Managing the Risky Curve – A Case Report

Multirooted teeth represent a challenge to both endodontic diagnosis and treatment due to its complex and unusual root canal morphology in many cases and often encountered during endodontic treatment. Success depends on understanding the unusual root canal morphology. One of the variant root canal morphology is the ‘S’ shaped or bayonet shaped root canal. This case report discusses the endodontic management  of ‘S’ shaped root canal in maxillary first premolar

Immunotoxicological Threats of Pollutants in Aquatic Invertebrates

Immunology deals with the physiological activity of organisms to defend against pathogen and toxin invasion. Invertebrates residing in aquatic ecosystems often face toxicological threat arises from habitat pollution. The aquatic habitat of invertebrates is in the precarious risk of pollution caused by diverse groups of environmental toxins. Immunotoxins have been considered as a special group of pollutants capable of affecting the immunological profile of organisms. Invertebrates residing in water bear ecological, economical, medicinal, industrial, nutritional and biotechnological significance. Global aquatic bioresource is largely composed of invertebrates belonging to multiple Phyla. These organisms, including insects, snails, clams, mussels, crabs and sponges, are physiologically dependent on innate immunological response for defense against pathogen and environmental contaminants. External physicochemical barriers of invertebrates act as primary line of defen against toxin entry. Principal barriers have been identified as shell, tunic, test, carapace, mucus, etc., in diverse species. Toxin-induced morphological damage of specialized immunocytes of invertebrates has been reported. Toxin-induced shift in density, surface adhesion efficacy and aggregation of blood cells or haemocytes have been identified as major xenobiotic stress in invertebrates. Various environmental toxins are capable of initiating alteration in the innate phagocytic response and cytotoxicity of blood cells. Lysosomes of invertebrate haemocytes are functionally involved in intracellular destruction of environmental pathogens. Toxins like arsenic, pyrethroid pesticides, azadirachtin and washing soda were reported to increase the relative fragility of lysosomal membranes of immunocytes. This often leads to impairment in the efficacy of invertebrates to destroy pathogen under the exposure of pollutants. Xenobiotics like pyrethroid pesticides have been recorded to affect apoptosis and necrosis of invertebrate immunocytes. Selected toxin-induced morphological damages of heart, gill, digestive gland, mantle and antennae may result in the overall impairment in homeostatic levels of invertebrates inhabiting the polluted environment. Global environment, in recent times, is under the serious threat of contamination by diverse chemical compounds of unknown or less known toxicity. A thorough ecotoxicological analysis at cellular and molecular levels needs to be carried out in invertebrates occupying the different realms of the planet in future

Immunogenic Modulations Induced by Prospective Anti-Malarial Herbal Extracts in Murine Model

Keeping in view the ever increasing problem of drug resistance and affordability of the antimalarial drugs by the poor mass, herbal medicines can become an important and alternative sustainable strategy for malaria treatment. Aqueous extracts of three Himalayan herbs― _Equisetum ravense_, _Artemisia vulgaris_ and _Centella asiatica_, with reported antimalarial property were screened for clinical efficacy against a local strain of _Plasmodium vivax_ antigen in murine model. _E. arvense_ extract was consistent in boosting phagocytic activity, nitric oxide generation, acid phosphatase and alkaline phosphatase activities in the peritoneal macrophages. The effectiveness of the rest herbals was discrete. A need for further detailed investigation to evaluate the clinical efficacy of these herbals seems essential

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good

Juxtaposing BTE and ATE – on the role of the European insurance industry in funding civil litigation

One of the ways in which legal services are financed, and indeed shaped, is through private insurance arrangement. Two contrasting types of legal expenses insurance contracts (LEI) seem to dominate in Europe: before the event (BTE) and after the event (ATE) legal expenses insurance. Notwithstanding institutional differences between different legal systems, BTE and ATE insurance arrangements may be instrumental if government policy is geared towards strengthening a market-oriented system of financing access to justice for individuals and business. At the same time, emphasizing the role of a private industry as a keeper of the gates to justice raises issues of accountability and transparency, not readily reconcilable with demands of competition. Moreover, multiple actors (clients, lawyers, courts, insurers) are involved, causing behavioural dynamics which are not easily predicted or influenced. Against this background, this paper looks into BTE and ATE arrangements by analysing the particularities of BTE and ATE arrangements currently available in some European jurisdictions and by painting a picture of their respective markets and legal contexts. This allows for some reflection on the performance of BTE and ATE providers as both financiers and keepers. Two issues emerge from the analysis that are worthy of some further reflection. Firstly, there is the problematic long-term sustainability of some ATE products. Secondly, the challenges faced by policymakers that would like to nudge consumers into voluntarily taking out BTE LEI

Severe early onset preeclampsia: short and long term clinical, psychosocial and biochemical aspects

Preeclampsia is a pregnancy specific disorder commonly defined as de novo hypertension and proteinuria after 20 weeks gestational age. It occurs in approximately 3-5% of pregnancies and it is still a major cause of both foetal and maternal morbidity and mortality worldwide1. As extensive research has not yet elucidated the aetiology of preeclampsia, there are no rational preventive or therapeutic interventions available. The only rational treatment is delivery, which benefits the mother but is not in the interest of the foetus, if remote from term. Early onset preeclampsia (<32 weeks’ gestational age) occurs in less than 1% of pregnancies. It is, however often associated with maternal morbidity as the risk of progression to severe maternal disease is inversely related with gestational age at onset2. Resulting prematurity is therefore the main cause of neonatal mortality and morbidity in patients with severe preeclampsia3. Although the discussion is ongoing, perinatal survival is suggested to be increased in patients with preterm preeclampsia by expectant, non-interventional management. This temporising treatment option to lengthen pregnancy includes the use of antihypertensive medication to control hypertension, magnesium sulphate to prevent eclampsia and corticosteroids to enhance foetal lung maturity4. With optimal maternal haemodynamic status and reassuring foetal condition this results on average in an extension of 2 weeks. Prolongation of these pregnancies is a great challenge for clinicians to balance between potential maternal risks on one the eve hand and possible foetal benefits on the other. Clinical controversies regarding prolongation of preterm preeclamptic pregnancies still exist – also taking into account that preeclampsia is the leading cause of maternal mortality in the Netherlands5 - a debate which is even more pronounced in very preterm pregnancies with questionable foetal viability6-9. Do maternal risks of prolongation of these very early pregnancies outweigh the chances of neonatal survival? Counselling of women with very early onset preeclampsia not only comprises of knowledge of the outcome of those particular pregnancies, but also knowledge of outcomes of future pregnancies of these women is of major clinical importance. This thesis opens with a review of the literature on identifiable risk factors of preeclampsia

Measurement of associated W plus charm production in pp collisions at √s=7 TeV

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