bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the Efficacy of Medicinal Plants in Treating Bacterial Vaginosis: A Comprehensive Systematic Review of Interventional Studies
Authors: Kamali Mohadese , Sarhadynejad Zarrin , Tajadini Haleh , Keikha Mojtaba , Salari Zohreh , Dehesh Tania , Lashkarizadeh Mahdiyeh , Esmaili Mitra 
Published: November 2024

Background:
Bacterial Vaginosis (BV) is the most prevalent cause of vaginal infection among women. This study aimed to summarize the evidence related to the effectiveness of medicinal plants as an alternative therapy for the management of BV.

Materials and Methods:
PubMed, Scopus, Cochrane Library, Web of Science, and Medline PubMed were systematically searched. Moreover, we searched Google Scholar to explore the possible effects of herbal treatments on BV in women of childbearing age up to 2022. All randomized clinical trials investigating the effects of medicinal plants as oral or vaginal monotherapy or in combination for BV treatment in women of childbearing age were included in this systematic review.

Results:
In total, 20 studies comprising 2685 participants were included in our review. The results show that combinations of herbal medicines such as Prangos ferulacea, Berberis vulgaris, Myrtus communis, and Quercus Brantii with metronidazole can have better results in the treatment of BV. Moreover, the main results show that some medicinal plant products alone such as Forzejehe (Tribulus terrestris + Myrtus communis + Foeniculum vulgare + Tamarindus indica), Zataria multiflora, and Calendula officinalis had therapeutic effects similar to metronidazole. Propolis and Brazilian pepper tree (Schinus) were effective in the treatment of BV, but they have less therapeutic effect than metronidazole.

Conclusions:
To reduce the complications caused by chemical treatments and also the resistance of patients to these treatments, it seems necessary to use supportive treatments along with chemical drugs after the necessary approvals have been obtained.
Investigating Some Effective Factors on the Prediction of Continuous Positive Airway Pressure Failure Rate in COVID-19-Related Hypoxemia
Authors: Mehri Zahra , Mehr Azam Jahangiri , Molavynejad Shahram , Navarbafzadeh Najmeh , Adineh Mohammad , Nazari Mohammad , Nematollahzadeh Zohreh 
Published: November 2024

Background:
Considering the importance of using Non-Invasive Ventilation (NIV) in COVID-19-related hypoxemia, the present study was conducted to determine the effective factors on Continuous Positive Airway Pressure (CPAP) failure rate in COVID-19-related hypoxemia.

Materials and Methods:
This research was a retrospective cross-sectional study (2021) investigating the records of 200 adult patients with the medical diagnosis of acute respiratory failure (ARF) of COVID-19, admitted to the Intensive Care Unit (ICU) in Shoushtar (southwestern Iran) who underwent CPAP therapy. The Heart rate, Acidosis, Consciousness, Oxygenation, and Respiratory rate (HACOR) scores were measured before the treatment and 1 h after undergoing CPAP treatment. Moreover, patients’ demographic and clinical data were recorded. Data were analyzed using the Mann–Whitney, Chi-square, Wilcoxon, and logistic regression tests. The significance level was set at p ≤ 0.05.

Results:
The mean standard deviation [SD]) age of patients was 63.96 (16.23) years. Among all 200 patients, 78.50% (n = 157) experienced CPAP failure and the remaining 21.50% (n = 43) underwent successful CPAP therapy. Failure chance was 7.10% higher in patients with higher HACOR scores undergoing 1 h CPAP treatment than others. It was also 14.92% higher among patients with diabetes mellitus (DM) than non-DM patients. Additionally, old age (z = 2591.50, p value = 0.02), obesity (z = 2433.00, p value = 0.024), and elevated Blood Urea Nitrogen (BUN) (z = 2620.00, p value = 0.0) impacted CPAP failure rates among patients.

Conclusions:
The HACOR score 1 h after CPAP, DM, old age, obesity, and elevated BUN favor increased CPAP failure rates among patients.
Electrocardiogram Interpretation Competency Among Emergency Nurses in Jordan: A Cross-Sectional Study
Authors: Ayasreh Ibrahim , Alkhalaileh Murad , Habahbeh Atallah , Khatatbeh Haitham , Alhroub Nisser , Alosoufe Laith 
Published: November 2024

Background:
Electrocardiogram (ECG) is considered one of the most frequently carried out diagnostic tests in emergency rooms. To develop and refine the competencies of emergency nurses, it becomes imperative to assess the current level of knowledge and practice among nurses regarding ECG and other diagnostic tests. The study aimed to assess the ECG interpretation competency and its associated factors among emergency nurses in Jordan.

Materials and Methods:
A descriptive cross-sectional study was conducted from December 2022 to March 2023. Data were collected from 287 Jordanian emergency nurses working in six governmental, private, and teaching hospitals, and they had at least 1 year of clinical experience. Badell-Coll ECG Interpretation Competency Questionnaire was used in this study. Descriptive analyses were conducted using an independent t-test and one-way analysis of variance. A statistical significance of P < 0.05 was assumed.

Results:
Approximately, 61.43% of emergency nurses had been involved in educational sessions on ECG interpretation. The mean of the total participants’ score on the ECG assessment tool was 4.35 out of 10. Significant differences were found in the ECG interpretation competency scores based on the highest educational level (t285= -0.64, P < 0.001), job title (t285= -5.91, P < 0.001), and previous engagement in ECG training sessions (t285 = 2.50, P = 0.013).

Conclusions:
The level of emergency nurses’ ECG interpretation competency was low. Nurses should engage in ECG refreshing courses to improve their ability to detect arrhythmias early. Efforts should be made to improve the nursing educational curricula and ECG training sessions by employing electronic systems and addressing both basic and advanced arrhythmias.
Relationship between Cellphone Overuse with Sleep Quality and Self-efficacy in Clinical Performance of Nurse and Midwifery Students
Authors: Beiromvand Arezoo , Kohan Shahnaz , Taghavian Shadi , Beiranvand Reza , Amiri Hanieh , Kianpour Maryam , Sadeghi Niko 
Published: November 2024

Background:
Identification of the factors related to students’ academic success and clinical self-efficacy plays a significant role in their ability to provide independent patient care. The present study was conducted to investigate the relationship of cell phone overuse with sleep quality and self-efficacy in the clinical performance of nursing and midwifery students.

Materials and Methods:
This descriptive-correlational study was conducted on 211 nursing and midwifery students of Isfahan University of Medical Sciences in 2021–2022. Data collection tools included the Cell-Phone Over-Use Scale (COS), the Pittsburgh Sleep Quality Index (PSQI), and the Self-Efficacy in Clinical Performance (SECP). Data were analyzed using stata-16 software.

Results:
28% of students had cellphone overuse and 63% had poor sleep quality and 17.10% had low self-efficacy in clinical performance. Students with cellphone overuse had higher levels of poor sleep quality compared to those with normal levels of cellphone use (p < 0.05). Moreover, those with poor sleep quality had lower self-efficacy for clinical performance (p < 0.05).

Conclusions:
Cell phone overuse can reduce self-efficacy in clinical performance by interfering with students’ sleep quality. Thus, students should be trained to use cell phones more appropriately.
Evaluation of the Effectiveness of Silver Diamine Fluoride in Arresting Caries in Primary Teeth
Authors: Garg Nishita , Roy Sayani , Jain Abhay Kumar , Mandal Tapan Kumar , Girish M S , Priya Parul 
Published: November 2024

ABSTRACT

Background:
Silver diamine fluoride (SDF) has been identified as a noninvasive way to stop dental caries from becoming worse, particularly in baby teeth.

Materials and Methods:
A hundred kids between the ages of 3 and 6 who have at least one carious lesion in their primary teeth participated in a randomized controlled experiment. One of the two groups—the experimental group (n = 50), which got a 38% SDF therapy, or the control group (n = 50), which received a placebo—was randomly allocated to the subjects. Over the course of a year, the carious lesions received biannual applications of the SDF. The main result was the stoppage of caries, ascertained by monitoring the change of an active lesion to an inactive one using standardized digital radiographs and clinical evaluations.

Results:
Only 35% of the carious lesions in the control group showed evidence of arrest after a year, compared to 87% of lesions in the experimental group (P < 0.001). It was shown that there would be one carious lesion arrested for every 2.5 patients with SDF if the number required to treat (NNT) was 2.5. During the research, no notable side effects were noted.

Conclusion:
The remarkable efficacy of SDF in halting dental caries in primary teeth highlights its significance in the treatment of young dental patients.
Assessing the Different Nanoparticle-Reinforced Bonding Agents on the Shear Bond Strength of Orthodontic Brackets
Authors: Paul Sam , Surendran Sneha , Thekiya Altaf Hussain , Francis Mariea , Verma Saloni 
Published: November 2024

ABSTRACT

Background:
The strength of the binding between brackets and tooth surfaces has a major impact on how well orthodontic therapy works. The shear bond strength of orthodontic brackets may be strengthened by the invention of bonding agents supplemented with nanoparticles, thanks to recent developments in nanoparticle technology.

Materials and Methods:
In order to perform a randomized controlled experiment, 90 human premolars were excised for orthodontic purposes. Three groups of 30 teeth were randomly assigned to each group: Group A used a bonding agent augmented with nanoparticles of titanium dioxide (TiO2), Group B used nanoparticles of zirconium dioxide (ZrO2), and Group C used a standard bonding agent as a reference. The appropriate bonding chemicals were used to attach the brackets to the teeth, and a universal testing equipment was used to measure the shear bond strength. Stereomicroscopic analysis was used to evaluate the failure mechanisms. To do statistical analysis, Tukey’s post hoc test and analysis of variance were used.

Results:
There were significant differences (P < 0.05) in the mean shear bond strength values across the groups. The average shear bond strength for Group A (TiO2) was 18.5 ± 2.3 MPa, that for Group B (ZrO2) was 17.2 ± 2.6 MPa, and that for Group C (control) was 14.8 ± 2.4 MPa. In comparison to Groups B and C, Group A exhibited a statistically greater bond strength, although Group B also showed an improvement over the control. According to the failure mode analysis, the control group had mostly adhesive failures, whereas the nanoparticle groups saw mixed failures.

Conclusion:
When TiO2 and ZrO2 nanoparticles are added to bonding agents, the shear bond strength of orthodontic brackets is greatly increased in comparison to traditional bonding agents. TiO2-reinforced materials performed better, pointing to possible benefits for orthodontic applications. It is advised that further study be done to examine the long-term impacts and therapeutic implications of these results.
Assessing the Impact of Community-Based Oral Health Education Programs on Dental Hygiene Practices and Oral Health Outcomes in Rural Populations
Authors: Bumb Swapnil S. , Singh Pushparaj , Maben Sahana , Deshpande Prasannasrinivas , Limaye Mrinal V. , Alwafi Hanadi A. 
Published: November 2024

ABSTRACT

Background:
Community-based oral health education programs are essential in improving dental hygiene practices and oral health outcomes, particularly in rural populations where access to dental care is limited. This study assesses the impact of such programs on dental hygiene practices and oral health outcomes in rural communities.

Materials and Methods:
A quasi-experimental design was employed to evaluate the effectiveness of a 6-month oral health education program conducted in five rural villages. A total of 300 participants, aged 18-60 years, were selected through stratified random sampling. The intervention included bi-weekly educational sessions on oral hygiene practices, proper brushing techniques, and the importance of regular dental check-ups. Data on dental hygiene practices were collected through structured questionnaires at baseline and post-intervention. Oral health outcomes were assessed using the Decayed, Missing, and Filled Teeth (DMFT) index and gingival health was evaluated through gingival index scores.

Results:
Post-intervention analysis showed a significant improvement in dental hygiene practices among participants, with 75% reporting regular brushing compared to 45% at baseline. The mean DMFT score decreased from 5.2 to 3.8 (P < 0.05), and the average gingival index score improved from 2.1 to 1.4 (P < 0.05). Additionally, the frequency of dental check-ups increased by 40%, indicating a positive behavioral shift in the community.

Conclusion:
Community-based oral health education programs significantly improve dental hygiene practices and oral health outcomes in rural populations.
Effect of Orthodontic Treatment on Airway Dimensions in Patients with Obstructive Sleep Apnea: A Prospective Study
Authors: Alam Mohammad K. , Hajeer Mohammad Y. , Alshammari Abdullah H. , Alshammari Saud A. A. , Alenezi Zeyad M. M. 
Published: November 2024

ABSTRACT

Background:
Obstructive sleep apnea (OSA) is a common medical disorder characterized by recurrent instances of partial or total blockage of the upper airways while sleeping.

Materials and Methods:
The trial included a cohort of 50 individuals, aged between 18 and 45, who were diagnosed with mild to moderate obstructive sleep apnea (OSA). The participants were split into two groups: Group A (n = 25) had orthodontic therapy that included expanding the upper jaw and advancing the mandible, whereas Group B (n = 25) acted as the control group and did not get any orthopedic intervention. Prior to and after therapy, the airway dimensions were evaluated using cone beam computed tomography (CBCT) at two time points: baseline and 12 months after treatment. In this study, the main outcome measures were the change in airway volume (measured in mm3) and the minimum cross-sectional area (measured in mm2). The secondary outcome measures consisted of alterations in the apnea-hypopnea index (AHI) and subjective sleep quality evaluated by the Epworth Sleepiness Scale (ESS).

Results:
In comparison with baseline data, patients in Group A exhibited a statistically significant rise in airway volume (mean increase of 3500 mm3, P < 0.01) and minimum cross-sectional area (mean increase of 45 mm2, P < 0.01). In contrast, Group B exhibited no statistically significant alterations in these measures. A substantial decrease in AHI (mean reduction of 8 events/hour, P < 0.05) and an increase in ESS scores (mean improvement of 4 points, P < 0.05) were seen in Group A, suggesting improved sleep quality.

Conclusion:
Orthodontic treatment, including maxillary expansion and mandibular advancement, positively affects airway dimensions in patients with OSA.
Recent Bacteriological Trends and Emerging Antimicrobial Resistance among Hospitalized Patients in a Tertiary Care Center, Central India
Authors: Dixit Ankita , Singh Balvir , Chaubey Priyanka , Agrawal Ramesh Prasad 
Published: November 2024

ABSTRACT

Background:
Emergence of antimicrobial resistance (AMR) is a major health concern worldwide. Knowledge about common hospital organisms and their antibiograms play a crucial role in minimized mortality caused by multidrug resistance organisms (MDROs).

Aim:
This study determines the bacteriological trends and antibiotic resistance patterns of various clinical samples among hospitalized patients.

Methods:
Various clinical specimens were received and processed for culture and identification as per standard operating procedures (SOPs). Antimicrobial susceptibility tests (ASTs) were performed as per standard guidelines.

Results:
The prevalence of aerobic bacterial isolates was 31.68%. The most common bacterial isolates were Escherichia coli (E. coli), Staphylococcus aureus (S. aureus), Klebsiella species, and Pseudomonas species. The majority of isolates were MDROs.

Conclusion:
Regular surveillance of MDRO helps in implementing better therapeutic strategies to reduce morbidity and mortality associated with them.
A Split-Mouth Study to Evaluate the Adjunctive Role of Guided Pocket Recolonization (GPR) to Non-Surgical Periodontal Therapy
Authors: Khan Yasir Shahab , Brahma Bikram Singh , Srivastava Amitabh , Srivastava Vivek , Yadav Shivam , Sahney Tanu 
Published: November 2024

ABSTRACT

Background:
The purpose of the study was to assess the effectiveness of prebiotic fructooligosaccharide (FOS) mixture and probiotic Saccharomyces boulardii (S. boulardii) when administered subgingivally as a supplement to scaling and root planing (SRP) in the treatment of chronic periodontitis. In addition, the N benzoyl DL arginine naphthylamide (BANA) test was used to examine the impact of probiotics on red complex organisms.

Materials and Methods:
Twenty systemically healthy participants with chronic periodontitis, with at least two periodontal pockets in each quadrant exhibiting probing depth (PD) ≥5 mm and clinical attachment level (CAL) ≥3 mm, participated in this split-mouth randomized controlled research. Two randomly chosen sites were chosen for each subject: one for testing, where SRP was followed by subgingival placement of the probiotic-prebiotic cocktail, and the other for control, where SRP alone was used. Assessments were conducted from baseline to 6 months later for the plaque index (PI), gingival index (GI), PD, and CAL. BANA was used to perform microbial assessments at baseline and at 1, 3, and 6 months. At certain intervals, the probiotic’s (S. boulardii) vitality was assessed both in vitro and in the pocket.

Results:
In both groups, there was a significant decrease in every clinical measure. A noteworthy enhancement was seen in the test group’s PI, GI, PPD, and CAL upon intergroup comparison in contrast to the control group. When comparing groups, it was shown that the test group’s BANA had significantly decreased after 3 and 6 months. While there was a significant difference and increase in in vitro vitality between the days, there was a significant difference and decrease in in vivo viability in the days that followed as compared to the day before.

Conclusion:
In comparison to SRP alone, subgingival administration of a probiotic-prebiotic mixture can be advantageous in non-surgical periodontal therapy for patients with chronic periodontitis and in managing the red complex organism’s recolonization over time.
Knowledge and Implementation of Nutrition Care Process (NCP) in Hospitals in a Philippine Province
Authors: Factoriza Olivia J. , Galicia Leomar S. 
Published: November 2024

Introduction: The Nutrition Care Process (NCP) was established and ought to be implemented by nutrition and dietetics practitioners all over the world in an effort to create a framework for critical thinking and decision-making for dieticians and nutrition professionals. Despite the advantages it offers, the implementation of NCP among dietitians is yet to occur specifically in some Asian countries.

Objective: This study aimed to examine the relationship between the level of knowledge in NCP and the level of its implementation by the chief dieticians working in government and private hospitals in Laguna Philippines. It also aimed to identify the common barriers to NCP implementation.

Theoretical Framework: The goal of NCP is to standardize a process describing the workflow of NCP, which includes four distinct and interrelated steps namely: nutrition assessment and reassessment, nutrition diagnosis, nutrition intervention, and nutrition monitoring and evaluation.

Method: This descriptive-correlational study surveyed 30 chief dietitians in a Philippine province and used a validated and pilot-tested four-point Likert scale instrument which was converted into online questionnaire to facilitate distribution and retrieval. Ethics approval was granted in the conduct of the study. Statistical treatments used included weighted mean, Pearson r moment correlation and ranking.

Results and Discussion: Results revealed that though the respondents are highly knowledgeable in NCP, there was a less implementation of NCP in Laguna hospitals, indicating a gap between theory and practice of NCP. This was supported by the test of relationship which showed that knowledge on NCP did not correlate with its implementation. Barriers to implementation include lack of manpower in the dietary department, problems in the coordination among physicians, nurses, dieticians, and pharmacists, the lack of adequate training in NCP, and the lack of awareness on the implementing guidelines of NCP as provided by the Department of Health (DOH) of the Philippine government.

Research Implications: While the sample size of the study was small and the findings cannot be generalized to a wider population of dietitians, results of the study can invite researchers and policy makers to explore, in a more cross-sectional setting, how challenges in implementing NCP can affect the quality of providing nutritional care to various populations.

Originality/Value: The results of this investigation could invite researchers and policy makers in nutrition to explore, in a more cross-sectional context, how challenges in implementing NCP can affect the quality of providing nutritional care to various populations and identify other variables which may affect the successful implementation of nutrition care process and the best practises exhibited by hospitals in its realisation.
Institutionalization of Peace And Justice in Yassawi Sufi Identity: A Value Context for Postnormal Times
Authors: Turganbayeva Zhanara Zhanatovna , Seitakhmetova Natalia Lvovna , Bidakhmetova Shynar 
Published: November 2024

Objective: The objective of this study is to investigate the ideas of Yassawi Sufism in the context of sustainable development of cultural identity in the Islamic World in the postnormal era, with the aim of the analysis of key aspects of Yassawi teachings that contribute contribute to the achievement of the SDGs by institutionalizing just and inclusive societies and creating an equal environment, as well as to the formation of social cohesion and mutual understanding among different cultures.

Theoretical framework: The theoretical framework of the interdisciplinary study of Sufism was formed by the historical-philosophical, theological, Islamic studies, cultural-anthropological fields of knowledge.

Methodology: The methodology adopted for this research comprises the method of historical reconstruction, the method of the unity of the historical and logical, the methodology of actualization, hermeneutic analysis, Islamic hermeneutics and Islamic phenomenology.

Results: The results obtained revealed that Yassawi Sufism not only enriches the spiritual life of Muslims, but also serves as an important tool for preserving cultural identity during the rapid transformations of post-normality.

Theoretical implications: The practical and theoretical implications of this research is determined by the role that the principles of sustainable development play in the creation of sustainable communities whose cultural heritage integrates the Yasawi worldview.

Study contributes: This study contributes to the literature by revealing the role of the Yasawi Sufi worldview in the preservation and development of sustainable societies with traditional cultural identity that meets the standards of the postnormal period. The problematization of the axiological norms of Sufism carries the potential for the habitualization of social equality, the formation of peaceful inclusive societies and strong institutions, which confirms the relevance and value of this study.