Notes

Hsa_circ_0123190 behaves as a cut-throat endogenous RNA to regulate APLNR expression by simply washing hsa-miR-483-3p in lupus nephritis.
Nasogastric tubes are often vitally important in post-operative management. Usually required for short term use, they are easily taped to the nose and face. Occasionally, longer term use is needed, such as in post esophageal reconstruction, where substitution and fixation of the NGT becomes an issue. We describe a novel method of NGT fixation that can be used for prolonged periods of time with minimal risk of dislodgement and without the need for suturing.
Nasogastric tubes (NGT) are a common practice in many clinical scenarios, and an easy and available method that is often essential for the prevention of life-threatening adverse complications such as aspiration pneumonia [1]. A common challenge arises in securing the NGT in place. Here, we describe a simple method to securely anchor an NGT tube for a prolonged period without the need to suture.

Steps of tube Fixation 1. Distance between xiphisternum and mastoid process is measured and marked [Position A, Fig. 1]. This mark will correspond to the portion intain the long-term positioning of an NGT. When using this method, we did not note any dislodgement, minimal mucosal and lip irritation, and only minimal patient discomfort. It obviates the need for suture fixation.
This method of Nasogastric Tube fixation is a safe and secure method to maintain the long-term positioning of an NGT. When using this method, we did not note any dislodgement, minimal mucosal and lip irritation, and only minimal patient discomfort. It obviates the need for suture fixation.
Triaging patients into correct severity categories in an emergency department is an advanced skill that depends on a quick assessment after obtaining very little information. The purpose of this study was to assess specific risk factors associated with hospital admissions in the emergency department environment of the specialized Eye, Ear, Nose, and Throat hospital located in Shanghai, China.

This study was a retrospective cohort study. Patients visiting the emergency department in a tertiary hospital in eastern China from February 2008 to August 2015 were included. Univariate and multivariate analyses were used to identify the risk factors related to hospital admissions. Combining variables calculated from the regression equation of multivariate analysis (binary logistic regression analysis) enabled the risk factors quantification. The receiver operating characteristic analysis was used to identify the most informative cutoff point of the combining predictors.

A total of 188715 patients were enrolled irequires validation in future research.
This study provided a method to build a feasible predictive model of hospital admission during triage. Understanding risk factors is an important part of the triage process in order to correctly assign priorities to the patients served. The outcomes of this study would add additional information for the triage nurse to consider in assessing the patient and assigning acuity ratings. The model developed here requires validation in future research.
Facial scanning systems have been developed as auxiliary tools for diagnosis and planning in dentistry. However, little is known about the trueness of these free software programs and apps for facial scanning.

The purpose of this invitro study was to evaluate the trueness of 3D facial scanning by using Bellus3D and+ID ReCap Photo.

A mannequin head was used as the master model. The control group was created by scanning the mannequin head with a noncontact structured blue light 3D scanner (ATOS Core). Two facial scanning methods were used for the experimental groups a facial scanning app (FaceApp) and the Plus identity photogrammetry methodology (ReCap Photo). In both methods, image capturing was performed under the same natural lighting conditions with a smartphone (iPhone X) calibrated with an app. Trueness was assessed from the 3D measurement error, which was calculated with a 3D mesh analysis software program (GOM Inspect). Two comparison groups were created ATOS versus Bellus3D (B3D) and ATOS versus+ID with ReCap Photo (+IDRP). The results were statistically evaluated by using the Shapiro-Wilk and paired t tests (α=.05).

B3D had a greater error than+IDRP in measuring the regions of the upper and lower lips, nose, and mentum (P<.01). This error was statistically higher for+IDRP (P<.01) in the right face area, but the left face area showed no statistically significant difference between the evaluated scanning methods (P=.93). The 3D global trueness of B3D was 0.34 ±0.14 mm, and that of+IDRP was 0.28 ±0.06 mm.

Both methods evaluated in this study provided a 3D model of the face with clinically acceptable trueness and should be reliable tools for planning esthetic restorations.
Both methods evaluated in this study provided a 3D model of the face with clinically acceptable trueness and should be reliable tools for planning esthetic restorations.
Denture cleaning is indispensable to the maintenance of good oral and systemic health for denture users. Nowadays people often consult YouTube about health-related topics, including denture care. However, the quality of the information about denture care presented on YouTube is unknown.

The purpose of this study was to evaluate the usefulness and quality of popular videos about denture care shared by different uploaders on YouTube and to evaluate the demographic characteristics of the videos.

Google Trends showed that "denture cleaning" was the most searched keyword on the topic. This keyword was used to search YouTube videos. Of the 200 most-watched videos, 109 videos were selected for analysis. Included videos were analyzed for their demographic data, including number of views; number of likes, dislikes, and comments; days since upload; duration and number of subscribers; an 8-point usefulness score system, a global quality scale (GQS); video sources; target groups; and primary purposes of the videos.ent among the videos primarily intended for the education of health professionals (P<.001).

The majority (59.6%) of YouTube videos on denture care received poor content quality ratings, independent of video demographics. Therefore, YouTube is not suitable as the only source of information on denture care. Dentists and prosthodontists should take more responsibility for enriching the content of video-sharing platformsbecause this content can affect the behavior of patients and their attitudes about denture care.
The majority (59.6%) of YouTube videos on denture care received poor content quality ratings, independent of video demographics. Therefore, YouTube is not suitable as the only source of information on denture care. Dentists and prosthodontists should take more responsibility for enriching the content of video-sharing platforms because this content can affect the behavior of patients and their attitudes about denture care.
Clinician perceptions of risk factors influencing biologic complications with dental implants are poorly understood but are relevant to how clinicians manage conversations with patients seeking dental implant therapy.

The purpose of this clinician survey was to assess the relative ranking of biologic risk factors with dental implants identified via the history, clinical examination, and clinical decisions and postimplant placement findings.

A 10-item survey instrument was tested, refined, and distributed to past participants of the Future Leaders in Prosthodontics (FLIP) workshop series asking for their opinion on the relative ranking of commonly identified risk factors in the areas of patient history, clinical examination, and clinical decisions and postimplant placement findings. Descriptive statistics and frequency tables were developed to identify age groupings, geographic work location, and gender. Group differences with respect to risk factor rankings were identified by using Kruskal-Wallis H testrica (P<.001). Respondents from South America viewed "implant lacks 2.0 mm of attached tissue around implants" as having greater relative importance than did respondents from Australasia (P<.002) or Asia (P<.001).

Clinicians viewed the relative importance of risk factors for biologic complications with dental implants differently, and those differences varied by clinicians' age, gender, and geographic location of practice.
Clinicians viewed the relative importance of risk factors for biologic complications with dental implants differently, and those differences varied by clinicians' age, gender, and geographic location of practice.
Incidence of posterior malleolar fractures (PMFs) associated with ankle fractures is historically based on plain radiographs. Several classification systems for PMF are currently in use, but the reliability of the Haraguchi classification is not reported. The aim of this diagnostic cohort study was to assess incidence of PMF in patients with AO 44-C fractures, and test the reliability of the Haraguchi fracture classification based on CT. In addition, to evaluate the clinical outcome in patients with PMF.

210 patients with an AO 44-C type fracture treated with syndesmotic fixation between 2011 and 2017 were included. Presence of PMF was registered, morphology was assessed and classified according to the Haraguchi classification. Interobserver agreement for the Haraguchi classification was evaluated. Patient assessment was conducted at 6 weeks, 6 months, 1 and 2 years. The American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Score (AOFAS) was the primary outcome measure. Secondary outcome measures i had a poorer outcome measured by the AOFAS score compared to no PMF up until 6 months. Classification of PMF according to the Haraguchi classification was reliable.
Injury is a major global health burden. Trauma registries have been used for decades to monitor the burden of injury and inform trauma care. However, the extent to which trauma registries have fulfilled their potential remains uncertain. The aims of this study were to determine the current and priority uses of trauma registries across Australia and New Zealand and to establish the priority clinical outcomes, the probability for which, if known for an individual trauma patient, would better inform that same patient's care, during hospital admission.

A prospective observational study using survey methodology was conducted. Participants were sourced from the Australia New Zealand Trauma Registry (ATR) participating hospitals. The survey questions included the current uses and priorities for both single-site trauma registries and the binational trauma registry; the five top-ranked priority outcomes for which knowing the probability, for an individual patient, would inform care; and the priority timepoints forThere is a mismatch between current trauma registry uses and future priorities. The priority outcomes demanding prediction in the first 24h of a trauma patient's stay are preventable death, missed injury, quality of life, hospital costs, thromboembolism, post-traumatic stress disorder, length of hospital stay and errors in clinical decision-making.
There is a mismatch between current trauma registry uses and future priorities. The priority outcomes demanding prediction in the first 24 h of a trauma patient's stay are preventable death, missed injury, quality of life, hospital costs, thromboembolism, post-traumatic stress disorder, length of hospital stay and errors in clinical decision-making.
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