bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Periodontitis and Associated Factors among Pregnant Women: A cross sectional survey in Southern Province, Rwanda
Authors: Uwambaye Peace , Kerr Michael , Rulisa Stephen , Harlan Shiau , Munyanshongore Cyprien 
Published: April 2021

Background
The literature has shown the relationship between maternal periodontitis and complications associated with pregnancy. Thus, prevalence estimates and risk factor identification for periodontitis during pregnancy in Rwanda are paramount.
Aim
The aim of the current study was to determine the prevalence of periodontitis and identify related risk factors among pregnant women in Rwanda.
Methods
A cross sectional study was conducted to determine the prevalence of periodontal diseases in a convenience sample of 400 pregnant women in the Southern Province of Rwanda. A logistic regression analysis using a hierarchical approach was performed to assess the risk factors for periodontal disease. Socio demographic factors were put in the regression model first followed by a second step for other potential factors.
Results
The overall prevalence of periodontitis was 60.5%. Multivariable logistic regression showed that age OR=2.48 (95% CI. 1.18-5.22), education level OR=82.15 (95% CI. 8.21-822.11), socio economic status OR=2.28 (95% CI. 1.49-6.62), employment status OR=7.3 (95% CI. 1.38-38.74, and tobacco use OR=6.89 (95% CI. 1.78-60.65) were significantly associated with periodontitis.
Conclusion
Periodontitis appears to be a common problem among pregnant women in Rwanda. Risk factor screening could help identify pregnant women at higher risk of periodontal disease.
Rwanda J Med Health Sci 2021;4(1):131-150
Proximate Predictors of Vaginal Delivery in Primigravid women at a Tertiary Health Facility in Ibadan, Nigeria
Authors: O. Bello Oluwasomidoyin , A. Onebunne Chinedum , M.E Takpe Raymond 
Published: April 2021

Background
Successful vaginal delivery (VD) is the desire of every parturient. This is however not always so especially for primigravid women. Predictive factors can help the counselling process and allay the anxiety that this group of parturients experience.
Objective
To determine the prevalence and predictors of vaginal delivery among primigravid women at a tertiary health facility.
Methods
This was a 6-month cross-sectional study of 200 primigravid women that were planned for vaginal delivery. Information was obtained using structured proforma. Bivariate and multivariable analysis was used to identify the proximate predictors of VD.
Results
The prevalence of vaginal delivery was 50.0%. Labour onset was spontaneous in 78.0%; 10.0% had engaged fetal head prior to labour onset while labour was augmented in 18.0% of the parturients. Labour lasted ≤12 hours in majority (67.5%) with about half (49.5%) having successful vaginal delivery. Factors predicting successful vaginal delivery were spontaneous labour onset (OR=3.555, 95% CI=1.626-7.774), booked pregnancy (OR=3.008, 95%CI=1.361-6.647), and early fetal head engagement (OR=6.484, 95% CI=1.686-24.943).
Conclusion
The identified predictive factors of vaginal delivery in this study will aid counselling of primigravid women regarding the likelihood of successful vaginal delivery especially in the absence of other obstetric complications.
Rwanda J Med Health Sci 2021;4(1):20-36
PENALARAN KREATIF MATEMATIK DITINJAU DARI GAYA KOGNITIF: SUATU ANALISIS PROSES BERPIKIR
Authors: Nyangnyang Supriatna  , Ebih Ar Arhasy  , Nani Ratnaningsih  
Published: April 2021

Penelitian ini bertujuan untuk Mendeskripsikan proses berpikir dari Penlaran Kreatif peserta didik dalam memecahkan masalah matematik ditinjau dari Gaya Kognitif. Jenis penelitian ini termasuk kualitatif dengan metode eksplorasi. Data dikumpulkan dengan menggunakan metode think aloud saat peserta didik mengerjakan soal test Penalaran Kreatif. Hasil penelitian menunjukan bahwa: peserta didik dengan Gaya Kognitif Field Independent tinggi dan peserta didik dengan Gaya Kognitif Field Independent rendah mampu menenentukan ukuran panjang jari-jari kolam dari permasalahan nomor satu dengan menggunakan lebih dari satu cara serta memberikan argumen yang tepat (aspek Flexibility)(aspek Novelty), sedangkan peserta didik dengan Gaya Kognitif Field Dependent tinggi dan peserta didik dengan Gaya Kognitif Field Dependent rendah belum mampu melengkapi ukuran jari-jari kolam yang terdapat pada soal nomor satu. Peserta didik dengan Gaya Kognitif Field Independent tinggi dan peserta didik dengan Gaya Kognitif Field Independent rendah mampu menjawab pertanyaan nomor dua, dengan membuktikan bahwa tidak semua ukuran sudut yang ditanyakan kurang dari serta mampu memberikan argumen dengan logis (aspek Matematical Foundation)(aspek Flausibility). Sedangkan Peserta didik dengan Gaya Kognitif Field Dependent tinggi dan peserta didik dengan Gaya Kognitif Field Dependent rendah tidak dapat menentukan ukuran sudut dari permasalahan nomor dua, sehingga tidak dapat membuktikan kebenaran dari pertanyaan yang diberikan
Work-Related Stressors, Coping Strategies: Its Relation to Job Performance and Perceived Organizational Support among Critical Care Nurses
Authors: Morsy Mahdia M. E. , Ebraheem Shaimaa M. A. 
Published: April 2021

Context: Work-related stressors are a world phenomenon. It results in a variety of diseases or disorders in terms of physical, psychological, and behavioral. It is commonly associated with jobs that require a lot of direct interactions with clients such as nurses that could affect nurses' job performance and cause high costs for the hospital. A problem needs a sense of support from the organization.
Aim: The present study was aimed to assess work-related stressors, coping strategies, and its relation to job performance and perceived organizational support among critical care nurses.
Methods: The study was conducted at Critical Care Units at Benha University Hospital. Subjects: All staff nurses (235) who working at Critical Care Units at Benha University Hospital. A descriptive correlational design was utilized. Four tools were employed in this study, Work-Related Stressors Assessment Questionnaire, The Coping and Adaptation Processing Scale (CAPS), Nurses' job Performance evaluation (observational checklist), and Perceived Organizational Support Questionnaire.
Results: This study's findings indicated that nearly three-fifths (60.4%) of staff nurses had a moderate level of the work-related stressor. Also, about two-thirds (63.90%) of them had a high level of coping strategies and, about two-thirds (65.90%) of staff nurses had a moderate level of perception of organizational support and nearly half (49.80%) of nurses had a low level of performance.
Conclusions: The present study concluded that nurses reported a moderate perception level regarding work-related stressors and organizational support. While nurses reported a high level of coping strategies and a low level of job performance, there was a statistically significant negative correlation between the total score of work-related stressors and nurses' job performance. There was a statistically significant positive correlation between coping strategies and nurses' job performance. A statistically significant positive correlation was revealed between total perceived organizational support and total level of nurses' job performance. The study recommended that hospital administration organize seminars and workshops for nurses targeted at specific sources of stress like conflict resolution, workload, and time management. Efforts to improve nurses' performance must be performed, aiming to increase nurses' ability to complete tasks assigned to them through education and training.
Essential Elements of Preoperative Information as Perceived by the Nurses in Surgical Units: Scoping Review
Authors: Almashi Ashwaq M. , Almutary Hayfa H. , Mersal Nahed A. 
Published: April 2021

Context: Nurses worked as primary educators in perioperative teaching. The delivery of preoperative teaching may be affected by the nurses' perception of what information should be involved. Their perceptions possibly have a direct effect on their performance regarding the preoperative information. Understanding the nurses' point of view may help the nurses to increase their knowledge of the preoperative information details, to provide better nursing care, and to improve patient outcomes.
Aim: To identify the relevant evidence on the nurses' perceptions regarding the essential elements of preoperative information in addition to the methods of information delivery and the factors that reduce or prevent information delivery.
Methods: A scoping review method was used to allow for the mapping of the relevant evidence and the synthesis of the findings. CINAHL, MEDLINE, and PubMed databases were searched from inception until December 2019. Seven studies met the inclusion criteria with a sample size of 812 nurses involved in the review.
Results: The results indicated that Anaesthesia information (69.55%) and details about operation (62.1%) were most crucial preoperative information as perceived by nurses. Oral explanations were most essential actual and preferred method of information delivery. The top barriers to provide sufficient information were time availability (64.25%), the types of questions (64.17%), and language barriers (61.75%). The review also found that the Preoperative Teaching Questionnaire (PTQ) was the most assessment instrument used to assess nurses’ perception regarding the preoperative information.
Conclusion: This scoping review has assessed the nurses' perceptions regarding the essential elements of preoperative information. Understand nurses' view regarding the preoperative information are important to determine the essential elements of preoperative teaching, ensure the quality of care, and better patient's outcome. However, further studies are needed to assess the nurses' perception regarding essential preoperative information and to examine the different strategies and teaching modalities used to create an effective preoperative teaching program.
The Perspective of Leader-Member Exchange and Its Relation with Workplace Empowerment and Organizational Citizenship Behavior among Nurses
Authors: Mohamed Nora A. A. , Morsi Mahdia M. E. , Mahmoud Salwa I. 
Published: April 2021

Context: Leader-member exchange captures the impact of nurses’ perceptions of support from their supervisors’ high-quality relationships, which may promote extra-role behaviors, enabling increased job satisfaction and workplace empowerment and nurses` organizational citizenship behavior.
Aim: Assess the perspective of leader-member exchange and its relation with workplace empowerment and organizational citizenship behavior among nurses.
Methods: A descriptive correlational design was used to achieve the aim of the study. This study was conducted at Benha University Hospital in general medical and surgical units. A Convenient sample consisted of 190 nurses who were working in the study setting, as mentioned earlier. Three tools used to collect the data; Subordinate (LMX-MDM) survey portion, Condition of Work Effectiveness Questionnaire (CWEQ), and Organizational Citizenship Behavior Scale.
Results: The findings of this study indicated that more than half of nurses (54.7%) reported that they had a high-quality relationship with their supervisors, and 71.1% of nurses had a moderate level of workplace empowerment. Also, more than half of nurses (51.1%) had a moderate level of organizational citizenship behavior.
Conclusions: There was a highly statistically significant positive correlation between the total score of leader-member exchange and total workplace empowerment, total organizational citizenship behavior. Also was a highly statistically significant positive correlation between the total workplace empowerment, total organizational citizenship behavior. The study recommended that hospital management needs to focus on involving staff nurses in the political processes in an organization and keep them informed about significant changes in the organization and have a protective attitude toward it.
Абайды абайлайық
Authors: Дандай  Ысқақұлы  
Published: April 2021

"Мақалада қазақтың ұлы ақыны Абай Құнанбаевтың шығармашылығы, жеке басы хақында айтылған кейбір келеңсіз пікірлердің негізсіз екендігі сөз болады. Осы ретте «Абай» деген ақын мүлдем болмаған, «Абай» деп жүргеніміз – Әлихан Бөкейханов, «Абай» – шын адамның аты емес, гетероним, Абай – отызыншы жылдары қолдан жасалынған ақын» деген сияқты пікірлердің шындыққа жанаспайтындығы ақынның шығармашылығы отызыншы жылдарға дейін-ақ қаншалықты қиындықтардан өтіп, таныла түскендігі дәлелденіледі. "
Calculating Expected Time of Delivery in Laboring Women Using Paperless Partogram: An Innovation for a Resource-limited Nation
Authors: Debdas Aloke , Mitra Jayeeta R , Singh Ritesh 
Published: April 2021

ABSTRACT
Introduction
Partogram is an important tool to monitor the progress of labor. Existing WHO partogram is too cumbersome for the busy healthcare providers working in labor rooms in developing nations. There is a need to develop a more user-friendly way to measure the progress of labor and thus prevent the unfortunate events during labor.

Methods
The descriptive study was conducted in the Department of Obstetrics and Gynaecology of a teaching medical institution of India. The participants were patients in labor. Patients were enrolled once they fulfilled eligibility criteria and gave informed consent. Expected time of delivery (ETD) was calculated by application of Friedman's formula of cervical dilatation in “active phase” of labor of 1 cm/hour, which is applicable from 4 cm dilatation onwards. It was written in bold letters on the case sheet. Women were managed as usual, and the progress of labor was monitored. Proportion of women delivered within reasonable time of the ETD was calculated.

Results
Out of the 110 women included in the study, 73 (66.4%) were nulliparous. The mean (SD) gestational age of them was 38.47 (1.4) weeks. More than half of the women presented at 4 cm cervical dilatation. 11.7% of the women required either 2.5 or 5 U of Syntocinon injection. 75 (68.2%) women delivered on or before time of the calculated ETD. 33 (30%) women delivered within ±60 minutes of the calculated ETD. There was no significant association between the parity status of the woman and the induction of the labor. Similarly, parity status had no association with the time difference between the actual and expected time of delivery.

Conclusion
Paperless partogram is an important alternative to the conventional partogram. It can be used in resource-constraint settings to save resources and future mothers.
How to cite this article
Debdas A, Mitra JR, Singh R. Calculating Expected Time of Delivery in Laboring Women Using Paperless Partogram: An Innovation for a Resource-limited Nation. J South Asian Feder Obst Gynae 2020;12(6):363–365.
Efficacy of ProEx C in Detecting Cervical Squamous Epithelial Lesions: A Cross-sectional Study
Authors: Nayak U Ashwini , Muthukumar Vijayshree , Sridhar HS , Dutt Vivaan , Raj Madhu P 
Published: April 2021

ABSTRACT
Objectives
To determine the diagnostic value of ProEx C in the detection of cervical squamous epithelial lesions.

Materials and methods
A cross-sectional study was conducted on 60 cataloged cervical biopsy specimens. The specimens were received from incident cases for routine histopathological evaluation in MS Ramaiah Hospital. Immunohistochemical examination was performed on paraffin biopsy blocks of the specimen for nuclear and cytosolic staining with ProEx C. From the data, the proportion of positive staining cells and the average intensity of staining were assessed.

Results
As per this study, the sensitivity and specificity of ProEx C were found to be 95 and 83%, respectively.

Conclusion
ProEx C is an ascertained highly sensitive and specific marker. This will help to overcome the drawbacks of basic screening methods in terms of inter- and intra-observer variations and false-positive and false-negative values, and either replace or complement the less economical human papillomavirus (HPV) DNA testing in the triage for developing nations.

Clinical significance
The use of ProEx C as an immunohistochemical marker is a highly reliable indicator of not only the presence of cervical squamous epithelial lesions but also the grade of the lesion. With high positive and negative predictive values for dysplasia and invasive carcinomas as well, ProEx C serves as an excellent diagnostic tool for cervical intraepithelial lesions.
How to cite this article
Nayak AU, Muthukumar V, Sridhar HS, et al. Efficacy of ProEx C in Detecting Cervical Squamous Epithelial Lesions: A Cross-sectional Study. J South Asian Feder Obst Gynae 2020;12(6):383–386.
Bowel Perforation due to COVID-19: A Mini Review
Authors: Saxena Rajiv K , Indrani Chaitanya , Ramani Manisha V 
Published: April 2021

ABSTRACT
Background
The severe acute respiratory syndrome coronavirus-2 was initially believed to be an infection of only the respiratory system. It is now known to have many extrapulmonary affections including gastrointestinal symptoms associated with high mortality rates. An unusual presentation of bowel perforation in a patient who had recently undergone cesarean delivery prompted us to report this mini review of bowel perforations attributed to coronavirus.

Case
Our patient, a 19-year-old primigravida, underwent an emergency cesarean section under spinal anesthesia. Intraoperative events and postoperative period were uneventful, and the patient was discharged on postoperative day 5. On the 10th postoperative day, the patient presented in septic shock to the emergency department with complaints of acute epigastric pain, vomiting, loose stools, and bilious discharge from the wound site. Oral contrast computed tomography was done, which revealed a proximal jejunal perforation. The patient was taken up for laparotomy followed by bowel repair with placement of intraperitoneal drains. Immediate postoperatively, the patient developed high-grade fever for which reverse transcription polymerase chain reaction (RT-PCR)_ for COVID-19 was sent. The result for the same turned out to be positive. Twenty-four hours after the laparotomy, the intraperitoneal drains again started draining copious bilious discharge along with the deterioration of general condition of the patient. She expired on the third postoperative day.
This was followed by a thorough research of the literature into possible etiologies for bowel perforation. In this mini review, we shall be discussing various case reports to determine the cause of such unusual presentation in our patient.
How to cite this article
Ramani MV, Saxena RK, Indrani C. Bowel Perforation due to COVID-19: A Mini Review. J South Asian Feder Obst Gynae 2020;12(6):427–431.
Correlation between Pain Perception and CGRP Expression during Initial Tooth Alignment Using either a Self-ligating or a Pre-adjusted Bracket System
Authors: Widayati Retno , Soedarsono Nurtami , Johanes Arief , Soegiharto Benny M 
Published: April 2021

ABSTRACTAim and objectiveOrthodontic tooth movement (OTM) occurs when the force applied to the tooth stimulates inflammation and alveolar bone remodeling. Less friction is produced by passive self-ligating (PSL) brackets compared to pre-adjusted edgewise (PE) brackets; therefore, PSL bracket use is thought to result in less pain than the use of PE brackets. The neuropeptide calcitonin gene-related peptide (CGRP), isolated from gingival crevicular fluid (GCF), can be used as a pain biomarker for OTM. Pain perception can be subjectively evaluated using the visual analog scale (VAS). This study aimed to analyze pain perception, using the VAS and CGRP levels, and to examine the correlation between VAS scores and CGRP levels.Materials and methodsA total of 15 patients were included in this study (a PSL group, a PE group, and a control group). GCF was collected from the lower anterior teeth, at interproximal sites, before bracket insertion and 2 hours, 24 hours, and 168 hours after lower archwire engagement. Pain perception was recorded using the VAS. CGRP concentrations were analyzed using an enzyme-linked immunosorbent assay (ELISA).ResultsThe VAS scores of the PE and PSL groups increased 2 hours after archwire engagement, peaked after 24 hours, and returned to baseline after 168 hours, and the PE group had high scores than the PSL group, with the highest score being recorded at the 24 hour time point. CGRP concentrations were also the highest at the 24 hour time point compared to the other time points.ConclusionThese results showed that both the VAS score and the CGRP concentration increased during initial orthodontic tooth alignment when using either the PSL or the PE bracket systems. Pain perception scores and CGRP concentrations were weakly positively correlated.Clinical significanceThe type of bracket system used influenced the patients’ pain perception scores and the release of CGRP.How to cite this articleJohanes A, Widayati R, Soedarsono N,et al.Correlation between Pain Perception and CGRP Expression during Initial Tooth Alignment Using either a Self-ligating or a Pre-adjusted Bracket System. J Contemp Dent Pract 2020;21(12):1312–1315.
Interarch Traction Strategy for Palatal Cuspid Impactions
Authors: Venugopal Adith , Vaid Nikhilesh R 
Published: April 2021

ABSTRACT

Aim and objective
To disimpact a palatally impacted canine using a novel, compliance-dependent technique.

Background
Orthodontic traction of palatally impacted teeth warrants careful mechanical strategies to avoid complications that include root damage to adjacent teeth and resorptions. Sound biomechanical control to avoid these side effects is considered paramount in planning the traction.

Technique
The palatally impacted canine was pulled into the arch with the aid of a modified power arm on the exposed canine and a miniscrew on the lower arch.

Conclusion
The impacted canine was successfully brought into occlusion within 11 months.

Clinical significance
This paper highlights the use of a simple strategy using interarch mechanics and temporary anchorage devices (TADs) to aid in the safe mechanical eruption of impacted palatal canines without the need to bend complex wire designs.
How to cite this article
Venugopal A, Vaid NR. Interarch Traction Strategy for Palatal Cuspid Impactions. J Contemp Dent Pract 2020;21(12):1408–1411.