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Different Tools for the Assessment of Bone Mass among Egyptian Adults

GM, Fogelman I. Role of dual-energy X-ray absorptiometry in the diagnosis and treatment of osteoporosis. J Clin Densitom. 2007; 10:102-110. 5. Bauer JS, Virmani S, Mueller DK. Quantitative CT to assess BMD as a diagnostic tool for osteoporosis and related fractures. Medica Mundi. 2010; 54(2): 31-37. 6. Dargent-Molina P, Piault S, Bréart G. Identification of women at increased risk of osteoporosis: no need to use different screening tools at different ages. Maturitas. 2006;54(1):55-64. 7. Hiernaux J, Tanner JM. Growth and physical studies. In: Human Biology

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Primary prevention strategy for cardiovascular disease in Lithuania
(“A Funding Programme for the Screening and Preventive Management of the High Cardiovascular Risk Individuals” – main results: 2006–2017 years)

. [The effectiveness of individual aerobic training in subjects with metabolic syndrome]. Daktaro disertacija. Moksl. vadovas prof. A. Juocevičius, moksl. konsultantė dr. L. Ryliškytė. – Vlnius, 2018, 200 p. [34] Matheny M, McPheeters ML, Glasser A, Mercaldo N, Weaver RB, Jerome RN, et al. Systematic Review of Cardiovascular Disease Risk Assessment Tools. Evidence Syntheses/Technology Assessments, No. 85. 2011, 394 p. [35] Grundy SM. Metabolic Syndrome Pandemic. Arterioscler Thromb Vasc Biol 2008; 28(4):629–36. [36] Koller MT, Steyerberg EW, Wolbers M

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Personalized Digital Smile Design for Predictable Aesthetic Results

natural permanent dentition. Dent Med, 2015; 97:122-132. 9. Coachman Ch, Calamita MC. Digital Smile Design: A Tool for Treatment Planning and Communication in Esthetic Dentistry. Quintess Dent Technol, 2012; 35:103-111. 10. Gurel G, Bichacho N. Permanent diagnostic provisional restorations for predictable results when redesigning the smile. Pract Proced Aesthet Dent, 2006; 18:281-286. 11. Gurel G. The Science & Art of Laminate Veneers. Quintess, 2005. 12. Gurel G, Morimoto S, Calamita MA, Coachman C, Sesma

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Non-alcoholic fatty pancreas disease – practices for clinicians

, CORREAS JM, GILJA OH et al. EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 2: clinical applications . Ultraschall der Medizin – Eur. J. Ultrasound 2013; 34 (03): 238-253. 53. KUWAHARA T, HIROOKA Y, KAWASHIMA H, OHNO E, YOKOYAMA Y, FUJII T et al. Usefulness of endoscopic ultrasonography-elastography as a predictive tool for the occurrence of pancreatic fistula after pancreatoduodenectomy . J. Hepatobiliary. Pancreat. Sci. 2017; 24 (12): 649-656. 54. BARRETO S.G., DIRKZWAGER I., WINDSOR J.A., PANDANABOYANA S

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The Use of Cone-Beam Computed Tomography in Furcation Defects Diagnosis

. Accuracy of threedimensional imaging in assessing maxillary molar furcation involvement. J Clin Periodontol, 2010; 37:436-441. 11. Walter C, Kaner D, Berndt DC, Weiger R, Zitzmann NU. Three-dimensional imaging as a pre-operative tool in decision making for furcation surgery. J Clin Periodontol, 2009; 36:250-257. 12. Umetsubo OS, Gaia BF, Costa FF, Cavalcanti MGP. Detection of simulated incipient furcation involvement by CBCT: an in vitro study using pig mandibles. Braz Oral Res, 2012; 26:341-347. 13. Armitage GC

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Fractional Flow Reserve Method in Cardiac Catheterization Laboratory without Cardiosurgical Backup: Initial Experiences


Background: Coronary artery disease is the most common cause of death in a modern world. This dictates the development a network of Catheterization laboratories without cardiosurgical capabilities.

Aim: We postulate that the most valuable tool in the decision process on myocardial revascularization is fractional flow reserve (FFR), especially when we deal with borderline coronary lesions.

Material and Methods: A total of 72 patients with 94 intermediate coronary stenosis (30%-70% diameter reduction) were included in this study. We tested FFR and angiography based decision model on myocardial revascularization.

Results: Mean FFR value on left anterior descending coronary artery (LAD) was lower than in others two arteries (p=0.017). FFR after percutaneous coronary intervention (PCI) was significantly better (p<0.0001). The decision for PCI predominates before FFR diagnostics, but after FFR the decision is quite opposite. There is a weak negative correlation between FFR and diameter of stenosis assessed by angiography (r= - 0.245 p=0.038) and positive correlation between diameter of stenosis assessed by angiography and by quantitative coronary angiography (QCA) (r=0.406 p<0.0005).

Conclusion: Our results strongly suggest that FFR is necessary tool in centers without possibilities of heart team onsite consultation and that prevents numerous unnecessary PCI.

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Asthma Control Test™ in Assessment of Clinical Asthma Control

Asthma Control Test™ in Assessment of Clinical Asthma Control

Background. The goal of asthma treatment is to achieve and maintain control of the disease.

Objective. To assess validity and reliability of Asthma Control Test™ (ACT) as a patient-based tool for quantifying the control of the disease in the subjects with persistent asthma.

Methods. A cross-sectional study including 396 subjects with persistent asthma drown from a population of treated patients was performed. Evaluation of the examined subjects included completion of the ACT, spirometry, and asthma specialist rating of control.

Results. The mean derived ACT score in all study subjects was 19.2±3.3. Prevalence of the study subjects with totally controlled (TC), well-controlled (WC) and not well-controlled (NWC) asthma by derived ACT score was 9.1%, 43.2% and 47.7%, respectively. Results from the spirometry showed that in 45% of the study subjects FEV1 value was less than 80%. Prevalence of the study subjects with TC, WC and NWC asthma by asthma specialist rating was 8.1%, 41.1% and 50.7%, respectively. A strong correlation between the derived ACT scores and asthma specialist rating of control was observed (r = 0.51, P = 0.000).

Conclusion. Our data confirm the usefulness of the ACT as a valid and reliable screening tool for asthma control.

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Evaluation of the Efficiency of 2 Types of Periodontal Probing


Background: The periodontal probing has an important role in clinical examination of the periodontal status; different types of periodontal probes have been described. The aim of this investigation was to evaluate comparatively the efficiency of periodontal probing with conventional periodontal probe and electronic periodontal probe.

Material and Methods: We examined 57 patients, each patient being subjected to conventional and electronic probing. We assessed the tolerance degree for each probing type and also the time consumed by probing and periodontal charting.

Results: The periodontal probing with the electronic probe revealed superior results regarding the accuracy of the measurements, the tolerance level and the time consumed.

Conclusions: The electronic periodontal probing is an exceptionally accurate method in establishing diagnosis and assessing treatment results. The electronic periodontal probe represents an efficient and useful tool for measurements of the gingival sulcus and periodontal pockets, and also for determination of the periodontal risk.

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Gait and Computerized Dynamic Posturography (CDP) Aspects in Early Progressive Supranuclear Palsy (PSP) - A Case Report


BACKGROUND: Posture and gait instability may cause of morbidity in individuals with progressive supranuclear palsy (PSP).

OBJECTIVE: To quantitatively measure balance control by using computerized dynamic posturography (CDP) and to assess gait analysis in early PSP.

CASE REPORT: She was evaluated for Berge balance scale, Functional Independence Measure (FIM) and postural stability using CDP device in early PSP with still able to walk or stand unassisted. Also, Gait analysis was conducted using an 8 M-camera Vicon 612 data capturing system set. Berge balance scale improved from 41/56 to 48/56. The score of FIM improved from 71/126 points to 95/126 points in early PSP. In CDP analysis, there was a decrease of composite equilibrium score (38 %). There was an increase of composite equilibrium score (59%) after three months of treatment. In gait analysis, there was no difference of gait parameters after three months of treatment in early PSP.

CONCLUSIONS: Both CDP and gait analysis are important quantitative tools in the assessment of posture and gait instability as well as allow for early disclosure of the failure of the postural control system in early PSP.

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Computerized Dynamic Posturography in Patients with Diabetic Peripheral Neuropathy and Visual Feedback-Based Balance Training Effects


BACKGROUND: Diabetic peripheral neuropathy (DPN) often has reduced stability during standing conditions.

AIM: To compare balance control in diabetic patients and normal subjects using computerized dynamic posturography and to assess effect of visual feedback-based balance training in DPN.

MATERIALS AND METHODS: A total of 57 patients of type 2 diabetes mellitus and 30 agematched normal control subjects were recruited. The sensory organization test was done before and after the training program. RESULTS: There was a significant decrease of mean (± SD) of composite equilibrium score and somatosensory ratio score between subgroups of DPN and control healthy group (p < 0.05). There was a significant increase of mean (± SD) of composite equilibrium score and the somatosensory ratio score after treatment as compared to results before training (p < 0.05) in mild DPN. Moreover, there were a significant correlation between composite equilibrium score and disease duration before training in the severe DPN (r = 0.368, p < 0.05).

CONCLUSIONS: Computerized dynamic posturography is an important quantitative tool in the assessment of posture instability and allows for early disclosure of the failure of the postural control system. Visual feedback-based balance training was shown to be a promising method for fall prevention among early diabetes mellitus with peripheral neuropathy.

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