1.Role of caffeine and ethanol in modulating expression of Receptor Activator of Nuclear Factor κβ (RANK) and Osteoprotegerin (OPG) during orthodontic tooth movement: An in vivo study.
Ardiansyah S. Pawinru ; Eka Erwansyah ; Eddy Heriyanto Habar ; Abul Fauzi ; AMINULLAH ; Gita Gayatri ; Yustisia Puspitasari ; Ita Purnama Alwi ; Andi Husnul Hasanah
Acta Medica Philippina 2026;60(8):115-122
BACKGROUND AND OBJECTIVES
Orthodontic tooth movement is driven by bone remodeling influenced by systemic factors, including caffeine and ethanol. This study aimed to investigate the effects of caffeine and ethanol on the expression of Receptor Activator of Nuclear Factor κβ (RANK) and Osteoprotegerin (OPG), key bone remodeling biomarkers, during orthodontic tooth movement.
METHODSA laboratory experimental study was conducted on 30 male Wistar rats divided into three groups: K1 (orthodontic force only), K2 (force + caffeine), and K3 (force + ethanol). Orthodontic force was applied using Ni-Ti coil springs. Caffeine and ethanol were administered orally daily. On days 7 and 14, maxillary tissues were collected and analyzed via immunohistochemistry for RANK and OPG expression. Data were analyzed using One-Way ANOVA and Independent Sample T-tests with significance at pRESULTS
Caffeine and ethanol administration increased RANK and OPG expression compared to controls; however, only the ethanol group showed a significant increase in RANK expression on day 14 (p = 0.044). OPG expression was significantly higher in treatment groups at both time points (pCONCLUSION
Caffeine and ethanol modulate bone remodeling marker expression during orthodontic force application, with ethanol significantly increasing RANK expression at later stages. Further studies are needed to clarify the clinical implications for orthodontic treatment.
Animals ; Tooth Movement Techniques ; Tooth Movement ; Osteoprotegerin ; Role ; Movement ; Ethanol ; Bone Remodeling ; Caffeine ; Immunohistochemistry
2.Inside the story about the research and development of COVID-19 vaccines
Shrina P. PATEL ; Gayatri S. PATEL ; Jalpa V. SUTHAR
Clinical and Experimental Vaccine Research 2021;10(2):154-170
The ongoing coronavirus threat from China has spread rapidly to other nations and has been declared a global health emergency by the World Health Organization (WHO). The pandemic has resulted in over half of the world's population living under conditions of lockdown. Several academic institutions and pharmaceutical companies that are in different stages of development have plunged into the vaccine development race against coronavirus disease 2019 (COVID-19). The demand for immediate therapy and potential prevention of COVID-19 is growing with the increase in the number of individuals affected due to the seriousness of the disease, global dissemination, lack of prophylactics, and therapeutics. The challenging part is a need for vigorous testing for immunogenicity, safety, efficacy, and level of protection conferred in the hosts for the vaccines. As the world responds to the COVID-19 pandemic, we face the challenge of an overabundance of information related to the virus. Inaccurate information and myths spread widely and at speed, making it more difficult for the public to identify verified facts and advice from trusted sources, such as their local health authority or WHO. This review focuses on types of vaccine candidates against COVID-19 in clinical as well as in the preclinical development platform.
3.Association of Serum Bilirubin with Acute Ischemic Stroke – An Observational Study
Raju Badiger ; Soumya P ; Veera V D ; Indu Y ; Sreekant C ; Gayatri S ; Rishabh S
Malaysian Journal of Medicine and Health Sciences 2021;17(No.4):256-260
Introduction: Stroke is a common cause of mortality and morbidity and has an increasing prevalence across the
world.1 Bilirubin is now being considered an antioxidant which increases in response to diseases associated with
increased oxidative stress. Hence the present observational study was undertaken to assess the bilirubin levels with
the outcome of acute ischemic stroke. Methods: This observational study was conducted from January 2018 to December 2018 on 64 ischemic stroke patients admitted at KLE’S Dr. Prabhakar kore hospital at Belagavi, Karnataka.
All adult patients above 18 years of age presenting with cerebrovascular accident and proved as ischemic stroke
on CT scan or MRI scan were included. The patients were empirically divided into different Groups based on the
bilirubin level. They were then analysed with their NIHSS scores for assessing stroke severity. Results: A total of 64
patients were included in the final analysis. The mean total bilirubin level in the patients was 0.68±0.34 mg/dl (
mean±SD). 34.3% (22) of ischemic stroke patients in the study had serum total bilirubin levels 0.7 mg/dl or more.
Mean NIHSS Score for Group 1(Low) total bilirubin group was 9.37 and for Group 2(High) bilirubin group was 10.9,
which was statistically not significant. This indicates that there was no significant correlation between total bilirubin
and severity of symptoms at the time of admission.There was no statistically significant correlation between NIHSS
and direct bilirubin levels Conclusion: The current study has documented no association between the bilirubin levels
and stroke severity and prognosis.
4.An Unusual Branching Pattern of the Median Cubital Vein and its Relations with Lateral Cutaneous Nerve of Forearm in the Upper Extremity: Anatomicoclinical Notes
Mona S, Ranjeeta H, Vandana M, Jyoti A, Rajesh S, Gayatri R
Journal of Surgical Academia 2014;4(1):49-53
Cubital fossa is the usual site for performing venepuncture in the clinical settings for health screenings and
diagnostic purposes. This procedure is simple and uncomplicated but occasionally can lead to bleeding and pain in
the form of complex regional pain syndrome. Superficial veins of the upper limb are often used for venepuncture for
transfusion purposes and for obtaining blood samples. These veins are also used for cardiac catheterisation and
giving intravenous injections. During routine cadaveric dissection, a cubital venous variation was observed in a 45-yr
–old, male cadaver. The median cubital vein initiated from cephalic vein passed upwards and laterally superficial to
posterior branch of medial cutaneous nerve of forearm. In the middle of its course, it gave off an ascending channel
which further divided into medial and lateral tributaries. The medial tributary terminated into the basilic vein,
whereas the lateral tributary ascended laterally superficial to a branch of lateral cutaneous nerve of forearm and
drained into cephalic vein at the level of elbow joint. Various patterns of superficial cubital veins have been
mentioned in literature. Awareness of such anatomical variations is crucial while performing venepuncture in clinical
settings as well as for creating arteriovenous fistulas for hemodialysis purpose.


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