Evaluating the Correlation Between Prosthodontic Interventions and Chest Infections: A Comprehensive Research Analysis.

BACKGROUND: There is growing interest in the relationship between prosthodontic therapies and outcomes related to systemic health, particularly respiratory infections. Respiratory infections are a leading cause of global morbidity and mortality, particularly among vulnerable populations such as immunocompromised individuals. The World Health Organization reports that lower respiratory infections are among the top causes of death worldwide, underscoring the importance of understanding their potential link to prosthodontic procedures. Dental operations, such as prosthodontic therapies, may alter the mouth flora and thus affect respiratory health. OBJECTIVE: This research aimed to investigate the relationship between prosthodontic procedures and chest infections. METHODOLOGY: This research was an observational prospective cohort study conducted from January 2023 to December 2023 at the Pakistan Institute of Medical Sciences (PIMS) located in Islamabad, Pakistan. One hundred thirty individuals in the cohort, who were at least 18 years old, had a range of prosthodontic procedures, such as total edentulous solutions and tooth restoration. Electronic health data were used for participant selection to minimize selection bias and guarantee diverse representation. Comprehensive evaluations of cardiovascular health, immunological state, pulmonary function, and medical histories were all part of the data-gathering process. Structured questionnaires and interviews were also used to get patient feedback. Using SPSS Statistics software (version 27; IBM Corp., Armonk, NY), statistical analysis was performed to examine the relationships between prosthodontic treatments and chest infections using descriptive statistics and logistic regression. RESULTS: PIMS hosted 130 participants in this research, which found that 29 patients, or 22% of the total, had chest infections after surgery. Chest infection rates were 15.15% (five out of 33) in the 18-39 age group, 21.21% (14 out of 66) in the 40-59 age group, and 32.26% (10 out of 31) in the 60+ age group, according to age-specific analysis. Complete edentulous solutions (38 cases, 29.23%) and tooth restoration (55 cases, 42.31%) were the most frequently performed procedures. Compared to tooth restoration (n=15; 55.17%), complete edentulous solutions (n=8; 27.59%) had increased infection risks, according to logistic regression. Following prosthodontic procedures, respiratory health measures improved: respiratory rate dropped to 17.8/min, oxygen saturation rose to 98.1%, and frequency of coughing fell to 1.9/day. CONCLUSION: This research highlights the need for careful post-operative respiratory surveillance by elucidating the strong associations between prosthodontic procedures and chest infections.

In vitro-in silico pharmacology and chemistry of Stercularin, isolated from Sterculia diversifolia.

Stercularin is a coumarin, isolated from the ethyl acetate fraction of stem bark and leaves of S. diversifolia. Pharmacologically it is active against cancer, diabetes, and inflammation etc. The molecule is further screened for in vitro pharmacological activities. In addition, a detailed description on its drug likeness and pharmacokinetic profile has been established to further explore its fate as a drug candidate. Stercularin exhibited antiglycation, immunomodulatory, and leishmanicidal activity in three different in vitro models. The IC50 values obtained in these three assays were 80.22 ± 0.46 mg/ml, 12.8 ± 1.6 µg/ml, and 8.32 ± 0.42 µg/ml, respectively. In case of drug likeness evaluation, Stercularin has acceptable physicochemical properties and compliant with major drug likeness descriptors i.e., Lipinski rule, Pfizer rule, GSK rule, and "golden triangle". Accepting Lipinski rule implies the oral drug development of Stercularin. Pharmacokinetically, Stercularin is permeable to Caco-2 and MDCK cell lines. 'Boiled-egg' plot suggest intestinal route of absorption, blood brain barrier nonpermeating, and not affected by p-glycoprotein. Stercularin has high plasma protein binding with low free fraction circulating in the plasma. Stercularin proved to be the substrate and/or inhibitor of CYP 450 system with a moderate half-life and clearance rate to allow flexible dosing regimen. Finally, slight risk of toxicity exists for Stercularin, but not being limiting factors of drug knock out. A nature isolated Stercularin possess pharmacological activities and is predicted to have acceptable pharmacokinetic profile. Further drug development and in vivo studies are desirable for optimization.

Development of myocarditis and pericarditis after COVID-19 vaccination in children and adolescents: A systematic review.

Myocarditis and pericarditis have been reported after COVID-19 vaccine administration in children and adolescents, raising the concern about their possible association with these vaccines. The objective was to explore the incidence, clinical presentation, and association of myocarditis and pericarditis with COVID-19 vaccines in children and adolescents. We conducted a systematic literature search on three databases, that is, Cochrane, MEDLINE/PubMed, and EMBASE from inception till March 2022. A total of three case reports, four case series, and six observational studies were included in the review. For case reports and case series, the mean age of the patients was 17.4 years, with 96.9% being male. Chest pain (n = 31, 93.9%), fever (n = 18, 54.5%), myalgias (n = 15, 45.4%) and headache (n = 9, 27.2%) were the most common presentations. Out of 33 patients, 32 (96.9%) of patients received Pfizer-BioNTech whereas only one (3.03%) received Moderna (mRNA 1273). Clinical investigations revealed ST elevation (n = 32, 97%), and elevated CRP (n = 9, 27.2%) and cardiac troponin (n = 29, 87.8%). The pooled incidence of myocarditis and pericarditis from observational studies was (0.00063%) and (0.000074%) %, respectively. Myocarditis and pericarditis in children and adolescents after the COVID-19 vaccines were more prevalent among males and more commonly observed after the second dose of Pfizer. Though the overall incidence was low, however, the clinicians should consider myocarditis and pericarditis as probable diagnosis when encountering young patients, with a history of vaccine administration, presenting with suggestive findings.

Assessment of phytotoxic, genotoxic and enzyme inhibition potential of.

OBJECTIVE: To evaluate Sterculia diversifolia stem bark and leaves for phytotoxic, genotoxic and enzymes inhibition potential. METHODS: Phytotoxic activity of both stem bark and leaves were screened using Lemna minor. The genotoxic activity of Sterculia diversifolia stem bark and leaves extracts were tested using comet assay protocol while enzyme inhibition activity of crude extract and various fractions of both stem bark and leaves were evaluated using acetyl cholinesterase, lipoxygenase, ß-glu-curonidase, urease, xanthine oxidase and carbonic anhydrase. RESULTS: Phytotoxic activity showed significant results in dose dependant manner in both stem bark (ethyl acetate and n-butanol) and leaves (ethyl acetate, n-butanol and n-hexane) fractions. In genotoxic activity, dichloromethane fraction showed significant activity followed by ethyl acetate fraction. Acetyl cholinesterease inhibitory activity showed significant results in both stem bark and leaves fractions, while significant lipoxygenase inhibition was shown by ethyl acetate, dichloromethane, crude extract and n-hexane fractions of both stem bark and leaves. ß-glucuronidase, urease and carbonic anhydrase inhibitory activity showed highly significant results in ethyl acetate fraction of both stem bark and leaves, while xanthine oxidase inhibition was shown by dichloromethane fraction of stem bark and leaves extracts. CONCLUSIONS: This study emphasizes the important phytotoxic, genotoxic and enzyme inhibition effects of Sterculia diversifolia stem bark and leaves. Hence, it is clear that Sterculia diversifolia stem bark and leaves possess phytotoxic, genotoxic and enzyme inhibitory agents.

Chemical constituent with cytotoxicity from Sterculia diversifolia.

One new coumarin (stercularin), along with eleven known compounds, was isolated for the first time from ethyl acetate fraction of Sterculia diversifolia. The structures of isolated compounds were characterized by spectroscopic techniques such as EIMS, 1H-NMR and 13C-NMR. Compound 1 showed significant cytotoxicity by brine shrimp lethality assay (LD50: 8.00 µg/ml) and PC-3 cell lines protocol (IC50: 3.92 ± 0.20 µg/ml), respectively.