bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ayurvedic and herbal plaque control agents in gingivitis: A systematic review and meta-analysis of randomized controlled trials
Authors: Javed Danish , Dixit Ashish Kumar , Anwar Sana , Rai Anshul , Krishan Kawal 
Published: October 2023

BACKGROUND:
Since the effectiveness of ayurvedic and herbal plaque control agents in reducing plaque in gingivitis is inconsistent across multiple trials, we conducted a study to evaluate their overall effect on dental plaque index (PI), gingival index, and bacterial colony counts (CC) of debris in gingivitis patients.

MATERIALS AND METHODS:
We searched major electronic biomedical databases (PubMed/Medline, CAM-QUEST®, EBSCOhost, Google Scholar, EMBASE, Scopus, and Cochrane Central Register of Controlled Trials) from August 2004 to August 2021 for randomized control trials on gingivitis using ayurvedic, herbal plaque control agents, and oil pulling therapy as interventions. We grouped comparable outcome parameters of similar products and estimated the standard mean difference (SMD) for pooled effect size with 95% confidence intervals (CI) using RevMan 5.4.1 software. Risk-of-bias (ROB) assessment followed the Cochrane Collaboration's recommended approach.

RESULTS:
We found 554 articles of 2,806 patients after searching of which 41 randomized clinical trials were considered for meta-analysis. Ayurvedic plaque control agents (Plaque index (PI): SMD = −0.52, 95% CI (−0.94, −0.11); CC: SMD = −1.70, 95% CI (−5.06, 1.67)), (Oil pulling therapy: PI: SMD = −0.38, 95% CI (−1.45, 0.68); CC: SMD = −1.04, 95% CI (−2.20, 0.11)), (Herbal plaque control agents: PI: SMD = −0.58, 95% CI (−1.55, 0.39)), (Triphala: PI: SMD = −0.65, 95% CI (−1.32, 0.03)) were found as good as control. Significant reduction in the gingival index and bacterial colony count was also seen.

CONCLUSIONS:
In addition to conventional dental care, ayurvedic and herbal plaque control agents may help in plaque reduction, gingival inflammation, and bacterial growth. They are safe and may be recommended in community dentistry practices.

(PROSPERO registration number:
CRD42021274656)
Devastating pregnancy outcomes in the second wave of the COVID-19 pandemic
Authors: Wardhana Manggala P. , Wijaya Maria C. , Rifdah Salsabila N. , Wafa Ifan A. , Ningrum Dahlia , Dachlan Erry G. 
Published: October 2023

BACKGROUND:
This study analyzed pregnancy outcomes in postpartum women who were infected with COVID-19 during their pregnancy in resource-limited settings during the second wave of the COVID-19 pandemic.

MATERIALS AND METHODS:
This cross-sectional study included all pregnant women with COVID-19 at a tertiary referral hospital in Surabaya, Indonesia, from June to August 2021. Patients were classified according to clinical presentation into asymptomatic-mild, moderate, and severe-critical. Data regarding their basic maternal characteristics, clinical symptoms, delivery, and neonatal outcomes were collected and analyzed across these severity levels through ANOVA, Kruskal–Wallis, or Mann–Whitney U test by incorporating SPSS Statistics software version 29.0.

RESULTS:
During the second wave of COVID-19 in Indonesia, a total of 184 COVID-19 cases were reported, with high mortality rate (22%). Only 26.6% of these cases were asymptomatic-mild, and the remaining 73.4% had more severe conditions. The severe-critical group had significantly lower gestational age, slower onset of diseases/symptoms, and higher maternal death proportions than the other two groups (P < 0.001). Clinical symptoms, vital signs, and inflammatory markers (NLR, CRP, and procalcitonin) were also significantly worse in the severe-critical group than in the other groups (P < 0.05). Consequently, severe cases showed a higher cesarean section rate (P = 0.034), lower birth weight, lower Apgar score, higher incidence of perinatal deaths (P < 0.001), and higher incidence of neonatal support (P = 0.003).

CONCLUSIONS:
The study's findings specified the devastating consequences of second wave of COVID-19 in a resource-limited setting. Focus on improving the health system and health facilities' capacity is warranted to anticipate all possibilities of other pandemics in the future.
The relationship between empowerment and compassion satisfaction, compassion fatigue, and burnout in nurses during COVID-19 outbreak
Authors: Jafarian_amiri Seyedeh Roghayeh , Qanbari Qalehsari Mojtaba , Zabihi Ali , Babanataj Reyhaneh , Chehrazi Mohammad 
Published: October 2023

BACKGROUND:
The quality of nurses' professional life is at stake in crises such as COVID-19. Empowerment helps employees perform better and advance the goals of the organization. This study aimed to investigate the relationship between empowerment and the quality of nurses' professional life during the outbreak of COVID-19.

MATERIALS AND METHODS:
The current cross-sectional study was conducted in 2021 in the hospitals of Babol University of Medical Sciences with the participation of 200 nurses providing care for COVID-19 patients who were included in the study by convenience sampling method. Data collection tools included the Empowerment Questionnaire (Leader Empowerment Behaviors Scale, Structural Empowerment, and Psychological Empowerment) and the Professional Quality of Life Questionnaire. SPSS software version 23 was used to analyze the data. Multiple linear regressions were used to investigate the relationship between empowerment and quality of professional life.

RESULTS:
In the majority of nurses, compassion satisfaction 140 (70%), burnout 172 (86%), and compassion fatigue 126 (63%) were at moderate level. A significant relationship was found between compassion satisfaction and Leader Empowerment (R = 0.54, P = .001), Psychological Empowerment (R = 0.55, P = .001), and Structural Empowerment (R = 0.42, P = .001) and Compassion Fatigue and Leader Empowerment (R = 0.35, P = .001), psychological empowerment (R = 0.42, P = .001), and structural empowerment (R = 0.49, P = .001).

CONCLUSION:
Nursing managers' attention to empowerment strategies in crises such as COVID-19 can improve compassion satisfaction and reduce compassion fatigue in nurses. It is also necessary to implement policies and guidelines for the development of psychosocial support to health promotion of the workplace, education, informing, and empowering nurses.
Zirconia dental implants as a different alternative to titanium: A literature review
Authors: Chile José , Dolores Antonio , Espinoza-Carhuancho Fran , Alvitez-Temoche Daniel , Munive-Degregori Arnaldo , Barja-Ore John , Mayta-Tovalino Frank 
Published: October 2023

Abstract

Aim:
This article aims to provide an overview of the scientific evidence comparing zirconium dental implants with titanium implants.

Materials and Methods:
A comprehensive literature review was conducted using the MEDLINE database accessed through PubMed and Scopus. The search included the keywords “dental implant,” “zirconia dental implant,” and “titanium dental implant” without any date restrictions.

Results:
The review examined research articles focusing on the physical and chemical characteristics of titanium and zirconia dental implants. Additionally, studies investigating the strength and translucency of zirconia, as well as the osseointegration of both materials, were analyzed. However, no conclusive evidence demonstrating the superiority of either material was found in the current literature.

Conclusion:
Taking into account the findings of this narrative study, no significant differences were identified between zirconium and titanium dental implants. Further scientific research is required to establish a definitive recommendation regarding the use of one material over the other.
Knowledge and perception of bidirectional relationship between periodontal disease and type 1 diabetes mellitus: A questionnaire study
Authors: Abidin Zaridah Zainal , Halim Rohaida Abdul , Noor Erni , Nor Noor Shafina Mohd , Nazari Nor Shafina Mohamed , Zaini Azriyanti Anuar , Azizi Nurul Zeety , Soelar Shahrul Aiman 
Published: October 2023

Abstract

Aim:
The bidirectional relationship between type 1 diabetes mellitus (T1DM) and inflammatory periodontal disease (PD) is globally recognized. However, oral health components are often given lower priority, and studies related to knowledge and the bidirectional association are limited. This study assesses the knowledge and perceptions of PD and its associated risk factors among T1DM patients and/or their parents.

Materials and Methods:
Patients under 18 with T1DM at Universiti Teknologi MARA and Universiti Malaya were invited to participate. Structured interviews were conducted to assess participants’ knowledge and perceptions of T1DM, and statistical analysis was performed to examine their associations using Pearson’s chi-squared test and Fisher’s exact test.

Results:
A total of 113 T1DM patients, with a mean age of 11.4 ± 4, completed the interviews. Poor knowledge was observed among parents and T1DM patients (P-value = 0.007) and those who exercised regularly (P-value = 0.047). A significant association with good perception was found among individuals with uncontrolled HbA1c levels (P-value = 0.0018) and those experiencing bleeding symptoms (P-value = 0.021).

Conclusions:
The study highlights the importance of increasing awareness, a key factor in improving oral health knowledge. Interestingly, despite poor control of clinical parameters, the population displayed good perception, suggesting a potential lack of understanding regarding disease control.
Risk factors of dental caries in the Thai population: The retrospective cohort study
Authors: Tantipoj Chanita , Powattanasuk Wifada , Manusrudee Sirinat , Buranachad Naiyana 
Published: October 2023

Abstract

Aim:
The aim of this retrospective cohort study was to determine the risk factors associated with the occurrence of dental caries increments in Thai dental patients.

Materials and Methods:
The dental chart records of 500 patients who visited the Department of Advanced General Dentistry, Mahidol University during 2003–2013 were included in this research. Risk factors such as age, gender, medical history, marital status, routine oral checkup, oral appliance usage, initial and final records of decayed (DT)-missing-filled (DMF-T), dental history of tooth extraction due to caries, xerostomia, presence of visible plaque, presence of interproximal restoration, and caries risk level were retrieved from dental records. Cox proportional hazard regression model was used to determine the association of caries risk factors and new dental caries increments.

Results:
The results indicated that the rate of incidence of new dental caries was 2.1 per 100 person-month. In the multivariate hazard model, past caries experience in more than three teeth (adjusted hazard ratio: 2.29, 95%CI: 1.53–3.44) and xerostomia (adjusted hazard ratio: 4.47, 95%CI: 1.82–10.98) were independent risk factors of dental caries increments. Other factors, such as demographic data, physical factors, clinical factors, and other contributing factors, were not associated with the incidence of new dental caries.

Conclusion:
The presence of past caries experience and xerostomia were predictors of the occurrence of new dental caries.
Effect of different occlusal tooth forms of mandibular overdenture retained by an immediate loaded single implant on the masticatory efficiency and oral health-related quality of life
Authors: Emam Abdel-Naser M , Kassem Mohamed , Harby Nehad , Abdel-fattah Agha Mohamed S , Gad Mohammed M , Helal Mohamed Ahmed 
Published: October 2023

Abstract

Aim:
To study the masticatory efficacy and oral health-related quality of life (OHRQoL) of participants wearing a mandibular overdenture retained by an immediate loading single implant with different occlusal tooth forms.

Materials and Methods:
For this nonrandomized controlled trial study, 27 edentulous participants were selected and randomly divided into three groups (n = 9) based on occlusal tooth forms of the mandibular implant overdenture (MIOD). Group I: participants received an MIOD with an anatomical tooth form; Group II: participants received an MIOD with a semianatomical tooth form; and Group III: participants received an MIOD with a nonanatomical tooth form. For each participant, a single implant (screw root form) was inserted into the midline of the mandibular ridge to support the MIOD. For each group, the masticatory efficiency was evaluated after 3 months, and the OHRQoL of the participants was evaluated after 3 and 6 months. One-way ANOVA and post hoc Tukey’s test were used for data analysis (P < 0.05).

Results:
The masticatory efficiency of the anatomic and semianatomic tooth forms was higher than that of the nonanatomic (P < 0.05). Moreover, the improvement in the participants’ OHRQoL in the anatomic group was more significant than that of other groups (P < 0.05).

Conclusion:
There was a greater improvement in masticatory efficiency and participants’ OHRQoL when fitted with an anatomic tooth form mandibular overdenture retained by an immediate loading single implant than with a semianatomic or nonanatomic tooth form.
Prevalence of Depression and Associated Risk Factors in the Elderly Population of Rural Area of West Tripura District: A Cross-sectional Study
Authors: Das Mishuk , Reang Taranga , Tripura Amar , Baidya Subrata 
Published: October 2023

Background:
Depression is an important public health challenge in developing countries. The elderly age group constitutes a particularly vulnerable group as they often have multiple co-existing medical and psychological problems.

Objectives:
To estimate the prevalence of depression and associated risk factors in elderly.

Methodology:
A Cross-sectional study was conducted in rural area of west Tripura district among 225 elderly populations. The household list was collected from ANM from their family folders of the respective sub-centre and household identified by ASHAs. The study participants were interviewed using a pre-designed, pre-tested interview schedule. Data were collected regarding information on socio-demographic profile and behavioral risk factors. Bengali version of Geriatric depression scale-15 was applied for assessing level of depression. For descriptive statistics percentage, means were calculated and Chi- square test was applied for inferential statistics.

Result:
The mean age of the participants in the present study was 71 ± 10.12 years. More than fifty-eight percent of the participants had depression. Out of which, 48.09% had mild depression, 31.29% with moderate depression and 20.61% with severe depression. The living condition, social participation, activities of daily living and financial dependency were found to be significantly related with depression in this study.

Conclusion:
The present study revealed that prevalence of depression in the elderly population was more than fifty-eight percent. A support system can be developed in the community wherein they can interact with each other on a regular basis.
Is Methyl Methacrylate Fixator Reliable for the Treatment of Gartland Type IV Supracondylar Fractures?
Authors: Ciftci S , Safali S , Ergin M , Özdemir A , Acar MA 
Published: October 2023

ABSTRACT

Background:
In childhood supracondylar fractures of the humerus, fixation with percutaneous Kirschner wire is the standard treatment. In the case of irreducible–unstable fractures, these can be defined as fractures in which reduction is not well-achieved or in which fixation cannot be achieved with the K-wire. Intraoperative management of these types of fractures may be difficult. Treatment with a methyl methacrylate fixator consisting of K-wire and methyl methacrylate cement, as defined by the senior author of the article, may be a good option for Gartland type IV supracondylar humeral fractures where the fracture is unstable in flexion and extension due to complete periosteal tearing.

Materials and Methods:
The short-term and mid-term results of 27 patients between the ages of 4–12 with Gartland type IV supracondylar fracture of the humerus treated with methyl methacrylate fixation were reviewed. The patients were scored in terms of function and cosmetic satisfaction.

Results:
A total of 19 of the 27 patients treated with the methyl methacrylate fixator had full elbow motion function and rated the outcome of the treatment as excellent, which was judged by orthopedic surgeons on the basis of Flynn’s criteria. Six patients had nearly full elbow motion and evaluated their recovery outcome as good. Two patients reported nearly full range of motion (ROM) and evaluated the method as moderate in terms of treatment.

Discussion:
Treatment with the methyl methacrylate fixation method is an inexpensive method that allows early joint mobilization, provides strong biomechanical stability, ensures good outcomes, and should be considered in the treatment of irreducible and unstable supracondylar fractures of the humerus.
Can Gallbladder Wall Thickness and Systemic Inflammatory Index Values Predict the Possibility of Conversion from Laparoscopy to Open Surgery?
Authors: Balbaloglu H , Tasdoven I 
Published: October 2023

ABSTRACT

Background/Objective:
This study aims to develop an objective marker that predicts the risk of conversion from laparoscopy to open surgery using gallbladder wall thickness and inflammatory index values.

Materials and Methods:
A total of 2,920 cholecystectomy patients were screened, including those whose operations were converted to open and those who underwent laparoscopy. A total of 700 cholecystectomy patients who met the study criteria were included in the study. The same team of surgeons performed all operations. The conversion probability from laparoscopic to open cholecystectomy was calculated using the ratio obtained by evaluating inflammatory markers and gallbladder wall thickness (K). The preoperative complete blood count and abdominal ultrasound data of the patients were obtained from our university patient registry system.

Results:
Age, neutrophil count, gallbladder wall thickness, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), KxNLR, and KxPLR values were all significantly higher in the conversion from laparoscopy to open surgery group compared with the laparoscopic cholecystectomy group. According to the ROC analysis performed on the gallbladder wall thickness values according to the probability of conversion to open surgery, the cutoff value was determined as >3 mm. Gallbladder wall thickness >KxPLR >KxNLR was defined as the diagnostic value order according to the area under the curve.

Conclusions:
The results of this study showed that gallbladder wall thickness effectively determines the probability of conversion from laparoscopy to open cholecystectomy and multiplying the gallbladder wall thickness (mm) by NLR increased the sensitivity.
The Frequency of Thyroid Dysfunction in Patients with a Diagnosis of Depressive Disorder
Authors: Yilmaz D , Baykan O , Baykan H 
Published: October 2023

ABSTRACT

Objective:
Thyroid dysfunctions are among the most common endocrine disorders in society. An increase or decrease in thyroid hormone levels may present with neurological and/or psychiatric symptoms. In this study, we aimed both to determine the prevalence of this disorder in our region by determining the frequency of thyroid dysfunction in patients diagnosed with major depressive disorder in our outpatient clinic and to raise awareness during the evaluation process of patients.

Material and Method:
Thyroid-stimulating hormone (TSH) levels of 1035 patients diagnosed with major depressive disorder in our hospital between January 2020 and January 2022 were retrospectively scanned from the hospital information management system and those outside the reference ranges (0.38–5.33 mIU/L) were determined.

Results:
It was observed that TSH was not within the reference ranges in approximately 7% of the patients diagnosed with depressive disorder. 1035 patients were included in the study. When the blood results of 1035 patients included in the study were examined retrospectively, 32 of them had TSH values below 0.38 mIU/L. TSH value was found to be above 5.33 mIU/L in 44 of them.

Conclusion:
Obtained data have shown that thyroid dysfunctions can be encountered frequently in patients presenting with depressive complaints. It is thought that the evaluation of patients with depressive complaints in terms of thyroid dysfunction, and the treatment of the underlying thyroid dysfunction will contribute to the regression of psychiatric symptoms.
Comprehensive Nursing Program for Children with Epilepsy: A Randomized Controlled Trial
Authors: Wang J , Chen W , Lai Y 
Published: October 2023

ABSTRACT

Background:
Epilepsy is a relatively common childhood neurological disease. Children with epilepsy need to take precautions to minimize seizure damage in order to adapt to seizures and manage them.

Aim:
The current study aimed to evaluate the feasibility and effects of a comprehensive nursing program for children with epilepsy to reduce children’s symptoms of epilepsy.

Subject and Methods:
Participants were children suffering from epilepsy between 2019 and 2021 at Ningbo Women and Children’s Hospital. Seventy children were included in a randomized controlled trial with a comprehensive nursing group (CNG) and an active control group (ACG). Measurements were assessed pre- and post-intervention and at a one- and three-month follow-ups. Children in the CNG learned and practiced the strategies related to the comprehensive nursing intervention. The outcomes were anxiety and depression.

Results:
The results showed that anxiety and depression scores were significantly lower in the CNG than the ACG at 1 and 3 months after intervention (P < 0.05). According to the feasibility results, whereas most participants believed that the program was informative and meaningful, a minority reported that it was time-consuming.

Conclusion:
The intervention has the potential to support children with epilepsy. The program is easily accessible, cost-effective and could be implemented in epilepsy care rehabilitation.
Perception and practices on COVID-19 vaccination and booster dose acceptability among health-care workers – A questionnaire-based study
Authors: Rathinakumar Nivethia K. , Nishanthi Anandabaskar , Manickam Shanthi 
Published: October 2023

Abstract

Aim:
To assess the perception and practices on COVID-19 vaccination and to determine the predictors of booster dose acceptability among health-care workers (HCWs) in South India.

Materials and Methods:
We conducted an anonymous cross-sectional survey on the perception and practices on COVID-19 vaccination and booster dose acceptability among the HCWs in South India. We prepared an online self-administered validated questionnaire, and the Google form link to it was circulated from March 28, 2022 to April 27, 2022, in the social media groups of the HCWs. We used binary logistic regression to identify the predictors of booster dose acceptability among HCWs.

Results:
Overall, we obtained 572 valid responses, of which the majority were from paramedical workers compared to doctors. Most of the respondents were unmarried females aged <30 years. Around 31.6% had been previously diagnosed with COVID-19. About 97.9%, 88.8%, and 12.6% of the participants have taken the first, second, and booster doses of the COVID-19 vaccine, respectively. Among the respondents, 19.7% refused to take the booster dose. The main reason for booster dose refusal is the belief that two doses of the COVID-19 vaccine are sufficient to confer disease protection. Believing vaccination to be one of the most effective measures in COVID-19 prevention and being doctors by profession were the chief predictors of booster dose acceptance among HCWs.

Conclusion:
While the uptake of the primary COVID-19 vaccination series was commendable among Indian HCWs, booster dose was taken only by a minority of them.