bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Oral Potentially Malignant Disorders among Fishermen Population in and around Pondicherry, South India - A Cross Sectional Study
Authors: Sekizhar Vandana , G Ezhumalai , C Chanthrakumar 
Published: October 2023

Context:
In India fishing is a traditional occupation second only to agriculture. Fishermen are a marginalized group with high levels of occupational stress predisposing them to develop addictions to tobacco, alcohol, and areca nut chewing. These habits are well-established causes of developing oral potentially malignant disorders and oral cancer.

Aims:
To determine the prevalence of oral potentially malignant disorders among the fishermen population in and around Pondicherry.

Settings and Design:
Cross-sectional study.

Methods and Material:
A descriptive cross-sectional study was conducted using a pre-designed and pre-tested questionnaire to assess the prevalence of oral potentially malignant disorders among the fishermen population in and around Pondicherry.

Statistical Analysis Used:
Descriptive statistics were used with Pearson’s correlation.

Results:
The study showed 24.8% of fishermen consumed tobacco, and 7.3% consumed both tobacco and alcohol. Oral potentially malignant disorders were seen in 16.79% of the population.

Conclusions:
The fishermen had a higher rate of addictions to tobacco, alcohol, and areca nut chewing and a higher prevalence of oral potentially malignant disorders.
Depressive Disorders and Associated Factors among Farmers in Andhra Pradesh: Results from a Cross-Sectional Study
Authors: Ubbla Sparjan Raj , Kodali Prakash Babu , Thankappan Kavumpurathu Raman 
Published: October 2023

Background:
In the two decades from 1995 to 2018, approximately 48 farmers committed suicide every day, accounting for over 0.4 million deaths. Despite farmer’s mental health being a priority, studies on farmers’ mental health in general and depressive disorders in particular are limited.

Aim:
This study was conducted to find out the prevalence and factors associated with depressive disorders among farmers in Andhra Pradesh.

Materials and Methods:
We conducted a cross-sectional survey among a random sample of 360 farmers. Depressive disorders were measured using the Patient Health Questionnaire (PHQ)-9. Mild-to-moderate depressive disorders were the outcome variable. Factors associated with depressive disorders were identified using binary logistic regression.

Results:
The overall prevalence of depressive disorders was 22.2% (95% CI = 18.0%–26.9%). Female farmers (AOR = 4.16; 95% CI = 1.19–14.57), farmers aged ≥57 years (AOR = 4.90; 95% CI = 1.44–16.63), and single farmers (AOR = 4.96; 95% CI = 2.08–11.80) have greater odds of having depressive disorders.

Conclusion:
Efforts are required to address depressive disorders among farmers focusing on females, older farmers, and households reporting hospitalization. Since depressive disorders are closely associated with suicide attempts, these efforts are essential to avoid suicides resulting from depressive disorders.
Effect of Job Rotation Concept for Nursing Staff with Special Reference to Private Based Hospital, Vadodara
Authors: Chatterjee Subhasish , Shah Aesha , Sharma Rahul , Wadhwa Medha 
Published: October 2023

Introduction:
Employees are placed in various job rotations between two or more tasks or vocations at regular intervals to ensure that they are exposed to all elements of the company. Job rotation is a methodical approach that permits employees to avoid boredom while also allowing them to develop and grow. Both management and personnel objectives are met with this strategy. It aids in the identification of employee potential and abilities. Through job rotation, employees are exposed to all aspects of the company. Employee abilities and competencies are evaluated ahead of time to ensure that the employee is deployed in the best possible position. However, it does permit the pursuit of personal interests while gaining practical knowledge in a variety of industries or processes. The present study was undertaken with an aim to assess the effect of job rotation on the nursing staff in a private hospital of Vadodara.

Methodology:
The study was cross-sectional in nature where the perception of the nursing staff was gathered through a structured questionnaire. The questionnaire assessed the perception of the staff on a five point likert scale from strongly agree to strongly disagree. The sample size of the study was 126. Mann Whitney Test and Kruskal Wallis test was used to assess the effect of job rotation with respect to gender and age, years of experience respectively. The statistical analysis was undertaken at 95% confidence level with statistical significance at a p value of less than 0.05.

Results:
The results depicted that there was no difference in the perception towards effect of job rotation with respect to gender and age group. However, with respect to job rotation not interrupting the employees’ work life and no effect on personal life, there was statistical significant difference with respect to the years of experience of the nursing staff as the p value was less than 0.05.

Conclusion:
Job rotation, in their opinion, causes frequent interruptions in both the job and personal life of those who participate in it. The nurses working in the hospital came up with appropriate job rotation ideas that took into consideration their age and years of experience. It appears that most of the criteria indicate that the nursing staff members were satisfied with their job rotation, which lends support to the findings of the study.
Preventive Measures and Hygiene Habits of Apple Producers in the Prespa Region
Authors: Bukovetz Jansun , Kochubovski Mihail , Memeti Shaban , Ristovska Gordana 
Published: October 2023

Background:
Agriculture is one of the most dangerous industries, both for the employees in that sector and for their families and the environment. The use of personal protective preventive measures and the maintenance of good hygienic practices are the basis for healthy production and healthy workers. The safety and hygiene of food products should be present during all stages of production.

Objectives:
The study aimed to assess the use of personal protective equipment (PPE) by apple growers during agricultural procedures as well as the hygiene habits of agricultural workers.

Subjects and Methods:
A cross-sectional study was conducted including 101 farmers from the Prespa region in the Republic of North Macedonia by using a questionnaire with 34 questions. The questions were formulated in order to give us an insight into the protective preventive measures undertaken at work by apple producers and their hygiene.

Results:
The study included 101 apple growers from the Prespa region. Wearing a completely tidy special PPE when using pesticides was registered in 78.2% of farmers, and when lawn mowing in 42.5%. 16% of the surveyed farmers during agricultural activities did not always wash their hands after going to the toilet, and almost 30% of them did not use soap when washing their hands.

Conclusion:
There is inadequate hygiene practice/personal hygiene during agricultural activities. In addition, the proper use of PPE is not at a satisfactory level and poses a risk to the health of apple growers.
Job Burnout and Perceived Stress among Bank Officers of Meerut: A Cross Sectional Study
Authors: Singh Alka , Bansal Rahul , Gupta Chhavi K. , Kumar Nitesh , Gambhir Navdeep 
Published: October 2023

Introduction:
Burnout is often misconstrued for stress, whereas it is one of the consequences of stress when not managed prosperously. Stress leads to apprehensiveness, loss of energy, and the primary damage is physical. Whereas, burnout is characterized by disengagement where emotions are blunted thus fostering helplessness and hopelessness leading to detachment and despondence, loss of motivation and ideals with the primary damage being emotional.

Objectives:
To find out the prevalence and severity of stress and burnout among bank officers in Meerut District and to find the correlation between the two parameters.

Methods:
Banks were selected by simple random sampling through computer random table method for our study. Further, officer grade bank employees were approached for data collection. A prevalidated seven-point Likert scale Shriom–Melamed Burnout Questionnaire was used for the assessment of burnout. Data were analyzed using appropriate statistical tests by EPI Info and Microsoft Excel 2013.

Result:
19.7% bank officers have pathological burnout followed by 55.1% of bank officers who are at the brink of developing burnout. Severe stress was found only among 7.9% bank officers, whereas burnout was present in 19.4%. A positive correlation was found between stress and burnout.

Conclusion:
It was found that stress and job burnout are linked but do not entirely overlap, with individuals having a high risk of job burnout experiencing only moderate stress. Therefore, perceived stress cannot be taken as the only indicator of risk of burnout.
Using light fluorescence technique as an emerging approach in treating dental caries
Authors: Warkhankar Ankita , Tanpure Vijaysinh Ramchandra , Wajekar Nimish Arun 
Published: October 2023

ABSTRACT
This work has explored the feasibility of light fluorescence technique in treating dental caries. The decision to focus on this topic was based on the premise that the existing techniques of treating dental caries and other oral conditions are less sensitive, costly, and sometimes, destructive. Using a systematic review process where 36 articles were evaluated using a PRISMA approach, the work has shown that the light fluorescence technique has many benefits when compared to traditional approaches. Some of the traditional techniques used for treating dental caries include radiographic imaging, tactile, and visual examination. Despite the extensive utility of these approaches, light fluorescence technology emerges as a more reliable technique owing to the wide range of benefits such as sensitivity and ability for early detection. The review shows that a lot still needs to be done to understand many other benefits that come with the adoption of light fluorescence technology.
Effect of nonsurgical periodontal therapy on serum lipid profile levels – A comparative study
Authors: Mathur Ritu , Dilsha E. 
Published: October 2023

ABSTRACT

Background:
Regarding the high prevalence of hyperlipidemia, which is one of the major risk factors of cardiovascular disease and periodontitis, which is a known bacterial infection, classified as local chronic inflammation.

Aim:
The present study aimed to assess and correlate periodontal parameters with serum lipid profile levels at baseline and 45 days after nonsurgical periodontal therapy (NSPT).

Results:
It showed a statistically significant decrease in total cholesterol, low-density lipoproteins (LDL), very LDL and triglycerides, and a significant rise in high-density lipoproteins correlated with a significant reduction in the plaque index and gingival index, from baseline to 45 days after NSPT.

Conclusion:
It can be concluded that elevated serum lipids have a dysregulatory effect on the tissue response, which, in turn, affects the extent and progression of periodontitis, and in the presence of periodontitis, lipid metabolism will be affected through the systemic effect of cytokines.
Nanodentistry
Authors: Atom Jenny , Rati Ningthoukhongjam , Deepak B. S. , Chandarani Sagolsem , Devi T. Premlata , Priyadarshini Sh. 
Published: October 2023

ABSTRACT
The field of nanotechnology is expanding fast into many other scientific disciplines. The term “nanodentistry” describes the use of nanotechnology to the study of oral and dental health, as well as its treatment, prevention, and diagnosis. Nanotechnology is a promising new area. Nanotechnology in dentistry enables precise and rapid diagnosis. Because of the improvements in their qualities, dental materials are easier to work with and last longer. The benefits of nanodentistry are outlined in this review. Both present and future potential applications are discussed.
Case series of intravenous ketamine infusion in patients with suicidal thought
Authors: Sharma Pankaj , Dubey Amresh , Gajbhiye Deven , Sharma Arti , Kant Akhilesh 
Published: October 2023

ABSTRACT
Suicide is the fourth leading cause of death. The annual global prevalence of suicidal ideas in adult population is 2%. Antidepressants are considered to be the first line of treatment for depression but the maximum response is noted only after 4–6 weeks. However, adding ketamine has shown very rapid response (within hours) and high remission rates in patients with depression. Here, we present case series of five depressive patients on treatment with antidepressants having suicidal thoughts. All participants received ketamine infusion 0.5 mg/kg over 45 min at a weekly interval as add-on treatment to ongoing treatment. The responses were assessed by using Montgomery Åsberg Depression Rating Scale psychometric tool. The finding indicates that ketamine infusion had a rapid, antisuicidal effect and is safe when used for a short period.
Effectiveness of multi-disciplinary structured training program on mentoring and mental well-being for officers and instructors in the Indian Air Force
Authors: Meena Kolar Sridara Murthy , Nattala Prasanthi , Bhola Poornima , Latha K , Kapanee Aruna Rose Mary , Chethan B , Thomas Priya Treesa , Gowda Guru S. , Sudhir Paulomi M. , Bhargav Hemant , Lepcha Renibi , Rana Dhairya Hasmukh , Chaturvedi S.K , Subbian Rajaram , Vidhya R , SreeRudhra P.P , Bordoloi Sumedha , Yadav Chandrasen 
Published: October 2023

ABSTRACT

Background:
The military environment is characterized by unpredictable situations, intensive training, demanding workload, and job-associated stressors, which make it highly stressful. Mentorship and mental well-being training could be beneficial to both officers and the new adolescent recruits of the Indian Air Force (IAF).

Aim:
This study aimed at evaluating the effect of a multi-disciplinary structured training on mentoring and mental well-being among officers and instructors in the IAF.

Methods:
Seventy IAF officers/instructors underwent a week-long multi-disciplinary structured training program, which was conducted at a tertiary care neuro-psychiatric hospital in South India. A quasi-experimental design with a single-group pre- and post-test was adopted. Outcome measures included a) knowledge on mentorship and mental health and b) self-perceived competence in addressing mental health distress.

Results:
Post training, there was a statistically significant improvement in scores on mentorship/mental health knowledge and a significant increase in self-perceived competence in addressing mental distress.

Conclusion:
Mentorship and mental well-being training for officers and instructors in the IAF improved mental health knowledge and self-perceived competence. Therefore, administration of regular and in-depth structured mental health-related training interventions could be beneficial not only to the officers but also to the new recruits/mentees in the IAF.
Cannabis use and its relationship with bipolar disorder: A systematic review and meta-analysis
Authors: Maggu Gaurav , Choudhary Swati , Jaishy Rajon , Chaudhury Suprakash , Saldanha Daniel , Borasi Manish 
Published: October 2023

ABSTRACT
Cannabis use has been stated as a causal risk factor for the occurrence of schizophrenia and other psychotic disorders. There is a dearth of literature stating the association of cannabis with bipolar disorder. This review aimed to find the repercussion of cannabis use on the onset of the first episode of bipolar disorder and the worsening of the symptoms in pre-existing illness. A thorough systematic review of the existing literature was carried out using the PRISMA guidelines. PubMed, Medline, EMBASE, SCOPUS, and Google-scholar databases were searched for studies fitting our study’s inclusion and exclusion criteria. A total of 25 studies were included in the systematic review and out of these 25 studies, five prospective studies met the inclusion criteria for the primary outcome meta-analysis. A total sample of 13,624 individuals was included in these five studies. A fixed effect model was used in the meta-analysis of these five studies and it revealed an association between cannabis and bipolar disorder with an effect size of 2.63 (95% CI: 1.95–3.53) (heterogeneity: chi² = 3.01, df = 3 (P = 0.39); I² = 0%). Our findings propose that cannabis use may precipitate or worsen bipolar disorder. This highlights the importance of the detrimental effect of cannabis use on bipolar disorder and the need to discourage cannabis use in the youth culture. High-quality prospective studies are required to delineate the effect of cannabis use on bipolar disorder.
An observational study on deliberate self-harm in individuals with alcohol dependence syndrome
Authors: Sutradhar Bikram , Mukherjee Diptadhi , Pathak Kangkan 
Published: October 2023

ABSTRACT

Context:
Comorbidities in alcohol dependence syndrome (ADS) are often associated with poor treatment outcomes and high service utilization. Deliberate self-harm (DSH) in India is a silent epidemic. There is a shortage of research on individuals with ADS, psychiatric comorbidities, and DSH.

Aim:
To study DSH and psychiatric comorbidity in persons with ADS.

Settings and Design:
A cross-sectional study of 1-year duration is conducted in out patient department/indoor patient department of a tertiary care hospital.

Methods and Material:
Eighty-one individuals with ADS were selected purposefully. A semi-structured pro forma, the severity of alcohol dependence questionnaire, Mini-International Neuropsychiatric Interview (MINI), and Deliberate Self-Harm Inventory were administered for assessment. The statistical analysis used is as follows: correlation statistics and logistic regression.

Results:
Most subjects were married, belonged to upper-middle socioeconomic status, had at least secondary education, and had moderate alcohol dependence severity. Almost 3/4th of the subjects had at least one lifetime psychiatric disorder. A past episode of major depressive disorder was found in 47%. Nearly 20% of study subjects had a history of DSH, which was significantly associated with unmarried status, and earlier age of alcohol dependence. Marital status, educational level, and age of onset of alcohol dependence explain 64.3% of the variance in DSH attempts. Suicidality was significantly related to the presence of DSH.

Conclusions:
The study found a high prevalence of psychiatric disorders and a history of DSH in individuals with ADS. The study confirmed the association between DSH and suicidality and indicated a specific subpopulation of ADS who need thorough clinical assessments to recognize these psychiatric comorbidities and DSH.
Gender differences in quality of life of vitiligo patients attending a tertiary care center
Authors: Kumar Santosh , Kesari Pravin Kumar , Dixit Vidhata , Kumar Rajesh , Chaudhury Suprakash 
Published: October 2023

Background:
Vitiligo is a common depigmenting dermatosis characterized by milky-white macules or patches. Any pathological discoloration of the skin has been linked to an impact on the body image of an individual, and vitiligo has been linked to decreased self-esteem and poor socialization of the affected people. In Indian society, vitiligo is labeled as Shweta-Kushta (i.e., white-colored leprosy) and is compared to leprosy—a more stigmatizing skin condition.

Aim:
This study aims to study gender-related differences in the quality of life of Indian vitiligo patients.

Methodology:
In this hospital-based cross-sectional study, a total of 55 vitiligo patients (females 25 and males 30) were enrolled using the purposive sampling technique. The sample was assessed on Dermatology Life Quality Index (DLQI) questionnaire, Rosenberg Self-Esteem Scale (RSS), and General Health Questionnaire-12 (GHQ-12) to assess their quality of life, self-esteem, and psychological well-being, respectively. The gender differences in sociodemographic and clinical details as well as their relationship with the quality of life of the patients were sought with the help of appropriate statistical measures.

Results:
The patients of both genders were comparable in terms of all sociodemographic and clinical variables except the females being less educated and employed than the males. There was a statistically significant trend of higher mean DLQI total score in females than males (6.6 ± 3.55 vs 4.8 ± 2.71, Mann–Whitney U = 263.5, P =0.058). Significantly, the average DLQI score in female vitiligo patients was negatively related to family income (r
s = -.659, P <.001) and it was significantly higher for the patients from a rural background than those from an urban background (8.55 ± 3.30 vs 5.07 ± 3.03, Mann–Whitney U = 33.5, P <.05). The average DLQI score was negatively correlated to RSS score but positively correlated to GHQ-12 score in patients of both genders.

Conclusion:
The quality of life of female patients with vitiligo is poorer than the same in male patients. The poor financial condition of families and rural living are two factors related to the poorer quality of life of female patients. A poorer quality of life in vitiligo patients of both genders is linked with decreased self-esteem and decreased psychological well-being. Gender-related issues in the quality of life and the overall well-being of such patients are important in their management and policy-making.
Exposure to occupational carcinogens and risk of lung cancer: A systematic review and meta-analysis
Authors: Thakur J.S. , Rana Anjali , Kaur Rajbir , Malhotra Samir 
Published: October 2023

ABSTRACT
Asbestos, silica, chromium (Cr), and nickel are among the most common and serious occupational hazards to worker’s health. Although its association with lung cancer has been studied for many decades, the conclusion remains somewhat controversial. The objective was to review and summarize the epidemiological evidence on the relationship between occupational exposure and risk of lung cancer and to provide an update on this major occupational health concern. Eligible studies up to September 1, 2021 were identified. Pooled effect estimates were calculated according to the reported outcome and the study design. Cohort, cross-sectional, and case control were examined separately. Studies reporting standardized mortality ratio (SMR), standardized incidence ratio (SIR), and odds ratio (OR) were analyzed separately. Due to the significant amount of heterogeneity expected, random effects models were implemented. Subgroup analysis was performed in an attempt to explain heterogeneity. The risk of lung cancer was found to be elevated in among the included studies. The pooled SMR was 1.55 (1.44–1.68). The pooled SIR was 1.55 (1.37–1.75). The pooled OR was 1.29 (1.22–1.37). After doing subgroup analysis for different carcinogens, the pooled SMR of asbestos, silica, and Cr is 1.73 (95% confidence interval (CI) 1.53–1.96), 1.16 (95% CI 0.99–1.36), 1.76 (95% CI 1.43–2.17), respectively. For nickel, there was only one study. The risk estimates in each category were highly statistically significant (P < 0.00001). A positive exposure-response relation was found between exposure and risk of lung cancer. The results of our meta-analysis supported the carcinogenic role of silica, asbestos, Cr and nickel on the lungs, which was more pronounced at higher levels of exposure. The findings of this systematic review and meta-analysis reinforce the urgent need for robust monitoring of the exposure to occupational health risks and evaluation of the evidence supporting causal effects for each occupational risk-outcome pair.