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1.
Cureus ; 16(6): e62919, 2024 Jun.
Article in English | MEDLINE | ID: mdl-39040733

ABSTRACT

Background Achilles tendinopathy is a common overuse tendon injury, affecting athletes in running and similar sports. Repetitive overload of the Achilles tendon is the primary cause of inflammation, collagen degeneration, and tendon thickening. This study aims to investigate the efficacy of combining low-level laser therapy (LLLT) with eccentric exercises in treating midportion Achilles tendinopathy. Methods This prospective randomized controlled trial was conducted at the Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, from 2019 to 2022. Sixty clinically diagnosed patients with midportion Achilles tendinopathy, aged 18 to 60, were randomly assigned to two groups: Group A received eccentric exercises with LLLT, and Group B received eccentric exercises with placebo LLLT. The Victorian Institute of Sport Assessment-Achilles (VISA-A) score and the visual analog scale (VAS) score were used to measure treatment effectiveness at baseline and three, six, 12, and 24 weeks. Results The study included 60 participants, with no dropouts observed. The mean age was 33.9 ± 8.3 years in Group A and 33.40 ± 8.64 years in Group B, with no significant difference between the groups (p = 0.821). Both groups showed significant improvement in VISA-A and VAS scores over time (p < 0.001), but there was no statistically significant difference between the groups at any time point (p > 0.05). Conclusion Adding LLLT to eccentric exercises did not provide significant additional benefits compared to eccentric exercises alone in treating midportion Achilles tendinopathy. Practitioners should prioritize evidence-based interventions, such as eccentric exercises, as the primary treatment modality while considering alternative therapies for adjunctive purposes. Further research is needed to explore additional modalities or combination therapies that may enhance outcomes for patients with Achilles tendinopathy.

2.
Cureus ; 16(4): e59193, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38807829

ABSTRACT

Aim The aim of this in vitro study was to evaluate and compare the accuracy of casts made from two elastomeric impression materials (polyvinyl siloxane (PVS) and vinylsiloxanether (VSE)) using different impression techniques on parallel and angulated implants. Materials and methods The reference model was fabricated using auto-polymerizing acrylic resin on which three implant analogs were placed of which two were parallel to each other and the third at 20-degree mesial angulation. A total of 60 impressions were made of which 30 were by using PVS and 30 by VSE. For each material, 10 impressions were made by closed tray technique, 10 by open tray technique and 10 by open tray with sandblasting and adhesive coating of the impression copings technique. The inter-analog distances of the casts obtained were evaluated and compared with the reference model by a vision measuring machine. Data were analyzed using analysis of variance (ANOVA), Tukey's Honest Significant Difference (HSD) post hoc and independent samples t-test. Results When the inter-analog distances of the duplicate casts were compared with the reference model, the mean error rates for parallel implants decreased in the order of closed tray technique, open tray technique and open tray with sandblasting and adhesive coating of the impression copings technique for both PVS and VSE impression materials. Similarly, the same order was observed for angulated implants for both impression materials. Using the closed tray technique, there was no statistically significant difference in the accuracy of the cast between the two materials for parallel implants (P = 0.525) and also no significant difference between the two materials for angulated implants (P = 0.307). Similarly, there was no statistically significant difference in the accuracy of the cast between the two materials for parallel implants (P = 0.455) and also no significant difference between the two materials for angulated implants (P = 0.519) using the open tray technique. Whereas for the open tray with sandblasting and adhesive coating of the impression copings technique, VSE produced a more accurate cast than PVS for parallel implants and was statistically significant (P = 0.033); however, there was no significant difference between the two materials for angulated implants (P = 0.375). Conclusion For parallel implants, VSE by an open tray with sandblasting and adhesive coating of the impression copings technique produced a more accurate cast than PVS. For angulated implants, there was no significant difference between the two materials and it was only the technique that significantly affected the accuracy of the cast.

3.
Microb Pathog ; 157: 105007, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34044052

ABSTRACT

Screening of halophiles with antimicrobial activity in saltpan soil samples from Nagapattinam district, Tamil Nadu, revealed isolate VE-2 as the most potent, identified as Bacillus firmus strain VE-2 through 16s rRNA gene sequencing. It had an optimum growth condition (OD 3.1) and antimicrobial protein (AMP) production (450 µg/mL) at 37 °C, pH 8, 25% NaCl, and 36 h incubation. SDS-PAGE analysis of the purified AMP showed the molecular weight of 36 kDa. HPLC analysis of the purified AMP showed different amino acids, such as asparagines, alanine, lysine, proline, threonine, glycine, cysteine, serine, aspartic acid leucine, and valine. Further characterization and identification using FT-IR, 2D-PAGE, MALDI-TOF, and in-silico analysis showed that the isolated AMP had the highest similarity to Subtilisin-A. It showed antibacterial activity against clinical bacterial pathogens like S. aureus, S. pyogenes, C. diphtheria, E. coli, and P. aeruginosa with the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration of 2.5 µg/mL and 20 µg/mL and also against various fungal pathogens such as A. niger, A. flavus, C. albicans, C. tropicalis and C. parapsilosis with the MIC and minimum fungicidal concentrations of 1.25-80 µg/mL. The purified AMP had excellent antioxidant potential, showed a scavenging effect against DPPH and Nitric oxide radicals, and displayed anticancer activity against HeLa cell lines with the IC50 values 53 µg/mL. Hence, the purified bioactive antimicrobial peptides (AMP) could also be used in anticancer therapies.


Subject(s)
Bacillus firmus , Subtilisin/pharmacology , Anti-Bacterial Agents/pharmacology , Escherichia coli , HeLa Cells , Humans , India , Microbial Sensitivity Tests , RNA, Ribosomal, 16S/genetics , Spectroscopy, Fourier Transform Infrared , Staphylococcus aureus
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