DocumentsDate added
Case report:-
*1Premraj Jadhav,2Sharad Acharya & 3Ketaki A .Patil.
Affiliation:-
1Professor,2Senior lecturer,3Postgraduate student, Department of Prosthodontics, Tatyasaheb Kore Dental College and Research Centre, New Paragon, Dist. Kolhapur- 416137,India.
Abstract: -
The problem of stability and retention of mandibular complete dentures is far from a solution that is universally satisfactory, smaller the number of mandibular teeth that remain, the more thoughtfully these teeth should be treated. Overdenture serves as the conservative prosthodontic treatment option in such cases. Also the retention and stability of such prosthesis is greatly enhanced by a bar connecting the abutments. Custom bar supported overdenture is a good alternative treatment modality because of its improved retention, stability, better chewing efficiency and also decrease in alveolar bone resorption. On the other hand, the immediate denture therapy for replacement of anterior missing teeth is expected and frequently demanded by appearance conscious people. The immediate denture enables them to engage in social activities and maintains physical and social well being of the patient. This case report presents the management of a patient with a bar retained mandibular overdenture opposing maxillary interim immediate denture.
Key Words:- Overdenture, bar joint,immediate denture, attachment.
References:
1.Tushar R, Suhasini J N. Rhabilitation of an edentulous patient with overdenture using magnetic attachments- A Case Report JIDA 2012; 6(2):142-4.
2.Harold W. Preiskel. Precision Attachments in Prosthodontics. Vol 1 Quintessence publishing: Co. 1984.
3.Thayer H.H, Caputo A.A. Occlusal force transmission by overdenture attachments.J Prosthet Dent 1979; 41: 266-71.
4.Morrow RM. Handbook of immediate overdentures. St. Louis: Mosby;1978:48.
5.Eugen J. Dolder, Dr.Med. Dent The bar joint mandibular denture. J Prosthet Dent 1961;11:689-707.
6.Sherring LM, Martin P : Attachments for prosthetic dentistry : Introduction and application. Quintessence publishing: 1st ed.
Article citation:-
Premraj Jadhav, Sharad Acharya & Ketaki A .Patil. Bar retained mandibular overdenture opposing maxillary complete immediate denture - A Case Report. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 June; 31(31): 1209-1213.
Copyright © 2013 Cemil Kavalci et al. This is an open access article distributed under the Creative Commons Attribution License,which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Case report:-
*1Keswani Kiran,2Babaji Prashant, 3Punga Rohit, 4 Choudhary Swati & 5Kamble Suresh
Affiliation:-
1,4 Senior Lecturer, Department of Conservative Dentistry,2Associate Professor, Department of Pedodontics, 3,Senior Lecturer, Department of Oral Surgery, Vyas dental College, Jodhpur, India, 5Professor Department of Prasthodontics, MIDC dental college, Latur, Maharastra, India.
Abstract:
Mandibular molars sometimes can present with variation called radix entomolaris, which is an additional root located distolingually (the radix entomolaris). If present, an awareness and understanding of this unusual root and its root canal morphology can contribute to the successful outcome of the root canal treatment. This case report discusses the morphological characteristics of radix entomolaris and judicious clinical approach towards its successful endodontic treatment.
Key Words: Distolingual root, Endodontic management, Radix entomolaris.
References:-
1.De moore R.J.G., Deroose C.A.J.G., Calberson F.L. The radix entomolaris in mandibular first molars: an endodontic challenge. Int Endod J 2004; 37:789-99.
2.Calberson FL, De Moor RJ, Deroose CA. The Radix Entomolaris and Paramolaris: clinical approach in endodontics, J Enodod 2007; 33(1):58-63.
3.Abella F, Patel S, Duran-Sindreu F, Mercade M, Roig M. Mandibular first molars with disto-lingual roots: review and clinical management. Int Endod J 2012; 45(11):963-78.
4.Song JS, Choi HJ, Jung IY, Jung HS, Kim SO. The prevalence and morphologic classification of distolingual roots in the mandibular molars in a Korean population. J of Endod 2010; 36: 653-7.
5.Visser JB. Beitrag zur Kenntnis der menschlichen Zahnwurzelformen. Hilversum: Rotting 1948; 49-72.
6.Yew SC, Chan K. A retrospective study of endodontically treated mandibular first molars in a Chinese population. J Endod 1993; 19(9): 471-3.
7.Patel S. New dimensions in endodontic imaging: part 2. Cone beam computed tomography. Int Endod J 2009; 42: 463-75.
Article citation:-
Keswani Kiran et al. Endodontic management of Radix Entomolaris-a case report. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013 June; 31(31): 1247-1249.
Copyright © 2013 Keswani Kiran et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:-
Khadanga Sagar 1* & T. Karuna2
Affiliation:-
1Department of Medicine, M.K.C.G Medical college & hospital; Berhampur, Odisha, India. 2Department of Microbiology Hi-Tech Medical college & hospital ; Block 3,flat 1,Pandara, Rasulgarh, Bhubaneswar ,Odisha, India.
Abstract:- Background: According to standard textbooks the diagnosis of UTI in male is questionable in the absence of anatomical abnormalities, instrumentation or rectal intercourse. But in our clinical practice we come across male UTI in the age group of 15-50. We wanted to study this aspect of male UTI and their sensitivity pattern. Material & methods: We conducted a prospective interventional type of hospital based study. A predesigned questioner was designed. Midstream clean catch urine samples were collected from 217 patients after carefully considering the inclusion and exclusion criteria. The samples were transported and processed within 1 hr. The urine samples were then processed by semi quantitative culture methods. Results: Sterile pyuria was found in 68.6% (149/217) cases. Among 68 culture positive cases the most common organism isolated was E.coli in 36.7% (25/68) cases. Non E.coli GNB was isolated in 42.6% (29 /68) cases. GPC were isolated in 16.1% (11/68) cases. Mycobacteriuria was found in 7 out of 149 sterile pyuria cases. Nitrofurantoin was the most sensitive oral drug followed by ciprofloxacin for GNB. Almost all GPC were sensitive to Linezolid and Vancomycin. . Conclusion: Though E.coli was the most common uropathogen, non-E.coli GNB related UTI is definitely increasing. GPC related UTI once rare in males, are not uncommon these days. Linezolid should be added to Nitrofurantoin/Quinolones in non resolving UTI as empirical therapy. Genitourinary tuberculosis should be suspected in non resolving symptomatic sterile pyuria cases. Key Words:-Acid fast bacilli (AFB), Coagulase-negative Staphylococci (CONS), Escherichia coli (E. coli), Gram-negative bacilli (GNB) ,Gram-positive cocci (GPC), urinary tract infection (UTI).
References:-
1.Lipsky BA. Urinary tract infections in men. Epidemiology, pathophysiology, diagnosis, and treatment”. Ann. Intern Med 1989; 110(2): 138-50. PMID 2462391.
2.Gupta K et al: increasing antimicrobial resistance and the management of uncomplicated community – acquired urinary tract infections. Ann Intern Med 2001; 135:41. [PMID: 11434731].
3.Abarbanel j, Engelstein D, Lask D, Kuvne PM. Urinary tract infection in men younger than 45 years : is there a need for urologic investigation? Urology 2003; 62(1): 27-9. PMID 12837416.
4.The current management strategies for community – acquire3d urinary tract infection. Infect Dis Clin North Am 2003; 17:303.
5.Talan DA el al.: Comparison of ciprofloxacin (7days) and trimethoprim-sulfamethozazole (14days) for acute uncomplicated pyelnophritis in women. JAMA 283:1583,2009[PMID 10735395].
6.Woodford HJ George J (November 2008). Diagnosis and Management of Urinary Tract Infection in Hospitalized Older People. J AM Geriatr Soc. DOI:10.1111/j.1532-5415.2008.02073.x. PMID 19054190. Research Blogging.
7.Little P, Moore MV Turner S, Rumsby K, Warner G, Lowes JA et al. Effectiveness of five different Approach in management of urinary tract infection randomized controlled trial.. BMJ 2010; 3.40: cl DOI: 10.1136/bmj.c199. PMID 20139214. Pi PMC2817051 . Research Blogging.
8.Stamm WE, Schaeffer AJ (eds): The State of the Ar the Management of Urinary Tract Infections. Am JM 113(suppl 1A):IS, 2002.
9.Hooton TM et al: Acute uncomplicated cystitis in era of increasing antibiotic resistance: A propo approach to empirical therapy. Clin infect Dis 39: 2004 [ PMID: 15206065].
10.Little P, Turner S, Rumsby K, Warner G, Moore Lower JA et al. Dipstics and diagnostic algorithm in urinary tract infection: development validation, randomized trial, economic analysis observational cohort and qualitative. Health Technol Assess. 2009 Mar;13(19):iii-iv, ix-xi, 1-73. doi: 10.3310/hta13190.
Copyright © 2013 Khadanga Sagar & T. Karuna. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Research article:-
Cemil Kavalci1*, Polat Durukan2, Mustafa Burak Sayhan3, Orcun Ciftci4, Yunsur Cevik5, Okhan Akdur6, Gulsum Kavalci7,Ozgur Sogut8 & Omer Salt2.
Affiliation:-
1Baskent University Faculty of Medicine, Emergency Department, Ankara, Turkey.
2Erciyes University Faculty of Medicine, Emergency Department, Kayseri, Turkey.
3Trakya University Faculty of Medicine, Radiology Department, Edirne, Turkey.
4Baskent University Faculty of Medicine, Cardiology Department, Ankara, Turkey.
5Keciören Research and Training Hospital, Emergency Department, Ankara, Turkey.
618 Mart University Faculty of Medicine, Emergency Department, Çanakkale, Turkey.
7Yenimahalle State Hospital, Anesthesialogy Department, Ankara, Turkey.
8Harran University Faculty of Medicine, Emergency Department, Sanliurfa, Turkey.
Abstract: Background and objective: Stroke is the leading cause of death and long-term disability in developed countries. We aimed to study the role of serum tau protein in distinguishing acute hemorrhagic stroke from ischemic stroke, and in the differential diagnosis of sub-types of ischemic stroke. Material and methods: Patients with acute stroke were prospectively enrolled. Serum tau protein levels were assayed. Statistical significance for intergroup differences was compared by Mann-Whitney U test or Kruskal-Wallis test for continuous variables. A p value less than 0.05 was accepted statistically significant. Results and Conclusion: A total of 100 consecutive patients and 20 healthy controls were evaluated. Of the patient group, 29 (29%) had brain hemorrhage on computed tomography and 71 (71%) had ischemic stroke. The median serum tau protein level was 378 pg/mL (90 pg/mL) in hemorrhagic stroke and 482 pg/mL (280 pg/mL) in ischemic stroke, and both were significantly higher compared to controls (p<0.05 for both). There was no significant difference between the ischemic stroke subgroups with respect of median serum tau protein levels (X2=4.258, p>0.05). We suggest that using serum tau protein may be useful to distinguish ischemic stroke from hemorrhagic stroke, but not the ischemic stroke subtypes from each other.
Key Words:- Emergency, Stroke, Tau protein.
References:
1.Montaner J, Perea-Gainza M, Delgado P, Ribo M, Chacon P, Rosell A, et al. Etiologic diagnosis of ischemic stroke subtypes with plasma biomarkers. Stroke 2008;39:2280-7.
2.Hankey G, Warlow C. Treatment and secondary prevention of stroke: evidence, costs, and effects on individuals and populations. Lancet 1999;354:1457-63 .
3.Fiebach JB, Schellinger PD, Jansen O, Meyer M, Wilde P, Bender J, et al. CT and diffusion-weighted MR imaging in randomized order: diffusion-weighted imaging results in higher accuracy and lower interrater variability in the diagnosis of hyperacute ischemic stroke. Stroke 2002;33;2206-10 .
4.Lynch JR, Blessing R, White WD, Grocott HP, Newman MF, Laskowitz DT. Novel diagnostic test for acute stroke. Stroke 2004;35:57-63 .
5.Laskowitz DT, Kasner SE, Saver J, Remmel KS, Jauch EC. Clinical usefulness of a biomarker-based diagnostic test for acute stroke.Stroke 2009;40:77-85.
6.Herrmann M, Vos P, Wunderlich MT, de Bruijn CHMM, Lamers KJB. Release of glial tissue-spesific proteins after acute stroke. Stroke 2000;31:2670-7.
7.Montaner J, Alvarez-Sabin J, Molina CA, Angles A, Abilleira S, Arenillas J, Monasterio J et al. Matrix metalloproteinase expression is related to hemorrhagic transformation after cardioembolic stroke. Stroke 2001;32:2762-7.
8.Barber M, Langhorne P, Rumley A, Lowe GDO, Stott DJ. D-Dimer predicts early clinical progression in ischemic stroke. Stroke 2006;37:1113-5.
9.Foerch C, Wunderlich MT, Dvorak F, Humpich M, Kahles T, Goertler M, et al. Elevated serum S100b levels indicate a higher risk of hemorrhagic transformation after thrombolytic therapy in acute stroke. Stroke 2007;38:2491-5.
10.Kelly PJ, Morrow JD, Ning M, Koroshetz W, Lo EH, Terry E, et al. Oxidative stress and matrix metalloproteinase-9 in acute ischemic stroke. Stroke 2008;39:100-4.
11.Abboud H, Labreuche J, Meseguer E, Lavallee PC, Simon O, Olivot JM, et al. Ischemia-modified albumin in acute stroke. Cerebrovasc Dis 2007;23:216-20 .
12.Yildirim A, Kotan D, Yildirim S, Aygül R, Akcay F. Increased lipid peroxidation and decreased antioxidant response in Serum and cerebrospinal fluid in Acute Ischemic Stroke. Turk J Med Sci 2007; 37: 75-81.
13.Bitsch A, Horn C, Kemmling Y, Seipelt M, Hellenbrand U, Stiefel M, et al. Serum tau protein level as a marker of axonal damage in acute ischemic stroke. Eur Neurol, 2002, 47, 45–51.
14.Zemlan FP, Jauch EC, Mulchahey JJ, Anderberg JM, McPherson PH, Nakamura KK, et al. C-tau biomarker of neuronal damage in severe brain injured patients: association with elevated intracranial pressure and clinical outcome. Brain Res 2002;947:131- 9.
15.Kurzepa J, Bielewicz J, Bartosik H. Simvastatin inhibits the increase in serum tau protein levels in the acute phase of ischemic stroke. Pharmacological Reports. 2008;60,:1014–8.
16.16-Bulut M, Koksal O, Dogan S, Bolca N, Ozguc H, Korfali E, et al. Tau protein as a serum marker of brain damage in mild traumatic brain injury: Preliminary results. Adv Ther 2006;23:12.
17.Ost M, Nyle´n K, Csajbok L, Blennow K, Rosengren L, Nellgard B. Initial CSF total Tau correlates with 1-year outcome in patients with traumatic brain injury. Neurology 2006;67:1600.
18.Hesse C, Rosengren L, Andreasen N, Daviddson P, Vanderstichele H, Vanmechelen E, Blennow K. Transient increase in total tau but not phospho-tau in human cerebrospinal fuid after acute stroke. Neuroscience Letters 2001;297:187-90.
19.Uchihara T, Nakamura A, Arai T, Ikeda K, Tsuchiya K. Microglial Tau Undergoes Phosphorylation-Independent Modification After Ischemia. Glia 2004;45:180-7.
20.Shiiya N, Kunihara T, Miyatake T, Matsuzaki K, Yasuda K. Tau Protein in the Cerebrospinal Fluid is a Marker of Brain Injury After Aortic Surgery. Ann Thorac Surg 2004;77:2034–8.
21.Wen Y, Yang S, Liu R, Brun-Zinkernagel AM, Koulen P. Transient Cerebral Ischemia Induces Aberrant Neuronal Cell Cycle Re-entry and Alzheimer’s Disease-like Tauopathy in Female Rats. J Biol Chem 2004;279:22684-92.
22.Randall J, Mörtbergb E, Provunchera GK, Fourniera DR, Duffya DC, Rubertssonb S, Blennowc K, Zetterbergc H, Wilsona DH. Tau proteins in serum predict neurological outcome after hypoxic brain injury from cardiac arrest: Results of a pilot study. Resuscitation .Doi: 10.1016/j.resuscitation.2012.07.027
23.Wunderlich MT, Lins H, Skalej M, Wallesch CW, Goertler M. Neuron-specific enolase and tau protein as neurobiochemical markers of neuronal damage are related to early clinical course and long-term outcome in acute ischemic stroke. Clinical Neurology and Neurosurgery 2006;108: 558–63.
24.Kurzepa J, Bielewicz J, Grabarska A, Stelmasiak Z, Stryjecka-Zimmer M, Bartosik-Psujek H. Matrix metalloproteinase-9 contributes to the increase of tau protein in serum during acute ischemic stroke. Journal of Clinical Neuroscience 2010; 17: 997–9.
25.Marginean IC, Stanca DM, Vacaras V, Soritau O, Margiean M, Muresanu DF. Plasmatic markers in hemorrhagic stroke. Journal of Medicine and Life 2011; 4:148-50
26.Hu HT, Xiao F, Yan YQ, Wen SQ, Zhang L. The prognostic value of serum tau in patients with intracerebral hemorrhage. Clin Biochem. 2012;45:1320-4. doi: 10.1016/j.clinbiochem.2012.06.003.
Article citation:-
Cemil Kavalci et al. Serum TAU protein levels of stroke patients. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013, June; 31(31): 1113-1117.
Copyright © 2013 Cemil Kavalci et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Research article:-
Najia Rahim*1, Shagufta Nesar2, Shaheen Parveen3, Rabia Rehman2 & Sadia Shakeel1
Affiliation:-
1Dow College of Pharmacy, Dow University of Health Sciences, Karachi, Pakistan.
2Jinnah Medical & Dental College, Karachi, Pakistan.
3Faculty of Pharmacy, Jinnah University For Women, Karachi, Pakistan.
Abstract:- Background: Medical, dental and pharmacy students need computer skills and Internet access to excel in their academic and professional career. The present study was planned to analyze computer and internet use by undergraduate and postgraduate medical, dental and pharmacy students. Methodology: A questionnaire-based study was conducted from Jan’2012 to June ’2012 in four colleges and universities of Karachi, Pakistan. Undergraduate and postgraduate students of MBBS, BDS and Pharm.D programs were asked to respond to the questionnaire. Descriptive statistics were determined for the different variables of the questionnaire. One way ANOVA using 0.05 level of significance was performed to observe the influence of gender, age and educational status of students on their computer and internet access and usage. Results: Out of 500, 405 students responded to the questionnaire, 68.6% of students have their own computers, whereas, only 3% of students have computer access at public place or their college campus. 73.3% of students started using computer before the age of 15 years. 41.5% of students search internet for relevant webpages daily. Only 14.1% of students browse scientific literature and website like Pubmed, Pakmedinet, Google scholar on daily basis. Conclusion: It is concluded that students have computer and internet access. Students use computer and internet mostly for class assignments and less frequently for retrieving medical and scientific literature from website like Pubmed, Pakmedinet, Google scholar. It is recommended to focus on achieving learning objectives of these bachelor programs by channelizing their computer skills and internet access.
Key Words:-Medical, Dental, Pharmacy students, Computer skills, Internet access, scientific literature.
References:
1.Jones, S. The Internet Goes to College, Internet & American life Sep 15, 2002. Available from: http://www.pewinternet.org.
2.Haux R. Health and medical informatics education: Perspectives for the next decade. Int J Med Inf. 1998; 50:7-19.
3.Romanov K, Aarnio M. A Survey of the Use of Electronic Scientific Information Resources among Medical and Dental Students. BMC Med Educ 2006; 6:28.
4.Asia Internet Usage Stats and Population Statistics. Website accessed 15 October, 2010. Available from: http://www.internetworldstats.com/stats3.htm.
5.Internet Usage Statistics of Countries Ranked by Penetration Rates. Website accessed 15 October, 2010. Available from: http://www.internetworldstats.com/list4.htm.
6.Uribe S, Marino RJ. Internet and IT use by dental students in Chile. Eur J Dent Educ. 2006;10:162-8.
7.Grigg P, Macfarlane TV, Shearer AC, Jepson NJ, Stephen CD. Computing facilities available to final-year students at 3 UK dental schools in 1997/8: their use, and students' attitudes to information technology. Eur J Dent Educ 2001;5(3):101-8.
8.Rajab LD, Baqain ZH. Use of information and communication technology among dental students at the University of Jordan. J Dent Educ. 2005; 69(3):387-98.
9.Rahman G. Use of computers among students of dental college in Saudi Arabia. J Educ Ethics Dent. 2011;1:12-7.
10.Jadoon NA, Zahid MF, Mansoorulhaq H, Sami-Ullah, Jadoon BA, Raza A, et al. Evaluation of internet access and utilization by medical students in Lahore, Pakistan. BMC Med Informatics and Decision Making. 2011;11:37.
11.Thomas Michael Link and Richard Marz. Computer literacy and attitudes towards e-learning among first year medical students. BMC Med Educ. 2006;6:34.
12.Arora R. Computer and Information Technology Skills of First Year Medical and Dental Students at CMC Ludhiana. Health Administrator 2003;17(1):54–8.
13.Unnikrishnan B, Kulshrestha V, Saraf A, Agrahari AC, Prakash S, Samantaray L, et al. Pattern of computer and Internet use amongst medical students in coastal south India. South East Asian J Med Educ. 2008; 2(2):18–25.
14.Alghamdi KM. Professional use of the Internet among Saudi Arabian dermatologists: a cross-sectional survey. BMC Dermatol. 2009; 9:10.
15.Virtanen JI, Nieminen P. Information and communication technology among undergraduate dental students in Finland. Eur J Dent Educ. 2002;6(4):147-52.
16.Sharma R, Verma U, Sawhney V, Arora S, Kapoor V. Trend of Internet Use among Medical Students. JK Sci. 2006;8(2):101-2.
Article citation:-
Najia Rahim et al. Computer and internet use among medical, dental and pharmacy students of Karachi, Pakistan. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci.) 2013, June; 31(31): 1118-1122.
Copyright © 2013 Najia Rahim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.