Oral hygiene and periodontal health status among khat chewers. A case-control study

Habitual khat chewing is a widespread male habit in Southern Arabia and East Africa. The aim of this study was to assess the effect of Khat chewing on oral hygiene and periodontal health status among Yemeni male khat chewers. This case- control study included 310 khat chewers, aged 20-65 years, and 72 age- and gender- matched non-chewers as controls. Periodontal examination included recording of dental plaque index (PI), gingival index (GI), probing pocket depth (PPD), attachment level (AL) and gingival recession (GR). Demographic data, oral hygiene practices, and duration, frequency and site of khat chewing were obtained using questionnaires. SPSS was used for data analysis. ANOVA and t- tests were used to compare groups. Khat chewers had significantly higher mean PI, AL, GR scores than non-chewers (P 0.05). Interestingly, the results showed that the chewing side had less PI, GI and PPD than non-chewing side. However, gingival recession was significantly higher in the chewing side. The duration of chewing showed a significant effect on PI, PPD, AL, and GR but had no effect on the gingival condition. Likewise, the frequency of chewing showed a significant effect on PPD, AL, and GR, but had no effect on other indices (PI and GI). The results of this study indicate that khat chewing have a detrimental effect on the periodontium

Wind Generation Impact on Symmetrical Fault Level at Grid Buses

This paper mainly aims at evaluating quantitatively the impact of wind turbine generators (WTGs) on fault level (FL) in case of a balanced fault occurring in the host grid (HG). This impact is not generic but it depends on the grid configuration, operation mode, and load profile; the impact may be positive for a network while it is negative for another one. Therefore, the impact will be estimated for a specific distribution network (DN). The grid faults and wind generations (WGs) are simulated by the simulation tool Power Factory DigSilent 14.0.506. The paper addresses the influence on FL of grid buses in general and particularly on FL of the point of common coupling (PCC). The effect of both penetration and dispersion levels of embedded WTGs on fault response is also investigated. Moreover, the influence of WG type on FL is assessed. It is concluded, among other points, that the FL at PCC could rise by about 150% and 17% due to embedded WG of type 1 and type 2 respectively, what it leads to the recommendation to avoid installing type 1 wind systems for new wind farm

Functional status in ICU survivors and out of hospital outcomes: a cohort study

OBJECTIVES: Functional status at hospital discharge may be a risk factor for adverse events among survivors of critical illness. We sought to examine the association between functional status at hospital discharge in survivors of critical care and risk of 90-day all-cause mortality after hospital discharge. DESIGN: Single-center retrospective cohort study. SETTING: Academic Medical Center. PATIENTS: Ten thousand three hundred forty-three adults who received critical care from 1997 to 2011 and survived hospitalization. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The exposure of interest was functional status determined at hospital discharge by a licensed physical therapist and rated based on qualitative categories adapted from the Functional Independence Measure. The main outcome was 90-day post hospital discharge all-cause mortality. A categorical risk-prediction score was derived and validated based on a logistic regression model of the function grades for each assessment. In an adjusted logistic regression model, the lowest quartile of functional status at hospital discharge was associated with an increased odds of 90-day postdischarge mortality compared with patients with independent functional status (odds ratio, 7.63 [95% CI, 3.83-15.22; p < 0.001]). In patients who had at least 7 days of physical therapy treatment prior to hospital discharge (n = 2,293), the adjusted odds of 90-day postdischarge mortality in patients with marked improvement in functional status at discharge was 64% less than patients with no change in functional status (odds ratio, 0.36 [95% CI, 0.24-0.53]; p < 0.001). CONCLUSIONS: Lower functional status at hospital discharge in survivors of critical illness is associated with increased postdischarge mortality. Furthermore, patients whose functional status improves before discharge have decreased odds of postdischarge mortality.L30 TR001257 - NCATS NIH HH

Oral mucosal lesions and their association with tobacco use and qat chewing among Yemeni dental patients

Objectives: This study aimed to assess the prevalence of oral mucosal lesions (OMLs) in patients attending outpa - tient dental clinics in Sana`a university, Yemen, and to evaluate the association of such lesions with age, gender, and oral habits. Materials and Methods: This cross-sectional study included 409 subjects (272 males, 137 females, age: 15-86 years). Detailed clinical examination was performed in accordance with international criteria. Patient history in - cluded age, gender, education, denture wearing and risk habits (tobacco use and qat chewing). Data were analyzed using SPSS 19.00. Results: The prevalence of OMLs was 58.4% with a significant difference between men (63.6%) and women (48.2%; P < 0.05). The most common lesions were fissured tongue (37.2%), hairy tongue (15.9%), tumors and tumor-like lesions (9.8%), qat-induced white lesions (9.3%) and racial pigmentation (5.9%). Overall OMLs pre - valence was linked to risk habits and age; qat chewing was statistically significant risk factor for having fissured tongue (OR: 1.77), hairy tongue (OR: 2.74), and white lesions (OR: 2.39) ( P < 0.05). Cigarette smoking was statis - tically significant risk factor for having hairy tongue (OR: 2.82), white lesions (OR: 3.60) and tumors and tumor- like lesions (OR: 2.91) ( P < 0.01). The increase in age was statistically significant risk factor for having tumors and tumor-like lesions (OR: 1.04; P < 0.001). Conclusions: The current results indicate that the occurrence of OMLs among Yemeni adults is high and emphasize that risk habits and age have some relationship with the presence of OMLs

Hardware implementation of deception detection system classifier

Non-verbal features extracted from human face and body are considered as one of the most important indication for revealing the deception state. The Deception Detection System (DDS) is widely applied in different areas like: security, criminal investigation, terrorism detection …etc. In this study, fifteen features are extracted from each participant in the collected database. These features are related to three kinds of non-verbal features these are: facial expressions, head movements and eye gaze. The collected databased contain videos for 102 subjects and there are 888 clip related to both lie and truth response, these clips are used to train and test the system classifier. These fifteen features are placed in a single vector and applied to Support Vector Machine (SVM) classifier to classify input feature vectors into one of two classes either liar or truth-teller class. The detection accuracy of the proposed DDS based on SVM classifier was equal to 89.6396%. Finally, the hardware implementation for SVM classifier is done using the Xilinx block set. The design requires 136 slices and 263 of 4 input LUTs. Moreover, the designed classifier doesn’t require any use of both flip-flops and MULT18X18SIOs. The selected hardware platform (FPGA kit) for implementing the SVM classifier is Spartan-3A 700A

Vitamin D Status and Community-Acquired Pneumonia: Results from the Third National Health and Nutrition Examination Survey

Objective: To investigate the association between serum 25-hydroxyvitamin D [25(OH)D] level and history of community-acquired pneumonia (CAP). Patients and Methods We identified 16,975 individuals (≥17 years) from the third National Health and Nutrition Examination Survey (NHANES III) with documented 25(OH)D levels. To investigate the association of 25(OH)D with history of CAP in these participants, we developed a multivariable logistic regression model, adjusting for demographic factors (age, sex, race, poverty-to-income ratio, and geographic location), clinical data (body mass index, smoking status, asthma, chronic obstructive pulmonary disease, congestive heart failure, diabetes mellitus, stroke, chronic kidney disease, neutropenia, and alcohol consumption), and season. Locally weighted scatterplot smoothing (LOWESS) was used to depict the relationship between increasing 25(OH)D levels and the cumulative frequency of CAP in the study cohort. Results: The median [interquartile range (IQR)] serum 25(OH)D level was 24 (IQR 18–32) ng/mL. 2.1% [95% confidence interval (CI): 1.9–2.3] of participants reported experiencing a CAP within one year of their participation in the national survey. After adjusting for demographic factors, clinical data, and season, 25(OH)D levels <30 ng/mL were associated with 56% higher odds of CAP [odds ratio 1.56; 95% confidence interval: 1.17–2.07] compared to levels ≥30 ng/mL. LOWESS analysis revealed a near linear relationship between vitamin D status and the cumulative frequency of CAP up to 25(OH)D levels around 30 ng/mL. Conclusion: Among 16,975 participants in NHANES III, 25(OH)D levels were inversely associated with history of CAP. Randomized controlled trials are warranted to determine the effect of optimizing vitamin D status on the risk of CAP

ASSOCIATION OF ANTI-CYCLIC CITRULLINATED PEPTIDE ANTIBODY IN A SAMPLE OF ADULT PATIENTS WITH PSORIASIS AND PSORIATIC ARTHROPATHY

Objective: Psoriatic arthritis (PsA) is a chronic inflammatory arthropathy commonly associated with psoriasis, a large number of patients with PsA that has persistent inflammation may develop progressive joint damage and disability and have reduced life expectancy. This study aims to determine the associations of anti-cyclic citrullinated peptide (CCP) antibodies in adult patients with psoriasis and PsA.Methods: A case–control study was conducted at Baghdad teaching hospital, Units of Rheumatology and Dermatology, during the period from December 2016 to April 2017 including three groups; 40 patients with psoriasis, 40 patients with PsA fulfilling the CASPAR classification criteria, and 40 healthy control persons.Results: Two patients with psoriasis (5%) and 10 patients with PsA (25%) were seropositive for anti-CCP antibodies (ACPA). Healthy controls were negative for anti-CCPA. Regarding ACPA positivity, a significant difference was found between those three studied groups (p&lt;0.001) and there was a significant difference between positive and negative ACPA in PsA patients regarding disease activity score (p=0.044).Conclusion: Positive ACPA were found more significant with PsA than in patients with psoriasis as well as associated with higher disease activity

Preparation and Study of Properties of CdO: Al Thin Films Prepared by Chemical Spraying

The studies that are related to transparent conducting oxides and the consistent motivation to improve their different characteristics have been increasingly conducted. In this work, pristine and Aluminium doped cadmium oxide, CdO: Al thin films, were synthesized by a deposition over a substrate made from glass employing spray pyrolysis technique for several Al fractions (0, 3.0, and 6.0) v/v %. The effect of Al dopant on the microstructure, morphological, optical and electrical characterisation of CdO thin films were investigated elaborately. Pure CdO and (Al: CdO) exhibited face centred cubic structure with strong peak of 200 that reflected a preferential growth. The roughness of films was increased for the samples doped with Al from (38.54 to 149.2) nm according to the increment in Al concentration. The optical analysis confirmed that the value of band gap manifested a decrement (2.5 - 2.0) eV associated with the increment in doping by Al. The measurements of Hall Effect elucidated that the CdO and Al: CdO films classified as n-type semiconductors. The range of electrical conductivity of the Al: CdO films evinced a variation from (42.4 to 35.3) Ω-1.cm- 1. The results concluded from some graphs emphasized that the activation energy is equal to zero, and the Al doped CdO films became a degenerated semiconductor