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- COVID-19 Pandemic: An Opportunity for Public Health Learning
My opinion: Coronavirus disease 19 (COVID-19) pandemic is indeed the most critical global incident for many decades. It has touched almost all humans, regardless of their race, gender, age, socioeconomic status or educational level (1). Although the influence of the pandemic on our lives was variable, nobody was protected. By the ..
- Diffusion of Innovation and Health Messages during COVID-19 pandemic : A South Africa case study
Abstract : Health messages are indispensable in public health; they are the connection between health experts, researchers and communities. The purpose of this case study is to assess the current health messages used to curb COVID-19 transmission in South Africa. The study also compared the SA health messages to best practices in..
- NOT Hate Masks; Just Investigate Them Regarding: Fungal Rhino-Sinusitis, Catabolic Myo-Arthralgia, Schoolchildren's Cognition, Sclerosis's Temperature And Disability Sabbatical
My opinion: Love and hate are powerful words which are often overused to make or break the case for what we love or what we hate. Personally, I have never loved masks even when they now seem “therapeutic” to me against pathogens like SARS-CoV-2 [1-2]. However, I cannot hate their non-physiological micro-environments [3] becaus..
- RECURRENT PULMONARY EMBOLISM IN METASTATIC BREAST CANCER: RESPONDING TO A DOSE REDUCTION OF ANTICANCER TREATMENT
Abstract: Venous thromboembolism (VTE) is a major complication in cancer patients despite anticoagulation. In fact this is the second cause of death in them, only behind the malignancy itself. Therefore, optimal treatment is crucial. Low-molecular-weight heparin (LMWH) and direct oral anticoagulants (DOACs) have been included as..
- Communicating COVID-19 prevention Health Messages: A case study of South Africa
Abstract : Abstract: Health messages are indispensable in public health; they are the connection between health experts, researchers and communities. The purpose of this case study is to assess the current health messages used to curb COVID-19 transmission in South Africa. The study also compared the SA health messages to best p..
- Can Bat-Gown, Bat-Sack, Bat-Box Protection Counter Bat-Human Contraption? An Envisaged Idea Triplet
Abstract: Dose of exposure cannot be downplayed whether it is the dose of inanimate chemicals, animate bacteria or viruses somewhere-in-between therein. Therefore, as high infectivity of clinical scenarios unravel during COVID-19 pandemic, Bat-Gown, Bat-Sack and Bat-Box as envisaged idea triplet may play a role to counter Bat-Hu..
- The Legend of Kalidasa Inspiring To Phase Out Overspecialization: Skills vs. Degrees
My opinion: There is a well-known legend about ancient Sanskrit scholar, Kalidasa. Before evolving into an acclaimed literary giant, he was supposedly a dimwit as depicted by him sawing the tree branch on which he was sitting [1]. However, there can be an alternate interpretation to the legend. Instead of sawing it, Kalidasa might..
- Non-Circumferential "Tourniquet" for Neck Vein Cannulation
My opinion: To engorge neck veins for cannulation, proceduralists (a) turn patients into Trendelenburg position and/or (b) ask patients to hold breath and/or (c) passively raise patients’ leg and/or (d) ask assistants to apply supraclavicular occlusive digital pressure just proximal to – towards heart – site of venous cannul..
- Artless solution to resolve the problem of retention in resorbed alveolar ridge cases
Abstract : Rarely maxillary completely edentulous ridges resorb to the extent where they pose a challenge to a prosthodontist. However, whenever they resorb, they definitely alter patient compliance towards dent..
- Can the Occlus-o-guide be used in mixed dentition as interceptive therapy of Class II? A literature review
Abstract : The Occlus-o-guide is an elastodontic Eruption Guide Appliance, which could achieve the ideal occlusion by exploiting the natural forces of growth to obtain harmonic occlusion in a balanced craniofacial context. This study is a literature review and was conducted in order to know if the Occlus-o-guide can be used as an..
- Can COVID-19 Pandemic Invent Redesigned Electric Microcars To Be Parked Inside Workplaces As Mask-Vacation Pods?
Abstract: Non-physiological in-mask microclimates may require mask-vacation pods as safe-spaces for workers to break away from masks during COVID-19 pandemic...
- N99 Neck Masks for Neck Breathers
My opinion: Neck breathers may have air movement across tracheoesophageal puncture/fistula or laryngopharynx during vocalization leading to aerosols exiting via nasopharynx and oropharynx [1]. Therefore, neck breathers wear facemasks during COVID-19 pandemic as depicted by masked mannequin (Figure 1: pink arrowheads). However, nec..
- Are There Fatalities Due To Delayed Statewide Mandatory Mask Use Orders?
My opinion: It is a Pandora’s Box which Yehya et al [1] and Auger et al [2] have opened in the midst of global pandemic because although SARS-CoV-2 as a pathogen knows and follows no boundaries, local, regional and national policies may have created non-scientific boundaries with fractured global response becoming an obstacle to..
- Our Antrum: Empty, Filled, Full
My opinion: Inability to quantify gastric fullness preoperatively can be very frustrating for anesthesiologists. This is especially more so while managing gastrointestinal endoscopies, firstly because gastrointestinal endoscopies are primarily performed under moderate sedation with unprotected airways, and secondly because endosco..
- Metastatic colon cancer: is rechallenging still an option beyond second line? A quick review.
Abstract : Metastatic colorectal cancer continues to be very frequent and although the improvements in its systemic treatment throughout the past decade have been noticeable, much needs still to be done. Patients’ survival has been prolonged with good quality of life, being still suitable for further treatment, thus further opt..
- Young Females and Cerebral Venous Thrombosis
Abstract : Cerebral venous thrombosis (CVT), is an under diagnosed condition for acute or slowly progressive neurological deficit. CVT has a wide spectrum of signs and symptoms, which may evolve suddenly or over the weeks. It is clinically challenging and mimics neurological conditions, such as: meningitis, encephalopathy, benign..
- Midline diastema and crowding correction with Invisalign lite: a case report
Abstract : The Clear Aligner can be used to correct tooth movement without involving extraction, surgery, and other adjunct orthopaedic appliances. Some forms of attachments are required with clear aligners to a..
- Scissor bite and crowding correction with clear aligners: case report
Abstract : Background: To describe an esthetic orthodontic treatment using aligners in an adult patient with crowding and dental scissor bite. A 21-year-old female patient with skeletal class I presented for ..
- Weekly aligner changes to correct anterior crossbite: a case report
Abstract : The aim of this paper is to present and debate the treatment of a unilateral crossbite using clear aligners (Invisalign) with weekly changes. The advantages of protected movement, due to the presence ..
- Anterior crossbite and crowding correction with a series of clear aligners: case report
Introduction: Nowadays, there is a growing demand for aesthetic treatment among both adolescents and adults. Indeed, a recent study estimated that 45% of adults are unhappy with their smile and that 20%of these hav..
- A brief history of some important medical tools: remembering the past
Abstract : Our current daily routine is so comfortable that we forget about the past. Nothing in medicine has been gained without effort and behind these routinary tools, there is a long history that most of us ignore. This article pretends to be a short review of the origins and evolution of three significant advances in medic..
- Anecdotes: Postoperative-Incentive-Spirometry, CSE-Introducer-Needle, Triangulated-LMA-Circuit-Support, Cuff-Pressure-Self-Deflating-Syringe, No-Injection-of-Air-Technique
Acknowledgements: The author is indebted to his teachers who all taught him about anesthesiology over the years especially Vitaly D. Soskin, MD, PhD and Elie J. Chidiac, MD...
- 2019 College Admissions Story And ERAS/NRMP/GME
My opinion: 2019 College Admissions Story is pertaining to Honest Services Fraud statute [1-2]. This federal statute safeguards the third party from the harms caused by transactions between two parties whereby the transactions have caused the recipient party to be non-compliant in its duty to provide honest services to the collate..
- Artificial Intelligence And Redundant Specialties
My opinion: Historically, traffic stops used to be operated by traffic cops [1]. Our quest to make commuting smoother and roads safer has allowed artificial intelligence (AI) to take over and turn traffic cops redundant [2]. Recently, our voluntary explorations into our past through genealogy have created a worldwide human genome ..
- Self-Healing Ceiling
My opinion: The prominent weightage accrued to letters of recommendation and personal statements make one wonder whether the standardized examination-adjudged meritocracy misses out on applicants’ assessment as whole persons. However, the origin of letters of recommendation and personal statements a century back may be speaking ..
- Therapeutic Video Games for Attention Deficit Hyperactivity Disorder (ADHD)
ADHD, Pharmaceuticals, and Videogames: Attention Deficit Hyperactivity Disorder Diagnosis rates of ADHD in children range from 3-11% compared to 4% in adults.1-3 Diagnosis of ADHD rose 42% from 2003–2004 to 2011–2012.2 In 2011, 3.5 million children were being treated with therapeutics as reported by their parents.2 Stimulant medications such as amphetam..
- FUTURISTICALLY ADAPTABLE MANAGEMENT OF SEDATION COUGH PROJECTILE
My opinion: Although cough projectile may be commoner in intubated patient with endotracheal tube being a narrower conduit,[1] non-intubated patient can also generate cough projectile through wider oropharynx. During elective colonoscopy under fluctuating moderate-to-deep sedation levels, profuse regurgitation with or without coug..
- Subtraction of Attraction for Saner Workplaces
Abstract: Occupational health practitioners may acknowledge attraction as natural and innate instinct but must regulate it when difficulty in separating personal and professional lives is endangering sanity and survival of modern workplaces...
- Call for Standalone Clear Anesthesia Screen Drape
My opinion: Someone once said that the best monitor for the anesthesia provider is the direct visualization of surgical field itself. Even though it can be considered an overstatement in the modern digitally monitored operating rooms, direct visualization of surgical field despite being so-called old school method does not lose it..
- A Bioelectric Model of Meridian Channels in Pain Control and Wound Healing with Noninvasive Rectangular Pulse Electric Current Stimulation (RPECS)
Abstract : Questions: What are the meridian channels? Where do they locate if they exist? How do they function to control pain or cure diseases? The answers are not fully clear or confirmed today to our best k..
- Scalp cooling use in breast cancer patients receiving neoadjuvant/adjuvant systemic chemotherapy in England
Abstract : Background Chemotherapy-induced alopecia is a distressing side-effect. Currently the use of scalp cooling has been encouraged but we do not really know the rate of compliance or success in routine practice. Methods We have carried out an audit in our centre to assess both, compliance and success in our patients diagnos..
- Add Jaw-Thrust To Evolve 2-Rescuers Hands-Only CPR
My opinion: Cardiocerebral resuscitation (CCR) as an evolved form of cardiopulmonary resuscitation (CPR) has been termed as Hands-Only CPR (HOCPR) for the lay rescuers.[1] iStan Adult Patient Simulator (CAE Healthcare, Saint-Laurent, Quebec, Canada) provides definitive evidence of “covert” pulmonary resuscitation happening dur..
- COST CONSENT
My opinion: In medicine, patients’ consent for their medical management has evolved as a core ethical principle. One question arises: How responsibly do the patients give consent for their medical management [1-2]? Then the question comes: How can the patients responsibly give consent when they are not fully aware of what costs ..
- Referrals to Occupational Health Services for Burnout
Abstract: Healthcare workers who suspect or report burnout at work should seek occupational health services. They may need professional evaluation and health management prior to return-to-work...
- The birth of antibiotics: cutting a long story short. Part 1
A difficult beginning : Nowadays we are so used to the antibiotics that we take them for granted. However, there was a time were common bacterial infections were at ease and minor scratches or simple cuts were fatal. All started when syphilis, although known for centuries, became the 19th century version of today’s Aids epidemic. This se..
- Legal death asks, "What's in a name?"
Abstract: Legal death asks, “What’s in a name?” Before defining death, we must understand what life is and, after understanding life, we must ponder why we are defining death. Essentially, death is the time-point when the body, as a whole, is ready to begin its irreversible decomposition and decay so that the elements form..
- NSND (Not Sure-Never-Definitely) {YNDK (Yes-No-Don't Know)} APP: "Rate Thyself"
Introduction: In the modern digital world of online ratings-and-reviews, it is important to “Know Thyself” [1-4]. Therefore, instead of being rated-and-reviewed only by strongly motivated consumers who are documenting their strongly perceived positive-or-negative interactions-and-experiences, facilities-and-providers should them..
- A Critical Review of the Bacteria Serratia marcescens and its Impact on Human Health
Abstract : Serratia marcescens is a gram negative bacterium of the family Enterobacteriaceae. Serratia marcescens is a motile opportunistic pathogen that produces the signature red pigment product prodigiosin. It possesses a thin cell membrane and thin peptidoglycan layer surrounded by an outer lipopolysaccharide (LPS) filled mem..
- Effectiveness of Mandibular Lip Bumper therapy in mixed dentition patients- A review of literature
Abstract : The aim of this study is to evaluate the clinical effects of Lip Bumper therapy on the mandibular arch in mixed dentition patients. The main objectives of this appliance are the reduction of anterior mandibular crowding, the distalization of the first permanent molars and the increase of arch width, depth and circumfer..
- Evaluation of the correlation between tooth size-arch length and bone dimension for the correct position of orthodontic miniscrew: a literature review
Abstract : Objective: To define a map of secure spaces where miniscrew can be likely placed at a level covered by attached gingiva, and to assess if a correlation between crowding and availability of space exists. For this reason, orthopantograms and CBCT images are been evaluated to search safe zones. Methods: A manual and elect..
- Effects of functional appliances on pharyngeal airways in patients with class II malocclusions: a literature review
Abstract : Class II malocclusions may be classified into four main groups: protrusive maxillary dentition, maxilla protrusion, mandibular deficiency and excessive or deficient vertical development. Mandibular deficiency seems to be the most frequent characteristic in class II malocclusions. Severe mandibular deficiency can reduce..
- Borderline patients: orthodontics or surgery? A literature review
Abstract: Borderline subjects are defined as those patients whose malocclusion can be treated either with orthodontic dental compensation (camouflage) or with surgical treatment of repositioning of the jaws in the three planes of the space. A correct diagnosis is one of the most difficult decision for orthodontic clinician. The ..
- Soft Tissue Effects of Twin Block and Herbst Functional Appliances: A Systematic Review
ABSTRACT : In growing patients, it is possible to correct a Class II malocclusion due to skeletal mandibular retrognthia with fixed and removable functional orthodontic appliances. The aim of this study is to evaluate facial soft tissue changes after the use of Twin Block (TB) and Herbst appliance in Class II division 1 malocclus..
- Orthodontic/Orthopedic Treatment of Hemifacial Microsomia: a review.
Abstract : Hemifacial microsomia is the second most frequent craniofacial birth defect after cleft lip and palate. Reported incidence varies from 1 case every 3000 to 1 case every 5600 newborns. The cause is unk..
- Biomechanical advantages and adverse effects of Lingual Orthodontic treatment: a review
Abstract : Backgrounds: The use of lingual orthodontic treatment is increased in recent years, especially between late adolescents and adults, for aesthetic reasons. The new lingual bracket systems developed (fully customized brackets, that use CAD/CAM technologies) have shown a good adaptation on the teeth’s surfaces and less ..
- Bionator di Balters and Frankel in the treatment of class II malocclusions: a literature review
Abstract: Functional devices in class II malocclusions can optimize mandibular growth in order to obtain a first-class skeletal relationship, normalising neuromuscular activity and achieving harmonious anatomical relations. The aim of this review is to compare the dentoalveolar and skeletal effects produced by the Frankel II (FR..
- Exploring different types of treatment of Obstructive Sleep Apnea Syndrome: a review
Abstract : Obstructive sleep apnea syndrome (OSAS) is a complete or partial airway obstruction that can cause significant impacts on patient′s life in aspects as craniofacial diseases, cognitive performance and quality of life. The variety of intervention for treatment of pediatric obstructive sleep apnea syndrome are complex, ..
- Dentoalveolar and Skeletal Effects of Occlus-o-guide: a literature review
Abstract : The Occlus-o-guide is a preformed, elastomeric, removable orthodontic appliance used in early age to prevent the development of malocclusions. It can be considered as a functional device, due to its ability to bring the mandibule forward to correct II Class malocclusion and a positioner for performing minimal tooth mov..
- Factors considered by patients for selection of a dental hospital and consumer's choice of dentist in Hyderabad city- A cross sectional study.
Abstract : Introduction: A successful oral health care service system is required for providing quality service and it is important to put efforts into improving the quality of dental services delivered.Therefore it is necessary to explore the factors considered by patients for selection of a dental hospital and patient’s choic..
- The role of the orthodontist in OSAS treatment. A literature review
Abstract : The objective of this study is to make a review of literature about OSAS analyzing the different therapeutic strategies used by the orthodontist to treat subjects suffering from this disorder. Obstructive sleep apnea syndrome (OSAS) is defined as recurrent episodes of obstruction of the upper airway. Loud snoring, tire..
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