Effect of self‐performed mechanical plaque control frequency on gingival health in subjects with a history of periodontitis: A Randomized Clinical Trial

Abstract BackgroundOnline and face-to-face counseling interventions can be performed on women with a history of miscarriage, which causes their anxiety and metaworry.The aim of this study was to compare effectiveness of metacognitive counseling methods, online and face-to-face, on anxiety and metaworry of women with miscarriage.MethodsIn this parallel randomized clinical trial, 40 women with a history of miscarriage, anxiety and metaworry were randomly assigned to two groups (n = 20/each): group I receiving metacognitive counseling via online network and software, and group II (control) receiving face-to-face metacognitive counseling with same content and time, 90-minute sessions. Data were collected demographic form, Beck Anxiety Inventory, Wellz metaworry questionnaire and satisfaction scale. Primary outcomes included changes in the scores of anxiety, metaworry were measured in both groups in three times including at the base line, and at the end of week eight and twelve of the intervention initiation. Satisfaction with counseling method was assessed as secondary outcome at the end of week eight and twelve of the intervention beginning in both groups.ResultsIn both groups, mean score of anxiety in 12th week was significantly different from before the intervention; difference was more significant in online group (p = 0.04). In both groups, the mean score of metaworry in 12th week had a statistically significant difference compared to the beginning of the study, and the decrease was again more significant in the online group (p = 0.03). Satisfaction with the counseling method had statistically significant difference between the two groups in week eight and twelve (respectively p ≈ 0.00).ConclusionsMetacognitive counseling both online and face-to-face improves anxiety and metaworry in women with miscarriage. Online counseling was more effective, satisfying, and longer compared with face-to-face counseling method, especially in corona virus19 outbreak.Trial registration: ISRCTN, IRCT20181120041707N1, Prospectively registered, Registered 23 May 2019, https://en.irct.ir/trial/35643/ IRCT20181120041707N1

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Effects of fixed orthodontic treatment and two new mouth rinses on gingival health: A prospective cohort followed by a single-blind placebo-controlled randomized clinical trial

International Orthodontics ◽

10.1016/j.ortho.2018.01.027 ◽

2018 ◽

Vol 16 (1) ◽

pp. 12-30 ◽

Cited By ~ 1

Author(s):

Farhad Sobouti ◽

Vahid Rakhshan ◽

Mohaddeseh Heydari ◽

Shohreh Keikavusi ◽

Sepideh Dadgar ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Prospective Cohort ◽

Orthodontic Treatment ◽

Gingival Health ◽

Mouth Rinses ◽

Single Blind

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Effects of Expressive Writing on Sexual Dysfunction, Depression, and PTSD in Women with a History of Childhood Sexual Abuse: Results from a Randomized Clinical Trial

Journal of Sexual Medicine ◽

10.1111/jsm.12247 ◽

2013 ◽

Vol 10 (9) ◽

pp. 2177-2189 ◽

Cited By ~ 24

Author(s):

Cindy M. Meston ◽

Tierney A. Lorenz ◽

Kyle R. Stephenson

Keyword(s):

Clinical Trial ◽

Sexual Abuse ◽

Childhood Sexual Abuse ◽

Sexual Dysfunction ◽

Randomized Clinical Trial ◽

Expressive Writing ◽

History Of Childhood ◽

History Of

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A systematic review of perioperative seizure prophylaxis during brain tumor resection: the case for a multicenter randomized clinical trial

Neurosurgical FOCUS ◽

10.3171/2017.8.focus17442 ◽

2017 ◽

Vol 43 (5) ◽

pp. E18 ◽

Cited By ~ 11

Author(s):

Vyshak Chandra ◽

Andrew K. Rock ◽

Charles Opalak ◽

Joel M. Stary ◽

Adam P. Sima ◽

...

Keyword(s):

Systematic Review ◽

Clinical Trial ◽

Brain Tumor ◽

Randomized Clinical Trial ◽

Tumor Resection ◽

Controlled Trials ◽

Cochrane Central Register ◽

Seizure Prophylaxis ◽

History Of ◽

Brain Tumor Resection

OBJECTIVEThe majority of neurosurgeons administer antiepileptic drugs (AEDs) prophylactically for supratentorial tumor resection without clear evidence to support this practice. The putative benefit of perioperative seizure prophylaxis must be weighed against the risks of adverse effects and drug interactions in patients without a history of seizures. Consequently, the authors conducted a systematic review of prospective randomized controlled trials (RCTs) that have evaluated the efficacy of perioperative seizure prophylaxis among patients without a history of seizures.METHODSFive databases (PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, CINAHL/Academic Search Complete, Web of Science, and ScienceDirect) were searched for RCTs published before May 2017 and investigating perioperative seizure prophylaxis in brain tumor resection. Of the 496 unique research articles identified, 4 were selected for inclusion in this review.RESULTSThis systematic review revealed a weighted average seizure rate of 10.65% for the control groups. There was no significant difference in seizure rates among the groups that received seizure prophylaxis and those that did not. Further, this expected incidence of new-onset postoperative seizures would require a total of 1258 patients to enroll in a RCT, as determined by a Farrington-Manning noninferiority test performed at the 0.05 level using a noninferiority difference of 5%.CONCLUSIONSAccording to a systematic review of major RCTs, the administration of prophylactic AEDs after brain tumor resection shows no significant reduction in the incidence of seizures compared with that in controls. A large multicenter randomized clinical trial would be required to assess whether perioperative seizure prophylaxis provides benefit for patients undergoing brain tumor resection.

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Effect of Light-Emitting Diode Phototherapy on Allograft Bone After Open Sinus Lift Surgery: A Randomized Clinical Trial (Concurrent Parallel)

Journal of lasers in medical sciences ◽

10.34172/jlms.2021.16 ◽

2021 ◽

Vol 12 (1) ◽

pp. e16-e16

Author(s):

Mahnaz Arshad ◽

Zahra Ghanavati ◽

Pouyan Aminishakib ◽

Kamran Rasouli ◽

Gholamreza Shirani

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Light Emitting Diode ◽

Low Level Laser Therapy ◽

Control Group ◽

Sinus Lift ◽

Light Emitting ◽

Led Phototherapy ◽

Significant Difference ◽

History Of

Introduction: Phototherapy with a light-emitting diode (LED) is used in medicine due to its potential bio-stimulatory effects on the human body. However, controversy still exists regarding the efficacy of low-level laser therapy (LLLT) and phototherapy with LED. This in vivo study aimed to quantitatively and qualitatively assess the newly formed bone following LED phototherapy of the human maxillary sinuses. Methods: This randomized clinical trial (concurrent parallel) was conducted on 44 patients in two groups (n=22) at the Implant Department of Tehran University of Medical Sciences. Randomization was done by a random sequence generator program. The inclusion criteria were absence of chronic sinusitis and chronic bone marrow conditions, no history of surgery at the site, absence of diabetes mellitus, no history of chemotherapy or radiotherapy, maxillary premolar edentulism, and signing informed consent forms. Group A underwent LED phototherapy with 620 ± 2 nm wavelength for 20 minutes daily for a total of 21 days after sinus lift surgery. Group B served as the control group and did not receive phototherapy. After 6 months, the grafted sites were re-opened for implant placement, and bone biopsy samples were obtained using a trephine bur. The samples were stained with hematoxylin and eosin and inspected under a light microscope. The results were statistically analyzed using the Mann-Whitney U test. Both the surgeon and pathologist were blinded to the group allocation of patients. Results: Forty tissue specimens were analyzed. Insignificant differences existed between the two groups in terms of the degree of inflammation, bone quality, and maturity of collagen. Histological analyses revealed no significant difference in the mineralized areas of bone between the two groups (P>0.05). Conclusion: The results indicated that LED phototherapy cannot significantly enhance osteogenesis after sinus lift surgery. No side effects were observed in the experimental group.

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