bluuebunny/crossref_metadata_2025_split huggingface dataset:
The commercialisation of anointed water in two ministries: An African theological perspective
Authors: Kgatle Mookgo S. , Qiki Vuyisile 
Published: July 2023

The use of water in healing has significance in African religious life. African people believe that water is not an ordinary substance but is medicinal and a life-giving commodity. This article argues that within a Pentecostal church setting, the use of water in healing should be juxtaposed with biblical practices to deal with the challenges of commercialisation of the commodity, its abuses, and other unethical practices. The integration of the African religious life and biblical practices is framed from an African theological perspective. The contribution of this perspective is its potential to address the commercialisation of water in two selected Pentecostal-type ministries. This will be achieved by introducing an African theological perspective and the use of water in African religious life. Similarly, the two selected ministries and their commercialisation of water will be discussed through the use of the case study method. The two selected church ministries are Rivers of Living Water Ministries and Nala Mandate International (NMI). The aim of this article is to demonstrate that an African theological perspective is relevant for addressing issues of the commercialisation of water in the selected ministries. This challenges how scholars approach the use of water in healing. The practice should be acknowledged in African religious life but its commercialisation should be criticised.Contribution: The article contributed to the discourse on the use of water in African religious life and proposed an African theological perspective to address the challenges of the commercialisation of the commodity.
Communication challenges faced by customers who are less proficient in English and Afrikaans at two South African state-owned enterprises
Authors: Khumalo Lungisani Xolani , Ditsele Thabo , Rwodzi Christopher 
Published: July 2023

The Use of Official Languages Act (No. 12 of 2012) applies to all national departments and state-owned enterprises (SOEs) in South Africa and stipulates that they should promote multilingualism when interacting with members of the public and/or customers. The main aim of this study was to investigate how two SOEs, that is, the South African Post Office (SAPO) and Passenger Rail Agency of South Africa (PRASA), manage communication with their customers, particularly those who cannot communicate in English and Afrikaans. Data for this study were gathered through a mixed method approach. Quantitative data (i.e., a Likert-type scale) were gathered from 120 participants who were customers of the two SOEs, and qualitative data (i.e., face-to-face interviews) were gathered from 20 interviewees who were drawn from the 120 participants. The researcher was based in Gauteng, and conducted the study in that province because it was convenient and practical. The data were gathered in Tshwane, Ekurhuleni, Johannesburg, and the West Rand. The study found that customers believed that those who could not communicate in English and Afrikaans did not receive adequate information from the SOEs because of this shortcoming. The study also revealed that the marginalisation of Black South African Languages (BSALs) by SOEs was regarded as justified by some respondents because these SOEs provided services to customers who speak different languages. The study also found that other participants felt that it was necessary for SOEs to continue to use English as the main language of communication with customers because it is an international language, which also promotes unity among the people of South Africa, including customers of SOEs.Contribution: The major contribution of this article to scientific knowledge is that it dwells deeper into how customers of the two SOEs who are less proficient in English and Afrikaans felt excluded in communication with all customers, and this is the first article to do so. Through this article, there is potential that the SOEs will appreciate that customers who are less proficient in English and Afrikaans want major adjustments to be made so they too can feel a sense of belonging and also fully appreciate what is being communicated to all customers, regardless to their proficiency in the two languages.
Foreign Body in the Gastrointestinal Tract in Children: A Tertiary Hospital Experience
Authors: Emeka Chukwubuike Kevin , Chukwuebuka Nduagubam Obinna , Tochukwu Enebe Joseph 
Published: July 2023

Background:
Foreign body (FB) ingestion in the gastrointestinal tract (GIT) in children is common. Although most foreign bodies will pass spontaneously, surgical intervention is required when they fail to pass.

Aims and Objectives:
The aim of this study was to evaluate our experience in the management of children who presented with FB in the GIT.

Materials and Methods:
This was a retrospective study of children that underwent laparotomy for the removal of FB in the GIT at the paediatric surgery unit of Enugu State University Teaching Hospital, Enugu over a 10-year period.

Results:
A total of 272 children presented with FB in the GIT during the study period, out of which 30 patients had laparotomy. This gave an operative incidence rate of 11%. There was a slight male predominance and the ages of the patients ranged from 6 months to 5 years (median 3 years). About half of the patients had no symptoms and all the patients were investigated with an abdominal radiograph. Only one-third of the patients had a predisposing factor that could have led to FB impaction. FB impaction was the most common indication for surgery, and enterotomy with FB removal was the most performed surgical procedure. The most common FB removed were tiny parts of toys, and the most common post-operative complication was surgical site infection. There was no mortality.

Conclusion:
FB in GIT in children could be associated with complications that require surgical treatment. FB ingestion is preventable. Focus should be placed on caregivers preventing children from ingesting FB.
The Impact of Nursing Position on Cardiac Output and Cerebral Circulation in Healthy Term Neonates Using Bedside Ultrasound: A Cross-sectional Study
Authors: Iyer Venkatesh Harohalli , Murthy D. V. Venkatesh 
Published: July 2023

Objective:
The objective of this study was to evaluate cardiac and cerebral circulation in stable term neonates.

Study Design:
This was a prospective observational study to evaluate the relationship between cardiac output (CO) and cerebral circulation in different positions. The study was carried out at a tertiary neonatal intensive care unit from May to November 2018.

Methodology:
Nineteen healthy term neonates were included in the study. The CO was measured in the supine, right, and left lateral positions using Doppler echocardiography, and simultaneously, the resistive index (RI) of the middle cerebral artery was measured. The CO and cerebral blood flow in each nursing position were measured.

Results:
The mean CO measured in the supine, right, and left lateral positions was found to be 350,356, and 334 mL/kg/min, and the corresponding RI was 0.84, 0.83, and 0.81, respectively. The CO was increased in the right lateral position compared to the supine and left lateral position; whereas the RI was increased in the supine position compared to the right and the left lateral position although not statistically significant.

Conclusions:
There was no statistically significant relationship between cerebral blood flow and CO in different body positions.
Comparative Evaluation of Shaping Ability of TruNatomy Rotary Endodontic File versus Different Rotary Endodontic File Systems
Authors: Jaggi Prakriti , Mulay Sanjyot , Tandale Anita Sanap , Jadhao Renuka , Aras Sanket , Patil Rutuja 
Published: July 2023

ABSTRACT

Background:
Narrow and curved root canals present greatest difficulty to create a continuous tapering canal geometry while maintaining the original root canal configuration. The development of new Nickel − titanium (NiTi) instruments prove promising owing to their metallurgical and heat treatment techniques, with TruNatomy being one of the newest having higher flexibility and advanced design.

Aim:
To compare the shaping ability of TruNatomy with other NiTi files during endodontic treatment.

Methodology:
A comprehensive electronic search in PubMed, EBSCOhost, Cochrane Library, and Google Scholar was carried out to screen relevant articles based on Title, Abstract, and Full text published in the English language between August 1, 2020 and November 31, 2022. Comparative in vitro studies comparing the results of TruNatomy and other NiTi files for shaping ability were eligible for this review; while studies comparing parameters other than shaping ability, studies not done on human extracted teeth, letter to editors, review articles, short communications, and conference proceeding were excluded.

Results:
A preliminary search yielded a total of 187 studies through search strategy used in PubMed, EBSCOhost, Cochrane Library, and Google Scholar. After screening, 14 articles were included for qualitative synthesis while the remaining articles were excluded for being duplicates and not providing relevant data. Majority of the studies reported TruNatomy to be better than other NiTi files by providing less canal displacement, less removal of canal dentin, less cases of canal transportation, and more centralization ability.

Conclusion:
TruNatomy provides a better shaping ability than other NiTi files when used in simple curved, moderately curved and severely curved canals by maintaining the original anatomy of the canal, removing less radicular dentin, maintaining the central axis, and having less canal transportation due to its shape and flexibility. Further studies using larger sample size with severely curved root canals are recommended.
Comparative Evaluation of Bioactivity of Cention N Incorporated with Inorganic Nanoparticle: A Scanning Electron Microscope–Energy-Dispersive X-ray Spectroscope Analysis
Authors: Pokharkar Pranjali Mahesh , Hadakar Savita , Taur Swapnil , Gaonkar Namrata , Shashikiran N. D. , Gugawad Sachin , Waghmode Sonali 
Published: July 2023

ABSTRACT

Context:
Cention N, a new basic filling material, is a real alternative to amalgam and glass ionomer cement which offers characteristics and other advantages over both amalgams and glass ionomer. As the literature lacks studies of this newly launched material, we intended to study the addition of inorganic nanoparticles to Cention-N to improve its bioactivity.

Aims:
The objective of the study was to evaluate and compare the bioactivity of Cention-N incorporated with inorganic nanoparticles.

Subjects and Methods:
Niobium pentoxide (Nb2O5) nanoparticles and Cention N were the materials utilized (Nb2O5). In this investigation, 20 samples were used. Group 1 consisted of 10 samples of Cention N and Group 2 consisted of 10 samples of 3 wt% of Nb2O5 nanoparticles incorporated into Cention N. After application of the material, the samples were immersed in simulated body fluid and incubated at 37°C for 28 days. On the 29th day, the surface of the specimens was observed under scanning electron microscope (SEM) and energy-dispersive X-ray spectroscope (EDX).

Statistical Analysis Used:
All the statistical analyses will be performed using SPSS software version 17. This was followed by Tukey post hoc test for pairwise comparison.

Results:
SEM images of Group 2 revealed crystals in the apatite-like phase, while EDX analysis revealed an increase in the Ca and P content with 71.01 wt% and 35.56 wt%, respectively. As a result, the SEM-EDX analysis of Cention N after the addition of 3 wt% Nb2O5 nanoparticles revealed an enhancement in its bioactivity.

Conclusion:
The incorporation of Nb2O5 to Cention N can be used as an alternative and can be used for further in vivo testing.
Comparative Evaluation of Four Endodontic Rotary Systems for Removal of Gutta-Percha and Sealer in Root Canal Retreatment: In vitro Study
Authors: Borse Nikhil Nimbadas , Sanap Anita , Kaur Gunpriya , Krishnakumar Karishma , Shetty Pradeep , Pandit Varsha Sanjay 
Published: July 2023

ABSTRACT

Background:
Nonsurgical endodontic retreatment is done mainly to eliminate the persistent infection of the root canal system. Enterococcus faecalis has been identified predominantly from the failed root canals. Retreatment requires the complete removal of the root canal filling material.

Objectives:
The objectives of the study were to compare and evaluate the removal of gutta-percha (GP) and sealer among four different endodontic rotary systems used in retreatment cases.

Materials and Methods:
Eighty freshly extracted human single-rooted teeth with a single straight patent canal which was verified radiographically were used for the study. A modified step-back flare technique of biomechanical preparation was used for canal preparation by the sequential use of K-files up to size 30 at working length, then step backed by reducing 1 mm in increments to a file size 55. The obturation was done by lateral condensation method. A heated instrument was used to shear off the GP at the entrance of the canal. Teeth were sectioned at cervical level to remove crown portion, and the root portion was obtained. The roots were randomly divided into four groups for canal preparation, namely, I, II, III, and IV consisting of twenty teeth each. Group I: ProTaper Universal Retreatment System™. Group II: ProTaper Universal Rotary System™ (PTUS). GROUP III: Mtwo Retreatment System™. Group IV: Mtwo Rotary System™.

Results:
Statistical analysis was done using ANOVA and Tukey’s Post hoc test. P ≤0.05 was used to determine significance. All instruments left filling material inside the root canal, in decreasing manner mention below. Group I < Group III < Group II < Group IV.

Conclusions:
Apical third area of the root canal system plays a vital role in successful outcome of the root canal treatment. In this study, all the re-treatments shown to have some amount of filling material remaining in the apical third area.
Evaluation of the Horizontal Condylar Guidance Using Different Anterior Reference Points: A Clinicoradiographic Study
Authors: Kapse Payal , Kumar Sowmya M. 
Published: July 2023

ABSTRACT

Purpose:
Horizontal condylar guidance is an important factor to be considered during complete denture fabrication, which is governed by the patient. This study was carried out to evaluate the effect of three different anterior reference points on horizontal condylar guidance, to provide the most accurate anterior reference point.

Materials and Methods:
Facebow records were recorded on 13 completely edentulous subjects and transferred to the semiadjustable articulator using three different anterior reference points. A 6 mm protrusive interocclusal record was made to program the semiadjustable articulator. The horizontal condylar guidance values were obtained for the right and left sides separately, using each anterior reference point. The diagnostic panoramic radiographic tracings were done to obtain right and left horizontal condylar guidance. The data were tabulated and statistically analyzed using paired t-test.

Results:
The horizontal condylar guidance obtained on the right side using orbitale and the superior annular notch was significantly different from the radiographic values (P < 0.05), and the difference was not significant for the inferior annular notch (P = 0.42). While on the left side, the horizontal condylar guidance values obtained using the superior annular notch were significantly different (P < 0.05), and those for orbitale and inferior annular notch (P = 0.23) did not differ significantly from the radiographic values.

Conclusion:
When a face bow transfer was done, the three anterior reference points showed different condylar guidance values. However, the values were significantly closer to the radiographic values, when the orbitale and the inferior annular notch were chosen as an anterior reference points.
A clinical study to assess the effect of Priyaladi lepa in Darunaka (Pityriasis capitis)
Authors: Jain Smitha , Mahalakshmi Kannan 
Published: July 2023

Background:

Darunaka is one of the Shirah-kapalagata Roga (head and skull diseases) and Kshudra Roga (minor ailments), characterized by Kandu (itching), Rukshata (dryness), Twak-sphutana (scaling), and Kesha-chyuti (hair fall). The clinical features correlate to Pityriasis simplex capitis (dandruff), which is a common condition that causes itchy, scaly skin on the scalp with high prevalence in the general adult population. Ayurveda emphasizes various Lepa Kalpana (semisolid medicaments used for external application) for Darunaka; Priyaladi lepa is one among them. As there is ambiguity about successful dandruff treatment due to its severity and frequent relapses, it necessitates finding an effective and safe topical antidandruff agent.

Aim:
To assess the effect of Priyaladi lepa in the management of Darunaka.

Materials and Methods:
Study was intended as an open-label, nonrandomized, single-arm, interventional trial. Thirty subjects were treated with the application of Priyaladi lepa on the scalp weekly twice for consecutive 2 weeks.

Results:
Overall results showed a decline in the severity of symptoms such as itching, dryness of scalp, cracking, and scaling of scalp as assessed with a five-point Likert scale.

Conclusion:
Application of Priyaladi lepa on the scalp showed a highly significant effect in pacifying the symptoms of Darunaka, and a marked reduction in clinical symptoms was well appreciated with four applications. There were no topical and systemic adverse drug effects noted at the end of the study.
Ayurveda management of azoospermia
Authors: Garg Sahil , Rajan Sujata , Garg Nisha 
Published: July 2023

Background:
Azoospermia is defined as a complete absence of sperm in a given semen sample, which may have several causes behind it. Having no sperm can make it more difficult to conceive naturally and it is becoming a very common cause of infertility nowadays. In Ayurveda, it corresponds to shukrakshaya (diminution of semen).

Aim:
The aim of this study was to evaluate the potential of Ayurvedic approach for treating azoospermia.

Materials and Methods:
In this case report, the patient presented with the complaint of being unable to conceive since 9 years. According to symptomatic presentations and by assessing biological parameters, the case was diagnosed to be of shukrakshaya. Clinical presentation and biochemical parameter, that is, Semen analysis, confirmed the case as Azoospermia according to modern medicine. Traditional ancient Ayurvedic approach was adopted for treating the case incorporating aahar-vihaar (food and lifestyle), shaman (pacifying therapy), and shodhan (detoxification therapy) principles. The case was treated on the line of principles of shukrakshaya. Shodhan chikitsa using mahatikta ghrita and abhyadi modaka was done. Shaman chikitsa including internal administration of herbal and rasaushadhis formulations such as makaradhwajarasa, Pushpadhanva rasa, shakravallabh rasa, and Aamalaki rasayana along with dietary regimen was given to the patient.

Results and Conclusion:
After 5–6 months of treatment, significant changes in semen analysis without any adverse effect were observed in the case. It can be inferred or concluded from the above case that Ayurvedic approach is having valuable potential for treating such disorders and should be adopted as well.
Comparison of insertion characteristics of LMA ProSeal from the front and head-end of the patient: A randomized pilot study
Authors: Salhotra Rashmi , Thakkar Kushal , Rautela Rajesh Singh , Chauhan Jainendra , Ajeeb S 
Published: July 2023

Abstract

Background and Aims:
LMA ProSeal (PLMA) is a commonly used airway maintenance device in elective procedures and is routinely inserted from the head-end of the patient. It is also used in pre-hospital emergencies where it may not always be possible to access the head-end. This study aims to compare the insertion characteristics of PLMA when inserted while standing, either at the head-end or from the front.

Material and Methods:
After institutional ethics committee approval, 60 consenting patients of either sex, between 18 and 60 years, ASA class I/II, and scheduled to undergo elective surgeries were randomly allocated to either group H (head-end insertion) or group F (front-end insertion). Patients with anticipated difficult airway, chronic respiratory disease, obesity, and who were pregnant were excluded. Insertion time, ease of insertion, fiber optic view, ease of drain tube insertion, number of attempts and success rate were noted. Normally distributed quantitative variables were compared using t-test, and qualitative variables were compared using Chi-squared test. A P < 0.05 was considered significant.

Results:
Insertion time in group H (23.76 ± 4.48 s) was lesser than in group F (30.53 ± 6.23s) (P = 0.027). Ease of insertion (P = 0.052), fiber optic view, ease of drain tube placement (P = 1.000), and number of attempts (P = 1.000) were comparable among the groups.

Conclusion:
Although the insertion time from the front is longer than from the head-end, the other insertion characteristics of PLMA including ease of its insertion, placement and success rate of placement are similar when it is inserted from the front or from the head-end. It is an appropriate airway device for securing the airway when the head-end is inaccessible.
Trends of surgical-care delivery during the COVID-19 pandemic
Authors: Jain S , Mahajan A , Patil PM , Bhandarkar P , Khajanchi M 
Published: July 2023

Context:
The COVID-19 pandemic and subsequent lockdowns adversely affected global healthcare services to varying extents. To accommodate its added burden, emergency services were affected along-with elective surgeries.

Aims:
To quantify and analyze the trends of essential surgeries and bellwether procedures during the waxing and waning of the pandemic, across various hospitals in India.

Settings and Design:
Multi-centric retrospective study.

Methods and Material:
A research consortium led by World Health Organization (WHO) Collaboration Center (WHOCC) for Research in Surgical Care Delivery in Low-and Middle-Income countries, India, conducted this study with 5 centers. All surgeries performed during April 2020 (Wave I), November 2020 (Recovery I), and April 2021 (Wave II) were compared with those performed in April 2019 (pre-pandemic period).

Statistical Analysis Used:
Microsoft Excel 2019 and SPSS Version 20.

Results:
The total number of surgeries reduced by 77% during Wave I, which improved to a 52% reduction in Recovery I compared to the pre-pandemic period. However, surgeries were reduced again during Wave II to 68%, but the reduction was less compared to Wave I. Emergency and essential surgeries were affected along with the elective ones but to a lesser extent.

Conclusions:
The present study has quantified the effects of the pandemic on surgical-care delivery across a timeline and documented a reduction in overall surgical volumes during the peaks of the pandemic (Wave I and II) with minimal improvement as the surge of COVID-19 cases declined (Recovery II). The surgical volumes improved during the second wave compared to the first one which may be attributable to better preparedness. Cesarean sections were affected the least.