bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of Over-Granulation in a Diabetic Foot Ulcer: A Clinical Experience
Authors: Krishnaprasad I.N , Soumya V , Abdulgafoor S 
Published: July 2019

Abstract
Over-granulation or exuberant granulation tissue is a common problem encountered in the care of chronic wounds, especially that of diabetic foot ulcers. There are several potential options for the treatment of this challenging problem. Some have an immediate short term effect but may have a longer term unfavourable effect, for example, silver nitrate application and surgical excision, which may delay wound healing by reverting the wound back to the inflammatory phase of healing. Other products, such as foams and silver dressings may offer some effect in short term, but their long term effects are questionable. The more recent research supports Haelan cream and tape as an efficacious and cost effective treatment for over-granulation in a variety of wound types. The future of treating over-granulation may lie with surgical lasers, since lasers can not only remove over-granulation tissue but will also cauterise small blood vessels and are very selective, leaving healing cells alone while removing excess and unhealthy tissue.
Recently Drs Lain and Carrington have demonstrated the utility of imiquimod, an immune-modulator with anti-angiogenic properties, in the treatment exuberant granulation tissue, in a patient with long standing diabetic foot ulcer, resistant to other forms of therapy. We adapted a modified version of their protocol in the management of a similar patient in our hospital and achieved a good result in lesser time than the former.
Richie Cannieu Anastomosis: A Case Report
Authors: Sreejith K , Sudhil TR , Krishnaprasad IN , Sreedevi Menon P 
Published: July 2019

Abstract
To perform or interpret an electrodiagnostic study, one should have a thorough knowledge about the normal human anatomy. Along with that, one should keep in mind the possibility of various anastomoses which can occur between different nerves. Richie Cannieu anastomosis is an anomalous ulnar to median communication in the palm between the deep branch of the ulnar nerve and the recurrent branch of the median nerve. Such an anastomosis in a setting of median or ulnar nerve injury can produce confusing clinical and electrodiagnostic findings. Correct diagnosis is important especially before planning any surgical intervention. Here we report a case of Richie Cannieu anastomosis to highlight the importance of knowing about such anastomoses.
A Rare Case of Bilateral Spontaneous Intracerebral Haemorrhage Presenting With Left Hemiplegia: A Case Report
Authors: Joy AK , Mohes Annada Sankar , Bidyarani Th , Singh L Dorendrojit , Jongky Aten 
Published: July 2019

Abstract
Haemorrhage is responsible for around 11% of stroke syndrome. Haemorrhage usually occurs at a single site. However, it can be at multiple sites in some specific conditions i.e. coagulopathy, vascular malformation, malignancy etc. A 56-year-old male with left sided hemiplegia was admitted in the rehabilitation ward of RIMS, Imphal. He was hypertensive and was on irregular medication for that. He was also an alcoholic and chronic smoker for last 20 years. Patient was conscious and clinical examination revealed left 7th and 12th cranial nerve involvement with left hemiplegia. Non-contrast CT scan of brain revealed right thalamus and left basal ganglia haemorrhages. Thorough history and investigations did not reveal any aetiology for bilateral haemorrhage. Patient was treated with conservative management and improvement was noticed in serial follow-ups. There are very few case reports about bilateral spontaneous intracerebral haemorrhage associated with other diseases like migraine, Japanese encephalitis etc. Cause of bilateral haemorrhage in our case is doubtful.
Conception, Development, and Clinical Trial Design of Point-of-care Technologies: A Case of Improved FES Device Development
Authors: Biswas Abhishek , Shendkar C V , Arya Bikas K , Lenka PK , Kumar Ratnesh , Mahadevappa M 
Published: July 2019

Abstract

Objective
This article presents a case study on the development of an indigenous stimulator device, including the design of its clinical trials and the process of its clinical trial registration in the newly launched clinical trial registry- India (CTRI). The ethical and regulatory issues involved in medical device clinical trials in India are also discussed.

Design and Methods
The entire development and trial cycle of a new medical device from ideation to technology transfer is explained in this case of a newly developed indigenous FES device. The primary emphasis is on how to systematically analyse the global trial registry databases to adequately frame a medical device trial. With this case study, we present how to shortlist relevant trials; we then compare them and explain the valid methods for registering a trial protocol in the CTRI.

Conclusions
Our work can act as a model or guide for rehabilitation researchers in India, facilitating there work in the medical device design and trial protocol development. Though our trial has been designed for and registered in the Indian CTRI trial registry, our work can be equally useful for researchers abroad who desire to conduct their medical device trials in India.
Identifying Factors Predicting Hospital Length-of stay and Receiving Prosthesis of Lower Limb Amputee Patients after Amputation Surgery- A Singapore Perspective
Authors: Leng Tan Yeow , Lynn Lee Chooi , Mar Saw Hay , Larck Ashfaq Ahmed 
Published: July 2019

Abstract

Aims
To identify predictors affecting total hospital length of stay(TLOS) and receiving lower limb prosthesis of amputees after surgery in a Singapore tertiary hospital.

Materials and Methods
A retrospective study of 96 patients was undertaken with various levels of lower limb amputation admitted to Singapore General Hospital (SGH) from January 2009 to December 2014. Patients were divided into two groups: 40-59 and 60 to 80 years old. We correlate clinical variables with TLOS and receiving prosthesis at 6 months from surgery.

Results
For the cohort of age 40-59, presence of IHD (B=22.4), wound infection (B=17.8) and those needing inpatient rehabilitation(B=36.8) correlate to increased TLOS. Premorbid independence (B=28.6) and presence of care-giver (B=23.3) led to a reduction of TLOS. For successful receiving of prosthesis at 6months from surgery, diabetes (B=0.69) and CRF (B=0.31)were negative predictors. In the older cohort, presence of care-giver (B=18.6) predicted shorter TLOS whereas those needing inpatient rehabilitation contributed to longer TLOS(B=25.61). Those who needed for inpatient rehabilitation had statistically signifi cant higher chance of receiving prosthesis later(B=0.53).

Conclusion
IHD, wound infection and need for inpatient rehabilitation, premorbid independence and care-giver availability are important predictors of TLOS. For receiving of prosthesis at 6months, predictors include needing inpatient rehabilitation, diabetes and CRF.
Management of Myofascial Pain Syndrome in Armed Force Personnel: Two Novel Therapeutic Approach
Authors: Singh Lt Col Sonu , Pandey Brig. L C , Kalra Lt Col A S 
Published: July 2019

Abstract

Background
Myofascial pain syndrome is one of the commonest pain syndromes now a days. Its pathophysiology is not fully documented or understood. Goal of treatment is to release the pain and discomfort of myofascial pain syndrome.

Methods
This was a multicentric prospective study comprising 70 patients who had been diagnosed clinically with myofascial pain syndrome in the neck, shoulder or back. Cases were randomly divided into two treatment groups. First group (36 cases) were treated with physiotherapy modalities (extracorporeal shock wave therapy and ultrasound therapy as combination therapy) and patients in second group (34 cases) were treated with trigger point injection. In both the groups patients were advised stretching exercises as soon as pain decreases.

Results
Pain was substantially decreased in both the treatment groups but results were early and comparatively better in patients treated by trigger point injection group. Stretching exercises were helpful in regaining strength and also helpful in decreasing recurrence of pain.
Treatment of bilateral furcation involvements with bonegraft and bioabsorbable barriers
Authors: Thomas Betsy , Kanagotagi Sachin , Padhye Ashvini , Mapara Manjeet , Jagtap Rasika 
Published: July 2019

AbstractBilateral furcation involvements are a common occurrence. This case demonstrates the surgical treatment of bilateral furcation involvement at a single appointment. This article presents successful management of bilateral class II furcation involvement affecting lower molars with particulate bonegraft (betaTCP + HA) and guided tissue generation(GTR) bioabsorbable membrane. This article reiterates the fact that class II furcations are ideal cases for therapy bone graft +GTR and respond favorably to this therapy. Further treatment at a single appointment is more convenient and time saving for both the patient and the operator when the patient is deemed compliant to follow post operative instructions.
Extrafollicular Adenomatoid Odontogenic Tumour
Authors: Khalid Imran , Devarakonda Visalakshi , Raju K. Pratima , Ansari Mohd Asif Ali 
Published: July 2019

Abstract
Adenomatoid Odontogenic Tumour (AOT) is an unusual benign tumour unique to maxillofacial area, with a tendency to involve the tooth bearing areas of both the jaws and accounting for 3% of all the odontogenic tumours. Diagnosis of the tumour is sometimes intriguing owing to its variable clinical and radiographic presentation. One such variable and relatively rare presentation of extrafollicular type of adenomatoid odontogenic tumour in anterior maxilla of an eighteen year old female has been discussed in this paper which can be refreshing for the practitioner.
Internet Resources for Dentistry: Government and Medical Sites for the Dental Professional
Authors: Guest Gary F. 
Published: July 2019

Abstract
As society transitions deeper into the Information Age, Information Technology has become a critical tool that supports all facets of the global economy. The Internet, via the World-Wide Web (WWW), has become a major component of business operations for corporate and educational organizational entities. An estimated 10,000 or more health-related websites are providing information for both consumers and healthcare professionals. In addition to private and state-supported institutions being present on the Internet, the federal government has moved rapidly toward disseminating information electronically, with significant utilization of the WWW as the technological vehicle. All branches of the US Government and federal-related agencies are now represented on the Internet in an effort to deliver content to their end users, primarily the public. The intent of this article is to complement the previous publication, “Internet Resources for Dentistry: Utilization of the Internet to Support Professional Growth, Decision Making, and Patient Care,” by presenting dental healthcare professionals with information on additional governmental and medical “Internet” sites. In addition, healthcare professionals must arm themselves with more than just access itself, but also the ability to critically judge the quality of information retrieved from the WWW.1,2,5
Root Coverage with an Acellular Dermal Allograft: A Three-Month Case Report
Authors: Fowler Edward B. , Breault Lawrence G. 
Published: July 2019

AbstractTreatment of gingival recession has been a common practice in periodontics for years. As esthetic demands of periodontal patientsincrease, more root coverage procedures will be performed to satisfy esthetic demands. Often patients present with multiple areas requiring treatment. Palatal anatomy may limit the amount of autogenous tissue that can be harvested, limiting the number of procedures that can be performed. A patient may not desire to have additional tissue transplanted from the palate, due to increased pain and morbidity associated with multiple transplant procedures.The following is a case presentation of multiple adjacent recession defects. The patient presented with a shallow palate from which one side would not yield an adequate quantity of connective tissue. Furthermore, the patient declined to have both sides of his palate harvested simultaneously. As an alternative, an acellular dermal matrix allograft was utilized to correct these gingival defects negating the requirement for a second palatal surgical procedure.
Tobacco Cessation Intervention: How to Communicate with Tobacco Using Patients
Authors: Stafne Eric E. , Bakdash Bashar 
Published: July 2019

Abstract
Tobacco use is a dental as well as a medical problem. When dental team members assist their patients in becoming tobacco free, they are eliminating a causative/contributing factor for a number of oral conditions including cancer and periodontal diseases. Studies have shown that brief tobacco use cessation interventions in the dental office can be effective in helping many patients to stop using tobacco. Interventions can be optimized through understanding the stage of change the tobacco user is in when an intervention is attempted. Only then can we use the appropriate intervention at the right time. This article discusses and demonstrates a protocol for tobacco cessation interventions that can be used in the dental office.
Endodontic Perforation Repair with Resin-Ionomer: A Case Report
Authors: Fowler Edward B. , Breault Lawrence G. , Primack COL Patrice D. 
Published: July 2019

AbstractRoot perforations are significant complications of endodontic treatment. However, when teeth are of strategic value, perforation repair is clearly indicated. The successful utilization and placement of a subgingival resin-ionomer restoration to repair an endodontic root perforation is demonstrated. Sustained tissue health and minimal probing depths at the surgical site demonstrate clinical success.
Radiographic Techniques for the Pediatric Patient
Authors: Schvvartz Steven 
Published: July 2019

Abstract
Obtaining quality radiographs on pediatric patients can be a challenge. Suggestions for communicating with patients about radiation safety and the need for radiographs can facilitate the process. Guidelines for radiographic exposure intervals for young patients are key elements in the reduction of exposure to ionizing radiation and are presented in this paper. The child patient presents unique challenges for the dental professional and special techniques are presented in this article that may be helpful in the conducting radiographic examinations for this patient population.
Inadequate Vertical Bone Dimension Managed by Bone-added Osteotome Sinus Floor Elevation (BAOSFE): A Literature Review and Case Report
Authors: Kolhatkar Shilpa , Cabanilla Leyvee , Bhola Monish 
Published: July 2019

AbstractAimThe purpose of this report is to provide a brief literature review of the bone-added osteotome sinus floor elevation (BAOSFE) procedure and to present a case utilizing this technique.BackgroundImplant placement in the posterior maxillary region is often compromised due to anatomic limitations. In clinical situations where there is inadequate vertical bone dimension, the BAOSFE technique can be employed to increase bone height and allow placement of implants with an appropriate length dimension.Case ReportA case of a 60-year-old female with inadequate vertical bone dimension in the area of an extracted #13 is presented. The BAOSFE technique was performed which facilitated the placement of a 3.75 X 13 mm implant.SummaryAnatomic limitations such as inadequate vertical bone dimension in the posterior maxillary region may result in placement of shorter implants. Sinus floor elevation (SFE) procedures using a crestal approach such as the BAOSFE, in certain selected cases, can effectively and predictably increase bone height.Clinical SignificanceThe BAOSFE technique is an excellent procedure that can overcome limitations associated with the posterior maxillary region.CitationKolhatkar S, Cabanilla L, Bhola M. Inadequate Vertical Bone Dimension Managed by Bone-added Osteotome Sinus Floor Elevation (BAOSFE): A Literature Review and Case Report. J Contemp Dent Pract 2009 May; (10)3:081-088.
A Comparison of Acrylic and Multilithic Teeth Bond Strengths to Acrylic Denture Base Material
Authors: Mosharraf Ramin , Abed-Haghighi Matin 
Published: July 2019

Abstract

Aim
Debonding of denture teeth from the denture base can be frustrating for both the clinician as well as his or her patients. The wear resistance of composite denture teeth has been well investigated since their introduction, but there have been few studies about the bonding of these teeth to acrylic denture base resins. The aim of this study was to compare the bond strengths of two brands of acrylic and one brand of multilithic denture teeth to acrylic denture base material.

Methods and Materials
In this experimental-laboratory study, three types of denture teeth—Yaghoot, Super Brilian, and Major—were used. After grinding the glossy ridge lap surfaces, the teeth were mounted on two sides of triangularshaped wax models. Then the wax elimination and resin processing laboratory procedures were carried out as is done with the fabrication of a complete denture. Each of the specimens was tested using a universal testing machine with a cross head speed of 5mm/min at an angle of 130 degrees to the long axis of the teeth. The data were analyzed using one-way ANOVA and Chisquare tests.

Results
The mean bond strength in the Yaghoot group was 717.43±293.59 N while in the Super Brilian group it was 578.40±395.38 and in the Major group, 547.95±296.75N. However, there was no significant difference between the three groups (p=0.194).

Conclusion
Although the mean bond strength in the multilithic group was higher than in the other groups, no significant difference was found between the three groups. There was no significant difference between the three groups with regard to the prevalence and type of fracture site.

Clinical Significance
The bonding strength of multilithic denture teeth to denture base resins was found to be comparable to, and even slightly higher than, acrylic conventional denture teeth, making them a promising choice for clinicians in the fabrication of removable dentures.

Citation
Mosharraf R, Abed-Haghighi M. A Comparison of Acrylic and Multilithic Teeth Bond Strengths to Acrylic Denture Base Material. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www.thejcdp.com/journal/ view/a-comparison-of-acrylic-andmultilithic-teethbond- strengths-to-acrylic-den.
The Clinical Outcomes of 234 Spiral Family Implants
Authors: Danza Matteo , Fromovich Ophir , Guidi Riccardo , Carinci Francesco 
Published: July 2019

Abstract

Aim
Spiral family implants (SFIs) are a new type of implant fixture with a conical internal helix and a variable thread design. The aim of this retrospective study was to evaluate the clinical outcomes of a series of SFIs.

Methods and Materials
A total of 234 SFIs were placed in 86 patients (55 females and 31 males, median age 53 years) during the period between May 2004 and November 2007. The mean followup was 13 months. Several host, surgery, and implant-related factors were investigated, and the Kaplan Meier algorithm and the Cox regression were used to detect variables associated with the clinical outcome.

Results
Only nine out of 234 implants were lost (i.e., survival rate (SVR) of 96.2%) and no differences were detected among the studied variables.

Conclusion
SFIs have a high SVR similar to those reported in previous studies on different implant types.

Clinical Significance
SFIs demonstrated a very high primary stability which offers the potential for use of a specific implant device for immediate loading. However, additional studies are necessary to verify their outcome on the medium/long period.

Citation
Danza M, Formovich O, Guidi R, Carinci F. The Clinical Outcomes of 234 Spiral Family Implants. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www.thejcdp.com/ journal/view/the-clinical-outcomes-of-234-spiralfamilyimplants_1.
Histologic Evaluation of the Effects of Er:YAG Laser on Bone Ablation
Authors: Güngörmüş Metin , Akyol Utkan Kamil , Gündogdu Cemal , Erdem Havva 
Published: July 2019

AbstractAimThe aim of the present study was to compare the healing of bone defects created using an Er:YAG laser with those defects created using a surgical bone drill.Methods and MaterialsFourteen Wistar rats were used for this study. Femurs were perforated with a surgical bone drill, coupled to a micromotor (bur group) to create a bone defect. Another defect was created using a 2940 nm wavelength Er:YAG laser on the same femur (Er:YAG Group). The Er:YAG laser was used with a energy density of 1.5 W in noncontact mode under a water coolant. Incisions were then sutured with polyglycolic acid sutures. Seven rats were sacrificed at day ten and the other seven at day 20 to compare the status of bone repair of each group at those post-surgical intervals. The femurs were fixed with 10% neutral buffered formalin and decalcified in 10% EDTA. The specimens were embedded in paraffin and sectioned at a 5 micron thickness and stained with hematoxylin and eosin (H&E) stain. The specimens were examined at a magnification of X100 and scored using a standardized histologic scoring system.ResultsStages of bone healing including union, spongioza, cortex, and bone marrow development were evaluated and no significant difference between groups were found at days ten and 20 of healing. There was also no significant difference among the two groups in sum of histologic scores on day ten.ConclusionsBone can be ablated effectively and precisely using a Er:YAG laser without the vibration associated with steel surgical burs, but it is a slower process than when burs are used. There was no significant difference between the two groups in terms of bone repair at ten and 20 day intervals of healing.Clinical SignificanceWithin the limits of this study a 2940 nm Er:YAG laser at 1.5 W can be used with confidence in cases requiring effective bone ablation.CitationAkyol UK, Güngörmüs M, Gündogdu C, Erdem H. Histologic Evaluation of the Effects of Er:YAG Laser on Bone Ablation. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www.thejcdp.com/journal/view/histologicevaluation- of-the-effectsof-eryag-laser-on-boneablation.