bluuebunny/crossref_metadata_2025_split huggingface dataset:
Combined Effects of Breathing Exercise and Core Strength Training on Fatigue, Abdominal Strength, and Cardiovascular Fitness among Subjects with Mechanical Nonspecific Lumbago Using Tele-physiotherapy: A Randomized Clinical Trial
Authors: Sawant Komal Umesh , Rai Richa Hirendra , Kalra Sheetal , Sharma Abhishek , Chahal Aksh , Sharma Nidhi 
Published: June 2024

Abstract

Background:
Lumbago is derived from the word “lumbar region.” This pain in the lower back/lumbar region is addressed low back pain (LBP). It is considered a major health issue causing disability, and associated with increased fatigue level, decreased abdominal strength, and poor cardiovascular fitness in the affected population.

Objectives of the Study:
Isolate and configure combined effect of breathing exercise and core strengthening training on fatigue, abdominal strength, and cardiovascular fitness in mechanical nonspecific lumbago subjects using tele-physiotherapy.

Methods:
A two-group online randomized control trial was conducted involving 60 participants. The duration of the study stretched for 4 weeks. Subjects recruited in accordance with the inclusion and exclusion criteria were split into two groups, i.e., experimental and control groups. The experimental group performed core strength training and breathing exercises, whereas the control group performed only core strength training. Before exercise and at the end of each week fatigue, abdominal strength, and VO2max of the subjects were measured and evaluated.

Results:
Results from the present study concluded significant improvement within each group fatigue, abdominal strength (P < 0.05). However, no between groups difference was observed for VO2max (P > 0.05). Pain intensity perceived by the patients was improved in the group subjected to combined intervention involving core strengthening and breathing exercises as compared to the control group.

Conclusion:
The study proposed a significant effect of breathing exercise along with core strength training on parameters of fatigue, abdominal strength, and cardiovascular fitness in subjects with lumbago.
A Study Protocol to Assess the Knowledge, Attitude, and Practices Related to Oral Health among Nursing Students in DMIHER (DU)
Authors: Bhagat Shweta , Jaiswal Priyanka , Masurkar Deepika 
Published: June 2024

Abstract

Background:
Nursing student’s dental health education model is aimed at orienting nursing students with oral health knowledge so that these students must be knowledgeable about dental health to implement it in their daily practices, and thus, they can play a vital part in health education and serve as the ideal role model for patients and the community. Therefore, a questionnaire-based survey is to be conducted to assess the knowledge, attitude, and practices related to oral health among nursing students in Sawangi, Wardha, Maharashtra, India.

Materials and Methods:
Around 440 nursing students will be participating in the questionnaire-based cross-sectional study for 2 months. The population will be taken from the nursing college of Datta Meghe Institute of Higher Education and Research (Deemed to be University), Sawangi Meghe, Wardha. The validated questionnaires will be circulated among the nursing students with the consent of the participation for the participants in study. After receiving the feedback of the questionnaires, the data will be observed, analyzed, and resulted.

Expected Results:
More than 80% is expected to have knowledge that toothbrushing prevents caries and gingival bleeding, and bleeding gum indicates gum disease. More than 90% may show a positive attitude toward the importance of oral health and considered that it is as important as other systemic health. Around 90% of students are expected to have a positive attitude toward dental floss and mouthwash helps in keeping the teeth clean. More than 90% of students are expected to brush their teeth twice daily and around 50% of students are expected to visit dental clinic regularly for routine dental checkup.

Conclusion:
The present study will show significant knowledge, attitude, and practices regarding oral health among nursing students. Therefore, our study’s findings might fill the void and provide a sound basis for developing evidence-based oral health reinforcement programs to reduce the discrepancy in oral health knowledge, attitude, and practices.
Impact of Social Media among School-going Children
Authors: Swain Santosh Kumar 
Published: June 2024

Abstract
Social media is an online platform that enables social interaction. Social media refers to online communities such as Facebook, Twitter, Instagram, and other game platforms. Today’s school-going kids and teens spend the majority of their time on social media. These sites of social media have provided portals for communication and entertainment in recent years. Excessive use of social media among school-going children is not only affecting their academics but also his or her health. Pediatricians or clinicians are in a unique position to guide the children or their families for healthy use of social media to avoid potential problems along with cyberbullying. An association exists between an individual’s self-esteem and their utilization of social media platforms. There has not been much research on the precise reason for and impacts of the social media on youngsters attending the school. This review article seeks to investigate the influence of social media on children and teenagers of school age.
Radiographical Assessment of the Subpubic Angle among Adult Bini Tribe in Nigeria and Overview of its Significance
Authors: Omotoso Dayo Rotimi , Ojeikere Victor 
Published: June 2024

Abstract

Background:
Pelvimetry is an important component of anthropometry which entails the assessment of pelvis morphometry. This includes subpubic angle (SPA) which is an important parameter with diverse applications.

Objective:
This study was conducted to determine the standard SPA values among the Bini tribe in Nigeria and elucidate their significance.

Materials and Methods:
This study employed anteroposterior pelvic radiographs of 85 male and 95 female adult Binis between 25 and 55 years. The SPA was measured as the angle formed by the intersection of inferior margins of the pubic rami. Data obtained were analyzed and presented as mean and standard deviation with comparison undertaken using a t-test (where P < 0.05 was regarded as statistically significant).

Results:
The male SPA (85.67 ± 8.04) was significantly lower (P = 0.035) than the female SPA (114.38 ± 9.70). Regarding the age groups, the male SPA (85.94 ± 6.08) was significantly lower than the female SPA (112.88 ± 9.59) among < 30 years; the male SPA (85.76 ± 8.78) was significantly lower than the female SPA (116.40 ± 7.41) among 31 to 40 years; the male SPA (84.75 ± 8.02) was significantly lower than the female SPA (113.59 ± 10.03) among 41 to 50 years, and the male SPA (86.13 ± 7.53) was significantly lower than the female SPA (113.96 ± 8.63) among over 50 years.

Conclusion:
The SPA has great significance as an estimator of sex and race during forensic procedures. Clinically, it is a vital parameter that plays a significant role in the determination of the mode of parturition in pregnant females at term.
Attitude of Undergraduate Dental Students’ Toward Geriatric Oral Care in Davanagere City, Karnataka – A Cross-sectional Survey
Authors: Venkatesh Usha Govindaroy 
Published: July 2024

Abstract

Background:
Population aging is a human success story. Getting older is associated with a higher incidence of chronic diseases which have proven to have oral manifestations. The future dentists should develop a positive attitude to provide care for elders.

Objective:
The objective of this questionnaire-based survey was to evaluate the attitude of undergraduate dental students’ toward elders in providing dental care to them.

Materials and Methods:
This cross-sectional study was conducted on 202 undergraduate dental students using a questionnaire including demographic characteristics and attitude sections. Data were fed into SPSS-20 and analyzed using descriptive statistics and independent t-test (α <0.05).

Results:
The mean age of students was 20.91 ± 1.56, 76.2% were female students, and 63.4% of students were in the clinical stage of their studies. The students’ mean score of attitude was 55.04 ± 5.81 (34–73). The mean score of attitude was not statistically different based on gender, age, year of study, type of family and bonding with grandparents. The “clinical training and discrimination in healthcare,” “compassion,” “adaptation to modern society,” and “resource distribution” were the four major factors extracted using principal component analysis and varimax orthogonal rotation method to measure attitude toward elders’ dental care.

Conclusion:
From our survey, it can be concluded that undergraduate students have moderately positive attitude toward elder patients. The four main components are the main areas in which dental education can be improved to better prepare aspiring dentists to treat elderly patients with high-quality dental care.
Comparative evaluation of intranasal dexmedetomidine, intranasal midazolam, and nitrous oxide for conscious sedation of anxious children undergoing dental treatment: A randomized cross-over trial
Authors: Janiani Palak , Gurunathan Deepa , Manohar Ramsesh 
Published: July 2024

ABSTRACT

Background:
Pharmacological methods, specifically sedatives, have gained popularity in managing the behavior of children during dental appointments.

Aim:
The aim of this study was to compare 1 m/kg intranasal dexmedetomidine, 0.3 mg/kg intranasal midazolam, and nitrous oxide in evaluating the level of sedation, behavior of the child, onset of sedation, physiologic signs, and adverse effects.

Materials and Methods
In this cross-over trial, 15 children aged 6–8 years were randomized to receive intranasal atomized dexmedetomidine, intranasal atomized midazolam, and inhalation nitrous oxide at three separate visits. After administering the sedative agent, a single pulpectomy was performed during each appointment, and the outcomes were recorded. The washout period between each visit was 1 week.

Results:
All three sedative agents were equally effective in controlling overall behavior. Dexmedetomidine showed lower sedation level scores (agitated; score 9) than the other groups. There was a statistically significant difference in the onset of sedation, with dexmedetomidine having the longest onset of 36.2 ± 9.47 min. Coughing and sneezing were predominantly observed after administration of intranasal midazolam. Oxygen saturation levels were statistically lower in the intranasal midazolam group during local anesthesia administration and post-treatment.

Conclusion:
0.3 mg/kg intranasal midazolam is as effective as nitrous oxide sedation for controlling behavior and providing adequate sedation in pediatric dental patients. However, 1 m/kg dexmedetomidine did not provide the same level of sedation and had a significantly longer onset. 0.3 mg/kg intranasal midazolam is an effective alternative to nitrous oxide sedation in anxious children.
Complete versus incomplete caries removal procedures and their effects on dental pulp in primary teeth – An in vivo study
Authors: Vaghasiya Jigna , Mittal Swati , Choudhari Shantanu R , Rishitha N. 
Published: July 2024

ABSTRACT

Introduction:
Dental caries results from an ecologic shift within the dental biofilm from a balanced population of microorganisms to an acidogenic, aciduric, and cariogenic microbiological population developed and maintained by frequent consumption of fermentable dietary carbohydrates. Total caries removal (TCR) of deep lesion may result in pulpal exposure requiring more invasive treatment. Hence, current pediatric dentistry has shifted to minimally invasive treatment that avoids more complex, time-consuming procedure, and the child’s discomfort.

Aim:
The aim of this study is to evaluate and compare clinical performance and radiographic changes after complete and incomplete caries removal procedures.

Materials and Methods:
The study was conducted on 60 primary molars in children aged 6–9 years. Selected 60 primary molars were randomly divided into two groups. Group 1 (PCR): infected dentin was removed, while the affected dentin was maintained on the pulpal wall. Group 2 (TCR): both infected and affected dentin were removed through low-speed carbide bur and hand excavator. Teeth were evaluated at 4 and 6 months clinically and radiographically.

Results:
The proportion was compared using Fisher’s exact test. The Statistical Package for the Social Sciences version 21 was used for analysis. The level of significance was kept at 5%.

Conclusion:
The clinical and radiographic success rates of ICR and CCR in primary teeth with deep carious lesions were high and did not differ significantly, indicating that the retention of carious dentin does not interfere with pulp vitality. Thus, ICR is a reliable minimally invasive approach that might replace the CCR in primary teeth when correctly indicated.
Internet gaming disorder: The prevalence and associated gaming behavior, anxiety, and depression among 8–12-year-old children of private schools in Salem city, India
Authors: Rajan Reshma Elizabeth , Gunasekaran Sowndarya , Duraisamy Vinola , Mathew Basil M , Vinolia T Mercy , Gainneos Pradeep Daniel 
Published: July 2024

ABSTRACT

Background:
The escalating concern over Internet gaming disorder (IGD) among children underscores the urgency of comprehending its determinants and links to mental health, particularly for interventions targeting school-aged children.

Aim:
This study aimed to evaluate the prevalence and determinants of IGD and its association with depression, anxiety, and behavior among 8–12-year-old children attending private schools in Salem city.

Settings and Design:
A cross-sectional study involving 780 children aged 8–12 years from Salem district was conducted. Schools were randomly sampled, and data were collected through a self-administered questionnaire.

Materials and Methods:
Data were gathered from children without genetic, systemic, or mental disorders and brain trauma. The questionnaire, adapted from Alhamoud M A et al. (2022), encompassed sections on sociodemographic characteristics, gaming behavior, and scales for assessing IGD, depression, and anxiety. Administration occurred during school hours with a 30–35 min completion time.

Statistical Analysis Used:
Data analysis utilized SPSS v23.0, including descriptive statistics, ANOVA, Chi-square tests for intergroup comparisons, and Pearson’s correlation coefficient to determine associations.

Results:
The prevalence of IGD in Salem district was 1.2%, with higher rates of anxiety and depression observed among older children, particularly males.

Conclusions:
A positive correlation was evident between IGD, anxiety, and depression. Urgent preventive measures have to be warranted to curb the rising trend of IGD, such as limiting screen time and promoting outdoor activities to enhance children’s overall health.
Effect of Kegel Exercise and Prone Position on After Pain Among Postpartum Mothers
Authors: Dhanuja V , KalaBarathi S , Jagadeeswari J 
Published: July 2024

ABSTRACT

Background:
Afterpain is a common discomfort felt by most of the postpartum mothers which is occurred due to delayed involution. Kegel exercise and prone position enhance the involution.

Aim:
The aim of the study was to determine the effectiveness of Kegel exercise and prone position on afterpain among postpartum mothers.

Material and Methods:
A Quasi-experimental pretest post-test with control group research design was used. Using nonprobability purposive sampling technique recruited 60 postpartum mothers who met the criteria. The level of afterpain was assessed by using visual analog scale. Experimental group was educated to do Kegel exercise for 3 days and lie in prone position for 3–5 minutes, 3 times for 3 days. Control group follows routine postnatal care posttest was conducted.

Results:
The study results concluded that the afterpain mean difference was 0.53, 1.70, 1.80, and 4.03. The calculated paired t-test value of t = 5.757 between pretest and post-test 1, t = 12.420 between post-test 1 and post-test 2, t = 12.953 between post-test 2 and post-test 3, and t = 21.378 between pretest and post-test 3 was found to be statistically significant at P < 0.001 level.

Conclusion:
Therefore, Kegel exercise and prone position was effective in reducing afterpain during postpartum period.
Assessing Exercise Habits of Cardiovascular Risks in Middle-Aged Adults: A Descriptive Study
Authors: KalaBarathi S , Akshaya D , Kavitha M , Jagadeeswari J 
Published: July 2024

ABSTRACT

Background:
Cardiovascular problems are the leading cause of death among adults in our country. These illnesses primarily affect metropolitan populations, particularly in major cities. To prevent these diseases, efforts have focused on identifying and controlling cardiovascular risk factors such sedentary lifestyle.

Aim:
The study aimed to assess the exercise habits of cardiovascular risks middle-aged adults.

Materials and Methods:
The research approach used in this study was quantitative approach with descriptive design. Purposive sampling technique was used to select the samples. Totally 60 cardiovascular patients were recruited from Saveetha Medical College and Hospital Thandalam, Chennai. Data were gathered by using structured questionnaires and risk score calculator. Collected data were analyzed by using descriptive and inferential statistics.

Results:
The above Table 1 shows that 59 (98.33%) had moderate level of physical activity and 1 (1.67%) had high level of physical activity among middle-aged adults. The mean and standard deviation of physical activity among middle-aged adults was 62.26 ± 5.92. The median was 62.0 with minimum score of 38.0 and maximum score of 73.0. The demographic variable age (χ 2 = 6.610, P = 0.037) had statistically significant association with level of physical activity among middle-aged adults at P < 0.05 level and the other demographic variables had not shown statistically significant association with level of physical activity among middle-aged adults.

Conclusion:
Physical activity promotion and support should be a global priority because of the health benefits it provides for adults.
Reviewing imaging discoveries in tuberculosis affecting extraspinal osteoarticular regions
Authors: Garg Anuj , Singh Anil Kumar , Ranjan Rahul Sidheshwar , Yadav Ashok , Rajput Ramesh Chandra , Kumar Shashikant 
Published: June 2024

Abstract
Tuberculosis (TB) remains a significant global health concern, affecting both pulmonary and extrapulmonary systems. While musculoskeletal TB represents a small portion of cases (1%–3%), it remains particularly problematic in developing regions like Asia and Africa. Tuberculous spondylitis, affecting the vertebral column, comprises about half of all musculoskeletal TB cases. Although large joint involvement and para-articular regions are common, isolated soft tissue TB is rare. The introduction of advanced imaging techniques, with magnetic resonance imaging as the preferred method, has revolutionized the diagnosis of musculoskeletal TB. Early detection of bone and joint TB is vital for optimizing treatment outcomes and reducing the risk of complications, including deformities. This review article consolidates clinical and radiological insights into extraspinal osteoarticular TB, stressing the importance of heightened awareness among radiologists and clinicians. It underscores the role of advanced imaging in ensuring accurate diagnoses, particularly in regions with high TB prevalence, and in initiating timely and effective patient management to prevent complications.
Functional outcome of the three-stitch technique of humerus nailing for comminuted shaft humerus fractures
Authors: Kale Sachin , Patil Bhushan , Khatod Garvit , Bhor Pramod , Sandhu Gursimran , Jyoti Venkatsh , Baruah Rohan , Kale Sachiti , Ghodke Rahul , Dey Joydeep 
Published: June 2024

Abstract

Background:
Intramedullary nailing for comminuted shaft humerus fractures has emerged as an innovative and advantageous surgical approach, particularly in cases with significant soft tissue injuries complicating open reduction and internal fixation. This study underscores the benefits of minimally invasive intramedullary humerus nailing to mitigate perioperative and postoperative complications.

Materials and Methods:
This prospective study was conducted at Dr. D.Y. Patil Medical College and Hospital, Navi Mumbai, Maharashtra, India, from March 2022 to March 2024. Informed consent was obtained from all patients, detailing the study’s methodologies and potential complications. Employing a three-stitch technique, we treated 24 adult patients with posttraumatic comminuted humerus shaft fractures through antegrade humerus nailing, encompassing injuries classified up to type 12C according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association classification.

Results:
Among the 24 patients, 22 exhibited excellent functional outcomes and good adherence to the rehabilitation regimen. Two patients encountered delayed wound healing; one underwent vacuum-assisted closure therapy, ultimately achieving satisfactory healing after a series of dry dressings over 2–3 weeks. There were no instances of nonunion. Over 6 months, 22 out of 24 patients experienced significant restoration of function, evidenced by an improvement in Mayo Elbow Performance Index scores from 18 to 23 within the excellent outcome group. University of California at Los Angeles scores also exhibited enhancement, with ratings ranging from exceptional to good, increasing from 20 to 23. Only two patients experienced delayed wound healing, and none suffered from nonunions.

Conclusion:
Our findings suggest that the three-stitch technique presents a viable alternative to external fixators and other plate osteosynthesis methods in the surgical management of comminuted injuries. This approach yields favorable outcomes with reduced complications and improved cosmetic results.