bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Paris System for Urine Cytology: A 2 Years’ Experience from Western Indian Population
Authors: Gaikwad Vaishali Prashant , More Nilam Mahesh , Naik Leena P. 
Published: October 2023

Background and Aim:
The Paris System (TPS) for Reporting Urine Cytology was introduced to bring uniformity in reporting urine cytology worldwide. The aim of this study is to assess the utility of TPS for Reporting Urine Cytology and correlate it with histopathology.

Materials and Methods:
This was a retrospective study, conducted at the cytology section of department of pathology. All the urine cytology samples received over a period of 2 years were retrieved and categorized as per TPS. The frequency of each TPS category along with relative risk for each category was calculated using the histopathological follow-up, wherever available.

Results:
A total of 200 urine cytology samples from 172 patients were categorized as per TPS. The most common category was negative for high grade urothelial carcinoma (UC) (61.5%; n = 123) followed by unsatisfactory for evaluation (15%; n = 30) and positive for high grade UC (HGUC) (10%; n = 20). There were 13 cases in category of suspicious for HGUC, 11 cases in atypical urothelial cell category, 2 cases in other malignancies, and one case in positive for low-grade UC. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy for diagnosing HGUC on cytology according to TPS were 92.86%, 100%, 100%, 60%, and 85.29%, respectively.

Conclusions:
TPS has definitely helped us to categorize the urine cytology samples with the objective criteria and thus reducing unnecessary ambiguous diagnoses and ultimately directing the correct management of the patient.
High density lipoprotein heterogeneity & function among Indians with coronary artery disease
Authors: Thakkar Himani , Vincent Vinnyfred , Roy Ambuj , Singh Archna 
Published: October 2023

Background & objectives:
Impaired high density lipoprotein (HDL) functionality has been shown to be associated with cardiovascular disease risk. The study was aimed to identify the alterations in HDL function [antioxidative activity (AOA)] and subfraction distribution between acute coronary syndrome (ACS) and stable coronary artery disease (SCAD) individuals and analysing the accuracy of HDL parameters to discriminate between the groups.

Methods:
HDL subfraction distribution analysis was performed in 200 coronary artery disease patients (ACS and SCAD) and 60 control individuals using dextran sulphate, heparin and manganese chloride precipitation method. In terms of HDL function, AOA was evaluated by dihydrorhodamine-based fluorescent cell-free assay and paraoxonase (PON1) enzyme paraoxonase and arylesterase activity.

Results:
We found that higher AOA [odds ratio (95% confidence interval {CI})]: 0.09 (0.02-0.44), P<0.01 for SCAD; 0.008 (0.001-0.07), P<0.001 for ACS and higher PON1 activity [0.22 (0.8-0.59), P<0.01 for SCAD; 0.16 (0.06-0.4), P<0.001 for ACS] were associated with a lower odds of developing coronary artery disease (CAD). AOA of apoB-depleted serum was significantly correlated with HDL2-C/HDL3-C (HDL-cholesterol) ratio in controls (r=−0.31, P=0.01) and ACS (r=−0.18, P=0.04). It was observed that AOA and HDL subfraction distribution together could discriminate between the two groups of CAD with an accuracy of 72.8 per cent (P=0.004).

Interpretation & conclusions:
Impaired AOA and altered subfraction distribution of HDL may be responsible for its diminished anti-athero protective activity and can discriminate between the two groups of CAD individuals.
A study of post exercise hypotension in normotensive offspring of hypertensives after acute exercise
Authors: Jain Neha , Bedi Mona , Varshney V.P. 
Published: October 2023

Background & objectives:
Post exercise hypotension (PEH) is a well-known entity in hypertensive and borderline hypertensive patients. Since the results are inconsistent in normotensives and there is a genetic predisposition of the individuals to hypertension, we hypothesized that PEH is expected to occur in those normotensives who are offspring of hypertensive parents. In this study, we therefore aimed to compare the magnitude of PEH after an acute bout of moderate intensity continuous exercise (MICE) in the offspring of hypertensives vs. offspring of normotensives.

Methods:
Sixty normotensive participants of both genders (male and female in equal proportion), aged 18-40 yr, were divided into two groups based on their family history of hypertension. The cases (Group 1, n=30) consisted of the normotensives who were offspring of hypertensive parents while the normotensives who were offspring of normotensive parents were taken as the controls (Group 2, n=30). The hypertensive patients were excluded from the study. The individuals underwent a control session (sitting at rest for 5-10 min), followed by a single acute bout of MICE based on the target heart rate (60-70% of maximum heart rate) on a treadmill at the same time of the day (in the morning). The pre- and post-exercise measurements (after 10 min post exercise) of systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial blood pressure (MAP) were taken in all the participants using mercury sphygmomanometer in sitting position on the left arm. The intergroup and intragroup net effects of exercise on BP were compared with P<0.05 considered significant.

Results:
The mean SBP was reduced by 5 mmHg than the baseline in the offspring of hypertensives (cases) as compared to the controls after exercise (P=0.01). The fall in mean DBP and MAP was insignificant across both the groups, but the magnitude of PEH measured as delta changes (BP before and after exercise) in SBP (~5 mmHg) and MAP (~4 mmHg) were significantly higher for the cases as compared to the controls (P=0.01).

Interpretation & conclusions:
PEH occurs in higher magnitude in normotensives who are genetically predisposed to hypertension, such as offspring of hypertensive parents, and may find regular exercise-induced PEH as an important primary preventive tool to prevent or delay the development of hypertension.
The Indian registry on current patient profiles & treatment trends in hypertension (RECORD): One year interim analysis
Authors: Rajadhyaksha Girish Chandrakant , Reddy Himanshu , Singh Amresh Kumar , Oomman Abraham , Adhyapak Srilakshmi Mandayam 
Published: October 2023

Background & objectives:
In India, hypertension constitutes a significant health burden. This observational, non-interventional, prospective study was conducted in five centres across India to evaluate the current clinical practices for the management of hypertension.

Methods:
Participants were enrolled if they were newly diagnosed with essential hypertension or had pre-existing hypertension and were on the same therapeutic plan for the previous three months. At baseline, three months, six months, and one year, information on the patient and their treatment regimen was documented, and their quality of life (QoL) was evaluated.

Results:
A total of 2000 individuals were enrolled in this study, with a mean age of 54.45 yr. Of these, 55.7 per cent (n=1114) were males, and 957 (47.85%) were newly diagnosed with hypertension, while 1043 (52.15%) had pre-existing hypertension. Stage 2 hypertension (systolic blood pressure (BP) >140 or diastolic BP ≥90 mmHg) accounted for more than 70 per cent of the participants (70.76% of pre-existing and 76.29% of newly diagnosed); the average duration of pre-existing hypertension was 68.72 months. Diabetes (31.6%) and dyslipidaemia (15.8%) were the most common comorbidities. In 43.3 per cent of the participants, monotherapy was used, and in 56.7 per cent (70.55% fixed-dose combination), combination therapy was used. Telmisartan (31.6%), amlodipine (35.2%), and a combination of the two (27.1%) were the most commonly prescribed treatment regimens. At three months, six months, and one year, treatment modifications were observed in 1.4, 1.05, and 0.23 per cent of the participants receiving monotherapy and 2.74, 4.78 and 0.35 per cent receiving combination therapy, respectively. In both groups, the proportion of individuals with controlled hypertension (≤140/90 mmHg) increased by more than 30 per cent after a year. At one year, physical and emotional role functioning, social functioning, and health improved considerably.

Interpretation & conclusions:
Combination therapy for hypertension is increasingly preferred at the time of initial diagnosis. The efficacy, safety, and tolerance of the recommended medications were reflected by improvements in the QoL and the minimal changes in the therapeutic strategy required.
Reliability of the electric pulp tester as an indicator of pulpal anesthesia in primary maxillary posterior teeth to assess the need for supplemental injections: An observational clinical study
Authors: Renuka M. Swathi , Rao Ashwin P. , Natarajan Srikant , Karuna Y. M. , Nayak P Anupama , Rao Shweta 
Published: October 2023

ABSTRACT

Background:
The primary maxillary molars occasionally remain sensitive during operative procedures even post the buccal supraperiosteal injection. This could be due to the widely flared palatal roots receiving accessory innervation from the palatal nerves. Identifying inadequate anesthesia upfront using the electric pulp test (EPT) would give vital information to the clinician on the need of a supplemental palatal injection.

Aim:
The aim of this study was to assess and evaluate the reliability of the EPT as an indicator of pulpal anesthesia in primary maxillary molars.

Methodology:
Fifty one primary maxillary molars were subjected to the EPT following a buccal supraperiosteal injection. During the operative procedure, the “ Face Legs Activity Cry Consolability” (FLACC) scores were recorded. The outcome of the EPT was correlated with the results of the FLACC score using Pearson’s Chi-square test.

Results:
The EPT results were correlated to the FLACC scores. Five out of the 10 primary maxillary second molars which responded to the EPT scored 0 on the FLACC scale. The remaining 5 teeth scored 1 on the FLACC scale. The P value was 0.056 which was not statistically significant. This infers that the EPT is not a reliable tool to assess the adequacy of pulpal anesthesia in primary maxillary second molars.

Conclusion:
From the results of the present study, it can be concluded that the EPT is not a reliable tool to be used as an indicator of pulpal anesthesia in primary maxillary molars.
Prevalence and correlates of dental caries among 2–5 years children with special reference to breastfeeding in Kamrup District, Assam
Authors: Kalita Chandana , Langthasa Meghali , Saikia Anjan Kumar , Saikia Ankumoni , Medhi Sthitaprajna 
Published: October 2023

ABSTRACT

Background:
Dental caries among children is one of the most common health-related issues worldwide.

Aim:
To find out the prevalence of dental caries among 2–5 years old children in Kamrup district of Assam with reference to breastfeeding and associated variables.

Materials and Methods:
In this community-based cross-sectional study, 1439 children were examined from 15 wards of Kamrup Metro and four randomly chosen blocks of Kamrup Rural. Children were examined to assess the mean decayed/filled primary teeth (dmft) index, and a self-administered validated questionnaire was given to the mothers to collect data on the practice of breastfeeding initiation, its duration, and dental hygiene habits.

Results:
Dental caries prevalence was found to be higher in urban areas (54.6%) than rural areas (45.4%). The frequency of using toothpaste was highest among the tooth-cleaning materials. A significant difference in caries prevalence was observed among the children, those who brushed twice a day, and those who did not brush (P = 0.039). The difference was significant in the mean dmft of children from the upper socioeconomic class (P = 0.023) compared with the other classes. A significant difference was also observed between breastfeeding duration (P = 0.010), exclusive and nonexclusive breastfeeding, time of initiation of breastfeeding within 12 h (P < 0.001), and alternative feeding with caries prevalence (P < 0.001).

Conclusions:
Dental caries were higher in urban localities and upper socioeconomic classes. Breastfeeding initiation and duration may play an important role in the causation of dental caries. No significant association was found between colostrum, prelacteal feeding, and caries prevalence.
Barriers in maintaining oral health among the children with cerebral palsy – Parent/caregiver’s perspective
Authors: Constance Diana , Subbiah Rohini , Sukumaran Aparna , Madankumar Parangimalai Diwakar 
Published: October 2023

ABSTRACT

Background:
Cerebral palsy (CP) is primarily a neuromotor disorder that affects the development of movement, muscle tone, and posture.

Objective:
This qualitative study explores the underlying barriers in maintaining oral health from the perspective of the caregivers or parents.

Materials and Methods:
Focus group discussion was conducted with the parents or caregivers in the National Institute for Empowerment of Persons with Multiple Disabilities (NIEPMD), Muttukadu, Chennai. Data were collected from seven participants. Thematic analysis identified key themes using NVivo software.

Results:
The discussion on barriers to maintain oral health faced by parents of children with CP identified a collation of three key themes: behavioral challenges, inhibited social and communication skills, and parental dependence.

Conclusion:
Oral health professionals should aim to raise awareness among health-care professionals to work toward reducing the barriers to oral health care that these populations currently experience.
A Rare Case of Alobar Holoprosencephaly with Normal Facies
Authors: Singh Prashant Raj , Sharma Raghavendra Kumar , Nehete Lokesh 
Published: October 2023

Background:
Alobar holoprosencephaly is a rare disorder of brain development. Most of the cases have facial abnormalities and the survival of such children is usually not prolonged.

Case Description:
We are reporting a 2-month-old female child presented with seizures and delayed developmental milestones. Interestingly, she has no facial abnormality which is quite unusual. The management of such children is difficult and individualized.

Conclusion:
The counseling of the parents should be done regarding the severity and outcome of such congenital disease and also the importance of the antenatal check-up during a future pregnancy.
Secondary developmental glaucoma
Authors: Kaushik Sushmita , Singh Jyoti , Pandav Surinder Singh 
Published: October 2023

Abstract
The basic pathophysiology of all childhood glaucoma results from impaired outflow through the trabecular meshwork. Anterior Segment Dysgeneses (ASD) are a group of nonacquired anomalies associated with secondary developmental glaucoma, characterized by impaired development of the structures of the anterior segment. Many genes impact the development of the anterior segment. The cause of the development of the abnormalities is thought to be multifactorial. Molecular research has helped our understanding of the molecular basis of ASD and the developmental mechanisms underlying these conditions. Identifying the genetic changes underlying ASD has gradually led to the recognition that some of these conditions may be parts of a disease spectrum rather than isolated anomalies. The characterization of the underlying genetic abnormalities responsible for glaucoma is the first step toward developing diagnostic and screening tests, which could identify individuals at risk for disease before irreversible optic nerve damage occurs. It is also crucial for genetic counseling and risk stratification of later pregnancies. It also aids prenatal testing by various methods allowing for effective genetic counseling. This review summarizes various ocular and systemic conditions that result in secondary developmental glaucoma and provide an overview of the phenotypes, the diagnosis and principles of management of the various disorders.
Pengaruh Pola Asuh Orang Tua Terhadap Dekadensi Moral Siswa Sekolah Dasar
Authors: Siahaya Sintya , An Tiblola Abigael , Sopakua Samel 
Published: October 2023

Moral and character education is an important aspect of individual development, especially at the primary education level, one of the factors that play a role in the formation of student morals is parenting. The purpose of this study is to investigate the effect of parenting on the moral decadence of elementary school students. This study used quantitative research methods. Data collection techniques were carried out by surveys distributed to parents of students of SDN 1 Hative Kecil Ambon. The sampling technique was carried out using random sampling technique. The data that has been collected is then analyzed using simple linear regression analysis using the help of the SPSS program. The results showed that parenting patterns affect the moral decadence of elementary school students. Authoritarian and permissive parenting have a positive relationship with moral decadence, while democratic parenting has a negative relationship with moral decadence. So it can be concluded that parents are influential in the development of children's character.
EASTERN MOTIFS IN VIOLIN LITERATURE
Authors: HÜSEYNOVA Lale 
Published: October 2023

Violin repertoires one of the brightestpages of music history. New playing techniques have been developed throughout the history of violin art, in addition to this, virtuoso violin works, which requirenew playing techniques, have emerged. These are violin sonatas, variations, concertos. These works are also dedicated to different motifs and themes. Among theexamples are A. Vivaldi’s Four Violin Concertos the four seasons, Paganini’s Prayer Variations from G. Rossini’s “Moses”, or the Violin Caprices about Hunting or War (No. 9, 14, 17) . In the violin literature, there are many works of world composers devoted to Eastern motifs. Since the Baroque period, composers began to apply these motifs. This tendency continued all the time and led to the formation of a wider repertoire. Great interest in Oriental music is growing from both European and Russian composers. Passion for the Orient W. A. Mozart’s “Die Entführung aus dem Serail”, C. Saint-Saens’ “Samson et Dalilah”, J. Bizet’s “Jamele”, N. A. Rimsky-Korsakov’s “Scheherazade”, Reinhold Glière’s “Shakh-Senem” and has been seen many other works. These motives considered asnot only in large genres, but also in works of small genres. In this context, romance, suite and other works for violin attract attention.
In this study, it is aimed to examine the period and composer styles in popular works of the violin repertoire composed on Eastern motifs such as “Romanza Andaluza” by P. Sarasate, “Orientale” by C. Cui, “Baal Shem” by E. Bloch and “Tzigane” by M. Ravel. These works were examined in terms of harmonic structure.
Introducing a new floodplain scheme in ORCHIDEE (version 7885): validation and evaluation over the Pantanal wetlands
Authors: Schrapffer Anthony , Polcher Jan , Sörensson Anna , Fita Lluís 
Published: October 2023

Abstract. Adapting and improving the hydrological processes in land surface models are crucial given the increase in the resolution of the climate models to correctly represent the hydrological cycle. The present paper introduces a floodplain scheme adapted to the higher-resolution river routing of the Organising Carbon and Hydrology In Dynamic Ecosystems (ORCHIDEE) land surface model. The scheme is based on a sub-tile parameterisation of the hydrological units – a hydrological transfer unit (HTU) concept – based on high-resolution hydrologically coherent digital elevation models, which can be used for all types of resolutions and projections. The floodplain scheme was developed and evaluated for different atmospheric forcings and resolutions (0.5∘ and 25 km) over one of the world's largest floodplains: the Pantanal, located in central South America. The floodplain scheme is validated based on the river discharge at the outflow of the Pantanal which represents the hydrological cycle over the basin, the temporal evolution of the water mass over the region assessed by the anomaly of total water storage in the Gravity Recovery And Climate Experiment (GRACE), and the temporal evaluation of the flooded areas compared to the Global Inundation Extent from Multi-Satellites version 2 (GIEMS-2) dataset. The hydrological cycle is satisfactorily simulated; however, the base flow may be underestimated. The temporal evolution of the flooded area is coherent with the observations, although the size of the area is underestimated in comparison to GIEMS-2. The presence of floodplains increases the soil moisture up to 50 % and decreases average temperature by 3 ∘C and by 6 ∘C during the dry season. The higher soil moisture increases the vegetation density, and, along with the presence of open-water surfaces due to the floodplains, it affects the surface energy budget by increasing the latent flux at the expense of the sensible flux. This is linked to the increase in the evapotranspiration related to the increased water availability. The effect of the floodplain scheme on the land surface conditions highlights that coupled simulations using the floodplain scheme may influence local and regional precipitation and regional circulation.
Comparison of the Effects Metal Inert Gas and Laser Beam Welding on Duplex Stainless Steel Properties
Authors: Sharef Thoria , Morghem Maryem , Ighnegewa Aisa , Daw Adel 
Published: October 2023

In this study, optimal characteristics for duplex stainless steels (2507DSS) are attained when austenite and ferrite are present in roughly equal amounts in the microstructure. Therefore, the purpose of this study is to compare how different metal inert gas (MIG) and laser welding (LBW) parameters affect the weld characters of joints that are butt welded joints of duplex stainless steel plate with thickness of 8mm, the speed is constant and changing beam power, with argon shielding gas. Conventional MIG welding parameters are ranges; current, voltage are constant with changing speed and using gas mixture Ar and CO2 with a filler metal, and a single V groove. Investigation of welded joints has been carried out using different methods visual inspection, optical micro structure, hardness measurements, energy dispersive X-ray (EDX) microanalysis and tensile test. The results achieved in this investigation disclosed that welding parameters obtaining satisfactory properties of welded joint; no visible welding flaws, porosity and incompetent penetration. The fusion zone's grain size is finer in LB than MIG welding. EDX microscopic analysis reveals a slightly different structure in MIG and LB welds of BM microstructure, with filler altering Fe element and C-carbone content, causing brittleness due to ferrite content. The hardness results showed that no appreciable differences between MIG and LB in the welding bool area zone were equalled (265- 289Hv) respectively. Tensile strength and ductility increased with MIG and LBW in HAZ, at the same time laser welded specimens showing the highest ductility and strength.
Imaginarul artistic bacovian
Authors: POPA Andra 
Published: October 2023

Bacovia represents a "literary church" (Eugen Lovinescu), a special case, on the border between pathology and psychological automatisms. Overrated for heteronomic reasons, or on the contrary, underestimated for the same reasons, "the poet of autumns and provincial marasmas" - as he was labeled by the occasional critic, - went through the turmoil and literary struggles of the last twenty years almost unnoticed; alien to what is happening around him and withdrawn into the monotony of a loneliness equated with a destiny. However, Bacovia is one of the most authentic representatives of our modern literature.