bluuebunny/crossref_metadata_2025 huggingface dataset:
An Observational Study about Incidence of Upper Gastrointestinal Bleeding, Endoscopic Profile of Patients in Tertiary Care Hospital
Authors: Pawde Sanujit A. , Chougale Abhay D.
Published: December 2022

Background:

Despite treatment advancement of upper gastrointestinal bleeding (UGIB), overall mortality has still remained constant and the reasons behind it are still unclear.

Aim:

The aim is to study the endoscopic profile of patients suffering from UGIB in a tertiary care hospital.

Materials and Methods:

Observational study conducted among consenting patients, undergoing Esophago gastro duodenoscopy in the department of general surgery at a tertiary care hospital, between November 2018 and April 2019. Cases included were (n = 86). Standard case history pro forma was used for data collection. Interventions were given in the form of pharmacotherapy, endoscopic band ligation, and sclerotherapy. Follow-up was done after 2 months. Data were analyzed using R software version 3.6.0. Chi-square test used to find the association between variables (P < 0.05).

Results:

Most patients were male (n = 78) with a mean age of 48.05 ± 14.96 years. Common complaints were of melena (n = 71). History of cases included in this study; history of alcoholic liver disease (n = 35), long-term use of nonsteroidal anti-inflammatory drugs (NSAIDS) (n = 26). The common causes for GI bleeding were esophageal varices (n = 52). Significant association was observed between diagnosis and alcoholic liver disease (P = 0.004), history of long-term NSAIDS (P = 0.002), respectively. All cases were given pharmacological intervention. Higher statistically significant association found between follow-up and sclerotherapy(P = 0.0004). Association was seen between the number of interventions and follow-up (P = 0.016). Adverse event in form of bleeding was seen in 1.2% of cases.

Conclusion:

The most common cause of UGIB was esophageal varices. Combination of interventions could provide solution to reduce mortality in cases of UGIB.
The Spectrum of the Atomic Energy Regulatory Board Under the Department of Atomic Energy with Respect to a Medical Radiation Facility
Authors: Anurag Luharia , Gaurav Mishra , Sanjay Dhoble , Chandrashekar Mahakalkar
Published: December 2022

Increasing medical radiation facility strongly demands to have a dedicated, competent regulatory body for guiding and managing radiation safety, quality, and standardization of rules and regulations to safeguard the human population nature from adverse effects of radiation. In India, we have the Atomic Energy Regulatory Board for managing the medical radiation facility for diagnosis and treatment of medical conditions and also to save them from radiation hazards under the Department of Atomic Energy (DAE), India. The Atomic Energy Regulatory Board (AERB) has launched the e-Licensing of Radiation Application (eLORA), which is an application built on the web-based that establishes a channel of direct communication between the AERB and its stakeholders for information and communication exchanges in terms of providing regulatory services with higher levels of effectiveness, reliability, and transparency. They also provide various radiation awareness programs, advertisements, and radiation safety guidelines for diagnostic and therapeutic procedures. DAE has a very wide spectrum in which the AERB plays a vital role in establishing regulatory processes, activities of radiation facilities such as radiodiagnosis, radiotherapy, and nuclear medicine in medical also create and publish regulatory safety documentation for utilities and consumers along with acts and regulation. Basically, AERB provides the common platform for all the radiation practicing medical institutions through eLORA, which help to streamline the radiation practice toward the betterment of humankind.
Design and Evaluate Psychometric Properties of Scale to Assess Students' Perception toward Online Teaching in Nursing Education
Authors: Sharma Suresh K. , Mudgal Shiv K. , Gaur Rakhi
Published: December 2022

Background and Aims:

Given the scarcity of a valid and reliable tool specially designed to measure perception to online teaching in nursing science students. This study was done with an aim to design and evaluate the psychometric properties of perception to online teaching questionnaire.

Methods:

The present study was conducted using mixed-method approach in two phases at the Eternal University, in 2020. In first phase, qualitative study was done to explore the students' perception on online teaching. Then, the theme and subtheme were extracted, and initial items were developed through reviewing the literature. In the second phase, total of 384 nursing students who were recruited conveniently participated in the study. Furthermore, the psychometric properties including face, content, and construct validities, test–retest reliability and internal consistency (Cronbach's alpha), were measured in the second phase. Statistical analysis was done using SPSS Analysis of Moment Structure version 23 (SPSS Inc., Chicago, IL, USA) for quantitative data.

Results:

Four factors were extracted through exploratory factor analysis. The confirmatory factor analysis confirmed 28 items in four factors: Ascendancy, snag, technophilia and prerequisites, and these factors explained 61.67% of variances. The Cronbach's alpha and stability of the questionnaire were 0.906 and 0.91, respectively. The discriminant validity and composite reliability of this final model were confirmed.

Conclusion:

This proposed questionnaire had met at desired standard of reliability and validity making it a useful measurement tool for measuring the perception to online teaching in nursing science students. It could be used for teaching–learning method improvement.
Pulse of Gujarat during Lockdown
Authors: Saha Somen , Puwar Tapasvi , Saxena Deepak , Kotwani Priya , Raval Devang , Kandre Yogini , Qureshi Abid
Published: December 2022

Background:

Coronavirus pandemic has dealt a severe blow to India's poor and socioeconomically disadvantaged group. Among a nationwide lockdown to contain the spread of the infection. This study assessed the availability of food and access to healthcare among the vulnerable population of Gujarat– pregnant women and severe acute malnourished children. Specifically, we assessed events of starvation or skipped meal, availability of healthcare services, and self-reported psychological distress during the lock down.

Materials and Methods:

A cross-sectional study across 252 talukas and 33 districts of Gujarat was undertaken using a structured questionnaire. A telephonic survey was carried out and positive responses were received from 161 households (HHs) with severe acute malnourished children, 328 pregnant women with severe maternal anemia, and 402 lactating women.

Results:

We found 79.7% of surveyed HHs received ration where major reliance was on public distribution system (51.7%). Less than half of the beneficiaries (48.6%) received take-home ration under the ICDS program. Despite efforts of the State as well as voluntary agencies, 7.3% of HHs experienced episode of hunger, mostly from Devbhumi Dwarka, and Navsari district. A third of the respondents showed signs of psychological distress associated with lockdown.

Conclusion:

Food insecurity may lead to malnutrition impairing the immunity of the individuals to cope with the disease. Thus, given the uncertainty around the emergency situation, preparedness measures should not only focus on the availability of healthcare commodities but also to ensure the availability of other essentials, especially to the socioeconomic disadvantaged group.
Evaluation of Efficacy of Hi-Ora Mouthrinse as Against 0.12% Chlorhexidine in Treatment of Patients with Chronic Gingivitis
Authors: Akkaloori Anitha , Al Shayeb Maher , Raman Praveena , Punnoose Kurian , Pattanaik Prajna , Preethanath Reghunathan S. , Babu J. Suresh , Swarnalatha C. , Nayyar Abhishek Singh
Published: December 2022

Background:

The present study was planned to compare the efficacy of Hi-Ora mouthrinse as against 0.12% chlorhexidine (CHX) in treatment of patients with chronic gingivitis.

Materials and Methods:

The present study was designed as a randomized controlled trial including 90 patients with chronic gingivitis who were divided into three groups including Group A in which 0.12% CHX was prescribed, Group B in which patients were prescribed Hi-Ora, and Group C in which normal saline was prescribed after oral prophylaxis while the mean gingival index (GI) and plaque index (PI) scores were recorded after 1 week. Inter-group comparisons between different groups were done with the help of Independent t-test and Tukey's post hoc test while P < 0.05 was considered statistically significant.

Results:

In the present study, the mean GI score (postintervention) was found to be 0.71 ± 0.27 in CHX, 0.68 ± 0.17 in Hi-Ora, and 1.59 ± 0.55 in the normal saline group with the results being statistically significant (P < 0.0001). Similarly, the mean PI score in the present study was found to be 0.81 ± 0.34 in the CHX group with the corresponding values being 0.79 ± 0.28 in Hi-Ora and 1.86 ± 0.61 in the normal saline group with statistically significant results (P < 0.0001).

Conclusions:

The results of the present study suggested Hi-Ora to be equally efficacious as 0.12% CHX in reducing the mean GI and PI scores in patients with chronic gingivitis.
Modern Diagnostics Processes among New Strains of Coronaviruses
Authors: Khan Afzal Husain , Dehghani Mohammad Hadi , Khan Nadeem A. , Ali Syed Sadat , Akram Muhammad , Roy Sharmili , Alam Shah Saud
Published: December 2022

The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes the COVID-19 disease, which is a considerable outbreak that appeared in late 2019, and within a short period, this disease rapidly extended globally. Its prompt airborne transmission and highly infectious pneumonia-like symptoms in patients caused turmoil worldwide. This virus has a relatively high mortality rate compared to previous outbreaks such as Middle East respiratory syndrome coronavirus and SARS-CoV. Therefore, the World Health Organization declared COVID-19 a global health pandemic on January 30, 2020. However, the recent COVID-19 outbreak and newly emerged variants such as Delta and Omicron are having a huge spike in the human population. This rise has been a kind of challenging situation worldwide as perception is still limited in terms of modes of transmission, severity, diagnostics clinical oversight. Therefore, this review highlights the importance of these issues via a Medline search using the terms novel, coronavirus, sources, genetic nature, contagious routes, clinical characteristics, and diagnostic procedures for COVID-19. The authors extensively reviewed the analysis of behavior and impacts of this virus's activities worldwide. The study reveals that patients' epidemiology and clinical characteristics in different frames are sensitive toward commanding this virus and its associated diseases. Finally, the parametric data gathered for this study are also presented for use in forecasting models. Along with these searches, the authors have comprehensively discussed the current modern diagnostic processes.
Management of Gummy Smile with an Interdisciplinary Approach
Authors: Disale Pooja R. , Zope Sameer A. , Suragimath Girish , Varma Siddhartha
Published: December 2022

In this extremely competitive society, esthetic appearance plays an important role in the acceptance and self-esteem of individuals. Facial expressions and smile are the primary constituents of fast and effective nonverbal communication. Gummy smile is a frequent finding that can occur because of various intraoral or extraoral etiologies. Gummy smile is considered unattractive and a major cause of embarrassment. Lip repositioning was first described in 1973 by Rubinstein and Kostianovsky as a conservative surgical method for correcting a gummy smile. This procedure minimizes the gingival display by limiting the retraction of the elevator smile muscles. This case report describes the management of gummy smile using an interdisciplinary approach. Despite other possible alternatives, the present case was treated with minimally invasive perioplastic surgery (crown lengthening and lip repositioning) and cosmetic restorations of maxillary anterior teeth. Surgical lip repositioning is a safe, predictable procedure with minimal risks or side effects.
Doppler Profiles of Renal and Hepatic Hemodynamics in Patients with Cirrhosis of the Liver
Authors: Pandey Shivesh , Dhande Rajasbala Pradeep , Mishra Gaurav Vedprakash
Published: December 2022

One in five individuals with cirrhosis of the liver may experience renal impairment, a frequent consequence that is linked to increased mortality and morbidity. Even before changes in serum creatinine concentration can be detected, renal hemodynamic alterations start to occur early in the course of functional kidney failure caused by liver disease. Studying the Doppler profiles of renal and hepatic hemodynamics in people with liver cirrhosis is the goal of this review article. People with liver cirrhosis, even before clinical signs of renal impairment appear. Doppler is a quick, reliable, and noninvasive technique that makes it possible to identify renal hemodynamic changes in individuals with liver cirrhosis even before they become clinically obvious.
Computed Tomography Evaluation of Temporal Bone Fracture and Hearing Loss
Authors: Singh Rohan Kumar , Mishra Gaurav Vedprakash , Dhande Rajasbala Pradeep , Patwa Prerna Anup , Singh Sonal
Published: December 2022

In the modern world, the most common cause of head trauma causing temporal bone fracture in adults is road traffic accidents with high impact force. Hearing loss is one of the most common complaints after head trauma involving temporal bone fracture. Because of other life-threatening conditions associated with road traffic accidents, fractures of temporal bone is often overlooked. If these fractures are detected early, there complications can be avoided with conservative or surgical intervention. In this research following databases were used to search for published as well as unpublished studies over the period 2000–2021 in the English language: PubMed, EMBASE, and Web of Science. The terms used to generate a search were as follows: Temporal bone fracture and hearing loss. Those studies which did not fulfil the inclusion criteria were removed. Case reports, documentaries, and duplicate data were excluded. Most common cause of injury leading to temporal bone fracture was road traffic accident. Majority of cases were males belonging to the age group of 31–40 years and average age was 36 years. According to traditional classification, majority had longitudinal fracture followed by transverse fracture. According to newer classification, otic capsule sparing was more common in comparison to otic capsule involvement. The conductive type of hearing loss was more common and it was found associated with longitudinal fracture while sensorineural type of hearing loss was associated with transverse type of fracture. The conductive type of hearing loss was usually common in otic capsule sparing while sensorineural type of hearing loss is associated with otic capsule involvement. Otic capsule sparing is mostly seen in longitudinal fracture and transverse fracture involves otic capsule involvement. Head trauma due to fast moving vehicles is the most common cause of injury leading to temporal bone fracture. Because of complex structure of temporal bone identification of line of fracture is necessary which requires high-resolution computed tomography (CT) of the head. High-resolution CT not only helps in knowing anatomy and types of fracture but also it helps in knowing sequelae of various types of fractures which helps in treating physician weather to go for conservative or surgical intervention.
Falls are Preventable
Authors: Kankarwal Monika , Prakash Kamli
Published: December 2022

Indian aging population is increasing steadily and tremendously imposing a major impact on global implications and challenges in medicine and nursing world. The problem faced by the elderly population is numerous and alarming for the nation, society, health-care system, and family caregivers of the elderly. Falls are estimated to be the second-most leading cause of mortality worldwide among elderly and are considered geriatric giants. Falls are the resultant of complex interaction among various risk factors such as biological, behavioral, socioeconomic, environmental, intergenerational bonding, cultural practices, and ethnicity. These risk factors either alone or in combination cause falls among elderly. Falls are very much preventable among elderly at the primordial and primary prevention levels itself. Timely intervention with multicomponent falls preventive approach for the elderly at the community level has resulted not only decrease in the rate of falls and falls-related injuries among them but also proved to be most effective and relevant in terms of cost-effectiveness, time-consumption, and labor intensiveness for the health-care system, families, society, and community.
Sepsis-Induced Autoimmune Hemolytic Anemia in the Elderly
Authors: Thangam D. , Deepa S. , Kumar P. Dinesh , Manikandan P. Santhosh
Published: December 2022

Autoimmune hemolytic anemia (AIHA) secondary to hematological malignancy is well-known and common in the elderly. AIHA associated with infection is less commonly reported in the elderly. We are reporting a case of AIHA in an elderly female with comorbidities, probably secondary to Gram-negative infection. The case was admitted and treated during the peak of the second wave of the COVID pandemic. The treatment of AIHA also had an impact on the progress and outcome of the underlying disease, leading to readmission in a short span of time. The patient also developed a thrombotic complication known to be associated with AIHA.
Finite Element Bite Force Two-Body Wear Analysis of the Titanium-Based Dental Biomaterials
Authors: Yilmaz Efe Çetin
Published: December 2022

Background:

It has become an increasingly important issue to be able to predict the behavior of biomaterials placed in the human body over the time periods. It is always desirable for the biomaterial to have the ability to show the desired mechanical and esthetic behaviors throughout the determined treatment process. Researchers develop many laboratory and modeling test mechanisms to determine the behavior of biomaterials over time periods. The aim of this study is to perform computer-aided analysis of the mechanical behavior of titanium biomaterial, which is frequently preferred in the human body, under different chewing forces.

Materials and Methods:

In this study, 20N, 40N, 60N, 80N, and 100N chewing forces were applied to the titanium test specimen prepared in the cylindrical shape. The chewing load analyses obtained after the test were evaluated by comparing with the previous experimental study (mean chewing force as 50N).

Results:

With the data obtained as a result of this study, it was observed that more plastic deformation occurs when the chewing force increases. It has been predicted that an increased wear area may occur in the test material due to the movement of the chewing mechanism.

Conclusion:

It can be said that choosing the average chewing force in experimental studies contributes to the occurred of less wear areas on the test material compared to the random chewing forces test procedures.
Diagnosing Pulmonary Embolism When the Clinical Picture is not Clear – The Role of the Point-of-Care Ultrasound
Authors: Moreira-Marques Torcato , Tung-Chen Yale , Martinez-Piñero Ana
Published: December 2022

Point-of-care ultrasound (POCUS) has become a reliable and powerful tool working as a complement to the traditional physical examination. It has proven to be a reliable and reproducible method to a quicker and safer diagnosis, sometimes surpassing the diagnostic accuracy of more traditional techniques. We present two cases of pulmonary embolism (PE) with clinical presentations that suggested other diagnoses, prior to the performance of POCUS: a 60-year-old patient with nausea and vomiting and a 66-year-old female with a week-long progressive increase of shortness of breath and increased peripheral edema. In the reported cases, we aim to pinpoint the importance and usefulness of POCUS in the everyday evaluation of our patients, in multiple settings and by multiple specialty physicians, supported by its robust evidence-based background. It has proven to be a useful tool in evaluating in a fast and nonharmful way complementing more traditional techniques, which proves to be especially important regarding cases, like the ones we describe, when the correct diagnosis is not always clear to presentation. The use of multiorgan POCUS allows even in the most atypical presentations, the rise of suspicion of PE, leading to the necessary steps to a final diagnosis and management.
The Changing Global Ageing Demography and Africa Perspective
Authors: Adelowo Abiodun Bamidele
Published: December 2022

Despite pockets of incidences in different places, from all indications, the world might has experienced the worse phase of the COVID-19 pandemic. We must however admit the obvious – the pandemic caught the world poorly prepared. The relatively high case-fatality rates and socioeconomic losses from the pandemic could have been effectively mitigated assuming the global healthcare systems were more proactive in their preparedness. However, there is no time to cry over spilled milk. We must quickly learn our lessons and prepare for future disease outbreaks. Another pandemic in the future without adequate preparedness may be too grievous to the fragile interconnected global healthcare and economic systems. The objectives of the article are to briefly discuss the global ageing population and the role such phenomenon might have played in the recent global COVID-19 outbreak and may play in future disease outbreaks, especially in Africa. Accordingly, a review of related online full articles published from 2000 to 2022 from reliable scientific search engines was done. Results revealed that the world is presently experiencing a change in age demography to older age groups, and such phenomenon might have played a significant role in the different COVID-19 incidence and case-fatality rates that were experienced by different regions of the world. Due to the fast-changing age demography in Africa, the continent might suffer the most unfavourable outcomes from future pandemics. Stakeholders must closely monitor the fast-changing age demography in Africa and institute evidence-based health-promotional measures that will adequately prepare the continent for future disease outbreaks.
Assessment of the Knowledge, Practice, and Perception of COVID-19 among Patients Attending the General Practice Clinic of a Tertiary Hospital in South-South, Nigeria
Authors: Enabulele Osahon , Ikhurionan Somhi , Etu Doyle
Published: December 2022

Background:

Coronavirus disease 2019 (COVID-19) is a highly infectious disease that has affected peoples of all ages, gender, and income groups. Public health measures to limit the spread of the disease have not been well adhered to in Nigeria, due partly to poor public awareness and perception of the disease.

Aim:

This study assessed the knowledge of COVID-19, its perception, and practice of preventive measures, among patients attending the General Practice Clinic (GPC) of a tertiary hospital in Nigeria, with the hope of obtaining insights to guide strategic policy intervention to enhance adherence to prescribed public health measures.

Subjects and Methods:

This was a descriptive cross-sectional study conducted among patients attending the GPC of a tertiary hospital in Nigeria. A pretested semi-structured questionnaire was used to obtain data from study participants. Data analysis was done using the IBM SPSS statistics version 22.0 (Chicago, IL, USA) statistical software.

Results:

Virtually all the respondents (99.2%) were aware of COVID-19. Majority had a good knowledge of COVID-19 (55.1%), good perception of COVID-19 (51.6%), and good practice of preventive measures against COVID-19 (50.4%). Most respondents (57.0%) were of the view that government agencies are not sincere in the fight against COVID-19.

Conclusion:

A majority of the study participants had a good knowledge and perception of COVID-19 and a good practice of preventive measures. There was a positive correlation between knowledge and perception; knowledge and practice; and perception and practice. We recommend that information and educational messages should be timely and transparently delivered to the people, with public and political office holders showing exemplary leadership.
An Exploratory View of Pharmaceutical Drugs used in Prosthodontics and Dental Implant Procedures
Authors: Sabat Mukesh , Jei Jeyaraj Brintha , Balasubramanium Muthukumar
Published: December 2022

Pharmacology is concerned with the study of action of drugs and is a branch that comes under biology and medicine. The two chief concerns are the effect of the drugs on the human systems and the effect of the human systems on the ability and metabolism of drugs. Prosthodontics is the dental specialty that deals with different age groups of patients, and it is necessary to understand the different effects of drugs. This article describes information regarding the drugs used during the prosthodontic treatment.
Is 99m Technetium (Pertechnetate) More Efficient in Clinical Evaluation of Thyroid Lesions Compared to 123 Iodine? A Scoping Review
Authors: Alelyani Magbool , Alshehri Mohammed , Shubayr Nasser , Alashban Yazeed , Alshihri Abulaziz
Published: December 2022

Background:

This research aims to find out which radiopharmaceutical is more efficient to evaluate thyroid lesions, such as hyperthyroidism, Graves' disease (GD), or even cold or hot thyroid nodule identification (is 99mtechnetium [99mTc] or 123iodine [123I] suitable in this case?).

Materials and Methods:

An extensive computerized search was done by the authors, revealing 61 studies in total. 49 studies were excluded for various reasons, so only 12 were eligible for inclusion in this review.

Results:

Majority of the studies suggested that the use of 99mTc over 123I. 99mTc is a suitable choice to evaluate thyroid disorders. However, 123I can be broadly used in assessing thyroid functions, detecting malignancy and causes of thyrotoxicosis, calculating therapeutic dosages of 131I, and identifying cold or hot lesions effectively due to its superior accumulation in thyroid.

Conclusion:

99mTc is a nonphysiologic compound widely used to evaluate thyroid abnormalities, and it has a noticeably low biodistribution in the thyroid. On the other hand, 123I is an organic compound with excellent biodistribution that is used to gather further information on thyroid functions and susceptibility and prevalence of toxic adenoma, GD, and cold or hot thyroid nodule evaluation.
Association of metabolic syndrome with different phenotypes of polycystic ovarian syndrome among Filipino women in a tertiary hospital
Authors: Belen Maria Anjelette Patricia F. , Lao Susana S.
Published: December 2022

INTRODUCTION:

Polycystic ovarian syndrome (PCOS) is a common endocrinopathy affecting women during reproductive age. Women affected by PCOS generally have a higher risk of developing Metabolic syndrome (MetS). MetS on each phenotype of PCOS reflects some phenotypes with worse metabolic profiles and a higher risk of developing long-term complications in women with PCOS.

OBJECTIVE:

To determine the association of MetS with different phenotypes of PCOS among Filipino women in a tertiary hospital.

MATERIALS AND METHODOLOGY:

This is a retrospective cohort study of 154 women in a tertiary hospital, both private and service divisions.

RESULTS:

A total of 154 patients with PCOS were analyzed in this study: 67 (43.51%) Phenotype A, 25 (16.23%) Phenotype B, 3 (1.95%) Phenotype C, and 59 (38.31%) phenotype D. The prevalence of MetS in PCOS was 69.48%, with no significant difference statistically between phenotypes. MetS was most prevalent in Phenotype A (74.63%) and least prevalent in phenotype D (62.71%). Among Filipino women with PCOS, Phenotype A had a 2.5 times increased risk of developing MetS compared to Phenotype D.

CONCLUSION:

Phenotype A is the most common phenotype and has the highest prevalence in developing metabolic changes. Increasing body mass index and age played significant roles in elevating the risk of developing MetS. Early detection of MetS in all phenotypes of PCOS can aid in preventing the development of long-term complications such as cardiovascular disease and diabetes mellitus type II.
A rare case of extragenital Müllerian adenosarcoma
Authors: Gonzaga Pauline Beatriz S. , Bautista Aida J.
Published: December 2022

A 51-year-old gravida 5 para 5 (5005) presented with an increasing abdominal girth and a palpable abdominal mass. She was initially diagnosed with ovarian new growth and underwent exploratory laparotomy. Intraoperatively, the uterus, Fallopian tubes, and ovaries were grossly normal and a large mass was seen attached to the cecum where the appendix should be referral to surgery service was done. Right hemicolectomy and ileostomy were performed. The histopathology report was "suggestive of a Müllerian adenosarcoma (MAS) involving the appendix and cecum." Microscopic examination showed evidence of endometriosis with no evidence of sarcomatous overgrowth, features that are favorable prognostic factors associated with higher disease-free survival. Postoperatively, the plan of management was hormonal therapy. Extragenital MAS is rare. This case is the fourth case to be reported in the literature to arise from the colon. Although there is still no standard of treatment, accurate diagnosis is imperative for appropriate management.
Rehabilitation of the patient with a partial maxillectomy defect with an interim hollow bulb obturator
Authors: Lakshmi C. B. Shanthana , Pai Sushant A. , Ramachandra Keerthi , Afzaa S. A. Saadath , Kouser Afreen
Published: December 2022

Maxillary obturator prosthesis is usually preferred for patient going through partial or total maxillectomy. The heavy weight of the obturator prosthesis is usually a major concern to the prosthodontist as it may cause inconvenience with masticatory function. The maxillary defect may be congenital or acquired; hence, the latter often leads to patients encountering an array of physical and psychological distress. Rehabilitation of such patients is often challenging due to the extent of the defect area. Achieving adequate retention is of utmost importance as it reinforces the obturator musculoskeletal coordination. The processing technique described in this case report is the lost salt technique using a single-step flasking procedure which was customized accordingly with heat-cure acrylic resin as stops on the flask to accommodate the closed hollow obturator prosthesis as a single unit. This article describes the management of a patient who had undergone partial hemimaxillectomy secondary to mucoepidermoid cell carcinoma rehabilitated with hollow obturator prosthesis.
Finite element analysis to assess stress and deformation in bone with glass fiber-reinforced-poly-ether-ether-ketone, zirconia, and titanium implants
Authors: Haseeb Syeda Amtul , Kumar Anju S , Chaitra M. P. , Vinaya K. C. , Gudal Soumya Shivananda , Rahmam Fathima Parveen , Babaji Prashant
Published: December 2022

ABSTRACT

Objectives:

Recently, zirconia ceramic and glass or carbon fiber-reinforced poly-ether-ether-ketone (PEEK) composites have been introduced as newer implant biomaterials. This study was done to evaluate stress and deformation in bone with glass fiber-reinforced (GFR)-PEEK, zirconia, and titanium implants.

Materials and Methods:

A geometric model of mandibular molar replaced with implant-supported crown was generated. Implant of 12 mm length and 4.5 mm diameter was used in study. Finite element analysis models of implant assemblies of three materials GFR-PEEK, zirconium, and titanium were generated. 150 N loads were applied obliquely and vertically along the long axis of implant. Von Mises stresses and deformation generated were compared using ANSYS Workbench 17.0 and finite element software.

Results:

All three implant assemblies, i.e., GFR-PEEK, zirconia, and titanium, demonstrated similar stresses and deformation in bone without significant difference.

Conclusion:

It was concluded that GFR-PEEK and zirconia implants can be used as a substitute to titanium implants.
Prevalence of Burnout and Psychiatric Illness among Postgraduate Trainee Doctors of a Tertiary Care Hospital
Authors: Roy Surjya , Mallik Nitu , Saha Indranil , Datta Subhendu , Mallick Asim Kr
Published: December 2022

Objective:

Burnout is a state of physical and emotional depletion, and it is a result of prolonged exposure to the stressful working environment. Burnout has three primary symptoms: (a) emotional exhaustion (EE) occurs due to a depletion of emotional resources, feeling no longer to give any more to their job; (b) depersonalization (DP) occurs in response to EE, making employees detached from their job and developing uncaring attitudes to their work; and (c) reduced personal accomplishment (PA) with perceiving less enjoyment from their work. Psychological distress is also higher among medical students and doctors than that in the general population. In this study, we intended to study the prevalence of burnout and various psychological problems among postgraduate trainee (PGT) doctors of a tertiary care hospital.

Methods:

In this cross-sectional study of one year, we recruited postgraduate training doctors whoever gave valid and informed consent.

Results:

We included 170 PGTs from various clinical departments at the time of our study, but 126 PGTs were included as the sample population. They were assessed for sociodemographic determinants first. Then received assessment using sociodemographic pro forma and Abbreviated Maslach Burnout Inventory and International Classification of Diseases 10 for screening psychiatric morbidity among them.

Results:

In this study, 31.7% of PGTs had high EE, 34.9% of them higher DP, and 30.2% of them a high burnout rate. Of them, 31.7% of PGTs had a reduced PA with a score ≤ 25 percentile. In this study, 83.3% had no psychiatric illness and 16.7% had a psychiatric disorder. Among psychiatric disorders, 4% had harmful use of tobacco, 4% had mild depression, 1.6% had panic disorder, 4.8% had mixed anxiety depression, 1.6% had obsessive-compulsive disorder, 0.8% had harmful use of alcohol. Highest EE was noted among PGTs from the Department of Anesthesiology, followed by those from the Departments of Pulmonary Medicine and then Radiotherapy.

Conclusion:

One-third of PGTs suffered from burnout. Psychiatric diseases were also increased with a higher burnout rate.
The Role of Brain Radiotherapy before First-Line Afatinib Therapy, Compared to Gefitinib or Erlotinib, in Patients with EGFR-Mutant Non–Small Cell Lung Cancer
Authors: Jung Hyun Ae , Park Sehhoon , Lee Se-Hoon , Ahn Jin Seok , Ahn Myung-Ju , Sun Jong-Mu
Published: December 2022

Purpose Brain metastasis is common in patients with epidermal growth factor receptor (EGFR)–mutant non–small cell lung cancer (NSCLC) at initial presentation. A previous study showed that brain radiotherapy (RT) before first-generation (first-G) EGFR–tyrosine kinase inhibitor (TKI) therapy is associated with longer overall survival than TKI therapy alone. However, there is no data regarding the role of additional brain RT before afatinib therapy.Materials and Methods Between October 2014 and June 2019, EGFR-mutant NSCLC patients with brain metastases who started first-G EGFR-TKIs (gefitinib or erlotinib) or afatinib as first-line therapy were retrospectively analyzed. This study compared overall survival and intracranial progression-free survival (PFS) between patients who received EGFR-TKIs alone and EGFR-TKIs with brain RT and either a first-G EGFR-TKI or afatinib, respectively.Results The median follow-up duration was 29.6 months (range, 1.5 to 116.9 months). In the first-G EGFR-TKI group (n=155), 94 patients (60.6%) received the first-G EGFR-TKI alone and 61 patients (39.4%) received brain RT prior to their first-G EGFR-TKI. In the afatinib group (n=204), 126 patients (61.8%) received afatinib alone and 78 patients (38.2%) received brain RT prior to afatinib. There was no difference in overall survival rates between the groups with RT (35.6 months: 95% confidence interval [CI], 27.9 to 43.3) and without RT (31.4 months: 95% CI, 23.9 to 38.9) in the afatinib group (p=0.58), but there was a significant difference in overall survival in the first-G EGFR-TKI group in a manner favoring additional brain RT (41.1 months: 95% CI, 30.5 to 51.7 vs. 25.8 months: 95% CI, 20.1 to 31.5; p=0.02). Meanwhile, median intracranial PFS was not different between patients who received EGFR-TKI therapy alone vs. EGFR-TKI therapy with brain RT in both the first-G EGFR-TKI (p=0.39) and afatinib (p=0.24) groups.Conclusion Afatinib therapy alone showed comparable survival outcomes to those of afatinib with brain RT. The current study suggests that brain RT could be an optional, not mandatory, treatment modality when afatinib therapy is considered in patients with EGFR</>-mutant NSCLC.
Legendre curves on 3-dimensional $C_{12}$-Manifolds
Authors: Beldjilali Gherici , Bayour Benaoumeur , Bouzir Habib
Published: December 2022

Legendre curves play a very important and special role in geometry and
topology of almost contact manifolds.There are certain results known for
Legendre curves in 3-dimensional normal almost contact manifolds. The aim of
this paper is to study Legendre curves of three-dimensional $C_{12}$-manifolds
which are non-normal almost contact manifolds and classifying all biharmonic
Legendre curves in these manifolds.
Cantor series expansions of rational numbers
Authors: Serbenyuk Symon
Published: December 2022

This survey is devoted to necessary and suffcient conditions for a rational
number to be representable by a Cantor series. Necessary and suffcient
conditions are formulated for the case of an arbitrary sequence $(q_k)$.
Transformasi Kearifan Lokal Berbasis Pendidikan Agama Kristen Multikultural pada Pendidikan Tinggi
Authors: Poceratu Imelda Christy , Rumahuru Yance Zadrak , Lumamuly Pitersina Christina
Published: December 2022

Multicultural education is a progressive approach to transform multicultural education into an urgent need to be carried out in universities, especially in Maluku, as an area that has plural characteristics, and has even experienced social conflicts.  Multicultural education as an instrument of social engineering encourages universities to play a role in instilling awareness in a multicultural society and developing an attitude of tolerance and tolerance torealize the needs and ability to cooperate with all existing differences.  This research uses qualitative methods with a descriptive approach. Through local wisdom owned by the Maluku people, pela gandong culture can be used as a role model for higher education that is multicultural. The implementation of multicultural education in universities, especially Universitas Pattimura, must be able to develop inclusive multiculturalism based on local cultural wisdom in Maluku. AbstrakPendidikan multikultural merupakan suatu pendekatan progresif untuk melakukan transformasi pendidikan multikultural menjadi urgen untuk dilakukan di Perguruan Tinggi, khususnya di Maluku, sebagai daerah yang memiliki karakteristik kemajemukan, bahkan pernah mengalami konflik sosial. Untuk mengembangkan sikap tenggang rasa dan toleransi sebuah rekayasa sosial dapat dilakukan di perguruan tinggi melalui pendidikan multikultur. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Melalui kearifan lokal yang dimiliki oleh masyarakat Maluku yaitu budaya pela gandong dapat dijadikan role model bagi Pendidikan tinggi yang bersifat multikultural. Implementasi Pendidikan multikultural di Perguruan Tinggi, khususnya Universitas Pattimura harus dapat mengembangkan multikulturalisme yang bersifat inklusif yang didasari pada kearifan budaya lokal di Maluku.
Tahun Sabat dan Tahun Yobel dalam Imamat 25
Authors: Laoly Nepho Gerson
Published: December 2022

The Sabbath and Jubilee years already existed in Ancient Israel, first recorded in Leviticus 25. Explanation is needed in distinguishing the Sabbath and Jubilee in Leviticus 25 from the Sabbaths in other texts. The existence of differences in understanding of the Sabbath such as the value of the Sabbath from only one heart to one year needs to be explained clearly. Using the method of exegesis by looking at the grammar and history of Leviticus 25 is useful for entering into the Sabbath and Jubilee Year laws. The Sabbath and Jubilee laws were used as a period of rest for farmland, farmland, property rights, and debt slaves. The word abaton (שַׁבָּת֥וֹן) is a term to stop all activities at a predetermined time. ten years is often achieved as the fiftieth year, but the Jubilee year lasts forty-nine days, in the seventh month only the tenth of the Israelite calendar. AbstrakTahun Sabat dan Tahun Yobel sudah ada di masa Israel Kuno, tercatat pertama sekali di Imamat 25. Penjelasan diperlukan dalam membedakan Sabat dan Yobel di Imamat 25 dengan Sabat di teks lainnya. Adanya perbedaan pemahaman Sabat seperti nilai waktu Sabat mulai hanya satu hati menjadi satu tahun perlu dipaparkan dengan jelas. Menggunakan metode eksegese dengan melihat gramatika dan historis Imamat 25 berguna untuk masuk ke dalam hukum Tahun Sabat dan Tahun Yobel. Hukum Sabat dan Yobel telah digunakan sebagai masa beristirahat bagi tanah pertanian, pengembalian hak kepemilikan tanah, dan pembebasan para budak hutang. Kata Šabaton (שַׁבָּת֥וֹן) menjadi istilah untuk berhenti dari segala aktifitas pada masa yang telah ditentukan. Kendati Yobel sering dipahami sebagai tahun ke lima puluh, tetapi tahun Yobel hanya berlansung selama empat puluh Sembilan hari, pada bulan ketujuh hari ke sepuluh kalender Israel.
Kode Etik dan Profesionalitas Guru Pendidikan Agama Kristen: Upaya Meningkatkan Karakter Anak
Authors: Hana Hana , Arifianto Yonatan Alex , Triposa Reni
Published: December 2022

This paper describes the role of the ethical code and professionality of Christian religious education teachers on the character of children. The importance of the role of the code of ethics and the teacher professionality is to provide good examples and play a role in instilling positive character values for children's character. In addition, teachers do not only transfer knowledge to children but also teach Christian values, namely the cultivation of the living character of the person of Jesus Christ. Using descriptive qualitative methods, it can be concluded that to educate and shape children to the true values of life and to encourage and direct students to good character, teachers who are professional and have characters that meet the standards and teachers who have the potential and creativity in empowering the learning process are needed. teaching is an ethical and professional teacher. AbstrakTulisan ini mendeskripsikan tentang peran kode etik dan profesionalitas guru pendidikan agama Kristen terhadap karakter anak. Pentingnya peran kode etik dan profesionalitas guru pendidikan agama Kristen adalah untuk memberikan keteladanan yang baik serta berperan untuk memberikan penanaman nilai-nilai karakter yang positif kepada karakter anak. Seorang guru harus memahami bahwa tugas dalam profesinya bukan hanya untuk sekedar mentransfer ilmu pengatahuan semata kepada anak tetapi juga mengajarkan nilai-nilai kekristenan yaitu penanaman kebiasaan atau tabiat hidup dari pribadi Tuhan Yesus.  Mengunakan metode kualitatif deskriptif dapat disimpulkan bahwa untuk mendidik serta membentuk anak kepada nilai-nilai hidup yang benar dan mendorong serta mengarahkan anak didik kepada karakter yang baik dibutuhkan guru yang profesional dan memiliki karakter yang memenuhi standar serta guru yang memiliki potensi dan kreatifitas dalam memberdayakan proses belajar mengajar yaitu guru yang beretika dan profesional.
Morcegos da Bacia do Alto Paraguai: revisão da fauna e distribuição de registros
Authors: Fischer Erich , Eriksson Alan , Francisco Alêny L. , Pulchério-Leite Atenisi , Santos Carolina Ferreira , Gonçalves Fernando , Camargo George , Graciolli Gustavo , Carvalho Luiz Felipe Alves da Cunha , Bordignon Marcelo Oscar , Silveira Maurício , Carvalho Nayara , Cunha Nicolay Leme , Munin Roberto Lobo
Published: December 2022

A Bacia do Alto Paraguai (BAP) inclui a planície inundável do Pantanal e as áreas altas no entorno que drenam para o rio Paraguai, uma região de transição entre quatro grandes domínios fitofisionômicos da América do Sul – Cerrado, Chaco, Amazônia e Mata Atlântica. A fauna da região é pobre em endemismos, porém as posições central e transicional no continente conferem enorme riqueza de animais vertebrados, oriundos de diferentes domínios, especialmente quanto à ordem Chiroptera. Aqui, revisamos as espécies de morcegos registradas na BAP e apresentamos mapas de distribuição e breve descrição de cada espécie, incluindo dados de tamanho, forma, cor, ambientes, abrigos, hábito alimentar e interações com predadores e parasitas. Encontramos registro de 93 espécies em sete famílias – Emballonuridae (3), Noctilionidae (2), Mormoopidae (2), Phyllostomidae (51), Natalidae (1), Molossidae (20) e Vespertilionidae (14). Foram registradas 66 espécies na planície e 84 no entorno; com 59 espécies reportadas na planície e no entorno. Quase dois terços das espécies (63%) foram registrados em cinco ou mais localidades na BAP, e um quinto (19%) em apenas uma localidade. A fauna de morcegos da BAP destaca a grande importância dessa região para a manutenção da diversidade de morcegos na América do Sul.
Report of deimatic display by Donacobius atricapilla (Linnaeus, 1766) (Passeriformes: Donacobiidae)
Authors: Morais Luis Aguiar de
Published: December 2022

An unusual display behavior in response to the human approximation is reported for the Black-capped Donacobius, Donacobius atricapilla (Linnaeus, 1766). The observed bird showed a body size maximization display keeping static. The registered display is supposed to be a territorial response used to deter interspecific intruders.
Predação do lagarto papa-vento Norops fuscoauratus (Squamata: Dactyloidae) pela cuíca Marmosa demerarae (Didelphimorphia: Didelphidae)
Authors: Merces Michelle Pinto , Alves-Silva Kleiton Rodolfo
Published: December 2022

A cuíca Marmosa demerarae é uma espécie onívora, que se alimenta principalmente de insetos e frutos. O conhecimento sobre a história natural dessa espécie ainda é incipiente. Existe apenas um registro de M. demerarae alimentando-se de vertebrados na literatura, tendo este sido causado por interferência humana no ambiente. Nesta nota, nós reportamos o primeiro registro de predação do lagarto Norops fuscoauratus por M. demerarae, que foi realizado no município de Barcarena, Pará, Brasil. Este registro é relevante para incrementar o conhecimento sobre a ecologia alimentar de M. demerarae na Amazônia.