https://www.dzarc.com/medical/issue/feed 2026-04-30T13:19:22+00:00 Dzarc Publications dzarc.medical@gmail.com Open Journal Systems <p><strong>Journal of Advance Medical Sciences</strong> is an international, peer-reviewed, refereed, and open access journal that focuses on critical and creative research and provides an open access research journal platform for scholars and researchers to exchange their research work results among professionals throughout the world. This journal publishes research articles in <strong>all fields of Medical science</strong> but is not limited to.</p> https://www.dzarc.com/medical/article/view/911 2026-04-27T11:24:25+00:00 Mohamed R Elbijou a@gmail.com Rasmia M Huew a@gmail.com

<p><strong>Aim:</strong> To assess influence of parents’ education levels on the dental health among their children with type 1 diabetes mellitus (T1DM).</p> <p><strong>Methods:</strong> A cross-sectional study was conducted in Benghazi-Libya included diabetic children aged 4-15 years. Data were collected via a clinical dental examination and questionnaire survey completed by parents. The study targeted diabetic children, with a minimum sample size of 151 participants determined at a 95% confidence level. Clinical examination was performed using the DMFT/dmft index according to WHO criteria.&nbsp; The data were logged and analyzed using IBM-SPSS for Windows version 29.0 (SPSS Inc., Chicago, IL).&nbsp; Frequencies and percentages were measured to assess the influence of parental education on the dental health of their children.</p> <p><strong>Results: </strong>Clinical examination revealed a high prevalence of dental caries in both primary (56.5%, mean dmft 2.31) and permanent dentitions (54.5%, mean DMFT1.63). The mean dmft is decreased among children of university educated mothers than of non-university educated mothers. These differences were statistically significant. However, the mean dmft was higher among children of university educated fathers than of non-university educated fathers. These differences were not statistically significant.</p> <p><strong>Conclusion: </strong>This study displayed a high prevalence of dental caries among children with type 1 diabetes mellitus in Benghazi. The present study showed that a high parents’ educational level does not directly subscribe to good oral health care for their children. The parents need further attention by presenting more programs dealing with dental health which will be useful in improving their children’s oral health.</p>

2026-04-06T00:00:00+00:00 Copyright (c) 2026 https://www.dzarc.com/medical/article/view/914 2026-04-30T13:19:22+00:00 Lakshmi Spandana Potluri spandanapotluri@gmail.com Sri Sowmya Pediredla sowmyapediredla@gmail.com

<p><strong>Background:</strong> Cardiovascular disease remains the leading cause of morbidity and mortality in patients with type 2 diabetes mellitus (T2DM). Coronary artery disease in diabetes may remain clinically silent until advanced stages because of autonomic dysfunction, altered pain perception, and diffuse atherosclerosis. Early recognition of occult ischemia may permit timely preventive intervention.</p> <p><strong>Objective:</strong> To determine the prevalence of exercise-induced ischemia using treadmill exercise testing in newly diagnosed asymptomatic T2DM patients and to identify associated clinical predictors.</p> <p><strong>Methods:</strong> This prospective observational study enrolled 200 newly diagnosed asymptomatic T2DM patients with normal resting electrocardiograms and no known coronary artery disease. All patients underwent detailed clinical evaluation, biochemical investigations, lipid profile assessment, and treadmill stress testing using the Bruce protocol.</p> <p><strong>Results:</strong> Of the 100 participants, 63% were male and 37% were female. The majority belonged to the 41–50 year age group. Mean body mass index was 24.71 ± 3.42 kg/m². Mean fasting blood glucose was 181.74 ± 33.80 mg/dL, postprandial blood glucose 229.35 ± 57.92 mg/dL, and HbA1c 8.63 ± 1.22%. Positive treadmill stress testing suggestive of exercise-induced ischemia was observed in 2% patients. HbA1c was significantly higher in treadmill-positive patients compared with treadmill-negative patients.</p> <p><strong>Conclusion:</strong> Exercise-induced ischemia was uncommon in newly diagnosed asymptomatic T2DM patients. Poor glycemic control was significantly associated with positive stress testing. Selective rather than universal screening may be more appropriate in this population.</p>

2026-05-12T00:00:00+00:00 Copyright (c) 2026 Dr. Lakshmi Spandana Potluri, Dr. Sri Sowmya Pediredla