bluuebunny/crossref_metadata_2025_split huggingface dataset:
Influence of Zirconia/Glass Veneer Thickness and Implant Abutment Material on the Final Shade of Implant Restorations
Authors: Kumari Nishu , Shukla Anuj K. , Malviya Rohit , Raj Aman , Sutaria Bhagyashree , Kumari Lalima , Makkad Ramanpal S. 
Published: December 2023

ABSTRACT

Background:
Achieving an optimal shade match for these restorations is crucial for aesthetic outcomes. The thickness of zirconia/glass veneer and the choice of implant abutment material play vital roles in determining the final shade of implant restorations

Materials and Methods:
This study investigated the influence of zirconia/glass veneer thickness (0.5 mm and 1.0 mm) and implant abutment material (zirconia and titanium) on the final shade of implant restorations. A total of 60 identical implant restorations were fabricated and divided into four groups based on the combinations of veneer thickness and abutment material. The shade of each restoration was assessed using a shade guide, and color differences (ΔE) were measured with a spectrophotometer. Data were analyzed using statistical tests (e.g., ANOVA).

Results:
The results indicated that the veneer thickness significantly influenced the final shade of implant restorations. Restorations with 0.5 mm veneer thickness exhibited a lower ΔE value (indicating a closer shade match) compared to those with 1.0 mm veneer thickness. Additionally, the choice of implant abutment material had a minor but statistically significant effect on shade. Zirconia abutments yielded slightly better shade-matching results compared to titanium abutments

Conclusion:
In implant restorations, the thickness of the zirconia/glass veneer plays a critical role in achieving a desirable shade match. A veneer thickness of 0.5 mm is recommended for optimal aesthetic outcomes.
Assessment of Stress Distribution with 3 Taper Design Preparation of Root Canal Using Finite Element Analysis
Authors: Rathod Tejasree , Durgabhavani G. , Tirupathi Pudu , Parveen Nusrath , Paramesh Yelloji , Dharavattu Prabhakar 
Published: December 2023

ABSTRACT

Aim:
Present research was done to assess stress distribution in three different taper design preparation of root canal with the help of finite element analysis.

Materials and Methods:
Lower incisors teeth having single canals that were cleaned and shaped with the help of NeoEndo Flex Titanium (NiTi) rotary file and later three designs were created such as 4%, 6%, and 8% canal preparation taper. Cone beam computed tomography (CBCT) was done for all teeth and subjected to finite element analysis for stresses. The collected data were statistically analyzed.

Results:
Highest stress was found in the coronal followed by the middle and least in the apical part in all three designs. The highest stress value was found in enamel than dentin (MPa). The highest stress value was found with design 3 (8% taper) followed by designs 2 (6% taper) and 1 (4% taper) for enamel and dentin with either oblique or vertical stress loading.

Conclusion:
All canals preparation exhibited maximum enamel stress at the coronal load points compared to apical and middle portions. The stress increases with increase in canal tapering.
Efficacy of Aloe Vera, Amlexanox (5%), and Triamcinolone Acetonide (0.1%) in the Management of Oral Lichen Planus
Authors: Kaur Manpreet , Gulati Prerna , Verma Sugandha , Khare Parul , Garg Ruchi , Dutta Jahnobi , Rao Kumuda 
Published: December 2023

ABSTRACT

Objective:
This research assessed the efficiencies of aloe vera, 0.1% triamcinolone acetonide, and 5% amlexanox in the management of OLP.

Materials and Methods:
A total of 120 participants diagnosed with oral lichen planus (OLP) were equally divided into three groups and treated with: aloe vera, (Group A), 0.1% triamcinolone acetonide (Group B), and 5% amlexanox (Group C) topical medicaments. The patients were evaluated for pain, using the visual analogue scale (VAS). They were also evaluated for ulcerative lesion type and erosive area on days 1, 7, and 15 of the study.

Results:
There was a statistically considerable decrease in the VAS pain scale score, reduction in the erosive area on buccal mucosa, and healing of ulcer from day 1st to 15th day with all three tested drugs.

Conclusion:
All drugs used in this study; aloe vera, triamcinolone acetonide, and amlexanox were effective in treating OLP patients.
Efficacy of Laser-assisted Periodontal Therapy vs. Conventional Scaling and Root Planing
Authors: Sinha Sachin , Nair Vineet , Das Indrasri , Saha Arindam , Bhowmick Debarati , Pal Moumita , Mehta Dhaval N. 
Published: December 2023

ABSTRACT

Background:
This study aimed to compare the effectiveness of laser-assisted periodontal therapy (LAPT) with conventional scaling and root planing (CSRP) in the treatment of periodontal disease. The objective was to assess the outcomes of these two treatments on a sample of 30 patients in each group.

Materials and Methods:
In this study, a total of 60 patients diagnosed with periodontal disease were divided into two groups: the LAPT group and the CSRP group, with 30 patients in each group. The LAPT group received periodontal treatment using laser therapy, while the SRP group underwent traditional SRP. The patients were evaluated for periodontal parameters, including probing depth and clinical attachment level before and after the treatments.

Results:
After the treatment interventions, both the LAPT group and the CSRP group showed significant improvements in periodontal health. The mean reduction in probing depth was 2.5 mm in the LAPT group and 2.2 mm in the SRP group. In addition, the clinical attachment level increased by 2.8 mm in the LAPT group and 2.5 mm in the SRP group. Statistical analysis using the paired t-test demonstrated a P-value of less than 0.05, indicating the significance of these improvements in both groups.

Conclusion:
This study suggests that both LAP and CSRP are effective in improving periodontal health in patients with periodontal disease.
Clinical Efficacy of Topical Kenacort and Aloe Vera Gel in Minor Aphthous Stomatitis: A Comparative Study
Authors: Tariq Mehak , Jalli Vishwanath V. , Dhurubatha J. , Medhi Reeturaj , Malawat Kanchan , Gowdar Inderjit M. , Arya Sugandha 
Published: December 2023

ABSTRACT

Aim:
The aim of the study is to compare the clinical efficacy of both the topical agents—aloe vera gel and Kenacort oral paste (0.1% triamcinolone acetonide) in patients with minor aphthous stomatitis.

Materials and Methods:
60 patients were recruited for the study and were randomly divided into two groups—Group A (aloe vera gel group) and Group B (Kenacort oral paste group). The baseline parameters were taken and recorded on the day of the first visit which included ulcer size, pain, and burning sensation. Evaluation of reduction in ulcer size, pain, and burning sensation were made on day 3 and day 7.

Results:
The results of the present study revealed that both the study groups showed no significant difference in the size of ulcer at day 1, day 3, and day 7 when compared using independent t-test as P > 0.05 at all study intervals. Therefore, both the agents were found to be equally effective against reducing the size of ulcer, pain, and burning sensation.

Conclusion:
The present study findings demonstrate that topical application of the aloe vera gel was able to decrease the ulcer size, intensity of pain, and burning sensation, thereby accelerating the healing without any side effects. Thus, topical aloe vera could be safe and a better alternative to topical steroid for RAS.
Assessment of Patient Satisfaction and Treatment Outcomes in Digital Smile Design vs. Conventional Smile Design: A Randomized Controlled Trial
Authors: Luniyal Chetan , Shukla Anuj K. , Priyadarshi Mayank , Ahmed Farah , Kumari Nishu , Bankoti Pinki , Makkad Ramanpal S. 
Published: December 2023

ABSTRACT

Background:
The esthetics of a smile holds significant importance in an individual’s self-esteem and overall quality of life. In the realm of cosmetic dentistry, smile design has traditionally relied on conventional methods, but recent advances in technology have introduced digital smile design (DSD) as a promising alternative.

Materials and Methods:
In this randomized controlled trial, 150 adult patients seeking smile enhancement procedures were enrolled and randomly assigned to one of two groups: the DSD group or the conventional smile design group. The DSD group underwent smile design using digital technology, including intraoral scans, computer-aided design, and 3D simulations. Meanwhile, the conventional smile design group received smile design through traditional methods, involving manual impressions, stone models, and manual wax-ups. Patient satisfaction was measured using a visual analog scale (VAS) ranging from 0 to 100 immediately after the procedure, while treatment outcomes were assessed three months post-procedure by dental professionals using a standardized assessment scale.

Results:
In terms of patient satisfaction, the DSD group demonstrated a mean score of 85.4 (SD ± 6.2), while the conventional smile design group had a mean score of 79.8 (SD ± 7.1). This suggests that patients in the DSD group reported higher levels of satisfaction with their smile enhancements. Regarding treatment outcomes, 92% of patients in the DSD group exhibited excellent restoration fit, occlusion, and esthetics, whereas 78% of patients in the conventional smile design group achieved the same level of excellence. These findings collectively indicate that digital smile design (DSD) may yield superior patient satisfaction and improved treatment outcomes when compared to conventional smile design methods, particularly with regard to esthetic results and overall patient contentment.

Conclusion:
In conclusion, the results of this randomized controlled trial emphasize the potential advantages of integrating digital technology into smile design procedures.
Accordance Assessment of Structural and Environmental Elements of Iranian Medical Sciences Universities with the Corresponding Components of Third-millennium Universities: A National Study in a Developing Country
Authors: Hassanzad Maryam , Kalantari Abdolhossein , Valinejadi Ali , Velayati Ali Akbar 
Published: December 2023

BACKGROUND:Medical sciences universities should be accountable to the knowledge, attitudes, skills, and abilities of graduates; it is needed to investigate the structural and environmental components of universities in order to assess the accordance of these components with the third-millennium universities’ components.OBJECTIVE:In this study, we focus on accordance assessment of structural and environmental elements of Iranian medical sciences universities with the corresponding components of third-millennium universities.MATERIALS AND METHODS:This cross-sectional study was conducted in 2023. The population included all faculty members of universities of medical sciences in Iran in the academic year 2020–2021. The sample size was obtained using Morgan table and cluster random sampling. A reliable and valid researcher-made questionnaire was developed to collect the data based on the characteristics of higher education institutions in the third millennium (CVI > 0.79, CVR > 0.62, α =0.88). Statistical analysis was done in both descriptive and inferential methods by SPSS 25.RESULTS:The results showed that the highest mean score of population’s attitude toward structural components was attributed to faculty members (mean = 3.53), and the lowest mean score belonged to the curriculum (mean = 3.45). Besides, the results demonstrated that the highest mean score of attitudes toward environmental components was related to the university’s accountability (mean = 3.52). The findings also showed that there was a significant difference between the scores of faculty members’ attitudes (P< 0.01).CONCLUSION:The results conveyed that the structural and environmental status of universities is not in line with developed universities. Of course, we should not be cynical about the challenges of these universities, but we should detect them and adopt logical and realistic strategies to deal with them. If these challenges are considered opportunities, they will surely motivate and promote the higher education system.
The Efficacy of Body Acupuncture Combined with Ear Acupressure versus Frequent Counseling as Adjuvant Therapy for Quitting Smoking – An Intervention Pilot Study
Authors: Mohammed Asmaa Mahmoud , Allam Mona Samir , Rashad Hend , Hashish Adel F. 
Published: December 2023

Background and Objectives:
Quitting smoking is a primary preventive measure for many chronic and fatal diseases including various types of cancers, cardiovascular and respiratory diseases. Unfortunately, the available pharmacological therapies may have potential side effects and may be unsuitable for all smokers. The present study aimed to evaluate the efficacy of using Chinese acupuncture as a nonconventional aid for smoking cessation.

Subjects and Methods:
The smokers have been randomized into one of two groups, the acupuncture group (n = 20) or the interpersonal canceling group (n = 26) as control. All smokers were interviewed to fill pretested, well-structured questionnaire form to assess their smoking and nicotine-dependent status. In the acupuncture group, the body acupuncture needles were retained for 30 min and then removed while the ear press needles were inserted to be maintained in place for a few days. The treatment in the two groups continued once weekly for successive 12 weeks.

Results:
The smokers in the acupuncture group showed significantly higher continuous abstinence rate, incomplete abstinence rate, and lower failure rates, at 4 weeks, 8 weeks, and 12 weeks (P = 0.04, 0.003, and 0.02 respectively) than the counseling group. In the 24th week, no significant differences were detected in the treatment outcome between the two treatment groups (P > 0.05). In addition, fewer occurrences of nicotine withdrawal symptoms have been detected including craving for smoking.

Conclusion:
According to the results of this pilot study, the use of acupuncture therapy in the form of body acupuncture combined with ear acupressure was a successful aid for smoking cessation superior to counseling alone. Based on the literature review, this is the first Egyptian study addressing this research point. A large-scale multicenter study is intended to work in the future.
Effectiveness of Training on Basic Life Support for Nurses: A Quasi-Experimental Study
Authors: Kalyani C. Vasantha , Belsiyal Xavier , Naithani Manisha , Varghese Arun , Kathrotia Rajesh , Aggarwal Pradeep , Rohilla Kusum K. , Rao Shalinee 
Published: December 2023

Abstract

Background:
Basic life support (BLS) training is important for health professionals. Nurses are key persons in health system. In each hospital, there must be facilities of proper training for nurses to update their knowledge, skills, and training regarding BLS. The main aim of the present study was to assess the effectiveness of BLS training for nurses in terms of their knowledge and practical skills.

Materials and Methods:
The quasi-experimental design was used for this study with pretest–posttest design with one group only. The present study was conducted in a tertiary care institution, North India. Study participants consist of 440 registered nurses selected by convenience sample technique. Training for BLS consists of theoretical and practical sessions. Nurses’ knowledge and practices skill were checked before and after BLS training. Data were collected by using 25 multiple-choice questions of knowledge and a 3-point 15-step practice skill checklist and their pre- and postknowledge and practical skill scores were compared.

Results:
Knowledge and practical skill scores of BLS training after training were higher than pretraining scores (t = 85.96, P = 0.00*; t = 86.40, P = 0.00*). Association was found among nurses who did cardiopulmonary resuscitation had higher knowledge (0.72 times) and more skills (0.5 times).

Conclusion:
The study concludes that nurses’ knowledge and skill were improved by BLS training program. Regular training of BLS is important to gain competency, efficacy, and up-to-date information in this area.
Ethics in Publication
Authors: Rohilla Kusum K. , Gupta Pratima , Kalyani C. Vasantha , Fernandes Sharal , Varikasuvu Seshadri Reddy , Varshney Saurabh 
Published: December 2023

Abstract
Academic research requires careful planning of study, execution, collection of data, data analysis, and publications. Although by following all steps and then receiving publication are always wonderful, the main aim of this research paper was to know about publication’s ethics. Researcher did extensive review of literature on searching of search engines such as PubMed, Google Scholar, and Embase using various search studies from December 2022 to January 2023. Review of literature identified that before beginning of any study, the Clinical Trial Registry of India approval, Institutional Ethics Committee approval, and informed consent from study participants are always required. Research fraud such as data fabrication or data falsification should be taken care while doing any research. Before publication, always verify plagiarism and give researcher’s credit according to their contributions. Simultaneous submission of the same manuscript in various journals at a time must be avoided. Most of journals are following the International Committee of Medical Journal Editors recommendations and that is must requirement for considering authorship for any paper. Conflicts of interest must be declared in each research paper. You can use the checklist for publication’s ethics as a guide; if the score is ≥7, the publication is violating publication’s ethics. Authors or researchers should be clear, must know publication behavior, do honest research, and pursue publication ethics.
A Retrospective Study of Breast Reconstruction in Northern Ontario
Authors: Anthes Christina , Tremblay Cory , Azad Sanjay 
Published: December 2023

Abstract

Background:
Breast reconstruction is often the final step for women diagnosed with breast cancer. For many in Northern Ontario, lack of access to a plastic surgeon is a significant barrier to breast reconstruction surgery. The aim of this study is to characterize the types of breast reconstruction surgeries performed in Northern Ontario by describing patient demographics and identifying the most commonly performed procedures.

Materials and Methods:
This is a retrospective review of patient electronic medical records who received reconstructive breast surgery in Thunder Bay between January 2013 and August 2019. Outcome measures included place of residence, clinicopathologic characteristics, complications, timing of reconstruction, type of procedure, and adjunctive procedures.

Results:
A total of 95 breast reconstruction procedures were performed, 37 patients underwent immediate reconstruction postmastectomy and 58 patients had reconstruction delayed. The average distance traveled by patients was 253.39 km. Of these patients, 36 had tissue expander with implants, 11 each received 1-step implants and autologous flaps with implants, 4 underwent a resection-reduction approach, 13 received a delayed balancing procedure, 9 received fat grafting, 3 received nipple reconstruction, and 8 were referred elsewhere. Some postsurgical complications included infections, seromas, hematomas, tissue expander exposures, T-junction wound breakdown, flap necrosis, implant failure, and blocked drains.

Conclusion:
Providing information to physicians and patients about patient trends within their population can not only help improve referral rates but also can enhance patient-provider communication and increase patient involvement in care.
Respectful Maternal Care Initiative: Experiences at a Tertiary Care Center in Haryana
Authors: Dahiya Priyanka , Beniwal Atul , Kaur Harpreet , Kansal Richa 
Published: December 2023

Abstract

Objective:
Respectful Maternity Care (RMC) is a part of the prescribed standard of health care norms globally today. The RMC has been defined under seven broad domains, which are useful in identifying and quantifying maternal disrespect and abuse and dealing with solutions. Evidence on the nature and frequency of maternal disrespect and abuse is essential for effective policy and advocacy. The present study is directed to assess the current status of RMC.

Materials and Methods:
It was a hospital-based cross-sectional study carried out in a tertiary care center over a period of 3 months. A total of 220 women who delivered at our institute during the data collection period and met inclusion criteria were enrolled for the study. Data were collected using a predesigned and pretested questionnaire based on seven major categories per the respectful maternity care (RMC) charter and included sociodemographic details of respondents.

Results:
Of all, nearly half of them experienced at least one or theother form of disrespect during their labor, childbirth, or postnatal period at the hospital. The lowest mean scoring was seen in domains of confidential care (3.32), dignified care (3.07), and abuse related to cost of detention (3.38).

Conclusion:
Although mothers are noticing and reporting positive changes in maternity care practices, respectful maternity care still has miles to go. Effective and sustainable measures need to be implemented within the context of the Indian health system to stop the disrespect and abuse surrounding childbirth!
Neglected Biliary Stent with Hepatico-lithiasis Causing Left Lobe Pyogenic Liver Abscess with Rupture into Left Pleural Cavity: A rare Life-threatening Emergency
Authors: Karnik Amit , Pal Ajay Kumar , Pahwa Harvinder Singh , Kumar Awanish , Singh Abhishek 
Published: December 2023

Abstract
Biliary tract disease is currently the leading cause of pyogenic liver abscess (PLA) and complications of rupture are associated with high mortality and morbidity even with current medical knowledge advancement. We report a 35-year-old female who presented in emergency setting with complaints of jaundice, abdominal pain, fever, and respiratory distress. Patient had prior history of endoscopic management of biliary stones about 6 years back followed by asymptomatic period. Patient was managed by percutaneous drainage of left lobe liver abscess and left pleural empyema after initial resuscitation with further investigations revealing biliary stent with left hepatic abscess with transdiaphragmatic extension into left hemithorax. Neglected biliary stent has been reported to cause severe cholangitis with PLAs and these patients require immediate timely attention to the management of abscess and its complications.