Pub Date : 2017-01-10DOI: 10.9734/BJMMR/2017/27446
Elizabeth-Martha Okorie, P. Peace, N. Akani, E. Alikor
the study, did conducted the field work, the results the the PIOP the results ABSTRACT Aims: To determine the relationship between Anterior Fontanel size (AF) and the Occipito-frontal circumference (OFC). Study Design: A cross sectional and analytical study of Nigerian newborns and infants. Place and Duration of Study: Post-natal Baby and Infant of between December 2011. Methodology: This is a Cross sectional observational and analytical study of 2895 subjects recruited serially at the Post-Natal Wards and Special Care Baby Unit (SCBU), University of Port Harcourt Teaching Hospital, (UPTH); and the Well Infant Clinics of UPTH and Braithwaite Memorial Specialist Hospital (BMSH), Port Harcourt, Nigeria. AF sizes were measured in newborns at birth and at 6, 10 and 14 weeks; 6, 9, 12, 18 and 24 months of age respectively using Original a modified version of Faix’s method. Results: There were 1391 males and 1504 females giving a male: female (M:F) ratio of 1:1.1. AF sizes decreased significantly with increasing post-natal age, p < 0.001. The reverse was the case with OFC which increased significantly from birth to 24 months of age. A strong negative correlation was observed between AF size and OFC with increasing postnatal age. Conclusion: A statistically significant negative correlation exists between AF size and OFC. This relationship can be represented mathematically by the formula: AF size = 14 - OFC (0.265).
{"title":"Relationship between the Anterior Fontanel Size and Occipito-frontal Circumference","authors":"Elizabeth-Martha Okorie, P. Peace, N. Akani, E. Alikor","doi":"10.9734/BJMMR/2017/27446","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/27446","url":null,"abstract":"the study, did conducted the field work, the results the the PIOP the results ABSTRACT Aims: To determine the relationship between Anterior Fontanel size (AF) and the Occipito-frontal circumference (OFC). Study Design: A cross sectional and analytical study of Nigerian newborns and infants. Place and Duration of Study: Post-natal Baby and Infant of between December 2011. Methodology: This is a Cross sectional observational and analytical study of 2895 subjects recruited serially at the Post-Natal Wards and Special Care Baby Unit (SCBU), University of Port Harcourt Teaching Hospital, (UPTH); and the Well Infant Clinics of UPTH and Braithwaite Memorial Specialist Hospital (BMSH), Port Harcourt, Nigeria. AF sizes were measured in newborns at birth and at 6, 10 and 14 weeks; 6, 9, 12, 18 and 24 months of age respectively using Original a modified version of Faix’s method. Results: There were 1391 males and 1504 females giving a male: female (M:F) ratio of 1:1.1. AF sizes decreased significantly with increasing post-natal age, p < 0.001. The reverse was the case with OFC which increased significantly from birth to 24 months of age. A strong negative correlation was observed between AF size and OFC with increasing postnatal age. Conclusion: A statistically significant negative correlation exists between AF size and OFC. This relationship can be represented mathematically by the formula: AF size = 14 - OFC (0.265).","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"150 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86033674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/bjmmr/2017/31531
M. Kunkel, W. Ferrari, M. J. Mendonça, V. Bosquiroli, Júlio Katuhide Ueda, Veridiana Camilotti
The coronal leakage of bacteria and other irritants to the radicular canal system is one of the main factors that may result in clinical failure and affect the long term success of adhesive cementation and endodontic treatment. Thus the aim this study was demonstrated in vitro the degree of marginal microleakage of two cementing agents. 60 bovine incisors endodontically treated. The specimens were randomly divided into two groups: Group 1 – dual-cured resin cement and group 2 - resin-modified glass ionomer cement. Booth groups were divided into three subgroups with 10 teeth each, according to the placement technique to be used: A - applying it with a spatula over the pin; B - lentulo bur; C - Centrix syringe. The teeth were thermocycled for 1000 cycles between 5 and 55°C and a dwelling time of 30 seconds. All groups were immersed in a solution of Rodhamine B at 2% at room temperature for 24 hours. The dye microleakage analysis was performed by three calibrated examiners. After 24 hours, the teeth were longitudinally sectioned and the microleakage scores were given by a blind operator. Data were submitted to Kruskal-Wallis test (p ≤ 0.05). No difference was observed in microleakage values between the insertion techniques for both cements analyzed. The two cements used, as well as the three techniques of insertion techniques generated similar values of coronal microleakage.
{"title":"Microleakage of Two Cementing Agents Using Different Application Techniques","authors":"M. Kunkel, W. Ferrari, M. J. Mendonça, V. Bosquiroli, Júlio Katuhide Ueda, Veridiana Camilotti","doi":"10.9734/bjmmr/2017/31531","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/31531","url":null,"abstract":"The coronal leakage of bacteria and other irritants to the radicular canal system is one of the main factors that may result in clinical failure and affect the long term success of adhesive cementation and endodontic treatment. Thus the aim this study was demonstrated in vitro the degree of marginal microleakage of two cementing agents. 60 bovine incisors endodontically treated. The specimens were randomly divided into two groups: Group 1 – dual-cured resin cement and group 2 - resin-modified glass ionomer cement. Booth groups were divided into three subgroups with 10 teeth each, according to the placement technique to be used: A - applying it with a spatula over the pin; B - lentulo bur; C - Centrix syringe. The teeth were thermocycled for 1000 cycles between 5 and 55°C and a dwelling time of 30 seconds. All groups were immersed in a solution of Rodhamine B at 2% at room temperature for 24 hours. The dye microleakage analysis was performed by three calibrated examiners. After 24 hours, the teeth were longitudinally sectioned and the microleakage scores were given by a blind operator. Data were submitted to Kruskal-Wallis test (p ≤ 0.05). No difference was observed in microleakage values between the insertion techniques for both cements analyzed. The two cements used, as well as the three techniques of insertion techniques generated similar values of coronal microleakage.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"106 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73474155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/BJMMR/2017/32206
C. Gargiulo, V. Pham, T. Huynh, V. Trieu, Nguyen Cd Kieu, M. Shiffman, M. Holterman, S. Aityan, L. Filgueira
Peripheral blood stem cells (PB-SCs) are probably the most common and the most “slighted” stem cells utilized in medicine, their clinical application is back to year 1986 with the intent of replacing BM as a stem-cell source. This brief manuscript provides a general view into the amazing world of PB-SCs. Since then PB-SCs have been widely studied and the outcomes revealed a very particular biological character that lead to their clinical use in degenerative metabolic diseases as diabetes type 2 (DM2). Based on published data, we have proposed that a combination of both low glycemic index diet (LGI diet) and PB-SCs would generate major improvements in glucose metabolism via positive modification on GLP-1/GIP-Insulin axis. We have elucidated the beneficial effects of the LGI diet combined with PB-SCs on glucose tolerance in 15 individuals. We examined physiologic changes in whole-body insulin sensitivity and insulin and lipid profile after autologous PB-SCs, followed by a LGI diet regimen, which is a central tool in glucose clearance in the post-treatment period. Thus, it was discussed the modulating and regenerative activity of PB-SCs and LGI diet on the insulin, incretin/GLP-1 axis in response to sugar drive typical of DM2 condition.
{"title":"Novel Therapeutic Strategy in the Treatment of Diabetes Type 2, the Use of Autologous Peripheral Blood Stem Cells in 15 Patients: Is There Any Relation with the Incretin-GLP-1/GIP Axis?","authors":"C. Gargiulo, V. Pham, T. Huynh, V. Trieu, Nguyen Cd Kieu, M. Shiffman, M. Holterman, S. Aityan, L. Filgueira","doi":"10.9734/BJMMR/2017/32206","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/32206","url":null,"abstract":"Peripheral blood stem cells (PB-SCs) are probably the most common and the most “slighted” stem cells utilized in medicine, their clinical application is back to year 1986 with the intent of replacing BM as a stem-cell source. This brief manuscript provides a general view into the amazing world of PB-SCs. Since then PB-SCs have been widely studied and the outcomes revealed a very particular biological character that lead to their clinical use in degenerative metabolic diseases as diabetes type 2 (DM2). Based on published data, we have proposed that a combination of both low glycemic index diet (LGI diet) and PB-SCs would generate major improvements in glucose metabolism via positive modification on GLP-1/GIP-Insulin axis. We have elucidated the beneficial effects of the LGI diet combined with PB-SCs on glucose tolerance in 15 individuals. We examined physiologic changes in whole-body insulin sensitivity and insulin and lipid profile after autologous PB-SCs, followed by a LGI diet regimen, which is a central tool in glucose clearance in the post-treatment period. Thus, it was discussed the modulating and regenerative activity of PB-SCs and LGI diet on the insulin, incretin/GLP-1 axis in response to sugar drive typical of DM2 condition.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"22 1","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89088403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/BJMMR/2017/30731
Tabowei I. Benjamin, A. Ejike
Aims: To determine the etiology and pattern of presentation of patient with hand injury in a semi-urban center in Permission for this study was obtained from the ethical committee of the Niger Delta University Teaching Hospital. Results: The highest incidence, 56 (36.6%) of hand injuries occurred in the 20 to 30 age range. Majority 48(31.37%) of the patients were students. Road traffic accident (RTA), 37(24.18%) was the commonest cause of hand injuries and this was statistically significant [ χ 2 (p-value) = 120.77 (0.001)]. The most common injury to hand was laceration 57 (37.25%). Pain, swelling, limitation of movement and infection to the traumatized hand were the common presentations respectively, 153 (100.0%); 120 (78.4%), 80 (52.29%) and 56 (36.60%). Conclusion: Road Traffic Accident (RTA) remains the major cause of hand injury affecting more males and manual workers in the productive age group. Delayed presentation is often associated with devastating complications.
{"title":"Hand Injuries in a Suburban Hospital Bayelsa State Nigeria","authors":"Tabowei I. Benjamin, A. Ejike","doi":"10.9734/BJMMR/2017/30731","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/30731","url":null,"abstract":"Aims: To determine the etiology and pattern of presentation of patient with hand injury in a semi-urban center in Permission for this study was obtained from the ethical committee of the Niger Delta University Teaching Hospital. Results: The highest incidence, 56 (36.6%) of hand injuries occurred in the 20 to 30 age range. Majority 48(31.37%) of the patients were students. Road traffic accident (RTA), 37(24.18%) was the commonest cause of hand injuries and this was statistically significant [ χ 2 (p-value) = 120.77 (0.001)]. The most common injury to hand was laceration 57 (37.25%). Pain, swelling, limitation of movement and infection to the traumatized hand were the common presentations respectively, 153 (100.0%); 120 (78.4%), 80 (52.29%) and 56 (36.60%). Conclusion: Road Traffic Accident (RTA) remains the major cause of hand injury affecting more males and manual workers in the productive age group. Delayed presentation is often associated with devastating complications.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"8 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84643236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/BJMMR/2017/31554
Muhammad Shoaib Ahmedani, S. F. D. Alvi, Prof. Dr. Asher. Fawwad, M. Ulhaque, Sanober Naz, A. Basit
Aims: To observe safety of fasting in patients with type 1 diabetes during Ramadan. Methods: A prospective, case control study was conducted in the Out-patient department of Baqai Institute of Diabetology and Endocrinology from June to September 2013. The study was carried out in two phases; Pre-Ramadan recruitment phase (Visit A) and Post-Ramadan follow-up phase (Visit B) of the same patients. In visit A, Ramadan-specific diabetes education was delivered by health care providers in group session and educational material provided to each patient. Results: Sixty two patients with type 1 diabetes (42 in fasting and 20 in non-fasting group) participated in the study. No significant change (p > 0.05) observed in weight and HbA1c of fasting and non-fasting groups before and after Ramadan. During Ramadan, out of 1380 blood glucose readings in fasting group, there were 98 (7.1%) and 570 (41.3%) episodes of hypoglycemia and hyperglycemia respectively. None of the patients developed diabetic ketoacidosis and none required hospitalization. No significant difference (p > 0.05) observed in the frequency of hypoglycemia while hyperglycemia increased (p < 0.05) when glycemic status during Ramadan was compared with Pre-Ramadan. No significant difference (p > 0.05) observed in the frequency of hypoglycemia and hyperglycemia when Ramadan was compared with Post-Ramadan. Conclusion: We observed that majority of patients with type 1 diabetes did not have serious acute complications of diabetes during Ramadan. Safety of fasting can be ensured in patients with type 1 diabetes with Ramadan-specific diabetes education and medical supervision.
{"title":"Safety of Fasting in Patients with Type 1 Diabetes during Ramadan: A Prospective Study from Pakistan","authors":"Muhammad Shoaib Ahmedani, S. F. D. Alvi, Prof. Dr. Asher. Fawwad, M. Ulhaque, Sanober Naz, A. Basit","doi":"10.9734/BJMMR/2017/31554","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/31554","url":null,"abstract":"Aims: To observe safety of fasting in patients with type 1 diabetes during Ramadan. Methods: A prospective, case control study was conducted in the Out-patient department of Baqai Institute of Diabetology and Endocrinology from June to September 2013. The study was carried out in two phases; Pre-Ramadan recruitment phase (Visit A) and Post-Ramadan follow-up phase (Visit B) of the same patients. In visit A, Ramadan-specific diabetes education was delivered by health care providers in group session and educational material provided to each patient. Results: Sixty two patients with type 1 diabetes (42 in fasting and 20 in non-fasting group) participated in the study. No significant change (p > 0.05) observed in weight and HbA1c of fasting and non-fasting groups before and after Ramadan. During Ramadan, out of 1380 blood glucose readings in fasting group, there were 98 (7.1%) and 570 (41.3%) episodes of hypoglycemia and hyperglycemia respectively. None of the patients developed diabetic ketoacidosis and none required hospitalization. No significant difference (p > 0.05) observed in the frequency of hypoglycemia while hyperglycemia increased (p < 0.05) when glycemic status during Ramadan was compared with Pre-Ramadan. No significant difference (p > 0.05) observed in the frequency of hypoglycemia and hyperglycemia when Ramadan was compared with Post-Ramadan. Conclusion: We observed that majority of patients with type 1 diabetes did not have serious acute complications of diabetes during Ramadan. Safety of fasting can be ensured in patients with type 1 diabetes with Ramadan-specific diabetes education and medical supervision.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"11 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89380258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/bjmmr/2017/30714
Abdul Rahman Hammadieh, M. F. Safadi, Osama Shaheen
Objective: The aim of this study is to investigate the practice of laparoscopic gastric plication (LGP) in Syria with particular emphasis on efficacy and complications, and to explore the concept of bariatric surgery in times of crisis with its related issues and concerns. Materials and Methods: A prospective cohort study included all patients who underwent LGP between February 2011 and September 2014. The main outcome was the percentage of excess weight loss (%EWL). Secondary outcomes included operative time, hospital stay, postoperative complications, and improvement of related comorbidities. Results: Of the 129 patients who underwent LGP in the study period, 96 patients were included in the final analysis. The mean body mass index was 39.5 kg/m (32–49 kg/m). No cases of conversion to laparotomy, leak, intraabdominal infection, or mortality were seen. Vomiting was the most common postoperative complaint, which was encountered in 91.6% of patients. Two patients required operation reversal because of protracted vomiting. Mean %EWL was 60%, 65%, 70%, 67%, 66% and 65% at 6, 12, 18, 24, 30 and 36 months respectively. Obesity-related comorbidities were present in 33 patients (34.4%), and they showed considerable improvement or complete Original Research Article Hammadieh et al.; BJMMR, 19(3): 1-9, 2017; Article no.BJMMR.30714 2 resolution in 57-100% of cases. Weight regain was seen in 7 patients (7.3%) after 36 months, three of whom (3.1%) requested reoperation. Conclusions: LGP is a feasible and safe operation for the treatment of morbid obesity, and it is comparable to other restrictive bariatric operations with fewer rates of serious complications. It is an appropriate technique in times of crisis due to low cost and ease of follow-up.
目的:本研究旨在探讨叙利亚腹腔镜胃应用手术(LGP)的疗效和并发症，探讨危机时期减肥手术的概念及其相关问题和关注。材料和方法:一项前瞻性队列研究包括2011年2月至2014年9月期间接受LGP的所有患者。主要结果为超重减重百分比(%EWL)。次要结局包括手术时间、住院时间、术后并发症和相关合并症的改善。结果:研究期间129例LGP患者中，96例纳入最终分析。平均体重指数为39.5 kg/m (32 ~ 49 kg/m)。没有病例转为剖腹手术，泄漏，腹腔内感染，或死亡。呕吐是术后最常见的主诉，发生率为91.6%。2例患者因持续呕吐需要手术逆转。6、12、18、24、30、36个月的平均EWL分别为60%、65%、70%、67%、66%和65%。33例(34.4%)患者存在肥胖相关的合并症，并显示出相当大的改善或完整的原始研究文章Hammadieh et al;地球物理学报，19(3):1-9,2017;文章no.BJMMR。30714,2分辨率在57-100%的情况下。36个月后体重恢复7例(7.3%)，其中3例(3.1%)要求再次手术。结论:LGP是一种可行、安全的治疗病态肥胖的手术，与其他限制性减肥手术相当，严重并发症发生率低。由于成本低，易于随访，因此在危机时刻是一种合适的技术。
{"title":"Laparoscopic Gastric Plication: Appropriate Option in Times of Crisis?","authors":"Abdul Rahman Hammadieh, M. F. Safadi, Osama Shaheen","doi":"10.9734/bjmmr/2017/30714","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/30714","url":null,"abstract":"Objective: The aim of this study is to investigate the practice of laparoscopic gastric plication (LGP) in Syria with particular emphasis on efficacy and complications, and to explore the concept of bariatric surgery in times of crisis with its related issues and concerns. Materials and Methods: A prospective cohort study included all patients who underwent LGP between February 2011 and September 2014. The main outcome was the percentage of excess weight loss (%EWL). Secondary outcomes included operative time, hospital stay, postoperative complications, and improvement of related comorbidities. Results: Of the 129 patients who underwent LGP in the study period, 96 patients were included in the final analysis. The mean body mass index was 39.5 kg/m (32–49 kg/m). No cases of conversion to laparotomy, leak, intraabdominal infection, or mortality were seen. Vomiting was the most common postoperative complaint, which was encountered in 91.6% of patients. Two patients required operation reversal because of protracted vomiting. Mean %EWL was 60%, 65%, 70%, 67%, 66% and 65% at 6, 12, 18, 24, 30 and 36 months respectively. Obesity-related comorbidities were present in 33 patients (34.4%), and they showed considerable improvement or complete Original Research Article Hammadieh et al.; BJMMR, 19(3): 1-9, 2017; Article no.BJMMR.30714 2 resolution in 57-100% of cases. Weight regain was seen in 7 patients (7.3%) after 36 months, three of whom (3.1%) requested reoperation. Conclusions: LGP is a feasible and safe operation for the treatment of morbid obesity, and it is comparable to other restrictive bariatric operations with fewer rates of serious complications. It is an appropriate technique in times of crisis due to low cost and ease of follow-up.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"19 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87247104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/BJMMR/2017/33309
J. Leelavathy, S. Ramesh, A. Christy
Aims: To include pyogenic granuloma
目的:包括化脓性肉芽肿
{"title":"Generalized Gingival Pyogenic Granuloma in a 11 Years Old Female – A Diagnostic Challenge","authors":"J. Leelavathy, S. Ramesh, A. Christy","doi":"10.9734/BJMMR/2017/33309","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/33309","url":null,"abstract":"Aims: To include pyogenic granuloma","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"88 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87460012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/bjmmr/2017/30193
S. Dadgar, F. Sobouti, Mehran Armin, Nasim Esnaashari
Aims: Anterior open bite is often caused by excessive vertical development of the posterior maxilla. In such cases, it is hardly possible to establish absolute anchorage for molar intrusion by traditional orthodontic mechanics. The use of skeletal anchorage for orthodontic tooth movement is offering a minimally invasive treatment option for correction of skeletal anterior open bite and enhancement of facial esthetics as an alternative to major surgery. Presentation of Case: This article reports a case of 23 year old female patient, who had a moderately severe skeletal anterior open bite, that was successfully corrected by using titanium miniplates and miniscrews. The miniplate were inserted in zygomaticomaxillary buttress area and fixed with two miniscrews on each side. Titanium miniscrews were inserted bilaterally in palatal region to preserve molar axial inclination during intrusion. An intrusion force was provided with niti coilsprings for 9 months. Discussion: After active treatment of 24 months, The mean amount of accomplished molar intrusion was 2.8 mm ± 0.64 mm, with a rate of 0.311 mm ± 0.071 mm per month and a bite closure of 5.61 mm ± 1.23 mm. No significant buccal tip was observed in the right and left molars Case Report Dadgar et al.; BJMMR, 19(6): 1-10, 2017; Article no.BJMMR.30193 2 upon intrusion. Her retrognathic chin and convex profiles were improved by counterclockwise rotation of the mandible. Conclusion: Our results suggest that titanium miniplates are useful for intrusion of posterior teeth. Intrusion of the posterior teeth induced counterclockwise rotation of the mandible and, as a consequence, corrected the anteroposterior intermaxillary relationship with a significant improvement in the facial soft tissue convexity.
{"title":"Correction of Skeletal Openbite Using Zygomatic Miniplates","authors":"S. Dadgar, F. Sobouti, Mehran Armin, Nasim Esnaashari","doi":"10.9734/bjmmr/2017/30193","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/30193","url":null,"abstract":"Aims: Anterior open bite is often caused by excessive vertical development of the posterior maxilla. In such cases, it is hardly possible to establish absolute anchorage for molar intrusion by traditional orthodontic mechanics. The use of skeletal anchorage for orthodontic tooth movement is offering a minimally invasive treatment option for correction of skeletal anterior open bite and enhancement of facial esthetics as an alternative to major surgery. Presentation of Case: This article reports a case of 23 year old female patient, who had a moderately severe skeletal anterior open bite, that was successfully corrected by using titanium miniplates and miniscrews. The miniplate were inserted in zygomaticomaxillary buttress area and fixed with two miniscrews on each side. Titanium miniscrews were inserted bilaterally in palatal region to preserve molar axial inclination during intrusion. An intrusion force was provided with niti coilsprings for 9 months. Discussion: After active treatment of 24 months, The mean amount of accomplished molar intrusion was 2.8 mm ± 0.64 mm, with a rate of 0.311 mm ± 0.071 mm per month and a bite closure of 5.61 mm ± 1.23 mm. No significant buccal tip was observed in the right and left molars Case Report Dadgar et al.; BJMMR, 19(6): 1-10, 2017; Article no.BJMMR.30193 2 upon intrusion. Her retrognathic chin and convex profiles were improved by counterclockwise rotation of the mandible. Conclusion: Our results suggest that titanium miniplates are useful for intrusion of posterior teeth. Intrusion of the posterior teeth induced counterclockwise rotation of the mandible and, as a consequence, corrected the anteroposterior intermaxillary relationship with a significant improvement in the facial soft tissue convexity.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"5 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87560808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/BJMMR/2017/32156
M. Coutinho, O. Neto, J. Araujo, Túlio Marcos Santos, Jorge López, Luisa R Baptista, M. Ribeiro
Aims: To estimate the frequency of Fabry disease (FD) among kidney failure patients on dialysis in Brazil using an algorithm designed to track FD-suspected patients. Study Design: Cross-sectional study. Methodology: A total of 25,223 dialysis patients from 188 dialysis centers spread all over the country were analyzed. All collected data were entered in a database created and maintained by DataGenno Interactive Research ® . An algorithm was created to sort dialysis patients into three main groups: FD-suspected patients, FD-non suspected patients, and patients for medical analysis. Further up, FD-suspected patients were submitted to GLA gene sequencing. Results: Out of 25,223 patients, 2,956 (11.72%) were considered FD-suspected. From FD-suspected patients, 89 (3.0%; 2.0% female, 1.0% male) were diagnosed with FD. FD-positive patients represented 0.3% (0.2% female, 0.1% male) of all analyzed patients. Average age of FD-positive patients : 37.7 years (±16.6) and of FD-negative patients: 45.1 years (±11.5). Seventeen different mutations were found in FD-positive patients. Missense mutations c.352C>T(R118C), c.1102G>A(A368T) and c.870G>C(M290I) were the most frequent (60.7% of the patients). A368T and R118C were more frequent among 30 patients with depression. Six female patients had cerebrovascular disease and A368T mutation was more frequent. A368T, R118C and M290I were more frequent in patients with heart disease. Angiokeratoma frequency (14.6%) was higher than in previous findings in the Brazilian population. according to literature. Three missense mutations were highly frequent among FD-positive patients; none of them were directly related to end-stage renal disease caused by FD. The algorithm used could be a helpful tool to identify FD.
{"title":"Screening for Fabry Disease among Dialysis Patients in Brazil: Findings from the First 18 months of a Nationwide Study","authors":"M. Coutinho, O. Neto, J. Araujo, Túlio Marcos Santos, Jorge López, Luisa R Baptista, M. Ribeiro","doi":"10.9734/BJMMR/2017/32156","DOIUrl":"https://doi.org/10.9734/BJMMR/2017/32156","url":null,"abstract":"Aims: To estimate the frequency of Fabry disease (FD) among kidney failure patients on dialysis in Brazil using an algorithm designed to track FD-suspected patients. Study Design: Cross-sectional study. Methodology: A total of 25,223 dialysis patients from 188 dialysis centers spread all over the country were analyzed. All collected data were entered in a database created and maintained by DataGenno Interactive Research ® . An algorithm was created to sort dialysis patients into three main groups: FD-suspected patients, FD-non suspected patients, and patients for medical analysis. Further up, FD-suspected patients were submitted to GLA gene sequencing. Results: Out of 25,223 patients, 2,956 (11.72%) were considered FD-suspected. From FD-suspected patients, 89 (3.0%; 2.0% female, 1.0% male) were diagnosed with FD. FD-positive patients represented 0.3% (0.2% female, 0.1% male) of all analyzed patients. Average age of FD-positive patients : 37.7 years (±16.6) and of FD-negative patients: 45.1 years (±11.5). Seventeen different mutations were found in FD-positive patients. Missense mutations c.352C>T(R118C), c.1102G>A(A368T) and c.870G>C(M290I) were the most frequent (60.7% of the patients). A368T and R118C were more frequent among 30 patients with depression. Six female patients had cerebrovascular disease and A368T mutation was more frequent. A368T, R118C and M290I were more frequent in patients with heart disease. Angiokeratoma frequency (14.6%) was higher than in previous findings in the Brazilian population. according to literature. Three missense mutations were highly frequent among FD-positive patients; none of them were directly related to end-stage renal disease caused by FD. The algorithm used could be a helpful tool to identify FD.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"18 1","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86694135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-10DOI: 10.9734/bjmmr/2017/30204
E. Donatus, Ejemot Nwadiaro, Regina Idu, Kalu Eja
work in collaboration between all authors. Author EKD designed the study and wrote the first draft of the manuscript under the supervision of author ENRI who read, edited and arranged the field experiments. Author KRE managed the literature databases and statistical analyses of the study. All authors read and approved the final manuscript. ABSTRACT Malnutrition is the consumption of dietary nutrients either insufficiently or exclusively, and several socio-economic, ignorance, and educational factors are known to determine nutritional status of any community. This study aimed at examining the nutritional status and malnutrition-dependent factors in Ekureku Community. With a cross-sectional design, 380 mother-child pair respondents were selected using systematic sampling technique. Nutritional anthropometry and questionnaire were used to gather data. Data collected were entered and analysed using Statistical Package for Social Sciences. Student t-test and Chi-square were used to test for inferential statistics at 5% level of significance. Results show that 108(28.4%) of under-five children were stunted, 47(12.3%) wasted and 107(28.1%) underweight. Malnutrition was observed to be significantly higher among females than male children (P < 0.05). Children aged >24 months were more stunted (22.4%), wasted (9.5%) and underweight (22.1%) than children <24 months. Most respondents (54.2%) had poor knowledge of child nutrition, while 45.8% had a fair knowledge. Respondents (35.0%) breastfed their babies exclusively, while 63.0% introduced complementary feeding when their children were less than six months old. Factors such as poor maternal education, sex of child, unemployed women, knowledge of child nutrition and poor feeding practice were found to be associated with malnutrition among under-five children. These findings indicate that malnutrition is high among under-five children and may increase child morbidity and mortality in the community.
{"title":"A Study of Malnutrition-dependent Factors among Under-five Children in Ekureku Community, Abi Local Government Area of Cross River State, Nigeria","authors":"E. Donatus, Ejemot Nwadiaro, Regina Idu, Kalu Eja","doi":"10.9734/bjmmr/2017/30204","DOIUrl":"https://doi.org/10.9734/bjmmr/2017/30204","url":null,"abstract":"work in collaboration between all authors. Author EKD designed the study and wrote the first draft of the manuscript under the supervision of author ENRI who read, edited and arranged the field experiments. Author KRE managed the literature databases and statistical analyses of the study. All authors read and approved the final manuscript. ABSTRACT Malnutrition is the consumption of dietary nutrients either insufficiently or exclusively, and several socio-economic, ignorance, and educational factors are known to determine nutritional status of any community. This study aimed at examining the nutritional status and malnutrition-dependent factors in Ekureku Community. With a cross-sectional design, 380 mother-child pair respondents were selected using systematic sampling technique. Nutritional anthropometry and questionnaire were used to gather data. Data collected were entered and analysed using Statistical Package for Social Sciences. Student t-test and Chi-square were used to test for inferential statistics at 5% level of significance. Results show that 108(28.4%) of under-five children were stunted, 47(12.3%) wasted and 107(28.1%) underweight. Malnutrition was observed to be significantly higher among females than male children (P < 0.05). Children aged >24 months were more stunted (22.4%), wasted (9.5%) and underweight (22.1%) than children <24 months. Most respondents (54.2%) had poor knowledge of child nutrition, while 45.8% had a fair knowledge. Respondents (35.0%) breastfed their babies exclusively, while 63.0% introduced complementary feeding when their children were less than six months old. Factors such as poor maternal education, sex of child, unemployed women, knowledge of child nutrition and poor feeding practice were found to be associated with malnutrition among under-five children. These findings indicate that malnutrition is high among under-five children and may increase child morbidity and mortality in the community.","PeriodicalId":9249,"journal":{"name":"British journal of medicine and medical research","volume":"33 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86899006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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