bluuebunny/crossref_metadata_2025_split huggingface dataset:
Presence of Aspartate Aminotransferase in Peri-Implant Crevicular Fluid with and without Mucositis
Authors: Devadiya Priyanka , Goyal Yashika , Divya Divya , Wasti Jyoti , Patil Dipooja , Sinha Anamika , Ghadage Mahesh 
Published: December 2024

ABSTRACT

Background:
Aspartate aminotransferase (AST) is an enzyme commonly found in various body fluids and tissues, including peri-implant crevicular fluid (PICF). Its presence and activity in PICF have been implicated in inflammatory conditions such as mucositis around dental implants.

Materials and Methods:
This study aimed to compare the levels of AST in PICF collected from sites with mucositis (group A) and healthy sites (group B). PICF samples were collected using standardized paper strips and analyzed using enzymatic assays. The AST levels were quantified using a spectrophotometric method, and the data were statistically analyzed using Student’s t-test.

Results:
The mean AST level in group A (mucositis) was found to be 12.3 ± 2.1 U/mL, whereas in group B (healthy sites), it was significantly lower at 5.7 ± 1.3 U/mL (P < 0.05). These findings indicate a significant elevation of AST in PICF associated with mucositis compared to healthy peri-implant sites.

Conclusion:
Elevated levels of AST in PICF suggest its potential as a biomarker for detecting inflammatory conditions such as mucositis around dental implants. Monitoring AST levels in PICF could aid in the early detection and management of peri-implant diseases, contributing to improved clinical outcomes and implant longevity.
Thrombosed Fetal Dural Sinus Malformation: A Case Report
Authors: Al Muteri Tayseer , Al Rawahi Muna , Moretti Felipe 
Published: December 2024

ABSTRACT

Background:
Fetal dural venous sinus thrombosis is an uncommon disorder in which a blood clot forms in the developing fetus’s dural venous sinuses. A detailed ultrasound examination, including neurosonography, and color Doppler are usually used to identify it, and fetal brain magnetic resonance imaging (MRI) is used to confirm the diagnosis. Although few case reports exist, the incidence of fetal occurrence remains unknown.

Case Description:
A 25-year-old woman, primigravida, with no comorbidities at 20 weeks and 1 day, underwent a detailed ultrasound followed by MRI. The imaging revealed a triangular extra-axial expansile lesion measuring 1.6cm AP × 3 craniocauded × 2.6cm transverse diameter. - The lesion was located at the torcula, at the confluence of the transverse sinuses, extending towards the posterior aspect of the left transverse sinus. This extension caused flattening of the posterior portion of the cisterna magna and the left posterior aspect of the cerebellum. The size of the intracranial mass increased. Fetal and parental investigations failed to find any underlying cause. The patient had a spontaneous vaginal birth at 38 weeks. A postnatal diagnosis of thrombosis in the sinus was confirmed by MRI and venography. No brain damage or hydrocephalus was noted, and the neurological outcome was normal at 9 months of age.

Conclusion:
Fetal intracranial thrombosis can result from dural sinus abnormalities. When dural sinus malformation (DSM) is detected in prenatal imaging, timely fetal MRI is recommended to help diagnose dural sinus abnormalities, identify intracranial complications, and determine perinatal plan and management options.
Assessment of the Effectiveness of Video-Assisted Teaching on Knowledge Regarding the Management of Post-Hemodialysis Fatigue among Patients Attending Hemodialysis
Authors: Munjewar Pratiksha , Sharma Ranjana , Mahakalkar Gauri Chandrashekhar , Dhok Archana , Jaiswal Gaurav 
Published: December 2024

ABSTRACT

Background:
Chronic kidney disease (CKD) is a global health issue, affecting 13.4% of the population. Many CKD patients progress to end-stage renal disease, necessitating lifelong renal replacement therapy like dialysis. Hemodialysis significantly alters patients’ lifestyles, causing social isolation, work–life changes, financial strain, and family role shifts. These challenges lead to fatigue, pain, depression, and sleep disturbances, severely impacting patients’ quality of life and daily activities. Among these symptoms, fatigue is one of the most common and disruptive.

Aim:
To assess the effectiveness of video-assisted teaching on knowledge regarding the management of post-hemodialysis fatigue among patients attending hemodialysis.

Material and Method:
This study was based on a quantitative research approach and one group pretest and post-test research design. This study includes 200 patients attending hemodialysis from Acharya Vinoba Bhave Rural Hospital Wardha with the nonprobability convenience sampling technique. A questionnaire was used to assess the knowledge of the patient.

Result:
After the educational program, the knowledge score improved significantly. The poor category decreased to 50 participants (25.0%), while the average category dropped to participants (5.0%). The good category increased substantially to 110 participants (55.5%), and 30 participants (15.0%) achieved an excellent level of knowledge.

Conclusion:
Results suggest that after applying intervention, the knowledge regarding post-hemodialysis fatigue is increased in patients attending hemodialysis.
Comparison of Force Decay of Two Different Types of Elastomeric Chains with the Use of Different Types of Mouth Washes – An In vitro Study
Authors: Pawar Rahul , Majumder Tanmoy , Singh Shalini , Choudhury Dip G. , Hassan Md Kamal , Mrinal Swati 
Published: December 2024

ABSTRACT

Background:
Elastomeric chains are commonly used in orthodontic treatments to apply continuous force for tooth movement. However, the exposure of these chains to different mouthwashes can impact their force retention and effectiveness. Understanding the effect of various mouthwash solutions on elastomeric chains is crucial to optimize orthodontic treatment outcomes and maintain the desired level of force over time. This study investigates the impact of different mouthwash solutions on the force decay of both prestretched and unstretched elastomeric chains, providing insights into the best practices for mouthwash use during orthodontic care.

Material and Methods:
A study was conducted using 1000 specimens of “five-unit clear short-linked elastomeric chains.” These specimens were divided into two main groups of elastomeric chains: prestretched and unstretched. Each main group was further subdivided into five subgroups: one control (artificial saliva) and four test subgroups exposed to different mouthwashes. Statistical analysis was conducted with a significance level set at P < 0.05 to determine the effect of each mouthwash on the force retention of the elastomeric chains.

Results:
The initial force levels of elastomeric chains before and after immersion in various solutions over different time intervals showed statistically significant differences. These differences were observed in both prestretched and unstretched elastomeric chain groups as well as between the prestretched and unstretched conditions. The results indicate that different mouthwash solutions have varying impacts on force decay, with some solutions leading to more pronounced degradation than others.

Conclusion:
Common mouthwashes degrade the force of both prestretched and unstretched elastomeric chains. To minimize this effect during orthodontic treatment, it is recommended to use Himalaya HiOra, probiotic, and Clohex® mouthwashes, followed by fluoride mouthwash. These alternatives may help preserve the force retention of elastomeric chains and improve treatment efficacy.
Effectiveness of a Comprehensive School-Based Oral Health Intervention Program on Periodontal Disease Outcomes: A Randomized Controlled Trial
Authors: Parihar Anuj Singh , Kalpana M. S. , Dwivedi Pooja , Jain Meena , Swain Padmaja , Nasyam Fazil A. 
Published: December 2024

ABSTRACT

Background:
Periodontitis is a prevalent oral health issue in rural India, contributing to tooth loss and systemic health complications. School-based oral health education programs offer a promising prevention and early intervention strategy.

Objective:
To assess the impact of a comprehensive school-based oral health program on periodontal disease prevalence and severity among school-aged children in rural Bhopal.

Materials and Methods:
A randomized controlled trial was conducted among 5000 children (10-15 years) in rural Bhopal. The intervention group received a 6-month program comprising oral hygiene instruction, dietary counseling, information on periodontitis, and facilitated dental checkups. The control group received no additional oral health education. Pre- and post-test assessments included clinical examinations (Community Periodontal Index, Gingival Index, Plaque Index) and oral health knowledge and practices questionnaire.

Results:
After six months, the intervention group showed significant reductions in periodontal indices (CPI: −0.45, P < 0.001; GI: −0.30, P < 0.001) and plaque levels (PI: −0.65, P < 0.001) compared to the control group. They also demonstrated significant improvements in oral health knowledge (P < 0.001) and reported oral hygiene practices (P < 0.001).

Conclusion:
A comprehensive school-based oral health education program is efficacious in improving periodontal health, knowledge, and practices among rural Indian children. The program’s success supports its potential for broader implementation as a sustainable and cost-effective public health intervention in similar settings.
Occipital bone fractures in two-wheeler road traffic accidents: Understanding contrecoup brain injuries and implications for prevention
Authors: Wallang Robert Mark , Giridharan R , Arunan T. 
Published: December 2024

Background:
Traumatic occipital bone fractures from two-wheeler road traffic accidents (RTAs) are significant public health concerns due to their high morbidity and mortality.

Aim:
This study investigates the epidemiology and outcomes of these injuries, focusing on demographic characteristics, injury patterns, alcohol consumption, helmet use, and management strategies.

Methods:
This study was carried out at a regional referral center, including patients admitted with traumatic occipital bone fractures due to two-wheeler RTAs. Data on demographics, injury details, alcohol consumption, helmet use, management approaches, and patient outcomes were collected and analyzed.

Results:
The study comprised 60 patients with a mean age of 41.3 ± 15.6 years, predominantly male (80%). Alcohol consumption was significantly associated with poorer outcomes, including a higher sudden death rate (P = 0.047) and overall mortality (P = 0.040). Of the patients who consumed alcohol, 88.9% were riders without helmets, compounding the risk. The most common diagnoses were frontal hemorrhagic contusion (56.7%) and subdural hematoma (30%). Conservative management was more common among survivors (68.2%), while a higher proportion of nonsurvivors underwent surgical intervention (60.0%), though these differences were not statistically significant.

Conclusion:
Alcohol consumption and lack of helmet use are associated with significantly higher mortality and severe outcomes in traumatic occipital bone fractures from two-wheeler RTAs. The findings underscore the necessity of public health initiatives to encourage helmet usage and curtail alcohol-impaired driving. Additional research is required to investigate the influence of treatment approaches on patient outcomes.
Comparative study of clinical efficacy of laparoscopic proximal gastrectomy with double-channel anastomosis and tubular gastroesophageal anastomosis
Authors: Wang Mian , Zhang Li-Li , Wang Gang , Miao Yong-Chang , Zhang Tao , Qiu Lei , Fang Gui-Da , Lu Feng , Xu Da-Lai , Yu Peng 
Published: December 2024

BACKGROUND
According to statistics, the incidence of proximal gastric cancer has gradually increased in recent years, posing a serious threat to human health. Tubular gastroesophageal anastomosis and double-channel anastomosis are two relatively mature anti-reflux procedures. A comparison of these two surgical procedures, tubular gastroesophageal anastomosis and double-channel anastomosis, has rarely been reported. Therefore, this study aimed to investigate the effects of these two reconstruction methods on the quality of life of patients with proximal gastric cancer after proximal gastrectomy.
AIM
To compare short-term clinical results of laparoscopic proximal gastrectomy with double-channel anastomosis vs tubular gastric anastomosis.
METHODS
Patients who underwent proximal gastrectomy at our hospital between January 2020 and January 2023 were enrolled in this retrospective cohort study. The patients were divided into an experimental group (double-channel anastomosis, 33 cases) and a control group (tubular gastric anastomosis, 30 cases). Baseline characteristics, surgical data, postoperative morbidities, and postoperative nutrition were recorded.
RESULTS
The differences in baseline data, surgical data, and postoperative complications (20.0% vs 21.2%) were not statistically significant between the two groups. There were no statistically significant differences in the levels of postoperative nutrition indicators between the two groups of patients during the preoperative period and at 3 months postoperatively. In addition, the levels of postoperative nutrition indicators in patients in the experimental group declined significantly less at 6 months and 12 months postoperatively compared with those of the control group (P < 0.05). At 12 months postoperatively, the difference in anastomotic reflux esophagitis between the two groups was statistically significant (P < 0.05) with the experimental group showing less reflux esophagitis.
CONCLUSION
Both double-channel anastomosis and tubular gastric anastomosis after proximal gastrectomy are safe and feasible. Double-channel anastomosis has a better anti-reflux effect and is more beneficial in improving the postoperative nutritional status.
Multiple jejunal diverticula with repeated gastrointestinal bleeding: A case report
Authors: Li Meng-Yun , Han Zhe , Wang Hao , Wang Yuan-Yuan , Zhao Zeng-Ren 
Published: December 2024

BACKGROUND
Jejunal diverticula (JD) are rare clinical conditions that are typically incidentally detected and asymptomatic. When acute complications arise, surgical exploration may be necessary for accurate diagnosis and appropriate treatment. In this report, we present a case of multiple JD complicated by gastrointestinal bleeding and review the pathogenesis, diagnosis, and treatment of JD to increase clinician awareness of this condition.
CASE SUMMARY
A 70-year-old male patient with multiple JD presented with repeated massive gastrointestinal bleeding. The patient did not respond to symptomatic conservative treatment. Additional diagnostic investigations, including digestive endoscopy and abdominal angiography, did not reveal any relevant abnormalities. An exploratory laparotomy was subsequently performed, during which a segment of the bowel containing numerous diverticulum-like structures was surgically removed. Following successful discharge from the hospital, the patient did not experience any further episodes of gastrointestinal bleeding during subsequent follow-up.
CONCLUSION
Complications caused by JD are often difficult to diagnose, and surgical exploration is sometimes the most appropriate method.
Multimodal treatment combining neoadjuvant therapy, laparoscopic subtotal distal pancreatectomy and adjuvant therapy for pancreatic neck-body cancer: Case series
Authors: Li Jia , Wang Xi-Tao , Wang Yi , Chen Kang , Li Guo-Guang , Long Yan-Fei , Chen Mei-Fu , Peng Chuang , Liu Yi , Cheng Wei 
Published: December 2024

BACKGROUND
Pancreatic cancer involving the pancreas neck and body often invades the retroperitoneal vessels, making its radical resection challenging. Multimodal treatment strategies, including neoadjuvant therapy, surgery, and postoperative adjuvant therapy, are contributing to a paradigm shift in the treatment of pancreatic cancer. This strategy is also promising in the treatment of pancreatic neck-body cancer.
AIM
To evaluate the feasibility and effectiveness of a multimodal strategy for the treatment of borderline/locally advanced pancreatic neck-body cancer.
METHODS
From January 2019 to December 2021, we reviewed the demographic characteristics, neoadjuvant and adjuvant treatment data, intraoperative and postoperative variables, and follow-up outcomes of patients who underwent multimodal treatment for pancreatic neck-body cancer in a prospectively collected database of our hospital. This investigation was reported in line with the Preferred Reporting of Case Series in Surgery criteria.
RESULTS
A total of 11 patients with pancreatic neck-body cancer were included in this study, of whom 6 patients were borderline resectable and 5 were locally advanced. Through multidisciplinary team discussion, all patients received neoadjuvant therapy, of whom 8 (73%) patients achieved a partial response and 3 patients maintained stable disease. After multidisciplinary team reassessment, all patients underwent laparoscopic subtotal distal pancreatectomy and portal vein reconstruction and achieved R0 resection. Postoperatively, two patients (18%) developed ascites, and two patients (18%) developed pancreatic fistulae. The median length of stay of the patients was 11 days (range: 10-15 days). All patients received postoperative adjuvant therapy. During the follow-up, three patients experienced tumor recurrence, with a median disease-free survival time of 13.3 months and a median overall survival time of 20.5 months.
CONCLUSION
A multimodal treatment strategy combining neoadjuvant therapy, laparoscopic subtotal distal pancreatectomy, and adjuvant therapy is safe and feasible in patients with pancreatic neck-body cancer.
Effect of ligamentum teres uteri preservation in laparoscopic high hernia sac ligation in children with indirect inguinal hernia
Authors: Lin Xiao-Qiang , Li Hua-Fang , Lin Yan-Zhu , Chen Wen-You 
Published: December 2024

BACKGROUND
Routinely separating the ligamentum teres uteri (LTU) intraoperatively remains an unresolved issue for female children undergoing surgery for indirect inguinal hernia (IIH).
AIM
To identify the effect of LTU preservation in laparoscopic high hernia sac ligation (LHSL) in children with IIH.
METHODS
The participants were 100 female children with unilateral IIH admitted from April 2022 to January 2024 to the Pediatric Surgery Department of Zhangzhou Municipal Hospital of Fujian Province. They were categorized based on LTU retention into the control group (n = 45 cases), which underwent LTU ligation intraoperatively, and the experimental group (55 cases), which had the LTU preserved intraoperatively. All children underwent LHSL.
RESULTS
This study comparatively analyzed the operation time, hospitalization time, blood loss, postoperative recurrence rate, and complications (repeated pain in the inguinal region, foreign body sensation in the inguinal region, bloody exudation at the inguinal incision, and incision infection), which were all comparable between the two groups.
CONCLUSION
The above results indicate that LTU preservation during LHSL exerts certain therapeutic benefits for children with IIH. LTU preservation does not increase hospitalization time, blood loss, postoperative recurrence rate, and complications, which is safe and feasible, compared with conventional LTU ligation. LHSL with LTU preservation should be performed if conditions permit, which is worth popularizing.
GREEN TOURISM DEVELOPMENT SITUATION AND PROSPECTS IN IMERETI REGION
Authors: Khasaia Izolda , Demetradze Tamta 
Published: December 2024

Izolda Khasaia
E-mail: izolda.khasaia@atsu.edu.ge
Associate Professor, Akaki Tsereteli State University
Kutaisi, Georgia
https://orcid.org/0000-0002-9689-4277

Tamta Demetradze
E-mail: tamta.demetradze@atsu.edu.ge
PhD candidate, Akaki Tsereteli State University
Kutaisi, Georgia

Abstract: Green tourism is the business of providing recreation and related services that are not harmful to the environment of a regional area. It promotes environmentally friendly and sustainable practices throughout the tourism value chain and minimizes the negative impacts of tourism on the environment.
The purpose of the presented research is to familiarize with the practice of green tourism development in the Imereti region and determine the existing challenges.
Research has shown that there are many examples in the business sector of combining sustainable practices and modern technologies in the tourism industry.
The paper includes examples of the current practice of green tourism included in the research of various successful businesses in the Imereti region of Georgia (hotel, hotel complex, wine tourism destinations (cellars), administration of protected areas of Imereti caves, cultural tourism facility), which emphasize various aspects of the principles of green tourism.
Small hotels are taking energy-saving measures, including reducing the frequency of towel changes and closing certain parts of the building during off-peak seasons to save energy. However, power outages are a problem because high voltage generators are not environmentally friendly. To solve this problem, there is a growing interest in alternative energy sources such as solar panels.
Small family-run wineries are an example of successful ecotourism through organic viticulture and low-intervention wine production, focused on protecting the environment through waste management. They also offer tourists authentic cuisine, local organic produce and accommodation in a green environment.
It is worth noting the initiative, which includes the strengthening of landslide-prone slopes by planting fruit trees, which naturally stabilizes the soil with roots and prevents environmental degradation.
Creating additional green areas for tourists to relax and enjoy nature is another practice adopted by the respondents. This is in line with the growing emphasis on sustainability and the environment.
The development of green tourism faces many interrelated challenges that require the joint efforts of the government, the private sector and civil society.
Despite the problems related to waste management, wastewater, financial etc. Developing practices and growing awareness among industry representatives indicate a good future for green tourism in Imereti.
Keywords: green tourism, sustainable development, waste management, environmental protection, wine cellars, Imereti

JEL classification: Z320
You Will Recognize Her… About the Transformations of the Female Body in Cinema
Authors: Penner Regina V. 
Published: December 2024

The study of female corporality in cinema is relevant in the context of the analysis of contemporary ideas about the body as a cultural and ideological construct. In the con-text of mass visual culture, the female body is often depicted stereotypically, emphasizing either sexualized or vulnerable aspects, which limits the depth of perception of corporality and female identity. The purpose of the article is to identify how cinematic images of the female body serve as a means of conveying cultural and social meanings, as well as to expose the illusory nature of ideas about the female body often created by screen culture. The study applies methods of socio-philosophical, cultural and feminist analysis, as well as the theory of visual media. Particular attention is paid to the concept of the “male gaze” and the fragmentation of corporality, which are used to identify and deconstruct stereotypical images in cinema. One of the key results of the work was the conclusion that the female corporality on screen is often depicted as a visually attractive shell, devoid of deep meaning and authenticity. Cinema represents the body as an object of the viewer's gaze, reinforcing ideological stereotypes and turning the body itself into an instrument of manipulation. The absence of an authentic body leads to a loss of subjectivity, which creates a need for new approaches to visualizing corporeality that can bring the viewer closer to an authentic experience.