This study evaluated the accuracy of ultrasonography (US) in assessing sutural opening during rapid palatal expansion (RPE) by comparing US findings to oral radiographs in 29 patients undergoing RPE treatment. US examinations were performed immediately after appliance placement and at 10 and 20 turns to evaluate the midpalatal suture. The US and radiographic findings at each time point were comparable in assessing sutural opening during expansion. The study concluded that US provides an accurate, easy to use, and radiation-free method for evaluating midpalatal sutural expansion during RPE treatment.
Megaprosthetic replacement of knee in a young boy of 14 yearsApollo Hospitals
Now a days, Total Knee Replacement (TKR) is a common for elderly patients but is an uncommon procedure in young individuals. Recently, limb conservation surgery for malignant bone tumours like osteosarcoma around the knee has become a common indication for TKR in young. We report, here a histologically confirmed osteosarcoma in right
proximal tibia of a 14-year-old boy who was managed successfully by limb salvage surgery using Global Modular Replacement System (GMRS, Stryker).
Megaprosthetic replacement of knee in a young boy of 14 yearsApollo Hospitals
Now a days, Total Knee Replacement (TKR) is a common for elderly patients but is an uncommon procedure in young individuals. Recently, limb conservation surgery for malignant bone tumours like osteosarcoma around the knee has become a common indication for TKR in young. We report, here a histologically confirmed osteosarcoma in right
proximal tibia of a 14-year-old boy who was managed successfully by limb salvage surgery using Global Modular Replacement System (GMRS, Stryker).
This study was presented at the 2019 AANA annual meeting by Dr Adnan Saithna, expert in ACL reconstruction, Overland Park, Kansas. It is the largest published series specifically evaluating ramp lesions (a specific type of meniscal tear) in ACL injured knees. This important work allowed identification of the incidence of this injury and an evaluation of re-operation rates after repair
Comparison Results between Patients with Developmental Hip Dysplasia Treated ...CrimsonPublishersOPROJ
Comparison Results between Patients with Developmental Hip Dysplasia Treated with Either Salter or Pemberton Osteotomy by Dello Russo Bibiana* in Orthopedic Research Online Journal
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos keralaSujit Jos
Arthroscopic Latarjet procedure is gaining popularity in every part of the world as it combines the strength of Latarjet procedure while retaining the advantages of Arthroscopy. It is most useful shoulder recurrent dislocation associated with bone loss in the glenoid (Bony Bankart) or humeral head (Hill Sach's defect).
This study was presented at the 2019 AANA annual meeting by Dr Adnan Saithna, expert in ACL reconstruction, Overland Park, Kansas. It is the largest published series specifically evaluating ramp lesions (a specific type of meniscal tear) in ACL injured knees. This important work allowed identification of the incidence of this injury and an evaluation of re-operation rates after repair
Comparison Results between Patients with Developmental Hip Dysplasia Treated ...CrimsonPublishersOPROJ
Comparison Results between Patients with Developmental Hip Dysplasia Treated with Either Salter or Pemberton Osteotomy by Dello Russo Bibiana* in Orthopedic Research Online Journal
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos keralaSujit Jos
Arthroscopic Latarjet procedure is gaining popularity in every part of the world as it combines the strength of Latarjet procedure while retaining the advantages of Arthroscopy. It is most useful shoulder recurrent dislocation associated with bone loss in the glenoid (Bony Bankart) or humeral head (Hill Sach's defect).
palatal expanson in orthodontics /certified fixed orthodontic courses by Ind...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Effects of bonded rapid palatal expansion on the transverse dimensions of the...EdwardHAngle
The purpose of this study was to examine the maxillary response on the transverse dimensions to rapid palatal expansion (RPE) by using cone-beam computed tomography (CBCT).
Effects of rapid palatal expansion on the sagittal and vertical dimensions of...EdwardHAngle
The purpose of this study was to use cone-beam computed tomography imaging to examine the skeletal and dental changes in the sagittal and vertical dimensions after rapid palatal expansion.
ABSTRACT
Objective: To evaluate the role of age as a moderator of bone regeneration patterns and
symphysis remodeling after genioplasty.
Method: Fifty-four patients who underwent genioplasty at the end of their orthodontic treatment
were divided into three age groups: younger than 15 years at the time of surgery (group 1), 15 to
19 years (group 2), and 20 years or older (group 3). Twenty-three patients who did not accept
genioplasty and had a follow-up radiograph 2 years after the end of their orthodontic treatment
were used as a control group. Patients were evaluated at three time points: immediate preoperative
(T1), immediate postoperative (T2,) and 2 years postsurgery (T3).
Results: The mean genial advancement at surgery was similar for the three age groups, but the
extent of remodeling around the repositioned chin was greater in group 1, less in group 2, and still
less in group 3. Symphysis thickness increased significantly during the 2-year postsurgery interval
for the three groups, and this increase was significantly greater in group 1 than in group 3.
Remodeling above and behind the repositioned chin also was greater in the younger patients. This
was related to greater vertical growth of the dentoalveolar process in the younger patients. There
was no evidence of a deleterious effect on mandibular growth.
Conclusion: The outcomes of forward-upward genioplasty include increased symphysis
thickness, bone apposition above B point, and remodeling at the inferior border. When indications
for this type of genioplasty are recognized, early surgical correction (before age 15) produces a
better outcome in terms of bone remodeling. (Angle Orthod. 0000;00:000–000.)
Purpose: To assess the amount of dental and skeletal expansion and stability after surgically assisted
rapid maxillary expansion (SARPE).
Patients and Methods: Data from 20 patients enrolled in this prospective study were collected before
treatment, at maximum expansion, at the removal of the expander 6 months later, before any second
surgical phase, and at the end of orthodontic treatment, using posteroanterior cephalograms and dental
casts.
Results: With SARPE, the mean maximum expansion at the first molar was 7.48 1.39 mm, and the
mean relapse during postsurgical orthodontics was 2.22 1.39 mm (30%). At maximum, a 3.49 1.37
mm skeletal expansion was obtained, and this expansion was stable, such that the average net expansion
was 67% skeletal.
Conclusion: Clinicians should anticipate a loss of about one third of the transverse dental expansion
obtained with SARPE, although the skeletal expansion is quite stable. The amount of postsurgical relapse
with SARPE appears quite similar to the changes in dental-arch dimensions after nonsurgical rapid palatal
expansion, and also quite similar to dental-arch changes after segmental maxillary osteotomy for
expansion.
[Dr. Suh's thesis in International journal SCI]
“A Novel technique for short nose correction”
The nominated thesis is about A Novel technique for short nose correction; Hybrid septal extension graft that have acquired the favorable reputation internationally based on the advanced clinical experiences.
An Evaluation of Short Term Success and Survival Rate of Implants Placed in F...DrHeena tiwari
An Evaluation of Short Term Success and Survival Rate of Implants Placed in Fresh Extraction Socket Post Prosthetic Rehabilitation- A Prospective Study
Dr. Rahul VC Tiwari - Fellowship In Orthognathic Surgery - Jubilee Mission Medical College Hospital and Research Center, Thrissur, Kerala - 20TH PUBLICATION - IJADS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
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
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!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Ultrasonographic eveluation of rapid palatal expansion zone
1. COMPARATIVE EVALUATION OF THE RAPID PALATAL
EXPANSION ZONE USING ULTRASONOGRAPHY AND
CONVENTIONAL RADIOGRAPHY
Ibrahim Sevki Bayrakdar
Ismail Gumussoy
Ozkan Miloglu
Yasin Yasa
2. Rapid palatal expansion (RPE) was first introduced in the 1860s
by Angell for the treatment of maxillary constriction. It later
became a conventional orthodontic treatment. RPE is used in
orthodontic practice to correct posterior crossbite and dental
crowding and to facilitate correction of Angle Class II and Class III
malocclusions. The overall objective of RPE is to widen the maxilla
by separating the midpalatal suture and the circummaxillary
sutural system.
3. Oral radiographs and computed tomography (CT) are commonly
used methods to assess the palatal expansion zone. However,
Sumer et al. indicated that ultrasonography (US) might be a useful
and accurate method to evaluate bone fill in the midpalatal suture
in patients undergoing surgically assisted RPE. In the orthopedic
literature, US has been shown to be accurate and reliable for the
evaluation of distraction osteogenesis wounds in long bones. Studies
also showed that US was useful for the evaluation of mandibles
treated with distraction osteogenesis.
4. The purpose of this study was to assess the accuracy of US in
evaluating the sutural opening in a series of patients undergoing
RPE, verifying the reliability of the method against those of oral
radiographic findings.
5. Methods and materials
The study sample consisted of 29 nonsurgical patients (mean age, 13.9 years;
range, 11-20 years; 12 males, 17 females) with mixed or permanent dentition
who underwent RPE therapy as part of comprehensive orthodontic treatment.
Subjects with craniofacial anomalies that would have required any type of
surgical intervention were not included in the study. Individuals with prior
orthodontic treatment history, such as phase I treatment, were also excluded
from the sample. Each patient had a 2-banded Haas appliance, which was
supported by the bilateral maxillary first molars, with extension of the
expansion arms along the gingiva of the premolars.
7. Maxillary expansion started at the beginning of the orthodontic treatment for
all the patients, and the appliance was activated by one turn per day until the
maxillary constriction was corrected. Depending on the amount of expansion,
the activation period ranged from 21 to 25 days. All evaluations, including
occlusal radiographs and US examinations, were performed immediately after
appliance practice (T1), 10 turns (T2), and 20 turns (T3) during the expansion
period. In total, 87 US images and 87 occlusal radiographies of 29 patients
were evaluated.
8. Radiographic examination technique
Maxillary occlusal radiographs were taken using a Belmont Photo X-II
dental X-ray machine, set at 60 kVp and 7 mA with an exposure time of 0.50 s.
Vista scan phosphor plate system was used. To ensure standardization of the
occlusal radiographs of the maxillary region, the patient sat upright, with the
sagittal plane perpendicular to the floor and the occlusal plane horizontal. The
receptor was placed with the long dimension perpendicular to the sagittal
plane, crosswise in the mouth. The central ray was directed at a vertical
angulation of +65 degrees and a horizontal angulation of 0 degrees, the bridge
of the nose just below the nasion, and toward the middle of the receptor. The
central ray entered the patient’s face through the bridge of the nose.
10. Two experienced radiologists performed the US examinations.
Sonograms were obtained in the axial planes using an Applio 300 (Toshiba,
Tokyo, Japan) 8 MHz linear array transducer. The ultrasound probe was
positioned outside the mouth on the skin overlying the midpalatal suture,
and the US beam was oriented perpendicular to the bone surface. A real-time
survey was then performed of the midpalatal suture, producing axial
slices.
Ultrasound scanning technique
12. Radiological evaluation
The radiographs revealed a normal anatomical structure at the beginning
of the treatment prior to expansion of the midpalatal sutural opening. As the
midpalatal suture was opened, the radiographic image showed a larger
radiolucid area, parallel to the suture or triangular shaped, with its base
toward the anterior region of the face.
13. Ultrasonography evaluation
Using US, the surfaces of the bone segments were easily identified, and
assessments in the expansion zone could be performed accurately during the
active phase of expansion. The area was characterized by a nonhomogeneous
and hyperechoic, sharply demarcated zone. A real-time US survey of the sutural
expansion was performed in all 29 patients. The duration of the study was
approximately 3 min.
14. Pre-expansion, the median palatin suture appears on occlusal radiographs
as a thin radiolucent line in the midline between the two portions of the
premaxilla. It extends from the alveolar crest between the central incisors
superiorly through the anterior nasal spin and continues posteriorly between
the maxillary palatin processes to the posterior aspect of the hard palate. The
suture is limited by two parallel radiopaque borders of thin cortical bone on
each side of the maxilla. US cannot be used to evaluate the sutural opening
at this stage due to the presence of intact and thick vestibular cortical bone,
which reflects ultrasound beams, making it impossible for the beams to
penetrate the bone structure.
17. During the RPE period, as patients turn the screw, the midpalatal suture is
opened and appears on occlusal radiographs as a thick radiolucent line in the
midline between the two portions of the maxilla. The thickness of the
radiolucent line increases over time. Likewise, on the US examination, this
structure appears as a hyperechoic line because the ultrasound beam is not
reflected and can easily penetrate the expansion gap.
22. The US and occclusal radiography findings were comparable
with regard to the assessment of the sutural opening at the
beginning, 10th, and 20th days of the expansion period.
23. In the current study, US was used to assess the midpalatal suture in patients
undergoing RPE. To the best of our knowledge, there are no published
quantitative or semiquantitative sonographic comparisons of sutural expansion
with oral radiographies and US in RPE patients. US was used in one study of
three surgically assisted RPE patients, where it proved accurate in the
measurement of the gap across the osteotomy and in the evaluation of callus
formation. In that study, which is similar to our evaluation, callus formation was
examined after expansion. In contrast, we compared US findings of midpalatal
sutural expansion during the active RPE period with those of radiographic
examinations.
24. Conclusion
US is an easy-to-use, inexpensive tool that can provide accurate information
on midpalatal sutural expansion in patients undergoing RPE. In the present
study, the accuracy of US was as high as that of radiography in the
determination of sutural expansion. A major advantage of US is that it is a real-time
imaging tool with no ionizing radiation.