed. Data were analyzed with SPSS22 using descriptive and analytical statistics, t-test, and linear regression.

RESULTS:

Based on the findings of the study, a significant difference was observed between the three variables of income level (P = 0.019), smoking (P <0.001), and employment status (P = 0.025) in two vaccinated and unvaccinated groups at the level of preventive behaviors. Besides, the constructs of perceived sensitivity (P <0.001), perceived benefits (P <0.001), action guide (P <0.001), and self-efficacy (P = 0.018) significantly predict preventive behaviors, so that the predictive value of perceived benefits (β =3.67) was more than other variables.

CONCLUSION:

To prevent diseases, it is very important to increase people’s awareness and information (self-efficacy) about the use of vaccination and pay attention to individual demographic characteristics in vaccination programs. Also, perceived sensitivity, perceived benefits, action guidelines, and perceived self-efficacy can be considered as important factors in determining people’s willingness to be vaccinated. Therefore, education and information programs should be focused on these factors to increase people’s willingness to be vaccinated.
Sustaining hybrid teaching as effective pedagogy at higher education institutions: Students’ voices
Authors: Hu Zijing
Published: July 2024

Background:

There is a dire need to ensure higher education institutions employ effective pedagogy in their educational programs. Hybrid teaching has received increased attention in recent decades due to its effectiveness in improving learning outcomes. There is a lack of studies exploring students’ views on hybrid teaching in acupuncture programs in the South African context.

Objectives:

Therefore, this study explored acupuncture students’ views of hybrid teaching in the acupuncture program. The Technological, Pedagogical, and Content Knowledge Model was anchored in this study as a theoretical lens.

Materials and Method:

The author employed a qualitative single case study design within an interpretivist paradigm. A purposive sampling technique was adopted to recruit six participants for this study from an identified public university in South Africa. Participants were interviewed between March 2023 and May 2023. Data were analyzed through thematic analysis.

Results:

The findings of this study highlight positive student views of the hybrid model, emphasizing its benefits in optimizing the teaching and learning process. However, participants also identify barriers such as poor infrastructure and the absence of computer skills. The study underscores the need for substantial investment in technological facilities and faculty development programs to enhance lecturers’ digital pedagogical competencies.

Conclusions:

While offering valuable insights into the specific context studied, limitations include the single-case design and the focus on a particular student cohort. Despite these limitations, the research contributes to the ongoing discourse on effective teaching methodologies in the dynamic landscape of higher education. Recommendations are proposed to address the identified challenges and foster an inclusive and technologically advanced learning environment in South African HEIs.
Management of Shushka Vicharchika through Shamana Aushadhis: a case report
Authors: Bhuyan Sushree S. , Kar Anukul C.
Published: July 2024

Introduction:

Among the Kshudra Kustha, Vicharchika exhibits symptoms such as Kandu (itching), Shrava (discharge), and Shyava Varna (blackish discoloration). Vicharchika is one among the Kshudra Kustha, which continues for a long period and has a propensity for aggravation. Most often, Vicharchika patients who do not respond well to contemporary medical care seek treatment from Ayurveda, hoping for a complete recovery from their illness.

Materials and Methods:

An 85-year-old male patient with signs and symptoms corresponding to Vicharchika was treated with Shamana Aushadhis (palliative therapy).

Result:

A remarkable improvement in the condition was observed in a span of 21 days.

Discussion:

Chronic skin diseases can be managed with Ayurvedic medications and the current article represents detailed management of it.
Management of Artavakshaya along with Dhatukshaya in lean adolescent girls: a narration
Authors: Patel Jalpa D. , Donga Shilpa B.
Published: July 2024

Background:

Artavakshaya (~scanty menstruation/hypomenorrhea/oligomenorrhea) is one of the most prevalent reproductive disorders among adolescent girls now. Irregular, delayed and scanty menstruation, abdominal cramping, and lower back pain are the major symptoms of Artavakshaya. The condition can be correlated with oligomenorrhea along with hypomenorrhea based on similar symptomatology. Poor nutrition, stress, hormonal disturbance, and unhealthy lifestyle are the major causes of oligomenorrhea along with hypomenorrhea particularly in lean adolescent girls.

Aim and Objective:

This study aims to evaluate the efficacy of Ayurveda protocol in the management of Artavakshaya in adolescent girls. The rationale behind this study was only to prevent further gynecological morbidities and cure the current condition.

Materials and Methods:

An unmarried female patient of 14 years of age came to the outpatient department of Prasuti Tantra and Stree Roga of Sumandeep Ayurved Medical College & Hospital with chief complaints of irregular, delayed, and scanty menstruation associated with weakness and white discharge per vagina for one and half year. The patient was assessed and diagnosed with subjective criteria for menstrual abnormalities, a pictorial chart for assessment of menstrual blood, and a Visual Analog Scale. The condition was managed with Rasapachaka syrup and Saptamrita Mishrana along with lifestyle modification and Rajaswala Paricharya (~do’s and don’ts during menstrual days). The treatment lasted for 3 months and the patient was followed up for the next 1 month.

Results:

The findings revealed satisfactory improvement after treatment.

Conclusion:

The findings revealed that Artavakshaya in lean adolescent girls could be managed effectively with these Ayurveda regimens and other modern interventions avoided.
Efficacy of hot fomentation over intra scapular region in the improvement in pulmonary function in healthy volunteers
Authors: Gautham Phabu K. , Mooventhan A. , Yoga Priya C. , Nivethitha L. , Manavalan N.
Published: July 2024

Naturopathy, an integrative form of primary care, combines traditional healing practices with modern research, emphasizing the body’s natural healing abilities and disease prevention. Fomentation, a therapeutic technique using hot compresses, has demonstrated efficacy in stimulating tissue activity and circulation, particularly benefiting individuals with pulmonary congestion. This study aimed to evaluate the effect of fomentation applied to the interscapular region on pulmonary function in healthy participants. A total of 30 healthy subjects were recruited and underwent a single session of hot fomentation (HF) applied to the interscapular region for a duration of 20 min. Pre-test and post-test assessments were conducted before and after the intervention. The results demonstrated a significant improvement in peak expiratory flow rate and forced expiratory volume in 1 s among healthy individuals. In conclusion, this study on the effects of fomentation to the interscapular region on pulmonary function in healthy individuals reveals significant improvements in lung function. The findings indicate that HF may be a beneficial and non-invasive intervention for enhancing respiratory performance in healthy individuals.
Management of Anidra through Shirodhara with Jala, Ashwagandha Kwatha, TilaTaila: a comparative clinical study
Authors: Sain Kavita , Bhatted Santosh Kumar , Kumar Anil
Published: July 2024

Introduction:

Insomnia (Anidra) is known as one of the most vital factors for person’s well-being. Shirodhara in Ayurveda is a recognized therapeutic measure which significantly improves sleep quality. In this study, we check the efficacy of Shirodhara with different liquids which would consequently give an insight about the role of liquids in Shirodhara.

Materials and Methods:

In this study, eligible candidates were randomized into three groups of Shirodhara, that is, Group A: JalaShriodhara, Group B: Ashwagandha Kwatha (decoction) Shirodhara, Group C: TilaTailaShirodhara. All groups were given Shirodhara for 14 days, 30 min duration and were assessed on first, seventh, 14th, and 30th day on the basis of Athens Insomnia Scale (AIS), Hamilton’s Anxiety Scale, Hamilton’s Depression Scale, World health organization (WHO)–Quality of scale (Bref.), serum cortisol (only for six patients two from each group), electroencephalogram (EEG) (only for six patients two from each group) and AnidraLakshanas—Jrumbha, Tandra, Angamarda, Shiroroga, Shirogaurav, Akshigaurav, Jadya, Glani, Bhrama, Apakti, Vataroga.

Results:

A similar kind of result was found in all the groups. In AIS, a decline of 16.71, 18, and 15.71 was seen in groups A, B, and C, respectively. In HAS, a decline of 22.5, 26, and 25.43 in groups A, B, and C, respectively. In HDS, a decline of 28.57, 33.86, and 33.86 was seen in groups A, B, and C, respectively. In all the domains of WHO QOL, an overall improvement of 214, 199.01, and 206.85 was found in all the three groups A, B, C, respectively. In Ayurveda Lakshana of Anidra, a decline of 20.86, 24.57, and 22.28 was found in all the three groups A, B, and C, respectively.

Conclusion:

The efficacy of all the three groups was almost similar, evidencing the fact that the effect of liquid medicament is predominantly low.
A review of Ayurvedic measures for preventing COVID-19 and promoting health during pregnancy
Authors: Singh Neelam Kumari , Sengar Alok Singh , Jha Sudhanshu Kumar
Published: July 2024

With the fourth year of the pandemic under its belt, the SARS-CoV-2 virus (COVID-19) disease is no longer deemed a public health emergency, but rather a persistent health issue. COVID-19 is one among the many diseases caused by severe acute respiratory syndrome coronavirus-2. Two waves of COVID-19 infections have recently emerged in India, with 2.8 million confirmed cases and 1,95,123 fatalities as of April 26, 2021. Typically, individuals have symptoms such as fever, dry cough, and malaise, which usually subside within a few days. However, in rare instances, these symptoms can escalate to respiratory distress, organ failure, and ultimately death. According to the World Health Organization, pregnant women are at a higher risk of contracting COVID-19 and may experience more severe symptoms than the general population. This is owing to their adaptive physiological changes and weakened immunological condition. Additionally, there is an elevated risk of premature delivery. Susceptible populations require special attention, efforts, and care to protect them from the coronavirus. No specific drug has been discovered for pregnant women (COVID-19) to date. Thus, preventive actions are the primary focus worldwide. Considering the current COVID-19 crisis, strengthening one’s immune system is very crucial, and in recent weeks, there has been much interest in Ayush practices that boost immunity. This article describes numerous Rasayana medicines, both single and compound, as well as preventive measures. This study primarily aims to understand the Ayurvedic perspective of COVID-19 during pregnancy and to offer Ayurvedic measures for immune regulation, health promotion, and prevention. By adopting Ayurvedic measures, the immunity of pregnant women can be enhanced, and COVID-19 will be prevented well, which will lessen the burden of the disease worldwide.
Uterine Serous Cystadenoma or Endosalpingiosis?: A Case Report with a Review of Literature
Authors: Ahuja Sana , Zaheer Sufian
Published: July 2024

ABSTRACT

Endosalpingiosis is a nonneoplastic lesion defined by the presence of tubal epithelium at ectopic sites such as the peritoneum, bladder, appendix, and even uterus. They may be asymptomatic and detected incidentally on ultrasonography. However, cystic endosalpingiosis is also known to be a mimicker of ovarian neoplasms. It is crucial for both the clinician and the pathologist to be aware of this benign lesion so that overdiagnosis and overtreatment can be avoided. We report a case of endosalpingiosis of the uterine serosa in a 45-year-old woman which was misdiagnosed as an adnexal cyst on radiological investigations.
Clinical Validation of Calf Circumference with DEXA Scans as a Measure of Muscle Mass to Assess Sarcopenia in Community Settings in Indian Postmenopausal Women
Authors: Malik Renuka , Goel Himanshi
Published: July 2024

ABSTRACT

Aims and Objective:

To validate calf circumference as a reliable clinical tool for measuring muscle mass in postmenopausal women.

Materials and Methods:

A cross sectional study done at Ram Manohar Lohia Hospital, New Delhi from February 2023 to September 2023. Thirty postmenopausal women were enrolled for this study. Women with surgical menopause, premature ovarian failure, chronic debilitating illness and morbid obesity were excluded. In these women, muscle mass was measured using calf circumference. Also, Appendicular skeletal muscle index (ASMI), a measure of muscle mass was calculated using DEXA scan (Gold standard). The muscle mass was taken as a parameter by both methods to detect sarcopenia. The collected data was analysed and statistically evaluated to clinically validate calf circumference as a reliable tool for measuring muscle mass in Indian postmenopausal women.

Results:

In our study, the values at different cut offs of calf circumference was compared to ASMI scoring using gold standard investigation DEXA Scan. The better accuracy was found for the cut off point 32 cm of calf circumference with sensitivity of 100%, specificity of 60%, positive predictive value of 71.4%, negative predictive value of 100% and accuracy of 80%. The prevalence of sarcopenia was found to be 70%.

Conclusion:

Calf circumference can be used as reliable clinical tool to assess sarcopenia as a measure of muscle mass in Indian postmenopausal women.
Frozen in Time: Intraoperative Diagnosis and Management of Malignant Transformation in Mature Cystic Teratoma
Authors: Sanap Arun Sudhakar , Davile Medha D. , Kamath Anusha A. , Mundle Shuchita R.
Published: July 2024

ABSTRACT

Malignant transformation (MCT) of ovary is rare complications affecting elderly, squamous cell carcinoma being the most common. The prognosis worsens with extraovarian spread. We present two cases of MCT-derived SCC. Patients exhibited abdominal lump, pain, bowel symptoms, sometimes with weight loss; imaging revealed MCT. Age (51–60), postmenopausal status, large size (>20 cm), bilaterality, and complex ovarian lesions raised suspicion of malignancy. Elevated tumor markers (e.g., cancer antigen-125 and lactate dehydrogenase) were noted in one case. Intraoperative frozen section confirmed malignancy, guiding staging laparotomy. One case was advanced stage on histopathology. Intraoperative frozen section aids optimal staging.
A Diagnosis of Sheehan’s Syndrome: Better Late Than Never
Authors: Pandey Aakash , Sindagi Sagar Mallappa , Singh Harshita , Singhal Paridhi , Bansal Priya , Negi Motilal
Published: July 2024

ABSTRACT

A middle-aged woman presented with history of fatigue, low mood, swelling of limbs, and facial puffiness. On detailed history taking, she also complained of salt craving, secondary amenorrhea, and loss of libido for almost a decade. Investigations revealed pan-hypopituitarism. She was started on appropriate hormonal therapy which saw a rapid resolution of symptoms within 2 weeks. Sheehan’s syndrome may have an acute presentation or chronic. The symptoms may be subtle like fatigue or overt like hypotension and syncope. A high degree of suspicion of Sheehan’s syndrome is essential for its timely management, and goes a long way in preserving the quality of life.
Taurodontism in oral-facial-digital syndrome
Authors: Pramanick Debasish
Published: July 2024

Oro-facial-digital syndrome (OFDS) is one of the rare hereditary conditions involving various developmental anomalies of the oral cavity, face as well as digits. Oral-facial-digital syndrome, Type I (OFDS I), a variant of OFDS, is a X-linked dominant condition showing malformations involving the oral cavity, face, and digits, predominantly affecting the females and lethal in males. Taurodontism is a clinical condition rarely encountered in OFDS I. It is a tooth developmental anomaly caused due to the failure of Hertwig’s epithelial sheath to invaginate horizontally at proper level, thereby resulting in an enlarged pulpal chamber and apical displacement of the pulp floor. A case of OFDS I, with typical clinical findings along with a unique feature of taurodontism, is presented here. Performing root canal treatment in taurodontism is a challenge. An early diagnosis and treatment will help the patient to lead a normal and healthy life.
Model analysis through two-dimensional evaluation of alveolar changes of untreated unilateral cleft lip and palate infants
Authors: Prasad Jeessica , Deshmukh Seema
Published: July 2024

The primary objective of therapeutic interventions for unilateral cleft lip and palate (UCLP) is to reestablish typical role and anatomy. The efficacy of nasoalveolar molding relies on the age at which it is initiated, thus early initiation is recommended. Evaluating the success of presurgical orthopedics involves assessing the after-treatment maxillary arch form and proportions in UCLP infants and comparing them to age-matched infants without clefts. Untreated UCLP cases exhibit various changes in the transverse and angular dimensions of the alveolar segment. Utilizing digital analysis of UCLP plaster casts through Photoshop software (version 24.0.0) can serve as an alternative method to predict changes in cleft width, arch width, and angular measurements in untreated cases.
Magnum of magnet: Rehabilitation of surgical defect post rhinocerebral mucormycosis with hybrid prosthesis
Authors: Koul Rishu , Verma Sahil , Kumar Dinesh , Legha V. S.
Published: July 2024

Midfacial defects are defined as ones limited to the middle one-third of the face in the horizontal axis which communes with intraoral maxillary defects. They affect patient’s phonation, chewing capacity, quality of life, and social and community behavior. Surgical reconstruction alone is inadequate to rehabilitate these large midfacial defects, thereby necessitating use of a maxillofacial prosthesis to restore form, function, esthetics and comfort. The present case report presents the prosthetic restoration of a surgical defect secondary to treatment of rhinocerebral mucormycosis with an extraoral (exenteration) and intraoral (Armany Class IV) defect connected with magnetic attachment.
Comparative evaluation of the differential staining ability of carbol fuchsin, methylene blue, and turmeric GC-MI paste between enamel and adhesive composite remnant after orthodontic debonding using a spectrophotometer
Authors: Agrawal Sunil , Jain Megha , Chachada Achint
Published: July 2024

Background:

After debonding, the primary concern of the clinician is to ensure the complete removal of the orthodontic adhesive composite remnant and restore the tooth surface to as near its original state as possible. However, the color resemblance of composite adhesive and enamel can increase the risk of tooth damage during debonding. To delineate composite from enamel, using various hydrophobic stains can be helpful in clean debonding.

Objective:

The aim of the present research was to assess and compare the differential staining ability of three stains, i.e., carbol fuchsin, methylene blue, and turmeric GC-MI paste, using a spectrophotometer.

Methodology:

A total of 48 premolar samples were distributed among three groups, namely, Group A, Group B, and Group C. Each group of 16 samples was stained with carbol fuchsin, methylene blue, and turmeric GC-MI paste, respectively. The color value of enamel and composite was measured before and after staining by digital spectrophotometer using CIE L* a* b* scoring method.

Results:

The mean difference color value of composite and enamel before and after staining was found to be 38.473 ∆ E, 17.211 ∆ E, and 18.715 ∆ E and 1.647 ∆ E, 1.297 ∆ E, and 1.293 ∆ E in Groups A, B, and C, respectively. The mean color value of composite and enamel was compared before and after staining using a t-test for all three groups and was found to be statistically highly significant.

Conclusion:

Carbol fuchsin, methylene blue, and turmeric GC-MI paste have the potential to be used as composite disclosing agents. Turmeric GC-MI paste appears to be a better agent as it stains composite effectively without significant staining on enamel.
Assessing the application and removal of temporary restorations in endodontic practice: A survey-based study
Authors: Ingle Neha Tejrao , Heda Anant Kumar , Likhitkar Manoj , Birla Deepali , Chandran Thanima , Warade Pooja
Published: July 2024

Background:

This survey delved into the diverse practices regarding the placement and removal of temporary restorations in the field of endodontics. Employing a Google Forms questionnaire containing 16 inquiries, the study sought to capture varied trends prevalent among practitioners. The survey was conducted for 2 months, engaging 250 participants through social media platforms by sharing a generated link for the Google survey.

Materials and Methods:

The questionnaire covered a spectrum of aspects related to temporary restoration procedures, aiming to gather insights into the methodologies, techniques, and protocols adopted by practitioners during these processes. By employing an Internet-based survey tool, the researchers efficiently collated responses from a diverse pool of professionals.

Results:

The study’s focus encompassed understanding the nuances in temporary restoration practices, emphasizing the significance of structured guidelines or protocols in ensuring efficient and standardized procedures. Through the collected responses, the survey aimed to identify prevalent trends, disparities, and potentially innovative approaches in the placement and removal of temporary restorations within the domain of endodontics.

Conclusion:

Ultimately, the survey results are anticipated to provide valuable insights into the varied methodologies employed in temporary restoration procedures, potentially paving the way for standardization or enhancement of protocols in this critical aspect of endodontic therapy.
Pharyngeal width comparison in different skeletal malocclusions and growth patterns of Nepalese population
Authors: Chaudhary Nabin Kumar , Giri Jamal , Gyawali Rajesh , Pokharel Prabhat Ranjan
Published: July 2024

Context:

Regarding the relationship between the size of the pharynx and several sagittal skeletal malocclusions and patterns of growth, contradictory findings have been documented.

Aims:

The intent of this research was to analyze the size of the pharynx in various sagittal malocclusions and growth patterns in the Nepalese population.

Settings and Design:

An analytic cross-sectional research was undertaken on patients who attended the Orthodontics Division of BPKIHS.

Materials and Methods:

A total of 135 patients’ lateral cephalometric radiographs were gathered. Medians and interquartile ranges of pharyngeal widths according to McNamara airway analysis and Arnett/Gunson FAB airway analysis adapted by Santiago et
al. in different skeletal malocclusions and growth patterns were compared.

Results:

There was not any discernible statistically noteworthy variation within the upper pharynx size, lower pharyngeal width, nasopharyngeal width (WNP), oropharyngeal width, hypopharyngeal width (WHP), and deep pharyngeal width (WDP) in different skeletal malocclusions. A statistically significant variation was discovered in nasopharyngeal size (P = 0.010), hypopharyngeal size (P = 0.027), and deep pharyngeal size (P < 0.001) in various patterns of growth, i.e. hypodivergent versus normodivergent, and in hypodivergent versus hyperdivergent, not in normodivergent versus hyperdivergent group of patients.

Conclusion:

There was not anything statistically noteworthy variation in the pharyngeal widths of the participants with respect to the various skeletal malocclusions. WNP, WHP, and WDP showed a statistically significant variation between hypodivergent versus normodivergent and hypodivergent versus hyperdivergent growth patterns.
Perception towards professionalism among Indian dental educators and residents – A descriptive study
Authors: D’Souza Kathleen Manuela , Chari Suresh , Nagda Suhasini , Shah Chinmay , da Costa Fhelen D.
Published: July 2024

Background:

Lack of professional integrity among dental students can greatly impact the safety of future patients. Currently, there are no established learning outcomes for dental professionalism.

Aim:

The aim of the study is to assess the perceptions of Indian educators (DE) and residents (DR) towards the attributes and methods to learn/teach dental professionalism.

Materials and Methods:

A cross-sectional descriptive study was conducted among Indian DE and DR from April 1, 2022, to July 31, 2022. A 31-item questionnaire was developed to evaluate the demographic data, perceptions of learning/teaching methods, and attributes of professionalism. The sample size was calculated to 446 subjects. Descriptive statistics were carried out.

Results:

Of the 428 participants, 287 were DE and 141 were DR. Most participants are aware of the attributes and have a positive attitude toward professionalism. Role modeling and mentoring were the most effective ways to learn professionalism. About 97.9% of DE and 97.9% of DR felt it was important to teach dental students about professionalism. About 85.7% of DE and 73% of DR felt the need for an additional program in the current BDS curriculum. Most participants selected contact with role model teachers, clinical experience with patients, and discussion with peers as methods by which they learned dental professionalism.

Conclusion:

The majority of the participants are aware and have a positive attitude toward dental professionalism.
A comparative analysis of the antimicrobial efficacy of different concentrations of silver nanoparticles and chlorhexidine against Enterococcus faecalis - In vitro study
Authors: Warade Pooja , Likhitkar Manoj , Heda Anant Kumar , Birla Deepali , Chandran Thanima , Ingle Neha
Published: July 2024

Introduction:

Root canal irrigants combat endodontic microbial flora, effectively targeting resilient microbes like Enterococcus faecalis, which persist despite treatment. Chlorhexidine (CHX), as an irrigant, boasts broad-spectrum antibacterial activity, notable substantivity in dentine, and favorable biocompatibility. In the realm of nanotechnology, the use of silver nanoparticle (AgNP) solutions appears promising, given their strong antibacterial and antimicrobial properties.

Objective:

The objective of the study was to compare the antimicrobial effectiveness of varying concentrations (1%, 0.75%, and 0.5%) of AgNPs and 2% CHX against E. faecalis.

Materials and Methods:

Four irrigant solutions, including 1%, 0.75%, and 0.5% AgNPs and 2% CHX with gentamicin as the control, will be assessed. The ATCC 29212 strain of E. faecalis will be cultivated at 37°C on brain–heart infusion Broth plates. After 48 h, the bacterial population will be quantified by counting colony-forming units on agar plates. Each irrigant will be applied to the plates, and the resulting bacterial inhibition zone will be measured.

Results:

Our study demonstrates the antimicrobial effects of 1%, 0.75%, and 0.5% AgNPs and 2% CHX against E. faecalis. While 2% CHX exhibited superior activity, AgNPs at various concentrations also displayed inhibitory effects against E. faecalis.

Conclusion:

In conclusion, this study highlights the antimicrobial properties of 1%, 0.75%, and 0.5% AgNPs and 2% CHX against E. faecalis. The results indicate that 2% CHX exhibits superior activity, while AgNPs at various concentrations also demonstrate inhibitory zones against E. faecalis.
Reviewing hemangiomas and vascular malformations: An in-depth analysis
Authors: Sayyed Zaki , Parveen Yashmin , Bhattacharyya Antara , Arshiyan Ansari Mohd , Shah Ahtesham , Bidkar Krutika
Published: July 2024

This narrative review delves into the intricacies of hemangiomas and vascular malformations (VMs), exploring their characteristics, diagnostic approaches, and therapeutic interventions. Hemangiomas, characterized by an abnormal growth of blood vessels, and VMs, arising from developmental abnormalities in blood vessels, present multifaceted challenges in clinical practice. The review navigates through the clinical manifestations and classifications of these vascular anomalies, emphasizing the importance of accurate diagnosis based on clinical evaluation, imaging techniques, and histopathological assessment. Variations in presentation, ranging from asymptomatic lesions to severe complications impacting vital organs, underscore the necessity for comprehensive understanding and tailored management strategies. Moreover, this review examines current therapeutic modalities encompassing medical, interventional, and surgical interventions. It synthesizes the evolving landscape of treatment options and highlighting the benefits, limitations, and potential adverse effects associated with each approach. In addition, the review underscores the significance of a multidisciplinary approach, integrating expertise from dermatology, radiology, and surgery, to optimize patient care and outcomes. The challenges posed by these vascular anomalies necessitate ongoing research endeavors aimed at refining diagnostic criteria and advancing therapeutic innovations. This review amalgamates existing knowledge and providing clinicians and researchers with a comprehensive understanding of hemangiomas and VMs, thereby fostering continued exploration and innovation in this complex field.
Global, regional, and national burdens: An overlapping meta-analysis on Staphylococcus aureus and its drug-resistant strains
Authors: Adeiza Shuaibu Suleiman , Islam Md. Aminul , Shittu Aminu
Published: July 2024

Objective:

To provide an inclusive blend of extant meta-analyses on the burden of Staphylococcus (S.) aureus and its resistant strains across diverse study populations, settings, and temporal contexts.

Methods:

The study has adopted PRISMA 2020-based guides and registered its protocol on Open Science Framework with an extensive literature search. Study quality was assessed by QUOROM and AMSTAR techniques. Data analysis included parsing of study-level statistical power, assessment of primary study overlap, pooling of meta-analysis results, subgroup and temporal analysis.

Results:

Totally 41 studies (64 meta-analyses) were selected by the inclusion criteria. The summary meta-analysis revealed global prevalence rates for S. aureus [24.8%, 95%C1 0.248(0.204-0.293), I2
= 93%], methicillin resistant S. aureus (MRSA) [5.8%, 95%CI 0.058(0.044-0.073), I2
= 92%], vancomycin intermediate S. aureus [1.7%, 95%C1 0.017(0.013–0.021), I2
= 36.4%], heterogeneous vancomycin intermediate S. aureus [5.2%, 95%CI 0.052(0.038–0.056), I2
= 36.4%], community-associated methicillin-resistant S. aureus [19.9%, 95%C1 0.199(-0.170–0.568), I2
= 96.67%), livestock-associated-MRSA [13.6%, 95%CI 0.136(-0.028–0.243), I2
= 97.7%], and mupirocin resistant S. aureus [7.6%, 95%CI 0.076(0.062–0.090), 12
= 0%]. Temporal analysis revealed that the burden community-associated methicillin-resistant S. aureus notably increased from 1.3% in 2003 to 39.0% in 2014. Coagulase-negative staphylococci rose from 23.2% in 2021 to 29.8% in 2022. Vancomycin resistant S. aureus peaked at 9.0% in 2018, declining to 2.6% in 2020. Livestock-associated-MRSA significantly increased to 19.0% in 2020. MRSA fluctuated, peaking at 52.7% in 2012 and 31.0% in 2022.

Conclusions:

The study reveals a considerable global prevalence of S. aureus at 24.8%. Regional differences were apparent, with Africa facing a high burden of MRSA at 40.8% of S. aureus and temporal trends exposed a dynamic state.
Emerging antihelminthic drug resistance: Implications for mass drug administration program
Authors: Harshita Agarwal , Nonika Rajkumari
Published: July 2024

Soil transmitted helminth infections and lymphatic diseases are significant neglected tropical diseases that pose public health challenges in both low and middle economic populations. These parasites live in the human intestine, consuming nutrients intended for the human body. Research findings suggest that the development of resistance to antihelminthic drugs is notably delayed when a combination of medications is used. Antihelminthic tablets are excellent candidates for mass drug administration (MDA) because they are highly effective and safe. Their reliability and safety make them well-suited for widespread distribution among populations at risk of parasitic worm infections. School-based deworming programs have proven successful in providing access to large numbers of children, offering them antihelminthic treatments in various settings. MDA is a key strategy in the global effort to eliminate lymphatic filariasis, with school-based deworming being an integral part of this approach. However, the longer the program lasts, the higher the risk of treatment failure is due to potential parasite resistance. Therefore, there is an urgent call for new methods to monitor and combat the emergence of drug resistance. While MDA has shown significant impact on various helminth infections, the threat of resistance remains a concern. Although there is currently no concrete evidence of resistance to common antihelminthics in humans, experiences from other infectious diseases, particularly in livestock, serve as a cautionary tale against over-reliance on these drugs for controlling lymphatic filariasis.
A clinical study to monitor prescription patterns, clinical outcomes, and adverse drug reactions among patients of various interstitial lung diseases attending respiratory medicine outpatient department at tertiary care hospital in Northern India
Authors: Hasan Sabahat , Verma Ajay , Haque Shoebul , Asif Farah , Nath Rajendra , Kant Surya , Dixit Rakesh K.
Published: July 2024

Aim:

The aim of this study was to monitor prescription patterns, clinical outcomes, and adverse drug reactions (ADR) among patients of various interstitial lung diseases (ILDs).

Materials and Methods:

This prospective study was conducted in the Department of Pharmacology and Therapeutics in collaboration with the Department of Respiratory Medicine, King George’s Medical University, Lucknow, for a period of 12 months (October 2020–September 2021). A total of 77 patients were enrolled after satisfying the inclusion and exclusion criteria. The prescriptions were collected, and necessary details were noted on the case report form. After completion of the study, the data were analyzed for prescription patterns, clinical outcomes, and quality of life with the help of a validated questionnaire-King’s Brief ILD (KBILD) questionnaire. At the same time, ADRs, if any, were assessed using Hartwig’s Severity Assessment Scale and Naranjo Causality Assessment Scale.

Results:

The most common ILD was acute/chronic hypersensitivity pneumonitis (HP). Average number of drugs per encounter was 4.45. Crepitations were the most common clinical signs. Clubbing and rhonchi were reported maximum in idiopathic pulmonary fibrosis. It was found that psychological, breathlessness and activities, chest symptoms, and total KBILD reduced significantly after 3 months as compared to baseline with a statistically significant difference as P < 0.01. ADRs were found in 23.38% (18) of the subjects. Maximum ADR reported was gastritis (9.09%), followed by hepatitis (3.90%).

Conclusion:

The high proportion of patients clinically diagnosed with HP in our study highlights the importance of a detailed environmental exposure history in the diagnostic evaluation of patients with ILD to avoid inaccurate diagnoses. ADR-related hospital admissions are a significant problem in the health-care system.
Uniform decay of unimodal states and non-local Minami estimates for a class of Fermionic Anderson models with deterministic potentials
Authors: Chulaevsky Victor
Published: July 2024

We prove Anderson localization for a class of interactive Fermionic Hamiltonians in a deterministic (including some quasi-periodic) disordered external potential on a one-dimensional lattice. As in our earlier paper on 1-particle Hamiltonians (Chulaevsky, 2014), and in contrast to a recent work (J. Bourgai and I. Kachkovskiy, 2019), the sampling function on the phase space of the dynamical system generating the external potential is not even continuous. As a complement to the parametric analysis of the eigenpairs, we also prove some analogs of the Minami estimate for pairs of eigenvalues in arbitrarily placed intervals, not necessarily nested, or close to/distant from each other.
Représentation labyrinthique de l’errance dans le dédale du monde moderne chez Rachid Boudjedra
Authors: Slimani Ismail
Published: July 2024

In ideal Topography for a characterized aggression, Rachid Boudjedra represents an illiterate emigrant lost in the maze of the Parisian subway. The reader follows the errance of this emigrant in search of his drop point writing on a bit of paper. At the end of long odyssée, it is found mortally attacked by a group of racists in exit of the subway. Our analysis based on works of Gilbert Durand, Umberto Eco, Deleuze and Guattari, Ethnocritic and urban semiotics, wants to be a description of this allegory of the modern world represented by the Parisian subway. An allegory that the writing that us of labyrinthian practised by the author also represents at the scriptural level.
Permasalahan dan Strategi Peningkatan Mutu Pendidikan Tinggi Keagamaan Kristen di Indonesia
Authors: Karnawati Karnawati
Published: July 2024

Pendidikan Tinggi Keagaamaan Kristen di Indonesia (PTKKI) mengalami situasi yang masih memprihatinkan dalam kaitannya dengan mutu pendidikannya. Hai ini terlihat dari masih banyaknya PTKKI yang nilai akreditasinya C atau Baik. Tujuan dari penelitian ini adalah untuk mengidentifikasi berbagai permasalahan yang dihadapi PTKKI dalam mencapai nilai unggul serta mencoba menawarkan strategi peningkatan mutu dan program pengembangan. Penelitian ini menggunakan pendekatan kualitatif dengan teknik pengumpulan data wawancara, observasi dan studi dokumen. Hasil yang diperoleh adalah ditemukan langkah pemecahan praktis dan rencana pengembangan terkait dengan tata pamong, tata kelola dan kerjasama; bidang kemahasiswaan; bidang sumber daya manusia, bidang keuangan, sarana dan prasarana; bidang pendidikan, bidang penelitian, dan bidang pengabdian kepada masyarakat.
Peran Pendidikan Kristen dalam Membentuk Identitas dan Tujuan Hidup dalam upaya Mengatasi Krisis Spiritual di Kalangan Pelajar
Authors: Welikinsi Welikinsi
Published: July 2024

Spiritualitas yang baik diperlukan oleh pelajar sejak dini supaya mereka dapat menemukan identitas diri mengingat masa-masa menjadi pelajar merupakan masa-masa pencarian identitas. Dengan menemukan identitas dirinya pelajar akan lebih mengerti akan tujuan hidup yang akan dicapainya. Namun mereka akan sulit untuk menemukan identitas diri serta tujuan hidup kelak jika mengalami krisis spiritual. Pendidikan Kristen sebagai urgensi yang harus dilakukan dalam kalangan Kristen jika ingin pelajar menyadari identitas mereka dan memiliki tujuan hidup sebagai hasil dari memiliki spiritualitas yang baik. Artikel ini akan mengkaji lebih mendalam tentang apa saja peranan Pendidikan Kristen dalam membentuk identitas dan tujuan hidup pelajar sebagai upaya mengatasi krisis spiritual? Metode yang digunakan di dalam artikel ini adalah metode kualitatif deskriptif, di mana dalam prosesnya peneliti menggunakan pendekatan kepustakaan, yakni dengan menelaah beberapa sumber referensi meliputi buku, jurnal dan sumber-sumber lainnya yang relevan. Hasil dari penelitian ini adalah pendidikan Kristen yang dilakukan di dalam keluarga, sekolah, dan gereja berperan untuk mengajarkan nilai-nilai moral dan etika dasar, mengajarkan pengenalan dan pemahaman akan Allah, mengajarkan tentang Alkitab, membantu pengalaman pertumbuhan, menolong melayani dan bermisi. Pendidikan Kristen tidak hanya memberikan pengetahuan agama, tetapi juga memberikan landasan moral dan spiritual yang kuat bagi pelajar, membantu mereka mengatasi krisis spiritual, dan membimbing mereka dalam menemukan identitas dan tujuan hidup yang berarti.
Los reformismos académicos entre la teoría ideal y la práctica no ideal
Authors: Sierra González Angela
Published: July 2024

El análisis de la evolución de las reformas académicas de las últimas décadas permite observar que, en nombre de la innovación, esta fue pensada, desde sus inicios, como una obra política dirigida a convertir a la universidad en proveedora, dentro de los acuerdos de libre comercio, de ‘servicios educativos’. Estos se convierten en ‘productos’ susceptibles de comercialización, y así, se instaura el ‘capitalismo académico’, concepto con el que se pretende dar cuenta de los procesos de comercialización de la docencia e investigación académica. Las reformas se encadenan en el tiempo una tras otras, con dos objetivos, restar poder al Estado, y poner fin al ‘Estado Educador’ nacido en la Ilustración como ideal republicano. Ideal bajo el que la educación aparece como un elemento central para la formación de una ciudadanía emancipada frente a un capitalismo globalizado sin ciudadanía.
Effect of Using a Solar Can Heater Collector on the Temperature of a Room at Several External Temperature Variations
Authors: Vernando Willy , Kurniawan Andre , Refdinal Refdinal , Fernanda Yolli
Published: July 2024

This research discusses a heating collector device which functions to warm a room that has a relatively cold temperature so as to create thermal comfort. Thermal comfort greatly influences human performance in activities in a room so that effective performance in a room can be achieved. This collector functions to collect solar heat and increase the temperature of the sun's heat which will then be channeled into a closed room. This collector is in the form of a box measuring 750x450 mm. This collector consists of cans arranged vertically which are useful as a medium for capturing heat and increasing solar heat. The measurement results show that the room heater can warm a cold room at a temperature of 22.4⁰C to 28.2⁰C. and the air heating capacity obtained is 0.24 kJ to 4.58 kJ.
Penelitian ini membahas tentang alat kolektor pemanas yang berfungsi untuk menghangatkan ruangan yang memiliki suhu relatif dingin sehingga terciptanya kenyamanan termal. Kenyamanan termal sangat berpengaruh terhadap kinerja manusia dalam beraktifitas di dalam suatu ruangan sehingga dapat tercapai efektifitas kinerja di dalam suatu ruangan. Kolektor ini berfungsi mengumpulkan panas matahari serta memperbesar suhu dari panas matahari yang nantinya akan di alirkan ke suatu ruangan yang tertutup. Kolektor ini berbentuk boks yang berukuran 750x450 mm,kolektor ini terdiri dari kaleng yang disusun secara vertical yang berguna untuk media penangkap panas dan memperbesar panas matahari. Hasil pengukuran menunjukkan bahwa pemanas ruangan dapat menghangatkan ruangan yang dingin pada suhu 22,4⁰C menjadi 28,2⁰C. dan kapasitas pemanas udara yang diperoleh adalah 0,24 kj hingga 4,58 kj.
Influence of Ambient Temperature on Fuel Consumption and Efficiency of Gas Engine in Power Plant
Authors: Ekayuliana Arifia , Hidayati Noor , Jovan Arya
Published: July 2024

The limited production of natural gas fuel derived from fossil sources, coupled with the increasing consumption demands across various household and industrial sectors, necessitates efforts to conserve fuel usage. One of the approaches that can be taken is to enhance fuel efficiency. This study aims to analyze the influence of environmental temperature on fuel consumption and efficiency. In this research, the data used is the date or duration of the measurement, including peak load time, environmental temperature and fuel consumption. The research findings indicate that higher environmental temperatures have an inverse impact on fuel efficiency while having a linear effect on fuel consumption. For instance, at an environmental temperature of 32.8 degrees Celsius, the efficiency reaches 12.04% with a consumption rate of 0.72 KG/H, whereas at a temperature of 36.8 degrees Celsius, efficiency decreases to 8.47% with a fuel consumption of 0.96 KG/H. These findings suggest that environmental temperature can influence fuel usage efficiency, and the relationship between environmental temperature and fuel consumption is linear. This research has significant implications for optimizing fuel usage in the context of changing thermal environments.