GAJRC | Global Academic Journal of Medical Sciences

Journal Name:	Global Academic Journal of Medical Sciences
Abbr. Title:	Glob Acad J Med Sci
ISSN(Print):	2706-9036
ISSN(Online):	2707-2533
Frequency:	Bi-Monthly
Language:	English
Chief Editor:	Mohammed Ahamed Ahamed Abuelnour
Publisher:	Scholars Middle East Publishers
Country of Origin:	United Arab Emirates

Journal Name:

Global Academic Journal of Medical Sciences

Abbr. Title:

Glob Acad J Med Sci

ISSN(Print):

2706-9036

ISSN(Online):

2707-2533

Frequency:

Bi-Monthly

Language:

English

Chief Editor:

Mohammed Ahamed Ahamed Abuelnour

Publisher:

Scholars Middle East Publishers

Country of Origin:

United Arab Emirates

Scleroderma (systemic sclerosis), a complex illness, include severe fibrosis, vascular changes, and autoantibodies against several cellular antigens. Incidence rates range from 2.7 cases per million annually during 1947-1968 to 18.7 cases per million annually during 1972-1982. Prevalence estimates in the United States have also fluctuated, ranging from 138 cases per million during 1950-1979 to 286 cases per million in 1985. Though the exact cause of systemic sclerosis is not known, it is widely believed that both hereditary and environmental factors like parvovirus B19, Epstein-Barr, HLA DRB1*1104 and DQB1*0301 virus play a role in its development. The generally accepted classification of scleroderma is divided into two main subgroups: diffuse cutaneous scleroderma and restricted cutaneous scleroderma. Systemic sclerosis was often thought to be a dull fibrotic process, but there is now strong evidence that the pathophysiology of the disease involves an active inflammatory process. The majority of part of systemic sclerosis is determined clinically. When making a differential diagnosis, it is important to take into account a number of different illnesses that can resemble systemic sclerosis. The disease's normal progression cannot be changed by a conclusive treatment or generally accepted disease-modifying substance. Nonetheless, controlling the impacted system or systems has worked well. For better results, early diagnosis is essential. The effectiveness of treatment depends on clinical assessment, organ identification, and disease progression. In order to maximize the quality of life for impacted patients and stop more organ damage.

Nov. 30, 2024

Comparative Outcomes of ACDF with Dynamic Stabilization versus Traditional Fusion Techniques: A Longitudinal Study

Dr. Mirza Osman Beg, Dr. Abul Kalam Azad, Dr. Md. Munzur Rahman
Glob Acad J Med Sci, 2024; 6(6): 313-319
DOI : https://doi.org/10.36348/gajms.2024.v06i06.006

Acute mesenteric venous thrombosis (MVT) is a rare but potentially life-threatening condition, with the superior mesenteric vein (SMV) being the most frequently affected site of thrombosis. It is commonly observed in patients with underlying disorders that disrupt Virchow's Triad, which includes hypercoagulability, stasis, and endothelial injury [1]. In its acute form, SMVT is frequently associated with intestinal ischemia, complicating its clinical management and treatment [2]. The thrombotic occlusion of the mesenteric veins leads to impaired venous return, bowel ischemia, and in some cases, infarction, significantly impacting patient prognosis [3, 4]. We present a case of acute superior mesenteric venous thrombosis (SMVT) in a 42-year-old man who presented to our emergency walk-in clinic with acute onset of severe abdominal pain. He was referred to secondary care, where his contrast-enhanced abdominal Computerized Tomography (CT) scan revealed thrombosis of the superior mesenteric vein, splenic vein, and partial thrombosis of the intrahepatic part of the right portal vein. However, the CT scan showed no evidence of small bowel infarction or ischemia. He was subsequently managed with conservative measures.

Mentoring is a mutually beneficial learning relationship in which a mentor and mentee work together to accomplish predetermined objectives that will advance the mentee's knowledge, skills, and capacity for thought. When Odysseus, the king of Ithacus, embarked on the Trojan War, the concept of mentoring was born in Greek mythology. He entrusted his friend Mentor with the protection of his son Telemachus and his own royal household. Because of his excellent performance of the duties assigned to him, the word Mentor became a noun in the English language by the late 1700s, meaning "wise counselor." Nowadays, a mentor is a more seasoned individual who serves as a mentee's instructor, friend, or counselor. Peer mentoring, group mentoring, casual mentoring, and formal mentoring are some of the various forms of mentoring. There are several ways to categorize mentors based on the part they play in the mentee's life. Making use of the required abilities facilitates effective mentoring. There are several advantages to mentoring in nursing, and a mentor may be a great resource for novice nurses. They can offer the young person assistance, direction, and counsel as well as assist in the development of fundamental abilities and knowledge required for one's future profession. A competent mentor will always provide information that can guide the young person through a career in nursing. They can provide temporary assistance, offer insightful criticism, and assist the mentee in creating a career strategy and goal-setting.

Nov. 11, 2024

Black Triangle Repair with Bioclear Matrix Compared with Traditional Celluloid Matrix Technique-24 Cases

Haris Md. Wali-ur-Rahman, Sufia Rahaman Brishty, A.S.M Manjurul Karim Shaikat
Glob Acad J Med Sci, 2024; 6(6): 280-286
DOI : https://doi.org/10.36348/gajms.2024.v06i06.001

Background: Interdental black triangles are a common esthetic concern in dentistry. This study aimed to compare the efficacy of the Bioclear matrix technique with the traditional celluloid matrix technique for black triangle repair. Methods: A prospective, randomized controlled clinical trial was conducted with 24 patients presenting Class I or II black triangles. Patients were randomly assigned to either the Bioclear matrix group (n=12) or the traditional celluloid matrix group (n=12). Clinical parameters, including the Modified Papilla Index Score (MPIS), gingival index (GI), and plaque index (PI), were assessed at baseline and follow-up appointments over 6 months. Esthetic outcomes were evaluated using modified USPHS criteria. Patient satisfaction was measured using a visual analog scale (VAS). Procedure time was recorded for each treatment. Results: Both techniques showed significant improvement in papilla height over the 6-month follow-up period. The Bioclear matrix group demonstrated superior results in papilla height gain (mean MPIS at 6 months: 2.83 ± 0.39 vs. 2.42 ± 0.51, p = 0.03). Esthetic outcomes were better in the Bioclear group, with higher rates of ideal color match (83% vs. 58%) and surface texture (92% vs. 67%). Patient satisfaction scores were consistently higher in the Bioclear group (mean VAS at 6 months: 9.2 ± 0.8 vs. 7.8 ± 1.2, p = 0.002). The mean procedure time was significantly shorter for the Bioclear technique (32.5 ± 5.7 minutes vs. 41.3 ± 7.2 minutes, p < 0.001). No significant differences were observed in gingival health or plaque accumulation between the groups. Conclusion: While both techniques effectively addressed interdental black triangles, the Bioclear matrix technique demonstrated superior outcomes in terms of papilla height gain, esthetic results, patient satisfaction, and procedural efficiency. These findings suggest that the Bioclear method may be a preferred option for managing interdental black triangles, though individual case factors should be considered. Further long-term studies with larger sample sizes are warranted to confirm these results and assess the durability of the restorations.