bluuebunny/crossref_metadata_2025_split huggingface dataset:
Study of the Pattern of Internet Use and Internet-related Behavior among Medical College Students
Authors: Mhetre Bhushan , Gandhi Mustafa , Farooqui Shakir , Torane Trupti 
Published: June 2024

Background:
In today’s day and age, the Internet has had unarguably the largest impact on everyday human life. It would be appropriate to designate/name this age as the “Internet Age.” Internet use is facilitating notable improvements in many fields but with increasing use of the internet, many individuals are becoming preoccupied with the internet, unable to control their use, and jeopardizing their employment and personal relationships. We have evaluated the patterns of Internet use among medical students and the changes in behavior pattern observed in students.

Materials and Methods:
In this cross-sectional study at a tertiary care teaching hospital, a questionnaire was used to collect information about the various aspects and patterns of Internet usage and Internet-related behavior among students.

Results:
One hundred undergraduate medical students participated in the current study. Students spent more than 17 h/week using the Internet. The time spent on the Internet for work and study-related purposes was equal to time spent on socializing. The questionnaire on feelings and experiences on Internet use indicated addiction and habituation/dependency on the Internet and guilt among some students for Internet addiction. Some students who are addicted to the Internet sought aid from different sources to reduce their dependency on the Internet.

Conclusion:
Self-control, restricting the use of the Internet for other than study, work and professional purposes, motivation to the disciplined use of the Internet, and the mentoring facility could help reduce Internet addiction in undergraduate medical students.
Comparing Correlates of Quality of Life in Borderline and Average Intellectual Functioning
Authors: Singh Geetesh Kumar , Gupta Aarzoo , Mehta Shivangi 
Published: June 2024

Background:
Borderline intellectual functioning (BIF) is associated with deficits in cognitive functions and effective communication or interpersonal skills, impacting socio-occupational functioning in adulthood.

Aims:
The current study compared individuals with BIF and average intellectual functioning (AIF) on executive functioning, emotion dysregulation, and interpersonal communication competence in relation to the quality of life.

Settings and Design:
The data were collected via a face-to-face interview conducted in the tertiary care hospital in an urban locality. A cross-sectional and comparative matched-group research design using purposive sampling was used.

Materials and Methods:
An estimated sample size of 80 was split into BIF and AIF groups. The participants were recruited as per the defined criteria. The measures used were Raven’s Standard Progressive Matrices, General Health Questionnaire, Mini-International Neuropsychiatric Interview, Stroop Test (ST), Difficulties in Emotion Regulation Scale (DERS), Interpersonal Communication Competence Scale (ICCS), and World Health Organization Quality of Life- Brief (Qol).

Statistical Analysis:
The differences, between BIF and AIF groups as well as males and females within each group, on measures, namely, ST, DERS, ICCS, and QoL were compared using the independent t-test. Further, the relationship among the measures was examined using Pearson correlation and regression analysis.

Results:
Independent t-test analysis revealed significant differences between groups on execution functioning (t = 11.83, P = 0.000), all domains of emotional dysregulation (P < 0.000), and many domains of interpersonal communication, and quality of life (P < 0.000). Significant correlations were found between domains of DERS and ICCS, DERS and QOL; ICCS and QOL.

Conclusions:
Emotional dysregulation predicted physical and psychological health and the environment, while interpersonal communication predicted social relations.
Effect of Gender on Reaction Time in Patients Having a Psychiatric Disorder
Authors: Sangolkar Deepa Narendra , Longkumer Imyarila , Karia Sagar , Shah Nilesh , Desousa Avinash 
Published: June 2024

Background:
Reaction time is a measure of how fast an organism can react to a certain stimulus. As such, it is a measure of an individual’s performance and the function of sensory-motor connection. While there are studies evaluating the differences in reaction time with gender and psychiatric illness as independent variables, data are lacking when considering them together.

Aims:
The aim of the study is to study the gender differences in reaction time in patients suffering from psychiatric illness.

Settings and Design:
The study involves an observational, longitudinal comparative study in the psychiatric outpatient department (OPD) of a tertiary care facility.

Materials and Methods:
After institutional ethics approval, 100 patients on psychotropic medications attending psychiatry OPD were included in the study along with at least 100 relatives who were not on psychotropic medications, serving as control. Required data were collected using semi-structured pro forma. The reaction time of patients and the control group was assessed using an application on the mobile phone available online as – the “Human Benchmark test.” Data obtained were entered in the MS Excel sheet and analyzed using the computerized software and a P ≤ 0.05 was considered statistically significant.

Results:
In the group of patients, the males showed delayed reaction time as compared to females, while in the control group, males performed better than the female population in reaction time tests. The highest reaction time was found to be in the substance use disorder group of patients at all points of testing, followed by that of patients with schizophrenia.

Conclusions:
Gender did not significantly affect the reaction time in both patient and control groups.
Mental Health Professionals’ Perspectives on Group Intervention for Women Survivors of Intimate Partner Violence: A Qualitative Study
Authors: Periyasamy Chinnadurai , Narayanan Gitanjali , Kandasamy Arun , Ezhumalai Sinu 
Published: June 2024

Background:
To examine the perspectives of mental health professionals on providing group intervention for female spouses of men with alcohol dependence who experienced intimate partner violence (IPV).

Methods:
A qualitative research design was used, and a purposive sample technique was used to select the participants. Nine experts with more than five years of experience in handling partner violence cases provided insights through in-depth interviews. The transcripts were carefully examined several times, coded and re-coded. The codes were subsequently organized into thematic categories.

Results:
Most of the experts were between the age of 35-45 years (66.7%), females (77.8%) and had more than five years of experience in mental health and IPV (55.6%). Most of the experts (66.7%) were working in teaching institutions related to mental health and IPV. The remaining one-third (33.3%) of the experts were legal and women empowerment practitioners. The thematic analysis generated six main themes and 19 subthemes, with 189 codes. The six mean themes were: psychosocial needs and concerns, psychosocial interventions, enhancing psychological well-being, enhancing the social support systems, challenges, and therapeutic strategies.

Conclusion:
Experts emphasized the importance of a holistic approach to IPV intervention. Group intervention addresses multiple issues that contribute to violence. Survivors need safe housing, counseling, legal help, and financial assistance.
The Effect of the Psycho-Oncology Program on Depression, Anxiety, and Stress among Breast Cancer Survivors: A Quasi-experimental Study in a Tertiary Care Hospital, South India
Authors: Bharathi T. , Chelladurai Srinivasan , Chellamuthu Vasanth 
Published: June 2024

Background:
Breast cancer treatment can affect women both physically and psychologically. Women with breast cancer undergo various painful and debilitating therapies as well as emotional trauma. Health-care providers are facing the challenge of helping breast cancer survivors cope with their physical and psychological problems. In addition, treatment modalities can bring multiple changes.

Materials and Methods:
Purposive sampling was used to choose 60 breast cancer survivors, with 30 members of the intervention group and 30 members of the control group. While participants in the intervention group received routine therapy along with additional psycho-oncology programs, individuals in the control group received standard care according to hospital guidelines. All participants’ baseline and postintervention levels of stress, anxiety, and depression were assessed using the Depression, Anxiety, and Stress Scale (DASS)-21. For every DASS-21 indicator, the differences between the intervention and control groups were examined using two-sided t-tests.

Results:
Significant decreases in means were found for DASS-21 indicators from baseline mean scores for depression (15.9 ° 1.7), anxiety (13.3 ° 1.2), Stress (16.4 ° 1.4) to mean scores after the Psycho-oncology program, for depression (10.7 ° 2.0), anxiety (7.4 ° 1.1), stress (10.1 ° 1.1) with p < .001. After the intervention, participants from the intervention group were found to heal from a severely depressed/anxious/stressed state to moderately depressed/anxious and stressed than in the control group.

Conclusion:
The findings of this study show that depression, anxiety, and stress, which are quite treatable, are common psychiatric morbidities faced by breast cancer patients, which can be treated through psychological intervention (the Psycho-Oncology Program) along with physical measures.
Efficacy of Conventional versus Cordless Displacement System on Gingival Retraction for Use with Intra-Oral Scanner: A Clinical Study
Authors: Gupta Pratik R. , Kharat Swati S. , Gangde Pritesh , Khan Mehboob R. , Shaikh Ahzam , Raut Mrunal N. 
Published: June 2024

ABSTRACT

Aim:
The present clinical study aimed to assess the efficacy of conventional versus cordless displacement systems on gingival retraction for use with an intra-oral scanner and changes in periodontal indices.

Materials and Methods:
A total of 20 participants were selected for a split-mouth study (20 sites – Group Sc, 20 sites – Group Es). The outcomes were measured at day 0, day 1, and day 7 of follow-up in terms of Immediate horizontal displacement, Plaque Index, and Bleeding Index. Unpaired and Paired t-test was used as the parametric tests and statistical analysis was performed.

Results:
A statistically significant change was observed in terms of BI on day 0, but no statistically significant change was observed for either group in terms of IHD and PI.

Conclusion:
The cordless material caused the least trauma to gingival tissue and was more compatible with intra-oral scanning devices.
Evaluation and Comparison of Fracture Strength and Fluoride Releasing Properties of New Alkasite Materials with Conventional Restorative Material, Bulk Fill Composite and Glass Ionomer Cement: An In-Vitro Study
Authors: Kashiyani Savan K. , Khanna Shreya A. , Jobanputra Leena , Patel Niharika , Patel Hirenkumar P. , Patel Apoorva D. 
Published: June 2024

ABSTRACT

Aim:
This study aimed to evaluate and compare fluoride ion release by Cention-N (self-cure and light-cure) and conventional glass-ionomer cement (GIC) at different pH levels and time intervals.

Methodology:
For fluoride release assessment, 240 samples (10 mm diameter, 2 mm height) of Cention-N and conventional glass-ionomer cement were created using rubber rings. Samples were stored in deionized water, and the cumulative fluoride ion release and change in pH were assessed using a spectrophotometer and pH meter, respectively, at the end of 7 days, 14 days, and 21 days. The obtained data were subjected to statistical analysis.

Results:
All three samples exhibited very high fluoride release in an acidic medium compared to the neutral medium. Although GIC demonstrated superior fluoride release, Cention-N displayed adequate fluoride release over a longer duration.

Conclusions:
Within the limitations of this study, it can be concluded that both Glass ionomer cement and Cention-N showed an initial fluoride burst.
Dental Erosion Prevalence and Risk Factor in Hypersensitive Patients
Authors: Ali Abdul S. T. , Alhamdan Farah Z. , Thabet Farah T. , Alsuwaidan Norah K. , Almontashri Rahaf M. , Alanazi Reem M. 
Published: June 2024

ABSTRACT

Introduction:
Dental erosion is common, and patient ignorance is a major issue. Extrinsic and intrinsic factors affect erosion. Some recommend evaluating and treating erosion patients following a brief review of the causes. These involve a comprehensive evaluation of the condition and medical history to identify risk factors for further tooth deterioration. To prevent further degeneration, immediate restorative therapy is needed.

Materials and Methods:
A cross-sectional questionnaire was given to Kerala Dental Clinic patients with dentinal hypersensitivity (DH). A total of 5 random clinics from 14 Kerala districts were chosen. At least a total of 1848 of 3500 patients responded. During the COVID-19 epidemic, an online semistructured survey was created using Google Forms to collect data. The current isolation approach discourages large gatherings and face-to-face contact. Google Forms were used to seek informed consent before filling out the questionnaire. Self-administered 20 questions were used to gather information regarding oral hygiene, bad habits, food, and eating disorders, and we inquired whether subjects ate acidic meals and drinks.

Results:
Most persons with dentine hypersensitivity eat packaged food (70%), pickles (62%), soft drinks (58%), and sweets (56%). Dental erosion is also linked to alcohol consumption (40.4%), teeth clenching (37.4%), mouth breathing (16.4%), and gum chewing (27.5%). Mouthwash-using DH patients (55%) had tooth disintegration.
Effectiveness of a physiotherapy protocol in a patient with dysphagia following radiotherapy for squamous cell carcinoma in retromolar trigone: A case report
Authors: Mandal Subhajit , Mandal Soumyajit , Malik Deepika , Thakur Kanika , Chahal Aksh 
Published: June 2024

Abstract

Background:
Squamous cell carcinoma (SCC) in the retromolar trigone of the oral cavity is an aggressive form of cancer, often leading to dysphagia as a result of radiotherapy (RT). This case report examines the efficacy of a combined physiotherapy protocol in treating RT-associated dysphagia.

Case Presentation:
A 43-year-old male diagnosed with SCC, displaying significant difficulty swallowing post-RT, was subjected to a 4-week physiotherapy treatment. The protocol incorporated swallowing exercises, such as lip protrusion/retraction, tongue retraction, and maneuvers including the Mendelsohn maneuver and effortful swallow, complemented by neuromuscular electrical stimulation (NMES) at the submandibular area.

Outcomes:
Posttreatment assessment revealed notable improvement in the patient’s swallowing capability, with increased scores on the Functional Oral Intake Scale (FOIS) and MD Anderson Dysphagia Inventory.

Conclusion:
The application of swallowing exercises combined with NMES may offer a promising approach to ameliorate dysphagia symptoms in patients post-RT for SCC. Further research is warranted to validate these findings and optimize treatment protocols.
Ab. No. 180 Association between Balance Confidence and Activities of Daily Living in Community Dwelling Elderly
Authors: Modi Megha , Shah Zeel , Patel Dhara , Patel Yukta , Sharma Anjali , Mahato Ranveer 
Published: June 2024

Introduction:
Balance confidence and FOF are essential psychological factors to consider when developing fall intervention strategies to enhance ability of elderly to remain active at home and within the community, and avoid injurious falls. Psychological factors like balance confidence and fear of falling (FOF) are related to balance impairment and falling. Ability to perform activities without falling may have positive effect on confidence in balancing. Study was aimed at obtaining better understanding of association of level activity of daily living (ADL) with individual’s estimation ability to avoid fall or maintain their balance.

Methods:
315 ambulatory community dwelling elderly ageing 60 to 85 years were recruited by personal interview from parks, and housings of various areas of city. Elderly with MMSE score < 18, neurological disorders (e.g. Stroke, Parkinson’s disease), any acute injury, hearing/communication problems, nonstable medical conditions, painful osteoarthritis with weight bearing, vestibulopathy were excluded. In this cross-sectional study, all individuals were screened for cognition using MMSE along with demographic details. The participants were assessed using Activities-specific balance confidence (ABC) scale, Katz Index of Independence in ADL and Lawton IADL Scale.

Result:
Mean sample age was 69.2±6.33 with 46.2% females. ABC score showed significant correlation with the criterion (p<0.000). The multiple regression model with all four predictors produced R²=0.454, F=64.316, p<0.000. MMSE, Lawton and Katz scale had significant positive regression (B=1.232,0.329,3.402 respectively). Age had significant negative weight (B=-0.786).

Conclusion:
Katz Index was the best predictor of balance confidence followed by MMSE, age and Lawton IADL Scale.

Implications:
Result provides better understanding of factors predicting balance confidence.
Ab. No. 30 The Accuracy of 10 G Monofilament Use for Clinical Screening of Diabetes Peripheral Neuropathy Among Indian Population
Authors: Hazari Animesh , Mishra Vinaytosh , Kandakurti Praveen Kumar , Maiya Arun 
Published: June 2024

Introduction:
The purpose of this study was to test the diagnostic accuracy of the 10g monofilament to screen for diabetic peripheral neuropathy (DPN) in India. The study further assessed the effect of physical activity, footwear use, and occupation on the outcome.

Methods:
Non-probabilistic purposive sampling was used to recruit patients with T2DM to assess the diagnostic utility of the 10 g monofilament. A total of 160 participants were recruited and divided into 4 groups. Each group consisted of 40 participants with 20 under each category described as “Physical Worker Vs Non- physical worker” (n= 40), “Barefoot vs. footwear” (n=40), “Use of Slipper at Home Vs No-slippers use at home” (n=40), “Agriculture Vs Non- agriculture” (n=40). 10 g monofilament was used to detect the presence of protective sensation towards screening of DPN against biothesiometer (Vibration Pressure Threshold).

Result:
The area under the ROC (receiver operating characteristic) curve was 0.6 for identifying DPN using the 10 g monofilament. Physical work (p=0.04), footwear (p=0.04), slipper use at home (p=0.02), and occupation (p=0.02) impacted the diagnostic utility of the 10g monofilament.

Conclusion:
This study shows that the 10 g monofilament has limited accuracy for detecting DPN in the Indian population and this is further affected by occupation, socioeconomic and religious practice.
Ab. No. 32 Effect of 4-Week Pulmonary Rehabilitation on Dyspnoea, Fatigue, Quality of Life and Radiological Findings in a Patient of Pulmonary Renal Syndrome Suffering from Pneumonia- A Case Study
Authors: Tripathi Shreya , Tiwari Bharat 
Published: June 2024

Introduction:
Pulmonary renal syndrome (PRS) is a rare, autoimmune disease, defined as combination of pulmonary symptoms (cough, chest pain and dyspnoea- at acute stage) and rapidly progressive glomerulonephritis. Pneumonia is an inflammatory condition caused by infectious agents leading to fever, cough and shortness of breath. We report a case of 42 years old female suffering from PRS and recently diagnosed with bacterial pneumonia. Medically she was managed through antibacterial and oral corticosteroids. At initial encounter of pneumonia, she was in intensive care unit and had cough, dyspnoea, pyrexia and fatigue with oxygen saturation (SpO2) of 94% on 15 litres of oxygen via non-re-breathable mask. Her chest x-ray demonstrated lobar pneumonia involving right upper lobe. Even after the resolution of pneumonia, she had fatigue, dyspnoea and baseline SpO2 of 90-92% on room air. Thus, all the above traits were treated by pulmonary rehabilitation. The study aims to find the effect of tailor-made pulmonary rehabilitation in pneumonia along with PRS.

Methods:
Physiotherapy was divided into 2 phases: (1) To treat pneumonia- chest physiotherapy (breathing exercises, nebulization, bronchial hygiene, percussion, and vibration) (2) After resolution of pneumonia: dyspnoea management, energy conservation techniques, early mobilization, exercise training (aerobic and strength)

Result:
4 weeks of pulmonary rehabilitation resulted in significant improvement in radiological findings, St. George’s respiratory questionnaire (85.39 to 15.53), SpO2 at room air (90% to 99%), Modified Medical Research council score (4 to 1), fatigue severity scale (43 to 21) with an improved inspiratory capacity measured by incentive spirometer.

Conclusion:
Our results underline pulmonary rehabilitation as an important pillar in the treatment of pneumonia with PRS.
Ab. No. 47 Physiotherapy Management in Challenging Case of Posterior Reversible Encephalopathy Syndrome (PRES) Developed After Liver Transplantation: A Case Report
Authors: Kodiyatar Aruna , Shah Harda 
Published: June 2024

Introduction:
Posterior reversible encephalopathy syndrome (PRES) is a neurologic disorder in which a person presents with visual disturbance, seizure, headaches, and altered sensorium. Use of Immunosuppressant and blood pressure fluctuation are most common etiology after transplant. However it’s reversible but neurological problems takes a time to recover. The study aims to explore neuro-rehabilitation in PRES after liver transplantation.

Methods:
This is a single case study of 53-year-old male patient underwent liver transplantation due to non-alcoholic steatohepatitis on 10/08/2023. He had episode of seizure on POD 7th, which lasted for l.5 minute with loss of consciousness and muscle tone. MRI Brain was suggestive of PRES. Patient was made medically and vitally stable with normal liver functions. However, patient developed cross paraplegia, aphasia with Glasgow coma scale 8/15, hypotonia, MRC score 0/5 and absent deep tendon reflex at left upper as well as right lower limb, sensory loss at right L2, L3, L4, L5 and S1dermatome. Barthel index score was 10/100 which suggestive of total dependency. A tailor-made progressive neuro-rehabilitation was implicated twice a day with positioning, bronchial hygiene technique, respiratory muscle strengthening, sensory re-education with robotic early mobilization (MOTO med) in supine at the liver intensive care unit as well as in transit to the ward. To facilitate re-education neuromuscular electrical stimulation was given at the foot and wrist. Static-dynamic sitting balance training supported standing, and assisted gait training were started.

Result:
Barthel index score improved up to 60/100 (moderate dependency), muscle power improved to MRC 3/5 with sensory component intact. The patient can walk with a walker up to 4 meters.

Conclusion:
Progressive neuro-rehabilitation plays a key role in reverting the PRES complication in liver transplant recipients.

Implication:
A tailor-made physical therapy protocol is a key pillar for the management of PRES after liver transplantation.