bluuebunny/crossref_metadata_2025 huggingface dataset:
THE IMPACT OF DELIVERY COMPLICATIONS ON PUBLIC TIME AT BASIC EMERGENCY NEONATAL OBSTETRIC SERVICES KLATEN DISTRICT IN 2019
Authors: Rosalinna Rosalinna
Published: May 2023

Abstract (10 PT).

Labor and postpartum complications often occur during and after delivery. Generally, severe complications will cause maternal death, but moderate or mild complications can cause maternal and postpartum morbidity. However, little research is available on the impact of postpartum and postpartum complications on women's lives. The method used in this study is a quantitative method with an analytic observational type of research with a prospective cohort approach. The sample in this study were mothers who gave birth vaginally at the Basic Emergency Neonatal Obstetric Services Public Health Center, Klaten Regency, both normal and complicated childbirth who had met the inclusion and exclusion criteria with a total of 57 respondents. .Data analysis used univariate and bivariate analysis with chi square test. The results of this study are that there is an impact of labor complications during the puerperium which is described as: there is a relationship between childbirth complications and prelactal feeding p value = 0.006, there is a relationship between labor complications and postpartum blues, p value = 0.01, and there is a relationship between labor complications and postpartum depression. partum, p value = 0.001. It is recommended for midwives to pay more attention to the postpartum period for mothers who experience childbirth complications
READINESS OF STUDENTS WHO USE LEARNING CONTRACTS ON ANTE NATAL CARE PRACTICE IN THIRD TRIMESTER
Authors: Komariah Nurul , Novianti Lily
Published: May 2023

Midwives as one of the oldest professions in the world have a very important and strategic role in reducing Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Midwives must have clinical competence (midwifery skills), one of which is pregnancy examination. Clinical competence is obtained from clinical learning. Good clinical learning is one that is planned, one of which is using a learning contract. The purpose of the study was to determine the readiness of students who use learning contracts to carry out pregnancy tests in the third trimester. The research design is descriptive. The research sample is all fourth semester students of the Midwifery Study Program who have practiced in the Practical Field in 2019. The number of samples is 80 people. The sampling method is total sampling. The instrument used is an open ended question. Data analysis is univariate. Frequency distribution. The results are 87% optimal physical readiness, maximum 7.2%, 1.4% less. Emotional readiness 65.2% optimal, 10.1% maximum. Knowledge readiness 87% optimal, 11.6% maximum. In conclusion, more than half of practicing contract users learn that they have optimal readiness. The best readiness is the readiness of knowledge
The Effect of Booklet Media on Increasing Mother’s Knowledge in Stunting Prevention
Authors: Pangaribuan Ingka Kristina , Mutmainah Jamiah , Dinda Sari Artika , Rini Ovel , Rachmat Ade
Published: May 2023

Background:Stunting is the most common form of malnutrition (PE/micronutrients), affecting before birth and early after birth, related to maternal size, nutrition during pregnancy, and fetal growth. Stunting is not only caused by one factor but is caused by many factors, and these factors are interrelated with one another. There are three main factors that cause stunting, namely unbalanced food intake, history of low birth weight (LBW) and history of disease. 3 Balanced food intake is related to the content of nutrients including carbohydrates, proteins, fats, minerals, and vitamins.Purpose: To find out the effect of booklet media on increasing maternal knowledge in preventing stunting and to find out the characteristics of mothers under five.Methods: This study uses a quasi-experimental research method (quasi-experimental). The design used is a one group pre-test and post-test design all mothers who have toddlers aged 0-5 years at the Simpang Tertitit Health Center, Bener Meriah Regency with 45 sample. Results There is an Effect of Media Booklet on Increasing Mother's Knowledge in Stunting Prevention at Simpang Teritit Health Center, Wih Pesam District, Bener Meriah Regency in 2022 with 45 respondents there is a significant relationship with a p value of 0.03
THE Relationship Of Knowledge And Attitude Of Public Mothers With Early Feeding Of MPASI In The Work Area
Authors: Hutabarat Dewi Sartika , Nirmala Yanti , Siregar Hotmadeli , Sari Dewi Novita , Hidayat Cindy , Bakara Sri Muliana Putri
Published: May 2023

Abstract

Background: The World Health Organization or the World Health Organization declares that breast milk is the right food and is suitable for the growth and development of infants throughout the world. However, giving baby complementary foods before reaching the age of 6 months and over will have a very detrimental effect on the baby. Exclusive breastfeeding for infants (< 6 months) contributes greatly to the reduction in infant mortality. On the other hand, giving additional food too early will increase the risk of developing both infectious and non-infectious diseases for the baby. Purpose: This study aims to determine how closely the mother's knowledge and attitudes are with the provision of early MP-ASI in the Kedai Sianam Health Center Work Area, Batu Bara Regency. Methods: This study uses a quantitative approach with the type of observational research with a cross-sectional design where the independent and dependent variables are measured at the same time. The population used is all mothers who have a baby of 6 months. The number of samples based on the sample formula is 32 people. In this study, sampling was done by simple random sampling or by simple random sampling where all members of the population had the opportunity to be selected as samples. Results: The relationship between the mother's level of knowledge about complementary feeding and the provision of complementary feeding in early months in the Kedai Sianam 33 Health Center Work Area, Batu Bara Regency in 2022 with a number of 32 respondents, there is a significant relationship with a p value of 0.001 where the majority of respondents who have poor knowledge give Complementary foods for babies before 6 months.

.

Key word: MP-ASI, growth, development, knowledge
A BACTERIOLOGICAL STUDY OF URINARY TRACT INFECTION INVOLVING CULTURAL ANALYSIS
Authors: AS Estibeiro , AL Fernandes
Published: May 2023

Background: Urinary Tract Infections are a common occurrence in the community and hospital and are associated with profound morbidity and decreased productivity at work. Timely diagnosis of UTI by cultural analysis is imperative in order to identify the offending agent and to initiate appropriate antimicrobial therapy. Objectives: The present study aimed at evaluating the bacteriological prole of UTI employing semiquantitative culture and to determine the antibiogram pattern of the bacteria isolated. Methods: The study was conducted on 200 urine samples, collected from clinically suspected cases of UTI. Semiquantitative analysis was done and antimicrobial sensitivity testing undertaken, as per CLSI guidelines. Results: Signicant bacteriuria was observed in 66.5% cases. Gram negative bacilli were predominant pathogens (71.3%), amongst which, Escherichia coli and Klebsiella pneumoniae were the main agents (37.2% and 24.5 % respectively). Gram positive organisms accounted for 28.7% of the total; Enterococcus species being the predominant isolate type (78.04%; 32 out of 41 gram positive pathogens). Overall, Escherichia coli predominated (26.6%), followed by Enterococcus species (22.4%). Gram negative bacilli showed good sensitivity to Imipenem and Aminoglycosides. Gram positive cocci were all sensitive to Vancomycin and Linezolid. A large number of cases were 50 years and above (51%), followed by age groups 21-30 years (17.5%) and 31 to 40 years (16.5%). The Male: Female ratio was 1.2:1, males accounting for 53.5% of the total. Conclusion: Early cultural analysis of UTI cases with identication of the etiological agent and its antibiogram pattern will help in early treatment and use of appropriate antibiotics. This will reduce the use of empirical treatment, morbidity and chronicity
PERCEPTION OF FIRST YEAR MBBS STUDENTS TOWARDS ECE (EARLY CLINICAL EXPOSURE) IN PHYSIOLOGY.
Authors: Revathi M. , Shanmukh Vemparala Sai , Usha Rani M.
Published: May 2023

Introduction : Early Clinical Exposure is a teaching learning method which enables student to learn basic sciences effectively and retain the information which benets patient and promotes better patient care. Methodology : Hundred students selected after applying inclusion exclusion criteria divided into 2 groups A and B taught basal ganglia and thyroid physiology in conventional method and other in ECE integrated method respectively and after interchanging groups, demonstrating the clinical features of parkinsonism and hypothyroidism for ECE group. A pretest and post-test were conducted preceding and following lecture in both settings. Results : The results obtained were interpreted using excel. The mean of pre-test marks for Traditional teaching and ECE integrated teaching are 5.62±2.42 and 4.58±2.33 respectively and the post-test scores of Traditional and ECE teaching are 10.62±2.52 and 12.8±2.46 respectively. Discussion : Majority considered that the synchronisation of classroom learning with clinical experiences was benecial, and the majority believed that integrated teaching improved understanding of the practical applications of physiology. Conclusion : Through this study we conclude that ECE integrated teaching is more effective in imparting knowledge in rst MBBS students as the gap of imagination was bridged by live demonstration with help of patient which is reected in the Likert scale and in the scores. Though the ECE integration is a tough job for the teacher, it is a great learning tool for students.
HYPNO IN PEDO – A REVIEW
Authors: Bhavani P Selva , Archana Preethi , Kumari Vasantha , Balaji Selva , Pragadeesh Pragadeesh
Published: May 2023

Background: Children of different ages have varying degrees of dread, which results in the patient refusing to
cooperate during dental treatment,harming the therapy's long-term prognosis.Nonetheless,it is not uncommon to see
kids avoid going to the dentist out of nervousness and fear.Intense anxiety is even being caused by a medical procedure
in the oral region performed under local anaesthesia.Due to their irregular attendance at dental offices, some patients'
attitudes towards dental procedures are to blame.As a result, the severity of dental diseases may worsen, and dentists
may perform less effectively. For both patients and dentists, clinical hypnosis may be a non-invasive therapeutic
approach to improve treatment comfort.This essay examines the applications of hypnosis in dentistry practise. The
hypnosis approach is one of the less-travelled alternatives for managing child behaviour in the dental industry.The art
and science of utilising hypnosis to elicit comfort and lessen pain is known as hypnodontics. Hypnotherapy can help
patients who are uncooperative or who experience fear and anxiety while receiving dental care. The purpose of this
article is to examine how hypnosis is used in the field of dentistry, especially in paediatric dentistry, as a means of
managing fear and anxiety in paediatric patients.
REMINERALISING AGENTS IN DENTISTRY-A REVIEW
Authors: Rubitha R. , Pragadeesh Pragadeesh , Archana Preethi , Kumari Vasantha , Dhivya Dhivya
Published: May 2023

The main component of the human dentition is hydroxyapatite, which is a highly mineralized tissue. The weight of all oral diseases worldwide is exacerbated by dental caries. Caries is not a one-way process that only involves demineralization; rather, it is a cyclical process with stages of both demineralization and remineralization. The intricate interplay between saliva, diet, and bacteria causes demineralisation leading to cavitation. With the aid of the right tools and even non-fluoride remineralization methods,initial non-cavitated lesions can be repaired. Using a range of topical remineralizing treatments, the formation of fluorapatite in enamel and white spot lesions is inhibited and remineralized. The minerals, including ions and hydroxyapatite crystal lattices, are replenished naturally through a process known as rremineralization. Putting a strong emphasis on the remineralization concept is the best strategy for managing caries. New mineralization agents have been developed to preserve the enamel's structure and prevent the growth of carious cavities. The goal of modern dentistry is to halt the progression of disease and enhance appearance, tensile strength, and function by remineralizing non-cavitated caries lesions
CORRELATION OF EXTENDED MALLAMPATI SCORE, THYROMENTAL HEIGHT AND NECK
CIRCUMFERENCE IN ASSESSING DIFFICULTY IN INTUBATION
Authors: Chandar. L. K Prem , Jabarulla Reehana , Fathima Ahmed Tasneem , Ramakrishnan Lakshmi
Published: May 2023

Airway management is a major concern to anesthesiologists and can contribute to perioperative mortality & morbidity if not managed in time. About 75-50% of cardiac arrests during general anesthesia are because of difficult intubation that causes inadequate oxygenation and/or ventilation. In this Prospective observational study three variable data viz. Extended Modified Mallampati score, Thyromental height & Neck circumference are obtained from every sample and their effectiveness in predicting a difficult intubation, which is calculated by a score called Intubation Difficulty Score was determined statistically. Our study shows that a combination of Extended modified Mallampati grading and Thyromental height and neck circumference is preferable for assessment of the airway because of its better Specificity and positive predictive value than taken alone. Also the ratio of neck circumference to thyromental height appears to be predicting difficult airway better than individual indices
STUDY OF RED CELL DISTRIBUTION WIDTH AS A NOVEL PREDICTIVE INDICATOR IN PREHYPERTENSIVE AND HYPERTENSIVE PATIENTS
Authors: Agarwal Gaurav , S Megha , Singh Charan Karan , Gupta Deepak
Published: May 2023

Background: An increased RDW mirrors a profound deregulation of erythrocyte homeostasis involving both impaired erythropoiesis and abnormal red blood cell survival, which may be attributed to a variety of underlying metabolic abnormalities such as shortening of telomere length, oxidative stress, inflammation, poor nutritional status, dyslipidaemia, hypertension, erythrocyte fragmentation and alteration of erythropoietin function. High blood pressure does damage to endothelial cells that leads to the secretion of inflammatory cytokines which supresses erythropoiesis and inhibit red cell maturation and anisocytosis. Therefore, as a sensitive marker of inflammatory status in this process, RDW can be a potential predictor of hypertension in pre-hypertensive and normal individual. To provi Aim: de general information about RDW and its routine assessment, to review the most relevant implications in prehypertensive and hypertensive patients and give some insights about its potential clinical applications. Current Material and methods: study was observational cross sectional study conducted at the Department of Medicine in SHRI RAJENDRA GENERAL HOSPITAL (SRGH), Jhalawar Medical College, Jhalawar Rajasthan. A total 100 newly diagnosed hypertensive and pre hypertensive patients were included in the study. Data were analysed in SPSS 21. Independent t-test and Chi-square test were applied. P value <0.05 was considered statistically significant. In this study, mean age of st Results: udy participants was 46.4±19.1 years and out of the 100 participants, maximum 40 were belongs to age <40 years followed by 37 in age of 41-60 years, 47 were male and 53 were female, 75 participants were diagnosed as hypertensive and 25 diagnosed as prehypertensive. In this study, mean RDW-CV and RDW-SD was 19.2±3.8 and 54.8±10.7 respectively and a statistically significant high RDW-CV and RDW-SD was found among hypertensive compare to pre-hypertensive patients. Also a statistically significant positive correlation of SBP and DBP was found with RDW-CV and RDW-SD. Conclusion: Our study concluded that RDW is significantly positively correlated with the blood pressure and increases as SBP and DBP increases. So RDW can be predictive marker for hypertension. This can be done routinely and easily in the laboratories, thereby giving the clinician a good supportive tool for diagnosing and preventing an adverse outcome.
PAIN MANAGEMENT IN ENDODONTICS: A DETAILED REVIEW ON CAUSES AND
MANAGEMENT OF PAIN IN IRREVERSIBLE PULPITIS AND APICAL PERIODONTITIS
Authors: Jeyavivili A.
Published: May 2023

Managing endodontic pain is one of the major challenges faced by dentist in clinical practice. Endodontic pain
management consists of a wide range of treatment options ranging from local anesthesia modifications to
irrigation and disinfection of the canal depending on the etiology. To find a proper protocol for pain
management, through understanding and knowledge of pathophysiology of pain is mandatory. This article
reviews the treatment strategies of both irreversible pulpitis and apical periodontitis in detail.
CAMBIOS EN LA VÍA AEREA SUPERIOR POSTERIOR A EXPANSIÓN RAPIDA DEL MAXILAR EN NIÑOS DE 12 AÑOS
Authors: Pinto X Toledo , Campusano Valentina Roa
Published: May 2023

Rapid maxillary expansion is often considered the treatment of choice for the correction of maxillary constriction.
Several studies highlight the effect of rapid maxillary expansion in increasing nasal length and volume. The aim of this
study is quantifying the volumetric changes of the upper airway, the maximum restricted area of the upper airway and
the nostrils area, after the intervention of a rapid maxillary expansion using bimaxillary CBCT. A retrospective study was
carried out, in which 14 patients of 12 year old with a diagnosis of unilateral or bilateral crossbite and skeletal maxillary
constriction were selected. The treatment was carried out with a Mcnamara-type rapid expansion device and 8 mm of
disjunction was planned. An initial bimaxillary CBCT was requested and another 15 days after treatment. Measurements
were made at the maxillary level, upper airway and the maximum restricted area and the cross section of the nostril area,
using 3D measuring softwares. It was obtained that, for every 1 mm of planned disjunction, 0.65 mm of maxillary
disjunction is achieved, an upper airway gain of 0.7 cm3, the maximum restricted area gain of the upper airway of 9 mm2
and a gain in the nostrils area of 7.4 mm2 on average. In conclusion rapid maxillary expansion generates a significant
increase in the volume of the upper airway and its narrower area
VAGAL AND CERVICAL SYMPATHETIC CHAIN SCHWANNOMA AND THEIR ANAESTHETIC CONCERNS
Authors: Divya V. , K.V.L Sanjana. , J. Karthiga R. , V.S.G Yachendra. , R Lakshmi.
Published: May 2023

Schwannoma of head and neck is a rare tumor arising from neural component . Majority of patients with cervical vagal
schwannoma present with mass in the lateral part of neck without any neurological deficit. Complete surgical resection
is the treatment of choice. We report here a symptomatic cervical vagal schwannoma in a 46 year old female presenting
with dyphagia for 2 weeks . MRI neck revealed a well defined smooth marginated non infiltrative lesion of size 19*23*35
mm, anteriorly abutting sternocleidomastoid and posteriorly abutting cervical segment of left vertebral arterycervical/ vagal origin . The patient was first planned for temporary cardiac pacing to avoid the consequences of vagal
nerve handling like bradycardia intraoperatively. Standard GA was given. Superficial cervical plexus was given and the
surgical area was anaesthetized to prevent the complications of vagal nerve handling. The tumor was dissected carefully
and sent for biopsy. Patient reversed and intraoperative was uneventful. After excision of tumor, our patient complained
of mild left eyelid drooping indicating the tumor excised to be of cervical sympathetic chain origin
DIGITAL DENTISTRY – A REVIEW
Authors: P Indhuja. , M Devi. , A Beeula. , S Shamala.
Published: May 2023

Digital Dentistry is a new technology in the dental field that will improve patients' treatment options in the future. It makes digital dental equipment for cosmetic use and implants in dentistry. The practise and potential future of a dentist will be determined by whether or not they accept modern technology. The phrase “digital dentistry” is a wide name that refers to any dental technology including the use of hardware and software that is computer-based technology. The objective is to enable dental professionals to deliver care utilizing computer-assisted tools. This article's reviews the investigation ideas of digital dentistry, its merits and demerits, and to offer claims and observations about particular aspects of digital dentistry that are supported by research. The knowledge is of not only the dentist but also the whole dental staffs are crucial to the success of introducing new technology in the dentistry
KNOWLEDGE, ATTITUDE AND PRACTICE OF DENTISTS TOWARD PROVIDING CARE TO THE
GERIATRIC PATIENTS IN TAMIL NADU – A CROSS SECTIONAL SURVEY.
Authors: M Prabagaran. , B. Ravisankar. , K. Rajeswary. , S Kalaivani.
Published: May 2023

Introduction:Worldwide,there have been rapid changes in the demographics,including an increase in the number of old people. The number of elderly adults is predicted to quadruple by 2050 and reach two billion individuals at the current trend.The study aims to find out the perception of dentist towards geriatric dentistry. Materials And Methods: This cross-sectional study was approved by the Ethics Committee of Adhiparasakthi dental college and hospital. The total sample size was estimated around 240 samples and a self-administered questionnaire was sent online survey. The collected data were subjected to statistical analysis. Results: A total of 231 completed questionnaires (response rate = 88%) were obtained.Mean of age was 34.4 ± 8.1 (23–71 years) and 62.8% (n = 145) were female.The percentage of the patients in different age groups visited by the dentists during the past month showed that the most frequent age group was the 18–40 year group (40%).A significant correlation was observed between their practice and attitude.Availability of equipment for the ease of access revealed that 54% of dental offices/clinics had adequate lifts. Only about 20% of them had ramps and wall hangings and almost 24% had good flooring.Conclusion:The dentists in our study exhibited a modest level of expertise and skill in treating the dental issues of elderly patients. A major of them, were sympathetic towards the elderly. Therefore, dental education policy makers should prioritise developing geriatric education in dental institutions,particularly clinical education
PROCALCITONIN VS C-REACTIVE PROTEIN: COMPARISON AS MARKERS OF SEVERITY IN SEPSIS- A HOSPITAL BASED OBSERVATIONAL STUDY FROM NORTH EAST INDIA.
Authors: Laskar Mehjabin , Das Polok , Kumar Nikhil
Published: May 2023

BACKGROUND: Sepsis is a life-threatening organ dysfunction caused by the dysregulation of a host's response to infections (1) which is further complicated by an altered metabolic state.Both CRP and Procalcitonin are accepted sepsis markers. But there is still some debate regarding the correlation between their serum concentrations and sepsis severity. MATERIALS AND METHODS A prospective observational study was carried out in patients >18 years with sepsis and meeting the inclusion and exclusion criteria for a period of 6 months from 1st September 2021 to 28th February,2022.The severity of sepsis related organ dysfunction was assessed by the SOFA score on day 1.Patients were categorized into 4 groups according to SOFA score as group 1 (0-6),group 2 (7-12),group 3 (13-18) and group 4(19-24). Serum PCT and CRP concentrations were measured on day 1 RESULTS A total of 50 patients presenting with sepsis were studied. The mean serum PCT concentration(ng/ml) in 4 SOFA groups was 7.61,28.47,40.16,85.09(p value<0.001) respectively. The mean CRP concentration (mg/ml) in 4 SOFA groups was 157.63,152.85,144.24,64.66 respectively (p value 0.13). Mean SOFA score was higher among patients who died (11.33±5.66) than those who survived (6.71±3.57) and the difference is statistically significant(p<0.001).The mean PCT (ng/ml) and CRP (mg/l) concentration in those who survived were 17.88 and 149.30 respectively and in those who died were 35.28(p value<0.001) and 160.46 (p value 0.167) respectively. The linear correlation between PCT plasma concentrations and the four categories was much stronger than in the case of CRP (Spearman's Rho,0.483 vs -0.197;p<0.001) CONCLUSION SOFA score and serum PCT concentration show significant correlation with respect to severity of organ dysfunction and outcome in sepsis patients compared to serum CRP concentration
DIAGNOSTIC ACCURACY OF SERUM CEA & CA19.9 IN CARCINOMA OF GALL BLADDER
AND CHOLANGIOCARCINOMA : A SINGLE CENTER EXPERIANCE.
Authors: Rajesh Mopuri , Goswami Smriti , Raj Abhisek , Bhattacharjee Aritra , Bhuyan K
Published: May 2023

Background : The incidence of Carcinoma of Gall bladder(CaGB) and Cholangiocarcinoma (CC) are extremely high
in Asia. The North of India and its north east regions have high incidence of both the cancers. Numerous studies reported
that serum carbohydrate antigen 19-9 (CA19-9) and CEA plays a role in the diagnosis and followup of CCA and Ca GB
.The aim of this study was to examine the diagnostic accuracy of CEA & CA19-9 for CCA and Ca GB. Materials and
Methods: In this retrospective study 70 patients with Ca GB and 30 patients with CCA who had undergone treatment at a
state cancer Institute in Northe east India during 2020 -2022 were included.Laboratory data of serum CEA and CA19-9
against diagnosis of Ca GB and CCA were collected using hospital record system. The diagnostic sensitivity (SEN),
specificity (SPE), diagnostic odds ratio (DOR),mean and standard deviations were compared between CEA and Ca19.9
in both the groups of CaGB and Cholangiocarcinoma. The Sensitivity of CEA in diagnosing Ca GB was 0 Results: .58 ;
specificity was 0.53 ;diagnostic odds ratio was 1.6 with the mean of 22 and Standard Deviation (SD)of ±50.The
Sensitivity of CEA in diagnosing Cholangiocarcinoma was 0.56; specificity was 0.41;daignostic odds ratio was 0.93 with
the mean of 7 and Standard Deviation of (SD) of ±44. The Sensitivity of CA19.9 in diagnosing Ca GB was 0.55 ; specificity
was 0.2 diagnostic odds ratio was 0.3 and mean of 560 with standard Deviation (SD) of ±400. The Sensitivity of CA19.9 in
Cholangiocarcinoma was 0.83 ; specificity was 0.3. The diagnostic odds ratio was 4 and mean was 440 with Standard
Deviation (SD) of ±360. These data suggest that the CEA has low specificity and sensitivity for d Conclusions: iagnosis
of CaGB and cholangiocarcinoma. The CA19.9 is more sensitive in Cholangiocarcinoma
EARLY DIAGNOSIS OF PEMPHIGUS VULGARIS WITHOUT SKIN LESION – A CASE REPORT
Authors: Tamilmani Sindhuja , Rajaram Sivapriya , M Preethy. , M Deivanayagi.
Published: May 2023

Background: Pemphigus vulgaris is a long term autoimmune intraepithelial blistering condition of the skin and oral mucosa brought on by autoantibodies against desmosomal antigen. Oral signs are the first sign of the disease in up to 50% of cases, affecting the buccal mucosa, labial mucosa, and tongue with manifest desquamative gingivitis. Case details: A 45-year-old woman came with the chief complaint of burning sensation and ulcerations in the mouth and tongue for 1 month and a confirmed diagnosis of Pemphigus vulgaris without any skin lesion through clinical and histopathological examination. The patient was given topical corticosteroids, topical antifungals, and antioxidants, with the dosage being decreased after two weeks of treatment. The patient is being monitored and the healing is satisfactory. Conclusion: Dentists should have knowledge about pemphigus vulgaris and other bullous lesions for early diagnosis by clinically visible features and various investigations to provide accurate treatment and follow-up to prevent the suffering of patients and further skin involvement
IMMUNOMODULATORS IN DENTISTRY, AN UPDATED REVIEW
Authors: R Pavithra , M Preethy , Deivanayagi Deivanayagi
Published: May 2023

Immunity plays a vital role in maintaining the health of an individual. Immunomodulators are a class of drugs that maintain the homeostasis of the immune system when it is altered by any disease.The immunity can be either improved or suppressed with immunostimulants and immunosuppressant respectively. These drugs are inevitably used in the treatment of various oral diseases.This review article focuses on the various immunomodulators used in dentistry.
ARTIFICIAL INTELLIGENCE IN ORAL PATHOLOGY – BOON OR BANE?: A NARRATIVE REVIEW
Authors: Viswanathan Nirmala , Sivakumar Kokila , I. Janani.
Published: May 2023

Background: Over the past 20 years, the field of artificial intelligence (AI) has grown and developed remarkably. Recent
advancements in computing infrastructure, machine learning, and digital data collection have allowed AI applications to
spread into fields previously regarded as the domain of human expertise. The purpose of this article Aim: is to inform
oral pathologists on the application of artificial intelligence to the early detection, prognosis, and treatment planning of
oral cancer. The application of artificial intelligence (AI) in dentistry and other fields expedites Review Results: the
work of oral pathologists and offers critical diagnosis for a range of oral illnesses. AI might be able to anticipate the start
of precancerous diseases with larger data sets. AI can more accurately predict results in urgent diagnosis since it can
identify tiny details that the human eye is unable to see. Artificial intelligence will prove to be Conclusion: a powerful
and precise tool that is also user-friendly for detecting oral cancer and other premalignant lesions. Therefore, no
pathologist should be concerned that these developments in pathology would result in their job loss
CLINICAL PRACTICE GUIDELINES IN TRIGEMINAL NEURALGIA
Authors: Gokul S. , Deivanayagi M. , Mukundh Chaithanya V.
Published: May 2023

A neurological disorder called trigeminal neuralgia is characterized by intense, sharp, and stabbing pain. Causes pertaining to Pathophysiology, clinical features, and management are still unsettled. An appropriate diagnosis is important for proper management. To identify potential neurovascular contact, MRI should be used in the diagnosis. Correct surgical care is aided by the demonstration of neurovascular etiology. Carbamazapine and oxcarbazepine are the first line drugs to treat trigeminal neuralgia. Early surgical care may be necessary in some trigeminal neuralgia patients who are resistant to pharmacological therapy. The longest-lasting methods of pain treatment or pain independence include microvascular decompression, percutaneous methods, and gamma knife. The development of more efficient and effective treatment options is highly warranted
DECALCIFICATION OF TEETH – AN UPDATE
Authors: S. R Swetha , Beeula A. , S Shamala. , M Devi.
Published: May 2023

Decalcification is a critical and skilled technique used in oral histology to prepare tissue samples for microscopic
analysis. It is a routinely employed technique in oral histology and pathology. It plays a highly amenable role in
diagnosing hard tissue pathology by making it easy for processing and sectioning.This process involves the removal of
mineral deposits from hard tissues such as teeth and bones,allowing for clearer visualization of the tissue's structure and
cellular components. Various staining techniques and recent advances are blooming in this field of histology.
Decalcification is often necessary for the diagnosis of various oral diseases and abnormalities, including dental caries
and periodontal disease.Understanding the principles and methods of decalcification is essential for successful tissue
preparation and accurate diagnosis in oral histology. This article provides a brief overview of decalcification in oral
histology,emphasizing its importance and application in dental research and clinical practice
PREVALENCE OF MAXILLOFACIALFRACTURES REPORTEDAT ADHIPARASAKTHI DENTAL
COLLEGE AND HOSPITAL, MELMARUVATHUR, TAMILNADU, INDIA
Authors: D.N Narmatha , Rajashri Rajashri
Published: May 2023

Background: This retrospective study reviews the maxillofacial fractures over a 2 year period at Adhiparasakthi dental
college and hospital Melmaruvathur, tamilnadu, India Introduction: To analyze the most frequent causes, sites,
treatment modalities,age and gender wise distribution of maxillofacial fractures. Study design: Over a two-year period
(from Jan2020 to Dec 2021), the medical records and radiographs (OPG, PA mandible, occipitomental and
submentovertex view) of 223 patients treated for maxillofacial fractures at Adhiparasakthi dental college and Hospital
were reviewed. A variety of parameters were assessed and recorded, including the patient's age, gender, race,
occupation, and mechanism of injury, type of facial injuries, treatment modality, and postoperative complications.
Results: Medical records of 223 patients with maxillofacial fractures were reviewed. Among them 184 (82.5%) had
mandibular fractures whereas 39 (17.5%) had midface fractures. Most patients with mandibular fractures had fractures
of the symphysis and parasymphysis 62(27.8%) while fractures of the zygomaticomaxillary complex (ZMC) were more
common in the midface 15 (6.7%). Most patients were in the 21-30 year old age group, and the male: female ratio was
2.8:1. Road traffic collision was the most common cause that accounted for 127 (57%) of cases. Maxillomandibular
fixation (MMF) was the most common type of treatment modality used, 129 (58%) cases were treated with this method
and 42% were treated by ORIF+IMF. Conclusion: The most common etiology of maxillofacial injury was road traffic
accidents (RTA) followed by falls and assaults, the sports injuries seem to be very less.The majority of victims of RTA
were young adult males between the ages of 21 to 30 years.Mandible was the most common sites of fracture,followed by
the maxilla. Majority of mandibular fracture occurred at symphsis and parasymphsis region,In Maxilla, majority of the
fracture occurred at zygomatic complex region.Majority of cases were treated with maxillomandibular fixation (MMF).
Open reduction and internal fixation were performed for indicated fracture patients.Clinical Significance: This
research has essential significance in the specialty of maxillofacial surgery.It presents the occurrence of maxillofacial
fractures in a particular population and also the ability of a dental surgeon in treating and restoring normal function in the
maxillofacial region
LIVER TRANSAMINASES AND PLATELET COUNT CORRELATION IN DENGUE PATIENTS FROM TERTIARY CARE HOSPITAL
Authors: Bhardwaj Atindra , Ranjan Gupta Nitin , Kumar Lalit
Published: May 2023

Background: Dengue is the arboviral febrile illness, which affects the vascular, muscular, and hematological systems. One of the standards used by WHO recommendations as a possible predictor of the clinical severity of infection is thrombocytopenia. A well-known aspect of dengue illness that is accompanied by hepatomegaly and elevated serum transaminase levels is hepatic dysfunction. This study's objective was to determine the liver's con Objective: tribution to dengue infection during the severity of dengue infection by comparing platelet counts and liver transaminase enzyme levels in a tertiary care facility. Admitted cases of Dengue fever (dengue serology positive –IgM) Method: were divided into 3 groups: DF, DHF, DSS based on the clinical and laboratory finding and relation of aminotransferases level were analyzed. Elevation in LFTs were co-related with DF, DHF, DSS. Result: In DF there was 7% patients having mild platelets and 93% patients having moderate platelets. In DHF, 7.4% patients had mild platelets, 70.4% having moderate and 22.2% had severe platelets. In DSS 79.3% patients had moderate platelets and 20.7% had severe platelets. The association was found significant. Transaminase levels rise in nearly all dengue cases, according t Conclusion: o our study's findings. Since AST and ALT levels are negatively correlated, an increase in dengue severity is accompanied by an increase in AST and ALT levels, and decrease in platelet count.
MULTIPLE KERATINOUS CYSTS IN A GIANT FIBROADENOMA- A RARE CASE REPORT
Authors: N Gowthami. , Siddiqui Bushra , Ahmed Saqib , Hasan Mahboob
Published: May 2023

Fibroadenoma is one of the most common causes of benign proliferative lump in the breast. Giant fibroadenomas are
fibroadenomas weighing more than 500 grams or measuring >5 cm in size however the occurrence of epidermal cysts in
fibroadenoma is very rare. Epidermal cysts are benign cysts formed by the inclusion of keratinized stratified squamous
epithelium in the dermis leading to the formation of cysts filled with lamellated keratin. These are usually small
subcutaneous intradermal lesions that occur most commonly over the face, neck, trunk and extremities. Here we report a
case of a young female presented with a large breast lump who had undergone lumpectomy and histopathologically
diagnosed as Giant fibroadenoma with multiple epidermal cysts
MANAGEMENT OF PEMPHIGUS VULGARIS : AN UPDATE
Authors: Sivakumar Harish , Deivanayagai Deivanayagai , Chaithanya Mukundh
Published: May 2023

Pemphigus vulgaris (PV) is an infrequent autoimmune disease that affects the skin and mucous membranes, causing blistering and erosions. The management of PV is challenging, as it requires a multidisciplinary approach. In recent years, there have been significant advances in the management of PV, including the use of corticosteroids and immunosuppressive agents.This review article provides an update on the current management of PV,including the use of newer immunomodulatory agents such as rituximab and intravenous immunoglobulin.It also discusses the potential adverse effects of long-term immunosuppressive therapy.By summarizing the latest findings on the management of PV, this review article aims to provide clinicians with an up-to-date and comprehensive overview of the current approaches to managing this challenging disease.
EVALUATING THE ORAL HEALTH KNOWLEDGE ATTITUDE PRACTICE AND MENTAL STRESS
LEVEL AMONG SOFTWARE PROFESSIONALS WITH SMOKING HABIT IN TAMIL NADU - A CROSS SECTIONAL SURVEY
Authors: Prabhakaran Prabhakaran , B Ravisankar. , S Kalaivani. , K Rajeswary.
Published: May 2023

Introduction: Adult tobacco use is a public health concern, and among software professionals, lifestyle choices and jobrelated stress are risk factors. The negative effects of smoking will be more pronounced in today's youth due to early smoking initiation, as well as in the long run for young individuals who develop a smoking habit and continue to smoke into adulthood. The purpose and goals of this study are to evaluate the oral health disparities and degree of mental stress among Tamil Nadu's software workers. Using an online survey site, a cross-sectional study of Materials And Methods: software professionals in Tamil Nadu was carried out. The sample size was calculated to be 550 based on the percentage of software workers that smoke. All potential human resources received the online survey. The findings of statistical analysis on the responses gathered were attained. : In this study, the response rate was 86%, and th Results e prevalence of smokers—including both men and women—was 78%. There are some substantial differences in oral health among software workers who smoke, including tooth discoloration and poor aesthetics. After smoking, stress levels are noticeably lower, which has an effect on the development of smoking as a habit. : It is crucial to f Conclusion ocus on this population since smoking's negative effects on dental health and the mental health of software professionals because of their line of work are ongoing challenges. Tobacco control and tobacco cessation programmes also remain crucial public and individual health issues
Temprative Relations in Bathycelic thalassin H-S (Pentatomidae) and Sahlbergella singularis Hagl. Miridae)Two Heteropteran Pests of Cocoa (Theobroma cacao) in Nigeria
Authors: NWANA IFEDIORAMMA E. , YOUDEOWEI ANTHONY
Published: May 2023

Development of B. thalassina and S. singularis was not accomplished at 15°C at 35°C. Development in both species was similarly affected by temperature at the range 20-30°C; an increase in ambient temperature within this ranged a reduction in the developmental period. However, B. tlialassina showed wider range of temperature tolerance than S. singularis . The “preferred temperature” range of 20.7°C to 34.9 °C for B. thalassina was wider than 23 °C to 32 °C for S. singularis
Reactions of resistant and Susceptible rice varieties to infestation by the yellow borer, Tryporyza incertulas (Walker) (Lepidoptera; Pyralidae)
Authors: AKINSOLA E. A
Published: May 2023

Six rice varieties previously recorded as being moderately to highly resistant to the yellow borer, Tryporyza incertulas (Walker), together with a susceptible check, were utilized in studies to determine the development of’dead hearts’, the effect of host plants on survival and development of larvae, and the effect of infestation on tillering ability. Symptoms of damage appeared earlier in susceptible than in resistant varieties and the age of the plants at the time of infestation appeared to significantly influence their susceptibility to the yellow borer. The larvae reared on resistant varieties had lower survival and weighed less than those reared on the susceptible variety. Both resistant and susceptible varieties produced additional tillers under heavy infestation. The tillering ability was independent of the degree of susceptibility of a variety.
Comparative ecological genetics of Drosophila Spp, Zaprionus vittiger Coquillet (Diptera: Drosophilidae) and Mageselic scalaris Loew (Diptera: Phoridae)
Authors: AWOPETU IDOWU
Published: May 2023

Laboratory studies were conducted on three Drosphila species and another drosophilid, Zaprionus vittiger Coquillet as well as on a phorid, Megaselia scalaris Loew, all of which share similar ecological niche. Temperature treatments revealed varying degree of temperature tolerance while nutritional stress produced a reduction in body size and a lengthening of larval developmental period in all but one of the species. Further laboratory tests are being carried out to isolate nutritional and temperature sensitive mutants for use in gene combinations that could be employed in genetic programme for insect control .
Effects of Samorin on some aspects of the Biology of Glossina morsitants Westwood
Authors: OLADUNMADE M. , BALOGUN R. A.
Published: May 2023

Studies on the effects of Samorin, a prophylactic trypanocide on some aspects of the biology of Glossina morsitans were carried out. The overall performance of flies fed on rabbits injected with the trypanocide was severely affected. There were indications that the trypanocide could have adversely affected the symbiotic gut micro-fauna of the flies. Hence it is suggested that Samorin has some potentials for vector ‘control
FADING MEMORY EFFECT AND ASYMPTOTIC COMMUTATIVITY UNDER MULTI-STEP LOADINGS IN THE LINEAR VISCOELASTICITY THEORY

ЭФФЕКТЫ ЗАТУХАНИЯ ПАМЯТИ И АСИМПТОТИЧЕСКОЙ КОММУТАТИВНОСТИ ПРИ
СТУПЕНЧАТОМ НАГРУЖЕНИИ В ЛИНЕЙНОЙ ВЯЗКОУПРУГОСТИ
Authors: Хохлов А.В.
Published: May 2023

Basic qualitative properties of the creep curves generated by the Boltzmann-Volterra linear constitutive equation for isotropic non-aging viscoelastic materials under cyclic multi-step loadings are studied analytically assuming shear and bulk compliances are arbitrary (increasing and convex up) functions. Their dependence on creep compliance functions properties and piecewise-constant stress history parameters are analyzed. Creep curves asymptotic behavior as time tends to infinity is examined. Conditions for accumulation of plastic strain and the fading memory criteria are obtained. The effect of stress steps permutation is considered in general 3D case. It is proved for the linear viscoelasticity constitutive equation that the difference between two creep curves converges to zero as time tends to infinity although the influence of stress steps permutation is significant. This property of the constitutive equation is termed “asymptotic commutativity with respect to loading steps permutation”. It is valid for arbitrary (convex up) shear and bulk creep functions even in the case of non-fading memory.

Аналитически исследованы общие свойства кривых ползучести и восстановления и кривых ползучести, порождаемых линейным интегральным определяющим соотношением вязкоупругости Больцмана-Вольтерры (с произвольными функциями сдвиговой и объемной ползучести) для изотропных нестареющих материалов при любых ступенчатых нагружениях. Изучены их зависимость от характеристик функций ползучести и параметров программы нагружения, асимптотика на бесконечности, условия накопления остаточной деформации и затухания памяти. Проанализировано влияние на кривые ползучести перестановки ступеней произвольного (трехосного) нагружения. Сформулировано определение свойства асимптотической коммутативности ОС при перестановке ступеней нагружения, доказано наличие этого свойства у линейного определяющего соотношения вязкоупругости с произвольными (выпуклыми вверх) функциями ползучести. Оно выполняется для любых (выпуклых вверх) функций сдвиговой и объемной ползучести даже в том случае, когда затухание памяти отсутствует.
ПЕРСПЕКТИВЫ ТЕХНОЛОГИИ ФЕЛТИНГА ДЛЯ ЛОКАЛЬНОГО ТРЁХМЕРНОГО АРМИРОВАНИЯ ПОЛИМЕРНЫХ ТКАНЕВЫХ КОМПОЗИТОВ

PROSPECTS OF FELTING TECHNOLOGY FOR LOCAL 3D-REINFORCEMENT OF POLYMER FABRIC COMPOSITES
Authors: Форенталь Г.А. , Сапожников С.Б.
Published: May 2023

In this paper, felting is considered as a needle-punch technology for joining layered preform made from dry plain weave fabrics (XY plane) by breaking and pulling down some of the fibers in the Z-axis. After impregnation of the preform and curing of the polymeric matrix, the pulled fibers strengthen the composite in the Z-direction.
Experimental studies were carried out to determine the relationship between the number and length of Z-fibers versus the density of felting (number of needle punches per 1 cm2). It is shown that for a room curing epoxy matrix, the length of Z-fibers is greater than the critical one, which made it possible to obtain an increase in the Mode I crack energy release rate (GIC) by 40% for a minimum density of felting of 10 cm-2. Based on the stress state FEM analysis at the tip of a crack (DCB-specimen), it is shown that the layered fabric composite transverse strength after felting increases significantly, which makes it possible to recommend this 3D-reinforcement technology for use in aerospace applications in areas subjected to random local impacts.

В данной работе фелтинг рассматривается как иглопробивная технология для связывания слоёв преформы из сухих тканей гладкого плетения (плоскость XY) за счёт разрыва и вытяжки части волокон по направлению Z. После пропитки преформы и отверждения полимерного связующего вытянутые волокна обеспечивают упрочнение композита в направлении Z. В работе проведены экспериментальные исследования количества и длины Z-волокон от плотности фелтинга (количества ударов игл на 1 см2). Экспериментально показано, что для эпоксидного связующего холодного отверждения длина Z-волокон больше критической, что позволило получить увеличение критической энергии развития трещины нормального отрыва на 40% для минимальной плотности фелтинга 10 см-2. На базе МКЭ-анализа напряжённого состояния в вершине трещины нормального отрыва (образец – двойная консольная балка) показано, что трансверсальная прочность слоистого тканевого композита после фелтинга существенно возрастает, что позволяет рекомендовать данную технологию локального трёхмерного армирования для использования в аэрокосмических приложениях в областях, подверженных случайным локальным ударам.