scholarly journals Low and High output power of 810nm Diode Laser: a new combined protocol to treat the Dentine Hypersensitivity evocated in presence of Non-Carious Cervical lesions.

2020 ◽  
Author(s):  
Felice Femiano ◽  
Rossella Femiano ◽  
Luigi Femiano ◽  
Nicola Scotti ◽  
Rossella Sorice
Keyword(s):  
Diode Laser ◽  
Study Groups ◽  
Wilcoxon Test ◽  
P Value ◽  
Cervical Lesions ◽  
Cold Stimulation ◽  
Treatment Protocols ◽  
Vas Score ◽  
Paired Samples ◽  
End Of Treatment

Abstract Background The current study evaluates the desensitizing effect of the combination of two different output powers and compares it with single power diode laser.Methods Sixty-nine non carious cervical lesions (NCCLs), responsible of pain by DH after application of test of cold stimulation, were considered for this research. Three study groups were established by analyzing only one lesion in 3 different selected quadrants of the oral cavity in order to obtain a minimum of 3 lesions per patient to treat individually with different therapeutic protocols. All treatment protocols were carried out using a diode laser with different power outcomes used singularly or in combination (810 nm, 5W). The pain by DH was evaluated at baseline, at treatment completion, at 15 days and at 3 months after each laser procedure. Data analysis was performed using Wilcoxon test for paired samples, one-way ANOVA test and unpaired t-test.Results The significant reduction of the mean VAS score has been estimated in each study group immediately, at 15 days and at 3 months’ time from the end of treatment and compared with the baseline mean VAS score (p-value < 0.0001). The best result concerning the improvement of DH symptomatology was assessed when a combined protocol of two different output powers of diode laser was used.Conclusions The author offers a new protocol of laser therapy combining two different output powers of the 810 nm diode laser to improve painful symptoms of DH from NCCL in the short and long term.

scholarly journals A New Combined Protocol to Treat the Dentin Hypersensitivity Associated with Non-Carious Cervical Lesions: A Randomized Controlled Trial

2020 ◽  
Vol 11 (1) ◽  
pp. 187
Author(s):  
Felice Femiano ◽  
Rossella Femiano ◽  
Luigi Femiano ◽  
Ludovica Nucci ◽  
Giuseppe Minervini ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Diode Laser ◽  
Controlled Trial ◽  
Study Groups ◽  
Wilcoxon Test ◽  
P Value ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Randomized Controlled ◽  
Vas Score

The goal of this research is to assess the desensitizing effect of a diode laser on non-carious cervical lesions (NCCLs) responsible for dentin hypersensitivity (DH) in two separate output forces implemented both independently and in sequential combination modalities. A randomized controlled trial for this study was applied. Sixty-nine NCCLs responsible for DH pain with severity between 6 and 9 on the VAS scale were considered. Three study groups were developed using just one lesion from three different quadrants of the oral cavity of each patient. All treatment procedures were conducted using a laser diode (810 nm, 5 W) with varying power outputs used separately or in combination. The pain by DH was evaluated at baseline, at treatment completion, and at 15 days and 3 months after each laser procedure. Data analysis was performed using a Wilcoxon test for paired samples, a one-way ANOVA test, and an unpaired t-test. The significant reduction of the mean VAS score was estimated in each study group immediately and at 15 days and 3 months after the end of treatment and compared with the baseline mean VAS score (p-value < 0.0001). The best result concerning the improvement of DH symptomatology was assessed when a combined protocol of two different output powers of the diode laser was used. The authors conclude that the diode laser (810 nm) therapy procedure combining two separate output forces (low and high power) can improve the painful symptoms of DH from NCCLs.

scholarly journals Non-pharmacological motor-cognitive treatment to improve the mental health of elderly adults

2019 ◽  
Vol 65 (3) ◽  
pp. 394-403 ◽  
Author(s):  
Javiera Ponce ◽  
Claudia Latín ◽  
Víctor Leiva ◽  
Guillermo Cortés ◽  
Fernando Rodríguez ◽  
...  
Keyword(s):  
Dual Task ◽  
Low Cost ◽  
Wilcoxon Test ◽  
P Value ◽  
Elderly Adults ◽  
Cognitive Level ◽  
Post Intervention ◽  
Institutionalized Elderly ◽  
Paired Samples ◽  
Parametric Version

SUMMARY OBJECTIVE: To propose a program of physical-cognitive dual task and to measure its impact in Chilean institutionalized elderly adults. METHOD: Experimental design study with pre and post-intervention evaluations, measuring the cognitive and depressive levels by means of the Pfeiffer test and the Yesavage scale, respectively. The program was applied for 12 weeks to adults between 68 and 90 years old. The statistical analysis was based on the nonparametric Wilcoxon test for paired samples and was contrasted with its parametric version. The statistical software R was used. RESULTS: Statistically significant differences were obtained in the cognitive level (p-value < 0.05) and highly significant (p-value < 0.001) in the level of depression with both tests (parametric and nonparametric). CONCLUSION: Due to the almost null evidence of scientific interventions of programs that integrate physical activity and cognitive tasks together in Chilean elderly adults, a program of physical-cognitive dual task was proposed as a non-pharmacological treatment, easy to apply and of low cost to benefit their integral health, which improves significantly the cognitive and depressive levels of institutionalized elderly adults.

scholarly journals The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm

2012 ◽  
Vol 6 (1) ◽  
pp. 46-50 ◽  
Author(s):  
Marco Montevecchi ◽  
Vittorio Checchi ◽  
Maria Rosaria Gatto ◽  
Sascha Klein ◽  
Luigi Checchi
Keyword(s):  
Surgical Approach ◽  
Initial Therapy ◽  
Periodontal Therapy ◽  
Wilcoxon Test ◽  
Plaque Index ◽  
P Value ◽  
Final Examination ◽  
Total Removal ◽  
Periodontal Surgery ◽  
Paired Samples

A total removal of the bacterial deposits is one of the main challenges of periodontal therapy. A surgical approach is sometimes required in order to allow a correct access to the areas not thoroughly reached during the initial therapy. The present study focuses on the surgical scaling effectiveness in root deposits removal; the potential support of a disclosing agent during this procedure is also evaluated. Forty surgical periodontal patients were randomly divided between surgeries where the operator was informed about a final examination of the residual root deposits and surgeries where the operator was not informed. Straight after scaling procedures a supervisor recorded the O’Leary Plaque Index of the exposed roots by mean of a disclosing agent and the percentage of teeth with residual biofilm. After the stained deposits removal, a second chromatic examination was performed and new data were collected. Mann-Whitney U-test and Wilcoxon test for paired samples were used for comparisons respectively between the two surgery groups and the first and the second chromatic examination; one-sided p-value was set at 0.05. At first examination no significant differences between the two groups were observed regarding Plaque Index (p=0.24) and percentages of teeth with residual biofilm (p=0.07). The 100% removal of roots deposits was never achieved during the study but a significant reduction of 80% of root deposits was observed between first and second examination (p=0.0001). Since root deposits removal during periodontal surgery resulted always suboptimal, the use of a disclosing agent during this procedure could be a useful and practical aid.

scholarly journals THE EFFECT OF ACUPRESSUR THERAPY IN REDUCING NAUSEA AND VOMITING PREGNANT WOMEN TRIMESTER I : QUASI-EXPERIMENTAL STUDY

NSC Nursing ◽  
2021 ◽  
Author(s):  
Suryani Suryani ◽  
Ika Murtiyarini ◽  
Yuli Suryanti ◽  
Misnanda Misnanda
Keyword(s):  
Pregnant Women ◽  
First Trimester ◽  
Study Groups ◽  
Study Data ◽  
Pharmacological Therapy ◽  
Nausea And Vomiting ◽  
Wilcoxon Test ◽  
P Value ◽  
Post Test ◽  
Quasi Experimental

Introduction. Nausea and vomiting are the most common symptoms experienced by pregnant women in the first trimester, and these symptoms are experienced by 70-85% of women. Nausea and vomiting are often experienced by pregnant women, especially in the first trimester, affecting about 50-80% of pregnant women. Management of nausea and vomiting in pregnancy consists of pharmacological and non-pharmacological. This study aims to analyze the effect of acupressure therapy on nausea and vomiting. Methods. This type of research is a quasi-experimental design using a two-group pre-post design involving 30 first trimester pregnant women who experience nausea and vomiting selected by purposive sampling. The criteria for the participants were gestational age at 10-16 weeks and maternal age at 20-35 years (productive age), while mothers taking nausea and vomiting drugs were excluded from this study. Data analysis used the Wilcoxon test and Mann-Withney test. Results. a significant decrease group with p-value <0.05. Based on the Mann Whitney test, it was found that the p-value for the pre in the frequency of moderat nausea and vomiting scores before and after acupressure in the intervention -test (<0.0001), and the post-test was 0.55, post test scores showed no difference between the two study groups. Conslusion. The study shows encouraging signs about reducing the frequency of nausea and vomiting in first-trimester pregnant women, so this therapy can be used as an alternative intervention for pregnant women who experience nausea and vomiting. Keywords: Acupressure, Nausea Vomiting, Pregnant Women, Non-pharmacological Therapy

scholarly journals Pengaruh Pelatihan Terhadap Pengetahuan tentang Gizi Buruk dan Inter-Professional Collaboration Petugas Puskesmas

2021 ◽  
Vol 11 (2) ◽  
pp. 131
Author(s):  
Eny Pemilu Kusparlina
Keyword(s):  
Content Analysis ◽  
Nutritional Status ◽  
Health Workers ◽  
T Test ◽  
Wilcoxon Test ◽  
P Value ◽  
Professional Collaboration ◽  
Paired Samples ◽  
Before And After ◽  
Nutritional Status Of Children

The problem of nutritional status is very complex, requiring treatment involving a health nutritionist. The nutritional status of children is one of the important things to prepare a quality generation. Health education in the form of training is expected to be able to change the collaborative competences of health workers across professions. This study aims to analyze the effect of training on knowledge of health workers about malnutrition and cross-professional collaboration. The researcher used a mix-methods approach with triangulation techniques using a questionnaire for the qualitative stage by conducting content analysis, while in the quantitative stage the researcher used a pre-experimental design with a "one group pre and post test" design, then the data were analyzed using the Wilcoxon test and paired samples-t test. The results of the content analysis informed that the training had gone well and was able to increase the participants' knowledge. The statistical test results showed that the mean knowledge of nutrition before training was 4.50, while after training was 4.467. The results of the Wilcoxon test showed that the p value = 0.586 (> 0.05), so it can be interpreted that there is no difference in knowledge about nutrition between before and after training. Meanwhile, the average knowledge about collaboration before training was 8.75 and after training was 10.67. The results of the paired samples t-test showed a value of p = 0.008 (0,05), sehingga dapat diinterpretasikan bahwa tidak ada perbedaan pengetahuan tentang gizi antara sebelum dengan setelah pelatihan. Sedangkan rerata pengetahuan tentang kolaborasi sebelum pelatihan adalah 8,75 dan setelah pelatihan adalah 10,67. Hasil Wilcoxon test menunjukkan nilai p = 0,008 (

STUDY OF SERUM ELECTROLYTES IMBALANCES IN FEMALE THYROID PATIENTS AT AIIMS, PATNA: A HOSPITAL BASED COMPARATIVE STUDY.

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Dr. Jyoti Kumari ◽  
Dr. Dev Kant ◽  
Dr. Mala Mahto
Keyword(s):  
Standard Deviation ◽  
Early Detection ◽  
P Value ◽  
Selective Electrode ◽  
Serum Electrolytes ◽  
Sodium Potassium ◽  
Paired Samples ◽  
Electrode Method ◽  
Hypothyroid Patients ◽  
Key Words Hypothyroidism

Objectives: This present study was to compare the serum electrolytes (Na, K and Cl) imbalances in hypothyroidism, hyperthyroidism with euthyroidism female cases. Methods: A detail history, clinical examinations and relevant investigations were performed to all female thyroid cases. Thyroid hormones were estimated by chemiluminiscence method using Siemens Advia Centaur XP instrument. Electrolyte levels (Na+, k+ & Cl-) were measured by ion selective electrode method using Eschweiler combi. Results: Data was analyzed with the help of SPSS (version 26) software. Paired samples statistics was used. Mean ± standard deviation and t value were calculated. P value was taken less than or equal to 0.05 (p ≤ 0.05) for significant differences. Conclusions: This present study concluded that electrolytes sodium, potassium and chloride levels were significantly reduced in hypothyroidism female cases compared to euthyroids female (controls). This suggests that hypothyroid patients should be regularly checked for serum electrolytes. Early detection and treatment can prevent the further complications related to the disorder and will be helpful during the management of thyroid patients. Key words: Hypothyroidism, hyperthyroidism, euthyroidism, electrolytes.

NILAI ANKLE BRACHIAL INDEX PADA PENDERITA DIABETES MELITUS TIPE 2 SESUDAH MELAKUKAN BUERGER ALLEN EXERCISE DI PUSKESMAS WILAYAH KECAMATAN NGANJUK

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Supriyadi . ◽  
Nurul Makiyah ◽  
Novita Kurnia Sari
Keyword(s):  
Ankle Brachial Index ◽  
Control Group ◽  
P Value ◽  
Test Design ◽  
Purposive Sampling ◽  
Paired Samples ◽  
Post Test ◽  
Diabetes Melitus

<p><em>Buerger Allen Exercise</em> mampu meningkatkan pemakaian glukosa oleh otot yang aktif sehingga glukosa dalam darah dapat menurun, dapat membantu mencegah terjadinya penyakit arteri perifer, serta meningkatkan aliran darah ke arteri dan berefek positif pada metabolisme glukosa. Penelitian ini bertujuan untuk mengetahui nilai <em>ankle brachial index</em>pada penderita diabetes melitus tipe 2setelah melakukan <em>Buerger Allen exercise</em>. Jenis penelitian ini adalah <em>quasy-experiment </em>dengan<em> pre-post test design with control group</em><em>.</em> Jumlah sampel 60 penderita diabetes melitus tipe 2 dengan <em>purposive sampling</em>, dibagi menjadi 2 kelompok yaitu kelompok perlakuan dan kelompok kontrol. Responden kelompok perlakuan diberikan intervensi <em>Buerger Allen exercise</em> sebanyak 12 kali  selama 15 hari.Penelitian dilakukan di wilayah Puskesmas Kecamatan Nganjuk.Data hasilpengukuran nilai <em>ankle brachial index</em>berupa ratio dan diuji statistik dengan <em>Paired Samples Test</em>. Didapatkan <em>p value</em> 0.001 untuk kelompok perlakuan (<em>p value</em>&lt; 0.05) yang menunjukkan bahwa adanya perubahan bermakna secara statistik nilai <em>ankle brachial index</em> sesudah melakukan <em>Buerger Allen exercise</em>. Dapat disimpulkan bahwa nilai <em>ankle brachial index</em>pada penderita diabetes melitus tipe 2 meningkat sesudah melakukan <em>Buerger Allen exercise</em>.</p><p> </p><p> <strong>Kata kunci :penderita diabetes melitus tipe2, <em>Buerger Allen Exercise, Ankle brachial index</em></strong></p><p> </p>

Employing Personal Reading Logs through Short Stories to Enhance Students’ L2 Reading Comprehension Achievement

2019 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Eliyas Sulaiman Mohandas ◽  
Nik Mastura Nik Ismail Azlan ◽  
Salwa Othman ◽  
Muhammad Aizat Azhari
Keyword(s):  
Short Stories ◽  
Reading Comprehension ◽  
P Value ◽  
L2 Reading ◽  
Reading Score ◽  
Paired Samples ◽  
Significant Difference ◽  
Post Test ◽  
The Mean ◽  
L2 Reading Comprehension

This study aims to investigate whether the use of six selected short stories throughout the duration of a 14-week course could enhance students’ reading comprehension achievement at the end of the semester. Out of the six short stories read, three were chosen as in-class assignments known as ‘Personal Reading Logs’ (hereafter, PRLs). One group of semester two Diploma students taking a reading skills course was selected through a convenience sampling method. A pre-test was conducted by having the students answer a past semester reading quiz of which the results would then be compared to their post-test (final reading exam) results. A paired samples t-test revealed no significant difference in the reading scores of the pre-test and the post-test, t (17) = -.265, p > .05. Since the p-value was bigger than 0.05, this indicated that the mean reading score of the post-test (M = 50.556) was not significantly higher than the mean reading score of the pre-test (M = 49.722). Therefore, the null hypothesis which stated that there was no difference in the mean score of the pre-test and post-test was retained. Overall, the result refuted the findings of other studies promoting the effectiveness of using short stories to enhance L2 reading comprehension achievement.

scholarly journals Moderate Consumption of Beer (with and without Ethanol) and Menopausal Symptoms: Results from a Parallel Clinical Trial in Postmenopausal Women

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2278
Author(s):  
Marta Trius-Soler ◽  
María Marhuenda-Muñoz ◽  
Emily P. Laveriano-Santos ◽  
Miriam Martínez-Huélamo ◽  
Gemma Sasot ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Study Groups ◽  
Menopausal Symptoms ◽  
Control Group ◽  
P Value ◽  
Intervention Trial ◽  
Hormone Profile ◽  
Perimenopausal Symptoms ◽  
Main Food Source

The menopausal transition can be a challenging period for women’s health and a trigger of uncomfortable symptoms. Beer is the main food source of isoxanthohumol, a precursor of 8-prenylnaringenin, the strongest phytoestrogen identified to date. As phytoestrogens are reported to reduce perimenopausal symptoms, we evaluated if a daily moderate consumption of beer with (AB) and without alcohol (NAB) could improve menopausal symptoms and modify cardiovascular risk factors. A total of 37 postmenopausal women were enrolled in a parallel controlled intervention trial and assigned to three study groups: 16 were administered AB (330 mL/day), 7 NAB (660 mL/day), and 14 were in the control group. After a 6-month follow-up of the 34 participants who finished the trial, both interventions (AB and NAB) significantly reduced the severity of the menopause-related symptoms (p-value AB vs. Control: 0.009; p-value NAB vs. Control: 0.033). Moreover, AB had a beneficial net effect on psychological menopausal discomforts compared to the control group. As the sex hormone profile did not differ significantly between the study groups, the effects of both types of beers (AB and NAB) are attributed to the non-alcoholic fraction of beer. Furthermore, moderate NAB consumption improved the lipid profile and decreased blood pressure in postmenopausal women.

scholarly journals 180. Leveraging the Electronic Medical Record as a Method of Antibiotic Stewardship

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S97-S97
Author(s):  
Christina M Kaul ◽  
Eric Molina ◽  
Donna Armellino ◽  
Mary Ellen Schilling ◽  
Mark Jarrett
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Antibiotic Stewardship ◽  
Antibiotic Use ◽  
Antibiotic Usage ◽  
P Value ◽  
Inpatient Setting ◽  
Post Intervention ◽  
Paired Samples ◽  
Viable Method

Abstract Background Overutilization of antibiotics remains an issue in the inpatient setting. What is more, many protocols geared toward curbing improper antibiotic use rely heavily on resource- and personnel-intensive interventions. Thus, the potential for using the EMR to facilitate antibiotic stewardship remains largely unexplored. Methods We implemented a novel change for ordering certain antibiotics in our EMR: ceftriaxone, daptomycin, ertapenem, imipenem, meropenem, and piperacillin-tazobactam. When ordering one of these antibiotics, providers had to note a usage indication, which assigned a usage duration as per our Antibiotic Stewardship Committee guidelines. Pre-intervention, manual discontinuation was required if a provider did not enter a duration. The intervention was enacted August 2019 in 13 hospitals. Data was collected from January 2018 to February 2020. Antibiotic usage was reported monthly as rate per 1000-patient days. Monthly pre- and post-intervention rates were averaged, respectively. Paired samples t-tests were used to compare pre- and post-intervention rates per unit type per hospital. A p-value of less than 0.05 was considered significant. Units with minimal usage, as defined by a pre- or post-intervention mean of 0, were excluded from analysis. Example of Ordering an Antibiotic Prior to Intervention Example of Ordering an Antibiotic After Intervention Results Ertapenem was noted to have a statistically significant decrease in utilization in seven units at three hospitals. Piperacillin-tazobactam was found to have a decrease in utilization in 19 units at eight hospitals. Daptomycin was found to have a decrease in utilization in one unit. Significant decreases in the utilization of ceftriaxone, imipenem, and meropenem were not noted. Example of Statistically Significant Decreased Utilization in Piperacillin-Tazobactam on a Medical-Surglcal Unit Conclusion Our study showed a statistically significant decrease in use of ertapenem, piperacillin-tazobactam and daptomycin using a simple built-in EMR prompt that curtails provider error. This should allow for an increased ease of integration, as the protocol does not require a host of resources for maintenance. Of note is decreased utilization of piperacillin-tazobactam and ertapenem across multiple hospitals, most notably on the medical and surgical wards. Thus, usage of the EMR without personnel-intensive protocols is a viable method for augmenting antibiotic stewardship in health systems. Disclosures All Authors: No reported disclosures

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