bluuebunny/crossref_metadata_2025_split huggingface dataset:
Decoding Cystic Lesions in Mixed Dentition through Step-by-step Diagnosis
Authors: Sharma Arushi , Singh Namita , Sharma Winnie , Jindal Mehak 
Published: October 2024

Abstract
Radicular cysts are the most often documented inflammatory cysts in the adult population, although their incidence in children is regarded as unusual. This study presents a 12-year-old female patient, who had an asymptomatic radicular cyst along with a retained and decayed deciduous tooth in the left posterior mandibular area, the cyst. The patient underwent cystic enucleation after a clinical and radiographic evaluation which led to a provisional diagnosis that was corroborated by the histological findings. In this article, the differential diagnosis and treatment of a radicular cyst in a pediatric patient is discussed.
Assessing Emotional Intelligence among Dental Undergraduate Students: An Institutional Insight from Western India in the Postpandemic Context
Authors: Maraimalai Nivedhitha , Chettiankandy Tabita Joy , Trimukhe Akshay Chandrakant , Tiwari Saumya , Yen Chein Chai Aaron 
Published: October 2024

Abstract

Background:
Emotional intelligence (EI) plays a pivotal role in academic success, especially in challenging fields such as dentistry. The COVID-19 pandemic has revolutionized education, necessitating a fresh examination of EI among dental students in the postpandemic era.

Materials and Methods:
This cross-sectional study involved undergraduate dental students and employed a structured questionnaire comprising 21 questions to assess EI, gather demographic data, and explore learning behaviors. The gathered data underwent rigorous statistical analysis using SPSS, including Chi-square tests.

Results:
Among the 525 students, 168 participated, representing a 32% response rate. Notably, the majority of respondents were female (67%) and exhibited EI scores predominantly in the moderate range. Significantly, the study revealed noteworthy correlations between EI and family income (P = 0.03*) and study hours (P = 0.00*). However, no substantial link was identified between EI and work completion behavior.

Discussion:
This study illuminates the intricate relationship between EI, socioeconomic factors, and study habits within the context of dental education. It implies that greater family income and increased study hours positively influence EI. The practical implications extend to tailored EI programs and addressing educational disparities.

Conclusion:
This study significantly advances our comprehension of EI among dental students. It underscores the relevance of EI in dental education and advocates for equitable educational strategies in a post-COVID landscape.
Clinical Perspective of Antimicrobial Drugs in Pediatric Dentistry- An Update
Authors: Goel Dhirja , Chaudhary Seema , Manuja Naveen , Goel Gaurav Kumar 
Published: October 2024

Abstract
This review highlights the importance of judicious antibiotic prescribing practices for orofacial infections in pediatric patients. It emphasizes the need to adhere strictly to guidelines to mitigate the rising threat of antibiotic resistance. Antibiotics, alongside analgesics, are commonly prescribed by dentists due to their efficacy in treating infections. However, a significant portion of antibiotic prescriptions are unnecessary, contributing to the development of microbial resistance. Research indicates a concerning trend of low adherence to professional clinical guidelines among dental students, dentists, and pediatric dentists regarding antibiotic prescriptions. Despite the historical success of antibiotics in dental treatments, their overuse poses a risk to this achievement. Therefore, it’s crucial to limit antibiotic use to reduce the risk of resistance development. Insufficient knowledge about significant clinical indications for antibiotic prescriptions among pediatric dentists exacerbates the problem, leading to overuse and contributing to antibiotic resistance in children. Addressing this knowledge gap and promoting adherence to guidelines is essential in preserving the effectiveness of antibiotics in pediatric dental care.
Clinicians Perspectives of Linagliptin Monotherapy and Linagliptin + Dapagliflozin Combination Therapy in the Management of Type 2 Diabetes Mellitus with Chronic Kidney Disease in Indian Settings
Authors: Manjula S. , Kumar M. Krishna 
Published: October 2024

Objective:
The objective of the study was to gather clinician’s perspectives on the use of linagliptin monotherapy and the linagliptin + dapagliflozin fixed-dose combination (FDC) in the management of patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) in the Indian clinical settings.

Methodology:
The cross-sectional study employed a 25-item, multiple-response questionnaire to collect expert opinions from specialists experienced in managing T2DM with CKD. The survey covered topics such as current prescribing practices, clinical observations, preferences, and experiences regarding the use of linagliptin monotherapy and linagliptin + dapagliflozin FDC in routine settings. Data analysis was conducted using descriptive statistics.

Results:
Overall, 1848 participants were included and the majority (77%) of them preferred linagliptin as the dipeptidyl peptidase-4 inhibitor (DPP4i) of choice, while 65% observed improved estimated glomerular filtration rate (eGFR) with linagliptin in their practice. Nearly 44% of the respondents noted that 11%–25% of patients needed multiple drugs alongside metformin for glycemic control. Nearly 76% favored linagliptin when combined with dapagliflozin, and 61% preferred the dapagliflozin + linagliptin FDC for elderly diabetic patients with obesity or cardiac/renal issues. Approximately 68% of the clinicians reported a 3–6 mmHg reduction in blood pressure with dapagliflozin. About 60% of the clinicians stated the occurrence of urinary tract infections with the DPP4i and sodium–glucose co-transporter-2 inhibitor combination, and approximately 42% indicated effective synergy between dapagliflozin + linagliptin.

Conclusion:
The study findings indicated that linagliptin monotherapy and linagliptin + dapagliflozin FDC were preferred in managing T2DM with CKD due to their potency, minimal side effects, and efficacy. The study has also underscored the additional benefits conferred by linagliptin, including improved eGFR and reduced blood pressure.
Outcome of autologous bone marrow transplant in patients with relapsed and refractory diffuse large B-cell lymphoma in relation with prognostic factor: A single-center experience
Authors: Yousif Fawaz Salim , Matti Bassam Francis , Al-Bakri Zina Ali , Faraj Safa A. , Mohammed Mazin A. , Shakir Zahraa S. , Khalid Mahmood W. , Al Hlali Saba H. , Saeb Sarah M. , Khanjar Kareem K. , Humadi Maryam R. 
Published: October 2024

Abstract

BACKGROUND:
Currently, about 50% of diffuse large B-cell lymphoma patients are relapsed following their complete response to first-line therapy. The treatment strategy for fit patients with relapsed refractory diffuse large B-cell lymphoma (R/R DLBCL) has been done with salvage therapy with non-cross resistant combination chemo-immunotherapy regimens followed by high-dose chemotherapy and autologous stem cell transplantation (ASCT).

OBJECTIVES:
The aim of study was to evaluate the outcome of ASCT for R/R DLBCL in relation to certain prognostic parameters.

PATIENTS, MATERIALS AND METHODS:
This is retrospective study, conducted from May 2014 to December 2022, at Hematology and BMT Center of Medical City Complex in Baghdad. Thirty-six patients with R/R DLBCL were investigated pre- and post-ASCT; the recorded data included patient disease status pre-transplant, early mortality rate, and type of response at day 100 post-transplant and, survival rate, relapsed rate, and mortality at the end of the study were documented accordingly.

RESULTS:
The mean age of DLBCL patients in this study was 41.3 (14–65) years, post-ASCT at day 100; there were 33 (91.6%), 2 (5.5%), and 1 (2.7%) patients in complete remission, relapsed progressive disease, and death, respectively, At 3-year posttransplant, the overall survival (OS) was 71%, whereas the event-free survival (EFS) was 59%. According to disease status pre-ASCT, the OS was 62%, 80%, and 66% with P = 0.7, whereas the EFS was 66%, 60%, and 50% with P = 0.5 for CR, UCR, and PR, respectively.

CONCLUSION:
Iraqi bone marrow transplant center data showed acceptable OS and EFS results in the treatment of R/R DLBCL patients in areas where there is no more option in terms of better OS and EFS but with insignificant relation to the available prognostic factor.
Perceived stress and coping strategies among undergraduate nursing students in the psychiatric practicum during the COVID-19 pandemic: A cross-sectional quantitative study
Authors: Lu Shiou-Fang , Chiang Shu-Wan , Hsu Ya-Chuan 
Published: October 2024

ABSTRACT

Objectives:
This study aimed to explore perceived stress and coping strategies among undergraduate nursing students in the psychiatric practicum during the pandemic.

Materials and Methods:
A cross-sectional quantitative design was employed in this study. Data were collected through self-administered questionnaires consisting of demographic variables, the Perceived Stress Scale (PSS), and the Coping Behavior Inventory (CBI).

Results:
Of the 73 participants, 82.2% were women. The mean age was 21.25 ± 0.69 years. The overall mean score of PSS was 1.45 ± 0.48, and that of CBI was 1.93 ± 0.31. The major sources of perceived stress were taking care of patients (1.72 ± 0.54) and assignments and workload (1.72 ± 0.75). The major coping strategies to deal with stress were problem-solving (2.66 ± 0.52) and staying optimistic (2.43 ± 0.73). Pearson’s correlation analyses revealed that participants who utilized the avoidance strategy (r = 0.416) reported high-stress levels, whereas participants who utilized problem-solving (r = −0.306) and staying optimistic (r = −0.527) reported low-stress levels.

Conclusion:
The nursing students perceived moderate stress mainly from taking care of patients as well as assignments and workload. Problem-solving and staying optimistic were the most frequently used coping strategies. Compared with findings from other studies, our data suggested that the impact of the COVID-19 pandemic on perceived stress was not apparent possibly due to well-established approaches and education for infection prevention and control in our hospitals and schools. Our findings may provide valuable information to maximize students’ learning opportunities.
A Descriptive Study to Assess the Anxiety Level among Caregivers of Cancer Patients Admitted to the Medical Oncology Department of SKIMS Soura
Authors: Zamir Sana , Amin Noorul , Guru Faisal Rashid , Wani Sadaf Shafi 
Published: October 2024

Introduction: Family caregivers for cancer patients may experience severe strain, worry, and sadness as a result of their work, which may affect their mental and physical health. There is little data on the degree of stress, worry, and depression experienced by cancer caregivers, as well as their involvement in helping patients and other factors that may help or worsen the prognosis. With an emphasis on patient and caregiver-related characteristics, this study examined the prevalence of depression, anxiety, and caregiving stress among cancer family caregivers. Aim: To	assess the anxiety level among the caregivers of cancer patients admitted to the medical oncology department at SKIMS Soura, using the anxiety rating scale. Methodology: A quantitative approach and descriptive research design were adopted to assess the anxiety levels among caregivers of cancer patients admitted to the medical oncology department of SKIMS Soura Srinagar Kashmir. The demographic variables were age, gender, educational background, per capita income, marital status, number of children, duration of caregiving, and relation with the patient. The permission for data collection was accorded by Medical Superintendent SKIMS Soura, who guided and forwarded the application to all concerned for needful. The sample size was 30 caregivers selected using the purposive convenience sampling technique. The tool used for the study was the Anxiety Self Rating scale, with 10 items, each with five responses ranging from never (0) to always (4). Results: The study revealed that 7 (23.3%) of the study subjects depicted moderate anxiety, equal number 7 (23.3%) of the study subjects also showed high anxiety, 6 (20%) of the study subjects depicted mild anxiety, and 0 (0.0%) of the study subject showed extreme anxiety. The calculated (Mean ± SD) score of the anxiety level of 30 subjects was (15.4 ± 8.6). The study revealed that there is no significant association between anxiety levels among study subjects with selected demographic variables viz age (p=0.21), educational background (p=0.10), per capita income (p=0.13), marital status (p=0.19), number of children (p=0.10) and duration of caregiving (0.39), relation with the patient (p=0.19) at 0.05 level of significance except for gender (p=0.02). Conclusion: The study concluded that caregivers always suffer from some form or level of anxiety that affects them as an individual and their families as a whole. The caregivers are prone to other mental health issues that can be explored, anxiety being the leading cause and symptom of the same.
FS900284 Survey of the Microbiological Contamination of Cull Ewes and Prime Lamb at Slaughter in England and Wales
Authors:   Animal and Plant Health Agency
Published: October 2024

The aim of this FSA-funded survey was to determine microbial contamination on sheep carcases in abattoirs in England and Wales as the last survey of healthy sheep at slaughter in England and Wales was undertaken 20 years ago. This project was run in conjunction with surveys funded by Defra and the PATH-SAFE research programme aimed at determining prevalence of caecal carriage of pathogens and levels of antimicrobial resistance in sheep at slaughter. Twelve out of 132 abattoirs in England and Wales were recruited, covering 28% of the annual national sheep slaughterhouse throughput. In total,1282 carcase swab samples were collected over a 12-month period from February 2023 to January 2024. All samples were tested for the isolation and quantification of Salmonella, 366 were tested for Campylobacter and 103 were tested for Enterobacteriaceae and E. coli. Salmonella was only detected in 7 (0.55%) of carcase swabs. Five isolates were confirmed as S. enterica subsp. diarizonae serotype 61:k:1:5, a sheep-adapted type with no confirmed association with human disease. The other two isolates were confirmed as S. Typhimurium. Campylobacter contamination was detected on 76 (20.8%) of carcases tested. Prevalence of E. coli (88.4%) and Enterobacteriaceae (75%) was as expected in freshly slaughtered meat, with 81.6% and 84.5% of these samples, respectively, presenting low levels of contamination The contamination detected on sheep carcases was significantly lower than that found in caecal samples examined in the Defra study suggesting that slaughtering processes are effective in reducing carcases being contaminated with pathogens. Correct cooking and hygienic handling and preparation of sheep meat will reduce/eliminate surface microbiological contamination further and reduce the risk to consumers. These results provide valuable baseline data that will help inform risk assessments and risk modelling and will inform future decisions by Government and the meat industry.
The Importance of Determining The Legal Relationship In Civil Cases
Authors: Tiku Taru Padang Paulus 
Published: October 2024

In the realm of land disputes, where ownership and covenants are often at the core of the conflict, identifying the correct legal relationship between the parties involved is crucial for the proper application of the law. This research aims to examine the legal considerations behind the court's decision and its conformity with applicable legal principles. This research utilizes normative legal research methods, focusing on primary legal materials to explore the judicial process. The results showed that the judge's decision in Makale District Court case No. 41/Pdt.G/2012/PN.MKL was incorrect. The judge treated the dispute as an inherited land dispute, whereas the core of the dispute was a dispute over the redemption of mortgaged land. This dispute occurred between the Plaintiff who had entered into a land pawn agreement with A.P. Limbong Allo and the Defendant who redeemed the land, even though they did not have a legal relationship with A.P. Limbong Allo. According to Article 1338 of the Civil Code, legally binding agreements only apply to the parties involved. Thus, the court should declare the Plaintiff's claim inadmissible (Niet Onvankelijk Verclaard) for lack of proper parties, as A.P. Limbong Allo was not included as a party. Limbong Allo was not included as a Defendant. This research implies the need for accurate identification of legal relationships in the civil litigation process, which impacts on court decisions and procedural justice.
Determinants of Outcomes for Acute Myeloid Leukemia Patients Treated in a Community-Based Specialized Versus Non-Specialized Hospital Setting
Authors: Battiwalla Minoo , Chao Ju-Hsien , Cox Tonya , Cruz Jose Carlos , Donnellan William B. , Eghtedar Alireza , Kambhampati Suman , Malik Shahbaz , Maris Michael B. , Rotta Marcello , Slovick Frank T. , Ramakrishnan Aravind , Bhushan Vikas , Sears Lindsay , Martin Casey , Holder Jared , Junglen Angela , Majhail Navneet , LeMaistre Charles F. 
Published: October 2024

The treatment setting influences acute myeloid leukemia (AML) outcomes. Most cancer patients receive care in the community, yet few studies have evaluated the effectiveness of clinical programs outside of academic or National Cancer Institute (NCI)-designated cancer centers. This was a multi-level, case-controlled study of real-world outcomes for initial AML treatment in a community-based network for 1,391 patients with AML between 2011 and 2018. We benchmarked survival within our network against the Surveillance, Epidemiology, and End Results (SEER) database. Coarsened exact matching was performed against 17,186 chemotherapy-treated patients in the SEER database. Cox proportional and accelerated failure time multivariable modeling were performed to identify patient, disease, therapy and center characteristics associated with the risk of AML mortality. Within the network, 799 patients were treated at six specialized blood cancer centers and 592 at 63 other hospitals. Patients receiving high-intensity induction at specialized centers had improved median survivals of 31 months versus 18 months [P<0.001] at non-specialized centers. Median survivals were 13 for non-specialized centers versus 10 months for SEER [P<0.001], and 18 for the entire network versus 10 months for SEER [P<0.001]. Multivariable modeling showed significant impacts from age (HR = 1.025), high-intensity induction therapy (HR= .695), diagnosis year (HR= .937), neighborhood income (HR = .997; P<0.01), higher acuity (HR = 1.002) and Charlson comorbidity score (HR = 1.117). AML treatment may be effectively delivered in the community hospital setting, with specialized centers producing better outcomes for higher intensity treatments.
PERAMALAN KUNJUNGAN RAWAT JALAN TAHUN 2023-2024 MENGGUNAKAN EXPONENTIAL SMOOTHING DI RS MEDIKA PERMATA HIJAU
Authors: Mauren Ferlina , Nurmalasari Mieke , Hosizah Hosizah , Qomarania Witri Zuama 
Published: October 2024

ABSTRAK

Kebutuhan akan sumber daya manusia di fasilitas pelayanan kesehatan harus sejalan dengan peningkatan kunjungan pasien yang sering kali sulit diprediksi. Berdasarkan data historis kunjungan pasien di RS Medika Permata Hijau dari tahun 2017 hingga 2022, tercatat peningkatan kunjungan pasien rawat jalan sebesar 8%, meskipun sempat mengalami penurunan drastis sebesar 85% selama pandemi COVID-19. Untuk menghadapi tantangan ini, peramalan kunjungan pasien menjadi sangat penting. Penelitian ini bertujuan untuk memprediksi jumlah kunjungan pasien rawat jalan di poliklinik RS Medika Permata Hijau. Data yang digunakan merupakan data sekunder dari kunjungan pasien rawat jalan di 15 poliklinik selama periode Januari 2017 hingga Desember 2022. Metode yang digunakan dalam peramalan ini adalah exponential smoothing. Hasil prediksi menunjukkan bahwa pada tahun 2023, kunjungan di poliklinik penyakit dalam diperkirakan mencapai 4.135 kunjungan dengan tingkat akurasi 55%, dan di poliklinik saraf mencapai 3.925 kunjungan dengan tingkat akurasi 40%. Temuan ini diharapkan dapat membantu rumah sakit dalam mempersiapkan kebutuhan sumber daya manusia yang kompeten dan mendukung penyediaan sarana serta prasarana yang memadai.
DESAIN SARANA KERJA BERDASARKAN ANTROPOMETRI PETUGAS REKAM MEDIS DI RSUD PANDAN ARANG BOYOLALI
Authors: Nugraheni Sri Wahyuningsih , Qurrota’ayun Inna Rahmattika , Wardaya A.Eka 
Published: October 2024

Sarana kerja yang sesuai dengan antropometri petugas berperan dalam peningkatan produktivitas petugas. Sarana kerja petugas rekam medis terdiri dari meja, kursi dan loket pendaftaran pasien. RSUD Pandan Arang Boyolali pada tempat pendaftaran terdapat meja dan kursi kerja yang tidak sesuai dengan antropometri petugas sehingga menyebabkan ketidaknyaman dalam bekerja. Tujuan penelitian ini untuk mengetahui desain sarana kerja dan loket pendaftaran pasien berdasarkan antropometri petugas di RSUD Pandan Arang Boyolali. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif dengan rancangan cross sectional. Subjek 5 petugas pendaftaran. Instrumen penelitian pedoman observasi, tabel antropometri, kalkulator, pedoman wawancara, meteran. Analisis data yang digunakan analisis deskriptif. Ukuran antropometri petugas loket pendaftaran pasien lebar bahu persentil 5 yaitu 34 cm, lebar pinggul persentil 95 yaitu 43cm, jangkauan tangan kedepan persentil 5 yaitu 62 cm, panjang depa persentil 5 yaitu 139 cm, tinggi siku persentil 5 yaitu 19 cm, tinggi lutut persentil 95 yaitu 64 cm, panjang tungkai atas persentil 5 yaitu 32 cm, panjang tungkai bawah persentil 5 yaitu 32 cm, tinggi bahu persentil 5 yaitu 47 cm. Desain ulang meja pada penyesuaian tinggi dan lebar, kursi pada tinggi, panjang, lebar alas duduk, tinggi dan lebar sandaran. Loket pendaftaran desain ulang pada loket pendaftran rawat inap dengan luas 9,37 m2. Saran meja pendaftaran menyesuaikan antropometri petugas, kursi petugas yang dapat disetel tinggi rendahya, loket pendaftaran rawat inap mempertimbangkan penataan kembali area kerja.