The study found that the diagnosis given by the Injured Tooth App was in good agreement with the diagnosis given by an experienced faculty. Hence, the App can be successfully used by dental students to arrive at diagnosis.
The study aimed to evaluate the effectiveness of sustained interventions in children with cleft lip and palate (CLP) for preventing early childhood caries (ECC). This prospective, nonrandomized interventional cohort study was conducted in infants aged 0–12 months with congenital CLP. Interventions were given to parents/primary caregivers in the form of combined oral health-care measures (sterile wet gauze piece, finger brush, toothbrush, and toothpaste) by a motivational interviewing approach. Education of primary caregivers on oral hygiene was provided by audiovisual aids and demonstration. Reinforcement of the prescribed regimen was done through daily short message services in caregivers’ preferred language and bimonthly telephone calls. Participants were followed up for 9–32 months from the time of recruitment, with a mean period of 18.3 ± 5.1 months. Rates of dental caries were represented as prevalence rates, incidence density, and transitional probability. The distribution of the International Caries Detection and Assessment System (ICDAS) scores on different tooth surfaces affected in the intervention group was compared descriptively with that of the age- and sex-matched historical control groups. On analysis of surface-wise distribution of the ICDAS scores in the intervention group (<i>n</i> = 1,919), 1.2% (<i>n</i> = 24) had noncavitated lesions (ICDAS codes 1 and 2), 0.88% (<i>n</i> = 17) had cavitated lesions (ICDAS codes 3–6), and 0.26% (<i>n</i> = 5) had both cavitated and noncavitated lesions (ICDAS codes 1–6). The incidence density of caries-affected children observed at the first and last follow-ups was 1.2 persons/100 person-months and 1.3 persons/100 person-months of observation, respectively. The incidence density of new caries-affected tooth surfaces at the first and last follow-ups was 0.163 surfaces/100 surface-months and 0.062 surfaces/100 surface-months, respectively. Maxillary first molars had the maximum transition from sound to the cavitated lesion (11.5%), followed by maxillary incisors from sound to noncavitated (7.5%) at the last follow-up. Based on the newly developed assessment criteria in our study, sustained interventions proved to be significantly effective in preventing ECC in children with CLP.
Agricultural Food Supply chain management has arisen as an area of day-to-day importance for the agricultural food sector, since stakeholders involved in the execution of decision-making processes. Quality less agricultural products are added to the market in day-to-day life which leads to usage of chemicals in the production process. These leads to the major issues that gives the impact on agricultural product’s quality as well as overall well-being of the consumers. Devices are needed to identify the quality of the food products which are highly demanded due to the lack of transparency in the recent processes. Henceforth Blockchain technology is evolving as a decentralized and secure infrastructure which could replace involvement of a third party to verify the transactions inside the system. The purpose of the proposed work is to implement a Blockchain based solution i.e. constructing a Decentralized Application (DApp) using Hyperledger Fabric framework to verify the food quality and the cause of the agricultural supply chain. A private permissioned Blockchain concept is chosen instead of a public Blockchain in the proposed work to ensure transparency and secure transaction by consenting any person to access the network. Smart contract chain code was instantiated for the deployment of Blockchain network. All the performers who are involved in the supply chain must be able to interact with the system to achieve the transparency. Transaction and queries related to a food product are validated by peers of the Blockchain network. A Barcode & QR code-based scanning mechanism is used to indicate the customer’s satisfaction with their products. Transactions without third party gives Farmer’s reputation for their products. A unique DApp mechanism is used to identify each product within the food supply chain. Thus, the proposed system has been implemented as a prototype and validated using smart contracts.
In the present era, the use of drugs is an important paradigm of health care. Reactions to drugs range from minor cutaneous reactions to potentially lethal conditions like Stevens–Johnson syndrome. A 13-year-old, male patient, known case of Stevens–Johnson Syndrome was referred from the pediatric ward for the management of oral mucosal lesions, post consumption of the antibiotic combination of sulfamethoxazole and trimethoprim. Failure of lesion regression led to the change in the treatment plan, speculating an allergic reaction to one of the components of the initial treatment medication (choline salicylate) as well. Identification and withdrawal of the offending medication and rendering supportive care along with treatment of the lesions with topical corticosteroids form the outline of management. This case report demonstrates the approach undertaken by the pediatric dentist to cure the oral mucosal lesions in symbiosis with pediatricians, ophthalmologists and nutritionists to cure this life-threatening condition.
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