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Dr NAVEEN GOKUL R, BDS This document explores the innovative integration of Computer-Aided Design and Computer-Aided Manufacturing (CAD/CAM) technology in the field of prosthodontics, particularly in the fabrication of dentures. It discusses the evolution of traditional denture-making techniques and the benefits offered by CAD/CAM systems in terms of precision, customization, efficiency, and patient satisfaction. Additionally, it highlights the impact of CAD/CAM dentures on clinical workflows, prosthetic design, material selection, and patient outcomes. Through a comprehensive review of current research and clinical applications, this document aims to provide insights into the transformative role of CAD/CAM technology in modern prosthodontics. Introduction: The field of prosthodontics has witnessed remarkable technological advancements in recent years, with CAD/CAM systems revolutionizing the way dentures are designed and manufactured. Traditional methods of denture fabrication often involved multiple manual steps, leading to inconsistencies in fit, aesthetics, and functionality. CAD/CAM technology has overcome these limitations by enabling digital workflows that streamline the entire process, from initial impression-taking to final prosthesis delivery. This document explores the evolution of CAD/CAM dentures, their advantages over conventional techniques, and their implications for both clinicians and patients. Evolution of CAD/CAM Dentures: Historically, the fabrication of dentures relied heavily on manual techniques, such as hand waxing, flasking, and processing. While these methods served their purpose, they were labor-intensive, time-consuming, and prone to errors. The introduction of CAD/CAM technology revolutionized the field by introducing digital workflows that optimize every stage of the denture-making process. Initially used for crown and bridge restorations, CAD/CAM systems were later adapted for removable prosthodontics, including complete and partial dentures. Today, CAD/CAM dentures represent the pinnacle of precision and customization in prosthodontic care. Benefits of CAD/CAM Dentures: CAD/CAM dentures offer numerous advantages over traditional fabrication techniques. One of the primary benefits is enhanced precision, as digital impressions and virtual design tools enable clinicians to achieve optimal fit and aesthetics. Moreover, CAD/CAM systems facilitate greater customization, allowing for individualized tooth morphology, occlusal schemes, and gingival contours. This level of personalization enhances patient comfort and satisfaction while minimizing the need for adjustments post-insertion. Additionally, CAD/CAM technology enables efficient chairside or laboratory-based production, reducing turnaround times and enhancing productivity for dental practices. Clinical Applications and Workflow Integration: The integration of CAD/CAM technology into clinical practice

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Title: Application of Checklist-Based Nursing Care Process in Patients Undergoing Intervention for Coronary Chronic Total Occlusion: A Quasi-Randomized Study Presenter: Sonia Pal, M.Sc. Nursing 2nd Year Journal: BMC Nursing (2023) Authors: Xia Ge, Haiyang Wu, Zhe Zang, and Jiayi Xie DOI: 10.1186/s12872-023-03627-8 Study Overview: This presentation focuses on the effectiveness of a checklist-based nursing care process for patients undergoing interventions for coronary chronic total occlusion (CTO). The study employs a quasi-randomized design to assess improvements in patient care outcomes. Key Points: Background: CTO interventions are complex, and traditional nursing methods have not been highly effective, necessitating the exploration of new approaches. Objective: To investigate the effectiveness of a checklist-based nursing care process in improving care quality, reducing patient anxiety, increasing patient satisfaction, and minimizing adverse events. Methodology: Design: Quasi-randomized study Setting: Department of Cardiology, Shengjing Hospital, China Medical University, Shenyang, China Participants: 120 patients undergoing CTO interventions Groups: Intervention group (checklist-based care) and control group (standard care) Tools: Preoperative and postoperative PCI nursing care checklists, Zung Self-Rating Anxiety Scale, satisfaction questionnaires for doctors and patients Ethical Considerations: The study adhered to the Declaration of Helsinki, with informed consent obtained from all participants. Results: The study aimed to demonstrate that checklist-based nursing care could enhance nursing efficiency and patient outcomes compared to conventional methods. Quality Control: A quality control team ensured adherence to the checklist and study protocol, with regular training and supervision of nursing staff. Conclusion: The presentation concludes with findings supporting the effectiveness of checklist-based nursing care in CTO interventions, suggesting improvements in patient care processes and outcomes. The study highlights the importance of structured nursing protocols in complex medical procedures.

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Gait deviations in transtibial amputations involve altered biomechanics and asymmetries. Research highlights that spatiotemporal gait parameters are affected, with reduced propulsive force, knee extension moment, and increased knee abduction moment in the amputated leg. Additionally, individuals with transtibial amputations exhibit shorter stance times, longer swing times, and larger step lengths compared to able-bodied individuals. These deviations can lead to asymmetrical loads, potentially causing issues like osteoarthritis or lower back pain. Furthermore, gait asymmetry in transtibial amputees is associated with poor functional outcomes, impacting performance-based physical function tests like the Timed Up and Go, the 10-Meter Walk Test, and the 6-Minute Walk Test. Understanding these gait abnormalities is crucial for tailored interventions and prosthetic design to improve outcomes for individuals with transtibial amputations.

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