bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anthropometric Indices and its Association with Hypertension in Indian Population: A Study from Tertiary Care Center of North India
Authors: Kaur Amandeep , Madhukar Mohit , Dhoat Preeti Singh , Kaur Navdeep 
Published: July 2023

ABSTRACT

Introduction:
Anthropometric indices such as body mass index (BMI), waist circumference (WC), and waist hip ratio (WHR) have been used for a long time as a measure of obesity and abdominal fat and the relationship between these indices and hypertension has been well established. But these indices cannot discriminate between fat and muscle mass, leaving a greater population not categorized adequately. Recent studies have also demonstrated that not only the amount of fat but also the distribution of fat is important in hypertensive patients. So, new indices have come up through various studies to overcome this lag. The indices ABSI-Body shape index and BRI-Body roundness index are now being increasingly used to assess the risk of hypertension. Very few studies have been conducted on the Indian population in relation to this index.

Material and Methods:
The study included 700 patients with hypertension visiting the medicine outpatient department (OPD). Anthropometric indices—Height, weight, WC, HC, and WHR were calculated. The indices ABSI-Body shape index and BRI-Body roundness index were calculated as per the respective formulas. The comparison of various indices of anthropometry and hypertension was done as per the statistical analysis.

Results:
Our study concluded the positive correlation of hypertension with older as well as newer hypertensive indices.

Conclusion:
Early screening for the detection of hypertensives should be carried out to ease the disease burden and the anthropometric indices being a cost-effective and easy-to-conduct method can be used to facilitate the detection of hypertension. Appropriate lifestyle interventions should be promoted to decrease the prevalence of hypertensive patients.
A Long Term Follow-Up Study of the Reconstruction of the Oral Cavity at a Tertiary Care Center: An Original Research
Authors: Kumari Richa , Karpe Tanveer , Gahlawat Monika , Singh Sachin Dev , Kumar Abhishek , Kudagi Vishal 
Published: July 2023

ABSTRACT

Introduction:
In the subcontinent of India as well as for the other nations, the most usual cancer that affects the oral cavity the “squamous cell carcinoma”. The main side effects of the intervention of the SCC are the large defect and disfigurement. This study sought to investigate the various interventions of the SCC in a designated cancer institute.

Material and Methods:
A retrospective clinical study of the records was done between 2000–2020 years. The operated cases were analysed for various patient demographics as well as the site of the lesion and number distributions. The change in the techniques and the preference flaps over the periods was noted, and the values were compared for every 5 years.

Results:
A1001 patients were treated between the intended periods. Though there were larger number of men, the variation was not significant. Common sites were floor of the mouth (FOM) and tongue. The common interventions were primary closure, soft tissue free flaps and bone flaps. The shift was seen towards the free flaps.

Conclusion:
The Free flaps were the common applications in the constructions. Bone free flaps overtook the other procedures that were commonly applied. The quality of life and the aesthetics are seen to be better with the free flaps.
A Retrospective Study on the Fracture Toughness of the Coronal Restorations in Endodontically Restored Teeth. An Original Research
Authors: Lavanya Priya Kalambur Perumal , Gill Shruti , Banik Arindam , Marvaniya Jaydip , Marella Krishnaveni , Anusha Yalamanchi , Mustafa Mohammed 
Published: July 2023

ABSTRACT

Introduction:
The best treatment for the deeply carious tooth that cannot be restored is by the root canal therapy. This method has saved many patients from the loss of tooth. The common practice is either to deliver a full crown or close the access cavity with restoration. Hence in this study, the clinical longevity of the routine practice is tested for by analyzing the fracture toughness and the survival of the teeth that were restored endodontically with various materials.

Materials and Methods:
The hospital records were retrospectively evaluated from 2000 to 2010 for a decade. The demographics as well as the survival and the failure rates noted and compared for the various types of the restorations. The number of the walls of the teeth was also compared.

Results:
Thousand teeth were considered in the study. Less than 7% of teeth had coronal fractures. Of the 93% teeth that had survived, the most common restoration was Individual post (+ crown) followed by GIC, amalgams, and crowns. The mean survival of the crown+ bridge & gold restoration was highest. The mean survival was 10 ± 2 years for the restored teeth without any fractures at the coronal level. The failure was greatest for the GIC followed by amalgam, and the variations when compared with other restorations were significant. There was no significant difference for the number of the walls on the crown; however, the number of walls present was proportional to the survival rate.

Conclusion:
The teeth that were covered with a crown were comparatively fracture resistant and had a better survival rate compared to other restorations. GIC showed highest fracture, and the post core with crown had the best survival. Restoration of the lost crown architecture and the reinforcement are the best methods that can be followed for the survivals.
Assessment of the Peri-Implant Conditions for the Primary and the Repeated Abutment Placements: An Original Research
Authors: Perti Sonali , Mansuri Samir , Pilli Jyostnadevi , Kaur Amandeep , Alwithanani N , Kondreddy Kameswari 
Published: July 2023

ABSTRACT

Introduction:
Recurrent abutment substitutions may physically irritate the mucosal (soft tissue) barrier, which may cause additional toxic irritants and germs to enter the mucosal implant barrier and weaken the tissues surrounding implant. The creation of a “definitive abutment” may lessen the likelihood of tissue losses around the implant. Determining the characters of the peri-implant tissue after the placement of the definitive abutments and multiple abutment replacement was the goal of this study.

Materials and Procedures:
Forty missing teeth were replaced with implants in matched subjects. Parameters assessed were “distance of cement enamel junction to alveolar crest and distance of CEJ to gingival margin; bleeding on probing, Sulcus probing depth, and peri-implant marginal bone loss.” Subjects were randomly assigned for the two groups of intervention. All the measurements were documented at designated timelines and compared for the statistical variance where P < 0.05 was considered as significant.

Results:
In the control and test groups, the peri-implant marginal bone level rose from baseline to 3 months. There were no appreciable differences between the CEJ-AC and CEJ-GM groups when the clinical and radiographic parameters of each group were evaluated. Throughout all of the time points, the soft tissue borders in both groups remained comparably steady.

Conclusion:
The study’s findings suggest that using implants with definite abutments is more advantageous for obtaining better maintenance in terms of the health of the tissues that surround the implants.
Assessment of Qol among COVID-19 Patients in South India: A Tertiary Care Center Study: An Original Research
Authors: Janapareddi Sreedevi , Shankar Kiran S. , Mendiratta Mansi , Chauhan Neha , Jadhav Sachin Kumar , Jahagirdar Divya 
Published: July 2023

ABSTRACT

Introduction:
The COVID-19 epidemic has brought about an unparalleled health disaster and fundamentally altered people’s livelihoods. We intended to examine risk variables for “Health-Related Quality Of Life (HRQoL)” amid COVID-19 hospital discharged patients.

Materials and Techniques:
For this cross-sectional study, 1000 discharged patients who tested positive at the tertiary care center before January 2022 were included. The HRQoL was measured using a 5-level EuroQoL survey. The complete health state was evaluated using an Indian value set. The correlation of HRQoL and the clinical, sociodemographic parameters were investigated using appropriate statistical tools. Finally, regression model was utilized to identify all factors that predict the HRQoL dimensions.

Results:
It was found that 55% of patients said they had moderate or serious health issues. Forty percent of respondents said they had felt moderate-to-severe pain or discomfort, compared to 41% who said they had anxiety or sadness. The outcome of the logistic regression demonstrated the substantial influencers were “age, gender, occupation, location of care, heart conditions, and diabetes” on several HRQoL aspects.

Conclusion:
The COVID-19 dramatically worsens the patients’ physical and mental health conditions. Therefore, the government and policymakers must develop comprehensive ways to lessen the patients’ mental and physical health problems.
A Novel Indigenously Developed Device to Measure Bite Force
Authors: Ranjan Madhu , Singh Bishnupati , Chatterjee Ujjal , Tushar  , Sinha Dharmendra K. , Verma Abhishek 
Published: July 2023

ABSTRACT

Introduction:
In stomatology, the evaluation of bite power is crucial. It is considered a significant objective approach to evaluating masticatory performance. Bite force has become a significant outcome analysis index for various therapies in dentistry research. Presently several devices being used globally have their graces and faults. They are costly and also not available easily to the general dental practitioner.

Objectives:
Development of a novel indigenous instrument for the measurement of human bite force.

Methods:
This paper describes an indigenously developed and researched instrument to measure human bite force. The sensor data (change in electronic resistance under applied force) will be read by the microprocessor and converted to force values in newton. The bite force result will be instantly displayed on the screen of the instrument and the device with which it is connected.

Results:
The developed instrument is handy and user-friendly and can measure bite force accurately and repeatedly.

Conclusions:
In this research paper, an economical, lightweight, user-friendly, accurate, and reproducible human bite force measurement device is explained, which has been developed indigenously.
Evaluation of the Brain Stem Auditory Evoked Potential Response among New Borns Post-Recovery after Hyper-Bilirubinemia: An Original Research
Authors: Dolma Kunzes , Thekkethil Jathin Sam , Paul Anish G. , Rao P. Srinivas Narasinga , Parikh Taral , Somaraj Vinej 
Published: July 2023

ABSTRACT

Introduction:
Neurological harm from neonatal hyperbilirubinemia includes loss of hearing and encephalopathy. The current research used the “Brainstem Evoked Response Audiometry (BERA)” test to screen for as well as assess hearing loss in newborns who had recovered from hyperbilirubinemia.

Materials and Procedures:
A cross-sectional comparative investigation was conducted at a tertiary care center. Fifty neonates were included out of which 25 were healthy and 25 received treatment for the increased bilirubin. Prior to BERA testing, the subjects’ ears were examined for any obstruction. Following a conventional lab procedure described, the BERA recordings were carried out after the neonate fell asleep on its own. The data collected were compared for the significance using the ANOVA, keeping P < 0.05 as significant.

Results:
In comparison to the controls, a large proportion of neonates in cases had BERA wave latencies that were delayed (I-R = 80, L = 84; III- R = 76, L = 84; V- R = 84, L = 88 percentages latencies). The percentage of subjects in whom the latencies was noted for the healthy neonates was lesser than the case group (I-R = 8, L = 24; III- R = 8, L = 8; V- R = 4, L = 12 percentages latencies). Comparable numbers of infants in each group had inter-peak latencies that were lengthy. Subjects in the case group showed that the threshold hearing as per the WHO grade was mild (R = 32, L = 36) and moderate (R = 32, L = 28).

Conclusion:
Elevated serum bilirubin may cause damage to hearing capability. After hyperbilirubinemia has been completely treated, BERA can detect even the slightest degree of hearing damage. BERA is therefore a useful technique for the quick recognition of hearing impairment in newborns. Early treatment helps in the prognosis so that the neurosensory systems can fully mature, and the patient can lead a quality life.
Mental Health Status of Health Care Professionals Working in Public and Private Sectors in Visakhapatnam: A Cross-Section Study
Authors: Tiwari Heena D. , Pandya Apurva K. , Salunkhe Rajkiran , Maliyil Mathew J. , Nelson Anish , Varma Praveen K. , Tiwari Rahul V. C. , Parhad Priyanka 
Published: July 2023

ABSTRACT

Introduction:
The material that is currently available on the psychological issues that doctors deal with is restricted to a few national surveys and certain particular hospital surveys. The motive of the current study was to define the mental health status of medical as well as surgical professionals working in the public and private sectors of Visakhapatnam, Andhra Pradesh, India.

Methodology:
A self-reported questionnaire survey was used in an observational cross-sectional study to appraise the mental health state of both private and public medical practitioners. The Kessler Psychological Distress Scale (K10) by William C. Menninger was applied.

Results:
The majority of study participants experienced psychological anguish, showing a substantial difference in the total level of psychological distress. When the Wellinger’s Distress and the Kesslers Distress tools were compared, it was found that there was a substantial difference for all the variables taken into account in the current study, including gender, experience, marital status, children, and occupation, designation, and sector of work.

Conclusion:
Stress and burnout were more prevalent among medical specialists with lower yearly income, young ages, and fewer years of practice. Clinicians and policymakers must be proactive in creating programes that help healthcare professionals cope with stress and burnout.
Comparison of Maternal and Neonatal Outcomes among COVID-Positive Pregnant Women Affected in Second and Third Waves in a Dedicated COVID Hospital in Amritsar
Authors: Kaur Jagdeep , Grover Suparna , Bhanupriya S. B. , Kaur Amrit P. 
Published: July 2023

ABSTRACT

Background:
With the emergence of new mutated variants of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2), we have witnessed three waves of coronavirus disease (COVID) with varying severity, complication, and outcome in Punjab. The physiological changes of pregnancy make mother more vulnerable for severe infection. Current study is aimed at comparison of maternal and neonatal outcomes of COVID-positive pregnant women in second and third waves.

Materials and Methods:
This was a retrospective observational single-center study conducted at a dedicated COVID hospital in Punjab, India. Records of all COVID-positive pregnant women admitted from January to June 2021 and from January to February 2022 were reviewed. The demographic details, severity of symptoms, maternal and fetal complications, outcomes, and mortality were noted.

Results:
There were 220 COVID-positive pregnant patients in the second wave and 65 in third wave. The majority of patients belonged to the age group of 20–34 years (57.73% in the second wave and 70.77% in the third wave). Maternal deaths and severity of disease increased with increasing age of the mother, that is, 6.7% in <35 years and 13.95% in >35 years age group (RR = 2.058, P value = 0.1248). Also, the maternal deaths increased with increasing parity (RR = 2.00, P value = 0.2380). The majority of the study subjects were in the third trimester, with 77.73% in the second wave and 90.77% in the third wave. The majority of the patients in both the waves were asymptomatic or had mild symptoms. In the COVID second wave, 10.91% pregnant patients had moderate COVID symptoms and 8.18% had severe COVID symptoms, whereas none presented with moderate or severe symptoms in the third wave. Eighteen maternal deaths (8.18%) were seen during the COVID second wave, whereas no maternal death occurred in the third COVID wave. 100% of these deaths were because of COVID. Need of oxygen supplementation and intensive care unit admission had statistically significant association with maternal mortality.

Conclusion:
In the third COVID wave, the morbidity and mortality were significantly reduced. This could be a result of wide-spread vaccination, new strain of COVID, or both. In spite of this, the pregnancy complications such as pre-term birth, IUGR, and IUD were significant. Hence, pregnancies complicated by COVID should be considered as a high risk and closely monitored.
Periodontal Diseases and Heart Diseases: A Systemic Review
Authors: Alwithanani Naif 
Published: July 2023

ABSTRACT

Introduction:
Up to 50% of people worldwide are affected by periodontal disease (PD); cardiovascular diseases are a serious concern for the major portion of the world’s population. Observational data have shown a connection between PD and CVD. The current systemic review investigates the incidence of the CVD in individuals with PD through various designs of the previous research.

Materials and Methods:
An extensive online search in the various databanks of EMBASE, Medline, Pubmed, and Scopus was conducted. The keywords searched were: “PD, CVD, myocardial infarction, coronary heart disease (CHD), and stroke; technique of diagnosis and the degree of PD were assessed clinically or by self-report.” The studies selected were longitudinal research design and randomized trials. To ascertain the risk of mortality due to cardiac issues in periodontal diseases, meta-analysis, and meta-regression were carried out. The diagnosis techniques for periodontal diseases, severity, and impact of gender, were also examined.

Results:
After full-text screening, 32 longitudinal cohort studies were included. PD patients had a significantly greater risk of CVD than non-PD patients (RR: 1.20). Clinical and self-reported PD diagnoses did not differ in CVD risk (RR = 0.97). Men were at increased risk for both severe PD (RR: 1.25), and CVD (RR: 1.16). The risk of stroke was the highest among all forms of CVD (RR = 1.24), and the risk of CHD was significantly elevated (RR = 1.14).

Conclusion:
Current review showed that populations with PD consistently and modestly have an elevated risk of CVD. Men and those with severe PD are at higher CVD risk, which suggests population-targeted therapies may be helpful.
Dentists’ Utilization of Caries Risk Assessment and Individualized Caries Prevention Methods in Pediatric Patients in Saudi Arabia
Authors: Asali Ammar T. , Pullishery Fawaz , Taneja Vani , Wajih Hadil I. A. , Basrawi Duna J. Z. , Alrashid Alaa A. S. , Alogaly Dana A. A. , Gaya Ruqayya I. A. , Elnawawy Mohamed S. A. 
Published: July 2023

ABSTRACT

Introduction:
The first step in any complete oral health care plan for a child is a thorough caries risk assessment (CRA). This study aimed to investigate whether the practice dentists in Saudi Arabia’s Western province do CRA methods and offer Individualized Caries Prevention (ICP) to their pediatric patients.

Material and Methods:
Dentists in active clinical practice in the Western province of Saudi Arabia were the participants of this cross-sectional survey. The participants in this study were chosen using a simple random sampling technique. A self-administered, structured questionnaire was used to gather participants’ responses.

Results:
A majority (88.2%) of the dentists agreed that it is very important to practice CRA on a regular basis among their pediatric patients. About 67% of dentists employed Individualized Caries Prevention methods. No statistically significant correlation was observed between ICP and CRA factors, indicating that interventions primarily focused on patients’ financial affordability.

Conclusion:
Dentists should encourage parents/caregivers to establish a dental home concept at the earliest, which includes CRA, education, and anticipatory guidance on the prevention of oral diseases.
Assessment of the Impact of Commonly used Beverages on Durability of Suture Materials: An In Vitro Study
Authors: Das Asutosh , Lahiri Banibrata , Singh Praveen Kumar , Kumari Deesha , Mishra Debasish , Bhushan Purnendu 
Published: July 2023

ABSTRACT

Aim:
The current study was conducted to evaluate the influence of frequently ingested beverages on the stability of suture materials.

Materials and Methods:
This research comprised of two kinds of chromic catgut, polyglactin 910 (4-0) absorbable suture materials. Every specimen was subjected to tying using a square surgeon’s knot. Subsequent to pretensioning, 80 suture samples (40 of every material) were employed in this research. Every specimen was subjected to immersion in artificial saliva to replicate the oral atmosphere. Specimens were sunken in the acidic drink (Coca Cola) and tea for 10 min every day. Tensile strengths of the suture specimens were subjected to test at particular time periods: before immersion and 1, 7, and 14 days after immersion. Tensile strength evaluation of the suture specimens was performed employing the microtensile tester at a cross-head speed of 2.0 mm/60 s.

Results:
When subjected to exposure to acidic beverages, the tensile strength of chromic catgut suture before immersing was 25.14 ± 0.16, 25.02 ± 0.08 on the first day, 16.34 ± 0.23 on the seventh day, and 9.18 ± 0.28 on the fourteenth day. When the suture substance made contact with tea, the tensile strength before immersing was 24.48 ± 0.02, 24.14 ± 0.16 on the first day, 18.26 ± 0.11 on the seventh day, and 12.39 ± 0.14 on the fourteenth day. When subjected to exposure to acidic beverages, the tensile strength of polyglactin 910 sutures before immersing was 25.21 ± 0.02, 25.08 ± 0.01 on the first day, 18.12 ± 0.06 on the seventh day, and 10.06 ± 0.32 on the fourteenth day. When the suture substance made contact with tea, the tensile strength before immersing was 25.02 ± 0.14, 24.96 ± 0.04 on the first day, 20.48 ± 0.18 on the seventh day, and 14.10 ± 0.08 on the fourteenth day. The differences between the groups were statistically significant.

Conclusion:
In conclusion, polyglactin 910 exhibited a maintained strength superior than chromic catgut sutures subsequent to 14 days.