Effect of scaling and root planing on blood counts in patients with chronic generalized periodontitis

Background: Many systemic diseases have been implicated as risk factors in periodontal disease. Studies suggest that periodontal infection can adversely affect systemic health; by inference periodontal disease will also have an effect on blood values, but the data available is not conclusive. Aim: This clinical study was designed to evaluate the effect of treatment of plaque induced periodontitis on commonly assessed blood parameters. Materials and Method: 37 males and 31 females aged between 20 and 50 years in good general health but suffering from plaque induced chronic periodontitis were selected for the study. The selected patients were assessed for ESR, TLC, PMN count, lymphocyte count from DLC, HB, BT and their periodontal condition before the start of the study. SCRP was carried out and patients were reassessed for the same clinical and hematological parameters 21 days after the periodontal therapy (SCRP). Results: A highly significant reduction in the counts of PMNs and the values of ESI was seen after SCRP. Furthermore a significant reduction in TLC, lymphocytes count, and BT and a non significant decrease in Hb were also observed. Conclusion: SCRP done in patients of chronic periodontitis has a considerable affect on the assessed blood parameters

Assessment of additional relative plaque removing efficacy of a newly available toothbrush

Aim: To confirm claimed additional efficacy of Sensodyne Expert tooth brush over other commonly used commercially available tooth brushes. Methods and Materials: This was a single use randomized double blind study for the assessment of plaque remaining after tooth brushing with Sensodyne Expert tooth brush to that remaining after brushing with the. Forty subjects were enrolled in the study. Only the right-handed subjects were chosen for the study. One side of the subjects' oral cavity was randomly assigned to be brushed with Sensodyne Expert toothbrush while the other was brushed using the already in use subject's regular tooth brush for one minute each side. Two tone disclosing agent was then used to identify and score post-brushing plaque remaining after tooth brushing on the selected teeth. Plaque was scored using the Turesky et al. Modified Quigley-Hein Plaque Index (TQHPI) on selected teeth on both sides of the oral cavity. Results: The mean post brushing plaque score for assessed teeth brushed with Sensodyne Expert tooth brush was 1.283 ± 0.39, while that with already in use subject's regular tooth brush was and 1.153±0.71. Student t-test was used for analysis of results. There was an nonsignificant difference in post brushing plaque scores of both groups at assessed p value (P = 0.078). This suggests that subjects of this study were able to equally effectively remove plaque using their own and Sensodyne Expert tooth brushes. Conclusion: The plaque removing efficacy of Sensodyne Expert tooth brush was comparable to that of other tooth brusheswhen plaque on the selected teeth remaining after tooth brushing was assessed. Additional plaque removing efficacy of Sensodyne Expert tooth brushover subjects' other already in use toothbrushes was not found

Imaging in ductal plate malformations

Ductal plate malformations are a heterogenous group of congenital fibrocystic liver diseases resulting from insult to the ductal plate at various stages of embryogenesis. As a result various biliary malformations, cysts, hamartomas and congenital hepatic fibrosis may be seen. We present a radiological pictorial of ductal plate malformations, accurate diagnosis of which is important for clinical management

Twelve Trends for Consideration in California's Transportation Plan

This paper presents an overview of a dozen trends that have potentially significant consequences for California and its transportation plan for the next twenty years. The twelve trends discussed in the paper are:1. A Growing Population2. Demographic Change3. New Patterns of Employment4. Housing Location, Type, and Affordability5. Change in the Central Valley6. Changing Passenger and Household Travel Demand7. Changing Patterns of Freight Transport8. New Technologies9. The Environment10. Equity and Participation11. Sustainable Transportation12. The Funding Dilemm

Overview and Summary: Twelve Trends for Consideration in California's Transportation Plan

The paper concludes with a brief discussion of the implications of these trends for transportation planning. More extensive discussions of the first nine trends and the issues they raise can be found in the detailed papers that follow this summary. The last three topics are not addressed in later papers here; separate studies are being conducted on these topics.This paper and the papers it summarizes are intended to provide a review of key literature as well as background information and data on the topics covered. We clearly do not attempt to cover every possible trend that could affect the pace or location of growth and change in California – we do not discuss, for example, the possible effects of recession, competing demands for water, or whether the current problems with the state’s electric power supply will be lasting. Nor are the papers designed to offer policy advice, although we do sometimes suggest interpretations of the data that have policy significance. Finally, each paper is written to stand on its own as a summary of trends and issues for the particular topic it addresses. In preparing the individual papers, we have drawn upon a variety of sources and reflect sometimes-differing perspectives and interpretations of events and possibilities, as does the literature on the topics. We have not attempted to force consensus across the papers when it does not exist in the literature and data. We nevertheless hope that the materials here will stimulate discussion and further analysis as California transportation plans are being developed

Disseminated trichosporonosis due to Trichosporon asahii in a diabetic patient

Trichosporon asahii (formerly known as Trichosporon beigelii) is an emerging, life-threatening opportunistic pathogen and has been found to be invariably associated with disseminated or deep-seated trichosporonosis, more so among the patients with granulocytopenia or hematological malignancies. We here report a successfully treated case of disseminated trichosporonosis in a known diabetic, 14-year-old girl, admitted to our hospital with chief complaints of fever, chills, and burning micturition since 3 weeks. Disseminated trichosporonosis is usually an insidious disease with poor prognosis. Early diagnosis is crucial for successful treatment. High index of clinical suspicion and extensive microbiological investigations can clinch the diagnosis