bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Skeletal Relationships in Cleft Palate with or Without Cleft Lip
Authors: Qadeer M , Jaafar S , Khamis MF , Khan H , Khan T , Saeed MQ 
Published: August 2023

Background:
Understanding the different skeletal relationships in orofacial clefts by using cone-beam computed tomography (CBCT) may eventually lead to developing better diagnosis and treatment protocols for facial deformities.

Aims:
The objective of this study was to investigate the different skeletal relationships in the cleft palate with or without cleft lip (CP ± L), using CBCT scans. This is a retrospective study conducted at the Orthodontics and Oral Radiology department, CMH-Lahore medical college and Institute of dentistry. In the current study, 4,152 CBCT scans (dcm format) were collected from a radiology center in Lahore, Pakistan between February 2015 and February 2018. All CBCT scans were imported to the Romexis Viewer, version 4.4.0 (Planmeca, Finland). Data sorting was performed to identify age, sex, cleft phenotype, unilateral cleft quadrant, sagittal skeletal relationship, and facial soft tissue involvement.

Materials and Methods:
Statistics were generated, using the Chi-square test. A P value <0.05 was considered statistically significant.

Results:
We identified 73 cases of CP ± L in the sample. The male-to-female ratio was 1.21:1. Bilateral cleft lip and palate (BCLP) mostly affected males (60%), whereas unilateral cleft lip and palate (UCLP) mainly affected females (57.6%), with a left-side female predominance. The different cleft phenotypes do not show any statistically significant difference regarding skeletal relationships and sex (P > 0.05).

Conclusions:
Skeletal class III relationships were found to be predominant in both sexes, followed by class II, and class I skeletal relationships. Henceforth, such CP ± L patients should be pre-emptively screened in early life to avoid such skeletal complications.
Tissue Doppler Echocardiographic Evaluation of Cardiac Functions in Children with Mucopolysaccharidosis Type III Disease
Authors: Altin H , Dorum S , Ture E 
Published: August 2023

Background:
Mucopolysaccharidosis type III (MPS III) is an extremely rare group of diseases among all MPS types. In recent years, there are studies about the presence and importance of cardiac involvement in MPS III patients as in other types of MPS.

Aim:
The aim of our study is to evaluate the cardiac functions of MPS III patients in pediatric age by using the M-mode, 2D, and Tissue Doppler echocardiographic measurements.

Methods:
The study was conducted prospectively between September and December 2020. Fifteen MPS III patients and 15 healthy volunteers were included in the study.

Results:
The mean Tei indexes of all three regions including left ventricle (LV), right ventricle (RV), and interventricular septum (IVS) were higher in MPS III patients compared to the control group (0.43/0.36 for LV and 0.44/0.37 for RV and 0.41/0.35), respectively. Diastolic function parameters of MPS III Patients were worse than the control group. In MPS III patients, eight (53.3%) patients had valvular dysfunction, three (20%) patients asymmetric septal hypertrophy and four (26.7%) patients LV concentric remodeling pattern. We detected an increase of z score above +2 in aortic valve annulus, sinuses of Valsalva, IVS diastole diameter and also in the LV posterior wall diastole diameter measurements in some MPS III patients.

Conclusion:
We conclude that cardiac monitoring of MPS III patients is very important in terms of early detection and treatment of cardiac problems that may arise. Cardiac evaluation of larger series of MPS III patients are needed to make a better decision.
The Efficacy of the ON-Q Elastomeric Pump System in Post-Thoracotomy Acute Pain Control
Authors: Çinar HU , Çelik HK , Çelik B 
Published: August 2023

ABSTRACT

Objectives:
We aimed to evaluate the efficacy of continuous local anesthetic infusion to the incision site with the On-Q elastomeric pump system in postoperative acute pain control after thoracotomy.

Methods:
A retrospective comparative analysis of of sixty patients who underwent thoracotomy for lung cancer by the same surgical team was performed between January 2016 and December 2017. The patients were divided into two groups according to postoperative pain management, those who were traditionally received tramadolol (15 mg/h) by intravenous continuous infusion (Group IVT, n = 30) and those who were administered continuous local anesthetic (0.5% bupivacaine, 4 ml/h) infusion to the incision site through an elastomeric pump in addition to the traditional treatment (Group LA, n = 30). The primary outcomes were postoperative acute pain scores on the numeric rating scale and postoperative rescue opioid consumption for 72 hours following surgery reported as pethidine equivalents. The secondary outcomes were frequency of analgesia related adverse events/complications, ICU and hospital stay, drug and total hospital cost.

Results:
The mean pain scores at 2, 12, 24, 48 and 72th hours at rest and during coughing were found to be significantly lower in group LA (p < 0.05). Rescue opioid consumption on postoperative 0, 1, 2 and 3rd days and in total was found to be significantly lower in Group LA (p < 0.05). In Group LA, postoperative length of hospital stay was significantly shorter (5.8 ± 2.1 days vs. 8.0 ± 3.1 days; p = 0.034), drug costs (95.24 vs. 160.08 Euro; p = 0.023) and total hospital costs were lower (434.26 vs. 685.75 Euro; p = 0.014) than Group IVT.

Conclusions:
We believe that continuous local anesthetic infusion to the incision site in addition to systemic analgesic treatment for multimodal acute pain management after thoracotomy is an effective and safe method.
A New Perspective on the Relationship between Anchorage and Palatal Morphology
Authors: Metin-Gursoy Gamze , Tortop Tuba 
Published: August 2023

Background:
The tooth movements were generally analyzed in two dimensions on cephalometric radiographs. Nowaday, 3D digital model analysis, which does not have any harmful effects on patients, can be used to evaluate the palatal morphology and coronal tooth movements in a very comfortable and easy way.

Aims:
To investigate the effect of palatal morphology on anchorage reinforcement during intraoral molar distalization with pendulum appliance using 3D model analysis.

Materials and Methods:
The material consisted of before (T0) and after (T1) dental plaster models of Class II malocclusion patients (17 females, 3 males) treated with pendulum appliance for molar distalization and Nance appliance for anchorage. T0 and T1 digital models were superimposed using the palatal area as a reference via three points and surface-matching software, and the changes in teeth movement were calculated for left and right central incisors, first premolars, and first and second molars. Palatal morphology was evaluated at T0 on digital models as palatal inclination, palatal depth angles, and anterior hard palate area. Wilcoxon test was used to evaluate the treatment results and Spearman's correlation analysis was performed to evaluate the relationship between palatal morphology and dental movement. The upper limit for the level of significance was taken as 0.05.

Results:
Mesial movement of first premolars and distal movement of first and second molars were found to be statistically significant (P < 0.001). A weak negative correlation was found between the palatal inclination and the movement of first premolars (P < 0.045 and P < 0.003). Palatal depth angles and anterior hard palate area had no correlation with dental movements.

Conclusion:
Presented results supported that the mesial movement of premolar teeth decreased as the inclination of the palate increased.
Prevalence and Pattern of Self-medication with Alternative Medicine
Authors: Gondivkar SM , Sarode SC , Gadbail AR , Gondivkar RS , Sarode GS , Patil S , Gaikwad RN , Yuwanati M 
Published: August 2023

ABSTRACT

Aim:
The aim of this study was to investigate prevalence and pattern of self-medication with alternative medicine (ALM) among oral submucous fibrosis (OSF) patients with emphasis on treatment-switch analysis.

Methods:
A total of 115 OSF patients were recruited and subjected to scientifically validated questionnaire. Two groups were identified: S-ALM: patients who have previously received modern medicinal treatment but switched to ALM; and DN-ALM: patients who started ALM from De Novo.

Results:
A total of 37 (32.18%) patients reported use of the ALM at some point of time. Twenty-five (67.56%) switched to ALM, whereas 12 (32.43%) patients used ALM from De Novo. The pattern of switching to ALM in short period was significantly prevalent in patients with advanced stages (stage III and IV) as compared to early stages (stage I and II) of OSF. Clarified butter, glycerin, and honey were the most commonly used ALM in both the groups. The most common reasons for switching to ALM were the cost of treatment (32.00%), longer duration of medicinal treatment (24.00%) and ineffectiveness of the medications (24.00%).

Conclusions:
ALM usage is common in OSMF patients with significant percentage of patient switched from modern medicine to ALM. Therapeutic efficacy of ALM in OSF needs exploration in future.
Systematic Review
Authors: Simsek Uzunoglu S , Akca H 
Published: August 2023

ABSTRACT
Coronavirus disease 2019 (COVID-19) caused by the new [novel] coronavirus, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused a pandemic with exceeding 72 million cases and 1.2 million deaths by the end of November 2020. We aimed to evaluate clinical, laboratory, and radiology findings of COVID-19 in children as reported worldwide and thereby to increase the clinical knowledge about the disease. Bibliographic searches were conducted in December 2020 using PubMed and Google Scholar. The search was limited to children [below 18 years of age]. The search strategy yielded a total of 336 potential articles but finally a total of 25 valid studies covering a total of 2446 (China: 1109, Europe: 663, North America: 674) pediatric patients. In the studies covered by this review, it was observed that the median age was calculated at various values between the ages of 1 and 7 years. In the studies, overall rate of the asymptomatic patients was 24.8% (ranging between 10.7 and 56.6). Acute upper respiratory tract infection (URTI) [mild disease] was observed in 40.7 (ranging between 22 and 50.6%), mild pneumonia in 27% (ranging between 9.5 and 40.6%), and severe pneumonia in 5.3% (ranging between 1.9 and 10.6%). A total of 3% (ranging between 0.7 and 5.1%) of the patients had critical severity. Among the most common clinical symptoms and findings; 61.7% (ranging between 57.4 and 64.3%) of the patients had fever, 53.2% (ranging between 30.6 and 75.1%) had cough, 16.8% (ranging between 4.6 and 27.2%) had diarrhea or nausea, and 15% had lymphopenia. Abnormal radiological findings were detected in 47.2 of the children with COVID-19 and ground glass opacity was in 22.2%. COVID-19 manifests milder and the clinical signs and symptoms vary widely in children. Laboratory and radiological findings of COVID-19 in pediatric patients are not mostly disease-specific, except lymphopenia may have a limited value, and ground glass opacity may have a significant diagnostic value.
Building a Responsive Healthcare System – A Nigerian Experience
Authors: Dada A , Olaopa OI , Chukwuanukwu TO , Asumah A 
Published: August 2023

Background:
A healthcare system must be responsive to the needs of its clients, and this entails elements such as dignity, confidentiality, autonomy, prompt attention, social support, basic amenities, and choice of provider. This is targeted toward improvement and maintenance of the quality of healthcare with consequent improvement in patient outcomes at a reduced cost.

Aim:
The aim of this study is to articulate the approach that was adopted by the Federal Medical Centre, Ebute-Metta, Lagos, Nigeria, to confront some of the challenges faced by the health sector in Nigeria and make recommendations for the future.

Materials and Methods:
To identify and solve the problems mitigating quality service delivery in the hospital over an initial 18-month period, the management deployed the following tools: (i) mystery shopping; (ii) patient experience survey; and (iii) quality improvement using the SafeCare methodology.

Results:
The diagnosis identified the following problems: (i) service failure; (ii) financial and material leakages; (iii) challenges of human resources – poor attitude, indiscipline, inadequacy, and poor understanding of roles; (iv) infrastructural deficit and dilapidation; and (v) absence of technological support. The baseline quality assessment conducted with the SafeCare Standards gave a score of 45%, while performance at the follow-up quality assessment was 69%.

Conclusion:
As a direct result of the findings, the hospital designed an 18-month renewable strategic plan premised on five pillars: (i) human resources development; (ii) improvement of quality of service; (iii) expansion of services and infrastructure renewals; (iv) financial re-engineering and partnership; and (v) appropriate utilization of technology. Through this policy redirection and constant re-evaluation, our quality improvement journey continues to yield desired positive health system outcomes. We recommend collaborative quality improvement initiatives with strong internal political will that can harness both the institution's resources and independent experts on health system development.
Case Report: Recurrent Mpox in a Healthcare Worker in Nigeria
Authors: Ogoina Dimie , Oru Oru Inestol , Yinka-Ogunleye Adesola , Ihekweazu Chikwe , Ndodo Nnaemeka , Aruna Olusola 
Published: August 2023

ABSTRACT.
We report the first case of recurrent Mpox from Africa. The patient is a 36-year-old, previously healthy, HIV-negative male healthcare worker who developed two episodes of laboratory-confirmed Mpox in 2017 and 2018, 9 months apart. In both cases, he had prior close contact with confirmed Mpox cases in the hospital setting. On follow-up in 2022, he also reported recurrent postcoital skin eruptions over a previously healed genital scar from the first episode of Mpox. We highlight the need for future studies to investigate the true burden and risk factors for Mpox reinfection, relapse, and recrudescence.
Clinical Presentation of American Tegumentary Leishmaniasis in a Leishmania (Viannia) braziliensis Endemic Hotspot: A 35-Year History
Authors: Almazán María Cristina , Cajal Silvana Pamela , Díaz-Fernández Melisa , Juárez Marisa , Quipildor Marcelo , Portal Guillermo , Tejerina Valeria , Vargas Carlos , Copa Griselda Noemí , Gil José Fernando , Cimino Rubén Oscar , Krolewiecki Alejandro Javier 
Published: August 2023

ABSTRACT.
American tegumentary leishmaniasis (ATL) is a neglected tropical disease affecting the skin and mucosa. American tegumentary leishmaniasis due to Leishmania (Viannia) braziliensis is endemic in Argentina, where the Department of Oran is a hyperendemic focus. All cases of ATL with laboratory confirmation evaluated at a referral center in Oran city between 1985 and 2019 were analyzed retrospectively. Information from cases included clinical form, lesion size and number, time of evolution, and anatomical location; sex, age, and geographic origin were also studied. The temporal distribution of cases was analyzed. A total of 3,573 cases were included in the analysis. The ratio of males to females was 3:1 and the median age was 33 years old. Eighty-seven percent of cases were from Oran city and its surroundings, highlighting the hyperendemic nature of the area. Regarding clinical forms, 92.5% of cases were cutaneous and 7.5% were mucosal, with a median evolution time until clinical evaluation of 30 days and 7 months, respectively. Single cutaneous lesions were more frequent, localized mainly on the exposed areas in the upper and lower limbs. Secondary events were observed and described in 140 (4%) cases, with a median interval of 3.8 years for the appearance of recurrent mucosal disease in previously cutaneous forms. This is the largest case series of ATL due to L. (V.) braziliensis. The most classic presentation is of adult males with single cutaneous ulcers in exposed body areas, with < 10% of cases with mucosal complications. This comprehensive clinical characterization serves as a basis for future studies of the care and control of this neglected tropical disease.
Evaluación del índice global del desarrollo en lactantes menores del municipio de Zacapa
Authors: Chó Paiz Nataly Mercedes 
Published: August 2023

PROBLEMA: actualmente se desconoce el valor del índice global del desarrollo de los lactantes menores que asisten al centro de salud del municipio de Zacapa. OBJETIVO: realizar una valoración del índice global del desarrollo en lactantes menores que asisten a un control pediátrico regular en el centro de salud del municipio Zacapa. MÉTODO: se realizó un estudio descriptivo de corte transversal en 91 lactantes menores del municipio de Zacapa. RESULTADOS: de acuerdo al 57% el cuidador primario de los lactantes menores son las madres. Un 37.4% de las madres presentaron anemia durante el período prenatal, en el nacimiento un 31.9% de los lactantes menores tuvo un peso menor a 2, 500 gr; solo un 36.3% de los lactantes menores tuvo como alimento exclusivo la lactancia materna. De acuerdo a la interpretación del peso para la longitud un 49.6% de los lactantes menores se encuentra en un grado de desnutrición. CONCLUSIÓN: de acuerdo a la Escala Simplificada de Evaluación del Desarrollo Integral se determinó que un 40.7% de los lactantes menores obtuvo un índice global del desarrollo bajo.
Métodos fisioterapéuticos en enfermedades neurodegeretivas geriátricas del departamento de Izabal
Authors: López Rojas Mario Josué 
Published: August 2023

PROBLEMA: establecer cuales son los métodos fisioterapéutico dirigidos a neurorehabilitación en enfermedades degenerativas geriátricas. OBJETIVO: determinar los métodos fisioterapéuticos de neurorehabilitación en enfermedades neurológicas crónicas degenerativas del departamento de Izabal METODO: estudio descriptivo de corte transversal en adultos mayores que fueron evaluados en el programa de brigada ambulatoria domiciliar en el departamento de Izabal de la clínica integral del adulto mayor. RESULTADOS: en cuanto a la caracterización sociodemográfica el rango etario con mayor frecuencia fue de 60 a 70 años correspondiente al 42%, el género con más predominante fue el masculino con el 52% de la población estudio. Las enfermedades neurológicas encontradas en la población estudio en orden cronológico fueron evento cerebrovascular, neuropatía periférica y diabética, demencia no especificada, síndromes asociados a parkinsonismos plus, enfermedad de Parkinson, ataxia cerebelosa, enfermedad de Alzheimer, esclerosis lateral amiotrofica y esclerosis múltiple. CONCLUSIÓN: los métodos aplicados en neurorehabilitación fueron terapia manual aplicada 100%, mecanoterapia 64%, técnicas de facilitación neuroprioceptivas 62%, electroterapia 57%, hidroterapia 38%, método bobath 37%, método kabat 36% y mecanoterapia 16%.
Kajian Yuridis Peralihan Hak Atas Tanah Melalui Hibah Secara Lisan
Authors: Iqbal Moch , Sulatri Kristina , Humiati Humiati 
Published: August 2023

Hibah ialah satu diantara dari peralihan hak atas tanah. Setiap orang tanpa memandang ras, agama dan lain sebagainya dapat menerima hibah. Hibah dapat dimiliki oleh semua orang. Hibah ialah bentuk peralihan yang dilakukan secara sukarela dari satu pihak maksudnya pemberi hibah kepada orang lain yaitu penerima hibah yang dilakukan pada saat masih hidup. Hibah diatur dalam sistem hukum nasional, baik dalam Hukum Positif maupun dalam Hukum Islam. Kurangnya persyaratan penghibahan seperti akta hibah di masyarakat menimbulkan masalah yang terjadi baik antara saudara penerima hibah dengan saudara pemberi hibah. Sengketa tersebut yang akhirnya sering ditemukan pada masyarakat. Hibah yang dilakukan secara lisan dalam segi keabsahan menurut perspektif hukum positif dan hukum islam memiliki perbedaan. Dalam hukum positif hibah secara lisan adalah tidak sah, namun dari yang ada di dalam Hukum Islam hibah secara lisan adalah sah. Kemudian akibat hukum dari hibah yang dilakukan secara lisan menurut hukum positif adalah batal demi hukum, sehingga tidak menimbulkan hak dan kewajiban baru bagi penerima hibah. Menurut hukum islam hibah secara lisan tidak batal demi hukum, sehingga menimbulkan hak dan kewajiban baru bagi penerima hibah.
Strategies Used in Translating the Harry Potter and the Sorcerer’s Stone Novel into Indonesian
Authors: Kurniawan Adhitya , Setiawan Alesandro Fritz , Esmara Tania , Santoso Wulandari 
Published: August 2023

The study was prompted by the necessity of using suitable translation strategies in the context of translating literary works. The study aimed to identify the translation strategies utilized in translating the Harry Potter and the Sorcerer’s Stone novel. The study utilized the qualitative research design to produce descriptive data. Furthermore, the thematic analysis was implemented in this study to categorize and analyze the data. In selecting the data, the researchers utilized the purposive sampling for data selection and selected the first, seventh, and eleventh chapters to be analyzed. The study resulted in the discovery that six out of the eight translation strategies proposed by Newmark were used (2003), namely the word-for-word, literal, faithful, semantic, free, and communicative translation strategies. Additionally, three of the translation strategies presented by Baker (2018) were employed to translate the idiomatic expressions in the novel. These strategies included the utilization of an idiom with similar meaning but different form, borrowing from the source language, and the omission of an entire idiom. This study further explored various existing theories regarding translation strategies and discovered connections between them. Furthermore, this study would be beneficial for translators, namely in deciding which translation strategies would be appropriate for specific situations.
Keywords: Translation Strategies, Literary Translation, Idiomatic Translation