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Dentofacial and Cranial Changes in Down Syndrome
Deepika Shukla,Deepika Bablani,Aman Chowdhry,Raveena Thapar,Puneet Gupta,Shashwat Mishra 질병관리본부 2014 Osong Public Health and Research Persptectives Vol.5 No.6
Objectives: This study aimed to determine the prevalence of certain oral characteristics usually associated with Down syndrome and to determine the oral health status of these patients. Methods: The cross-sectional study was conducted among patients attending a special education program at Faculty of Dentistry, Jamia Millia Islamia, Delhi, India. The study design consisted of closed-ended questions on demographic characteristics (age, sex, and education and income of parents), dietary habits, and oral hygiene habits. Clinical examination included assessment of oral hygiene according to Simplified Oral Hygiene Index (OHI-S), dental caries according to decayed, missing, and filled teeth (DMFT) index, periodontal status according to the Community Periodontal Index of Treatment Needs (CPITN), and malocclusion according to Angles classification of malocclusion. Examinations were carried out using a using a CPI probe and a mouth mirror in accordance with World Health Organization criteria and methods. Craniometric measurements, including maximum head length and head breadth were measured for each participant using Martin spreading calipers centered on standard anthropological methods. Results: The majority of the patients were males (n = 63; 82%) with age ranging from 6e40 years. The Intelligence Quotient (IQ) score of the patients indicated that 31% had moderate mental disability and 52% had mild mental disability. 22% exhibited hearing and speech problems.12% had missing teeth and 15% had retained deciduous teeth in adult population. The overall prevalence of dental caries in the study population was 78%. DMFT, CPITN and OHI scores of the study group were 3.8 ± 2.52, 2.10 ± 1.14 and 1.92 ± 0.63 respectively. The vast majority of patients required treatment (90%), primarily of scaling, root planing, and oral hygiene education. 16% of patients reported CPITN scores of 4 (deep pockets) requiring complex periodontal care. The prevalence of malocclusion was 97% predominantly of Class III malocclusions. Further 14% presented with fractured anterior teeth primarily central incisor. The percentage means of cephalic index was 84.6% in the study population. The brachycephalic and hyperbrachycephalic type of head shape was dominant in the Down syndrome individuals (90%). Conclusion: The most common dentofacial anomaly seen in these individuals was fissured tongue followed by macroglossia.
Nanofluid lubrication and high pressure Raman studies of oxygen functionalized graphene nanosheets
Karuna Kara Mishra,Kalpataru Panda,Niranjan Kumar,Deepika Malpani,T.R. Ravindran,Om P. Khatri 한국공업화학회 2018 Journal of Industrial and Engineering Chemistry Vol.61 No.-
Ultralow friction coefficient in reduced graphene oxide (rGO) nanofluid was observed at high pressure lubrication conditions. High pressure Raman spectroscopic studies of graphene oxide (GO) and rGO in a hydrostatic pressure medium in diamond anvil cell (DAC) showed an increase in G-band linewidth in GO but this value was decreased in rGO at same pressure range due to the defect relaxation in sp2 networks. Moreover, loss of recovery of G band linewidth in decompression cycles was clearly noticed in both the samples but it was significantly higher in GO due to the irreversible sp3 into sp2 planar phase.
Right Atrial Paraganglioma: An Extremely Rare Primary Cardiac Neoplasm Mimicking Myxoma
Ashok Garg,Deepika Mishra,Manish Bansal,Hari Ram Maharia,Vikram Goyal 한국심초음파학회 2016 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.24 No.4
In this report, we present a case of 35-year-old lady who had presented with atypical chest pain and exertional breathlessness forpast six months. Transthoracic and transesophageal echocardiograms showed a well-circumscribed, echo-dense mass in the rightatrium, attached to the interatrial septum at the level of atrioventricular junction and in the vicinity of coronary sinus ostium. Sheunderwent successful resection of the cardiac mass. Histopathology revealed paraganglioma, which was reconfirmed by immunohistochemistrystudy. This represents an extremely rare presentation as primary cardiac tumors are 20-times less common thanmetastatic tumors and paraganglioma is one of the rarest primary cardiac tumors, accounting for < 1% of all cases.