scholarly journals The relationship between periodontal disease and diabetes mellitus

2012 ◽  
Vol 19 (2) ◽  
pp. 181-188
Author(s):  
Ciprian A. Dina ◽  
Maria Iancau ◽  
Maria Moţa ◽  
Raluca Costina Dina ◽  
Iulia Vladu

Abstract Periodontitis is a common complication in patients with diabetes. Their classificationis complex and it is based on the clinical presentation, rate of disease progression,age at diagnosis and local and systemic factors that may multiply the risk. The twomajor stages of periodontal diseases are gingivitis and periodontitis. Therelationship between these two diseases appears bidirectional insofar that theexistence of one disease tends to promote the other and that the meticulousmanagement of either may help the treatment of the other. Treatment of periodontitisusing a association of mechanical therapy, scaling and root planning, plus systemictetracycline antibiotics has been demonstrated to have important reductions inHbA1c values. Therefore, for a better control of diabetes we suggest that periodontalpatients with diabetes should be consulted and treated by a periodontist.

1998 ◽  
Vol 15 (4) ◽  
pp. 131-134 ◽  
Author(s):  
Declan Sheerin

AbstractObjectives: To determine the frequency with which abuse, parental separation and bereavement occur on their own or together in children attending child psychiatry services and to assess the relationship between these traumas and attendance and outcome.Method: A review of all case notes over a 12 month period (n = 435) was conducted and a proforma completed. Information was gathered on clinical presentation, rate of attendance, the presence of sexual abuse, non-sexual abuse including bullying, bereavement and parental separation and a measurement of outcome by subjective assessment was made.Results: Fifty-nine per cent of the children had experienced at least one of the specified traumas; 13% had experienced two and 2.5% had experienced three. The children who had been abused or bereaved were more likely to require fairly long-term work; those who were adjusting to parental separation required less intervention over time. The children who had been sexually abused had, relatively, the poorest outcome in contrast to those adjusting to bereavement where 87% were considered to have made significant improvement.Conclusions: Bereavement, abuse and parental separation are common in children referred to the child psychiatric services and these children often require long-term intervention. Increased resources will be required in order to continue to provide adequate intervention and treatment for these children.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Marta Novotna ◽  
Stepan Podzimek ◽  
Zdenek Broukal ◽  
Erika Lencova ◽  
Jana Duskova

Type 1 diabetes mellitus is a chronic metabolic disease of an autoimmune origin with early manifestation predominantly in the childhood. Its incidence has been rising in most European countries. Diabetes has been intensively studied by all branches of medicine. There were a number of studies investigating oral consequences of diabetes; however, unambiguous conclusions were drawn only for the relationship between diabetes and periodontal impairment. Many studies confirmed higher plaque levels and higher incidence of chronic gingivitis both in adults and in children with diabetes. Juvenile periodontitis is rare both in healthy subjects and in those with type 1 diabetes. Yet certain findings from well-conducted studies, for example, differences in oral microflora or the impact of metabolic control of diabetes on periodontal health, indicate a higher risk of periodontitis in children with type 1 diabetes. As for the association of diabetes and dental caries, the results of the studies are inconsistent. However, it was found that some risk factors for dental caries are either more or less prevalent in the diabetic population. Despite an extensive research in this area we have to acknowledge that many questions have remained unanswered. There is a need for continued, thorough research in this area.


Neurosurgery ◽  
2003 ◽  
Vol 53 (5) ◽  
pp. 1210-1215 ◽  
Author(s):  
Kazuhiro Nakamura ◽  
Kiyoyuki Yanaka ◽  
Satoshi Ihara ◽  
Tadao Nose

Abstract OBJECTIVE AND IMPORTANCE The association of Graves' disease with multiple intracranial arterial stenoses is rare. CLINICAL PRESENTATION We report on two Japanese women who experienced the concurrence of Graves' disease and cerebral ischemia attributable to multiple intracranial arterial stenoses around the circle of Willis. Clinically, these patients demonstrated hyperthyroidism, goiter, ophthalmopathy, and ensuing ischemic strokes. Cerebral angiography demonstrated multiple intracranial arterial stenoses around the circle of Willis in both cases. These cases did not meet the full diagnostic criteria for moyamoya disease, in that there were no abnormal, net-like, collateral vessels, but the other clinical and angiographic findings were consistent with this condition. INTERVENTION After normalization of their hormonal conditions, the patients underwent cerebral revascularization procedures. Both patients achieved excellent recoveries and returned to normal daily life after treatment. CONCLUSION Multiple intracranial arterial stenoses and Graves' disease may occur simultaneously. Such cases may offer new insights into the pathogenesis of these two conditions. It is important to study more patients with this dual condition, to obtain more evidence of the relationship between genetic and immunogenic backgrounds.


2007 ◽  
Vol 8 (4) ◽  
pp. 91-95 ◽  
Author(s):  
Susanne Winther Olsen ◽  
Jette Nielsen

ABSTRACTOn the basis of hypothesis from our own practice, a study dealing with postoperative urine retention (PUR) in patients in the recovery ward was completed during 2006 in Odense University Hospital.Three hundred and seven patients took part in the study with a view to monitoring the occurrence of PUR and to identify the relationship between risk factors and the development of PUR. Defining PUR as >300 mL in the bladder with the inability to urinate, the study showed that 28.7% of the patients had PUR at arrival to the recovery ward.The study showed a positive correlation between patients with ascending age, rising anaesthesia duration, regional anaesthesia (RA) and developing PUR.PUR occurred in half of the patients with diabetes and approximately half of the patients treated with ephedrine. Furthermore, the type of surgery had significance, as considerably more patients with plastic and orthopaedic surgery developed PUR. On the other hand, the study showed no correlation between subjective symptoms, e.g. like a strong desire to void, and the occurrence of PUR.The results highlight the necessity for greater attention to screening patients for PUR.


Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 246-253 ◽  
Author(s):  
Gretchen E. Ely ◽  
William R. Nugent ◽  
Julie Cerel ◽  
Mholi Vimbba

Background: The relationship between suicidal thinking and adolescent dating violence has not been previously explored in a sample of adolescent abortion patients. Aims: This paper highlights a study where the relationship between dating violence and severity of suicidal thinking was examined in a sample of 120 young women ages 14–21 seeking to terminate an unintended pregnancy. Methods: The Multidimensional Adolescent Assessment Scale and the Conflict in Adolescent Relationships Scale was used to gather information about psychosocial problems and dating violence so that the relationship between the two problems could be examined, while controlling for the other psychosocial problems. Results: The results suggest that dating violence was related to severity of suicidal thinking, and that the magnitude of this relationship was moderated by the severity of problems with aggression. Conclusions: Specifically, as the severity of participant’s general problems with aggression increased, the magnitude of the relationship between dating violence and severity of suicidal thinking increased. Limitations of the study and implications for practice are discussed.


Author(s):  
Melanie K. T. Takarangi ◽  
Deryn Strange

When people are told that their negative memories are worse than other people’s, do they later remember those events differently? We asked participants to recall a recent negative memory then, 24 h later, we gave some participants feedback about the emotional impact of their event – stating it was more or less negative compared to other people’s experiences. One week later, participants recalled the event again. We predicted that if feedback affected how participants remembered their negative experiences, their ratings of the memory’s characteristics should change over time. That is, when participants are told that their negative event is extremely negative, their memories should be more vivid, recollected strongly, and remembered from a personal perspective, compared to participants in the other conditions. Our results provide support for this hypothesis. We suggest that external feedback might be a potential mechanism in the relationship between negative memories and psychological well-being.


1994 ◽  
Vol 72 (01) ◽  
pp. 058-064 ◽  
Author(s):  
Goya Wannamethee ◽  
A Gerald Shaper

SummaryThe relationship between haematocrit and cardiovascular risk factors, particularly blood pressure and blood lipids, has been examined in detail in a large prospective study of 7735 middle-aged men drawn from general practices in 24 British towns. The analyses are restricted to the 5494 men free of any evidence of ischaemic heart disease at screening.Smoking, body mass index, physical activity, alcohol intake and lung function (FEV1) were factors strongly associated with haematocrit levels independent of each other. Age showed a significant but small independent association with haematocrit. Non-manual workers had slightly higher haematocrit levels than manual workers; this difference increased considerably and became significant after adjustment for the other risk factors. Diabetics showed significantly lower levels of haematocrit than non-diabetics. In the univariate analysis, haematocrit was significantly associated with total serum protein (r = 0*18), cholesterol (r = 0.16), triglyceride (r = 0.15), diastolic blood pressure (r = 0.17) and heart rate (r = 0.14); all at p <0.0001. A weaker but significant association was seen with systolic blood pressure (r = 0.09, p <0.001). These relationships remained significant even after adjustment for age, smoking, body mass index, physical activity, alcohol intake, lung function, presence of diabetes, social class and for each of the other biological variables; the relationship with systolic blood pressure was considerably weakened. No association was seen with blood glucose and HDL-cholesterol. This study has shown significant associations between several lifestyle characteristics and the haematocrit and supports the findings of a significant relationship between the haematocrit and blood lipids and blood pressure. It emphasises the role of the haematocrit in assessing the risk of ischaemic heart disease and stroke in individuals, and the need to take haematocrit levels into account in determining the importance of other cardiovascular risk factors.


Author(s):  
Jeetendra P. Sah ◽  
Aaron W. Abrams ◽  
Geetha Chari ◽  
Craig Linden ◽  
Yaacov Anziska

AbstractIn this article, we reported a case of spinal muscular atrophy (SMA) type I noted to have tetraventricular hydrocephalus with Blake's pouch cyst at 8 months of age following intrathecal nusinersen therapy. The association of hydrocephalus with SMA is rarely reported in the literature. Development of hydrocephalus after intrathecal nusinersen therapy is also reported in some cases, but a cause–effect relationship is not yet established. The aim of this study was to describe the clinical characteristics of a patient with SMA type I and hydrocephalus, to review similar cases reported in the literature, and to explore the relationship between nusinersen therapy and development of hydrocephalus. The clinical presentation and radiographic findings of the patient are described and a comprehensive review of the literature was conducted. The adverse effect of communicating hydrocephalus related to nusinersen therapy is being reported and the authors suggest carefully monitoring for features of hydrocephalus developing during the course of nusinersen therapy.


2014 ◽  
pp. 147-153
Author(s):  
P. Orekhovsky

The review outlines the connection between E. Reinert’s book and the tradition of structural analysis. The latter allows for the heterogeneity of industries and sectors of the economy, as well as for the effects of increasing and decreasing returns. Unlike the static theory of international trade inherited from the Ricardian analysis of comparative advantage, this approach helps identify the relationship between trade, production, income and population growth. Reinert rehabilitates the “other canon” of economic theory associated with the mercantilist tradition, F. Liszt and the German historical school, as well as a reconside ration of A. Marshall’s analysis of increasing returns. Empirical illustrations given in the book reveal clear parallels with the path of Russian socio-economic development in the last twenty years.


2020 ◽  
Vol 7 (2) ◽  
pp. 291-317
Author(s):  
Burak Çavuş

Bu çalışmada, 1960-1990 yılları arasında yayınlanan ve Avrupa’ya işçi göçünü konu edinen romanlar izleksel bağlamda incelenmiştir. Romanlardaki temel izlekler çerçevesinde göç süreci irdelenmiş, inceleme, göçmenlerin tanımlanmasında ve adlandırılmasında kullanılan Gastarbeiter (konuk işçi) Auslander (yabancı) kavramları ve Almanlar tarafından Türk kimliğine atfedilen çağrışımlar üzerinden yürütülmüştür. Göçmenlere yönelik politikalarda ve yaklaşımlarda onların nasıl tanımlandığının etkili olduğuna ve yazınsal süreçte de bu politika ve yaklaşımların belirleyici olduğu savından hareket edilmiştir. Bu noktada adlandırmaların, tanımlamaların göç olayı çerçevesinde biz ve öteki ilişkisi üzerindeki etkisine odaklanılmış; toplum ve yazın ilişkisi temelinde incelenen romanlar üzerinden göç ve göçmenlik meselesine dair çıkarımlar yapılmıştır. Bunlar arasında, ayrımcılık, kötü çalışma koşulları, hak ihlalleri, ırkçılık ve ötekileştirme gibi başat sorunların bu eserlerde merkezi konumda olduğu tespit edilmiştir. Böylece çalışmanın amacı olan göç yazınını oluşturan temel izleklere ulaşılmış; sosyolojik ve tarihsel gerçekliğin yazınsal gerçekliğe aktarılmasında etkili olan unsurlar ön plana çıkarılmıştır. ABSTRACT IN ENGLISH Main Patterns in Migration Novels In this study, the novels published between 1960-1990 and dealing with the migration of workers to Europe were examined in a contextual context. The process of immigration has been examined within the framework of the basic lines in the novels, through the concepts of Gastarbeiter (guest worker), Auslander (foreigner) used in the identification and naming of immigrants and connotations attributed to Turkish identity was conducted. The argument is that how they are defined is effective in policies and approaches towards immigrants and that these policies and approaches are determinative in the literary process. At this point, the effect of naming definitions on us and the other relationship within the framework of migration has been focused; there are inferences about the issue of migration and immigration through the novels examined on the basis of the relationship between society and literature. Among these, it has been determined that dominant problems such as discrimination, poor working violations, racism and marginalization are central to these works. Thus, the basic themes that constitute the migration literature, which is the aim of the study have been reached and the factors that are effective in transferring the sociological and historical reality have been brought the fore.


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