bluuebunny/crossref_metadata_2025_split huggingface dataset:
TREND IN MATERNAL MORTALITY IN NORTH ACEH REGENCY FOR A DECADE: INFLUENCE OF SOCIO-CULTURAL FACTORS
Authors: Maidar Maidar , Zakaria Radhiah 
Published: April 2024

Background: The Global Millennium Development Goals (MDGs) commitment targets reducing the Maternal Mortality Rate (MMR) to 102 per 100,000 live births by 2015, followe by the Sustainable Development Goals (SDGs) setting a new target of 70 per 100,000 live births in 2030. For a decade or ten years of observations of maternal mortality trends in North Aceh Regency still show fluctuations. Method: This study examines the relationship between socio-cultural factors and cases of maternal death. Qualitative research by conducting (1) in-depth interviews with 10 key informants, namely midwives who provide services; (2) Focus Group Discussion with Puskesmas Management and Program Responsible Persons on maternal death case audit activities; (3) Documentation study of the track record of maternal deaths in the decade period 2013-2022. Result: The results shows that there is a downward trend although fluctuations of increase and decrease still occur within a decade of observation. The main immediate causes are due to bleeding and hypertension in pregnancy, the predominant place of death is in the hospital. The characteristics of multiparity mothers, ‘4 too’ pregnancies and delays in recognizing problems and making decisions indicate that socio-cultural factors are very influential on maternal mortality in North Aceh. Recommendation: Innovation is needed to reconstruct socio-cultural disadvantages such as late decisions making and the ideal number of children in a family.
Formación agronómica: impacto de prácticas preprofesionales
Authors: Jaen Rigaud Ximena Marilu 
Published: April 2024

Las prácticas preprofesionales en agronomía son un pilar fundamental en la formación de los futuros profesionales en este campo, proporcionan una valiosa experiencia práctica que complementa el aprendizaje teórico preparando a los estudiantes para los desafíos del mundo real en el campo agrícola; el propósito de esta investigación es evaluar la percepción de los ingenieros agrónomos graduados sobre la relevancia y la utilidad de las prácticas preprofesionales en su formación profesional; la muestra de estudio incluyó a siete ingenieros agrónomos en ejercicio, para ello, se utilizó un enfoque cualitativo, con un diseño descriptivo; la recolección de datos se realizó a través de un grupo focal con una entrevista grupal semiestructuradas como instrumento; el análisis de las respuestas reveló que las prácticas preprofesionales son esenciales para la aplicación práctica de conocimientos teóricos y el desarrollo de habilidades necesarias en la agricultura; en conclusión, este estudio proporciona una comprensión más clara de cómo ingenieros agrónomos graduados valoran las prácticas preprofesionales, destacando su importancia como un elemento crucial en el desarrollo profesional.
La Medida Cautelar de la Detención con Fines de Investigación y el Derecho Fundamental a la Defensa Línea de Investigación
Authors: Merino Ajila Francisco Javier 
Published: April 2024

La institución jurídica de la detención con fines de investigación constituye una medida cautelar de tipo personal y con carácter excepcional. Su funcionalidad procesal se reduce a la recepción de versiones, deslegitimando el carácter garantista de ultima ratio del moderno sistema acusatorio. La importancia y necesidad jurídica del estudio analítico de la problemática expuesta, se concreta en determinar la afectación jurídica de la garantía del debido proceso, en el derecho fundamental a la defensa, a causa de la diligencia procesal de la detención con fines de investigación. A consecuencia de este procedimiento el juzgador, a petición del fiscal, convoca a una audiencia de formulación de cargos, siendo su instalación de forma inmediata, imposibilitando el efectivo derecho a la defensa del investigado, por no contar con al menos setenta y dos (72) horas de anticipación, tal como lo prescribe el artículo 575 numeral 1 del Código Orgánico Integral Penal. En el desarrollo de la investigación se utilizan los métodos científicos deductivo-inductivo, analítico-sintético y hermenéutico jurídico. Los resultados obtenidos por medio de la aplicación de la entrevista, corroboraron la conjetura hipotética de que la diligencia procesal de la detención con fines de investigación, tensiona el derecho fundamental a la defensa.
Hospital Innovations for the Next Decade
Authors: Chodhari Rahul , Chakravorty Indranil 
Published: April 2024

Ultimately, healthcare innovation leads to improved clinical care, with new technology improving healthcare efficiency, effectiveness, quality, and affordability. With ever-increasing demand on health systems worldwide, the ultimate goal of healthcare innovation is to improve the ability to meet public and personal healthcare needs through the optimization of health systems' performance. In this article, we will discuss hospital-based innovation within the next decade that yields scalable solutions within the fields of preventative, treatment, and infection control healthcare innovation.

Governments face tough choices since medical innovations hold promises and perils. These innovations occur across multiple dimensions, including core sciences, drug development, care delivery, and organizational and business models. In particular, medical technology-related innovations are blossoming, with medical technology patents more numerous and growing faster than pharmaceutical patents over the last decade.
Despite this enormous investment in innovation and the magnitude of the opportunity for innovators to both do good and do well, all too many efforts fail, losing billions of investor resources along the way. [1] Barriers to disruptive innovation are often the public themselves acting through fear, enacting stringent regulation, supported by established professionals afraid to lose income and hospitals their investment in expensive systems. [2]
Comparison of Dentinal Defects Induced by Rotary, Reciprocating, and Hand Files in Oval Shaped Root Canal - An In-Vitro Study
Authors: Branawal Harakh Chand , Mittal Neelam , Rani Prachi , Ayubi Aiyman , Samad Silviya 
Published: April 2024

Aim:
To evaluate and compare the formation of dentinal defects using hand Hedstrom files, XP-Shaper, TruNatomy, and Reciproc Blue file systems when used for oval shaped root canals.

Materials and Methods:
One hundred and five extracted human mandibular premolars with single root and oval canals were selected for the study. Twenty-one teeth were unprepared (control), and the remaining teeth were divided into the prepared groups (n = 21), that is, Group H-Files, Group XP-Shaper, Group TruNatomy, and Group Reciproc Blue. All selected teeth were de-coronated perpendicular to the long axis of the tooth by using a diamond-coated disk with water cooling, leaving root segments approximately 16 mm in length. Each group was prepared according to the above file system. Then all roots were sectioned perpendicular to their long axes at 3, 6, and 9 mm from the apex using a diamond-coated disk under a continuous water stream. Each specimen was then checked for the presence of dentinal defects/microcracks.

Result:
The XP-Endo shaper group had the lowest number of defects (01/21 roots) 4.7%; TN (04/21) 19%, H-Files (04/21) 19%, and RC Blue (05/21) 23.8% had the highest incidence of defects. However, no significant difference was detected among these groups (P > 0.05).

Conclusion:
The motor-driven root canal instrumentation with rotary and reciprocating files and hand files may create microcracks in the radicular dentine, whereas the XP-Shaper file system produces minimal or less cracks compared to other tested rotary file systems and H-file instrumentation.
Ossifying Fibroma of Mandible - A Case Report
Authors: Jadaun Gargi , Rai A. Bhagwandas , Kharodia Saeeda , Gadhiya Viral 
Published: April 2024

Introduction:
Ossifying fibromas are rare, non-aggressive benign tumours of the bone, commonly involving the posterior mandible in middle-aged individuals with a female predilection.

Findings:
Clinical manifestations include asymptomatic expansion of the mandible with infrequent maxillary lesions, pain, malocclusion, and compromised quality of life including aesthetic perception. Owing to multiplicity of features, tendency of recurrence, and possibility of malignant transformation, the diagnosis, treatment, and post-operative management of ossifying fibroma are always a challenge.

Take-away Lessons:
Study aims to report a clinical case of extensive swelling involving the coronoid process and condyle on the right side to crossing the mid-line of the mandible with compromised functions and aesthetics. The article describes the clinical, histopathological, and radiological features of the case. The possible treatment and challenges encountered are discussed.
Correlation between Nasolabial Angle and Maxillary Incisors Inclination in 18–25-Year-Old Chhattisgarh Population Using Pre- and Post-Treatment Lateral Cephalograms: A Retrospective Study
Authors: Paryani Preeti , Agrawal Sunil S. , Chachada Achint , Jain Megha , Bothra Samkit , Shrivastava Shreya , Sahni Heena 
Published: April 2024

Introduction:
One of the primary objectives of orthodontic treatment has been the enhancement of facial aesthetics. To obtain the perfect facial profile with aesthetic balance, knowledge of facial anatomy is essential. The diagnosis and treatment planning of orthodontic patients depend greatly on the examination of the soft tissue profile. Since the nasolabial angle is significantly affected by the inclination of the upper incisors, it is a frequently employed soft tissue parameter in orthodontic diagnosis.

Aim:
The study aimed to find out the correlation between the nasolabial angles with maxillary incisor inclination.

Materials and Methods:
In this retrospective study, 120 lateral cephalograms of orthodontic patients including males and females were traced. Their nasolabial angle and maxillary incisor inclination were calculated before and after orthodontic treatment.

Result:
The mean of pre- and post-treatment nasolabial angle was found to be 91.43° ± 14.008 and 97.93° ± 14.194, respectively. The mean of pre- and post-treatment incisor inclination was found to be 32.59° ± 7.290 and 23.98° ± 6.851, respectively. The gender-wise Pearson’s correlation (r) of nasolabial angle with incisor inclination for male and female was found to be -0.464 with a P value of 0.164 and -0.305 with a P value of 0.118, respectively. Overall Pearson’s correlation of nasolabial angle with incisor inclination was found to be -0.040 with a P value of 0.384.

Conclusion:
There is an insignificant negative correlation between nasolabial angle and incisor inclination in the Chhattisgarh population as well as among the two genders.
Diet’s Cariogenicity and Healthfulness Index (DCHI) - A Novel, Comprehensive Index for Children
Authors: Shanbhog Raghavendra , Chanchala H. P. , Srilatha K. T. , Madhu B. , Manjunatha S.N. 
Published: April 2024

Background:
Realistic and tailored dietary advice plays a vital role in Preventive Dentistry. An appropriate diet analysis forms the basis for precise dietary advice. Analysis of diet for its cariogenicity is a complex process. Performing a meaningful diet analysis is a challenge in routine clinical practice. Currently, very few tools are available for clinicians to assess children’s diet relating to caries risk. The current scientific paper presents a novel index that assesses the cariogenicity and healthfulness of a child’s diet objectively and guides the professional to achieve pragmatic diet modification in the prevention of dental caries.

Methods:
Multi-disciplinary teams with a sample study population were involved in the initial structuring of Diet’s Cariogenicity and Healthfulness Index. To obtain cut-off values for cariogenicity of diet, a study was carried out with a sample of 774 children correlating diet diary with caries status. For statistics, the Receiver Operating Characteristic (ROC) curve closest to the ideal of 100% sensitivity and 100% specificity was applied.

Results:
ROC curve of 22.5 were plotted for diet scores for its cariogenicity. The sensitivity, specificity, and area under the curve of these cut-off values were 70 and 95, respectively.

Conclusions:
The current scientific paper presents a novel Diet’s Cariogenicity and Healthfulness Index that assesses the cariogenicity and healthfulness of a child’s diet objectively to guide the professional to achieve a logical diet modification.
Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT
Authors: Srivastav Anubha , Chandra Ramesh , Siddiqui Shazia , Chowdhary Divya , Katiyar Alpana , Khan Rehan Ahmad 
Published: April 2024

Aim:
To estimate the working length of teeth using conventional tactile technique, radiovisiography technique, Apex locator, and confirmation of working length by cone beam computed tomography technique.

Materials and Methods:
Forty patients with the age group between 20 and 50 years with irreversible pulpitis were included in this study. After taking a preoperative radiograph, the procedure was started. The cavity wall buildup was done using composite in the cases needed and then rubber dam application was done. The working length of mesiobuccal and mesiolingual canal was taken using cone beam computed tomography and this was considered as the standard value. Then using tactile method, length of the canal was measured using radiovisiographic software followed by apexlocator.

Result:
The Apex locator has showed best result as compared to tactile and radiovisiography.

Conclusion:
Apex locator values were closest to cone beam computed tomography working length measurement values and electronic apexlocator can be used efficiently as an alternative method for working length determination. The quality of various techniques according to ranks of working length determination was found to be Cone beam computed tomography (CBCT) > Apexloc > Radiovisiography (RVG) > Tactile. Thus, Apex locator can be used as an alternative to cone beam computed tomography for working length determination.
Trios Lidisi Veneer, Transforming Smiles Using an Intraoral Scanner - A Case Report
Authors: Pandey Laxmi , Bhatt Akanksha , Samant Praveen Singh , Singh Jaya 
Published: April 2024

Introduction:
The need to perform restorations with a natural appearance is one of the most challenging aspects of dentistry, and reproducing the colour of natural teeth in restorations is a clinical challenge due to the complex optical characteristics of dentition. Various procedures have been advocated in the literature to correct dental anomalies, particularly in the aesthetic region, such as tooth discoloration due to fluorosis or dentition spacing due to changes in tooth shape, such as peg laterals.

Clinical Applications:
Veneer are one of the most commonly used treatment modalities in such cases. As the use of ceramics necessitates the use of more opaque restorative materials or different thickness, obtaining adequate results in terms of the final colour of the restoration becomes increasingly difficult. The purpose of this study is to present a clinical case of smile rehabilitation in the anterior region with facets made of lithium disilicate, with the goal of achieving colour uniformity and demonstrating the benefits and achieving smile aesthetics.

Take-away Lessons:
Technological advancement such as intraoral scanner for impression making have significant improved the success of prosthesis. This case report presents conservative and aesthetic procedure in the management of closing the space in maxillary anterior region using lithium disilicate laminate veneers with trios software.
Evaluation of Platelet Parameters in Oral Submucous Fibrosis and Oral Squamous Cell Carcinoma in a Background of Oral Submucous Fibrosis
Authors: Ranjitham Packiaraj Selvajothi , Kuzhali Subramanian , Sumathy Muthu Ponnuswamy , Gnandeepam Santiago 
Published: April 2024

Context:
The role of platelet parameters as markers of inflammation in various diseases is now in limelight. The interaction between cancer cells and platelets is a well-established phenomenon. Oral submucous fibrosis (OSMF) is a premalignant disorder with a malignant transformation rate of 2–8%. This study aimed to evaluate platelet parameters in OSMF and oral squamous cell carcinoma (OSCC) in the background of OSMF. This cross-sectional study was performed using secondary data retrieved between January 2019 and December 2019 in the Department of Oral Pathology and the Hematology Laboratory.

Methods and Materials:
The data retrieved included 44 histopathologically proven OSCC in a background of OSMF (group III) and 36 OSMF (group II). The haematological parameters of these selected cases were retrieved from the Sysmex XN-1000 automated hematology analyser database. A control group (group I) comprises 50 subjects with normal (negative/unflagged) haematological parameters. All data were statistically analysed using SPSS 20.0. The significance level of tests was set at 5%.

Results:
The mean platelet volume (MPV) (9.60 [±0.95] P < 0.001), platelet distribution width (PDW) (10.45 [±1.9], P < 0.001), platelet large cell ratio (PLCR) (21.70 [±7.98], P < 0.001), and the ratio of mean platelet volume to total platelet count (MPV/PLT) (0.03 [0.01], P < 0.001) were lower in group III when compared to the other two groups.

Conclusions:
Platelet parameters may be used as indices in the OSCC in the background of OSMF. However, large-scale prospective studies are necessary to evaluate the utility of these parameters during the malignant transformation of OSMF, thereby encouraging prompt treatment to prevent morbidity and mortality.
Cranio-Caudal Identification and Preservation of Spinal Accessory Nerve during Modified Radical Neck Dissection
Authors: Waknis Pushkar P. , Dharamsi Ravina , Gawali Mrinal , Palanisami Divya 
Published: April 2024

Introduction:
The spinal accessory nerve (SAN) is encountered during neck dissection surgeries and is at the highest risk for iatrogenic injury, which may lead to shoulder syndrome. This functional deformity can be avoided by preservation of SAN in modified radical neck dissection (MRND).

Description:
Many techniques are described in the literature for SAN preservation, one of which is the identification of Erb’s point and dissection in the posterior triangle where the SAN leaves the sternocleidomastoid (SCM) muscle. However, this technique for identification and preservation of SAN requires a skilled and trained surgeon to avoid any iatrogenic injury to SAN.

Conclusion:
Therefore, a study was carried out on 30 patients to find if the cranio-caudal dissection of SAN helps in the preservation of the nerve during MRND surgeries at the beginner’s level.
Effect of Two Different Ultrafast Curing Exposure Durations on the Surface Hardness of Bulk Fill Composite - An In-Vitro Study
Authors: Shobana Shekar , Sujareetha Anandavelu , Balagopal Sundaresan , Kumar Sarath , Angusamy Sriganesh , Anisha Sebatni 
Published: April 2024

Aim:
The aim of the present study is to assess the microhardness of resin-based composites (RBCs) cured with ultrafast curing mode at two different exposure durations.

Study Design:
This is an experimental in-vitro study. Forty-five cylindrical composite specimens were prepared to a dimension of 5 mm height and 4 mm diameter. Curing was done using three different exposure modes and duration with dual mode LED curing light as follows: Group I: Ultrafast curing mode for 1 second at 2300 mW/cm2 (n = 15); Group II: Ultrafast curing mode for 3 second at 2300 mW/cm2 (n = 15) and Group III: Standard exposure mode for 20 second at 1000 mW/cm2 (n = 15). Vicker’s microhardness measurement was done on both the curing and non-curing sides of the specimen using a motorised diamond-faced micro-indenter (Wilson Wolpwert, Germany) using a load of 50 gram and a dwell time of 30 second.

Statistical Analysis:
Kruskal Wallis ANOVA was used to test for difference between the three groups followed by Mann–Whitney U test for post-hoc analysis.

Results:
The microhardness values of the composite cured with a conventional curing unit were significantly higher than the ultrafast cured specimens.

Conclusion:
Low-intensity conventional curing lights were found to perform better than the high-intensity ultrafast curing units.
Correlation of Serum and Gingival Crevicular Fluid Levels of Caspase-3 and Milk Fat Globule–Epidermal Growth Factor 8 on Gingival Health
Authors: Ravindran Manonmani Pavithra , Geetha A , Rajendran Sathish , Mahendra Jaideep , Jyothi M , Namasivayam Ambalavanan 
Published: April 2024

Aim:
This study aimed to estimate and correlate the serum and gingival crevicular fluid (GCF) levels of caspase-3 and milk fat globule–epidermal growth factor 8 (MFG-E8) in healthy, gingivitis and generalised chronic periodontitis subjects.

Materials and Methods:
A total of 24 subjects were selected and divided into three groups. After recording the periodontal parameters (plaque index (PI), modified gingival index (MGI), probing depth (PD) and clinical attachment level (CAL)), the serum and GCF samples were collected and the levels of caspase-3 and MFG-E8 were estimated using enzyme-linked immunoassay (ELISA).

Results:
The mean values of PI, MGI, PD and CALs were significantly higher in group III when compared to group II and group I. The mean value of serum and GCF caspase-3 increased with increasing disease severity, whereas the mean serum and GCF values of MFG-E8 decreased with increasing severity of disease. Spearman’s correlation showed a strong positive correlation between the serum and GCF levels of caspase-3 and periodontal parameters, whereas serum and GCF levels of MFG-E8 showed a strong negative correlation with the periodontal parameters.

Conclusion:
The findings of this study are suggestive that the serum and GCF levels of caspase-3 and MFG-E8 could serve as a potential biomarker for the role of apoptosis in periodontal disease. However, further studies are required to explore the mechanism and understand the relationship between these apoptotic markers and periodontitis.
A Changing Trend in Pattern of Maxillofacial Trauma in Mumbai: A Prospective Study
Authors: Nikunj Anand , Ingole Snehal N. , Kazi Noaman N. , Kujur Shirish , Deshpande Mohan D. , Ranadive Pallavi A. 
Published: April 2024

Introduction:
Maxillofacial skeleton is the most vulnerable site for trauma due to its prominence. The aim of our study was to analyse the cause and pattern of maxillofacial injuries & to correlate the aetiology and pattern of facial injury.

Materials and Methods:
This prospective study includes 304 patients with facial trauma, who reported to our institute within a time span of 2 years. Data were collected on basis of sociodemographic status plus additional data obtained on type of injury, aetiology, location and status of the victim.

Result:
The most frequent cause of maxillofacial trauma (MFT) was fall (43.3%) followed by RTA (34.2%) and assault (15.1%). In upper 3rd face region frontal bone fracture was prevalent with 1.3%, while in the midface, zygomatic complex (ZMC) fracture (3.9%) and in lower 3rd part of face, mandible fracture (42.8%) and dentoalveolar fracture (30.2%). Mandible was the most prevalent site for trauma. Although fall was the main aetiological factor in our study, midfacial injuries were mainly due to assault and RTA. Combination of mandibular fracture and soft tissue injury were mainly seen in RTA and injury due to fall. Conservative management was mainly employed for treatment with 46.1% followed by ORIF with 36.2%.

Conclusion:
Changing trend in aetiology of MFT was noted. Furthermore, study should be conducted for better understanding, and to carry out preventive measure for the same.