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All Topic Review Biography
Topic Review
Post-Operative Endodontic Pain Management
Endodontic treatment comprises the overall management of pre-, intra- and post-operative symptoms, including post-operative endodontic pain, considered as a complication susceptible of chronicization. Post-operative pain is very common and highly unpreventable and has a multi-factorial etiology and a potential pathogenic link to the acute inflammation of the periapical area, secondary to localized chemical, mechanical, host and/or microbial damage occurring during endodontic treatment. 
  • 1.3K
  • 05 May 2022
Topic Review
CT Effective Dose Conversion Factors
To determine the conversion factors for effective dose (ED) per dose length product (DLP) for various computed tomography (CT) protocols based on the 2007 recommendations of the International Commission on Radiological Protection (ICRP). CT dose data from 369 CT scanners and 13,625 patients were collected through a nationwide survey. Data from 3,793 patients with a difference in height within 5% of computational human phantoms were selected to calculate ED and DLP. The anatomical CT scan ranges for 11 scan protocols (adult-10, pediatric-1) were determined by experts, and scan lengths were obtained by matching scan ranges to computational phantoms. ED and DLP were calculated using NCICT program. For each CT protocol, ED/DLP conversion factors were calculated from ED and DLP. Estimated ED conversion factors were 0.00172, 0.00751, 0.00858, 0.01843, 0.01103, 0.02532, 0.01794, 0.02811, 0.02815, 0.02175, 0.00626, 0.00458, 0.00308 and 0.00233 mSv∙mGy-1∙cm-1 for the adult brain, intra-cranial angiography, C-spine, L-spine, neck, chest, abdomen and pelvis, coronary angiography, calcium scoring, aortography, and CT examinations of pediatric brain of <2 years, 4-6 years, 9-11 years, and 13-15 years, respectively. We determined ED conversion factors for 11 CT protocols using CT data obtained from a nationwide survey in Korea and Monte Carlo-based dose calculations.
  • 1.2K
  • 04 Apr 2021
Topic Review
Gender Dysphoria
Gender dysphoria (GD) is the distress a person feels due to a mismatch between their gender identity—their personal sense of their own gender—and their sex assigned at birth. The diagnostic label gender identity disorder (GID) was used until 2013 with the release of the DSM-5. The condition was renamed to remove the stigma associated with the term disorder. People with gender dysphoria commonly identify as transgender. Gender nonconformity is not the same thing as gender dysphoria and does not always lead to dysphoria or distress. According to the American Psychiatric Association, the critical element of gender dysphoria is "clinically significant distress". The causes of gender dysphoria are unknown but a gender identity likely reflects genetic and biological, environmental, and cultural factors. Treatment for gender dysphoria may include supporting the individual's gender expression or their desire for hormone therapy or surgery. Treatment may also include counseling or psychotherapy. Some researchers and transgender people support declassification of the condition because they say the diagnosis pathologizes gender variance and reinforces the binary model of gender.
  • 1.2K
  • 17 Oct 2022
Topic Review
T2DM and the Gut Microbiota
Type 2 Diabetes Mellitus (T2DM) affects over 9% of the United States population alone, constitutes a cause for ensuing cardiovascular disease, and is typically closely linked to obesity status. While obesity has long been perceived to stem from a sedentary lifestyle and high fat intake there is increasing evidence supporting the idea that this is a more complex issue than initially thought. The human gut microbiome has been a recent point of investigation due to the idea that it may be closely linked to T2DM. The aforementioned high fat diets can impact the gut microbiome in a significant way, altering the demography of the gut’s microflora, hence shifting the gut into a state of dysbiosis. Dysbiosis is a state that favors the initiation of a cascade inducing metabolic deregulation, increasing inflammation and insulin resistance systemically. Below the relationship of the microbiome to T2DM is briefly discussed.
  • 1.2K
  • 29 Oct 2020
Topic Review
BKCa Channels
Large Conductance Calcium and Voltage-Gated Potassium Channels (BKCa). Also known as Slowpoke, KCa1.1, and MaxiK channels. 
  • 1.2K
  • 27 Oct 2020
Topic Review
Retinal Organization
The retinal arhitecture is similar across all vertebrates despite the morphological and functional peculiarities. The retina is composed of two main parts: the single-layred retinal pigment epithelium and the multilayred neuroretina which includes a number of neuronal and glial cell types. Homeobox genes from different classes are accepted as critical for eye field specification and retinal cells type differentiation by a broad array of loss- or gain-of-function models. Among these genes are some that are known to cause inherited retinal diseases (IRDs) that disturb the formation, function, and survival of rod and cone photoreceptors, ganglion cells, or retinal pigment epithelial cells [4,6–8]. The advances in the field of genetics and high-throughput next-generation sequencing and cell technologies allow for deepening of knowledge of the genetic basis of inherited retinal diseases (IRDs), as well as improve their diagnostics and therapy.
  • 1.2K
  • 22 Sep 2021
Topic Review
Five-Minute Speech Sample for High Expressed Emotion
Expressed Emotion (EE) describes the tone of a caregiver’s response to a patient with a mental disorder, and it is used to predict relapse. The Five-Minute Speech Sample (FMSS) is a 5-min interview with a caregiver that evaluates only two EE dimensions. The FMSS emerged as a valid and reliable tool for measuring EE as a predictor of relapse in patients with schizophrenia and major depressive disorder. Patient age and duration of illness had no significant effect on the results. Future meta-analyses should include more studies to reduce publication bias. EE may be a good predictor of relapse when examined through a fast measurement technique such as the FMSS, which may also be useful to analyze the psychopathological structure of caregivers. 
  • 1.2K
  • 18 Jan 2023
Topic Review
Glioblastoma
Glioblastoma (GBM) is the most popular primary central nervous system cancer and has an extremely expansive course. Aggressive tumor growth correlates with short median overall survival (OS) oscillating between 14 and 17 months. The survival rate of patients in a three-year follow up oscillates around 10%. The interaction of the proteins programmed death-1 (PD-1) and programmed cell death ligand (PD-L1) creates an immunoregulatory axis promoting invasion of glioblastoma multiforme cells in the brain tissue. The PD-1 pathway maintains immunological homeostasis and protects against autoimmunity. PD-L1 expression on glioblastoma surface promotes PD-1 receptor activation in microglia, resulting in the negative regulation of T cell responses. Glioblastoma multiforme cells induce PD-L1 secretion by activation of various receptors such as toll like receptor (TLR), epidermal growth factor receptor (EGFR), interferon alpha receptor (IFNAR), interferon-gamma receptor (IFNGR). Binding of the PD-1 ligand to the PD-1 receptor activates the protein tyrosine phosphatase SHP-2, which dephosphorylates Zap 70, and this inhibits T cell proliferation and downregulates lymphocyte cytotoxic activity. Relevant studies demonstrated that the expression of PD-L1 in glioma correlates with WHO grading and could be considered as a tumor biomarker. Studies in preclinical GBM mouse models confirmed the safety and efficiency of monoclonal antibodies targeting the PD-1/PD-L1 axis. Satisfactory results such as significant regression of tumor mass and longer animal survival time were observed. Monoclonal antibodies inhibiting PD-1 and PD-L1 are being tested in clinical trials concerning patients with recurrent glioblastoma multiforme.
  • 1.2K
  • 21 Apr 2021
Topic Review
Mental Health and Wellbeing
This  is a comparative study that explores  Indigenous communities, rural poverty, and mental health and well-being in Australia and Canada. It draws upon a person-centred approach  as described by Carl Rogers' humanistic psychology framework. Hence, the role of women within these communities and their strength  in support of the well-being of their families is also examined. Themes that emerge within a humanistic theoretical framework will be highlighted. Examination of current data is provided and existing research findings are compared where relevant to indigenous populations.  
  • 1.2K
  • 01 Nov 2020
Topic Review
Honey and Propolis in Ocular Disease Treatment
Honey and propolis have recently become the key target of attention for treating certain diseases and promoting overall health and well-being. A high content of flavonoids and phenolic acids found in both honey and propolis contributes to the antioxidant properties to scavenge free radicals. Honey and propolis also exhibited antibacterial effects where they act in two ways, namely the production of hydrogen peroxide (H2O2) and gluconic acids following the enzymatic activities of glucose oxidase, which exerts oxidative damage on the bacteria. Additionally, the anti-inflammatory effects of honey and propolis are mainly by reducing proinflammatory factors such as interleukins and tumor necrosis factor alpha (TNF-α). Their effects on pain were discovered through modulation at a peripheral nociceptive neuron or binding to an opioid receptor in the higher center. The aforementioned properties of honey have been reported to possess potential therapeutic topical application on the exterior parts of the eyes, particularly in treating conjunctivitis, keratitis, blepharitis, and corneal injury. In contrast, most of the medicinal values of propolis are beneficial in the internal ocular area, such as the retina, optic nerve, and uvea. 
  • 1.2K
  • 02 Feb 2023
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