Effect of Different Cantilever Lengths in Polyether Ether Ketone Prosthetic Framework in All-on-Four Technique on Stress Distribution: A Three-Dimensional (3D) Finite Element Analysis.

Background: Determining the distal cantilever length in All-on-Four (All-on-4) implant-supported prostheses is a major factor in the long-term success of these prostheses. The difference in mechanical properties of materials used in the fabrication of these prostheses, such as polyether ether ketone (PEEK), may have an impact on the determination of the cantilever length that best distributes stress.

Aim: To study the distribution of stress in All-on-4 mandibular prostheses in the bone, implants, and framework according to difference cantilever length in PEEK prosthetic framework using three-dimensional finite element analysis.

Analysis of pulp histological response to pulpotomy performed with white mineral trioxide aggregate mixed with 2.25% sodium hypochlorite gel in humans: a randomized controlled clinical trial.

This study aimed to evaluate the histological success of pulpotomy in primary molars using white mineral trioxide aggregate (WMTA) mixed with 2.25% sodium hypochlorite (NaOCl) gel and to evaluate in vitro its physical and chemical properties. The study had a clinical stage and an in-vitro stage.

The plausibility of claimed induced seismicity.

Claims of industrially induced seismicity vary from indisputable to unpersuasive and yet the veracity of industrial induction is vital for regulatory and operational practice. Assessment schemes have been developed in response to this need. We report here an initial assessment of the reliability of all globally known cases of proposed human-induced earthquakes and invite specialists on particular cases to refine these results.

Evaluation of Shear Bond Strength of Lithium Disilicate Veneers Using Pre-heated Resin Composite With Two Conventional Resin Cements: An In Vitro Study.

Objectives This study aimed to compare the shear bond strength of three resin cements (light-cured resin cement, pre-heated composite resin, and dual-cured self-adhesive resin cement) when bonding to lithium disilicate discs. Materials and methods Thirty-six discs made of lithium disilicate were fabricated and etched with 9.5% (HF), and 36 human premolars were collected and immersed in the acrylic molds, then randomly divided into three equal groups (n = 12): Group 1: light-cured resin cement, Group 2: pre-heated resin composite, and Group 3: dual-cured resin cement.

Application of Three Types of Scaffolds in Pulp Regeneration for Permanent Mature Teeth with Periapical Lesions: A Randomized Controlled Trial.

Objective: This study aimed to evaluate pulp regeneration by comparing the application of native chitosan-based scaffolds with enzymatically modified chitosan-based scaffolds in mature teeth with apical lesions, using clinical and radiographic assessments.

Methods: The eligibility criteria for this study were participants aged between 15-45 years, free from systemic diseases and with necrotic mature single-rooted teeth with periapical lesions. The teeth were equally and randomly allocated into three groups (1: 1: 1 allocation): Group A received treatment with a Blood Clot (BC) scaffold; Group B with a combination of Native Chitosan and Blood Clot (NCS+BC) scaffold; and Group C with Enzymatically-Modified Chitosan and Blood Clot (EMCS+BC) scaffold.

First case report on Bickerstaff brainstem encephalitis in a young adult from Syria: Bridging clinical knowledge and practice.

Bickerstaff Brainstem Encephalitis (BBE) is a rare immunologic condition characterized by CNS inflammation, presenting with ataxia, external ophthalmoplegia, altered consciousness, and quadriplegia. A 25-year-old male with no significant medical history exhibited symptoms of blurred vision, diplopia, facial numbness, and imbalance following a respiratory infection. Brain MRI revealed hyperintense lesions in the cerebral peduncle and pons on T2-weighted/FLAIR sequences but not on T1-weighted sequences, indicative of demyelination.

The role of self-efficacy in managing type 2 diabetes and emotional well-being: a cross sectional study.

Background: Managing chronic conditions like Type 2 diabetes presents significant challenges, with self-efficacy-one's belief in their ability to manage their health-playing a crucial role. This study investigates the influence of self-efficacy on emotional distress and health outcomes among Type 2 diabetes patients.

Methods: We conducted a cross-sectional study in Damascus with 336 Type 2 diabetes patients from three healthcare facilities.

Identification, Synthesis, and Characterization of N-Formyl Mirabegron: A New Degradation Product Formed by Formic Acid Impurity in Pharmaceutical Excipients.

This study demonstrated the impact of formic acid (FAc), a common reactive impurity in pharmaceutical excipients, on the stability of mirabegron (MB). The investigation of MB-excipient compatibility tests revealed the formation of a new degradation product, FAc-DP, at 0.2% after 7 days of isothermal stress at 55°C.

FLASH Radiotherapy: Benefits, Mechanisms, and Obstacles to Its Clinical Application.

Radiotherapy (RT) has been shown to be a cornerstone of both palliative and curative tumor care. RT has generally been reported to be sharply limited by ionizing radiation (IR)-induced toxicity, thereby constraining the control effect of RT on tumor growth. FLASH-RT is the delivery of ultra-high dose rate (UHDR) several orders of magnitude higher than what is presently used in conventional RT (CONV-RT).

Novel Otolaryngological and Radiological Manifestations in GAPO Syndrome.

GAPO syndrome is an exceptionally-rare autosomal recessive disorder characterized by growth retardation, alopecia, pseudoanodontia, and optic abnormalities, with fewer than 60 cases reported globally. We present the first documented case in Syria, highlighting novel otolaryngological and radiological findings that expand the clinical spectrum of this syndrome. A 27-year-old male presented with chronic right-sided otalgia, unilateral conductive hearing loss, and persistent sinonasal symptoms.

Broad ligament ectopic pregnancy with full-term live birth: a rare case report from Syria.

Ectopic pregnancy, the implantation of a fertilized zygote outside the uterine cavity, presents with abdominal pain and vaginal bleeding. Diagnosis relies on clinical signs, and treatment involves surgery or methotrexate in selected cases. A 24-year-old woman at 37 weeks of gestation underwent elective cesarean delivery under general anesthesia, revealing an unexpected broad ligament ectopic pregnancy.

Subcutaneous Emphysema as a Complication of Tonsillectomy: Comprehensive Literature Review.

Subcutaneous emphysema is a rare but potentially-serious complication of tonsillectomy. This case report presents a 14-year-old male who developed subcutaneous emphysema following tonsillectomy. A comprehensive literature review was conducted to identify and analyze cases of emphysema following tonsillectomy.

Rhinolith Within a Giant Concha Bullosa: A Case Report and Review of Literature.

Concha bullosa is a common anatomical variation involving pneumatization of the middle turbinate. Although usually asymptomatic, a large concha bullosa can obstruct nasal airflow and cause related symptoms. Rhinoliths, calcified formations typically found in the inferior meatus, rarely appear within concha bullosa.

Classic biphasic pulmonary blastoma with endobronchial invasion in a 16-year-old male: A rare case report.

Pulmonary blastoma (PB) is a rare and aggressive lung neoplasm, representing 0.25 %-0.50 % of lung cancers and characterized by biphasic histology with both epithelial and mesenchymal components.

Patient Satisfaction during Upper Lip Augmentation Procedures: V-Y in V-Y Technique Compared to Micro-fat Injection: A Randomized Clinical Trial.

Aim: To compare two different techniques for lip augmentation: A surgical technique (V-Y in V-Y) and a filler technique (autogenous micro-fat injections), with a focus on comparing the patients' satisfaction using the Visual analog scale (VAS).

Materials And Methods: This randomized controlled trial was conducted on 40 female patients, aged 18-45, who were outpatients at the Oral and Maxillofacial Surgery Department. The patients were randomly assigned with a 1:1 allocation ratio into two groups.

Complete surgical resection of a thymic cyst located in the middle mediastinum with extension into the carina through a neck incision: A case report study.

Introduction And Significance: Thymic cysts are rare, located in the middle mediastinum, and are often asymptomatic and discovered incidentally. When they are symptomatic, the symptoms are often due to the effect of the mass, and complete surgical excision is preferred to avoid the risk of complications following their persistence.

Case Presentation: We present a case of a patient who had recurrent dyspnea and was later diagnosed with a cystic formation in the middle mediastinum by radiological investigations and successfully treated through a neck incision and completely resected.

Evaluating the Effectiveness of an Online Course on Pediatric Malnutrition for Syrian Health Professionals: Qualitative Delphi Study.

Background: There is a shortage of competent health professionals in managing malnutrition. Online education may be a practical and flexible approach to address this gap.

Objective: This study aimed to identify essential competencies and assess the effectiveness of an online course on pediatric malnutrition in improving the knowledge of pediatricians and health professionals.

Can Severe Hypertriglyceridemia Cause Angina in the Absence of Significant Coronary Artery Lesions?

Unlabelled: Hyperlipidaemia is considered one of the most common risk factors for ischemic heart disease. Severely elevated triglyceride levels may lead to hyperviscosity which may contribute to endothelial dysfunction, tissue ischemia and chylomicronaemia. This case report features a 39-year-old, non-smoker male with a past medical history of hypertension and no family history of coronary artery disease, who presented to the clinic with angina.

Symptoms of acute stress, anxiety, and depression following Türkiye-Syria earthquake among Syrian population: national survey during the acute phase.

: On 6 February 2023, an earthquake with a 7.8 magnitude wreaked destruction in northern Syria to add a new emergency status in the country. This study aims to evaluate the mental health status of the Syrian population in the immediate phase of the earthquake.

Exploring the dual relationship between fintech and financial inclusion in developing countries and their impact on economic growth: Supplement or substitute?

This study rigorously examines the complex interplay between financial technology (Fintech), financial inclusion, and their collective effects on economic growth in developing nations. Employing a robust panel regression methodology enhanced by Panel-Corrected Standard Errors (PCSE) and Feasible Generalized Least Squares (FGLS) techniques, this research analyzes an extensive dataset comprising 108 countries categorized into low, lower-middle, and upper-middle income levels across four pivotal years (2011, 2014, 2017, and 2021). Our analysis focuses on two key dimensions of Fintech-specifically, the adoption of digital payments and e-commerce via mobile technologies-and traditional financial access indicators, including the density of ATMs, bank branches, and active banking accounts.

Child's friendly dental attire, a game changer for anxiety and pain management in dental environment, a randomized clinical trial.

Dental anxiety usually stands in the way of obtaining adequate dental treatment, and the dental setting and team are considered factors that may affect dental anxiety. Many cross-sectional studies have indicated that dentally anxious children prefer their dentist to wear friendly attire rather than a conventional white coat, but no clinical trial has detected the effect of wearing a child's friendly attire on anxiety levels among young patients. A total of 120 children were enrolled in this study and divided into four groups in which the dentists wore either friendly attire or white coat in the reception and treatment areas.

A cross-sectional study of manually processed petroleum derivatives burns.

Syrian burn centers are facing challenges dealing with burns caused by manually processed petroleum derivatives during the current war due to the lack of energy storage. We are presenting a cross-sectional study conducted at Al-Mouwasat University Hospital from January 2024 to July 2024 in Syria. Based on our results, this kind of injuries is larger in burned area, can affect multiple body parts, is associated with higher prevalence of inhalation injuries, requires more debridement sessions, is more common among young females; and thus, higher mortality and morbidity rates, compared to other burn injuries.

Evaluating the effectiveness of topical olive leaf extract emulgel in managing recurrent herpes labialis: a randomized controlled clinical study.

Recurrent herpes labialis (RHL) is a lifelong oral health issue that affects about one-third of the world's population, causing frequent, painful, and discomfort lesions. This randomized, triple-blinded study aimed to evaluate the effectiveness of olive leaf extract (OLE) compared to acyclovir cream (Veramid 5%) in managing vesicular stage of RHL lesions. Forty patients were randomly divided into two equal groups and were instructed to apply the prescribed medication five times a day for five consecutive days.