Evaluation of the effect of various types of fluoride varnishes on color stability of a composite resin

BACKGROUND AND AIM: Fluoride varnish as an extrinsic factor may cause discoloration in tooth-colored restorative materials. This research compared the impact of different fluoride varnishes on color change of a composite restorative material. METHODS: This laboratory experimental study was conducted on 40 specimens of flowable composite resin were divided into four groups based on the brand of applied varnishes (Durashield, Nupro, Fluorilaque, and Profluoride varnishes) (n = 10). Color measuring (ΔE) was performed using the easy shade device and according to Commission Internationale de l’Eclairage (CIE) L*a*b* system at three times: 24 hours after immersing in artificial salvia (baseline), 24 hours after fluoride varnishes application and after brushing. The amount of color changes was calculated for all of the specimens as follows: ΔE1 (difference between fluoride application-base line), ΔE2 (difference between brushingfluoride application), and ΔE3 (difference between brushing-base line). P < 0.05 was considered as significant. Statistical analysis was performed by one-way ANOVA and post-hoc Tukey. RESULTS: The maximum and minimum color changes after applying varnishes were observed by Nupro and Profluoride, respectively. A significant difference was observed between ΔE 1 values of all types of studied varnishes (P < 0.01) except Durashield and Fluorilaque (P = 0.35). After brushing, no significant difference was shown between color change of stained specimens due to Durashield, Fluorilaque, and Nupro. There was no significant difference between ΔE 3 values of Durashield and Fluorilaque. CONCLUSION: Trends of color change after using all studied varnishes were clinically acceptable (ΔE < 3.3). Durashield, Nupro, Fluorilaque, and Profluoride varnishes can be used without adversely affecting the color of flowable composite resin. KEYWORDS: Fluoride Varnish; Discoloration; Resin Composit

Comparison of the Voiding Cystourethrogram Results One and Three weeks after the First Urinary Tract Infection in 1-Month to 15-Year-Old Children

Introduction: To determine whether the timing of voiding cystoureterogram (VCUG) in the first or the third week after a diagnosis of urinary tract infection (UTI) is important in the diagnosis and severity of VUR.Materials and Methods: In this case-control study, 72 children between 1 month and 15 years old diagnosed with their first episode of UTI were investigated over one year. The study population was divided into 2 groups of 36, early (VCUG in the first week after UTI) and late (VCUG 3 weeks after UTI), and compared the severity and incidence of reflux in both groups.Results: The prevalence of VUR was 66.6%. Twenty-two cases in the first group (61%) and 26 cases in the second group (72.2%) presented with VUR. The peak age of the disease in both groups was 1-3 years with a female predominance. The most common germ detected was E-Coli and the most common presentations were fever (87.5%) and dysuria (26.3%).Conclusions: As VUR following UTI is very common in children and is one of the most important risk factors of early hypertension and chronic renal failure, early diagnosis by VCUG seems to be useful in all UTI patients before discharge. Keywords: Urinary Tract Infection; Vesico-Ureteral Reflux; VCUG; Child

Validation of Objective Structured Clinical Examination (OSCE) based on the Occupational Therapy Practice Framework (OTPF): A pilot study

Fieldwork education is an integral part of the educational process in occupational therapy and assessing student competency at the end of fieldwork is important. The aim of this study was to design and conduct an Objective Structured Clinical Examination (OSCE) based on the Occupational Therapy Practice Framework (OTPF) for occupational therapy students on Level II fieldwork in Iran. A seven-station OSCE was designed and conducted with 13 students. Face and content validity of the exam scenarios and grading checklists was assessed via faculty review. The correlation between scores from each station and total OSCE scores were obtained to assess construct validity. Inter-rater reliability between two independent examiners at each OSCE station was determined. The participants’ (including both students and examiners) reactions to and learning from the exam was assessed using a self-report questionnaire that included participants\u27 attitudes, satisfaction, and emotional response to the OSCE. Finally, a focus group of 12 examiners was conducted to examine the strengths and weaknesses of the exam. It was ascertained that the OSCE had good and acceptable face, content, and construct validity as well as inter-examiner reliability. All students reported that the exam was stressful, and most students (n=8, 61%) and examiners (n=5, 42%) reported there was not enough time for each station. Strength and weaknesses of the exam as related to the exam condition, exam content, students, and examiners were reported. Based on the qualitative and quantitative analysis of the results, in order to use OSCE as a method of evaluating occupational therapy students, some changes should be applied

Comparative Efficacy of Bispectral Index Monitoring and Clinical Assessment in The Recovery of Patients Undergoing Open Renal Surgery: A Randomized, Double-Blind Study

Background and Aims: Maintaining the sufficient depth of anesthesia with an adequate anesthetic drug dosage in patients undergoingsurgery is one of the most significant issues. Inadequate depth of anesthesia can cause significant disturbances in hemodynamicparameters. In this study, clinical assessment and bispectral (BIS) index monitoring compare the depth of general anesthesiaand recovery time in patients undergoing open renal surgery.Method: In this double-blind, randomized, controlled trial, all patients undergoingopenrenal surgery were enrolledandrandomlydivided into a BIS group and clinical assessment group (control). In the BIS group, the electrodes of BIS monitoring system wereplaced on frontal and temporal lobes of the patient. The time of eye opening, verbal response to verbal stimulation, extubation time,the duration of stay in the recovery unit, the first-time of narcotic usage, and total dosage of intravenous narcotics were assessed in2 groups.Results: A total of 96 patients were enrolled. Sex, age, BMI, duration of surgery, length of stay in the recovery room and first-timenarcotic drug usage were not significantly different in the two groups. However, the length of time from the anesthetic drug discontinuationto eye opening, verbal responses to verbal stimulation and extubation was significantly lower in the BIS group thanthe control group, respectively (P = 0.002, P = 0.007, P = 0.019).Conclusions: The evaluation of the aneasthesia status of patients based on the BIS index would be more efficient in decreasing theemergence anaesthesia including eye opening, verbal response, extubation after anesthesi

Regulatory NK cells in autoimmune disease

NK cells are defined as the major components of the immunological network which exerts defense against tumors and viral infections as well as regulation of innate and adaptive immunity, shaped through interaction with other cells like T cells. According to the surface markers, NK cells can be divided into CD56dim NK and CD56bright NK subsets. CD56bright NK cells usually are known as regulatory NK cells. Once the immune system loses its self-tolerance, autoimmune diseases develop. NK cells and their subsets can be altered during autoimmune diseases, indicative of their prominent regulatory roles and even pathological and protective functions in autoimmune disorders. In this regard, activation of CD56bright NK cells can suppress activated autologous CD4+ T cells and subsequently prevent the initiation of autoimmunity. In this review article, we summarize the roles of regulatory NK cells in autoimmune disease occurrence which needs more research to uncover their exact related mechanism. It seems that targeting NK cells can be a promising therapeutic platform against autoimmune diseases

Fertility Preservation :A Big Dilemma For Patients With Breast Cancer

Introduction : Breast cancer is one of the most common malignancies in women. Cytotoxic chemotherapy or drugs exert a negative effect on fertility potential. Techniques,such as ovarian suppression, oocyte and embryo freezing, InVitro Maturation, and ovarian tissue freezing, are necessary to preserve fertility. Methods: To conduct this study, a query was conducted on Persian and English sources databases as Scoupus, Google Scholar, Pub Med, and Science Direct during the last 24 years using the following keywords: breast cancer, infertility, fertility preservation, oocyte freezing, and embryo freezing. Results: Based on the result15% to 25% of patients are young premenopausal women. Chemotherapy or radiation therapy can lead to infertility or early menopause. As suggested by evidence, the success rate of embryo freezing is much higher than oocyte freezing and In Vitro Maturation. Among the fertility preservation methods, ovarian tissue freezing and 3D bioprinting are in the laboratory research stage and have received much attention. Correct counseling and providing accurate information to patients and their timely referral have have a marked impact on improving their mental and physical condition and treating their underlying disease. Conclusion: As evidence by the result of this study, early diagnosis of breast cancer and timely referral to a fertility specialist enable , breast cancer patients to maintain their fertility and experience their biological child after aggressive cancer treatments

Clinical characteristics and outcomes of COVID-19 patients with a history of cardiovascular disease

New emerging severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) primarily affects the lungs, but the virus may cause cardiovascular disease (CVD), and a history of CVD is usually associated with comorbidities, which could increase the severity of infections. In this study, we collected demographic and clinical characteristics data from 123 patients with a history of CVD, who were confirmed to have SARS-CoV-2 infection by polymerase chain reaction (PCR) test in Razi Hospital, Rasht, Iran, from March 2021 to June 2021. Chi-Square and Fisher's Exact test with a significance level of P less than 0.05 was performed. All statistical analysis was performed with SPSS software version 26.0. Among the studied patients, 99 patients were discharged and 24 of them died. 62 (50.4%) of the study population were female and 61 (49.6%) were male, and there is no significant association between gender and the outcome of patients (P = 0.159). The total mean age of patients was 68.35±12.41. Statistical analysis has represented a significant relation of death outcomes in CVD patients with age 60 years and older (P = 0.001), in comparison with patients younger than 60 years. In this present study, no significant relation between underlying disease and mortality rate was reported, but in COVID-19 patients with a history of CVD and age upper than 60 years, death outcome was more probable

Selective bilateral internal iliac artery embolization for controlling refractory hematuria due to the metastatic squamous cell carcinoma of the urinary bladder: a case report

Bladder squamous cell carcinoma (SCC) may lead to gross hematuria. However, the metastasis of head and neck cutaneous SCC to the urinary bladder has not been described in literature. Nowadays, noninvasive methods such as embolization, are considered as an appropriate choice for controlling life-threatening hematuria in patients with high operative risk. However, few reports exist on the effectiveness of this approach in managing the hematuria secondary to metastatic bladder SCC. Here we report a case of bladder SCC originating from the forehead cutaneous SCC. An 83-year-old man, a known case of forehead cutaneous SCC with distant metastasis, referred to our clinic with a chief complaint of hematuria. Pathology confirmed the diagnosis of metastatic urinary bladder SCC. Angiography and embolization were undertaken and resulted in complete alleviation of the symptoms. The recurrence of hematuria or embolization-related complications were not observed during 3-month follow-up. Selective embolization of the bilateral internal iliac artery is a safe and efficient procedure for controlling severe hematuria in patients with primary or metastatic bladder SCC