Armodafinil as Monotherapy in Treating Narcolepsy with Cataplexy.

In narcolepsy with cataplexy, sodium oxybate and the recently FDA-approved drug pitolisant are preferred medications. Armodafinil, a longer-acting, non-amphetamine stimulant, is often used in patients who have narcolepsy without cataplexy. It enhances alertness by increasing presynaptic dopamine transmission presynaptically, amplifying serotonin in the cerebral cortex, activating glutamatergic circuits, which may contribute to its vigilance-enhancing properties, and stimulating orexin activity.

An Evaluation of the Effect of Periodontal Biotype on Inter-Dental Papilla Proportions, Distances Between Facial and Palatal Papillae in the Maxillary Anterior Dentition.

Purpose: Gingival esthetics are an essential segment of facial beauty. The aim of the present study was to clinically assess the impact of periodontal biotype (PB), the length between the base of interproximal contact area and the interproximal bone crest (CP-BC), the distance between the facial and palatal papillae (DFPP), and papillary proportions (PP) on the presence of interdental papillae (PIP).

Materials And Methods: 80 patients aged 18 to 60 years were recruited for study.

Clinical assessment of the gingival contours and proximal contact areas in the maxillary anterior dentition.

Gingival display has been identified as a critical element in a beautiful smile and thus in facial esthetics. The present study aimed to assess the gingival line angle (GLA); the distance between the gingival zenith of maxillary lateral incisor and the gingival line (LID); and the ratio between the height of the proximal contact area (PCA) and crown length, referred to as the proximal contact area proportion (PCAP). Fifty patients, aged 21-30 years, were recruited for study.

The Shape of the Maxillary Central Incisors and Its Correlation with Maxillary Anterior Papillary Display: A Clinical Study.

The aim of this study was to define shapes of maxillary central incisors and determine their relationship with the visual display of interdental papillae during smiling. A sample of 100 patients aged 20 to 25 years were recruited. Photographs were taken and gingival angle, crown width (CW), crown length (CL), contact surface (CS), CW/CL ratio, CS/CL ratio, gingival smile line (GSL), and interdental smile line (ISL) were measured.

Risk factors in various subtypes of ischemic stroke according to TOAST criteria.

Objective: To identify the frequency of risk factors in various subtypes of acute ischemic stroke according to TOAST criteria.

Study Design: Cross-sectional, observational study.

Place And Duration Of Study: Ziauddin Hospital, Karachi, from January to December 2007.