bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pulmonary artery pressure sensor device performance in patients with atrial fibrillation/flutter
Authors: Almani Muhammad Usman , Alzubi Jafar , Yousuf Muhammad , Alrawashdeh Razan , Fatima Noor , Al Madani Mohammad , Bonita Raphael 
Published: December 2024

Background: Previous studies have demonstrated that hemodynamic-guided management using implantable pulmonary artery (PA) pressure sensor device reduces heart failure (HF) hospitalizations in patients with HF. It is unclear if atrial fibrillation/flutter (AF) affect the performance of the PA pressure sensor.Methods: Using the National Readmission Database (NRD) we examined 90-day HF-specific and all-cause readmission in patients with and without AF after PA pressure sensor implantation in the US from 2016 to 2020 in a propensity score matched analysis. Our cohort comprised of adult patients (≥18 years) with an ICD-10 procedural code for PA pressure sensor implantation. Results: We included 1515 hospitalizations with PA sensor implantation for 90-day readmission analysis. Among patients implanted with the PA pressure sensor, 17.2% of patients without AF and 16.3% of patients with AF were readmitted primarily for HF within 90-days of discharge (Adjusted OR: 1.07, 95% CI 0.61 – 1.87, p = 0.800). Whereas, 36.3% of patients without AF and 33.9% of patients with AF were readmitted for any cause within 90-days of discharge (Adjusted OR: 0.85, 95% CI 0.53 – 1.37, p = 0.505). In subgroup analysis, there was no difference in HF-specific or all-cause readmission in AF patients with HF with reduced ejection fraction or HF with preserved ejection fraction when compared to those without AF.Conclusions: Analysis of a large, real-world cohort of HF patients with implantable PA pressure sensor showed that HF-specific and all-cause readmissions at 90 days after PA pressure sensor implantation were comparable between patients with and without AF.
Comprehensive Analysis of Factors Influencing Patients’ Preferences and Attitudes toward Dental Treatment Choices
Authors: Krishnan G. Ajai , Nair Admaja K. , Bhaskar Bindu V. 
Published: December 2024

Abstract

Introduction:
In recent years, patient preferences and attitudes have become crucial in shaping dental treatment choices and service utilization. Understanding these preferences is crucial for improving service delivery and patient satisfaction.

Aim:
This study aims to comprehensively analyze the factors influencing these preferences, focusing on demographic, socio-economic, and behavioral variables, and the growing role of social media in healthcare decisions.

Methodology:
A cross-sectional survey using an online questionnaire was conducted among Indian individuals aged 18 years and above, yielding 231 responses. The data were analyzed using descriptive statistics, Chi-square tests, and ANOVA to assess associations and significant differences among variables. Factor analysis was used to determine factors influencing the selection of dental care services.

Results:
The findings suggest that younger adults (76.6% aged 18–43 years) and females (65.8%) are more engaged in digital consultations and dental care decisions. Key factors influencing dental care choices include previous experience, painless treatment, and availability. Trust in social media for dental information is low, with 72.7% expressing doubts about its accuracy. Factor analysis identified four key dimensions affecting dental care choices which were grouped as patient-centric dental service quality, external validation and assurance, experience and cost-driven decisions, and professional competence.

Conclusion:
The study underscores the importance of maintaining high-quality service, effective communication, and leveraging professional referrals and online reviews to enhance patient trust and satisfaction. Despite social media’s rising role, direct professional advice remains the preferred source for dental care decisions.
Coffee Consumption, General Obesity and Abdominal Obesity in Adults: A Systematic Review and Meta-Analysis of Cross-Sectional Studies
Authors: Nemati Mohammad , Soltani Sanaz , Almasi Fatemeh , Salari-Moghaddam Asma , Larijani Bagher , Ebrahimzadeh Armin , Milajerdi Alireza , Esmaillzadeh Ahmad 
Published: December 2024

Background:
Findings from cross-sectional studies on the association between coffee consumption and odds of obesity are inconsistent. We aimed to perform a meta-analysis of earlier cross-sectional studies on the association between coffee consumption and odds of obesity.

Materials and Methods:
The online databases of PubMed, ISI Web of Science, Scopus, Science Direct, and EMBASE were systematically searched to identify relevant publications up to April 2023. Cross-sectional studies that considered coffee as the exposure and general and abdominal obesity as the outcome were included. Studies that had reported odds ratios (ORs) as effect size were included in the meta-analysis. To pool data, a random-effects model was used.

Results:
In total, 23 studies were included in our systematic review. Twelve publications on general obesity and 15 publications on abdominal obesity were examined in the meta-analysis. Overall, 207551 individuals aged ≥19 years were included. With regards to general obesity, pooling 13 effect sizes from 12 cross-sectional studies showed that coffee intake was not associated with odds of general obesity (overall OR: 1.11; 95% CI: 0.92, 1.33). In subgroup analysis by gender, we found a significant positive association between coffee consumption and odds of general obesity in women (OR: 1.84; 95% CI: 1.51, 2.24). Concerning abdominal obesity, combining 18 effect sizes from 15 studies, we failed to find a significant association between coffee consumption and odds of abdominal obesity (OR: 1.03; 95% CI: 0.92, 1.15).

Conclusion:
No significant association was found between coffee intake and odds of obesity. However, gender-stratified analyses revealed significant relationships.
Concept of Implant Placement in Deficient Posterior Maxillary Bone by Osseodensification Technique
Authors: Kolhe Vivek , Wawle Ashish G. , Naphade Milind V. , Adwani Nitin , Gondhalekar Rajashree 
Published: December 2024

Aim:
The aim of this study was to analyze new bone formed after indirect sinus lift using Densah bur at 6 months and 1 year postoperatively.

Materials and Methods:
This study is a randomized control trial. Fifteen patients with edentulous deficient posterior maxilla were recruited for the surgery by osseodensification (OD) technique. This study enrolled healthy adults aged 18 and older, with good oral health, who required one or more dental implants in the posterior maxilla to support fixed rehabilitations such as single crowns or fixed partial prostheses. Inclusion criteria comprised individuals with sufficient buccopalatal width, a minimum of 3.5 mm residual bone height at the intended edentulous area, and an absence of diagnosed bone diseases or medications known to impact bone metabolism. Periotest was used for analysis.

Results:
At preoperative, residual bone height was only 5.65 (1.87) mm which increased to 12.13 (0.87) mm at postoperative immediate levels, and remained stable at 11.97 (0.85) mm at 6 months postoperative and at 11.4 (0.8) mm at 1-year postoperative. On overall comparison of bone measurements at different time intervals using repeated measures analysis of variance F-test, there was found to be highly statistically significant (P < 0.001) difference among overall comparison in relation to bone height.

Conclusion:
For the treatment of low-density edentulous areas, especially in individuals with osteoporosis, the OD technique involving the reversal of drilling direction is a reliable and straightforward method that does not necessitate specialized equipment.
Effect of Vitamin E versus Vitamin C Application on Wound Healing in the Gingival Depigmentation Procedure: A Split-mouth Clinical Comparative Study
Authors: Agrawal Ritu , Chauhan Shailendra , Sinha Aditya , Sharma Satendra , Singh Gaurav , Garg Ankita 
Published: December 2024

Aim:
The aim of this study was to evaluate the clinical efficacy of Vitamin E and C application on healing after the gingival depigmentation (GD) procedure.

Materials and Methods:
A split-mouth study was planned for subjects with gingival melanin hyperpigmentation in maxillary and/or mandibular arches. Each site was randomly divided into two groups. The scalpel surgical technique for depigmentation was performed under local anesthesia. After the depigmentation procedure, Vitamin E was applied in Group 1, and Vitamin C was applied in Group 2. The healing index and Visual Analog Scale scores for pain were recorded on the 15th day and the 45th day postoperatively.

Results:
There was a statistically significant reduction in Visual Analog Scale scores and improvement in healing in both groups on the 15th day. Subjects in the Vitamin E showed better healing and reduced pain on the 15th day as compared to Vitamin C, but at the 45th day, there was no significant difference in both groups.

Conclusion:
Subjects would show faster healing with the use of Vitamin E application after the surgical procedure of GD.
Clinical Evaluation and Assessment of Laser Irradiation on the Stability of Orthodontic Implant: A Prospective Experimental Study
Authors: Shehare Namrata , Daokar Suchita , Ghunawat Dhananjay , Kaurani Harsha 
Published: December 2024

Background:
Currently, the orthodontic implants have reached to a peak where they are considered a dependable modality to provide temporary supplemental anchoring in orthodontic therapy. When absolute anchoring is a necessity or in cases of minimally cooperative patients, these devices can help to manage skeletal anchorage. However, its failure is a major complication that occurs during orthodontic treatment which is multifactorial. The stability of the mini-implant is crucial to the outcome of orthodontic intervention. Approaches to increasing the stability of the mini-implant were researched. Hence, this study was carried out to compare and contrast and clinically assess the integrity of orthodontic implants over time.

Subjects and Methods:
Split-mouth technique of treatment was carried out on 16 patients, i.e., one side of the mandible was considered the experimental group (implant site irradiated with laser after placement) and the other was considered the control side (implant site not irradiated with the laser). Titanium mini-implants of the dimensions 1.5-mm diameter and 6-mm length were employed in the present study. They were positioned in the interradicular space between the first molar and second premolar in the mandibular posterior region, 7-mm apical to the alveolar crest. During the whole process, the laser utilized was a multimode GaAs diode laser with a wavelength of 980 nm. It had 0.5–10W output power which was adjustable with the frequency of 1–20 kHz and its main body input voltage was DC12 To further analyze the stability of the implant which in turn would aid in success assessment, the resonance frequency concept was utilized. The readings were recorded (T0) after insertion, (T1) 24 h after insertion, (T2) 2 weeks after insertion, (T3) 4 weeks after insertion, (T4) 6 weeks after insertion, and (T5) 8 weeks after insertion. The higher the implant stability quotient values the greater the stability and hence the optimal loading time.

Results:
The test employed for statistical analysis was Mann–Whitney U, Kruskal–Wallis, and ANOVA test. After analysis of all the readings, it was found that low-level laser therapy has a significant role in the stability of orthodontic mini-implant.

Conclusion:
Findings from this study suggest that low-level laser irradiation at the time of implant placement controls the inflammatory reaction around the implant and improves its stability.
Comparing the effects of intercostal and subcostal flank incision on post-operative pain and incisional hernia or bulge in patients undergoing open kidney surgery: A randomized clinical trial
Authors: Abdi Alireza , Imani Behzad , Mousavibahar Seyed Habibollah , Khazaei Salman , Jalal Shima Bahrami 
Published: December 2024

Abstract

BACKGROUND:
Flank incision, a common approach in kidney surgery, has several types. This study was carried out to examine the effect of using subcostal and intercostal flank incisions on post-operative pain, incisional hernia or bulging, and incision time and wound closure time in patients undergoing open kidney surgery.

MATERIALS AND METHODS:
This randomized clinical trial was conducted Iran (2023–2024). Sixty-four patients were randomly divided into two groups of 32 patients, subcostal and intercostal, based on available sampling technique. The Visual Analog Scale was used to assess post-operative pain. The abdominal wall asymmetry (AWA) technique was used for both hernia and bulge, and clinical examination was done by a urology surgeon for diagnosing AWA. Data analysis was done using SPSS-23.

RESULTS:
In the subcostal group, a higher incidence of AWA was observed when compared to the intercostal group at 6 months post-operation, and this difference was statistically significant (P = 0.039). However, there was no significant difference between the two groups at 3 months post-operation in this regard (P > 0.05). The mean pain score of patients at 24 and 72 h post-operation was significantly higher in the intercostal group than in the subcostal group (P < 0.05); however, at the first hour and on day 7 post-surgery, no significant difference was found between the two groups in this regard (P > 0.05). In addition, no significant differences existed between the two groups regarding incision time and wound closure time (P > 0.05).

CONCLUSION:
Intercostal incision, when compared to subcostal incision, was associated with lower probability of development of hernia or bulge, in spite of its higher-level post-operative pain.

TRIAL REGISTRATION:
This study was registered with the Iranian Clinical Trials Registry under the code IRCT20230208057358N1 on 2023.02.11.
Suture versus tacker closure of the peritoneum in transabdominal preperitoneal repair of inguinal hernia: A prospective comparative cohort study
Authors: Rajagopal C. , Sunil Krishna M. , Bhat Pavan M. 
Published: December 2024

Abstract

BACKGROUND:
Laparoscopic transabdominal preperitoneal repair of inguinal hernia (TAPP) is routinely done by general surgeons. (1) One crucial step is peritoneal closure post-mesh placement to prevent contact with the bowel. (2) There are various techniques available for peritoneal closure. (3) This prospective comparative cohort study compares the effectiveness of sutures versus tackers in terms of time efficiency, cost, postoperative patient comfort, and complications.

MATERIALS AND METHODS:
This prospective comparative cohort study included patients undergoing unilateral TAPP at a tertiary care hospital in South India from December 2022 to April 2024. A total of 80 patients were included in the study, of which 50 underwent peritoneal closure by tackers and 30 underwent peritoneal closure by sutures based on the standard of care of the operating surgeon. These patients were observed intra-operatively, post-operatively, and during the first follow-up visit at 10–14 days and at 3 months.

RESULTS:
Peritoneal closure time was significantly lower for the tacker group (2.78 min vs. 11.17 min, P < 0.001). The tacker group had a higher cost (₹5313 vs. ₹1855, P < 0.001) and experienced increased postoperative pain at both 10–14 days (36% vs. 10%, P = 0.011) and 3 months (24% vs. 6.7%, P = 0.048).

CONCLUSION:
This study shows that although suturing for peritoneal closure is more time-consuming and technically challenging, it can significantly reduce the material cost and reduce both early and late postoperative pain. Using barbed suture materials can help reduce operative times.

TRIAL REGISTRATION:
Study registered under the Clinical Trial Registry of India. CTRI Number: CTRI/2022/11/047211.
A Case Report of Ventricular Tachycardia Arising from the Papillary Muscle with Changing QRS Morphology: Focal or Reentry?
Authors: Xie Yun , Luo Qingzhi , Wei Yue , Lin Changjian , Wang Lingjie , Wu Liqun , Zhang Ning 
Published: December 2024

Abstract
Papillary muscle (PM)-related ventricular arrhythmias may have complicated electrophysiological features. A 53-year-old woman with repeated episodes of palpitations was scheduled for electrophysiological study. A wide QRS tachycardia was found to spontaneously initiate and terminate during the study, which could also be induced by programmed ventricular and atrial stimulation. The intra-cardiac electrogram confirmed it as ventricular tachycardia (VT), while activation mapping in the left ventricle revealed the earliest activation at the septo-basal segment of the anterior PM. Transient changes in the QRS morphology and ventricular arrhythmia interval were observed during VT. Further pacing maneuvers proved the mechanism of VT as anterior PM-originated Purkinje-related localized reentry. Ablation at the site of the earliest Purkinje-like potential successfully terminated VT. No VT occurred during follow-up. Therefore, focal PM-originated VT could share the same mechanism with fascicular-related reentry VT.
Collaborative Effects of Caloric Restriction and Quercetin on Age-related Oxidative Stress Reduction through NQO1/Sirt1 Gene Regulation
Authors: Ghorbani Fereshte , Biyabani Arezou , Ghadimi Darya , Nedaei Keivan , Khodabandehloo Hadi , Hemmati Mina 
Published: December 2024

Abstract

Background:
Aging is caused by the progressive accumulation of various changes in the body, which is associated with an increase in free radicals and oxidative stress (OS). The aim of this study was to investigate the potential of caloric restriction (CR) and quercetin (QUER) in alleviating OS in aging and the involvement of the NAD (P) H quinone oxidoreductase 1 (NQO1)/SIRT1 signaling pathway in these effects.

Methods:
Two age groups of male Wistar rats (eight and 20 weeks of age) were included in the study and subdivided into normal diet (ND), ND with QUER (15 mg Kg-1, IP), ND with CR, and ND with QUER and CR groups. The activities of catalase (CAT), paraoxonase (PON1), liver enzymes and lipid profiles, and the expression of SIRT1 and NQO1 genes were analyzed using the desired methods.

Results:
We showed higher liver enzymes (aspartate aminotransferase [AST], alanine transaminase [ALT], and alkaline phosphatase [ALP]), increased atherogenic lipids, and reduced PON1 activity in 20-week-old rats compared with eight-week-old rats, and the administration of QUER and CR restored these values to the normal range. The expression of NQO1 and SIRT1 is also affected by CR and QUER. CR alone and in combination with QUER significantly raised the expression of the NQO1 and SIRT1 genes. This effect was notable in SIRT1.

Conclusions:
QUER and CR together improved the detrimental effects of aging by modulating antioxidant signaling pathways, suggesting this combination is a complementary therapeutic regime for aging and age-related diseases.
Experiences and Perspectives of Female Employees Regarding Work-Family Balance Following Maternity Leave: A Cross-Sectional Survey in Southeastern Iran
Authors: Khajeh Zahra , Nakhaee Nouzar 
Published: December 2024

Abstract

Background:
Work-family balance has emerged as one of the influencing factors for the physical and mental health of working mothers and their children.

Aims:
The present study aimed to understand the experiences and perspectives of working mothers on maternity leave and return to work after childbirth. This cross-sectional survey was conducted in three major cities in southeastern Iran.

Methods:
Working mothers who had at least one live birth during the 3 years prior to the survey, aged between 18 and 49 years, and living with their husbands were enrolled using a consecutive sampling method. The sampling framework consisted of all government workplaces that had at least 30 female employees. Using a validated anonymous questionnaire consisting of demographic and attitude variables, we assessed the working mothers’ experiences and perspectives regarding the quantity and nature of the last maternity leave and how supportive their workplace was. Descriptive statistics with frequencies and percentages were used. To compare categorical variables between groups, the Chi-square test was used. A P value of less than 0.05 was considered significant. Statistical analysis was done using SPSS version 22.

Results:
A total of 900 female employees were invited to participate in the study, and finally, 741 valid questionnaires were analyzed. More than 21% of them reported that the office had changed their position or type of work after returning to work. Women with higher position jobs reported a higher husband’s support for baby care (P = 0.03). Almost 51% of mothers agreed their workplace allowed them to use breastfeeding breaks, which was less evident in nurses (P = 0.001). Nearly 86% of them stated that mothering duties are much more important than job-related responsibilities.

Conclusions:
Our study identified areas of consideration for investing in family-friendly workplace policies in Iran.
Relationship between Musculoskeletal Disorders and Level of Stress among Homemakers in Gujarat State: An Observational Study
Authors: Teraiya Dhvani J. , Tank Krupa 
Published: December 2024

ABSTRACT

Background:
Women play a crucial role as family caregivers, engaging in HOUSEHOLD activities such as bending, kneeling, sitting, and repetitive hand motions. Musculoskeletal issues can arise from these various positions and movements, and these symptoms are linked to psychological and personal factors. The stress experienced may be an outcome of domestic responsibilities.

Objective:
The purpose of this study was to ascertain the association between stress levels and musculoskeletal disorders among Gujarati homemakers.

Materials and Methods:
After the ethical clearance, for data collection a designed Google Forms was spread across the Gujarat state through E-mail and social media platforms. Demographic details as well as both outcome measurement tools (Cornell musculoskeletal discomfort questionnaire and modified Perceived Stress Scale) were included in the shared Google Forms. Three hundred and thirty-two homemakers from Gujarat were selected as per the selection criteria.

Results:
The study findings revealed that musculoskeletal disorders were highly prevalent, affecting 87% of participants. Among these, the neck exhibited the highest prevalence at 39.65%, while the forearm had the lowest at 14.82%. Stress was also prevalent, with 49.65% experiencing moderate stress, 46.55% experiencing mild stress, and 3.79% experiencing high stress. A significant correlation was observed between musculoskeletal disorders and stress, with a correlation coefficient of 0.619 and a P-value of 0.00.

Conclusion:
The study concluded that the prevalence of musculoskeletal disorders was high with a moderate prevalence of stress. When musculoskeletal disorders correlate with stress, there was a positive relationship between musculoskeletal disorders and stress.