Management of Conductive Hearing problems in kids

Reports have shown that residues of pharmaceuticals and their metabolites can pose toxicological threats to organisms living in aquatic ecosystem. Nile tilapia, Oreochromis niloticus, was exposed at 0.17, 0.34, and 0.68 mg L-1 of diclofenac up to 60 days in a renewal static bioassay system. Antioxidant enzymes reactions, molecular responses, activities of energy metabolism proteins, and the neurotoxic potentials of the drug in the brain and fish muscle were evaluated. Antioxidant enzyme activities such as superoxide dismutase, glutathione-S-transferase, and also fructose 1, 6 bisphosphatase and glucose-6-phosphate dehydrogenase as well as the levels of lipid peroxidation and protein carbonyl were elevated, while glutathione peroxidase, total reduced glutathione, and acetylcholinesterase in the brain and muscles of the treated groups were significantly inhibited in a dose-dependent association. Expression of superoxide dismutase (sod), catalase (cat), and heat shock proteins (hsp 70) genes in brain and muscle tissues was up-regulated. Continuous treatment with sublethal diclofenac for a long time can induce oxidative imbalance, cause neurotoxicity, and alter the expression of genes related to stress in Nile tilapia, suggesting the use of these biomarkers in monitoring the adverse effects the pharmaceuticals could cause to organisms in aquatic ecosystem for possible mitigation.A theoretical assessment of the o-nitrophenol adsorption on layered double hydroxides containing different metallic species (Ca-Al, Ni-Al and Zn-Al) was performed. Experimental o-nitrophenol adsorption isotherms obtained at different adsorption temperatures with these layered double hydroxides were analyzed using a statistical physics monolayer model. Model calculations showed that the o-nitrophenol aggregation could occur with a high degree. It was estimated that the o-nitrophenol adsorption implied a non-flat orientation on all adsorbent surfaces and this process was multi-molecular. It was also demonstrated that there was no significant difference on the o-nitrophenol adsorption capacities of tested adsorbents, which varied from 77 to 135, 95 to 122 and 74 and 130 mg/g for Ca-Al, Ni-Al and Zn-Al layered double hydroxides, respectively. This finding suggested that the incorporation of Ca-Al, Ni-Al and Zn-Al in the layered double hydroxide structure played a similar role to adsorb o-nitrophenol molecules from aqueous solution. Calculated adsorption energies and thermodynamic functions confirmed an exothermic adsorption with the presence of physical-based interaction forces. This paper highlights the importance of reliable theoretical calculations based on statistical physics theory to contribute in the understanding of the adsorption mechanisms of a relevant water pollutant using layered double hydroxides as promising adsorbents for industrial applications.This research sought to develop and validate the "Workplace Second-hand Smoke Perception on the SHS Knowledge, Attitude, and Practice" (WSHS PAP) instrument, which targets non-smoking employees. A cross-sectional study was conducted between April and June 2018 to validate WSHS PAP among non-smoking employees at Universiti Malaya Medical Centre (UMMC). Experts were invited to validate the instrument. Then, for exploratory factor analysis, a cross-sectional study was conducted among 336 UMMC non-smoking employees who were recruited by convenience sampling. A total of 28 items on KAP, rated on five-point Likert scales, underwent exploratory factor analysis and were tested for internal consistency (Cronbach's alpha). Participants were approached after 2 weeks for the assessment of test-retest reliability. Cronbach's alpha was 0.828, 0.743 and 0.837, respectively, for the domains of perception of the knowledge, attitude and practice, indicating acceptable internal consistency (above 0.7). Exploratory factor analysis identified a one-factor solution for each of the KAP domains. Therefore, the Malay version of the WSHS PAP instrument demonstrated satisfactory psychometric properties for the assessment of non-smoking employees in workplaces with a smoking ban.
Recently numerous researchers have shown remarkable progress using convolutional neural network-based artificial intelligence (AI) for endoscopy. In this manuscript we aim to summarize recent AI impact on endoscopy.
AI for detecting colon polyps has been the most promising area for application of AI in endoscopy. Recent prospective randomized studies showed that AI assisted colonoscopy increased adenoma detection rate and the mean number of adenomas per patient compared to standard colonoscopy alone. click here AI for optical biopsy of colon polyp showed a negative predictive value of ≥90%. For capsule endoscopy, applying AI to pre-read the video images decreased physician reading time significantly. Recently, researchers are broadening the area of AI to quality assessment of endoscopy such as bowel preparation and automated report generation. AI systems have shown great potential to increase physician performance by enhancing detection, reducing procedure time, and providing real-time feedback of endoscopy quality. real world settings and also integration of AI tools into pragmatic platforms.
Subgingival dental restorations and periodontal health have been studied for many years; however, there is a low histological evidence on the behavior of new materials in the supracrestal tissue attachment. The aim of this study is to analyze the periodontal response when a tricalcium silicate material (TSM) or composite margin restorations is placed to 0.5 mm and 1.5 mm from the bone crest with a histomorphometric analysis in dogs.
Nine mongrel dogs were used in this study four dogs (8 canine teeth) for TSM group, 4 dogs (8 canine teeth) for composite group, and 1 dog (2 canine teeth) with cavities without restorations. Cavity preparation of 2×2×1 mm was created on the buccal aspect of the canines at 0.5 and 1.5 mm of the crestal bone. Cavities were restored with composite and TSM or were left unrestored as control. After 12 weeks of healing, the dogs were euthanized and blocks containing the tooth and soft tissues were processed.
In all the specimens, the junction epithelium was stablished apical to the tooth preparations.