Triple Therapy for Socket Seal Surgery: A Case Report

Socket preservation at the time of extraction is one of the most significant procedures for future prosthetic considerations and for maintenance of the health. The most important aesthetic goals of socket preservation is maintenance or enhancement of the facial and interproximal gingival contours and height of the interproximal papilla thereby maintaining health, beauty and youth. This case report illustrates the use of epithelized connective tissue graft with an amalgamation of bone graft and doxycycline in socket preservation. Apart from this, platelet rich fibrin was used as a palatal bandage at the donor site to assess the wound healing. Socket preservation performed in left upper lateral incisor region with this tunnelling approach technique provided an optimum bone fill within the socket, thereby maintaining vertical bone height and stabilizing the marginal soft tissues at the desired site. The platelet rich fibrin used as a palatal bandage at the donor site aided in better wound healing at the graft procured site. Thus this technique can be used for obtaining a good bone volume, at the recipient site and may be applied in patients with thin gingival biotype

Quality evaluation of the invader species, Artemia franciscana from Covelong salt works, Kelambakkam, South India

The quality of the invader brine shrimp, Artemia franciscana, colonized in Covelong salt works, Kelambakkam (South India) was evaluated based on biometrics, hatching characteristics and nutritional composition of cyst and freshly hatched nauplii. Hydrated cysts measured 238.31±10.42 μm in diameter, while the freshly hatched nauplii measured about 429.00±12.19 μm in length. A hatching of 76.80±5.68% was obtained with hydrated cysts. Time required to obtain 90% hatching was 22.31 hrs for this strain. The hatching synchronization time was of 4.41 hrs. The proximate composition of the decapsulated cysts and newly hatched nauplii showed high level of protein, energy content and low ash content. Fatty acids analysis of the freshly hatched nauplii indicated low level of EPA and absence (or undetectable) of DHA

Comparison of antral follicle count, antimullerian hormone and day 2 follicle stimulating hormone as predictor of ovarian response and clinical pregnancy rate in patient with an abnormal ovarian reserve test

Background: Patients having abnormal ovarian reserve test are likely to have poor response to controlled ovarian stimulation (COS) in artificial reproduction technique, where large number of follicles is desirable. Although direct measurement of the primordial follicle pool is impossible, it has been shown that the number of antral follicles in the ovaries is proportionally related to the size of primordial follicle stock from which they were recruited. Therefore, the antral follicle count (AFC) is believed to represent the quantitative aspect of ovarian aging. The aim of the study was to To compare the  day two Antral follicle count, antimullerian hormone and  Follicle stimulating hormone levels as a predictor of ovarian response among the patients undergoing controlled ovarian stimulation using GnRH antagonist and its implications in clinical pregnancy rate.Methods: A prospective study was conducted in KJK Hospital Trivandrum on 119 patients having abnormal ovarian reserve test undergoing controlled ovarian stimulation (COS) with GnRH antagonist protocol from January 2010- December 2015. Patients AFC, AMH and FSH levels were measured and their association in predicting the ovarian reserve in terms of oocyte maturation, fertilization and embryo cleavage and their pregnancy rate.Results: AFC had the highest accuracy for predicting ovarian response in patient with abnormal ovarian reserve test and was statistically significant (number of oocyte aspirated p value <0.001) than AMH (p value 0.06) and FSH (p value 0.212) in predicting ovarian response. For prediction of poor ovarian response a model including AFC+AMH was found to be almost similar to that of (p value 0.001) using AFC alone. However AFC (p value 0.458), AMH (p value 0.267) and FSH (p value 0.486) did not predict pregnancy rate in patient with abnormal ovarian reserve test and it was statistically not significant.Conclusions: This study indicates that AFC is the most useful marker in predicting the ovarian response. Doing AFC assessment alone would be more cost effective for predicting the ovarian response in patients undergoing controlled ovarian stimulation with GnRH antagonist

EXPLORING THE POTENTIAL OF VELVET BEAN, MUCUNA PRURIENS (L) SEED ON GROWTH AND GONADAL DEVELOPMENT OF MONO-SEX COMMON MOLY POECILIA SPHENOPS (VALENCIENNES, 1846)

Mucuna pruriens, a rich source of L-dihydroxyphenylalanine, commonly known as L-DOPA and a precursor to dopamine, holds potential as a natural nutritional supplement. This study aimed to delve into the impact of incorporating M. pruriens seed powder (MpSP) into the feed on growth parameters and gonadal development of mono-sex common molly (Poecilia sphenops). The fish population was divided into three experimental groups, such as G1, G2, and G3, and a control group (C), each comprising 20 individuals. Over 45 days, the experimental groups were nourished with a commercial diet bolstered by MpSP in different concentrations (5, 7 and 10g/kg of feed, respectively). In contrast, the control group was provided with a regular diet devoid of the supplement. At the end of the experiment, MpSP demonstrated significant modulation (p<0.05) of growth performance metrics, including specific growth rate (SGR), length gain rate (LGR), body mass gain (BMG), and feed conversion ratio (FCR). Impressively, even the lower concentration of MpSP (5g/kg diet) yielded substantial increments in sperm count (p <0.05) and gonadosomatic index (GSI). These findings were corroborated by histological changes that reflected enhanced testicular development, consistently outperforming the control group. These outcomes collectively suggest the potential of velvet bean seed powder as a feasible, natural, and costeffective dietary supplement for enhancing growth and testicular development in mono-sex P. sphenops

Development and Validation Protocol for an Instrument to Measure Household Water Insecurity Across Cultures and Ecologies the Household Water InSecurity Experiences (HWISE) Scale

Introduction A wide range of water-related problems contribute to the global burden of disease. Despite the many plausible consequences for health and well-being, there is no validated tool to measure individual- or household-level water insecurity equivalently across varying cultural and ecological settings. Accordingly, we are developing the Household Water Insecurity Experiences (HWISE) Scale to measure household-level water insecurity in multiple contexts. Methods and analysis After domain specification and item development, items were assessed for both content and face validity. Retained items are being asked in surveys in 28 sites globally in which waterrelated problems have been reported (eg, shortages, excess water and issues with quality), with a target of at least 250 participants from each site. Scale development will draw on analytic methods from both classical test and item response theories and include item reduction and factor structure identification. Scale evaluation will entail assessments of reliability, and predictive, convergent, and discriminant validity, as well as the assessment of differentiation between known groups. Ethics and dissemination Study activities received necessary ethical approvals from institutional review bodies relevant to each site. We anticipate that the final HWISE Scale will be completed by late 2018 and made available through open-access publication. Associated findings will be disseminated to public health professionals, scientists, practitioners and policymakers through peer-reviewed journals, scientific presentations and meetings with various stakeholders. Measures to quantify household food insecurity have transformed policy, research and humanitarian aid efforts globally, and we expect that an analogous measure for household water insecurity will be similarly impactful

The Household Water Insecurity Experiences (HWISE) Scale: comparison scores from 27 sites in 22 countries

Abstract Household survey data from 27 sites in 22 countries were collected in 2017–2018 in order to construct and validate a cross-cultural household-level water insecurity scale. The resultant Household Water Insecurity Experiences (HWISE) scale presents a useful tool for monitoring and evaluating water interventions as a complement to traditional metrics used by the development community. It can also help track progress toward achievement of Sustainable Development Goal 6 ‘clean water and sanitation for all’. We present HWISE scale scores from 27 sites as comparative data for future studies using the HWISE scale in low- and middle-income contexts. Site-level mean scores for HWISE-12 (scored 0–36) ranged from 1.64 (SD 4.22) in Pune, India, to 20.90 (7.50) in Cartagena, Colombia, while site-level mean scores for HWISE-4 (scored 0–12) ranged from 0.51 (1.50) in Pune, India, to 8.21 (2.55) in Punjab, Pakistan. Scores tended to be higher in the dry season as expected. Data from this first implementation of the HWISE scale demonstrate the diversity of water insecurity within and across communities and can help to situate findings from future applications of this tool

The Household Water Insecurity Experiences (HWISE) Scale: Comparison scores from 27 sites in 22 countries

Household survey data from 27 sites in 22 countries were collected in 2017–2018 in order to construct and validate a cross-cultural household-level water insecurity scale. The resultant Household Water Insecurity Experiences (HWISE) scale presents a useful tool for monitoring and evaluating water interventions as a complement to traditional metrics used by the development community. It can also help track progress toward achievement of Sustainable Development Goal 6 ‘clean water and sanitation for all’. We present HWISE scale scores from 27 sites as comparative data for future studies using the HWISE scale in low-and middle-income contexts. Site-level mean scores for HWISE-12 (scored 0–36) ranged from 1.64 (SD 4.22) in Pune, India, to 20.90 (7.50) in Cartagena, Colombia, while site-level mean scores for HWISE-4 (scored 0–12) ranged from 0.51 (1.50) in Pune, India, to 8.21 (2.55) in Punjab, Pakistan. Scores tended to be higher in the dry season as expected. Data from this first implementation of the HWISE scale demonstrate the diversity of water insecurity within and across communities and can help to situate findings from future applications of this tool

Examining the Influence of Power Distance on Psychological Safety Within Healthcare Teams

Cultivating good teamwork practices within healthcare teams is important for providing effective patient care and preventing adverse health outcomes. Psychological safety is one factor which is instrumental in developing a positive team environment, which fosters effective teamwork. The historically hierarchical nature of healthcare ascribes status to individuals based on profession, and this power differential is a contributing factor to a team member’s psychological safety. This study seeks to identify relationships between cultural backgrounds and teamwork in healthcare through examining how power distance influences psychological safety within healthcare teams. A cross-sectional questionnaire containing the Psychological Safety Scale and the Personal Cultural Orientation Scale was fielded to sets of Internal medicine teams working in a health system located in the Midwest region of the United States ( n=17). Levels of power-distance and psychological safety were similar amongst leaders and their team members. Upon comparison, there was no correlation found between power distance and psychological safety. Moderate to significant correlations were found between other deep cultural constructs. </jats:p