Relationship of Anxiety and Depression in Patients with Chronic Periodontitis

Objectives Many researchers have attempted to link the current concepts of anxiety and depression to periodontal disease. This study aimed to compare the level of anxiety and depression in Iranian patients with chronic periodontitis (CP) and periodontally healthy controls.Methods Fifty CP patients and 50 periodontally healthy controls participated in this study according to our eligibility criteria. Periodontal clinical examination was performed using a Williams probe. The clinical attachment loss (CAL), pocket probing depth (PPD) and bleeding on probing (BOP) were recorded for all teeth except for third molars. In order to psychologically assess the individuals, the Beck’s Depression Inventory (BDI) and the Beck’s Anxiety Inventory (BAI) were used. The mean scores of BAI and BDI were compared between the two groups using the Student t-test.Results The mean age of participants was 44.86±8.07 years. The mean score of BDI was 13.58±8.35 in periodontally healthy controls and 25.62±13.01 in CP patients. The mean score of BAI was 9.9±5.65 in the control and 21.02±13.63 in the test group. The Student t-test revealed a significant difference between the two groups in total score of BDI and BAI (P<0.000). A significant correlation was noted between the BDI and age (P=0.027) but BAI had no significant correlation with age (P=0.245).Conclusion According to the results of this study, the level of anxiety and depression in CP patients was higher than that in periodontally healthy controls in our study populatio

Anterior subcutaneous transposition of ulnar nerve with fascial flap and complete excision of medial intermuscular septum in cubital tunnel syndrome: A prospective patient cohort

Objective: Regarding the frequency of cubital tunnel syndrome, varieties of treatment modalities, and ambiguity of anterior subcutaneous transposition of ulnar nerve method, we aimed to evaluate the efficacy of this procedure in patients with cubital tunnel syndrome referred to Taleghani hospital between 2006 and 2009. Methods: This study was a case series including all referred patients with definite diagnosis of cubital tunnel syndrome, treated by anterior subcutaneous transposition. Treatment results were measured according to modified Bishop rating system, and were ranked into excellent, good, fair, and poor. Variables such as gender, age (less/more than 45 years), causation, and initial severity, determined by Dellon criteria preoperatively, were analyzed by Fisher’s exact test. Results: This study was performed on 26 eligible cases including 29 elbows, 38% males and 62.1% females, with mean age of 44.5 years (ranging 23–72 years). In a 12 months follow-up post-operatively, 62% showed excellent, 20.7% good, and 17.3% fair, with no poor result. In a 1–12 months follow-up post-operatively, results showed improvement, and initial severity and old age were demonstrated to significantly affect treatment results (P < 0.07). Conclusion: Though considered standard of care, the present study suggests that criteria for surgical techniques of ulnar nerve decompression, e.g. simple decompression vs. more extensive repair as in the present cohort, should be revised by controlled prospective studie

Acute Comitant Esotropia Following Penetrating Keratoplasty

&lt;!--[if gte mso 9]&gt;&lt;xml&gt; Normal 0 false false false MicrosoftInternetExplorer4 &lt;/xml&gt;&lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;&lt;xml&gt; &lt;/xml&gt;&lt;![endif]--&gt; &lt;!--[if gte mso 10]&gt; &lt;style&gt;&#13; /* Style Definitions */&#13; table.MsoNormalTable&#13; {mso-style-name:"Table Normal";&#13; mso-tstyle-rowband-size:0;&#13; mso-tstyle-colband-size:0;&#13; mso-style-noshow:yes;&#13; mso-style-parent:"";&#13; mso-padding-alt:0cm 5.4pt 0cm 5.4pt;&#13; mso-para-margin:0cm;&#13; mso-para-margin-bottom:.0001pt;&#13; mso-pagination:widow-orphan;&#13; font-size:10.0pt;&#13; font-family:"Times New Roman";&#13; mso-ansi-language:#0400;&#13; mso-fareast-language:#0400;&#13; mso-bidi-language:#0400;}&#13; &lt;/style&gt; &lt;![endif]--&gt; &lt;p&gt;PURPOSE: To report a case of acute comitant esotropia in a patient with bilateral keratoconus presenting after penetrating keratoplasty (PKP) in the fellow eye. CASE REPORT: A 17-year-old male patient with bilateral keratoconus underwent PKP in his right eye. He experienced diplopia after removal of the patch from the operated eye 12 hour postoperatively due to esotropia in his left (unoperated) eye. Diplopia was controlled using prism glasses and botulinum toxin A injections until PKP was performed in his left eye which resulted in restoration of stable fusion up to 3 years of follow up. CONCLUSION: Acute comitant esotropia may occur after loss of fusion due to ocular patching in a vulnerable patient. In this patient fusion was preserved with non-surgical methods until it was restored by surgical means.&lt;/p&gt

Distribution of different sized ocular surface vessels in diabetics and normal individuals

Purpose: To compare the distribution of different sized vessels using digital photographs of the ocular surface of diabetic and normal individuals. Methods: In this cross-sectional study, red-free conjunctival photographs of diabetic and normal individuals, aged 30-60 years, were taken under defined conditions and analyzed using a Radon transform-based algorithm for vascular segmentation. The image areas occupied by vessels (AOV) of different diameters were calculated. The main outcome measure was the distribution curve of mean AOV of different sized vessels. Secondary outcome measures included total AOV and standard deviation (SD) of AOV of different sized vessels. Results: Two hundred and sixty-eight diabetic patients and 297 normal (control) individuals were included, differing in age (45.50 ± 5.19 vs. 40.38 ± 6.19 years, P < 0.001), systolic (126.37 ± 20.25 vs. 119.21 ± 15.81 mmHg, P < 0.001) and diastolic (78.14 ± 14.21 vs. 67.54 ± 11.46 mmHg, P < 0.001) blood pressures. The distribution curves of mean AOV differed between patients and controls (smaller AOV for larger vessels in patients; P < 0.001) as well as between patients without retinopathy and those with non-proliferative diabetic retinopathy (NPDR); with larger AOV for smaller vessels in NPDR (P < 0.001). Controlling for the effect of confounders, patients had a smaller total AOV, larger total SD of AOV, and a more skewed distribution curve of vessels compared to controls. Conclusion: Presence of diabetes mellitus is associated with contraction of larger vessels in the conjunctiva. Smaller vessels dilate with diabetic retinopathy. These findings may be useful in the photographic screening of diabetes mellitus and retinopathy