Almas Hospital

Oral health is not separate from general health, but maintaining oral health is definitely difficult and different in old age. Even though, few elderly have physical and/or mental situation that call for particular interest in the dental workplace, one should not presume that all elderly community shares these circumstances. In order to achieve health, it is necessary to know few aspects of old age. In due course of old age body tissues get harder, collection of waste products in body cells and loss of lubrication leads to impaired functions of various organs. The design and implementation of comprehensive preventive dentistry protocols for elders presents the dental profession with many challenges. Although a specific protocol must be tailored to meet the unique needs of the individual patient, there are certain factors common to elderly segment of the population that may influence these protocols.

A wide variety of plants possess enormous treasure of medicinal value. Majority of these medicinal plants have been used to treat various systemic conditions successfully. Over the recent years, use of these medicinal plants has resurfaced to treat oral conditions. Among the oral conditions, periodontal disease remains one of the most common. Alternative and preventive options has become the need of the hour in order to overcome the adverse effects of the antimicrobial agents used in large as an adjunct to mainstream periodontal treatment. Punica granatum (Pomegranate) is one of the oldest edible fruit which has a long history as a medicinal fruit. This review is an attempt to highlight the potential of Punica granatum as a preventive and therapeutic aid to periodontal disease.

A three-dimensional obturation and complete coronal and apical seal is one the important aims of root canal treatment. Since microorganisms may remain in the root canal system after instrumentation, a tight apical seal is desired to prevent bacteria and their by-products from invading the apex. A perfect apical seal is also desired to prevent apical percolation. One of the major objectives of tooth restoration is the protection of exposed dentine against bacteria and their toxins. The interface between the restoration and dental hard tissue is an area of clinical concern as insufficient sealing can result in marginal discoloration, secondary caries, and pulpitis. For that reason, adequate sealing is essential for the optimal clinical performance Prevention of microleakage in endodontically treated teeth is most important for patients who rely on the combined expertise and quality care of dentist/endodontist colleagues. Microleakage is arguably the single most important risk factor for apical periodontitis.

The paper evaluates sensitivity of various spaceborne digital elevation models (DEMs), viz., Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER), Shuttle Radar Topography Mapping Mission (SRTM) and Global Multi-resolution Terrain Elevation Data 2010 (GMTED), in comparison with the DEM (TOPO) derived from contour data of 20 m interval of Survey of India topographic sheets of 1: 50,000 scale. Several topographic attributes, such as elevation (above mean sea level), relative relief, slope, aspect, curvature, slope-length and -steepness (LS) factor, terrain ruggedness index (TRI), topographic wetness index (TWI), hypsometric integral (Ihyp) and drainage network attributes (stream number and stream length) of two tropical mountain river basins, viz., Muthirapuzha River Basin and Pambar River Basin are compared to evaluate the variations. Though the basins are comparable in extent, they differ in respect of terrain characteristics and climate. The results suggest that ASTER and SRTM provide equally reliable representation of topography portrayed by TOPO and the topographic attributes extracted from the spaceborne DEMs are in agreement with those derived from TOPO. Despite the coarser resolution, SRTM shows relatively higher vertical accuracy (RMSE = 23 and 20 m respectively in MRB and PRB) compared to ASTER (RMSE = 33 and 24 m) and GMTED (RMSE = 59 and 48 m). Vertical accuracy of all the spaceborne DEMs is influenced by relief of the terrain as well as type of vegetation. Further, GMTED shows significant deviation for most of the attributes, indicating its inability for mountain-river-basin-scale studies.

PURPOSE: This study was performed to investigate the prevalence, morphology, and calcification pattern of the elongated styloid process in the Mathura population and its relation to gender, age, and mandibular movements. MATERIALS AND METHODS: The study analyzed digital panoramic radiographs of 2,706 adults. The elongated styloid process was classified with the radiographic appearance based on the morphology and calcification pattern. The limits of mandibular protrusion were evaluated for each subject. The data were analyzed by using a Student's t-test and chi-squared test with significance set at p=0.05. RESULTS: Bilateral elongation having an "elongated" type styloid process with a "partially mineralized" pattern was the most frequent type of styloid process. No correlation was found between styloid process type and calcification pattern on the one hand and gender on the other, although elongated styloid was more prevalent in older and male populations (p<0.05). Further styloid process elongation showed no effect on mandibular protrusive movement (p>0.05). CONCLUSION: Dentists should recognize the existence of morphological variation in elongated styloid process or Eagle syndrome apparent on panoramic radiographs. We found higher prevalence of elongated styloid process in the population of the Mathura region when compared with other Indian populations. The calcification of the styloid process was more common in the older age group with no correlation to gender, mandibular movement and site. "Type I" with a "partially calcified" styloid process was observed more frequently in the population studied.

Zinc oxide (ZnO) is a thermally stable n-type semiconducting material. ZnO 2D nanosheets have mainly gained substantial attention due to their unique properties, such as direct bandgap and strong excitonic binding energy at room temperature. These are widely utilized in piezotronics, energy storage, photodetectors, light-emitting diodes, solar cells, gas sensors, and photocatalysis. Notably, the chemical properties and performances of ZnO nanosheets largely depend on the nano-structuring that can be regulated and controlled through modulating synthetic strategies. Two synthetic approaches, top-down and bottom-up, are mainly employed for preparing ZnO 2D nanomaterials. However, owing to better results in producing defect-free nanostructures, homogenous chemical composition, etc., the bottom-up approach is extensively used compared to the top-down method for preparing ZnO 2D nanosheets. This review presents a comprehensive study on designing and developing 2D ZnO nanomaterials, followed by accenting its potential applications. To begin with, various synthetic strategies and attributes of ZnO 2D nanosheets are discussed, followed by focusing on methodologies and reaction mechanisms. Then, their deliberation toward batteries, supercapacitors, electronics/optoelectronics, photocatalysis, sensing, and piezoelectronic platforms are further discussed. Finally, the challenges and future opportunities are featured based on its current development.

Plants for thousands of years have been used to enhance health and for medicinal purposes. Psidium guajava is one which has an enormous wealth of medicinal value. It for long has been known for its anti-inflammatory, antimicrobial, antioxidant, antidiarrheal, antimutagenic properties. Despite of its widespread biologic uses there is a dearth of information on its therapeutic effect in the treatment of periodontal disease. Hence, this review is an attempt to highlight the potential of P. guajava in the treatment of periodontal disease. Internet databases PubMed, Google Scholar were searched and the most relevant articles were considered for review.

Food quality assessment is a critical aspect of food production and safety, ensuring that products meet both regulatory and consumer standards. Traditional methods such as sensory evaluation, chromatography, and spectrophotometry are widely used but often suffer from limitations, including subjectivity, high costs, and time-consuming procedures. In recent years, the development of electronic nose (e-nose) and electronic tongue (e-tongue) technologies has provided rapid, objective, and reliable alternatives for food quality monitoring. These bio-inspired sensing systems mimic human olfactory and gustatory functions through sensor arrays and advanced data processing techniques, including artificial intelligence and pattern recognition algorithms. The e-nose is primarily used for detecting volatile organic compounds (VOCs) in food, making it effective for freshness evaluation, spoilage detection, aroma profiling, and adulteration identification. Meanwhile, the e-tongue analyzes liquid-phase components and is widely applied in taste assessment, beverage authentication, fermentation monitoring, and contaminant detection. Both technologies are extensively used in the quality control of dairy products, meat, seafood, fruits, beverages, and processed foods. Their ability to provide real-time, non-destructive, and high-throughput analysis makes them valuable tools in the food industry. This review explores the principles, advantages, and applications of e-nose and e-tongue systems in food quality assessment. Additionally, it discusses emerging trends, including IoT-based smart sensing, advances in nanotechnology, and AI-driven data analysis, which are expected to further enhance their efficiency and accuracy. With continuous innovation, these technologies are poised to revolutionize food safety and quality control, ensuring consumer satisfaction and compliance with global standards.

The smartphone is one of the biggest revolutions in the era of information technology. Its built in camera offers several advantages. Dermatologists, who handle a specialty that is inherently visual, are most benefited by this handy technology. Here in this article, we attempt to provide an overview of smartphone photography in clinical dermatology in order to help the dermatologist to get the best out of the available camera for clinical imaging and storage.

INTRODUCTION: Female sexual dysfunction (FSD) in depression albeit common is strikingly understudied. The condition, if addressed properly, can be readily cured, improving the quality of life of the patient. METHODS: A consecutive sample of drug-naïve married female patients with depression was assessed. Depression was diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I). Depression severity was assessed using the Hamilton Depression Rating Scale (HAM-D), and sexual dysfunction, the Female Sexual Function Index (FSFI). RESULTS: Sexual dysfunction was found in 90% of the patients in our study. Patients with medical comorbidities showed a significant decrease in the desire subset of the FSFI (Mann-Whitney U=11.0, p=0.009), however there was no significant association with other subsets. Patients who expressed passive death wishes had higher scores on all indicators of sexual function and a significantly higher score in the orgasm subset of the FSFI (Mann-Whitney U=11.0, p=0.009). CONCLUSION: The study showed a high prevalence of FSD in depressed females regardless of type and severity of depression. Depression with medical comorbidities was associated with a significant decrease in desire. Patients who expressed passive death wishes showed improved sexual function and significantly better orgasm.

Pituitary apoplexy (PA) is a rare, usually vision-threatening and occasionally life-threatening entity. The exact incidence of PA in large series of pituitary adenomas is variable; however, it is more common in macroadenomas and nonfunctioning adenomas though it has been reported rarely in microadenomas. There are several well-known precipitating factors for PA including the use of anticoagulants, surgery, head trauma, pregnancy, etc. The typical clinical presentation is characterized by the near universal presence of headache with or without the following: visual disturbances, extraocular palsies, altered sensorium. MRI is the imaging modality of choice. Most patients have hormonal and/or electrolyte disturbances at the time of presentation which needs to be quickly corrected. Both conservative and surgical treatment modalities have been advised for the management of this condition. However, on the basis of the evidence available in the literature, the treatment should be individualized for each patient with PA. If conservative management is chosen, close clinical monitoring is necessary for early identification of deterioration. Surgery generally is through the trans-sphenoidal route. Most patients have a good recovery in visual function and extraocular palsy. There is some evidence in the literature that surgical intervention, when necessary, should be undertaken early as it is associated with better visual outcome. The majority of the patients will have residual hormonal deficits which will require prolonged hormone replacement therapy. There is a small but significant risk of recurrent PA in patients with residual tumors, especially, in those with large tumor residues. There is also a small risk of tumor recurrence following PA and hence all patients should undergo surveillance imaging periodically to detect the possible recurrence of tumor. In recent years, the mortality from PA has decreased significantly. A high index of suspicion and prompt multidisciplinary management will often lead to an overall good outcome.

Object classification in videos is very important for applications in automatic visual surveillance system. The process of classifying objects into predefined and semantically meaningful categories using its features is called object classification. As far as humans are concerned object classification in videos is a simple task but it is a complex and challenging task for machines due to different factors such as object size, occlusion, scaling, lightening etc. The need for analyzing video sequences resulted in the development of different object classification techniques. In this paper we propose a new model for detection and classification of objects in videos by incorporating Tensor features along with SIFT to classify the detected objects using Deep Neural Network(DNN. Deep Neural Networks are capable of handling large higher dimensional data with billions of parameters as like human brain. Simulation results obtained illustrate that the proposed classifier model produces more accurate results than the existing methods, which combines both SIFT and tensor features for feature extraction and DNN for classification.

AIM: To evaluate the relative ability of 4 mg dose of intraoperative dexamethasone, administered submucosally, to reduce the postoperative discomfort after third molar surgery. MATERIALS AND METHODS: A total of 100 patients requiring surgical removal of a single mandibular third molar were included. The experimental group (50) received dexamethasone 4 mg as submucosal injection and control group (50) received no drugs. The maximum interincisal distance and facial contours were measured at baseline and at postsurgery days 2 and 7. The measurement of pain was done using visual analog scale (VAS). RESULTS: None of the patients developed wound infection or any serious postoperative complications. Postoperative edema tended to be less severe on the second postoperative day in the experimental group and the result was statistically significant. There were no significant differences in the reduction of pain and trismus between the two groups studied. CONCLUSION: Submucosal administration of dexamethasone sodium phosphate (4 mg) results in reduction of postoperative edema, comparable with or greater than other routes of administration. Presumably, a higher effective drug concentration at the site of injury without loss due to distribution to other compartments may be achieved, and the submucosal route is convenient for both the surgeon and the patient. CLINICAL SIGNIFICANCE: Submucosal route of administration of dexamethasone (4 mg) is effective in reducing postoperative discomfort after third molar surgeries.

Migratory shorebirds that move across continents along their flyways are undergoing a drastic decline globally. A greater proportion of them that regularly winter along the Indian coasts within the Central Asian Flyway (CAF) are also undergoing severe declines. However, the mechanisms underlying the population trends in these areas remain little understood. This study investigated the diversity, abundance, population dynamics and distribution patterns of shorebirds along the Indian coasts based on the available literature. The west coast of India is relatively less studied than the east coast in the CAF. Further, we observed that the diversity, abundance, population dynamics and distribution pattern of the shorebirds follow different trends on the west coast compared to the east coast. These variations are in accordance with the differences in topography and biotic and abiotic factors between the coasts. Anthropogenic activities have far-reaching effects on the survival and persistence of shorebirds along the coasts. The west coast is evidently more productive than the east coast at every trophic level and thus the west coast is expected to account for more abundance and diversity of shorebirds. Paradoxically, we found that the east coast supports a greater abundance and diversity of shorebirds than the west coast. The west coast, therefore, requires further investigations to obtain a better understanding of the causes of apparent differences in abundance and diversity as well as the observed declines in shorebirds, compared to the east coast of India.

Research Methodology in nursing , Research Methodology in nursing , کتابخانه دیجیتال جندی شاپور اهواز

In this work a three phase three wire Distribution Static Compensator (DSTATCOM) is proposed for power quality improvement. DSTATCOM is based on a three leg VSC and is controlled to compensate reactive power, harmonic current and unbalances in the load. IGBT based VSC is capacitor supported and is controlled for the required compensation of the load current. The control algorithm extracts reference currents and generates gate pulses for IGBT switches by PWM technique. For reference current calculation, two types of control algorithms are proposed. One is based on Synchronous Reference Frame Theory (SRFT) and the other on Adaline (Adaptive Linear Element) based neural network. DC bus controller regulates the dc bus voltage under varying load conditions. Performance of three phase three wire system with DSTATCOM is validated for harmonic elimination and balancing of loads by using simulation model in MATLAB /SIMULINK.

Background: Garlic has been recommended by many ancient medicines such as the Chinese and the Indian medicine to cure respiratory and digestive issues along with treating microbial infestation and leprosy. The therapeutic effects encompass many advantages in the field of cardiovascular system, antibiotics, anticancer, anti-inflammatory, and hormone-like effects. Aims and Objective: The present study was carried out to evaluate the garlic antibacterial effect against clinical isolates of Staphylococcus aureus , Escherichia coli , and Pneumoniae from patients attending referral hospital. Materials and Methods: The isolation of bacteria was done from pus sample collected from referral hospital, Bedar, Karnataka, with sterile swabs. The study samples were inoculated under aseptic conditions on culture media such as nutrient agar, blood agar, and MacConkey agar plates and isolated the pathogen bacteria such as E. coli , Klebsiella pneumoniae , and S. aureus . The garlic bulbs were peeled off and then ligated using pestle simultaneously with addition of minor quantity of H 2 O for preparation of plant extract and study the antimicrobial effect of garlic on these bacteria. Results: The result showed that garlic extracts have a high range of antibacterial effect against both Gram-negative ( E. coli and K. pneumoniae ) and Gram-positive bacteria Staphylococcus. Conclusion: The present study observations revealed that garlic makes large clear zones in comparison to the currently available antibiotics used in the study. The potentiality of the garlic can be utilized in the field of antibacterial agents. It can be prepared in the form of tablets in the best concentrations and affordable dosages so that it can be used as medicine against these pathogenic organisms.

BACKGROUND: Congenital hypothyroidism (CH) is most common preventable cause of mental retardation in children. Cord blood Thyroid Stimulating Hormone (CBTSH) level is an accepted screening tool for CH. OBJECTIVES: To study CBTSH profile in neonates born at tertiary care referral center and to analyze the influence of maternal and neonatal factors on their levels. DESIGN: Cross retrospective sectional study. METHODS: Study population included 979 neonates (males = 506 to females = 473). The CBTSH levels were estimated using electrochemiluminescence immunoassay on Cobas analyzer. Kit based cut-offs of TSH level were used for analysis. All neonates with abnormal CBSTH levels, were started on levothyroxine supplementation 10 μg/Kg/day and TSH levels were reassessed as per departmental protocol. RESULTS: The mean CBTSH was 7.82 μIU/mL (Range 0.112 to 81.4, SD = 5.48). The mean CBTSH level was significantly higher in first order neonates, neonates delivered by assisted vaginal delivery and normal delivery, delivered at term or preterm, neonates with APGAR score <5 and those needing advanced resuscitation after birth. The CBTSH level >16.10 and <1.0 μIU/mL was found in 4.39 % and 1.02 % neonates respectively. The prevalence rate of CBTSH level >16.1 μIU/mL was significantly higher in neonates delivered by assisted vaginal delivery and normal delivery, term and preterm neonates, APAGR score of <5, presence of fetal distress, need for resuscitation beyond initial steps and in those with birth weight of <1.5 Kg. Three neonates were confirmed to have CH after retesting of TSH level. CONCLUSIONS: The CBTSH estimation is an easy, non-invasive method for screening for CH. The cutoff level of CB TSH (μIU/mL) >16.10 and <1.0 led to a recall of 5.41% of neonates which is practicable given the scenario in our Country. The mode of delivery and perinatal stress factors have a significant impact on CBTSH levels and any rise to be seen in the light of these factors. The prevalence rate of CH after recall was ~3 in 1000 live births.

Abstract This study recommends a new time series forecasting model, namely ICEEMDAN - SVD - LSTM model, which coalesces Improved Complete Ensemble EMD with Adaptive Noise, Singular Value Decomposition and Long Short Term Memory network. It can be applied to analyse Non-linear and non-stationary data. The framework of this model is comprised of three levels, namely ICEEMDAN level, SVD level and LSTM level. The first level utilized ICEEMDAN to break up the series into some IMF components along with a residue. The SVD in the second level accounts for de-noising of every IMF component and residue. LSTM forecasts all the resultant IMF components and residue in third level. To obtain the forecasted values of the original data, the predictions of all IMF components and residue are added. The proposed model is contrasted with other extant ones, namely LSTM model, EMD - LSTM model, EEMD - LSTM model, CEEMDAN - LSTM model, EEMD - SVD - LSTM model, ICEEMDAN - LSTM model and CEEMDAN - SVD - LSTM model. The comparison bears witness to the potential of the recommended model over the traditional models.

BACKGROUND AND OBJECTIVES: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and fine needle biopsy (FNB) are effective techniques that are widely used for tissue acquisition. However, it remains unclear how to obtain high-quality specimens. Therefore, we conducted a survey of EUS-FNA and FNB techniques to determine practice patterns worldwide and to develop strong recommendations based on the experience of experts in the field. METHODS: This was a worldwide multi-institutional survey among members of the International Society of EUS Task Force (ISEUS-TF). The survey was administered by E-mail through the SurveyMonkey website. In some cases, percentage agreement with some statements was calculated; in others, the options with the greatest numbers of responses were summarized. Another questionnaire about the level of recommendation was designed to assess the respondents' answers. RESULTS: ISEUS-TF members developed a questionnaire containing 17 questions that was sent to 53 experts. Thirty-five experts completed the survey within the specified period. Among them, 40% and 54.3% performed 50-200 and more than 200 EUS sampling procedures annually, respectively. Some practice patterns regarding FNA/FNB were recommended. CONCLUSION: This is the first worldwide survey of EUS-FNA and FNB practice patterns. The results showed wide variations in practice patterns. Randomized studies are urgently needed to establish the best approach for optimizing the FNA/FNB procedures.