bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Evaluation of Remineralization Potential and Surface Microhardness of Three Different Remineralizing Agents on Artificial Enamel Lesions: An In vitro Study
Authors: Choudhari Prachi A , Shenoi Pratima R , Kubde Rajesh R. , Badole Gautam P , Shahu Shriya 
Published: January 2025

Abstract

Aim and Objective:
The aim and objective of this study were to evaluate and compare the remineralizing potential of calcium sucrose phosphate (Toothmin), fluoride-hydroxyapatite-xylitol (Remin Pro) and casein phosphopeptide–amorphous calcium phosphate (CPP-ACP) (GC Tooth Mousse) and their impact on surface microhardness of enamel using confocal laser microscopy and Vickers microhardness tester, respectively.

Materials and Methods:
Eighty sound human premolars extracted for orthodontic or periodontal reasons were collected. Random allocation of 80 samples was done into five experimental groups (n = 16). After derooting, crowns were embedded in an acrylic resin mold with the buccal surface positioned upward, lying flat, and parallel to the horizontal plane. All the samples in Group 1, 3, 4, and 5 were kept in demineralizing solution for 5 days until a white spot lesion was created on the surface of the enamel. Samples were washed with deionized water and stored in artificial saliva. The samples in Groups 3, 4, and 5 were treated with the respective remineralizing agent. Samples of each group (n = 15) were divided into two subgroups, i.e., Subgroups A and B for confocal laser microscopic and Vickers microhardness assessment, respectively.

Results:
Maximum depth of remineralization was seen in calcium sucrose phosphate (197.94 ± 11.30) followed by the CPP-ACP (185.21 ± 11.20) and least in the fluoride-hydroxyapatite-xylitol (161.91 ± 14.39) group. Maximum microhardness increase was seen in the calcium sucrose phosphate (318.31 ± 14.22) followed by the CPP-ACP (286.38 ± 8.67) and least in fluoride-hydroxyapatite-xylitol (236.06 ± 16.71) group and difference was statistically significant (P < 0.001).

Conclusion:
Calcium sucrose phosphate showed the highest remineralization depth and greater increase in surface microhardnesss of enamel followed by CPP-ACP and fluoride-hydroxyapatite-xylitol, and the difference was statistically significant.
Bilateral lateral rectus recession versus bilateral lateral rectus recession and one medial rectus resection in correction of exotropia
Authors: Taher Sameh G. , Elsherbiny Reham F. , Khazbak Lobna M. , Shousha Shireen M. 
Published: January 2025

Purpose
The aim of this study was to compare the results of bilateral lateral rectus (BLR) recession to combined BLR recession and one medial rectus (MR) resection in concomitant exotropia (XT) of 40–55 prism diopters (PD).

Patients and methods
This is a prospective randomized clinical trial that was conducted on 69 XT patients, divided into two groups; group A: BLR recession (n=39 patients) and group B: BLR recession+MR resection (n=30 patients). All study patients were subjected to routine preoperative evaluation, operative procedure in standardized numbers and technique and postoperative follow up to 6 months for alignment in the primary position, ocular motility, and palpebral fissure height (PFH) measurement.

Results
At the 6-month follow up visit, the success rate (patients with postoperative results ≤8 PD of orthophoria) was 66.7% in group A compared to 73.3% in group B, with no statistically significant difference (P=0.551). The postoperative PFH was significantly different from the preoperative PFH at all follow-up visits in both groups. In group A, the preoperative PFH was 10.59±1.23 mm and increased to 11.40±1.26 mm at 6 months (P<0.001), while in group B, the preoperative PFH was 10.45±1.36 mm and decreased to 10.03±1.33 mm at 6 months postoperatively (P<0.001), with a noted higher mean of postoperative PFH in group A by 7.6% and a lower mean of postoperative PFH in group B by 4%. In group B, the eye with single LR recession showed a 2.15±5.26% increase in PFH while the eye with combined recession and resection showed a 9.39±2.99% decrease in PFH. Lateral gaze deficit was related to XT more than or equal to 50 PD as a significant difference was found on comparing the patients with and without lateral gaze deficit for angle of 50 PD (P=0.028) and for angle of 55 PD (P=0.050).

Conclusion
The three-muscle procedure was as effective as the two-muscle procedure in correction of comitant XT regarding the postoperative alignment. Adding MR resection led to PFH narrowing. Lateral gaze deficit can occur with large lateral rectus recession for XT of 50 PD and more.
Epidemiological Profile of the Victims Involved in Road Traffic Accidents (RTA) and ICD-10 Classification Attending an Emergency Department: A Descriptive Study
Authors: Darivemula Surendra Babu , Jabeen Sayeda Misbah , Surapaneni Sai Revanth A. , Rastogi Sakshi Piyush , Salodi Harika , Srujana S Lakshmi , Seelam Nikhila , Shiga Sasidharan , Karthik S 
Published: January 2025

Abstract
Road traffic injuries are the leading cause of death for children and young adults aged 5-29 years. They cause approximately 1.3 million deaths every year, with 20 to 50 million more people suffering nonfatal injuries and many incurring a disability as a result of their injury. A retrospective record-based descriptive study was performed to analyze the epidemiological profile of the patients attending with road traffic accidents (RTA) to emergency/casualty department in a tertiary care hospital. The purposive sample from the last 7 months with those affected from RTA cases came to casualty and undergone treatment during the study duration and the exclusion criteria were brought dead patients. Out of 397 victims, 309 (77.8%) were male and 88 (22.2%) were female and mean age with SD 37.19 ± 13.9 years. Majority 143 (36.0%) had self-fall, 64 (16.1%) 2-wheeler vs pedestrian, 63 (15.9%) 2-wheelers vs 4-wheeler, 55 (13.9%) under 2-wheelers vs 2-wheeler. Majority were happened on Saturday 60 (15.1%), Sundays 71 (17.9%) and the rest on an average of 50 incidents in a day; out of them, the incident happened at evening 98 (24.7%) night 136 (34.2%) morning 109 (27.5%), and in the afternoon time 54 (13.6%), respectively. Accidents have male predominance, with more victims from adults and middle age 21-40 years. Most common category of the victim was motorcycle rider, followed by pedestrians, and as per ICD-10 classification, the common mechanism of incident happened was motorcycle rider noncollision transport accident (Code: V28).
Extension Health Clinic: “Reaching the Unreached.”
Authors: Pal Debkumar , Behera Binod Kumar , Giri Prajna Paramita 
Published: January 2025

Abstract
The healthcare services should be delivered to the community’s doorstep with their participation at an affordable cost to achieve “Health for All.” The healthcare services should also be delivered to the vulnerable population to achieve “Health for All.” The three-tier government healthcare delivery services can be complemented with the community-level healthcare services through the Extension Health Clinics (EHC). This study describes the EHC activities of a tertiary healthcare institute in Eastern India. Utilizing resources from the local government healthcare facilities with available resources and a workforce from medical colleges should complement the resources or logistics available at the community level. Vulnerable populations, such as residents of slums, can benefit from achieving an improved health status through this EHC activity. The EHCs provide essential healthcare services and services such as domiciliary care for bedridden patients and referral and follow-up. We conducted EHCs in urban slums for more than two years, encountering 2521 EHC beneficiaries in the last six months, including first-time visits and follow-ups. The mean age of the patients was 32.97 years (SD 20.72 years). Females majorly attended EHCs, with most diagnoses being comprised of non-communicable diseases and communicable diseases such as type-2 diabetes mellitus hypertension and upper respiratory tract infection. The EHCs are helping us to provide quality patient care at the doorstep of an urban slum community to the unreached and unattended ones. It also helps to strengthen undergraduate and postgraduate teaching-learning activities.
Mental Health of Women Affected by Gender-based Violence: A Neglected Public Health Domain
Authors: Jain Seema , Pandey Gargi 
Published: January 2025

Abstract
Gender-based violence or violence against women is a global pandemic affecting 736 million women across the world. India is considered quite ahead in terms of women empowerment, but data about violence against Indian women point out that we are still leaps behind. When health impacts of gender-based violence against women are considered, mental health impacts are often overlooked. This article aims to highlight a hidden pandemic of mental health impact of gender-based violence on women and to come up with long-term solutions to tackle it. PubMed and Google Scholar were searched for articles on “gender-based violence “ AND “mental health.” Various documents were also searched to look for strategies to tackle mental health impact of violence on women. There is still a long way to go as far as mental health consequences of abuse on women are concerned. We are still just focussing on the physical injuries when the majority of medical help is considered. Counseling sessions and psychotherapy sessions along with screening of women at all OPDs are the long-term solutions.
Assessing Awareness, Ever Use of E-cigarettes and Effect of a Health Education Intervention among Adolescent School Students of Hyderabad
Authors: Syed Saba Yahoo , Maddisetty Harika , Pattnaik Snigdha 
Published: January 2025

Abstract
The use of e cigarettes among high school adolescent students has steadily increased in the last decade globally including India. The present study aimed to assess awareness, ever use of cigarettes in adolescent school students. It also assessed the effect of a health education intervention on their knowledge and attitude towards vaping. The present study was pre post quasi experimental study conducted in randomly selected four schools in Greater Hyderabad. The study group was middle and high school students from 11 to 16 years of age. The study commenced with each group of 30 students by baseline data collection, an icebreaker session, followed by video based health education session. It concluded with group discussion, an interactive feedback session, pledge writing, and post intervention data collection. The study was conducted with 216 participants. Mean age of participants was 14.26 (±1.11) years, and median was 14 years. Females comprised 129 (59.7%) of participants. Awareness of e cigarettes/vaping among participants was 85.18% and 15.74% of them responded affirmatively to ever use of e cigarettes. Knowledge regarding contents and hazards of use of e cigarette was adequate in 8.33% participants at baseline which significantly improved post intervention where 99.07% participants had adequate knowledge. Attitudes regarding “cool quotient” of vaping, safety of e cigarettes, etc., also improved significantly post intervention. School based group health education intervention among middle adolescents was effective in improving awareness, knowledge, and attitude toward vaping among middle adolescents.
Effectiveness of Instrument-assisted Soft-tissue Mobilization Versus Dry Cupping on Pain and Cervical Range of Motion in Treatment of Neck Pain
Authors: Jahan Afreen 
Published: January 2025

Abstract

Background:
Neck pain is characterized by symptoms of a nonspecific nature of the pain, which is of mechanical origin.[1,2] Frequently observed manifestations of neck discomfort encompass muscle pain, muscle spasms, headaches, facet joint pain, nerve pain, referred pain, and bone pain.[3] Instrument-assisted soft-tissue mobilization (IASTM) stands as a proficient myofascial intervention used for the treatment of soft tissues. Here, using instruments typically crafted from stainless steel featuring beveled edges and anatomically contoured designs to accommodate various body regions, this technique allows for enhanced depth of penetration.[4] Primarily used for the identification and therapeutic management of soft-tissue disorders, the approach involves the application of these specialized instruments.[5] Dry cupping, alternatively recognized as air cupping or suction cupping, constitutes a therapeutic methodology, wherein a vacuum is generated within cups and subsequently applied to targeted regions of the body. These cups, fabricated from diverse materials such as glass, silicone, or plastic, induce suction effects. Through the application of this suction, dry cupping serves to promote circulation, alleviate muscle tension, and facilitate the energetic flow within the treated areas.

Material and Methods:
The purpose of the study to effectiveness of instrument-assisted soft-tissue mobilization versus dry cupping on pain and cervical range of motion in treatment of neck pain. The study is comparative in nature, and total subjects were 15 subjects in each group. The assessment of pain and range of motion of cervical flexion and lateral flexion were taken before starting the treatment of both the groups. The patients were randomly assigned by lottery method for both the groups, and assessments were taken on 0 day and at the end of 4th week by VAS and ROM by a goniometer.

Results:
In IASTM treatment, the P value is 0.031. This suggests that there is a statistically significant difference between the pre-treatment and post-treatment values for the IASTM group. But, in dry cupping, the P value is 0.001. This indicates a highly significant difference between the precupping and postcupping values for this treatment group. The scores of variables VAS and ROM were improved significantly better in the subjects treated with dry cupping as compared to the group variables treated with instrument-assisted soft-tissue mobilization.

Conclusion:
The study conclude that the dry cupping is more beneficial for the treatment of neck pain and range of motion.
Eggshell Derived Nanohydroxyapatite as a Bone Graft for Intrabony Defects was Evaluated Using (CBCT) - A Randomized Controlled Trial
Authors: Ganapathy Vishnuvarthan , Balaji Anitha , Kumar T S Sampath , Shanmugam Mohanasatheesh 
Published: January 2025

ABSTRACT

Aim:
The study aims to assess the effectiveness of eggshell-derived nanohydroxyapatite (EnHA) as a bone graft material for treating intrabony defects, using cone-beam computed tomography (CBCT) for evaluation.

Materials and Methods:
Ten patients were divided into two groups: Group 1: individuals with 2-wall defects, Group 2: those with 3-wall defects. Follow-up appointments at 1-, 3-, and 6-month intervals included assessments of clinical attachment level (CAL), probing depth (PD), and gingival recession (GR). CBCT scans were conducted pre-operative, immediately post-surgery, and at 1-month, 3-month, and 5-month follow-ups.

Results:
In both groups, clinical parameters such as CAL, PD, and CBCT measurements reveal significant decreases in CAL and PD values alongside positive trends in CBCT measurements. Additionally, Group 2 exhibited enhancements in periodontal health, suggesting the potential effectiveness of EnHA.

Conclusion:
EnHA demonstrates potential as a substitute for bone grafting in intrabony defects, showing favourable trends in both clinical and CBCT evaluations during a 6-month observation period.
Association of Serum Albumin and C-Reactive Protein with Outcomes in ESRD Patients Undergoing Hemodialysis at a Tertiary Care Center in Salem, Tamil Nadu
Authors: Parhi Kamala Kanta , Vijayasamundeeswari Chinnathambipalayam Kandasamy , Kanchan Rajeev Kumar , Ghosh Sandip , Ronald P. Jones , Periasamy Panneerselvam 
Published: January 2025

ABSTRACT

Background:
Chronic kidney disease (CKD) is a chronic condition characterized by irreversible renal dysfunction, leading to excretory and metabolic failure. Patients with end-stage renal disease (ESRD) often have elevated CRP and reduced albumin levels, causing inflammation. This study compares serum CRP, albumin, urea, creatinine, eGFR, blood pressure, and weight in patients on MHD with ESRD.

Methodology:
The study measured weight, eGFR, systolic and diastolic blood pressure, serum CRP, albumin, urea, and creatinine in 90 MHD patients and 90 controls using various methods, including GLDH, Jaffe’s, BCG, and Nephelometry.

Results:
The CRP levels in pre hemodialysis were 4.74 ± 2.25 mg/dl and the control group had 0.6 ± 0.2 mg/dl. So comparison of both CRP and albumin in cases and control were highly significant. The pre hemodialysis albumin was 2.74 ± 0.7 mg/dl and control were measured as 4.2 ± 0.5 mg/dl which is statistically significant. The Urea levels in pre hemodialysis were 112.2 ± 23.7 mg/dl and the control group had 24.9 ± 6.2 mg/dl. The Creatinine levels in pre hemodialysis were 8.5 ± 2.7 mg/dl and the control group had 0.8 ± 0.1 mg/dl. The Systolic Blood Pressure (SBP) in pre hemodialysis were 167.0 ± 21.4 mm of Hg and the control group had 121.9 ± 6.9 mm of Hg. The Diastolic Blood Pressure (DBP) in pre hemodialysis were 88.8 ± 10.7 mm of Hg and the control group had 76.8 ± 4.6 mm of Hg. The eGFR in pre hemodialysis was 7.3 ± 4.1 mL/min/1.73 m2 and the control group had 98.7 ± 17.7 mL/min/1.73 m.

Conclusion:
The study found that patients with MHD had significantly higher CRP, albumin, Urea, Creatinine, SBP, and DBP levels compared to controls, with decreased albumin levels and increased CRP in ESRD patients.
Comparative Evaluation of the Efficiency in Retrieving Separated Reciprocating Instruments Using Three Different File Retrieval Systems in Maxillary First Molars: An In Vitro Study
Authors: Shajahan Shahana , Dhanavel C , Raja S Vijaya , Sornamalar M , Balavaishnavi G 
Published: January 2025

ABSTRACT

Aim:
The aim of this study was to compare and evaluate the retrieval time, efficiency, and loss of dentin volume after separated instrument retrieval using three different file retrieval systems in the middle and apical thirds of the mesio-buccal root of maxillary first molars.

Material and Methods:
Sixty maxillary first molars were selected. Group 1: Endo Rescue Apex, Group 2: Ultrasound apex, Group 3: Broken instrument remover apex, Group 4: Endo Rescue Middle, Group 5: Ultrasound Middle, Group 6: Broken instrument Remover middle were used to retrieve the fractured reciprocating files from the root canals.

Results:
The results showed that the BTR pen system was successful in removing the majority of the files, with success rates of 60%. The BTR-Pen system achieved a 30% success rate, successfully removing 3 separated instruments from the middle third under a dental operating microscope within the time span. According to the statistical analysis of the dentinal thickness lost during retrieval of separated reciprocating instruments, BTR pens showed less amount of dentine loss than the ultrasonic and Endo rescue.

Conclusion:
The findings may guide further research on BTR’s effectiveness in retrieving separated instruments, with additional clinical trials ongoing.
Comparative Evaluation of Novel Automated Irrigation Devices with Side-Vented Needle Irrigation on Bacterial CFU Counts in Nonvital Teeth
Authors: Teja Kavalipurapu Venkata , Ramesh Sindhu , Srivastava Kumar Chandan , Ehsan Aliya , Choudhari Sahil , Shrivastava Deepti 
Published: January 2025

ABSTRACT

Background:
Syringe needle irrigation is used frequently to deliver root canal disinfectants. However, conventional syringe needle irrigation has its potential drawbacks. The current study, hence, aimed at assessing the real-time benefit of using conventional needle irrigation as compared to a novel automated irrigation device in patients undergoing root canal treatment.

Methods:
It is a prospective study where 45 patients with single-rooted teeth were allocated into three groups according to the respective test disinfection technique used for disinfection: group I: novel automated irrigation device, group II: open-ended flat needle irrigation, and group III: side-vented needle irrigation. Pre- and postoperative culture samples were obtained and transferred immediately for microbial analysis.

Results:
A difference was noted among the groups (P < 0.05) in the antimicrobial efficacy of aerobic and anaerobic bacteria.

Conclusion:
The novel automated irrigation device was better than syringe needle irrigation in microbial reduction.
Current Status of Knowledge, Attitude, and Perspective of Dental Practitioners Toward Stem Cell Uses in Dentistry
Authors: Anitha K , Asoka Sangamitra , Acchuthakrishnan  , Dhanraj T , Arunachalam Preethi , Arumugam Sudharshan 
Published: January 2025

ABSTRACT

Aim:
The purpose of this study was to evaluate dentists’ attitudes and level of knowledge about dental stem cells.

Material and Methods:
Five hundred dentists from Tamil Nadu, India, took part in a cross-sectional descriptive questionnaire-based survey that assessed knowledge, attitudes, and practices. For statistical analysis, percentages of the total and Pearson’s Chi-square test were employed.

Results:
Dental stem cells were considerably more familiar to participants with over 10 years of work experience. Of them, 93.2% are aware of the several uses for dental stem cells. A statistical test revealed a substantial relationship between the dental professionals’ academic qualifications and the sources of information, dental stem cells, and the clinical applications.

Conclusion:
The results of this current study demonstrated that dental professionals had an acceptable level of understanding, but there is still a need to raise awareness of the latest developments in dental stem cell applications, banking, storage, and guidelines.
Evaluation of the Clinical Outcomes of the Berger-Tenenhaus Approach for Open Reduction and Internal Fixation of Mandibular Fractures
Authors: Petchiammal S Meera , Sambanthan Thiruneelakandan , Subramanian Adalarasan , Ranganathan Murugan , Rajkumar Selvakumar , Laxmi Bhuvana 
Published: January 2025

ABSTRACT

Introduction:
The aim of this study was to evaluate the clinical outcomes, such as duration of surgery, ease of surgical access for fixation, injury to branches of the facial nerve, and scar assessment encountered on using the Berger-Tenenhaus approach for open reduction and internal fixation (ORIF) of subcondyle, ramus, angle, and body fractures of mandible.

Materials and Methods:
This was a prospective clinical study. Patients were selected based on inclusion and exclusion criteria. Seventeen patients in the age group above 18 years were included in this study. All patients were treated under general anesthesia using Berger-Tenenhaus approach for ORIF. The surgical outcomes were evaluated with follow-ups conducted at 24 hours, 1 week, 1 month, and 6 months.

Results:
The results indicated that the average duration of surgery was 34.47 ± 7.383 minutes with good access to fracture sites and inconspicuous scars at the 6th month. There were no cases of facial nerve paralysis.

Conclusion:
This study concludes that the Berger-Tenenhaus approach is an effective and safe technique for ORIF of mandibular fractures, such as subcondyle, ramus, body, and angle. This approach has less duration of surgery with good access, no morbidity to the facial nerve, and provides cosmetic results.