Academia Journal of Medicine

Academia Journal of Medicine
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    201 research outputs found

    Revolutionary Advances: Exploring the Applications of 3D Printing in Dentistry

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    3D printing technology has emerged as a  transformative force in the field of dentistry, offering  unprecedented advancements in precision,  customization, and patient care. This evidence-based  article explores the impact of 3D printing in dentistry,  supported by recent studies and research. The  utilization of 3D printing has led to superior precision  in the fabrication of dental prosthetics, customized  patient-specific care, and improved surgical planning  through the creation of guides. Furthermore,  advancements in material science have ensured the  biocompatibility and durability of 3D printed dental  materials. While promising, challenges such as  regulatory standards, material safety, and cost effectiveness warrant consideration. The evidence  presented underscores the potential of 3D printing  to revolutionize the field of dentistry, offering a  glimpse into a future defined by personalized,  efficient, and effective dental treatments.&nbsp

    Advancements in Photodynamic Therapy: A Revolutionary Approach in Dentistry

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      Photodynamic therapy (PDT) is a promising adjunctive  approach in dentistry. This abstract reviews the  current status of PDT in dental applications, focusing  on its antimicrobial efficacy, wound healing properties,  and potential for periodontal and endodontic  therapies. Highlighting the clinical implications and  future directions, it emphasizes PDT\u27s non invasiveness and low cytotoxicity. Despite challenges,  PDT demonstrates potential as a valuable tool in  managing oral infections and promoting tissue  healing, presenting opportunities for further research  and clinical utilization.&nbsp

    Impact of Social Media on Oral Health: A Narrative Review

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    This narrative review delves into the impact of social  media on oral health, examining its influence on  awareness and education, the associated challenges  and risks, strategies to mitigate negative impacts, and  future opportunities. Understanding the multifaceted  impact of social media on oral health is crucial for  developing effective approaches to leverage its  potential and address its pitfalls.&nbsp

    The Evolution of Orthodontics: Advancements, Innovations, and Transformative Technologies

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    This paper explores the remarkable advancements  that have reshaped the field of orthodontics, ushering  in an era of precision, efficiency, and patient-centered  care. From digital technology and invisible  orthodontic solutions to 3D printing and AI-driven  treatment planning, the evolution of orthodontics has  redefined treatment strategies and enhanced clinical  outcomes. This comprehensive review highlights the  transformative technologies that have revolutionized  orthodontic practice, ultimately improving patient  experiences and treatment effectiveness.&nbsp

    Nanodentistry: A Revolutionary Approach in Dental Sciences

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    Photodynamic therapy (PDT) is a promising adjunctive  approach in dentistry. This abstract reviews the  current status of PDT in dental applications, focusing  on its antimicrobial efficacy, wound healing properties,  and potential for periodontal and endodontic  therapies. Highlighting the clinical implications and  future directions, it emphasizes PDT\u27s non invasiveness and low cytotoxicity. Despite challenges,  PDT demonstrates potential as a valuable tool in  managing oral infections and promoting tissue  healing, presenting opportunities for further research  and clinical utilization.&nbsp

    Association Between Serum Uric Acid Level & Severity of Coronary Artery Disease Using GENSINI Score in Patients Undergoing Coronary Angiography

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    Background: To assess the association of serum uric acid level and angiographic severity of coronary artery disease using GENSINI SCORE  in patients undergoing coronary angiography. Subjects and Methods: All Patients presenting with symptoms related to CAD (Coronary  Artery Disease) undergoing coronary angiography were included for the study. The GENSINI SCORE was used to evaluate the severity of  atherosclerotic lesions on angiogram. Results: Out of 140 subjects; 41.43% and 58.57% of the subjects were having normal Uric acid and  hyperuricemia which included 59.82% and 53.57% of the male and female respectively. Mean age among the subjects with normal Uric acid  and hyperuricemia was 56.51±8.07 and 58.47±9.16 years respectively Hypertension and diabetes mellitus was found more among subjects  with Hyperuricemia. Mean BMI (kg/m2) among the subjects with normal uric acid and hyperuricemia was 27.59±3.81 and 28.01±4.08 respectively. LDL-C (mmol/l) was comparatively more among subjects with hyper-uricemia. Single, double and triple vessel disease was  revealed in 72, 47 and 21 subjects respectively. Hyperuricemia was reported among 37.5%, 76.60% and 90.48% of the subjects in single,  double and triple vessel disease respectively. Out of 140 subjects; 1-14, 15-32 and >33 Gensini score was reported among 34.29%, 65% and  0.71% of the subjects respectively. Conclusion: There is a substantial link between serum uric acid levels and the existence and severity of  CAD, as well as the Gensini score. High SUA levels are linked to a higher risk of cardiovascular disease.&nbsp

    Cardiac Involvement in an Interesting Family of Myofibrillar Myopathy

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    Background: Myofibrillar myopathy primarily affects skeletal muscles; in some cases the heart muscle is also affected. The signs and  symptoms of MFM vary among affected individuals, typically dependent on the exact genetic cause of the disease. Most people with this  disease begin to develop muscle weakness (myopathy) in mid adulthood. However features of this disease can appear anytime between infancy  and late adulthood. We here present a family of patients with history of muscle weakness and cardiac involvement.&nbsp

    Assessment of Dapagliflozin Effectiveness as Add-on Therapy for the Treatment of Type 2 Diabetes Mellitus

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    To assess effectiveness of Dapagliflozin as add-on therapy for the treatment of Type 2 Diabetes Mellitus. Method: Dapaglifozin was added as add on treatment in all the patients after the initial standard management. They were divided into groups based on the initial combinations with comparable baseline readings for HbA1c and fasting blood glucose (FBG). Differences in the values of HbA1c and FBG following treatment with Dapagliflozin was evaluated at 3 months. Result: Among all 130 subjects, the 56.92% were males and 43.08% were females. Maximum subjects belonged to the age group of 50-59 years. The mean age of the subjects was 54.02 years. Out of 130 subjects, 29.23% had a history of T2DM. Most of the subjects had T2DM from last 8-10 years (53.08%), Out of 130 subjects, 16.92% had hypertension, 10.77% had cardiovascular disease and 6.15% had other co-morbidities. The mean body weight and height among the subjects after the intervention was 68.96Kg and 162.09 respectively. Glycemic parameters among the study subjects after the intervention showed a mean HbA1c value of 7.05%, mean FBG value of 131.73mg/dl and mean PPBG value of 204.98mg/dl. Mean HbA1c level achieved after 6 months of Dapagliflozin treatment was 7.62% in our patient population. Conclusion: Dapagliflozin was well tolerated in patients with T2DM and it lowered HbA1c levels and body weight after the intervention compared to baseline. The study found no adverse effect, implying that Dapaglifozin has a tolerable tolerability profile.&nbsp

    Role of Rigid Medical Thoracoscopy in Diagnosing Exudative Pleural Effusions with Low Adenosine Deaminase

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      Background: Medical thoracoscopy (MT) performed in the evaluation of undiagnosed exudative pleural effusion (EPE) has a high diagnostic yield. In this study, we describe our experience of rigid MT in the evaluation of undiagnosed exudative pleural effusions (EPE) with low adenosine deaminase (ADA). Subjects and Methods:This is a retrospective analysis of RT pleural biopsies performed between July 2012 and June 2015 for diagnosing EPE. These patients had at least two pleural fluid samples negative for malignant cytology and ADA less than 65 IU/L. Here we report the yield and complications of pleural biopsies with RT. Results: Our yield of thoracoscopic pleural biopsies was 81% with malignancy as the commonest diagnosis in 46% patients. Malignant pleural effusion was caused commonly by adenocarcinoma (67%) followed by squamous cell carcinoma (17%), small cell lung cancer (8%) and lymphoma (8%). There was no case of mesothelioma. Biopsy revealed tuberculosis in 31%, vasculitis in 4%, nonspecific pleuritis (NSP) in 11% and normal pleural tissue in 8% subjects. The presence of nodules on CT scan and those on MT had no significant correlation (P > 0.1). ADA did not significantly differ between various biopsy confirmed diagnostic groups (P > 0.2). Minor complications that settled with conservative management developed in 3 patients (11.5%) and were significantly related to comorbidities (p < 0.05) but not to the biopsy result (P = 0.894). Conclusion: Since majority of the EPE turn out to be either malignancy of tuberculosis, a rigid MT evaluation should be considered in all such patients if the facility is available at the center. Rigid MT has high diagnostic yield and acceptable safety.&nbsp

    Assessment of Long- Term Complications of Type II Diabetes Mellitus

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    Background: The aim is to assess long term complications of type II diabetes mellitus. Subjects and Methods : One hundred twenty- six adult subjects in age range 20-60 years of either gender diagnosed with type II diabetes mellitus were selected. 5 ml of venous blood was obtained and all were subjected to fasting blood glucose, random blood glucose and glycated hemoglobin assessment. History of diet, smoking, alcoholism was obtained. Complications occurring in subjects was recorded in case history proforma. Results: Out of 126 subjects, males were 76 (60.3%) and females were 50 (39.6%). Common risk factors recorded were obesity seen in 68, alcohol in 53 and smoking in 48. The difference was non significant (P> 0.05). Common long- term complications were retinopathy seen in 72, neuropathy in 30, nephropathy in 48, hypertension in 97, diabetic foot in 56 and impotency in 32 patients. The difference was significant (P< 0.05). Conclusion: Common long- term complications were retinopathy, neuropathy, nephropathy, hypertension, diabetic foot and impotency.&nbsp

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