bluuebunny/crossref_metadata_2025_split huggingface dataset:
Investigating the relationship between spiritual and emotional intelligence with academic procrastination in the students of the operating room of Hamadan University of Medical Sciences
Authors: Mohammadi Reza , Karbin Fatemeh , Sarayvand Sepehr , Najafi-Vasough Roya , Jamasbi Mehrdad Maleki , Beiranvand Firoozeh 
Published: February 2025

BACKGROUND:
Academic procrastination is postponing the completion of educational assignments. Procrastination among students reduces the level of awareness, which can have irreparable consequences. Therefore, the present study was conducted with the aim of determining the relationship between spiritual and emotional intelligence with academic procrastination in the students of the operating room of Hamadan University of Medical Sciences.

MATERIALS AND METHODS:
This was a cross-sectional correlational study that was conducted on 69 undergraduate students of the operating room of Hamadan Medical Sciences University in 2023. A 4-part questionnaire collected demographic data, Spiritual Intelligence, Schering’s emotional intelligence, and Solomon’s procrastination. Statistical analysis of variables was done using descriptive (mean and standard deviation) and analytical (Mann–Whitney, Kruskal–Wallis, t-test, and Spearman) tests by means of SPSS 24.

RESULTS:
Participants were mostly female (60/9%), unemployed (79/7%), single (95/7%), and in their third semester (42%). No significant relationship was found between spiritual and emotional intelligence (r = -0.12, P = 0.20). Academic procrastination is directly and statistically significantly associated with spiritual intelligence (r = 0.27, P = 0.02) but not with emotional intelligence (r = 0.18, P = 0.12).

CONCLUSION:
Operating room students with low spiritual intelligence may procrastinate and perform poorly. Educational management should give courses on religious thinking, problem-solving, spiritual self-awareness, and morality to promote spiritual intelligence.
Effectiveness of an Information, Motivation and Behavior skills intervention on knowledge, practices, skills, and health-seeking behaviors on reproductive tract infections among married women – A quasi-experimental study
Authors: George Ann Merrin , Chacko Leena K 
Published: February 2025

BACKGROUND:
Reproductive tract infections (RTIs) are a major health problem among women of the reproductive age group in India. Most of them are incompetent to handle their sexual and reproductive health needs. Enabling them with the knowledge and ability to recognize their own symptoms will prompt them to seek treatment and lessen the complications. This study determined the effectiveness of an Information, Motivation, and Behavior skills (IMB) program on the knowledge, practices, skills, and health-seeking behaviors of RTIs among women of reproductive age.

MATERIALS AND METHODS:
A quasi-experimental design was used. Ninety-nine married women who had experienced any two symptoms of RTIs in the last 3 months preceding data collection were selected using a disproportionate random sampling technique. Knowledge, practices, skills, and health-seeking behaviors were assessed before and at the end of the third and sixth months following the administration of the IMB program in the intervention group. SPSS version 16 was used for data analysis, and the effectiveness was determined using repeated measures ANOVA.

RESULTS:
Both the intervention and comparison groups were homogenous with regard to the socio-personal variables and baseline scores of the outcome variables. Significant improvement was observed in the knowledge (P < 0.001), practice (P = 0.002), and skill (P < 0.001) scores of the women in the intervention group and not in their health-seeking behavior scores (P = 0.830).

CONCLUSION:
The IMB program is an effective strategy for improving the knowledge, practice, and skills of the women on RTIs and can be utilized by nursing officers.
Game-Based Learning Approach Using the “TAO Software” in Dental Academics: A Cross-Sectional Study
Authors: Kotnoor Santosh K. , Shiroya Smit , Pothanikat Neeta J. , Dupare Aditya S. , Pothanikat Joseph J. K. , Naveen Odiyil P. , Dayanithi B. S. , Tiwari Rahul 
Published: February 2025

ABSTRACT

Introduction:
The evolution of game-based learning in the dental education has created a tremendous impact on achieving the goal set by educationalists and educational research committees all over the globe. The need to replace traditional passive teaching to active teaching has demanded inclusion of student-centric teaching methodologies for quality education. Involving game elements in teaching has proved to develop critical thinkers with attainment of 100% graduate attributes.

Aim:
To apply the TAO software in teaching dental academics as a new innovative game-based learning approach.

Methodology:
A cross-sectional study design was conducted among 100 dental students enrolled for the BDS program during the period of November 2022 to November 2023. The inclusion criteria were students enrolled in the first-year BDS course. The exclusion criteria were students enrolled in other courses of different disciplines of health sciences (medicine, nursing, physiotherapy, allied sciences, and pharmacy). The “toss a coin” method of randomization was applied for categorizing the samples equally into control group and study group. The mode of teaching for control groups was decided to be traditional PowerPoint presentation method, and the mode of teaching for study group was selected to be TAO game-based learning software. The “chit method” was applied for the selection of topic to avoid selection bias. The assessment method deployed was “Questionnaire method” that consisted of 10 close-ended questions on the topic, as formulated, validated, and approved by the experts. The scores obtained by both methods were subjected to statistical analysis.

Results:
The mean of knowledge gained by study group students 86% was significantly higher than the mean of knowledge gained by control group students 38% (P = 0.003).

Conclusion:
Game-based learning using the TAO software proved to have positive impact on academic performance of students with better learning outcomes, thereby opening a new avenue for enhancing quality teaching in the dental education.
Retrospective Review of Surgical Techniques in the Management of Abdominal Aortic Aneurysms
Authors: Nooreen Rimsha , Babu K. Suresh , Khalid Mohammed K. , Shibu Pampa , Issac Anu S. , Tiwari Rahul , Dixit Heena 
Published: February 2025

ABSTRACT

Introduction:
The purpose of this retrospective research is to examine the patterns of reintervention and long-term survival rates linked to various surgical approaches used to treat abdominal aortic aneurysms (AAA).

Methods:
Retrospective data collection was conducted from a tertiary care centre for the time frame of 2017-2022. Patients [n = 77] with endovascular aneurysm repair (EVAR), open repair, and hybrid techniques having surgery for diagnosed AAAs were included. Analysis was done on the following: survival rates, follow-up data, perioperative complications, demographics, and causes for reinterventions.

Results:
There were notable changes in age, comorbidities, and aneurysm diameter (P < 0.05) across the surgery groups› demographic parameters. At particular time periods, the long-term survival rates differed among the approaches (P < 0.05). There were differences in the reintervention rates across the groups, with EVAR showing the lowest rates (P < 0.05).

Conclusion:
Current research emphasises how crucial it is to take patient demographics and comorbidities into account when deciding on the best surgical strategy for managing AAA. The research places a strong emphasis on the complex relationships between open repair, EVAR, and hybrid treatments and long-term survival and reintervention rates. Comprehending these discrepancies is essential to enhancing patient care and guiding professional judgement in AAA therapies.
Assessment of Implant Take Up in Patients Suffering from Diabetic Mellitus: An Original Research
Authors: Khetan Jitendra , Sharma Piyush , Salim Sanjith P. , Agrawal Pratik , Bright E. C. , Sasikala Jummala , Rai Shivprasad 
Published: February 2025

ABSTRACT

Objectives:
To evaluate, throughout a 12-month follow-up, the success rate of dental implants in patients with diabetes versus non-diabetic patients.

Methods:
A prospective study was carried out on 100 patients, 50 of whom had diabetes and the other 50 did not. Patients with diabetes had verified type 2 diabetes, as indicated by HbA1c values ≤8%. Every patient received normal dental implants, and they were all checked on every 3, 6, and 12 months. The implant success rate, frequency of peri-implantitis, marginal bone loss, and patient satisfaction were the main outcomes.

Results:
Individuals with diabetes had an implant success rate of 85%, which was considerably lower than that of non-diabetic individuals (95%; P = 0.04). Patients with diabetes had higher rates of peri-implantitis (10% vs. 4%, P = .03) and more marginal bone loss (1.5 mm vs. 0.8 mm, P < .01) in their cases. On a 5-point scale, diabetic patients’ satisfaction was somewhat lower (4.2 vs. 4.6, P = .05).

Conclusion:
Compared to non-diabetic patients, diabetic individuals had a worse implant success rate, a higher incidence of peri-implantitis, and greater marginal bone loss. There are still many obstacles; however, patient satisfaction remains high. Improving the results of dental implant treatments for diabetic individuals requires optimal glycemic control and customised management approaches.
Oral Manifestations and Dental Management of Patients with Systemic Lupus Erythematosus: A Clinical Study
Authors: Chaudhary Romeshkumar Narayanbhai , Jerry Aldrin , Ahmed Zubair , Srivastava Amartya Prakash , Shah Shahi Jahan , Patel Mimansha , Maini Anuj Paul 
Published: February 2025

ABSTRACT

Introduction:
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease affecting multiple organs, including the oral cavity. This study aims to investigate the prevalence of oral manifestations in SLE patients and their implications for dental management.

Methods:
A cross-sectional study was conducted on patients diagnosed with SLE. Three parameters were evaluated: Oral manifestations, impact on oral health-related quality of life, and the challenges in dental management. Data were collected through clinical examinations and questionnaires.

Results:
A total of 75% of SLE patients exhibited oral manifestations, with ulcers being the most common. Significant difficulties were observed in maintaining oral hygiene, necessitating specific management strategies.

Conclusion:
The study highlights the need for specialized dental care in SLE patients due to prevalent oral manifestations. Dental practitioners must be aware of the disease’s systemic implications to provide optimal care.
Postoperative Pain and Healing in Patients Undergoing Apicoectomy: A Comparative Study of Techniques
Authors: Patil Sneha A. , Shivanand Sunita , Rizwan Rukhsar , Sirigiri Mohan K. R. , Uppalapati Pragnya , Chohan Hitesh , Gaur Abhishek 
Published: February 2025

ABSTRACT

Introduction:
Apicoectomy, a surgical procedure to remove the apex of a tooth, is used when conventional root canal treatment fails. Various techniques, such as root-end resection with or without retrograde fillings, influence postoperative outcomes like pain and healing. This study compares postoperative pain and healing rates following apicoectomy using two different techniques. The research aims to determine which method offers better patient outcomes in terms of pain relief and healing.

Methods:
A total of 100 patients undergoing apicoectomy were divided into two groups. Group A received root-end resection with retrograde filling using Mineral Trioxide Aggregate (MTA), while Group B underwent root-end resection without filling. Postoperative pain was assessed using the Visual Analog Scale (VAS) at intervals of 24 hours, 3 days, 7 days, and 14 days. Healing was evaluated through radiographic analysis over six months.

Results:
Group A exhibited significantly less postoperative pain at 24 hours and 7 days (P < 0.05). Healing rates, assessed radiographically, showed faster bone regeneration in Group A compared to Group B, with statistical significance observed at the six-month follow-up (P < 0.01).

Conclusion:
Apicoectomy with retrograde filling using MTA significantly reduces postoperative pain and enhances bone healing compared to apicoectomy without filling.
Comparative Study of Local Anesthesia Techniques for Pain Management in Mandibular Third Molar Extractions
Authors: Jahagirdar Abhishek , Yarichev Ubayda , Chigurupati Lakshmi , Ummar M , Humne Abhijeet , Acharya Trayeemay , Rana Ravinder P. S. 
Published: February 2025

ABSTRACT

Background:
Ensuring that after mandibular third molar extractions, patients can live life in comfort with no ill effects is a priority. Thus, the onset time, duration of action, and efficacy of relieving pain differ from one drug to another.

Materials and Methods:
Patients undergoing mandibular third molar extractions were compared with regard to the efficacy of local anesthesia in each group receiving 2% lignocaine with adrenaline, 0.75% ropivacaine, and 0.5% bupivacaine. Various parameters were evaluated.

Results:
Ropivacaine exhibited a longer duration of anesthesia and superior postoperative pain control compared to lignocaine and bupivacaine (P < 0.05). While lignocaine had the fastest onset, its analgesic duration was the shortest. Bupivacaine showed intermediate results. Statistical analysis confirmed significant differences among the groups.

Conclusion:
Ropivacaine is more effective in managing postoperative pain and offers a longer duration of anesthesia than lignocaine making it the preferable agent for mandibular third molar extractions.
Efficacy of Different Triage Protocols in Reducing Waiting Times in Emergency Settings: A Randomized Controlled Trial
Authors: Balu P R S , Syed Afroz Kalmee , Kotian Tejashwini , Padala Hemanth Satya Subhash , Gupta Surendra , Tiwari Rahul , Kamboj Saloni 
Published: February 2025

ABSTRACT

Introduction:
Prolonged waiting times in emergency departments (EDs) can result in adverse outcomes for patients. Implementing efficient triage protocols is critical in reducing these delays. This study evaluates the efficacy of different triage protocols in decreasing waiting times in emergency settings.

Methods:
A randomized controlled trial (RCT) was conducted to compare three triage protocols (Manchester Triage System, Nurse-Initiated Triage, and Digital Triage Systems). The primary outcome was the reduction in waiting times. Secondary outcomes included patient throughput and satisfaction.

Results:
A statistically significant reduction in waiting times was observed in the Nurse-Initiated Triage group compared to the Manchester Triage system (P < 0.05). The Digital Triage System showed the highest patient throughput but lower satisfaction scores.

Conclusion:
Nurse-Initiated Triage protocols can effectively reduce waiting times in ED settings. Digital Triage Systems while improving efficiency may need to address patient satisfaction concerns.
Volar Plate Versus Kirschner-Wire Fixation in Intra-Articular Fracture of Distal Radius
Authors: Samal Barada Prasanna , Pradhan Sasmita , Mohanty Rashmi Ranjan , Chatterjee Gaurav , Acharya Tonima , Sahoo Braja Sundar 
Published: February 2025

ABSTRACT

Background:
Fractures of the distal radius are common and increasing in incidence due to osteoporosis and high-risk sporting activities. This study aims to compare the clinical, functional, and radiological outcomes of intra-articular distal radius fractures treated with volar plating versus Kirschner-wire (K-wire) fixation.

Methods:
A prospective randomized study was conducted on 50 patients with intra-articular distal radius fractures. Patients were divided into two groups: 25 treated with volar plating and 25 with K-wire fixation. Outcomes were assessed using the MAYO wrist score, DASH score, range of motion, grip strength, and radiological evaluation.

Results:
The mean time to union was significantly shorter in the plating group (6.72 weeks) compared to the K-wire group (8.64 weeks; P = 0.04). The plating group had better functional outcomes with higher MAYO scores (87.8 vs. 73.6; P = 0.001) and lower DASH scores (7.86 vs. 13.94; P = 0.03). Radiological parameters and grip strength were also significantly improved in the plating group.

Conclusion:
Volar plating provides superior functional and radiological outcomes compared to K-wire fixation in treating intra-articular distal radius fractures, especially in patients with complex fractures.
The Effectiveness of Different Sequences of Irrigation on Root Canal Disinfection: A Microbiological Study
Authors: Alshudukhi Saleh H. , Alattas Mustafa H. , Dutta Smita D. , Javed Muhammad Q. , Almosua Abdulkarim M. , Almutairi Nawaf M. , Mohmed Ahmed N. 
Published: February 2025

ABSTRACT

Purpose:
This study evaluates the effectiveness of different sequences of irrigation using sodium hypochlorite (NaOCl) and ethylenediaminetetraacetic acid (EDTA) on root canal disinfection, measured through bacterial reduction.

Methods:
A total of 48 mandibular molars were divided into two groups. Group A received irrigation with NaOCl followed by EDTA, while Group B received EDTA followed by NaOCl. Passive ultrasonic irrigation (PUI) was applied in both groups. Bacterial samples were collected at three stages: before chemomechanical preparation (S1), after preparation (S2), and after ultrasonic activation (S3). Quantitative PCR (qPCR) was used to assess bacterial load reduction. ANOVA was performed to determine statistical significance.

Results:
Group A demonstrated a significant reduction in bacterial load at all stages, with an ANOVA F-statistic of 9.40 (P = 0.00023). Group B showed a less pronounced reduction, with an F-statistic of 14.99 (P = 0.0000031). Bacterial reduction was more effective when NaOCl was used first followed by EDTA.

Conclusion:
The sequence of irrigation influences the effectiveness of root canal disinfection. NaOCl followed by EDTA achieved greater bacterial reduction compared to the reverse sequence.
Enhancing the Conversion of Patients from Outpatient to Inpatient Department: A Comprehensive Analysis
Authors: Sharma Sandesh K. , Chowhan Sudhinder S. , Bhargava Rahul , Chopra Arshia , Antony Deepu , Tiwari Rahul , Belza Maria S. L. 
Published: February 2025

ABSTRACT

Purpose:
This study aims to enhance and analyze the patient conversion rate from the outpatient department (OPD) to the inpatient department (IPD) in tertiary care hospitals. The study focuses on understanding the factors influencing patients’ decisions to decline inpatient admissions despite medical recommendations.

Methods:
A prospective descriptive research design was used to study a sample of 251 patients who visited the OPD. Both qualitative (patient questionnaires) and quantitative data (admission rate tracking) were collected. Pareto and Root Cause analyses were used to identify the main reasons for patient refusal, and a Chi-squared test was used to evaluate the statistical significance of these factors.

Results:
The primary reasons for declining inpatient admission included a preference for medical treatment over surgical interventions (21.7%), seeking second opinions (20%), financial concerns (13.9%), and long waiting times for consultations and test results (12.1%). The Chi-squared test indicated that these factors were statistically significant, with a P value less than 0.05, highlighting their impact on the decision-making process.

Conclusion:
Addressing the key reasons for refusal—medical treatment preference, second opinions, financial constraints, and operational inefficiencies—can significantly improve patient conversion rates from OPD to IPD. Hospitals should focus on improving patient education, communication, financial counseling, and operational efficiency to enhance the transition process and patient satisfaction.
Psychiatric Nurse-Led Interventions: A Pathway to Improved Coherence and Social Support in Alcohol Dependency
Authors: Paramasivam Kala , Ethiraj Theranirajan , Rajendran Shankar Shanmugam , Mathankumar Venkatesh , Marudan Anbalagan , Vidhya Balasubramanian Sri , Sathiyanathan Schwartzlin V. 
Published: February 2025

ABSTRACT

Background:
Alcohol dependency is a significant global health issue, marked by continuous use despite harmful effects. Psychiatric nurse-led interventions are crucial for addressing the complex needs of alcohol-dependent individuals by enhancing coherence and social support.

Methods:
A quasiexperimental study at the De Addiction Department in Chennai involved 120 male clients aged 20–45 years, divided into experimental and control groups.

Results:
The experimental group showed significant improvements in coherence and social support postintervention.

Conclusion:
This study underscores the effectiveness of psychiatric nurse-led interventions in promoting resilience and social support in alcohol-dependent clients, essential for effective addiction treatment.
Effectiveness of 10% Carbamide Peroxide in the Home Bleaching Technique on Vital Teeth: An Original Research
Authors: Jain Saloni , Rai Aparna , Puri Surekha , Kahate Mayur M. , Jain Anushree , Mishra Rachana 
Published: February 2025

ABSTRACT

Introduction:
A prevalent esthetic concern, tooth discoloration has led to the development of numerous dental bleaching methods. One common bleaching agent that is used at home is carbamide peroxide, which is both economical and convenient. There has not been much research on its effectiveness for at-home bleaching, especially on important teeth.

Methods:
Fifty people with mild to moderate tooth discoloration were enrolled in this randomized controlled study. The subjects were randomized to receive a placebo gel (control group) or a 10% carbamide peroxide gel (experimental group) in a home bleaching kit. A spectrophotometer was used to analyze the shade both at baseline and following a 2-week bleaching period. Adverse effects and patient satisfaction were also evaluated.

Findings:
When compared to the control group, the experimental group’s tooth shade improved statistically significantly (P < 0.05). The experimental group reported fewer side effects than the control group, and patient satisfaction levels were higher in the former.

Conclusion:
In summary, the study proves that 10% carbamide peroxide is both safe and effective for at-home tooth whitening. Its usefulness as an efficient and well-tolerated bleaching method in cosmetic dentistry is supported by the noticeable change in tooth shade and the high level of patient satisfaction.
Histopathological characteristics of keratoconus
Authors: Mazza Massimo , Bergeron Sabrina , Cheema Devinder , Coblentz Jacqueline , Nguyen Anne Xuan-Lan , Dias Ana Biatriz Toledo , Palomino Angela Fajardo , Burnier Miguel Noel 
Published: February 2025

Abstract

Purpose:
Keratoconus (KC) is a bilateral and asymmetrical corneal ectasia that affects vision. In this study, we performed a histopathological analysis of 150 cases of KC, to document and catalogue the primary morphological features of cornea with KC.

Subjects and Methods:
The corneas were obtained from penetrating keratoplasties at the MUHC – McGill University Ocular Pathology & Translational Research Laboratory in Montreal, Quebec, Canada. Information was obtained for age and sex at time of surgery.

Results:
The histopathological characteristics were breaks in Bowman’s layer in 91% (n = 136), epithelial thinning in 87% (n = 130), compaction of the stromal fibers in 65% (n = 97), folds in Descemet’s membrane in 63% (n = 94), endothelial cell loss in 31% (n = 47), deep stromal scarring in 30% (n = 45), epithelial scarring in 29% (n = 44), superficial iron deposition in 27% (n = 40), and breaks in Descemet’s membrane in 18% (n = 27).

Conclusion:
These results further suggest that changes in the superficial layers, such as the epithelium and Bowman’s layer, precede stromal involvement. These results also confirmed previous data from a published study conducted in 2008.