• Title/Summary/Keyword: Post-Graduate

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Evaluation of transcutaneous electrical nerve stimulation as an adjunct therapy in trigeminal neuralgia - a randomized double-blind placebo-controlled clinical study

  • Bisla, Suman;Gupta, Ambika;Agarwal, Shalini;Singh, Harneet;Sehrawat, Ankita;Singh, Aarti
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.6
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    • pp.565-574
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    • 2021
  • Background: Trigeminal neuralgia (TN) is a severe form of pain that affects the daily activities of a patient. Transcutaneous electrical nerve stimulation (TENS) therapy is an emerging option for the treatment of acute and chronic pain. The aim of this study was to evaluate the effect of TENS therapy as an adjunct to drug therapy for the treatment of TN. Methods: A total of 52 patients diagnosed with TN according to the International Classification of Headache Disorders (version 3) were included. Each patient was randomized to either the TENS or placebo TENS groups. Intervention was given in continuous mode and 100-Hz frequency for 20 mins biweekly for 6 weeks. Parameters were measured at baseline, TENS completion and 3 months, 6 months, and 1 year of follow up. The parameters observed were mean carbamazepine dose, mean visual analog scale (VAS) score, mean present pain intensity (PPI) score, and functional outcome. Non-parametric analyses, one-way ANOVA and the Kruskal-Wallis test were applied for intragroup comparisons, while the Mann-Whitney U test and independent t-test were used for intergroup comparisons of variables. The chi-square test was applied to analyze categorical data. Results: Compared to the placebo TENS group, the mean dose of carbamazepine in the TENS group was significantly reduced at TENS completion, as well as at 6 months and 1 year follow up. Changes in mean VAS score, mean PPI score, and functional outcome did not show significant differences between the groups (P>0.05). Conclusion: TENS therapy does not lead to any changes in pain levels but it may reduce the mean dose of carbamazepine when used as an adjunct treatment in patients with TN.

Clinical evaluation of root coverage in Miller class III/RT2 labial gingival recession treated with interdisciplinary periodontal-orthodontic therapy: a randomized controlled clinical trial

  • Sakshi Malhotra;Shikha Tewari;Rekha Sharma;Rajinder Kumar Sharma;Nishi Tanwar;Ritika Arora
    • Journal of Periodontal and Implant Science
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    • v.54 no.4
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    • pp.265-279
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    • 2024
  • Purpose: The aim of current study was to evaluate percentage root coverage (RC%) in isolated Miller class III/RT2 labial gingival recession (GR) associated with malaligned mandibular anteriors, using interdisciplinary periodontal-orthodontic treatment as compared to mucogingival surgery alone. Methods: Thirty-six systemically healthy patients having isolated Miller class III/RT2 GR with respect to malaligned mandibular anteriors, were randomly divided into test group: mucogingival surgery using subepithelial connective tissue graft followed by orthodontic treatment and control group: mucogingival surgery alone. Primary clinical parameters included (RC%), recession depth, keratinized tissue width, mid-labial clinical attachment level, interdental clinical attachment level (iCAL), periodontal phenotype (PP), gingival thickness (GT), root coverage esthetics score (RES) and hypersensitivity. Total duration of follow up was 12 months. Results: Mean RC% was significantly more achieved in test group (66.67%±40.82%) in comparison to control group (39.93%±31.41%) at the end of study (P=0.049). Further, complete root coverage was attained in 5/8 cases of test group versus 1/2 cases of control group after 3/12 months respectively. RES and hypersensitivity, showed statistically significant improvement after complete follow up period in both the groups. An ideal RES score of 10 was achieved in 4/7 cases of test group while in 1/2 cases of control group after 3/12 months respectively. Correlation analysis revealed significant negative correlation between RC% and iCAL. Correlation of RC% with GT and PP was non-significant. Conclusions: Interdisciplinary periodontal-orthodontic approach may be more beneficial in terms of achieving improved RC%, esthetic and resolution of hypersensitivity in the management of Miller class III/RT2 GR in malaligned mandibular anteriors.

Variables that Affect the Satisfaction of Brazilian Women with External Breast Prostheses after Mastectomy

  • Borghesan, Deise Helena Pelloso;Gravena, Angela Andreia Franca;Lopes, Tiara Cristina Romeiro;Brischiliari, Sheila Cristina Rocha;Demitto, Marcela de Oliveira;Agnolo, Catia Millene Dell;Carvalho, Maria Dalva de Barros;Pelloso, Sandra Marisa
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9631-9634
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    • 2014
  • Background: : In 2012, the breast cancer estimate worldwide stood at 1.67 million new cases, these accounting for 25% of all types of cancer diagnosed in women. For 2014, 57,120 new cases are expected, with a risk estimated at 56.1 cases for every 100,000 women. The objective of this study was to analyze the satisfaction regarding the use of external breast prostheses by women undergoing mastectomy. Materials and Methods: This cross-sectional study was conducted with 76 women who used an external breast prosthesis (EBP), registered in the services of the Cuiaba Center for Comprehensive Rehabilitation, Mato Grosso, Brazil, from 2009 to 2012. Data were collected from the records of women who had requested the opening of a process of external breast prosthesis concession. Results: Satisfaction with the EBP was identified in 56.6% of the women. Those satisfied with the EBP reported that its weight was not annoying (p<0.01). Although the women felt body sensations of stitches, pains, pulling, dormancy and phantom limb, they are satisfied with the EBP. The variable related to the displacement of the breast prosthesis during activity of everyday life has demonstrated that even though the women have reported the possibility of displacements, they are satisfied with the EBP. The satisfaction with the use of external breast prosthesis did not affect the sexuality of the women with mastectomy. Conclusions: Learning the specificities of the EBP, taking into consideration the satisfaction of its use, allows the rehabilitation team, by listening to their clientele more attentively, following up this woman throughout her life journey, supporting and guiding the best way of use, with an eye to her personal, emotional and social life, as well as to her self-esteem.

FINITE ELEMENT ANALYSIS OF THE INFLUENCE OF ESTHETIC POSTS ON INCISORS (심미 포스트가 전치에 미치는 응력과 변위에 관한 삼차원 유한요소법적 분석)

  • Kwon Tae-Hoon;Hwang Jung-Won;Kim Sung-Hun;Shin Sang-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.5
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    • pp.582-595
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    • 2003
  • Statement of problem : Most posts are metallic, but in response to the need for a post that possesses optical properties compatible with an all-ceramic crown. an esthetic post has been developed. Although there have been many studies about the esthetic post materials, 3-dimensional finite element studies about the stress distribution of them are in rare. Purpose : The purpose of this study is to investigate comparatively the distribution of stresses of the restored, endodontically treated maxillary incisors with the esthetic post materials and the displacement on the cement layer on simulated occlusal loading by using a 3-dimensional finite element analysis model. Material and method : Four 3-dimensional finite element models were constructed in a view of a maxillary central incisor, a post, a core, and the supporting tissues to investigate the stresses in various esthetic posts and cores and the displacement on the cement layer (Model 1 ; Cast gold post and core, Model 2 ; Glass fiber post with composite core, Model 3 ; Zirconia post with composite core. Model 4 ; Zirconia post with ceramic core). Force of 300N was applied to the incisal edge and the cingulum (centric stop point) with the angle of 135-degree to the long axis of the tooth. Results : 1. The stresses and displacement on the incisal edge were higher than on the cingulum 2. The stresses in dentin were the highest in Model 2 (Glass fiber post with composite core), and the second was Model 3, the third Model 1, and the lowest Model 4. 3. The stresses in post and core were the highest in Model 4 (Zirconia post with ceramic core), and the second was Model 1, the third Model 3, and the lowest Model 2. 4. The displacement on the cement layer was the highest in Model 2 (Glass fiber post with composite core), and the second was Model 3, the third Model 1, and the lowest Model 4. Conclusion : When a functional maximum bite force was applied, the distribution of stresses or the esthetic post and core materials and the displacement on the cement layer were a little different. It seems that restoring extensively damaged incisors with esthetic post and core materials would be decided according to the remaining tooth structure.

CURING REACTION OF THE LIGHT CURED FLOWABLE COMPOSITE RESINS THROUGH THE ENDODONTIC TRANSLUCENT FIBER POST (투명 fiber 포스트를 통한 광중합형 접착레진의 중합 반응)

  • Ahn Seok;Park Sang-Won;Yang Hong-So;Vang Mong-Sook;Park Ha-Ok
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.1
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    • pp.1-9
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    • 2006
  • Purpose: The purpose of this study was to evaluate the efficacy and substitute possibility of a newly developed flowable composite resins as a luting cement for translucent fiber post. Material & Method: Two kinds of 12 mm translucent fiber Post (D.T. Light-Post (Bisco, USA) and FRC Postec (Ivoclar vivadent, Liechtenstein) was inserted into the teflon mold (7 mm diameter, 9 mm long) and Filtek-Flow (3M ESPE. USA), a light activated flowable composite resin, was polymerized for 60 seconds through the post. Also, the post was cut from the tip to 9 mm, 6 mm, 3 mm, and Filtek-Flow was light cured according to each length. For comparison, 60 seconds light-cured and 24 hours self-cured two dual cured resin cement (Duo-cement (Bisco, USA) and 2 Panavia-F (Kuraray, Japan)) samples were prepared as control group. Also cavities (1 mm in width, 1 mm in depth and 12 mm in length) were prepared using acrylic plate and aluminum bar, and flowable composite resin was flied and light cured by the diffused light from the fiber post's side wall. The degree of polymerization was measured according to the distance from curing light using Vickers' hardness test. Result: Within the limitation of this study, the following conclusions were drawn: 1. Vickers' hardness of light cured dual cured resin cement and flowable composite resin decreased from Panavia-F, Filtek-Flow and Duo-cement accordingly (p<0.05). In the dual curing resin cement, light curing performed group showed higher surface hardness value than self cured only group (p<0.05). 2. Surface hardness ratio (light cured through fiber post /directly light cured) of D.T. Light-Post using Filtek-Flow showed about 70% in the 6 mm deep and about 50% in the 12 mm deep FRC Postec showed only 40% of surface hardness ratio. 3. Surface hardness ratio by diffused light from the post's side wall showed about 50% at 6 mm and 9 mm deep, and about 40% at 12 mm deep in D.T. Light-Post. However, FRC Postec showed about 40% at 6 mm deep, and almost no polymerization in 9 mm and 12 mm deep.

A prospective randomized trial of xylometazoline drops and epinephrine merocele nasal pack for reducing epistaxis during nasotracheal intubation

  • Patel, Sonam;Hazarika, Amarjyoti;Agrawal, Prachi;Jain, Divya;Panda, Naresh Kumar
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.4
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    • pp.223-231
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    • 2020
  • Background: The most frequent complication of nasotracheal intubation (NTI) is epistaxis. Epinephrine nasal gauze packing has been used conventionally as a pre-treatment for reducing epistaxis, but it carries a disadvantage of pain and anxiety in patients. However, xylometazoline drops are easier to administer and more convenient for patients. We aimed at comparing the effectiveness of xylometazoline drops and epinephrine merocele packing in reducing bleeding and postoperative complications in our population. Methods: Our study enrolled 120 patients in a double-blind randomized controlled trial. We randomly allocated ASA1 or 2 adult patients into 2 groups: Group X and Group E. Group X received 0.1% xylometazoline nasal drops, and epinephrine (1:10,000) merocele nasal packing was used in Group E. The primary outcome was the incidence of bleeding during NTI; the severity of bleeding, navigability, bleeding during extubation, and postoperative complications were secondary outcomes. We used IBM SPSS and Minitab software for statistical analysis, and P < 0.05 was considered statistically significant. Results: We analyzed the data of 110 patients: 55 in Group X and 55 in Group E. The two groups did not have different bleeding incidence (56.4% vs 60.0%; P = 0.70); however, the incidence of severe bleeding was less with xylometazoline than with epinephrine (3.63% vs 14.54%; P < 0.05). We also observed less bleeding during extubation (38.2% vs 68.5%; P < 0.05) with xylometazoline. Other secondary outcomes were akin to both groups. Conclusion: The incidence of severe and post-extubation bleeding was significantly less with xylometazoline. Hence, it may be an effective alternative for reducing the incidence and severity of epistaxis during NTI.

FINITE EIEMENT ANALYSIS OF STRESS DISTRIBUTIONS OF DENTIN BY POST AND CORE SYSTEMS (하악 소구치용 post and core systems의 치근 내부 응력분산 효과에 대한 유한요소법적 연구)

  • Hong, Hyun-Ja;Jeon, Young-Chan;Jeong, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.3
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    • pp.397-412
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    • 1995
  • The purpose of this study was to analyze the stress distribution in the dentin and post structures by the various post core materials and the amount of remaining coronal tooth structures. The 2-dimensional finite element models of mandibular 2nd premolars was divided into seven types according to the various amount of remaining coronal tooth structures. All types were modeled using equal length, diameter and shape of the post. 2 types of post and core materials were used : 1) cast gold post and core 2) stainless steel post and compsite resin core 10 Newton force was applied as follows 1) vertical force on occlusal fossa 2) $45^{\circ}$ oblique force on buccal surface of buccal cusp tip The results were as follows : 1. There was no apparent difference in the pattern of stress distribution according to the amount of remaining coronal tooth structure. 2. There was no apparent difference in the pattern of stress distribution within the dentin according to the post and core materials. A cast gold post and core generated lower dentin stress than a stainless steel post and resin core. 3. Max. dentinal stress resulting from vertical force was observed in the lingual side of dentin around the crown margin.This stress resulting from oblique force was observed in the lingual root surface of alveolar bone crest level.

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Post-coital antiimplantation and pregnancy interruption potency of the seeds of Crotalaria juncea Linn

  • Malashetty, Vijaykumar B.;A., Sharanabasappa;Patil, Saraswati B.
    • Advances in Traditional Medicine
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    • v.4 no.2
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    • pp.70-76
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    • 2004
  • Petroleum ether, benzene and alcohol extracts of the seeds of C. juncea were tested for antiimplantation and pregnancy interruption activities in female albino rats. Of these three extracts, the alcohol extract was found to be the most effective in causing antiimplantation and pregnancy interruption activities. These adverse effects on fertility are reversible upon withdrawal of the extract treatments. The alcohol extract was found to possess estrogenic activity. After subjecting to preliminary phytochemical screening, the alcohol extract showed positive tests for alkaloids, steroids, glycosides, saponins, flavonoides, fixed oils, phenols and tannins.

Study on the effect of Post Open laser Lumbar Micro-discectomy on the Cross Section Area of Deep Muscles in Patients (요추부 미세 현미경 레이져 디스크 수술(OLM)이 환자의 심부근육 단면적 크기에 미치는 영향)

  • Kong, Bong-Jun;Kim, Jin-Sang;Min, Dong-Ki
    • PNF and Movement
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    • v.10 no.2
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    • pp.25-31
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    • 2012
  • Purpose : The purpose of this study is to figure out the effects of Open Laser Microdiscectomy(OLM) on deep muscles by comparing multifidus and longissimus muscle size (cross section area; CSA) of pre and post operation. Methods : The subjects consisted of forty patients who had OLM. The data were analyzed with paired t-test comparing left and right deep muscle CSA of pre and post-operation, and both the deep muscle CSA of pre and post-operation, using SPSS ver. 15.0 program. Results : The results of this study showed a significant difference in deep muscle size (CSA) between pre and post operation (p<.05). Although there was not a meaningful difference between right and left deep muscle size (CSA) in pre operation (p>.05), there was a significant difference between both of them in post operation (p<.05). Conclusion : Therefore we made the conclusion that the operation causes decrease of muscle tone in deep muscles and muscle imbalance by causing muscle atrophy in the lumbar deep muscle after the operation.

Two Case Studies of Scalp Acupuncture on Post-stroke Global Aphasia Patients (뇌졸중으로 유발된 전체성 실어증 환자에 대한 두침치료 치험 2례)

  • Kang, Ah-reum;Woo, Ji-myung;Lee, Mi-rim;Kim, Su-bin;Cho, Ki-ho;Moon, Sang-kwan;Jung, Woo-sang
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.265-272
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    • 2016
  • Objectives: This study presents two cases of patients with post-stroke global aphasia who were treated with scalp acupuncture with electrical stimulation.Method: The two patients were treated by scalp acupuncture with electrical stimulation six times a week. The degree of aphasia was measured via the Korean version of the western aphasia battery (K-WAB).Results: After treatment, aphasia was improved in both cases (autism-spectrum quotient [AQ] scores increased from 13.7 to 37.1 and from 4.1 to 18.4 in the two patients).Conclusion: Based on the results of these two cases, scalp acupuncture could be effective in treating post-stroke global aphasia.