bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of metabolic syndrome and its risk factors among the government bank’s employees of district Bijnor, Uttar Pradesh: A cross-sectional study
Authors: Prajapati Ajay Kumar , Prajapati Ruchi 
Published: December 2024

ABSTRACT

Background:
Metabolic syndrome (MetS) involves having at least 3 out of 5 health conditions that increase the risk of cardiovascular disease, stroke, and type 2 diabetes mellitus. These conditions include increased blood pressure (BP), high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels. Each of these conditions is treatable with lifestyle changes and/or medication.

Objective:
1). To find out the prevalence of MetS and various risk factors associated with it through MetS’s screening criteria. 2) To find out the health risk status and stress level among bank’s employees in the government sector.

Material and Methods:
A medical health camp was organised for all bank’s employees to rule out the various health-related disorders. Thus, 64 beneficiaries were participated. A detailed history was taken regarding their socio-demographic profile, risk factors affecting the MetS, and stress levels among each individual through the direct personal interview method.

Results:
As per MetS’s screening criteria (NCEP-ATP III), the prevalence of MetS was 7.81% among the bank’s employees. The various risk factors affecting the MetS are elevated serum triglyceride level, elevated fasting blood glucose (FBG), raised BP, enlarged WC, etc., The majority of individuals had a high risk of health status 27 (42.1%) and a moderate level of stress, i.e., 38 (59.4%), respectively. Most of the participants were hypertensive 49 (76.6%), diabetic 16 (28.6%), and obese 37 (57.8%).

Conclusion:
Common concerns of male gender, increasing age and BMI, sedentary lifestyle, stress and positive family history should be considered for early identification and appropriate intervention to fight against the growing MetS epidemic.
Efficacy of Flipped Classroom and Didactic Lecture Approaches in Undergraduate Respiratory Medicine Education
Authors: Pandey Ramesh , Mishra Satyendra , Sahu Manoj , Saad Talha , Mishra Nitu , Saxena Saumya 
Published: December 2024

ABSTRACT

Background:
This study used a mixed-methods design, analyzing quantitative pre- and post-assessment scores alongside qualitative student feedback. Undergraduate students in Respiratory Medicine were randomly assigned to either the Flipped Classroom or Didactic Lecture groups.

Method:
The study compares the effectiveness and perceived impact of the Flipped Classroom versus Didactic Lecture approaches in Undergraduate Respiratory Medicine Education.

Results:
The Flipped Classroom group showed significantly higher post-assessment scores and positive feedback, highlighting increased engagement, collaborative learning, and self-directed study.

Conclusion:
The study supports the effectiveness of the Flipped Classroom over traditional lectures, emphasizing active student involvement and personalized learning in Respiratory Medicine education.
Digital Health Literacy and Surgical Information - Seeking Behaviour: A Cross Sectional Survey
Authors: Asmit Mayank , Kumar Bhartendu , Kibria Tauseef , Firdaus Soofia , Tanweer Md Khalid , Kibria Sadaf 
Published: December 2024

ABSTRACT

Background:
In an era marked by technological advancements and increased digital information accessibility, digital health literacy has emerged as a pivotal factor in healthcare decision-making.

Methods:
A cross-sectional survey involving 400 participants was conducted. Digital health literacy, information sources, frequency of surgical information seeking, and factors influencing information-seeking behavior were assessed. Data analysis included descriptive statistics and inferential tests.

Results:
The study found diverse digital health literacy levels, with 45% in the moderate category. Social media (60%) and healthcare websites (70%) were primary information sources. A significant portion (30%) frequently sought surgical information online. Trust in online information (mean = 3.85), perceived usefulness (mean = 4.12), and access barriers (mean = 2.95) played crucial roles. Digital health literacy influenced information seeking, with moderate literacy individuals (60%) being the most engaged.

Conclusion:
Understanding digital health literacy and information-seeking behavior is vital for patient empowerment and healthcare decision-making. Tailored interventions should target trust-building, perceived usefulness, and access barriers.
Long-Term Clinical Outcomes of Short Implants Versus Conventional Implants in the Posterior Mandible
Authors: Alqhtani Nasser Raqe 
Published: December 2024

ABSTRACT

Background:
Because of the posterior mandible’s shortened vertical bone height, using dental implants, there comes with special difficulties. It has been suggested that using short implants (≤8 mm) would prevent the need for subsequent surgical operations such as bone grafting. In total, 180 implants were inserted into the posterior mandible in 120 individuals who were part of this retrospective cohort research. Ninety patients in the short implant group (implants ≤8 mm) and 90 patients in the standard implant group (implants ≥10 mm) were split into two groups. Expert medical professionals installed all of the implants, and fixed prostheses were used to repair them. Over a 5-year follow-up period, clinical indicators such as implant survival rate, marginal bone loss (MBL), probing depth (PD), and patient satisfaction were evaluated.

Results:
Whereas conventional implants showed a survival rate of 95.6% (P = 0.42), the survival rate of short implants was 92.5%. The standard implant group (mean MBL: 1.0 mm) and the short implant group (mean MBL: 1.3 mm) had somewhat increased bone loss, but the difference was not statistically significant (P = 0.15). The two groups’ mean probing depth and patient satisfaction ratings were similar, with 2.6 mm for short implants and 2.4 mm for traditional implants (P = 0.38). Both implant types showed good clinical results overall with little side effects.

Conclusion:
Comparing short implants to standard implants in the posterior mandible, comparable long-term clinical results are shown. Short implants are a good substitute even if they have a little greater bone loss rate. This is especially true when there is a restricted vertical bone height.
Comparison of Root Coverage Procedure done with and without Loupes along with CGF—A Clinical Study
Authors: Elangovan Ramnath , Nallathambi Kowsalya , Maganti Dinesh C , Maganti Anitha , Soman Dona , Diwekar Niranjan 
Published: December 2024

ABSTRACT

Background:
The coronally advanced flap (CAF) is a regularly used treatment for gingival recession, which is defined by the apical movement of the marginal gingiva, resulting in root exposure and unsightly crown extension. Treatment approaches have evolved, moving toward less invasive procedures like microsurgery.

Materials and Methods:
Twenty patients with bilateral Miller’s class I and class II gingival recessions, aged between 18 and 40, were chosen at random from the Adhiparasakthi Dental College and Hospital’s outpatient department in Melmaruvathur. A coin toss was used to split the patient population into test and control groups and groups. The test group received CAF with CGF under 3.5 × magnification using dental loupes, whereas the control group had CAF with CGF membrane using standard surgical techniques. Preoperative and three-month postoperative records were made of clinical measures, such as probing depth (PD), clinical attachment level (CAL), recession height (RH), recession width (RW), and width of keratinized tissue (WKT).

Results:
Both groups’ mean postoperative values showed a significant improvement. Significant decreases in RH (3.0 mm to 0.4 mm, P < 0.0001), RW (2.6 mm to 0.3 mm, P < 0.0001), and WKT (4.2 mm to 6.8 mm, P = 0.0002) were seen in the control group. Significant decreases in RH (2.9 mm to 0.2 mm, P < 0.0001), RW (2.9 mm to 0.2 mm, P < 0.0001), and an increase in WKT (4.1 mm to 6.8 mm, P < 0.0001) were also seen in the test group. After three months, the test group had a mean percentage of 93% while the control group had a mean percentage of 87% root coverage.

Conclusion:
Adequate root coverage was achieved using both traditional and microsurgical methods. Nonetheless, 3.5 × magnification of CAF with CGF membrane resulted in reduced postoperative discomfort, better healing, more surgical accuracy, and improved ergonomics.
Biomechanical Evaluation of Different Orthodontic Archwire Materials and Their Effect on Tooth Movement Efficiency
Authors: Jain Abhay Kumar , Savana Khumanthem , Singh Shresthaa , Brajendu  , Roy Shovan , Priya Parul 
Published: December 2024

ABSTRACT

Background:
Orthodontic treatment relies on the efficient movement of teeth, which is influenced by the material properties of archwires.

Materials and Methods:
This study involved 60 patients undergoing orthodontic treatment, randomly assigned to three groups, each using a different type of archwire material: stainless steel (SS), nickel–titanium (NiTi), and beta-titanium (TMA). The evaluation was conducted over 6 months, measuring tooth movement efficiency, force delivery, and patient discomfort. Tooth movement was recorded monthly using digital models, and force delivery was assessed using a universal testing machine. Patient discomfort was evaluated through a standardized questionnaire.

Results:
The NiTi archwire group showed the highest tooth movement efficiency, with an average movement of 1.2 mm/month, followed by the SS group with 1.0 mm/month, and the TMA group with 0.9 mm/month. Force delivery was most consistent with the NiTi wires, maintaining an average force of 200 g over the treatment period. Patient discomfort was significantly lower in the NiTi group (mean score of 3.2) compared to the SS (mean score of 4.5) and TMA groups (mean score of 4.1).

Conclusion:
Nickel–titanium archwires demonstrated superior tooth movement efficiency and consistent force delivery with reduced patient discomfort compared to stainless steel and beta-titanium archwires.
Awareness of Phonetic Considerations in the Construction of Removable Dental Prostheses Among Dental Students: A Cross-Sectional Survey
Authors: Jain Sonal , Ramalingam Karthiha , Anbarasu Kayathri , Sarfoji Arun , Keerthana S. Vaibava , Priyadharshini K. 
Published: December 2024

ABSTRACT

Background:
The role of phonetics in the construction of removable dental prostheses is critical for ensuring patient satisfaction and optimal functionality. This study aims to evaluate the awareness and understanding of phonetic considerations among dental students during the fabrication of removable prostheses.

Materials and Methods:
A questionnaire-based cross-sectional study was conducted among 150 dental students. The questionnaire comprised 20 items assessing students’ knowledge, attitudes, and practices regarding the role of phonetics in removable dental prostheses. Data were analyzed using descriptive statistics and Chi-square tests to determine the significance of differences among various groups.

Results:
Out of 150 respondents, 120 (80%) were aware of the importance of phonetics in the construction of removable dental prostheses. Among them, 95 (63.3%) had received formal training on this topic, while 25 (16.7%) had learned through clinical experience. The majority (85%) of students recognized the impact of phonetic issues on patient comfort and satisfaction. However, only 60% of students routinely incorporated phonetic assessments during prosthesis construction. The Chi-square test revealed a significant difference in awareness levels between students in different years of study (P < 0.05).

Conclusion:
This study highlights a moderate level of awareness among dental students regarding the role of phonetics in removable dental prostheses. While most students understand its importance, there is a gap in practical application, indicating a need for enhanced curriculum and training focused on phonetic considerations.
Prediction of mortality in sepsis patients using stacked ensemble machine learning algorithm
Authors: Babu M , Sappani M , Joy M , Chandiraseharan VK , Jeyaseelan L , Sudarsanam TD 
Published: December 2024

ABSTRACT

Introduction:
Machine learning (ML) has been tried in predicting outcomes following sepsis. This study aims to identify the utility of stacked ensemble algorithm in predicting mortality.

Methods:
The study was a cohort of adults admitted to a medical unit of a tertiary care hospital with sepsis. The data were divided into a training data set (70%) and a test data set (30%). Boruta algorithm was used to identify important features. In the first phase of stacked ensemble model, weak learners such as random forest (RF), support vector machine (SVM), elastic net, and gradient boosting machine were trained. The SVM was used in phase 2 as meta learner to combine the results of all weak learners. All models were validated using test data.

Results:
In our cohort of 1,453 patients, the mortality rate was 27% (95% confidence interval [CI]: 25, 29). The Boruta algorithm identified inotrope use and assisted ventilation as the most important variables, which could predict mortality. The random forest outperforms (area under the curve [AUC]: 97.91%) the other algorithms. The AUCs for the other models are SVM (95.21%), GBM (93.67%), and GLM net (91.42%). However, the stacking of all the above models had an AUC of 92.14%. In the test data set, the accuracy of all methods including the RF method accuracy decreased (92.6 to 85.5%).

Conclusions:
The random forest showed high accuracy in train and moderate accuracy in the test data. We suggest more regional open-access intensive care databases that can aid making machine learning a bigger support for healthcare personnel.
Assessment of attitude, knowledge, and practice of cosmetovigilance among dermatologists of Gujarat, India
Authors: Modi Ritu , Dumra Gurusharan 
Published: December 2024

BACKGROUND:
Cosmetics have major use in the day-to-day life of people, but they are not devoid of potential side effects. Cosmetovigilance refers to the detection, assessment, monitoring, and prevention of cosmetic-induced adverse reactions. Our questionnaire-based study aimed to assess the attitude, knowledge, and practice of cosmetovigilance among dermatologists in Gujarat, India.

METHODS:
A cross-sectional, observational, questionnaire-based study was conducted among dermatologists of Gujarat. The questionnaire was validated content Validity (CV index = 0.98) and copyrighted (L-134516/2023) by the Copyright Office of India. The questionnaire contained 17 questions, and a score was given for each question. The questionnaire was distributed manually or through a digital web link, and responses were collected. Analysis of data was carried out using SPSS 20.0 software.

RESULTS:
A total of 117 dermatologists responded among these, 49 (41.9%) were resident doctors, 24 (20.5%) were faculty in teaching institutes, and 44 (37.6%) were private practitioners, and a significant difference (P < 0.05) was observed in the knowledge and practice domain among them. Although 71.8% of dermatologists had patients who experienced cosmetic-induced adverse events, only 27.3% had reported it. However, 96.6% agreed that reporting of cosmetic-induced adverse events is necessary.

CONCLUSION:
This study showed a positive attitude and adequate knowledge towards cosmetovigilance but a lack of practice in adverse event reporting.
Unpacking the Environmental Cost: The Impact of Tourism, Globalization, and Urbanization on Carbon Emissions in the Most Visited Countries
Authors: Nourin Saba , Bashir Malik Fahim , Iqbal Muhammad Shahid , Ahmad Rashid 
Published: December 2024

This study investigates the impact of Tourism, Globalization, Urbanization, Energy, FDI and Capital formation on carbon emissions of the top 10 most visited countries. The data of ten most visited economies has been collected from WDI data indicators for 2010-2023. The results reveal that both tourism and urban population growth are affecting positive CO2 emission. The regression analysis highlights the significant positive role of technological advancements in tourism and fiscal efficiency fossil fuel in driving growth, consistent emphasizing their importance in fostering innovation and economic resilience. Conversely, globalization (GLOB) and urbanization (UPG) show substantial negative effects, reflecting challenges like inequality, resource strain etc. The mixed results for FDI and GFCF suggest their benefits depend on contextual factors like institutional quality and effective governance. Globalization has a detrimental effect upon CO2 emissions. Overall, the findings point to necessity of focused strategies to handle urbanization issues, capitalize on technology breakthroughs and maximize the advantages of globalization while fortifying the financial and fiscal institutions.
Cross-Cultural Consumer Lifestyles and Sustainable Tourism in Rural Communities in Palembang Indonesia
Authors: Djumrianti Desloehal , Osseo-Asare Augustus 
Published: December 2024

Objective: To investigate how cross-cultural consumer lifestles influence rural tourism with the aim of evaluating the effectiveness of sharing economy knowledge partnerships (SEKPs) aimed at achieving UN’s Sustainable cities and communities goal (SDG 11) by transforming remote rural communities into sustainable tourism destinations in Indonesia.

Theoretical Framework: Draws on the concepts of consumer lifestyles, rural tourism, sharing economy, postcolonialism, cross-culturalism, sustainable cities and communities, to development a conceptual framework for the study.

Method: We adopt mixed research designs, involving questionnaire survey, observations, and semi-structured interviews between February-March 2022 in Indonesia. We asked participants about their willingness to collaborate to develop tourism in rural communities. The data collected was subjected to SPSS multiple regression and NVivo thematic content analysis.

Results and Discussion: We identified three factors influencing consumer lifestyles relating to UN’s SDG11: ‘collectivism’, ‘strategic orientation’, and ‘power-relationship’. We discussed these relational factors under seven thematic findings: ‘performance orientation’, ‘thinking strategically’, ‘anxiety tolerance’, ‘integrative relationship’, ‘gender balance’, ‘relational tendency’, and ‘market dynamism’.

Research Implications: The findings have implications for theory and practice in the field of sustainable tourism destination development, considering the urgency for achieving SDG11. Future research would include a wider range of stakeholders in Indonesia and other Southeast Asia countries to enhance the generalisability of the findings.

Originality/Value: The adoption of a Postcolonial lens and a Cross-cultural perspective help to clarify the concepts of consumer lifestyles, the role of SEKPs, and importance of achieving UN’s SDG11 in the transformation of rural communities into sustainable tourism destinations in Palembang, Indonesia.
Administrative Penalties for Electronic Administrative Work for Sustainable Development Goals: a Comparative Study
Authors: Rshdan Abd Alhade Mossa Hasan , Al-Atili Hadeel Muhammad Fadl , Al-Andali Mohammad Moqbel , Al-Bataineh Fuad A. , Al-Maslamani Abed Allah Hasan Ali 
Published: December 2024

Objective: This study aims to shed light on the disciplinary penalties as a result of the default violation committed by a public employee while carrying out his job duties and know how the management authority, when supervising administrative work, assesses the severity of the electronic violation for sustainable development goals.

Theoretical Framework: There are several designations to indicate the act committed by the public employee while carrying out his work electronically that makes him subject to punishment, such as the term disciplinary error, disciplinary crime, disciplinary guilt, etc.
Method: The use of the descriptive approach and the analytical and comparative approach in this study.

Results and Discussion: This study found principles governing violations and electronic disciplinary sanctions are the same as those found in their traditional counterparts, including the legality of disciplinary sanctions, the principle of proportionality between them, and others. Also, the assessment of the electronic administrative violation is carried out through the discretionary power of the disciplinary administrative authority, similar to that of traditional violations.

Research Implications: The presence of the term “electronic administration" would cause the public employee to practice his work electronically, and this may result in the occurrence of a specific act of that employee that may affect his job duties.

Originality/Value: The commission of a public employee for an electronic violation leads to imposing a penalty on him to deter him and prevent him from returning to committing it. That punishment affects his job position and may lead to the imposition of the maximum penalty, which is dismissal if the violation is of a high degree of seriousness or gravity.
Rancang Bangun Sistem Informasi Ekstrakurikuler Berbasis Web di SMK Negeri 2 Padang Panjang
Authors: Safitri Dian , Mary Thomson , Kurniawan Haris 
Published: December 2024

Kegiatan ekstrakurikuler merupakan kegiatan di luar jam pembelajaran. Kegiatan ini bertujuan untuk mengembangkan bakat dan minat siswa. Pendaftaran ekstrakurikuler menggunakan google form. Pencatatan kehadiran secara manual dengan kertas dan ditulis tangan, pengumuman menggunakan papan pengumuman informasi, dan komunikasi langsung. Pengambilan data kegiatan dilakukan secara manual menggunakan formulir kertas. Dengan pengambilan kehadiran secara manual bisa saja data tersebut hilang. Untuk evaluasi dan pengambilan data kegiatan dilakukan secara manual menggunakan formulir kertas. Untuk itu dibutuhkan sistem yang komputerisasi proses pengolahan data ekstrakurikuler SMK Negeri 2 Padang Panjang. Berdasarkan hasil pengujian Alpha (pengujian black box dan white box) dapat disimpulkan bahwa seluruh hasil pengujian baik dan pengujian Alpha berhasil. Selanjutnya berdasarkan hasil pengujian beta pada validasi tenaga ahli memperoleh hasil persentasi nilai 83,9% dengan keterangan sangat setuju dan nilai rata-rata penilaian kuesioner pengguna adalah 92,5% dengan keterangan sangat setuju. Berdasarkan hasil penelitian dan pengujian di atas dapat dideskripsikan bahwa sistem informasi ekstrakurikuler berbasis web di SMK Negeri 2 Padang Panjang yang dirancang merupakan kebutuhan fungsional yang diharapkan dapat mempermudah dalam pendaftaran anggota ekstrakurikuler dan penginputan data siswa.