bluuebunny/crossref_metadata_2025_split huggingface dataset:
Health Insurance Ownership among Moluccans in Indonesia
Authors: Wulandari Ratna Dwi , Laksono Agung Dwi , Sillehu Sahrir , Khoiri Abu 
Published: March 2024

Abstract

Background:
Expanding the reach of health insurance in Maluku aims to increase public access with the archipelago topography to healthcare facilities.

Objective:
The study aimed to analyze factors related to health insurance ownership among Moluccans.

Materials and Methods:
The study employed 788 respondents. The variables analyzed included health insurance, age, gender, education, and employment. The study used multinomial logistic regression in the final stage.

Results:
The age group ≤19 years was 0.182 times more likely than the ≥50 years of age group to have government-run type health insurance. The 20–29 years of age group was 0.219 times more likely than the ≥50 years of age group to have government-run health insurance. On the other hand, Moluccans with primary education were 0.196 times more likely than Moluccans with higher education to have a government-run type of health insurance. Moluccans with secondary education were 0.415 times more likely than Moluccans with higher education to have government-run health insurance. Unemployed have a probability of 0.358 times than employed to have the government-run health insurance type. Finally, unemployed is 0.056 times more likely than employed to have private-run health insurance.

Conclusions:
Three variables prove associated with health insurance ownership among Moluccans in Indonesia, namely age, education, and employment.
Antibody Responses of SARS-CoV-2 Vaccines amongst Health Care Workers in a Tertiary Care Hospital in Tripura, India
Authors: Mog Chanda , Bhattacharya Sibabrata , Baidya Subrata , Das Shampa 
Published: March 2024

Background:
Vaccines against COVID-19 plays an important role in limiting the spread of SARS-CoV-2 infections and also in curbing mortality and morbidity due to COVID-19.

Objective:
To estimate the anti-spike antibody response after receiving the second dose of SARS-CoV-2 vaccines amongst health care workers of a tertiary care hospital in Tripura, India.

Materials and Method:
A cross- sectional study was conducted from 1 July to 20 August 2021 at Agartala Government Medical College and GBP Hospital, Agartala among 561 health care workers who had received first and second doses of SARS-CoV-2 vaccines and had completed 14 days after receiving the second dose.

Results:
The present study showed that health care workers who had received both doses of COVID-19 vaccine had 99.5% seropositivity to anti-spike antibody. The median SARS-CoV-2 anti-spike antibody titter was 250 with an IQR (211.55–250). Seropositivity rate was higher among Covishield recipients (99.8% [550/551]) as compared to Covaxin recipients (80% [8/10]) and it was found to be statistically significant (P = 0.000).

Conclusion:
The present study suggests that a good immune response was elicited against spike antigen of SARS-CoV-2 after two complete doses of Covishield (ChAdOx1-nCoV-19) or Covaxin (BBV152).
Strengthening Fetal Heart Rate Monitoring during Labor with a Standard Handheld Doppler – Implementation Experience from India
Authors: Bajpayee Devina , Sarin Enisha , Dastidar Sourav Ghosh , Chandra Subodh , Mohanty Jaya Swarup , Bisht Nitin , Kumar Arvind , Kumar Harish 
Published: March 2024

Abstract

Background:
India’s neonatal and perinatal mortality is among the highest in the world. Intrapartum-related conditions contribute to a significant proportion of neonatal deaths and stillbirths. Fetal heart rate monitoring, a recommended norm to assess fetal well-bring, is not practiced as per standard guidelines in public health facilities. A standardized Doppler along with training on fetal heart rate monitoring was implemented across different levels of healthcare in three states.

Methods:
Facilities were selected purposively to implement the Doppler. Baseline data for 3 months were collected. Interviews of health providers and observation of labor were conducted quarterly. Data were analyzed through a comparison of baseline and intervention on a number of delivery and monitoring indicators.

Results:
Among 22,579 total deliveries, monitoring frequency increased along with increase in detection of abnormal fetal heart rate (FHR) while cesarean section and stillbirths reduced slightly. Cases never monitored reduced in the District Hospitals (7.98–2.07, P < 0.01) and in Community Health Centers (14.7–1.67, P < 0.001). Stillbirth rate reduced at the medical college (3.6–1.1, P < 0.001). Interviews with providers revealed acceptance of the device due to its reliable readings.

Conclusion:
The Doppler demonstrates acceptability and serves as a useful aid to improve intrapartum FHR monitoring.
Discoloration after revascularization using calcium phosphosilicate-based bioceramic versus mineral trioxide aggregate in necrotic immature permanent anterior teeth: A Randomized clinical trial
Authors: Bartaw Rana Tarek , Eid Mahmoud Hamdy , Gawad Randa Youssef Abd Al , Samad Ahmed Mohamed Abdel 
Published: March 2024

Abstract

Aim:
The aim of the current study is to evaluate the effect of calcium phophosilicate-based bioceramic “Totalfill bioceramic putty” and white mineral trioxide aggregate (WMTA) as the coronal plug on discoloration after revascularization of necrotic immature permanent anterior teeth.

Materials and Methods:
This study was conducted on (48) necrotic young permanent central incisors in children ranging from 8 to 14 years old, that were randomly allocated to either Totalfill bioceramic (Group I = 24) or WMTA (Group II = 24) as the coronal plug. Two visits revascularization protocol was adopted in this study using 1.5% sodium hypochlorite, followed by 17% ethylenediaminetetraacetic acid, and ending with a saline flush as irrigation solution. The double antibiotic paste was used as intracanal medication. The blood clot was used as scaffold followed by the application of collagen membrane followed by coronal plud malterial. Finally, the access was sealed using resin composite restoration and composite restoration. Clinical assessment was conducted at 1, 3, 6, 9, and 12 months, while radiographic assessment was conducted at 6 and 12 months. Data were statistically analyzed using the Chi-squared test for intergroup comparisons and Cochran’s Q test for intragroup comparison.

Results:
Clinically, Group I exhibited a success rate of 100%, whereas Group II exhibited a success rate of 85.7%. Radiographically, both materials showed a 90.5% success rate. There was no statistically significant difference between both materials for all assessed clinical and radiographic parameters at different follow-up periods.

Conclusions:
Both Totalfill bioceramic putty and WMTA can be used successfully as coronal plug in esthetic areas.
Cone-beam computed tomographic evaluation to estimate the prevalence of palatogingival groove in the maxillary anterior teeth and its radiographic characteristics: An institutional retrospective study
Authors: Biswas Mousumi , Mazumdar Dibyendu , Saha Binayak , Agarwala Siddhi , Saha Kallol Kumar , Chowdhury Kuntal 
Published: March 2024

Abstract

Aim:
The purpose of the study was to radiographically evaluate the prevalence of palatogingival groove (PG) in the East Indian population in the maxillary anterior teeth in different genders, its unilateral/bilateral presentation, classified based on its radiographic characteristics, to determine the prevalence of different types, which could help in future treatment planning.

Study Design:
The design of the study was a retrospective study.

Materials and Methods:
Analysis of 429 maxillary anterior teeth (144 central incisors, 145 lateral incisors, and 139 canines) in 72 cone-beam computed tomography scans was done (31 males and 41 females, mean age 27.3 ± 7.63). Demographic details of patients and characteristics of PG, i.e. location, extension, depth, and type, were recorded. The presence of alveolar bone loss and periapical pathology was noted.

Results:
An overall prevalence of PG was found to be 2.33% (n = 10), with PG being detected in 2 (1.388%) central incisors, 8 (5.51%) lateral incisors, and 0 (0%) canines. Eight of the patients had a unilateral presence, while one patient reported with bilateral presence, implying a significantly higher predilection of unilateral occurrence (P = 0.02). The prevalence was found to be higher in females (n = 8). The teeth were categorized as either having Type I (6 teeth), Type II (3 teeth), or Type III (1 teeth). Three of the 10 PGs were present in the mesial, six in the mid-palatal, and one in the distal portion of the palatal surface.

Conclusions:
The prevalence of PG in the maxillary incisors in this cohort is 2.33%. The maxillary lateral incisors are the most affected teeth. Unilateral presentation is more common.
Evaluation of Usability and Efficacy of Strain Elastography Method Concurrently with Preoperative Ultrasonography in Cases of Hydatid Cyst
Authors: Karatay Emrah , Turkoglu Ozlem , Eren Abdulkadir , Javadov Mirkhalig 
Published: March 2024

Abstract

Background:
Hydatid cysts (HCs), which are among the cystic lesions of the liver, are frequently encountered in endemic areas. Routine imaging modalities are sometimes insufficient to differentiate HC types, and ultrasound (US) elastography has just begun to be used for this purpose. In this study, the effectiveness of the strain elastography (SE) method in preoperative HC cases was investigated, and the relationship between HC types and elastography values was evaluated.

Methods:
HC cases that underwent SE simultaneously with preoperative US between January 2019 and February 2021 were evaluated retrospectively, and 75 cases were included in the study. In addition to elastography data, cyst typing according to the World Health Organization (WHO) classification was also available.

Results:
Thirty cases were male and 45 cases were female, the median age was 48 years, and the interquartile range was 41 years. According to the WHO classification, 15 cases were Type I, 27 cases were Type II, and 33 cases were Type III HC. Median strain ratio (SR) values were 5.69 (4.07–14.47) for Type I, median 1.49 (1.26–1.74) for Type II, and median 0.21 (0.13–0.30) for Type III, and there was a highly significant relationship between HC types and SR values (P < 0.001). There was also a very strong (-) directional correlation between HC type and strain rate (P < 0.001, Spemann rho (ρ): −0.928).

Conclusion:
US elastography is a new modality in the diagnosis of HC types, and there are few studies available. In this study, unlike the literature, it is the first time that HC typing and discrimination have been used using the SE technique, which is remarkable.
A Retrospective Study of Location, Dimension, and Prevalence of Mandibular Incisive Nerve Canal with the Help of Cone-Beam Computed Tomography (CBCT)
Authors: Soni Avani , Sinha Priyankesh , Maiti Niladri , Katira Vidhi , Ashem Albert , Patel Prachi , Raval Nilesh 
Published: March 2024

ABSTRACT

Aim:
To evaluate the mandibular incisive nerve canal’s prevalence, location, and size.

Objectives:
To ascertain the frequency, relationship to surrounding critical structures, and variance in the size and position of the mandibular incisive nerve canal.

Materials and Methods:
Mandibular incisive canal (MIC) measurements, locations, and prevalence were noted in 80 patients’ cone-beam computed tomography (CBCT), ranging in age from 18 to 80.

Result:
The overall incidence of missing canals was found to be 30% on the right side, 33.75% on the left, and 23.75% on both sides. Conclusion: In summary, magnetic resonance imaging (MRI) (3 Tesla) and other higher-resolution imaging modalities should be compared with CBCT for accurate MIC measurement and location assessment.
Stress Attributes for Indian Orthodontic Practitioners: A Cross-sectional Study
Authors: Patel Riddhi , Kubavat Ajay K. , Patel Khyati V. , Bhavsar Priyal , Sejani Vishwa , Patel Anuj 
Published: March 2024

ABSTRACT

Background:
Because orthodontists work long hours and maintain a relationship with each patient for many years prior to the end of treatment, they may encounter unusually stressful situations.

Materials and Methods:
A self-administered, anonymous survey was disseminated to orthodontic residents and practitioners in India. The survey includes 29 probable stressors.

Result:
Over 61% of respondents opined that these factors are the most stressful in orthodontic practice.
A Comparative Analysis of Machine Learning and Deep Learning Approaches for Prediction of Chronic Kidney Disease Progression
Authors: Mandava Susmitha , Vinta Surendra Reddy , Ghosh Hritwik , Rahat Irfan Sadiq 
Published: March 2024

Chronic kidney disease is a significant health problem worldwide that affects millions of people, and early detection of this disease is crucial for successful treatment and improved patient outcomes. In this research paper, we conducted a comprehensive comparative analysis of several machine learning algorithms, including logistic regression, Gaussian Naive Bayes, Bernoulli Naive Bayes, Support Vector Machine, X Gradient Boosting, Decision Tree Classifier, Grid Search CV, Random Forest Classifier, AdaBoost Classifier, Gradient Boosting Classifier, XgBoost, Cat Boost Classifier, Extra Trees Classifier, KNN, MLP Classifier, Stochastic gradient descent, and Artificial Neural Network, for the prediction of kidney disease. In this study, a dataset of patient records was utilized, where each record consisted of twenty-five clinical features, including hypertension, blood pressure, diabetes mellitus, appetite and blood urea. The results of our analysis showed that Artificial Neural Network (ANN) outperformed other machine learning algorithms with a maximum accuracy of 100%, while Gaussian Naive Bayes had the lowest accuracy of 94.0%. This suggests that ANN can provide accurate and reliable predictions for kidney disease. The comparative analysis of these algorithms provides valuable insights into their strengths and weaknesses, which can help clinicians choose the most appropriate algorithm for their specific requirements.
Groundwater Flow Model Part Of Sokoto-Rima Hydrological Basin, Northwestern Nigeria
Authors: A M Shuaibu , K A Murana 
Published: March 2024

The aim of this work is to model the groundwater system of Zamfara part of Sokoto-Rima hydrological basin, under three objectives which are to evaluate the water budget, assess the interaction between surface water and groundwater, and to predict the temporal and spatial distribution of groundwater head and groundwater flow. MODFLOW-NWT, which is a Newtonian formulation for MODFLOW-2005, was used in the study. The result of sensitivity analysis revealed groundwater (RCH), evapotranspiration (EVT) and hydraulic conductivity (HKZ) had the highest composite scales. The water budget of the calibrated model showed that groundwater recharge was 5,571,293 m3 d-1, contributing 65.7% of total inflow (8,478,903 m3 d-1) to the aquifer. Inflow from river seepage represented 30.7% of the total inflow to the aquifer by 2,597,995 m3 d-1 while seepage from the general head boundary contributed 3.7% of the inflow to the aquifer by 309,615 m3 d-1. The outflow quantification of the aquifer showed that 75.8% (6,428,824 m3 d-1) of the total outflow was accounted to by evapotranspiration, the remaining 15 % (1,273,747 m3 d-1) outflow represented the river recharge, 8.6% (730,656 m3 d-1) to general head boundary (GBH), and 0.5% (45,678 m3 d-1) by pumping wells from the aquifer. Simulated groundwater level ranges between 202.9 m. asl and 688.5 m. asl, with an average level of 414.14 m. asl. Groundwater Flow model results indicated that the topography and geologic structures control groundwater flow in the study area and that base flow to river is an important factor moderating groundwater movement. This implies that the study area currently has sufficient groundwater resources to meet the demand, despite its fragile climate condition.
LENDO O MUNDO: explorando a leitura literária como ferramenta de conhecimento
Authors: Elizabeth Amanda dos Santos  , Laura de Oliveira  , Cristiano do Nascimento Siqueira  
Published: March 2024

O presente artigo tem como proposta apresentar a “leitura literária como ferramenta de conhecimento” para o cidadão. Conhecimento esse que ocorre de forma contínua, mas que para isso, deve ser oportunizado principalmente pelas instituições escolares para todos, mas principalmente, para que os pouco têm acesso. A leitura literária deve ser entendida como um importante processo que ocorre por meio de experiencias vivenciadas pelo sujeito e essas experiências são ações que podem transformar a vida do sujeito leitor. Esse artigo também tem como objetivo de levar o leitor à reflexão da importância da leitura na escola não se tornar um mero processo de decodificação de símbolos gráficos, mas sim como uma porta para a descoberta de mundo, de leitura de mundo. O processo investigativo desse trabalho foi desenvolvido por meio de uma pesquisa bibliográfica tendo como fundamentação teórica autores que discutem a importância da leitura e da leitura literária para promoção de conhecimento para toda a humanidade. Entre esses teóricos estão: Solé (2018), Zilberman (2012), Cosson (2012), Mortatti (2012), Soares (2004-2010), Martins (2006) entre outros. Entenden-se a leitura como um processo, uma ação, de entendimento de expressões formais, como também simbólicas que ocorrem por meio de diversas linguagens. Assim, como citado anteriormente, ler é muito mais do que decodificar os códigos escritos. Entretanto, se requer que o leitor, para chegar ao processo de interpretação a de compreensão ao que lê, ele necessita de repertório, de vivências. Assim, se requer que ele, o leitor, confronte o que leu, decifre o significado do texto lido, em sequência, passe a construir sentido para aquilo que leu, ou seja, ao texto lido. Para tanto, cabe ao ambiente educacional, a escola, aos docentes e a todos os envolvidos em formar pessoas, terem a consciência de que promover o ensino da leitura é proporcionar o sujeito ir além da decodificação dos signos. É sim, formar pensadores, pessoas críticas e reflexivas, levá-las à descobertas de novos saberes, à construção de conhecimentos e que esses sejam colocados em prática, na vida.
АКАДЕМИК ИБРОҲИМ МЎМИНОВ ИЛМИЙ ЖАСОРАТИНИНГ ЯНГИ ҚИРРАСИ
Authors: Наврўзова Гулчеҳра 
Published: March 2024

Ушбу мақолада академик Иброҳим Мўминовнинг яна бир илмий жасоратлари манбалар асосида очиб берилган. Бу олимнинг тасаввуф таълимоти масалаларини тадқиқ этиб, ҳали шўролар давридаёқ тасаввуф, Нақшбандия ҳамда Яссавия тариқатлари масалаларига эътибор бериб, уларни асарларида ёритганлиги асосланган.
MILLIY KURASH MASHG‘ULOTLARIDA UMUMIY JISMONIY TAYYORGARLIKNI TASHKIL ETISH VA SHAKLLANTIRISH
Authors: To‘rayev Panji 
Published: March 2024

Ushbu maqolada muallif tomonidan milliy kurash turi bo’yicha umumiy jismoniy tayyorgarlik davomida turli metodlar va vositalardan foydalanishning afzalliklari hamda turli ko’rsatmalar orqali, shug’ullanuvchilarga ta‘lim-tarbiya berish, ularni kamol toptirish shiningdek musobaqalarda yo’qori natijalarga erishish haqida faktlar keltirilgan.
El procés d’elaboració i aprovació del planejament municipal al País València. Disfuncions en la eficiència administrativa i ambiental dels instruments d’intervenció en la ciutat i el territori
Authors: Miralles-Garcia Josep Lluís 
Published: March 2024

El País Valencià, així com Espanya, te una llarga tradició i experiència en l’elaboració de planejament urbanístic i territorial en general i de planejament urbanístic municipal en particular. Els actuals 542 municipis disposen tots ells de planejament urbanístic d’un o altre tipus d’acord amb la legislació vigent en el moment de la seua aprovació. Progressivament, des de fa temps, el procés administratiu d’aprovació del planejament urbanístic municipal ha anar complicant-se. Segons un estudi actual, en la província de València, el termini mitjà d’elaboració del planejament urbanístic municipal és d’aproximadament 12 anys, amb un cas extrem de 25 anys. Resulta evident que aquest termini és excessiu i ineficient urbanístic i ambientalment. Recordem que el planejament esta sotmès a procediment d’avaluació estratègica ambiental i territorial. Aquest escrit aborda aquesta qüestió i les seues causes estructurals, i apunta una reformulació dels procediments amb l’objectiu d’aconseguir una gestió urbana i ambiental efectiva que permeta disposar del planejament, com a instrument d’intervenció urbana i ambiental de manera racional i eficient.
Characteristics and clinical outcomes of patients with Sarcoidosis admitted for ST-elevation myocardial infarction in the United States: A propensity matched analysis from the National Inpatient Sample
Authors: Ahmed Raheel , Najam Noem , Ramphul Kamleshun , Mactaggart Sebastian , Dullay Mansimran Singh , Okafor Joseph , Azzu Alessia , Bilal Maham , Memon Rahat A , Sakthivel Hemamalini , Khattar Rajdeep , Wells Athol Umfrey , Baksi John Arun , Wechalekar Kshama , Kouranos Vasilis , Chahal Anwar , Sharma Rakesh 
Published: March 2024

IntroductionSarcoidosis is a systemic inflammatory disorder characterised by non-caseating granulomas. Cardiac sarcoidosis (CS) normally causes conduction abnormalities, ventricular arrhythmias, and heart failure. Little is known about the characteristics and impact of sarcoidosis in patients admitted with ST-elevation myocardial infarction (STEMI). This study aims to fill this void.Material and methodsUtilising the National Inpatient Sample (NIS) database (2016–2020), individuals with STEMI were identified and categorised based on sarcoidosis presence whilst adjusting for confounders via logistic regression models.ResultsAmong 851,290 STEMI patients, 1215 had sarcoidosis. Before propensity matching, sarcoidosis patients were notably different in demographics and comorbidities compared to non-sarcoidosis patients. After propensity score matching (PSM), sarcoidosis patients were found to have a higher incidence of supraventricular tachycardia (SVT) (2.5% vs. 1.3%, p = 0.024) and acute kidney injury (AKI) (23.3% vs. 20.8%, aOR = 1.269, 95% CI: 1.02–1.58, p = 0.033) but a lower incidence of undergoing coronary artery bypass graft (CABG) (5.5% vs. 8.5%, aOR = 0.663; 95% CI: 0.472–0.931, p = 0.018), while no significant disparities were noted in PCI, cardiogenic shock, mortality, or mean length of stay (LOS).ConclusionsUsing propensity-matched large real-world data of STEMI patients, sarcoidosis was associated with fewer cases of CABG and a greater incidence of AKI and SVT compared to non-sarcoidosis patients.