bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative evaluation of the efficacy of a novel tetracycline-coated suture with triclosan-coated and noncoated sutures on bacterial load reduction: A prospective in vitro study
Authors: Banodkar Akshaya Bhupesh , Nandgaonkar Vaibhavi Pandurang , Gaikwad Rajesh Prabhakar , Fernandes Lynette Custodio , Patil Chitra Laxmikant , Batho Amrita Dharmendra 
Published: December 2022

Background:
Surgical site infection (SSI) is one of the common postoperative complications observed after various periodontal surgeries, and sutures play a vital role in its causation. Thus, the aim of this study is to evaluate and compare the efficacy of a novel tetracycline-coated suture with triclosan-coated and nonantibacterial-coated sutures on bacterial load reduction to prevent SSI by measuring the zone of inhibition.

Materials and Methods:
Twenty systemically healthy individuals with moderate chronic periodontitis were included in this study. Fresh unstimulated saliva was collected from each patient and inoculated on three different blood agar plates. Sutures were divided into three groups (Group A: Tetracycline-coated suture, Group B: Triclosan-coated suture, Group C [control group]: Nonantibacterial-coated suture). The antibacterial efficacy of each suture was evaluated by performing agar diffusion test. The zone of inhibition around each suture was calculated, and statistical analysis was performed for the same using Kruskall–Wallis ANOVA test and Mann–Whitney U-test.

Results:
On intergroup comparison, there was a statistically highly significant difference seen for the zone of inhibition between the groups (P < 0.01) with the highest values in Group A (14.45 mm), followed by Group B (1.4 mm) and least in Group C (0 mm).

Conclusion:
Tetracycline-coated suture is more efficacious than triclosan-coated suture to reduce bacterial load and further prevent SSIs. However, in vivo clinical trial is must to prove the same.
Identification of Fine Wire and Half-Pin Loosening for External Fixators
Authors: Nutt James , Sinclair Lucy , Graham Simon Matthew , Trompeter Alex 
Published: December 2022

Introduction:
This review article discusses the published methods of identification of fine wire and half-pin loosening. The evidence is reviewed and presented for the clinical, radiological and histological analysis of the half-pin and fine wire to bone interface.

Materials and Methods:
A Preferred Reporting Items for Systematic Reviews and Meta-Analyses compliant systematic review was conducted. Studies investigating the use of external fixators with descriptions on measurement of half-pin and fine wire loosening were included in this review.

Results:
Eight studies were eligible and included. No randomized controlled trials were identified. Torque measurement was most frequently used to quantify the half-pin to bone interface, histological analysis was performed by three studies, and radiographic analysis was performed by five papers including plain film and micro-computed tomography (CT) techniques.

Discussion:
The available evidence was of poor quality, with a lack of homogeneity in quantitative data for torque measurements and a prevalence of arbitrary figures for the definition of loosening. There was no mechanical analysis of fire wire loosening, and the most common clinical measure used for loosening was a scale validated for infection. Micro-CT was validated against torque figures and appears to be the most repeatable measure which could be applied clinically, however has only been used in canine studies. We recommend a study to compare the clinically relevant measurement of loosening against a standard model to provide a validated method of identification or prediction of half-pin and fine wire loosening.
Do Pin Site Cleaning Techniques and Solutions Affect Pin Site Infection Rate in External Fixation? A Systematic Review of Randomized and Nonrandomized Trials
Authors: Ferguson David , Dixon Jan , Eardley William 
Published: December 2022

Introduction:
Infection at the pin site connecting an external fixator to the limb is a common and potentially serious complication of frame treatment. Impacted by many patient and injury factors, further variables exist in terms of the way in which pin sites are cared for. Timing and techniques used to clean pin sites vary substantially and are an attractive domain in which to intervene to decrease infection due to the extent of the associated complications and number of patients involved. Through this review, we explore the impact of cleaning techniques and solutions on pin site infection.

Methodology:
A systematic literature review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, MEDLINE, Cochrane Controlled Trials Register (1996–2022), and EMBASE (1974–2022) were searched in January 2022.

Results:
Thirty-two articles were identified and following eligibility criteria application 14 studies were analyzed. Nine hundred and fourteen adult and child patients undergoing external fixation treatment 2003–2021 in 12 countries were included. Nine studies used an outcome measure and of these, five different outcome measures were used. The literature was graded as having either some or high concerns of bias. No pooling of data was enabled.

Discussion:
The literature investigating variables impacting on pin site care in terms of solutions used, technique, and timing of care is poor. Variance in methodology, populations compared, interventions, and outcomes preclude meaningful analysis or conclusions. In particular, the lack of consensus on diagnosis and classification compromises studies relating to this question.

Conclusions:
Pin site infection is a significant issue in patients undergoing external fixation. The available literature cannot be used to guide care. We strongly recommend a consensus is derived on methodology for studies investigating pin site care. A well-designed randomized controlled trial would carry huge value due to the numbers of patients whose care could be improved through a reduction in pin site infection.

Objective:
To estimate the impact of pin site cleaning techniques and solutions in preventing pin site infection in patients treated with external fixation. The question which this systematic review address is: “Does pin site cleaning techniques and solutions affect pin site infection rate in external fixation?”
Long-term Complications of Conventional and Chandelier-Assisted Scleral Buckle for Primary Repair of Rhegmatogenous Retinal Detachment
Authors: Ilhan Cagri , Citirik Mehmet , Dulger Selda Celik , Ozdemir Mesut 
Published: December 2022

Purpose:
To compare the outcomes of conventional indirect ophthalmoscopy and wide-angled visualization with chandelier endo-illumination methods in scleral buckle surgery by focusing on postoperative complications in the postoperative long-term period.

Methods:
In this retrospective comparative study, patients who underwent scleral buckle surgery due to rhegmatogenous retinal detachment were included in the study. Conventional scleral buckle surgery using indirect ophthalmoscopy was performed in Group 1, and wide-angled visualization with chandelier endo-illumination method in scleral buckle surgery was performed in Group 2. The outcomes of the two methods were compared.

Results:
The demographic and baseline clinical characteristics of the groups were similar (P > 0.05, for all). The mean follow-up time was 70.47 ± 20.32 weeks (52–116) in Group 1 and 64.89 ± 18.12 weeks (52–100) in Group 2 (P > 0.05). There was no significant difference in the mean postoperative best-corrected visual acuity and redetachment rates of the groups (P > 0.05, for both). The cumulative rate of postoperative complications was more frequent in Group 1 (P = 0.011) despite being not significant in one-by-one comparison of the complications including epiretinal membrane, proliferative vitreoretinopathy, glaucoma, cystoid macular edema, foveal atrophy, gaze restriction, and macular hole (P > 0.05, for all).

Conclusion:
Using wide-angled visualization with chandelier endo-illumination in scleral buckle surgery, favorable surgical outcomes can be achieved in the postoperative long-term period with fewer complications.
Lattice Degeneration Imaging with Optical Coherence Tomography Angiography
Authors: Maltsev Dmitrii S. , Kulikov Alexei N. , Burnasheva Maria A. 
Published: December 2022

Purpose:
To describe a series of cases of lattice degeneration of the retina imaged with optical coherence tomography angiography (OCTA).

Methods:
Four eyes of four patients were included and evaluated with green reflectance using a confocal scanning laser ophthalmoscopy and OCTA. In each case, the microcirculation of the retina and choriocapillaris within the lesion, as well as choroidal thickness beneath the lesion, were assessed.

Results:
OCTA showed regional loss of retinal perfusion and rarefication of the choriocapillaris network within the lesion and the presence of venous collectors in the choroid beneath the lesion. The choroid was substantially thinner beneath the lesion compared to the adjacent normal region. Cross-sectional OCT scans showed retinal thinning, vitreal adhesion, atrophic holes, and subretinal fluid within the lesions.

Conclusion:
Lattice degeneration is characterized by significant local changes in retinal and choroidal microcirculation which may play an important role in the pathophysiology of lattice degeneration.
Dexamethasone-Induced Derangement in Some Liver Function Parameters
Authors: Danboyi Timothy , Jimoh Abdulazeez , Hassan-Danboyi Evelyn , Alhassan Abdul Wahab , Dubo Augustine Banlibo 
Published: December 2022

Background:
Dexamethasone is not only a potent glucocorticoid with several health benefits but is also associated with severe side effects, one of which is hepatotoxicity. L-Citrulline is known to possess antioxidant, antidiabetic, and antidyslipidemic effects, among others, of which hepatoprotection has not been extensively explored. We aimed to assess the effect of L-Citrulline on dexamethasone-induced derangement in liver enzymes and serum proteins in Wistar rats.

Materials and Methods:
Twenty-five male Wistar rats, weighing between 200 and 250 g, were randomly assigned into five groups of five rats each. While Group I received no intervention, dexamethasone intraperitoneally (1 mg/kg) was administered to the other groups for 7 days. Groups III, IV, and V were pretreated with 200, 400, and 800 mg/kg L-Citrulline daily for 21 days, respectively. Biochemical assessment was made after humanely sacrificing the animals. Values at P < 0.05 were considered statistically significant compared to the dexamethasone group.

Results:

L-Citrulline significantly lowered the levels of aspartate transferase (AST), alanine transferase (ALT), gamma–glutamyltransferase, and serum total and conjugated bilirubin in a dose-dependent manner. The greatest reduction in alkaline phosphatase level by L-Citrulline was recorded at 200 mg/kg (13.96 ± 0.73 IU/L). Similarly, the total protein level was significantly increased by L-Citrulline 800 mg/kg (9.38 ± 0.39 g/dL), but the greatest increase in albumin level was at 400 mg/kg (4.20 ± 0.21 g/dL). In a dose-dependent manner, the AST: ALT ratios were markedly reduced while the albumin: globulin ratios were greatly increased following L-Citrulline supplementation.

Conclusion:

L-Citrulline supplementation confers hepatoprotective effect against dexamethasone-induced derangements in liver enzymes and serum proteins in Wistar rats.
Conceptualization of Facial Beauty Among Female Students in a Southwestern Nigerian University Using the Golden Ratio Model
Authors: Iteire Kingsley Afoke , Chukwudebe Favour , Ukwenya Victor O , Johnson Funmilayo O , Uwejigho Raphael Eguono , Enemali Felix U 
Published: December 2022

Introduction:
The golden ratio is a mathematical formula proposed over the years to assess facial beauty objectively. The correlation between the golden ratio and facial attractiveness has been researched in the Caucasian and Asian populations, with little literature on the African population. This study aimed to establish a baseline study on the relationship between subjective assessment of facial beauty and the golden ratio among female students of the University of Medical Sciences, Ondo, Nigeria.

Materials and Methods:
One hundred female students aged 1622 years were mobilized for the study. The facial landmarks that Gary Meisner proposed and the PhiMatrix software to analyze golden facial ratios were employed. A relationship between the subjective perception of beauty and the golden ratio was established by having observers rate the photographs; based on this; the sample was grouped into esthetically pleasant, unpleasant, and acceptable. The golden facial ratios were then measured in these classified faces.

Results:
The result revealed that 68 females from the study sample conformed to the golden ratio. The highest percentage from the esthetically pleasant groups was significant at P < 0.05. When these ratios were isolated and tested, only four of the ratios were substantial, at P < 0.05.

Conclusion:
From this result, it is possible to infer a relationship between the golden ratio and facial attractiveness. However, it may not be used as an objective measure of facial beauty because many faces classified as acceptable and unattractive also exhibit golden proportions.
Human hand gesture identification framework using SIFT and knowledge‐level technique
Authors: Haroon Muhammad , Altaf Saud , Rehman Zia‐ur‐ , Soomro Muhammad Waseem , Iqbal Sofia 
Published: December 2022

AbstractIn this study, the impact of varying lighting conditions on recognition and decision‐making was considered. The luminosity approach was presented to increase gesture recognition performance under varied lighting. An efficient framework was proposed for sensor‐based sign language gesture identification, including picture acquisition, preparing data, obtaining features, and recognition. The depth images were collected using multiple Microsoft Kinect devices, and data were acquired by varying resolutions to demonstrate the idea. A case study was designed to attain acceptable accuracy in gesture recognition under variant lighting. Using American Sign Language (ASL), the dataset was created and analyzed under various lighting conditions. In ASL‐based images, significant feature points were selected using the scale‐invariant feature transformation (SIFT). Finally, an artificial neural network (ANN) classified hand gestures using specified characteristics for validation. The suggested method was successful across a variety of illumination conditions and different image sizes. The total effectiveness of NN architecture was shown by the 97.6% recognition accuracy rate of 26 alphabets dataset with just a 2.4% error rate.
A NECESSIDADE DE FORMAÇÃO DO ENFERMEIRO PARA UMA RELAÇÃO EFETIVA COM O ACOMPANHANTE DO PACIENTE HOSPITALIZADO
Authors: Feliciano José Roberto , Cardoso Adilson Lopes 
Published: December 2022

Diante do tema apresentado: A necessidade de formação de enfermeiro para uma relação efetiva com o acompanhante do paciente hospitalizado, direcionou o objetivo desta pesquisa que foi em conhecer a junção enfermeiro/acompanhante/paciente hospitalizado e evidenciar a importância da formação do enfermeiro em lidar com fato do acompanhante ser inserido no tratamento do paciente, no contexto da hospitalização, trata-se de uma pesquisa revisão bibliográfica/integrativa dos artigos já escritos no período de 2012 à 2017.Diante da pesquisa ficou visível que a ausência do reacionamento interpessoal entre enfermeiro e acompanhante do paciente hospitalizado, dificultando a comunhão para somar esforços no tratamento humanizado do paciente, pois devido a formação do enfermeiro ser focada mais na parte biomédica, torna o relacionamento frio e mais voltada a parte técnica,e a importância da presença do acompanhante inserido no contexto de hospitalização fica desvalorizada e escapa a oportunidade de junção dos sujeitos para o bem estar do paciente e familiares.Verificando relato de graduando de enfermagem que critica o fato do modelo biomédico para a formação seja mais valorizado e por consequência o paciente com suas necessidades nos aspectos psicológicos, emocionais, sociais e espirituais são colocados em segundo plano, fica evidente que a formação do profissional enfermeiro no modelo biomédico somando o conhecimento e domínio de informações teóricas específicas que facilite como lidar com a parceria enfermeiro e acompanhante, promoverá ganho a todos os sujeitos envolvidos no processo do tratamento do paciente no contexto da hospitalização.
EVOLUÇÃO HIPERTENSIVA: REVISÃO BIBLIOGRÁFICA
Authors: Cardoso Adilson Lopes , Torralbo Fernanda Augusta Penacci 
Published: December 2022

RESUMO
O artigo teve a intensão em confirmar que a Hipertensão Arterial Sistêmica (HAS) é um problema de saúde pública mundial, sendo esse aparecimento cada vez mais precoce e assintomático pode ser fator desencadeante para outras doenças cardiovasculares além de doença renal crônica. Seu diagnóstico e tratamento muitas vezes são negligenciados, diminuindo assim a adesão dos pacientes ao que sugere os protocolos e recomendações existentes. Assim, o reconhecimento, tratamento e controle da hipertensão foram superiores ao observado em grande parte dos estudos nacionais, considerando-se que a maioria da população reconhece sua condição de sedentarismo, assim, o controle adequado da hipertensão deve ser uma prioridade dos programas e serviços de saúde. O objetivo deste trabalho foi verificar na literatura a evolução hipertensiva da população, Diante das referências nacionais e estaduais dos índices da hipertensão arterial sistêmica foi realizado o levantamento bibliográfico descrevendo a evolução hipertensiva da população, através de bancos de dados Lilacs, Bireme e Scielo, entre os anos de 2001 a 2014.
INTERVENÇÃO FISIOTERAPÊUTICA NO ATENDIMENTO EM DOMÍCILIO DE PACIENTES COM TRAUMATISMO CRÂNIO ENCEFÁLICO: REVISÃO INTEGRATIVA
Authors: De Santana Wilson Ribeiro , Cunha Silva Francisco Luis , Rodrigues Tatyanne Silva 
Published: December 2022

RESUMO
O traumatismo crânio encefálico é definido como qualquer agressão traumática gerada por forças externas capazes de ocasionar lesão anatômica ou comprometimento funcional de estruturas do crânio ou do encéfalo. A fisioterapia apresenta papel relevante na reabilitação dos pacientes com sequelas decorrentes desse traumatismo. Sendo assim, este trabalho buscou discorrer sobre como a intervenção fisioterapêutica pode contribuir de forma significativa para reabilitação dos pacientes com Traumatismo Crânio Encefálico. trabalho constitui-se como uma revisão integrativa, com coleta de dados em artigos publicados nos anos de 2012 a 2018. Utilizou-se os descritores: traumatismo crânio encefálico; fisioterapia; reabilitação, associados com and, na Biblioteca Virtual em Saúde, Scielo, e Google Acadêmico. Encontra-se 16 artigos, sendo usados 08 para análise final. O estudo possibilitou uma compreensão melhor das causas do Traumatismo Crânio Encefálico e de que maneira a fisioterapia atua no processo de reabilitação desses pacientes.
Palavras-chave: Fisioterapia. Traumatismo Crânio Encefálico. Reabilitação.
REVISÃO SISTEMÁTICA E CRÍTICA DA LITERATURA ASSOCIANDO ALIMENTOS E BEBIDAS À EROSÃO DENTÁRIA EM CRIANÇAS
Authors: Collet Giulia de Oliveira , Lopes Thaynara de Souza , Marubayashi Lucas Masaru , Provenzano Maria Gisette Arias , Fracasso Marina de Lourdes Calvo , Primo Paula Patricia , Santin Gabriela Cristina 
Published: December 2022

RESUMO
Diversas condições clínicas podem levar ao desgaste dentário, como por exemplo o desgaste erosivo, que se caracteriza por uma condição multifatorial que leva a perda progressiva de tecidos duros do dente, estando diretamente ligada a exposição frequent0.e do dente a ácidos, portanto, é um processo inteiramente químico e não envolve bactérias. A exposição do dente a ácidos pode ser de forma intrínseca, no caso de pacientes com desordens gástricas, que passam por episódios recorrentes de vômitos e/ou regurgitações, ou extrínseca cuja principal fonte é a alimentação. Diversos alimentos consumidos no dia a dia, industrializados ou não possuem potencial erosivo devido ao baixo pH. A indústria alimentícia fornece vários produtos voltados ao público infantil potencialmente erosivos, sendo essa característica muitas vezes omitida, além disso, alimentos naturais como frutas, frequentemente consumidas por crianças também possuem potencial erosivo. A progressão da erosão na dentadura decídua é mais rápida devido a pouca mineralização e fina espessura do esmalte. Sendo assim, o objetivo deste trabalho é realizar uma revisão de literatura relacionando alimentação ao desgaste dentário por erosão em pacientes infantis.
ANESTESIA PERIDURAL TORÁCICA EM PACIENTE COM PERICARDITE CONSTRITIVA
Authors: Escorsin José Peron di Castro , Santos Fernanda Lopes 
Published: December 2022

RESUMO

A pericardite constritiva é resultante do espessamento do pericárdio, levando a restrição do enchimento diastólico do coração e ascendendo para a diminuição do débito cardíaco. Geralmente, a causa é desconhecida, ainda que possa ser subsequente a qualquer doença que ocasione pericardite aguda. A escolha da APT (anestesia peridural torácica) é devido a diminuição da resposta simpática, metabólica e melhor controle da dor pós-operatória, haja vista um melhor desempenho do sistema cardiovascular, diminuição do consumo anestésico e melhor recuperação pós-operatória. A finalidade do presente trabalho é apresentar um caso de pericardite constritiva de longa evolução, que chegou a um grau extremo de descompensação e que, finalmente, após diagnóstico e cirurgia, apresentou excelente recuperação com desaparecimento total dos sinais e sintomas. Paciente RG, 30 anos, peso 92kg, altura 1,87m. Diagnóstico de pericardite constritiva associada ao ICC (insuficiência cardíaca descompensada). Estando indicada Pericardiotomia. Acreditamos, apesar de haver poucos casos de anestesia em pacientes com pericardite constritiva, acertamos na escolha anestésica, uma pelos seus benefícios já consagrados e a outra por beneficiar ou corrigir as disfunções fisiológicas causadas pela pericardite constritiva.

Palavras-Chaves: Anestesia Peridural Torácica, Pericardite Constritiva e Pericardiotomia.
ESTUDO COMPARATIVO DE DOR PÓS OPERATÓRIA EM PACIENTES COLECISTECTOMIZADOS ATRAVÉS DA INCISÃO DE LENNANDER VERSUS KOCHER
Authors: Sandin Luiz Miguel Mateus , Vasconcelos Cynthia Neves 
Published: December 2022

RESUMO

A colecistolitíase é uma das doenças mais comuns do aparelho digestivo, e constitui um importante problema de saúde nos países desenvolvidos. A escolha da incisão, em princípio, se resume na opção pelas incisões longitudinais, transversais, oblíquas ou combinadas, dependendo da preferência da escola cirúrgica e da maior experiência pessoal do cirurgião. Esse trabalho tem como objetivo, identificar as diferenças existentes entre as técnicas de incisão laparotômicas (KOCHER e LENNANDER) no quesito dor, no pós operatório imediato e no 1º dia de pós operatório de uma colecistectomia. O modelo de pesquisa adotado para o desenvolvimento deste trabalho foi observacional do tipo coorte retrospectivo. A amostra populacional estudada foi diagnosticada previamente com colecistite, com inflamação da vesícula biliar causada por litíase, com indicação de tratamento cirúrgico, no período entre fevereiro de 2016 a fevereiro de 2017. Conclui-se que a colecistectomia através da incisão de Kocher ou Lennander apresentam uma preservação do músculo reto abdominal, mostrou ter boa via de acesso à cavidade abdominal, sem grandes prejuízos para o procedimento cirúrgico. O maior benefício destas abordagens foi um pós-operatório minimamente doloroso e com menos complicações.

Palavras-Chaves: Colicistectomia, incisão de Kocher, incisão de Lennander.