Journal for ReAttach Therapy and Developmental Diversities (JRTDD)
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Knowledge, Attitude and Practices of Generic Medicine among Dentists in Karad city – A Questionnaire Survey
This study investigates the knowledge, attitudes, and practices of dentists in Karad city regarding generic medicines through a cross-sectional survey conducted between January and October 2023. Against the backdrop of escalating healthcare costs and India\u27s position as the third-largest global pharmaceutical exporter, the accessibility of essential medicines for the economically disadvantaged remains a concern. The aim is to evaluate the interchangeability perceptions, awareness of government schemes, and prescribing practices among 200 dental clinicians. Results reveal that 59% of dentists view generic medicines as interchangeable with branded drugs, yet 40% express concerns about their delayed onset of action. While 57.5% prescribe generics, 15% doubt their safety. Awareness of government initiatives like the Jan Aushadhi scheme stands at 53%. Though 80% recognize the affordability of generics, 30% associate them exclusively with the economically disadvantaged. The study underscores the need for targeted educational interventions to dispel concerns and promote awareness, fostering a more inclusive adoption of cost-effective generic medicines in dental practices
A Survey Regarding Preferred Cementation Material and Methods among Dentist in and around Satara District
This survey investigates the cementation material and method preferences, as well as restorative material choices among dentists in and around Satara District. A total of 116 dentists participated in the survey, revealing a notable inclination towards conventional cementation, with glass ionomer cement being the preferred choice for 75% of respondents. This dominance of traditional methods, coupled with a limited adoption of newer techniques like self-adhesive composites, suggests a potential gap in knowledge or reluctance to embrace contemporary approaches. The survey also sheds light on the material preferences for fixed dental prostheses, with porcelain fused to metal (53.4%) emerging as the most favored restorative material, followed by alloy (28.4%). However, the utilization of advanced materials like zirconia-reinforced lithium silicate glass ceramics and CAD/CAM resin composites remains relatively low, indicating a conservative approach towards material selection. The survey results highlight a need for targeted educational initiatives to bridge the gap between established practices and emerging trends, fostering a more informed and adaptable dental community. Addressing the factors contributing to the hesitancy in adopting newer materials, such as limited awareness, cost concerns, or patient acceptance, presents an opportunity for collaborative efforts among manufacturers, professional associations, and educational institutions. Ultimately, this survey provides a snapshot of the current state of dental practices in Satara District, offering valuable insights for future interventions aimed at optimizing cementation and material choices in the dynamic landscape of restorative dentistry
Effect of Oral Health Education on Visually Impaired Students of Age 12-18 Years by Using Braille
This study addresses the often-overlooked realm of oral health in visually impaired adolescents aged 12 to 18, navigating a landscape where traditional educational methods may falter. The aim is to assess the impact of a six-month Braille-based oral health education intervention on oral hygiene practices. The cohort of 160 visually impaired students, proficient in Braille, underwent baseline assessments using the Decayed, Missing, Filled Teeth (DMFT) and Oral Hygiene Index-Simplified (OHI-S). The innovative educational intervention, employing Braille books, tactile sensation, and the "Tooth Teacher" Braille book, sought to bridge the gap between theoretical knowledge and practical application. The evaluation of the OHI-S Index reveals a significant decrease in scores from 2.623 to 0.875 post-intervention, indicating a noteworthy enhancement in oral hygiene practices among the participants. This decrease, statistically robust and contextually significant, underscores the effectiveness of the Braille-based educational approach. The tactile and sensory dimensions inherent in the OHI-S evaluation mirror the experiential aspects of the intervention, offering a nuanced understanding of the transformative journey in oral health practices. The study not only delves into numerical shifts but unravels a narrative of empowerment and inclusivity. Beyond the statistical measures, the OHI-S Index encapsulates the tangible impact of tailored oral health education on visually impaired students. This abstract invites educators, healthcare providers, and researchers to explore the evolving intersection of visual impairment and oral health, shedding light on innovative educational methodologies that go beyond the visual spectrum. As the study unfolds, it beckons a collective commitment to fostering holistic well-being and equitable access to oral health knowledge for all, including those navigating a world predominantly perceived through non-visual senses
Bridging Smiles: Public Knowledge and Acceptance of Dental Implant Treatment in Western Maharashtra – A Survey
This survey, conducted in Western Maharashtra, aimed to assess the knowledge, attitude, and acceptance of dental implant treatment among the population. With a sample size of 300 participants, spanning various age groups and genders, the study revealed a commendable 89.9% awareness about dental implants. Dentists emerged as the primary source of information, highlighting their pivotal role in shaping public perceptions. Notably, individuals in the 21-40 age group exhibited higher awareness levels, indicative of a generational shift influenced by digital information access. While the majority acknowledged dental implants as a treatment option, the survey identified cost as a significant barrier, with 48.8% citing financial considerations as the primary reason for not undergoing the procedure. Other concerns included the perceived lengthy treatment time, lack of knowledge, and apprehensions about the surgical nature of the intervention. Interestingly, only 30% believed implants last a lifetime, emphasizing a potential gap in understanding the durability of this treatment. The results underscore the need for targeted educational initiatives to bridge the awareness gap and dispel misconceptions surrounding dental implants. Dentists, as trusted sources, can play a crucial role in disseminating accurate information, while digital platforms offer additional avenues for outreach. Addressing cost concerns and providing transparent information about the treatment process, including post-implant care, can contribute to fostering a more informed and receptive community. In conclusion, the survey provides valuable insights into the dynamics of dental implant awareness and acceptance in Western Maharashtra. By understanding the factors influencing public decisions, the findings pave the way for strategic interventions aimed at enhancing education, managing expectations, and ultimately promoting the widespread adoption of dental implant treatment in the region
Relationship between the Levels of Awareness and Knowledge of Periodontitis in Diabetic Patients in Maharashtra Region
This study delves into the symbiotic relationship between diabetes mellitus (DM) and periodontitis, shedding light on the reciprocal impact these prevalent conditions have on each other. Acknowledging diabetes as a grade modifier in the latest periodontitis classification underscores the active role of diabetes in shaping the severity and progression of periodontal disease. With 34.5% of participants identified as diabetic patients with periodontitis in the Maharashtra region, the urgency of addressing awareness and knowledge gaps within this specific population becomes evident. The study\u27s core finding reveals a compelling inverse correlation between awareness/knowledge levels and the clinical periodontal status. This suggests that individuals with lower awareness and knowledge levels exhibit more severe periodontitis, emphasizing the potential role of education in influencing disease progression, especially in the context of diabetes. The lack of awareness observed among both diabetic and nondiabetic patients underscores the need for targeted educational initiatives, urging a comprehensive and personalized approach to patient education in clinical practice. The implications extend beyond oral health, advocating for a paradigm shift in healthcare towards a holistic model that integrates oral health into the broader landscape of systemic health. This study serves as a compass, guiding future research and interventions to bridge the knowledge gap within vulnerable populations. It calls for a nuanced exploration of specific elements in dental health education that resonate with diabetic patients, understanding the long-term impact of improved awareness on clinical outcomes, and considering cultural and socioeconomic factors in shaping knowledge levels. As we navigate the complex interplay of diabetes and periodontitis, the insights from this study pave the way for a more informed and patient-centric approach to managing these intertwined health conditions
The Contribution of Modern Technologies of Artificial Intelligence in the Marketing of Sports Tourist Services in the Kingdom of Saudi Arabia
Objectives: The tourism industry was among the first to be linked to advancements in the use of artificial intelligence techniques, which prompted nations to adopt an electronic tourism marketing strategy. Modern technologies are at the forefront of the interests of various business and service sectors. The purpose of the study was to shed light on how the usage of modern artificial intelligence techniques affected the promotion of sports tourist services.Methods: To accomplish aimed of the study, the descriptive methodology (survey study method) was employed. Some employees of the Saudi Ministry of Tourism, the Saudi Tourism Development Fund, the Saudi Tourism Authority, as well as some employees of various tourism businesses and offices, participated in the study. The categories of the study population were used to intentionally choose the study sample. Two questionnaires were utilised by the researcher to obtain data from the 480 study participants.Results: The findings showed a significant relationship between the marketing of sports tourism services and the use of contemporary artificial intelligence technology, which has a significant impact on the marketing of sports tourism services in a way that is simpler and more time and effort efficient.Conclusions: Artificial intelligence algorithms can be used to estimate the level of marketing for sports tourist services. The study also offers insight into the policy implications, constraints, and future directions because it is highly likely that these technologies will be significant as a focus for future research
Mitochondrial Dysfunction in Cardiovascular Diseases Pathways and Therapeutic Avenues
Mitochondrial dysfunction has emerged as a pivotal factor in the pathogenesis and progression of cardiovascular diseases (CVDs), influencing diverse cellular pathways and contributing significantly to disease pathophysiology. This review synthesizes current knowledge regarding the impact of mitochondrial dysfunction on CVDs, exploring the intricate relationships between dysfunctional mitochondria and various cardiovascular conditions such as heart failure, atherosclerosis, and ischemia-reperfusion injury. The interplay between mitochondrial alterations, including oxidative stress, impaired energy production, disrupted calcium handling, and mitochondrial DNA mutations, and their implications in the context of cardiovascular health is comprehensively analyzed. Moreover, the review delves into potential therapeutic strategies targeting mitochondrial pathways, encompassing mitochondrial antioxidants, modulators of mitochondrial dynamics, agents stimulating mitochondrial biogenesis, and emerging mitophagy inducers. The challenges, future directions, and translational implications of understanding mitochondrial dysfunction in cardiovascular diseases are also discussed, highlighting the need for personalized therapeutic approaches and innovative interventions
The Gut-Brain Axis Implications for Psychiatric Disorders
The Gut-Brain Axis is key to understanding psychiatric disorders. The gastrointestinal tract-central nervous system bidirectional connection affects mental health. The Gut-Brain Axis links the gut bacteria to the brain via complex neuronal, endocrine, and immunological communication pathways. The dynamic connection impacts emotional, cognitive, and behavioral processes, making it relevant to mental illnesses. Gut-brain neural communication channels, largely mediated by the vagus nerve, transport physiological and biochemical information. Gut microbiota influence neurotransmitters and microbial metabolites, affecting neuronal circuits, immune responses, metabolic pathways, and mental health. Gut microbiota and Psychiatric Disorders: Studies relate gut microbiome changes to depression, anxiety, and schizophrenia. Dysbiosis—microbial diversity and function imbalances—is common in psychiatric disorders, suggesting gut dysregulation is their cause. Depression is linked to gut microbiota dysbiosis, which alters neurotransmitter production and immune responses. Probiotics and gut-brain diet modifications may alleviate depression symptoms, giving new treatments. Stress and neurotransmitter pathways are influenced by gut microbiota in anxiety disorders. Gut-healthy diets and probiotics may lower anxiety. Schizophrenia alters gut microbiome. Dysbiosis-induced neuroinflammation and immunological dysregulation may cause schizophrenia. Schizophrenia research includes probiotics and precision-based treatments. The complex Gut-Brain Axis links shed light on psychiatric disorder development and therapy. Using these relationships allows unique and personalized mental health interventions in psychiatry
Crises-Led Depression: Curbing The Conditionality Of Loneliness In The Early Youth
The world is filled with crises at one corner or the other (Russian-Ukrainian war, Israel-Hamas); the Covid-19 crisis has covered the whole world. Every crisis leaves survivors depressed; depression is one of the most common disorders. It leads to many diseases, especially lifestyle diseases. Severe depression may lead to suicide; the shivering fact is that suicide turns out to be the fourth major cause of death in the age group of 15-29. The World Health Organization estimates that 3.8% of the global population are victims of depression, of which 5% are adults. Hence, this article focuses on detecting and curbing depression at an early age. Various reasons for depression are analyzed followed by possible solutions to tackle depression. A critical outlook on the role of artificial intelligence (AI) in depression would be a unique observation in this research
Functional Medicine Therapy In Reduction Of Post-Surgical Complications After Lower Wisdom Teeth Removal - A Prospective Study
Post-operative pain is an area of oral surgery that concerns both patients and practitioners. Adequate management of pain and anxiety in oral surgery is an essential component of any oral surgery service.The link between pain and injury has been described as being variable.9 Pain can be protective as it leads to immediate withdrawal from harmful stimuli, for example withdrawal from hot or sharp objects. Pain can serve as a basis for learning to avoid these stimuli. Pain can also serve to prevent further damage to a person when they are already injured; this is observed in post-operative pain when people will avoid activities that increase their pain. In the case of surgical removal of third molars, this may include avoidance of hard or sharp foods due to the knowledge that they will cause increased pain and damage to the healing surgical site. Post- operative pain is a type of acute pain, which has the potential to become chronic ( Bailey et al., 2022)
Third molar surgey always needs primary intervention as it can lead to various complications and pathologies. Considering other ways for postoperative anesthesia it was infered that submucosal group which showed simple injection technique and direct surgical site administration is more beneficial. It was noticed as a patient comfort method which can be the preferred as the drug of choice over intravenous route of dexamethasone injection (Sreesha et al. 2020 ).The progression of acute pain to chronic pain is an important area of research.Acute pain serves a biological function in preventing further tissue damage, whereas chronic pain continues beyond the natural healing process to become a syndrome and a disease in its own right. Post-operative complications such as pain, swelling, and trismus are commonly seen inflammatory response following surgical removal of impacted lower wisdom teeth despite all the precautions taken to prevent them. The functional medicine model of care provides an operating system that works to reverse illness, promote health and optimize function by addressing underlying causes, symptoms, and functional imbalances in interconnected biological networks (Bland et al. 2017).
Many studies have been performed aiming to relieve the postoperative discomfort following wisdom tooth impaction surgery (Kim et al. 2009). It is generally understood that the maximal inflammatory response is seen during the initial post-operative days following surgery reaching a peak level 2-3 days after surgery and gradual reduction in about 1-week time. This makes the first post-operative week crucial in terms of the patient’s quality of life being affected by the inflammatory response to surgery. Thus, the 1st week after surgery has a strong effect on patients quality of life, and it is critical to eliminate associated factors affecting the initial phases of wound healing.
Functional Medicine is a personalized, systems-oriented model that empowers patients and practitioners to achieve the highest expression of health by working in collaboration to address the underlying causes of disease. It is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, Functional Medicine addresses the whole person, not just an isolated set of symptoms. Functional Medicine practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, Functional Medicine supports the unique expression of health and vitality for each individual. The aim of this study was to evaluate the efficacy of Liposomal Curcumin and Liposomal Vitamin C (Functional Medicine) in reducing the post-surgical complications such as pain, swelling and trismus after lower wisdom teeth removal. This prospective clinical study included 80 patients with impacted mandibular third molars of similar surgical difficulty classification. Patient were prescribed Liposomal Curcumin 125mg in tablet form twice a day after meals for 15 days and Liposomal Vitamin C 2tsp in liquid form half and hour before meals for 15 days post operatively. Post-operative complications of pain, trismus and swelling was evaluated on 1st, 2nd and 7th days.
Statistically significant differences were detected for all the parameters measured (p<0.05) on all the post-operative days evaluated. Using Functional Medicine Therapy was effective in reducing the post-surgical complications of pain, trismus and swelling after lower wisdom teeth removal.
Functional Medicine Approach appears to offer a beneficial effect in managing pain, trismus and swelling during the post-operative period following wisdom tooth removal