Medicine and Health Sciences Commons^™

Relationship Of The Surface Electromyography In Masticatory Muscles With The Vertical Facial Patt Erns And Orthodontic Tooth Movement, Carol Yi-Hsuan Chen, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Introduction: Controversy about the relationship among masticatory muscles, craniofacial morphology and the orthodontic anchorage preparation has not yet been clarified in the literatures. The purpose of this study was to evaluate whether the vertical facial patterns and masticatory surface electromyography (sEMG) influence the molar anchorage and characteristic orthodontic tooth movement. Methods: Subjects for this study comprised 18 patients with a mean age of 23.7 years who had completed orthodontic treatment with therapeutic symmetric extraction. The sEMG data were acquired at the time of bracket debond. The sEMG of anterior temporalis and masseter muscles were recorded during the rest position and …

Camouflage Treatment In Adult Patient With Mandibular Lateral Displacement, Transverse Deficiency And Facial Asymmetry – A Case Report, Yu-Ling Tsai, Chun-Liang Kuo, I-Hua Liu

Taiwanese Journal of Orthodontics

Facial asymmetry is common in humans. Significant facial asymmetry causes both functional as well as esthetic problems. The etiologies of facial asymmetry include congenital disorders, acquired diseases, and traumatic and developmental deformities. The causes of many cases of developmental facial asymmetry are indistinct. The principle of facial asymmetry management would be correcting the underlying disorder. Orthognathic surgery is the first and better choice if face correction is the primary consideration. Camouflage orthodontic treatment was a non-invasive option for mild to moderate severity of asymmetry. We present a case with mandibular lateral displacement, transverse deficiency and facial asymmetry in a 19-year-old …

Definitive Surgical-Orthodontic Treatment To Correct The Problems Subsequent To Early Skeletal Class Iii Camouflage, Siripatra Patchanee, Ellen Wen-Ching Ko, Cheng-Hui Lin

Taiwanese Journal of Orthodontics

This case report describes the treatment of a 21-year-old female patient who was disappointed with the outcome of a previous orthodontic treatment and complained about her chin prominent. She had skeletal Class III malocclusion with concave facial profile, hypodivergent facial pattern with deep overbite. The previous Class III camouflage orthodontic treatment was done by teeth 34, 44 extraction since she was 12 years old. With the concept of surgery-first approach, the surgical treatment plan included LeFort I osteotomy clockwise rotation of maxilla and bilateral sagittal split ramus osteotomy backward rotation of mandible with genioplasty and angle reduction in order to …

Orthodontic Treatment Of Adult Skeletal Class Ii With Idiopathic Condylar Resorption History And Severe Anterior Open Bite Without Using Temporary Anchorage Device – A Case Report, Chng-Yung Yap, Chun-Liang Kuo

Taiwanese Journal of Orthodontics

The aim was to present the treatment of an adult patient with idiopathic condylar resorption (ICR) who exhibited good adaptation of condyles after orthodontic treatment and to discuss management of anterior open bite when it is related with TMJ problems. A case of 47 y/o female with skeletal Class II, anterior open bite and ICR history under bite-plate therapy and regular follow up. Intraoral examination noted premature contact and occlusal interference over bilateral posterior teeth. Our treatment plan is orthodontic camouflage treatment to correct anterior open bite and remove all 3rd molars and hopeless UL 2nd molar. An implant was …

Investigation Of Medical Disputes Involving Dentists Performing Orthodontic Treatments In Taiwan, Chih-Ling Lin, Sheng-Pin Hsu, Yu-Kun Chih

Taiwanese Journal of Orthodontics

Introduction: Medical disputes have received increasing attention in recent years. Under the assistance of the academic and medical affairs committees of the Taiwan Association of Orthodontists, this study explored medical disputes among orthodontists performing orthodontic treatments in Taiwan in 2016. Methods: This study adopted a questionnaire survey, which was divided into three sections, namely the surveyed orthodontists’ demographic information, medical services, and subjective views on orthodontic-related medical disputes. The results were compared with those from a study conducted in 2010. Subsequently, topics related to clear aligner therapy and orthognathic surgery were examined. Results: The results indicated that 32.3% of the …

Is Early Treatment With Functional Appliances Worth The Effort? A Discussion Of The Pros And Cons Of Early Interceptive Treatment, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Early treatment of Class II, Div. 1 malocclusion is a much debated approach and some evidence based studies using a single appliance concluded that this approach was often not worthwhile. This article will discuss the pros and cons of early treatment with functional appliances and present guidelines for early treatment. The role of facial growth and dentoalveolar development, and growth intensity will be discussed as they relate to treatment outcome. A retention protocol for early treatment with functional appliances will be suggested.

Dental Pulp Response To Orthodontic Tooth Movement, Chih-Wei Wang, Kai-Long Wang, Kwok-Hing Ho, Shun-Chu Hsieh, Heng-Ming Chang

Taiwanese Journal of Orthodontics

Pulp vitality may occasionally change while tooth experiencing orthodontic movement, and orthodontists are the particular group who concern this phenomenon if it happens. The respiration rate of dental pulp will be depressed inevitably in short term when tooth is subject to orthodontic force. If force level is extreme, circulatory interruption can occur and further induce pulp necrosis. When orthodontic movement on pulpalcompromised teeth (e.g. teeth with trauma history or large restorations) is required, the pulp response to orthodontic force should be monitored. This article provides an overall review on the pulpal reactions during orthodontic movement and dental movement on teeth …

Combine The Orthodontic-Orthognathic Surgical Correction On Class Ii Division 2 Malocclusion, Supawadee Hasprayoon, Ellen Wen-Ching Ko, Ying-An Chen

Taiwanese Journal of Orthodontics

This case report illustrates a combined orthodontic-orthognathic surgical treatment option for correction of Class II division 2 malocclusion. A 31-year-old female patient, presenting a chief complaint of gummy smile and backward position of anterior teeth, came to seek for treatment. She had skeletal Class II with hypodivergent facial type and mild asymmetric face. Intraoral examination revealed a severe deep bite with 13 mm overbite. The pre-surgical orthodontic treatment consisted of proclination of the maxillary incisors and increased in overjet to provide space for surgical advancement of mandible; the mandibular curve of Spee was partially leveled and maintained some parts of …

Surgical-Orthodontic Treatment With Molar Protraction In A Patient With Skeletal Class Iii Anterior Open Bite And Facial Asymmetry, Yi-Hsuan Chen, Cheng-Hui Lin, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

A 20-year-old young male complained of his protrusive and deviated chin. He also presented occlusal plane cant, anterior open bite and unrestorable maxillary right first molar and mandibular left first molar. The severe maxilla-mandibular discrepancy was solved with surgery-first double jaw orthognathic surgery. The space of two extracted first molars was closed by protraction of the second and third molars after surgery. Two protraction techniques were used in this case, including closing maxillary right first molar space with reciprocal retraction, and closing mandibular left first molar with one miniscrew as an absolute anchorage. Careful biomechanical consideration was used during protraction …

A 4-Year Follow-Up Of A Rare Case With Ectopic Eruption Of The Permanent Second Molars Associated With Resorption Of The Permanent First Molars, Hui-I Chen, Wen-Hui Hsieh, Chih-Hsiang Chan, Hsuan-Fang Lai

Taiwanese Journal of Orthodontics

A rare case-a 11-year-old boy with ectopic eruption of all the permanent second molars associated with resorption of all the permanent first molars was reported. Severe root resorption was found in the mandibular first molars, while moderate root resorption was found in the maxillary first molars. There were several points should be addressed into consideration: (1) young age; (2) the third molars will probably be brought into occlusion in the future; (3) Class III jaw relationship. The orthodontic treatment was approached with two-stage. Stage I treatment was aimed to upright the mandibular second molars after removal of the mandibular first …

Mental Health Courts And Sentencing Disparities, E. Lea Johnston, Conor P. Flynn

UF Law Faculty Publications

Despite the proliferation of mental health courts across the United States, virtually no attention has been paid to the criminal justice effects these courts carry for participants. This article provides the first empirical analysis of differential sentencing practices in mental health and traditional criminal courts. Using a case study approach, the article compares how Pennsylvania’s Erie County Mental Health Court and county criminal courts sentenced individuals who committed the same offenses and held the same average criminal history score. Information on the mental health court—including eligibility criteria, plea bargaining and sentencing procedure, sentencing policies, program length, graduation rates, likelihood of …

The Effectiveness Of Occupational Therapy Interventions For Students With Mental Illness Transitioning To Higher Education: A Systematic Review, Brittany Davis, Leah Sherman

Occupational Therapy Capstones

Objective: To examine the available evidence for interventions within the scope of occupational therapy for students with mental illness during the transition process to postsecondary education. Method: This systematic review yielded seven articles including two systematic reviews, three one group pretest/posttest design, one naturalistic pre/posttest design, and one scoping review related to the transition process to post secondary education.

Results: Occupation-based interventions emphasized the occupation of education instead of focusing on co-occurring occupations a student may frequently participate in when enrolled in postsecondary education. Programs emphasized environmental approaches including using the students' past experiences, building self-advocacy skills, accessing supportive education …

Successful Transition To Home Following A Spinal Cord Injury: A Resource Guide For Home Modifications, Alison Ikeogu, Kelsey Kanwischer

Occupational Therapy Capstones

Purpose

Home modification is a unique area of practice that aims to increase independence of desired tasks by decreasing the physical limitations in and around the home (Aplin, Jonge, & Gustafsson, 2014). The process of modifying the home can be difficult, decreasing emotional well-being and satisfaction (Aplin, Jonge, & Gustafsson, 2014). Studies have identified the need for home modification services for individuals post Spinal Cord Injury. Silver, Ljungberg, Libin, & Groah (2012) found that injured persons were reintegrated into the community with limited knowledge regarding housing and accessibility options. The purpose of the product was to provide a tool for …

An Assistive Technology Manual To Enhance Occupations During Stages Of Als: A Manual For Occupational Therapists And Caregivers, Warren Ross, Marcus Sickler

Occupational Therapy Capstones

Purpose: The purpose of this project was to develop a manual for occupational therapists and caregivers that provides assistive technology suggestions to address the needs of an individual with ALS at each stage of the disease.

Methods: An extensive literature review was completed on ALS and assistive technology to examine the effects of ALS, course of progression of the disease, variations of the disease, and signs and symptoms. Multiple online databases were utilized including: CINAHL, PubMed, PsycINFO, Academic Search Premier, Google Scholar, and OT search. Further literature reviewed included current assistive technology individuals with ALS found useful related to communication, …

Life History Of Sonia Zimmerman, Ph.D., Otr/L, Faota, Emily Kollodge, Samantha Scheel

Oral History Posters

Occupational therapy (OT) has evolved over its 100 year existence as a profession. There are many individuals who facilitated changes in the profession, however not all of them are written about textbooks. This life history is one of 29 life history interviews which are part of a larger project, Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy and North Dakota and Wyoming. The purpose of the project is to gather information about the history and evolution of IT practice through the life history of an individual who has been influential in developing OT. This study …

Life History Of Teresa Dahlstrom, Otr/L, Bobbie Bertsch, Kennedy Bresnahan

Oral History Posters

Objective: The purpose of the life history of Teresa Dahlstrom is to gain an insight about her life experiences and leadership throughout her years of work in the profession of occupational therapy.

Method: An in depth, semi structured, 60 minute interview was conducted at the University of North Dakota of School of Medicine and Health Sciences. The interview was transcribed and coded for the emergent of themes.

Results: The predominant themes representing the major elements of her success as a leader were maintaining the integrity of occupational therapy (OT), progressing through major changes in OT, and developing personal relationships with …

Treatment Options For Hidradenitis Suppurativa: Efficacy, Risks, Benefits, Katherine A. Hennager

Physician Assistant Scholarly Project Papers

Hidradenitis suppurativa is a chronic, recurrent follicular occlusion disease with painful, sometimes debilitating, cutaneous draining lesions and subcutaneous abscesses (DynaMed Plus, 2016). Hidradenitis suppurativa is understood to be a multifactorial disease that is hard to treat in some patients, especially those with a severe form of the disease. For this project, the efficacy of adalimumab for hidradenitis suppurativa was assessed and whether it is more beneficial than traditional treatments used. Adalimumab is a TNF-alpha inhibitor which belongs to the biologic DMARDs drug class. Kimball et al. (2012) found that at week 16 of their trial 3.9% of the placebo patients, …

Curcumin And Fish Oil: Potential Alternative Or Adjunctive Treatments To Nsaids And Immune Modulating Medications For The Treatment Of Chronic Inflammation, Vicki Andvik

Physician Assistant Scholarly Project Posters

The aim of the present review is to evaluate the efficacy and safety of curcumin and fish oil as alternative or adjuvant treatments to NSAIDs and immune modulating medications for the treatment of chronic inflammation.

An online search of CINAHL, PubMed, Cochrane and Alt Healthwatchdatabases was conducted. It was limited to peer-reviewed articles and clinical trials in academic journals within the last ten years.

Current research suggests that curcumin may be efficacious in the treatment of chronic inflammation. It is generally regarded as safe up to 12 gm/day with mild gastrointestinal effects but poor bioavailability has limited its clinical application. …

Introduction Of Peanuts To The Pediatric Patient, Leslee Graff

Physician Assistant Scholarly Project Posters

Peanut allergies have been diagnosed exponentially over the last ten-years and are more severe now than ever before. (DuToit et al. 2106) Some of the latest statistics are citing more than double the amount of peanut allergies diagnosed in the last few years. Guidelines set forth in 2010, by the American Academy of Allergy, Asthma, and Immunology stated that peanut, milk, soy, wheat, egg, and other tree nuts were to be avoided until three years of age, unless these patients have other chronic illnesses such as asthma or other atopic conditions. If so, the patient is to abstain from these …

Anticoagulation Therapy For The Elderly With Atrial Fibrillation, Rebecca Hoistad

Physician Assistant Scholarly Project Posters

• Atrial fibrillation increases in occurrence as we age with about 9% of patients developing it by age 90. When a patient is diagnosed with atrial fibrillation, one of the drugs that they are prescribed is an anticoagulant. The purpose of this drug is to prevent thrombus formation in addition to preventing an ischemic stroke. Today, there are many options available for anticoagulation therapy. The options include aspirin, vitamin K antagonists like warfarin, factor Xa inhibitors like rivaroxaban and apixaban, direct thrombin inhibitors like dabigatran, and antiplatelet agents such as clopidogrel.

• A review of the literature was done of …

Effectiveness And Safety Of The Bronchial Thermoplasty Procedure, Kathy Mohammadi

Physician Assistant Scholarly Project Posters

• Asthma: a heterogeneous disease characterized by chronic airway inflammation resulting in respiratory difficulty.

• Bronchial Thermoplasty (BT): a bronchoscopy procedure that delivers radiofrequency energy to the tissues of airway walls thus heating the tissue, causing ablation to reduce the mass of the airway smooth muscle (ASM), hence attenuating bronchoconstriction.

• BT was designed to decrease, de-bulk or partially eliminate excess smooth muscle tissue in the distal airways, with a subsequent decrease in the number of severe asthma attacks.

• BT is an alternative treatment for patients with severe, uncontrolled asthma in which the airway smooth muscle is eliminated using …

Early Antibiotic Exposure And Childhood Obesity, Agatha J. Ottem

Physician Assistant Scholarly Project Posters

Obesity is becoming a growing concern in today’s population. Over the last thirty years, obesity rates have doubled in adults and quadrupled in adolescents. One of the more recent theories is that childhood obesity is influenced by early exposure to antibiotics. The purpose of this project is to discuss how antibiotics alter the human gut microbiota and how this affects nutrient consumption, which can lead to childhood obesity. There is a focus on the current research studies that address if, indeed, there is a link between childhood obesity and early antibiotic exposure. Through a review of several electronic databases and …

Brugada Syndrome; Preventive Screening Measures To Decrease Associated Cardiac Deaths, Matthew Ryba

Physician Assistant Scholarly Project Posters

• Brugada syndrome is a sodium channel deficiency in the myocardium that can cause arrhythmias and sudden cardiac death. The myocardium deficient sodium channels can be inherited or affected by environment factors such as fever or medications.

• Screening for this syndrome can be challenging because many times the first symptom of Brugada syndrome is cardiac arrest. Though incidents of sudden cardiac deaths are low, sudden cardiac death can impact families and communities.

• In Italy, screening ECG’s is claimed to have reduced sudden cardiac events by 85% (Maron, 2014). Preventing sudden cardiac death in these patients through sensible, reasonable …

Use Of Mesenchymal Stem Cells For The Treatment Of Osteoarthritis, Dennis W. Stewart

Physician Assistant Scholarly Project Posters

• Healthy articular cartilage protects and provides smooth functioning of the joint. The deterioration of the articular cartilage leads to the crippling disease known as osteoarthritis (OA).

• OA is a leading cause of disability in the United States. Although some of the current treatment modalities, along with pharmacological treatment, may offer short term improvement with pain and function, they do not offer long term relief, and are ineffective in preventing the progression of OA.

• In advanced stages, surgery in the form of total knee arthroplasty (TKA), is sometimes needed. This is an invasive procedure and typically requires hospitalization. …

Effectiveness Of Different Styles Of Diabetic Education On Outcomes Of The Type Ii Diabetic Patient, Emil Trutwin

Physician Assistant Scholarly Project Posters

•The purpose of this project is to determine if there is a significant advantage to certain diabetic education strategies that yield better outcomes in regards to control of diabetes.

Prenatal Screening For Aneuploidy: Should Cfdna Replace Traditional Methods?, Rachel Watson

Physician Assistant Scholarly Project Posters

In 2011, advances in research in medical genetics led to the advent of prenatal cell-free DNA (cfDNA) or also known simply as non-invasive prenatal screening or testing (NIPS). This screen consists of analyzation of placental DNA circulating in maternal blood. NIPS has had a major impact on prenatal screening for aneuploidy. Mixed opinions and data exist as to whom this test is most appropriate for. The sensitivity and specificity of this screen in detecting common fetal aneuploidies has been well documented as superior to other screens in high-risk populations, but less so in low-risk obstetric populations. This paper will compare …

Meniscectomy Of A College Athlete, Aaron Bakker

Physical Therapy Scholarly Projects

Background and Purpose: The purpose of this case study is to describe the case of an athlete who sustained a meniscus injury and his subsequent course of physical therapy.

Case Description: The patient in the study is a 20 year old college football player seen by physical therapy following a left knee arthroscopic lateral meniscectomy. He injured his knee while cutting to change direction during football practice.

Intervention: Initial treatment for the patient started off as basic body weight resistance along with modalities and ice to reduce inflammation. Each week he progressed from bodyweight to weighted resistance activities and …

Physical Therapy Interventions Following Acute Traumatic Brain Injury: Early Mobility In The Acute Care Setting, Ashley Hickox

Physical Therapy Scholarly Projects

Background: Approximately 2.5 million individuals suffered from a TBI in the year of 2010. Many individuals who suffer a TBI are hospitalized for extended periods of time. Studies have shown that extended intensive care can result in deleterious and long-lasting side effects. Early mobility has been utilized to combat effects and has been shown to be safe and effective.

Purpose: To examine early mobility use as applied with respect to this case, a patient with a severe, acute TBI.

Case Description: The patient was a 26 year old male who sustained a TBI following a boat accident. …

Physical Therapist Professional Appearance: From The Patients' Perspective, Brock Clements, Kelsey Decamp

Physical Therapy Scholarly Projects

No abstract provided.

The Activities-Specific Balance Confidence Scale And Its Use In The Stepping On Program To Determine The Relationship Between Balance Confidence And Fall Risk, Erin Yankovec

Physical Therapy Scholarly Projects

Introduction: Due to the high incidence of falls in the elderly population, there is a continued need to develop intervention strategies and prevention programs to help reduce the risk of fall related injuries. Stepping On is a 7 week program designed to reduce falls and build confidence in older adults. Participants are educated on balance and strengthening exercises along with information on home hazards, community mobility, safe footwear and equipment, coping, and many other topics to help reduce falls.

Purpose: To determine if group education and exercise classes, like Stepping On, improve balance confidence levels, if balance confidence …