bluuebunny/crossref_metadata_2025_split huggingface dataset:
Complex oral rehabilitation using complete fixed denture prosthesis in atrophic maxillae
Authors: Dias Pedro Aryel Carvalho , Bazan Lucas Castilho , Hoshino Isis Almela Endo , Anchieta Rodolfo Bruniera 
Published: September 2023

ABSTRACT
This study aims to show a surgery-prosthetic resolution of complex atrophic maxillae with bone grafts, implants, and fixed implant prostheses in an elderly patient with radiographic follow-up. This article describes the clinical case of an elderly woman, 65 years old, who lost all superior teeth when she was 25 years old and had severe atrophic maxillae. Due to the maxillae, bone situation was planned an osteotome for sinus floor elevation and an allogeneic bone graft followed. After 16 months of bone integration, seven osseointegrated implants were placed. After 6 months of implant osseointegration, a complete fixed implant denture. Is it possible to conclude that using advanced surgical and prosthetic planning is possible to recover the esthetic and function of a severe and complex clinical case.
A clinical and radiological comparison of microsurgically assisted and macrosurgical approach for implant placement: A randomized controlled clinical trial
Authors: Cherukuri Aswani , George Joann Pauline , Prabhuji M. L. V. , Kamble Apeksha 
Published: September 2023

ABSTRACT

Background and Objectives:
Several minimally invasive techniques for the preservation/reconstruction of papilla around implants and natural teeth have been employed; most of these surgeries require magnification for precision. The aim of this prospective study was to compare and evaluate the esthetic outcome and remodeling of the interdental peri-implant soft-tissue postmicrosurgical approach of implant placement.

Materials and Methods:
The study population consisted of 20 patients with a single edentulous area in the anterior region. In a parallel arm study design, the edentulous areas were randomly selected for implant placement either by a microsurgical (test) or macrosurgical (control) approach. The clinical parameters mesial and distal papillary height (MPH and DPH), mid-buccal height (MBH), crestal bone level (CBL), papillary index score (PIS), pink esthetic score (PES), surgical time taken, and the patient-reported outcome measures using visual analog scale (VAS) score were assessed 1, 3, 6, and 12 months after the implant placement.

Results:
There was no statistically significant difference with respect to MPH, DPH, CBL, and MBH between both the groups at 1st-year follow-up. At 1-year follow-up, PIS was significantly better in test group; however, PES was better in control group. VAS for pain was significantly higher for control group on the day of implant placement. The surgical time taken was significantly lower in the test group.

Conclusion:
The present controlled clinical study demonstrated that in implant placement, a microsurgical approach did not show any substantial difference when compared with the conventional macroscopic approach.
Morphologic, Radiographic, and Stereomicroscopic Evaluation of Teeth Subjected to High Temperatures: An In vitro Forensic Study
Authors: Geethika M. Sai , Naik N.Purnachandra Rao , Kiran A. Ravi , Samatha Y. , Kumar B. Naveen , Shruthi P. , Saranu Sethu Manjusha , Pavani K. , Marpuri Sanjana 
Published: September 2023

Abstract

Background
To evaluate morphologic, radiographic, and stereomicroscopic changes of teeth when subjected to specific high temperatures in both direct heat and gradual heat and to compare the changes among two heat groups and also among different types of teeth.

Materials and Methods
An in vitro study was conducted on 90 healthy extracted human teeth, in which the teeth were divided into two groups. Group 1 (45) was subjected to direct heat and Group 2 (45) was subjected to gradual heat. Group 1 and Group 2 were further subdivided into three subgroups (A) anteriors, (B) premolars, and (C) molars each consisting of 15 teeth. Teeth were subjected to temperatures of 200°C, 400°C, 600°C, 800°C, and 1000°C in a muffle electric furnace. The color changes were noted using the Revised Munsell soil color chart and the radiographic and stereomicroscopic changes were evaluated. The results obtained were subjected to statistical analysis.

Results
Teeth in direct heat showed more destructive changes at lower temperatures, i.e., 400°C and 600°C when compared to gradual heat where changes are observed at 600°C and 800°C. Among different types of teeth, anteriors and premolars showed more changes when compared to molars.

Interpretation and Conclusion
It can be concluded that dental evidence may provide clues to solve the mystery in fire investigations as dental structures are the last to be destroyed under extreme conditions, whether temperature, acid, or putrefaction.
Improving Evidence-Based Practice in Forensic Medicine: Validation of INtegration of Forensic Epidemiology and the Rigorous EvaluatioN of Causation Elements and Principles of Evidence-Based Reporting in FORensic Medicine-Pathology version in Indonesia
Authors: Meilia Putri Dianita Ika , Herkutanto  , Purwadianto Agus , Sampurna Budi , Abdullah Murdani , Soemantri Diantha , Kekalih Aria 
Published: September 2023

Abstract

Introduction
Expert opinions presented in legal proceedings should be scientifically accountable, which is known as evidence-based practice (EBP). Although forensic medical expert opinions are essential in legal proceedings, the methods used to formulate them are not always evidence based or based on standard methods. In forensic medicine, EBP has not been explicitly applied, including in Indonesia. One potential approach to formulate evidence-based expert opinions is called INtegration of Forensic Epidemiology and the Rigorous EvaluatioN of Causation Elements (INFERENCE). In addition, there is also no universal guideline for making forensic pathological reports. One prospective guideline is named the Principles of Evidence-based Reporting in FORensic Medicine-Pathology version (PERFORM-P).

Methods
This article describes the validation process of INFERENCE and PERFORM-P in Indonesia. This study uses a mixed method through three interrelated phases, i.e., (1) a cross-sectional survey to determine the characteristics of Indonesian forensic doctors and their current practice, (2) the adaptation and validation process of the two tools through a review by the Indonesian College of Forensic Medicine, and (3) a one-group pre–postintervention study to assess the validity and reliability of forensic medical expert opinions formulated using Indonesian-INFERENCE (i-INFERENCE) and reported using Indonesian-PERFORM-P (i-PERFORM-P).

Results and Discussion
In general, both tools received a positive reception and can potentially be used in the Indonesian setting with some additions/clarifications in the user manuals. Participants envision that both tools will be most useful in complex cases.

Conclusions
By obtaining the i-INFERENCE and the i-PERFORM-P, it is hoped that Indonesian forensic medical doctors are better equipped in analyzing and reporting complex cases, and the implementation of EBP can be improved.
The Role of Admission Platelet Count and B-type Natriuretic Peptide in Predicting in Hospital Morbidity in ST-Elevation Myocardial Infarction Patients
Authors: Seaoud Elshaimaa Aly M. Elsadek , Abdelbasit Mohamed Salah , Nabil Baher , Shawky Ahmed 
Published: September 2023

Context:
Platelets play a major role in the pathophysiology of acute myocardial infarction.

Aim:
This study aims to evaluate the potential correlation between admission platelet count (PLT) and B-type natriuretic peptide (BNP) with the development of severe heart failure during the first 24 h post primary PCI (post-PPCI) in patients admitted with ST-elevation myocardial infarction (STEMI).

Settings and Design:
This was cross-sectional follow-up study.

Methods:
One hundred and forty-six patients admitted with STEMI. At the time of admission, blood samples were drawn to measure PLT and BNP level. Twenty-four h after reperfusion, patients were assessed using Killip score, and a transthoracic echo was done to determine ejection fraction (EF) using modified Simpson’s rule.

Statistical Analysis:
Comparison between parametric quantitative independent groups done by t-test. The area under the receiver operating characteristic (ROC) area under the curve was calculated to determine the sensitivity and specificity of PLT in diagnosing severe heart failure (Killip III and IV) Confounding bias has been addressed through a multivariate logistic regression model.

Results:
we found a significant negative correlation between admission PLT and left ventricular EF measured 24 h post-PPCI and a positive correlation between PLT and both BNP and CKMB level measured at admission (P = 0.001, 0.004 and P = 0.007, respectively). ROC curve analysis showed a platelet cut-off value of 290 × 103 to diagnose severe heart failure (Killip’s grades III and IV) (sensitivity of 70% and specificity of 83.1%.).

Conclusion:
BNP and PLT are easy, inexpensive blood tests that can be used as predictors of heart failure post-STEMI.
What We Learned from Steroid Therapy in the COVID-19 Pandemic
Authors: Yalçi A , Doğan E , Kapici MA , Demirkıran BÇ , Filiz M , Artuk C 
Published: September 2023

ABSTRACT

Background:
The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a pandemic named coronavirus disease 2019 (COVID-19) that has become the greatest worldwide public health threat. Although different treatment recommendations are offered for COVID-19 infection, steroid treatment remains important.

Aim:
We aimed to demonstrate the effect of pulse steroid therapy (PST) on inflammatory markers and patient outcomes in moderate/severe COVID-19 pneumonia.

Materials and Methods:
We retrospectively analyzed the patients 18 years and older hospitalized in our hospital’s COVID-19 clinics between April 1, 2020, to June 30, 2020, and July 1, 2021, to November 30, 2021. Patients in the moderate/severe COVID-19 pneumonia category, according to the World Health Organization COVID-19 guidelines, were included in the study. The demographic characteristics of the patients, treatments, inflammatory markers, and patient outcomes (need for intensive care, length of hospital stay, high-flow nasal oxygen (HFNO) requirement, mechanical ventilation (MV), and mortality rates) were recorded and analyzed.

Results:
Patients who received PST had more advanced age (P < 0.01), more comorbidities (P < 0.001), and more HFNO need (P < 001) compared with the patients who did not receive PST. There was no statistically significant difference between clinical outcomes: the need for intensive care, length of hospital stay, need for MV, and mortality rates (P = 0.54, P = 0.3, P = 0.14, and P = 0.09, respectively). When we evaluated the unvaccinated patients, there was a statistically significant difference in the MV need and mortality rates between those who received PST and those who did not (P = 0.017, P = 0.014, respectively).

Conclusion:
It was observed that PST provided similar mortality, ICU, and MV requirements in patients with older age and comorbidities. Lower MV requirements and mortality were observed in the unvaccinated group receiving PST compared with the unvaccinated group not receiving steroids. PST is still promising in COVID-19 infection, and more studies are needed for standard doses and applications.
Immunization of Children in Africa: Strides and Challenges
Authors: Olawuyi Dimeji Abdulsobur , Esanju Daniel Olaloye , Olowolayemo Samuel Adedolapo , Asogwa Chukwuebuka Stanley , Salako Olajire Oluwagbenga , Kolajo Anjolaoluwa Esther , Akano Olatokun Shamsudeen , Ibekwe Jonas Paul , Mbey Adaeze Nancy , Raji Abayomi Hassan 
Published: September 2023

Abstract

Background:
The African continent is behind by a wide margin in the childhood vaccination race which contributes significantly to the high childhood morbidity and mortality rate from vaccine-preventable diseases in the continent. Some African countries are still struggling to achieve routine immunization coverage for all recommended expanded program on immunization vaccines.

Aim:
In this study, we aimed to identify the barriers hindering childhood immunization in Africa and to identify the remarkable progress made so far.

Materials and Methods:
Peer-reviewed articles published in English that focused on the barriers to childhood immunization in Africa and the progress made so far was reviewed. This was achieved by searching relevant search terms in PubMed, Google Scholar, Wiley Online Library, and CINAHL databases dating back from January 2000 to June 2022.

Result:
A total of 30 papers were reviewed. The barriers include parents’ education status, economic status, and gender/age; place of birth and place of residence; cultural beliefs and religious affiliations; fear of contracting diseases and lack of trust in health public institutions; vaccine awareness and delivery; and dose-specific delays. The achievements include international support and oriented actions, plans for technological integration and its implementation, and domestic immunization-oriented actions and research work.

Conclusion:
Childhood immunization is still low in Africa with the majority of the countries yet to realize the global immunization targets. Technologies and immunization-related interventions have been implemented to support Africa but more concerted effort and aid are required to reduce vaccine-preventable deaths to the bare minimum.
Outcome of Flexible Ureteroscopy and Holmium Laser Lithotripsy in the Management of Renal Stones: A two-year Retrospective Study
Authors: Akpayak Idorenyin Cletus , Ikeh Chukwudum Dennis 
Published: September 2023

Abstract

Background:
Over the decades, the management of renal stones has shifted from the undesirably invasive open nephrolithotomy to the more effective and less invasive approaches with lower morbidity. These less invasive options include extracorporeal shock wave lithotripsy, percutaneous lithotripsy, and flexible ureterorenoscopy (fURS).

Aim:
This study seeks to evaluate the outcomes of flexible ureterorenoscopy with holmium: yttrium-aluminum-garnet (holmium:YAG) laser lithotripsy for the treatment of renal stones <2.0 cm in our patients.

Patients and Methods:
Records of 23 patients who underwent flexible ureteroscopy and holmium: YAG laser lithotripsy between October 2020 and September 2022 were reviewed retrospectively. The patients who had the flexible ureteroscopy and laser lithotripsy for renal stones <2.0 cm for various indications were the subjects of this study. All patients had computed tomographic urography preoperatively to locate the stone. Stone-free rate (SFR) was deduced from no stone detected on imaging and resolution of the patient’s preoperative complaints related to the renal stones at follow-up. Data on patients’ demographics, indication for the surgery, location of the stone, size of the stone, preoperative double J (DJ) placement, postoperative DJ stent placement, intraoperative and postoperative complications, and the SFR were retrieved and subjected to the statistical analysis.

Results:
A total of 23 patients had fURS and laser lithotripsy during the two-year study period. All the patients had solitary stone in the renal unit operated. The mean stone size for all the patients was 1.3 cm (range: 0.5–1.9 cm). Fifteen (65.2%) patients had DJ stent preoperatively. Postoperative DJ stent was placed in all our patients. Four (17.4%) patients had Grade 1 ureteric injury while none had high Grades (2, 3, and 4) ureteral injuries. Two (9.5%) patients had intraoperative bleeding, 1 (4.8%) had transient haematuria postoperatively while 2 (9.5%) patients had urinary tract infection. The SFR was 91.3% in a single surgery. Two patients (8.7%) had residual fragments in the lower calyx.

Conclusion:
Flexible ureteroscopy and laser holmium lithotripsy give a satisfactory SFR, with few complications. It is a safe and effective treatment modality for the treatment of stones <2.0 cm in the renal pelvicalyceal system.
Legal Consequences of Making a Notary's Cover Note in the Implementation of Notary's Duties
Authors: Lubis Ikhsan , Murwadji Tarsisius , Sunarmi Sunarmi , Sukarja Detania 
Published: September 2023

Introduction: One of the legal goods provided by a notary is a cover note, which is a statement in the management of a deed or a notarial document stating that the deed is in progress and can be finished within the time set by the cover note.Purposes of the Research: A notary certificate is referred to as a cover note, as a substitute for the process of obtaining a certificate from a notary public, land title guarantees can be replaced temporarily depending on needs and developments. Notaries can make issue cover notes, which have legal consequences and make legal norms null and void. The legal basis for making and issuing cover notes is not yet known. This paper discusses two matters: What legal authority does a notary have to issue a cover note? What are the legal consequences of publishing a cover note by a notary? Methods of the Research: This is typical of legal writings that take a legal approach and examine legal concepts. In socio legal research, research begins with a hypothesis. After formulating the hypotheses, the hypotheses are tested. Data collection techniques in socio legal research are carried out through interviews, observation, questionnaires and document analysis.Results of the Research: However, notaries are allowed to issue and make cover notes because it is a form of agreement. This paper concludes that there is no legal basis for regulating cover notes. If the duties and authorities do not comply with the contents of the cover note, the law will result in a violation of Article 1366 of the Criminal Code.
The Impact of Green Legacy on Climate Change in Ethiopia
Authors: Lambert Edward , Deyganto Kanbiro Orkaido 
Published: September 2023

A green legacy initiative plays a crucial role in promoting a healthy environment in Ethiopia by restoring ecosystems, mitigating climate change, and fostering environmental awareness and stewardship. Through its tree planting efforts, the initiative aims to create a sustainable and resilient environment that benefits both nature and the people of Ethiopia. The research gap lies in the need for comprehensive studies that assess the impact of the green legacy initiative on promoting a healthy environment in Ethiopia. This includes evaluating its impact on biodiversity conservation, soil conservation, and the social and health outcomes of local communities. The mixed–method research was employed by researchers. The regression result was evidenced that tree planting, growing trees for carbon sequestration, biodiversity conservation, soil conservation, community engagement, and climate education have positive statistically significant effect on healthy environment in Ethiopia. Based on the research findings, the researchers were forwarded the recommendations for policymakers and government of Ethiopia to take into consideration the six parameters of green legacy in implementing green legacy incentives in Ethiopia. Addressing these parameters of green legacy will provide a more holistic understanding of the initiative’s effectiveness and contribute to evidence-based decision-making for sustainable environmental management in Ethiopia.

Received: 18 July 2023 | Revised: 11 September 2023 | Accepted: 13 September 2023

Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.

Data Availability Statement
Data sharing is not applicable to this article as no new data were created or analyzed in this study.
Cartilha digital: o direcionamento dos resíduos eletroeletrônicos através de ações educativas na educação básica
Authors: Santos Janaina Luiza Simões dos , Silva Rafaela Alves Pereira da , Severo Gomes Bruno 
Published: September 2023

O direcionamento correto dos resíduos eletroeletrônicos vai muito além de medidas voltadas a conservação ambiental, trata-se de modelos de gestão que vise garantir ações coletivas gerando a conscientização socioambiental quando aplicada corretamente perparssando os muros escolares . Dessa maneira, o presente trabalho tem como objetivo promover educação ambiental através do uso das cartilhas digitais , de modo que colabore para o compartilhamento do tema no processo de ensino e aprendizado na educação básica. O conteúdo da cartilha foi pensada para ser utilizada de forma interdisciplinar pelos docentes em diversas áreas de conhecimento. A pesquisa foi realizada em uma escola estadual em Aldeia, localizada no municipio de Camaragibe –PE. Sendo realizada uma pesquisa qualitativa efetiva obtendo assim dados que juntamente com uma pesquisa bibliográfica contribuíram para a elaboração do produto educacional. Após submeter o produto educacional desenvolvido à análise de educadores, foi verificado que este pode contribuir para que os educandos compreendam a importância do descarte correto dos resíduos eletroeletrônicos a construção permanente da conscientização, sensibilização norteando a prática dessas ações socioambientais através da Educação.
Discricionariedade, vinculação, proporcionalidade
Authors: Canas Vitalino 
Published: September 2023

A vinculação direta da Administração Pública à Constituição, sem necessidade de mediação legislativa, decorre da força normativa daquela. Nos casos de Portugal e do Brasil, esse postulado tem vindo a consolidar-se gradualmente, mas nem sempre são extraídas as devidas consequências. O princípio da proporcionalidade é um dos pilares da juridicidade a que está sujeita a atividade administrativa, seja ou não recebido expressamente pela constituição. A obrigação de observância desse princípio – e de outros – nas situações em que a Administração Pública dispõe de autonomia decisória, particularmente discricionariedade, é pacificamente admitida. Concomitantemente, entende-se que o cumprimento desse princípio é suscetível de escrutínio judicial. Todavia, ainda não se assumiu com clareza que, nessa medida, os tribunais entram na apreciação de juízos de mérito classicamente reservados exclusivamente à Administração Pública, devendo agora assumir-se que só parcialmente tais juízos e as valorações da Administração Pública estão livres da apreciação judicial. Por outro lado, a doutrina e a jurisprudência dominantes continuam a negar, sem fundamento constitucional ou legislativo, que na prática de atos de conteúdo vinculado a Administração Pública esteja vinculada à observância do princípio da proporcionalidade. Contudo, a aplicação do princípio da proporcionalidade é sempre exigível nas situações em que, perante uma colisão normativa, o órgão decisor – particularmente o administrativo – tem de praticar operações de harmonização e (ou com) ponderação para os superar.
Agrotopias
Authors: Goode Abby L. 
Published: September 2023

In this book, Abby L. Goode reveals the foundations of American environmentalism and the enduring partnership between racism, eugenics, and agrarian ideals in the United States. Throughout the nineteenth century, writers as diverse as Martin Delany, Charlotte Perkins Gilman, and Walt Whitman worried about unsustainable conditions such as population growth and plantation slavery. In response, they imagined agrotopias—sustainable societies unaffected by the nation's agricultural and population crises—elsewhere. Though seemingly progressive, these agrotopian visions depicted selective breeding and racial "improvement" as the path to environmental stability. In this fascinating study, Goode uncovers an early sustainability rhetoric interested in shaping, just as much as sustaining, the American population. Showing how ideas about race and reproduction were central to early sustainability thinking, Goode unearths an alternative environmental archive that ranges from gothic novels to Black nationalist manifestos, from Waco, Texas, to the West Indies, from city tenements to White House kitchen gardens. Exposing the eugenic foundations of some of our most well-regarded environmental traditions, this book compels us to reexamine the benevolence of American environmental thought.