bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of “platelet rich” fibrin with bone marrow aspirate on the regenerative capacity of alveolar bone grafting with iliac bone graft: A randomized controlled trial
Authors: Desai Anil Kumar , Byadgi Akshay A. , Kumar Niranjan , Janardhan Anusha , Manjunath Tejaswini 
Published: November 2024

Objectives of the Study:
(1) To evaluate the effect of platelet-rich fibrin (PRF) with bone marrow aspirate on regenerative capacity in patients undergoing iliac bone grafting for secondary alveolar bone grafting. (2) and to compare it with group 2 where only bone marrow aspirate was used along with iliac bone graft in secondary alveolar bone grafting.

Materials and Methods:
A prospective study on patients with cleft alveolus, requiring bone grafting and reporting to our unit from October 2018 to October 2020 was included in this study. Group 1 (bone marrow aspirate with PRF along with cancellous iliac bone graft) and Group 2 (bone marrow aspirate concentrate and cancellous Iliac bone graft without PRF). Computerized tomography (CT) scan was done to assess the volume of defect at the following intervals: Pre-op, immediate post-op, and 12 months. The outcome is assessed using a CT scan by statistical analysis.

Results:
Mean cleft alveolus volume measured preoperatively in group 1 was 2.5cc, post-operatively measured immediately was 3.2cc, and 12 months post-operative was 2.2cc. Mean volume defect in group 2 is 2.3cc, post-operatively measured immediately was 2.6 cc, and 12 months post-operative was 1.9cc. The average resorption rate at immediate post-op to 12 months interval in group 1 was 25% and in group 2 was 30%. The overall percentage of regenerated bone in group 1 was 75% whereas in group 2 it was 70%.

Conclusion:
Platelet-rich fibrin in combination with bone marrow aspirate and autogenous bone was beneficial in improving the volume of newly formed bone in the reconstruction of the cleft defect and also results in greater osteogenic effect which increases new bone regeneration and better wound healing.
Effect of relaxing sounds on anxiety levels in patients undergoing dental extraction: A randomized clinical trial
Authors: Assari Ahmad , AlShamrani Hatoon Abdullah , Alquraishi Shaden Ibrahim , Alghashim Abdullah Homoud , Alqhtani Nasser Raqe 
Published: November 2024

Introduction:
The study was conducted to observe the effect of using relaxing sounds as a nonpharmacological intervention on anxiety levels and vital signs among patients who underwent extraction.

Materials and Methods:
A randomized clinical trial was conducted, and patients with an indication of dental extraction, who were physically and mentally healthy, were invited to voluntarily participate in the study. Dental anxiety was assessed by measuring blood pressure, heart rates, and respiratory rates as well as with the help of the Modified Dental Anxiety Scale (MDAS) questionnaire before and after the procedure. Each participant was asked to choose a sound they preferred. All the statistical analyses were performed using SPSS Software version 23, and the statistical significance level was fixed at P ≤ 0.05.

Results:
Among the patients who underwent simple extraction, only the respiratory rate showed a statistically significant difference. The mean respiratory rate decreased from 19.24 to 17.59 after simple extraction. Among all the study variables, the MDAS score showed a statistically significant difference between the groups.

Conclusions:
The music group reported much less postoperative anxiety than the control group. These findings confirm the notion that the use of music selected by the patient during surgical extraction of an IMTM reduces anxiety substantially.
Assessment of the role of coronoid in restrictive jaw disorders and physiologic mandibular movements
Authors: Mehra Hemant , Gupta Hemant , Sarita  , Agarwal Rashmi , Mehra Priyanka , Thapa Timsy 
Published: November 2024

Introduction:
Restricted mouth opening has major health implications, such as malnutrition, difficulty in speech, and poor oral hygiene resulting in a functional shortage of the masticatory system. Reduced mouth opening can occur due to trismus, as in the oral submucous fibrosis (OSMF) condition. Excision of fibrous bands in OSMF leads to reestablishment of the mouth opening. Other than trismus, temporomandibular joint (TMJ) ankylosis is another common condition that causes fibrosis or bony ankylosis between articular surfaces. Coronoidectomy is a useful procedure that various authors nowadays apply. It is the most popular surgical procedure used as a conventional method of treatment, which includes the detachment of temporalis muscle.

Materials and Methods:
A group of 15 patients with OSMF and TMJ ankylosis with written informed consent were selected for the study and were operated on under general anesthesia. Preoperative and postoperative assessment was done for bite force management, measuring and comparing mandibular movements, and the electromyography (EMG) study.

Results:
Statistical analysis shows the increase in maximum mouth opening and lateral excursions in OSMF and TMJ ankylosis patients on the seventh, 15th, 90th days, and six months postoperatively treated either without coronoidectomy and with coronoidectomy; however, there was no significant difference was found in mean EMG and bite force readings in both groups.

Conclusion:
The present study concludes that the coronoidectomy not only increases the mouth opening, but masticatory efficacy is also improved with an increase in mandibular movements postoperatively in patients with OSMF and TMJ ankylosis.
Hubungan Pengetahuan Dengan Kecemasan Ibu Hamil Trimester III Dalam Menghadapi Persalinan
Authors: Jannah Nunung , Mien Mien , Narmi Narmi 
Published: November 2024

Kecemasan tinggi pada kehamilan akan berpengaruh terhadap perkembangan saraf janin yang berhubungan dengan kecerdasan, emosional hingga perilaku anak. Kecemasan ibu hamil trimester III perlu penanganan serius untuk menghindari dampak berupa komplikasi dan ipengaruh buruki terhadap fisik dan psikis yang keduanya saling terkait dan saling mempengaruhi. Penelitian ini bertujuan untuk mengetahui hubungan ipengetahuan dengan kecemasan ibu hamil trimester III dalam mengahadapi persalinan. Jenis penelitian ini merupakan kuantitatif dengan desain korelasi dan pendekatan cross sectional study. Penelitian ini dilakukan di WilayahiKerja Puskesmas Oheo Kabupaten Konawe Utara dengan jumlah sampel sebanyak 33 orang diambil dengan teknik Accidental sampling. Teknik pengumpulan data menggunakani instrumen penelitian berupa kuesioner dan lembar pengukuran. Sedangkan teknik analisa data yang digunakan adalah uji Spearman rank dengan menggunakan program komputer. Hasil penelitian ini menunjukkan Sebagian besar responden memiliki pengetahuan cukup tentang kehamilan trimester III (54,5%), sebagian besar responden mengalami kecemasan ringan yakni sebanyak 2 orang (66,7%) dan ada hubungan lemah antara hubungan pengetahuan dengan kecemasan ibu hamil trimester III dalam mengahadapi persalinan di wilayah kerja Puskesmas Oheo KabupateniKonawe Utara (p = 0,028, r = 0.383). Saran kepada ibu hamil agar lebih meningkatkan pengetahuan dan pemahaman tentang perubahan psikologis pada kehamilan trimester III sehingga dapat memanajemen kecemasan untuk menghindari risiko yang tidak diinginkan
Hubungan Self Care Management Dengan Kualitas Hidup Pasien Diabetes Melitus Di Wilayah Kerja Puskesmas Poasia Kota Kendari
Authors: Almaida Safia , Jasmin Muh , Herman Herman 
Published: November 2024

Abstrak. Pendahuluan : Diabetes Mellitus (DM) adalah kondisi kronis di mana kadar glukosa darah meningkat karena pankreas tidak mampu memproduksi insulin. DM terus meningkat, termasuk di Indonesia, selama beberapa tahun terakhir. Penderita DM harus menjaga diri dengan baik karena hal tersebut sangat umum terjadi. Tujuan: di Puskesmas Poasia Kota Kendari untuk mengetahui bagaimana self care berdampak pada kualitas hidup penderita DM. Metode: Tujuan dari studi cross-sectional kuantitatif ini adalah untuk menentukan apakah manajemen perawatan diri berhubungan dengan kualitas hidup pasien DM. Hasil: Penelitian ini menemukan bahwa pasien diabetes melitus di wilayah kerja Puskesmas Kota Kendari memiliki manajemen perawatan diri yang kurang baik dengan skor 27 (56,2%). Pasien diabetes melitus di wilayah kerja Puskesmas Poasia Kota Kendari memiliki kualitas hidup cukup atau kurang dari cukup dengan skor 17 (35,4%). Hasil uji statistik chi-square diperoleh nilai P sebesar 0,003 (0,05). Kesimpulan: Pada poin ini terdapat hubungan antara kualitas hidup penderita diabetes melitus di wilayah kerja Puskesmas Poasia Kota Kendari dengan manajemen perawatan diri.

AbsctractIntroduction : Diabetes Mellitus (DM) is a chronic condition in which blood glucose levels rise because the pancreas is unable to produce insulin. DM has continued to rise, including in Indonesia, over the past few years. DM sufferers must take good care of themselves because it is so common. Purpose: at the Poasia Community Health Center in Kendari City to find out how self-care impacts the quality of life of DM patients. Method: The aim of this quantitative cross-sectional study was to determine whether self-care management and DM patients' quality of life are linked. Results: The study found that diabetes mellitus patients in the Kendari City Public Health Center's working area had poor self-care management with a score of 27 (56.2%). Diabetes mellitus patients in the working area of the Poasia Public Health Center in Kendari City have a quality of life that is adequate or less than adequate with a score of 17 (35.4%). The results of the chi-square statistical test had a P value of 0.003 (0.05). Conclusion: At this point, there is a connection between diabetes mellitus patients' quality of life in the working area of the Poasia Health Center in Kendari City and self-care management.
ХРОНИЧЕСКАЯ ИШЕМИЯ МОЗГА: СОВРЕМЕННЫЙ ВЗГЛЯД НА АКТУАЛЬНУЮ ПРОБЛЕМУ
Authors: В.В. Захаров , Д.О. Громова 
Published: November 2024

В статье подробно рассматривается одна из наиболее часто встречающихся форм хронического нарушения мозгового кровообращения – хроническая ишемия мозга (ХИМ). К факторам риска развития ХИМ относятся различные заболевания с поражением сосудов небольшого калибра (микроангиопатия), такие как артериальная гипертензия, сахарный диабет, церебральная амилоидная ангиопатия, значительно реже – генетические васкулопатии, васкулиты и др. Описаны основные патогенетические механизмы формирования ХИМ: повторные инфаркты мозга без клиники инсульта, микрокровоизлияния, очаговые и диффузные изменения белого вещества (лейкоареоз). Самое раннее клиническое проявление хронического сосудистого поражения головного мозга – когнитивные нарушения (КН), которые преимущественно представлены расстройством внимания, управляющих и зрительно-пространственных функций при относительной сохранности памяти, часто в сочетании с эмоциональными расстройствами. При наличии сосудистых КН необходим тщательный контроль основных сердечно-сосудистых факторов риска, таких как артериальная гипертензия, дислипидемия, сахарный диабет и пр. Важным является назначение патогенетически обоснованной терапии, направленной на оптимизацию нейронального метаболизма, обеспечение нейропротекции и коррекцию эмоциональных нарушений.
The article examines in detail one of the most common forms of chronic cerebrovascular accident – chronic cerebral ischemia (CCI). Risk factors for CCI development include various diseases affecting small-caliber vessels (microangiopathy), such as: arterial hypertension, diabetes mellitus, cerebral amyloid angiopathy, much less often – genetic vasculopathies, vasculitis, etc. The main pathogenetic mechanisms of CCI formation are described: repeated cerebral infarctions without stroke clinical picture, microbleeds, focal and diffuse changes in white matter (leukoaraiosis). The earliest clinical manifestation of chronic vascular cerebral damage is cognitive impairment (CI), which is mainly represented by attention disorder, executive and visual-spatial functions with relative preservation of memory, often in combination with emotional disorders. In the presence of vascular CI, careful monitoring of the main cardiovascular risk factors is necessary, such as arterial hypertension, dyslipidemia, diabetes mellitus, etc. It is important to prescribe pathogenetically substantiated therapy aimed at optimizing neuronal metabolism, ensuring neuroprotection and correcting emotional disorders.
Pengaruh Ajaran Islam terhadap Perilaku Generasi Muda
Authors: Munawir Munawir , Ummah Dwi Rahmatul , Putri Nasywa Zahrifa 
Published: November 2024

Artikel ini membahas tentang peran pendidikan agama islam dalam membentuk karakter religius siswa. Pendekatan Metode ini melibatkan analisis dan evaluasi berbagai sumber informasi yang berkaitan dengan topik penelitian yang sedang dibahas. Penelitian ini Dalam tinjauan pustaka, peneliti mengumpulkan, menyusun, dan menganalisis data dari berbagai sumber seperti buku, jurnal, artikel, dan dokumen lain yang berkaitan dengan fokus penelitian. Pendidikan agama Islam adalah kunci pembentukan karakter generasi muda yang kuat. Ajaran Islam, seperti akidah, akhlak, dan syariah, memberikan dasar yang kokoh bagi pengembangan kepribadian yang bertanggung jawab.Penelitian membuktikan bahwa pendidikan agama Islam sangat penting dalam membentuk karakter generasi muda, terutama di era milenial. Dalam kondisi krisis moral saat ini, nilai-nilai Islam berperan krusial dalam membangun karakter bangsa. Pendidikan agama Islam tidak hanya mengajarkan teori, tetapi juga mendorong perubahan perilaku menuju akhlak yang lebih baik.
Pengaruh Penggunaan Media Papan Sumber Daya Alam Terhadap Minat Belajar Siswa Pada Pembelajaran IPAS Kelas IV SD
Authors: Triastuti Anisa , Arafat Yasir , Murjainah  
Published: November 2024

Belum diketahuinya seberapa besar pengaruh penggunaan media papan sumber daya alam dalam pembelajaran ipas kelas IV SD Negeri 99 Palembang tehadap minat belajar siswa. Penelitian ini bertujuan untuk mengetahui penggunaan media papan sumber daya alam dalam pembelajaran ipas kelas IV SD Negeri 99 Palembang terhadap minat belajar siswa. Penelitian ini merupakan penelitian kuantitatif pre-eksperimen. Rancangan pendekatan kuantitatif pre-eksperimen menggunakan one- group pretest-posttest design. Subjek dalam penelitian ini seluruh siswa kelas IV SD Negeri 99 Palembang yang berjumlah 71 siswa, dengan sampel penelitian yang diambil menggunakan teknik sampling purposive yang berjumlah 24 siswa pada penentuan jumlah sampel dengan mempertimbangkan siswa yang pernah mengikuti pembelajaran sumber daya alam. Dalam penelitian ini teknik pengumpulan data yang digunakan berupa observasi, kuesioner/angket, dan dokumentasi. Teknik analisis data yang digunakan dalam penelitian ini menggunakan uji normalitas, uji homogenitas, dan uji independent sampel t-test dengan berbantuan SPSS. Pengaruh penggunaan media papan sumber daya alam terhadap minat belajar siswa pada pembelajaran ipas kelas IV SD Negeri 99 Palembang menunjukkan hasil penelitian pada rata-rata minat belajar siswa pada angket pretest sebesar 44,54 dan angket posttest 50,25 dengan jumlah sampel 24 siswa, maka dapat ditarik kesimpulan bahwa ada pengaruh penggunaan media papan sumber daya alam terhadap minat belajar siswa kelas IV SD Negeri 99 Palembang.
Association between Hyperuricemia and Ischemic Stroke in patients admitted in Medical ward in a tertiary care hospital Multan
Authors: Muhammad Tahir  , Zia Ul Haq  , Mahboob Qadir  , Muhammad Shahid Nawaz Khan  , Muhammad Zarrar  
Published: November 2024

Objective: To assess the association of Hyperuricemia with Ischemic Stroke
Methodology: This case-control study was carried out at the department of Medicine Nishtar 2 Tertiary Care Hospital in Multan from June 2023 to Dec 2023. At the time of admission, the serum uric acid level was tested in addition to other standard laboratory tests. Patients' information was gathered using a pre-made proforma only after written informed permission was obtained from the individuals, their spouses, or relatives in the case of patients with aphasia or decreased awareness. Version 24 of the statistical program for the social sciences (SPSS) was used to analyze the data. A p-value of less than 0.05 and an OR greater than one were deemed statistically significant.
Results: In the current study, 60 patients were cases and 60 were healthy control. In cases there were 33 (55%) males and 27 (45%) females while in healthy control, the males were 30 (50%) while females were also 30 (50%). In patients with ischemic stroke, the frequency of hyperuricemia was 26 (43.33%), while in controls, it was 15 (25%). Compared to controls, ischemic stroke patients had a 3.11-fold increased incidence of hyperuricemia. Accordingly, hyperuricemia (p=0.002) is a substantial risk factor for ischemic stroke. In individuals aged 30 to 50, ischaemic stroke and hyperuricemia were significantly associated (p = 0.001). Additionally, ischaemic stroke patients had a 4.15-fold increased incidence of hyperuricemia compared to control subjects. On the other hand, there was no significant correlation (p = 0.29) between hyperuricemia and ischaemic stroke in the 51–70 age range. Additionally, there was a 2.1-fold increased incidence of hyperuricemia in ischaemic stroke patients.
Conclusion: Patients with ischemic stroke had a considerably greater prevalence of hyperuricemia (43.33%). Furthermore, those who have had an ischemic stroke are 3.11 times more likely to get hyperuricemia. Hyperuricemia may thus be looked at as an additional ischemic stroke risk factor. However, further study is required before regular uric acid levels may be advised.
Analysis of the heterogeinety impact of oil prices shocks on exchange rates in oil exporting countries: evidence of quantiles-on -quantiles approach
Authors: ATEBA Joseph  , EWONDO Dieudonne  , ABEGA Daniel Armando  , ENAMA Alice  , ABOMO ZANG Julie Christianne  
Published: November 2024

The objective of this study is to investigate the heterogeneous dynamic between exchange rate returns and oil prices in oil exporting countries. Precisely, the researchers used the exchange rates returns of both low incomes, emerging and developed majors oil exporting countries, and decomposed oil price shocks to study the heterogeneity of the intrinsic dynamic between the two variables in these countries, using the quantile-on-quantile analysis. The findings revealed that, although the dynamic between oil prices shocks and exchange rates returns is largely negative in these countries, there are important variability of the shocks impacts across the quantile distribution of both exchange rates returns and the different oil price shocks. More precisely , the study reavealed the heterogeneity of the different oil shocks impacts (oil aggregate demand , oil supply and oil specific demand shocks) on the exchange rates return of a given country , with the shape of the QQR graphs being different according to the source of shock and the magnitude of oil demand and oil specific demand shocks being more significant than that of oil supply shocks in many of the cases. In the same way , the analysis results also indicate that the dynamic between oil price shocks and exchange rate is heterogenous across the countries , with the impact of the shocks being more significant in developing countries than it is in developed countries . As well the behavior of the exchange rates returns at extreme values is different from one country to another. From this insight, the researcher recommends an economy diversification mainly for oil developing countries, and country-specific economy policies to mitigate the incidence of oil shocks, as the impact differs from one country to another..
Keywords: Exchange Rates, Oil Prices, Quantile-on-Quantile, Oil Exporting Countries.
NOVAS PRAGAS AGRÍCOLAS E AS MUDANÇAS CLIMÁTICAS: UM ESTUDO DE CASO NA BANANICULTURA DE SANTA CATARINA
Authors: Haro Marcelo Mendes , Trabaquini Kleber , Pereira Maria Luiza Tomazi , Bruno Krauss Salvador  
Published: November 2024

Tem crescido o relato do ataque de pragas agrícolas até então desconhecidas nos pomares de banana do Litoral Norte Catarinense. Dada a importância da cultura para o estado é necessário identificar essas espécies e os mecanismos por trás desses surtos populacionais. A hipótese é de que mudanças climáticas podem ser o fator chave para esses fenômenos. Desta forma, o objetivo deste trabalho foi identificar a espécie e as possíveis alterações climáticas que estejam relacionadas ao aparecimento de moscas-brancas em pomares de banana catarinenses. Insetos foram coletados sob plantas de banana nos municípios de Itajaí, Luiz Alves, Massaranduba, Piçarras e Jaraguá do Sul. Os indivíduos foram levados a laboratório para identificação. Os dados climáticos para anomalias térmicas, temperaturas mínimas e máximas registradas nos últimos 40 anos na região, foram analisados por meio de modelos lineares de efeitos mistos. Foi identificada pela primeira vez a espécie de mosca-branca Aleurothrixus floccosus Maskell 1896 (Hemiptera: Aleyrodidae, Aleyrodinae) atacando plantas de banana nos diversos pontos da região produtiva do Litoral Norte Catarinense. O modelo ajustado à série temporal das anomalias demonstrou desvios consistentes das médias históricas, de aproximadamente 0,5°C nos últimos 40 anos em Santa Catarina. Reforçando a hipótese de que possíveis alterações climáticas estariam permitindo a propagação deste artrópode na região. Esses resultados sublinham a importância de monitorar a expansão de novas pragas, bem como a necessidade urgente de adaptação das práticas agrícolas para mitigar os riscos associados às mudanças climáticas.
IMPORTÂNCIA FORENSE DA ENTOMOFAUNA DE CALIFORÍDEOS (DIPTERA, CALLIPHORIDAE): UMA REVISÃO
Authors: Carvalho Silvestre Santos , Da Conceição Welson Rodrigues , Luiz Raimundo Campos da Silva e Cunha Junior  , Maria Josinete Araújo Costa  , Darcy Alves do Bomfim  
Published: November 2024

A Entomologia Forense utiliza o conhecimento sobre os insetos para determinar parâmetros relacionados à morte, fornecendo informações que auxiliam em investigações forense. Os insetos da ordem Diptera, especialmente as moscas da família Calliphoridae, são fundamentais, sendo os primeiros a colonizar tecidos em decomposição. Dessa forma, o objetivo desta revisão foi avaliar a importância forense da entomofauna de califorídeos (Diptera, Calliphoridae) e sua aplicação na determinação do intervalo Post mortem (IPM) em investigações criminais. Foi realizada uma busca abrangente na literatura científica utilizando bases de dados como Web of Science, Scopus, PubMed e Google Acadêmico. Os termos de busca incluíram "Calliphoridae", "entomologia forense", "intervalo Post mortem" e "investigação criminal". Apenas artigos publicados em inglês e português foram considerados. A seleção final dos estudos baseou-se na relevância do conteúdo para o objetivo da revisão. Os estudos revelaram que os califorídeos são os primeiros insetos a colonizar carcaças em reservas e sua sucessão ecológica podem fornecer informações valiosas sobre o IPM. Várias espécies de califorídeos foram identificadas como importantes indicadores forenses em diferentes regiões geográficas. Fatores ambientais, como temperatura, umidade e habitat, influenciam significativamente a composição e a sucessão da entomofauna de califorídeos em carcaças. A entomofauna de califorídeos desempenha um papel crucial na determinação do IPM em investigações criminais. O conhecimento da biologia, ecologia e distribuição dessas moscas é essencial para sua aplicação eficaz na medicina legal. Mais pesquisas são necessárias para estabelecer dados de referência regionais e aprimorar as técnicas de amostragem e identificação de califorídeos em cenários forenses.