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1.
Int J Dent Hyg ; 22(1): 56-64, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37694518

RESUMO

INTRODUCTION: This systematic review and meta-analysis tests the effectiveness of dental water jet (DWJ) with manual toothbrushes (MTB) compared to MTB alone in oral health maintenance in orthodontic patients. METHODS: Four databases were systematically searched: PubMed, Scopus, Web of Science (WoS) and Cochrane Library until 6 January 2022 using a combination of medical subject heading (MeSH) terms and keywords. Randomized clinical trials (RCTs) were only included and critically appraised using the Cochrane Risk of Bias (ROB) tool. The mean difference (MD) effect measure was calculated using the Mantel-Haenszel statistical test (95% confidence interval [CI]) to compare both study groups (p-value < 0.05). RESULTS: After reviewing 5881 studies from a systematic search, six were selected for inclusion, with four involved in the quantitative analysis. The risk of bias was low in two studies, moderate in two studies and high in the remaining two studies. The meta-analysis showed a significant improvement in plaque index and bleeding scores in DWJ + MTB group compared MTB alone group in orthodontic patients with generalized gingivitis (MD = -0.75, 95% CI [-1.29, -0.22], p = 0.006) and (MD = -0.17, 95% CI [-0.27, -0.08], p = 0.0003), respectively. However, no significant improvement was detected between both groups in the gingival index. CONCLUSIONS: The use of DWJ as an adjunctive device in addition to MTB can be an effective strategy for maintaining oral hygiene in orthodontic patients with gingivitis. However, more high-quality RCTs are needed to confirm the findings.


Assuntos
Placa Dentária , Gengivite , Humanos , Placa Dentária/prevenção & controle , Água , Ensaios Clínicos Controlados Aleatórios como Assunto , Higiene Bucal , Hemorragia Gengival , Índice de Placa Dentária
2.
Molecules ; 28(14)2023 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-37513415

RESUMO

Colon cancer is one of the most common types of cancer worldwide, and its incidence is increasing. Despite advances in medical science, the treatment of colon cancer still poses a significant challenge. This study aimed to investigate the potential protective effects of Adiantum pedatum (AP) extract and/or piceatannol on colon cancer induced via phenylhydrazine (PHZ) in terms of the antioxidant and apoptotic pathways and histopathologic changes in the colons of male albino rats. The rats were randomly divided into eight groups: control, AP extract, piceatannol (P), PHZ, PHZ and AP treatments, PHZ and P treatments, PHZ and both AP and P, and PHZ and prophylaxis with both AP and P. The results demonstrated that PHZ induced oxidative damage, apoptosis, and histopathological changes compared to the control group. However, the administration of AP or P or AP + P as therapy or prophylaxis significantly ameliorated these changes and upregulated the colonic mir-145 and mRNA expression of P53 and PDCD-4 while downregulating the colonic mRNA expression of PI3K, AKT, c-Myc, CK-20, SOX-2, OCT-4, and NanoG compared to the PHZ group. These findings suggest that the candidate drugs may exert their anti-cancer effects through multiple mechanisms, including antioxidant and apoptotic activities.


Assuntos
Adiantum , Neoplasias do Colo , MicroRNAs , Ratos , Masculino , Animais , Proteínas Proto-Oncogênicas c-akt/metabolismo , Proteína Supressora de Tumor p53/genética , Adiantum/metabolismo , Antioxidantes/farmacologia , Neoplasias do Colo/induzido quimicamente , Neoplasias do Colo/tratamento farmacológico , Neoplasias do Colo/metabolismo , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico , MicroRNAs/genética , Fenil-Hidrazinas , RNA Mensageiro
3.
Artigo em Inglês | MEDLINE | ID: mdl-38091274

RESUMO

This study aimed at investigating the effect of hydrolyzed soya lecithin; also called lysolecithin or lysophosphatidylcholine, on growth performance, caecal microbiota and fat depots in pre-breeding primiparous rabbits does. For this, 60 V-Line primiparous rabbits does (5-6 months) were used in a 30-day experiment. Does were allotted into three iso-nitrogenous iso-caloric dietary treatments (n = 20/group) as follows: (1) CON received 0% soya lecithin, (2) LECL group was fed a basal diet supplemented with 0.5% soya lecithin and (3) LECH group was fed a basal diet supplemented with 1% soya lecithin. Growth performance indices were measured, caecum samples were collected for measurement of specific bacteria via qPCR, and several fat depots including periovarian fat were sampled for adipocyte morphometry and fatty acid profiling. Statistical analysis was performed using GLM procedures of SAS v9.4. Soya lecithin increased feed intake (p < 0.05). The abundance of caecal Bifidobacteria species, Ruminococcus species and phylum Butryvibrio-specific genes increased (p < 0.05) in rabbits receiving soya lecithin in their diet, soya lecithin increased the level of polyunsaturated fatty acids in subcutaneous and perirenal fat (p < 0.05) and increased the level of monounsaturated fatty acids in periovarian fat (p < 0.05); additionally, the adipocyte area increased in periovarian and perirenal fat (p < 0.05). In conclusion, soya lecithin at a dose of 0.5% increased feed intake and energy storage in adipocytes and improved the fatty acid profile of periovarian fat.

4.
Georgian Med News ; (328-329): 115-117, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36318853

RESUMO

Adropin is a peptide hormone that was first identified in 2008 and was first thought to have a significant role in the balance of fatty acids and glucose in peripheral tissues. We look at the relationship between adropin and diabetes individuals' ischemic heart disease. The objective of the study is to evaluate the serum adropin level as a potential indicator of ischemic heart disease in people with type 2 diabetes mellitus. The 90 participants in this case-control study were split into three groups: Group (I) consisted of 30 T2DM patients with ischemic heart disease Group (II) consisted of 30 T2DM patients without ischaemic heart disease Group (III) consisted of 30 healthy persons as the control group. HbA1c, lipid profile (cholesterol, triglycerides, LDL-C, HDL), HOMA IR serum creatinine, AST, ALT, and serum adropin were also evaluated. Fasting plasma glucose, 2h postprandial plasma glucose, Carotid artery intimal thickness using ultrasound, and Carotid artery intimal thickness were also measured. Patients with diabetes who did not have ischemic heart disease had a statistically significant rise in serum Adropin hormone (p value 0.001), with values of (26.867 10.037) ng/L and (87.500 40.509) ng/L, respectively. Additionally, there was a bad correlation between serum adropin and CIMT and fasting insulin. Assessment of serum adropin levels may serve as a risk indicator for the emergence of ischemic heart disease in people with type 2 diabetes mellitus.


Assuntos
Diabetes Mellitus Tipo 2 , Isquemia Miocárdica , Humanos , Glicemia , Estudos de Casos e Controles , Peptídeos , Proteínas Sanguíneas , Peptídeos e Proteínas de Sinalização Intercelular , Fatores de Risco
5.
Transp Policy (Oxf) ; 110: 181-190, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35721253

RESUMO

This paper reflects on the mobility experiences of women in African cities in COVID-19, based on research conducted both prior to and following entry into the COVID-19 'moment'. It draws on material collected during an ongoing action research study aimed at addressing the everyday transport and mobility challenges faced by young women living in poor peripheral communities of three African cities - Abuja, Cape Town and Tunis. The project has the specific objective of supporting young women's improved access to employment opportunities through trialling various mobility/transport-related skills interventions (based on prior in-depth analysis of mobility constraints). With the onset of COVID-19 some readjustments to the research focus and planned interventions became necessary. The research teams, together with an NGO partner, are now working to chart how young women's everyday experiences of mobility and transport - both as transport users and as transport sector workers - are changing as processes of lockdown and their relaxation evolve. The paper covers the period from early 2019 through to March 2021, and offers reflections regarding 'lived experiences' of mobility practice pre-pandemic, during the pandemic, and the potential longer-term mobility-related impacts for women resident in low-income neighbourhoods in a post-COVID-19 era. This leads to consideration of key policy lessons. There is potential for prioritisation of Non-Motorised Transport interventions towards a green restart that would benefit women (for instance through promoting women's cycling), and for growing women's participation as transport operators, even perhaps the usage of drones to aid women's safer pedestrian travel. But such interventions will require far greater representation of women in COVID-19 and wider transport decision-making entities than has hitherto been the case.

6.
Can J Infect Dis Med Microbiol ; 2021: 6656092, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33884042

RESUMO

BACKGROUND: Timely detection of the progression of the highly contagious coronavirus disease (COVID-19) is of utmost importance for management and intervention for patients in intensive care (ICU). AIM: This study aims to better understand this new infection and report the changes in the various laboratory tests identified in critically ill patients and associated with poor prognosis among COVID-19 patients admitted to the ICU. METHODS: This was a retrospective study that included 160 confirmed SARS-CoV-2-positive patients. RESULTS: Elevated serum ferritin, D-dimer, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and nonconjugated bilirubin levels were present in 139 (96%), 131 (96%), 107 (68%), 52 (34%), and 89 (70%) patients, respectively. Renal parameters were abnormal in a significant number of cases with elevated creatinine and blood urea nitrogen in 93 (62%) and 102 (68%) cases, respectively. Hematological profiles revealed lower red blood cell count, hemoglobin, eosinophils, basophils, monocytes, and lymphocytes in 90 (57%), 103 (65%), 89 (62%), 105 (73%), 35 (24%), and 119 (83%) cases, respectively. The neutrophil count was found to increase in 71.3% of the cases. There was significantly higher mortality (83%) among patients older than 60 years (p=0.001) and in female patients (75%) (p=0.012). Patients with lung diseases had a poor outcome compared to patients with other comorbidities (p=0.002). There was a significant association between elevated D-dimer levels and increased mortality (p=0.003). Elevated levels of AST, creatinine, blood urea nitrogen, and bilirubin were significantly associated with unfavorable outcomes. CONCLUSION: Different parameters can be used to predict disease prognosis, especially the risk of poor prognosis. Accurate diagnosis and monitoring of disease progression from the early stages will help in reducing mortality and unfavorable outcomes.

7.
J Microsc ; 273(2): 135-147, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30474855

RESUMO

The importance of angular resolution in EBSD analyses is discussed based on an Inconel 718 sample containing several populations of recrystallized grains, with subtle differences in dislocation contents. Classical EBSD analyses (with angular resolution in the range of 0.5-1°) do not allow for distinguishing recrystallized grains grown dynamically or post-dynamically. The angular resolution of EBSD orientation and misorientation data can be significantly improved (down to about 0.1-0.2°) either using more sophisticated Kikuchi pattern indexing methods and/or using the recently proposed LLASS denoising filter (Local Linear Automatic Smoothing Splines). Then the coexistence of both dynamically and post-dynamically recrystallized grains in the sample can be confirmed and quantified. ECCI images unambiguously confirm the conclusions drawn from the analysis of improved angular resolution EBSD data, and furthermore reveal the presence of thermal stress induced dislocations with typical patterns in water quenched Inconel 718 recrystallized grains. LAY DESCRIPTION: EBSD is widely used to study recrystallization phenomena. Conventional EBSD is nevertheless not able to distinguish dynamic recrystallized grains from post-dynamic recrystallized grains which differ by subtitle differences in dislocation contents. In this paper, we show that improving the orientation precision of EBSD data by means of different methods allows distinguishing these two recrystallized grains populations. Analyses and discussion are based on an Inconel 718, a famous Nickel-based superalloy in aeronautic.

8.
Lupus ; 27(7): 1198-1201, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29320975

RESUMO

A 30-year-old female presented to the rheumatology outpatient clinic of the Internal Medicine Department, Ain Shams University Hospital, Cairo, Egypt, complaining of a large right leg ulcer consistent with pyoderma gangrenosum. There was history of recurrent attacks of bleeding per rectum of one-year duration. During hospitalization she noticed blurring of vision in the left eye with diffuse blackish discoloration of the feet and toes, consistent with small-vessel vasculitis. Colonoscopy with biopsy and histopathology confirmed the diagnosis of inflammatory bowel disease-ulcerative colitis (IBD-UC). Meanwhile, the patient fulfilled the SLICC classification criteria for systemic lupus erythematosus (SLE): recurrent oral ulcers, positive antinuclear antibody testing, proteinuria >0.5 gm/24-hour urine, positive test for lupus anticoagulant and consumed C3 complement component. Herein we report a rare case of coexistence of SLE and IBD-UC.


Assuntos
Colite Ulcerativa/complicações , Lúpus Eritematoso Sistêmico/complicações , Adulto , Colite Ulcerativa/diagnóstico , Colonoscopia , Feminino , Humanos , Inibidor de Coagulação do Lúpus/análise , Lúpus Eritematoso Sistêmico/sangue , Lúpus Eritematoso Sistêmico/diagnóstico
9.
J Med Ultrasound ; 25(1): 40-46, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-30065453

RESUMO

BACKGROUND: In the past 2 decades, there has been increasing interest in calprotectin. It is released and detected in serum and body fluids as a potentially useful clinical inflammatory marker. The protein has been described in synovial tissue in rheumatoid arthritis (RA) patients, specifically in the lining layer adjacent to the cartilage-pannus junction, which is the primary site of cartilage destruction and bone erosion. Assessment of inflammatory activity in RA is of pivotal importance for the optimal treatment. Our aim in this study is to measure the serum calprotectin levels in RA patients and to assess its association-if there is any-with disease activity score and radiological findings using the musculoskeletal ultrasound. PATIENTS AND METHODS: In our case control study, we included 44 RA patients (Group I) and 20 age- and sex-matched healthy volunteers who served as the control group (Group II). Both groups were subjected to full history taking and thorough clinical examination. Assessment of RA disease activity state was done for all RA patients using the Disease Activity Score 28. Laboratory investigations included the measurement of complete blood cell count, erythrocyte sedimentation rate, C-reactive protein, rheumatoid factor, anticitrullinated peptide antibodies, kidney, liver functions; serum calprotectin levels were determined using enzyme-linked immunosorbent assay and radiological joint assessment was done using musculoskeletal ultrasound score. RESULTS: There was a statistically significant elevation of serum calprotectin levels among RA patients when compared with healthy controls. Statistically significant correlations were also found between serum calprotectin and the ultrasound grading score, Disease Activity Score 28, and erythrocyte sedimentation rate, which reflect the degree of inflammatory activity in the affected joints in RA patients. Moreover, the study yielded a significant correlation between serum calprotectin levels and rheumatoid autoantibodies (rheumatoid factor and anticitrulli-nated peptide antibodies), which are strong predictors of the aggressiveness of the disease. Serum calprotectin at a cutoff level of 93.9 µg/dL had 88.6% sensitivity and 100% specificity for diagnosis of RA. CONCLUSION: Calprotectin was found to have high association with laboratory and ultrasonography markers of inflammation in RA patients, so it is recommended for use as a marker of inflammatory activity in RA patients especially for the follow-up of patients on biological therapy to assess its efficacy.

10.
East Mediterr Health J ; 21(3): 155-63, 2015 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-26074215

RESUMO

Few studies have explored the informed consent process among research participants in developing countries. This study aimed to evaluate the informed consent process, therapeutic misconception and motivation for participation among Egyptians participating in clinical trials. In a cross-sectional qualitative pilot study 103 participants in 10 clinical trials responded to a questionnaire. Over 90% agreed they had time to ask questions and received adequate information about the risks prior to consenting. All participants thought the research and the drug would improve their condition; only 46.1% were aware of receiving a non-approved experimental drug and 21.3% of being randomized. Reasons for participation included: better treatment (100%), to benefit society & advance science (85.4%), to receive free drugs (42.6%) and medical care (43.6%), to get hospitalized (15.8%) and to receive money or gifts (4.9%). Investigators need to emphasize the distinction between research and clinical care to address the high rate of therapeutic misconception.


Assuntos
Consentimento Livre e Esclarecido , Sujeitos da Pesquisa/psicologia , Mal-Entendido Terapêutico , Adulto , Ensaios Clínicos como Assunto , Países em Desenvolvimento , Método Duplo-Cego , Egito , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Projetos Piloto , Pesquisa Qualitativa , Inquéritos e Questionários
11.
Radiography (Lond) ; 30(2): 567-573, 2024 03.
Artigo em Inglês | MEDLINE | ID: mdl-38286039

RESUMO

INTRODUCTION: Infection prevention and control (IPC) is crucial in safeguarding patient safety and minimizing the risk of healthcare-associated infections. AIM: The study investigated infection prevention and control measures for diagnostic imaging departments at governmental hospitals in the Gaza Strip, Palestine. METHODS: The study design was a cross-sectional analytical study. The sample included all radiographers (81) and radiologists (40) working at Al Shifa Medical Complex and European Gaza Hospital (EGH). Data was collected using an interview questionnaire (121) and an observation checklist. Data analysis was conducted using SPSS 26, and the result was significant (P < 0.05). RESULTS: Only 27.3 % of the participants revealed the availability of training courses for IPC. More than half of the participants received their last training sessions one year ago, and most of them attended five basic in-service training sessions related to IPC. Radiologists' and medical radiographers' knowledge and practice scores regarding IPC measures were 85.3 % and 61.7 %, respectively, and there were statistically significant differences between the participants' practice domain and their years of experience (p-value .014). There is inadequate hand hygiene among radiographers in the radiology department, and only 29 % of the staff washed their hands immediately upon arrival at the unit. The total score of the Hand Hygiene Self-Assessment Framework domains is almost equal at the two hospitals (280/500). The total score of the eight domains of the IPC Assessment Framework is 568.5/800 for Al Shifa Hospital and 516/800 for EGH, which indicates an intermediate IPC level. CONCLUSION: Efforts are needed to enhance the scope and quality of implementation and to concentrate on creating long-term plans to sustain and promote the existing IPC program activities. IMPLICATIONS FOR PRACTICE: Regular assessments should be conducted to monitor progress, identify gaps, and guide quality improvement efforts. Assessment feedback should be used to develop targeted interventions and continuously enhance IPC measures.


Assuntos
Hospitais Públicos , Controle de Infecções , Humanos , Estudos Transversais , Controle de Infecções/métodos , Oriente Médio , Diagnóstico por Imagem
12.
Mar Pollut Bull ; 198: 115924, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38103499

RESUMO

Throughout the year, people flock to the Red Sea's shoreline for tourism and fishing. The current study aims to document heavy metal contamination and human health assessment in 30 surface sediment samples collected along the Hurghada shoreline in Egypt. To estimate sediment contamination, the pollution index (PI), pollution load index (PLI), degree of contamination (Cdeg), and Nemerow integrated pollution index (NIPI) were calculated, while the chronic daily intake (CDI), hazard index (HI), cancer risk (CR), and total lifetime cancer risk (LCR) were determined on both adults and children via ingestion, dermal, and inhalation pathways. The HM averages (µg/g dry weight) were in the following order: Fe (345.70) > Mn (49.36) > Pb (41.98) > Zn (7.47) > Ni (1.73) > Cu (1.23) > Co (1.09) > Cd (0.14). Pollution indices found that Hurghada coastal sediments were moderately polluted with Pb but not with the other HMs. The average CDI values were in the descending order of ingestion > dermal > inhalation pathways, and the average CDI values on children were higher than those on adults. The hazard index (HI) for adults and children was Pb > Ni > Cd > Fe > Mn > Co > Cu > Zn, and all values were <1.0, showing that these HMs had no substantial non-carcinogenic impacts on the human body. LCR results show that children have greater values than adults. LCR values in adults were lower than 1 × 10-6, indicating no substantial health concerns, while in children they ranged from 1 × 10-6 to 1 × 10-4, indicating no significant risk to human health.


Assuntos
Metais Pesados , Neoplasias , Poluentes Químicos da Água , Criança , Adulto , Humanos , Oceano Índico , Cádmio , Chumbo , Monitoramento Ambiental , Metais Pesados/análise , Medição de Risco , Poluentes Químicos da Água/análise , Sedimentos Geológicos , China
13.
World J Diabetes ; 15(8): 1778-1792, 2024 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-39192867

RESUMO

BACKGROUND: Type 2 diabetes is one of the most prevalent chronic diseases worldwide, significantly impacting patients' quality of life. Current treatment options like metformin (MET) effectively counteract hyperglycemia but fail to alleviate diabetes-associated complications such as retinopathy, neuropathy, nephropathy, hepatopathy, and cardiovascular diseases. AIM: To propose the supplementation of cholecalciferol (CHO) and taurine (TAU) to enhance MET efficacy in controlling diabetes while minimizing the risk of associated complications. METHODS: The study involved sixty rats, including ten non-diabetic control rats and fifty experimental rats with type 2 diabetes induced by streptozotocin. The experimental rats were further subdivided into positive control and treatment subgroups. The four treatment groups were randomly allocated to a single MET treatment or MET combined with supplements either CHO, TAU, or both. RESULTS: Diabetic rats exhibited elevated levels of glucose, insulin, Homeostasis Model Assessment of Insulin Resistance (HOMA-IR), glycated hemoglobin%, lipid markers, aspartate aminotransferase, and malondialdehyde, along with reduced levels of antioxidant enzymes (catalase and superoxide dismutase). The administration of CHO and TAU supplements alongside MET in diabetic rats led to a noticeable recovery of islet mass. The antioxidative, anti-inflammatory, and anti-apoptotic properties of the proposed combination therapy significantly ameliorated the aforementioned abnormalities. CONCLUSION: The supplementation of CHO and TAU with MET showed the potential to significantly improve metabolic parameters and protect against diabetic complications through its antioxidative, anti-inflammatory, and anti-apoptotic effects.

14.
Oral Health Prev Dent ; 22: 51-56, 2024 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-38223961

RESUMO

PURPOSE: To compare the effectiveness of an interproximal brush, a water flosser, and dental floss in removing plaque and reducing inflammation around implant-supported crowns. MATERIALS AND METHODS: A randomised controlled trial was conducted involving 45 participants with implant-supported single crowns. The participants were randomly assigned to three groups: interproximal brush, water flosser, and dental floss. Plaque index scores, gingival index scores, and interleukin-6 (IL-6) levels were assessed at baseline and after a two-week period. Statistical analysis was performed to compare the outcomes among the groups. RESULTS: Following the second visit, improvements in plaque control were observed across all three interdental cleaning methods. The water flosser demonstrated a slight reduction in IL-6 levels (60.17 ± 3.07 vs 58.79 ± 4.04) compared to the initial visit, although this decrease was not statistically significant. Conversely, both the interdental brush and dental floss exhibited a slight increase in IL-6 levels at the second visit (60.73 ± 2.93 and 55.7 ± 10.64, respectively) compared to the mean at the first visit (58.38 ± 3.24 and 54.6 ± 2.22, respectively). Among the groups, only the interproximal brush demonstrated a statistically significant difference in IL-6 levels (p=0.008), while no statistically significant differences were observed in the dental floss and water flosser groups. CONCLUSION: Within the study's limitations, our findings suggest that all three methods of interdental cleaning effectively improve plaque control and reduce gingival inflammation. However, using a water flosser appears to reduce inflammation more effectively, highlighting its potential advantage over the other two methods. Further research is needed to evaluate the long-term efficacy and impact of these methods on implant survival.


Assuntos
Placa Dentária , Gengivite , Humanos , Dispositivos para o Cuidado Bucal Domiciliar , Interleucina-6 , Placa Dentária/prevenção & controle , Gengivite/prevenção & controle , Inflamação , Índice de Placa Dentária , Coroas , Água , Escovação Dentária , Método Simples-Cego
15.
Oral Health Prev Dent ; 22: 237-248, 2024 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-38989777

RESUMO

PURPOSE: To assess adherence to follow-up maintenance visits among patients who had previously undergone crown-lengthening surgery and investigate the different factors impacting their compliance. MATERIALS AND METHODS: A total of 314 patients were identified for follow-up appointments. Based on their responses, participants were categorised into four groups: attendees, non-attendees, refusals, and unreachable. Furthermore, data on sociodemographic factors (age, sex, nationality, marital status, education, occupation, and residential area), medical history, dental history (including missing teeth, implants, or orthodontic treatment history), and past appointment attendance (average yearly appointments, missed appointment percentage, and last appointment date) were collected and analysed to understand their influence on patient compliance. RESULTS: In a sample of 314 patients, 102 (32.5%) attended the appointments successfully. Improved attendance rates were significantly associated with being female, Saudi Arabian, married, and employed (p < 0.05). Moreover, patients with a high frequency of annual appointments and a recent history of appointments exhibited better compliance. None of the analysed dental factors affected the attendance rates. CONCLUSION: About one-third of patients who had undergone crown lengthening surgery were compliant with the follow-up visits. Different factors influenced this compliance pattern to varying extents, with more efforts needed to enhance patients' commitment to these visits.


Assuntos
Aumento da Coroa Clínica , Estado Civil , Cooperação do Paciente , Humanos , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Fatores Sexuais , Emprego/estatística & dados numéricos , Adulto Jovem , Fatores Etários , Escolaridade , Seguimentos , Agendamento de Consultas , Ocupações , Adolescente
16.
MethodsX ; 12: 102537, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38299040

RESUMO

In exploring nature's potential in addressing liver-related conditions, this study investigates the therapeutic capabilities of flavonoids. Utilizing in silico methodologies, we focus on flavone and its analogs (1-14) to assess their therapeutic potential in treating liver diseases. Molecular change calculations using density functional theory (DFT) were conducted on these compounds, accompanied by an evaluation of each analog's physiochemical and biochemical properties. The study further assesses these flavonoids' binding effectiveness and locations through molecular docking studies against six target proteins associated with human cancer. Tropoflavin and taxifolin served as reference drugs. The structurally modified flavone analogs (1-14) displayed a broad range of binding affinities, ranging from -7.0 to -9.4 kcal mol⁻¹, surpassing the reference drugs. Notably, flavonoid (7) exhibited significantly higher binding affinities with proteins Nrf2 (PDB:1 × 2 J) and DCK (PDB:1 × 2 J) (-9.4 and -8.1 kcal mol⁻¹) compared to tropoflavin (-9.3 and -8.0 kcal mol⁻¹) and taxifolin (-9.4 and -7.1 kcal mol⁻¹), respectively. Molecular dynamics (MD) simulations revealed that the docked complexes had a root mean square deviation (RMSD) value ranging from 0.05 to 0.2 nm and a root mean square fluctuation (RMSF) value between 0.35 and 1.3 nm during perturbation. The study concludes that 5,7-dihydroxyflavone (7) shows substantial promise as a potential therapeutic agent for liver-related conditions. However, further validation through in vitro and in vivo studies is necessary. Key insights from this study include:•Screening of flavanols and their derivatives to determine pharmacological and bioactive properties using ADMET, molinspiration, and pass prediction analysis.•Docking of shortlisted flavone derivatives with proteins having essential functions.•Analysis of the best protein-flavonoid docked complexes using molecular dynamics simulation to determine the flavonoid's efficiency and stability within a system.

18.
Heliyon ; 9(12): e22838, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38125446

RESUMO

Compliance with feed safety standards and practices on the farm promotes sustainable livestock production and can positively affect the environment and human health. This study aims to examine farmers' on-farm adoption of feed safety practices and determine the differences in adoption according to the socio-economic characteristics of farmers. An online survey was conducted to collect the study data. The study participants consisted of 442 livestock farmers in Riyadh region, Saudi Arabia. The study findings revealed that farmers highly adopted categories of feed purchasing (77.9 %) and feed mixing and distribution (75.05 %), whereas they were considered as a moderate level adoption regarding feed storing (70.9 %). The cluster analysis results showed two main patterns of adoption- "high adopters" and "moderate adopters"-based on the average level of adoption for 25 feed safety practices examined. The cluster of "high adopters" accounted for 59.9 % of the sample and had higher average adoption in all practices examined. The findings revealed that there are significant differences between the two segments of farmers, corresponding to gender, membership in livestock association, extension contact, raising sheep, and feeding system. This study proposes the regular monitoring of farms to ensure strict adherence to feed safety regulations, with the implementation of awareness and capacity development initiatives pertaining to feed safety concerns.

19.
Polymers (Basel) ; 15(20)2023 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-37896435

RESUMO

This study reports on the synthesis and characterization of novel perfluorinated organic polymers with azo- and azomethine-based linkers using nucleophilic aromatic substitution. The polymers were synthesized via the incorporation of decafluorobiphenyl and hexafluorobenzene linkers with diphenols in the basic medium. The variation in the linkers allowed the synthesis of polymers with different fluorine and nitrogen contents. The rich fluorine polymers were slightly soluble in THF and have shown molecular weights ranging from 4886 to 11,948 g/mol. All polymers exhibit thermal stability in the range of 350-500 °C, which can be attributed to their structural geometry, elemental contents, branching, and cross-linking. For instance, the cross-linked polymers with high nitrogen content, DAB-Z-1h and DAB-Z-1O, are more stable than azomethine-based polymers. The cross-linking was characterized by porosity measurements. The azo-based polymer exhibited the highest surface area of 770 m2/g with a pore volume of 0.35 cm3/g, while the open-chain azomethine-based polymer revealed the lowest surface area of 285 m2/g with a pore volume of 0.0872 cm3/g. Porous structures with varied hydrophobicities were investigated as adsorbents for separating water-benzene and water-phenol mixtures and selectively binding methane/carbon dioxide gases from the air. The most hydrophobic polymers containing the decafluorbiphenyl linker were suitable for benzene separation, while the best methane uptake values were 6.14 and 3.46 mg/g for DAB-Z-1O and DAB-A-1O, respectively. On the other hand, DAB-Z-1h, with the highest surface area and being rich in nitrogen sites, has recorded the highest CO2 uptake at 298 K (17.25 mg/g).

20.
Materials (Basel) ; 16(14)2023 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-37512433

RESUMO

A new Schiff base, 4-((1E,2E)-3-(furan-2-yl)allylidene)amino)-N-(5-methylisoxazol-3-yl) benzene-sulfonamide (L), was synthesized by thermal condensation of 3-(2-furyl)acrolein and sulfamethoxazole (SMX), and the furan Schiff base (L) was converted to a phenol Schiff base (L') according to the Diels-Alder [4 + 2] cycloaddition reaction and studied experimentally. The structural and spectroscopic properties of the Schiff base were also corroborated by utilizing density functional theory (DFT) calculations. Furthermore, a series of lanthanide and transition metal complexes of the Schiff base were synthesized from the nitrate salts of Gd, Sm, Nd, and Zn (L1, L2, L3, and L4), respectively. Various spectroscopic studies confirmed the chemical structures of the Schiff-base ligand and its complexes. Based on the spectral studies, a nine-coordinated geometry was assigned to the lanthanide complexes and a six-coordinated geometry to the zinc complex. The elemental analysis data confirmed the suggested structure of the metal complexes, and the TGA studies confirmed the presence of one coordinated water molecule in the lanthanide complexes and one crystalline water molecule in the zinc complex; in addition, the conductivity showed the neutral nature of the complexes. Therefore, it is suggested that the ligand acts as a bidentate through coordinates to each metal atom by the isoxazole nitrogen and oxygen atoms of the sulfur dioxide moiety of the SMX based on FTIR studies. The ligand and its complexes were tested for their anti-inflammatory, anti-hemolytic, and antioxidant activities by various colorimetric methods. These complexes were found to exhibit potential effects of the selected biological activities.

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