bluuebunny/crossref_metadata_2025_split huggingface dataset:
Periodontal ligament stem cell colony-forming units of fluorosed and nonfluorosed teeth: An in vitro study
Authors: Aditya Vangara , Vandana Kharidhi Laxman 
Published: January 2024

Introduction:
The continued quest for extracting possible differences in the colony forming units (CFUs) of periodontal ligament stem cells (PDLSCs) between fluorosed and nonfluorosed, led to the current original project to evaluate if any such difference exists.

Materials and Methods:
For this study, the soft tissues adhering to eight healthy fluorosed and seven nonfluorosed extracted teeth were scraped using a curette.

Results:
The results of this study demonstrate similar CFUs by both fluorosed and nonfluorosed PDLSCs (P = 0.97), but nonfluorosed PDLSCs showed higher CFUs. Moreover, this is the first study where CFUs on PDSLCs were compared between fluorosed and nonfluorosed groups.

Conclusion:
This would influence the regeneration or renewal capacity of PDLSCs following treatment or on the physiologic basis, respectively. This is the first study of its kind; therefore, further studies are in progress on age-related changes in PDLSCs to evaluate the potential markers and various tissue-forming abilities.
The impact of moderate versus deep neuromuscular blockade on the recovery characteristics following laparoscopic sleeve gastrectomy: A randomized double blind clinical trial
Authors: Alotaibi Narjes , Althaqafi Mahmoud , Alharbi Abdullah , Thallaj Ahmed , Ahmad Abdulaziz , Aldohayan Abdullah , Bamehriz Fahad , Eldawlatly Abdelazeem 
Published: January 2024

Background:
Anesthesia with deep neuromuscular block for laparoscopic surgery may result in less postoperative pain with lower intra-abdominal pressure. However, the results in the existing literature are controversial. This study aimed to evaluate the effect of deep versus moderate neuromuscular block (NMB) on the postoperative recovery characteristics after laparoscopic sleeve gastrectomy (LSG) for weight loss surgery.

Methods:
This is parallel-group, randomized clinical trial. The study was conducted at a tertiary care center. Patients undergoing LSG were included. Patients were randomly assigned to either deep (post-tetanic count 1–2) or moderate (train-of-four 1–2) NMB group. The primary outcomes were numeric rating scale scores of the postoperative pain at rest and postoperative shoulder pain. The secondary outcomes were the length of hospital stay (LOS) and postoperative complications. The statistics were performed using StatsDirect statistical software (Version 2.7.9).

Results:
Two groups were identified: Group D (deep NMB), 29 patients, and Group M (moderate NMB), 28 patients. The BMI mean values for groups D and M were 44 and 45 kg/m2 respectively (P > 0.05). The mean durations of surgery for were 46.7 min and 44.1 min for groups M and D, respectively (P > 0.05). The mean train-of-four (TOF) counts were 0.3 and 0 for groups M and D, respectively (P < 0.05). The mean times from giving reversal agent to tracheal extubation (minutes) were 6.5 and 6.58 min for groups M and D, respectively (P > 0.05). In the recovery room, the means of pain scores were 3 and 4 for groups M and D, respectively (P > 0.05). Upon admission to the surgical ward, the median values of the pain score were non-significant (P > 0.05) (95% CI: 0.4–0.7). The opioid consumption in the recovery room was non-significant between both groups (P > 0.05) (95% CI: 0.3–0.6). Postoperative shoulder pain was non-significant between both groups (P > 0.05) (95% CI: 0.4–0.7). The median values of surgeon opinion of both groups were non-significant (P > 0.05). Regarding the LOS, the mean values of groups D and M were 1.20 and 1.21 days, respectively (P > 0.05).

Conclusions:
There was no significant difference between moderate and deep NMB techniques in terms of duration of the surgical procedure, postoperative pain, shoulder pain, and length of hospital stay. Further studies on a larger sample size are required to investigate the long-term recovery characteristics of patients with obesity undergoing LSG.
The diagnostic accuracy of preoperative perfusion index as a predictor of postspinal anesthesia hypotension in parturients undergoing cesarean delivery: A prospective non-blinded observational study
Authors: Kesavankutty Manu P. , Panda Chinmaya , Karim Habib M. R. , Singha Subrata , Agrawal Sarita 
Published: January 2024

Background and Objectives:
Spinal anesthesia is the technique of choice for elective cesarean section with a prominent side effect of postspinal anesthesia hypotension (PSH). This needs an early prediction to avoid feto-maternal complication. This study aimed to assess the diagnostic accuracy of perfusion index (PI) and inferior vena cava collapsibility index (IVCCI) in the prediction of PSH.

Material and Methods:
Thirty parturients of American Society of Anesthesiologists Physical Status (ASA-PS) 1 and two undergoing cesarean delivery participated in the study. IVCCI, PI, baseline systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MBP), and heart rate (HR) were noted in the preoperative period. The fall of MBP by 20% from baseline or below 65 mm Hg was considered PSH. After spinal anesthesia, SBP, DBP, MBP, and HR were noted again for diagnosing PSH.

Results:
It did not show any statistical difference when comparing the PI between the PSH and non-PSH groups in both the PSH definition groups. IVCCI was significantly higher when PSH was considered MBP <65 mm Hg (P = 0.01). However, IVCCI was found to be statistically insignificant if PSH was considered a 20% reduction in baseline MBP. The correlation matrix between IVCCI and PI showed Pearson's r-value of 0.525, indicating a substantial relationship between the two (P = 0.003). Multivariate logistic regression analysis had shown that neither IVCCI nor PI was a good predictor of PSH in parturients for both definition groups for PSH.

Conclusion:
Although there is a modest correlation between PI and IVCCI, both cannot be used to predict postspinal hypotension in parturients undergoing elective lower-segment cesarean section (LSCS).
Preoperative gastric point-of-care ultrasound in nonelective surgical procedures in pediatric-aged patients
Authors: Ghimire Anuranjan , Moharir Alok , Yamaguchi Yoshikazu , Tram Nguyen K. , Tobias Joseph D. 
Published: January 2024

Background:
Airway management for nonelective surgical procedures in the setting of trauma, pain, and opioid use can be complicated by the potential for aspiration due to delayed gastric emptying. Point-of-care ultrasound (POCUS) remains a useful tool for evaluating gastric content and volume in various clinical settings. The authors evaluated gastric volume and content in children scheduled for urgent and semi-urgent procedures to assess their aspiration risk.

Methods:
After obtaining consent, gastric POCUS was performed in the preoperative holding area for pediatric patients scheduled for both elective and nonelective surgery. Qualitative and quantitative measurements of the gastric antrum were taken, and the risk of gastric aspiration was calculated. Additional data collected included patient demographics, the type of surgery, nil per os (NPO) status at the time of surgery, NPO status at the time of injury, and administration of opioids.

Results:
The study cohort included 100 patients ranging in age from 3 to 17 years old (mean age 9.2 years). Out of these 100 patients, gastric scanning was successfully conducted in 98 patients. Sixteen of fifty-nine nonelective patients (27%) had received opioids for pain control prior to surgery. Among the 34 patients who had suffered an acute injury, 7 (21%) had been NPO for <8 hours at the time of the injury. Ninety-nine out of hundred patients had been NPO for at least 6 hours at the time of the gastric ultrasound. Based on our gastric ultrasound findings, all patients who were appropriately NPO had either Grade 0 or Grade 1 risk for aspiration, indicating a low risk of aspiration.

Conclusions:
The preliminary data show that when patients presenting for nonelective surgery are appropriately NPO, they may have a low risk of aspiration. This information may help guide the choice of anesthetic induction technique, particularly when concerns exist about the safety of a rapid sequence induction. It allows for a more stable and controlled induction of anesthesia.
Incidence of complications associated with deep brain stimulation surgery in patients with Parkinson's disease: An 8-year retrospective study
Authors: Eiamcharoenwit Jatuporn , Akavipat Phuping 
Published: January 2024

Background:Various complications occur in patients undergoing deep brain stimulation (DBS) surgery. The objective of this study was to determine the incidence of complications in patients with Parkinson's disease who underwent DBS surgery and identify the risk factors, especially anesthetic factors.Methods:A retrospective cohort study was performed between May 2015 and December 2022. Based on a review of medical charts, patients aged 18 years or older who underwent DBS surgery at a tertiary neurological center in Thailand were recruited. Univariate analysis using the Chi-square test or Fisher's exact test was performed to compare patients with and without complications. Multivariate logistic regression analysis was performed to identify the predictive factors for complications.Results:The study included 46 patients. The most common complication during DBS electrode placement was hypertension (30/46, 65.2%), and 19 patients (41.3%) who developed hypertension did not receive antihypertensive treatment. The most common complication during battery placement was clinical hypotension (14/46, 30.4%). The most common postoperative complication was delirium (6/46, 13.0%). In the multivariate analysis, no significant independent risk factors for overall complications after DBS surgery were identified.Conclusions:Hypertension during DBS electrode insertion was the most common perioperative complication. Hemodynamic instability is preventable and manageable, and vigilant and prompt treatment should be provided during DBS surgery.
Comparison of nebulized ropivacaine (0.75%) with nebulized dexmedetomidine on the hemodynamic response on intubation in patients undergoing surgery under general anesthesia: A comparative randomized double-blind placebo-controlled study
Authors: Saxena Puja , Gill Ravneet Kaur , Saroa Richa , Sidhu Bharti , Alen John , Sood Parul 
Published: January 2024

Background:
Laryngoscopy and tracheal intubation lead to sympathetic stimulation resulting in hemodynamic fluctuations. We compared local anesthetic ropivacaine 0.75% with alpha agonist dexmedetomidine through ultrasonic nebulization for direct local action of the drug in the airway.

Methods:
In our randomized study, 180 patients were prospectively assigned to three groups of 60 each: group R (0.75%), group D (1 microgram/kg), and group C (control). The primary objective was to determine whether nebulized ropivacaine or nebulized dexmedetomidine can cause a reduction in stress response to laryngoscopy and intubation. The secondary objectives were to compare the hemodynamic parameters at extubation, cough response at extubation, and postoperative sore throat.

Results:
A total of 165 patients were analyzed. Demographically, all the groups were similar. Group R and group D were found to significantly attenuate the heart rate (HR) at intubation and extubation when compared to group C (P < 0.05). A significant reduction in mean arterial pressure (MAP) was seen (P < 0.05; group D: 90 ± 18.4 mmHg, group C: 99.5 ± 15.9 mmHg, group R: 92.4 ± 16.1 mmHg). There was a significant reduction in cough response in both groups in comparison with group C at 0 minutes (P value; group C vs group D: <.0001; group C vs group R:.01) and 5 minutes (P value; group C vs group D: <.0001; group C vs group R: <.0001).

Conclusion:
Preinduction topical use of ropivacaine or dexmedetomidine, through the nebulization route, effectively attenuated the pressor responses when compared to placebo.
An audit on surgery cancellation in a teaching hospital
Authors: Tayeb Baraa 
Published: January 2024

Background:
Operative procedure cancellations are a dilemma for the healthcare system as well as for the patients. It causes increased workload and cost to our system. For patients, it has major financial, psychological as well as medical consequences. We aim to self-identify the causes of cancellations for efficient operation room management.

Methods:
We performed a retrospective chart review in a tertiary academic medical center for the last 66 months of operative records. Subsequently, we performed thematic coding to categorize causes into distinct categories.

Results:
Our records showed 5153 cancellations which represent (7.3%) of the total booked procedures. Of these cancellations 91% were ordered before the day of surgery, compared to 9% for same-day cancellations. Cancellations were 58% female patients and 40% male patients. The number one reason for cancellations for both same-day and prior cancellations is the unavailability of the surgical consultant.

Conclusion:
Surgical procedure cancellations profile is unique among our settings and has changed over time. Over the last 5 years, the number one reason is unavailability of the surgical consultant. Efforts should be made to identify and correct the underlying reasons to improve patient outcomes in our evolving healthcare system.
Prediction of Stature from Index Finger Length in South Karnataka Population: A First Radiographic Study
Authors: Sharma Shilpi , Akanksha A. , David Maria Priscilla 
Published: January 2024

Context:
The “big four” components of biological profile are age, sex, race, and stature. Stature estimation is considered as one of the most important biological profiles for identification of an individual.

Aims:
We aimed to estimate stature from index finger length (IFL) clinically and also radiographically in South Indian population.

Subjects and Methods:
A cross-sectional sample of 100 patients was randomly selected from patients who visited the Department of Oral Medicine and Radiology in our institution. Stature of the participants was measured using a height chart ruler. IFL was measured clinically using digital calipers. Handwrist radiographs of the left hand were obtained using the KODAK 8000C Panoramic and Cephalometric System. Radiographic measurements were taken from the line joining the metacarpophalangeal joint to the distal point on the distal phalange of the index finger done using Windows Trophy DICOM software.

Statistical Analysis Used:
Data were subjected to logistic regression analysis.

Results:
Significant correlation was found between IFL and stature both clinically and radiographically.

Conclusions:
The use of IFL can be recommended to predict stature. Even if the soft tissues undergo putrefaction, the radiographs can help in assessing the stature of the individual and can provide an advantage of time in comparison to estimation of stature clinically.
DESIGNING THE PROCESS OF ACADEMIC RECOGNITION – IMPLEMENTING “BRICOLAGE” AS A METHODOLOGICAL TOOL TO ANALYZE A DEVELOPMENT PROCESS IN THE ULYSSEUS EUROPEAN UNIVERSITY ALLIANCE
Authors: Mäkelä Marjaana 
Published: January 2024

European Universities Initiative is transforming the landscape of European higher education in a fundamental way with the establishment of transnational, strategic alliances. In view of the overarching objectives of the European Higher Education Area, new alliances contribute to the consolidation of current best practices in education, research and innovation, and enable novel ways of cooperation to enhance them even more. Alongside the optimistic perspectives opening up with the initiative, alliances also face a number of administrative and pedagogical challenges. Fulfilling the expectations of the European Commission in terms of facilitating more flexible study pathways and of adopting transparent practices in academic recognition is one acute topic that needs to be addressed in every alliance: recognition for both access and for advancement needs thorough reconsideration in the new educational ecosystem. The article presents a pragmatic contribution by unfolding a recent development case from the Ulysseus European University Alliance. It describes an intensive process of designing an alliance-level framework agreement for academic recognition, with supporting documents, to enable more functional processes in alignment with the main European policy papers such as the Lisbon Recognition Convention (1997) and taking into account recent studies where hindrances and developments in academic recognition are discussed and analyzed. The case process is articulated methodologically with the framework of bricolage theory (Matthews 2019) that enables a synchronic analysis of the constituents and the outcomes of the process. Pragmatic recommendations are based on the post-hoc analysis of the case where a transdisciplinary working group achieved a significant administrative step forward in alliance cooperation.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0018/a.php" alt="Hit counter" /></p>
Modul Informasi Keuangan untuk Mendukung Keputusan Investasi Kewirausahaan Desa
Authors: Purwanto Purwanto , Yansahrita  , Sri Sarwo Sari  , Winda Feriyana  
Published: January 2024

Entrepreneurs in rural economic institutions in rural areas need information support to make it easier to capture opportunities and develop business plans. This article aims to explore the potential of a Plug and Play Model (PnP)-based financial module in supporting village institutional entrepreneurship investment decisions. The study was conducted through a qualitative descriptive approach. Illustrated analysis based on benefit-cost ratio analysis in integrated businesses, which involves business units in the selected sample of businesses. Each sample business package was analyzed for feasibility based on benefit-cost ratio analysis. The results of the research can be found that the benefit-cost ratio simulation analysis can be developed such as for the Plug and Play (LEGO) model which makes it easier for managers in village institutions to develop integrated business plans.
Keywords: Benefit-Cost Ratio, Investment Decision, Financial Management Capacity, Village Economic Institution.
Perfil do doador de sangue na Unidade de Coleta e Transfusão de Porto Alegre do Norte-MT: Garantia de Direitos
Authors: Pereira Siglia Maria 
Published: January 2024

A doação de sangue é uma atividade fundamental para o bem-estar da sociedade, pois através dela é possível salvar vidas ao proporcionar um tratamento adequado às pessoas que necessitam de transfusões por agravos à saúde. No entanto, é importante levar em consideração que essa prática está intrinsecamente relacionada aos direitos humanos, uma vez que assegura a todas as pessoas o direito à saúde e à vida. Trata-se do resultado parcial de um estudo de cunho teórico-reflexivo, contendo informações relacionadas ao processo de doação de sangue através da verificação de dados que constituem os elementos do relatório HEMOPROD, a fim de caracterizar o perfil epidemiológico do doador. Constitui-se de um estudo de cunho observacional e transversal em caráter quantitativo, realizado na Unidade de Coleta e Transfusão do município de Porto Alegre do Norte, estado de Mato Grosso, durante 2017 a 2022. Os registros dos tipos sanguíneos apontam para uma predominância do tipo O + com 2378 doadores e o tipo AB- com apenas 42 doadores. Os indivíduos do sexo feminino com mais de 29 anos representam uma significativa predominância entre os doadores sangue, principalmente em 2018, período com maiores números de doação. Foi possível identificar as condições de inaptidão clínica, como: malária, hepatite, IST 's, anemia, hipertensão e outras causas. Como um direito à saúde e à vida, é importante que as pessoas sejam incentivadas a doar sangue regularmente e que haja disponibilidade de bancos de sangue para atender às necessidades dos pacientes.
Mathematical Analysis on Dispersion Relation of Rayleigh Wave for an Initially Stressed Magneto-Poroelastic Material with Corrugated and Impedance Boundary
Authors: Anya Augustine Igwebuike , Uche Ugochukwu David , Nwachioma Christian 
Published: January 2024

This study showcases the Mathematical modelling of elastic surface waves and the analysis of dispersion relations of Rayleigh-type of wave in an initially stressed homogeneous porous magneto-elastic material having corrugated and impedance boundary exhibitions. Adoption of the classical harmonic method of wave analysis, non-dimensionalization of the resulting equations of motion, and corrugated-impedance boundary conditions produced by the modeled problem are also captured. The dispersion equation was analytically and graphically presented. Effects of the contributing physical quantities, such as impedance and corrugated boundary parameters, on Rayleigh waves for the chosen material are analyzed. The magnetic field’s influences and the wavenumber associated with the corrugated boundary surfaces on the material increase the dispersion relations of the Rayleigh wave profile on the material. In addition, we noted that the dispersion relations of the wave increases for increasing phase velocity and some parameters of voids. Also, a void parameter triggered a decrease on the dispersion profile of the Rayleigh wave when increased while noting some uniform exhibitions from other voids coefficients. This work holds the potential to provide more insights into studies involving displacement distributions in earthquake sciences, stress-strain analysis in Structural Engineering materials, among others.

Received: 17 October 2023 | Revised: 14 December 2023 | Accepted: 28 December 2023

Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.

Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.

Author Contribution Statement
Augustine Igwebuike Anya: Conceptualization, Methodology, Software, Validation, Formal analysis, Investigation, Resources, Data curation, Writing - original draft, Writing - review & editing, Visualization, Supervision, Project administration; Ugochukwu David Uche: Methodology, Software, Validation, Formal analysis, Investigation, Resources, Writing - original draft, Writing - review & editing, Visualization; Christian Nwachioma: Methodology, Software, Validation, Investigation, Resources, Writing - original draft, Writing - review & editing, Visualization.