bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cone-Beam Computed Tomographic Evaluation of Hyoid Bone Positioning in Temporomandibular Joint Management – A Pilot Study
Authors: Jose Renju , Sreenivasan Indu P. , Shanmugham Aravind M. , Nair Priya K. , Kumar Krishna S. , Ramachandran Anu 
Published: March 2023

Background:
Hyoid bone plays an important role in craniomandibular functions through its unique interaction with other structures. The effects of temporomandibular disorder (TMD) on the craniocervical posture and position of hyoid bone were considered, although the results endure inconclusive.

Objective:
The objective is the comparison of the position of the hyoid bone in patients with the temporomandibular joint disorder of pre- and post-neuromuscular orthotics utilizing cone-beam computed tomography (CBCT). Treatment using ultra-low-frequency transcutaneous electric nerve stimulation was administered, and a myocentric bite was registered, with which an orthotic was fabricated and delivered to the patient for full-time wear.

Materials and Methods:
The hyoid bone position of 14 TMD patients of pre- and post-treatment was observed using CBCT, and symptom severity score, joint pain, joint sounds, and limited mouth opening were studied pre- and post-treatment clinically.

Results:
All patients had relief of symptom severity score post treatment and no significant improvement in the anteroposterior direction of hyoid bone with no statistical significance with P value < 0.001. The majority of the patients had an inferiorly positioned hyoid bone post intervention with a P value less than 0.001.

Conclusion:
Neuromuscular orthotics resulted in a decrease in the symptom severity score of the patients along with an anteriorly and inferiorly positioned hyoid bone.
Effect of Orthodontic Treatment on Pharyngeal Airway and adjacent Soft Tissues
Authors: Monica Udayini , Yerraginnela Sravani , Venreddy Soumya , Mamillapalli Pavan K. , Khan Sulthan I. R. , Gopinathan Pillai A. 
Published: March 2023

Background:
There is inconsistent data on the effect of fixed orthodontic treatment on the pharyngeal airway dimensions.

Aim:
The present study aimed to evaluate the effect of orthodontic treatment on airway.

Methods:
Fifty patients who completed their fixed orthodontic treatment were selected for the study. Pre- and post-treatment lateral cephalograms were collected. The airway parameters studied were Superior Posterior Airway Space, Middle Airway Space, Inferior Airway Space, and Vertical Airway Length, while the soft tissues analysed were the height of the tongue, length of the tongue, thickness of soft palate, and length of the soft palate. The measurements of these parameters were done on all the cephalograms and were tabulated and statistically analysed.

Results:
There was a significant decrease in the middle airway space in the non-extraction group, while the remaining parameters did not show any significant variation. In the extraction group, there was no significant variation in any of the parameters analysed.

Conclusion:
There was a significant reduction in the middle airway space, while no significant variation in the upper, lower airway, and vertical airway length in non-extraction cases after the orthodontic treatment. None of the airway parameters and adjacent soft tissues showed any significant variation post-orthodontic treatment in extraction cases.
Comparative Ultrasonographic Evaluation of the Masseter Muscle in Patients with and without Oral Submucous Fibrosis
Authors: Kalluvalappil Ayappali , Balan Anita , Chandrabose Tinky Bose , Venugopal Muraleedharan , Jacob Jesmith E. , Ramachandran Sunu 
Published: March 2023

Background:
The gold standard for diagnosing oral submucous fibrosis (OSF) is histopathology, but it causes scarring and worsens the illness. Ultrasonography (USG) has been employed in recent research to assess the cross-sectional dimensions of head and neck muscles in OSF patients.

Aim:
This study aimed to evaluate the ultrasonographic changes in the cross-sectional thickness of masseteric muscle in patients with and without OSF. Also, to compare the cross-sectional thickness of masseteric muscle in patients with different clinical stages and histologic grades of OSF.

Methods:
The study was conducted in accordance with the Declaration of Helsinki. The protocol was approved by the Institutional Ethics Committee, and written informed consent was obtained from all patients. The study population was divided into cases and controls. Cases consisted of 63 patients clinically diagnosed as having OSF and controls consisted of 63 persons selected from the patients attending the department of Oral Medicine and Radiology. According to Khanna and Andrade’s criteria, OSF patients were divided into four groups based on their clinical findings. Ultrasonography of masseter muscle was performed with a high-resolution real-time LOGIQUE C5 ultrasound scanner with 7–12 MHz transducers.

Results:
One-way ANOVA and t test were used to evaluate the results. The study showed a clear association of masseter muscle hypertrophy with OSF. In controls, ultrasound measurements of masseter muscle thickness were statistically significant. In the case group, masseter muscle thickness was increased as the duration and frequency of the chewing increased and also as the disease progressed.

Conclusions:
USG is a valuable, radiation-free, and noninvasive better diagnostic tool than clinical and histopathological examinations for OSF evaluation.
Clinical profile and outcomes in patients with moderate to severe aortic stenosis with or without concomitant chronic kidney disease
Authors: Ngiam Jinghao Nicholas , Sia Ching-Hui , Chew Nicholas Wen Sheng , Liong Tze Sian , Chang Zi Yun , Lee Chi Hang , Ruan Wen , Tay Edgar Lik-Wui , Kong William Kok-Fai , Tan Huay Cheem , Yeo Tiong-Cheng , Poh Kian Keong 
Published: March 2023

Abstract

Introduction:
Management of aortic stenosis (AS) in patients with chronic kidney disease (CKD) may often be overlooked, and this could confer poorer outcomes.

Methods:
Consecutive patients (n = 727) with index echocardiographic diagnosis of moderate to severe AS (aortic valve area <1.5 cm2) were examined. They were divided into those with CKD (estimated glomerular filtration rate < 60 mL/min) and those without. Baseline clinical and echocardiographic parameters were compared, and a multivariate Cox regression model was constructed. Clinical outcomes were compared using Kaplan–Meier curves.

Results:
There were 270 (37.1%) patients with concomitant CKD. The CKD group was older (78.0 ± 10.3 vs. 72.1 ± 12.9 years, P < 0.001), with a higher prevalence of hypertension, diabetes mellitus, hyperlipidaemia and ischaemic heart disease. AS severity did not differ significantly, but left ventricular (LV) mass index (119.4 ± 43.7 vs. 112.3 ± 40.6 g/m2, P = 0.027) and Doppler mitral inflow E to annular tissue Doppler e’ ratio (E: e’ 21.5 ± 14.6 vs. 17.8 ± 12.2, P = 0.001) were higher in the CKD group. There was higher mortality (log-rank 51.5, P < 0.001) and more frequent admissions for cardiac failure (log-rank 25.9, P < 0.001) in the CKD group, with a lower incidence of aortic valve replacement (log-rank 7.12, P = 0.008). On multivariate analyses, after adjusting for aortic valve area, age, left ventricular ejection fraction and clinical comorbidities, CKD remained independently associated with mortality (hazard ratio 1.96, 95% confidence interval 1.50–2.57, P < 0.001).

Conclusion:
Concomitant CKD in patients with moderate to severe AS was associated with increased mortality, more frequent admissions for cardiac failure and a lower incidence of aortic valve replacement.
Assessment of Knowledge, Attitude and Perception of Covid-19 Vaccines among Lecturers in Higher Institutions in Ilorin, Nigeria
Authors: Agede Olalekan A. 
Published: March 2023

Background: This study assessed the knowledge, attitude and perception of COVID-19 vaccine among lecturers in higher institutions in Ilorin.
Methods: It was a web based cross-sectional study conducted for a period of eight weeks among lecturers in higher institutions in Ilorin. Data on socio- demographics, COVID-19 and vaccinerelated concerns were collected and analyzed. Descriptive and inferentialfrequency statistics were done. Chi-square test was used to evaluate associations between the categorical variables. P-value was set at <0.05. Ordinal logistic regression was used to evaluate the determinants of willingness to accept COVID-19 vaccine.
Results: A total of 1800 lecturers participated in this study. The gender distribution showed male preponderance (n=1217, 67.6%) and most participants were married (n=1546, 85.9%). Most common age group was 36-50year (n=772, 42.9%). Majority of the participants got information on COVID-19, vaccine and preventive measures through the social media. Less than half (46.5%) of the participant used the preventive measures only when present in crowded environment. Most (93.4%) of the participant believed the preventive measures helps to reduce the spread of the disease. Female gender (p= <0.001), good perception (p= <0.001) and some other factors affected the willingness to receive COVID-19 vaccine.
Conclusion: There was high awareness and good perception of COVID-19 and its vaccine among the study participants. Information about COVID-19 vaccine and the disease were mostly gotten from the social media, as few of the study participants practiced the preventive measures though most were willing to take the vaccine when it becomes available. Thus, healthcare policy makers should take advantage of social media to disseminate appropriate information on COVID-19 and vaccine to improve disease control.
Effect of Organic Loading Rates on Performance of Treating Dairy Wastewater in a Lab-Scale Sequencing Batch Reactor
Authors: Khac-Uan Do  , Thuy-Ngan Thi Bui  , Hung-Thuan Tran  , Xuan-Quang Chu  
Published: March 2023

This study aims to investigate, the effect of organic loading rates (OLRs), nutrient ratio addition, and sludge retention time (SRT) on treating dairy wastewater in a sequencing batch reactor (SBR) system. This investigation is verified by experiments conducted in 3 phases at 3 different OLRs (1.8, 1.2, and 0.9 kg/m3d, respectively). Urea ((NH2)2CO) is added to make a suitable (COD:N:P) ratio of (100:5:1) in dairy wastewater. The SRT is adjusted from 50 days to an appropriate value of 18 days. The obtained results show that the COD, TN, and TP removal efficiencies are increased with decreasing OLRs. Sludge concentration in the SBR tank is stable at 1100 mg/L after adding (NH2)2CO. In addition, the SBR operated at a suitable SRT (i.e. 18 days) helps the biomass stably, resulting in enhancement of COD, TN, and TP removal. The results are helpful to the design of SBR for treating dairy wastewater.
Early Career Leadership Opportunities in Australian Rural Schools
Authors: Graham Lorraine , Miller Judith , Paterson David 
Published: March 2023

Due to the difficulties inherent in staffing rural schools in Australia, it is increasingly common for beginning teachers to fill school leadership roles early in their careers. The purpose of this paper is to explore the accelerated progression of some early career teachers who have been offered leadership opportunities in rural schools. Results are drawn from seven semi-structured interviews with early career educators that focused on their experiences of leadership opportunities in rural Australian schools. Quotes from participants illustrate the discussion of the core themes that emerged from the data. Specifically, the themes of Access to Leadership Opportunities and the Nexus of Personal and Professional serve to construct important understandings of the challenges that can accompany teachers' early transition to school leadership roles. By engaging with the challenges presented by rural contexts, it appeared that many of the teachers interviewed in this study were taking a 'fast track' to personal and professional growth, as well as school leadership. This paper describes some of the challenges of early school leadership and provides valuable information to inform staffing decisions and policy matters.
INVESTIGATION OF ISOTOPIC COMPOSITION AND PURITY OF 13C ENRICHED CVD-DIAMOND LAYERS BY RAMAN SPECTROSCOPY AND PHOTOLUMINESCENCE
Authors: Salkazanov A. T. , Smirnova M. O. , Tarelkin S. A. , Gusev A. S. , Drozdova T. E. , Kaloshin M. M. , Kargin N. I. , Kornilov N. V. , Nizovtsev A. P. 
Published: March 2023

A method for estimating the isotopic composition and concentration of NV-centers in diamond using Raman scattering and photoluminescence spectra is presented. The proposed laboratory technique was used to study the spatial distribution of the 13C isotope and NV-centers in samples of CVD-diamond with isotopically
modified layers.
Penerapan Model GI-GDL untuk Meningkatkan Ketuntasan Belajar Fisika dalam Proyek Penguatan Profil Pelajar Pancasila
Authors: Dewi Hartini 
Published: March 2023

Abstrak: Projek Penguatan Profil Pelajar Pancasila (P5) tidak akan mampu dilakukan peserta didik secara perorangan. Mereka membutuhkan korelasi gabungan kelompok dalam menyelesaikannya. Belajar fisika pun juga membutuhkan grup dalam melakukan praktikumnya. Inilah yang melatar belakangi untuk guru menerapkan model belajar group investigasi disertai model guide discovery learning yang selanjutnya digabung menjadi nama model GI-GDL dalam upaya ketuntasan belajar fisika dan menciptakan profil pelajar Pancasila dalam P5. Tujuan dalam penelitian ini adalah pertama untuk mengetahui besar persentase ketuntasan belajar fisika dan P5 pada kurikulum merdeka belajar menggunakan model GI-GDL. Kedua, untuk mengetahui besar persentase keterlaksanaan penerapan model belajar group investigasi disertai metode guide discovery learning dalam ketuntasan belajar fisika pada penerapan kurikulum merdeka belajar. Ketiga, mendeskripsikan ketercapaian P5 dalam kurikulum merdeka menggunakan model GI-GDL. Metode penelitian yang digunakan adalah R&D level dua, dengan jenis penelitian deskripsi kualitatif. Metode pengambilan data menggunakan tes dan nontes. Teknik analisis data berupa deskripsi kualitatif dan kuantitatif. Hasil penelitian diperoleh bahwa persentase ketuntasan belajar fisika dan P5 100%. Persentase keterlaksanaan penerapan model belajar grup investigasi disertai metode guide discovery learning dalam ketuntasan belajar fisika dan P5 pada penerapan kurikulum merdeka belajar sebesar 95,67%. Deskripsi ketercapaian P5 dalam kurikulum merdeka menggunakan model GI-GDL adalah tercapainya belajar bermakna dalam kemandirian.
Prowein gelingt Comeback mit Abstrichen
Authors: Murmann Christoph 
Published: March 2023

So wichtig die aktuelle Umwälzung wichtiger Preisschwellen ist, haben doch langfristigere Überlegungen die Prowein in Düsseldorf beherrscht. Weine für unter 2 Euro waren gesucht, aber mehr wurde über befürchtete Firmenpleiten und die zunehmende Absatzkrise gesprochen.
TRIỆU CHỨNG LÂM SÀNG BỆNH NHÂN MẮC COVID-19 TẠI QUẬN BÌNH TÂN- THÀNH PHỐ HỒ CHÍ MINH NĂM 2021
Authors: Nguyễn Thị Diệu Thúy , Nguyễn Thị Bình , Trần Văn Giang , Phạm Bích Diệp , Đỗ Thanh Tuấn , Trịnh Thị Trang , Nguyễn Minh Phương , Ninh Quốc Đạt , Trịnh Thị Nhung , Hoàng Thị Huyền Trang , Nguyễn Thị Thanh Thúy , Đinh Thị Hoa , Lương Linh Ly , Phan Văn Nhã , Trần Tử Nghĩa , Nguyễn Chí Thành , Hoàng Yến Hoa , Đinh Anh Tuấn 
Published: March 2023

Trong thời gian tháng 8/2021, đaị dịch COVID-19 bùng phát ở thành phố Hồ Chí Minh, gây nên các diễn biến lâm sàng nghiêm trọng. Do thành phố trong giai đoạn cách ly toàn xã hội, việc thăm khám lâm sàng hết sức khó khăn. Tổng đài tư vấn sức khỏe đã được thiết lập giúp đánh giá, phân loại bệnh nhân từ xa. Phương pháp nghiên cứu: Các bệnh nhân được xác định đang mắc COVID-19 tại Quận Bình tân, thành phố Hồ Chí Minh được các thầy thuốc từ Hà nội hỏi bệnh và tư vấn qua tổng đài. Kết quả: Có 36279 lượt ca bệnh được tiếp cận thông tin từ tổng đài, nhiều nhất tại các phường Tân Tạo A, An Lạc và Tân Tạo. Các biểu hiện bệnh cao điểm vào giai đoạn 10/8 - 27/8/2021 với các triệu chứng giống cúm. Sốt thường gặp nhất với 52,4%; sau đó là mệt mỏi, đau cơ là 33,8% và ho 11,7%. Các triệu chứng khác ít gặp hơn gồm khó thở, mất khứu giác/vị giác và nôn/tiêu chảy. Kết luận: Biểu hiện nhiễm COVID-19 giống biểu hiện của nhiễm virus đường hô hấp nói chung. Xác định yếu tố dịch tễ và xét nghiệm đặc hiệu cần thiết để chẩn đoán xác định bệnh.
Opinia biegłego w sprawach o błąd medyczny jako podstawa odpowiedzialności karnej
Authors: Wiecha Paulina 
Published: March 2023

Tematyka artykułu dotyczy roli opinii biegłego w sprawach o błąd medyczny w kontekście postępowania karnego. Przedstawiono w nim definicję błędu medycznego i rodzaje błędów medycznych, omówiono różnice między błędem medycznym w postępowaniu cywilnym i postępowaniu karnym. Przeprowadzono analizę gromadzenia materiału dowodowego i omówiono znaczenie dopuszczenia dowodu z opinii biegłego.
STUDI KASUS EKS PENYALAHGUNA NAPZA DENGAN KEPERCAYAANDIRI RENDAH DI KELURAHAN LUBUK TANJUNG KOTA LUBUKLINGGAU
Authors: Adi Wijaya Rafi Bagus 
Published: March 2023

The crisis of confidence in former drug abusers is a common condition, then the effects of these illegal drugs are exacerbated by an unsupportive environment, thus disrupting the social life of the individual. Feelings of inferiority and even anxiety illustrate that the self-confidence of drug abusers is low. Thus, the purpose of this study is to explore the problems that occur through how the factors that cause self-confidence problems experienced by the subject and the application of treatment use individual counseling with the trait and factor approach. The subject of this research is one former drug abuser with low self-confidence. This research uses a qualitative method in the form of case study research that uses data collection techniques through observation, questionnaires, and interviews. Data analysis was carried out through six stages, namely: the analysis step, the synthesis step, the diagnosis step, the prognosis step, the treatment step, and the follow-up step. Furthermore, using the technique of determining the validity of the data by means of member check. The results of the study illustrate that clients have self-confidence caused by internal and external factors, while the application of trait and factor counseling treatments shows changes in client behavior towards better than before and can overcome client problems.
Krisis kepercayaan diri pada mantan penyalahguna NAPZA merupakan kondisi yang lazim terjadi, kemudian efek yang ditimbulkan dari obat-obatan terlarang tersebut diperparah dengan lingkungan yang kurang mendukung, sehingga mengganggu kehidupan sosial individu. Perasaan minder bahkan cemas menggambarkan bahwa kepercayaan diri penyalahguna NAPZA itu rendah. Dengan begitu tujuan penelitian ini untuk mendalami permasalahan yang terjadi melalui bagaimana faktor-faktor penyebab permasalahan kepercayaan diri yang dialami subjek dan penerapan treatment menggunakan konseling individu pendekatan trait and factor. Subjek penelitian adalah satu orang eks penyalahguna NAPZA dengan kepercayaan diri rendah Penelitian ini menggunakan metode kualitatif dengan bentuk penelitian studi kasus yang menggunakan teknik pengumpulan data melalui, observasi, angket, dan wawancara. Analisis data ditempuh melalui enam tahapan yakni: langkah analisis, langkah sintesis, langkah diagnosis, langkah prognosis, langkah treatment, dan langkah follow-up. Selanjutnya menggunakan teknik penentuan keabsahan data
dengan cara member check. Hasil penelitian menggambarkan bahwa klien memiliki kepercayaan diri disebabkan oleh faktor internal dan eksternal, sedangkan penerapan treatment konseling trait and factor menunjukan perubahan perilaku klien kearah yang lebih baik dari sebelumnya dan dapat mengatasi permasalahan klien.
PERAN GURU BK DALAM MENGURANGI KESENJANGAN SOSIAL EKONOMI SISWA SMA AL-IKHLAS
Authors: Handayani Nur , Watiyah Watiyah 
Published: March 2023

Kesenjangan Sosial merupakan sebuah kondisi yang tidak seimbang antara individu atau kelompok dalam ruang lingkup kehidupan pada lingkungan sosial. Kesenjangan sosial juga terjadi bukan hanya di kalangan masyarakat, melainkan di lingkungan pendidikan hal ini lazim terjadi. Oleh karena itu guru BK memiliki peran yang sangat penting dalam mengarahkan dan membimbing siswa agar mencapai perkembangan diri yang optimal. Guru BK berperan memberikan Bimbingan dan konseling pada remaja tingkat sekolah yang mengalami kesenjangan sosial hendaknya menerapkan salah satu pendekatan yang sesuai dengan kondisi sosial siswa. Penelitian ini bertujuan untuk mengetahui peran guru BK Terhadap Kesenjangan Sosial yang terjadi pada siswa SMA AL-IKHLAS Lubuklinggau. Penelitian ini merupakan penelitian Kualitatif Deskriptif. Tekhnik pengumpulan data dengan cara Observasi, Wawancara dan dokumentasi. Tekhnik analisis data menggunakan metode kualitatif model Miles dan Huberman. Dari hasil penelitian dapat diketahui bahwasanya peran guru BK dalam mengurangi kesenjangan sosial ekonomi siswa SMA AL-IKHLAS Lubuklinggau, Guru BK berperan sebagai motivator dalam memberikan bimbingan kepada siswa-siswi. Bimbingan tersebut seperti bimbingan kelompok dan bimbingan klasikal dimana Guru BK sebagai pembimbing mengarahkan pemikiran siswa dari yang berfikir secara negatif terhadap kesenjangan sosial ekonomi yang di alaminya dapat berubah menjadi pemikiran yang positif agar dapat menyikapi dengan baik kesenjangan sosial tersebut. Pendekatan Konseling Yang Dilakukan Guru BK Terhadap Siswa SMA Al-Ikhlas Yang Mengalami Kesenjangan Sosial Ekonomi menggunakan pendekatan REBT dan Client Centered. Faktor dan dampak terjadinya kesenjangan sosial ekonomi siswa SMA Al-Ikhlas terjadi karena adanya perbedaan penempatan asrama atau perbedaan daalam memberikan fasilitas tempat tingal di asmara. Bagi siswa yang dari keluarga ekonominya menengah ke atas itu diberikan fasilitas yang nyaman dan sangat memadai sedangkan bagi yang menengah ke bawah di berikan fasilitas seadanya saja oleh pihak pondok. Perbedaan tersebut membuat siswa merasa tidak adil harus dibeda-bedakan tempat asramanya dan fasilitasnya.Sedangkan dampak dari hal tersebut yaitu siswa menjadi kurang nyaman dalam belajar di asrama dan merasa malu untuk bergaul dengan siswa darikalangan yang mewah. Hal tersebut berdampak pada proses belajar siswa,siswa menjadi kurang semangat untuk belajar. Sehingga nilai yang didapatkannya itu tidak sesuai dengan yang diharapkan. Menyikapi hal tersebut guru BK SMA Al Ikhlas Lubuklinggau terus bersinergi secara konsisten memberikan bimbingan kepada siswa/I nya dengan berupaya mengarahkan perspektif negative menjadi lebih positif dengan pemikiran yang lebih bijaksana dalam menghadapi perbedaan yang diterapkan di asrama / sekolah tersebut.