Background: Because of many factors play a role in the developing of late lower arch crowding, therefore the objective of the current study is to do vertical analysis for subjects with late lower dental arch crowding. The conducted study is the first attempt to do vertical analysis for Iraqi subjects with late lower arch crowding to see if there is a vertical discrepancy in such patients. Subjects and methods: Eighty subjects were selected according to certain inclusion criteria from patients attending the Orthodontic Department in the College of Dentistry, Baghdad University, patients ranged between 18-25 years old. The 80 patients were divided into two groups (crowding and normal), 40 patients each (20 males and 20 females). A study cast of lower dental arch was obtained, and then Nance's space analysis made for each cast, Cephalometric radiographs were also taken for each patient involved in the current study and digitization was done to calculate nine vertical linear and twelve angular measurements. Results: Most of linear measurements showed higher mean values in crowding than normal subjects except S-Go, Ar-Go, and PFH/AFH, also subjects with crowding had significantly higher (P<0.05) anterior facial height (ANS-Me) than normal subjects, and that difference occurred only in the lower part of the face, the Jaraback Ratio (PFH/AFH) was also low in crowding subjects, also higher mean values of LADH, UADH and UPDH in crowding group, may be due to compensatory over eruption of teeth as a result a bite opening occurred, indicating that patients with crowding have tendency toward posterior rotation. Regarding the angular measurements, subjects (total males and females) with crowding had larger mean values than normal. There were no interactions between total mean values of normal and crowding subjects for any outcome angular parameter, except four of the twelve angular measurements (SN-MP, Occ-MP, PP-MP, and sum S.A.G angles) showed an interaction, with females in both normal and crowding groups exhibited higher mean values than males. Conclusions: Subjects with late lower arch crowding can have and/or affect on the vertical dimension, and the vertical discrepancy in late lower arch crowding should be considered during diagnosis and treatment plane of orthodontic cases, active treatment, and retention phase, in order to have stable end result in long term prognosis in orthodontics.
Background: Mitral regurgitation (MR) is the most commonly encountered valve lesion in modern clinical practice. Severe mitral regurgitation may cause systolic dysfunction. Left ventricular ejection fraction may not be an accurate measurement of LV function in patients with mitral insufficiency. Myocardial performance index (MPI) is a simple non invasive measure of myocardial function. Methods: The study involved 50 patients with valvular mitral regurgitation and 50 healthy subjects as a control group. Transthoracic echocardiography was carried out for all patients and control group. The echocardiographic measurements included left ventricular end diastolic and end systolic dimensions, left atrial diameter, ejection fraction (EF), and myoca
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Encasing glass fiber reinforced polymer (GFRP) beam with reinforced concrete (RC) improves stability, prevents buckling of the web, and enhances the fire resistance efficiency. This paper provides experimental and numerical investigations on the flexural performance of RC specimens composite with encased pultruded GFRP I-sections. The effect of using shear studs to improve the composite interaction between the GFRP beam and concrete was explored. Three specimens were tested under three-point loading. The deformations, strains in the GFRP beams, and slippages between the GFRP beams and concrete were recorded. The embedded GFRP beam enhanced the peak loads by 65% and 51% for the composite specimens with and without shear connectors,
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Glass fiber–reinforced polymer (GFRP) reinforcement provides an effective alternative to conventional steel in concrete structures due to its corrosion resistance. Nevertheless, the lower elastic modulus of GFRP necessitates careful consideration of serviceability behavior in GFRP-reinforced concrete members. This study presents a numerical sectional analysis model for predicting the flexural response and ultimate capacity of hybrid reinforced concrete beams incorporating embedded GFRP profiles in combination with either mild steel or GFRP reinforcement bars under monotonic static loading. The proposed model employs realistic nonlinear stress–strain relationships for concrete and steel, together with secant moduli of elasticity
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Osteoarthritis is the most prevalent arthritic disease and a leading cause of disability. The pathogenesis of osteoarthritis involves multiple etiologies, including variable degree of synovial inflammation. Metformin and pioglitazone could potentially reduce the levels and activity of inflammatory mediators. This may consider as a new therapeutic approach added to the current used drugs in an attempt to decrease the pain, inflammation, and improve daily activity and quality of life in patients with knee osteoarthritis.
This study designed to evaluate the clinical utility of using metformin or pioglitazone as anti-inflammatory agents in combination with non-steroidal anti-inflammatory drugs (NSAID) of selective type of cyclooxygen
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