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Anti-Depression Medication Taking and Risk of Metabolic Syndrome among US Citizens Aged 60+ years: an Across-sectional Analysis of the NHANES 2007-2008

Abstract:

Objective:

To examine whether having metabolic syndrome (MS) among seniors is associated with using anti-depression medication.

Methods:

A total of 1366 (617 men and 749 women) individuals aged 60+ years from the NHANES 2007/08 survey who had no reported heart disease and/or cancers but had information on prescribed medications in previous month were included in this analysis. All subjects were categorized into three prescribed drug use status, ie, none (group 1); no anti-depressants (group 2); and with anti-depressants (group 3). MS was defined with the criteria of the ATP III.

Results:

Over 80% of individuals reported taking prescribed medications with 6% of men and 16% of women respectively having used anti-depressants. Ab...

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Changes in Gingival Crevicular Fluid Volume and Flow Rate During Orthodontic Treatment

Abstract:

Background:

Gingival crevicular fluid (GCF) is regarded as a promising medium for detection of periodontal disease activity. bone loss is a major feature of periodontal disease, although we are unable to determine the time of this bone loss and therefore periodontal disease activity. During orthodontic treatment small forces are applied, resulting in bone remodeling which allows tooth movement. Orthodontic model may be used as a preliminary stage in evaluating gingival crevicular fluid role in bone turnover.

Aims:

To detect GCF and to monitor it's volume and flow rate following orthodontic activation, and to determine at what stage inflammation and bone resorption reach their maximum.

Materials and Methods:

GCF samples were co...

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Composite Photopolymerization: Temperature Increase According to Light Source and Dentin Thickness

Abstract:

When a composite resin restoration is photopolymerized, a considerable amount of heat can be produced, potentially causing pulpal injury. Objective: Evaluate the influence of the type of light source and remaining dentin thickness on the temperature increase in the pulp chamber while curing composite resin restorations. Material and Methods: Ninety-six tooth fragments obtained from bovine incisors were divided into groups/subgroups (n=12), according to the light source (LED and halogen light) and remaining dentin thickness (3.5, 3, 2, and 1mm). Class I cavities were prepared and restored with a composite resin. A temperature increase was obtained during photopolymerization of the adhesive and each composite increment. Data were analyzed using ANOVA and Fisher’s Test (α=5%). Results: LED promoted higher temperature increments when compared with the halogen light. Temperature levels were the lowest for 3.5mm-thick and the highest for 1mm-thick remaining dentin. L...

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Obstructive Sleep Apneas, Cervical Osteophytosis and Sudden Death: A Paradigmatic Case and a Brief Overview of the Literature

Abstract:

Obstructive sleep apnea (OSA) syndrome is a common disease characterized by partial or complete collapse of the upper airway during sleep secondary to functional or anatomical factors. The gold standard method for OSA diagnosis is an overnight polysomnogram demonstrating repetitive obstructive apneas and hypopneas during sleep. OSA syndrome is associated with cardiovascular diseases, stroke and rarely with sudden death. OSA and cervical spine osteophytes share some common risk factors, and their coexistence may cause mechanic respiratory obstruction with a severe sleep apnea. We present a brief overview on this syndrome, its links to the cervical spine pathology and their combined effect on a patient presenting with neurological signs who suddenly died before an effective treatment was possible to perform. This case highlights how a rapid deterioration of the functional balance may be possible even when a clinical condition has been present, known and unchanged fo...

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Acute Onset Symptomatic Polycythaemia Vera

Abstract:

A case of acute symptomatic polycythaemia vera is presented with diagnostic work‑up, risk stratification, and acute management considerations. The discussion highlights thrombotic risk and cytoreductive strategies.

...

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Parents’/Carers’ Expectations and Perceptions of Structured Aquatic Taught Baby Programmes: An Online Survey

Abstract:

Although structured taught aquatic baby programmes (STABPs) are one of the earliest forms of physical activity, the possible impacts of structured taught aquatic baby programmes are unknown. This study aims to understand the perceived impact that attending STABPs has on parents/carers, their baby/child and their family. An online survey was completed by 2854 parents/carers. It was advertised via numerous online advertisements. Of the respondents, 89% had attended STABPs. ‘Attendees’ were significantly older and were less likely to live in a more deprived area compared to ‘non-attendees’. STABPs are perceived to be beneficial in terms of water safety, confidence, benefits to parent-child relationships and interaction with other children but cost affects attendance. The evidence-base regarding the benefits of STABPs should be established to further understand their impact on parents/carers and babies. Further research should focus on understanding barriers t...

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Massive Splenic Rupture – An Unusual Presentation

Abstract:

A case report of massive splenic rupture with atypical presentation. It covers diagnostic work‑up, stabilization, and operative decision‑making.

...

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A study on the association of ACE i/D gene polymorphism, Obesity, Blood pressure and susceptibility of type 2 diabetes mellitus among the Kurmis of West Bengal, India.

Abstract:

Earlier studies reported significant association of obesity, hypertension and Type2 Diabetes Mellitus (T2DM). Genetic and many disease-associated alleles have been identified through GWAS and applied to T2DM and indicated roles of renin-angiotensin system (RAS) in insulin signaling pathway and insulin resistance has been well documented. Angiotensin converting enzyme (ACE) gene catalyzes the conversion of angiotensin I to angiotensin II and also inactive the vasodilatation and hence renin-angiotensin system (RAS) in insulin signaling pathway and insulin resistance has been reported. To best of the knowledge we are reporting for the first time regarding association of ACE gene polymorphism with body composition, physiological and metabolic variables among any endogamous ethnic group (Kurmis) from of West Bengal, Eastern India. To achieve the purpose, total 197 (male 99 and female 98) randomly selected apparently healthy unrelated adult individuals of Kurmi populati...

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Mucosa-Muscular Signaling for Bile-Induced Esophageal Dysmotility. An Experimental Study in Ex-Vivoguinea-Pig Isolated Esophagi

Abstract:

Background/Aims:

Esophageal motor abnormalities are frequently found in patients with gastroesophageal reflux disease. The effect of bile in esophageal dysmotility is probably secondary to mucosal signaling to the muscular layer and not a transmural process. This study aims to identify the mucosa-muscular signaling path by receptors blockage in an experimental study.

Methods:

Fifteenguinea pig esophagi were isolated and ex-vivo esophageal contractility was assessed with force transducers. The esophagi were incubated in 100 µM ursodeoxycholic acid for 1 hour and 5 sequential contractions induced by 40 mM KCl spaced by 5 minutes were measured. After 30 minutes, esophagi specimens were incubated in 3 different smooth-muscle contraction antagonists: atropine (1µM) in 5, suramin (1µM) in 5 and genis...

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Metabolic Acidosis and Cardiovascular Disease in Patients on Peritoneal Dialysis

Abstract:

Backgroud:

Metabolic acidosis, a common condition particularly in end stage renal disease patients, results in malnutrition and inflammation. In this study, we focused on the importance of metabolic acidosis on manifestations of cardiovascular disease in patients on peritoneal dialysis.

Methods:

We studied 20 patients on continuous ambulatory peritoneal dialysis (CAPD), 15 males and 5 females, on mean age 61.6 ±11.3 years old. Metabolic acidosis was determined by serum bicarbonate concentrations less than 22mmol/L, which were measured in gas machine. Dialysis adequacy was defined by total Kt/V/week for urea including peritoneal Kt/V for urea and residual GFR (ml/min/1.73m2). High sensitivity C-reactive protein (hsCRP) was measured using enzyme linked immunoabsorbed assay (ΕLISA). The concentrations of ...

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