scholarly journals GAMBARAN PEMBERIAN ANESTESI LOKAL BLOK MANDIBULA DENGAN TEKNIK GOW-GATES PADA PEMINUM ALKOHOL

e-GIGI ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Devina A. Utomo
Keyword(s):  
Experimental Study ◽  
Medical Treatment ◽  
Social Life ◽  
Tooth Extraction ◽  
Oral Surgery ◽  
Negative Impact ◽  
Onset Of Action ◽  
Dental Surgery ◽  
North Sulawesi ◽  
Light Medium

Abstract: In Indonesia, North Sulawesi province has the highest number of alcoholics which causes bad impact on health, social life, and medical treatment. Moreover, North Sulawesi is one of the 5 provinces with the highest prevalence of dental problems in Indonesia. This prevalence is about 29.8%; 35.04% consisted of tooth extraction or oral surgery. Tooth extraction and dental surgery can cause negative impact to the alcoholics who have dental problems that need appropriate anaesthetics. This was an experimental study which aimed to determine the doses and the onset of action of anesthetics which were given to patients who were alcoholics (categorized as light, medium, and heavy). Data were processed non-statistically and were based on the observation and analysis. The results showed that the average anaesthetic dose needed for heavy alcoholics was 4.6cc; medium alcoholics 3.8cc; and light alcoholics 2.66 cc. The average onset of action in heavy alcoholics was 19 minutes; medium alcoholics 16.6 minutes; and light alcoholics 13.6 minutes. Conclusion: The more alcohol the patient consumed, the higher average of the required anesthetic dose and the longer onset of action of the anesthetics.Keywords: mandibular block anesthesia, alcoholic, Gow-Gates techniqueAbstrak: Sulawesi Utara merupakan provinsi dengan jumlah peminum alkohol terbanyak di Indonesia. Perilaku ini berdampak buruk terhadap kesehatan, kehidupan sosial, dan juga terhadap perlakuan medis. Sulawesi Utara termasuk 5 besar provinsi dengan prevalensi masalah gigi dan mulut tertinggi di Indonesia yaitu sebesar 29,8%; 35,04% di antaranya ialah tindakan pencabutan atau bedah gigi. Proses pencabutan atau bedah gigi dapat berdampak negatif terhadap peminum alkohol dengan masalah gigi dan mulut sehingga dibutuhkan tindakan anestesi yang tepat. Penelitian ini bersifat eksperimental dan bertujuan untuk mendapatkan gambaran dosis anestesi dan onset of action pada pasien peminum alkohol yang dibagi dalam kategori peminum ringan, peminum sedang, dan peminum berat. Pengolahan data penelitian ini dilakukan secara deskriptif non-statistik berdasarkan hasil observasi dan analisis. Hasil penelitian menunjukkan bahwa dosis rata-rata yang dibutuhkan oleh pasien kategori peminum berat 4,6cc; peminum sedang 3,8cc; dan peminum ringan 2,66 cc. Rata-rata onset of action pada pasien kategori peminum berat pada menit ke-19; peminum sedang pada menit ke-16,6; dan peminum ringan pada menit ke-13,6. Simpulan: Pada pasien peminum alkohol rata-rata dosis anestesi yang diperlukan lebih tinggi dan onset of action semakin lambat seiring dengan tingginya jumlah alkohol yang dikonsumsi.Kata kunci: anestesi blok mandibula, teknik anestesi Gow-Gates, peminum alkohol

scholarly journals A pragmatic window of opportunity to minimise the risk of MRONJ development in individuals with osteoporosis on Denosumab therapy: a hypothesis

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Giuseppina Campisi ◽  
Rodolfo Mauceri ◽  
Francesco Bertoldo ◽  
Vittorio Fusco ◽  
Alberto Bedogni
Keyword(s):  
Tooth Extraction ◽  
Oral Surgery ◽  
Metastatic Cancer ◽  
Bone Fragility ◽  
Osteonecrosis Of The Jaw ◽  
Time Interval ◽  
Dental Surgery ◽  
Metabolic Bone ◽  
Increased Risk

Abstract Denosumab is associated with the development of medication-related osteonecrosis of the jaw (MRONJ), an uncommon but severe oral side effect with a higher prevalence in metastatic cancer patients than in patients with metabolic bone fragility. Although several oral triggers can initiate MRONJ, invasive oral treatments and tooth extraction still remain the most common precipitating event. In general, tooth extraction and oral surgery should be avoided in patients at increased risk of MRONJ, while extraction of non-restorable teeth should be performed based on specific risk reduction protocols to eliminate dental/periodontal infections, still protecting from MRONJ onset. Based on the different pharmacological activity of denosumab and nitrogen-containing bisphosphonates, it is likely that the MRONJ risk profile of patients with osteoporosis could somewhat vary. We hypothesize the chance to maximize the pharmacokinetic of denosumab 60 mg (Prolia®) and identify a time interval in which invasive oral treatments can ideally take place without restrictions in patients with metabolic bone fragility, We propose that dental surgery (e.g. tooth extraction) may be safely performed without additional intra or peri-operative procedures in osteoporosis patients using denosumab provided that careful case selection, adequate communication among specialists, planning of a delayed dosing window (1-month deferral) and rigorous postoperative follow-up are granted. Graphical abstract

DAYA TERIMA JAJANAN LOKAL BARONCONG DENGAN PENAMBAHAN WORTEL (DAUCUS CAROTA L)

2019 ◽  
Vol 26 (1) ◽  
pp. 1
Author(s):  
Suriani Rauf ◽  
Manjilala Manjilala ◽  
Elvi Kusuma
Keyword(s):  
Experimental Study ◽  
Daucus Carota ◽  
Vegetable Consumption ◽  
Negative Impact ◽  
Local Foods ◽  
Ministry Of Health ◽  
Daucus Carota L

The behavior of people who less consume vegetables and fruit can have a negative impact on health. The lack of appetite for vegetable consumption by the society made the researchers interested in making a combination of vegetables, namely carrots with local foods, namely Baroncong.This research aims to determine the acceptability of local baroncong snacks with the addition of carrots.This research is a pre-experimental study. The panelists from this study consisted of 30 Nutrition Department Students from Health Polytechnic Ministry of Health Makassar. Assessment based on taste aspects, color of aroma and texture of baroncong products with the addition of carrots 50%, 75%, 100% with the criteria of very like, like, dislike and very dislike.The results showed that the acceptability of baroncong with the addition of carrots in terms of taste was a concentration of 75%, which was very much as much as 46.7% and liked as much as 50%, the color aspect was 50% concentration consisting of 36.7% likes and likes as much as 53.3%, the aroma aspectis a concentration of 50% which consists of very much as much as 33.3% and likes as much as 63.3%, in terms of aspects of texture are concentrations of 50% and 75%, each of which consists of as much as 23.3% and likes as much as 63, 3%. Based on these data, Baroncong with the addition of carrots received is a concentration of 75%.

REGENERAÇÃO ÓSSEA GUIADA DE ALVÉOLOS DE EXTRAÇÃO DENTÁRIO- UMA REVISÃO

2016 ◽  
Vol 1 (45) ◽  
Author(s):  
Bruno Pires Miranda
Keyword(s):  
Bone Regeneration ◽  
Tooth Extraction ◽  
Oral Surgery ◽  
Guided Bone Regeneration ◽  
The Body ◽  
Synthetic Material ◽  
Dynamic Changes ◽  
Tooth Socket ◽  
Ability To Regenerate ◽  
Implant Dentistry

Resumo O osso é um tecido conjuntivo especializado, vascularizado e dinâmico que se modifica ao longo do organismo. Quando lesado, possui uma capacidade única de regeneração e reparação sem a presença de cicatrizes, mas em algumas situações devido tamanho do defeito ósseo não se regenera por completo. Assim, se faz necessária a realização de procedimentos de regeneração óssea guiada. Para isso, o implantodontista deve conhecer as bases biológicas da regeneração óssea guiada alveolar e suas indicações. Nesta revisão foram abordadas indicações, vantagens e tipos de biomateriais utilizados para preenchimento do alvéolo dentário imediatamente após a extração dentária sempre que o objetivo for à reabilitação através da instalação de implantes. Mesmo este, biomateriais, apresentando inúmeras qualidades, estudos ainda devem ser feitos a fim de obter a cada dia, um material sintético compatível com o tecido ósseo perdido em quantidades adequadas sem necessitar de cirurgias extra-bucais.ABSTRACT Bone is a specialized vascularized connective tissue that dynamic changes throughout the body. When injured, it has a unique ability to regenerate and repair without the presence of scars, but in some situations due to size of the bone defect does not regenerate completely. Thus, it is necessary to perform guided bone regeneration procedures. For this, the implant dentistry must know the biological bases of alveolar guided bone regeneration and its indications. In this review were addressed indications, advantages and types of biomaterials used for filling the tooth socket immediately after the tooth extraction whenever the goal is rehabilitation through implants installation. Even this, biomaterials, having several qualities, further studies must be done to obtain each day, a synthetic material compatible with the bone tissue lost in proper amounts without the need of extra-oral surgery.

scholarly journals Technical and Humanities Students’ Perspectives on the Development and Sustainability of Artificial Intelligence (AI)

2018 ◽  
Vol 10 (9) ◽  
pp. 3066 ◽  
Author(s):  
Vasile Gherheș ◽  
Ciprian Obrad
Keyword(s):  
Artificial Intelligence ◽  
Social Life ◽  
Research Method ◽  
Quantitative Research ◽  
Positive Attitude ◽  
Negative Impact ◽  
Representation Error ◽  
The Social ◽  
The Future ◽  
Humanities Students

This study investigates how the development of artificial intelligence (AI) is perceived by the students enrolled in technical and humanistic specializations at two universities in Timisoara. It has an emphasis on identifying their attitudes towards the phenomenon, on the connotations associated with it, and on the possible impact of artificial intelligence on certain areas of the social life. Moreover, the present study reveals the students’ perceptions on the sustainability of these changes and developments, and therefore aims to reduce the possible negative impact on consumers, and at anticipate the changes that AI will produce in the future. In order to collect the data, the authors have used a quantitative research method. A questionnaire-based sociological survey was completed by 928 students, with a representation error of only ±3%. The analysis has shown that a great number of respondents have a positive attitude towards the emergence of AI, who believe it will influence society for the better. The results have also underscored underlying differences based on the respondents’ type of specialization (humanistic or technical), and their gender.

scholarly journals Increase of depressive symptoms among adolescents during the first COVID-19 lockdown in Germany - results from a German panel study

2021 ◽  
Author(s):  
Elias Naumann ◽  
Ellen von den Driesch ◽  
Almut Schumann ◽  
Carolin Thönnissen
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Social Life ◽  
Negative Impact ◽  
Panel Study ◽  
Birth Cohorts ◽  
Policy Makers ◽  
Immigrant Background ◽  
Low Threshold ◽  
Short Time

BackgroundThe COVID-19 pandemic has fundamentally changed social life within a very short time. Lockdown policies often consider the trade-off between containing the spread of the pandemic and the negative impact for the economy. Policy makers should pay more attention to the psychological and social impacts of the lockdown.ObjectivesHow did the mental health of adolescents in Germany change during the first wave of the COVID-19 pandemic and the lockdown in Germany?Material and MethodsAnalyses are based on longitudinal data from Germany and a random sample of the birth cohorts 2001-03. Respondents were 15-17 years old at the first interview in 2018/19. 854 adolescents participated in the second wave of the survey in May and June 2020. Depressiveness is assessed with the State-Trait Depression Scale.ResultsDuring the first lockdown, adolescents show a significant increase in depressive symptoms. Prior to the lockdown, 10.2 percent had clinically relevant depressive symptoms [CI: 8.0; 12.4]. In spring 2020, the prevalence increased to 25.2 percent [CI: 22.0; 28.4]. Young women have a significantly higher risk of developing depressive symptoms than men of the same age. Immigrant background is an equally strong risk factor. The prevalence of depressive symptoms among adolescents with an immigrant background increased from 11% to 33%.DiscussionTo address this increased mental health risk and the inequalities, policy makers and society should ensure access and availability of target-group-specific and low-threshold prevention and counselling.

scholarly journals Analysing the effectiveness of topical bleeding care following tooth extraction in patients receiving dual antiplatelet therapy-retrospective observational study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bogumił Lewandowski ◽  
Aleksander Myszka ◽  
Małgorzata Migut ◽  
Ewelina Czenczek-Lewandowska ◽  
Robert Brodowski
Keyword(s):  
Antiplatelet Therapy ◽  
Tooth Extraction ◽  
Dual Antiplatelet Therapy ◽  
Clinical Problem ◽  
Dental Surgery ◽  
Coronary Syndrome ◽  
Secondary Bleeding ◽  
Tooth Removal ◽  
Tooth Extractions ◽  
Retrospective Examination

Abstract Background Patients using antiplatelet drugs following infarctions, acute coronary syndrome or stroke pose a significant clinical problem if it is necessary to perform surgery, including dental surgery, since they are at risk of prolonged or secondary post-extraction bleeding. Discontinuation of this therapy is associated with a high risk of serious thromboembolic complications. The purpose of this study was to assess the effectiveness of TachoSil fibrin-collagen patches in stopping and preventing of secondary post-extraction bleeding in patients undergoing chronic antiplatelet therapy. Methods The study was conducted through retrospective examination of the medical records of 153 patients using chronic antiplatelet therapy and those qualified for tooth extraction. The largest group comprised 74 patients using aspirin and clopidogrel as dual platelet antiaggregation therapy; in this group 75 tooth extractions were carried out. In all of the patients TachoSil fibrin-collagen patches and stiches were applied to the wounds resulting from tooth removal. Results Following tooth extraction, primary bleeding was stopped in all the patients and their wounds closed via coagulation within 20–30 min. In eight cases, accounting for 4.9% of the patients, secondary bleeding occurred and was successfully stopped only by applying a pressure dressing soaked in tranexamic acid. Secondary bleeding occurred in three patients on the second day and in five patients on the third day following tooth removal. Conclusion Topical application of TachoSil patches following tooth removal in patients using single or dual antiplatelet therapy effectively stopped bleeding and prevented secondary bleeding after tooth extraction.

scholarly journals Critical Analysis of Athlete Retirement from Sport

2019 ◽  
Vol 1 (13) ◽  
Author(s):  
Milda Treigienė ◽  
Saulius Šukys
Keyword(s):  
Social Life ◽  
Transition Period ◽  
Negative Impact ◽  
Personal Responsibility ◽  
Athletic Identity ◽  
Research Literature ◽  
Negative Consequences ◽  
Health Related ◽  
Scientific Practical ◽  
Career Termination

Object of the analysis. Investigation problem. Athletes' retirement from sports activities and their life after the end of their sports career is relevant in scientific, practical and social terms. The purpose of this study was to provide an overview of scientific studies on athletes’ retirement from sport and how it relates to their life after their carrier in sports.Research methods. The analysis of scientific literature revealed that the main reasons for athletes to finish their careers in sports were trauma, health-related problems or age. Retirement can also be associated with family or family planning. Sports career termination is discussed in two ways, when one retires from sport voluntarily and when one is forced to do so. Voluntary retirement for athletes is usually a planned event and thus most often it does not have a negative impact on their future life. These athletes tend to choose a family over their sports carriers, continue their education or go to work in sports related sectors. Another important factor is athletic identity. Athletes with strong athletic identity during their sports careers tend to have better social life after their retirement. These athletes also tend to have a strong athletic identity after their careers, thus they are less likely to experience stress or depressive symptoms due to their sports career termination. Forced retirement from sports career is usually due to career-ending injuries. Such career outcome is associated with greater short-term and long-term problems in the post-sport transition period. Since athletic careers are strongly controlled by others, the unforeseen outcomes of an unexpected sports career termination results in negative consequences that are related to increased personal responsibility for their further actions. This becomes a greater problem for those athletes that have a higher level of athletic identity as it results in anxiety and depression. Therefore, forced retirement from a sports career is considered to be the most troublesome and worrying problem in the field.Outcomes and conclusions An examination of research literature focused on athlete’s retirement suggests that termination of a sports career is an important event the consequences of which depend on whether it ends by own choice or not. Since the planned retirement from the sports career is less challenging, it is important to help athletes prepare for this stage of their lives. Additionally, it is crucial to focus all efforts on creating a support system for athletes who were forced to end their athletic careers.Keywords: athletic carrier, retirement, life after sport.

scholarly journals Evaluation of Preventive Treatment Protocols for Patients under Antiresorptive Therapy Undergoing Tooth Extraction at a Swiss University Clinic

2021 ◽  
Vol 18 (18) ◽  
pp. 9924
Author(s):  
Ellen Pick ◽  
Nicolas Leuenberger ◽  
Irina Kuster ◽  
Nicole Selina Stutzmann ◽  
Bernd Stadlinger ◽  
...  
Keyword(s):  
Tooth Extraction ◽  
Wound Closure ◽  
Oral Surgery ◽  
Preventive Treatment ◽  
Osteonecrosis Of The Jaw ◽  
Antiresorptive Therapy ◽  
Related Factors ◽  
Treatment Protocols ◽  
Primary Wound Closure ◽  
Mucoperiosteal Flap

Antiresorptive agent-related osteonecrosis of the jaw (ARONJ) is a dreaded complication in patients with compromised bone metabolism. The purpose of the present study was to examine the occurrence of ARONJ and its related factors among patients with a history of antiresorptive therapy undergoing tooth extraction using preventive protocols at a Swiss university clinic. Data were retrospectively pooled from health records of patients having received a surgical tooth extraction between January 2015 and April 2020 in the Clinic of Cranio-Maxillofacial and Oral surgery, University of Zurich. A total of 970 patients received an extraction with flap elevation or wound closure during this period. A total of 104 patients could be included in the study. Furthermore, variables including age, gender, smoking, risk profile, choice, indication and duration of antiresorptive therapy, number of extractions, extraction site, surgical technique, choice and duration of antibiotics as well as the presence of postoperative inflammatory complications were assessed. Overall, 4 patients developed ARONJ (incidence of 3.8%) after tooth extraction at the same location, without previous signs of osteonecrosis. Preventive methods included predominantly primary wound closure using a full thickness mucoperiosteal flap and prolonged perioperative antibiotic prophylaxis. In accordance with current literature, the applied protocol showed a reliable outcome in preventing ARONJ when a tooth extraction is required.

scholarly journals Effect of COVID-19 Lockdown on Patients with Multiple Sclerosis: an Italian Survey

2021 ◽  
pp. 1-7
Author(s):  
Marta Altieri ◽  
◽  
Mariangela Fratino ◽  
Flavia Pauri ◽  
Antonella Conte ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Family Caregiving ◽  
Social Life ◽  
Negative Impact ◽  
Self Report ◽  
Psychological Status ◽  
Control Group ◽  
Clinical Effects ◽  
Future Expectations ◽  
The Impact

Background: Italy was one of the first affected countries by coronavirus disease 2019 (COVID-19) pandemic. Public health measures like quarantine or national lockdown were adopted, with negative psychological and clinical effects on patients with chronic diseases. To investigate the impact of lockdown on patients with multiple sclerosis (MS), we developed a 36 items self-report questionnaire. Methods: Questionnaires were emailed to 120 patients with MS and 100 with chronic migraine (CM) as a control group, matched for age, sex, and education. The questionnaire was divided into five domains, evaluating concerns about 1) MS and therapy during COVID-19 pandemic, 2) personal and family caregiving, 3) working activities, 4) general and disease-related emotions during the lockdown, 5) future expectations concerning health status, social life, and working activity. Results: patients with MS had higher scores than those with CM in domains 4 and 5, investigating respectively general and disease-related emotions and future expectations (p= 0.05 and 0.02 respectively). About half of the patients with MS expressed some concern about the need to continue their therapy during the pandemic compared to people with CM (p= 0.0002). Conclusions: Covid-19 pandemic had a more negative impact on psychological status of patients with MS compared with those with CM

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