bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the Influence of Various Sprue Designs on Surface Porosity and Dimensional Accuracy of Base Metal Alloy Castings - An In Vitro Study
Authors: R. Nirupama , Shetty Manoj , D. Krishna Prasad , Hegde Rakshith 
Published: April 2020

Abstract
Background and Objectives: Marginal fit of cast restoration is a major factor in long term survival of restoration. The sprue design is one of the variables that affect successful castings. Porosity can occur both on the surface and sub-surface of the casting. Base metal alloys have been used as an alternative to traditional high gold content alloys due to their superior mechanical properties.The purpose of this study was to evaluate and compare the influence of various sprue designs on surface porosity and dimensional accuracy with conventional sprue design on five-unit singlepiece base metal alloy castings.
Materials and Method: A metal die that stimulate a five unit Fixed partial denture was fabricated. Three different types of sprue designs was assigned to the pattern and casted. The marginal discrepancy was determined by measuring the space between the margin of the crown and the shoulder finish line of the abutment using Scanning electronic Microscope(100X magnification). Surface porosity was evaluated using stereomicroscope (X10 Magnification).
Results: Best marginal fit based on the grand means and standard deviations was in the conventional design group followed by experimental 4mm and 3mmsprue design. Significant differences was present in the 3mm sprue when compared with 4mm sprue(<0.001) as well as the conventional design(<0.001).
Interpretation and Conclusion: There was no surface porosity observed under stereomicroscope. When marginal discrepancy was compared with conventional design, 4mm single sprue was more effective than the 3mm single sprue.
A Comparative Study on Factors Leading To Early Weaning Among Urban and Rural Mothers of Infants in Selected Community Areas at Mangalore
Authors: Jose Teena J. , R. Sujatha 
Published: April 2020

AbstractEarly weaning is considered as one of the major health issue and it is recognized as the one of the leading cause of mortality and morbidity of infants in many developing countries. A comparative study was done to identify the factors leading to early weaning among mothers of infants in selected areas at Mangalore. Non probability sampling technique and purposive sampling method was used to select 70 early weaned mothers from 300 screened mothers residing at urban area and 50 early weaned mothers from 300 screened mothers of children less than 1 year of age from rural areas at Mangalore. The findings of the study show that there is a significant difference in the number of early weaned mothers of infant when comparing to the urban and rural areas. Hence it is concluded that the early weaning is more common in urban area than in the rural area.
Techniques to Analyze the Effects of Radiation Therapy on Enamel and Dentin - A Review
Authors: Hegde Mithra N. , Hegde Nidharsh D. , N. Suchetha Kumari , Sanjeev Ganesh , G. Priya , Attavar Shruthi 
Published: April 2020

AbstractRadiation therapy is a most common source in the treatment of Head and neck cancers. The therapy has a positive outcome in curing patients out of danger at an effective rate. But there are few major and minor side effects of the treatment which will possibly hinder the quality of life. One such major concern followed with the therapy is Radiation related caries. Radiation is known to damage the tissues of the teeth making it more susceptible for caries. Hence this review article details on techniques that is being used to test the mechanical and morphological properties of the teeth. The changes observed in these tissues after radiation treatment will enable us to understand the causes for caries. therefore further research in this field is necessary to develop strategies that will probably prevent radiation caries in future days.
Racing against Time: Huge Multiple Mass on the Neck
Authors: Kurian Vinay Babu , Shetty Anil , S. Raveendra U. 
Published: April 2020

AbstractDefining, describing and identifying 'difficult' airways are difficult tasks. The majority of difficult patients that anesthesiologists encounter look 'more-or-less' normal. Anesthesiologists must be prepared to adapt their technique if difficulty occurs. There can be no doubt that the advent of the laryngeal mask airway (LMA) has decreased the frequency of difficulty with the airway. Flexible fiberoptic in tubation is a tremendously useful technique, which every anesthesiologist should attempt to master. The advantage of vision, the pre-eminent sense, needs no explanation.
Efficacy of Evidence Based Practice (EBP) Guideline to Prevent and Treat Breast Engorgement among Post Caesarean Mothers in Selected Hospital in Mangalore
Authors: Thomas Timi , Devi Elsa Sanatombi , George Linu Sara 
Published: April 2020

Abstract
Introduction: Early initiation of breast feeding has long been recognized as one of the most important contributor to mothers' as well as infants' health. Breast feeding should be initiated within half an hour and two hour of birth in normal vaginal delivery and caesarean section respectively. A recent systematic review regarding the timing of breast feeding initiation shows that if newborns are exposed to breast feeding at the early stage, they are much more likely to adhere to breast feeding and ultimately have better outcome in terms of less incidence of breast engorgement.
Objectives: The objectives of the study were to identify the early initiation of breast feeding by post caesarean mothers using observational check list, to train the staff nurses regarding the EBP guideline to prevent and treat breast engorgement among post caesarean mothers, to find the difference between pre test knowledge score and post test knowledge score among staff nurses on prevention and treatment of breast engorgement using structured knowledge questionnaire, to assess the effectiveness of EBP guideline to prevent and treat breast engorgement among post caesarean mothers in terms of reduction in the severity of breast engorgement before and after the implementation of EBP guideline using modified six point engorgement scale.
Methods: In this study, one group pre test post test design was chosen. The study was conducted at KMC Hospital Attawar, Mangalore. The population in this study comprised of prime post cesarean mothers and staff nurses who are available at the period of data collection at KMC Hospital, Attawar, Mangalore. The calculated sample size for post caesarean mothers is 50 ad staff nurses are 20. The following tools were used to collect the data from the study samples. 1) Baseline characteristics - post caesarean mothers and staff nurses 2) Structured knowledge questionnaire on prevention and treatment of breast engorgement 3) Observational checklist to identify early initiation of breast feeding 4) Modified six point engorgement scale to assess the severity of breast engorgement. The data were collected and analyzed by using descriptive and inferential statistics by SPSS package version 16.
Results: The study results shows, Out of the 50 mothers, 26 (52%) of the mothers had previous information regarding breast engorgement. 14 (53%) of the mothers had received information from family members/ relatives and friends meanwhile 8 (31%) had mass media as a source of information and 4 (16%) had information from their health professionals. Most of the post caesarean mothers were practicing early initiation of breast feeding. Regarding the total practice score for the early initiation of breast feeding it was 6.38 ± 0.696 and it ranged from 5 to 7 with a median 6.
Conclusion: The study has revealed that, most of the post caesarean mothers were practicing the early initiation breast feeding practices.
Internet addiction among the undergraduate students
Authors: Rajeswari C. , Ramachandra Ramachandra , Joseph Nimishamol , George Nivya , K. Pavithra , Syhly Penini , Jose Prinu 
Published: April 2020

Abstract
Background: Internet addiction is an alarming issue which has significant impact on the lifestyle of people. Younger generation need to use internet judiciously and productively to prevent the underlying risks ahead.
Aim: To assess the degree of internet addiction among undergraduate students.
Methods: Using a non-experimental descriptive cross sectional research design, internet addiction was assessed among 200 undergraduate students studying at selected colleges in Bangalore city using Internet Addiction Scale.
Results: Forty nine percent (98) of the undergraduate students had mild addiction, 28.5% (57) were moderately addicted, and 0.5% (1) was severely addicted. No addiction was identified in 22% (44).Degree of internet addiction was significantly associated with gender, course of study, level of education, religion, educational status of parents, total number of children in the family and internet use of significant others.
Conclusion: Though the intensity of addiction varies, majority of the undergraduate students studied were addicted to internet. Awareness about this addictive behaviour and timely intervention can protect this productive group of the society from the harmful effect of this internet addiction.
Compartment Syndrome- Controversies and where are we Today
Authors: Shetty M. Shantharam , Kumar Ajith , Shetty Lathika , Palanivel Anbuchezhian 
Published: April 2020

AbstractCompartment Syndrome in Orthopedic practice is a night mare and has to be diagnosed and treated as an emergency to save the function of the limb. Importance of different criteria of early diagnosis, compartment pressure measurement and immediate fasciotomy are the controversies even today. The review emphasizes the importance of these concerns.
Definition
Compartment syndrome occurs due to an increased interstitial tissue pressure inside a closed 1 space especially in an osseo-fascial compartment , should be treated as an acute emergency.
Transdermal Iontophoresis on Gerhardt-Mitchell's Disease of Joints - A rear case report
Authors: S. Mallikarjunaiah H. , U. Dhanesh Kumar K. , Burji Shilpa Dugani 
Published: April 2020

AbstractGerhardt-Mitchell's disease which is also named as Erythromelalgia is an unusual neurovascular pain syndrome which features with group of three characteristics i.e., raise in temperature, red color pigmentation of skin and pain with a quality of burning. All three characteristics are most importantly seen in the extremities. Erythromelalgia may occur either as a primary or secondary disorder. Clinical presentation of primary erythromelalgia is linked with severe burning pain, pronounced erythemaof the skin, swelling and increased skin temperature, specifically of the feet. We present the case of a patient, 12 years old girl with primary erythromelalgia who came to our physiotherapy department with features of repeated redness, burning pain, increased warmness of the skin on anterior aspect of right foot. Computer Assisted Capillary Microscopy demonstrated reduced capillary density and capillary perfusion. Another observatory test was done by elevating patient's right leg noting the reversal in skin color from red to pale.Her detailed evaluation was carried out and physiotherapy treatment was started.
Use of Rotational Flap for Reconstruction of Scalp Avulsion Defect - A Case Report
Authors: Vishwanath Karthik , Shetty Nikhil , Roy Satadru 
Published: April 2020

AbstractReconstruction of scalp defects is required for acute trauma, tumor extirpation, radiation necrosis, and the repair of traumatic alopecia or cosmetically displeasing scars. The proper choice of a reconstructive technique is affected by several factors—the size and location of the defect, the presence or absence of periosteum, the quality of surrounding scalp tissue, the presence or absence of hair, location of the hairline, and patient comorbidities.Cosmetic scalpreconstruction requires restoration and preservation of normal hair patterns and hair lines.The scalp vertex is an area of limited scalp mobility and requires extensive undermining and recruitment of tissue from the more mobile anterior, parietal, and occipital regions. The only 2 alternative for large defects (greater than 25 cm2 ) is large rotation-advancement flaps which require near complete scalp undermining.This article presents a case of Acute scalp Avulsion in the Vertex and the subsequent reconstruction using a large posteriorly based Rotation-Advancement Flap.
Clinical effect of pro-biotic containing Bacillus coagulans on plaque induced gingivitis : A randomised clinical pilot study
Authors: K. Maithri Jagadeesh , Shenoy Nina , Talwar Avaneendra , Shetty Smitha 
Published: April 2020

Abstract
Objectives: To evaluate the clinical effect of Bacillus coagulanson plaque induced gingivitis.
Method: Thirty subjects with plaque induced were enrolled in the study. At baseline, Gingival Index (GI) and Plaque Index (PI) were assessed. Saliva samples were collected for glutathione peroxidise (GPx) activity analysis and to determine load of lactobacilli. Subsequently participants were randomly provided with chewable tablets to be consumed 3 X daily for 3 month containing 100 million colony forming units (CFU)/tablet of B. coagulans or without B. coagulans (placebo). After3 months, recording of GI, Pl and saliva sampling were repeated.
Results: At baseline, mean GI, and mean Pl did not differ significantly between both groups. At re-evaluation, mean GI, and bleeding on probing of the probiotic group were both significantly (p < 0.0001) lower than in the placebo group. Mean PI level did not differ significantly between the groups. In the probiotic group, mean glutathione peroxide activity (Gpx)was significantly (p < 0.02) lower than in the placebo group at re-evaluation.
Conclusion: The consumption of probiotic containing Bacillus coagulans seems to modulate inflammatory response in plaque induced gingivitis.
Perception of facial profile attractiveness by orthodontists and general public in Dakshina Kannada population
Authors: Mohammed Azhar , Shetty Akhil , Nayak U.S Krishna , Shetty Prajwal , Mendonca Mcqueen , Shashidhar Keerthan 
Published: April 2020

Abstract
Background: The purpose of this study was to assess and determine the perception of facial profile attractiveness by orthodontists and general public using Silhouette method. In addition, the orthodontists and the general public (laypeople) compared the facial profile components that they considered desirable for males and females
Methodology: 30 Subjects in the age group of 18-25 years who met all the inclusion and exclusion criteria's were selected from a local Dakshina Kannada Population. After examining each subject for his/her dental occlusion and facial profiles, profile photographs of the subjects were taken. These photographs were shown to Orthodontists and laypeople for their approval, and a subject with the most pleasing profile was selected. After the subject was selected, a lateral cephalogram was taken and various angular and linear measurements were recorded. Using the average values recorded, an androgynous facial Silhouette was constructed. These facial Silhouettes (30) were evaluated by 50 Orthodontists and 50 laymen from local population.
Result: Perception differences were noted between males and females or among Orthodontists and laypeople. No statistically significant difference (P > 0.05) was reported in all series of profiles selection for most preferred and least preferred profile among Orthodontists and laypersons and between males and female profiles.
Conclusion: This study showed the perception of well balanced and imbalanced faces. In some of the variables, there was a clear contrast in preference of profiles for males and females by the Orthodontists and laypeople, while in some variables it was not. A universal standard of facial aesthetic is not applicable to diverse populations.
Ankle Synovial Chondromatosis: case report of 2 cases with 139 and 12 lose bodies treated arthroscopically
Authors: Shetty M. Shantharam , Kumar M. Ajith , K. Yogesh , Doshi Karan 
Published: April 2020

AbstractSynovial chondromatosis is an uncommon, benign neoplastic nodular cartilaginous lesion of the synovium that can lead to lose bodies and arthritic degeneration if left untreated. We report the case of 2 patients with primary Synovial chondromatosis of the ankle with 139 and 12 loose bodies, respectively, who were treated arthroscopically. Both patients had successful outcomes without recurrence or malignancy, after excision of the lesions. We have reported the highest number of loose bodies (i.e. 139) in the ankle extracted arthroscopically. To conclude, Synovial chondromatosis, although benign, needs detailed investigations to rule out secondary causes and timely intervention to prevent further consequences. Arthroscopic treatment provides easy access and allows early return to activities.
Level of clinical evidence: 4- Case Report.
Two Phase Therapy for Class II Division 1 Malocclusion - A Case Report
Authors: Sinha Suraj Prasad , Shetty Akhil , Ravi M. S. , Nayak U.S. Krishna 
Published: April 2020

AbstractA 13 year old growing male reported with a complaint of forwardly placed upper front teeth. The case was diagnosed to be Skeletal Class II due to retrognathic mandible. Since the patient was in the growing phase, two phase treatment was planned. The First phase comprised of mandibular advancement using TWIN BLOCK. The final finishing and detailing was achieved in the Second phase of treatment using 0.022 MBT Prescription (self-legating) to produce well-aligned arches in good function and aesthetics.
A MULTIDISCIPLINARY APPROACH FOR FUNCTIONAL REHABILITATION OF A PATIENT WITH SKELETAL CLASS III MALOCCLUSION AND AMELOGENESIS IMPERFECTA
Authors: Shetty Archana S , D. Krishna Prasad , Ravi M S , Prasad B Rajendra 
Published: April 2020

AbstractAmelogenesis Imperfecta has been defined as a group of hereditary enamel defects not associated with evidence of systemic disease. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation and the protection of these teeth. The specific objectives of the treatment were to enhance esthetics, eliminate tooth sensitivity and restore masticatory function. Management of a patient with skeletal class III malocclusion and Amleogenesis Imperfecta is a challenge for the clinician. Surgical correction of the skeletal class III malocclusion, orthodontic therapy followed by full mouth rehabilitation as a multidisciplinary approach is vital for the functional rehabilitation of the patient.
DOUBLE SUPERIORVENACAVA AND ITS ASSOCIATED CLINICAL IMPLICATIONS - A CASE REPORT AND LITERATURE REVIEW
Authors: Kotian Sushma R , Souza Antony Sylvan D , Ravichandran Praveena , Bhat Pallavi , Hosapatna Mamatha 
Published: April 2020

AbstractAbnormalities of the vascular system are always of extreme interest due to its importance in circulation. Normally the superior vena cava is a single vascular structure formed by the union of right and left brachiocephalic veins which are in turn formed by the union of corresponding internal jugular and subclavian veins, draining the head and neck as well as the superior extremity. However during routine dissection in the Department of Anatomy, Kasturba Medical College, Manipal, we came across a case of double superior vena cava with persistent left superior vena cava in a 58-year-old male cadaver. Both the vena cavae were formed as continuations of brachiocephalic veins of the corresponding side. The persistent left superior vena cava opened into the enlarged coronary sinus that drained into the right atrium between the opening of inferior venacava and right atrioventricular orifice. No communication was observed between the two vena cavae. A persistent left superior vena cava does not by itself produce any physiological derangement. But it has important clinical implications in certain clinical interventions. It may complicate placement of cardiac catheters or pacemaker leads. Awareness of this anomaly may therefore reduce confusions and thus would help to avoid further complications.
RECURRENT PYOGENIC GRAULOMA - A CASE REPORT
Authors: Ramesh Amitha , Prakash Agumbe Priyanka 
Published: April 2020

AbstractA non-specific, conditioned gingival enlargement, pyogenic granuloma is a reactive lesion that can occur anywhere on mucosa or skin. In the oral cavity, the gingiva is the most frequent site. The recurrence rate is up to 15%. The most common cause of pyogenic granuloma is local irritating factor. This case report describes a recurrent pyogenic granuloma in a 35 year old patient and its successful surgical management.
Case Report: Intrahepatic Cholestasis of Pregnancy
Authors: D'silva Precilla , Lobo Jasmine Maria , Babu Akhila Mol 
Published: April 2020

AbstractIntrahepatic cholestasis of pregnancy (ICP) is a cholestatic disorder characterized by pruritus, elevated serum aminotransferases and bile acid levels with gradual onset in the second or third trimester of pregnancy, and spontaneous relief of signs and symptoms within two to three weeks after delivery.
Enhanced lactic acid bacteria viability with yeast coincubation under acidic conditions
Authors: Hirai Satomi , Kawasumi Toshiyuki 
Published: April 2020

Abstract
The enhancing effects of yeasts on the viability of lactic acid bacteria (LAB) under acidic conditions were investigated. Meyerozyma guilliermondii, coaggregative with both LAB strains under acidic conditions, significantly enhanced the viability of Lactobacillus pentosus and L. paracasei in pH 3.0 lactic acid (LA) buffer at 10°C (p &lt; 0.05). Non-coaggregative yeasts (Saccharomyces cerevisiae, Schizosaccharomyces pombe, and Cyberlindnera saturnus) also significantly enhanced the LAB viability (p &lt; 0.05), and physical contact between LAB and yeasts was not essential for the viability-enhancing effect, indicating that the coaggregation had no relation to the enhancing mechanism. Although yeast metabolites and LA assimilation had no enhancing effect, hydrogen peroxide (H2O2) decreased after yeast coincubation, and H2O2 elimination improved L. pentosus viability. H2O2 elimination alone did not sufficiently improve L. paracasei viability, but the addition of antioxidants was effective. These results suggest that the antioxidant activity of yeast increased the LAB viability under acidic conditions.
Amazake made from sake cake and rice koji suppresses sebum content in differentiated hamster sebocytes and improves skin properties in humans
Authors: Maruki-Uchida Hiroko , Sai Masahiko , Yano Shoichiro , Morita Minoru , Maeda Kazuhisa 
Published: April 2020

Abstract
Amazake is a traditional Japanese health drink. Here, we examined the effects of amazake on skin in cells and humans. Treatment with sake cake or rice koji suppressed intracellular lipid accumulation in differentiated hamster sebocytes, likely through the reduced expression of peroxisome proliferator-activated receptor-gamma (PPARγ) mRNA. In double-blind, placebo-controlled trial, seventeen Japanese women ingested either amazake or placebo for 4 weeks. Ingestion of the amazake decreased the sebum content compared to the placebo. The questionnaires showed improvements in “face color,” “dark circles under the eyes,” “glossy hair,” and “waking up well”, only in the amazake. In accordance with the questionnaires, additional analysis revealed the change in the L* values under the eyes was statistically increased in the amazake compared to the placebo. These results indicate that amazake may decrease sebum content in cells and humans and increase the L* values under the eyes, with some additional beneficial effects in humans.