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The results shows that the frequency of hypercholesterolemia among sample study was (54%) antifungal exterior paint buy grifulvin v 250mg cheap. There is no significant association between frequency of hypercholesterolemia according to gender antifungal nail treatment buy cheap grifulvin v 250 mg on-line, age group fungus zucchini leaves buy grifulvin v 250 mg line, body mass index anti fungal primer purchase generic grifulvin v from india, family history and smoking habit but it has been reported that a significant association between high serum cholesterol and presence of hypertension, cardiac diseases and diabetes mellites. Introduction Hypercholesterolemia is defined as the presence of high levels of cholesterol in the blood (a form of hyperlipidemia)(1,2). Normal serum level of cholesterol is < 200 mg/dl (< 5 mmol/l) and considered high (200 mg/dl and above)(3,4). It is transported in blood plasma as lipoproteins which classified according to their density (very low, intermediate, low- and high-densitylipoprotein (5). It has been documented the relation between longstanding high serum cholesterol and (6), these processes may lead to atherosclerosis. There is a correlation between hypercholesterolemia and coronary heart disease (8) and it has been documented increase of risk five times than those with normal level of blood cholesterol(9). The most important risk factors of hypercholesterolemia are a combination of environmental and genetic factors. Environmental factors include obesity, diet, and stress, diabetes mellites(8)and certain medications and other systematic diseases)(6). It has been found an association between high level of blood cholesterol and cigarette smoking,diabetes mellites and obesity(10). There is an effect of diet on blood cholesterol but the effect varies between individuals(11). Patients and Method A descriptive study was conducted on adults attending outpatient clinic in Samrageneral hospital. The sample study individuals demographic information was obtained according to structured-designed questionnaire and by direct interview. Blood pressure, Corresponding Author: Abid Ahmad Salman Al-Mahmood College of Medicine, Tikrit University, Tikrit, Iraq e-mail: abidahmad@tu. Results It has been revealed that the frequency of hypercholesterolemia among study sample was 54%. Regarding the gender the frequency of hypercholesterolemia was 54% among each of male and female (Table 1). Table (2) shows that hypercholesterolemia was more frequent among age group > 40 years (55. Table (4) shows that hypercholesterolemia was more frequent among those with hypertension (65. Table (5) shows that hypercholesterolemia was more frequent among those with cardiac disease (87%) than those without cardiac disease (48%). Table (6) shows that hypercholesterolemia was more frequent among those with diabetes mellites (71. Regarding the gender in the sample study there are no differences in frequency of hypercholesterolemia between male and female (54%). Other studies in India revealed that hypercholesteremia is more frequent among female (67. In the current study the frequency of hypercholesterolemia was more frequent among age group more than 40 years (55. This result was nearly similar to that reported in Saudi Arabia(12), while in Egypt about (38. In the current study the frequency of serum hypercholesterolemia is more frequent among persons with body mass index more than 25 Kg/M2 (55. This result is nearly similar to result reported by Al-Nozha et al in Saudi Arabia (12). Many studies reported that there are a significant association between obesity and hypercholesterolemia (28, 29, 30, 31). In current study the frequency of hypercholesterolemia among patients with and without hypertension was (65. This result is more than that reported in Fayoum in Egypt (frequency of hypercholesterolemia among hypertensive and non-hypertensives 54. A significant relation was reported by hypercholesterolemia and high blood pressure by other studies(27,32). There was a significant association between diabetes mellitus disease presence and hypercholesterolemia among study sample group (P = 0. The frequency Discussion It has been documented in the current study that the frequency of serum hypercholesterolemia was (54%).

Tannins and phenol can interact with protein and are capable of slowing down carbohydrate catabolism fungus gnats succulents purchase generic grifulvin v on-line. Phenolic compound also has antioxidant properties therefore it can help repair damaged -cell hence increasing insulin secretion xanax and antifungal cream buy grifulvin v with mastercard. Ethosom is comprised from phospholipid anti fungal and bacterial cream buy grifulvin v 250 mg cheap, relatively high concentration alcohol (ethanol or isopropyl alcohol) zinc undecylenate antifungal generic grifulvin v 250 mg overnight delivery, and water. Ethosom needs lesser time to penetrate the skin and significantly increase transdermal drugs flux value. The rats were maintained at room temperature under alternating natural light/dark photoperiod and were fed twice a day with standard feed water was available ad libitum. Chemicals: Alloxan was used to induce diabetes and were purchased from Tokyo Chemical Industry. Corn silk extract preparation: Corn silk from 40 days old corns were obtained from local farmers in Jeneponto a region in South Sulawesi. After 3 days of maceration process, the ethanol solvent was evaporated using rotatory evaporator. Corn silk extract based Ethosomal gel formulation: Three corn silk based Ethosom formulas were made (refer to Table 1). Corn silk extract entered lipid phase and stirred with magnetic stirrer for 5 minutes and 700rpm till it entered coloidal system. Lechitin or phospatidilcolin, corn silk extract, propylene glycol with ethanol 96% were mixed together and homogenized with magnetic stirrer for 5 minutes and 700rpm till Ethosom suspension was formed. After the Ethosom formulas were made, they were put in gel system (refer to table 2) and corn silk ethosomalgel were made. Carbomer 940 was dispersed in distilled water that contain methylparaben for 24 hours. After that triethanolamine was added drop by drop whilst being stirred till a clear gel mass was formed. Ethosom (Formula A, B, C) mixed with a small amount of distilled water were added to the gel base and stirred till homogenized, after that glycerin and distilled water were added to the mixture. The ligature was thought to facilitate local accumulation of bacteria and thereby enhance bacteria mediated inflammation. One week after alloxan was administered blood sample were drawn again from the tail vein. One week after periodontitis was induced, 14 hyperglycemic rats (the blood glucose level greater than 126 mg/dL) were selected randomly and divided into 5 groups. Metformin dissolved in water were administered orally (positive control), each formula was administered topically once a day to each specified group, and the clear gel base without corn silk extract was administered once a day (negative control group). The periodontal tissues were embedded in paraffin blocks after formalin fixation: After tissue fixation in formalin, tissue samples were processed in tissue processor machine. After being processed, the tissue samples then moved to embedding machine to make paraffin blocks. Results and Discussions the blood glucose level of hyperglycemic rats are presented in. In contrast with other experiments group, in F1 the blood glucose level decreased at first and starting to increase again. This indicates that F1 can not stabilize blood glucose level and has no significance in lowering blood glucose level. Metformin administered orally to positive control group shows decreasing blood glucose level but apparently has no significance statistically with p value of 0. Supposedly, the degree of inflammation decreases as the blood glucose level decrease. One other important factor to note when it comes to periodontitis is that stress also affects periodontitis by altering immune system response, delayed wound healing, hormonal changes, and changes in behaviour that supports periodontitis formation. In spite of having higher inflammation 912Indian Journal of Public Health Research & Development, January 2020, Vol.

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Selfie Syndrome: A Disease of New Era Research in Pharmacy and Health Sciences Review Article Selfie Syndrome: A Disease of New Era antifungal foot spray buy grifulvin v without prescription. Prevalence of and referred pain from myofascial trigger points in the forearm muscles in patients with lateral epicondylalgia antifungal krema 250mg grifulvin v amex. The time taken to failure was recorded in seconds for each group using a digital chronometer fungi ringworm definition buy grifulvin v cheap. Protaper Gold showed the least cyclic fatigue resistance than the other files tested fungus water generic 250mg grifulvin v. Instrument fracture in clinical practice used multiple times has an incidence of 0. Radius and angle of curvature, instrument size and crosssectional area, rotational speed, design, technique and operator experience, torque, metal surface treatments, Dr. The manufacturers also claim that the flutes do not open when the stress level is reached, which helps in increasing the cyclic fatigue resistance. Cyclic fatigue testing device: the static cyclic fatigue test was performed using a custom-made jig fabricated for this study. This steel jig was constructed in order to retain the rotary instruments within the canal groove by means of a metal frame. It is enveloped by a glass fiber screwed on either side in order to prevent the instrument from distortion. Materials and Method A total of 90 NiTi instruments of 3 different rotary systems of length 21mm were included in the present study. Before testing, all files were autoclaved and examined using a stereomicroscope to detect any deformation. The time taken to failure was recorded and stopped as soon as the failure was detected visually and/or audibly with the help of computer aided software (figure-3c). The failure was easily detectable because the tip of the instrument was visible at the end of the curve (Figure 4a, 4b, 4c). When the overall F test indicated significant difference, Post Hoc test of Bonferroni was performed to identify pair wise significance. Table 2: Pairwise comparison of Hyflex, Neo Endo and Pro Taper Gold files placed at 60 degrees Mean Difference (I-J) 97. Discussion the clinical performance of endodontic files and their resistance to fracture by torsion and/or cyclic fatigue are mainly affected by variables, such as instrument size, taper, cross-sectional design, and manufacturing techniques. Manufactures aim to improve the cyclic fatigue resistance of NiTi rotary files by altering the design, metallurgy and kinematic of the files and through the various thermal and surface treatments applied to the files. Therefore, this creates alternate compressive and tensile stresses in a particular area of the instrument leading to premature failure. Cyclic fatigue resistance refers to the number of cycles to failure that an instrument is able to resist under a specific loading condition. In this study, the fatigue life of the instruments was evaluated by multiplying the rotational speed by the time elapsed until failure. Ideally, rotary instruments should be used at a rate that minimizes the incidence of fracture while maintaining efficiency. Other variables, such as cross -sectional design, and manufacturing process should also be taken into account. This study showed that its results are in accordance with the study done by Kim et al. NiTi instruments with larger cross-sectional areas present lower cyclic fatigue resistance. The mechanical properties of NiTi instruments are affected by the type of alloy used in the manufacturing process (Zhou H. Since the manufacturers do not reveal the manufacturing process of newer rotary files systems, we could not relate the effect of these manufacturing processes in improving the cyclic fatigue resistance.

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In this third patient group antifungal oral rinse 250mg grifulvin v with mastercard, patients generally report that either their awaking or daytime symptoms are worse fungus gnats mushrooms generic grifulvin v 250 mg visa, suggesting that the nocturnal or diurnal factors are more significantly contributing to their symptoms10 fungus vs cancer buy grifulvin v 250 mg. Roth power centric bite registrations anatomically seat the condyles in anterior superior position within the fossa antifungal nail polish walgreens order grifulvin v 250mg visa. This suggests that a clinical examination should be done together with other imaging method in order to determine the relationship between the articular disc and condyle. Subject were patients who had an anterior disc displacement with reduction before treatment. The restricted jaw motion was also resolved in all of the study patients but joint noise such as clicks and crepitus resolved only for a little more than 60% of the patients in the span of just four weeks of total six months. Gnathological splints can be used as effectiveness mean for treatment of such patients. Mongini, F(1972)Remodelling of the mandibular condyle in the adult and its relationship to the condition of the dental arches. Kazumi Ikeda and Akira Kawamura, Assessment of optimal condylar position with limited conebeam computed tomography, American Journal of Orthodontics & Dentofacial Orthopedics 2009 April Volume 135, Issue 4, 495-501 5. Assessment of Optimal Condylar Position in the Coronal and Axial Planes with Limited ConeBeam Computed Tomography. Prevalence of disc displacement of various severities among young preorthodontic population: a magnetic resonance imaging study. Directional characteristics of incipient temporomandibular joint disc displacements: A magnetic resonance imaging study. Association between 3-dimensional mandibular morphology and condylar movement in subjects with mandibular asymmetry. Deciduous teeth with deep dental caries can be treated with pulp therapies to allow normal exfoliation process. The process of pulpectomy involves access cavity preparation, cleaning and shaping of the root canal and obturation. Even though all these procedures are essential, irrigation of the root canal during cleaning and shaping is vital in ensuring complete microbial decontamination, which guarantees the success of pulpectomy. Hence, the present ex vivo study was done to evaluate and compare the antimicrobial efficacy of 0. Results: the study showed a statistically significant difference in the anti-microbial efficacy of 10% Triphala and 0. Keywords: Triphala, Sodium hypochlorite, Root canal irrigant, Antimicrobial efficacy. Introduction the dental root canal is not a single microbial environment but is one of the most heavily bacterially contaminated sites in the body. Some of the microbial species reported in the root canal system are Streptococcus, Staphylococcus, Lactobacilli, Enterococcus, Klebsiella, Pseudomonas, Actinomyces etc. A clinician ensures a patent and clean root canal system by eliminating these microbial floras via endodontic treatment. Copious irrigation helps in the debridement of the root canal, destruction of microbes, removal of tissue remnants and dentin debris during instrumentation. It also inhibits neutrophil migration and damages vascular, endothelial and fibroblast cells. Handling this solution also requires utmost care since it can also causes damage to the permanent tooth follicles and periapical tissues if gone beyond the working length and resorbing apex. Various herbal alternatives for endodontic applications are Triphala, Morindacitrifolia (Indian mulberry), Curcuma longa (Turmeric), Green tea polyphenols, Liquorice, Propolis, Melaleucaalternifolia (Tea tree oil) and Azadirachtaindica (Neem). The beneficial effects of Triphala are that, it can be used as a root canal irrigant, it has anti-caries effect, anti-periodontal disease effect, anti-collagenase effect, anti-microbial effect, anti-fungal effect, analgesics and anti-pyretic effect, anti-oxidant effect and anti-cancer effect. Materials and Method 30 patients who reported to the Department of Pedodontics and Preventive Dentistry with deep dental caries involving pulp were selected for the study. After access cavity preparation a barbed broach was inserted into the canal and along with the infected pulp it was transferred to sterile container having 2ml normal saline (Figure 1). After incubation period, the colonies were identified by its colony morphology, gram staining, coagulase and catalase test. A sterile swab was dipped in bacterial suspension and transferred to Muller Hinton agar based Blood agar for Streptococci and Enterococci species and lawn culture was made using cotton swab. This plate was kept in 5-10% carbon dioxide in a candle jar and incubated at 37oC for 24 hours.

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Subjects with pre-existing oral cavity lesions fungus gnats potato slices 250mg grifulvin v sale, alcoholics and having recent viral infections and who had received radiotherapy or chemotherapy in last month 110Indian Journal of Public Health Research & Development anti fungal acne order grifulvin v 250mg overnight delivery, January 2020 fungus drink order 250mg grifulvin v otc, Vol antifungal intravenous cheap 250 mg grifulvin v amex. Physical examinations of the subjects were done to record Respiratory rate (cycles/minute) Heart rate (Beats/ minute). Anthropometric parameters was recorded for (Height (in cms), Weight (in kgs), Body Surface Area (Square meters), Body Mass Index (Kilogram/meter2), Collection and chromatographic analysis of the urine samples for cotinine has been already reported by the same group9. The exfoliated cells were taken by scrapping the buccal mucosa by using wooden/steel spatula and the scraped cells were taken on lean grease free glass slide and smears were prepared. All smears were stained by Papanicolaou technique using commercially available staining kit Rapid Pap. Table 1: Mean urinary cotinine level in smokeless tobacco chewers and non tobacco chewers group9. Several studies showed that urinary cotinine levels innonsmokers are always less than 100 ng/ml17, 18. The potential of carcinogenic and genotoxicants effect is very high among tobacco chewers. Habituated chewing tobacco users are the likely odds estimated for oral cancer development19. Micronuclei in oral exfoliated cells are the biomarkers of chromosomal damage caused by genotoxic agents from the tobacco and tobacco related substances20. Tobacco-specific nitrosamines present in the smokeless tobacco forms also play a significant role in causing the damage19. Determinants of Salivary Cotinine among Smokeless Tobacco Users: A Cross-Sectional Survey in Bangladesh. Conclusion Early detection of a premalignant or cancerous oral lesion would improve the survival to a greater extent and also will reduce the morbidity associated with the treatment to a considerable extent. There is strong correlation between urinary cotinine levels of smokeless tobacco chewers and exfoliated buccal mucosal micronuclei cells. Thus the present study elucidates the link between rise in exfoliated buccal micronuclei and determination of urinary cotinine levels, which is an importantbiomarker and is valuable measure for diagnosis of health risk. For definitive and sound results, still larger samples should be studied for longer duration. Short-term acute effects of gutkha chewing on heart rate variability among young adults: A cross-sectionalstudy. Micronucleus frequency in exfoliated buccal cells in normal mucosa, precancerous lesions and squamous cell carcinoma. Quantitative relationships of urinary cotinine levels in smoking diabetic patients. Determination of nicotine and cotinine in human serum and urine: An interlaboratory study. The effects of sex, age and cigarette smoking on micronucleus and degenerative nuclear alteration frequencies in human buccal cells of healthy Bosnian subjects. Students, Yenepoya Nursing College, Yenepoya (Deemed to be University), Deralakatte, Mangaluru, 2 Assistant Professor, Department of Child Health Nursing, Yenepoya Nursing College Abstract Background: Adolescence is a stage of transition and psychological development. Adequate knowledge regarding balanced diet may enhance the practice of adolescents regarding balanced diet. Aim: the aim of the study was to determine the knowledge and practice regarding balanced diet among adolescents, to find the correlation between knowledge and practice and to find the association between knowledge, practice scores and the selected demographic variables. Material and Method: Quantitative research approach and descriptive survey design was used for the study. Using non probability purposive sampling technique, 100 adolescents between the age group of 10- 17 years were selected as study sample. The structured knowledge and practice questionnaire on balanced diet was used to assess the knowledge and practice regarding balanced diet. Result: Study findings revealed that 4% of study samples had inadequate knowledge, 64% of study samples had adequate knowledge and other 32% of study samples had good knowledge on balanced diet.

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