Pediatric obesity‐related curricular content and training in dental schools and dental hygiene programs: systematic review and recommendations

ObjectivesThe authors conducted a systematic review to determine: a) What dental schools and dental hygiene programs are doing to promote knowledge and skills related to addressing childhood obesity and to reduce consumption of sugar‐sweetened beverages (SSBs) and b) What else these schools and programs could do to better equip future oral health professionals to address childhood obesity and reduce consumption of SSBs.MethodsThe authors searched PubMed, Scopus, Education Full Text (EBSCOHost), and ERIC (EBSCOHost) to identify peer‐reviewed publications reporting on obesity or dietetic‐related curricula in dental and dental hygiene education within the last 20 years. Three studies met inclusion and exclusion criteria. Outcomes of the identified studies were abstracted and summarized independently by two investigators.ResultsThe first study describes a 2009 survey of pediatric dentistry residents. Approximately, half had received formal training yet they lacked essential knowledge or skills for managing children who were obese. The second study describes nutrition‐related coursework offered in the second year of a predoctoral dental school curriculum in Saudi Arabia, and the third study reports on the development of an “oral health rotation” dietetic internship in a pediatric dentistry clinic, in the context of interprofessional education (IPE).ConclusionsEvidence of dental schools’ and dental hygiene programs’ efforts to address obesity and SSB consumption in children in their curricula is scant, while Commission on Dental Accreditation standards make sporadic mentions of diet and nutrition. Opportunities exist to leverage existing resources and innovative, experiential approaches, including IPE, to formally, and effectively address this important issue in predoctoral oral health education.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138365/1/jphd12236.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138365/2/jphd12236_am.pd

Implementation of Space-Filling Curves on Spatial Dataset: A Review Paper

Cloud computing is the most recent innovative achievement that everybody ought to know about independent of whether you are a provider or a purchaser of innovative technology. Financial benefits are the essential driver for the Cloud, since it ensures the diminishment of capital utilize and operational utilize. The widespread use of the cloud has lead to the rise of database outsourcing. Privacy and security are the main considerations in the database outsourcing. Most of the conventional approaches provide security to outsourced data either by existing cryptographic techniques or using spatial transformation schemes. Here we propose a system which will implement and compare two space-filling algorithms (Hilbert curve and Gosper curve) on spatial data

A community-based study to evaluate the prevalence and risk factors for osteoporosis among menopausal and pre-menopausal women

Background: To determine the prevalence of osteoporosis among pre and post menopausal women using quantitative ultrasound of calcaneal bone and to identify the risk factors associated with osteoporosis.Methods: This prospective community based epidemiological study was conducted during 2019 in a suburban area attached to Sri Muthu Kumaran Medical College Hospital and Research Institute, Chennai. 305 subjects met the inclusion and exclusion criteria. Using a structured questionnaire, demographic details, obstetric, gynaecological and medical history were collected. Quantitative ultrasound of the calcaneal bone was used to calculate the bone mineral density. Using statistical methods, risk factors for osteoporosis were analysed.Results: The mean age of the participants was 52.67±9.41 years, 62.2% were post menopausal and 37.38% were premenopausal. The BMD ‘T’ score was normal in 29.8%, osteopenia was diagnosed in 38.4% and osteoporosis in 31.8% of participants. 14% of premenopausal women and 42.4% of postmenopausal women were osteoporotic. Age, menopausal status, duration of menopause, and previous history of fractures emerged as significant risk factors for osteoporosis.Conclusions: The prevalence of osteoporosis is high among both pre-menopausal and menopausal women, but the awareness is limited. This study highlights the need for screening all women after the age of 40 years which is feasible using portable and easily available technology such as quantitative ultrasound of peripheral bones

Effect of physiotherapy on single breath count and breath holding time in COVID-19 patients

Background: The novel Coronavirus is known to primarily affect the respiratory system and physiotherapy treatment is integral to combat this infection. However, the assessment of pulmonary function poses a difficult challenge considering the risk of spread of infection and sanitisation of the devices used. Single breath count (SBC) and breath holding time (BHT) can be thus adopted as bedside assessment tests for pulmonary function following physiotherapy treatment.Method: In this a retrospective observational study of 51 COVID-19 patients, mean age 51.7±14.56 years, on room air, admitted in the step-down units of a tertiary care hospital. Patients received standard physiotherapy treatment, within safe hemodynamic limits. Pre and post treatment session SBC was recorded in 32 patients and BHT in 19 patients. Three reading were noted and the best of three readings were used for analysis.Results: The paired t test was used to analyse SBC and BHT. Mean pre and post SBC was 18.25±8.96 and 23.31±9.96 respectively with a mean difference of 5.06 and p<0.0001. Mean pre and post BHT were 19.37 and 23.05 seconds respectively with a mean difference of 3.68 and p<0.0001.  Statistically significant difference in the pre and post treatment session SBC and BHT was observed, indicating a positive effect of physiotherapy treatment on pulmonary function.Conclusion: Physiotherapy treatment shows significant improvement in the pulmonary function in COVID-19 patients. SBC and BHT tests can be used as assessment and prognostic tools for pulmonary function in COVID-19 patients

Therapeutic Considerations for Docetaxel and Paclitaxel in Metastatic Breast Cancer

Breast cancer is the main source of death among women. Currently, 77% of women diagnosed with breast cancer are age 50 and older; however, it is projected that approximately 66% of the new cases diagnosed will occur in women younger than 65. Several clinical trials have assessed the wellbeing and adequacy of taxanes along with their tolerability in patients with metastatic cancer (MBC) The overview of these Paclitaxel and Docetaxel, the mechanism of action, pharmacokinetics and pharmacodynamics, dose and administration, adverse effects, clinical potency, and sufferable profiles combination therapies, the pathological complete response of these taxanes are included. The different novel formulations of taxanes are formulated from nanoparticles, polyglutamate, liposomes to improve the wellbeing and adequacy taxanes to reduce their toxicities. Single-agent research located with docetaxel and paclitaxel in metastatic breast most cancers show clinically huge antitumor motion even in the advanced stage, heavily pretreated, safe, as properly as in refractory diseases. This action is likewise clear with taxane-based combination regimens. Serious hematologic and nonhematologic toxicities are incompatible, with different toxicities noted dependent on the portion and weekly regimen selected.&nbsp; Weekly docetaxel and paclitaxel regimens speak to important helpful treatment options for women suffering from metastatic breast cancer and have entered assessment as a major aspect of adjuvant treatment for this disease Toxicity associated with taxanes chemotherapy are based totally on the dose schedules and weekly regimen selected and the most frequent toxicities related with these marketers include myalgia, peripheral neuropathy, neutropenia, etc Docetaxel retains in tumor cells for longer duration when compared to paclitaxel because of its slow efflux and large amounts of uptake into the cell which explains its more benefits when compared to paclitaxel. Clinical studies conducted so far suggested a more benefit to risk ratio for docetaxel when compared to paclitaxel. This article reviews mainly different actions exhibited by taxanes in the therapy of metastatic breast cancer and others on stages of cancer along with the toxicities associated with these agents. &nbsp

A Machine learning Classification approach for detection of Covid 19 using CT images

Coronavirus disease 2019 popularly known as COVID 19 was first found in Wuhan, China in December 2019. World Health Organization declared Covid 19 as a transmission disease. The symptoms were cough, loss of taste, fever, tiredness, respiratory problem. These symptoms were likely to show within 11 –14 days. The RT-PCR and rapid antigen biochemical tests were done for the detection of COVID 19. In addition to biochemical tests, X-Ray and Computed Tomography (CT) images are used for the minute details of the severity of the disease. To enhance efficiency and accuracy of analysis/detection of COVID images and to reduce of doctors' time for analysis could be addressed through Artificial Intelligence. The dataset from Kaggle was utilized to analyze. The statistical and GLCM features were extracted from CT images for the classification of COVID and NON-COVID instances in this study. CT images were used to extract statistical and GLCM features for categorization. In the proposed/prototype model, we achieved the classification accuracy of 91%, and 94.5% using SVM and Random Forest respectively

Choroidal structural changes correlate with neovascular activity in neovascular age related macular degeneration

PURPOSE. To correlate changes in choroidal thickness and vascularity index with disease activity in patients with neovascular age-related macular degeneration (nAMD). METHODS. Eyes diagnosed with AMD that had two sequential visits within 12 months and that had no choroidal neovascularization (CNV) or had inactive CNV at the first visit were included. Those that had active CNV at follow-up were enrolled as cases. Eyes that did not developed a CNV or that were still inactive at the second visit were enrolled as controls. Disease activity was based on optical coherence tomography (OCT) and fluorescein angiography findings. Subfoveal choroidal thickness (SCT), mean choroidal thickness (MCT), and choroidal vascularity index (CVI) were assessed on enhanced depth imaging OCT and compared between the baseline and follow-up visit. Subgroup analysis accounting for lesion type and previous treatment, if any, were performed. RESULTS. Sixty-five eyes from 60 patients (35 females) and 50 age-and sex-matched controls were included. At the active visit, cases had an increase from 164 +/- 67 mu m to 175 +/- 70 mu m in mean +/- SD SCT and from 144 +/- 45 mu m to 152 +/- 45 mu m in MCT (both P &lt; 0.0001). The mean CVI also increased at from 54.5% +/- 3.3% to 55.4% +/- 3.8% (P = 0.04). Controls did not show significant changes in choroidal measurements between the two visits. Mean SCT, MCT, and CVI values were similar for previously treated and treatment-naive eyes. CONCLUSIONS. Choroidal thickness and CVI significantly increased with active disease in nAMD eyes. Changes in choroidal thickness may predict CNV development or recurrence before they are otherwise evident clinically

System architecture of Intelligent Monitoring in multi-domain orchestration

Orchestrating a service or resources across multiple administrative domains requires three main high level steps of operation: i) capability detection of other domains ii) placement of the service request across the domains iii) assurance that the service is functioning within the acceptable bounds of the service level agreement (SLA). This paper focuses on the assurance step; in particular, we present a novel architecture and preliminary implementation that supports monitoring of KPIs across multiple administrative domains. The challenges towards realising such an architecture are: i) coordinated monitoring with no direct access to the other domain's infrastructure ii) monitoring over an abstracted (instead of actual) topology that each administrative domain may expose to other domains iii) different domains have different systems for monitoring with different KPIs as well as different ways of measuring those KPI. Our architecture, referred to as IMoS addresses these challenges to provide an end-to-end monitoring as a fundamental functionality for supporting assurance and SLA management for services orchestration across multi-administrative-domains. In addition, the preliminary results are provided from the first proof of concept implementation of an IMoS. The work done in this paper has been developed within the H2020 ICT14 project 5G Exchange