Clinical Evaluation of Ceramic Inlays and Onlays Fabricated With Two Systems: Five-Year Follow-Up

SUMMARY This study evaluated the five-year clinical performance of ceramic inlays and onlays made with two systems: sintered Duceram (Dentsply-Degussa) and pressable IPS Empress (Ivoclar Vivadent). Eighty-six restorations were placed by a single operator in 35 patients with a median age of 33 years. The restorations were cemented with dual-cured resin cement (Variolink II, Ivoclar Vivadent) and Syntac Classic adhesive under rubber dam. The evaluations were conducted by two independent investigators at baseline, and at one, two, three, and five years using the modified United States Public Health Service (USPHS) criteria. At the five-year recall, 26 patients were evaluated (74.28%), totalling 62 (72.09%) restorations. Four IPS restorations were fractured, two restorations presented secondary caries (one from IPS and one from Duceram), and two restorations showed unacceptable defects at the restoration margin and needed replacement (one restoration from each ceramic system). A general success rate of 87% was recorded. The Fisher exact test revealed no significant difference between Duceram and IPS Empress ceramic systems for all aspects evaluated at different recall appointments (p>0.05). The McNemar chi-square test showed significant differences in relation to marginal discoloration, marginal integrity, and surface texture between the baseline and five-year recall for both systems (p<0.001), with an increased percentage of Bravo scores. However, few Charlie or Delta scores were attributed to these restorations. In conclusion, these two types of ceramic materials demonstrated acceptable clinical performance after five years.

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Comparison of Complications between Total and Subtotal Thyroidectomy in Simple Multinodular Goitre

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v9i2.37263 ◽

2018 ◽

Vol 9 (2) ◽

pp. 55-59

Author(s):

Nadim Ahmed ◽

Sami Ahmad ◽

Farhad Uddin Ahmed ◽

Muhammad Anwar Hossain ◽

Krishna Pada Saha ◽

...

Keyword(s):

Total Thyroidectomy ◽

Subtotal Thyroidectomy ◽

Fisher Exact Test ◽

Multinodular Goitre ◽

Chi Square ◽

College Hospital ◽

Nodular Goitre ◽

Exact Test ◽

Postoperative Haemorrhage ◽

Significant Difference

Background: Multinodular goitre is one of the most common endocrine surgical problems. Because controversy still continues to surround the use of total thyroidectomy for management of simple nodular goitre, the present study was conducted to compare the complications between total and subtotal thyroidectomy for management of simple multinodular goitre.Materials & methods: The experimental study was conducted in the department of Surgery and ENT, Rajshahi Medical College Hospital over a period of 2 years from July 2011 to June 2013. Of the total 83 simple multinodular goitre patients – 38 were assigned to total and 45 to subtotal thyroidectomy groups. Student’s t-test was done to analyze the means of quantitative variables & Chi-square (X2) and Fisher Exact test was applied to analyze categorical variables.Results: Most (88.9%) of patients in subtotal thyroidectomy (STT) group and 86.8% in total thyroidectomy (TT) group did not receive any blood transfusion during operation. Only 1(2.2%) patient in STT group experienced significant intraoperative haemorrhage. All patients were successfully operated. However, few patients of either group experienced some complications. Tetany was developed in 7.89% patients of TT and 4.44% patients of STT group. The other complication was recurrent laryngeal nerve (RLN) palsy (5.3% in TT and 2.2% in STT groups). No case of postoperative haemorrhage (haematoma) or wound infection was occured in either group. In TT group 5 (13.16%) patients and in STT group 4 (8.89%) patients developed different complications with no significant difference between the groups (p=0.533). The mean postoperative hospital stay was higher in TT group than In STT group (6.21 ± 0.99 vs. 5.96 ± 0.79 days), though the difference is not statistically significant (p= 0.206).Conclusions: The study shows that total thyroidectomy can be performed without increasing risk of complications and is a better alternative to subtotal thyroidectomy for the treatment of simple multinodular goitre.J Shaheed Suhrawardy Med Coll, December 2017, Vol.9(2); 55-59

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Abstract TP239: Cross-Training In-Hospital Operating Staff Significantly Improves Door-to-Puncture Time in Thrombectomy Patients

Stroke ◽

10.1161/str.51.suppl_1.tp239 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Angela M Callahan ◽

Axel Rosengart ◽

Karissa Graham ◽

Kellie Capone ◽

Kathryn Wright ◽

...

Keyword(s):

Operating Room ◽

Patient Characteristics ◽

Reperfusion Therapy ◽

Functional Independence ◽

Stroke Severity ◽

Fisher Exact Test ◽

Large Contribution ◽

Chi Square ◽

Exact Test ◽

Significant Difference

Objective: Delay in endovascular reperfusion in patients with acute large-vessel cerebral occlusion decreases the likelihood of functional independence. Given the large contribution of the pre-puncture, in-hospital time period to the overall speed of reperfusion therapy we evaluated the benefits and impediments of utilizing an immediately available OR team to reduce door-to-puncture time compared to a traditional model of an on-call team. Methods: Prospectively collected data were retrospectively analyzed to compare the readiness strategies of 2 comprehensive stroke centers of the Geisinger Health System serving stroke patients in rural and suburban Pennsylvania with different hospital level characteristics: Center A with an in-hospital available operating room team cross-trained in both operating and neuroendovascular procedures and center B with a dedicated on-call neuroendovascular team. Data compared included patient demographics and presentation characteristics, stroke severity, door-to-puncture time, and successful reperfusion ( t test, Fisher exact test, Chi square test). Results: There was no significant difference in the baseline stroke patient characteristics at center A (n=31) and center B (n= 45): 61% vs. 62% females; mean age 72 (range 47 to 93) vs. 69 (range 28 to 96) (p=0.35); admission NIHSS 17 vs 17, respectively. Successful reperfusion (TICI 2b-3) was achieved in 98% and 97% of cases in center A and B, respectively (p=0.79) but door-to-puncture time differed significantly between 50 in center A compared to 121 minutes in center B (58% reduction, p<0.02). Conclusion: Crossed-training in-hospital operating room staff in neuroendovascular procedures significantly reduces door-to-puncture time in thrombectomy patients when compared to a traditional on-call neuroendovascular call team. Based on existing data, this achievement in earlier reperfusion is expected to translate directly to improve clinical outcome.

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617 Electrocardiogram Abnormalities in Children Undergoing Polysomnography

SLEEP ◽

10.1093/sleep/zsab072.615 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A242-A243

Author(s):

Ankit Amin ◽

Maria Paola Mogavero ◽

Raffaele Ferri ◽

Lourdes Delrosso

Keyword(s):

Pediatric Population ◽

Retrospective Chart Review ◽

Fisher Exact Test ◽

Chi Square ◽

Premature Ventricular Contractions ◽

Exact Test ◽

Conduction Disturbances ◽

Conduction Abnormality ◽

Medicine Physician ◽

Significant Difference

Abstract Introduction Monitoring electrocardiogram (EKG) is an integral component of pediatric polysomnography (PSG). There is limited data regarding arrhythmia and conduction disturbances in the pediatric population undergoing a PSG. In this work we will present abnormal EKG findings during PSG in our sleep center. Methods A retrospective chart review from children at Seattle Children’s Hospital who underwent PSG read by a single Sleep Medicine physician (LD) in the last year was carried out. Data included age, sex, type of EKG abnormality, sleep diagnosis from PSG. Data from children with 1st or 2nd degree atrioventricular block (AVB) were compared to those from children with premature ventricular contractions (PVC). Results A total of 1,235 PSG were included. Twenty-four children (9 girls and 15 boys) aged 2–17 years (median 9 years) were identified with arrhythmias or conduction disturbances (1.9%). Nineteen out of 24 of these children (79.2%) had oAHI >1/hour; this frequency was not significantly different from that found in the whole group of 1,235 children (Chi-square test p=0.16). When comparing PSG parameters from children with AVB with those with PVC, we found no statistically significant difference. Seven out of nine children with AVB and seven out of ten with PVC had oAHI >1/hour (Fisher exact test p=0.56) while eight children with AVB out of nine and four out of ten with PVC were males, and this difference was the only statistically significant difference found (Fisher exact test p=0.04). None of the children were found to have a structural or conduction abnormality when referred to cardiology. Conclusion Our study found ECG abnormalities in 1.9 % of children undergoing PSG. None of the children were found to have abnormal findings after cardiology referral. Our study supports that EKG abnormalities are rare in PSGs of children and not associated with cardiac disease or sleep disorders, but appear more commonly in males. Support (if any):

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A hospital-based study of severe anemia in adults in Eastern India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20185183 ◽

2018 ◽

Vol 7 (1) ◽

pp. 114

Author(s):

Subhash C. Dash ◽

Naba K. Sundaray ◽

Promod K. Tudu ◽

Beeravelli Rajesh

Keyword(s):

Iron Deficiency ◽

Fisher Exact Test ◽

Severe Anemia ◽

Chi Square ◽

Anemia Of Chronic Disease ◽

Exact Test ◽

Significant Difference ◽

Chi Square Test ◽

The Mean ◽

Absolute Iron Deficiency

Background: Anemia remains a crucial health problem in developing countries. Cardiac compromise and fatal complications usually occur at Hb of <5g/dL. The aim of the study was to determine possible etiologic and clinical profile in adult patients with very severe anemia (Hb of <5g/dL).Methods: A prospective observational study was conducted in a teaching hospital of Odisha over a period of 12months. A total of 70 patients of both men and non-pregnant women admitted to the medicine wards were included after exclusion. Detailed history, clinical examination and investigation findings were recorded. Independent ‘t’ test, Wilcoxon rank sum test, Pearson chi-square test and Fisher exact test were used as applicable, to compare the variables.Results: The mean Hb (g/dL) was 3.73 ±0.85 and the mean age of the study group was 53.34±17.75years. No significant difference was observed in the severity of anemia between the female (mean Hb of 3.56±0.93) and male patients (mean Hb of 3.87±0.77) (p=0.130). The most frequent etiology found was absolute iron deficiency (44.3%, n=31) and mostly (41.9%) found in the age group of ≥65years (p<0.001). Congestive cardiac failure was found in 20% (n=14) of patients and majority of patients (64.2%, n=9) were males (p<0.001).Conclusions: Iron deficiency is the principal cause of very severe anemia in adults rather than malignancy or anemia of chronic disease and only about one fourth of patients develop heart failure even with very severe anemia.

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Physical Education and Leisure Time Activities Among Pupils With and Without Hearing Loss

Teorìâ ta Metodika Fìzičnogo Vihovannâ ◽

10.17309/tmfv.2021.2.10 ◽

2021 ◽

Vol 21 (2) ◽

pp. 167-172

Author(s):

Aneta Změlíková ◽

Petra Kurková

Keyword(s):

Hearing Loss ◽

Physical Education ◽

Leisure Time ◽

Leisure Activities ◽

Fisher Exact Test ◽

Chi Square ◽

Exact Test ◽

Significant Difference ◽

Chi Square Test ◽

Schools For The Deaf

The objective of this study was to analyse differences among Czech pupils’ with/without hearing loss related to feelings and opinions on physical education classes; sport preferences in physical education classes; and leisure time activities at the lower secondary schools for the deaf. Materials and methods. Participants were 83 pupils with hearing loss (n = 41; 49.4%) and pupils without hearing loss (n = 42; 50.6%); an average age of them was 14.3 ± 1.3 years. The non-parametric Mann-Whitney U-test, Fisher exact test, Chi-square test were used for statistical analyses. For calculation of effect size coefficient abs(r) was used. All tests were performed at a level of 0.05. Results. Pupils without hearing loss are more likely to express disappointment due to cancellation of a physical education class than pupils without hearing loss (Z = –2.168; p = 0.029). A statistically significant difference was found in preference for the various physical education activities and in leisure activities, where pupils without hearing loss prefer dancing (χ2 = 8.622; p = 0.003), whereas pupils with hearing loss prefer volleyball (χ2 = 14.833; p = 0.00001). In terms of leisure time activities, pupils with hearing loss spent their leisure time watching television significantly more often (χ2 = 5.198; p = 0.023). Conclusion. Both groups do not differ in feelings and opinions on physical education in terms of popularity, difficulty, importance, effort during physical education. On the contrary, differences in feelings associated with the cancellation of physical education or preference of activities in physical activities in physical education and leisure time appeared.

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Evaluation of postoperative pain after endodontic treatment with foraminal enlargement and obturation using two auxiliary chemical protocols

Revista de Odontologia da UNESP ◽

10.1590/1807-2577.0021 ◽

2015 ◽

Vol 44 (3) ◽

pp. 157-162 ◽

Cited By ~ 2

Author(s):

Marcelle Louise Sposito Bourreau ◽

Adriana de Jesus Soares ◽

Francisco José de Souza-Filho

Keyword(s):

Clinical Study ◽

Postoperative Pain ◽

Fisher Exact Test ◽

Chi Square ◽

Exact Test ◽

Chemical Substances ◽

Root Canals ◽

Randomized Clinical Study ◽

Significant Difference ◽

Chi Square Test

Aim This prospective randomized clinical study examined the influence of two different auxiliary chemical substances on postoperative pain in 301 single-visit endodontic treatments, with enlargement of the apical foramen and extrusion of cement into the periapical region. Material and method The two auxiliary chemicals used were 2% chlorhexidine (2% CHX gel; n = 145) and 5.25% sodium hypochlorite (5.25% NaOCl; n = 156). The incidence of postoperative pain and discomfort was assessed at 24 hours and expressed as percentages. The Fisher exact test and the Chi-square test were used to compare variation in postoperative pain. The variables analyzed were previous pain, pulp status, age, and number of root canals. Result In teeth with previous pain instrumented with 2% CHX gel, the incidence of postoperative pain was 22.22% (6/27) versus 11.11% (3/22) in teeth instrumented with 5.25% NaOCl. In teeth without previous pain instrumented with 2% CHX gel, the incidence of postoperative pain was 8.5% (6/118) versus 2.33% (3/129) in teeth instrumented with 5.25% NaOCl, with no statistically significant difference between the groups. Results showed that previous pain had a significant influence on postoperative status (p < 0.001). After 24 hours postoperatively, 93.7% (282/301) of the teeth had no pain and 6.3% (19/301) had some level of pain, and used one or two doses of medication. Conclusion Based on the results, it can be concluded that the auxiliary chemical substances had no influence on postoperative pain.

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Perbedaan proporsi stunting pada anak usia 12-24 bulan berdasarkan pemanfaatan pelayanan posyandu di Kabupaten Jayapura, Papua

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.23305 ◽

2015 ◽

Vol 12 (2) ◽

pp. 72

Author(s):

Yulia Nuradha Kartosiana Wasaraka ◽

Endy Paryanto Prawirohartono ◽

Yati Soenarto

Keyword(s):

Service Utilization ◽

Growth Failure ◽

World Health ◽

Nutrition Status ◽

Fisher Exact Test ◽

Observation Data ◽

Chi Square ◽

Exact Test ◽

Significant Difference ◽

Chi Square Test

Background: Stunting according to World Health Organization’s standard is a linear growth failure identified by the Z-score value of proportioned height by age (Body Height/Age) that less than -2 of standard deviation. Indonesia has the fifth largest number of stunted children in the world right after India, Nigeria, Pakistan and China. Posyandu service utilization is one of stunting determinants. A number of visits and the activity of infants in using Posyandu services will help the observation of children’s health and nutrition status. Through thoroughly observation chronically malnourished and stunting could be earlier identified, thus the growth failure could be prevented.Objective: to identify the stunting proportion difference of 12-24 months children according to Posyandu services use.Method: Study was conducted by using an observational method and cross-sectional research design. Subjects of study are 12-24 month children in Jayapura Regency. Cluster random sampling method was used to identify 313 children as samples. Observation data was analyzed by using chi-square test and fisher exact test due to a not normally distributed population.Results: There are 19.8% samples identified as stunted children. Chi-square test and fisher exact test showed that there is no significant difference in stunting proportion according to Posyandu service utilization (p>0.05). Meanwhile, there is a significant difference between a number of stunting and number of ISPA (p=0.017) and mothers nutrition knowledge (p=0.025).Conclusion: There is not any difference in stunting number proportion according to Posyandu services utilization.

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Pengaruh alat penyajian disposable terhadap sisa makanan pasien di ruang rawat inap RSUP Dr. Kariadi Semarang

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.17398 ◽

2004 ◽

Vol 1 (2) ◽

pp. 78

Author(s):

Tiurma Heryawanti P ◽

Endy Paryanto Prawirohartono ◽

Toto Sudargo

Keyword(s):

Food Service ◽

Control Group ◽

Fisher Exact Test ◽

Chi Square ◽

Plate Waste ◽

Exact Test ◽

Group Data ◽

Significant Difference ◽

Quasi Experiment Study ◽

Control Study

Background: Food service success relates to patient plate waste. Patient plate waste in Indonesia Hospitals could be more than 25%. Cause of patient plate waste in Hospital is lack of food and equipment quality. Almost of 32.8% patients in 10 hospitals model in Indonesia clarify that appearance, cleanliness, and equipment are good.Objective: The aim of theses research was to identify the effect of serving utensils and the other factors to the plate waste.Methods: This was a Quasi Experiment study using pre posttest with control. Study subject consisted of 45 patients in the treatment group and 45 patients in the control group. Data were analyzed descriptively and whereas t-test, Fisher Exact test, Chi-Square were performed to differentiate the proportions and means in two groups. The effect of several variables on plate waste was calculated using logistic regression on analysis.Results: This study showed that no significant difference of taste, appearance, attitude of the staff who serve meals, service timeliness, kind of food, kind of diseases and environment to patient plate waste (p>0.05). There was no significant effected of the serving disposable utensils on patient plate waste (p>0.05).Conclusion: The type of serving disposable utensils was no a significant factor effected the plate waste.

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Venous Thromboembolism and High Grade Gliomas

Thrombosis and Haemostasis ◽

10.1055/s-0038-1649592 ◽

1993 ◽

Vol 70 (03) ◽

pp. 393-396 ◽

Cited By ~ 38

Author(s):

Mandeep S Dhami ◽

Robert D Bona ◽

John A Calogero ◽

Richard M Hellman

Keyword(s):

Risk Factors ◽

Venous Thromboembolism ◽

Medical Center ◽

Significant Risk ◽

Bleeding Complications ◽

Fisher Exact Test ◽

High Grade ◽

Chi Square ◽

Exact Test ◽

High Grade Gliomas

SummaryA retrospective study was done to determine the incidence of and the risk factors predisposing to clinical venous thromboembolism (VTE) in patients treated for high grade gliomas. Medical records of 68 consecutive patients diagnosed and treated at Saint Francis Hospital and Medical Center from January 1986 to June 1991 were reviewed. The follow up was to time of death or at least 6 months (up to December 1991). All clinically suspected episodes of VTE were confirmed by objective tests. Sixteen episodes of VTE were detected in 13 patients for an overall episode rate of 23.5%. Administration of chemotherapy (p = 0.027, two tailed Fisher exact test) and presence of paresis (p = 0.031, two tailed Fisher exact test) were statistically significant risk factors for the development of VTE. Thrombotic events were more likely to occur in the paretic limb and this difference was statistically significant (p = 0.00049, chi square test, with Yates correction). No major bleeding complications were seen in the nine episodes treated with long term anticoagulation.We conclude that venous thromboembolic complications are frequently encountered in patients being treated for high grade gliomas and the presence of paresis and the administration of chemotherapy increases the risk of such complications.

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Success Rate of Obturation of Root Canals by Different Techniques in Primary Molars: A Comparative Clinical Study

Current Dentistry ◽

10.2174/2542579x02999200503032916 ◽

2020 ◽

Vol 2 (1) ◽

pp. 36-44

Author(s):

Satyawan G. Damle ◽

Ritika Bansal ◽

Dhanashree D. Sakhare

Keyword(s):

Success Rate ◽

Study Groups ◽

Primary Molars ◽

Control Group ◽

Second Primary ◽

Chi Square ◽

Exact Test ◽

Root Canals ◽

Significant Difference ◽

Comparative Clinical Study

Objective: To compare the success rate of different obturation procedures in primary mandibular second molars clinically and also by digital radiovisiography. Methods: A total of 40 children aged between 4-8 years with deeply carious mandibular second primary molars indicated for single session pulpectomy were selected. Canals were obturated with Metapex. The 3 study groups (Endodontic plugger, Handheld lentulospiral, Navi Tip syringe) were compared with the control group (reamer) both clinically and radiovisiographically. The data collected were statistically analyzed using Pearson’s Chi-square and Fisher’s exact test. Results: The use of Navi tip syringe led to the least number of voids followed by Endodontic plugger and Reamer and the highest number of voids was reported with Lentulospiral. Navitip presented maximum number of optimally filled cases followed by Endodontic plugger and Lentulospiral and least number of optimally filled cases with reamer. However, there was no statistically significant difference (p>0.05) in any of the groups with clinical (pain and tenderness to percussion) and radiographic parameters (presence or absence of voids and length of obturation). Conclusion: Within the limitations of the present study, though the clinical outcome was statistically insignificant, Navitip syringe exhibited encouraging results and is a promising option for obturation in primary teeth.

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