Diagnosis and treatment of an altered passive eruption : A case report

Altered passive eruption (APE) is a genetic condition characterized by a coronary position of the gingiva on the enamel which results in short clinical crowns. There are several clinical and radiological ways to diagnose the altered passive eruption as well as several treatment possibilities depending on the case and the classification of the APE. A successful new smile requires an adequate knowledge of the periodontal parameters, a reliable diagnosis, an effective surgical protocol and the respect of the principle of tissue preservation. In this case report, an altered passive eruption was diagnosed clinically and radiologically and treated through gingivectomy, osteoplasty and osteotomy

ASSESSMENT OF INTRAOCULAR PRESSURE FOLLOWING THE INTRAVITREAL INJECTION OF ANTI-VEGF

Objective: The objective of the study is to assess the frequency of raised IOP after intravitreal injection of Anti VEGF by using an applanation tonometer. Methods: Each patients who fulfil the presence criteria were nominated by the researcher through ‘the outpatient department (OPD) of ophthalmology, Jinnah Post Graduate Medical Center. Performa was filled. Aim and process of study was explained to all patients. Conversant consent was reserved. Model ocular inspection, including IOP was done. By using either a 30-or 32-gauge needle, 1.25 ml bevacizumab (Avastin) were administered by the researcher under the direct supervision of consultant. Patients were consistently sterilely prepped, that was comprised incerted of topical antibiotic and anesthetic drops, supplement of a lid speculum. Later pointing the injection place on the sclera with a caliper calculating 3.0 to 3.5 mm after limbus, conjunctiva was expatriate somewhat through a sterile cotton-tipped applicator immediately earlier ingoing the eye by a needle. Later injection, place was occluded provisionally it was amended through a sterile cotton-tipped applicator while the needle remained inhibited from the eye. Since the needle was inhibited, a drop of anesthetic was employed on the cornea and IOP was measured. Then next IOP interpretation was measured later 1day of intravitreal Avastin. All pressures were measured using the applantation tonometry. IOPs were measured earlier intravitreal Avastin "baseline IOP" and instantly following injection "T0" and 1day next injection. Results: 235 Patients exactly nominated for the research study. Intravitreal Injection, Bevacizumab was applied in 235 Eyes of overstated 235 patients. Elsewhere of the 235 patients, 133 males and 102 females, Their ages ranged from 30-70 y (mean 52.02 y. The most shared sign intravitreal with bevacizumab, diabetic retinopathy observed in 114 (48.5%) patients, indicated by exudative ARMD in 70 (29.7%) patients, BRVO in 12 (5%) patients, Myopic CNV23(9.7) with CRVO observed in 11 (4.6%) patients, Eale’s sickness in 2(0.85%) patients even as Idiopathic CNV was observed in only 3 (1%) patient. Of the 235 patients, 118 (50.2%) patients with right eye suffered, 117(49.7%) patients with left eye suffered. After 24 h of intravitreal Bevacizumab Raised IOP was observed in only 3 (1.28) patient and 232(98.2) patient IOP was in the normal range. According to our study, the result of stratification with respect to age, side of the eye and gender is not significant as p-value for age (0.838), gender (0.723) and side of the eye (0.556), respectively. Conclusion: In our study, frequency of raised IOP after anti VEGF were found 3(1.28) patient out of 232 (98.2). Anti-VEGF treatment is the foundation for the management of numerous retinal illnesses. Notwithstanding its capable effectiveness in uncertain the sickness and refining, vision for the patients, intravitreal injection of anti-VEGF products may be related with overwhelming problems. To diminish the risk cautious care to the injection method and suitable post-injection observing are essential

THE PRESENCE OF ADENOID VEGETATIONS AND NASAL SPEECH, AND HEARING LOSS IN RELATION TO SECRETORY OTITIS MEDIA

This study presents the treatment of 68 children with secretory otitis media. Children underwent adenoid vegetations, nasal speech, conductive hearing loss, ventilation disturbance in Eustachian tube. In all children adenoidectomy was indicated.38 boys and 30 girls at the age of 3-17 were divided in two main groups: * 29 children without hypertrophic (enlarged) adenoids, * 39 children with enlarged (hypertrophic) adenoids.The surgical treatment included insertion of ventilation tubes and adenoidectomy where there where hypertrophic adenoids.Clinical material was analyzed according to hearing threshold, hearing level, middle ear condition estimated by pure tone audiometry and tympanometry before and after treatment. Data concerning both groups were compared.The results indicated that adenoidectomy combined with the ventilation tubes facilitates secretory otitis media heeling as well as decrease of hearing impairments. That enables prompt restoration of the hearing function as an important precondition for development of the language, social, emotional and academic development of children

Methode zur Klassifizierung von Tragfähigkeitsmessergebnissen des Falling Weight Deflectometers bei Asphaltbefestigungen

Mit dem Falling Weight Deflectometer können Tragfähigkeitsmuster als Merkmal für die strukturellen Gegebenheiten einer Straßenkonstruktion erfasst werden. Zur Bewertung dieser Tragfähigkeitsmuster (Deflexionsmulden) wurde durch Generierung theoretischer Deflexionsmulden eine bereits vorhandene Datenbank erweitert und dieser Datenbestand klassifiziert. Durch den Einsatz von Künstlichen Neuronalen Netzen wurde außerdem eine pragmatische Anwendung des klassifizierten Datenbestandes dargestellt

Methode zur Klassifizierung von Tragfähigkeitsmessergebnissen des Falling Weight Deflectometers bei Asphaltbefestigungen

Mit dem Falling Weight Deflectometer können Tragfähigkeitsmuster als Merkmal für die strukturellen Gegebenheiten einer Straßenkonstruktion erfasst werden. Zur Bewertung dieser Tragfähigkeitsmuster (Deflexionsmulden) wurde durch Generierung theoretischer Deflexionsmulden eine bereits vorhandene Datenbank erweitert und dieser Datenbestand klassifiziert. Durch den Einsatz von Künstlichen Neuronalen Netzen wurde außerdem eine pragmatische Anwendung des klassifizierten Datenbestandes dargestellt

Segmentation de processus avec un bruit autorégressif

We propose to study the methodology of autoregressive processes segmentation under both its theoretical and practical aspects. “Segmentation” means here inferring multiple change-points corresponding to mean shifts. We consider autoregression parameters as nuisance parameters, whose estimation is considered only for improving the segmentation.From a theoretical point of view, we aim to keep some asymptotic properties of change-points and other parameters estimators. From a practical point of view, we have to take into account the algorithmic constraints to get the optimal segmentation. To meet these requirements, we propose a method based on robust estimation techniques, which allows a preliminary estimation of the autoregression parameters and then the decorrelation of the process. The aim is to get our problem closer to the segmentation in the case of independent observations. This method allows us to use efficient algorithms. It is based on asymptotic results that we proved. It allows us to propose adapted and well-founded number of changes selection criteria. A simulation study illustrates the method.Nous proposons d’étudier la méthodologie de la segmentation de processus avec un bruit autorégressif sous ses aspects théoriques et pratiques. Par « segmentation » on entend ici l’inférence de points de rupture multiples correspondant à des changements abrupts dans la moyenne de la série temporelle. Le point de vue adopté est de considérer les paramètres de l’autorégression comme des paramètres de nuisance, à prendre en compte dans l’inférence dans la mesure où cela améliore la segmentation.D’un point de vue théorique, le but est de conserver un certain nombre de propriétés asymptotiques de l’estimation des points de rupture et des paramètres propres à chaque segment. D’un point de vue pratique, on se doit de prendre en compte les limitations algorithmiques liées à la détermination de la segmentation optimale. La méthode proposée, doublement contrainte, est basée sur l’utilisation de techniques d’estimation robuste permettant l’estimation préalable des paramètres de l’autorégression, puis la décorrélation du processus, permettant ainsi de s’approcher du problème de la segmentation dans le cas d’observations indépendantes. Cette méthode permet l’utilisation d’algorithmes efficaces. Elle est assise sur des résultats asymptotiques que nous avons démontrés. Elle permet de proposer des critères de sélection du nombre de ruptures adaptés et fondés. Une étude de simulations vient l’illustrer

Non-surgical and surgical therapy: decision-making and clinical approaches

Periodontal therapy consists of a set of surgical and non-surgical treatments in case of periodontitis. With the technology advances and the introduction of new methods for non-surgical periodontal therapy, several procedures such as the removal of contaminated root cement have been ignored. As well, the use of antibiotic therapy as an adjunct to root scaling is a topic to be discussed. Surgery has long been compared to non-surgical methods as both treatments aim to control infection and to preserve the periodontium and teeth. Mechanical debridement and optimal plaque control remain essential for successful nonsurgical and surgical periodontal therapy

Simultaneous Presentation of Benign Paroxysmal Positional Vertigo and Meniere’s Disease – Case Report

BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities, which develops spontaneously in most of the cases, but it can be secondary as a result of different conditions such as head injuries, viral neurolabyrinthitis, Meniere’s disease and vertebrobasilar ischemia. The aim of presenting this case is to point out to the need of taking a precise clinical history and performing Dix-Hallpike manoeuvre in all patients who complain about vertigo regardless of the previously diagnosed primary disease of the inner ear. CASE PRESENTATION: A 63-year-old female patient presented with the classical triad of symptoms for Meniere’s disease (fluctuating sensorineural hearing loss in the right ear, tinnitus and fullness in the same ear and rotary vertigo), two years later complained of brief episodes of vertigo linked to changes in head position relative to gravity. Dix-Hallpike manoeuvre showed a classical response in the head-hanging right position. Benign paroxysmal positional vertigo (BPPV) in the same ear was diagnosed in this patient. After treatment with Epley’s canal repositioning manoeuvre for a few days, the symptoms of positional vertigo resolved. CONCLUSION: The authors recommend complete audiological and otoneurological evaluation in all patients with vertigo for timely recognition/diagnosis of any inner ear associated pathology