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The study showed that better family functioning was associated with better family hygiene and nutrition, parental resilience and lower mental stress among children.

To determine the clinical and radiographic success of Biodentine® (BD) and Ferric Sulfate (FS) as primary molar pulpotomy materials and to compare their outcomes.

Retrospective data was obtained from the electronic health records (EHR) of a university-based pediatric dental clinic. Participants were enrolled according to specified inclusion and exclusion criteria. Two trained and calibrated examiners evaluated the EHR using validated criteria for clinical and radiographic outcomes. Study data was numerically coded and analyzed. Cohen's Kappa and Chi-square tests were used (p<0.05).

Eighty-three participants (62.7% females, age range two to eight years, average age of 4.5 years) with 102 pulpotomies were enrolled. FS was used in 78% (n=79) and BD in 22% (n=23) of the cases. Follow-up periods ranged from six to 36 months (mean of 17 months). BD showed 100% clinical and radiographic success, while FS demonstrated 84% clinical and 70% radiographic success. The two groups were compared at one year with no statistically significant differences. At 18 months, BD outperformed FS clinically (p=.012) and radiographically (p=.001). Intra-rater and inter-rater agreement were κ>0.88.

Both materials can be recommended for clinical practice, however BD may be the preferred choice for its better outcomes at 18 months.

Both materials can be recommended for clinical practice, however BD may be the preferred choice for its better outcomes at 18 months.

The aim of this study was to thoroughly phenotype a group of chronic tension-type headache (CTTH) patients.

Fifteen CTTH patients diagnosed according to the ICHD-3 and 15 healthy controls were included in this study. Furthermore, 70 healthy controls were included to establish normative values. Quantitative sensory testing (QST), including temporal summation of pain (TSP), conditioned pain modulation (CPM) and psychological and sleep variables were assessed in a single session. TSP and CPM were then combined to build pain modulation profiles (PMP) for each individual.

No difference was found between groups for PMP, TSP and CPM. However, 10 CTTH patients showed a pronociceptive PMP, with 8 related to a deficient CPM and two to both a deficient CPM and increased TSP. Increased cold detection thresholds were the most common sensory disturbance found in CTTH patients. Significant differences were seen between groups for pain catastrophizing, depression and sleep quality although not all patient's scores were above the clinically meaningful cut-offs.

In summary, CTTH patients presented with different PMP. These PMP may be related to increased TSP, deficient CPM, alterations in thermal detection that may be related to autonomic dysregulation or a combination of all three. Overall, this suggests that due to their heterogeneous pathophysiology, CTTH patients should be managed according to their underlying pathophysiology and not with a one-size fits all approach.

In summary, CTTH patients presented with different PMP. These PMP may be related to increased TSP, deficient CPM, alterations in thermal detection that may be related to autonomic dysregulation or a combination of all three. Overall, this suggests that due to their heterogeneous pathophysiology, CTTH patients should be managed according to their underlying pathophysiology and not with a one-size fits all approach.

Recently, several researchers reported an association between osteoarthritis and dry eye syndrome (DES), and suggested that they may be related to central sensitization. We investigated the association between DES, osteoarthritis pain, and radiographic severity.

A nationwide, cross-sectional study.

The Fifth Korean National Health and Nutrition Examination Survey.

8,664 participants in this survey.

Osteoarthritis-associated radiographic changes were evaluated by trained radiologists. Multivariable logistic regression was performed to examine the relationship between osteoarthritis pain, radiographic severity, and DES. learn more The odds ratios (ORs) of DES were analyzed in accordance with the presence of osteoarthritis-associated factors.

Radiographic knee OA was significantly associated with lower ORs for diagnosed/self-reported DES (OR = 0.80, P-value = 0.046 for diagnosed DES; OR = 0.84, P-value = 0.034 for symptoms of DES). Knee pain or stiffness were significantly associated with higher ORs for diagnoscentral sensitization may be closely associated with DES.This study aimed to test and compare two novel dental mini-implant designs to support overdentures with a commercial model, regarding the stress distribution, by photoelastic analysis. Three different mini-implant designs (Ø 2.0 mm × 10 mm) were tested G1-experimental threaded (design with threads and 3 longitudinal and equidistant self-cutting chamfers), G2-experimental helical (design with 2 long self-cutting chamfers in the helical arrangement), and G3-Intra-Lock® System. After including the mini-implants in a photoelastic resin, they were subjected to a static load of 100 N under two situations axial and inclined model (30°). The fringe orders (n), that represents the intensity of stresses were analyzed around the mini-implants body and quantified using Tardy's method that calculates the maximum shear stress (τ) value in each point selected. In axial models, less stress was observed in the cervical third mini-implants, mainly in G1 and G2. In inclined models (30°), higher stresses were generated on the opposite side of the load application, mainly in the cervical third of G2 and G3. All mini-implant models presented lower tensions in the cervical third compared with the middle and apical third. The new mini-implants tested (G1 and G2) showed lower stresses than the G3 in the cervical third under axial load, while loading in the inclined model generated greater stresses in the cervical of G2.Split septum medical devices are used in tubing for intravenous (IV) fluid administration-an extremely common clinical task. These tubing caps contain a needleless, valveless system that allows fluid to flow directly through the lumen of the catheter but prevents backflow of fluid or blood when the tubing extension is not connected. We experienced complete failure of a needle-free connector extension set with a Luer-access split septum device in multiple patients due to the split septum remaining fused and essentially unsplit despite being connected on both ends. This led to an adverse event in a patient due to repeated unnecessary IV insertion attempts. This case shows how even the simplest of devices can malfunction and highlights the need for vigilance in clinical practice.