original research

原创性研究
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    考虑到口腔临床医生和患者对早期检测的强烈认识,越来越多地采用更好的方法来筛查口腔癌前/癌性病变已成为当务之急。虽然组织病理学被认为是不可或缺的黄金标准,它有其优点和缺点,因为有时诊断会受到组织病理学家关注的变异性的影响。在口腔保健领域,一个开创性的开拓者正在掀起波澜,它们是“量子点”。量子点有望改变口腔癌前病变和癌症筛查的前景。这些纳米尺寸的半导体颗粒具有非凡的特性,使它们与传统的检测方法不同。它们在被激发时发出不同波长的光的能力使它们成为早期检测的理想候选者。关键词被插入,过去15年(2008-2022年)的研究文献被删除,以找出存在的信息,差异和空白留给即将进行的研究。它的性质和独创性产生了一种变革性的方法,有可能重新定义口腔保健的未来。每一次突破,我们更接近一个早期发现口腔癌前/癌变成为常态而不是例外的世界。
    Considering the robust awareness of early detection among oral clinicians and patients the increasing imposition of better methods for screening of oral precancerous/cancerous lesions has become imperative. Although histopathology has been considered the indispensable gold standard, it has its pros and cons, as sometimes the diagnosis is compromised with the variabilities subject to the histopathologist under concern. In the realm of oral healthcare, one pioneering trailblazer is making waves, which are \'quantum dots\'. Quantum dots are poised to transform the landscape of oral precancer and cancer screening. These nano-sized semiconductor particles possess extraordinary properties that set them apart from conventional detection methods. Their ability to emit distinct wavelengths of light when excited makes them ideal candidates for early detection. The keywords were pitched in and the research literature from the last 15 years (2008-2022) was extirpated to find out the information that existed, the discrepancies and the void left for upcoming research. Its nature and ingenuity have given rise to a transformative approach that holds the potential to redefine the future of oral healthcare. With each breakthrough, we edge closer to a world where the early detection of oral precancerous/cancerous lesions becomes the norm rather than the exception.
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  • 文章类型: Editorial
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  • 文章类型: Editorial
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    临床医生有可能通过基于其诊断和治疗实践并受其教育背景支持的研究来为医学和医疗保健的进步做出贡献。然而,在日本的普通医学领域,在国际期刊上发表此类研究可能受到英语水平挑战的限制,以及缺乏在临床实践中治疗的各种疾病中专注于特定研究主题的机会。此外,没有事先研究经验的新手研究人员可能缺乏对整体研究过程的全面了解,包括研究设计和文章发表。为了应对这些挑战,我们制定了一组22个里程碑,突出了开展和成功发表临床研究所需的必要技能.该指南将使新手研究人员能够识别和解决从事研究项目的个人障碍。这些里程碑分为五个部分:1)准备进行研究;2)进行临床研究;3)撰写文章;4)提交并获得出版接受;5)高级技能。对于每个部分,我们就所涉及的具体步骤和方法提供了详细的建议。通过完成这22个里程碑,新手研究人员可以客观地评估自己作为研究人员的成就水平,并不断阐明每一轮研究的下一步。通过这组里程碑,我们的目标是提高学术期刊上普通医学研究出版物的质量和数量,理想地提高整体研究过程和推进医学和医疗保健领域的整体。
    Clinical physicians have the potential to contribute to the progress of medicine and healthcare through research based on their diagnostic and treatment practices and supported by their educational background. However, in the field of general medicine in Japan, publication of such research in international journals may be limited by challenges in English proficiency and the lack of opportunities to focus on specific research themes amidst the diverse range of diseases treated in clinical practice. Furthermore, novice researchers without prior research experience may lack a comprehensive understanding of the overall research process, including study design and article publication. To address these challenges, we developed a set of 22 milestones that highlight the necessary skills required to conduct and successfully publish clinical research. This guideline will enable novice researchers to identify and address individual barriers to undertaking a research project. These milestones are categorized into five parts: 1) preparing to undertake research; 2) conducting clinical research; 3) writing the article; 4) submitting and achieving acceptance for publication; and 5) advanced skills. For each part, we provide detailed recommendations on the specific steps and methods involved. By working through these 22 milestones, novice researchers can objectively assess their own level of achievement as researchers and continuously clarify the next step of each round of research. Through this set of milestones, we aim to increase the quality and quantity of research publications in general medicine in academic journals, ideally enhancing the overall research process and advancing the field of medicine and healthcare overall.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    护理标准(SoC)治疗的概念通常用于临床试验中。然而,在突发疾病的背景下,例如COVID-19,没有确定的有效治疗方法,目前尚不清楚研究者在早期临床试验中认为的SoC是什么.这项研究的目的是分析和分类随机对照试验(RCT)注册报告的SoC,以及在学术期刊和预印本服务器上发表的关于COVID-19治疗干预措施的RCT。
    我们进行了一项横断面研究。我们包括在试验登记处注册的RCT,和/或发表在学术期刊上,和/或在预印本服务器medRxiv和bioRxiv上发布(任何阶段;任何招募状态;任何语言),旨在比较与COVID-19和SoC相关的治疗干预措施,从2020年1月1日至2020年10月8日。使用“标准”治疗的研究有资格纳入,如果他们报告他们使用标准,通常,常规,或常规治疗。当我们发现如此多的RCT报告时,我们将这些多个来源视为一个分析单位。
    在分析中包括的737项独特试验中,152(21%)报告说SoC是由机构或国家当局提出的。有129(18%)试验报告了SoC的组件;其余试验仅报告他们使用SoC,没有进一步的细节。在这129项试验中,SoC的组件数量从1个到10个不等。SoC中最常用的干预组是抗寄生虫药(62%的试验),抗病毒药物(57%),抗生素(31%),氧气(17%),抗血栓药/抗凝剂(14%),维生素(13%),免疫调节剂(13%),皮质类固醇(12%),镇痛药/退烧药(12%)。SoC中使用了这些干预措施的各种组合,结合多达7种不同类型的干预措施。Posology,定时,SoC组件的给药方法经常没有报告。
    在大流行的前9个月注册或发布的大多数关于COVID-19治疗的RCT(82%)没有描述他们使用的“护理标准”。其中许多干预措施,到现在,被证明是无效的,甚至是有害的。
    The concept of standard of care (SoC) treatment is commonly utilized in clinical trials. However, in a setting of an emergent disease, such as COVID-19, where there is no established effective treatment, it is unclear what the investigators considered as the SoC in early clinical trials. The aim of this study was to analyze and classify SoC reported in randomized controlled trial (RCT) registrations and RCTs published in scholarly journals and on preprint servers about treatment interventions for COVID-19.
    We conducted a cross-sectional study. We included RCTs registered in a trial registry, and/or published in a scholarly journal, and/or published on preprint servers medRxiv and bioRxiv (any phase; any recruitment status; any language) that aim to compare treatment interventions related to COVID-19 and SoC, available from January 1, 2020, to October 8, 2020. Studies using \"standard\" treatment were eligible for inclusion if they reported they used standard, usual, conventional, or routine treatment. When we found such multiple reports of an RCT, we treated those multiple sources as one unit of analysis.
    Among 737 unique trials included in the analysis, 152 (21%) reported that SoC was proposed by the institutional or national authority. There were 129 (18%) trials that reported component(s) of SoC; the remaining trials simply reported that they used SoC, with no further detail. Among those 129 trials, the number of components of SoC ranged from 1 to 10. The most commonly used groups of interventions in the SoC were antiparasitics (62% of the trials), antivirals (57%), antibiotics (31%), oxygen (17%), antithrombotics/anticoagulants (14%), vitamins (13%), immunomodulatory agents (13%), corticosteroids (12%), analgesics/antipyretics (12%). Various combinations of those interventions were used in the SoC, with up to 7 different types of interventions combined. Posology, timing, and method of administration were frequently not reported for SoC components.
    Most RCTs (82%) about treatment for COVID-19 that were registered or published in the first 9 months of the pandemic did not describe the \"standard of care\" they used. Many of those interventions have, by now, been shown as ineffective or even detrimental.
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  • 文章类型: Journal Article
    UNASSIGNED: To compare arch forms between Mongoloid race and Dravidian race in 11-14-year-old children.
    UNASSIGNED: Total 10 subjects from each study group were selected. Impression of both maxillary and mandibular arches were taken of all the subjects. Dental casts were poured. Intercanine measurement can be termed as the distance across two canine cusp tips, and intermolar measurement can be termed as the distance across two mesiobuccal cusp tips. This distance was recorded for maxillary and mandibular casts by making use of digital Vernier caliper. Data were tabulated.
    UNASSIGNED: To note the statistical impact, a Chi-square test was applied.
    UNASSIGNED: The difference across the two groups was found to be statistically significantly noteworthy (independent t test p < 0.001).
    UNASSIGNED: Group I (Mongoloid race) showed significantly larger intercanine to intermolar width compared to Dravidian race with wide flaring arches.
    UNASSIGNED: The size and forms of dental arches exhibit considerable variability within and among human groups. This research demonstrated that while considering Mongoloid patients, we must make use of prior formed orthodontic wires for ovoid shaped arches in a trivial fraction of patients.
    UNASSIGNED: Smitha S, Nagar P, Abinaya R, et al. Comparing the Arch Forms between Mongoloid Race and Dravidian Race in 11-14-year-old Children. Int J Clin Pediatr Dent 2020;13(S-1):S26-S28.
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  • 文章类型: Editorial
    UNASSIGNED: This study aims to compare the caries removal efficacy of three minimally invasive techniques and to analyze qualitatively under stereomicroscopy and quantitatively using Vickers hardness test.
    UNASSIGNED: Thirty non-carious anterior primary teeth were selected and subjected to demineralization and the same was confirmed using RadioVisioGraphy (RVG). Samples were divided into three groups: Bromelain gel, smart bur, and atraumatic restorative technique (ART). Caries removal was carried out for a time period of 2 minutes. The remaining demineralized dentin was measured using stereomicroscopy. Random dentin blocks were prepared and a microhardness test was conducted.
    UNASSIGNED: Data were subjected to statistical analysis by one-way analysis of variance (ANOVA) test.
    UNASSIGNED: Stereomicroscopic analysis revealed bromelain gel and smart burs to be superior to ART. Bromelain gel was found to have comparable microhardness levels as healthy dentin. Statistically significant (p < 0.001) results were obtained.
    UNASSIGNED: In terms of caries removal and microhardness, bromelain gel was highly efficient when compared to other groups.
    UNASSIGNED: Fear and anxiety of children and parents about conventional drills led to the emerging trends of minimally invasive restorative dentistry. This research indicated the use of bromelain gel and smart bur in the process of caries removal and that bromelain was more efficient when compared to other groups.
    UNASSIGNED: Abinaya R, Nagar P, Urs Pallavi, et al. Comparing the Efficacy of Three Minimally Invasive Techniques on Demineralized Dentin in Primary Teeth and Evaluating Its Residual Dentin and Microhardness Levels: An In Vitro Study. Int J Clin Pediatr Dent 2020;13(6):585-589.
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