bluuebunny/crossref_metadata_2025_split huggingface dataset:
Need of integrated care model for positive childbirth experience in Indian maternity care services
Authors: Leela Thaniya K. , Baboo Smitha 
Published: March 2024

BACKGROUND:
Integrated care (IC) models are an emerging trend in healthcare reforms worldwide, especially in the maternal healthcare system. This research focuses on the scope of an integrated model for intrapartum care of women and explores the experience of birth under two intrapartum care models—biomedical and midwifery models, respectively. The term positive childbirth experience (PCE) is a concept defined by the World Health Organization (WHO) in the recommendations on intrapartum care for a PCE.

MATERIALS AND METHOD:
This study is convinced to employ a qualitative approach to explore how birth is experienced by women under maternity healthcare services in Kerala. A semi-structured interview was conducted to tap into the lived reality of birthing of sixteen first-time mothers (primipara) aged between 20 and 30 years under these two models. Furthermore, five participants have been specifically interviewed after their vaginal birth after a C-section (VBAC) experience. To achieve a systematic cross-case thematic analysis, systematic text condensation (STC) has been employed as a data analysis method.

RESULTS:
Four main categories were identified through the analysis as follows: (1) information and knowledge, (2) confidence, (3) quality of care, and (4) health-promoting perspective. These central themes evolved from 11 subthemes.

CONCLUSION:
The data analysis reveals both negative and positive experiences under two care models. It emphasizes the urgent need to reframe the biomedical-focused care model and adopt an integrated approach that aligns with the global intrapartum care model proposed by the World Health Organization (WHO) in 2018 and the definition of IC mentioned in the paper.
Relationship between reproductive health literacy and components of healthy fertility in women of the reproductive age
Authors: Ghavami Batool , Sohrabi Zahra , RaisiDehkordi Ziba , Mohammadi Fatemeh 
Published: March 2024

BACKGROUND AND AIM:
One of the key factors affecting women’s behavior with fertility issues is their health literacy, but this topic has been less addressed in the existing studies. We aimed to determine the relationship between reproductive health literacy and components of healthy fertility in women of reproductive age.

MATERIALS AND METHODS:
This cross-sectional study was conducted from March 2019 to September 2014 on 230 married women who were referred to comprehensive health centers in Lordegan city. Data were collected using a reproductive health literacy questionnaire, demographic and fertility information checklist, and components of healthy fertility. Data analysis was done using SPSS software, version 20. Pearson, Spearman, and independent t-tests were used as appropriate.

RESULTS:
The mean ± SD reproductive health literacy score in the participants was 43.80 ± 18.99 depicting an average literacy level in more than half of the women. Also, the reproductive health literacy score had a statistically significant relationship with the use of low-failure contraceptive methods (P < 0.001) and planned pregnancy (P = 0.03). However, this relationship was not significant regarding pre-pregnancy care (P = 0.88) and observing the interval between pregnancies (P = 0.57).

CONCLUSION:
We found a relationship between the level of reproductive health literacy and the use of family planning methods with low failure and planned pregnancy. Hence, it seems that interventions to improve reproductive health literacy are effective in reducing the occurrence of high-risk pregnancies and unwanted and unplanned pregnancies. Therefore, it is suggested that the health system consider and provide education related to reproductive health literacy as a part of healthy reproductive services.
The practices of heat adaptation among elderly in Dezful: A qualitative study
Authors: Aghababaeian Hamidreza , Ostadtaghizadeh Abbas , Kiarsi Maryam , Sarfaraz Hossein , Ahvazi Ladan Aragi , Maniey Mohammad 
Published: March 2024

BACKGROUND:
Useful experiences of the elderly in adapting to the environment may play an important role in formulating future policies. This study was conducted to explain the past experiences of the elderly in Dezful in adapting to heat.

MATERIALS AND METHODS:
This study was conducted with a qualitative research approach and a qualitative content analysis method in 2020 and 2021. The experiences of 18 elderly in Dezful were collected through semi-structured interviews via recording, face-to-face interviews, and data observation. Sampling was performed by the purpose-based method, and the data of this stage were analyzed using a content analysis approach using the Zhang and Wildemuth method.

RESULTS:
During the data analysis process, three main themes were extracted, including psychophysiological, socioeconomic, and environmental adaptation. Also, twelve subthemes including changes in physiological conditions, urban architecture, house architecture, diet, clothing, business conditions, mindset, life conditions, and the use of factors (spirituality, experience, and natural capacities) were extracted.

CONCLUSION:
Explaining the experiences of the elderly in Dezful, who have lived with heat for many years, can provide better identification of solutions and more tangible experiences of adaptation to heat for other communities. These experiences can be used in urban, cultural, and social planning.
Investigating the association between the lunar cycle and sleep, physiological, cognitive, and physical performance in children with Down syndrome
Authors: Lammouchi Zohra , Guelmami Noomen , Abedelmalek Salma , Saidane Mouna , Ghouili Hatem , Rebhi Mahmoud , Fessi Mohamed Saifedine , Aissa Mohamed Ben , Bedhioufi Hafsi , Saad Helmi Ben , Dergaa Ismail 
Published: March 2024

BACKGROUND:
Children with Down syndrome (DS) offer a compelling context within the fieldof human biology for examining potential lunar influences. While the exact mechanisms governing lunar effects are still under investigation, a growing body of scientific inquiry suggests possible connections between lunar phases and physiological, physical, and cognitive parameters. This investigation holds promise for uncovering the intricate interplay between lunar cycles (LCs) and the unique biology of children with DS. This study investigated the potential influence of the LC on physiological, physical, and cognitive parameters in children with DS, focusing on sleep patterns, physical performance, and cognitive abilities.

MATERIALS AND METHODS:
Seventeen children with DS participated in this study. Sleep data, physical performance metrics, and cognitive test results were collected throughout the LC, including the new moon (NM), first quarter, full moon (FM), and third quarter. Statistical analyses were conducted to assess the differences in these parameters across lunar phases.

RESULTS:
Significant differences were observed in sleep patterns, with reduced total sleep time (P < 0.01) and sleep efficiency (P < 0.001) during the FM phase. Heart rates (HRs) before (P < 0.001) and after (P < 0.01) exercise also displayed pronounced changes during LC. Additionally, the reaction time (RT) exhibited a significant difference (P < 0.01) across the lunar phases. However, physical performance metrics, including squat jump (SJ), sprint, and 6-minute walk distance (6MWD), did not show significant variations.

CONCLUSION:
This study suggests that LC may have a moderating effect on sleep patterns, HR, and cognitive performance in children with DS. These findings have practical implications for caregivers and educators and highlight the importance of considering lunar-associated variations in planning schedules and interventions for children with DS.
Barriers to financial access of disabled people to health services in rural areas: A case study of Iran
Authors: Shams Lida , Nasiri Taha , Darvish Tahere , Hosseini-Shokouh Sayyed-Morteza , Amiri Mohammad Meskarpour 
Published: March 2024

BACKGROUND:
People with disabilities (PWDs) account for a significant percentage of the world’s population, with a higher prevalence in less developed countries. Access to healthcare services is the main component of health systems performance, with lower access for PWDs living in rural areas. The current study aimed to investigate PWD’s access to healthcare services in rural areas of Iran and, secondly, factors that contribute to this issue.

MATERIALS AND METHODS:
Following a cross-sectional design, the current descriptive-analytical study is performed in the north of Iran. Using the quota sampling technique, 471 PWDs were recruited. Data were collected using a valid and reliable questionnaire, covering three dimensions of access, by face-to-face interview. Data analysis was administered using central tendency indicators and multiple regression by SPSS version 17. Statistical significance was considered when the P value <0.05.

RESULTS:
The mean score of PWD’s access to healthcare services for dimensions of utilization, availability, and affordability was 8.91 (±6.86), 14.54 (±2.3), and 51.91 (±8.78), indicating very low, low, and moderate levels of access. All three regression models were significant (P < 0.05), and variables of gender, age, marital status, education level, residence status, the income of the household head, receiving financial aid, and house area showed a significant effect (P < 0.05).

CONCLUSION:
This study demonstrated the seriousness of paying attention to PWD’s financial access to healthcare services, particularly in rural areas of Iran. Hence, policymakers should better focus on this problem, mainly regarding accessibility and utilization and factors that result in inequalities.
Evaluation of different taste sensations along with body mass index (BMI) in geriatric patients with and without complete dentures
Authors: Doddawad Vidya G. , Mehrin Farina , Raghavendraswamy K. N. , Chandrashekarappa Smitha M. , Shivananda S. , Vidya C. S. 
Published: March 2024

BACKGROUND:
The purpose of this study was to investigate the effect of acrylic full removable dentures on the perception of four primary tastes (sweet, sour, salty, and bitter), as well as to determine if there is a correlation between changes in body mass index (BMI) and taste perception.

MATERIALS AND METHODS:
A total of 60 patients who wore acrylic removable dentures and 60 controls were included in the study as a convenient sample. Sixteen solutions for basic tastes were prepared, and the patients were asked to identify the taste of each solution from the lowest concentration. Anthropometric measures, such as height and weight, were measured and recorded in an MS-Excel sheet. The data were analyzed using SPSS version 23.

RESULTS:
The results showed that patients with complete removable dentures had lower taste scores for sourness (P < 0.001) and sweetness (P < 0.001) compared to the control group. However, there was no significant difference in salt taste scores (P = 0.218) and bitterness (P = 0.002) between the two groups. Additionally, the study found a correlation between lower BMI values and higher taste scores among denture-wearing patients, indicating an inverse relationship between total taste scores and BMI.

CONCLUSIONS:
The study suggests that geriatric patients with complete dentures have reduced taste sensations compared to those without dentures which can have a negative impact on their nutritional status. Therefore, it is crucial to provide adequate nutritional support and dietary counseling for geriatric patients based on health policy to maintain their overall health and well-being.
The Impact of Gastric Juice on the Surface Roughness of Surface Sealant-Treated Provisional Restorations
Authors: Kuscu HY Yay , Kurkcuoglu I , Kucukesmen HC 
Published: March 2024

Background and Aim:
Gastroesophageal reflux disease causes gastric acid to enter the oral cavity, leading to mucosal changes and deterioration of dental hard tissues and materials. The purpose of this in vitro study was to evaluate the impact of gastric juice on the surface roughness of two types of acrylics used in provisional restorations.

Materials and Methods:
Acrytemp ® and Temdent acrylic resin discs (10 × 2 mm) totaling 80 were manufactured and divided into eight groups (n = 10). Groups were prepared as follows: Group 1 (Temdent + Universal Polish) (control), Group 2 (Temdent + Universal Polish + Biscover LV), Group 3 (Temdent + Universal Polish + Resin Glaze), Group 4 (Temdent + Universal Polish + Fortify Plus), Group 5 (Acrytemp + Universal Polish) (control), Group 6 (Acrytemp + Universal Polish + Biscover LV), Group 7 (Acrytemp + Universal Polish + Resin Glaze), and Group 8 (Acrytemp + Universal Polish + Fortify Plus). The resin discs were immersed in distilled water for 24 h and in gastric juice (pH = 2) for additional 24 h. The initial and final roughness values of samples were measured and analyzed with non-parametric statistics including Mann–Whitney U-test for pairwise comparison, Kruskall Wallis test for comparing more than two groups, and Wilcoxon signed rank test for within-group comparison (P < 0.05).

Results:
Surface roughness did not differ significantly between control groups. It notably increased for all samples with surface sealants, both initially and after gastric juice immersion (P < 0.05).

Conclusion:
Surface sealants noticeably increased the roughness of two types of acrylic resins. After immersing in gastric juice, Group 4 (Temdent + Universal Polish + Fortify Plus) showed the highest roughness, while the untreated control groups remained the smoothest.
The Biomechanical Investigation of Osseointegration Levels in Titanium Implants Simultaniously Placed with Different Bone Grafts
Authors: Guler R , Dundar S , Bozoglan A , Ozcan EC , Ozupek MF , Acikan I , Gunes N , Bingul MB 
Published: March 2024

Background:
Dental implant-supported prostheses have been scientifically accepted and have been a common treatment choice in the case reconstructing of partial or total tooth loss. In additon, bone grafts (alloplast, xsenograft, allograft) are frequently used in implant and sinus lift surgical procedures.

Aim:
The aim of this study is to investigate the bone–implant osseointegration levels of titanium implants simultaniously placed with different bone grafts.

Materials and Methods:
In the study, 32 female S. Dawley rats were divided into four groups. In the control group (n = 8), turned surface implants with a 2.5 mm diameter and a 4 mm length were placed in the tibia of the rats without the use of a graft material. In the experimental groups, bone cavities were opened in the tibias of the rats and a synthetic (alloplast) graft (n = 8), human allograft (n = 8), and bovine xsenograft (n = 8) were placed simultaniously with a 2.5 mm diameter and a 4 mm length turned surface titanium implants. The cavities in the experimental groups were opened with a 4 mm diameter and a 5 mm length. After 8 weeks of recovery, all rats were sacrificed at the end of the experimental period. The implants and surrounding bone tissue were removed. The removed tissue was subjected to biomechanical analysis in order to evaluate bone–implant osseointegration and peri-implant new bone formation. The Kolmogorov–Smirnov test, Kruskal–Wallis test, and Mann–Whitney U-test were used in the study. Significance was evaluated at the P < 0.05 level.

Results:
In the biomechanical analyses, it was determined that there was no statistically significant difference between the control group and the other three groups in which different graft materials were applied in terms of bone–implant osseointegration (P > 0.05). In other words, in the biomechanical analyses, no statistical difference was found between any of the groups.

Conclusions:
As a result of this study, it can be thought that different graft materials can be successfully used in peri-implant-guided bone regeneration and may be an alternative to autogenous grafts.
Serum Immunoglobulin E Level and Its Relationship with Eosinophil Count among Patients with Allergic Rhinitis in Tertiary Hospital in Bauchi, Northeastern Nigeria: A Cross-Sectional Study
Authors: Gwalabe SA , Adamu A , Kirfi AM , Dunga JA , Maigari IM 
Published: March 2024

Background:
Allergic rhinitis is an immunoglobulin E-mediated hypersensitivity disease of the mucous membrane of the nasal airway. There is a paucity of information regarding serum immunoglobulin E level and its relationship with eosinophil count among patients with allergic rhinitis in our facility and Northeastern Nigeria.

Aim:
To determine serum immunoglobulin E level and its relationship with eosinophil count among patients with allergic rhinitis.

Methodology:
It was a cross-sectional study of consecutive patients diagnosed with allergic rhinitis that were recruited from the ear, nose, and throat surgery and respiratory medicine clinics of ATBUTH, Bauchi, Bauchi State, Northeastern Nigeria, from January 01, 2022, to May 31, 2023. Five milliliters of blood were analyzed for immunoglobulin E estimation using an immunoglobulin E ELISA kit and determination of eosinophil count using pack five hematologic autoanalyzer. Extracted data were analyzed using IBM SPSS version 23.0 software.

Result:
There were 61 patients studied comprising 22 (36.1%) males and 39 (63.9%) females with a male-to-female ratio of 1:1.7. Their ages range from 18 to 77 years old. The mean age, serum IgE level, and eosinophil counts of all three patients were 38.65 ± 14.34 years, 371.24 ± 82.63 IU/ml, and 3.35 ± 2.87%, respectively. All (100%) participants had raised serum IgE levels, and 88.5% had normal eosinophil count. There was no significant correlation between the serum IgE level and eosinophil counts (r = −0.206; P = 0.112).

Conclusion:
All of the participants had a high serum IgE level. There was no significant association between serum IgE and eosinophil count.
Association Between Articular Eminence Structure and Joint Spaces in Temporomandibular Joints with Anterior Disc Displacement
Authors: Etöz M , Çabuk D Soydan , Kütük N , Ercan I 
Published: March 2024

Background and Aims:
The association among the joint spaces, articular eminence morphology, and disc displacement is not well documented in the literature. This study aims to evaluate and compare the joint spaces and the articular eminence structure (eminence height [Eh] and inclination [Ei]) using cone-beam computed tomography (CBCT) of temporomandibular joints (TMJs) with anterior disc displacements and joints with normal disc position.

Methods:
The study groups consisted of 75 TMJs of 39 patients. The disc status of TMJs was diagnosed with magnetic resonance imaging, and the measurements were performed on CBCT. Three groups, that is, normal disc position (NDP) group, anterior disc displacement with reduction (ADDWR) group, and anterior disc displacement without reduction (ADDWoR) group, were established. Anterior, superior, posterior joint spaces (AJS, SJS, and PJS, respectively), articular Eh, and articular Ei were measured. Statistical Package for the Social Sciences version 22 was used for statistical analysis. Shapiro–Wilk test was used to check the normality of data. Intergroup comparisons of categorical variables were assessed with Fisher–Freeman–Halton test. For comparison of continuous variables parameters, Mann–Whitney U test and Kruskal–Wallis test were used. Statistical significance level was determined as P < 0.05.

Results:
Significant differences were not found in intergroup comparisons for PJS. However, the difference between groups was found to be significant for AJS, SJS, Eh, and Ei. Intergroup comparisons were performed for these parameters. No significant difference was found between the NDP group and the ADDWR group for AJS, SJS, Eh, and Eİ. The mean AJS, SJS, Eh, and Ei values in ADDWoR were found to be significantly lower compared to the corresponding values in both NDP and ADDWR groups.

Conclusion:
Decreased AJS and SJS when TMJ is evaluated with CBCT may be an indicator of ADDWoR. Authors suggest that narrowed articular Ei and reduced articular Eh can be one of the predisposing factors for anterior disc displacement.
Dynamics of Gingival Indices and Microbiological Findings During Treatment of Plaque-Induced Gingivitis in Children Aged 10-14 Years
Authors: Tankova HI , Lazarova ZB , Mitova NG 
Published: March 2024

Background:
The study analyzed the dynamics of the clinical periodontal status during the treatment of adolescents with generalized plaque-induced gingivitis.

Aim:
Assessment of the predominant subgingival microflora in the case of a diagnosed inflammatory process in the gingiva in childhood.

Methods:
Full-mouth periodontal assessment of plaque accumulation and bleeding on probing with an electronic periodontal probe was performed during the treatment of 34 adolescents with generalized plaque-induced gingivitis. The treatment protocol includes five visits (1, 3, 7, 14, and 30 days). Subgingival biofilm sampling was performed by real-time PCR testing to identify, follow-up in dynamics, and determine the quantities of main subgingival periodontopathogens during treatment. Three samples per child were taken from five teeth with the most severe inflammation.

Results:
For children aged 10-14 years with generalized plaque-induced gingivitis, two weeks after the start of treatment, the index values for bleeding on probing decreased twice from 53 to 27%. C. gingivalis was isolated before the start of treatment in all children, followed by P. intermedia, P. micros (70,4%) and T. denticola, T. forsythia (52,9%). Representatives of the red complex according to Socransky showing greater resistance to the therapy performed in terms of frequency and amount.

Conclusion:
The predominant subgingival microflora in adolescents with generalized plaque-induced gingivitis is representative of the orange and red Socransky complex, with index values decreasing smoothly at each subsequent visit during treatment.
Effect of Physical Performance Levels of Elderly Living in Urban and Rural Areas on Social Participation, Social Functioning, and Quality of Life: A Cross-sectional Study from the Mediterranean Region of Turkey
Authors: Parpucu Tİ , Keskin T , Başkurt Z , Başkurt F 
Published: March 2024

Background:
Social interaction is a very important subject for the elderly, especially in the context of active aging.

Aim:
This study aims to investigate the effect of physical performance levels of the elderly living in rural and urban areas on social participation, social functioning, and quality of life.

Methods:
A total of 418 volunteer elderly aged 65 and over, living in rural (42.3%) and urban (57.7%) areas, participated in this study. The Mini-Mental State Examination, Short Physical Performance Battery, the World Health Organization Quality of Life Scale for Older Adults, Social Functioning Scale, and the Community Integration Questionnaire were applied to participants.

Results:
The scores of social functioning (P = 0.027) and the social network subscale of social participation (P = 0.001) were significantly higher among participants living in urban areas compared to those living in rural areas. Physical performance was positively correlated with social participation (r = 0.404) and social functioning (r = 0.324) at a moderate level (P = 0.000), and with quality of life at a low level (r = 0.158) (P = 0.001). Social participation was positively correlated with social functioning at a high level (r = 0.572) and with quality of life at a moderate level (r = 0.300) (P = 0.000). Social functioning was positively correlated with quality of life at a low level (r = 0.234) (P < 0.01).

Conclusion:
To increase social participation, social functioning, and quality of life among the elderly, it is necessary to keep physical performance levels higher. In addition, in the planning of social participation, it is crucial to take into account where the elderly live in.