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Radiographic measurement
tooth
CREST
The CBCT images were collected using the Planmeca 3D Imaging System (field-of-view of 8 cm (D) × 8 cm (H), resolution 0.16 mm, Planmeca, Finland). After being exported as digital imaging and communications in medicine (DICOM) files, the data were analyzed using planning software (Nobel Clinician, Nobel Biocare, Sweden)...
PMC10579201
Histomorphological examination
Tissue biopsies were immersed in 10% neutral formalin solution for 24 h with the trephines.Thereafter, samples were dehydrated with alcohol gradients after flushing, and embedded with polymethyl methacrylate. The samples were sectioned opposite to the long axis of the biopsy, and five tissue sections of 600 µm thicknes...
PMC10579201
Statistical analysis
±
Categorical data are expressed as frequencies and percentages, and continuous data as mean (± standard deviation, SD) or median and interquartile range (IQR) (25th–75th percentile). Analysis was performed in the per-protocol (PP) dataset, that is, all patients who were randomized, received the intervention, and complet...
PMC10579201
Results
Of the 40 patients recruited for the study, 4 (10%) were excluded due to protocol violations (prohibited medication history, significantly exceeding the follow-up time-point limit, and severely defective bone), 2 of them from the natural healing group, and 1 patient each from the rhBMP-2/BioCaP/β-TCP and β-TCP groups, ...
PMC10579201
GV changes on CBCT images
In the first CBCT scan (baseline), there were no statistically significant differences in GVs between the rhBMP-2/BioCaP/β-TCP and β-TCP groups (Table Initial GV in β-TCP and rhBMP-2/BioCaP/β-TCP groupComparison of CBCT data of the GV change in three groupsComparison of CBCT data of the GV change in β-TCP group and RhB...
PMC10579201
Histomorphological results
The percentage of new bone area at the 3 mm point was statistically significant different in the three study groups, with higher values in the rhBMP-2/BioCaP/β-TCP group (21.18% ± 7.62% in the rhBMP-2/BioCaP/β-TCP group, 13.44% ± 6.03% in the β-TCP group, and 9.49% ± 0.08% in controls). Also, the median (min, max) valu...
PMC10579201
Discussion
bone loss, tooth
ADHESION, BONE LOSS
This study used CBCT scanning and histological examination to evaluate degradation and new bone formation associated with the use of rhBMP-2/BioCaP/β-TCP and β-TCP as filling materials in socket preservation. CBCT scanning showed that there was a greater GV decrease in the rhBMP 2/BioCaP/β-TCP group than in the β-TCP g...
PMC10579201
Acknowledgements
We thank Frederieke Monchen and Isa Massee for collecting CBCT data, Dr. Naichuan Su for statistical data analysis, and Marta Pulido, MD, for editing the manuscript.
PMC10579201
Author contributions
YS: writing—original draft and visualization; CX and MW: writing—review and editing; HP: performed in trial design and management; YW and LW: writing—review; YL: conceptualization; supervision; writing—review and editing.
PMC10579201
Funding
This work was supported by the NWO grant (No. 729001041) and the Dutch ZonMW grant LSH2TREAT (No. 436001004).
PMC10579201
Data availability
The datasets used and/or analysed during the current study are available from the corresponding author upon reasonable request.
PMC10579201
Declarations
PMC10579201
Ethical approval and consent to participate
The study was approved by the Clinical Research Ethics Committees of the Academic Center for Dentistry Amsterdam (code ACTA 202061), Vrije Universiteit Amsterdam, the Netherlands and Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University, School of Medicine (code SH9H-2019-T231-4), China.
PMC10579201
Consent for publication
Written informed consent was obtained from all participants.
PMC10579201
Competing interests
The authors declare that they have no competing interests.
PMC10579201
References
PMC10579201
Keywords
PMC10208731
Palavras-chave
PMC10208731
Introduction
PTB, sPTB
PRETERM BIRTH, PRETERM DELIVERY
Multiple gestations are at higher risk for preterm birth (PTB), and neonatal morbidity and mortality, and their incidence has been in a rising trend since many of them are associated with assisted reproduction treatments. The use of risk factors to identify women at higher risk of preterm delivery is part of the prev...
PMC10208731
Methods
fetal malformation, PTB, cholestasis, sPTB
VAGINAL BLEEDING, CONTRACTIONS, LIVER DISEASE, PREGNANCY COMPLICATIONS, CHOLESTASIS, PLACENTA PREVIA, THROMBOEMBOLISM, REGRESSION, DILATION, PRETERM BIRTH
We performed an ancillary analysis using a cohort strategy analysis of all twin pregnancies included in the P5 Trial (Pessary Plus Progesterone to Prevent Preterm Birth Study – Trial registration RBR-3t8prz, approved by the Brazilian National Review Board/CONEP – number 1.055.555) to describe Brazilian populational cu...
PMC10208731
Results
PTB, sPTB, abortion
OBESE
A total of 253 from 8,168 women were included in this analysis. We excluded 71 women due to missing information, and 7844 singleton women ( Patient enrolment flowchart. The incidence of twin pregnancy in the P5 screening phase was 3.5%, with 157 dichorionic diamniotic twins (62%), and 96 monochorionic diamniotic twi...
PMC10208731
Values of percentile 5, 10, 25, 50, 75, 90, and 95 for the cervical length according to gestational age at measurement
sPTB
As a presumable consequence, considering two gestational ages intervals at measurement (18–20 vs. 21–22 weeks), we identified an increase in sensitivity to predict sPTB < 37 during 21 to 22 weeks (
PMC10208731
Discussion
PTB, sPTB
Our study provides Brazilian CL distribution curves from 18 to 22 + 6 weeks in asymptomatic twin gestations. The CL 10 The mean CL identified in our study and the PTB rate are very similar to previous Brazilian studies focused on twin gestations. A prospective cohort involving 341 patients with CL measurement between...
PMC10208731
Conclusion
PTB
A cutoff point of CL ≤ 20 mm can be interesting to identify short cervix in Brazilian twin pregnancies. However, in Brazilian asymptomatic twin pregnancies, CL does not show a good performance to predict PTB. Furthermore, the available treatments for PTB in twins do not support a CL screening program in Brazil.
PMC10208731
Contributions
JP
TV Silva: design, investigation, data collection, data analysis, data curation, methodology, writing, and review & editing. AB Pinheiro: review & editing. MS França: investigation, data collection, and data analysis. KF Marquart: investigation, data collection, and data analysis. JP Argenton: statistics and data analys...
PMC10208731
References
PMC10208731
Background
The authors have declared that no competing interests exist.The World Health Organization recommends that primaquine should be given once weekly for 8-weeks to patients with
PMC10482257
Methods
Within the context of a multicentre, randomised clinical trial of two primaquine regimens in
PMC10482257
Results
G6PD DEFICIENCY
Between July 2014 and November 2017, 42 male and 8 female patients were enrolled in Afghanistan (6), Ethiopia (5), Indonesia (19), and Vietnam (20). G6PD deficiency was confirmed by genotyping in 31 patients: Viangchan (14), Mediterranean (4), 357A-G (3), Canton (2), Kaiping (2), and one each for A
PMC10482257
Conclusions
PQ8W was highly effective in preventing
PMC10482257
Trial registration
This trial is registered at ClinicalTrials.gov (
PMC10482257
Author summary
Fifty patients with
PMC10482257
Data Availability
All data are in the manuscript and/or
PMC10482257
Materials and methods
PMC10482257
Ethics statement
Ethics approval was obtained from the following national and local committees and authorities: The Human Research Ethics Committee of the Northern Territory Department of Health (HREC), Australia, the Islamic Republic of Afghanistan, Ministry of Public Health, Institutional Review Board, Afghanistan, the National Resea...
PMC10482257
Trial design, study site, conduct and ethics
gastrointestinal symptoms, parasitaemia, abdominal pain, nausea, vomiting
INFECTIOUS DISEASES, ALLERGY, ADVERSE EVENTS, DRUG WITHDRAWAL, EVENTS, SEVERE ANEMIA, BLOOD
The clinical trial design and methodology have been described previously [G6PDd patients were treated with supervised primaquine (blister-packed 7.5 & 15 mg tablets, Centurion Laboratories, Vadodara, India), at a target dose of 0.75mg base/kg per week (At enrolment, a medical history was taken, a physical examination w...
PMC10482257
G6PD deficiency assessment and genotyping
G6PD deficiency
G6PD DEFICIENCY
At the two Indonesian sites, patients with an FST result indicating G6PD deficiency had their enzyme activities quantified by spectrophotometry (Trinity Biotech, Ireland), processed within 7 days of sampling [Patient’s G6PDd status was confirmed by genotyping for local variants known to be associated with reduced enzym...
PMC10482257
Statistical methods & data management
parasitaemia
REGRESSION, RECURRENCE, G6PD DEFICIENCY
Data were entered from standardised case record forms and analysed using Stata v16.0 (StataCorp, College Station, TX). Negative binomial regression adjusted for follow up time was used to estimate the incidence rate of recurrence outcomes and Kaplan Meier survival estimates were used to assess the incidence risk of rec...
PMC10482257
Results
Between July 20, 2014, and November 25, 2017, 50 patients (42 [84%] males) with G6PDd and microscopy confirmed
PMC10482257
Trial profile.
PMC10482257
Baseline characteristics of patients enrolled into the study.
The baseline characteristics of patients enrolled at each site are presented in
PMC10482257
G6PD activity and genotyping
G6PD deficiency
G6PD DEFICIENCY
Genotyping of G6PD variants was conducted on all but one patient from Afghanistan who had a missing blood sample. Seventeen patients were wild type at the loci tested (See In South Sumatra, the G6PD activity of the six patients diagnosed with G6PD deficiency by FST ranged from 1.4 to 52% (Of the 31 patients enrolled in...
PMC10482257
G6PD variants identified in patients enrolled into the study.
202G
*1 male in Ethiopia genotyped as AF2 (202G>A) and was categorized as A+ and not confirmed as deficient. Enzyme activities are presented in
PMC10482257
Efficacy
parasitaemia, aparasitaemic
The initial response to treatment was rapid in all patients. After 24 hours, 88% (44/50) were aparasitaemic and 92% (45/49) were afebrile. By 48 hours, all patients had cleared their peripheral parasitaemia and were afebrile. Two Vietnamese patients had recurrent symptomatic The incidence rate of
PMC10482257
Efficacy endpoints.
PMC10482257
Haematological profile
Overall, the median Hb concentration fell after starting treatment with the lowest concentration reported on D7 (12.2 g/dL, range 8.3–16.6). The Hb concentration rose thereafter to exceed the median baseline Hb on D28 (
PMC10482257
Changes in haemoglobin concentrations (g/dL) over time in all patients identified as G6PD deficient by the fluorescent spot test.
Footnote: Purple dotted lines show individual patient Hb profiles.The Hb concentrations over time by G6PD status are shown in
PMC10482257
Distribution of haemoglobin concentrations (g/dL) over time during follow up by G6PD status.
Footnote: Boxes represent 25
PMC10482257
Hemoglobin Profile by Treatment Arm.
Two patients had falls in Hb exceeding 5 g/dL (
PMC10482257
Relationship between haemoglobin at baseline and day 7 as A) fractional change and B) absolute change, by G6PD status.
PMC10482257
Tolerability
No patient vomited their medication within 1 hour of administration. During the first week (
PMC10482257
Symptoms elicited from symptom questionnaires.
diarrheal, abdominal pain, anorexia, nausea, vomiting
ANOREXIA
* Composite of any of the following: nausea, vomiting, anorexia, diarrheal or abdominal pain
PMC10482257
Discussion
anemia, acute disease, parasitaemia, G6PD deficiency, hemolysis, anorexia
EVENT, RECRUITMENT, ANEMIA, ACUTE DISEASE, G6PD DEFICIENCY, HEMOLYSIS, ANOREXIA
Our study represents the largest study to date on the use of the 8-week primaquine regimen for the radical cure of Defining antirelapse efficacy of primaquine and tafenoquine is confounded by the frequency and timing of hypnozoite reactivation and recurrent parasitaemia, which vary with hypnozoite load, and parasite st...
PMC10482257
Supporting information
PMC10482257
Statistical analysis plan.
(PDF)Click here for additional data file.
PMC10482257
Literature review of clinical trials treating patients with weekly primaquine regimens.
(DOCX)Click here for additional data file.
PMC10482257
Information about study sites.
(DOCX)Click here for additional data file.
PMC10482257
List of Ethics Review Boards and Regulatory Agencies.
(DOCX)Click here for additional data file.
PMC10482257
Weekly primaquine dosing.
(DOCX)Click here for additional data file.
PMC10482257
Dosing table for dihydroartemisinin piperaquine used in Indonesia.
(DOCX)Click here for additional data file.
PMC10482257
Baseline Characteristics of all patients stratified by site.
(DOCX)Click here for additional data file.
PMC10482257
Study data.
(XLSX)Click here for additional data file.We wish to express our sincere gratitude to the patients for volunteering to join this study and to the nurses and laboratory staff. For the purpose of open access, the author has applied a CC BY public copyright license to any Author Accepted Manuscript version arising from th...
PMC10482257
References
PMC10482257
Background
CARDIOPULMONARY
Cardiopulmonary resuscitation skill have a direct impact on its success rate. Choosing the right method to acquire this skill can lead to effective performance. This investigation was conducted to compare the effect of Real-time feedback and debriefing by video recording on basic life support skill in nursing students.
PMC9878936
Methods
This quasi-experimental study was performed on 67 first year nursing students. First, a theoretical basic life support (BLS) training session was held for the all participants, at the end of session the pre-test was taken. Students were randomly assigned to two groups. A 4-hour practical BLS training session was conduc...
PMC9878936
Results
Results showed a significant difference between mean (SD) of debriefing by video recording group in pre-test and post-test (
PMC9878936
Conclusions
Both real-time feedback and debriefing by video recording were effective on basic life support skill.
PMC9878936
Keywords
PMC9878936
Introduction
cardiovascular disease, cardiac arrest
CARDIOVASCULAR DISEASE, CARDIAC ARREST
The burden of cardiovascular disease and the sudden increase in the number of cardiac arrests is one of the most important health problems in the world, which imposes high costs on the health care system of countries every year [Resuscitation education is a necessary element of skills training for nurses who are likely...
PMC9878936
Methods
This study was quasi-experimental (pretest-posttest). Research sample in this study included 67 first year nursing students studying in Mashhad School of Nursing and Midwifery in the academic year 2019–2020 who were selected by convenience sampling method. Inclusion criteria were: no clinical work experience, no partic...
PMC9878936
Measurement and instrument
HEART
The instruments used in the research were demographic information questionnaire, Kolb learning style inventory and BLS checklist with 18 items. This researcher-made checklist was prepared after reviewing samples of similar foreign and domestic checklists and based on the latest changes in the clinical guidelines of the...
PMC9878936
Intervention
After obtaining permission from the ethics committee of Mashhad University of Medical Sciences (MUMS) and approval of the Nursing and Midwifery Education Department, students’ informed written consent was obtained. The participants were included in the study in an accessible manner according to the inclusion criteria. ...
PMC9878936
Data analysis
The collected data were analyzed using SPSS software version 25. Kolmogorov-Smirnov and Shapiro Wilk tests were used to determine the normal distribution of data. Mann-Whitney test was used to compare the mean basic life support skill between the two groups of real-time feedback and debriefing by video recording before...
PMC9878936
Discussion
Findings of the study showed that basic life support skill significantly increased due to the application of both real-time feedback training and Debriefing by Video Recording methods, while there was no significant difference between the two training methods.Regarding the effect of real-time feedback method, our study...
PMC9878936
Acknowledgements
This paper is extracted from a master’s thesis in Medical Surgical Nursing approved by the School of Nursing and Midwifery, Mashhad University of Medical Sciences. The authors would like to thank all the undergraduate nursing students who participated in the study.
PMC9878936
Authors’ contributions
MG, JM, SR. M, and TP conceptualized and designed the study. MG acquired the data. MG and SR. M analyzed the data. MG and SR. M interpreted analyzed data. MG and TP drafted the manuscript and tables. MG, JM, SR. M, and TP revised the manuscript. All authors have reviewed and approved the manuscript.
PMC9878936
Funding
The Mashhad medical university of medical sciences (MUMS) (grant number 980568, to Tayebe pourghaznein).
PMC9878936
Availability of data and materials
All data generated or analyzed during this study are included in this published article.
PMC9878936
Declarations
PMC9878936
Ethics approval and consent to participate
The study has been performed in full accordance with the Declaration of Helsinki and was approved of the ethics committee of School of Nursing And Midwifery - Mashhad University of Medical Sciences, code of ethics (IR.MUMS.NURSE.REC.1398.062). The researcher explained the purpose of the study and the method of work to ...
PMC9878936
Consent for publication
Not applicable.
PMC9878936
Competing interests
The authors declare that they have no competing interests.
PMC9878936
References
PMC9878936
Subject terms
papillary thyroid microcarcinoma, tumour, PTMC
REGRESSION, TUMOUR, DELAYED HEALING
In order to provide clinical references for the RFA procedure and to study the pivotal factors affecting the recovery time of radiofrequency ablation (RFA) in patients with papillary thyroid microcarcinoma (PTMC), 176 patients with low-risk intrathyroidal PTMC were included in this research. We randomly divided the who...
PMC10439129
Introduction
primary thyroid cancer, PTC, Papillary thyroid microcarcinoma, PTMC
THYROID, PAPILLARY THYROID CANCER
Papillary thyroid microcarcinoma (PTMC) is a form of papillary thyroid cancer (PTC) with a maximum diameter of 1 cmAs an ultrasound-guided interventional technique, RFA is a less invasive alternative to surgeryUltrasound images of PTMC locoregional lymph nodes status in different treatment stages. (The 2017 RFA guideli...
PMC10439129
Results
PMC10439129
Patient cohort baseline
PTMC
RECRUITMENT
In this study, we obtained the medical records of patients with low-risk intrathyroidal PTMC from the Second Affiliated Hospital Zhejiang University School of Medicine. There were 208 patients meeting the above inclusion criteria and were all pathologically diagnosed with PTMC by fine-needle aspiration samples and unde...
PMC10439129
LASSO regression and feature selection
REGRESSION
Least absolute shrinkage and selection operator (LASSO) regression analysis prevents overfitting and has very good performance in selecting variablesThe prognostic factors of RFA focus absorption time were selected by the least absolute shrinkage and selection operator (LASSO) regression model. (
PMC10439129
Construction and diagnosis of absorption time nomogram
PTMC
REGRESSION
By using the aforementioned four variables, we constructed the PTMC RFA absorption model by Cox regression, and a nomogram prediction model is shown in Fig. The construction and diagnosis t-test of the absorption time nomogram. (
PMC10439129
Accuracy of the nomogram
To evaluate the accuracy of the nomogram, we used the “Survival ROC” package to draw the ROC curve of the training (Fig. Test of the accuracy of the nomogram. (
PMC10439129
Decision curve analysis
Decision curve analysis (DCA) was used to evaluate the clinical net benefit of the predictive model
PMC10439129
RFA zone absorption time analysis
In our data, the patient’s RFA zone absorption time ranged from 3 to 48 months, with an average absorption time of 12.8 months. We defined that patients whose RFA absorption time was greater than 12 months as the “high-risk group”, and the rest were defined as the “low-risk group”. Nextly, we applied the log-rank test ...
PMC10439129
Discussion
skin burns, dysphonia, infection, tumour, endocrine malignancy, injury to vital neck organs, PTMC, gastric cancer
RECURRENCE, DISEASE, INFECTION, TUMOUR, NECK HEMATOMA, REGRESSION, GASTRIC CANCER
Many studies have shown that RFA has a good therapeutic effect in patients with PTMC. However, the description of the RFA treatment process in patients with PTMC in clinical guidelines is relatively empirical. The RFA power used for PTMC patients are varied from several watts to dozens watts among different medical ins...
PMC10439129
Methods
PMC10439129
Study population
thyroid lesions, dysphagia, voice, hoarseness, intraoperative or postoperative reactions, extrathy, hematoma, PTMC
DYSPHAGIA, NEUROLOGICAL COMPLICATION, HYPOPARATHYROIDISM, RECRUITMENT, LYMPH NODE METASTASIS, LEAKAGE, HEMATOMA, LYMPHATIC CYSTS
This retrospective study was approved by the Institutional Review Board (IRB) of the Second Affiliated Hospital Zhejiang University School of Medicine (SAHZU). The requirement for the informed consent from the patients was waived by the IRB of SAHZU, and all experiments were performed in accordance with relevant guidel...
PMC10439129
Protocol of CEUS
CEUS examinations were conducted utilizing a Resona 7 machine (Mindray Company, China) equipped with UWN
PMC10439129
Protocol of RFA
tumor
INTRAOPERATIVE COMPLICATIONS, TUMOR, TUMOR RECURRENCE, RESIDUAL TUMOR
Radiofrequency energy was generated using a VIVA radiofrequency generator (STARmed, Goyang, Korea) and an 18-gauge monopolar internally cooled electrode (VIVA; STARmed). Continuous cooling with distilled water circulation prevented overheating of the electrode shaft. The patient was positioned supine with a slightly ex...
PMC10439129
US image acquisition
TUMOR RECURRENCE
Before RFA, the ultrasound features of PTMC typically included a hypoechoic nodule with well-defined margins, a taller-than-wide shape, and intranodular vascularity on Doppler ultrasound. After RFA, the ultrasound features of the treated area would vary based on the degree of ablation. Ideally, the treated area should ...
PMC10439129
Construction of the clinical predictive model
tumour
TUMOUR
We collected the following clinical data of the cohorts as potential variables for the predictive model: patient age, sex, the energy of RFA, the average diameter of the original tumour, and RFA range at different time points (1 day after RFA and 1 month after RFA). In addition, the RFA focus absorbtion time of each pa...
PMC10439129
Acknowledgements
We are very grateful to professor Pintong Huang, who is the cheif of Radiology Department of Zhejiang University School of Medicine, designing the study. And we are also very grateful to the Department of Ultrasound in Medicine, The Second Affiliated Hospital Zhejiang University for accumulating and collecting the clin...
PMC10439129