bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of success rate and marginal bone loss in dental implants subjected to early loading with a follow up of one year
Authors: Viswambaran M , Atwal Harmanpreet 
Published: December 2024

Dental implants (also known as oral or endosseous implants are considered to be an important contribution to dentistry as they have revolutionized the way by which missing teeth are replaced with a high success rate. Implant success is evaluated by various implant health parameters along with patient satisfaction. : The aim of this study was to evaluate and compare the success rate and marginal bone loss in dental implants subjected to early loading versus conventional loading and also to find out the clinical viability of early loading in day-to-day practice, especially in the Armed Forces.This study was done with a split mouth design.Fifteen patients of either sex in the mean age of 22 to 52 years with bilateral missing first mandibular molar, fulfilling the inclusion criteria were selected and divided into two groups. In Group 1, subjected to early loading, (fifteen sites) the provisional prostheses were fabricated and cemented in occlusal contact with the opposing dentition within 8 weeks of implant placement. In Group 2 (fifteen sites) 15 implants were to be subjected to conventional loading after six months.Two implants were lost in group 1 and one implant in group 2 during the study. The difference in Periotest values of Group-1 and Group-2 was not significant (p value &#62; 0.005). The Peri crestal bone level in both (early loading and conventional loading) groups were within the acceptable limits and difference between the groups was not significant (p value &#62;0.005).Based on the results of the study, it can be concluded that early loading is a viable treatment modality and can be routinely employed for rehabilitation of partially edentulous arches. Meticulous diagnosis and treatment planning, precise clinical and laboratory protocols are critical in long term success of prostheses.
Creating emergence profile around conventionally loaded implants in aesthetic zone by provisionals - A case report
Authors: Cleetus Annie , Preeti  , Huda Irfanul , Anand Santosh , Pooja  
Published: December 2024

The esthetics of dental implants is dependent on the soft tissue form and emergence profile. This case report presents a conservative, minimally invasive treatment approach for replacement of missing tooth in esthetic zone with implant supported restoration and providing natural soft tissue profile around dental implant.A patient presented with unsatisfactory aesthetics in the upper anterior region, specifically missing right and left central incisors. Following diagnosis, a comprehensive treatment plan was devised. Placement of two dental implants in the central incisor region and composite buildup of adjacent lateral incisors to replicate the gingival profile, screw-retained provisional restorations were used and which was utilized during the impression procedure. Subsequently, porcelain-fused-to-metal (PFM) prostheses were cemented. The patient was scheduled for a 3-months follow-up appointment to evaluate restoration durability and overall patient satisfaction. Despite successful surgical implant placement, achieving optimal soft tissue aesthetics remains a significant challenge. To address this, a carefully planned prosthetic approach is essential. A prefabricated provisional restoration is utilized to create an emergence profile, which mimics the natural contour of the surrounding teeth.The dynamic compression method and non-invasive gingival recontouring with temporary restorations offers predictable, less invasive solutions, enhancing aesthetic outcomes.
Enhancing Students' Critical Thinking Skills in Madrasah Ibtidaiyah through Problem-Solving Learning
Authors: Juhji Juhji , Rismawati Nita , Nuangchalerm Prasart 
Published: December 2024

This study analyzes the impact of problem-solving learning on the critical thinking skills students. A quasi-experimental method with a pretest-posttest control group design was used. The sample consisted of 5th-grade students from Madrasah Ibtidaiyah Negeri 2 Serang, with 27 in the experimental class and 27 in the control class. Data collection involved observation and tests using a validated multiple-choice instrument. Normality and homogeneity tests preceded data analysis using the t-test. Results showed significant improvements in both classes, with the experimental class implementing the problem-solving model outperforming the control class using conventional methods. The t-test significance (2-tailed) was 0.007, indicating a significant difference in critical thinking skills between the groups. This finding supports the effectiveness of active learning approaches in fostering higher-order thinking skills where developing critical thinking is essential to fulfilling human responsibilities in living a meaningful life.
Factors That Influence Cybersecurity Compliance Behaviours by Bank Employees: A Case of Banks Operating In Kenya
Authors: Wakoli Leonard W. 
Published: December 2024

Digitization of transactions in Banks has developed exponentially since the advent of the internet technology. This has brought about efficiency and high quality service delivery at all times. However, cyber threats also continue to grow exponentially in spite of various initiatives to counter the threats. There are numerous technology initiatives to address the issue of cyber threats but the problem still persists. There is very limited research on how to leverage on human behaviours to effectively improve Cyber security compliance behaviours in Banks. Investigating Cyber security Compliance behaviours in Banks has therefore become inevitable. The main purpose of this study was to determine the factors that influence cyber security compliance behaviours in banks operating in Kenya. This was accomplished using a model that was based on an integration of three theories: Institutional Theory, the Protection Motivational Theory (PMT) and the General Deterrence Theory (GDT). In order to empirically test the relationships between the independent and dependent variables, data were collected from 75 purposively selected bank employees in Kenya. The Research was carried out using the mixed (both quantitative and qualitative) approach and survey tools used to collect data were verified for reliability and validity before being used. Data analysis was carried out using SPSS Version 25.0, MS Excel 2013, and WarpPLS (SEM) Version 7.0. The findings of our study indicate that the direct paths from the independent variables “Normative pressure” (p = 0.026, β = 0.213), “Self-Efficacy” (p < 0.001, β = 0.440), “Punishment certainty” (p = 0.024, β = 0.217), “Age” (p = 0.013, β = 0.243), “Prior experience with computers” (p = 0.004, β = -0.284) were found to have a positive, direct and significant influence on a bank employee cyber security compliance behaviours. “Top management commitment” was found to partially mediate between self-efficacy and Cyber security compliance behaviours.
Bank management may find the results useful for future policy formulation in relation to cyber-security compliance behaviours. Researchers and scholars may also find the results useful in terms of contribution to the body of knowledge and further investigation to fill the gaps identified by the study.
ANALISIS KEMAMPUAN REPRESENTASI MATEMATIS SISWA DITINJAU DARI KECEMASAN MATEMATIKA [ANALYSIS OF STUDENTS' MATHEMATICAL REPRESENTATION ABILITY IN TERMS OF MATH ANXIETY]
Authors: Andriani Nur Lisa , Fauziyah Nur 
Published: December 2024

The purpose of this research is to describe the profile of students' mathematical representation ability in terms of math anxiety. This research method is descriptive qualitative method. The research was conducted at SMAN 1 Manyar with the research subjects being 3 class X students, consisting of students with low, medium, and high levels of math anxiety. There are two instruments in this study, namely a math anxiety questionnaire and mathematical representation ability test questions. Data analysis techniques used in this study consist of data reduction, data presentation, and conclusion drawing. The results of the research data showed the profile of mathematical representation ability (1) subjects with “low” math anxiety level had good visual representation ability, but still lacking in symbolic and verbal representation, (2) Subjects with “medium” math anxiety level had quite good visual mathematical representation ability, but still lacking in symbolic and verbal representation (3) subjects with “high” math anxiety level did not fulfill all of the three indicators of mathematical representation ability.BAHASA INDONESIA ABSTRACT: Tujuan penelitian ini adalah mendeskripsikan profil kemampuan representasi matematis siswa yang ditinjau dari kecemasan matematika. Metode penelitian ini adalah metode kualitatif deskriptif. Penelitian dilakukan di SMAN 1 Manyar dengan subjek penelitian 3 siswa kelas X, yang terdiri dari siswa dengan tingkat kecemasan matematika rendah, sedang, dan tinggi. Terdapat dua instrumen pada penelitian ini yaitu angket kecemasan matematika dan soal tes kemampuan representasi matematis. Teknik analisis data yang digunakan pada penelitian ini terdiri dari reduksi data, penyajian data, dan penarikan kesimpulan. Hasil perolehan data penelitian menunjukkan profil kemampuan representasi matematis (1) subjek dengan tingkat kecemasan matematika “rendah” memiliki kemampuan representasi visual yang baik, namun masih kurang dalam representasi simbolik dan verbal, (2) Subjek dengan tingkat kecemasan matematika “sedang” memiliki kemampuan representasi matematis visual yang cukup baik, namun masih kurang dalam representasi simbolik dan verbal (3) subjek dengan tingkat kecemasan matematika “tinggi” tidak memenuhi semua dari tiga indikator kemampuan representasi matematis.
Lived experiences of hypertensive older adults living alone in Kendari City: a phenomenological aprroach
Authors: Prio Asminarsih Zainal , Sahar Junaiti , Rekawati Etty 
Published: December 2024

Introduction: This study aimed to explore lived experiences as evidence-based in developing health services for hypertensive older adults living alone.
Methods: This study employed a qualitative phenomenological approach, with in-depth and semi-structured interviews of hypertensive older adults living alone in Kendari City Southeast Sulawesi. Purposive sampling was utilized. 15 participating older adults, predominantly female, and with ages ranging from 61-80. Data were collected from April until July 2022, and Colaizzi’s steps were used to guide the data analysis.
Results: Three themes were identified: 1) health changes in the older adults living alone consisting of physical, emotional, social, and spiritual changes; 2) coping mechanisms consisting of emotion-focused coping, biobehavior-focused coping, social-focused coping, and spiritual-focused coping; and 3) healthcare needs consisting of health information needs, regular health checks, group activities, and spiritual activities.
Conclusions: This research highlights the needs of hypertensive older adults living alone to adapt to their health changes and requiring holistic hypertensive care as well as regular health services. Recommendations in this study include developing a holistic hypertensive care program consisting of physical, psychological, social, and spiritual activities. Further research needs to explore the effectiveness of holistic hypertension care on blood pressure, stress, coping, and quality of life of older adults with hypertension by comparing older adults living alone with older adults living with family, and qualitative research using ethnographic methods to determine the adaptation process of the older adults living alone according to culture.
Outcomes Following Transtibial Amputation with and without a Tibiofibular Synostosis Procedure
Authors:   Major Extremity Trauma Research Consortium (METRC)
Published: December 2024

Background:
This study compared outcomes at 18 months between patients who underwent transtibial amputation with and without a tibiofibular synostosis procedure. We hypothesized that complication rates would be lower in patients who did not receive a synostosis procedure compared with those who did receive a synostosis procedure, but the synostosis group would report better function.

Methods:
This multicenter randomized clinical trial (RCT) included patients aged 18 to 60 years who were treated without (n = 52) or with synostosis (n = 54) during transtibial amputation. Patients who refused randomization were enrolled in an observational (OBS) study (n = 93; 31 synostosis, 62 non-synostosis). There were 2 primary outcomes: operative treatment for a complication within 18 months of amputation and Short Musculoskeletal Function Assessment (SMFA) scores. The primary analyses were based on the RCT participants, and the secondary analyses were based on the treatment received by the combined RCT + OBS participants.

Results:
In the primary RCT analysis, the probability of ≥1 operatively treated complication was higher for the synostosis group (42%; 95% confidence interval [CI]: 29.8% to 56.2%) than the non-synostosis group (24%; 95% CI: 14.2% to 37.9%), with an absolute risk difference of 18% (95% CI: 0.31% to 36%). There were no appreciable differences in mean SMFA scores. In the secondary combined analysis, the probability of an operatively treatment complication was larger in patients who did versus did not receive a synostosis procedure (absolute risk difference: 26.1%; 95% CI: 12.0% to 40.3%). Differences in SMFA scores favored synostosis, although there were no differences in pain, prosthetic use, and satisfaction.

Conclusions:
The results of the primary RCT analysis supported our hypothesis of fewer complications in patients who do not undergo a synostosis procedure compared with those who undergo a synostosis procedure, but we found insufficient evidence to conclude that those in the synostosis group have better function. The trial did not reach target enrollment. The secondary combined analysis supported the primary analysis in terms of complications. In the secondary analysis, while pain, prosthetic use, and satisfaction remained similar, the SMFA scores were better for the patients who received a synostosis procedure, although the differences are of uncertain clinical importance.

Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Is there a lesser of two evils? Seasonality and energetic impacts of castrating parasites on an estuarine mud crab along a salinity gradient
Authors: Greenberg Sarah R. , Pochtar Darby L. , Blakeslee April M.H. , Hanley Daniel , Fowler Amy E. 
Published: December 2024

Abstract

Estuarine organisms can evade biotic threats by utilizing low salinity extremes as refuge from natural enemies; however, they must also withstand osmotic stress. We investigated the spatiotemporal distribution of a mud crab host (Rhithropanopeus harrisii), and two castrating endoparasites (rhizocephalan Loxothylacus panopaei and entoniscid isopod Cryptocancrion brevibrachium) in the Chesapeake Bay to elucidate if R. harrisii can utilize an environmental refuge against parasitic castration. Every two months over an 18-month period, we collected and dissected R. harrisii from nine Chesapeake Bay populations along three rivers with a salinity gradient of 1.38–20.14 ppt to capture host-parasite seasonality and quantify individual and reproductive stress via hepatosomatic and gonadosomatic (GSI) indices, respectively (N = 6530 R. harrisii total). Cryptocancrion brevibrachium occurred throughout R. harrisii’s sampled salinity range (1.38–12.33 ppt), while L. panopaei occurred > 8.70 ppt. The prevalence of C. brevibrachium varied considerably across salinities (maximum 50%), while up to 82% of R. harrisii were infected with L. panopaei at higher salinities. Prevalence and probability of infection for both parasites was highest in spring and summer months, and R. harrisii between 7–8 mm carapace width were most likely to be infected. Based on GSI, L. panopaei castrated both female and male hosts, while C. brevibrachium only castrated female hosts. Thus, although R. harrisii can escape castration from L. panopaei by utilizing low salinity regions of the Chesapeake Bay, female crabs are still at risk from castration by C. brevibrachium, potentially limiting the crab’s ability to use low-salinity refuges to fully escape parasitic castrators.
Quantified Fluorescence Imaging for the Detection and Perfusion of the Parathyroid Glands of Children (FLUOPATCH): Study Protocol for a Proof-of-Concept Study
Authors: de Berg Daniël J. van , Kruijff Schelto , Trotsenburg A.S. Paul van , Santen Hanneke M. van , Scheltinga Sheila C. E. J. Terwisscha van , Vriens Menno R. , Boot Annemieke M. , Dijkum Els J.M. Nieveen van , Derikx Joep P. M. , Engelsman Anton F. 
Published: December 2024

Abstract

Background
The most common complication of pediatric thyroid surgery is postoperative hypoparathyroidism, causing hypocalcemia and a lifelong need for daily medication, reduced quality of life and high morbidity rates. In adults, we have shown that the use of an intraoperative standardized workflow for quantified Indocyanine Green (ICG)-fluorescence imaging can reliably predict postoperative hypocalcemia. In children, no studies regarding fluorescence-guided imaging of the parathyroid glands have been conducted. The aim of this proof-of-concept study is to develop a standardized imaging workflow model for autofluorescence and quantified ICG-fluorescence imaging of the parathyroid glands of children, as a first step towards reducing the rate of postoperative hypocalcemia after pediatric thyroid surgery.
Methods
A prospective, observational, multicenter, proof-of-concept study. Children < 18 years undergoing thyroidectomy will be included. Participant enrollment will occur approximately over a twelve-month period, in which we expect to include 15–20 patients. Patients will follow standard care. All children receive perioperative alfacalcidol and calcium supplementation following a joint protocol for perioperative calcium management. Intraoperative autofluorescence and ICG-fluorescence imaging will be performed according to a standardized workflow model, to ensure a homogeneous data set for quantification of the fluorescence signal intensity. ICG-perfusion curves will be correlated to the presence/absence of postoperative hypocalcemia.
Discussion
The current proof-of-concept study protocol proposes the development of a standardized imaging workflow model for intraoperative autofluorescence and quantified ICG-fluorescence imaging of the parathyroid glands in children undergoing thyroid surgery, as a first step in reducing the rate of postoperative hypocalcemia after pediatric thyroid surgery using fluorescence-guided imaging. This proof-of-concept trial will evaluate the feasibility and anticipated effectiveness of our workflow model for fluorescence-guided surgery to justify the continuation of the study as a larger, multicenter phase II trial. Based on the findings, the effect size will be estimated, and the (intraoperative) study procedures may be adjusted to optimize its design. We expect that reducing the rate of postoperative hypocalcemia in these young patients will result in less need for daily medication, less complaints of fatigue and muscle cramps, kidney diseases and malignancies and a higher self-reported quality of life.
Trial registration
ClinicalTrials.gov, identifier NCT05917067. Registered on June 23rd, 2023. https://classic.clinicaltrials.gov/ct2/show/NCT05917067.
Effectiveness of adding a peak flow meter for the identification of patients with chronic obstructive pulmonary disease in real-world clinical practice
Authors: Ikeda Hideki 
Published: December 2024

Abstract

Peak expiratory flow (PEF) measurement is useful to detect moderate and severe chronic obstructive lung disease (COPD). We aimed to validate its combined effectiveness with a questionnaire and to determine appropriate cutoff values for Japan. Outpatients receiving non-respiratory treatment aged ≥60 years and with a smoking index ≥400 cigarette-years and patients with COPD receiving regular treatment underwent PEF measurements and pulmonary function tests. Based on the PEF values normalized by height (method A) and height squared (method B), receiver operating characteristic (ROC) curves were created. COPD was confirmed in 15 patients (15.3%) among 98 with suspected COPD. The reference values for %FEV1 <80% were 2.40 and 1.37 for methods A and B, respectively. Both methods had a high AUC (0.92) (p<0.001). The number of suspected COPD cases was reduced from 98 to 33 and to 27 using methods A and B, respectively. The detection rate improved from 15.3% to 33.3% and 37.0%, respectively. The combination of the COPD questionnaire and peak flow meter can effectively detect moderate and more severe COPD and improve the detectability of COPD.
Impact of Industrial Robot Application on Labor Spatial Mobility
Authors: Wang Jing , Xie Xiangjie , Zeng Deyuan 
Published: December 2024

Abstract

With the widespread adoption of emerging automation technologies replacing manual labor in manufacturing, the question arises: has the advancement of industrial robot technology altered the spatial mobility of labor in China? Drawing on population census data from 2005 to 2015 and the International Federation of Robotics (IFR) database, this paper investigates labor mobility patterns at the city level in the context of machine automation, providing a novel perspective on labor mobility in China. The study reveals that the implementation of industrial robots significantly reduces the influx of migrant labor from other regions, with this negative effect primarily affecting medium-skilled workers. A heterogeneity analysis indicates that in cities with extensive industrial robot deployment, high trade openness, and large manufacturing sectors, the negative impact of industrial robots on the migration rate of non-local registered labor is more pronounced. Compared to other regions, the eastern region, as China's primary manufacturing hub, experiences a more substantial negative impact on the overall labor migration rate, while the western and central regions demonstrate positive effects. Further analysis reveals that the implementation of industrial robots, driven by shifts in labor skill demand, accounts for the observed skill heterogeneity in labor migration. Additionally, the deployment of industrial robots suppresses overall labor productivity in cities, thereby hindering the influx of migrant labor. To address the "machine replacement of human" trend driven by industrial robots, the government should adapt to the new technological realities of factor mobility, develop regionally differentiated policies that leverage local comparative advantages, and allocate appropriate social security and public services, such as education and healthcare, to promote the optimal allocation of labor resources, ensuring balance in China's labor market.