bluuebunny/crossref_metadata_2025_split huggingface dataset:
Features of Anxiety and Arterial Pressure Level in Children with Chronic Gastroduodenal Pathology
Authors: Nechytailo Yu N. , Nechytailo Dmytro Yu. , Nechytailo Tetiana A. , Kovtyuk Natalia I. , Mikhieieva Tetiana N. , Poniuk Valentyna V. 
Published: December 2022

Context:
The children of the school-age are most prone to the development of hypertension, which is determined by the characteristic disorders of the autonomic function for this period of childhood, which is accompanied by an increased level of anxiety.

Aims:
The aim of this study was to assess the level of anxiety in the background of fluctuations of blood pressure (BP) in schoolchildren with chronic gastroduodenal pathology.

Settings and Design:
This was a cross-sectional study done in city children's clinical hospital conducted for 8 months.

Subjects and Methods:
One hundred and twenty children with chronic gastroduodenal pathology were examined. To assess the level of arterial hypertension by tonometry. Spielberger-Hanin scale was used to assess the level of personal and situational anxiety.

Statistical Analysis Used:
Statistical analysis was performed using descriptive and inferential statistics and software used in the analysis was Statistica 12 (Statsoft, USA) and P < 0.05 was considered as the level of statistical significance.

Results:
In assessing the level of BP in children by percentile tables, it was found that in the second group there is a greater tendency to hypertension than in the first group, and in the children of second group, there were higher rates of both systolic and diastolic BP. In addition, children of the second group experienced an increase in both the personal and situational levels of anxiety.

Conclusions:
Children with chronic hyperplastic and erosive gastroduodenitis more often observed an increase in BP, also they experience significantly higher levels of both personal and situational anxiety.
Human Papillomavirus Immunohistochemistry in High Grade Squamous Cell Lesions of Esophagus
Authors: Agrawal Purvee , Bhake Arvind 
Published: December 2022

Background:
Over the past decade, the cause–effect relationship between human papillomavirus (HPV) and squamous cell carcinoma (SCC) of the esophagus has been worked over. A few reports in the literature have demonstrated HPV protein within premalignant and malignant cells of SCC of the esophagus.

Aims and Objectives:
The aim was to study the high-grade squamous cell lesions and its relation with high-risk HPV infection to be evident on immunohistochemistry for high-risk HPV on biopsies of esophageal lesions.

Materials and Methods:
Biopsy from 20 esophageal growth processed conventionally, and histological section is stained by hematoxylin and eosin stains; paraffin-embedded tissue of esophageal lesions is processed and stained for immunohistochemistry in the detection of HPV by cocktail HPV16 and HPV18 antibodies by the standard procedure.

Results:
The present poster describes the results of immunohistochemistry for high-risk HPV on 20 cases of esophagus premalignant squamous cell lesions along with the SCC types and its grade. It has been observed that five cases have been demonstrated for positive results of immunohistochemistry for high-risk HPV.

Conclusions:
It may be postulated that HPV plays an important role in the pathogenesis of SCC esophagus.
An Observational Study about Incidence of Upper Gastrointestinal Bleeding, Endoscopic Profile of Patients in Tertiary Care Hospital
Authors: Pawde Sanujit A. , Chougale Abhay D. 
Published: December 2022

Background:
Despite treatment advancement of upper gastrointestinal bleeding (UGIB), overall mortality has still remained constant and the reasons behind it are still unclear.

Aim:
The aim is to study the endoscopic profile of patients suffering from UGIB in a tertiary care hospital.

Materials and Methods:
Observational study conducted among consenting patients, undergoing Esophago gastro duodenoscopy in the department of general surgery at a tertiary care hospital, between November 2018 and April 2019. Cases included were (n = 86). Standard case history pro forma was used for data collection. Interventions were given in the form of pharmacotherapy, endoscopic band ligation, and sclerotherapy. Follow-up was done after 2 months. Data were analyzed using R software version 3.6.0. Chi-square test used to find the association between variables (P < 0.05).

Results:
Most patients were male (n = 78) with a mean age of 48.05 ± 14.96 years. Common complaints were of melena (n = 71). History of cases included in this study; history of alcoholic liver disease (n = 35), long-term use of nonsteroidal anti-inflammatory drugs (NSAIDS) (n = 26). The common causes for GI bleeding were esophageal varices (n = 52). Significant association was observed between diagnosis and alcoholic liver disease (P = 0.004), history of long-term NSAIDS (P = 0.002), respectively. All cases were given pharmacological intervention. Higher statistically significant association found between follow-up and sclerotherapy(P = 0.0004). Association was seen between the number of interventions and follow-up (P = 0.016). Adverse event in form of bleeding was seen in 1.2% of cases.

Conclusion:
The most common cause of UGIB was esophageal varices. Combination of interventions could provide solution to reduce mortality in cases of UGIB.
Design and Evaluate Psychometric Properties of Scale to Assess Students' Perception toward Online Teaching in Nursing Education
Authors: Sharma Suresh K. , Mudgal Shiv K. , Gaur Rakhi 
Published: December 2022

Background and Aims:
Given the scarcity of a valid and reliable tool specially designed to measure perception to online teaching in nursing science students. This study was done with an aim to design and evaluate the psychometric properties of perception to online teaching questionnaire.

Methods:
The present study was conducted using mixed-method approach in two phases at the Eternal University, in 2020. In first phase, qualitative study was done to explore the students' perception on online teaching. Then, the theme and subtheme were extracted, and initial items were developed through reviewing the literature. In the second phase, total of 384 nursing students who were recruited conveniently participated in the study. Furthermore, the psychometric properties including face, content, and construct validities, test–retest reliability and internal consistency (Cronbach's alpha), were measured in the second phase. Statistical analysis was done using SPSS Analysis of Moment Structure version 23 (SPSS Inc., Chicago, IL, USA) for quantitative data.

Results:
Four factors were extracted through exploratory factor analysis. The confirmatory factor analysis confirmed 28 items in four factors: Ascendancy, snag, technophilia and prerequisites, and these factors explained 61.67% of variances. The Cronbach's alpha and stability of the questionnaire were 0.906 and 0.91, respectively. The discriminant validity and composite reliability of this final model were confirmed.

Conclusion:
This proposed questionnaire had met at desired standard of reliability and validity making it a useful measurement tool for measuring the perception to online teaching in nursing science students. It could be used for teaching–learning method improvement.
Pulse of Gujarat during Lockdown
Authors: Saha Somen , Puwar Tapasvi , Saxena Deepak , Kotwani Priya , Raval Devang , Kandre Yogini , Qureshi Abid 
Published: December 2022

Background:
Coronavirus pandemic has dealt a severe blow to India's poor and socioeconomically disadvantaged group. Among a nationwide lockdown to contain the spread of the infection. This study assessed the availability of food and access to healthcare among the vulnerable population of Gujarat– pregnant women and severe acute malnourished children. Specifically, we assessed events of starvation or skipped meal, availability of healthcare services, and self-reported psychological distress during the lock down.

Materials and Methods:
A cross-sectional study across 252 talukas and 33 districts of Gujarat was undertaken using a structured questionnaire. A telephonic survey was carried out and positive responses were received from 161 households (HHs) with severe acute malnourished children, 328 pregnant women with severe maternal anemia, and 402 lactating women.

Results:
We found 79.7% of surveyed HHs received ration where major reliance was on public distribution system (51.7%). Less than half of the beneficiaries (48.6%) received take-home ration under the ICDS program. Despite efforts of the State as well as voluntary agencies, 7.3% of HHs experienced episode of hunger, mostly from Devbhumi Dwarka, and Navsari district. A third of the respondents showed signs of psychological distress associated with lockdown.

Conclusion:
Food insecurity may lead to malnutrition impairing the immunity of the individuals to cope with the disease. Thus, given the uncertainty around the emergency situation, preparedness measures should not only focus on the availability of healthcare commodities but also to ensure the availability of other essentials, especially to the socioeconomic disadvantaged group.
Evaluation of Efficacy of Hi-Ora Mouthrinse as Against 0.12% Chlorhexidine in Treatment of Patients with Chronic Gingivitis
Authors: Akkaloori Anitha , Al Shayeb Maher , Raman Praveena , Punnoose Kurian , Pattanaik Prajna , Preethanath Reghunathan S. , Babu J. Suresh , Swarnalatha C. , Nayyar Abhishek Singh 
Published: December 2022

Background:
The present study was planned to compare the efficacy of Hi-Ora mouthrinse as against 0.12% chlorhexidine (CHX) in treatment of patients with chronic gingivitis.

Materials and Methods:
The present study was designed as a randomized controlled trial including 90 patients with chronic gingivitis who were divided into three groups including Group A in which 0.12% CHX was prescribed, Group B in which patients were prescribed Hi-Ora, and Group C in which normal saline was prescribed after oral prophylaxis while the mean gingival index (GI) and plaque index (PI) scores were recorded after 1 week. Inter-group comparisons between different groups were done with the help of Independent t-test and Tukey's post hoc test while P < 0.05 was considered statistically significant.

Results:
In the present study, the mean GI score (postintervention) was found to be 0.71 ± 0.27 in CHX, 0.68 ± 0.17 in Hi-Ora, and 1.59 ± 0.55 in the normal saline group with the results being statistically significant (P < 0.0001). Similarly, the mean PI score in the present study was found to be 0.81 ± 0.34 in the CHX group with the corresponding values being 0.79 ± 0.28 in Hi-Ora and 1.86 ± 0.61 in the normal saline group with statistically significant results (P < 0.0001).

Conclusions:
The results of the present study suggested Hi-Ora to be equally efficacious as 0.12% CHX in reducing the mean GI and PI scores in patients with chronic gingivitis.
Finite Element Bite Force Two-Body Wear Analysis of the Titanium-Based Dental Biomaterials
Authors: Yilmaz Efe Çetin 
Published: December 2022

Background:
It has become an increasingly important issue to be able to predict the behavior of biomaterials placed in the human body over the time periods. It is always desirable for the biomaterial to have the ability to show the desired mechanical and esthetic behaviors throughout the determined treatment process. Researchers develop many laboratory and modeling test mechanisms to determine the behavior of biomaterials over time periods. The aim of this study is to perform computer-aided analysis of the mechanical behavior of titanium biomaterial, which is frequently preferred in the human body, under different chewing forces.

Materials and Methods:
In this study, 20N, 40N, 60N, 80N, and 100N chewing forces were applied to the titanium test specimen prepared in the cylindrical shape. The chewing load analyses obtained after the test were evaluated by comparing with the previous experimental study (mean chewing force as 50N).

Results:
With the data obtained as a result of this study, it was observed that more plastic deformation occurs when the chewing force increases. It has been predicted that an increased wear area may occur in the test material due to the movement of the chewing mechanism.

Conclusion:
It can be said that choosing the average chewing force in experimental studies contributes to the occurred of less wear areas on the test material compared to the random chewing forces test procedures.
Assessment of the Knowledge, Practice, and Perception of COVID-19 among Patients Attending the General Practice Clinic of a Tertiary Hospital in South-South, Nigeria
Authors: Enabulele Osahon , Ikhurionan Somhi , Etu Doyle 
Published: December 2022

Background:
Coronavirus disease 2019 (COVID-19) is a highly infectious disease that has affected peoples of all ages, gender, and income groups. Public health measures to limit the spread of the disease have not been well adhered to in Nigeria, due partly to poor public awareness and perception of the disease.

Aim:
This study assessed the knowledge of COVID-19, its perception, and practice of preventive measures, among patients attending the General Practice Clinic (GPC) of a tertiary hospital in Nigeria, with the hope of obtaining insights to guide strategic policy intervention to enhance adherence to prescribed public health measures.

Subjects and Methods:
This was a descriptive cross-sectional study conducted among patients attending the GPC of a tertiary hospital in Nigeria. A pretested semi-structured questionnaire was used to obtain data from study participants. Data analysis was done using the IBM SPSS statistics version 22.0 (Chicago, IL, USA) statistical software.

Results:
Virtually all the respondents (99.2%) were aware of COVID-19. Majority had a good knowledge of COVID-19 (55.1%), good perception of COVID-19 (51.6%), and good practice of preventive measures against COVID-19 (50.4%). Most respondents (57.0%) were of the view that government agencies are not sincere in the fight against COVID-19.

Conclusion:
A majority of the study participants had a good knowledge and perception of COVID-19 and a good practice of preventive measures. There was a positive correlation between knowledge and perception; knowledge and practice; and perception and practice. We recommend that information and educational messages should be timely and transparently delivered to the people, with public and political office holders showing exemplary leadership.
Is 99m Technetium (Pertechnetate) More Efficient in Clinical Evaluation of Thyroid Lesions Compared to 123 Iodine? A Scoping Review
Authors: Alelyani Magbool , Alshehri Mohammed , Shubayr Nasser , Alashban Yazeed , Alshihri Abulaziz 
Published: December 2022

Background:
This research aims to find out which radiopharmaceutical is more efficient to evaluate thyroid lesions, such as hyperthyroidism, Graves' disease (GD), or even cold or hot thyroid nodule identification (is 99mtechnetium [99mTc] or 123iodine [123I] suitable in this case?).

Materials and Methods:
An extensive computerized search was done by the authors, revealing 61 studies in total. 49 studies were excluded for various reasons, so only 12 were eligible for inclusion in this review.

Results:
Majority of the studies suggested that the use of 99mTc over 123I. 99mTc is a suitable choice to evaluate thyroid disorders. However, 123I can be broadly used in assessing thyroid functions, detecting malignancy and causes of thyrotoxicosis, calculating therapeutic dosages of 131I, and identifying cold or hot lesions effectively due to its superior accumulation in thyroid.

Conclusion:

99mTc is a nonphysiologic compound widely used to evaluate thyroid abnormalities, and it has a noticeably low biodistribution in the thyroid. On the other hand, 123I is an organic compound with excellent biodistribution that is used to gather further information on thyroid functions and susceptibility and prevalence of toxic adenoma, GD, and cold or hot thyroid nodule evaluation.
Association of metabolic syndrome with different phenotypes of polycystic ovarian syndrome among Filipino women in a tertiary hospital
Authors: Belen Maria Anjelette Patricia F. , Lao Susana S. 
Published: December 2022

INTRODUCTION:
Polycystic ovarian syndrome (PCOS) is a common endocrinopathy affecting women during reproductive age. Women affected by PCOS generally have a higher risk of developing Metabolic syndrome (MetS). MetS on each phenotype of PCOS reflects some phenotypes with worse metabolic profiles and a higher risk of developing long-term complications in women with PCOS.

OBJECTIVE:
To determine the association of MetS with different phenotypes of PCOS among Filipino women in a tertiary hospital.

MATERIALS AND METHODOLOGY:
This is a retrospective cohort study of 154 women in a tertiary hospital, both private and service divisions.

RESULTS:
A total of 154 patients with PCOS were analyzed in this study: 67 (43.51%) Phenotype A, 25 (16.23%) Phenotype B, 3 (1.95%) Phenotype C, and 59 (38.31%) phenotype D. The prevalence of MetS in PCOS was 69.48%, with no significant difference statistically between phenotypes. MetS was most prevalent in Phenotype A (74.63%) and least prevalent in phenotype D (62.71%). Among Filipino women with PCOS, Phenotype A had a 2.5 times increased risk of developing MetS compared to Phenotype D.

CONCLUSION:
Phenotype A is the most common phenotype and has the highest prevalence in developing metabolic changes. Increasing body mass index and age played significant roles in elevating the risk of developing MetS. Early detection of MetS in all phenotypes of PCOS can aid in preventing the development of long-term complications such as cardiovascular disease and diabetes mellitus type II.
Finite element analysis to assess stress and deformation in bone with glass fiber-reinforced-poly-ether-ether-ketone, zirconia, and titanium implants
Authors: Haseeb Syeda Amtul , Kumar Anju S , Chaitra M. P. , Vinaya K. C. , Gudal Soumya Shivananda , Rahmam Fathima Parveen , Babaji Prashant 
Published: December 2022

ABSTRACT

Objectives:
Recently, zirconia ceramic and glass or carbon fiber-reinforced poly-ether-ether-ketone (PEEK) composites have been introduced as newer implant biomaterials. This study was done to evaluate stress and deformation in bone with glass fiber-reinforced (GFR)-PEEK, zirconia, and titanium implants.

Materials and Methods:
A geometric model of mandibular molar replaced with implant-supported crown was generated. Implant of 12 mm length and 4.5 mm diameter was used in study. Finite element analysis models of implant assemblies of three materials GFR-PEEK, zirconium, and titanium were generated. 150 N loads were applied obliquely and vertically along the long axis of implant. Von Mises stresses and deformation generated were compared using ANSYS Workbench 17.0 and finite element software.

Results:
All three implant assemblies, i.e., GFR-PEEK, zirconia, and titanium, demonstrated similar stresses and deformation in bone without significant difference.

Conclusion:
It was concluded that GFR-PEEK and zirconia implants can be used as a substitute to titanium implants.
Prevalence of Burnout and Psychiatric Illness among Postgraduate Trainee Doctors of a Tertiary Care Hospital
Authors: Roy Surjya , Mallik Nitu , Saha Indranil , Datta Subhendu , Mallick Asim Kr 
Published: December 2022

Objective:
Burnout is a state of physical and emotional depletion, and it is a result of prolonged exposure to the stressful working environment. Burnout has three primary symptoms: (a) emotional exhaustion (EE) occurs due to a depletion of emotional resources, feeling no longer to give any more to their job; (b) depersonalization (DP) occurs in response to EE, making employees detached from their job and developing uncaring attitudes to their work; and (c) reduced personal accomplishment (PA) with perceiving less enjoyment from their work. Psychological distress is also higher among medical students and doctors than that in the general population. In this study, we intended to study the prevalence of burnout and various psychological problems among postgraduate trainee (PGT) doctors of a tertiary care hospital.

Methods:
In this cross-sectional study of one year, we recruited postgraduate training doctors whoever gave valid and informed consent.

Results:
We included 170 PGTs from various clinical departments at the time of our study, but 126 PGTs were included as the sample population. They were assessed for sociodemographic determinants first. Then received assessment using sociodemographic pro forma and Abbreviated Maslach Burnout Inventory and International Classification of Diseases 10 for screening psychiatric morbidity among them.

Results:
In this study, 31.7% of PGTs had high EE, 34.9% of them higher DP, and 30.2% of them a high burnout rate. Of them, 31.7% of PGTs had a reduced PA with a score ≤ 25 percentile. In this study, 83.3% had no psychiatric illness and 16.7% had a psychiatric disorder. Among psychiatric disorders, 4% had harmful use of tobacco, 4% had mild depression, 1.6% had panic disorder, 4.8% had mixed anxiety depression, 1.6% had obsessive-compulsive disorder, 0.8% had harmful use of alcohol. Highest EE was noted among PGTs from the Department of Anesthesiology, followed by those from the Departments of Pulmonary Medicine and then Radiotherapy.

Conclusion:
One-third of PGTs suffered from burnout. Psychiatric diseases were also increased with a higher burnout rate.
Transformasi Kearifan Lokal Berbasis Pendidikan Agama Kristen Multikultural pada Pendidikan Tinggi
Authors: Poceratu Imelda Christy , Rumahuru Yance Zadrak , Lumamuly Pitersina Christina 
Published: December 2022

Multicultural education is a progressive approach to transform multicultural education into an urgent need to be carried out in universities, especially in Maluku, as an area that has plural characteristics, and has even experienced social conflicts. Multicultural education as an instrument of social engineering encourages universities to play a role in instilling awareness in a multicultural society and developing an attitude of tolerance and tolerance torealize the needs and ability to cooperate with all existing differences. This research uses qualitative methods with a descriptive approach. Through local wisdom owned by the Maluku people, pela gandong culture can be used as a role model for higher education that is multicultural. The implementation of multicultural education in universities, especially Universitas Pattimura, must be able to develop inclusive multiculturalism based on local cultural wisdom in Maluku. AbstrakPendidikan multikultural merupakan suatu pendekatan progresif untuk melakukan transformasi pendidikan multikultural menjadi urgen untuk dilakukan di Perguruan Tinggi, khususnya di Maluku, sebagai daerah yang memiliki karakteristik kemajemukan, bahkan pernah mengalami konflik sosial. Untuk mengembangkan sikap tenggang rasa dan toleransi sebuah rekayasa sosial dapat dilakukan di perguruan tinggi melalui pendidikan multikultur. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Melalui kearifan lokal yang dimiliki oleh masyarakat Maluku yaitu budaya pela gandong dapat dijadikan role model bagi Pendidikan tinggi yang bersifat multikultural. Implementasi Pendidikan multikultural di Perguruan Tinggi, khususnya Universitas Pattimura harus dapat mengembangkan multikulturalisme yang bersifat inklusif yang didasari pada kearifan budaya lokal di Maluku.