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Karemore TV, Ashtankar KA, Motwani M. Comparative efficacy of pre-operative and post-operative administration of amoxicillin in third molar extraction surgery - A systematic review and meta-analysis. Natl J Maxillofac Surg 2024; 15:29-35. [PMID: 38690250 PMCID: PMC11057588 DOI: 10.4103/njms.njms_163_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 03/15/2023] [Accepted: 09/25/2023] [Indexed: 05/02/2024] Open
Abstract
To compare the effectiveness of pre-operative and post-operative administration of amoxicillin in patients undergoing third molar extraction surgery. A systematic search was executed according to PRISMA guidelines for studies published till December 2021. Studies were included based on the pre-eligibility criteria. The risk of bias was assessed using the Cochrane risk of bias tool. The heterogeneity was evaluated, and a random effect model was used for meta-analysis. A total of five studies were included from an initial search of 96 studies. The included studies were randomized controlled trials and comparative studies assessing pre-operative and post-operative administration of antibiotics among patients undergoing third molar extraction surgery. For comparison between pre-operative and post-operative groups, interincisal distance, complications, pain, and swelling were systematically reviewed and meta-analysis was done for interincisal distance and complications. The mean change in interincisal distance ranged from 5.5 to 47.9 and from 4.56 to 46.1 in the pre-operative and post-operative amoxicillin groups, respectively. Complications reported were infections, alveolar osteitis, nausea, diarrhea, gastric pain, rash, and headache with a pooled incidence of 4.3-33% in the pre-operative amoxicillin group and 0-22.7% in the post-operative amoxicillin group. Quantitative synthesis of data carried out from meta-analysis shows a significant difference in the pre-operative and post-operative amoxicillin groups in improving the interincisal distance and incidence of complications post surgery. The qualitative synthesis of data derived from systematic review for pain provides favoring results for post-operative amoxicillin administration. In case of swelling, a non-conclusive result was obtained.
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Affiliation(s)
- Tapasya V. Karemore
- Department of Oral Medicine and Radiology, V. S. P. M Dental College, Nagpur, Maharashtra, India
| | - Kanchan A. Ashtankar
- Department of Oral Medicine and Radiology, V. S. P. M Dental College, Nagpur, Maharashtra, India
| | - Mukta Motwani
- Department of Oral Medicine and Radiology, V. S. P. M Dental College, Nagpur, Maharashtra, India
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Motwani M, Fadnavis A, Dhole A. Efficacy of transcutaneous electrical nerve stimulation (TENS) in the management of trigeminal neuralgia: A systematic review and meta-analysis. J Clin Exp Dent 2023; 15:e505-e510. [PMID: 37388436 PMCID: PMC10306390 DOI: 10.4317/jced.60500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 04/12/2023] [Indexed: 07/01/2023] Open
Abstract
Background Trigeminal Neuralgia is one of the most painful disorders known to man. So making patient pain free and to achieve a better quality of life in TN patients is one of the biggest challenge. Non-invasive procedures like Transcutaneous electrical nerve stimulation (TENS) have been tried clinically for Trigeminal neuralgia. Aim: The systematic review and meta-analysis aimed to compare and evaluate the efficacy of transcutaneous electric nerve stimulation in the management of trigeminal neuralgia. The present review has been registered with PROSPERO - An international prospective register of systematic review CRD42021254136. Material and Methods An electronic search was done in PubMed, Cochrane Library, Science Direct, Google Scholar, EBSCOHOST. The assessments of articles were done using selection criteria and PRISMA guidelines Only prospective clinical trials like Randomized clinical trials (RCTs) and clinical trials were included in this review. A total of three studies were included in the meta -analysis. Results The proportion of total number of patients after TENS therapy across studies with p-value < 0.0001 for each which showed statistically significance. The overall difference in two groups was significant with standardize mean difference of 3.03 [95% CI: 2.50, 3.56]. Conclusions TENS can be an effective treatment modality for trigeminal neuralgia in reducing the pain intensity with no reported side effects for patients with trigeminal neuralgia alone or even in combination with other first line drugs. Key words:TENS, TN, TENS, TN, Transcutaneous electrical nerve stimulation.
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Affiliation(s)
- Mukta Motwani
- Department of Oral Medicine and Radiology, Vidya Shikshan Prasarak Mandal Dental College & Research Center (VSPM DCRC), Nagpur, India
| | - Aditi Fadnavis
- PG student Department of Oral medicine and Radiology , VSPM dental college and Research Centre, Nagpur, India
| | - Apeksha Dhole
- V.S.P.M. Dental College and Research Center, Nagpur, India
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Schmid P, Cortés J, Marmé F, Rugo H, Tolaney S, Oliveira M, Loirat D, Jhaveri K, Yoon O, Motwani M, Wang H, Delaney R, Bardia A. 214MO Sacituzumab govitecan (SG) efficacy in hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2–) metastatic breast cancer (MBC) by HER2 immunohistochemistry (IHC) status in the phase III TROPiCS-02 study. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Dhole A, Dube D, Motwani M. Association of maxillary sinus mucosal thickening and peri-apical lesion in cone-beam computed tomographic images: A systematic review and meta-analysis. J Indian Acad Oral Med Radiol 2022. [DOI: 10.4103/jiaomr.jiaomr_37_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Lin A, Van Diemen P, Motwani M, McElhinney P, Otaki Y, Han D, Kwan A, Tzolos E, Cadet S, Danad I, Driessen R, Slomka PJ, Berman DS, Dey D, Knaapen P. Machine learning from quantitative coronary computed tomography angiography predicts ischemia and impaired myocardial blood flow. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.0206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Atherosclerotic plaque characteristics influence the hemodynamic consequences of coronary lesions. This study sought to assess the performance of a machine learning (ML) score integrating coronary computed tomography angiography (CCTA)-based quantitative plaque features for the prediction of ischemia by invasive fractional flow reserve (FFR) and impaired myocardial blood flow (MBF) by [15O]H2O positron emission tomography (PET).
Methods
This post-hoc analysis of the PACIFIC (Prospective Comparison of Cardiac PET/CT, SPECT/CT Perfusion Imaging and CT Coronary Angiography With Invasive Coronary Angiography) trial included 208 patients with suspected coronary artery disease who underwent CCTA, [15O]H2O PET, and 3-vessel invasive FFR. Plaque quantification from CCTA was performed using semiautomated software. A boosted ensemble ML algorithm (XGBoost) trained on data from the NXT (Analysis of Coronary Blood Flow using CT Angiography: Next Steps) trial was used to develop a ML score for the prediction of per-vessel ischemia (invasive FFR ≤0.80). The performance of the ML score was evaluated in 551 vessels from the PACIFIC trial for external validation. Thereafter, we assessed the discriminative ability of the ML score for per-vessel impaired hyperemic MBF (≤2.30 mL/min/g).
Results
In total, 138 (25.0%) vessels had ischemia and 195 (35.4%) vessels had impaired hyperemic MBF. CCTA-derived quantitative percent diameter stenosis and low-density noncalcified plaque (LDNCP) volume were higher in ischemic vessels compared with non-ischemic vessels (60.8% vs. 19.9%; and 42.3 mm3 vs. 9.1 mm3; both p<0.001). The ML score demonstrated a significantly higher area under the receiver-operating characteristic curve (AUC) for predicting ischemia (0.92, 95% confidence interval [CI] 0.89–0.94) compared with visual stenosis grade (0.84, 95% CI 0.80–0.87; p<0.001). Overall, quantitative percent diameter stenosis and LDNCP volume had greatest feature importance for ML, followed by percent area stenosis, minimum luminal diameter, and contrast density drop (Figure 1). An individualized explanation of ML ischemia prediction is shown in Figure 2. When applied for impaired MBF discrimination, the ML score exhibited an AUC of 0.82 (95% CI 0.78–0.85) and was superior to visual stenosis grade (AUC 0.76, 95% CI 0.72–0.80; p=0.03).
Conclusions
An externally validated ML score integrating CCTA-based quantitative plaque features accurately predicts FFR-defined ischemia and abnormal MBF by PET, outperforming standard visual CCTA interpretation.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): National Heart, Lung, and Blood Institute, United States Performance of the ML scoreIndividual explanation of ML prediction
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Affiliation(s)
- A Lin
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - P Van Diemen
- VU University Medical Center, Amsterdam, Netherlands (The)
| | - M Motwani
- Manchester University NHS Foundation Trust, Manchester, United Kingdom
| | - P McElhinney
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - Y Otaki
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - D Han
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - A Kwan
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - E Tzolos
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - S Cadet
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - I Danad
- VU University Medical Center, Amsterdam, Netherlands (The)
| | - R Driessen
- VU University Medical Center, Amsterdam, Netherlands (The)
| | - P J Slomka
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - D S Berman
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - D Dey
- Cedars-Sinai Medical Center, Los Angeles, United States of America
| | - P Knaapen
- VU University Medical Center, Amsterdam, Netherlands (The)
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Goldman J, Moiseenko F, Cicin I, Horinouchi H, Filippova E, Bar J, Lu S, Tomasini P, Ocampo C, Sullivan D, Maag D, Motwani M, Jin J, Camidge D. P47.03 Telisotuzumab Vedotin Monotherapy in Patients With Previously Treated c-Met+ Advanced Non-Small Cell Lung Cancer: Stage 2. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.08.496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Lin A, van Diemen P, Motwani M, McElhinney P, Otaki Y, Han D, Kwan A, Tzolos E, Klein E, Kuronuma K, Grodecki K, Shou B, Cadet S, Danad I, Driessen R, Slomka P, Berman D, Dey D, Knaapen P. Machine Learning From Quantitative Coronary Computed Tomography Angiography Predicts Ischemia And Impaired Myocardial Blood Flow. J Cardiovasc Comput Tomogr 2021. [DOI: 10.1016/j.jcct.2021.06.159] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Banubakode T, Karemore T, Motwani M, Dhole A, Muneshwar R. Association of pulp stones among patients with addictive habits – A descriptive cross-sectional study. J Indian Acad Oral Med Radiol 2021. [DOI: 10.4103/jiaomr.jiaomr_27_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Ahmed F, Taylor J, Green C, Wickwar L, Zaidi A, Cunnington C, Motwani M. P323Triage-HF Plus: identification of heart failure and non-heart failure events in an ambulatory population using remote monitoring and the triage heart failure risk score Algorithm. Europace 2020. [DOI: 10.1093/europace/euaa162.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background/introduction
Previous studies examining the utility of cardiac implantable electronic devices (CIEDs) to remotely monitor heart failure patients for decompensation have not demonstrated an impact on hard end-points. However, a key limitation of these prior studies (REM-HF and MORE-CARE) has been the failure to stratify patients according to their risk of worsening heart failure (WHF) prior to randomization (usual care vs active monitoring). We examined a different approach, using a single manufacturer’s remote monitoring platform, whereby only patients with CIED-derived data indicating the highest risk of WHF are contacted for assessment. The validated ‘Triage Heart Failure Risk Score’ (Triage-HFRS) is a medical algorithm within Medtronic CIEDs that can risk-stratify patients as low-, medium- or high-risk of WHF in the next 30 days based on integrated monitoring of physiological parameters.
Purpose
This study is the largest prospective evaluation of the Triage-HFRS, and examines the additional role of contacting those patients with a ‘High-Risk’ Triage-HFRS alert by telephone (Triage-HF Plus pathway).
Methods
Prospective, real-world evaluation of the Triage-HF Plus pathway undertaken between June 2016 and September 2019. 326 high-risk Triage-HFRS transmissions were contacted for telephone triage assessment. Screening questions were designed to identify episodes of WHF and non-heart failure events. Interventions were at the discretion of the clinical practitioner and in line with guideline-directed practice. An additional 3-month consecutive sample of low and medium Triage-HFRS transmissions (control group) were also contacted for telephone triage assessment (n= 98).
Results
Successful telephone contact was made following 245 high-risk Triage-HFRS alerts. Following contact, 194 (79.1%) patients reported an acute medical issue: 137 (70.6%) reported symptoms consistent with worsening heart failure (WHF) requiring intervention; and 57 (29.4%) had an alternative acute medical problem. 51 (26.2%) had no apparent reason for the high score. The sensitivity and specificity of CIED-based remote monitoring to identify any HF and non-HF events requiring intervention was 99.5% (97.2-99.9%) and 65.5% (57.3-73.2%) respectively; positive predictive value was 79.2%. The negative predictive value of a non-high risk score to rule out an acute event was 98.9%. Overall accuracy of the pathway to identify an acute issue (HF or non-HF related) was 84.8%.
Conclusion
The Triage-HF Plus clinical pathway is a potentially useful remote monitoring tool for patients with heart failure. The pathway has high diagnostic accuracy to identify patients with WHF and a wide range of non-HF issues which are just as relevant in a population who often have multiple complex co-morbidities and are known for their high health care utilisation.
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Affiliation(s)
- F Ahmed
- Manchester University NHS Foundation Trust, Manchester, United Kingdom of Great Britain & Northern Ireland
| | - J Taylor
- Manchester Academic Health Sciences Centre, Manchester, United Kingdom of Great Britain & Northern Ireland
| | - C Green
- Manchester University NHS Foundation Trust, Manchester, United Kingdom of Great Britain & Northern Ireland
| | - L Wickwar
- Manchester University NHS Foundation Trust, Manchester, United Kingdom of Great Britain & Northern Ireland
| | - A Zaidi
- Manchester University NHS Foundation Trust, Manchester, United Kingdom of Great Britain & Northern Ireland
| | - C Cunnington
- Manchester University NHS Foundation Trust, Manchester, United Kingdom of Great Britain & Northern Ireland
| | - M Motwani
- Manchester University NHS Foundation Trust, Manchester, United Kingdom of Great Britain & Northern Ireland
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Khator A, Motwani M, Sharma A, Singh J, Sayyed F, Solanki M. A study to evaluate the knowledge and belief regarding tobacco consumption among the non-teaching staff members working in four heath institutes in Hingna. J Indian Acad Oral Med Radiol 2020. [DOI: 10.4103/jiaomr.jiaomr_14_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Calvo E, de Jonge M, Rasco D, Moreno V, Chang YW, Chiney M, Motwani M, Penugonda S, Petrich A, Ratain M, LoRusso P. First-in-human study of ABBV-621 in patients (pts) with previously treated sold tumours: Dose-optimization cohorts. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz244.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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12
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Camidge D, Barlesi F, Goldman J, Morgensztern D, Heist R, Vokes E, Spira A, Angevin E, Su W, Hong D, Strickler J, Motwani M, Sun Z, Parikh A, Komarnitsky P, Wu J, Kelly K. MA14.03 EGFR M+ Subgroup of Phase 1b Study of Telisotuzumab Vedotin (Teliso-V) Plus Erlotinib in c-Met+ Non-Small Cell Lung Cancer. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.612] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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13
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Heist R, Motwani M, Naumovski L, Wu J, Bach B, Lu X, Kelly K. Circulating tumour DNA (ctDNA) analysis in patients (pts) with non-small cell lung cancer (NSCLC) treated with telisotuzumab vedotin (teliso-v), an antibody-drug conjugate targeting c-Met. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz259.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Ocampo C, Wu J, Dey J, Sun Z, Motwani M, Reddy A, Parikh A, Hay J, Komarnitsky P, Bach B. P2.01-19 Phase 2 Study of Telisotuzumab Vedotin (Teliso-V) in Previously Treated c-MET+ Non-Small Cell Lung Cancer: Trial in Progress. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.1363] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Moody WE, Motwani M, Arumugam P. P124Sequential CT coronary angiography and 82-Rb positron emission tomography: Defining the quantitative relationships between coronary artery calcium, coronary stenosis and myocardial blood flow reserve. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez147.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- W E Moody
- Royal Brompton Hospital, London, United Kingdom of Great Britain & Northern Ireland
| | - M Motwani
- Manchester Royal Infirmary, Manchester, United Kingdom of Great Britain & Northern Ireland
| | - P Arumugam
- Manchester Royal Infirmary, Manchester, United Kingdom of Great Britain & Northern Ireland
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Dhole A, Kohale S, Motwani M, Siddique A. Knowledge, attitude and practice towards areca nut use among medical student of Nagpur city. J Indian Acad Oral Med Radiol 2019. [DOI: 10.4103/jiaomr.jiaomr_176_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
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17
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Camidge R, Heist R, Goldman J, Angevin E, Strickler J, Morgensztern D, Barve M, Bauer T, Vokes E, Yi T, Motwani M, Parikh A, Wu J, Kelly K. An open-label, multicenter, phase I study of ABBV-399 (telisotuzumab vedotin, teliso-V) as monotherapy (T) and in combination with erlotinib (T+E) in non-small cell lung cancer (NSCLC). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy292.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Wainberg Z, Strickler J, Gordon M, Barve M, Wang L, Yue H, Motwani M, Kasichayanula S, Naumovski L, Hamilton E. Phase 1b open-label study evaluating the safety, pharmacokinetics, and preliminary efficacy of ABT-165 plus FOLFIRI in patients with second-line (2L) colorectal cancer (CRC). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.233] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Wainberg Z, Wang L, Yue H, Motwani M, Kasichayanula S, Blaney M, Naumovski L, Strickler J. ABT-165 plus FOLFIRI vs bevacizumab plus FOLFIRI in patients with metastatic colorectal cancer (mCRC) previously treated with fluoropyrimidine/oxaliplatin and bevacizumab - Trial in progress. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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20
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Dupare A, Dhole A, Motwani M. Ultrasonographic evaluation of oral submucous fibrosis patients: A noninvasive diagnostic approach. J Indian Acad Oral Med Radiol 2018. [DOI: 10.4103/jiaomr.jiaomr_102_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
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Sarate K, Motwani M, Karemore T. Epithelioid hemangioma: A rare entity to report. J Indian Acad Oral Med Radiol 2018. [DOI: 10.4103/jiaomr.jiaomr_93_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
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Komarnitsky P, Lee H, Shah M, Wong S, Gulbranson S, Dziubinski J, Caffrey L, Tanwani P, Motwani M, Zhang F. P1.04-006 Rovalpituzumab Tesirine vs Topotecan in Patients with Advanced Small Cell Lung Cancer Following 1st Line Chemotherapy. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.865] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Goldman J, Angevin E, Strickler J, Camidge D, Heist R, Morgensztern D, Barve M, Yue H, Beaulieu J, Motwani M, Afar D, Naumovski L, Kelly K. MA 02.10 Phase I Study of ABBV-399 (Telisotuzumab Vedotin) as Monotherapy and in Combination with Erlotinib in NSCLC. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.458] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zaidi A, Ali M, Cunnington C, Motwani M, Allen S, Ahmed FZ. 22Cied lead extraction in the elderly has low risk. Europace 2017. [DOI: 10.1093/europace/eux283.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Zaidi A, Ali M, Cunnington C, Motwani M, Allen S, Ahmed FZ. 84Single-centre experience of cied lead extraction using cook medical evolution system. Europace 2017. [DOI: 10.1093/europace/eux283.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Komarnitsky P, Lee HJ, Shah M, Wong S, Gulbranson S, Dziubinski J, Caffrey L, Tanwani P, Motwani M, Zhang F. A phase 3 trial of rovalpituzumab tesirine vs topotecan in patients with advanced small cell lung cancer following frontline platinum-based chemotherapy. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx386.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Vaibhav Karemore T, Radke U, Motwani M, Karemore V. Introducing CALP (Computer assisted learning program) in Oral Medicine. MedEdPublish 2016. [DOI: 10.15694/mep.2016.000047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
This article was migrated. The article was not marked as recommended. Purpose Theoretical concepts are taught to the students in classroom teaching but diagnosing and managing patients in clinical practice requires application of that knowledge as well as critical thinking ability. Final year dental students are often confused by the variation in the clinical presentation and co-relation of theoretical descriptions of white lesions of oral mucosa. Additionally some white lesions described in the text book may not be seen in short clinical postings. Considering the need, case based Computer Assisted Learning Program (CALP) was developed for better Knowledge, diagnosis and treatment planning of White Keratotic Lesions (WKL). Materials and method Fifty final year dental students were introduced to CALP. The evaluation of CALP was planned after completion of tutorial on WKL of oral mucosa. Tutorials were followed by two days of self reading of the topic covered in class. Students had to appear for multiple choice questions test (recall and application type) with fourty five items, based on WKL before CALP session. The CALP session was immediately conducted and fifty students included in the study were allowed to operate CALP separately in Digital library. CALP was designed to show a clinical picture of WKL which is supplemented with all details required of case to arrive at a diagnosis. Post test incorporated into CALP had the same MCQs that were asked in the pre test. Score of post test were displayed on the screen only after attempting all questions. CALP was designed to give correct answers with explanations along with appropriate treatment plan of given case, after the MCQ test. Feedback of students was noted through discussion which was a combination of their reflection about self reading and experience of CALP. The questionnaire about CALP experience was a combination of open and closed ended questions about CALP. The scores of pre and post CALP tests were compared. Result Computerized case based diagnosis and management program was well perceived by the students. There was significant improvement in student's knowledge in decision making skills after using the program. Program was experienced as, informative, innovative, enjoyable, and useful. Students also shared that they valued the opportunity to interact with the teachers and realized the importance of self directed learning. They felt benefitted in terms of better memory, recall, more efficient studying practice and better organization of thoughts due to case based learning. However, the students expressed that few more topics should have been taught through CALP. During this project we learn that students do accept innovative ideas by teachers. Adjunct teaching tools so can be used to enhance student's interest in the learning. Conclusion Computerized case based diagnosis and management program was well perceived by the students. There was significant improvement in student's knowledge in decision making skills after using the program. It can thus be envisaged as an adjunct to conventional teaching methods to improve students' confidence and performance in clinical practice.
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Shitoot A, Motwani M, Chamele D, Shitoot A, Chamele J, Ghosh A. Hepatitis B awareness and attitudes among dental professionals in Central India. J Indian Acad Oral Med Radiol 2016. [DOI: 10.4103/0972-1363.195650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Gordon DJ, Motwani M, Pellman D. Modeling the initiation of Ewing sarcoma tumorigenesis in differentiating human embryonic stem cells. Oncogene 2015; 35:3092-102. [PMID: 26455317 PMCID: PMC4829493 DOI: 10.1038/onc.2015.368] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2015] [Revised: 07/12/2015] [Accepted: 08/31/2015] [Indexed: 01/08/2023]
Abstract
Oncogenic transformation in Ewing sarcoma tumors is driven by the fusion oncogene EWS-FLI1. However, despite the well-established role of EWS-FLI1 in tumor initiation, the development of models of Ewing sarcoma in human cells with defined genetic elements has been challenging. Here, we report a novel approach to model the initiation of Ewing sarcoma tumorigenesis that exploits the developmental and pluripotent potential of human embryonic stem cells. The inducible expression of EWS-FLI1 in embryoid bodies, or collections of differentiating stem cells, generates cells with properties of Ewing sarcoma tumors, including characteristics of transformation. These cell lines exhibit anchorage-independent growth, a lack of contact inhibition and a strong Ewing sarcoma gene expression signature. Furthermore, these cells also demonstrate a requirement for the persistent expression of EWS-FLI1 for cell survival and growth, which is a hallmark Ewing sarcoma tumors.
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Affiliation(s)
- D J Gordon
- Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA
| | - M Motwani
- Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA
| | - D Pellman
- Department of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.,Department of Cell Biology, Harvard Medical School, Boston, MA, USA.,Howard Hughes Medical Institute, Boston, MA, USA
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Musa TA, Uddin A, Fairbairn TA, Dobson LE, Steadman C, Kidambi A, Motwani M, Ripley DP, McDiarmid AK, Swoboda P, Erhayiem B, Garg P, Sourbron S, Plein S, McCann G, Greenwood JP. 21 Left atrial remodelling following treatment of symptomatic severe aortic stenosis. Heart 2015. [DOI: 10.1136/heartjnl-2015-307845.21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Musa TA, Uddin A, Fairbairn TA, Dobson LE, Steadman C, Kidambi A, Motwani M, Ripley DP, McDiarmid AK, Swoboda P, Erhayiem B, Garg P, Sourbron S, Plein S, McCann G, Greenwood JP. 22 Surgical aortic valve replacement (SAVR) upon right ventricular function: a cardiac mri study: Abstract 22 Table 1. Heart 2015. [DOI: 10.1136/heartjnl-2015-307845.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kidambi A, Motwani M, Uddin A, Ripley DP, McDiarmid AK, Swoboda PP, Broadbent DA, Musa TA, Erhayiem B, Greenwood JP, Plein S. 20 Myocardial extracellular volume predicts functional recovery in acute myocardial infarction more accurately than threshold-based measures of late gadolinium enhancement transmural extent. Heart 2015. [DOI: 10.1136/heartjnl-2015-307845.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Jagdhari S, Patni V, Motwani M, Motghare P, Gangotri S. Evaluation of laser therapy and routine treatment modalities in the management of myofascial pain dysfunction syndrome. J Indian Acad Oral Med Radiol 2015. [DOI: 10.4103/0972-1363.188760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Plein S, Motwani M. Fractional flow reserve is a useful reference standard for myocardial perfusion studies with limitations: reply. Eur Heart J Cardiovasc Imaging 2014; 15:474-5. [DOI: 10.1093/ehjci/jeu016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Abstract
BACKGROUND AND OBJECTIVE Oral submucous fibrosis (OSMF) is a well-known premalignant condition encountered in Indian population. Although the disease is advancing rapidly, its reliable treatment modality for its various stages has not yet evolved. The aim of the present study is to compare the effect of newer antioxidant lycopene with a placebo in conjunction with the cessation of causative habit in the treatment of OSMF. MATERIALS AND METHODS The study group included 92 patients with OSMF. The OSMF diagnosis was established through a composite of accepted clinical and histopathological characteristics. Out of 92, 46 patients were given lycopene and remaining 46 were on placebo drug. Lycopene group patients received 8 mg Lycored TM per day in two divided doses of 4 mg each, while placebo group patients received placebo tablet twice a day. Patients were examined for changes in mouth opening and other clinical symptoms of OSMF during three months and were followed up for next two months. RESULTS Lycopene was found to be significantly efficacious in the amelioration of signs and symptoms of OSMF. It was effective in reducing the objective signs of OSMF as demonstrated by the improved maximal mouth opening, percentage of which was 69.56%(P<0.05). INTERPRETATION AND CONCLUSION Reactive oxygen compounds or free radicals have been implicated as one of the major harmful factors for premalignant and malignant conditions. Present study concludes that lycopene, a newer antioxidant, appears to be a very promising drug in the management of OSMF.
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Affiliation(s)
- Tapasya Vaibhav Karemore
- Department of Oral Med. and Radio, V.S.P.M. Dental College, Hingna, Nagpur, Sharad Pawar Dental College, Wardha, Maharashtra, India
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Kidambi A, Mather AN, Motwani M, Swoboda P, Uddin A, Greenwood JP, Plein S. Contractile recovery of infarct zone in reperfused acute myocardial infarction is influenced by microvascular obstruction and intramyocardial hemorrhage. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.p2043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Plein S, Kidambi A, Sourbron S, Maredia N, Uddin A, Motwani M, Ripley DP, Herzog B, Brown JMB, Nixon J, Everett CC, Greenwood JP. 097 FACTORS ASSOCIATED WITH FALSE NEGATIVE CARDIOVASCULAR MAGNETIC RESONANCE PERFUSION STUDIES: A CE-MARC SUBSTUDY. Heart 2013. [DOI: 10.1136/heartjnl-2013-304019.97] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kidambi A, Mather AN, Uddin A, Motwani M, Ripley DP, Herzog B, Gunn J, Plein S, Greenwood JP. 093 RECIPROCAL ECG CHANGE IN ST-ELEVATION MYOCARDIAL INFARCTION IS ASSOCIATED WITH AREA AT RISK AND MYOCARDIAL SALVAGE FOLLOWING REVASCULARIZATION. Heart 2013. [DOI: 10.1136/heartjnl-2013-304019.93] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Motwani M, Dobson L, Smith C, Maredia N, Sourbron S, Biglands JD, Plein S, Greenwood JP. 089 REGIONAL VARIATION IN MYOCARDIAL BLOOD FLOW IN PATIENTS WITH LEFT BUNDLE BRANCH BLOCK: A QUANTITATIVE PERFUSION CMR STUDY. Heart 2013. [DOI: 10.1136/heartjnl-2013-304019.89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kidambi A, Mather AN, Motwani M, Swoboda P, Uddin A, Greenwood JP, Plein S. 092 MICROVASCULAR OBSTRUCTION AND INTRAMYOCARDIAL HAEMORRHAGE INFLUENCES INFARCT ZONE CONTRACTILE RECOVERY IN REPERFUSED ACUTE MYOCARDIAL INFARCTION. Heart 2013. [DOI: 10.1136/heartjnl-2013-304019.92] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Kidambi A, Mather AN, Swoboda P, Motwani M, Greenwood JP, Plein S. 089 Regression of myocardial oedema is related to improvement in myocardial contractility following reperfused acute myocardial infarction. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Motwani M, Maredia N, Fairbairn TA, Kozerke S, Radjenovic A, Greenwood JP, Plein S. 087 Incremental value of high-resolution cardiovascular magnetic resonance myocardial perfusion imaging in suspected coronary artery disease. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.87] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Greenwood JP, Kidambi A, Zaman A, Maredia N, Motwani M, Dickinson CJ, Brown JM, Nixon J, Everett CC, Ball SG, Plein S. 088 Comparison of cardiovascular magnetic resonance stress perfusion with single photon emission CT (SPECT) in patients with left main stem disease: a CE-MARC substudy. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.88] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Motwani M, Fairbairn TA, Larghat A, Mather AN, Biglands JD, Radjenovic A, Greenwood JP, Plein S. 085 Systolic vs diastolic acquisition in cardiovascular magnetic resonance myocardial perfusion imaging. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.85] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Motwani M, Banypersad S, Woolfson P, Waldek S. 070 Enzyme replacement therapy improves cardiac features of Fabry disease. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.70] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Fairbairn TA, Steadman CD, Mather AN, Motwani M, Blackman DJ, Plein S, McCann GP, Greenwood JP. 042 Assessment of valve haemodynamics, reverse ventricular remodelling and myocardial fibrosis following transcatheter aortic valve implantation compared to surgical aortic valve replacement. A cardiovascular magnetic resonance study. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.42] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Fairbairn TA, Meads DM, Mather AN, Motwani M, Pavitt S, Plein S, Blackman DJ, Greenwood JP. 041 Serial change in health related quality of life over 1 year following transcatheter aortic valve implantation: predictors of health outcomes. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Motwani M, Fairbairn TA, Maredia N, Kozerke S, Greenwood JP, Plein S. 086 Assessment of ischaemic burden in patients with three-vessel coronary artery disease using high-resolution myocardial perfusion cardiovascular MRI. Heart 2012. [DOI: 10.1136/heartjnl-2012-301877b.86] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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SM R, Bhowate R, Motwani M, Degwekar S, Rawlani S, M Chandak R. A Clinical, Hematological, Biochemical and Radiological Assessment of Dental Fluorosis in Endemic Fluoridated Area of Maharashtra, India. JIAOMR 2011. [DOI: 10.5005/jp-journals-10011-1227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Rawlani SM, Rawlani S, Degwekar S, Bhowte RR, Motwani M. Oral health status and alveolar bone loss in treated leprosy patients of central India. Indian J Lepr 2011; 83:215-224. [PMID: 22783756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
A descriptive cross sectional study was carried out, in a group of 160 leprosy patients treated with multi drug therapy. The patients with age group of 25 to 60 year were considered. Out of 160 patients 50 patients were selected by simple random sampling technique for radiological assessments. Intra-oral periapical radiographs (6 for each patient) were taken. The paralleling long cone technique was used and radiographs were attached with grids so as to enable measuring the bone height. The grid was spaced in 1 mm marking and placed directly over the film. Clinical examination revealed that Prevalence of dental caries was 76.25% and periodontal disease was 78.75%. Mean DMFT score was 2.26. Mean OHI-S score was 3.50. Score for Gingival index was 1.60 and average loss of gingival attachment was 1.2 mm. Radiographic findings showed mean alveolar bone loss in maxillary anterior region to be 5.05 mm and in maxillary posterior region it was 4.92 mm. Alveolar bone loss in mandibular anterior region was 4.35 mm and in mandibular posterior region was 5.14 mm. Overall Dental Health Status of the leprosy patients was poor and needed more attention for dental care. There was also an increase in the alveolar bone loss, which was generalized. This bone loss could be due to advance stage of the disease or late approach to rehabilitation center, these patients also had peripheral neuropathy leading to hand and feet deformity in the form of claw hand or ulcer on hand, making maintenance of oral hygiene difficult.
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Affiliation(s)
- S M Rawlani
- Sharad Pawar Dental College, DMIMS-U, Sawangi (M), Wardha, Maharashtra, India
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