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Intramyocardial dissecting hematoma (IDH) is a rare complication of myocardial infarction (MI). It can affect the left ventricular free wall, the right ventricle, or the interventricular septum. We report a case of a 58-year-old man with an IDH following an acute anterior wall myocardial infarction detected by echocardiography and confirmed by Cardiac magnetic resonance (CMR).There is growing evidence of cardiac complications due to corona virus disease 2019 (COVID 19). Our case is a case of a young patient with COVID-19 and symptomatic sinus pauses.
Previous systematic reviews showed additional benefit of adjuvant bisphosphonates (BP) in the treatment of periodontitis. In contrast, it is unclear the effect of BP in patients with diabetes and smokers, its pooled effect when administered locally or systemically is also unknown.
This study aimed to systematically review the literature about the use of BP as adjuvant to nonsurgical scaling and root planning (SRP).
This study followed the PRISMA guideline. This study included randomized clinical trials that administered locally or systemically BPs as adjuvant for periodontal treatment. Five databases were used. Meta-analyses were performed, using the pooled mean differences (MD) for clinical attachment level (CAL) and probing pocket depth (PPD). Standard mean difference (SMD) was used for radiographic assessment (RADIO). Subgroup analyses were performed for locally delivered meta-analyses, considering diabetes and smoking exposure.
Thirteen studies were included. It was showed MD of 1.52mm (95%CI 0.97-2.07) and 1.44mm (95%CI 1.08-1.79) for PPD reduction and CAL gain, respectively, for locally delivered BP. BP was not able to provide significant improvements in smokers (subgroup analysis) when considering CAL (MD 1.37; 95%CI -0.17-2.91) and PPD (MD 1.35; 95%CI -0.13-2.83). Locally delivered BP also improved significantly the RADIO assessments (SMD 4.34; 95%CI 2.94-5.74). MD for systemically administered BP was 0.40mm (95%CI 0.21-0.60), 0.51mm (95%CI 0.19-0.83) and 1.05 (95%CI 0.80-1.31) for PPD, CAL and RADIO, respectively.
The administration of BP in adjunct to SRP may result in additional clinical effects.
The administration of BP in adjunct to SRP may result in additional clinical effects.
The Sexual and Gender Minorities (SGM) have been subject to disparities in healthcare. This study gauges and compares the demeanor of oral health task force in privately-funded and government-funded dental schools of India towards SGM cohorts.
A descriptive, cross-sectional, point prevalent study was conducted following standard statements of the STROBE guidelines and using the Medical Condition Regard Scale (MCRS). It was conducted among the clinical oral health taskforce hailing from private-funded and government-funded institutes.
One-way ANOVA test computed differences in mean MCRS scores among the undergraduates, postgraduates and faculty. Independent
-test compared responses of participants from private institutions and government institutions using SPSS version 17 statistical software.
All the respondents were mostly but not completely satisfied to work with SGM patients (MCRS score=4.55±1.114) indicative of some underlying hesitance. Though everyone had a positive regard, undergraduates Previous studies have suggested an important role of retinoic acid (RA) and ascorbic acid (AA) in the stimulation of osteoblastic differentiation; however, the function of RA and AA in the osteogenic differentiation from human dental pulp (hDPSCs) remains unclear.
This
study investigated the effects of RA and AA on the differentiation of osteoblast from hDPSCs.
hDPSCs were treated with different doses of RA and AA, separately or in combination (RA+AA). Morphology and cell proliferation were assessed. click here Osteoblast differentiation was evaluated by alizarin red, alkaline phosphatase staining, and
gene expression.
A significant reduction was observed in the number of cells treated with RA (26%) and RA+AA (30%) after 12 days of treatment. AA treatment alone induced a 12% reduction in the number of cells. Morphologically, the cells treated with RA and RA+AA were larger and more elongated than the control cells. A mesh pattern was observed in cells treated with AA. Numerous calcified nodules were present in cells treated with RA, AA, and RA+AA. This coincided with increased expression of
and high alkaline phosphatase staining levels.
hDPSCs treated with RA and RA+AA showed significant reduction in proliferation, detectable morphological changes, and expression of the key differentiation gene
, consistent with an osteoblast phenotype. AA induced morphological changes and early formation of calcified nodules. RA had a predominant effect when AA and RA were used together.
hDPSCs treated with RA and RA + AA showed significant reduction in proliferation, detectable morphological changes, and expression of the key differentiation gene RUNX2, consistent with an osteoblast phenotype. AA induced morphological changes and early formation of calcified nodules. RA had a predominant effect when AA and RA were used together.
To evaluate the impact of orthognathic surgery on the masticatory system of individuals with repaired cleft lip and palate (CLP) by means of bite force (BF) assessment.
Forty individuals were prospectively divided into 2 groups 1) Control group (CON) 20 individuals without CLP (10 males, 10 females, 23.7y±7.4), 2) Cleft lip and palate group (CLP) 20 individuals with complete CLP with indication for orthognathic surgery (OS) (11 males, 9 females, 23.6y±5.6; 10 unilateral CLP; 10 bilateral CLP). The BF was evaluated in the immediate preoperative period (PRE), 3 months postoperatively (POST3M) and 6 months postoperatively (POST6M), using a gnathodynamometer (IDDK Kratos, Cotia-SP, Brazil).
The BF of the CLP group was significantly lower than that of the CON in all evaluated periods. The BF of individuals with CLP was significantly lower in POST3M compared to PRE. Also, a significant increase in BF was observed between POST3M and POST6M. Though not significant, the BF was increased in POST6M when compared to PRE.
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