Nevin Manimala

Int J Periodontics Restorative Dent. 2021 Sep-Oct;41(5):703-710. doi: 10.11607/prd.4973.

ABSTRACT

This article evaluated the sealing capacity of single crowns made of a new zirconia (Katana STML, Kuraray Noritake) when cemented with two different cement types and two different marginal preparation types. Forty intact human anterior teeth, extracted for periodontal reasons, were used. Each sample was prepared with two margin preparations: knife-edge (KE) on one half of the tooth and chamfer (CH) on the other half. Based on the type of cement used, abutments were randomly distributed into one of two groups: Group 1 used resin cement (Panavia V5, Kuraray Noritake), and Group 2 used reinforced glass-ionomer cement (FujiCEM 2, GC). A digital workflow was utilized for crown fabrication. After the cementing procedures, samples were processed, and microleakage and scanning electron microscopic observations were made. Microleakage varied significantly depending on the type of cement combination used. Group 1 samples showed less microleakage (medians: 0.76 for CH and 0.51 for KE in Group 1, and 4.1 and 3.45 for Group 2, respectively) than Group 2 specimens; the difference was statistically significant (P < .000). KE preparation showed less microleakage than CH, although no statistically significant differences were found (P < .0558). Under microscopic observations, some samples showed internal fractures within the zirconia material. KE and CH seal the margin of zirconia crowns similarly. The resin cement system ensured better adhesion than reinforced glass-ionomer cement.

PMID:34547074 | DOI:10.11607/prd.4973

Int J Periodontics Restorative Dent. 2021 Sep-Oct;41(5):665-673. doi: 10.11607/prd.4636.

ABSTRACT

This study evaluated the influence of different implant types on (1) radiographic marginal bone levels after healing and (2) radiographic and histomorphometric tissue levels and characteristics following ligature-induced peri-implantitis. Four implant types (Standard Plus, Straumann [S]; NobelReplace Tapered, Nobel Biocare [N]; In-Kone Universal, Global D [I]; and twinKon, Global D [T]) were randomly placed in the edentulous healed mandibular ridge of six dogs (T0), for a total of 57 implants placed. After 10 weeks, a peri-implantitis was ligature-induced (T1). After 12 weeks, biopsy samples were processed for histomorphometric analysis (T2). Standardized radiographs were taken at T0, T1, and T2 for imaging analysis. Statistical analysis was performed using mixed-effects linear modeling. After healing (T1), the radiographic marginal bone level was more coronal for implants I, T, and S compared to N. Following peri-implantitis (T2), the histologic marginal bone level was more coronal for implants I, T, and S compared to N, and for implants I and T compared to S. Also at T2, the radiographic marginal bone level was more coronal at implants I, T, and S compared to N. Implant type may influence bone remodeling during healing and bone loss during the early stages of experimental peri-implantitis.

PMID:34547068 | DOI:10.11607/prd.4636

Int J Periodontics Restorative Dent. 2021 Sep-Oct;41(5):647-655. doi: 10.11607/prd.5666.

ABSTRACT

This retrospective study evaluated 335 hybrid implants placed in edentulous ridges; 167 were placed with an immediate implant protocol (IIP) and 168 were placed with a delayed implant protocol. Radiographic bone level changes were measured 1 to 23 years after loading. The average bone loss between implant placement and second-stage loading was 0.16 mm in the delayed group and 0.12 mm in the IIP group. Average bone loss from implant loading to the final radiograph was 0.26 mm in the IIP group and 0.13 mm in the delayed group. There was statistically significantly more bone loss in the IIP group, in patients taking amoxicillin (vs those taking azithromycin), in sites with splinted implants (vs nonsplinted implants), and in smokers (vs nonsmokers). However, even when statistically significant, bone loss would be considered clinically insignificant by most clinicians over the 1- to 23-year follow-up.

PMID:34547065 | DOI:10.11607/prd.5666

JMIRx Med. 2021 Aug 26;2(3):e28843. doi: 10.2196/28843. eCollection 2021 Jul-Sep.

ABSTRACT

BACKGROUND: Since the first recognition of the pandemic characteristics of SARS-CoV-2 infection, and before substantial case fatality data were available worldwide, public health agencies warned the public about the increased dangers of SARS-CoV-2 to persons with a variety of underlying physical conditions, many of which are more commonly found in persons over 50 years of age or in certain ethnic groups.

OBJECTIVE: To investigate the statistical rather than the physiological basis in support of the abovementioned warnings, this study examines correlations globally on a nation-by-nation basis between the statistical data concerning COVID-19 fatalities and the statistics of potential comorbidities that may influence the severity of infection.

METHODS: This study considers the statistics describing the populations of the 99 countries with the greatest numbers of SARS-CoV-2 infections at the time of the data cutoff. As national compilations of direct measures of immune system strength are not publicly available, the frequency of fatalities in those countries due to a variety of serious diseases is used as a proxy for the susceptibility of those populations to those same diseases.

RESULTS: The analysis produces plots and calculations of correlations and cross-correlations of COVID-19 case fatality rates and the risks of other potential cofactors. It exposes some reasons that may underlie the degree to which advanced age increases the risk of mortality of infection with SARS-CoV-2. In contrast with the strong influences of comorbidities on the seriousness of consequences of influenzas and their associated pneumonias, the correlations of the same set of risk factors with SARS-CoV-2 infection are considerably weaker. The general characteristics of the observed correlations strengthened through 3 cycles of analysis, starting in September 2020. The strongest correlations were with chronic kidney disease and coronary disease (approximately 0.28 and 0.20, respectively).

CONCLUSIONS: This study confirms early clinical observations that infection with SARS-CoV-2 presents an increased risk to persons over the age of 65 years. It does not support the suggestions presented by government agencies early in the pandemic that the risks are much greater for persons with certain common potential comorbidities.

PMID:34547061 | PMC:PMC8404263 | DOI:10.2196/28843

PLoS One. 2021 Sep 21;16(9):e0257692. doi: 10.1371/journal.pone.0257692. eCollection 2021.

ABSTRACT

The growth period, phenology, grain yield and gum content of two different guar ecotypes were studied in response to different sowing dates and plant densities. A two-year field experiment was conducted as a split-factorial in a randomized complete block design (RCBD) with three replicates in the research field of Tarbiat Modares University during 2016 and 2017 growing season. Main plots consisted of four sowing dates (May 21, June 4, June 21 and July 5 in 2016 and May 10, May 26, June 10 and June 26 in 2017), and subplots including three plant densities (13, 20 and 40 plants m-2) and two ecotypes (Pakistani and Indian). Based on findings, the phenological traits, plant height, grain yield and harvest index were significantly affected by plant density. The effect of ecotypes was statistically significant (p<0.05) on all traits except harvest index in the first year. Furthermore, the seed sowings on May 21 and May 26 with 13 plants m-2 led to highest grain yield (3004.8 and 2826.10 kg.ha-1 for two consecutive years). The high gum content (33.68 and 33.78% for two consecutive years) was also recorded for Pakistani ecotype while for gravity, Indian ecotype showed higher value in both crop years. By and large, the Pakistani ecotype showed better response compared to the Indian one in both years, especially in 1st and 2nd sowing dates.

PMID:34547054 | DOI:10.1371/journal.pone.0257692

PLoS One. 2021 Sep 21;16(9):e0257715. doi: 10.1371/journal.pone.0257715. eCollection 2021.

ABSTRACT

The occurrence of pollution indicator bacteria (total and faecal coliform) has been used as a sanitary parameter for evaluating the quality of drinking water. It is known that these indicators are associated with disease causing organisms which are of great concern to public health. This study assessed the relationship between coliform bacteria and water geochemistry in surface and ground water systems in the Tarkwa mining area using logistic regression models. In surface water sources, higher values of chloride (OR = 0.891, p<005), phosphates (OR = 0.452, p<0.05), pH (OR = 0.174, p<0.05) and zinc (OR = 0.001, p<0.05) were associated with lower odds of faecal coliform contamination. In groundwater sources, higher values of phosphates (OR = 0.043, p<0.001), total dissolved solids (OR = 0.858, p<0.05), turbidity (OR = 0.996, p<0.05) and nickel (OR = 6.09E-07, p<0.05) implied non-contamination by faecal coliform. However, higher values of electrical conductivity (OR = 1.097, p<0.05), nitrates (OR = 1.191, p<0.05) and total suspended solids (OR = 1.023, p<0.05) were associated with higher odds of faecal coliform contamination of groundwater sources. Nitrates and total suspended solids, in this case, were completely mediated by the heavy metals. For total coliform in surface water systems, higher values of magnesium (OR = 1.070, p<0.05) was associated with higher odds of total coliform contamination while higher values of phosphates (OR = 0.968, p<0.05) was associated with lower odds of total coliform contamination although the presence of heavy metals completely mediated these relationships. For ground water systems, higher values of pH (OR = 0.083, p<0.05), phosphates (OR = 0.092, p<0.05), turbidity (OR = 0.950, p<0.05) and chloride (OR = 0.860, p<0.05) were associated with lower odds of total coliform contamination. However, higher values of total suspended solids (OR = 1.054, p<0.05) and nitrates (OR = 1.069, p<0.05) implied contamination of total coliform in ground water sources. The relationship between nitrates and total coliform were mediated by the heavy metals. This study establishes the need to monitor, manage and remediate surface and ground water sources for potential disease causing microbes in ways that takes into consideration the factors that create different conditions in the two water systems. This study validates the usefulness of statistical models as tools for preventing surface and ground water contamination.

PMID:34547049 | DOI:10.1371/journal.pone.0257715

PLoS One. 2021 Sep 21;16(9):e0257634. doi: 10.1371/journal.pone.0257634. eCollection 2021.

ABSTRACT

BACKGROUND AND OBJECTIVES: The COVID-19 pandemic has negatively impacted health systems worldwide, including in Bangladesh, limiting access to family planning information (FP) and services. Unfortunately, the evidence on the factors linked to such disruption is limited, and no study has addressed the link among Bangladeshis. This study aimed to examine the socioeconomic, demographic, and other critical factors linked to the use of FP in the studied areas during the COVID-19 pandemic.

METHODS: The characteristics of the respondents were assessed using a cross-sectional questionnaire survey and descriptive statistics. The variables that were substantially linked with FP usage were identified using a Chi-square test. In addition, a multivariate logistic regression model was used to identify the parameters linked to FP in the study areas during the COVID-19 pandemic.

RESULTS: The prevalence of FP use among currently married 15-49 years aged women was 36.03% suggesting a 23% (approximately) decrease compared to before pandemic data. Results also showed that 24.42% of the respondents were using oral contraceptive pills (OCP) which is lower than before pandemic data (61.7%). Multivariate regression analysis provided broader insight into the factors affecting FP use. Results showed that woman’s age, education level of the respondents, working status of the household head, locality, reading a newspaper, FP workers’ advice, currently using OCP, ever used OCP, husbands’ supportive attitude towards OCP use, duration of the marriage, ever pregnant, the number of children and dead child were significantly associated with FP use in the study areas during COVID-19 pandemic.

CONCLUSIONS: This study discusses unobserved factors that contributed to a reduction in FP use and identifies impediments to FP use in Bangladesh during the COVID-19 epidemic. This research further adds to our understanding of FP usage by revealing the scope of the COVID-19 pandemic’s impact on FP use in Bangladesh’s rural and urban areas.

PMID:34547041 | DOI:10.1371/journal.pone.0257634

PLoS One. 2021 Sep 21;16(9):e0257573. doi: 10.1371/journal.pone.0257573. eCollection 2021.

ABSTRACT

Despite the awareness of the importance of mental health problems among adolescents in developed countries like Australia, inequality has not been widely researched. This study, is therefore, aimed to measure and compare household income-related and area-based socioeconomic inequalities in mental health problems (bullying victimization, mental disorders-single and multiple, self-harm and suicidality-ideation, plan and attempt) among Australian adolescents aged 12-17 years. Young Minds Matter (YMM)-the 2nd national cross-sectional mental health and well-being survey involving Australian children and adolescents conducted in 2013-14, was used in this study to select data for adolescents aged 12-17 years (n = 2521). Outcome variables included: bullying, mental disorders, self-harm, and suicidal ideation, plan and attempt. The Erreygers’s corrected concentration index (CI) approach was used to measure the socioeconomic inequalities in mental health problems using two separate rank variables-equivalised household income quintiles and area-based Index of Relative Socioeconomic Advantage and Disadvantage (IRSAD) quintiles. The prevalence of mental health problems in the previous 12-months among these study participants were: bullying victimization (31.1%, 95% CI: 29%-33%), mental disorder (22.9%, 95% CI: 21%-24%), self-harm (9.1%, 95% CI: 8%-10%), suicidal ideation (8.5%, 95% CI: 7%-10%), suicidal plan (5.9%, 95% CI: 5%-7%) and suicidal attempt (2.8%, 95% CI: 2%-3%). The concentration indices (CIs) were statistically significant for bullying victimization (CI = -0.049, p = 0.020), multiple mental disorders (CI = -0.088, p = <0.001), suicidal ideation (CI = -0.023, p = 0.047) and suicidal attempt (CI = -0.021, p = 0.002), implying pro-poor socioeconomic inequalities based on equivalized household income quintiles. Similar findings revealed when adolescents mental health inequalities calculated on the basis of area based IRSAD (Index of Relative Socio-economic Advantage and Disadvantage) quintiles. Overall, adolescents from economically worse-off families experienced more mental health-related problems compared to those from economically better-off families. This has implications for prevention strategies and government policy in order to promote mental health and provide equitable healthcare facility.

PMID:34547040 | DOI:10.1371/journal.pone.0257573

PLoS One. 2021 Sep 21;16(9):e0257693. doi: 10.1371/journal.pone.0257693. eCollection 2021.

ABSTRACT

BACKGROUND: LGBTQ2S youth are overrepresented among youth experiencing homelessness and experience significantly higher rates of mental health issues compared to heterosexual and cisgender youth. COVID-19 related challenges for LGBTQ2S youth experiencing homelessness remain unknown. To address this gap, this study aimed to understand the impacts of the COVID-19 pandemic on LGBTQ2S youth at risk of, and experiencing, homelessness in the Greater Toronto Area, Ontario, Canada and surrounding areas.

METHODS: Utilizing a mixed-methods convergent parallel design, LGBTQ2S youth experiencing homelessness were recruited to participate in virtual surveys and in-depth one-on-one interviews. Surveys included standardized measures and were administered to measure mental health outcomes and collect information on demographic characteristics, and health service use. Survey data were analyzed with descriptive statistics and statistical tests for difference of proportions. Interviews were analyzed using an iterative thematic content approach.

RESULTS: Sixty-one youth completed surveys and 20 youth participated in one-on-one interviews. Quantitative and qualitative data showed that youth have been significantly impacted by the COVID-19 pandemic in various ways, including experiencing poor mental health, such as suicidality, depression, anxiety, and increased substance use, and lack of access to health and social support services.

CONCLUSION: Our study highlights the need for LGBTQ2S inclusive and affirming health care and support services for precariously housed adolescents to address the pre-existing social and health issues that have been exacerbated by the pandemic.

PMID:34547037 | DOI:10.1371/journal.pone.0257693

PLoS Negl Trop Dis. 2021 Sep 21;15(9):e0009788. doi: 10.1371/journal.pntd.0009788. Online ahead of print.

ABSTRACT

BACKGROUND: Research is urgently needed to reduce the morbidity and mortality of Lassa fever (LF), including clinical trials to test new therapies and to verify the efficacy and safety of the only current treatment recommendation, ribavirin, which has a weak clinical evidence base. To help establish a basis for the development of an adaptable, standardised clinical trial methodology, we conducted a systematic review to identify the clinical characteristics and outcomes of LF and describe how LF has historically been defined and assessed in the scientific literature.

METHODOLOGY: Primary clinical studies and reports of patients with suspected and confirmed diagnosis of LF published in the peer-reviewed literature before 15 April 2021 were included. Publications were selected following a two-stage screening of abstracts, then full-texts, by two independent reviewers at each stage. Data were extracted, verified, and summarised using descriptive statistics.

RESULTS: 147 publications were included, primarily case reports (36%), case series (28%), and cohort studies (20%); only 2 quasi-randomised studies (1%) were found. Data are mostly from Nigeria (52% of individuals, 41% of publications) and Sierra Leone (42% of individuals, 31% of publications). The results corroborate the World Health Organisation characterisation of LF presentation. However, a broader spectrum of presenting symptoms is evident, such as gastrointestinal illness and other nervous system and musculoskeletal disorders that are not commonly included as indicators of LF. The overall case fatality ratio was 30% in laboratory-confirmed cases (1896/6373 reported in 109 publications).

CONCLUSION: Systematic review is an important tool in the clinical characterisation of diseases with limited publications. The results herein provide a more complete understanding of the spectrum of disease which is relevant to clinical trial design. This review demonstrates the need for coordination across the LF research community to generate harmonised research methods that can contribute to building a strong evidence base for new treatments and foster confidence in their integration into clinical care.

PMID:34547033 | DOI:10.1371/journal.pntd.0009788