scholarly journals Active Tactile Sensibility of Brånemark Protocol Prostheses: A Case–Control Clinical Study

Materials ◽  
2021 ◽  
Vol 14 (16) ◽  
pp. 4644
Author(s):  
Nathalia Moraes ◽  
Eduardo Moraes ◽  
Tiago Anastacio ◽  
Licínio Silva ◽  
Aldir Machado ◽  
...  

Few studies have assessed active tactile sensibility in patients rehabilitated with implants. Improved knowledge about functional tactile sensibility will contribute to several clinical applications, such as protocols for immediate loading, prosthesis design, occlusal improvement in implantology, and physiological integration of implant-supported prostheses. The present study evaluated active tactile sensibility in patients rehabilitated with Brånemark-type mandibular prostheses that impede the total mucosa-supported maxillary prosthesis. Thirty-five subjects participated in this study. The experimental group (n = 18) inclusion criteria were as follows: Brånemark-type prosthesis and a total mucosa-supported maxillary prosthesis. The control group (n = 17) was composed of participants with complete healthy dentition. Carbon foils with different thicknesses (12 μm, 24 μm, 40 μm, 80 μm, and 200 μm) were placed in the premolar region to evaluate the brink of active oral tactile sensibility. The researchers assessed the participants 120 times. After evaluation, we observed a statistical difference (p < 0.05) between the groups. Additionally, the degree of sensibility was found for all thicknesses, except for 12 μm, on both sides. There was a more significant increase in perception in the control group as the carbon thickness increased. The tactile sensibility threshold was 2.5 times greater for participants with prostheses. Thus, the tactile sensibility for mandibular implant-supported and maxillary mucosa-supported prostheses is significantly lower than that of dentate patients, which was detected above the thickness of 80 μm; in patients with natural dentition, different thicknesses were seen starting from 24 μm.

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Rui Du ◽  
Jiajie Zhou ◽  
Feng Wang ◽  
Dongliang Li ◽  
Guifan Tong ◽  
...  

Abstract Purpose The purpose of the systematic review and meta-analysis is to analyze the application value of the stoma support rods in loop enterostomy. Methods The studies on the application of stoma rods in loop enterostomy published from January 2000 to January 2020 were searched in the databases of PubMed, Embase, Cochrane library, and Clinical trials. All randomized controlled trials (RCTs) and cohort studies that observed the value of stoma rods were included according to inclusion criteria. The RevMan5.3 software was used for statistical analysis. Results A total of 1131 patients with loop enterostomy in six studies were included in this study; there were 569 cases in the experimental group and 562 cases in the control group. All six studies analyzed the effect of support rods on the incidence of stoma retraction; the meta-analysis showed that in a total of 32 patients, stoma retraction occurred, with a total incidence of about 2.8% in 1131 patients. The incidence of stoma retraction in the rod group was not significantly lower than that in the non-rod group, and the difference was not statistically significant (OR = 0.65, 95% CI 0.32~1.32, I2 = 0%, P = 0.23), and the studies were homogeneous. The incidences of stoma necrosis (OR = 6.41, 95% CI 2.22~18.55, I2 = 0%, P = 0.0006), peristomal dermatitis (OR = 2.93, 95% CI 2.01~4.27, I2 = 0%, P < 0.00001), and mucocutaneous separation (OR = 2.14, 95% CI 1.03~4.47, I2 = 0%, P = 0.04) were significantly increased in the rod group. Conclusions It is not recommended to routinely use stoma support rods in the clinical practice.


2020 ◽  
Vol 10 (4) ◽  
pp. 961-966
Author(s):  
Weibo Fan ◽  
Shuli Zeng ◽  
Qiang Zhang

This study used a retrospective analysis method to select 1061 pregnant women from March 2012 to December 2018 to our hospital for obstetrics, and 11–11 weeks +6 days of ultrasound screening for NT values, according to inclusion criteria and exclusion. There were 60 patients who met the criteria of the experimental group and 313 who met the criteria of the control group. All of them were subjected to fetal villus puncture in early pregnancy or amniocentesis in middle pregnancy. The specimens were divided into two parts, one was cultured through cells and the chromosomes were prepared. Analysis and send a copy to a collaborative laboratory for highthroughput sequencing of chromosomes. The aim was to investigate the association between simple cervical thickening (NT) thickening and karyotype and chromosomal microdeletion/microreplication in 11–13 weeks +6 days of gestation. The results of this study show that NT thickening is associated with karyotypic abnormalities, especially with 21-trisomy syndrome; when karyotype is normal, NT thickening is associated with chromosome microdeletions/microduplication; only a single NT increase when thick, the meaning of CNVs detection is not significant.


2018 ◽  
Vol 51 (02) ◽  
pp. 196-201 ◽  
Author(s):  
Dincer Altinel ◽  
Burcu Biltekin ◽  
Merdan Serin ◽  
Ugur Sahin ◽  
Muzaffer Altindas

ABSTRACT Background: In this study, we investigated the subdermal and perforator delay phenomena as a method to improve flap survival. Materials and Methods: In this experimental study, we used 24 rats in three groups. In the control group, the dorsal flaps were elevated and reinserted back to their place. In the experimental groups, we practiced the delay phenomena with two different techniques. In the first experimental group, cranial and lateral side incisions were performed; however, the flaps were not cut-off from the underlying fascia. In the second experimental group, we placed a silicon sheet under the planned flap to cut-off the circulation from the perforator vessels. Four weeks after the delay procedure, the flaps were raised completely and reinserted back to their place. Results: The average of necrotic area in the control group was 21.9% (±7.70). There was no necrosis in both experimental groups (P < 0.0001). Histological examination revealed that collagen density in both of the experimental groups was increased in comparison to the control group, it has only been found a significant first experimental group (P = 0.0315). We have not found any significant difference in lymphocyte density between the groups. Angiographic imaging has showed an increase in the vascular density in the flaps of the first experimental group. Conclusion: We believe that both of these delay techniques can be adapted to clinical applications and used safely to increase flap survival.


2019 ◽  
Vol 1 (2) ◽  
pp. 145
Author(s):  
Ni Wayan Manik Parwati ◽  
Idah Ayu Wulandari

ABSTRAKPendahuluan. Pijat bayi merupakan salah satu terapi sentuhan sebagai stimulus untuk merangsang perkembangan bayi. Tujuan penelitian ini adalah untuk mencari hubungan antara pijat bayi dengan perkembangan bayi umur 3-6 bulan.Metodologi. Penelitian ini menggunakan pre eksperimen design dengan kelompok kontrol dan kelompok perlakuan. Sampel dalam penelitian adalah bayi umur 3-6 bulan  yang memenuhi kriteria inklusi. Masing-masing kelompok berjumlah 10 responden. Pada kelompok eksperimen diberikan perlakuan berupa pijat bayi 2x sehari selama 1 bulan. Penilaian perkembangan bayi dengan menggunakan formulir DENVER II. Hasil.Pada kelompok kontrol persentase criteria N tertinggi adalah pada perkembangan motorik kasar (90%), sedangkan kriteria P paling tinggi adalah pada aspek personal social (30%) dan bahasa (30%). Pada kelompok eksperimen didapatkan hasil criteria L tertinggi pada aspek perkembangan Bahasa (30%) dan motorik halus (30%). Hasil  uji Mann-Whitney yaitu < 0,001 yang artinya ada hubungan pijat bayi dengan perkembangan bayi umur 3-6 bulan.Diskusi. Stimulasi berupa pijatan pada bayi berdampak positif terhadap perkembangan bayi. Pijat bayi yang dilakukan secara rutin 2x sehari menyebabkan perkembangan yang lebih optimalKata kunci : pijat bayi, perkembangan bayi, DENVER II ABSTRACTIntroduction. Baby massage is a touch therapy to stimulate the development of baby. This research aims was to determine the relationship of baby massage with development of baby aged 3-6 months old.Method.  This research uses a pre experimental design with a control group and experimental group. The samples of this research are babies that their age 3-6 months that affecting the inclusion criteria. They were 10 respondens in each group. The experimental group was given baby massage 2 times per day during 1 month.  The tool of this  development baby assessment use DENVER II form.Result.The data showed that in the control group the highest percentage of N criteria was gross motor aspects (90%),  while the highest percentage of P criteria weresocial personal(30%) and language progress (30%). In the experimental group, the higest percentageof L criteria were language progress (30%) and soft motor (30%). Mann Whitney test showed that p value < 0,001. It means that there are relationship between baby massage with baby development age 3 – 6 months old. Discussion: Stimulation as baby massagecan give good effect to baby development. Baby massage that do regulary 2 times per day can make optimally development into baby.Keyword. Baby massage ,baby development, DENVER II.


2016 ◽  
Vol 19 (2) ◽  
pp. 117-120
Author(s):  
Rezmelia Sari ◽  
Prayitno Prayitno ◽  
Alya Nur Fadhilah

Periodontitis is multifactorial inflamation process and related to disproportion of cytokine. IL-10 is a dominant noninflammatory cytokines that related to gene polymorphism. Polymorphism G-1082A IL-10 genes has been reported to increase the risk of periodontitis occurs in Italian populations, apart from different result found in Brazilian. The purpose of this research was to determine the polymorphism G-1082A IL-10 in periodontitis patients in Indonesia, especially among Yogyakarta’s Javanese. This is a case-control research with subjects according to the inclusion criteria. DNA was taken by cotton swab from the epithelial cells of buccal mucosa, and was isolated using a PrestoTM (GeneAid) kit. Genotyping analysis by using the PCR RFLP technique and descriptive results were presented. The result showed that A allele frequency is 100% and no G allele was found. AA genotype in case group has lower frequency than in control group and vice versa. From this research, it was concluded that A allele was dominant in Yogyakarta’s Javanese, and AA genotype frequency is lower in individual with periodontitis.


2020 ◽  
Author(s):  
Fang Wang ◽  
Nanjia Lu ◽  
Xiaofeng Weng ◽  
Yanping Tian ◽  
Shiwen Sun ◽  
...  

Abstract Background Postpartum hemorrhage (PPH) is a major obstetric complication, and the real-time measurement of blood loss is important in the management and treatment of PPH. We designed a new two-set liquid collection bag (TSLCB) for measuring postpartum blood loss in vaginal delivery. The aim of this study was to evaluate the effectiveness of the TSLCB in separating the blood from the amniotic fluid during vaginal delivery and in determining the accuracy of the measured postpartum blood loss.Methods A prospective, randomized, case control study was conducted in the Women’s Hospital, Zhejiang University School of Medicine, from March 2018 to April 2018. Sixty single pregnant women with spontaneous labor at 37–41 weeks without maternal complications were randomly divided into the experimental and control groups. The TSLCB was used to evaluate separately the amount of blood and amniotic fluid. For the control group, visual estimation and traditional plastic blood-collecting consumables were used to estimate the amount of postpartum blood loss. The measured blood loss between the two groups was compared, and the association of the measured blood loss with various clinical lab indices and vital signs was investigated. Results The TSLCB (the experimental group) improved the detection of the measured blood loss compared with visual estimation and the traditional method (the control group) (p < 0.05). In the experimental group, correlation analysis showed that the measured blood loss at delivery and within 24 h of delivery was significantly associated with the decreased hemoglobin level, red blood cell count, and hematocrit level of patients (r = -0.574, -0.455, -0.437; r = 0.-595, -0.368, -0.374; p < 0.05). In the control group, only the measured blood loss within 24 h of delivery was associated with the decreased hemoglobin level (r = -0.395, p < 0.05). No blood transfusion and plasma expanders were required in the treatment of PPH for both groups.Conclusions The TSLCB can be used to accurately measure the postpartum blood loss in vaginal delivery by medical personnel.Trial registration: This trial was registered with Chinese Clinical Trial Registry (ChiCTR): ChiCTR-IOR-17012453, 23 August 2017.


2018 ◽  
Vol 12 (2) ◽  
pp. 122-130 ◽  
Author(s):  
Kempland C. Walley ◽  
Gearin Greene ◽  
Jesse Hallam ◽  
Paul J. Juliano ◽  
Michael C. Aynardi

Background. The use of an arthroereisis implant for the treatment of adolescent flatfoot deformity has been described. However, data that address the outcomes of patients treated with an arthroereisis implant in adults are limited. The purpose of this study was to investigate the radiographic and clinical outcomes and complications following the use of a subtalar arthroereisis implant as an adjunct for correction acquired flatfoot deformity secondary to posterior tibial tendon dysfunction. Methods. A retrospective case-control study was performed querying all patients undergoing surgical flatfoot correction between January 1, 2010 and January 1, 2015. The experimental group included patients undergoing arthroereisis augmentation at the time of flatfoot correction. Patients undergoing the same flatfoot correction without the use of an arthroereisis implant were used as controls. Radiographic measurements were evaluated preoperatively and at final radiographic follow-up and included talonavicular (TN) coverage angle, and lateral talar–first metatarsal angle (T1MA). Patient-reported outcomes were assessed using preoperative visual analog scale (VAS) pain scores and postoperative Short Form–36, VAS, and satisfaction at final orthopedic follow-up. Results. A total of 15 patients underwent flatfoot correction and were augmented with an arthroereisis implant and were matched with 30 controls. Postoperative, mid-term T1MA and regional analysis was found to be improved in the experimental group versus control. Patients undergoing adjunct subtalar arthroereisis demonstrated an increased likelihood of achieving radiographically normal talonavicular coverage <7° compared with our control group at follow-up. Conclusions. The adjunct use of an arthroereisis implant resulted in improved and maintained radiographic and clinical measurements in patients undergoing stage II flatfoot. Clinical Significance. These results suggest utility of a subtalar arthroereisis implant as an adjunct to flatfoot correction with little additional risk of harm to the patient. Levels of Evidence: Level III: Case-control study


2020 ◽  
Author(s):  
Liang Bai ◽  
Li Luo ◽  
Weicheng Gao ◽  
Chenfeng Bu ◽  
Jun Li ◽  
...  

Abstract Purpose: To analyze the expression of interleukin-8 in patients with post-renal insufficiency after radiotherapy of abdominal tumors.Methods: 60 patients (experimental group) with post-renal insufficiency and 30 patients (control group) without renal insufficiency after the radiotherapy for abdominal tumors were collected for case-control study. Serum interleukin-8 levels were measured before and after the cystoscopy from September 2017 to March 2019, and the relationship between interleukin-8 levels and serum creatinine, and urea nitrogen, and hydronephrosis was analyzed.Results: The level of serum interleukin-8 levels were significantly increased in patients with post-renal insufficiency after radiotherapy for abdominal tumors(P<0.05).After treatment, the level of interleukin-8 in the experimental group was significantly lower than that before the treatment (P<0.05). The expression of interleukin-8 was positively correlated with serum creatinine (r=0.297, P=0.004), but not with urea nitrogen level and hydronephrosis (r1=-0.055, P1=0.605; r2=0.116, P2=0.277). Cox proportional risk regression model showed that interleukin-8 was a high risk factor for the occurrence of post-renal insufficiency (R2=0.826, P<0.05).Conclusion: Interleukin-8 is helpful to judge the renal function of patients with abdominal tumors after radiotherapy, In the early stage of renal insufficiency, it will overexpresses, and its evaluation is better than urea nitrogen.


2019 ◽  
Vol 4 (2) ◽  
pp. 58-61
Author(s):  
Tyumina OV ◽  
Kuzmichev KA ◽  
Chertuhina OB

Objectives–to evaluate the health-care activity and lifestyle in infertile women of late reproductive age. Material and methods.The study concentrated on the representative group which included 650 women of the Samara region, aged 35–44 years (mean age 37.01±1.74) suffering from infertility. The control group included 300 women of the average age of 37.04±2.09 year, who have given birth to a child in the age over 35 years; that was the main inclusion criteria for the control group. Results. The most influential risk factors in women in the experimental group are weak health-care adherence (Q=0.576, p<0.05); body weight deviation from its optimal level (Q=0.542, p<0.05); low-level physical activity (Q=0.454, p<0.01); smoking (Q=0.448, p<0.05); malnutrition (Q=0.398, p<0.01). Conclusion. The study proved that infertile women of late reproductive age have unfavorable socio-hygienic status. It results in their poor health and requires a complex medical and social aid for its improvement.


Author(s):  
Farzad Jalali ◽  
Alireza Hasani ◽  
Seyedeh Fatemeh Hashemi ◽  
Seyed Ali Kimiaei ◽  
Ali Babaei

Depression is one the most common mental disorders in prisons. People living with HIV are more likely to develop psychological difficulties when compared with the general population. This study aims to determine the efficacy of cognitive group therapy based on schema-focused approach in reducing depression in prisoners living with HIV. The design of this study was between-groups (or “independent measures”). It was conducted with pretest, posttest, and waiting list control group. The research population comprised all prisoners living with HIV in a men’s prison in Iran. Based on voluntary desire, screening, and inclusion criteria, 42 prisoners living with HIV participated in this study. They were randomly assigned to an experimental group (21 prisoners) and waiting list control group (21 prisoners). The experimental group received 11 sessions of schema-focused cognitive group therapy, while the waiting list control group received the treatment after the completion of the study. The various groups were evaluated in terms of depression. ANCOVA models were employed to test the study hypotheses. Collated results indicated that depression was reduced among prisoners in the experimental group. Schema therapy (ST) could reduce depression among prisoners living with HIV/AIDS.


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