Effect of cardiac rehabilitation on physical and mental health components: A randomized controlled clinical trial

Background and Aim: Cardiovascular disease can affect physical and mental conditions. The purpose of the present study was to investigate the effect of phase 1 and 2 of cardiac rehabilitation on physical and mental health components in the patients with acute coronary syndrome. Materials and methods: This clinical trial study included 50 patients with acute coronary syndrome admitted to the coronary care units of the hospitals of Isfahan University of Medical Sciences between 2013 and 2014. The participants were randomly assigned to control and experimental groups. The experimental group performed cardiac rehabilitation program and the control group received routine care. QOL-sf36 questioner was used before and one month after intervention to assess physical and mental health components. Using SPSS18 software, data were analyzed by T- test. Results: There were no significant differences in the demographic variables and cardiovascular risk factors between the experimental and control groups. The mean scores of physical component and mental component after intervention, were 40.9± 9.9 and 37.7 ±10.4 in the control group and 46.9±8.6 and 45.3±10.6 in the experimental group respectively. The results of T-test showed that the mean scores of physical (p=0.02) and mental (p=0.01) health components in the experimental group were significantly higher than those in the control group. Conclusion: The results of this study showed that cardiac rehabilitation program can improve physical and mental health components in the patients with acute coronary syndrome. © 2016, Kurdistan University of Medical Sciences. All rights reserved

Restorative Thresholds for Carious Lesions:Systematic Review and Meta-analysis

Current evidence supports noninvasive/nonrestorative treatment of “early” carious lesions: those confined to enamel or reaching the enamel-dentin junction. The extent that dentists’ thresholds for intervening restoratively have changed with this evidence is unknown. This systematic review aimed to determine dentists’ and therapists’ current lesion threshold for carrying our restorative interventions in adults/children and primary/permanent teeth. Embase, Medline via PubMed, and Web of Science were searched for observational studies, without language, time, or quality restrictions. Screening and data extraction were independent and in duplicate. Random-effects meta-analyses with subgroup and meta-regression analysis were performed. Thirty studies, mainly involving dentists, met the inclusion criteria. There was heterogeneity in sampling frames, methods, and scales used to investigate thresholds. The studies spanned 30 y (1983–2014), and sample representativeness and response bias issues were likely to have affected the results. Studies measured what dentists said they would do rather than actually did. Studies represented 17 countries, focusing mainly on adults (n = 17) and permanentteeth (n = 24). For proximal carious lesions confined to enamel (not reaching the enamel-dentin junction), 21% (95% confidence interval [CI], 15%–28%) of dentists/therapists would intervene invasively. The likelihood of a restorative intervention almost doubled (risk ratio, 1.98; 95% CI, 1.68–2.33) in high caries risk patients. For proximal lesions extending up to the enamel-dentin junction, 47% (95% CI, 39%–55%) of dentists/therapists would intervene restoratively. For occlusal lesions with enamel discoloration/cavitation but no clinical/radiographic dentin involvement, 12% (95% CI, 6%–22%) of dentists/therapists stated they would intervene, increasing to 74% (95% CI,56%–86%) with dentin involvement. There was variance between countries but no significant temporal trend. A significant proportion of dentists/therapists said they would intervene invasively (restoratively) on carious lesions where evidence and clinical recommendations indicate less invasive therapies should be used. There is great need to understand decisions to intervene restoratively and to find implementation interventions that translate research evidence into clinical practice

ANALOGIES BETWEEN SIMPLE MECHANICAL SYSTEMS AND ELECTROHYDRAULIC AND ELECTROMECHANICAL SERVOMECHANISM

Contemporary flight control system design necessitates the use of intricate models to analyse individual components or subsystems. However, fundamental and synthetic models with sufficient accuracy are essential for preliminary design, monitoring, or diagnostic purposes. Understanding primary flight commands, particularly those represented as position servo commands with a high degree of accuracy, is greatly enhanced through analogies drawn between simple mechanical systems and electrohydraulic as well as electromechanical servomechanisms. By employing these analogies, complex systems can be simulated using simpler yet still accurate models. In this study, we present methods of simplification aimed at simulating electrohydraulic and electromechanical servomechanisms using a second-order dynamic system with two degrees of freedom. This approach preserves the desired accuracy in the simulation while comparing favourably with results obtained from more complex validated mathematical models in MATLAB/Simulink

An investigation on resistance of 19 common bean genotypes to two-spotted spider mite, Tetranychus urticae (Acari: Tetranychidae), in three regions of Iran

Two-spotted spider mite, Tetranychus urticae Koch, is one of the important pests of common bean that causes serious damage to agricultural crops. In this study, nineteen common bean genotypes were evaluated for resistance to the two-spotted spider mite. The trial was carried out at field conditions of Karaj, Brojerd and Khomein. One week after mite infestation, the total number of female and eggs were counted for two times. Also, mite damage feeding was evaluated with a 1-6 scale. Khomein had the fewest infested mean and relative resistance of many genotypes was failed in comparison to susceptible standard genotype (Akhtar) at Khomein. So they should be eliminated in alternative breeding programs. Nevertheless, only Ks41128 that had good relative resistance at other regions had the most relative resistance at Khomein. Subsequently, we propose Ks41128 as the most resistance and also the most stable genotypes

Influence of selective caries excavation on marginal penetration of class II composite restorations in vitro

Selective caries excavation may support pulp preservation. This in vitro study investigated the influence of selective removal of demineralized dentin on marginal integrity of composite restorations as determined by dye penetration. Dentinal caries-like lesions were produced in the approximal surfaces of 40 extracted human molars (ethylenediaminetetraacetate, 0.5 M, 96 h). The following test procedures were established: complete excavation, selective excavation, and caries-free control. Two class II cavities with enamel at the cervical margins were prepared per tooth and demineralization volume was determined by micro-computed tomography for the purpose of a stratified distribution to receive complete excavation or selective excavation. After complete or selective excavation (30 cavities each), adhesive composite restorations were placed. Cavities without demineralized dentin (20 cavities) served as control. The marginal integrity of restorations was evaluated by dye penetration with and without thermocycling or mechanical loading. Results were analyzed by non-parametrical statistical tests (Mann-WhitneyUTest) with an alpha = 0.05 level of significance. Dye penetration did not differ significantly among completely excavated, selectively excavated, or undemineralized teeth, but was increased by thermocycling and mechanical loading in all experimental groups. Selective caries removal did not increase marginal penetration in class II restorations. The presence of remaining demineralized dentin surrounded by sound dentin did not impair marginal integrity of restorations with margins placed in sound enamel

Sense of coherence predicts post-myocardial infarction trajectory of leisure time physical activity: a prospective cohort study

<p>Abstract</p> <p>Background</p> <p>Physical activity confers a survival advantage after myocardial infarction (MI), yet the majority of post-MI patients are not regularly active. Since sense of coherence (SOC) has been associated with health outcomes and some health behaviours, we investigated whether it plays a role in post-MI physical activity.</p> <p>We examined the predictive role of SOC in the long-term trajectory of leisure time physical activity (LTPA) after MI using a prospective cohort design.</p> <p>Methods</p> <p>A cohort of 643 patients aged ≤ 65 years admitted to hospital in central Israel with incident MI between February 1992 and February 1993 were followed up for 13 years. Socioeconomic, clinical and psychological factors, including SOC, were assessed at baseline, and LTPA was self-reported on 5 separate occasions during follow-up. The predictive role of SOC in long-term trajectory of LTPA was assessed using generalized estimating equations.</p> <p>Results</p> <p>SOC was consistently associated with engagement in LTPA throughout follow-up. Patients in the lowest SOC tertile had almost twice the odds (odds ratio,1.99; 95% confidence interval,1.52-2.60) of decreasing their engagement in LTPA as those in the highest tertile. A strong association remained after controlling for disease severity, depression, sociodemographic and clinical factors.</p> <p>Conclusion</p> <p>Our evidence suggests that SOC predicts LTPA trajectory post-MI. Assessment of SOC can help identify high-risk MI survivors, who may require additional help in following secondary prevention recommendations which can dramatically improve prognosis.</p