bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of Swede Score for See-and-Treat in VIA-Positive Women
Authors: Pangtey Priyanka , Shamsunder Saritha , Malik Sunita , Ahluwalia Charanjeet 
Published: May 2024

Objectives:
Colposcopy standardization attempts have been made using scoring systems. One of them is the Swede score, which includes lesion size as a variable to be scored in addition to the four variables found in the modified Reids Colposcopic Index. The objective of the present study was to identify the Swede score associated with cervical intraepithelial neoplasia (CIN) 2+ lesions.

Design:
This was a prospective interventional study.

Materials and Methods:
Women in the age group of 25–50 years and coming to the general gynecology clinic had opportunistic cervical screening with visual inspection with acetic acid (VIA); screen positive underwent colposcopy and scoring of any acetowhite lesion using the Swede score. Those having a Swede score ≥5 were counseled for see-and-treat approach using large loop excision of the transformation zone (LLETZ). Histopathological examination of the LLETZ specimen was compared with the Swede score.

Results:
Colposcopy was carried out for 688 women who were VIA positive; of them, 101 had a Swede score of ≥5 and underwent LLETZ. On histopathological examination of the LLETZ sample, all had CIN. Of the 91 women (90.10%) who had Swede scores between 5 and 7, 36.26% had CIN 1 while 63.74% had CIN 2+ on HPE. At a Swede score of ≥8 (9.90%), 20% had CIN 1 and 80% had CIN 2+. A Swede score of ≥5 is associated with CIN 2+ in 65% and resulted in overtreatment in 34.6%.

Conclusion:
A Swede score of ≥5 was a good predictor of high-grade CIN lesion to counsel for the see-and-treat approach.
Rehabilitation of edentulous posterior maxilla using lateral disc implants avoiding ridge augmentation in cases with inadequate bone height
Authors: Roy Chowdhury Sanjay Kumar , Shadamarshan R Arunkumar , Krishnaprabhu Rajkumar 
Published: May 2024

Context:
Implant-retained prosthodontic rehabilitation of the posterior maxilla is challenging owing to the compromised characteristics of the residual alveolar bone which might require several adjunctive surgical procedures to augment the available alveolar bone.

Aims:
This study aims to evaluate the outcome of rehabilitated maxillary posterior edentulous space with lateral disc implants in subjects with inadequate bone height.

Subject and Methods:
Forty patients with edentulous span in posterior maxilla with inadequate volume of bone were rehabilitated with lateral disc implant-retained prosthesis. Follow-up was undertaken at the end of 06, 12, 24, and 36 months by allocating the implants into the groups assessed according to the Misch Implant quality scale. A total of 6 Single disc, 22 Double disc, and 12 triple disc implants were placed.

Statistical Analysis Used:
Descriptive statistics.

Results:
At the end of 06 months, 96.6% were in Group 1, 3.3% were assessed to be in Group 2. At 12 months, 95% were in Group 1, 1.6% in Group 2, and 3.3% in Group 3. At 24 months, 95% were in Group 1, 3.3% were in Group 2, and 1.6% were in Group 3. At 36 months, 96.6% were assessed in Group 1 while 1.6% each was in Group 2 and 4.

Conclusions:
A clinical success of 98.4% has been established and is concluded that Lateral disc implants provide a viable alternative to the contemporary management protocol involving a sinus lift.
Marginal bone change, survival and biological complications around dental implants with a platform switched, Morse taper connection, and a medium rough surface in a sample of regular compliers patients
Authors: Soldini Maria Costanza , Trentin Filippo , Calabuig Ramon Pons 
Published: May 2024

Context:
Marginal bone loss around implants still is difficult to avoid and the great influence of the size of the implant/abutment micro-gap on crestal bone level maintenance have been reported in the literature. The internal conical Morse taper connection has been demonstrated to be an effective system for minimizing inflammatory reactions and maximizing peri-implant bone stability.

Aims:
The primary aim of this study was to evaluate the marginal bone change around dental implants with a platform-switched (PS) Morse taper connection and a medium rough surface over a 4-year follow-up period.

Settings and Design:
The data for this study were obtained from the clinical records of a private periodontal practice exclusively in Periodontics and Implantology (Vicenza, Italy), treated by one EFP certified periodontist (C.S). The same operator (C.S) performed all the surgeries.

Subjects and Methods:
Marginal bone loss around PS Morse taper connection implants was retrospectively analysed on standardized radiographs after 1 year and 4 years from the prosthesis connection.

Statistical Analysis Used:
The statistical unit of observation was the single implant. The influence on MBC of the number of implants for the same patient was tested using the Kruskal Wallis non parametric test. The main effects of the follow-up times (T1 and T4) and of each individual factor on MBC were evaluated using the non-parametric Wilcoxon and Mann-Whitney tests respectively. The interaction effect between follow-up time and each individual factor was graphically tested considering the MBC median values in the time level for each factor. Statistical significance was taken at the ≤0.05 level (two-sided). All analyses were performed using the STATA/IC for Windows, version 14.2.

Results:
Ninety implants were examined in fifty patients. Mean bone change was −0.06 ± 0.31 mm after 1 year and −0.2 ± 0.45 mm after 4 years. The cumulative survival rate at 4 years was 100%, and a low prevalence of implants with clinical signs of mucositis (12.2%) or peri-implantitis (1.1%) was reported.

Conclusions:
In implants where the prosthesis is correctly place and the patient are compliers to their maintenance therapy, the contemporary presence of a Morse taper connection and a switching platform seems to offer good results for the maintenance of peri-implant bone in the short and medium term.
Unraveling Human Fetal Testicular Descent: Morphometric and Microscopic Analysis across Gestational Ages
Authors: Ramamoorthy Balakrishnan , Latiff Ashma A. , Subramanian Sundarapandian , Manohar Meghna S. , Dowlath Mohammed Junaid Hussain , Saravanan Hariprasanth 
Published: May 2024

Abstract

Background:
Testicular descent is a complex process that begins during fetal development and culminates after birth. This study aimed to investigate the fetal testicular descent and development during the gestational period.

Methodology:
We performed a retrospective analysis of 29 fetuses, ranging from 12 to 40 weeks of gestation. The testicular migration was observed by dissection and the morphometry, location, and histology of the testes were analyzed. Statistical analysis using Kolmogorov–Smirnov and Shapiro–Wilks test was performed to check the normality. To compare the right and left sides, Mann–Whitney U-test was used.

Results:
Testis developed in the posterior abdominal wall in 9-12 week of fetal gestational age. The same was found in the inguinal canal in the higher age fetuses. Our study found that the weight of the testis was proportional to the gestational age of the fetus. The location of the testis on both the sides was similar at each gestational age studied. The diameter of the seminiferous tubules was narrow and highly coiled between 24 and 32 weeks. Whereas, broader seminiferous tubules were observed in the fetuses of the third trimester of gestation. Furthermore, the tunica albuginea thickness was found to be increase in the fetuses between 20 and 24 weeks of gestation. In full-term fetuses, the testis was observed in the scrotum.

Conclusion:
This study emphasizes certain nuances and developmental patterns noted during fetal testicular descent. It also provides insights into the fetal testicular descent and development revealed through morphometric and microscopic investigations.
Exploring Dengue Dynamics from a Multi-dimensional Surveillance Approach: A Cross-sectional Study from Maharashtra, India
Authors: Tilak Rina , Kapoor Suraj , Anand Vivek , Bajaj Swati , Koundinya Kunal , Yadav Arun 
Published: May 2024

abstract

Introduction:
The epidemiology of dengue in India has been intricate. It is pertinent that the multidimensional dengue surveillance approach be formulated with appropriate inferences and implications in developing preventive strategies for dengue control.

Materials and Methods:
This was a cross-sectional study from Pune city in Western Maharashtra in July 2021, covering an area of 120 acres and population of 3234. A multidimensional dengue field survey was conducted to carry out sector-wise entomological surveillance with simultaneous knowledge and behaviour assessment of the local population.

Results:
The total number of dengue cases reported were 36 over 2 months. A total of 131/973 containers were found positive, with a total collection of 1140 larvae and 119 pupae. Pupa per person was 0.16. A total of 108 adult female Aedes mosquitoes majorly Aedes albopictus (84%). The xenodiagnoses undertaken were found negative for dengue, chikungunya and Zika virus. The mean knowledge behaviour score assessed was 8.64 ± 2.12 out of 14 with a maximum score of 14 and a minimum score of 02.

Conclusion:
The current study revealed that there were specific preferred breeding sites such as plastic discarded plates and flowerpots with more cases in particular sector. The knowledge assessment of the local population was good.
Improve the Process of Patient’S Own Medications Dispensed from Inpatient Pharmacy
Authors: Afana Arwa Hassan , Alhuthil Raghad , Abdelwahab Hossameldin , Shukry Murooj , Sallam Manal , Alnunu Kholood , El Kady Tarek 
Published: May 2024

Background:
During hospitalization, some admitted patients might need to continue on their non-formulary medications as per physician order. Yet, there is a potential for medication dispensing and administration errors. Therefore, this study aimed to improve the efficiency of handling and administering patients’ own medications (POM) and reduce the variations in practice by standardizing the workflow and documentation.

Materials and Methods:
This is a quality improvement study. A new standardized checklist for the POM was designed to apply to pediatric and adult hospitalized patients and then shared with nursing units to be completed upon receiving POM. The study period is 7 months (August 2021 to February 2022).

Results:
The initial target was to cover (60%) of the hospital’s nursing units by the end of December 2021. Consequently, by December 2021, the target was exceeded successfully by implementing the checklist in (82.6%) of nursing units. By February 2022, the checklist was implemented successfully in all 23 inpatient hospital wards (100%) with nearly 500 patients.

Conclusion:
The new checklist’s implementation ensures that patients receive their medications through a unified dispensing system in nursing units, and it complies with the Joint Commission International and Saudi Central Board for Accreditation of Healthcare Institutions accreditation standards. Over time, this will help reduce medication errors and increase patient safety.
Evaluation of the Inappropriate Prescribing Practices of Rivaroxaban and Their Association with Bleeding in Tertiary Care Hospitals in Saudi Arabia
Authors: Aljehani Zekra K. , Salah Kawther A. , Eldyb Randa M. , Alqahtani Abdulhadi M. , Alarfaj Ohoud , Dasuqi Shereen A. 
Published: May 2024

Background:
Rivaroxaban use continues to accounts for a significant number of serious injuries, primarily bleeding, and deaths as reported by ISMP. There’s limited evidence on the associated factors with bleeding development among Saudi population.

Objectives:
We aimed to evaluate the association of bleeding with comorbidities and certain inappropriate prescribing practices in patients receiving rivaroxaban in Saudi Arabia.

Materials and Methods:
This is a two-center retrospective cohort study. Incidence of bleeding and its association with comorbidities and the most common inappropriate prescribing practices, such as unapproved indication, inappropriate dosing or drug combination, were evaluated.

Results:
A total of 446 patients were included; 82 (18.4%) patients receiving rivaroxaban developed bleeding, 7% had major bleeding, and 11% had nonmajor bleeding. Rivaroxaban was used for approved indication in 90.1% of the patients. Regression analysis did not identify significant association between off-label prescriptions and bleeding. However, a significant association was identified with the number of comorbidities (>3 comorbidities, 24.2%; odds ratio: 1.32; 95% confidence interval: 1.16–1.51; P ≤ 0.001) in the univariate analysis. Certain comorbidities were found to be independent risk factors for bleeding including hypertension, prior thrombosis, and myocardial infarction. Patients who developed bleeding had lower body mass index (BMI) (P = 0.004). A higher average risk score of CHA2DS2-VASc (4.0 ± 1.7) and HAS-BLED (2.0 ± 1.1) in patients with nonvalvular atrial fibrillation was observed than that reported in literature.

Conclusion:
We report a slightly higher rivaroxaban-bleeding incidence across multiple clinical indications than that in previously published studies. The risk of bleeding in our population was associated with the number of comorbidities, lower BMI, and a high HAS-BLED score. Future prospective controlled studies are warranted to define the bleeding risk in patients with lower BMI. Safe prescribing and use of rivaroxaban are recommended to avoid additional risks.
Myopia intervention and ultraviolet radiation related eye diseases: A narrative literature review
Authors: Sharma Shanel , Rose Loreto , Schulz Angela , Sharma Daya P. , Zeldovich Alina , Azzi Cristena , Nischal Ken 
Published: May 2024

Abstract
There has been an increased understanding of the protective effect of two or more hours in high lux light on the development and progression of myopia. The aim of myopia management is to reduce the incidence of high myopia and sight-threatening myopic complications. Equally important are the sight-threatening complications of ultraviolet radiation (UVR) on the eye and adnexal structures. This review will analyze the literature for both these epidemics to help guide public health policy. Whilst increasing childhood high lux light exposure is important, consideration of a holistic eye health policy should ensure that UV eye diseases are also prevented. The advent of ultraviolet (UV) fluorescence photography has increased our understanding that significant UV eye damage occurs in childhood, with 81% of children aged 12–15 years having signs of UV eye damage. Hence, the need to reduce myopia and protect from UV-related eye diseases needs simultaneous consideration. Advocating for eye protection is important, particularly as the natural squint reflex is disabled with dark sunglasses lenses. The pathways UV reaches the eye need to be considered and addressed to ensure that sunglasses offer optimum UV eye protection. The design of protective sunglasses that simultaneously allow high lux light exposure and protect from UVR is critical in combating both these epidemics.
Compact convergence, deformation of the $L^{2}$-$\overline{\partial}$-complex and canonical $K$-homology classes
Authors: Bei Francesco 
Published: May 2024

Let

(X,\gamma)

be a compact, irreducible Hermitian complex space of complex dimension

m

and with

\dim(\mathrm{sing}(X))=0

. Let

(F,\tau)\rightarrow X

be a Hermitian holomorphic vector bundle over

X

, and let us denote by

\overline{\eth}_{F,m,\mathrm{abs}}

the rolled-up operator of the maximal

L^{2}

-

\overline{\partial}

-complex of

F

-valued

(m,\bullet)

-forms. Let

\pi:M\rightarrow X

be a resolution of singularities,

g

a metric on

M

,

E:=\pi^{*}F

and

\rho:=\pi^{*}\tau

. In this paper, under quite general assumptions on

\tau

, we prove the following equality of analytic

K

-homology classes

[\overline{\eth}_{F,m,\mathrm{abs}}]=\pi_{*}[\overline{\eth}_{E,m}]

, with

\overline{\eth}_{E,m}

the rolled-up operator of the

L^{2}

-

\overline{\partial}

-complex of

E

-valued

(m,\bullet)

-forms on

M

. Our proof is based on functional analytic techniques developed in Kuwae and Shioya (2003) and provides an explicit homotopy between the even unbounded Fredholm modules induced by

\overline{\eth}_{F,m,\mathrm{abs}}

and

\overline{\eth}_{E,m}

.
An end‐to‐end joint learning scheme of image compression and quality enhancement with improved entropy minimization
Authors: Lee Jooyoung , Cho Seunghyun , Kim Munchurl 
Published: May 2024

AbstractRecently, learned image compression methods based on entropy minimization have achieved superior results compared with conventional image codecs such as BPG and JPEG2000. However, they leverage single Gaussian models, which have a limited ability to approximate various irregular distributions of transformed latent representations, resulting in suboptimal coding efficiency. Furthermore, existing methods focus on constructing effective entropy models, rather than utilizing modern architectural techniques. In this paper, we propose a novel joint learning scheme called JointIQ‐Net that incorporates image compression and quality enhancement technologies with improved entropy minimization based on a newly adopted Gaussian mixture model. We also exploit global context to estimate the distributions of latent representations precisely. The results of extensive experiments demonstrate that JointIQ‐Net achieves remarkable performance improvements in terms of coding efficiency compared with existing learned image compression methods and conventional codecs. To the best of our knowledge, ours is the first learned image compression method that outperforms VVC intra‐coding in terms of both PSNR and MS‐SSIM.
Penegakan Hukum Lalu Lintas Melalui E-Tilang dalam Meningkatkan Kesadaran Hukum Berlalu Lintas Studi Kasus Kepolisian Negara Republik Indonesia Resor Badung Bali
Authors: Alexandro Diliyanto Tanur Yohanes , Sudjiarto Tatok , Hutahaean Armunanto 
Published: May 2024

Penelitian ini bertujuan untuk menganalisis dan mendeskripsikan proses peradilan pada pelanggar lalu lintas dan angkutan jalan dengan sistem E-Tilang di Wiliyah Hukum Polres Badung Bali. Menganalisis dan mendeskripsikan kendala penegakan hukum melalui E-Tilang di Polres Badung Bali. Tipe penelitian ini penelitian Hukum Normatif-Empiris (applied law research) dengan Pendekatan undang-undang (statute approach). Sumber data primer berdasarkan Peraturan Pemerintah Nomor 80 Tahun 2012, PERMA Nomor 12 Tahun 2016, Undang-Undang Nomor 22 Tahun 2009, Peraturan-peraturan operasional lainya. Teknik pengumpulan data menggunakan Studi dokumen, observasi dan wawancara. Data dianalisis secara kualitatif deskriktif. Hasil penelitian menunjukkan penegakan hukum terhadap pelanggaran lalu lintas melalui E-Tilang di Wiliyah Hukum Polres Badung Bali telah sesuai aturan undang-undang yang berlaku. Hanya E-tilang belum optimal dalam menurunkan jumlah pelanggaran lalu lintas, karena sosialisasi kepada masyarakat belum merata. Tetapi meskipun begitu dari E-tilang memiliki kelebihan pengawasan dan kecepatan deteksi yang lebih akurat dibanding tilang manual. Kendala Penegakan hukum melalui E-tilang di kawasan Polres Badung Bali terdiri dari tantangan teknis dan infrastruktur, kemacetan dan mobilitas dan perluasan wilayah cakupan E-Tilang mungkin memerlukan investasi tambahan dalam infrastruktur jaringan dan pemeliharaan
Application of the Collective Risk Model to the Number of Claims with a Negative Binomial Distribution and the Size of Claims with a Discrete Uniform Distribution
Authors: Syifausufi Syavira , Putri Aulianda Anisa 
Published: May 2024

An insurance claim is a form of request from the policy holder to obtain protection against financial losses due to a risk that occurs. Claims that occur every time there is a risk are called individual claims, while the total of individual claims during one insurance period is called aggregate claims. Claims are an important factor in optimizing insurance company expenses, where one of the calculations that insurance companies need to know based on claims is aggregate loss. Aggregate loss is the total loss in a period experienced by policy holders covered by an insurance company. This study aims to determine the average and variance of claims for the number of claims (frequency) with a Negative Binomial distribution and the amount of claims (severity) with a Discreate Uniform distribution in claim payments according to all types of guarantees and the nature of PT injuries. Jasa Raharja (Persero) Purwakarta Representative during the 2018-2020 period. This research uses a collective risk model and the help of Easyfit software to determine the best distribution for the number and size of claims. The results of the research show that from the recapitulation data of claim payments according to all types of coverage and nature of injury in PT. Jasa Raharja (Persero) Purwakarta Representative during the 2018-2020 period, with the number of claims having a Negative Binomial distribution and the amount of claims having a Discrete Uniform distribution, the average aggregate claim occurrence was IDR with a variance of IDR during the 2018-2020 insurance period.
Seeds of change: fostering nutritional education through school kitchen gardens
Authors: Mubashir Maira , Romaina Iqbal  , Sabahat Naz  
Published: May 2024

Dear Sir / Madam
Eighty-two percent of adolescents are at risk of developing Non-Communicable Diseases (NCDs) due to physical inactivity and low fruit and vegetable intake Research has consistently shown that vegetable consumption in children is well below recommended amounts. According to a recent study in Karachi, consumption of discretionary food items such as food that is not necessary to fulfil the nutrient requirement and is consumed for enjoyment such as sugar-sweetened beverages was more than vegetable intake in school children.
A key aspect of addressing the issue lies in promoting dietary diversification, which is to increase the type of foods consumed to ensure that children receive a wide range of nutrients essential for their growth and development. One effective strategy to promote dietary diversification and increase vegetable intake among school children is the establishment of a school kitchen garden. The concept of school kitchen gardens holds tremendous potential to improve health and well-being in school-going children. Interventions in this area have predominantly been used to influence school-aged children’s knowledge, attitudes, and/or behaviours toward diet and nutrition, particularly in connection to increasing vegetable consumption. School gardens serve as interactive and educational platform for children to learn about different types of vegetables, how they grow, and their nutritional benefits. Children actively engage in planting, tending, and harvesting the produce, which creates a sense of ownership and excitement about consuming what they have cultivated. A recent systematic review has shown promising effects in improving children’s knowledge of food, nutrition, gardening, and science. Acquisition of knowledge is the basis for behavioural. This is a holistic approach that not only educates but also serves to familiarize students with a variety of vegetables, making it more likely for them to include these vegetables in their dietary choices.
In conclusion, school kitchen gardens offer an excellent, practical solution that integrates nutrition education into the extra curriculum while ensuring that students are actively consuming nutrient-rich vegetables. As a result, we can potentially witness healthier, more well-informed generations who understand the significance of dietary diversification. By increased exposure to a variety of vegetables through school kitchen gardens, children are not only learning about healthy eating but are also actively engaged in the cultivation and consumption of nutrient-rich produce.
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