scholarly journals Assessment of gingival recession among adolescent of Jamshoro city.

2019 ◽  
Vol 26 (09) ◽  
pp. 1427-1433
Author(s):  
Munir Ahmed Banglani ◽  
Maryam Panhwar ◽  
Suneel Kumar Punjabi ◽  
Komal Memon

Objectives: The aim of study to determine the occurrence of gingival recession in younger population of Jamshoro, also to identify its common cause, so that we can able to establish preventive measures. Study Design: Cross-sectional. Setting: Dental OPD at Liaquat University of Medical Health Sciences Jamshoro. Period: 4 months from May, 2017 to October 2017. Methodology: Study was done on (300) patients, between 18 to 30 years, before selection, they were examined, only those selected, who have gingival recession, this was done by Miller’s Classification, data was obtained by a questionnaire along with the clinical examination. Perform was consists of detailed information of habits and brushing method, scores were given for presence of gingival recession, using Miller's classification. Identification of faulty brushing technique was done by clinical examining. After the completion, all of them were also given suitable treatments also oral hygiene instructions. Results: Mean age of the was 21.09±6.178. Scores of recessions was done according to the classification of Miller, revealed that Class I were the commonest showed 78%, followed by Class II 16%, Class III 4.6% and Class IV 1.4%.Regarding brushing method (horizontal method, medium tooth brush) Statistical analysis revealed that the correlation between both toothbrush type and brushing method and gingival recession were statistically significant (P < 0.001). Conclusion: The accumulation of plaque and wrong brushing method were the commonest causes of recession, educational program for oral health care should be done at community level to reduce its risk. The information from study would help us to made to prevent strategies and therapeutic methods. 

2017 ◽  
Vol 52 (4) ◽  
pp. 270
Author(s):  
Okti Setyowati ◽  
Endang Kusdarjanti

The making of removable denture is performed by a dental laboratory. To facilitate the identification, according to Kennedy classification, classes are divided onto groups, the Kennedy class I, II, III and IV. To suit with the needs of the dental laboratory tasks commonly done, priority are necessary for common cases and should to be taught to students of Dental Health Technology Diploma. In Surabaya, research of various cases of removable partial denture with the various Kennedy classifications has never been done before. This study was to analyze the pattern of service for the removable partial denture manufacture in dental laboratory at Surabaya (2011 – 2013). The research is an observatory analytic. The population is all dental laboratories located around the campus of the Faculty of Dentistry Airlangga University Surabaya. The sample was the whole population is willing to become respondents. Sampling by total sampling. The method of collecting data using secondary data from a dental laboratory in Surabaya from 2011 until 2013. The note is cases removable denture according to the classification of Kennedy that Kennedy Class I, II, III and IV. Also of note kinds of materials used to make the denture base that is heat cured acrylic resins, thermoplastic resins and metals coherent. The data is a compilation table charting the frequency until needed, then analyzed using cross tabulation. Mostly denture type is flexible type and the least is metal framework. Most cases by classification Kennedy is followed by class II class III and class II and more recently is the fourth. In conclusion, in 2011 and 2013 the manufacture of removable partial dentures according to the classification of Kennedy Class III is the most common in both the upper arch and lower jaw, followed by Class II, Class I and Class IV. In 2012 which is the highest grade III followed by class II, class IV and class I. The denture type most used is a flexible denture, followed acrylic denture and the last is the metal framework.


2016 ◽  
Vol 06 (01) ◽  
pp. 062-067
Author(s):  
N. J. Priyadarisini ◽  
Rashmi K. ◽  
N. Udaya Kiran ◽  
Sanjeev Badiger

Abstract Introduction: Socioeconomic status is an important determinant of health condition of an individual or a family. Many tools are being used to assess the socioeconomic status. Each of the scales have their own advantages and disadvantages. But an appropriate and a standardized tool is yet to be developed Objectives: To compare the standard of living based on different socioeconomic scales in a semiurban area of Mangalore and to assess the appropriateness of socioeconomic scales to be used in a semiurban area of Mangalore Methodology: A cross sectional study was conducted in households of Kuthar and Manjanady villages of Dakshina Kannada district from June- August 2014. Questionnaire method was used to avail information about the socioeconomic status of the study population. The data was analysed using SPSS 16 software. Results: Majority (70%) of the study population belonged to class IV of kuppuswamy scale. Whereas according to Modified BG Prasad scale majority of the population belonged to class III (35%) and class II (28%). According to Pareek's scale around 92% of population belonged to class IV. But when standard of living was assessed majority of them (62%) had high standard of Living. Conclusions: We found that Standard of living is the better option in assessing the socio-economic status of a household as compared to all other scales whether be it urban, rural or semi urban.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e15530-e15530
Author(s):  
Yun Wu ◽  
Yuxu Niu ◽  
Fanzhen Lv ◽  
Wen Gao ◽  
Xiaoyong Shen

e15530 Background: CTCs have been widely used in monitoring the efficacy and prognosis of lung cancer. However, CTCs number count alone cannot accurately predict the recurrent disease in patients. In this study, we investigate whether the morphology classification of CTCs could be as a prognostic marker for increased risk of recurrence after surgery. Methods: In this study, 105 lung cancer patients (median age 68y) who underwent surgery were prospectively enrolled in this study. Samples were obtained before, after, and serially up to 24 months after surgery. CTCs were collected and morphology classified by utilizing a CTC test workflow which uses negative enrichment and immunofluorescence methods to capture and identify CTCs from blood sample. Captured CTCs (epithelial type) were screened with a customized imaging analysis pipeline, a cytological profile of each CTC was created, including cell size, shape, fluorescent intensity and texture etc. Results: The CTC detection rate was 78.1% (78 of 105) prior to surgery, and a total of 726 CTCs were enumerated. Median CTC count number was 3. 5 classes of CTCs with distinct morphological features were observed in lung cancer patients’ CTC tests, briefly, CTC class I and class II possessed large nuclei but relatively lower epithelial expression level, CTC class III, IV, V possessed small nuclei but relatively higher epithelial expression level, CTC class III possessed irregular shaped nuclei, CTC class V possessed relatively lower nuclei/cytoplasm ratio. Class III accounted for the highest proportion of captured CTCs III, about 35.5% with Class I 14.8%, Class II 15.3%,Class IV 17.8% and Class 5 16.6%. Postoperative recurrence and metastasis were observed in 16 patients. CTCs positive were found in 14 patients (87.5%). 145 CTCs were collected, Median CTC count number was 3,Cluster III accounted for 47.3%, with Class I 11.8%,Class II 13.3%,Class IV 14.5% and Class V 11.8%; Patients with Cluster 3 dominant were associated with increased risk of local recurrence ( p < 0.05) and distant metastasis ( p < 0.05). Conclusions: Small and irregular nuclei CTC is significant associated with increased risk of recurrence disease. Morphology Classification of circulating tumor cells is feasible in monitoring the recurrence of disease and may potentially identify the patients who may benefit from further therapy.


2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Bharat Kumar ◽  
Naresh Kumar ◽  
Shahid Ali ◽  
Shabir Ahmed

Objectives: The objective of this study was to determine the various patterns of partial edentulism of mandibular arch in patients seen. Study Design: Cross sectional study. Setting: Department of Prosthodontics, Dr Ishrat- Ul -Ebad Khan Institute of Oral Health Sciences Karachi. Period: Six months from July 2013 to December 2013. Materials and Methods: Utilizing consecutive sampling technique, 527 patients were included. Partial edentulism pattern was recorded by visual examination using Kennedy’s classification after applying Applegate’s rules.  Results: In present study class III partial edentulism was the most dominant pattern with class IV being the least in number in mandibular arch. The class III with one modification only involving posterior area was pr-edominant type. As the age of study participants increased, there was decrease in prevalence of class III pattern and increase in class I, class II and class IV pattern. In present study gender had no significant effect on distribution of various Kennedy’s classification, whereas there was statistically significant association between age and pattern of partial edentulism. Conclusion: The Kennedy’s class III was the most common pattern of partial edentulism irrespective of age and gender.


Author(s):  
Momanyi, Violet Nakhungu ◽  
N. Keraka, Margaret ◽  
A. Abong’o, Deborah ◽  
N. Warutere, Peterson

This study evaluated 403 farmers from the open field and greenhouse farms in Mwea Irrigation Scheme on the types and classification of pesticides used to control pests and diseases on tomatoes, in July 2017 to June 2018. Five greenhouse tomato farmers were purposively selected while sample size of 196 open field farmers, calculated using Fisher’s formula. Cross-Sectional design using a structured questionnaire, face to face interviews and focus group discussions with 201 farmers in the eight wards, Gathingiri, Tebere, Kangai, Wamumu, Murinduko, Nyangati, Mutithi and Thiba. Accuracy of the data was ensured by pre-testing the questionnaire on tomato farmers from a neighbouring Maragua sub-county, errors were corrected, and omissions added to the questionnaire. Descriptive statistics was carried out for frequencies, percentages, means, standard errors, variance and data subjected to T-test at 95% Confidence Interval to determine significant differences between variables. Results from the interviews revealed that farmers applied 57 and 12 pesticides under different trade names on tomatoes in the open field and greenhouse farms respectively. Pyrethroids, carbamates, nicotinoids, organophosphates, and organochlorines were applied on tomatoes among others. The 20 and 12 pesticides mainly used in open field and greenhouse farms were WHO Class II (60%) and WHO Class III (42%), respectively. Farmers heavily relied on different types of pesticides to control a wide range of major pests and diseases as Tuta absoluta and blight respectively. Chlorantraniliprole and mancozeb are the main pesticides used in tomatoes. Most pesticides, WHO toxic class II including pyrethroids and carbamates should be used following manufacturers’ recommendations to prevent human health risks. Training and awareness by the Ministry of agriculture, Kirinyanga County government  are needed on use of less toxic pesticides equally effective in controlling pests and diseases, such as WHO  classes III and IV and bio-pesticides with minimal negative effects on human  health.


2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Narayan Prasad ◽  
Jithu Kurian ◽  
Vikas Agarwal ◽  
Dharmendra Bhadauria ◽  
Amit Gupta

Abstract Background and Aims Lupus nephritis (LN) poses a considerable impact on the morbidity and mortality of SLE patients. Long term comparative outcome data with cyclophosphamide (CYP) and mycophenolate mofetil (MMF) based regimen from the Indian subcontinent is sparse. We assessed the renal and patient survival of these patients for the types of induction CYP or MMF and the two maintenance therapies – MMF or Azathioprine. We determined the predictors of death and dialysis dependency in the study population. Method In this retrospective study, we analysed outcomes of 100 LN patients, total 67 (26 class III, 25 class IV, 6 class III+V, and 10 class IV+V)) treated with CYP (euro lupus-40 and NIH- Dharmendra Bhadauria 27), and 33 with MMF based regimen with the steroid between July 2008 to June 2018. The class distribution of the patients in the two groups was similar. The data were archived regarding demography, clinical, histopathological features, and the treatment given of all 100 biopsy-proven LN patients. Outcomes between two regimens CYP and MMF in terms of remission, dialysis dependency, and patient survival were compared. The renal survival and patient survival at the end of follow-up between two groups were also analysed. Results The clinical characteristics were similar in both groups, except the activity index was high in CYP patients (6.13 ±4.48 Vs. 4.61 ± 2.80); however, the chronicity index was similar. The overall remission was 70% at the end of induction. The CR, PR, and NR in the CYP group was 46.2%, 23.9 %, 29.9% respectively; however, in the MMF group was 57.6%, 12.1%, and 30.3%, respectively. More patients died in CYP (14.9%) than those in MMF (9.1 %) patients. The 1-, 2-, 3-, 4-, 5- and 10-years patient survival in the CYP induction was 89.5%, 86.2%, 86.2%,83.8%, 83.8% and 83.8% however in MMF was 93.9%, 93.9%, 89%, 89%, 89% and 89% respectively. The most common cause of death was sepsis 9/13(69.2%), followed by uremia. The high serum creatinine, low Hb, male, thrombocytopenia, microscopic haematuria, leukocyturia, nephrotic proteinuria, lack of remission in 12 months, dialysis, doubling of creatinine on follow-up were significant predictors of mortality. The 1-, 2- 3-, 4-, 5- and 10- years renal survival (event death-censored, but dialysis dependency) in CP group was 98.5%, 96.7%, 94.7%, 92.4%, 92.4% and 84 % respectively however in the MMF was 96.8 %, 96.8%, 91.9%, 91.9%, 91.9%, and 78.8% respectively. (Figure 1)At the end of the study, dialysis dependency in the MMF group and CYP group was 7.5% and 12.1 %, respectively (NS). In the maintenance therapy, 3/56(5.3%) had to double of creatinine in MMF, and 7/34 (20.5%) in the AZA group (p=0.03). Conclusion Long term outcomes in terms of patient and renal survival of LN patients treated with CP and MMF based induction is similar. Serum creatinine doubling was more with MMF than AZA based maintenance. The majority of death occurred during induction, and sepsis was the most common cause of death.


2021 ◽  
Vol 54 (2) ◽  
pp. 96
Author(s):  
Aulia Rohadatul Aisy ◽  
Avi Laviana ◽  
Gita Gayatri

Background: Facial aesthetics are closely related to the harmonious proportions of the facial components. One of the components is facial height. The reference of facial height proportion of certain racial groups needs to be known by orthodontists and surgeons to create treatment outcomes that can be specifically designed for these particular demographics. One of the factors that can affect facial height proportion is malocclusion. Purpose: This study aimed to determine facial height proportion based on Angle’s classification of malocclusion in Deutero-Malayids. Methods: This study used a descriptive cross-sectional method, which was conducted on 116 Deutero-Malayid subjects. The subjects’ malocclusion was first examined using Angle’s classification of malocclusion. Upper and lower facial height were then measured to determine the proportion of these dimensions. The results were then grouped based on each malocclusion class. Results: It was found that the upper and lower facial height proportions in the class I malocclusion group were 46.74% and 53.26% in males and 47.52% and 52.48% in females, respectively. The upper and lower facial height proportions in the class II malocclusion group were 48.46% and 51.54% in females. Upper and lower facial height proportions in the class III malocclusion group were 45.31% and 54.69% in males and 46.29% and 53.71% in females, respectively. Conclusion: The largest proportion of upper facial height in Deutero-Malayids was seen in the class II malocclusion group, followed by class I and class III. The largest proportion of lower facial height in Deutero-Malayids was seen in the class III malocclusion group, followed by class I and class II.


2020 ◽  
Vol 9 (3) ◽  
pp. 1656
Author(s):  
K Monika ◽  
Lokesh Sunkala ◽  
N Sandeep ◽  
K Keerthi ◽  
BVimal Bharathi ◽  
...  

Neurology ◽  
2017 ◽  
Vol 90 (2) ◽  
pp. e164-e171 ◽  
Author(s):  
Claudia Barthel ◽  
Jorik Nonnekes ◽  
Milou van Helvert ◽  
Renée Haan ◽  
Arno Janssen ◽  
...  

ObjectiveTo assess, in a cross-sectional study, the feasibility and immediate efficacy of laser shoes, a new ambulatory visual cueing device with practical applicability for use in daily life, on freezing of gait (FOG) and gait measures in Parkinson disease (PD).MethodsWe tested 21 patients with PD and FOG, both “off” and “on” medication. In a controlled gait laboratory, we measured the number of FOG episodes and the percent time frozen occurring during a standardized walking protocol that included FOG provoking circumstances. Participants performed 10 trials with and 10 trials without cueing. FOG was assessed using offline video analysis by an independent rater. Gait measures were recorded in between FOG episodes with the use of accelerometry.ResultsCueing using laser shoes was associated with a significant reduction in the number of FOG episodes, both “off” (45.9%) and “on” (37.7%) medication. Moreover, laser shoes significantly reduced the percent time frozen by 56.5% (95% confidence interval [CI] 32.5–85.8; p = 0.004) when “off” medication. The reduction while “on” medication was slightly smaller (51.4%, 95% CI −41.8 to 91.5; p = 0.075). These effects were paralleled by patients' positive subjective experience on laser shoes' efficacy. There were no clinically meaningful changes in the gait measures.ConclusionsThese findings demonstrate the immediate efficacy of laser shoes in a controlled gait laboratory, and offer a promising intervention with potential to deliver in-home cueing for patients with FOG.Classification of evidenceThis study provides Class III evidence that for patients with PD, laser shoes significantly reduce FOG severity (both number and duration of FOG episodes).


2014 ◽  
Vol 4 (2) ◽  
pp. 28-31
Author(s):  
Saujanya Karki ◽  
Umesh Parajuli ◽  
Nischal Kunwar ◽  
Kunsang Namgyal ◽  
Khamsum Wangdu

Introduction: Malocclusion is the irregularity of teeth and is considered as oral health problem. Though etiology of malocclusion is multifactorial, it has considerable impact on the self esteem and social adjustment of an individual.Objective: To determine the prevalence of malocclusion and to assess the association between Angle classification of malocclusion and occlusal traits.Materials & Method: A cross sectional study was conducted among 138 Tibetan students of grade 8-12 were selected. Students with history of orthodontic treatment were excluded from the study. Data was recorded and analyzed using SPSS 17.0 and chi square test was used to evaluate the association between Angle classification of malocclusion and occlusal traits.Result: The prevalence of malocclusion was found to be Angle’s Class I (52.90%), Angle’s Class II (5.10%) and Angle’s Class III (9.40%). Occlusal traits such as overbite, increased overjet, openbite, crossbite, displacement and hypodontia was found to be 5.79%, 10.8%, 10.86%, 9.42%, 50,72% and 4.34% respectively.Conclusion: The prevalence of malocclusion among Tibetan adolescent was found to be higher. Hence, oral health awareness, preventive procedures and promotional programs need to be more emphasized.


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