SOUTHERN JOURNAL OF SCIENCES

Background: Despite innovations in orthopedic dentistry, the manufacture of removable dentures belongs to the most popular orthopedic care category. Removable dentures are combined stimuli that affect the mucous membrane and neuro-receptor apparatus. Acrylic plastic prostheses, widely used in prosthetic dentistry, have a negative side mechanical, chemical-toxic, sensitizing, and thermal insulating effect on oral tissue and prosthetic impression area. This is often complicated by a violation of the biocenosis of the oral cavity, the growth of pathogenic microflora that releases toxins, especially an increase in the number of yeast colonies that irritate the oral mucosa and prosthetic stomatitis. According to the WHO, one-fifth of the world s population suffers or has suffered various candidiasis forms at least once. The worldwide increase in the incidence of the disease is primarily related to the fact that this infection is opportunistic, more than half of the world s population is a carrier of fungi of this kind, i.e., in most cases, it is an endogenous infection, which makes candidiasis different from other opportunistic mycoses. Aims: The purpose of this study was to study the prevalence of candidiasis in patients using removable dentures and to evaluate the effectiveness and prevention of candidiasis treatment. Methods: 100 patients with oral candidiasis of various age groups from 45 to 65 years were observed. Of these, 60 patients with removable plate prostheses; 40 patients with partially removable prostheses. Results and Discussion: Chronic forms of candidiasis were diagnosed in 40 patients and with exacerbation of chronic forms of candidiasis-60 people. The number of untreated carious cavities and poor hygienic condition of the oral cavity directly affects the severity of candidiasis. Acute forms of candidiasis were observed mainly in patients with high DMF and PMA indices. The severity of candidiasis depends on the degree and duration of wearing dentures and hygienic conditions - the most severe forms of invasive candidiasis were observed in the presence of removable plate prostheses, the complete absence of teeth, and the use of a prosthesis for more than 10-15 years. A combined lesion of the oral mucosa and the red border of the lips was observed mainly in patients older than 60 years. Conclusions: The presence of candidiasis in the oral cavity in patients with removable plate prostheses leads to a statistically significant change in the indicators of local immunity of the oral cavity: an increase in the concentration of serum IgG and IgA and the values of the coefficient of the balance of local immunity factors.

Background: Industrial wastewater contains pollutants that are detrimental to human health in varied proportions. Among the pollutants are heavy metals, including Zn2+, Pb2+, and Cu2+ found in a characterized pharmaceutical wastewater. Several techniques have been proposed for the heavy metal sequester. However, they are with attendant challenges. The adsorption techniques using clay-metal oxide modified adsorbent/composite such as silver-clay adsorbent is considered suitable for an effective sequestering process. Aims: To develop and characterize Ag/clay adsorbent for pharmaceutical wastewater treatment. Methods: The Ag nanoparticles were synthesized using Parkia biglobossa aqueous leaves extract in an optimization study. The raw clay was beneficiated and doped with silver nanoparticles via the wet impregnation method. The silver-clay adsorbent was characterized using FTIR, XRD, SEM, and EDS characterization tools. The developed adsorbent was used for the batch adsorption process of the heavy metal ion removal from the wastewater. Results and Discussion: The phytochemical analysis and FTIR results of the P. biglobosa showed that the leaf contains phenol, tannin, and flavonoids which acts as reducing, capping, and stabilizing agent required for synthesizing the silver nanoparticles. The prepared silver nanoparticles modified clay adsorbent Ag/clay, have evenly distributed stacks of pseudo-hexagonal plates, are rich in silica, possess silver nanoparticles in the frameworks, and contain functional groups suitable for binding heavy metals. The adsorptions of Zn2+, Pb2+, and Cu2+ from pharmaceutical wastewater onto the silver-modified clay were studied as a function of adsorbent dosage and contact time. The percentage removal results obtained showed that the adsorbent had up to 99.96%, 99.5%, and 99.44% removal efficiency for Zn2+, Pb2+, and Cu2+, respectively, which are better compared with previous studies. The adsorption process was feasible, spontaneous, and exothermic, with Langmuir and Pseudo-second-order models as best fits for the process. Conclusions: The adsorption of selected heavy metal ions onto the green synthesized silver-modified clay adsorbent (Ag/clay) was feasible, spontaneous, and exothermic in the order Zn2+>Pb2+>Cu2+ with Langmuir and Pseudo-second-order model best fitted for the process. These show that the synthesized silver oxide nanoparticles supported on local clay can be used as a potentially low-cost adsorbent to remove heavy metal ions from industrial wastewater.

Background: This interview covers Dr. Peter McCullough’s medical career, experience as an editor of medical journals, and his expertise in areas such as cardiomyopathy, myocarditis, and pericarditis. Aims: The primary aim is to understand Dr. McCullough’s perspectives on various medical topics, including his journey as a cardiologist, the importance of peer review, the phenomenon of Pheidippides cardiomyopathy, the differences between myocarditis and pericarditis, and the significance of ethical principles like the Nuremberg Code and the Declaration of Helsinki. Additionally, the interview aims to explore his concerns about censorship during the COVID-19 pandemic. Methods: The interview follows a question-and-answer format, with the interviewer posing questions to Dr. McCullough on various topics related to his medical career, research interests, and ethical considerations. Results: Dr. McCullough shares his insights on topics such as cardiomyopathy, myocarditis, and pericarditis, emphasizing the importance of peer review, identifying potential biases, and balancing scientific rigor with timely dissemination of findings. He also highlights the significance of the Nuremberg Code and the Declaration of Helsinki in ensuring informed consent and preventing coercion in medical research and treatment. Discussion: Dr. McCullough expresses concerns about censorship during the COVID-19 pandemic, which he believes impacted the ability of medical professionals to freely discuss and disseminate health-related information. He also discusses the potential role of COVID-19 vaccines in causing myocarditis and the need for transparent communication about treatment options and potential complications. Conclusion: The interview provides valuable insights from Dr. McCullough’s extensive medical experience and expertise, covering a range of topics from cardiovascular conditions to ethical principles and the challenges posed by censorship during the COVID-19 pandemic.