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Experience In Managing Child With Congenital Fiber Type Disproportion With Rehabilitation Outcome: Casereport, Po-Cheng Hsu, Sung-Yin Chuang, Tsui-Fen Yang

Rehabilitation Practice and Science

Congenital fiber type disproportion（CFTD）為一非進行性先天性肌肉病變，須經肌肉切片病理確診，其特點為第一型骨骼肌纖維體積比第二型肌纖維至少小12%。現有文獻提及此疾病之臨床表現變異性大，除肌肉無力，可能併有弓狀顎（High-arched palate）、眼肌麻痺症（Ophthalmoplegia）、呼吸障礙等。患者皆因肌肉無力造成顯著功能障礙。本案例為一10歲確診CFTD男童之長期追蹤與復健介入之描述。患者出生時明顯肌張力不全，自四個月起因生長遲滯、吞嚥功能障礙而接受鼻胃管置入，但診斷未明；後續持續安排物理治療與與語言及吞嚥治療，該患者於一歲八個月時開始走路，三歲時成功移除鼻胃管，並於此時才確診CFTD。患者定期接受完整發展評估，結果顯示明顯動作發展遲緩，其社會心理領域評估結果皆為正常範圍。該患者的肌力與肌耐力隨著年紀增大與物理治療介入而有進步。日常生活能力評估於運動部分仍部分依賴。此外，長期追蹤過程發現該患者有多種肌肉病變之併發症，包括脊柱側彎、雞胸（pectus carinatum）、以及關節與肌肉疼痛。物理治療介入以及教導患者以及家屬運用節省能量之日常生活方式，包括輪椅使用、自我安排活動。本病例報告紀錄CFTD肌病變患者之長期追蹤與復健過程，根據患者之狀況設定個人化復健目標，及處理相關之併發症。

The Effect Of Competency-Based Education On Medical And Nursing Students' Academic Performance, Technical Skill Development, And Overall Satisfaction And Preparedness For Future Practice: An Integrative Literature Review, Haris Saud, Ruth Chen

International Journal of Health Sciences Education

Purpose: This article provides an integrative review of competency-based education (CBE) in medical and nursing programs and examines the effect of CBE on students’ academic performance, technical skill development, and overall satisfaction and preparedness for future practice.

Background: In recent decades, CBE has increasingly been discussed in medical and nursing education programs. The impact of the CBE curriculum on learning outcomes including academic performance, technical skill development, overall satisfaction, and preparedness for future practice has not been fully elucidated.

Method: A review of the literature was conducted, and multiple databases were searched for studies that analyzed the impact of CBE …

Challenges & Barriers For Neuro Rehabilitation In Developing Countries, Muhammad Naveed Babur, Maria Liaqat

Pakistan Journal of Neurological Sciences (PJNS)

People with disabilities especially neurological disabilities have many unmet health and rehabilitation needs, face barriers in accessing mainstream health-care services, and consequently have poor health. There are not sufficient epidemiological studies from Pakistan which assess barriers to neurorehabilitation and ways to counter it.

Occupational Therapy: A Partner For Justice In Jesuit Higher Education, Rebecca M. Aldrich

Jesuit Higher Education: A Journal

The commitment to justice spans disciplines across Jesuit higher education, including the health sciences. At least 12 Jesuit colleges and universities offer occupational therapy programs, but the profession has been somewhat overlooked as a partner for justice on those campuses. Through a case example focusing on Saint Louis University’s Department of Occupational Science and Occupational Therapy (SLU-DOSOT), this article aims to illustrate the ways in which occupational therapy can be a partner in the promotion and pursuit of justice. A brief overview of the profession’s perspective on occupational justice precedes the description of SLU-DOSOT, and selected examples illustrate the range …

Hand Hygiene And Its Implications In Health Care Associated Infections In A Tertiary Care Facility - A Questionnairebased Survey, Vishnu Kundoor Reddy, Abhimanyu Chatterjee, Sheffali Sharma, Nikhil Harish Chaturani, Chiranjay Mukhopadhyay

Manipal Journal of Medical Sciences

Background: Health care associated infections (HCAI) pose a serious threat, especially in developing countries. Hand washing is a proven and easily practiced technique for reducing HCAI. Aim: To measure the knowledge, attitude and practices of students and faculty in medical and paramedical fields in a tertiary care facility. Method: This cross sectional study was conducted using a Knowledge, Attitude and Practice (KAP) questionnaire constituting of 18 questions. The questionnaire was distributed to students and faculty of health care related colleges via online form resulting in 799 responses. Study population was divided into medical students, paramedical students and faculty subgroups Result: …

Republication-Predatory Journals: A Downside On Research And Hampering The Impact And Relevance Of Scientific Outcome, N Jain, Ginu Khan

Indian Journal of Research in Homoeopathy

The advancement of medical knowledge is quintessentially based on the authentic and reliable scientific research and publications. This is in addition to the recently mandated requirement of original research publications in indexed journals to ensure career progression in academic/medical institutions; thus, the need for ‘publications’ in scientific medical scholarly journals has increased substantially. On the other hand, this has given an unparalleled rise in the number of standalone journals and publishers ‘predatory’ is the term, who are ready to process the manuscripts on priority with almost guaranteed publication, at a cost, but having no credibility to the research being published. …

Synedra, A Free Digital Imaging Viewer, Is Relevant In Assessment Of Frontal Sinus Drainage Pathway, Ahmed Ragab, Ayman A. Abdel Fatah, Hosam A. Hussin, Mohammed S. Abdullah, Mohammed Abdulrahman, Shaimaa A. Hassanein

Menoufia Medical Journal

Objective The aim was to evaluate the most relevant free radiological digital imaging and communications in medicine (DICOM) software in analysis of air cells related to the frontal sinus drainage pathway (FSDP). Background DICOM is the leading standard for computed tomography (CT) scan image data management in different paranasal sinuses and rhinology practice. Patients and methods In the present prospective randomized case-series study of 51 patients scheduled for CT scan for nose and paranasal sinuses, six DICOM image viewers (Onis, Synerdra, 3D-Slicer, InVesalius, RadiAnt, and Philips) were compared by two expert head and neck radiologists for analysis of CT FSDP …

Health Promotion Toward Knowledge And Intention For Early Detection Of Cervical Cancer In Commercial Sex Workers, Desi Rusmiati, Tiurlan Yunetty Silitonga, Warendi Warendi

Kesmas

Cervical cancer is one of the cancer types that become a haunting danger for many women in the world. In Indonesia, the prevalence rate reached 0.8% or an estimated 98,692 patients. Its prevalence increased to 10% in the commercial sex worker group. This study aimed to explain the effect of health promotion on knowledge and intention for early detection of cervical cancer using the inspection of visual acetate method in the commercial sex workers. This study was quantitative with a quasi-experimental type, one group of pretest and posttest design. The population sample included the commercial sex workers at Genteng Subvillage, …

Faith Community Nursing In Community/Public Health Education: A Positive Student Nursing Experience, Pamela Preston

International Journal of Faith Community Nursing

Faith Community Nursing sites were recently integrated into a Community/Public Health Nursing course at a traditional Catholic baccalaureate college in New England. Junior and senior nursing students were randomly assigned to spend 10 clinical days at a site for their clinical experience. The students planned, participated in, and conducted diverse nursing and educational activities. At the end of the rotation, students completed evaluations rating the experience. The evaluations indicated that the clinical experience was positive. The diverse activities including support, health promotion, screening, and education in addition to the spiritual dimension allowed the students to participate in true holistic nursing …

A Photo-Elicitation Study Of Homeless And Marginally Housed Veterans’ Experiences With Patient-Centered Care, Samuel F. Sestito, Keri L. Rodriguez, Kristina L. Hruska, James W. Conley, Michael A. Mitchell, Adam J. Gordon

Patient Experience Journal

As part of a qualitatively-driven mixed-methods study, this analysis aimed to describe Veterans Affairs (VA) Homeless Patient Aligned Care Team patients’ experiences with patient-centered care. Veterans participated in audio-recorded, semi-structured photo-elicitation interviews about their health and VA health care. Transcripts were analyzed by two coders using template analysis. In 31/36 interviews, 19/20 participants discussed patient-centered care. Veterans noted Picker’s Patient-Centered Care Principles; 1) access to care, 2) respect for patient-centered values, preference and expressed needs, 3) information, communication, and education, and 4) coordination and care integration were most commonly discussed, followed by 5) physical comfort, 6) transition and …

What Older Adults Want From Their Health Care Providers, Hazel Williams-Roberts, Sylvia Abonyi, Julie Kryzanowski

Patient Experience Journal

Changing demographic trends and population needs have increased demand for chronic complex care and contributed to rising health care costs. The study sought to identify unmet health care needs of older adults and opportunities for service improvement in a high need suburban neighborhood of a prairie province. The insights provided by older adults informed the service design for a new model of integrated care in community settings. Narrative inquiry methodology was used to understand care experiences through stories. Stories of older adults’ health care journeys were elicited with semi-structured interviews. A paradigmatic approach to analysis was applied with holistic coding, …

Clinical Effectiveness Evaluation Of Laser Therapy And Dry Needling In Treatment Of Patients With Myofascial Pain In Masseter Muscle, Diego A. Oliveira, Rafael De Almeida Spinelli Pinto, Larissa De Oliveira Reis, Isabela Maddalena Dias, Isabel Cristina Goncalves Leite, Fabiola Pessoa Pereira Leite

International Journal of Orofacial Myology and Myofunctional Therapy

Myofascial pain is considered a type of muscular TMD, being common in patients with musculoskeletal pain associated with active or latent trigger points. Among the therapeutic options, there are low-intensity laser therapy and dry needling. The aim of this study was to compare the efficacy of these two therapies in the masseter muscles of patients with myofascial pain. Ten patients diagnosed with myofascial pain, with or without limitation of mouth opening, were randomly divided into two groups for treatment with low intensity laser therapy (G1) (n = 5) or dry needling (G2) (n = 5). The pain symptomatology and the …

Facial Burn During Orthognathic Surgery: Case Report, Jessica C. Avelar, Marcio Jose De Campos, Raphaella Barcellos Fernandes, Sergio Luiz Da Mota Júnior, Marcelo Reis Fraga, Robert Willer Farinazzo Vitral

International Journal of Orofacial Myology and Myofunctional Therapy

Despite the fact that the advances in surgical techniques have contributed to the reduction in the number of complications associated with orthognathic surgery, problems resulting from different phases of treatment, treatment planning, and postoperative period may occur. This paper presents a case of facial soft tissue lesion, burn in the lower lip region, in a patient with Class III malocclusion during orthognathic surgery. A 22-year, 3-month-old male patient with Class III malocclusion was burned in the paramedian region of the lower lip due to unnoticed overheating of the low-speed handpiece during sagittal osteotomy of the left mandibular ramus. The injury …

Juvenile Dermatomyositis - A Case Report With Review On Oral Manifestations And Oral Health Considerations, Pritesh Ruparelia, Oshin Verma, Vrutti Shah, Krishna Shah

International Journal of Orofacial Myology and Myofunctional Therapy

Juvenile Dermatomyositis is the most common inflammatory myositis in children, distinguished by proximal muscle weakness, a characteristic rash and Gottron’s papules. The oral lesions most commonly manifest as diffuse stomatitis and pharyngitis with halitosis. We report a case of an 8 year old male with proximal muscle weakness of all four limbs, rash, Gottron’s papules and oral manifestations. Oral health professionals must be aware of the extraoral and intraoral findings of this rare, but potentially life threatening autoimmune disease of childhood, for early diagnosis, treatment, prevention of long-term complications and to improve the prognosis and hence, the quality of life …

Self-Care Treatment On Patients With Wakefulness Bruxism, Tainara Lopes De Castro Bastos, Rafael De Almeida Spinelli Pinto, Isabela Maddalena Dias, Isabel Cristina Goncalves Leite, Fabiola Pessoa Pereira Leite

International Journal of Orofacial Myology and Myofunctional Therapy

Objective: To evaluate self-care efficacy on reduction of pain and wakefulness bruxism before the treatment with the stabilization splint. Methods: Sixty patients were divided into two groups: 30 belonging to the group that received the self-care guide (G1) and 30 belonging to the control group (G2) who were advised to wait for the beginning of the treatment with the stabilization splint. G1 received a self-care guide for immediate application before any intervention for bruxism treatment. The instructions were given as tips to follow every day for 1 month. Before being given to the patient, the guide was read aloud and …

Examining The Effects Of Ankyloglossia On Swallowing Function, Kliss Moulton, John Anthony Seikel, Joni Grey Loftin, Nancy Devine

International Journal of Orofacial Myology and Myofunctional Therapy

Oropharyngeal dysphagia (OPD) involves difficulty during one or more of the stages of swallowing, resulting in difficulty moving the bolus from the mouth to the stomach. A deficit in tongue mobility, such as that found with ankyloglossia, may affect the oropharyngeal transit time of the bolus and predispose a person to OPD. This study was conducted to examine the possible relationship between tongue tie and oropharyngeal dysphagia. Data were gathered on 8 participants (5 females, 3 males) between the ages of 12-43 years. The Lingual Frenulum Protocol (Marchesan, 2012) was used to determine tongue tie. An Iowa Oral Performance Instrument …

Medical Tourism And Its Effect On United State Healthcare Industry In A Highly Connected Global Landscape, Katarina Haist

The Hilltop Review

For centuries people have traveled to other countries to obtain the best healthcare. Traditionally these popular destinations were highly developed countries; the trend of people traveling to less developed areas for treatment is relatively new. The average person is more connected to the world around them than ever before through globalization. Information about the best practices are more widely available than ever before. The importance of physical barriers to business such as geography and time are being eliminated. Due to this “flattening” per Friedman, the competition and expertise for areas in Science, Technology, Engineering, and Mathematics (STEM) can be shifted …

The Importance Of Early Arthritis In Patients With Rheumatoid Arthritis, Georgiana Iftimie, Ana Maria Alexandra Stanescu, Mihaela A. Iancu, Anca Pantea Stoian, Razvan Hainarosie, Bogdan Socea, Gheorghita Isvoranu, Dragos Marcu, Tiberiu P. Neagu, Camelia C. Diaconu

Journal of Mind and Medical Sciences

Rheumatoid arthritis (RA) is a systemic inflammatory disorder that manifests predominantly in the synovial joint, where it causes a chronic inflammatory process, leading to early osteoarticular destructions. These destructions are progressive and irreversible, generating a significant functional deficiency. During the last years, the diagnostic approach of RA has focused on early arthritis. Early arthritis can develop into established RA or another established arthropathy, like systemic lupus erythematosus or psoriatic arthritis. It can have a spontaneous resolution or may remain undifferentiated for indefinite periods of time.

The management of early arthritis has changed considerably in the past few years, under the …

Evaluation Of The Effect Of Endodontic Chelating Solutions On Push Out Bond Strength Of Endodontic Sealers (An In-Vitro Study), Mai Mohamed Salah El-Din, Mohsen Nour El-Din, Mahmoud Hassan Mohamed

Al-Azhar Journal of Dentistry

Aim: This study was carried out to evaluate the effect of various chelating solutions (EDTA-Apple Vinegar-Sodium Hypochlorite)on the radicular push-out bond strength of zinc oxide nanosealer and AH Plus resin based rootcanal sealer. Materials and Methods: 180 extracted single-rooted human teeth with complete roots, fully formed apices were used in this study,on completion of instrumentation, the specimens will be randomly divided into three groups (n=60) according to chelating solution applied: Group ( I ) 1.5 mL of 17% EDTA (pH = 7), Group ( II ) 2.5 mL of vinegar apple and Group ( III ) 2 mL of 5.25% …

Evaluation Of Dentoskeletal Changes Accompanying The Treatment Of Class Ii Malocclusion By Advansync Appliance Versus Intermaxillary Coil Spring Mechanics, May H. El Mofty, Samir A Ibrahim, Ossama S. El-Shall, Wael A. Tawfik

Al-Azhar Journal of Dentistry

Objectives: The present study was designed to determine and compare the skeletal, dentoalveolar and soft tissue effects produced by the Advansync functional appliance and intermaxillary NiTi coil springs in the treatment of growing patients with Class II division 1 malocclusion. Subjects and methods: A sample of 19 growing patients, as evaluated by hand wrist radiographs, with age range 12-15 years was divided into two groups. Group I patients were treated with the Advansync appliance (n=10) and Group II patients were treated using intermaxillary NiTi coil springs (n=9). The study was conducted using lateral cephalograms taken before appliance insertion and immediately …

Electromyographic Evaluation Of Jaw Muscles In Edentulous Patients With Implant-Supported Prosthesis, Shereen M Kabeel, Dina M Kholief

Al-Azhar Journal of Dentistry

The purpose of this study was to evaluate the effect of implant-supported oral rehabilitation in the mandible on the electromyographic (EMG) activity during chewing in completely edentulous individuals. Material and methods: Twelve completely edentulous patients were selected for this study, being six females and six males, aged 55 to 65 years old. The patients were divided into three groups according to the treatment protocol; (GI) All the completely edentulous patients had conventional maxillary and mandibular complete denture, (GII) six patients had two mandibular implants supported overdenture at the canine region and (GIII) six patients had one mandibular implant supported over-denture …

Evaluation Of The Effect Of Beverages On Wear Resistance And Microleakage Of Class V Esthetic Restorations, Essraa A. Mahmoud, Maha A Niazy, Mohamed A El Yasaky

Al-Azhar Journal of Dentistry

Aim: This study was carried out to evaluate the effect of beverages (orange juice and cola) on the wear resistance and microleakage of: Self cure Glass Ionomer, Flowable bulk fill composite and Packable bulk fill composite. Materials and Methods: Class V cavities were preparered on both the buccal and lingual sides, so a total of ninety cavities were created. Teeth were divided into three main groups according to the material used (30specimens each) (A). the first group was restored with the Riva self-cure glass ionomer (A1), the second group was restored by using flowalble bulk fill SDR, Dentsply (A2), while …

Effect Of Different Denture Base Material On Electromyographic Activity In Maxillary Single Denture Wearers, Sara Mohamed Fakhry Mlegy, Dina Mahmoud Kholief, Shereen Mohamed Mohamed Kabeel

Al-Azhar Journal of Dentistry

Aim of study: was to evaluate and compare the effect of three different denture base material (heat cured acrylic resin, cast metal base and thermoplastic resin) on electromyographic activity of masseter and temporalis muscles in maxillary single denture wearers. Material and methods: Ten completely maxillary edentulous patients were selected with ages ranged from 55-60 years. All patients had received heat cured acrylic resin single maxillary complete denture (Group І) then replacing the denture base through rebasing procedures by cobalt chromium (Co-Cr) (Group ІІ) then thermoplastic resin material (Group ІІІ). All patients were instructed to use their resin dentures for equal …

Evaluation Of The Effect Of Saliva Contamination And Cleaning Methods On The Surface Free Energy And Shear Bond Strength Of Resin Cements To Zirconia Ceramics, Aliaa F. Gadallah, Inas T. Motawea, Rania E. Bayoumi

Al-Azhar Journal of Dentistry

Objective: This study was designated to evaluate the effect of saliva contamination and cleaning methods on the surface free energy and the shear bond strength of resin cement to zirconia ceramics. Materials and Methods: A total of 80 samples were copy milled (CAD/CAM) from Zirconia blank. The samples were randomly divided into (4) groups (n=20) according to method of cleaning. Group 1 (control): No saliva contamination,Group 2: The samples cleaned with distilled water,Group 3: The samples cleaned with ivoclean, Group4:The samples cleaned with re-sandblasting. Each group was subdivided into 2 subgroups according to the type of adhesive resin cement (Multilink …

Evaluation Of Mandibular Tooth Supported Over-Denture With Two Different Denture Base Materials, Reham Elshiekh, Yasmeen El-Mahdy, Dina Kholeif

Al-Azhar Journal of Dentistry

Purpose: To compare effect of thermo-plastic and heat cured acrylic denture base materials on electromyography of masseter and temporalis muscles and over-denture abutments in mandibular tooth supported over-denture. Materials and methods: Ten patients having completely edentulous maxillary ridges and mandibular ridges including canines bilaterally were selected. Root canal treatment and abutment preparation were performed to receive copings and over-dentures. Maxillary complete dentures were constructed for all patients. Patients were divided into 2 equal groups. Group I: received mandibular over-denture constructed from thermo-plastic resin for 3 months followed by over-denture constructed from heat-cured acrylic resin for subsequent 3 months. Group II: …

Evaluation Of The Antimicrobial Effect Of Olive Oil Extract On Oral Microflora, Dina Abd El-Shafy, Mohamed Mostafa, Magda El- Malt

Al-Azhar Journal of Dentistry

Purpose: The aim of this study was to evaluate the antimicrobial effect of Extra virgin olive oil extract as mouthwash in the oral cavity of children against streptococcus mutans and Compare the efficiency between olive oil and the “gold standard” chlorhexidine. Materials and Methods: A total of 60 Egyptian children from both sex were included in this study. Children age ranging from 6 to 12 years old in a good physical condition. Children randomly were distributed into two Groups A and B, each includes of 30 children in each group. Group A(study group) : olive oil(Extra vigin): consisted of thirty …

Evaluation Of Apical Extent Of Root Canal Instrumented Manually Using Flxofile And Rotary Using Protaper By The Aid Of Dental Operating Microscope (An In Vitro Study), Marwa Rahman, Mohamed Khalefa, Mohsen Nour El-Deen

Al-Azhar Journal of Dentistry

Purpose: This study was designed to evaluate the influence of different apical limits of working lengths, electronic and radiographic methods of working length determination, maual and rotary root canal instrumentation on the apical extent of root canal filling material. Materials and Methods: Forty five roots of maxillary central incisors with mature apices were selected and divided into two groups: Group I ( 30 roots), and Group II (15 roots) according to the method of working length determination (electronic or radiographic respectively). Each main group was divided into three equal groups according to the apical limit of working Each group at …

An In Vitro Study To Evaluate The Accuracy Of Different Impression Techniques Of Implant Supported Prosthesis, Mahmoud El-Najjar, Mohammed Abdel-Aziz, Ahmed El-Kouedi, Tamer Hamza

Al-Azhar Journal of Dentistry

Purpose: This study was designed to evaluate the dimensional accuracy of different impression techniques of implant-supported fixed dental prosthesis. Materials and Methods: Thirty impressions were made upon a specialized stainless-steel mold containing two parallel implant analogues. The impressions were divided into three groups according to implant impression technique used ten each; group (I) closed tray technique (C), group (II) open tray technique (O) and group (III) splinted open tray technique (OS). After taking impressions, they were poured with type IV dental stone and left for one day before analysis with a stereo microscope. Results: Regarding impression accuracy, there was no …

Evaluation Of Two Different Types Of Attachment Systems In Midline Implant-Retained Mandibular Overdentures, Eman Rashad, Amany Abd El-Fattah, Dina Kholief

Al-Azhar Journal of Dentistry

Purpose: was to evaluate the effect of using two different types of overdenture attachment systems (ball and socket and magnet attachments) in single implant retained mandibular overdentures by measuring electromyographic activity and masticatory efficiency of the patient’s masseter and temporalis muscles. Materials and methods: Ten completely edentulous patients with ages ranged from 55-65 years. Each patient received overdentures retained by midline implant with two different types of attachments; ball and socket attachment (group A) and magnet attachment (group B). The masticatory efficiency and the electromyographic activity of the masseter and temporalis muscles were evaluated after one month and three months …

Evaluation Of Functional Therapy Vs Intermaxillary Fixation In Condylar Fracture Treatment, Al-Shaimaa Abd El Aziem, Nahed Adly, Youssef El-Mansi, Ghada Khalifa

Al-Azhar Journal of Dentistry

Purpose: To compare the outcomes after rigid intermaxillary fixation (IMF) versus functional therapy (FT) in patients with mandibular condylar fractures (CFs). Patients and Methods: A prospective comparative study with 3 follow-ups (FU) at 1, 3 and 6 months was undertaken in 2 groups, which exclusively privileged either surgical or conservative treatment due to different therapeutic agendas. Patients from Group1 (GI) received IMF for 10 days, followed by physiotherapy, whereas those in Group2 (GII) had undergone FT for 21 days via guiding elastics. In both groups, all concomitant fractures (if present) were treated by open reduction and internal fixation (ORIF). Patients …