This document presents a case study of a 17-year-old male patient seeking orthodontic treatment. The patient has poor oral hygiene, multiple cavities, mouth breathing issues, and is complaining about protruding upper front teeth. Clinical examination reveals class II malocclusion, increased overjet and overbite, retroclined upper incisors, and other dental and skeletal discrepancies. Treatment aims to address these issues through initial orthodontics, orthognathic surgery involving maxillary impaction and mandibular advancement, and post-surgical orthodontics. Retention will involve fixed retainers and removable retainers.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Introduction
Reasons of extraction
Analysis help in decision of extraction
Effects of extraction
Choice of tooth extraction
Types of extraction
Serial extraction
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
orthodontic case presentation- Dr hanan abu mneizel
1. Case Presentation
Done By: Dr. Hanan Abu Mnaizel
Supervised By:
Dr. Ahmad Al-Tarawneh
Dr. Jumana Tbeishat
Dr. Raed H. Alrbata
Dr. Bashar Momani
Dr. Anwar Rahamneh
2. Personal Data
Patient’s Name : A.A
Gender: M.
Age: 17 yrs.
Occupation: Student.
Residency: Al-Salt.
Nationality: Jordanian.
3. Medical and Dental History
Medical History:
Pt denied any relevant medical history.
Dental History:
-Previous Dental fillings:
UR5,UR6,LR7,UL2,UL6,UL4,LL6,LL7.
-History of failed previous orthodontic treatment using
URA ( 5 years ago ).
4. Medical and Dental History
Habits: Not mentioned but:
Signs of mouth breathing noticed:
- Dry Gingiva.
- Extended Backward head posture.
- Multiple carious teeth.
Motivation : Highly Motivated.
Expectation: Realistic Expectations.
14. Smile Aesthetics:-
On full smile the whole length of the maxillary incisors shows plus
4mm gingiva.
At rest 4mm of the maxillary incisors shows.
Upper incisors edges do not run parallel to the lower lip ( Non
Consonant smile arc ).
Upper midline is coincident with the facial midline.
Lower midline is shifted to the lift side by 1mm.
On smile upper incisors don’t touch lower lip.
15. E - Line
-E- Ricket's line : a line dropped from tip
of the nose
to the chin.
-Both upper and lower lips lie behind
this line. Upper lip: (2-3mm).
Lower lip: (1-2 mm).
-Lower lip behind E- Line
16. Soft tissue Examination
- Increased LAFH.
-Upper lip in the upper third of the lower part .
-Lower lip in the lower two thirds of the lower part.
17. Soft tissue Examination
- Interpupillary
distance larger than
mouth width.
-Potentially Competent lips.
-Intercanthal distance is
Smaller than alar base
Width.
20. Lower arch
-U-shaped arch and symmetric.
-Mildly crowded lower arch with lower right central incisor
displaced labially.
- Proclined lower incisors.
- lingually tipped RT & LT
buccal segment.
-Deep curve of spee.
-Carious LR6,LR7.
-Composite filling LL6,LL7.
-Lower midline shifted to the left side by 1 mm
22. Teeth in occlusion
- Incisor relationship: class II intermediate.
- Overjet: 5mm.
- Overbite: 80%. increased complete to tooth, atraumatic.
- Midline:
1- upper midline coincident with the facial midline.
2- lower midline shifted to the left side by 1 mm.
slight midline discrepancy between the upper and lower
midlines.
23. Buccal segment in occlusion
-Molars:
Rt: class II 3/4 unit.
Lt: full unit II
-Canines:
Rt: 3/4 unit class II.
Lt: 3/4 unit class II
-Displacements:
None detected.
34. Cephalometric Interpretation
• Antero posterior:-
I. Normal maxilla.
II. Retrognathic mandible.
III. Skeletal class II.
• Vertical:
- Increased LAFH :
A. Downward rotation of the maxilla.
B. Backward mandibular growth rotation.
• Dental:
1) Retroclined upper incisors.
2) Proclined lower incisors.
i .e Compensated teeth .
38. Royal London space planning
UpperLower
-4-3Crowding and spacing
0-1Leveling of occlusal curve
00Incisors AP position
+2-2Inclination change
+2+2Arch width change
0-4Total
41. Diagnostic Summary :-
A.A is a17 years old, male patient denied any relevant
medical history, complaining that his upper teeth
“pointing to upper canines” being sticking out. Upon
examination he has poor oral hygiene, multiple
fillings, multiple carious teeth, mouth breathing.
He has classII intermediate incisal relationship,
increased OJ. Increased OB, retroclined upper
incisors, rotated upper canines complicated by
increased LAFH, potentially competent lips, gummy
smile, inconsonant smile arc.
42. ……..Continued
mildly crowded upper and lower archs, rotated
upper canines, distally angulated upper left
lateral incisor.
He has classII molar relationship:- full unit LT
side, ¾ unit on RT side, canines ¾ RT & LT side.
OJ 5mm, OB 80% increased complete to tooth
atraumatic, lower dental midline shifted by 1mm
to LT side.
43. Problem List
Pathological Problem:-
1- Poor oral hygiene.
2- Multiple carious teeth.
3-Mouth breathing.
Patient’s concern:-
A.A. is complaining that “my upper teeth are sticking out
“pointing to upper canines.”
Skeletal Problems:-
1- Class II skeletal base (retrognathic mandible and downward
growth of the maxilla)
2- increase LAFH.
3- increase MMPA.
7 4
2
4 5 7
7 6
47. ……Continued
- Correction of inclination.
- Correction of Angulation.
- Correct mid line shift.
-Achieve class I canine.
Achieve class III molar.
Finishing and detailing of occlusion.
-Retain corrected results.
48. Treatment Plan
Orthognathic Surgerey
Extraction case
- OHI
- Referral for ENT specialist to address the cause of mouth breathing.
- Referral for restorative dentist to treat carious teeth.
A- Initial orthodontic treatment:-
- Expansion of upper arch by arch wire to achieve arch coordination
- Extraction of
- Upper and lower fixed appliance (Upper MBT, Lower Roth)
- Extract and assess the need for extraction of with the surgeon.
4 4
8 8
8 8
49. ……Continued
B- Orthogenetic Surgery:
- mandibular advancement.
- maxillary impaction.
C- Post- surgical Orthodontics:
D- Finishing.
E- Assess the need for gingivectomy for the ULS
F- Retention:- Fixed retainers.
- Hawely retainers.
50. Retention protocol
Upper arch:
Long term retention: fixed retainer (3 to 3)
Short term retention: Hawley retainer.
Lower arch:
long term retention: fixed retainer (3 to 3 ) short term:
Hawley retainer.
Upper and lower Hawley Retainers 6 months full time
wearing followed by 6 months night time wearing.
51. Justification
A- Extraction of to :-
1. Relieve mild crowding.
2. Correct lower teeth inclination.
3. Decompensation to increase surgical movement.
B- Upper and lower fixed appliance:-
1. Achieve 3-D tooth control.
2. Alignment of rotated teeth.
3. Closing of spaces.
4. Correct midline shift.
5. ( placing the upper incisors brackets more gingivally; the upper incisors
are intruded compensating for the downwardly grown maxilla, so we
want to extrude them as a decompensation)
C- Expansion of upper arch by arch wire for arch coordination.
4 4
52. Justification
D. Extract for surgical cuts
-Assess if in surgical cuts to be removed ortherwise
maintain them.
E. Orthognathic surgery:
1.Severe skeletal discrepancy A-P and vertical
2.Unacceptable facial aesthetics ( convex profile)
3.Obtuse NLA ( doesn’t favor extraction in the upper arch)
4.Compensated teeth
5.non-grower
- maxillary impaction to:-
1- Reduce lower anterior facial height.
2- Correct gummy smile.
3- Allow mandibular autorotation without increasing LAFH.
4- Avoid relapse “ avoid stretching of pterygomandibular sling.
8 8
8 8
53. Justification
Mandibular advancement:-
1- Correct class II skeletal relationship.
2- Sagittal skeletal discrepancy is severe but dentally
compensated.
3- Help to increase tongue space & enhance breathing capacity .
F- Post surgical orthodontics:-
1. Replace the stabilizing arch wire with working arch wire to
bring the teeth to their final position.
2. To allow settling of occlusion.
55. Mechanics
- Metal brackts is the best.
- 0.022 Slot to allow rigid wire for stability.
- Second molar should be banded.
- Stabilizing arch wire 21*25 TMA or s.s.
- Hooks added as attachments to the jaws together.
- Stabilizing arch wire placed at least 4 wks before
surgery so they are passive when impressions taken for
surgical splint.
56. Mechanics
- Splint should be thin 2mm thickness with adequate
strength.
- Post surgerey:-
- Light vertical elastics are needed in the initial post
surgical phase with working arch wire.
- Settling can be achieved by using light round wire (
16 mil steel ) and posterior box elastics with anterior
vector
.
57. Treatment Details
1. Full records.
2. Separators.
3. Band selection and cementation.
4. Direct bonding ( placing the upper incisors
brackets more gingivally) .
5. Alignment by super elastic 0.014 niti , then 0.016 *
0.022.
6. Working arch wire 0.019 * 0.025niti.
7. Referral to extract & 8s.
8. Space closure: can use class III elastics.
9. Stabilizing A.W 21 * 25 TMA.
44
58. Treatment Details
10- Construction of surgical wafer.
11-Final treatment plan after joint clinic discussion.
12-Referral for surgery.
13-Once a range of motion is achieved and the
surgeon is satisfied with initial healing the finishing
stage started.
14- (2 – 4) wks post surgery stabilizing arch wires
are removed and replaced by 0.016 S.S wire.
59. Treatment Details
15- Light vertical elastics.
16-Elastics regime:-
- 4wks full time.
- 4wks full time except for eating.
- 4wks night time only.
17- Finishing: 21 *25 TMA wire.
18- Impressions for retainer.