Medicine and Health Sciences Commons^™

Endodontic Management Of An Unusual Mandibular First Molar With Six Canals: A Case Report And Systematic Review, Sarah Ahmad, Syed Mukhtar -Un- Nisar Andrabi, Ashok Kumar, Surendra Kumar Mishra, Rajendra Kumar Tewari

Journal of Dentistry Indonesia

The permanent mandibular first molar is frequently involved in conventional root canal treatment due to its function and position in the oral cavity. Additional root canals mandate accurate diagnosis and conservative management to prevent any procedural errors. The first independent middle mesial canal incidence was verified in mandibular molars in 1974, with a global incidence of 10.8–27.0%. Reporting of the middle distal canal in the endodontic literature is scarce, with an incidence of 0.2–3%. The present case report describes the endodontic management of an unusual permanent mandibular first molar with three canals in the mesial and distal roots, diagnosed with …

Evaluation Of Dentoskeletal And Pharyngeal Airway Changes After Treatment With Twin Block And Monoblock Appliance In Growing Patients, Esra Genc, Ahmet Karaman, Gülşah Püskül

Journal of Dentistry Indonesia

Objective: To compare of pharyngeal airway dimensions and dentoskeletal changes after treatment with twin block (TWB) and monoblock (MB) appliance in growing patients. Methods: The sample was comprised of a total of 72 patients at the ages of 10 to 13. The TWB group consisted of 36 patients (22 females, 14 males, mean age: 11.9±1.5) and MB group consisted of 36 patients (18 females, 18 males, mean age: 11.8±1.2). The linear and angular measurements were evaluated on lateral cephalometric radiographs at beginning (T0) and end of treatment (T1). Results: The amounts of increase in the inferior airway space, L1xNB, IMPA …

Stereomicroscopic Evaluation Of Dentinal Microcracks After Instrumentation Of Curved Canal With Rotary Files In Two Motions, Nupur Vasava, Shreya Modi, Chintan Joshi, Sweety Thumar, Anisha Parmar, Kruti Jadawala

Journal of Dentistry Indonesia

Objective: This study aimed to examine the effects of three distinct file systems with two motion types—rotary and reciprocation—on the development of dentinal microcracks after root canal preparation using a stereomicroscope. Methods: Sixty mandibular molars with a curvature of 30° were decoronated and divided into three groups (Vortex Blue, Mtwo, and ProTaper Next) and two subgroups (rotary and reciprocating motions). The samples were then instrumented with the files, dyed with 1% methylene blue dye, and sectioned horizontally at 3, 6, and 9 mm from the root apex. The dentinal microcracks were inspected using a stereomicroscope at 40× magnification. One-way analysis …

Effect Of Preflaring On Accuracy Of Endodontic Length Determination By Four Electronic Apex Locators, Arash Izadi, Maliheh Bayandari, Ezatolah Kazeminejad

Journal of Dentistry Indonesia

Objective: Root canal anatomy significantly impacts the working length determination. This study aimed to investigate the effect of the preflaring technique on the accuracy of four electronic apex locators. Methods: Forty-five single-canal central maxillary teeth were selected. The working length was measured before and after the coronal preparation by four types of electronic apex locators in the range of ±0.5 and ±1 mm matched for the apical constriction. The actual working length was calculated under a microscope. Data were analyzed using ICC and paired t-tests in SPSS16. A p < 0.05 was considered significant. Results: The accuracies of Root ZX, DTE, Denjoy, and Coxo apex …

Three-Dimensional Evaluation Of The Mandibular Lingula On Cone-Beam Computed Tomographic Images In The Turkish Population, Zerrin Unal Erzurumlu, Damla Torul

Journal of Dentistry Indonesia

Objective: The purpose of this study was to provide morphometric and anatomical data for mandibular lingula (Li) in The Turkish population using three dimensional-cone beam computed tomography (3D-CBCT) images. Methods: CBCT images of the patients taken between July 2020 and March 2021, were retrieved from the archival records. A total of 100 Li’s of 50 patients who met the criteria of this study were evaluated. The distances between the tip of the Li and ramal landmarks/occlusal plane were measured and the shape of the Li was evaluated on 3D-CBCT images. Results: CBCT images of the 50 patients (19 males and …

Effect Of Different Surface Treatments And Application Times On Shear Bond Strength Between Polyetheretherketone And Composite Resin, Alper Ozdogan, Basak Topdagi

Journal of Dentistry Indonesia

Objective: To investigate the effect of various surface treatments and different application times on shear bond strength between polyetheretherketone and composite resin. Methods: A total of 110 disc-shaped polyetheretherketone specimens were randomly divided into 9 groups and 4 different surface treatments (control, sandblasting, tribochemical silica coating, sulfuric acid) were applied. The sandblasting, tribochemical silica coating, and sulfuric acid processes were performed 3 different times (10s, 15s, 20s). Then, the composite resins were applied to the treated surfaces of the polyetheretherketone specimens. The shear bond strength test and scanning electron microscopy analysis were performed. The data were statistically analyzed using …

Modified Maxillary Palatal Ramp Prosthesis To Guide Mandibular Deviation Following Segmental Mandibulectomy For Squamous Cell Carcinoma, Manu Rathee, Sujata Chahal, Maqbul Alam, Prachi Jain

Journal of Dentistry Indonesia

Benign or malignant tumor is one of the frequent causes of resection of the mandible. The extent and location of the tumor decides the mode of treatment of the neoplastic lesion. Surgical removal of oral neoplasm leads to an extensive resection of the mandible along with the associated structures. Objective: This case report describes the use of palatal ramp prosthesis to guide the mandible during movements and restore a stable occlusal relationship with an additional acrylic buccal pad to achieve partial esthetics. Case Report: A 30-years-old female patient reported with the inability to chew food following the mandibular resection of …

Clinical And Radiographic Features Of Nevoid Basal Cell Carcinoma Syndrome: A Case Report, G Subhas Babu, Devika S. Pillai, Shruthi Hegde, Padmaraj Hegde, Vidya Ajila

Journal of Dentistry Indonesia

Nevoid Basal Cell Carcinoma Syndrome, also called as Gorlin Gotz syndrome is an autosomal dominant disorder characterized by the presence of multiple odontogenic keratocysts (OKCs) of the jaw, basal cell carcinomas and skeletal anomalies. Presence of multiple OKCs is the first clinical manifestation in majority of the cases. Early diagnosis and treatment are of utmost importance in reducing the severity of this syndrome. We hereby report a rare case of Gorlin Goltz syndrome in a 28 years old female patient who presented with multiple cystic lesions in the jaws. Present case also highlights the clinical, radiographic and histopathologic features of …

Clinicodemographic Characteristics Of Cutaneous Larva Migrans: A 10-Year Study In Tertiary Referral Hospital-West Java, Indonesia, Tuesi Fredella Avissa, Hendra Gunawan, Risa Miliawati Nurul Hidayah

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Cutaneous larva migrans (CLM) is the most common helminthic dermatosis caused by animal hookworm, commonly reported in tropical and subtropical regions. Most studies are on travellers returning from endemic areas, paradoxically very few reports in endemic countries, including Indonesia, where they mostly take place. This study aimed to describe the demographic and clinical characteristics of CLM patients for 10 years in a tertiary referral hospital in West Java, Indonesia.

Methods: This was a descriptive retrospective cross-sectional study. The data were obtained from the medical record of patients who was diagnosed as CLM in Tropical Dermatology Clinic Hasan …

Correlation Between Serum 25 Hydroxy-Vitamin D Levels And The Worst Pain Intensity In Postherpetic Neuralgia, Wizar Putri Mellaratna, Nelva K. Jusuf, Ariyati Yosi

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Postherpetic neuralgia (PHN) is persistent pain in the affected dermatome that occurs more than three months after the eruption of the herpes zoster has disappeared. Vitamin D has a role in Schwann cell regeneration and stimulates the release of nerve growth factors.

Methods: Blood sampling was performed to test serum 25(OH)D levels. Patients filled out their worst pain intensity using the Zoster Brief Pain Inventory questionnaire. The score was reported in Likert score (0-10), 0 indicating no pain and 10 indicating the most severe pain. Spearman correlation test was used, and p 0.05) and PHN durations (p …

Torch Re-Activation Concomitant With Drug-Induced Hypersensitivity Syndrome Shows Erythema Multiforme-Like And Vasculitis Clinical Features, Windy Keumala Budianti, Rahadi Rihatmadja, Izzah Aulia, Isaak Effendy

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Drug-induced hypersensitivity syndrome (DIHS) can be associated with cytomegalovirus (CMV) infection, besides induced by drugs. We report a case of DIHS with prolonged atypical clinical features and vasculitis precipitated by drug allergy, CMV, and other viral infections.

Case illustration: A 54-year-old female presented with generalized follicular erythematous papules and waxy palmoplantar keratoderma since one month before admission. The symptoms started as a purpuric lesion on the upper extremities, spreading as erythematous papules on the trunk with facial edema, accompanied by fever and chronic cough. She had been previously treated with ambroxol and cephalosporin. Cutaneous drug allergy reaction …

Medical Ethics Principles Underscore Advocating For Human Papillomavirus Vaccine, C Mary Healy, Lara S Savas, Ross Shegog, Rebecca Lunstroth, Sally W Vernon

Faculty, Staff and Student Publications

Studies have consistently shown that vaccination rates against human papillomavirus (HPV) lag far behind other adolescent vaccinations recommended at the same age, resulting in exposing adolescents to unnecessary future risk of infection, and genital and head and neck cancers. Studies also have demonstrated that a major barrier to vaccination is lack of a strong provider recommendation. Factors that providers offer for failing to give a strong recommendation range from perception that the child is not at risk or the need to explain that the vaccine is not mandated (lack of equity and justice) or respect for parental autonomy. We look …

Neighborhood And Environmental Predictors Of At-Risk And Problem Gambling In Massachusetts, Kendra E. Pugh

Graduate Doctoral Dissertations

Despite the widespread impact and negative effects of problem gambling (PG), limited attention has been paid to the environment where PG occurs. This study investigated the relationship between gambling on lottery and the zip code where gambling occurs, as well as the influence of individual-level characteristics that predict at-risk or problem gambling (AR/PG), among Massachusetts residents. A GIS analysis was conducted to identify vulnerable areas based on neighborhood characteristics, lottery sales, and AR/PG. Overall, residents of disadvantaged areas did not spend more money on lottery or have more lottery agents than residents of less disadvantaged areas. Some indicators of disadvantage …

Comparison Of Ultrasonography And Cone Beam Computed Tomography In The Differential Diagnosis Of Periapical Lesions: A Prospective Radiopathological Study, Gozde Serindere, Ceren Aktuna Belgin, Mert Bulte, Didar Gursoy, Fariz Salimov

Journal of Dentistry Indonesia

Objective: The aim of this study is to evaluate the correlation between ultrasonography (USG) and cone beam computed tomography (CBCT) and the accuracy between histopathological diagnosis and preliminary diagnosis in the diagnosis of periapical lesion. Methods: 20 patients with periapical lesion in the jaw, were included in the study. The presence of expansion or perforation and dimensions of the lesion were performed with CBCT. In the examination of the lesion with USG, shape, echogenicity, vascularization of the lesion and the presence of buccal expansion and perforation, were determined. Subsequently, a biopsy was taken from the lesion for histopathological examination and …

A Pilot Intervention Combining Assessment And Feedback With Communication Training And Behavioral Nudges To Increase Hpv Vaccine Uptake., Andrea Bradley-Ewing, Brian R. Lee, Jason N. Doctor, Georgann Meredith, Kathy Goggin, Angela Myers

Manuscripts, Articles, Book Chapters and Other Papers

Human papillomavirus (HPV) causes >40,000 cancer diagnoses each year, yet vaccination rates remain low because widespread implementation of strategies to increase vaccinations has not occurred. Behavioral nudges have demonstrated efficacy in improving uptake of desired behaviors in health care settings but have not been tested for increasing HPV vaccinations. We assessed the impact of an intervention combining behavioral nudges with other proven strategies (i.e., assessment and feedback, provider communication training) on HPV vaccination rates and parental satisfaction in four Midwestern pediatric, outpatient practices. Practices were randomly assigned to receive either assessment and feedback or assessment and feedback combined with vaccine …

Host-Pathogen Interactions In A Changing World: Microbes, Mucosal Defenses, And Multiple Hosts, Brandon C. Labumbard

Graduate Doctoral Dissertations

As fungal diseases continue to emerge, research increasingly focuses on host-microbiome interactions and links to disease. Certain skin-associated microbes may benefit hosts by protecting them from invading pathogens. Seasonal changes in the host environment can also result in shifts in the microbial community and pathogen virulence – potentially influencing disease dynamics. I investigated how cutaneous microbial communities differ across hosts, seasons, and Batrachochytrium dendrobatidis (Bd) infection status by sequencing the microbial communities of 1,100 leopard frogs at five locations across the US. Percent anti-Bd function varied seasonally and with Bd infection status. Bacterial communities also varied across locations and time. …

Loss Of Ubiquitin-Specific Peptidase 18 Destabilizes 14-3-3Ζ Protein And Represses Lung Cancer Metastasis, Zibo Chen, Lin Zheng, Yulong Chen, Xiuxia Liu, Masanori Kawakami, Lisa Maria Mustachio, Jason Roszik, Katherine V Ferry-Galow, Ralph E Parchment, Xin Liu, Thorkell Andresson, Gerard Duncan, Jonathan M Kurie, Jaime Rodriguez-Canales, Xi Liu, Ethan Dmitrovsky

Faculty, Staff and Student Publications

Cancer metastasis is a major cause of cancer-related mortality. Strategies to reduce metastases are needed especially in lung cancer, the most common cause of cancer mortality. We previously reported increased ubiquitin-specific peptidase 18 (USP18) expression in lung and other cancers. Engineered reduction of USP18 expression repressed lung cancer growth and promoted apoptosis. This deubiquitinase (DUB) stabilized targeted proteins by removing the complex interferon-stimulated gene 15 (ISG15). This study explores if the loss of USP18 reduced lung cancer metastasis. USP18 knock-down in lung cancer cells was independently achieved using small hairpin RNAs (shRNAs) and small interfering RNAs (siRNAs). USP18 knock-down reduced …

Social Media For Research Discourse, Dissemination, And Collaboration In Rheumatology, Ariella Coler-Reilly, Elizabeth R. Graef, Alfred H J Kim, Jean W. Liew, Michael S. Putman, Sebastian E. Sattui, Kristen J. Young, Jeffrey A. Sparks

2020-Current year OA Pubs

Social media has become an important venue for rheumatologists, patients, organizations, and other stakeholders to discuss recent research advances in diagnosis and management of rheumatic disorders. In this article, we describe the current state of how social media may enhance dissemination, discourse, and collaboration in rheumatology research. Social media may refer to social platforms like Twitter and Instagram or digital media like podcasts and other websites that are operated for providing as free, open-access medical education (FOAM). Twitter has been one of the most active social media venues and continues to host a vibrant rheumatology community. Examples of research discussions …

Simulation Of Blood Inventory Management: Case Of The Indonesian Red Cross Jakarta Branch, Azaria Ekaputri, Ratih Dyah Kusumastuti

Journal of Environmental Science and Sustainable Development

With around 5.6 million tons of annual plastic consumption and merely 7 percent plastic recycling rate, Indonesia is facing a plastic pollution crisis. The recent progress of Indonesia’s recycling industries has provided an asset to address this crisis. In 2017, the domestic post-consumption plastic waste could only fulfil around 24 percent the domestic needs for recycled plastic, which stands at 1.65 million ton/year. Leveraging the plastic waste ‘asset’ through circular economy can fill this demand gap. A five-month study was conducted to analyse the recycling rate of Polyethylene terephthalate (PET) and Polypropylene (PP)-based beverage plastic packaging in Greater Jakarta Metropolitan …

The Potencial Of Ginger (Zingiber Officinale R.) As A Standardized Herbal Product In North Sumatera, Rahmad Syukur Siregar, Rika Ampuh Hadiguna, Insannul Kamil, Novizar Nazir, Nofialdi Nofialdi

Journal of Environmental Science and Sustainable Development

Indonesia has more than 9,609 plant species which have medicinal properties that is spread across various regions in Indonesia. Ginger is a group of medicinal plants that are therapeutic. Ginger has been cultivated on a large scale with the highest harvested area, total production and demand in Indonesia, including the Province of North Sumatra. The use of ginger as a medicinal plant has been carried out on the scale of the Traditional Medicine Industry (IOT), of which there are 135 IOTs in Indonesia and one of them is in North Sumatra, namely in the city of Medan. This article uses …

A Comparison Of Techniques Of Boron Removal From Water And Wastewater, Abdolmajid Fadaei

Journal of Environmental Science and Sustainable Development

Boron is a vital trace element required by plants, humans, and animals. It is also a significant element used in several industries. Along with the widespread usage of boron, boron waste progressively contaminates the potable water sources as well as causing a chain of environmental and health challenges to occur. This study reviews the techniques used for boron removal from aqueous solutions, including ion exchange, resin adsorption, reverse osmosis (RO), electrocoagulation, microfiltration, chemical coagulation, solvent extraction, electro dialytic, and hybrid processes. A review search was carried out from the databases Scopus, PubMed, Web of Knowledge, and Embase using the following …

Achieving The Sdgs Targets: Women’S Autonomy And The Continuum Of Maternal And Child Health Services Utilization In Indonesia Using Idhs 2017, Izzun Nafiah, Omas B. Samosir, Prani Sastiono

Journal of Environmental Science and Sustainable Development

A reduction of child and maternal mortality is among the targets of the Sustainable Development Goals (SDGs), namely the third goal. An important determinant of child and maternal mortality risk is the utilization of maternal and child health (MCH). This study aims to analyze the relationship between women's autonomy and the continuum of MCH services utilization in Indonesia using IDHS 2017. The unit of analysis was women of childbearing age who were married or living together, gave birth to at least one child in the five years before the survey, and had the last child aged 1 to 3 years, …

Health Outcomes Of Fitbit, Garmin Or Apple Watch-Based Interventions: A Systematic Review Of Systematic Reviews, Hossein Motahari-Nezhad, Fateme Zare, Hadi Akbari, Aslan Sadeghdaghighi

Baltic Journal of Health and Physical Activity

Introduction: A rising number of systematic reviews of smartwatch clinical effectiveness have been published; however, the findings are conflicting and need further investigation. Our purpose was to assess the methodological and evidence synthesis quality of meta-analyses of the therapeutic efficacy of Fitbit, Garmin, or Apple Watch-based interventions. Material and Methods: Systematic searches were carried out with three electronic databases from inception to October 2021. Full text systematic reviews originally published in English in peer-reviewed journals describing meta-analyses of all clinical outcomes of Fitbit-, Garmin-, or Apple Watch -based interventions were eligible for this study. The Amstar-2 scale and GRADE were …

The Effect Of Core Training On Dynamic Balance And Strength Endurance In Junior Field Hockey Players, Senthilkumar Ramasamy, John Franklin, Pitchaimani Govindhara, Suganya Panneerselvam

Baltic Journal of Health and Physical Activity

Introduction: The objective of this study is to find the effectiveness of core muscle strength training on dynamic balance and muscle endurance among junior field hockey players. Material and Methods: The study was conducted with 30 regular junior hockey players (15 in the control group and another 15 in the experimental group). The modified Star Excursion Balance Test (mSEBT) and Biering-Sorensen muscle endurance tests are used to assess dynamic balance and endurance. In the control group, the participants continued their formal training without undergoing any intervention. At the same time, the players in the experimental group performed the core muscle …

Medicine's Roots: Through The Banyan Trees, Emily E. Klosterman

HCA Healthcare Journal of Medicine

I started residency before the COVID-19 pandemic, at a time when we were able to see our patient’s faces without masks, give reassuring smiles, and sit closely while discussing a difficult diagnosis. Little did I know that in 2019, the way we practice would change overnight, as an unprecedented virus took hold. We could no longer see our patients’ faces, reassuring smiles were hidden by masks, and close conversations were held at a distance. Our homes became our claustrophobic havens, and the hospitals were saturated with patients.

Driven by a deep-rooted need to assist others, we continued onward. As life …

An Introduction To Reviewing Research Articles For Academic Journals, William B. Dehart, Edward Griffin, Shala Sundaram, Brian E. Wood, Michael G. Flynn

HCA Healthcare Journal of Medicine

Among the pillars of science is the galvanizing process of peer review. Editors of medical and scientific publications recruit specialty leaders to evaluate the quality of manuscripts. These peer reviewers help to ensure that data are collected, analyzed, and interpreted as accurately as possible, thereby moving the field forward and ultimately improving patient care. As physician-scientists, we are given the opportunity and responsibility to participate in the peer review process. There are many benefits to engaging in the peer review process including exposure to cutting-edge research, growing your connection with the academic community, and fulfilling the scholarly activity requirements of …

Suspected Anaphylactic Reaction Following Second Dose Of The Pfizer-Biontech (Bnt162b2) Coronavirus Vaccine In A Geriatric Female, Angelina Hong, Giezy Sardinas

HCA Healthcare Journal of Medicine

Anaphylaxis is a rare but serious adverse reaction that can occur following mRNA-based vaccination against coronavirus (COVID-19). This is a case of a geriatric patient presenting with hypotension and an urticarial rash with bullous lesions following a syncopal episode with incontinence. She received the second dose of the Pfizer-BioNTech (BNT162b2) COVID-19 vaccine three days prior, and first developed the skin abnormalities the morning after receiving the vaccine. She had no past history of anaphylaxis or allergies to vaccinations.

Her presentation met the diagnostic criteria for anaphylaxis, according to the World Allergy Organization: she had acute onset illness involving the skin …

Acute Thrombotic Thrombocytopenic Purpura: Rare And Life-Threatening Side Effect Of Recent Bnt-162b2 Covid-19 Vaccination, Jay Patel, Muhammad Umair Jahngir, Ahmad Abdulzahir, Ismael Rodriguez

HCA Healthcare Journal of Medicine

Thrombotic thrombocytopenic purpura (TTP) is a rare, potentially life-threatening disorder characterized by uncontrolled and spontaneous clot formation throughout the body. Known secondary causes of TTP include malignancy, bone marrow transplantation, pregnancy, various medications, and HIV infection. TTP in the setting of COVID-19 vaccination is rare and not well reported. Reported cases have been confined primarily to the AstraZeneca and Johnson and Johnson COVID-19 Vaccines. TTP in the setting of Pfizer BNT-162b2 vaccination has only recently been reported. We present a patient with no obvious risk factors for TTP who presented with acute altered mental status and was found to have …

Congenital Giant Juvenile Xanthogranuloma, Let It Be, Michael Carletti, Daniel A. Nguyen, Joseph S. Susa, Stephen E. Weis

HCA Healthcare Journal of Medicine

Juvenile xanthogranuloma (JXG) is a rare type of non-Langerhans cell histiocytosis. JXGs are benign and have a self-limiting course generally lasting 6 months to 3 years, with some reported durations longer than 6 years. We present a rarer congenital giant variant, defined as lesions with a diameter larger than 2 cm. It is uncertain if the natural history of giant xanthogranulomas is similar to the usual JXG. We followed a 5-month-old patient with a 3.5 cm in diameter, histopathologically-confirmed, congenital, giant JXG located on the right side of her upper back. The patient was seen every 6 months for 2.5 …

Vertical Transmission Of Sars-Cov-2 In A Twin Pregnancy, Tiffany C. Chang, Rebecca F. Herbert, Stacey N. Tran, Victoria M. Weprinsky, Bhaskari Burra, Chi Dola

HCA Healthcare Journal of Medicine

Transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first identified in 2019 and rapidly evolved into the global coronavirus disease 2019 (COVID-19) pandemic. The emergence of a highly morbid disease has posed ongoing challenges in the diagnosis, management, and prevention of COVID-19. The uncertainty underlying medical decision making is further compounded by preexisting conditions, including pregnancy. Here, we report a twin pregnancy complicated by maternal COVID-19 and the vertical transmission of SARS-CoV-2. We hope that our experiences contribute to a better understanding of the disease in pregnancy and, ultimately, guide the development of effective treatment and prevention …