bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incidence of Missed Middle Mesial Canal in Endodontically treated Mandibular Molar Teeth: A Cone-Beam Computed Tomography Study
Authors: Tartuk GA , Kaya S 
Published: July 2023

ABSTRACT

Background:
In endodontic treatment, the aim is to completely determine, shape, and fill all root canals in a three-dimensional way. Missed canals lead to treatment failure. In mandibular molars, there may be an extra canal called the middle mesial canal between the mesiobuccal and mesiolingual canals.

Aim:
The aim of this study was to evaluate the prevalence of missed middle mesial canals in root canal-treated mandibular molar teeth.

Materials and Methods:
In this study, cone-beam computed tomography (CBCT) images of 1054 patients were analyzed. We identified 121 endodontically treated mandibular molars and evaluated the prevalence of missed canals.

Results:
Although 33.05% of the root canal-treated teeth did not have a middle mesial canal, this canal was detected in the other 66.94%; 97.53% of teeth with a middle mesial canal could not be detected by clinicians.

Conclusion:
Clinicians performing endodontic treatment of mandibular molar teeth should not ignore the presence of the middle mesial canal. Thus, it is very important for clinicians to have sufficient information about the localization, morphology, and variations of the middle mesial canal.
Diagnostic Contribution of Magnetic Resonance Imaging and Computerized Tomography in Patients with Unidentified Vertigo and Normal Neurologic Examination in Emergency Medicine
Authors: Buyurgan CS , Eray O , Yigit O , Yaprak N , Unal A , Senol U 
Published: July 2023

ABSTRACT

Background:
Vertigo and dizziness are common symptoms in patients presenting to emergency medicine (ED) clinics. Vertigo may be caused by peripheral or central origin. Routine imaging is not indicated; however, neuroimaging is increasing, and published studies have revealed a small number of positive findings on imaging modalities.

Aims:
The aim of this study was to investigate whether neurological imaging was necessary in patients classified as “unidentified vertigo,” who were admitted to the emergency department with vertiginous complaints and not revealing typical peripheral vertigo findings and any neurological deficits.

Materials and Methods:
All patients with “dizzy symptoms” were included in the study. For patients who met the definition of “unidentified vertigo,” experimental neurological imaging studies were done. Head computerized tomography (CT), magnetic resonance imaging (MRI) with gradient-echo sequences (GRE), and diffusion weighted images (DWI) were used for imaging. Patients who underwent neuroimaging in the ED were followed up for 6 months in Neurology and ENT clinics.

Results:
A total of 351 patients were included in the study. Experimental imaging was performed on 100 patients. CT detected a significant pathology associated with the vertigo complaint in only one patient. MRI results were similar to the CT results. MRI-GRE sequences showed some additional pathologies in 14 patients and 4 of them were thought to be related to vertiginous symptoms. None of the patients classified as “non-central causes of vertigo” in the neuroimaging group developed TIA or CVD during 6 months of follow-up.

Conclusion:
Head CT can be adequate to exclude life-threatening central pathology in “undifferentiated vertigo patients” and the addition of MRI did not add any diagnostic accuracy in ED management. Using the physical examination findings effectively to make a specific diagnosis may reduce misdiagnosis and improve resource utilization.
Percutaneous Kidney Biopsy and the Histopathologic Patterns of Kidney Diseases in Children: An Observational Descriptive Study at a South-East Nigerian Tertiary Hospital
Authors: Mbanefo NR , Igbokwe OO , Iloh ON , Chikani UN , Bisi-Onyemaechi AI , Muoneke VU , Okafor HU , Uwaezuoke SN , Odetunde OI 
Published: July 2023

ABSTRACT

Background:
Kidney biopsy remains the best standard for kidney tissue analysis. Although percutaneous kidney biopsy is an invasive procedure, it is an indispensable part of interventional nephrology for accurate diagnosis, selection of appropriate therapy protocol, and prognostication of kidney diseases in children. With improvement in expertise among pediatric nephrologists, data on procedure outcomes are now being documented.

Aim:
We aimed to describe the outcomes in a 5-year practice of kidney biopsy at the pediatric nephrology unit in a southeast Nigerian tertiary hospital.

Patients and Methods:
An observational descriptive study conducted on the kidney biopsy performed in our facility from 2017 to 2022. The focus was on the patients’ clinical profile, indications for biopsy, the adopted procedure, and the histopathologic findings.

Results:
A total of 69 patients had kidney biopsy, 40 (58.0%) were males, while 29 (42.0%) were females. Sixty-four (92.7%) patients had the procedure at the age of >10 years, while five (7.2%) at the age of <7 years. The patients’ prebiopsy mean systolic and diastolic blood pressures were 111.20 ± 16.93 and 74.64 ± 12.69 mmHg, respectively. Their estimated glomerular filtration rate (eGFR) was 119.27 ± 52.78 ml/min/1.73 m2. The most frequent indication was steroid resistance (39/69, 56.5%). Focal segmental glomerulosclerosis was the commonest histopathologic finding (38/69, 55.0%).

Conclusion:
Outcomes of percutaneous kidney biopsy at a Nigerian tertiary hospital are adjudged successful. The histopathologic patterns highlight FSGS as the major cause of steroid resistance in childhood nephrotic syndrome in this clime.
Perceived role and scope of practice toward prescription of eye exercises among ophthalmologists and physiotherapists
Authors: Maddi Meghana V. , Shimpi Apurv P. 
Published: July 2023

CONTEXT:
The role and scope of physiotherapy practice in ophthalmological conditions for prescription of eye exercises are poorly understood and explored in the literature. Understanding the conditions and prescription of eye exercises may help in developing ophthalmic physiotherapy as a new specialty.

AIM:
The aim of this study was to assess the perceived role and scope of practice of physiotherapists and ophthalmologists in prescribing eye exercises.

SUBJECTS AND METHODS:
A cross-sectional survey was conducted among practicing physiotherapists and ophthalmologists in an urban region. A self-made and validated electronic questionnaire was provided which included questions regarding assessment procedures, indications, and scope of prescription of eye exercises by both the professionals.

STATISTICAL ANALYSIS:
Descriptive analysis of the data obtained was performed.

RESULTS:
Of the 38 ophthalmologists and 47 physiotherapists who participated in the study, 34 (89.47%) ophthalmologists and 22 (46.80%) physiotherapists were active in prescribing eye exercises. Ophthalmologists contributed largely in the prescription of eye exercises for convergence insufficiency (58.82%), strabismus (50.00%), amblyopia (44.11%), computer vision syndrome (41.17%), and accommodation insufficiency (32.35%), whereas physiotherapists were mainly involved in prescribing eye exercises for conditions such as vestibular dysfunctions (81.81%), squint and eye strain (22.72% each). About 55.26% of ophthalmologists and 46.80% of physiotherapists showed a favorable response for the development of ophthalmic physiotherapy as a specialty branch.

CONCLUSION:
Eye exercises for ophthalmological or nonophthalmological conditions are largely prescribed currently by the ophthalmologists as compared to physiotherapists, who seem to have a lesser perceived role and application scope in this branch of medicine. The majority of practitioners from both fields favor the development of ophthalmic physiotherapy as a specialty.
Upper extremity strengthening for respiratory function as an adjunct to conventional physiotherapy in cerebral palsy spastic diplegia children
Authors: Bombatkar Rasika , Wasnik Sandhya 
Published: July 2023

BACKGROUND:
Respiratory illness in cerebral palsy (CP) is a complex multifactorial disease process. Children with spastic diplegic CP show significantly lower respiratory functions than children with normal development. It is reported that weak chest muscles, limited rib cage mobility, and reduced voluntary breathing capabilities lead to reduction in respiratory function in children with CP spastic diplegia. Thus, strategies to improve pulmonary function are required for a better physical performance in children with CP.

AIM:
The aim is to o assess the effect of upper extremity strengthening exercises (UESE) with resistance bands as an adjunct to conventional physiotherapy on respiratory function in children with CP spastic diplegia aged 6–10 years.

METHODS:
A total of 28 subjects with CP spastic diplegia Gross Motor Functional Classification System levels II and III, aged 6–10 years, were included in the study. The experimental group participants performed UESE along with conventional physiotherapy.

RESULTS:
Post 4-week intervention phase, experimental group had 68.96% improvement if peak expiratory flow (3.43 L/min vs. 2.03 L/min), 44.44% improvement in forced expiratory volume in 1 s (FEV1) (1.57 L vs. 1.11 L), and 50.89% improvement in forced vital capacity (FVC) (1.69 L vs. 1.12 L) as compared to the control group. The experimental group had a reduction in FEV1/FVC ratio from 100% to 95% in the postintervention phase.

CONCLUSION:
UESE with the resistance band, in addition to conventional physiotherapy, led to an improvement in pulmonary function tests as compared to conventional physiotherapy alone. Upper extremity strengthening should be included in routine chest physiotherapy protocols for children with spastic diplegic CP.
Correlation between transverse abdominis muscle activity and dynamic balance
Authors: Krishna Harish S. , Samuel Sanjay Eapem , Dhungana Milan 
Published: July 2023

CONTEXT:
Transverse Abdominis (TrA) is one of the main core stabilizing muscles of the lumbar spine and also being one of the significant components of the core; it is important to understand to what extent the single muscle of the core contributes to the dynamic balance.

AIMS:
This study aims to find the correlation between transverse abdominis muscle activity and dynamic balance.

SETTING AND DESIGN:
This was an analytical correlation study conducted in a tertiary care hospital in Mangaluru.

MATERIALS AND METHODS:
A total of 32 healthy males between the age of 18 and 30 years were included in the study. Transverse abdominis muscle activity was measured with a pressure biofeedback unit during abdominal tuck-in in a prone position and quantified in mmHg. Dynamic balance was measured with the Lower Quarter Y-Balance Test (LQYBT).

STATISTICAL ANALYSIS:
The collected data of transverse abdominis muscle activity and Lower Quarter Y-Balance was summarized using mean and standard deviation. Shapiro-Wilk test was done to test the normality of data and Spearman's rho correlation coefficient was used to find the correlation between transverse abdominis muscle activity and dynamic balance.

RESULTS:
The Spearman's correlation between the pressure difference component of TrA activity and the component of dynamic balance (LQYBT, anterior, posterolateral, and posteromedial) showed a moderately significant positive correlation (P < 0.05). The Spearman's correlation between hold time (Component of TrA activity) and LQYBT showed a moderately significant positive correlation (P < 0.05). Spearman's rho correlation between two components of dynamic balance (anterior, posteromedial) and hold time showed a fair positive correlation which was statistically not significant (P > 0.05). However, there was a moderate positive correlation between hold time and a posterolateral component of dynamic balance (P < 0.05).

CONCLUSION:
Participants who showed strong transverse abdominis muscle activity had excellent dynamic balance.
The Impact of Covid-19 on Gold Price in Indonesia Using ARIMA Intervention
Authors: Dewi Dyah Makutaning , Ferrandy Alvian , Nafi Muhammad Zaky , Nasrudin Nasrudin 
Published: July 2023

On March 2, 2020, Indonesia experienced first case of Covid 19. As a result, investors should be careful in investing so that investors choose gold in investing. Purpose of this study is analyze impact of Covid-19 on gold price in Indonesia. Research method uses ARIMA intervention. The results showed that the impact of Covid-19 on gold price in Indonesia is gradual temporary, meaning the intervention to influence the movement of gold price gradually and temporarily. Intervention of Covid-19 cases against gold price in Indonesia began to be felt after two weeks of the first case of Covid-19 in Indonesia which demonstrated by the increase in the gold price out of ordinary since the 16th day. On the 19th day after intervention, the gold price in Indonesia decreased. Furthermore, the gold price in Indonesia is again rising and expected to increase. The forecast results of the next 31 days show gold price in Indonesia has always increased. When Covid-19 has not been able to be resolved so that the confirmed positive case of Covid-19 continues to increase, gold investment is one of the safe investments. However, investors should pay attention to gold price movements if they want to invest in gold.
Keywords: ARIMA Intervention, Covid-19, Gold Price
JEL Classification: E22, H54, O16
ИЛК АРАБ-МУСУЛМОН ДАВЛАТ БОШҚАРУВИДА МАДИНА ШАҲРИНИНГ ЎРНИ
Authors: Зоҳидов Қобилжон 
Published: July 2023

Мақолада шиаликнинг исмоилийлик фирқаси пайдо бўлиши, ал-Қоҳира шаҳрининг Фотимийлар сулоласи вакиллари томонидан қурилиши, шаҳарнинг номланиш тарихи, Фотимийлар сулоласи вакиллари, уларнинг ҳукмронлигининг ҳаққонийлиги таҳлил этилган.
БЎЛАЖАК ЎҚИТУВЧИЛАРДА ФАОЛ ФУҚАРОЛИК КОМПЕТЕНЦИЯСИНИ МУСТАҲКАМЛАШГА ҚАРАТИЛГАН ИЖТИМОИЙ-СИЁСИЙ ЖАРАЁННИ РИВОЖЛАНТИРИШ ОМИЛЛАРИ
Authors: Асадуллаева Наргиза 
Published: July 2023

Ушбу мақолада бўлажак ўқитувчиларнинг ижтимоий фаоллигини ошириш, жамият ижтимоий-сиёсий ҳаётидаги ўрни, давлатимизнинг ёшларга оид сиёсати, ёшларнинг мамлакатимизда амалга оширилаётган туб ислоҳотлардаги иштироки, ёшларда фаол фуқаролик компетенциясини мустаҳкамлашда ривожланган мамлакатлар тажрибалари атрофлича ёритилган.
ОЛИЙ ТЕХНИКА ТАЪЛИМИДА МЕҲНАТ МУҲОФАЗАСИ ВА ТЕХНИКА ХАВФСИЗЛИГИ ҚОИДАЛАРИНИ ЎҚИТИШДА ЭЛЕКТРОН МЕТОДИК АСОСЛАРНИНГ ИЛМИЙ АҲАМИЯТИ
Authors: Нумонжонов Шохзодбек 
Published: July 2023

Барча ўқув фанлари қатори меҳнат муҳофазаси ва техника хавфсизлиги қоидаларини ўқитишда замонавий ахборот технологияларнинг охирги ютуқларидан фойдаланиш муҳим аҳамиятга эга. Ушбу мақолада олий техника таълимида меҳнат муҳофазаси ва техника хавфсизлиги қоидаларини ўқитишда электрон методик асосларнинг илмий аҳамияти ёритиб берилган.
Management of Vatakantaka (Plantar Fasciitis) with Agnikarma-A Case Study
Authors: A Bhuvaneshwar , K Srinivasa Kumar , Sulochana Gayathri 
Published: July 2023

Acharya Sushruta explained that when a person walk on the irregular or uneven surface, vata gets localized and aggravated in khuda pradesha (Ankle joint) and produce pain in heal region known as Vatakantaka. It can be compared to Plantar Fasciitis. Plantar Fasciitis is the one of the painful condition in heel that hampers daily activity. Plantar Fasciitis is caused due to repeated stretch and strain of plantar fascia resulting in injury and inflammation which produces heel pain. Plantar fasciitis is managed with analgesic and anti-inflammatory, intra articular steroid injection and surgically by plantar fascia release as per requirement, but such type of treatment increased hospital stay and high economical expenses. Sushruta mentioned agnikarma in management of Vatakantaka which can be done with less economical expenditure and minimum hospitalization. Agnikarma is used in this case study to assess its efficacy in relieving pain. 46 years old female complaints of right heel pain in first few steps in morning and pain relived after walking, and again pain developed after prolonged period of rest. Patient was treated by Samyak Bindu vat Agnikarma at ankle region in 4 sittings at the interval of 7 days, which given complete relief from pain.
Traditional Indian Medicine Improves Clinical Outcome in Non-alcoholic fatty Liver diseases - A Systematic Review and Meta-analysis
Authors: Chaudhary Piyush , Rathi Bharat , Lamba Neha , Sharma Anil , Rathi Renu 
Published: July 2023

Background: Non- Alcoholic Fatty Liver Disease (NAFLD) is a rapidly emerging liver disease linked strongly to metabolic syndrome. In the absence of specific pharmacological agents for the effective treatment of NAFLD, current treatment mainly focuses on lifestyle and dietary modifications. Several agents referenced in Ayurvedic texts have shown promising effects in patients over centuries of use. But the outcomes reported by various randomized clinical trials (RCTs) for the efficacy of herbs in non-alcoholic fatty liver disease (NAFLD) are conflicting. Objective: This study aims to systematically review and conduct meta-analysis of the available evidence to evaluate the efficacy and safety of Ayurveda-referenced drugs. Methodology: The electronic databases PubMed, Web of Science, Embase, Cochrane library, and ARP were searched up to May 2022 to identify relevant studies. Quality of studies was evaluated using modified Jadad Scale. Risk of bias was assessed using Cochrane risk of bias tool. Result: The search retrieved 1352 studies, but only 18 studies were finally evaluated. Statistical analysis showed significant reduction in grades of fatty liver (RR: 2.42, 95% CI; 1.52, 3.86), AST (SMD: -0.91, 95% CI; -1.04, 0.08;) and ALT (SMD = − 0.91; 95% CI; − 1.53, − 0.28; P < 0.00001). Conclusion: Ayurveda drugs have shown positive results in managing NAFLD, as evidenced by the limited available data. More quality-based RCT’s using standardized Ayurveda drugs with large sample sizes and taking histological outcomes into consideration must be conducted to generate stronger evidence.
Correlation of Hand Index with Prakriti: A Cross -Sectional Study
Authors: Chanana Amrish , Bandapalle Dattu 
Published: July 2023

Introduction: Based on the measurements of the body, the constitution and physique of an individual can be classified as ectomorph, mesomorph, and endomorph body types (somaotypes). Similarly, the knowledge of anthropometry can be made applicable in the assessment of Deha Prakriti, described in Ayurveda. Somatometry, a division of anthropometry includes direct surface measurements of the human body by scientific methods. Analysis and comparison of the absolute measurements of body parts do not give a precise idea about the individual typology of the subject, so it is necessary to work out the relevant indices, so variation in hand index between the different groups of dominant Prakriti has been observed. Methodology: Two hundred apparently healthy male individuals of age 18-40 years were registered from the population residing in Delhi. Prakriti of the study participants was assessed through the questionnaire. The length and breadth of both the hands were measured by the digital sliding caliper. The hand index is calculated as the percentage of the breadth of hand to the length of hand. The difference in the values of the hand index in different groups of dominant Prakriti was statistically analyzed by appropriate statistical tests. Result: The receiver operating characteristic (ROC) analysis showed the value of right hand index in different dominant Prakriti as Vata dominant <= 41.344, 41.344 < Pitta dominant < 43.930, Kapha dominant>=43.930, whereas in left hand, the value of hand index in Vata dominant <= 41.895, 41.895 < Pitta dominant < 43.687, Kapha dominant>=43.687. Conclusion: There are significant differences in the hand index among different Deha Prakriti.
Evaluation & Comparison of Nicotine quantification in smokeless tobacco products
Authors: Parmar Ghanshyam , Shah Ashish , Aundhia Chintan , Chudasama Jay 
Published: July 2023

Introduction: Smokeless tobacco products (STPS) represent a significant health risk and have been associated with oral and pancreatic cancers, oral lesions, coronary artery and peripheral vascular disease and adverse pregnancy outcomes. So, the aim of the present study is to perform quantitative determination of nicotine, the main alkaloid of smokeless product (Gutkha) available in Vadodara, Gujarat. Method: Collection of sample was done from local tobacco selling shopkeeper from Vadodara i.e. vimal, RMD, pan vilas, rajnigandha and raag. All the samples included in the study the same products available everywhere in Gujarat. The quantification of nicotine was done by High Performance Thin Layer Chromatography (HPTLC) using the mobile phase toluene: ethyl acetate: Diethylamine (6:4:0.5). Spectrodensitometric measurement was carried out at absorption maximum 254 nm. Results: Five different smokeless tobacco samples were estimated using HPTLC method. Nicotine content was found to be 2.45% in Vimal, 3.11% in RMD, 2.60%- Pan Vilas, 3.06%- Rajigandha,3.32%- Raag. Conclusion: A considerable variation of nicotine content was found among the five investigated smokeless tobacco product where sample raag revealed the highest amount of nicotine than the other samples. The nicotine concentration of commercially available chewing tobacco products was found to be much lower than that of the smoking form of tobacco, but the higher average daily consumption made it comparable to the smoking form.
IMPLEMENTASI LITERASI DIGITAL PADA PELAJARAN BAHASA INDONESIA MELALUI PEMBELAJARAN JARAK JAUH
Authors: Salsabila Salsabila , Riadi Sugeng 
Published: July 2023

: Salah satu strategi yang bisa dicoba guru buat mengimbangi pembelajaran masa 4. 0 dengan melakukan literasi digital. Literasi digital dalam hal ini merupakan pengetahuan dan kecakapan untuk menggunakan alat digital, alat- alat komunikasi, ataupun jaringan dalam menciptakan, menilai, memakai, membuat data, dan memanfaatkannya secara segar, bijaksana, pintar, teliti, tepat serta patuh hukum dalam rangka membina komunikasi, dan interaksi yang dilakukan pada pelajaran bahasa Indonesia. Metode yang dipakai dalam riset ini merupakan metode analisa deskriptif kualitatif, yang berupaya menguraikan impementasu literasi digital pelajaran bahasa indonesia melalui pembelajaran jarak jauh, dimana semua informasi yang diperoleh berupa deskriptif mengenai hasil dari riset. Teknik pengumpulan informasi yang dipakai antara lain pendekatan literatur riset atau jurnal artikel online serta daftar pustaka yang berhubungan dengan riset ini. Pengembangan pelajaran Bahasa Indonesia lewat teknologi data diharapkan sanggup membagikan hal yang positif serta meminimalkan hal negatif.
EFEKTIVITAS SCIENCE VIDEO PROJECT-BASED LEARNING SEBAGAI STIMULAN KEMAMPUAN BERPIKIR KREATIF MAHASISWA
Authors: Trianggono Mochammad Maulana , Kurniawan Moh Usman , Ashadi Firman 
Published: July 2023

Technological developments in the digital era as it is today show a high trend of increasing video production, both as entertainment and as learning. This euphoria should be used positively by educators in stimulating the creativity of students. The purpose of this study was to describe the development of students' creative thinking skills through the project of making science learning videos for early childhood. This research design uses true experimental research – pretest-posttest group design. The results of this study were analyzed quantitatively-descriptively using the n-gain analysis approach based on the results of the assessment of students' creative thinking skills in making science learning videos for early childhood. Independent t-test analysis was also used to analyze the significance of the difference in the n-gain score between science video project-based learning and learning with ordinary presentations (with power point). The results showed that the science video project-based learning could effectively stimulate students' creative thinking skills with an n-gain score of 0.62 with medium category. Independent t-test analyze result also showed that there was a significant difference between the n-gain scores between science video project-based learning and learning with power point based presentations.