bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the Success of Hysteroscopic Uterine Septum Resection
Authors: Mert Sule Atalay , Dilbaz Berna , Akpinar Funda , Diktas Elif Gulsah , Kinay Tugba , Ensari Tugba , Tekin Ozlem Moraloglu 
Published: September 2023

Objectives:
The aim is to use three-dimensional transvaginal ultrasonography (3-D TVUS) to evaluate the success of hysteroscopic metroplasty for the uterine septum and to compare the pregnancy outcomes.

Materials and Methods:
Thirty-eight patients with uterine septum who had hysteroscopic uterine septum resection were recruited. Preoperative 3-D TVUS measurements of the septal apex to the uterine fundus (s1), septal apex to internal os distance (s2), and intercornual distance (s3) were compared with the postoperative values. The pregnancies of the patients were followed up for a year postoperative period.

Results:
Out of the 38 patients, thirty-five had partial uterine septum (class U2a), while 3 patients had complete uterine septum (class U2b). Eighteen (47.36%) of the patients who underwent uterine septum resection achieved pregnancy, and thirteen of these pregnancies were (72.2%) term pregnancies, and all term pregnancies resulted in a live birth. Natural conception was achieved in 77.7% (14 of 18) of the patients. Term pregnancy occurred in 68.7% (11 of 16) of the patients with a partial septum and in 66.6% (2 of 3) of the patients with a complete uterine septum. A comparison of the 3-D TVUS measurements of the uterus pre- and postoperatively showed a decrease in s1 and an increase in s2 (P < 0.05). The uterine cavity length of pregnant patients was found to be higher than nonpregnant patients (P < 0.05).

Conclusion:
Reproductive results of hysteroscopic metroplasty were favorable in achieving live and term birth. three-dimensional TVUS can be preferred as a noninvasive effective method in objective evaluation of the success of the hysteroscopic surgery.
Short-term Outcome of Robotic and Laparoscopic Surgery for Gynecological Malignancies: A Single-center Experience
Authors: Minciuna Corina-Elena , Ivanov Mihail , Aioanei Sanziana , Tudor Stefan , Lacatus Monica , Vasilescu Catalin 
Published: September 2023

Objectives:
Minimally invasive surgery (MIS) has become the preferred option for many gynecologic pathologies since complication rate and postoperative recovery time have decreased considerably. Postoperative complications remain an important aspect when using the MIS approach, if they are not timely or accurately diagnosed and treated. The main aim of the study is to first assess their incidence, followed by identifying possible risk factors. Furthermore, the secondary aim is to identify if the type of MIS approach used, robotic or laparoscopic, may render some additional benefits.

Materials and Methods:
The database of the General Surgery Department was queried between 2008 and 2019 for patients with gynecologic pathology: 2907 cases were identified. An additional selection was performed using the following filters: MIS and neoplasia. All emergency surgeries were excluded. One hundred and ninety-eight cases were obtained.

Results:
The majority of complications were urological (11.6%) with only 7.07% requiring a specific urological procedure. The second most common was lymphorrhea 4.5%. Dindo–Clavien classification correlates positively with the postoperative hospital stay (PHS) (P = 0.000), the type of surgery (P = 0.046), the primary tumor location (P = 0.011), conversion rate (P = 0.049), the expertise of the lead surgeon (P = 0.012), and the operative time (P = 0.002). The urological complications correlate positively with the type of surgery (P = 0.002), the tumor location (P = 0.001), early reintervention (P = 0.000), operative time (P = 0.006), postoperative hemorrhage (P = 0.000), pelvic abscess (P = 0.000), venous thrombosis (P = 0.011), and postoperative cardiac complications (P = 0.002). Laparoscopic and robotic approaches were comparatively assessed. The PHS (P = 0.025), the type of surgery performed (P = 0.000), and primary tumor location (P = 0.011) were statistically significantly different.

Conclusion:
Postoperative complications reported after MIS for gynecological malignancies show similar incidence as in the current literature, also taking into consideration those for the open approach. The robotic approach seems to be able to perform more complex surgeries with no difference in the postoperative complication rates. The expertise of the lead surgeon in gynecology correlates with lower postoperative complications. Further prospective studies are needed to confirm these results.
Assessment of the effect of frequency of low-level laser therapy exposure at different intervals on orthodontic tooth movement – A systematic review and meta-analysis
Authors: Jnaneshwar Poornima R. , Venkatesan Keerthi , Prince Tsander , Pethuraj Vijayalakshmi , Rajaram Krishnaraj , Bhat Sachin 
Published: September 2023

OBJECTIVE:
To assess the optimal intervals of exposure of low-level LASER therapy (LLLT) that would optimally accelerate orthodontic tooth movement. Second objective was to quantitatively analyze the difference in the time taken for alignment of anterior teeth with and without the application of LASER.

MATERIALS AND METHODS:
PROSPERO database registry was done (CRD42020196472) and review was conducted based on PRISMA guidelines. A search was systematically conducted in five major electronic databases without restrictions up to June 2020 along with a hand search of selected journals. The quality of evidence was assessed using the Grading of Recommended Assessment, Development, and Evaluation tool, risk of bias using Cochrane risk of bias tool, and meta-analysis was carried out using RevMan 5.4 software.

RESULTS:
Ten randomized controlled trials which met the inclusion criteria were evaluated and tabulated. A random-effects meta-analysis demonstrated that there is a statistically significant increase in the orthodontic tooth movement when patients were exposed to minimum of four intervals of LLLT in the first month, at P =0.03 by a standard mean difference of 0.46 mm with an overall heterogeneity of I2 = 0% at 95% confidence interval. There was a statistically highly significant reduction in the number of days taken for alignment of anterior teeth with the application of LASER (P < .00001).

CONCLUSION:
Application of LLLT for minimum of four irradiations in the first month has yielded better results in accelerating orthodontic tooth movement than application of LLLT once a month.
Alignment efficiency of heat activated and superelastic nickel-titanium archwires in orthodontic patients over three months: A Single-center, randomized clinical trial
Authors: Amaya González Suly Y. , Roncancio Alexandra Pérez , Acuña Estefanía Ángel , Guevara Barreto Luz A. , Vargas Natalia Muñoz , Plaza-Ruiz Sonia P. 
Published: September 2023

OBJECTIVE:
The aim of this 2-arm parallel study was to evaluate the alignment efficiency of heat-activated nickel-titanium (NiTi-TE) and superelastic nickel titanium (NiTi-PSE) archwires over the first 3 months of orthodontic treatment and compare these groups.

SETTING AND SAMPLE POPULATION:
Randomized, double-blind, controlled, single-center trial in 52 patients with fixed orthodontic appliances from an orthodontic graduate program in the permanent dentition and moderate crowding in the lower arch.

MATERIAL AND METHODS:
Patients were randomly allocated to one of two interventions: NiTi-TE and NiTi-PSE archwires, 0.014-inch (3M Unitek™, CA, USA) with a follow-up period of 3 months. The primary outcome was the alignment efficiency determined by the reduction in Little's irregularity index (mm), measured in three points, T0: before the start of orthodontic treatment, T1: 1 month later, T2: 2 months later, T3: 3 months later. Data were analyzed using independent sample t tests and repeated measures ANOVA.

RESULTS:
52 patients (NiTi-TE n = 26; NiTi-PSE n = 26) were randomized and analyzed (average age: 21.73; standard deviation (SD): 6.07; average lower anterior irregularity: 5.20; SD: 0.76) for intention-to-treat (ITT) analysis. No statistically significant differences between the groups were found (mean of the differences: T1: 0.20; 95% CI: –0.558; 0.958; T2: 0.49: 95% CI: –0.339; 1.319; T3: 0.33; 95% CI: –0.308; 0.968). The resolution of crowding with each of the wires was significant (P < 0.0001) at all times. Twelve participants (2 treated with NiTi-TE and 10 treated with NiTi-PSE) lost follow-up due to face-to-face dental-procedures restrictions during the COVID-19 pandemic, the missing data was imputed.

CONCLUSIONS:
NiTi-TE and NiTi-PSE wires of 0.014-inch were similar in their clinical efficiency for the resolution of crowding during the first 3 months of orthodontic treatment.

REGISTRATION:
Clinical Trials NCT03256279.
A comparison of the quadhelix and the nickel-titanium palatal expander in the treatment of narrow maxillary arches: A prospective clinical study
Authors: Revankar Ameet Vaman , Bhat Sagar S. , Rozario Joe E. 
Published: September 2023

OBJECTIVES:
The study aimed to compare the effects of quadhelix and nickel-titanium (NiTi) expander appliances on lower facial height, to quantify, and evaluate dentoalveolar and orthopedic changes in transverse plane, respectively, to estimate the difference in changes between these two appliances.

MATERIALS AND METHODS:
Twenty patients, ten for the quadhelix and NiTi expander in the two-appliance group, respectively, participated in this study. A total of 8 readings, 1 for clinical facial height, 2 for model analysis, and 5 for posteroanterior cephalometric analysis were recorded. The statistical tests used were, Student's unpaired and paired t-tests.

RESULTS:
Both appliances individually, produced statistically highly significant (p < 0.01) expansion every month in both premolar and molar areas with more uniform expansion for quadhelix and less expansion in NiTi palatal expander in the premolar region initially. The skeletal to dental change ratio showed that there was more dental change than skeletal with no inter-appliance differences statistically while assessing the PA cephalometric readings.

CONCLUSIONS:
This study infers that both appliances are equally efficacious maxillary expanders, which are primarily dentoalveolar and not skeletal (p < 0.05).
The COVID-19 experience of orthodontists in Jordan
Authors: Sabbagh Yana , Chadwick Stephen M. , Lewis Benjamin R.K. , Abu Alhaija Elham S. 
Published: September 2023

OBJECTIVES:
To understand the impact of the COVID-19 pandemic on orthodontic clinical services in Jordan.

MATERIALS AND METHODS:
Google Forms electronic questionnaires were distributed between March and June 2021 using the WhatsApp platform of the Jordanian Orthodontic Society and via direct WhatsApp messages. The survey was identical and contemporaneous to that used in the United Kingdom.[9]

RESULTS:
The survey yielded 127 unique responses, giving a response rate of 53.1%. The factors that had the greatest impact on service delivery were government guidance (78%), patients' fear of attending (70.1%), and increased cross-infection measures (65.4%). The survey revealed that there had been a perceived deterioration in oral hygiene (60.3%) and levels of compliance (61.9%) in patients in active treatment even though patients in treatment were prioritized during the pandemic. Also, 56.8% of respondents felt clinical staff should be vaccinated and undergo regular testing for COVID-19. Orthodontists within Jordan were optimistic regarding the speed at which clinical services would return to pre-pandemic levels of activity with 32.5% anticipating this would take less than 6 months.

CONCLUSIONS:
Patients in active orthodontic treatment, during COVID-19, have been prioritized but at the expense of new and review patients. Respondents in Jordan felt COVID-19 would have ongoing effects on clinical care, professional practice, and society. Most respondents supported the vaccination of orthodontic staff and were optimistic about the effect of a vaccination program on restoring clinical services.
Effect of Injectable platelet-rich fibrin (i-PRF) on new bone formation in surgical expansion with mini-screw assisted rapid palatal expander: A dog model study
Authors: Awni Khawla M. , Dewachi Zaid , Al-Hyani Osama Hazim 
Published: September 2023

OBJECTIVES:
The objective of the study is to test whether the local injection of i-PRF may affect osteoblast, blood vessels and new bone formation in surgically expanded mid palatal suture using maxillary skeletal expander.

MATERIALS AND METHODS:
Eighteen adult male local breed dogs were divided randomly into three groups: group I (control), includes the expansion with maxillary skeletal expander that was done without corticotomy and i-PRF. Group II, involves the expansion that was done with mid palatal corticotomy but without i-PRF injection. Group III, has the expansion that was done with mid palatal corticotomy and has injection with 2 ml of i-PRF. Each group consisted of 6 dogs which were subdivided into 3 dogs. Three dogs were sacrificed after 15 days and the other 3 dogs were sacrificed after 45 days. The number of osteoblast, blood vessels and new bone formation percentage were statistically analyzed using Sigma plot platform. Mean and standard error, ANOVA and Duncan were performed among the different groups. Values of P ≤ 0.05 were considered significant.

RESULTS:
After expansion, the i-PRF group demonstrated a considerable increase in the amount of new bone in the mid-palatal suture at 15 and 45 days compared with other 2 groups which were indicated by highest percentages of new bone formation (29.30% of 15 days and 76.55% at 45 days) if compared to control group which were (7.72% at 15 days and 22.30% at 45 days). The corticotomy groups were in between, 15.33% and 46.84% respectively. Moreover the number of osteoblasts was higher in corticotomy with i-PRF group on 15 days and decreased on 45 days than the other two groups, while the blood vessels were highest in this group than the other two groups both on 15 and 45 days.

CONCLUSION:
I-PRF enhanced the production of osteoblast, blood vessels, and new bone in the surgically expanded mid palatal suture.
A comparative evaluation of nickel-titanium wires and clear aligners in the management of mandibular incisor crowding
Authors: Ashutosh W , Verghese Yohan , Mohammed Azhar , Devanna Raghu , Bhardwaj Rishibha , Sahu Anshu , Babaji Prashant 
Published: September 2023

OBJECTIVES:
To compare nickel-titanium (NiTi) wires and clear aligners in the management of mandibular incisor crowding.

METHODS:
Seventy-two participants were arbitrarily alienated into two groups with 36 samples in each. Group I participants were treated with NiTi arch wires and group II participants with clear aligners. Malocclusion was evaluated using Little's irregularity index. A questionnaire was applied to record the discomfort levels. Patients were recalled regularly at four weeks, eight weeks, and twelve weeks.

RESULTS:
At baseline, the mean score was 2.91 mm and 2.72 mm; at 4 weeks, it was 1.64 mm and1.48 mm; at 8 weeks, it was 0.98 mm and1.0 mm; and at 12 weeks, it was 0.68 mm and 0.52 mm in groups I and II, respectively. The mean change in Little's irregularity index score at 4 weeks was 1.27 mm and 1.24 mm; at 8 weeks, it was 0.66 mm and 0.48 mm; and at 12 weeks, it was 0.30 mm and 0.48 mm in groups I and II, respectively. The disparity was not-considerable (p > 0.05). The mean discomfort score at baseline was 2.8 and 2.5; at 4 weeks, it was 2.4 and 2.0; at 8 weeks, it was 1.8 and 1.4; and at 12 weeks, it was 1.3 and 1.0 for groups I and II correspondingly. The disparity was non-significant (p > 0.05).

CONCLUSION:
From the present study, it was found that both NiTi wires and clear aligners were equally effective in managing mandibular anterior crowding cases.
SOFT syndrome with Kohlschutter–Tonz syndrome
Authors: Mondkar SA , Khadilkar V , Kasegaonkar P , Khadilkar A 
Published: September 2023

ABSTRACT
We report a 2.2 year-old-boy, born of consanguineous marriage, referred for short stature, with history of neonatal death and skeletal deformities in his older sibling. Rhizo-mesomelic dwarfism was detected antenatally. Within 24 hours of birth, he developed multiple seizures. Examination revealed severe short stature, dolichocephaly, broad forehead, deep set eyes, low set ears, bulbous nose, small, irregular teeth, pointed chin, and triangular facies. He had rhizomelic shortening, stubby fingers, pes planus, and scanty hair. Neurological evaluation revealed ataxia, hypotonia, and global developmental delay. Skeletal survey radiograph revealed shallow acetabuli, short femurs and humerus, short, broad metacarpals and short cone-shaped phalanges with cupping of phalangeal bases. Clinical exome analysis revealed homozygous mutations involving the POC1A gene and the SLC13A5 gene responsible for SOFT syndrome and Kohlschutter-Tonz syndrome respectively, which were inherited from the parents. Both these syndromes are extremely rare, and their co-occurrence is being reported for the first time.
Femtosecond laser-assisted corneal transplantation
Authors: Liu Chang , Mehta Jodhbir S. , Liu Yu-Chi 
Published: September 2023

AbstractCorneal transplantation is the only surgical option to improve symptoms and vision in patients with severe corneal opacification. With the evolution and development of keratoplasty techniques, corneal surgeons can perform customized keratoplasty, with complex graft–host junctions to promote wound healing and accelerate visual rehabilitation. Femtosecond laser (FSL) enable customization of the thickness and shape of the graft has been used for trephination of both donor and recipient corneas and for creating special wound configurations. In this review, we have summarized the intraoperative application and postoperative outcomes of FSL-assisted keratoplasties, including penetrating keratoplasty, anterior lamellar keratoplasty (ALK), deep ALK, Descemet stripping automated endothelial keratoplasty (EK), and Descemet membrane EK. Although FSL allows for the customization and precision in keratoplasty, several concerns, such as cost-effectiveness, limit its wider clinical adoption. Hence, more work is required to weigh the advantages and limitations of the FSL applications in corneal transplantation.
Історичні особливості таджицького соціуму радянського періоду
Authors: Бульвінський А.Г. 
Published: September 2023

У статті здійснено аналіз особливостей таджицького соціуму радянського періоду. Сучасна таджицька ідентичність почала формуватися лише на початку XX ст. із виходом у 1912 р. першої таджицької газети «Бухорои шариф» («Священна Бухара»). До особливостей таджицького соціуму радянського періоду ми віднесли відсутність досвіду незалежного державного існування; низький рівень національної самосвідомості населення, адже таджицька ідентичність відокремилась від загальномусульманської та загальноперської лише у 1920-х рр.; вдячність радянській владі за відродження таджицької державності спочатку у форматі таджицької національної автономії, а з 1929 р. – Таджицької РСР; фактична відсутність досвіду життя народу при капіталістичному ладі; політичним носієм таджицької національної самосвідомості стала Компартія Таджикистану в особі національної партійної еліти, яка й конструювали нову таджицьку ідентичність; поступове набуття російською мовою статусу мови міжнаціонального спілкування у Таджикистані та заміна таджицько-узбецької двомовності таджиків таджицько-російською; підпорядкування таджицької культури радянській імперській культурі що з часом виховало у таджицькому соціумі компліментарне ставлення до СРСР і Росії загалом та щиру політичну лояльність щодо них; розширення багатонаціональності та соціально-професійної сегментції таджицького соціуму при якій корінне населення переважно було зайняте в сільському господарстві, торгівлі, культурі та освіті, а приїжджі зайняли провідні позиції у промисловості, конструкторських бюро, наукових установах; складна географічна конфігурація держави, нерозвинутість державних та економічних структур країни стали причиною територіальної відособленості та роз’єднаності таджицького суспільства, а також формування регіональних кланів – ходжентського, кулябського, гармського та памірського.
Проблеми та перспективи розвитку Республіки Казахстан у сучасних умовах
Authors: Деменко О.Ф. 
Published: September 2023

У статті проаналізовано особливості внутрішньої та зовнішньої політики Республіки Казахстан у сучасних умовах. Встановлено наявність складних проблем у політичному і соціально-економічному розвитку Казахстану та ускладнення геополітичної ситуації як довкола цієї країни, так і в центральноазійському регіоні загалом. З’ясовано, що президент К.-Ж. Токаєв з метою зміцнення своїх позицій здійснює перезавантаження влади шляхом внесення змін до Конституції, проведення дострокових президентських і парламентських виборів та оновлення місцевих адміністрацій. У результаті в країні завершився процес транзиту влади, а перший президент Н. Назарбаєв втратив свій статус та вплив на політичні процеси. Встановлено, що обіцянки К.-Ж. Токаєва реалізувати програму соціально-економічних реформ, знизити корупцію, провести децентралізацію влади та відкрити громадянам більше можливостей для участі у політиці залишаються нереалізованими.
Реагуючи на війну Росії проти Україні та події січня 2022 р., Казахстан оновив воєнну доктрину, у якій відтепер зроблено наголос на необхідності посилення захисту кордонів та протидії внутрішнім загрозам. У зовнішній політиці Казахстан продовжує декларувати багатовекторність і прагматизм, дотримуючись політики нейтралітету і запобігаючи власному залученню у міжнародні конфлікти. Астана прагне до пошуку нових партнерів та поглиблення вже існуючих зв’язків з іншими державами. Водночас у казахстанському суспільстві наростають сумніви щодо доцільності привілейованого становища Росії у зовнішній політиці Казахстану, з огляду на усвідомлення загроз, які надходять з боку цієї агресивної та непередбачуваної країни.
ANÁLISE SITUACIONAL SOBRE TRABALHO E EMPREGO EM MOÇAMBIQUE, NA CIDADE DE MAPUTO
Authors: Jeque Anisio Jorge 
Published: September 2023

No presente estudo procurou-se fazer o diagnóstico situacional sobre o trabalho e emprego em Moçambique e cidade de Maputo, permitiu-se identificar as diferentes práticas e discursos desenvolvidos envolta da situação do trabalho e emprego nas diversas atividades de empregabilidade, a pesquisa baseou-se na perspetiva teórica de interacionismo simbólico defendida por Margaret Mead (1973) que tem como objetivo analisar a forma, o nível de interação e as motivações dos jovens em optar pelo comércio informal, o não acompanhamento na dinâmica do sector formal, o aumento da força de trabalho, possibilitando perceber que os jovens partilham discursos e práticas no quotidiano que são motivados pelo desemprego e a consequente falta de opções. A abordagem metodológica do presente estudo é tomando em consideração aquilo que são as inquietações sociais e atitudes em relação ao trabalho e emprego na cidade de Maputo, com vista a despertar o sector formal a dar solução de emprego a jovens.