scholarly journals Accidental Exposure to Ultraviolet-C (UVC) Germicidal Lights: A Case Report and Recommendations in Orthodontic Clinical Settings

2021 ◽  
pp. 030157422110137
Author(s):  
Harshita Gupta ◽  
Harneet Kaur ◽  
Payal Mahajan ◽  
Gurkeerat Singh
Keyword(s):  
Case Report ◽  
Current Evidence ◽  
Clinical Settings ◽  
Accidental Exposure ◽  
Health Crisis ◽  
Health Warning ◽  
Ultraviolet C ◽  
Surface Decontamination ◽  
Uvc Radiation ◽  
Timely Warning

An emergent health crisis, coronavirus disease 2019 (COVID-19), has demanded strict disinfection and sterilization protocols to limit the spread. One such approach is the use of ultravioletC (UVC) radiation for surface decontamination in hospital settings. UVC is the most powerful of the UV wavelengths and, therefore, the most damaging. The radiation is used for sterilization of workplaces and objects, and although there is no current evidence, perhaps it may eradicate airborne coronavirus. Humans should not be subjected to this form of irradiation. This form of radiation comes with a health warning, and humans should not be in the vicinity when UVC sterilization is occurring. This case report deals with the unfortunate incidence of an operator affected by UVC radiation while working on a patient in an orthodontic clinic. The article will serve as a timely warning to clinicians that awareness of the safety protocols should be observed. Besides, we present some recommendations for the use of UVC depuration of dental operatories.

scholarly journals Treatment of peri-implantitis with surface decontamination and particulate bone graft in a smoker patient

RSBO ◽  
2018 ◽  
Vol 1 (4) ◽  
pp. 234
Author(s):  
Marina Samara Baechtold ◽  
Aline Rocha Miquelissa ◽  
Viviane Rozeira Crivellaro ◽  
Rafaela Scariot ◽  
João César Zielak ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Bone Defect ◽  
Granulation Tissue ◽  
Chemical Decontamination ◽  
Surface Decontamination

Introduction: With the increase of implant-supported rehabilitation, the cases of patients with peri-implantitis become more frequent. Objective: To report the treatment of peri-implantitis by associating techniques of surface decontamination and particulate bone graft. Case report: The treatment was carried through curettage of the granulation tissue, mechanical bone decontamination withbicarbonate jet, chemical decontamination with tetracycline solution, and particulate graft in the place of the bone defect. Conclusion: After 45 postoperative days, the peri-implant tissues were health without inflammation. After 6 postoperative months, the bone defect was repaired.

Severe Keratitis Caused by Acanthamoeba Genotype T12 in Thailand: A Case Report

2021 ◽  
Author(s):  
Vannarut Satitpitakul ◽  
Chaturong Putaporntip ◽  
Somchai Jongwutiwes
Keyword(s):  
Case Report ◽  
Ambient Temperature ◽  
18S Rrna ◽  
18S Rrna Gene ◽  
Rrna Gene ◽  
Epithelial Defect ◽  
Full Thickness ◽  
Accidental Exposure ◽  
Distinct Sequence

Acanthamoeba keratitis is predominantly caused by genotype T4. We report a case of severe keratitis caused by Acanthamoeba in a 39-year-old man who had prior accidental exposure to a corrosive chemical. The patient developed central full thickness ring infiltration and epithelial defect with hypopyon that required keratoplasty. The acanthamoebae isolated from the patient exhibited thermotolerance phenotype with the capability to grow well at ambient temperature and at 42°C. Analysis of a near complete 18S rRNA gene of this isolate revealed a distinct sequence that can be unequivocally assigned to genotype T12, a rare genotype incriminated in corneal infections.

Theraplay

2017 ◽  
pp. 42-59 ◽  
Author(s):  
Catherine Tucker ◽  
Sondra Smith-Adcock
Keyword(s):  
Behavioral Problems ◽  
Evidence Base ◽  
Emotional And Behavioral Problems ◽  
Current Evidence ◽  
Clinical Settings ◽  
Neuroscience Research ◽  
Wide Range ◽  
Current Evidence Base ◽  
Childhood Problems ◽  
Families With Children

Theraplay® is a brief, attachment-based parent-child psychotherapy approach that uses interactional play to establish ‘affectional' bonds between caregiver and child. Recent research related to Theraplay suggests it is an evidence-based practice for use in schools and clinical settings for a wide range of childhood problems, including those that are trauma-based. Of particular importance, Theraplay is emerging as an approach that is consistent with current neuroscience research on children's brain development and new understandings of attachment and disruption advanced by researchers. Young clients with some form of trauma-related symptoms comprise a large percentage of clinical cases, and present with complicated emotional and behavioral problems In this chapter, we will explore the basic theoretical underpinnings of Theraplay, the relevant mechanisms of change, and current evidence base. Although Theraplay can be used with a wide range of clients and problems, in this chapter, the focus will be on the applicatio with families with children who have experienced trauma.

scholarly journals Research Progress in the Mechanism of Effect of PRP in Bone Deficiency Healing

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Ning Zhang ◽  
Yong-Ping Wu ◽  
Sheng-Jun Qian ◽  
Chong Teng ◽  
Shuai Chen ◽  
...  
Keyword(s):  
Bone Repair ◽  
Molecular Mechanisms ◽  
Platelet Rich Plasma ◽  
Autologous Blood ◽  
Research Progress ◽  
Current Evidence ◽  
Clinical Settings ◽  
Bone Deficiency ◽  
Defect Repair

Platelet-rich plasma (PRP) therapy is a recently developed technique that uses a concentrated portion of autologous blood to try to improve and accelerate the healing of various tissues. There is a considerable interest in using these PRP products for the treatment used in bone deficiency healing. Because PRP products are safe and easy to prepare and administer, there has been increased attention toward using PRP in numerous clinical settings. The benefits of PRP therapy appear to be promising, and many investigators are exploring the ways in which this therapy can be used in the clinical setting. At present, the molecular mechanisms of bone defect repair studies have focused on three aspects of the inflammatory cytokines, growth factors and angiogenic factors. The role of PRP works mainly through these three aspects of bone repair. The purpose of this paper is to review the current evidence on the mechanism of the effect of PRP in bone deficiency healing.

Would you use novel oral anticoagulants (NOACs) for thromboprophylaxis in patients with an underlying hypercoagulable state? A literature review through a case report

2020 ◽  
Vol 13 (10) ◽  
pp. e237238
Author(s):  
Bhavika Kakadia ◽  
Giselle Alexandra Suero-Abreu ◽  
Rrita Daci ◽  
Ryna Karina Then
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Arterial Thrombosis ◽  
Case Reports ◽  
Oral Anticoagulants ◽  
Novel Oral Anticoagulants ◽  
Current Evidence ◽  
Multiple Drug ◽  
Autoimmune Condition ◽  
Randomised Controlled

Antiphospholipid syndrome (APLS) is an autoimmune condition that predisposes to venous and arterial thrombosis. Warfarin is the agent of choice for anticoagulation. However, a need for routine international normalised ratio (INR) checks and multiple drug interactions are some of the difficulties with warfarin. Currently, there is mixed evidence for and against the use of novel oral anticoagulants (NOACs) for thromboprophylaxis. We present a case report of a patient with APLS on a NOAC for secondary thromboprophylaxis who developed a stroke and discuss current evidence regarding the use of NOACs in patients with APLS. The patient was switched to warfarin for secondary thromboprophylaxis with an INR goal of 2–3. Literature review revealed mixed case reports for and against NOACs for secondary prevention of thrombotic events in patients with APLS. There needs to be further randomised controlled trials to evaluate the efficacy of NOACs for thromboprophylaxis in patients with APLS.

scholarly journals Management of Retained Genital Piercings: A Case Report and Review

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Laura J. Moulton ◽  
Amelia M. Jernigan
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Blood Supply ◽  
Local Anesthetic ◽  
Simple Technique ◽  
Current Evidence ◽  
Vertical Incision ◽  
Clitoral Hood ◽  
Review Current ◽  
Female Genital

The prevalence of genital piercing among women is increasing. As the popularity increases, the number of complications from infection, injury, and retained jewelry is likely to rise. Techniques to remove embedded jewelry are not well described in the literature. The purpose of this report was to describe a case of a patient with a retained clitoral glans piercing, discuss a simple technique for outpatient removal, and review current evidence regarding associated risks of clitoral piercings. A 24-year-old female presented to the emergency department with an embedded clitoral glans piercing. Local anesthetic was injected into the periclitoral skin and a small superficial vertical incision was made to remove the ball of the retained barbell safely. In conclusion, among patients with retained genital piercing, outpatient removal of embedded jewelry is feasible. While the practice of female genital piercing is not regulated, piercing of the glans of the clitoris is associated with increased injury to the nerves and blood supply of the clitoris structures leading to future fibrosis and diminished function compared to piercing of the clitoral hood.

scholarly journals Role of Thiamine in Refeeding Syndrome in Children

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Case Report ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Tertiary Care ◽  
Intestinal Resection ◽  
Current Evidence ◽  
Care Hospital ◽  
Refeeding Syndrome ◽  
Wide Range

Purpose, Setting and Subjects: We conducted a case report study of a postoperative pediatric patient on total parenteral nutrition managed by a multidisciplinary team in a tertiary care hospital. In October 2020, data of nutritional status, hypophosphatemia, electrolyte and metabolic imbalance, and the role of thiamine supplement were reviewed. Background: Refeeding Syndrome is usually defined as the possibly lethal maldistribution of fluids and electrolytes that could take place in malnourished patients receiving enteral or parenteral refeeding. This is due to hormonal and metabolic disturbances that may lead to critical clinical deterioration. The biochemical key feature of Refeeding Syndrome is hypophosphatemia. In general, the syndrome is complicated and may also incorporate abnormal electrolytes and fluid balance; changes in serum level of protein, glucose, and the metabolism of fat; thiamine deficiency; hypokalemia; and hypomagnesaemia. Case Report: an ex-preterm 6-year-old boy who underwent major intestinal resection due to necrotizing enterocolitis (NEC) during his stormy neonatal period, presented to ED with constipation for 2 days; the patient was admitted in the pediatric ward under combined care with Pediatric Surgery, as a case of large bowel obstruction for conservative management. He had cachexic appearance, global developmental delay (GDD), and faltering growth. Subsequently and during his PICU stay, he suffered a fluctuating course of electrolytes imbalance a few days after commencing total parenteral nutrition (TPN), and developed altered mental status that responded well to thiamine infusions to resume his baseline sensorium within 48 hours. Conclusions: The role of thiamine in Refeeding Syndrome is extremely underestimated, despite the current evidence of its high efficacy. However, the fussy exclusion mechanism to reach the diagnosis is probably the reason behind the delaying of treatment in most of the cases. A wide range of patients are at risk of developing Refeeding Syndrome, especially malnourished children, as in this case report. Categories: Nutrition, Surgery, Pediatrics, Gastroenterology.

scholarly journals Sarcopenia in Cancer Patients

2019 ◽  
Vol 13 (3) ◽  
pp. 96 ◽  
Author(s):  
Andree Kurniawan
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Cancer Patients ◽  
Muscle Mass ◽  
Current Evidence ◽  
Clinical Settings ◽  
Before And After ◽  
Impact Risk ◽  
Negative Impacts ◽  
And Function

Introduction: Sarcopenia in cancer patients, especially in advanced stage, recently known as an emerging problem. Firstly, sarcopenia is found in elderly patients. The diagnosis of sarcopenia needs evaluation of muscle composition and function and physical activity. Sarcopenia will give negative impacts such as increased mortality, chemo-toxicity, and decreased quality of life. Here, we review the current evidence describing the definition, impact, risk factors, mechanisms, diagnosis and treatment of sarcopenia in cancer patients.Method: We identified 48 studies and/or review articles evaluating sarcopenia in cancer patients by searching PubMed and EMBASE databases. Results: Sarcopenia is reported across all stages and types of cancers. There is a new definition of sarcopenia that is reported in 2019 paper. The risk factors or causes of sarcopenia in cancer are complex depending on the clinical settings of each patient. SARC-F questionnaire can be used to screen cancer patients in clinical settings. The diagnostic evaluation and cut-off measurement of sarcopenia especially in cancer varied across studies. The loss of muscle mass that happens during chemotherapy will make a poor prognosis. Sarcopenia can worsen chemotherapy toxicity. Combination exercise with adequate dietary supplementation, adequate energy, and protein are important in the management of sarcopenia in cancer patients.Conclusions: Patients with cancer belong to a population at risk of developing sarcopenia before and after chemotherapy. Sarcopenia diagnosis needs the evaluation of muscle mass and muscle strength or physical performance. Physical activity exercise is the best strategy to reduce sarcopenia in cancer patients.

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