bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge, Attitude, and Barriers toward Smoking Cessation Counseling: A Cross-Sectional Study among Clinical Dental Students in Indonesia
Authors: Yulianti Yanti , Soegyanto Anandina Irmagita , Wardhany Indriasti Indah , Rahmayanti Febrina , Subarnbhesaj Ajiravudh , Wimardhani Yuniardini Septorini 
Published: September 2024

Abstract
Objectives The World Health Organization has promoted the integration of smoking cessation programs into normal dental treatment since they have significant positive effects on oral health. However, there are stillmany barriers including a lack of knowledge about the smoking cessation counseling (SCC). The high incidence of smoking is an important health challenge in Indonesia. This study determined the relationships between sociodemographic factors and knowledge about the effects of smoking on oral health, as well as knowledge of, attitudes about, and barriers to SCC among clinical dental students in Indonesia.
Materials and Methods This was a cross-sectional study utilizing a questionnaire involving clinical dental students throughout Indonesia. Clinical dental students from 32 dental schools in Indonesia were invited to participate in the study. Twenty-seven dental schools agreed to participate in the study and the estimated sample size was 416 participants. The questionnaire included sociodemographic data, smoking status, knowledge about the effects of smoking on oral health, and knowledge of, attitudes about, and barriers to SCC.
Statistical Analysis Mann–Whitney U and Kruskal–Wallis tests were used to determine differences in knowledge about the effects of smoking on oral health and the knowledge of, attitudes about, and barriers to SCC among clinical dental students' sociodemographic factors and smoking status. The Spearman's correlation analysis was used to determine the correlation between knowledge of, attitudes about, and barriers to SCC.
Results A total of 614 students participated in the study. Significant differences were found in students' knowledge regarding the effects of smoking based on smoking status, SCC based on educational stages, attitudes based on sex and smoking status, and barriers based on sex (p < 0.05). Significant relationships were found between students' knowledge of the effects of smoking and of SCC (r = 0.226), knowledge of the effects of smoking and attitudes about SCC (r = 0.110), knowledge of and attitudes about SCC (r = 0.162), knowledge of and barriers to SCC (r = –0.17), as well as attitudes about and barriers to SCC (i = –0.224).
Conclusion Clinical dental students' knowledge regarding SCC are lacking, but they have positive attitude regarding SCC. It is necessary to improve education quality in every dental educational institution related to SCC.
Retrospective Outcome Analysis of Geriatric Traumatic Brain Injury Treated at a Tertiary Care Center in India
Authors: Kumar Abhishek , Jaiswal Somil , Ojha B.K. , Chandra Anil , Srivastava Chhitij , Bajaj Ankur , Yadav Awdhesh 
Published: September 2024

Abstract
Background Trauma is a major cause of morbidity and mortality in elderly patients and its management is challenging. Outcome assessment in these patients is difficult because of preexisting chronic medical conditions as it may be impossible to isolate the effect of traumatic brain injury. This study aimed to examine the clinical outcomes and epidemiological and clinicoradiological characteristics of geriatric traumatic brain injury patients at a tertiary care center.
Methods The clinical records of patients aged ≥60 years with head injuries treated at King George's Medical University between 2016 and 2020 were included in the study. Patients were followed up in the outpatient department or through telephone consultation. The follow-up period was updated using the Glasgow outcome score (GOS) of patients for current neurological status and relevant radiological investigations.
Results The mean age of subjects was 66.16 ± 6.55 years. Road traffic accidents were the most frequent cause of brain injuries (448 [68.5%]). In total, 41% of the study patients had severe head injuries (Glasgow coma scale, GCS < 9) at admission. The in-hospital mortality was 25.2%. In total, 60.7% of discharged patients showed favorable outcomes (GOS: 4 or 5). GCS at admission, best motor response, and associated comorbidity (diabetes mellitus) significantly predicted the outcome at 6 months. The majority of the patients (82.6 %) were 60 to 70 years of age.
Conclusion Road traffic accidents are the most frequent cause of brain injuries in geriatrics. Most of them were managed medically, and majority were discharged (74.8%). Out of those discharged, 39.3% had unfavorable outcomes.
Analysis of Influencing Risk Factors of Nonsyndromic Unilateral Cleft Lip in South Sulawesi
Authors: Tajrin Andi , Rusdin M. Hidayat Sakti , Nurwahida Nurwahida , Fauzi Abul , Rasul Muhammad Irfan , Muharram R. Aries 
Published: September 2024

Abstract
Objective This study is to determine the most dominant risk factors for the potential occurrence of nonsyndromic unilateral cleft lip in South Sulawesi, Indonesia.
Materials and Methods This is a retrospective study of several hospitals in South Sulawesi, Indonesia. An analysis was performed on the medical records of patients with nonsyndromic unilateral clefts. In the period from January 2018 to December 2022, risk factors include gender, parental education, family history of cleft lip and palate, maternal history of smoking or exposure to secondhand smoke, and consumption of drugs and alcohol during gestational age. The size of the sample is determined using the cluster sampling technique. Statistics uses chi-square test analysis and logistic regression for nominal variables. It uses SPSS Statistics version 25, with a value of p < 0.05.
Results The highest risk factor was found in patients with parents with a history of alcohol consumption during pregnancy and in patients with family history of cleft lip and palate, history of smoking or exposure to cigarette smoke, history of drug consumption, and gender. In comparison, parents' education level does not have a significant influence.
Conclusion History of alcohol consumption during pregnancy, family history of cleft lip and palate, history of smoking or exposure to cigarette smoke, history of drug consumption, and gender are considered risk factors for nonsyndromic unilateral cleft lip in South Sulawesi, Indonesia.
Homeopathy, Acupuncture and Phytotherapy in the Veterinary Treatment or Prophylaxis of Diseases in Animals: An Overview of Systematic Reviews
Authors: Matta Edna Cristiane da , Takeda Maristela , Salles Scortegagna de Medeiros Nathalia , Hosomi Jorge Kioshi , Bonamin Leoni Villano 
Published: September 2024

Abstract
Introduction Complementary and alternative veterinary medicine (CAVM) has been intensively used, and there is currently an increasing demand for a more rigorous approach regarding its clinical effectiveness.
Aims The objectives of this overview were: first, to identify systematic reviews on homeopathy, acupuncture and phytotherapy in veterinary medicine and assess their methodological quality; and second, to map interventions and findings in the treatment or prophylaxis of any medical conditions in any animal species for which high-quality systematic reviews had identified reliable evidence of efficacy or effectiveness in randomized controlled trials (RCTs) or controlled clinical trials (CCTs).
Method The study was an overview of systematic reviews published in the years 2000 to 2022 inclusive. The following databases were used: CAB Abstracts, PubMed and Vet Index, from which the abstracts of 173 articles were extracted, 22 of which were initially included for complete analysis. After excluding 15 studies according to the exclusion/inclusion criteria, 7 review papers were comprehensively analyzed. The review quality was assessed by the Measurement Tool to Assess Systematic Reviews (AMSTAR 2) method. The reported RCTs/CCTs in these reviews were analyzed for their reliability, and the results were classified according to statistical significance and risk of bias.
Results Seven eligible systematic reviews reported studies on dogs, horses, cats, cattle, sheep, goats, swine, rabbits and poultry. The number of primary RCTs/CCTs was 38 for homeopathy, 35 for acupuncture, and 171 for phytotherapy. The AMSTAR 2 evaluation ranked two reviews of veterinary homeopathy as high-quality, in which two placebo-controlled RCTs comprised reliable evidence, one of which reported efficacy of homeopathy as prophylaxis for diarrhea in pigs. The systematic reviews of acupuncture and phytotherapy were all of low quality, preventing formal assessment of their reviewed RCTs/CCTs.
Conclusion Only the systematic reviews of homeopathy were rated of sufficient quality to enable the assessment of reliable evidence within their reviewed RCTs. Contemporary high-quality systematic reviews of clinical trials in each of the three areas of CAVM are required.
Treatment of a Large Gluteal Hydatid Cyst in Syria Using a Manual Negative Pressure Wound Therapy Device (PragmaVAC)
Authors: Netfagi M. , Alshaer H. , Abbara A. , Hariri M. 
Published: September 2024

AbstractThe lungs and liver are the most common sites of hydatid cysts, but they may also be found in other organs. We report the case of a lady in her 50s who presented to a hospital in northwest Syria with a large swelling in the right gluteal region. This was diagnosed as a gluteal abscess, and an incision and drainage were performed. Intraoperatively, a hydatid cyst germinal membrane was noted. She had the required imaging to exclude other cysts, which revealed a liver hydatid cyst of 7.5 cm, which was treated with PAIR (puncture, aspiration, injection, and re-aspiration) and albendazole. The residual wound was closed using a manual vacuum-assisted closure (VAC) pump for seven days. A key lesson is that a hydatid cyst in the gluteal muscles, though rare, should be considered in the differential diagnosis. We also show that the innovative use of a manual VAC pump can be used to support closure of large hydatid cyst cavities in muscles.
Practice Patterns and Incidence of Febrile Neutropenia in Patients Receiving Triplet Drug Chemotherapeutic Regimens in GUT Cancers: Do We Need to Add WBC Growth Factors? (ForGeT GCSF Study)
Authors: Venkatesh Kapu , Ramaswamy Anant , Sultana Noorzia , Bhargava Prabhat , Srinivas Sujay , Suman Mannavi , Trikha Mehak , Ostwal Vikas 
Published: September 2024

Background and Objectives: There are limited data on the requirement and duration of white blood cell (WBC) growth factor (GF) administration in patients receiving biweekly docetaxel, oxaliplatin, leucovorin, 5 Fluorouracil (mFLOT) or modified FOLFIRINOX (oxaliplatin, irinotecan, leucovorin, 5 Fluorouracil (mFOLFIRINOX) regimens.
Methods: The data of 749 patients with pancreatic, gastric, and colorectal adenocarcinomas treated with mFOLFIRINOX or mFLOT for at least three cycles between January 2018 and December 2022 were retrieved.
Results: Of the 749 patients, 387 (52%) received mFLOT, while 362 (48%) received mFOLFIRINOX. Increased use of GF was seen in patients with diabetes mellitus (70 vs. 53%; p < 0.001), prior chemotherapy (82 vs. 49%; p < 0.001), prior pelvic radiotherapy (89 vs. 54%; p < 0.001), prior surgery (70 vs. 49%; p < 0.001), and stage I to III cancers as opposed to stage IV cancers (61 vs. 48%; p = 0.006). The use of GF resulted in a statistically lesser incidence of all-grades neutropenia (2.6 vs. 18.4%; p < 0.001), grade 3/4 neutropenia (1.2 vs. 12.5%; p < 0.001), and the primary endpoint of febrile neutropenia (FN; 1.2 vs. 6.1%; p = 0.001). There were no differences in the incidence of all grades of neutropenia (3.7 vs. 1.9%; p = 0.527), grade 3/4 neutropenia, and the primary endpoint of FN (1.2 vs. 1.1%; p = 0.079) in patients receiving single-day versus multiday GF, respectively.
Interpretation and Conclusion: The use of GF reduces the rates of FN by approximately 80% in patients receiving mFLOT and mFOLFIRINOX, although incidences of FN are low with these regimens. The incidence of febrile neutropenia was similar with single-dose versus multiday GF in efficacy when administered with mFLOT and mFOLFIRINOX chemotherapy.
Prevalence of Musculoskeletal Disorders among Dental Professionals: An Umbrella Review
Authors: Jain Lisha , Hegde Vivek , Shetty Rajesh , Tandale Anita , Palekar Tushar J. , Mehta Vini , S.R Srinidhi , Negi Sapna 
Published: September 2024

AbstractPerforming repetitive tasks on patients' mouths increases the risk of strain-related injuries for dental professionals, ultimately leading to musculoskeletal disorders (MSDs). This umbrella review aims to assess the scope of the MSD problem and identify the most often impacted body parts among dental professionals. A comprehensive search of the literature was performed from inception to March 30, 2024, in PubMed-MEDLINE, Embase, Scopus, and Web of Science databases. This review evaluated systematic reviews (SRs) and meta-analyses (MAs) of the observational studies that reported the prevalence of MSDs or any form of MSD among dental professionals such as dentists, dental hygienists, or dentistry students. The extracted data were complemented with narrative synthesis. A total of eight SRs and MAs were included in this umbrella review. Five of the eight studies were conducted globally, one in the context of Western countries and two in an Iranian context. Four of the eight studies focused on MSDs in dental practitioners, with prevalence rates ranging from 0.5 to 93%. Four body areas, that is, the neck, the lower and upper back, the shoulders and wrists, and hands were widely exposed to MSDs, with significant prevalence reported across studies. In conclusion, MSDs are common among dental professionals. Consequently, there is a pressing need to implement infrastructural and behavioral ergonomic solutions in the dental profession. However, a major concern arises from the critically low quality of available studies on MSD prevalence in dental professionals. Therefore, more rigorous research adhering to the basic quality criteria is required.
Intraoperative Incidental Internal Carotid Artery Injury in Extended Endoscopic Endonasal Approaches—Causes, Prevention, and Management: A Technical Note
Authors: Muraleedharan Manjul , Kumar Arushi , Manogaran Ravisankar , Kumar Ashuthosh , Keshri Amit Kumar , Singh Vivek , Kumar Raj 
Published: September 2024

AbstractIn spite of good anatomical awareness, the position of internal carotid artery (ICA) can be tricky in an intraoperative setup with disease causing very significant distortion of anatomy and shift of carotid artery and its branches. A 45-year-old gentleman presented with complaints of left hemicranial headache and painless progressive vision loss in both eyes (left more than right) for 8 months. A probable clinico-radiological diagnosis of meningioma was reached. Intraoperatively, bleeding occurred from left side ICA, control of which was achieved using a long gauze piece used as conventional nasal pack with crushed muscle beneath the gauze piece along with abdominal fat, which was further reinforced with Surgicel. The parasellar ICA is the most common segment injured. Dehiscent or bulging canal of ICA, presence of pseudoaneurysm, attachment of sphenoid septae to the canal, displacement by the lesion, nonenlarged sella because of small size of lesion or vertically oriented lesions, and vessel wall abnormalities increase the risk of injury. It is very essential to have a preoperative discussion involving the skull base surgeons (neurosurgeons and otorhinolaryngologists), neuroradiologists, and neuroanesthetists regarding the complications expected in the case. In case of ICA bleed, the target should be to achieve a temporary hemostasis. In small tears, cottonoids for pressure and bipolar for cauterization will help stop the bleeding, while in larger tears, giving moderate pressure using crushed muscle and cottonoids to achieve intra-operative hemostasis should be tried. After intraoperative hemostasis, the patient needs to be shifted to angiography suite for endovascular stent placement.
A Strike from the Air: Cerebral Hemorrhage after a Lightning Strike
Authors: Radovic Mojsije , Micovic Mirko , Zivkovic Bojana , Bascarevic Vladimir 
Published: September 2024

AbstractLightning strikes pose a rare but catastrophic risk for a variety of injuries, including damage to the central nervous system. We present the case of a 79-year-old farmer who survived a lightning strike directly in the chest resulting in an intracerebral hemorrhage in the region of the left basal ganglia. The patient was initially comatose with right-sided paralysis and central facial palsy but displayed gradual improvement with supportive medical therapy. This unique case highlights the potential for lightning strikes to cause rare and severe neurological complications, including intracerebral hemorrhage. A review of the literature proposes possible pathophysiology of lightning-induced intracerebral hemorrhage, but the exact mechanism is yet to be found. Early diagnosis, classification, and treatment of neurological symptoms are crucial for optimal patient outcomes following lightning strikes. This case report adds valuable information to the limited body of literature on lightning strike-induced central nervous system injuries, emphasizing the importance of prompt medical intervention and multidisciplinary care for lightning strike survivors. Further research is needed to better understand the mechanisms underlying lightning-induced intracerebral hemorrhage and to develop optimal treatment strategies for these rare but potentially devastating events.
Children with Sepsis Directly Admitted to a Children's Hospital Have a Lower Mortality Compared to Those Transferred from Outside Emergency Departments
Authors: Akande Manzilat , Nagpal Ashish , Muisyo Teddy , Cutler James , Anderson Michael , Allen Christine 
Published: September 2024

AbstractSepsis, severe sepsis, and septic shock are associated with high morbidity and mortality in children. We investigated the association between clinical outcomes and location of initial emergency department (ED) presentation for critically ill children with sepsis. Using the Virtual Pediatric Systems (VPS) database, we performed a 10-year retrospective cohort study of children (aged 30 days to 18 years) admitted to a VPS pediatric intensive care unit (PICU) with a primary diagnosis of sepsis, severe sepsis, or septic shock. We compared mortality, length of stay, and ventilator-free days of those who were transferred to a VPS PICU from a referring hospital ED to those who were directly admitted from the VPS PICU's hospital ED. Of the 9,833 patients, 26% were admitted from a referring ED. Overall PICU mortality was 6.3%. Transferred patients had a higher probability of death based on Pediatric Index of Mortality 3 (PIM 3) scoring (1.2 vs. 1.0; p < 0.001), longer ICU length of stay (LOS; 3vs. 2 days; p < 0.001), and were more likely to require mechanical ventilation (50 vs. 35%; p < 0.001). Direct admission from the VPS PICU's ED was independently associated with lower mortality (odds ratio [OR]: 0.81; p = 0.041) and shorter ICU LOS (21%; p = 0.009). Hospital LOS and ventilator-free days were not independently associated with the location of the initial ED presentation. In this cohort of children with sepsis, severe sepsis, and septic shock, location of initial care impacted patient outcomes. Compared to children transferred from a referring ED, children directly admitted from a VPS PICU hospital's ED had improved mortality and decreased ICU LOS.
Lesion tipo Ciclops post fractura de espinas tibiales: Reporte de caso
Authors: Figueroa David , Cifuentes Héctor , Yañez Claudio , Figueroa Francisco , Vaisman Alex , Calvo Rafael , Espinoza Jaime 
Published: September 2024

ResumenLa fractura de espinas tibiales es una fractura intraarticular de la inserción ósea del LCA sobre el platillo tibial, más común en niños y adolescentes entre 8 y 14 años de edad. Su incidencia se ha reportado entre 2% y 5% en la población pediátrica, pero son raras en adultos. La lesión tipo ciclops es una proliferación fibrosa de tejido de granulación, que genera un nódulo de partes blandas que limita la extensión, siendo una de las complicaciones posibles del manejo artroscópico de este tipo de fracturas. Se reporta el caso de una paciente de 25 años que cursó con fractura de espinas tibiales, donde se realizó una reducción anatómica satisfactoria de forma artroscópica y evolucionó con pérdida de extensión en el postoperatorio. Su estudio con RNM reveló una lesión tipo ciclops que requirió desbridamiento artroscópico.
Experimental study on pressure and temperature distribution characteristics of subcritical and supercritical water in vertical flow channel
Authors: Jin Hui , Wang Huibo , Li Yi , Nikrityuk Petr A. 
Published: September 2024

To enhance knowledge about efficiency improvement and reactor optimization in supercritical water gasification, an experimental system was designed to study the pressure and temperature distribution of subcritical and supercritical water in a channel, representing a simplified continuous reactor. The pressure drop and temperature distribution along and perpendicular to the forced flow are studied by the measure points inserted inside the test section. Experimental results show that the pressure drop in the test section is linearly negatively correlated with the average enthalpy of the inlet and outlet, eventually reaching negative values (−0.177 MPa) at high average enthalpy (2300 kJ kg−1). Temperature and specific enthalpy along the flow direction match theoretical estimates, except near the pseudocritical region. In subcritical cases, horizontal temperature differences are positively correlated with enthalpy differences and mass flow rates but remain nearly constant in supercritical cases. However, with fluid temperature rising from the pseudocritical point, the horizontal temperature difference first increases, then decreases, and reaching a peak of 4.29 K at a fluid temperature of 664 K. Analysis of the obtained data reveals that the negative correlation and values of the pressure drop are caused by fluid volume expansion. Additionally, fluid volume expansion, near-wall natural convection, and turbulent forced flow fluctuations contribute to horizontal temperature non-uniformity.
Research and implementation of a large-bandwidth real-time radar jamming simulator
Authors: Wang Zhengli , Tian Shulin , Zeng Hao , Tian Yu , Wang Meng , Yu Xiaoyu 
Published: September 2024

The electromagnetic environment faced by modern radar is becoming increasingly complex. One effective means to improve the performance of radar systems is testing in an anti-jamming ability test chamber, where the increased complexity has also led to higher performance requirements for radar jamming simulators. Based on the requirements for modern radar system testing, this paper presents a study of a large-bandwidth real-time radar jamming simulator and describes its overall design architecture; the simulator covers the L-Ku and Ka frequency bands and the instantaneous bandwidth is ≥2 GHz, which means that the system is able to simulate 11 interference patterns. Synchronous control of the system is realized in 1 ms through use of the reflection memory interrupt mechanism, the synchronous pulse signal mechanism, synchronous timing design, and a real-time control software architecture. An overall design scheme for real-time simulation of a radar target jamming echo is given and baseband signal processing resources are saved through information preprocessing, a large-capacity high-speed storage board is designed to improve the data reading speed, a multiphase filtering structure is used to achieve high sampling rates and save hardware resources, and a high-speed parallel computing method is used to improve computing efficiency; the actual measured baseband signal processing time is less than 500 ns. Finally, a measurement platform is built, and the main interference patterns are verified through experimental measurements.