scholarly journals THE STAMP TECHNIQUE FOR DIRECT COMPOSITE RESTORATIONS

2021 ◽  
Vol 9 (10) ◽  
pp. 703-706
Author(s):  
Fatima Zahra Amessegher ◽  
◽  
Abderrahmane Andoh ◽  
Said Dhaimy ◽  
Hafsa EL Merini ◽  
...  
Keyword(s):  
Clinical Case ◽  
Close Approximation ◽  
Occlusal Caries ◽  
Composite Restorations ◽  
Dental Anatomy ◽  
High Level

Intoduction: A high level of aestheticscanonlybeachieved by refiningold techniques and introducing new ones. One of the mostrecent techniques is the stamptechnique.Thisis a relatively new methodthat manages to restore the occlusal anatomyalmostperfectly. Althoughitispractical, it has been adopted by only a smallpercentage of practitioners. Methods:This technique wasused on two patients with occlusal caries of differentseverity, whichallowed for an estheticfillingwith a close approximation of the natural dental anatomy. Results:An estheticrestorationwithoutretouching andwithoutoverbiteallowing a hormonal integration in the occlusion. Discussion:This isbecausemanualrestoration in esthetic direct composite is a technique thatrequiresskill and finesse and finishingthatis essential for the longevity of the restoration. With the buffer technique the overall time isreduced and the degree of porosity in the restorationisconsiderablyreduced. The purpose of this article is to clarifythis technique, to discussits limitations and indications as to illustrateitsprotocolthrough a clinical case.

SBA MCQs for the MRCS Part A

2012 ◽  
Author(s):  
Sri G. Thrumurthy ◽  
Tania Samantha De Silva ◽  
Zia Moinuddin ◽  
Stuart Enoch
Keyword(s):  
Clinical Case ◽  
Multiple Choice ◽  
Surgical Anatomy ◽  
Surgical Patients ◽  
Multiple Choice Questions ◽  
Basic Sciences ◽  
Self Assessment ◽  
High Level ◽  
Factual Recall ◽  
Selection Of

Specifically designed to help candidates revise for the MRCS exam, this book features 350 Single Best Answer multiple choice questions, covering the whole syllabus. Containing everything candidates need to pass the MRCS Part A SBA section of the exam, it focuses intensively on the application of basic sciences (applied surgical anatomy, physiology, and pathology) to the management of surgical patients. The high level of detail included within the questions and their explanations allows effective self-assessment of knowledge and quick identification of key areas requiring further attention. Varying approaches to Single Best Answer multiple choice questions are used, giving effective exam practice and guidance through revision and exam technique. This includes clinical case questions, 'positively-worded' questions, requiring selection of the most appropriate of relatively correct answers; 'two-step' or 'double-jump' questions, requiring several cognitive steps to arrive at the correct answer; as well as 'factual recall' questions, prompting basic recall of facts.

The Unified Protocol for Major Depressive Disorder

2017 ◽  
pp. 67-85
Author(s):  
James F. Boswell ◽  
Laren R. Conklin ◽  
Jennifer M. Oswald ◽  
Matteo Bugatti
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Emotional Disorders ◽  
Clinical Case ◽  
Depressive Disorders ◽  
Major Depressive ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
High Level ◽  
Future Work

Major depressive disorder (MDD) can be a chronic, debilitating condition that for many individuals waxes and wanes over time. In addition, MDD and other unipolar depressive disorders demonstrate a high level of comorbidity with anxiety disorders. This chapter describes the application of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) to MDD and other unipolar depressive disorders. We first review research supporting the association between depression and higher-order constructs such as neuroticism. Next, we present a clinical case that, combined with module-specific recommendations, further illustrates how UP principles and strategies are implemented in the treatment of primary depression. Finally, we offer recommendations for future work involving the UP for major depression and other depressive disorders.

A clinical case of systemic amyloidosis in a cardiologists’s practice

The Clinician ◽  
2019 ◽  
Vol 13 (1-2) ◽  
pp. 72-79
Author(s):  
V. G. Okorokov ◽  
O. V. Evsina ◽  
V. A. Fomina ◽  
G. O. Ivanova ◽  
E. S. Soldatov ◽  
...  
Keyword(s):  
Clinical Case ◽  
Clinical Observation ◽  
Restrictive Cardiomyopathy ◽  
Systemic Amyloidosis ◽  
Immunohistochemical Method ◽  
Shortness Of Breath ◽  
Normochromic Anemia ◽  
High Level ◽  
Histological Verification

The aim of the work was to study the clinical case of systemic amyloidosis.Materials and methods. Patient Ch., 63 уears old, have admitted to the regional cardiological dispensary with complaints of short stabbing pains in the heart, without reaction to nitroglycerin, interruptions in the work of the heart, mainly at night, shortness of breath with little exertion, weakness, swelling of the legs and feet in September 2018. Sick from April 2016, when was dyspnea on exertion. The high level of creatinine, normochromic anemia have detected. In June 2016 chronic pyelonephritis was diagnosed. In August 2018, a right-sided hydrothorax was diagnosed, a pleural puncture was performed.Results. Laboratory and instrumental research methods were performed. Based on anamnesis data (normochromic anemia, proteinuria, increased creatinine in the blood), clinical picture, data of instrumental studies (restrictive cardiomyopathy, bilateral hydrothorax) clinical diagnosis was made: systemic amyloidosis the kidneys and heart with chronic kidney disease C5 and chronic heart failure. Histological evidence of amyloid and determination of the variant of amyloidosis by immunohistochemical method was recommended. But the patient died before the study. The histological verification of the diagnosis was carried out at the autopsy.Conclusion. This clinical observation is an example of late diagnosis of systemic amyloidosis and postmortal verification of the diagnosis, which is associated with the nonspecific symptoms and the rapidly progressing course of the disease. This case is interesting because amyloidosis proceeded under the guise of other diseases, quickly led to the development of severe heart and renal failure and to the death of the patient before verifying the disease.

Clinical Case of the Month: A review of the respiratory management of a patient with high level tetraplegia

Spinal Cord ◽  
1997 ◽  
Vol 35 (12) ◽  
pp. 805-808 ◽  
Author(s):  
Robert R Menter ◽  
John Bach ◽  
D J Brown ◽  
Geoff Gutteridge ◽  
John Watt
Keyword(s):  
Clinical Case ◽  
Respiratory Management ◽  
High Level

scholarly journals Imaging Features of Cervical Spinal Motion Segment Lesions before and after Surgery: A Case Report

2020 ◽  
Vol 10 (4) ◽  
pp. 430-432
Author(s):  
Vladimir Sorovikov ◽  
Pavel Seliverstov
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Fracture Dislocation ◽  
Imaging Features ◽  
Cervical Fracture ◽  
Spinal Motion ◽  
Before And After ◽  
Diagnostic Signs ◽  
High Level ◽  
Spinal Motion Segment

Spinal injuries remain a serious modern health problem that leads to a high level of disability and prehospital mortality. This clinical case of cervical fracture-dislocation demonstrates the diagnostic signs and the surgical approach.

scholarly journals Pulmonary hypertension associated with left heart diseases (clinical case)

2020 ◽  
Vol 27 (3) ◽  
pp. 89-106
Author(s):  
G. D. Radchenko ◽  
S. M. Kushnir ◽  
Yu. M. Sirenko
Keyword(s):  
Pulmonary Hypertension ◽  
Arterial Hypertension ◽  
Clinical Case ◽  
Heart Diseases ◽  
Chronic Obstructive Lung Disease ◽  
Chronic Obstructive ◽  
Heart Catheterization ◽  
Left Heart ◽  
Right Heart ◽  
High Level

This paper presents clinical case of pulmonary hypertension associated with left heart diseases (PH-LHD) in 63 year old woman with heart failure and preserved ejection fraction (HFpEF). The history of disease (arterial hypertension, atrial fibrillation, diabetes mellitus, acute pulmonary embolism, obesity, chronic obstructive lung disease) and results of standard investigations (no signs of thrombi in pulmonary arteries, significant enlargement of right heart and normal size of left heart, high level of calculated systolic blood pressure in pulmonary artery, high level of B-type natriuretic peptide) did not help to classify the type of pulmonary hypertension (PH). Only after right heart catheterization it was possible to state right diagnosis – post capillary combined PH-LHD. There are also discussed the latest guidelines in diagnosis and treatment of HFpEF and PH-LHD. Some considerations in favor of new step algorithm for diagnosis of HFpEF that was proposed by European Cardiology Congress in Paris (2019) were done and there was demonstrated its possible use in Ukraine. Some questions of morphological and pathogenic differences between precapillary pulmonary arterial hypertension (PAH) and post-capillary PH-LHD were discussed. Conclusion about not using of specific PAH therapy in PH-LHD patients was based on some arguments. There are elucidated some drug interventions in patients with HFpEF. Especial emphasized the necessity of risk factor and concomitant state corrections, including life style modification and non-drug treatment.

scholarly journals Reverse Cast Metallic Core Based on the Original Prosthetic Crown

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Eliana de Souza Bastos Mazuqueli Pereira ◽  
Fernando Accetturi ◽  
Rachel Gomes Eleutério ◽  
Daniela Vieira Buchaim ◽  
Rogério Leone Buchaim ◽  
...  
Keyword(s):  
Dental Care ◽  
Clinical Case ◽  
Radiographic Examination ◽  
Metallic Core ◽  
Form And Function ◽  
Dental Anatomy ◽  
Metal Ceramic ◽  
And Function ◽  
Ceramic Crown ◽  
Operational Time

The dental crown can be restored using the root in clinical situations where the dental remnant allows adequate anchorage by the use of an intraradicular retainer. After endodontic treatment, reconstruction of the dental anatomy depends on correct planning and the type of restoration to be used. This requires reestablishment of form and function with creation of anchoring features, avoiding detachment and favoring the distribution of forces, thus preventing fracture of the remnant due to functional and parafunctional forces applied on the tooth. This paper reports the clinical case of a patient who sought dental care for a full metal-ceramic crown with a cast metallic core with reduced length that had been detached from tooth 24. After clinical and radiographic examination, root integrity was verified. The patient was offered reconstruction with a cast metallic core of satisfactory length, providing adequate retention and support, with reutilization of the original prosthetic crown, serving as a reverse template of the coronal portion of this new core, providing reduction in costs and operational time.

scholarly journals Infantile mesenchymal hamartoma of the liver with elevated alpha fetoprotein

2021 ◽  
pp. 20200196
Author(s):  
Liem Thanh Le ◽  
Hai Thanh Phan ◽  
Trung Sao Nguyen ◽  
Khai Dinh Truong ◽  
Dang Thanh Nguyen ◽  
...  
Keyword(s):  
Paediatric Patient ◽  
Clinical Case ◽  
Liver Tumour ◽  
Mesenchymal Hamartoma ◽  
Atypical Presentation ◽  
Liver Segment ◽  
Normal Limits ◽  
High Level ◽  
Benign Liver ◽  
Very High

Mesenchymal hamartoma of the liver (MHL) is a benign tumour that most commonly occurs in children. In most cases of MHL, the α fetoprotein (AFP) level is within the normal limits, only in a few cases, increased AFP has been described which usually causes misdiagnosis of hepatoblastoma. We report a case of a 3-month-old paediatric patient who was incidentally detected with a very high level of AFP, at 6388.4 ng ml−1. Ultrasound revealed a right liver tumour, segment VI, measuring at 56 × 53 mm. According to images of ultrasound and MRI, the diagnosis was mesenchymal hepatic sarcoma. The paediatric patient had surgery to remove the entire liver segment containing the tumour. Micropathological examination showed that the tumour was a MHL. The serum AFP level fell rapidly to near normal following the surgery. The MHL benign liver tumour with an atypical presentation caused a very high AFP level. This was a rare clinical case, and it was difficult to diagnose.

scholarly journals A clinical case of 3-year highly efficient pembrolizamable therapy of metasatic lung adenocarcinoma

2018 ◽  
pp. 9-10 ◽  
Author(s):  
K. K. Laktionov ◽  
D. I. Yudin ◽  
K. A. Sarantseva ◽  
K. P. Laktionov ◽  
V. V. Breder ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Lung Adenocarcinoma ◽  
Clinical Case ◽  
Clinical Observation ◽  
Metastatic Adenocarcinoma ◽  
First Line ◽  
Highly Efficient ◽  
First Line Therapy ◽  
Line Therapy ◽  
High Level

Immunotherapy presents a new promising approach to the treatment of disseminated lung cancer. Pemriblisumab (Kitruda®) is one of the antiPD-1 drugs registered in Russia, which is used in both the secondand, in the event of high-level PD-L1 expression (≥50%), the first-line therapy. This paper presents a clinical observation of a highly efficient pemribrolizumab treatment of a patient with metastatic adenocarcinoma.

scholarly journals An Effective Technique to Posterior Resin Composite Restorations

2011 ◽  
Vol 12 (6) ◽  
pp. 506-510 ◽  
Author(s):  
Adriana Cristina Zavanelli ◽  
Stefan Fiuza de Carvalho Dekon ◽  
Leonardo Viana Pereira ◽  
Marcelo Coelho Goiato ◽  
Cristina do Amparo Resende ◽  
...  
Keyword(s):  
Clinical Case ◽  
Resin Composite ◽  
Occlusal Surface ◽  
Effective Technique ◽  
Time Saving ◽  
Posterior Teeth ◽  
Composite Restorations ◽  
The Matrix ◽  
The Aesthetic ◽  
Initial Lesions

ABSTRACT Aim The aim of this study is to present a clinical case in which an occlusal matrix device was used in a patient who needed to restore a posterior tooth. Material and methods A direct duplicate occlusal appliance was used (biteperf) in a patient who needed an occlusal restoration in two posterior teeth. Results Using the matrix helps having fast and accurate reproduction of the original anatomical details of the occlusal surface. The final result surprised with the presented restoration in terms of esthetic quality, despite the simplicity of the technique. Conclusion Posterior teeth with initial lesions were confined to the occlusal surface of anatomically complex or fissured anatomy with or without signs of proximal caries wich are ideal candidates for this technique. The overlying enamel surface must be relatively intact; lesions of hidden or occult caries. Clinical significance The aesthetic and time-saving benefits of the occlusal device (biteperf) are immediately clear. The matrix allows the fast and accurate reproduction of the anatomic details of the original occlusal surface of the tooth. The professionals who lack an artistic penchant and marked manual ability will be able to carry out excellent posterior resin composite restorations. How to cite this article de Carvalho Dekon SF, Pereira LV, Zavanelli AC, Goiato MC, do Amparo Resende C, dos Santos DM. An Effective Technique to Posterior Resin Composite Restorations. J Contemp Dent Pract 2011;12(6):506-510.

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