title
stringlengths
1
1.19k
keywords
stringlengths
0
668
concept
stringlengths
0
909
paragraph
stringlengths
0
61.8k
PMID
stringlengths
10
11
Freedom from reintervention and aortic events
Freedom from valve, ascending aorta and arch reintervention at 5 years was similar with 98% for PEARS vs 94.6% for VSRR (p=0.1) (Kaplan-Meier estimate of freedom from aortic valve (AV) and ascending aorta/arch reintervention for total (A) and matched (B) cohorts, including 95% CIs. Graphs were truncated when less than ...
PMC10313978
Aortic regurgitation
AORTIC REGURGITATION
At last follow-up after PEARS (median 21 months, IQR 4–42), nearly 90% of patients had no AR and only one patient had an Both preoperatively and at discharge, patients undergoing VSRR were significantly more likely to have mild (1/4) AR. After PS matching, there was no significant difference in AR grade at these time p...
PMC10313978
Discussion
death, stiff interposition, bleeding, external annuloplasty, deaths
DISEASE PROGRESSION, BLEEDING, AORTIC DISSECTION, EVENT, DISEASE, EVENTS, COMPLICATIONS
While the perioperative outcomes of PEARS and root replacement have been compared,Our study cohort was derived from real-world clinical data and consists of a selected population of young patients with predominantly MFS, normal ejection fraction and at most mild AR undergoing elective surgery. The PEARS 200 Database re...
PMC10313978
Data availability statement
Data are available upon reasonable request.
PMC10313978
Ethics statements
PMC10313978
Patient consent for publication
Not required.
PMC10313978
Ethics approval
For this retrospective study, the need for additional patient consent was waived (Ethical Committee of the University Hospitals Leuven, S63787).
PMC10313978
References
PMC10313978
Background
Healthy aging for all in the community is a shared public health agenda for countries with aging populations, but there is a lack of empirical evidence on community-wide preventive models that promote the health of older people residing in socially-disadvantaged communities. The Health and Wellness Program for Seniors ...
PMC9813466
Methods/design
HWePS is a prospective, non-randomized comparison trial conducted in an intervention and a control neighborhood (
PMC9813466
Discussion
As a multi-level health equity project, HWePS has adopted a novel study design that simultaneously targets individual- and community-level factors known to contribute to health inequality in later life in the community. The study will provide insights into the effectiveness and implementation process of an integrated, ...
PMC9813466
Trial registration
ISRCTN29103760. Registered 2 September 2021,
PMC9813466
Keywords
PMC9813466
Background
Healthy aging is a widely accepted common goal of most countries with aging populations, regardless of income level. The proportion of older adults in the world’s population is expected to reach 16% by 2050 [Health equity is a critical goal of public health policy and practice. Beyond mere surveillance and monitoring o...
PMC9813466
Theoretical rationale
HL
The Health and Wellness Program for Seniors (HWePS) is a technology-enhanced, multi-level, integrated health equity intervention model that aims to promote the health and wellness of older people in an urban, low-income community. As a small-area, public-health equity program (intervention), the HWePS was designed base...
PMC9813466
Objectives
Improving health equity in later life should be a top priority of public health officials, especially considering the possibility of extended later life due to increasing longevity and the proportion of older age groups. In order to advance healthy aging for all, it is imperative to reduce health disparities among olde...
PMC9813466
Methods/design
PMC9813466
Study design
The Health and Wellness Program for Seniors (HWePS) is a two-arm, non-randomized, controlled cluster trial that seeks to evaluate a theory-guided, technology-enhanced, integrated health-equity intervention model for older residents in urban, low-income communities in Seoul, Korea, during the COVID-19 pandemic. The HWeP...
PMC9813466
Study setting and participants
The HWePS is being conducted in two urban neighborhoods (Study participants include older adults residing in the intervention and control areas who consent to participate in the research study. Participants come from a pool of individuals who participated in a community-wide community health and wellness survey conduct...
PMC9813466
Intervention
PMC9813466
Process measures
The goal of process evaluation in this study is to understand the factors that can influence the success of complex interventions [Process evaluation constructs and data collection methods adapted from the UK Medical Research Council (MRC) [
PMC9813466
Sample size and recruitment
RECRUITMENT
This HWePS intervention study is part of a larger community-wide health equity initiative, starting with a community-wide health and wellness survey conducted from November 2020 to January 2021. The sample for the community-wide survey consisted of approximately 700 older adults in the intervention area and 500 older a...
PMC9813466
Assignment of interventions and blinding
Participant assignment into the intervention group or the control group is solely based on area of residence. Participants reside in 15 Considering the nature of the study, limited single-blinding is applied to the intervention, as participants will not be told whether they reside in the intervention or control area, b...
PMC9813466
Data collection
infection, mass infection
INFECTION, HAND INFECTION
Data collection is carried out by external assessors. The research team provides a one-day intensive education program consisting of survey procedures, safety and infection education, and an item-by-item explanation. The education session is followed by a Q&A session and three mandatory practice sessions with mock case...
PMC9813466
Data analysis plan
PMC9813466
Effect evaluation
SENSITIVITY
Descriptive statistics will be used to analyze data concerning the participants’ demographic and baseline characteristics. Baseline differences between the intervention and control group will be analyzed using an independent sample t-test or the Mann–Whitney U-test for continuous data and the Chi-square test for catego...
PMC9813466
Process analysis
Quantitative data will be analyzed using simple descriptive analyses using SAS 9.4 (Cary, NC, USA), including the logs from the HWePS ICT system, the HWePS app, and the Walk-On app (a community walking tracking app) in order to monitor delivery of the intervention. We will also analyze the standardized-questionnaire it...
PMC9813466
Ethics and dissemination
This study was approved by the institutional review board (IRB) of human subjects at Seoul National University (SNU IRB 2011/002–016). No critical modifications have been made to the protocol thus far and any changes in the future will be reported to the relevant parties. All data including personal information is save...
PMC9813466
Trial status
The study has been rolled out to the intervention and control communities, and data collection is ongoing at the submission of this manuscript. Data analysis has not yet started.
PMC9813466
Discussion
infection
INFECTION
While healthy aging for all is widely accepted public health agenda, few multi-faceted, multi-level health equity interventions promoting health and wellness exist, especially ones targeting relatively healthy older adults residing in an urban, low-income community in a non-Western country. In Korea, public health cent...
PMC9813466
Acknowledgements
None.
PMC9813466
Authors’ contributions
WL
HK and HC conceived and initiated conceptualization and design of the study. HK, HC, YJ, JL, EK contributed to the refinement of the study design and developed implementation strategies. WL provided statistical expertise in the clinical trial design. HK, JY, HC wrote the first draft of the study protocol, and all autho...
PMC9813466
Funding
DISEASE
This work was based on the Project to Empower Communities to Reduce Health Disparities, supported by the Korea Disease Control and Prevention Agency and the Seoul Metropolitan Government; the project was executed in Jungnang-gu (district) in Seoul. The funding sources had no role in the study design; data collection an...
PMC9813466
Availability of data and materials
The datasets generated and/or analyzed during the current study are not publicly available due to the policy of the SNU IRB, which does not allow the opening and sharing of research data with any third party, but are available from the corresponding author upon reasonable request.
PMC9813466
Declarations
PMC9813466
Ethics approval and consent to participate
This study was approved by the institutional review board for human subjects at Seoul National University, Seoul, South Korea (SNU IRB 2011/002–016). Written informed consent is to be obtained from all study participants.
PMC9813466
Consent for publication
Not applicable.
PMC9813466
Competing interests
The authors declare that they have no competing interests.
PMC9813466
References
PMC9813466
Purpose
occlusal caries lesions
To evaluate and compare the clinical effectiveness of alkasite with nanofilled resin composite restorations for occlusal caries lesions in permanent molar teeth of children, at one-year follow-up.
PMC10317863
Methods
occlusal caries lesions
In this randomized controlled clinical trial with parallel design, 38 children aged 7–13 years with occlusal caries lesions on 59 first permanent molars were randomly allocated into two groups, Group 1: Filtek™ Z350XT (nanocomposite) and Group 2: Cention N
PMC10317863
Results
fracture, caries
SECONDARY, CARIES
All restorations had either Alpha or Bravo scores at one-year follow-up. In Group 1, all restorations scored Alpha, while one restoration each (3.6%) in Group 2 scored Bravo for fracture and marginal adaptation. All restorations in both groups scored Alpha for retention, secondary caries, and post-operative sensitivity...
PMC10317863
Conclusions
occlusal caries lesions
The performances of the nanofilled composite and alkasite were clinically acceptable and comparable. Alkasite can be an alternative material for the restoration of occlusal caries lesions in permanent molars of children.
PMC10317863
Clinical trial registration
The clinical trial was registered at Clinical Trials Registry—India (CTRI Reg no: CTRI/2020/12/029830 Dated: 15/12/2020).
PMC10317863
Keywords
Open access funding provided by Manipal Academy of Higher Education, Manipal
PMC10317863
Introduction
carious lesions, fracture
Dental resin composites have gradually replaced amalgam as the standard restorative material for permanent teeth in following the principles of minimally invasive dentistry and the treaty of the Minamata Convention on Mercury in 2013 that encourages phase down of amalgam (Celik et al. Recently, an alkasite-based tooth-...
PMC10317863
Material and methods
This clinical study had a randomised controlled, two-arm parallel design and is reported according to the Consolidated Standards of Reporting Clinical Trials (CONSORT) guidelines and is registered in the database for the registration of clinical studies (Clinical Trial registry of India, Reg. No.: CTRI/2020/12/029830)....
PMC10317863
Compliance with ethical Standards
The Institutional Ethics Committee approved the research protocol (Protocol Reference: 19084). Parents of the participants were informed about the procedure using a patient information sheet and written informed consent was obtained by the principal investigator. Written informed assent from the participating children ...
PMC10317863
Sample size
fracture
The sample size calculation was performed at a 90% confidence interval and power of 80%, assuming the effect size to be 25% and a failure rate (fracture of restoration) of 3% (Loguerico et al.
PMC10317863
Eligibility criteria
carious lesions, pulpal disease, dentinal caries, mental disabilities, allergy, abnormal parafunctional, pain
SYSTEMIC ILLNESS, ALLERGY, HYPOPLASIA
Children aged 7–13 years, with carious lesions on the occlusal surface in any one of the first permanent molars with ICDAS score ranging from 3–5 (Ismail et al. The exclusion criteria were as follows: permanent molars with deep dentinal caries or presence of any pulpal disease with or without pain, permanent molars wit...
PMC10317863
Randomisation
CAVITY
Permuted block randomisation with block sizes 4 and 8 was used. Blocks were randomly allocated using a random table of numbers. An operator who was otherwise not participating in the study assigned participants to one of the groups. The allocation ratio was 1:1. The group to be assigned was marked on cards enclosed in ...
PMC10317863
Clinical procedure
PLAQUE
All the restorative procedures were done under rubber dam isolation by a single operator (Principal Investigator). The included molars were cleaned, polished with non-fluoridated prophylaxis paste, rubber cup and micromotor handpiece to remove any plaque and debris. A topical anaesthetic (10% lidocaine spray) (Neon Lab...
PMC10317863
Cavity preparation
carious lesion, Carious
CAVITY
Carious tissue was removed using a conservative cavity preparation method. The outline form of the cavity was defined by the extent of the carious lesion. Unsupported enamel (enamel unsupported by dentin) was preserved, while undermined enamel (thin or loose enamel) margins were removed. Extensions towards the marginal...
PMC10317863
Etching and bonding
Group 1: The tooth surface was etched with 3M ESPE Scotch-bond Etchant (37% phosphoric acid gel) (3M ESPE, St. Paul, MN, USA) with an applicator brush for 15 s. The tooth surface was washed with a three-way syringe for 10 s and gently dried by blotting with a mini sponge to give a moist, glistening appearance, which en...
PMC10317863
Placement of restorative material
CAVITY
For both groups, the material was placed into the cavity with help of a plastic filling instrument, followed by condensation with a composite condenser.Group 1: Composite material was placed in split horizontal increments of 1.5 mm.Group 2: Composite material was placed as a single increment. The powder and liquid of t...
PMC10317863
Curing time
LED light curing device (Bluedent, BG Light Ltd, Plovdiv, Bulgaria) was used at a constant intensity of ≥ 500 mW/cm
PMC10317863
Evaluation
After one year, the restorations were evaluated by two examiners who were previously trained and calibrated, using Modified Ryge/USPHS (United States Public Health Service) criteria (Bayne and Schmalz
PMC10317863
Calibration of examiners
Both the examiners were trained and calibrated for the USPHS criteria before the evaluation of the restorations (Table Description of the criteria for clinical evaluation of the restorations at follow-up using the USPHS criteria (modified from Canali et al.
PMC10317863
Blinding
The study participants, the examiners who performed the follow-up examination and the statistician who carried out the analysis were blinded to group allocation. However, the operator who had carried out the restorative procedures was not blinded to the group allocation.
PMC10317863
Statistical analysis
Data were entered and analyzed using IBM SPSS Statistics for Windows, version 20 (IBM, Armonk, NY, USA). Descriptive statistics were tabulated. The baseline data and the outcomes were compared between the groups using the Students
PMC10317863
Results
At the beginning of the study, 38 children with 59 erupted first permanent molars were recruited from December 2020 to February 2021(Fig. Flow diagram representing flow of participants until 12 months in the studyComparison of Mean Age, Baseline Mean DMFT and dmft scores between the groupsComparison of frequencies of v...
PMC10317863
Discussion
Loss of retention, fracture, bond failure, tooth
ADHESION
In this study, two different classes of resin composites were utilised for the restoration of occlusal surfaces of the first permanent molars in paediatric dental patients. The clinical effectiveness of a nanofill (Filtek™ Z350XT) resin composite was compared with an alkasite (Cention NDespite both groups demonstrating...
PMC10317863
Author contributions
RS
Conceptualization, methodology: HS, BSS, RS; Investigation: HS, BSS, RS; Data curation: HS and BSS; Statistical Analysis: RS and HK; Writing—original draft preparation: HS and BSS; Writing—review and editing: RS, HK and AR; Supervision: BSS. All authors read and approved the final manuscript.
PMC10317863
Funding
Open access funding provided by Manipal Academy of Higher Education, Manipal. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
PMC10317863
Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
PMC10317863
Declarations
PMC10317863
Conflict of interest
The authors declare that they have no conflict of interest.
PMC10317863
Ethics approval
The Institutional Ethics Committee of Manipal College of Dental Sciences, Mangalore, approved this study (Protocol Reference: 19084). The study was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki (2013 amendment).
PMC10317863
Consent to participate
The authors confirm that written informed consent was obtained from all the parents of the children included in the study, and written informed assent was obtained from all the children who participated in the study, with the information provided on participation and publication of data.
PMC10317863
References
PMC10317863
Background
NSCLC
NON-SMALL CELL LUNG CANCER, PULMONARY METASTASIS, NSCLC
Prognostic factors and survival outcomes of non-small cell lung cancer (NSCLC) with Ipsilateral pulmonary metastasis (IPM) are not well-defined. Thus, this study intended to identify the prognostic factors for these patients and construct a predictive nomogram model.
PMC10614355
Methods
REGRESSION
One thousand, seven hundred thirty-two patients with IPM identified between 2000 to 2019 were from the Surveillance, Epidemiology, and End Results (SEER) database. Independent prognostic factors were identified using multivariate Cox regression analyses. Nomograms were constructed to predict the overall survival (OS), ...
PMC10614355
Results
Patients were randomly divided into training (
PMC10614355
Conclusion
NSCLC
NSCLC
We constructed and internally validated a nomogram to predict 1-year, 3-year, and 5-year OS for NSCLC patients with IPM according to independent prognostic factors. This nomogram demonstrated good calibration, discrimination, clinical utility, and practical decision-making effects for the prognosis of NSCLC patients wi...
PMC10614355
Keywords
PMC10614355
Introduction
NSCLC, tumor, tumors
NON-SMALL CELL LUNG CANCER, TUMOR, METASTASIS, PULMONARY METASTASIS, MALIGNANT TUMOR, NSCLC, PRIMARY TUMOR, TUMORS
Ipsilateral pulmonary metastasis (IPM), also known as separate or additional tumor nodule(s), is a form of intrapulmonary metastasis in non-small cell lung cancer (NSCLC), including tumors with additional nodule(s) in the same lobe (PM1) and tumors with additional nodule(s) in the ipsilateral different lobe (PM2) [Alth...
PMC10614355
Methods
PMC10614355
Data sources
cancer
CANCER
One thousand, seven hundred thirty-two patients with IPM were identified between 2000 to 2019 from the database "Incidence – SEER Research Plus Data, 17 Registries, Nov 2021 Sub (2000–2019)”. The SEER database was publicly available and established in 1973. The database currently collects and publishes cancer incidence...
PMC10614355
Patient selection
NSCLC, non-small-cell carcinoma, tumor, Tumor, pulmonary metastasis, adenocarcinoma, primary lung cancer
NON-SMALL CELL LUNG CANCER, TUMOR, LUNG, TUMOR, PULMONARY METASTASIS, ADENOCARCINOMA, NSCLC, SQUAMOUS CELL CARCINOMA, LARGE CELL CARCINOMA
The inclusion criteria were: (1) primary lung cancer; (2) tumor descriptor with ipsilateral pulmonary metastasis [based on Separate Tumor Nodules Ipsilateral Lung Recode (2010 +) with the information of separate nodules of the same hist type in the ipsilateral lung, same or different lobe]; (3) no overlapping primary s...
PMC10614355
Statistical analysis
Random division of patients, all analyses and figures were performed by R version 4.2.2 and R studio 2022.12.0 Build 353 (
PMC10614355
Results
PMC10614355
Construction and validation of nomogram for predicting OS
NSCLC, tumor
NON-SMALL CELL LUNG CANCER, TUMOR, PRIMARY TUMOR, NSCLC, REGRESSION
Based on the results of the multivariate Cox regression model, a nomogram was constructed using independent factors including age, sex, primary tumor size, tumor grade, N status, number of regional lymph nodes removed, and chemotherapy. The nomogram can predict the 1-year, 3-year, and 5-year OS rates by summing the poi...
PMC10614355
Discussion
NSCLC, tumor, Tumor, lung cancer, tumors
NON-SMALL CELL LUNG CANCER, TUMOR, METASTASIS, TUMOR, LYMPH NODE METASTASES, LUNG CANCER, NSCLC, PRIMARY TUMOR, TUMORS
IPM is a heterogeneous category in NSCLC and survival outcomes can be affected by various factors [Our data suggest that patients over 65 years old have a worse prognosis, which is consistent with other studies on lung cancer [Tumor size is a well-known prognostic factor for NSCLC, and larger tumors have a greater risk...
PMC10614355
Conclusion
NSCLC, tumor
PRIMARY TUMOR, TUMOR, NSCLC
In conclusion, age, sex, primary tumor size, N status, number of regional lymph nodes removed, tumor grade, and chemotherapy of patients were the independent prognostic factors for NSCLC patients with IPM. We constructed and internally validated a nomogram to predict 1-year, 3-year, and 5-year OS for NSCLC patients wit...
PMC10614355
Acknowledgements
We thank the Surveillance, Epidemiology, and End Results database (
PMC10614355
Authors’ contributions
Jiajun Zhang: conception and design, preparation of the manuscript, and analysis of the data. Jin Zhang: design and review.
PMC10614355
Funding
No funding.
PMC10614355
Availability of data and materials
All data and documents needed will be provided upon request through email: 361532004@qq.com.
PMC10614355
Declarations
PMC10614355
Ethics approval and consent to participate
cancer, Cancer
CANCER, CANCER
We promise that our research was performed in accordance with the Declaration of Helsinki and all methods were carried out in accordance with relevant guidelines and regulations. All experimental protocols were approved by the ethics committee of National Cancer Institute (USA) to obtain research data on cancer patient...
PMC10614355
Consent to publication
Not applicable.
PMC10614355
Competing interests
The authors declare no competing interests.
PMC10614355
References
PMC10614355
Background:
coronavirus disease
CORONAVIRUS, SEVERE ACUTE RESPIRATORY SYNDROME
In individuals with coronavirus disease (COVID-19), the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral load (VL) plays an important role in infectivity.
PMC10326526
Objectives:
This study aimed to evaluate the reduction in the VL and infectivity induced by phthalocyanine mouthwash and nasal spray in patients with COVID-19.
PMC10326526
Methods:
Patients with mild COVID-19 were recruited to participate in a triple-blinded randomized controlled trial. Participants were assigned to one of three groups: Group 1, non-active mouthwash and saline nasal spray (SNS); Group 2, phthalocyanine mouthwash and SNS; and Group 3 phthalocyanine mouthwash and phthalocyanine na...
PMC10326526
Findings:
Forty-six participants were included in the analysis: 15, 16, and 15 in Groups 1, 2, and 3, respectively. After 72 hours, the reduction in VL was significantly higher in Group 3 (mean cycle threshold (Ct) decrease: 11.21) than in Group 1 (mean Ct decrease: 5.53). Additionally, only the mean VL in Group 3 was reduced t...
PMC10326526
Main conclusions:
Use of phthalocyanine mouthwash and nasal spray is effective at reducing SARS-CoV-2 infectivity.
PMC10326526
Zusammenfassung
PMC10326526
Hintergrund:
CORONAVIRUS
Bei Personen mit Coronavirus-Erkrankung (COVID-19) spielt die Viruslast (VL) des schweren akuten respiratorischen Syndroms Coronavirus 2 (SARS-CoV-2) eine wichtige Rolle für die Infektiosität.
PMC10326526