bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative evaluation of management of oral lichen planus using three different modalities: A clinical study
Authors: Prasanth T , Manandhar Sumita , Gupta Nitin , Kumar Pramod 
Published: September 2022

: Oral lichen planus (OLP), a chronic inflammatory mucocutaneous disorder varying in appearance, affects the mucus membrane of the oral cavity and is potentially premalignant. Various therapeutic regimens have been developed for the management of OLP highlighting steroids as a first-line therapeutic procedure. Recently, modalities like lasers, photodynamic therapy (PDT), photobiomodulation (PBM) has also been mentioned in the literature to be equally effective with minimal intervention.: A total of 15 known cases of OLP were randomly allocated into three groups; topical corticosteroid applications, diode laser ablation (980 nm), and photodynamic therapy. Patients were evaluated for RAE score, Oral health-related quality of life (OHRQoL) using the VAS score following the intervention. : Applications of PDT and diode laser ablation proved effective in the resolution of symptoms in RAE scoring and OHQOL and has proved that these have a bright future to evolve as a future trend.: Modalities like lasers ablation and PDT open new dimensions in the management of OLP providing safe and effective alternative techniques compared to the conventional method.
Multifaceted presentation of peripheral ossifying fibroma: Case series spanning three age groups
Authors: Gopalakrishnan Ambili , Madhavanpillai Baiju Radhamoni , Kannappillil Binitta Paul , Balan Jithin 
Published: September 2022

A benign focal non-reactive lesion that has been reported in the literature under a variety of names, Calcifying Fibroblastic Granuloma or Peripheral Ossifying Fibroma (POF) can occur usually in a younger age group with a female predilection. POF can be perplexing to a clinician as the clinical similarity with pyogenic granuloma or fibroma is astounding. It can cause erosion of bone and underlying structures with a recurrence rate ranging from 16% - 20%. So, the lesion must be identified by histological investigation. In this paper, we describe about three individuals in their 2, 5, and 9 decades of life who were all diagnosed with POF. POF can be perplexing to a clinician as the clinical similarity with pyogenic granuloma or fibroma is astounding. The lesion has a predilection for females of younger age group. Only 0.5% cases of POF have been reported in the third decade of life which makes the third case a unique one. The three cases presented here were managed using three different surgical approaches.
Gum health: A short communication
Authors: Bharadwaj Pooja , Patel Roopali 
Published: September 2022

Human being is creature that is blessed with a knowledge and curiosity. The human being is recognized by a human body that varies genotypically but is somewhat similar phenotypically. The knowledge gaining of the human being is reflected in the form of speaking ,and this speaking is mainly a function of tongue and teeth. Gums are a structure that surrounds the teeth and in the dental terminology, the gums are called as the gingiva. These gums are of utmost importance both from oral health point of view and from systemic health point of view. In this short communication the importance of gum health and their correlation with oral health and systemic health is emphasized.
Estimation of blood loss in maxillofacial surgery
Authors: Dhanush C V  , Azeez Mohammed Idris , Menon Suresh , Sham Etiah , Vishwas M  Karthik , Kumar Veerendra 
Published: September 2022

The maintenance of the fluid balance of surgical patients is one of the most important responsibilities of the modern surgical team and the proper replacement of blood is perhaps one of the most important phases of this maintenance Although most surgeons and anaesthesiologists well appreciate this fact, they are often faced with the problem of accurately estimating blood loss in order to avoid under-replacement or over-replacement, both of which can have adverse effects in compromised patients. A total number of 50 subjects, both males and females in the age group of 15-50 years who reported to our centre for major surgical procedures under maxillofacial surgery were included in the study. The study was conducted between September 2012 to November 2014.: The intraoperative blood loss in various oral and maxillofacial surgeries ranged from 63.6 – 1343 ml. 15 had 101-200 ml, 5 patients had 301-500 ml and 12 had &#62;500 ml of blood loss. The average intraoperative blood loss in various oral and maxillofacial surgeries was 343.3 ± 256.3 ml.: The necessity of replacement of blood depends on the amount of blood loss peri-operatively. In order to have optimal effects, the blood must be administered as it is being lost and in proper amounts. In this study Gravimetric method was used for estimation of blood loss. The gravimetric method offers the surgical team a simple and practical means of estimating the amount of blood loss during the surgery. It will also help in having an analytical idea about the average blood loss and mean reduction in haemoglobin percentage in the various oral and maxillofacial surgeries which will be helpful in evaluating the postoperative necessity of blood transfusion. Therefore there are very few instances where blood replacement is warranted in majority of the cases of that were operated.
Frequency of occurrence of dental diseases in western Uttar Pradesh population: A retrospective radiographic study
Authors: Tikoo Parul , Akansha  , Anuridhi  
Published: September 2022

Dental diseases now-a-days are emerging swiftly thus making its control and prevention a tedious task. The outcome of dental diseases is boundless extending from pit and fissure involvement till development of malignancy. Thus, the prevention as well as control of dental diseases has gained importance. A thorough knowledge of prevalence of disease along with profound clinical examination are two most criterion for determining the presence or severity of disease. Dental diseases can be prevented by early diagnosis followed by immediate treatment. However, the progression as well as the severity of the disease is determined by calculating the prevalence stroke frequency of occurrence of the particular diseases. In view of above mentioned background, the study was done to determine the frequency of occurrence of various dental diseases in Western Uttar Pradesh population. However, the present study was not community-based but rather commenced radiographically. The present study was undertaken to estimate the prevalence of various dental diseases radiographically. The dental diseases considered in the study are dental caries, periodontal diseases such as horizontal bone loss, vertical bone loss, presence of root stumps and impaction status. In the study, a total of 1500 radiographs were selected randomly and evaluated and the prevalence of various above mentioned dental diseases were determined. The prevalence of different dental diseases varies sporadically. In the present study, among the dental diseases, highest prevalence was found for dental caries (76%) followed by periodontal involvement (70%) then mesioangularly impacted teeth (2.7%) and so on. From the results, it could be interpreted that mostly radiographs are recommended for dental caries followed by periodontal status determination and rest for other diseases. Conclusion: Radiographic evaluation is an adjunct of clinical diagnosis. Diseases like Dental caries, bone loss, root stumps which cannot be visualized clinically require the radiographic evaluation necessarily. Hence, judicious utilization of radiographic procedures should be practised for the benefit of the patients.
Risk factors for the development of an early recurrence of gemistocytic astrocytomas and their clinical significance
Authors: Zrelov A. A. , Nechaeva A. S. 
Published: September 2022

Introduction. According to the WHO CNS of tumors of central nervous system gemistocytic astrocytomas (GA) are common astrocytic tumors, in which the proportion of gemistocytes is at least 20 % of the total cell mass. Morpho-molecular characterization and treatment tactics of GA research is insufficient.Purpose. Identification of risk factors for the development of early recurrence of gemistocytic astrocytes (GA).Material and methods. A retrospective and prospective analysis of the identified signs, brain MRI data, features of morphological and molecular genetic diseases was performed in 14 patients diagnosed with GA. The work included patients older than 18 years with supratentorial invasive tumor. The patients were aged 27 to 62 years, the average temperature of the age was 35.5 years. There were 5 men. After the removal operation, histological, immunohistochemical and molecular genetic studies were performed. The histological diagnosis was made according to the WHO classification of CNS tumors and the AFIP atlas (2007). Real-time PCR revealed the presence of mutations in the IDH1/IDH2 genes and the combined deletion of 1p19q in all patients; in 10 patients, the level of gene expression was also observed: TP, VEGF, PDGFRA, β-tubulin, MGMT, C-kit, ERCC1.Results. Median recurrence-free period (RFS) GA was 89 weeks. If a recurrence occurs before this time RFS is considered early. The odds ratio (OR) was calculated for different groups of early and late recurrence according to the standard method. Significantly, the risk of developing an early relapse of GA increased with the expression of the VEGF gene, ΔSt < 1.15 (p < 0.05) (OR — 121). Several risk factors were also identified that cause inflammation of GA recurrence, but without a statistical tumor: expression of the β-tubulin gene ΔSt < 0.65 (RR — 33), accumulation of tumor contrast. according to MRI of the brain (OR — 10.7), vascular proliferation (OR — 8.3), Ki-67 > 5 % (OR — 4.5), tumor spread in the area of opening of the cerebral hemispheres (OR — 4.5).Conclusion. Features of brain MRI data, morphological and molecular-genetic picture These patients probably need complex treatment (surgery, radiation therapy, chemotherapy), which they currently do not meet.
Application of Autologous Platelet Rich Plasma in a Wound Management in Animals
Authors: Parmar J.J. , Mecvan Arnold , Shah Aditya , Rao Neha , Hadiya Kamlesh 
Published: September 2022

Background: Now a days application of PRP has gain an attraction in veterinary surgical cases for the management of complicated wounds on animal body specially open fractures of long bones with deep, extensive, complicated wounds where routine medicinal management alone not work to preserve the limbs and healing of wounds. Methods: Total forty five animals comprised of dogs (n = 28), goats (n = 14), cat (n = 2) and horse (n = 1) with different complicated wounds on limbs and other body parts were taken in to study. The evaluation of wound and therapeutic management according to conditions were carried out. The wounds were treated with autologous PRP. The day on which first application of autologous PRP was done considered as a day ‘0’ and repeat application done after one week interval till healing as per requirements. Result: The limbs of animals were preserved instead of amputation and other wounds healed within 15-20 days except in a cat. Only two repetition of PRP treatment was needed for complete healing of wounds.
Individual’s sanitation and hygiene: Awareness, perception and practice of behavioural theory-based research
Authors: Belay Mulat Alebachew 
Published: September 2022

The purpose of the study was to investigate the awareness, perception and practice related to sanitation and hygiene in Debre Tabor town. The study is based on the descriptive research design and the simple random sampling technique was applied to select 200 participants. Questionnaires were used to collect data and mean score; one sample t-test was employed to analyse the data. The findings indicated that the participants had poor awareness, perception and practice. Age was negatively and significantly correlated with the study variables, whereas education was positively and significantly correlated with the study variables. Perception was positively and significantly correlated with practice, while awareness was not significantly correlated with perception and practice. The researcher concluded that the communities were highly susceptible to mortality and morbidity. It is recommended that sanitation and hygiene issues in the study area strongly need the government’s due attention to alleviate the situation.
Keywords: Sanitation, hygiene, behaviour, awareness, perception, practices;
EVALUASI PROGRAM BIMBINGAN BELAJAR MATEMATIKA DAN UTBK LEMBAGA BIMBINGAN BELAJAR NON-PROFIT DI PEKALONGAN
Authors: Radite Ramadian , Sulistyawati Eka , Firmansyah Andika Nugraha 
Published: September 2022

ABSTRACT
Educational programs, whether formal, non-formal, for-profit or non-profit, have the aim of organizing educational activities. In Pekalongan, to be precise in the Medono area, there is a non-profit learning institution that has programs such as mathematics classes and UTBK. Evaluation needs to be carried out to determine the effectiveness of program implementation and to provide consideration for decisions regarding the sustainability of the program. Program evaluation used the Responsive model evaluation from Stake which consists of antecedent, transaction, and outcomes/process stages with a qualitative approach. The data collection technique used a questionnaire for study participants, tutors, parents of study participants, and the community around the institution. The evaluation results show that the program has been implemented based on the interests, talents, and needs of the participants and tutors by collaborating through discussions, questions and answers, and being a teacher for their friends. The program results showed an increase in participant achievement, participants studying the UTBK class achieved their goals of being accepted at the desired university, increased collaboration skills, benefits received by tutors, and good reception from participants' parents and the community.
Keywords
evaluation, program, interest, collaboration, everyone is a teacher

ABSTRAK
Program pendidikan baik formal, non-formal, profit maupun non-profit memiliki tujuan menyelenggarakan kegiatan pendidikan. Di Pekalongan tepatnya daerah Medono terdapat lembaga belajar non-profit yang memiliki berbagai program seperti kelas matematika dan UTBK. Evaluasi perlu dilakukan untuk mengetahui efektivitas pelaksanaan program, apakah program mencapai tujuan, dan memberikan pertimbangan keputusan mengenai keberlangsungan program. Evaluasi program menggunakan evaluasi model Responsive dari Stake yang terdiri dari tahap antecedent, transaction, dan outcomes/process dengan pendekatan kualitatif. Teknik pengambilan data menggunakan kuesioner untuk peserta belajar, tutor, orang tua peserta belajar, dan masyarakat sekitar lembaga. Hasil evaluasi menunjukkan bahwa program telah dijalankan berdasarkan minat, bakat, maupun kebutuhan peserta belajar dan tutor dengan berkolaborasi melalui diskusi, tanya jawab, dan menjadi guru bagi temannya. Hasil dari program menunjukkan adanya peningkatan prestasi peserta, peserta belajar kelas UTBK mencapai cita-cita diterima di Perguruan Tinggi yang diincar, peningkatan kemampuan kolaborasi, manfaat yang diterima oleh tutor, serta sambutan baik dari orang tua peserta dan masyarakat.
Kata Kunci
evaluasi, program, minat, kolaborasi, everyone is a teacher
Analysis of Fourth Grade Students' Book based on 2013 Curriculum Theme Pahlawanku Subtheme Pahlawanku Kebanggaanku on Lesson Five
Authors: Indriasari Bernadine ajeng 
Published: September 2022

The aim of this research is to know suitability of fourth grade students’ book based on 2013 Curriculum theme Pahlawanku Subtheme Pahlawanku Kebanggaanku on lesson five with core competencies, learning objectives, indicators, materials, tool and learning resources. This section is eleventh fragment of eighteen fragment of analysis of fourth grade students’ book on theme Pahlawanku. This research using qualitative descriptive method. Which analyze students’ book on fourth grade.then discussing the suitability according with the rule of Ministry of Education and Culture and the implementation of Curriculum 2013. The result showed that 1) lesson five corresponding with core competencies; 2) there is indicator on lesson five to narrow for PPKN subject; 3) lesson five corresponding with learning objectives; 4) there is learning activity not corresponding on lesson five; 5) there is some materials to narrow on lesson five; and 6) lesson five corresponding with tools and learning resources.
A case report of robot-assisted laparoscopic left renal mucinous cystadenocarcinoma radical nephrectomy and review of literature
Authors: Ning Zikuan , Zhang Haoxun , Wang Bowen , Wang Yingwei , Liu Yiwen , Tao Boju , Zhang Guoling , Liu Hua , Wang Chunyang 
Published: September 2022

Abstract
Background: Mucinous cystadenocarcinoma (MC) of the kidney is a rare renal epithelial tumor originating from the renal pelvic urothelium. There are only a few published reports on MC. Due to its rare and unknown tissue origin, its diagnosis is difficult which almost can be diagnosed through the pathological method.
Case presentation: In this case report, we report a female patient whose chief complaint was low back pain lasting for one month. The three-dimensional computed tomography scan of the urinary system detected approximately 7 cm of a left renal cystic mass. The renal cystic mass was diagnosed as MC after robot-assisted laparoscopic radical nephrectomy. The MC originated from the kidney after completing colorectal adenocarcinoma and ovarian adenocarcinoma.
Conclusions: We reported a case of MC of the kidney which was a rare renal tumor. We not only aimed to present an unusual case of MC and review the previous literature on its pathology and differential diagnosis, but also used new method to treat this type of tumor.
The Ageless DMFT Index (A-DMFT): a proposal for a unified DMFT index for all ages and dentitions.
Authors: Luiz Ronir Raggio , Santos Ana Paula Pires dos , Gonçalves Lucio Souza , Nadanovsky Paulo 
Published: September 2022

Abstract
Objectives
To propose a dental caries index that can be calculated regardless of age, even in situations of mixed dentitions.
Methods
The A-DMFT is defined simply from weighted means of the DMFT and dmft indices, with weights given by the number of natural teeth present (or that should be present) in the mouth (permanent and primary, respectively), and relativized according to the square root of the individual’s age.
Results
The highest value for the A-DMFT in our simulations was 14.1, in a two-year-old child with dmft = 20; in the permanent dentition it was 8.1 in a 12-year-old child with DMFT = 28. A five-year-old child with dmft = 4 has A-DMFT = 1.8 while a 12-year-old with DMFT = 4 has A-DMFT = 1.2; and a 50-year-old with DMFT = 4 has A-DMFT = 0.6. A 10-year-old with dmft = 2 and DMFT = 2 has A-DMFT = 0.6 while a same age child with dmft = 0 and DMFT = 4 has A-DMFT = 1.0.
Conclusions
The A-DMFT index is particularly useful for describing the severity of caries in children with mixed dentition. A-DMFT can be described for the entire study population, even if it consists of people of various ages and even if individuals with primary, mixed or permanent dentitions are combined. This could be useful in some studies, as it may increase efficiency and reflects the severity of caries in the population as a whole, not only in one age group in the population.
The semi-sitting position in patients with indwelling CSF shunts: perioperative management and avoidance of complications
Authors: Polemikos Manolis , Bronzlik Paul , Heissler Hans E. , Hermann Elvis J. , Al-Afif Shadi , Majid Esmaeilzadeh , Krauss Joachim K. 
Published: September 2022

Abstract
Objective:
Posterior fossa or midline tumors are often associated with hydrocephalus and primary tumor removal with or without perioperative placement of an external ventricular drain (EVD) is commonly accepted as first-line treatment. Shunting prior to posterior fossa surgery (PFS) is mostly reserved for symptomatic cases or special circumstances. There are limited data regarding the anticipated risk for symptomatic pneumocephalus and the perioperative management using the semi-sitting position (SSP) in such a scenario. Here, we therefore assessed the safety of performing PFS in a consecutive series of patients over a period of 15 years to allow the elaboration of recommendations for perioperative management.
Methods:
According to specific inclusion and exclusion criteria a total of 13 patients who underwent 17 operations was identified. Supratentorial pneumocephalus was evaluated with semiautomatic-volumetric segmentation. The volume of pneumocephalus was evaluated according to age and ventricular size.
Results:
Ten of the 13 patients had a programmable valve (preoperative valve setting range 6–14 cmH20; mean 7.5 cmH20) while 3 patients had non programmable valves. A variable amount of supratentorial air collection was evident in all patients postoperatively (range 3.2–331 ml; mean 122.32 ml). Positive predictors for the volume of postoperative pneumocephalus were higher age and a preoperative Evans ratio > 0.3. In our series, we encountered no cases of tension pneumocephalus necessitating an air replacement procedure as well as no obstruction, disconnection, infection or hardware malfunction of the shunt system.
Conclusions:
Our findings indicate that a CSF shunt in situ is not a contraindication for performing PFS in the semi-sitting position and it does not increase the pre-existing risk for postoperative tension pneumocephalus. In cases of primary shunting for hydrocephalus associated with posterior fossa tumors a programmable valve set at a medium opening pressure with a gravitational device is a valid option when PFS in the semi-sitting position is opted. In patients with an indwelling shunt diversion system special caution is indicated in order to prevent and detect overdrainage especially in not adjustable valves or shunts without antisiphon devices.
Stenen van betekenis: hunebedden als erfgoed en als actor
Authors: Raemaekers Daan , Bosscher Femke , Wolters Harrie 
Published: September 2022

Meaningful stones: megalithic tombs as heritage and actor. The Dutch megalithic tombs have seen a long history of protective measures by the government. These measures have resulted in our present-day appreciation of these monuments. They also created the tranquil, ‘natural’ setting, and thus affect our behaviour as visitors. At the same time, these tombs are very much part of the fabric of the present-day society where people have various personal associations with these tombs and their environs memories. As a rule, both aspects (formal heritage policies and personalassociations) reinforce one another, but always within a spatial and behavioural framework defined by governmental policies.