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Sample records for auricular rehabilitation case

  1. Prosthodontic rehabilitation of a patient with bilateral auricular deformity

    OpenAIRE

    2011-01-01

    Maxillofacial prosthodontics is an art and science which provides life like appearance to the person with facial deformity. Maxillofacial prosthetic rehabilitation for acquired defects has become more complex and sophisticated with advancement in techniques and materials. This case report describes the clinical and laboratory procedure for fabricating an auricular prosthesis for a patient with trauma related bilateral auricular deformity. Ear prosthesis was fabricated in two parts taking rete...

  2. Avenues for rehabilitation of auricular defects

    Directory of Open Access Journals (Sweden)

    Aditi Nanda

    2012-01-01

    Full Text Available Irrespective of the cause, abnormalities in shape, size, and position of body organs are often perceived as looking wrong. This perception can subject the individual to significant peer ridicule and social ostracism. Rehabilitation of patients with auricular defects can either be done by reconstructive surgery or by prosthetic means. The article draws a comparison between the implant-supported prosthesis and reconstructive surgery, listing the benefits, limitations, indications and contraindications of both the techniques. As both the available techniques give excellent results in appropriately selected situations, the restorative team must present all the alternatives to the patient and choose judiciously the better of the two.

  3. Auricular chromoblastomycosis: case report Cromoblastomicose auricular: relato de um caso

    Directory of Open Access Journals (Sweden)

    Achiléa Lisboa Bittencourt

    1994-08-01

    Full Text Available It is presented a case of auricular chromoblastomycosis mimicking an eczematous lesion. The authors refer the rarity of this localization. All reported cases of auricular chromoblastomycosis have been caused by Fonsecaea pedrosoi but in the present case the etiologic agent was Phialophora verrucosa.É apresentado um caso de cromoblastomicose auricular apresentado sob forma de lesão eritemato-escamosa, tendo tido o diagnóstico clínico de eczema. Os AA discutem sobre a raridade desta localização e aspecto clínico. Embora os poucos casos relatados de cromoblastomicose auricular tenham sido causados pela Fonsecaea pedrosoi, neste o agente etiológico foi a Phialophora verrucosa.

  4. A Blue Tooth – Auricular Prosthesis: A Case Report

    Science.gov (United States)

    H. Naveen, Bandlar; R. Kashinath, Korapathi; B. Shankargouda, Swapnil

    2014-01-01

    The absence of an ear is a considerable aesthetic problem which affects the patient’s psychology and social behaviour. We are describing a case of 25-year-old male reporting to the Department of Prosthodontics, with a chief complaint of deficient left auricular tissue. This can be corrected surgically, prosthetically or through a combination of these approaches; but the choice of treatment depends on patient. The patient chose prosthetic rehabilitation over surgical procedures & retention becomes a critical issue in this approach. Out of many types of retentive methods, we selectively incorporated new materials and used the latest technology to ensure the highest quality prosthesis. Creative approach for each patient with a focus on their individual needs was considered as it gives more satisfaction to the patient. This article describes a new, simple and cost effective technique by embedding Bluetooth-headset device into the silicone elastomer of a mechanically-retained auricular prosthesis. PMID:25302281

  5. A case report of complex auricular neuralgia treated with the great auricular nerve and facet blocks

    Science.gov (United States)

    Eghtesadi, Marzieh; Leroux, Elizabeth; Vargas-Schaffer, Grisell

    2017-01-01

    Background The great auricular nerve is a cutaneous branch of the cervical plexus originating from the C2 and C3 spinal nerves. It innervates the skin over the external ear, the angle of the mandible and the parotid gland. It communicates with the ansa cervicalis. Great auricular neuralgia is rarely diagnosed in clinical practice and can be refractory. We present a new approach using ultrasound-guided nerve blocks. Case We present a case of a 41-year-old female with paroxysmal ear pain accompanied by dysautonomia, tingling in the tongue, dysphagia, dysarthria and abdominal symptoms. No significant findings were found on cervical and brain imaging. The patient responded partially to a great auricular nerve block. A combined approach using this block with facet block of C2 and C3 induced a more pronounced and prolonged benefit. Conclusion Great auricular neuralgia is not often encountered in practice and can be accompanied by symptoms originating from the ansa cervicalis network. A combined approach of nerve blocks can be considered in refractory cases. PMID:28255253

  6. Facio-auricular vertebral syndrome-a case report

    Directory of Open Access Journals (Sweden)

    Reddy M

    2005-01-01

    Full Text Available Facio Auricular Vertebral (FAV or Goldenhar syndrome is a very rare kind of syndromic deafness and is inherited as autosomal dominant. A study was taken up to understand the prevalence of this syndrome in children below the age of 14 years with hearing loss. Out of 1073 children with hearing impairment, Goldenhar syndrome was observed only in 1 (0.09% case. The child suffered severe hearing loss. Facial paralysis and hemifacial microsomia were prominent features observed in the child. Facio-Auricular-Vertebral syndrome is therefore synonymously used with Goldenhar syndrome.

  7. Treatment of Facial Chloasma by Auricular Pressure in41 Cases

    Institute of Scientific and Technical Information of China (English)

    LIU Guang-xia; XIAO Yuan-chun

    2003-01-01

    According to differentiating syndrome and dividing patter, 41 cases of Facial Chloasma by Auricular Pressure in Shen ( MA-AH), Fei ( MA-IC 1 ), Neifenmi ( MA-IC 3 ), Luanchao ( MA-AT), Mianjia (MA-L) and Xia' erbei(MA-IC), the total effective rate was 87.8%.

  8. OBSERVATION ON THE THERAPEUTIC EFFECT OF AURICULAR PLASTER FOR TREATMENT OF 135 CASES OF MOTION SICKNESS

    Institute of Scientific and Technical Information of China (English)

    RAO Zhongdong; WEN Ming; HU Yuehua

    2002-01-01

    In the present paper, the therapeutic effects of auricular plaster (otopoint-pellet pressing therapy)and Western medicine (Dramamine) were compared in the treatment of 200 cases of motion sickness who were randomly divided into auricular plaster group (n = 135) and Western medicine (control) group (n = 65). Results indicated that the markedly effective rates and total effective rates of auricular plaster group and control group were 51. 1% and 23. 1 %, 94.1% and 81.6% respectively, and the therapeutic effect of the former group was significantly superior to that of the control group (P<0.01).

  9. Forty Cases of Insomnia Treated by Multi-output Electric Pulsation and Auricular Plaster Therapy

    Institute of Scientific and Technical Information of China (English)

    Liu Weizhe

    2007-01-01

    @@ The writer has treated 40 cases of insomnia by the method of multi-output electric pulsation in combination with auricular plaster therapy (with a seed of Vaccariae segetalis 王不留行 taped tightly to a particular ear point and pressed) and received satisfactory therapeutic effects. A report follows.

  10. Treatment of 56 Cases of Women with Post-adolescent Acne by Auricular Point Sticking Method

    Institute of Scientific and Technical Information of China (English)

    DING Min; JIANG Ya-qiu; CUI Xue-jun

    2008-01-01

    @@ Acne is a common disorder in adolescence. However, more and more patients are over 25 years old. This type of acne is recurrent, so it is called post-adolescence acne. The author treated 56 cases of women with post-adolescence acne by auricular point sticking method, and obtained excellent results. It is reported as follows.

  11. Fifty-Six Cases of Acne Treated by Auricular Needle-Embedding

    Institute of Scientific and Technical Information of China (English)

    侯慧先; 吴童

    2002-01-01

    @@ Acne is an inflammatory disease often affecting the boys and girls at the pubescent age, with a tendency of affecting the females aged 30-45 years. We have treated 56 cases of acne by auricular needle-embedding with satisfactory therapeutic results as reported in the following.

  12. He-Ne Laser Auricular Irradiation Plus Body Acupuncture for Treatment of Acne Vulgaris in 36 Cases

    Institute of Scientific and Technical Information of China (English)

    Sun Lihong

    2006-01-01

    In order to observe the therapeutic effects of He-Ne laser auricular irradiation plus body acupuncture for acne vulgaris, 68 cases of acne vulgaris were randomly divided into a treatment group of 36 cases treated with He-Ne laser auricular irradiation plus body acupuncture, and a control group of 32 cases treated with body acupuncture only. The results showed that the cure rate was 77.8% in the treatment group and 46.9% in the control group (P<0.05), indicating that He-Ne laser auricular irradiation plus body acupuncture may exhibit better effects for acne vulgaris.

  13. CLINICAL OBSERVATION ON TREATMENT OF 61 CASES OF INSOMNIA WITH AURICULAR PLASTER THERAPY

    Institute of Scientific and Technical Information of China (English)

    张家彤; 王月

    2003-01-01

    Objective: To observe the therapeutic effect of auricular plaster (otopoint-pressure) therapy in thetreatment of insomnia. Methods: In this paper, 61 cases of insomnia patients including 16 males and 45 females weretreated with Ershenmen (MA-TF 1), Zhen (MA-AT), Yuanzhong (MA-AT), Nao Dian and E (MA-AT), combined withother otopoints according to symptoms. The otopoint was stuck with a piece of plaster adhered with vaccaria seeds andpressured by the patient him- or her-self. The treatment was given twice a week, with 7 times being a therapeuticcourse. Results: After 1 - 2 courses of treatment, 19 (31.15%) cases were cured, 34 (55.74 % ) had improvementand 8 (13.11%) had no changes, with the total effective rate being 86.9%. Conclusion: Auricular plaster therapyworks well in the treatment of insomnia patient.

  14. Treatment of Stye by Auricular Point Blood-letting Therapy: A Report of 85 Cases

    Institute of Scientific and Technical Information of China (English)

    WANG Zhan-hui

    2005-01-01

    Eighty-five cases of stye were treated by pricking and extruding some blood in auricular points Eye 1 and Eye 2. After 5 treatments, 63 cases were cured, 17 cases obtained improvement, 5 cases obtained no effects, and the total effective rate is 94.1%.%点刺耳穴目1和目2,并挤压出血,治疗85例麦粒肿患者,经过5次治疗,治愈63例,好转17例,无效5例,总有效率94.1%.

  15. The Terapeutic Effects of Electrical Acupuncture and Auricular-Plaster in 32 Cases of Chronic Fatigue Syndrome

    Institute of Scientific and Technical Information of China (English)

    Li Yuemei; Liu Hongping; Feng Shulan; Gong Dongfang

    2006-01-01

    Objective:To observe the therapeutic effects of electrical acupuncture and auricular-plaster therapy for chronic fatigue syndrome(CFS).Method:64 CFS patients were randomly divided into two groups.32 cases in the treatment group were treated by the electrical acupuncture and auricular-plaster therapy,and 32 cases in the control group with oral hydrocortisone.Results:The total effective rates were respectively 93.75% in the treatment group and 75.00% in the control group,with a statistically significant difference between the two groups(P<0.05).Conclusion:Electrical acupuncture and auricular-plaster therapy may show a better anti-fatigue effect than that of routine Western drugs.

  16. Fifty Cases of Child Restless Syndrome Treated with the Integrated Method of Chinese Herbal Drugs and Auricular-Plaster Therapy

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Fifty cases of child restless syndrome were treated with oral administration of Chinese traditional herbal drugs plus auricular-plaster therapy from December 1998 to November 2001, and another 47 cases were treated with oral administration of methylphenidate as controls. The result is reported as follows.

  17. Pediatric-Isolated Auricular Erythromelalgia: A Case Report

    Directory of Open Access Journals (Sweden)

    Kelly Grandy

    2012-01-01

    Full Text Available Erythromelalgia is a rare disorder that typically affects the skin of the feet, hands, or both, that is characterized by red skin, warmth, and a burning quality of pain. It usually affects both sides of the body, but may manifest unilaterally. Cooling of the affected areas usually results in symptom relief. We report a case of a young boy with erythromelalgia of the ears.

  18. Mastoiditis mimicry: retro-auricular cellulitis related to otitis externa.

    Science.gov (United States)

    Block, Stan L

    2014-09-01

    Retro-auricular cellulitis associated with otitis externa is now the great mimicker of mastoiditis. It may be the most common cause of this specific cellulitis/auricular protrusion when it is associated with otitis externa. This column presents six cases of children who presented with peri-auricular redness, four of whom had protuberant ear and retro-auricular cellulitis.

  19. Implant-supported auricular prosthesis

    Directory of Open Access Journals (Sweden)

    Aditi Nanda

    2011-01-01

    Full Text Available Differences in the balance of shape, size, and position of body organs are immediately perceived as "looking wrong" and this perception can subject the individual to significant peer ridicule and social ostracism, often expressing as intense shame and anguish in the attitude of the afflicted. Rehabilitation of such patients can be remarkably beneficial on the individual′s self-esteem and body image. The onus of the deed lies in the hands of a team that combines artistic excellence with surgical expertise, by combining the skills of anaplastologists, surgeons, and prosthodontists. This is a review of a few surgical and prosthetic considerations in the management of auricular defect and a case description of management of a patient of microtia following similar guidelines in fabrication of the epithesis.

  20. Implant-supported auricular prosthesis.

    Science.gov (United States)

    Nanda, Aditi; Jain, Veena; Kumar, Rakesh; Kabra, Krishna

    2011-01-01

    Differences in the balance of shape, size, and position of body organs are immediately perceived as "looking wrong" and this perception can subject the individual to significant peer ridicule and social ostracism, often expressing as intense shame and anguish in the attitude of the afflicted. Rehabilitation of such patients can be remarkably beneficial on the individual's self-esteem and body image. The onus of the deed lies in the hands of a team that combines artistic excellence with surgical expertise, by combining the skills of anaplastologists, surgeons, and prosthodontists. This is a review of a few surgical and prosthetic considerations in the management of auricular defect and a case description of management of a patient of microtia following similar guidelines in fabrication of the epithesis.

  1. Auricular Acupuncture with Laser

    Directory of Open Access Journals (Sweden)

    Regina Round

    2013-01-01

    Full Text Available Auricular acupuncture is a method which has been successfully used in various fields of medicine especially in the treatment of pain relief. The introduction of lasers especially low-level lasers into medicine brought besides the already existing stimulation with needles and electricity an additional technique to auricular acupuncture. This literature research looks at the historical background, the development and the anatomical and neurological aspects of auricular acupuncture in general and auricular laser acupuncture in detail. Preliminary scientific findings on auricular acupuncture with laser have been described in detail and discussed critically in this review article. The results of the studies have shown evidence of the effect of auricular laser acupuncture. However, a comparison of these studies was impossible due to their different study designs. The most important technical as well as study parameters were described in detail in order to give more sufficient evidence and to improve the quality of future studies.

  2. Dan Zhi Xiao Yao Yin Combined With Auricular-Point-Pressing for Treatment of Optic Atrophy - A Clinical Observation of 51 Cases

    Institute of Scientific and Technical Information of China (English)

    杨海燕

    2004-01-01

    To evaluate the therapeutic effect of Dan Zhi Xiao Yao Yin (丹栀消遥饮 Decoction of Moutan Bark and Capejasmine) combined with auricular-point- pressing therapy for treatment of optic atrophy. The visual acuity and visual field was observed in the 51 cases (58 eyes) from the treatment group that were treated with Dan Zhi Xiao Yao Yin combined with auricular-point-pressing therapy and the 43 cases (49 eyes)from the control group that were treated with routine western drugs at the end of the trial (60 days). The effective rates of increase in visual acuity obtained in the treatment and the control groups were 79.3% and 44.89% respectively and enlargement in visual field were 61.9% and 22.6% respectively. Statistical analysis showed that there were significant differences between two groups (P<0.05). The therapeutic effect of Dan Zhi Xiao Yao Yin combined with auricular-point -pressing therapy in increasing the visual acuity and enlarging the visual field was superior to that of the routine western drugs.

  3. Clinical Observation on Acupuncture Plus Auricular Acupuncture in Treating Insomnia for 60 Cases%针灸配合耳针治疗失眠症60例

    Institute of Scientific and Technical Information of China (English)

    赵云; 李志轩

    2014-01-01

    目的:观察针灸配合耳针治疗失眠症的临床疗效。方法对60例失眠患者,以针刺百会、神门、内关、三阴交为主穴,配合耳针皮质下、神门、心、肾、垂前。结果经治疗后,治愈30例,显效12例,有效12例,无效6例。总有效率90%。结论针刺配合耳穴治疗失眠疗效显著。%Objective To observe the clinical effect of treating insomnia by acupuncture and auricular acupuncture .Methods 60 cases of patients with insomnia were treated by acupoint , such as BaiHui, ShenMen, NeiGuan, SanYinJiao, coordinated auricular acupuncture point such as Subcortical, ShenMen, Xin, Shen, ChuiQian.Result After treatment, 48 cases were cured, 6 cases were markedly effective, 6 cases were ineffective .The cure rate fou 80%, The total effective rate was 90%.Conclusion The effect of treating insomnia by acupuncture and ear pressure was significant .

  4. The strange case of the ear and the heart: The auricular vagus nerve and its influence on cardiac control.

    Science.gov (United States)

    Murray, Aaron R; Atkinson, Lucy; Mahadi, Mohd K; Deuchars, Susan A; Deuchars, Jim

    2016-08-01

    The human ear seems an unlikely candidate for therapies aimed at improving cardiac function, but the ear and the heart share a common connection: the vagus nerve. In recent years there has been increasing interest in the auricular branch of the vagus nerve (ABVN), a unique cutaneous subdivision of the vagus distributed to the external ear. Non-invasive electrical stimulation of this nerve through the skin may offer a simple, cost-effective alternative to the established method of vagus nerve stimulation (VNS), which requires a surgical procedure and has generated mixed results in a number of clinical trials for heart failure. This review discusses the available evidence in support of modulating cardiac activity using this strange auricular nerve.

  5. The strange case of the ear and the heart: the auricular vagus nerve and its influence on cardiac control

    OpenAIRE

    Murray, AR; Atkinson, L; Mahadi, MK; Deuchars, SA; Deuchars, J

    2016-01-01

    The human ear seems an unlikely candidate for therapies aimed at improving cardiac function, but the ear and the heart share a common connection: the vagus nerve. In recent years there has been increasing interest in the auricular branch of the vagus nerve (ABVN), a unique cutaneous subdivision of the vagus distributed to the external ear. Non-invasive electrical stimulation of this nerve through the skin may offer a simple, cost-effective alternative to the established method of vagus nerve ...

  6. Goldenhar syndrome: a case report with facial ocular auricular vertebral manifestations

    Directory of Open Access Journals (Sweden)

    Kotian Rashmishree R, Vinuta Hegde, Atul P. Sattur , Krishna N. Burde, Venkatesh G. Naikmasur

    2014-11-01

    Full Text Available Goldenhar’s Syndrome (GS is a rare condition described initially by Von Arlt. It is characterized by a combination of anomalies: epibulbar tumors, preauricular tags and malformation of the ears. In 1963, Gorlin suggested the name oculo-auriculo-vertebral (OAV dysplasia for this condition and also included vertebral anomalies as signs of the syndrome. The malformations are said to arise from the first and second branchial arches. This work reports a case of GS in 11-years-old boy with the clinical signs of pseudo macrostomia, preauricular tags and epibulbar tumours.

  7. Post stroke rehabilitation based on SMART goals: a case study

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    Amir-ur Rehman

    2014-02-01

    Full Text Available Post stroke rehabilitation has been consistently reported in physiotherapy as being difficult to manage and limiting to rehabilitation outcome. It is reported that the first few months post stroke are crucial for rehabilitation to reach a maximum potential. However, after this period further recovery is unlikely. Specific, measurable, achievable, realistic, and time-framed (SMART goals are used for goal setting for rehabilitation. They can provide coordination between a multidisciplinary team to develop a plan for the individual needs of patients. This case study explored the use of SMART goals, which are often not used in a rehabilitation setting due to being time-consuming and difficult to create. This case report provides the first evidence that SMART goals may serve as a powerful tool for rehabilitation following stroke. The case study illustrates the clinical role of physiotherapists in the management of a patient with stroke. [J Exp Integr Med 2014; 4(1.000: 71-73

  8. Effect of cognitive rehabilitation in a case of thalamic astrocytoma.

    Science.gov (United States)

    Lo Buono, Viviana; Corallo, Francesco; De Cola, Maria Cristina; Chillemi, Antonino; Grugno, Rosario; Bramanti, Placido; Marino, Silvia

    2016-01-01

    We describe the effectiveness of rehabilitative training for a neuropsychological deficit following the removal and treatment of a fibrillary astrocytoma (Grade II) in a young man. The rehabilitative training was based on cognitive and motivational techniques and has been carried out for a period of 3 months (2 times per week). The results, even if limited to a single case, seem to support the idea that cognitive rehabilitation should facilitate the brain's reorganization of basic cognitive functions in the neuro-oncologic field.

  9. Neurological Vision Rehabilitation: Description and Case Study

    Science.gov (United States)

    Kingston, John; Katsaros, Jennifer; Vu, Yurika; Goodrich, Gregory L.

    2010-01-01

    The wars in Afghanistan and Iraq have been notable for the high rates of traumatic brain injury (TBI) that have been incurred by the troops. Visual impairments often occur following TBI and present new challenges for rehabilitation. We describe a neurological vision rehabilitation therapy that addresses the unique needs of patients with vision…

  10. Forty-nine cases of insomnia treated by acupoint catgut-embedding therapy in combination with auricular point sticking%穴位埋线配合耳穴贴压治疗失眠49例

    Institute of Scientific and Technical Information of China (English)

    郝玉林; WANG Fang

    2011-01-01

    @@ Insomnia is defined as difficulty in falling into sleep and failure to acquire normal sleep, resulting in short sleep time, even staying asleep the whole night in serious case, which impacts on the normal daytime activity and brings the deep pains to the patients.The author had treated 49 cases of insomnia with acupoint catgut-embedding therapy in combination with auricular point sticking from February 2008 to August 2009.The report is as follows.

  11. Rehabilitation

    Science.gov (United States)

    ... doing things you did before. This process is rehabilitation. Rehabilitation often focuses on Physical therapy to help your ... who has had a stroke may simply want rehabilitation to be able to dress or bathe without ...

  12. Clinical Observation on Acupuncture and Cupping Combined with Auricular Plaster Therapy in Treating 68 Cases of Acnes%针刺、拔罐联合耳穴贴压治疗痤疮68例临床观察

    Institute of Scientific and Technical Information of China (English)

    刘君奇

    2012-01-01

    Objective: To observe therapeutic effects of acupuncture, cupping and auricular plaster therapy in treating acnes. Method: Sixty-eight patients were treated with acupuncture,cupping and auricular plaster therapy. Result: Among the patients, 36 cases were cured and accounted for 52.94%; 27 cases effective and 39.71%; five cases ineffective and 7.36%; total effective rate was 92.64%. Conclusion: Acupuncture, cupping and auricular therapy is effective for acnes.%目的:观察针刺、拔罐联合耳穴贴压治疗痤疮的临床疗效.方法:针刺、拔罐联合耳穴贴压治疗符合诊断标准的68 例痤疮患者.结果:治愈36 例,占52.94%;好转27 例,占39.71%;无效5 例,占7.36%;总有效率92.64%.结论:针刺、拔罐联合耳穴贴压治疗痤疮临床疗效显著.

  13. Fibrilación auricular

    OpenAIRE

    Cárdenas, Manuel

    2007-01-01

    La fibrilación auricular es la contracción desordenada e ineficaz de las aurículas. Se reconocen las siguientes variedades clínicas: ocasional, paroxística, persistente y crónica. Se han descrito diversos mecanismos que producen fibrilación auricular, con las mismas manifestaciones clínicas y electrocardiográficas. Para indicar el tratamiento se deben tener en cuenta diversos hechos tales como el tipo de fibrilación auricular, la presencia o ausencia de cardiopatía, la sintomatología asociada...

  14. Efficacy and safety evaluation of acupuncture combined with auricular point sticking therapy in the treatment of polycystic ovary syndrome

    Institute of Scientific and Technical Information of China (English)

    李宁

    2014-01-01

    Objective To compare the efficacy between acupuncture combined with auricular point sticking therapy and clomiphene oral administration in the treatment of polycystic ovary syndrome(PCOS).Methods One hundred cases of PCOS were randomized into two groups,50cases in each one.Acupuncture combined with auricular point sticking group(group A):acupuncture was applied at Guanyuan(CV 4),Zhongji(CV 3)and Zigong(EXCA 1),once daily;auricular point sticking was applied at Spleen

  15. Agoraphobia in a Rehabilitation Medicine Setting: A Case Report.

    Science.gov (United States)

    Kaplan, Steven P.

    1987-01-01

    Agoraphobia is a pervasive constellation of fears and avoidance behaviors relating to open spaces, crowds, being alone, and other everyday situations. Presents the case of a client with agoraphobia on a medical rehabilitation unit. Outlines psychological interventions, giving discharge and follow-up status. Literature review focused on possible…

  16. Esthetic Challenges in Rehabilitating the Anterior Maxilla: A Case Report.

    Science.gov (United States)

    Miranda, M E; Olivieri, K A; Rigolin, F J F; de Vasconcellos, A A

    2016-01-01

    The rehabilitation of an unesthetic smile in the anterior maxilla is always a clinical challenge, especially when an improper shape and size, old restorations, and unesthetic shading are present. In addition, an irregular gingival zenith contour in the anterior maxilla can affect the smile's harmony. Thus, detailed treatment planning is needed to define a functional and esthetic prosthetic rehabilitation. This study describes a clinical case in which a 55-year-old woman was rehabilitated using Digital Smile Design planning and full ceramic crowns (metal free) in the anterior zone of the maxilla and mandible. To normalize the gingival zenith, a dynamic compression technique was performed using provisional restorations to condition the gingival tissues and harmonize the proportional length of the anterior upper teeth.

  17. Acupuncture: a potential modality for the treatment of auricular pruritus in Ramsay Hunt Syndrome with multiple cranial nerve lesions.

    Science.gov (United States)

    Liu, Lan Ying; Wang, He Sheng; Sun, Jian Hua

    2015-03-01

    Auricular pruritus coexisted with multiple cranial nerve lesions in Ramsay Hunt syndrome has been rarely reported in the literature especially its treatment. However, auricular pruritus cannot be better improved along with the improvement of multiple cranial nerve lesions. We tried to solve the problem with acupuncture and got experience from it. The following 2 cases of Ramsay Hunt syndrome show a potential modality for the treatment of auricular pruritus with acupuncture.

  18. 耳穴疗法干预调理体质偏颇患者1477例临床研究%Clinical research on auricular point therapy for 1477 cases of biased constitution

    Institute of Scientific and Technical Information of China (English)

    刘继洪; 张年; 宋少英; 梁伟杰; 余志映; 岑宝英

    2013-01-01

    目的:基于治未病思想,观察耳穴疗法对体质偏颇患者的疗效.方法:采用自身对照方式,对1477例体质偏颇患者运用耳穴贴压或针刺疗法进行调理,并进行随访追踪、统计学分析,观察其疗效.结果:显效322例,有效914例,无效241例,总有效率为83.7%(1236/1477).结论:耳穴综合疗法对体质偏颇患者具有明显疗效,且操作简便,易被患者接受,可推广成为一种新的养生保健干预方式,是治未病领域的一个新方向.%Objective To observe the efficacy of biased constitution patients treated by auricular point therapy on the basis of "preventive treatment" theory. Methods By means of self-control, 1477 cases of biased constitution were regulated by auricular point sticking therapy or acupuncture, and follow-up and statistical analysis were conducted to observe the efficacy. Results There were 322 markedly effective patients, 914 effective patients, 241 failed patients and the total effective rate was 83. 7% (1236/1477). Conclusion The comprehensive auricular treatment which is easy to operate and acceptable for patients has obvious effect in biased constitution patients. As a new direction of the "preventive treatment" theory, it can be promoted to be a new intervention way of health care.

  19. Cognitive rehabilitation in neuro-oncological patients: three case reports

    Directory of Open Access Journals (Sweden)

    Chiara Zucchella

    2012-06-01

    Full Text Available Cognitive impairment is one of the most common neurological disorders in neuro-oncological patients, linked with morbidity, disability, and poor quality of life. As pharmacologic interventions have not yet proven effective in the treatment of cognitive deficits, cognitive rehabilitation could represent an alternative approach. This paper presents three case studies, describing the cognitive intervention and discussing its effectiveness in the light of current evidence.

  20. Rehabilitation of Navigation Lock Walls: Case Histories

    Science.gov (United States)

    1987-12-01

    the low bidder, Pre mier Waterproofing Company, Denver, Colorado. 258. There was no device or test which co uld be used to measure the degree of...concrete to be in sound condition except for surface deterioration. Total resurfacing of the lock chamber would be for cosmetic reasons only and was not...replacement of deteriorated concrete may only be cosmetic and in many cases the appearance may not be satisfac- tory either. Damage from freezing and

  1. The rehabilitation management after hip arthroplasty: a case report

    Directory of Open Access Journals (Sweden)

    Adina BURCHICI

    2017-03-01

    Full Text Available Aim: In this paper we describe the physical therapy management of a 64-year-old female following a bilateral hip arthroplasty. Method: The patient featured in this study, after the surgical intervention had undergone specific recovery treatment consisting of: posture techniques, static (isometric contractions and dynamic kinetic techniques (passive motion, passive-actives, actives, actives with resistance, massage, respiratory gymnastics and reeducation of walking. Results: At the end of the rehabilitation program, hip muscular strength and joint range of motion were improved significantly. The Harris hip score was significantly improved, in comparison to the preoperative one. Conclusion: This case illustrates the importance of the rehabilitation management after bilateral hip replacement.

  2. Rehabilitering

    DEFF Research Database (Denmark)

    Hørdam, Britta

    2008-01-01

    En interviewundersøgelse af patienter, der får gennemført hofteoperation, en opgørelse af deres selvvurdere helbredsstatus med henblik på at tilrettelægge rehabilitering baseret på patienternes egne præmisser.......En interviewundersøgelse af patienter, der får gennemført hofteoperation, en opgørelse af deres selvvurdere helbredsstatus med henblik på at tilrettelægge rehabilitering baseret på patienternes egne præmisser....

  3. Virtual Reality environment assisting post stroke hand rehabilitation: case report.

    Science.gov (United States)

    Tsoupikova, Daria; Stoykov, Nikolay; Kamper, Derek; Vick, Randy

    2013-01-01

    We describe a novel art-empowered Virtual Reality (VR) system designed for hand rehabilitation therapy following stroke. The system was developed by an interdisciplinary team of engineers, art therapists, occupational therapists, and VR artist to improve patient's motivation and engagement. We describe system design, development, and user testing for efficiency, subject's satisfaction and clinical feasibility. We report initial results following use of the system on the first four subjects from the ongoing clinical efficacy trials as measured by standard clinical tests for upper extremity function. These cases demonstrate that the system is operational and can facilitate therapy for post stroke patients with upper extremity impairment.

  4. Bilateral recurrent auricular pseudocyst: Importance of fine-needle aspiration cytology and lactate dehydrogenase estimation

    Directory of Open Access Journals (Sweden)

    Kalyan Khan

    2013-01-01

    Full Text Available Auricular pseudocyst or Idiopathic cystic chondromalacia is a rare, benign condition characterized by a focal noninflammatory cystic swelling on the pinna, occurring usually in young male patients. Bilaterality and recurrence have been reported rarely. We report a case of bilateral, recurrent auricular pseudocyst in a young male patient, where fine needle aspiration cytology coupled with fluid lactate dehydrogenase level estimation was diagnostic. Repeated surgery was avoided and conservative treatment was proved to be effective.

  5. Rehabilitering

    DEFF Research Database (Denmark)

    Stokholm, Gitte; Jensen, Liselotte; Petersen, Charlotte

    Fokus på forståelse af rehabilitering som tværfaglig tilgang indrettet på borgerens præmisser. Der diskuteres faldgrupper og fortolkningsspørgsmål, der opstår, når man gerne vil handle politisk korrekt og lade de personer, det drejer sig om, komme til orde og få indflydelse. Emner er handicappoli...

  6. Rehabilitering

    DEFF Research Database (Denmark)

    Caswell, Dorte; Høybye-Mortensen, Matilde; Dall, Tanja

    2013-01-01

    Rehabilitering som både begreb og indsats har været genstand for stigende fokus i de seneste år, på både politisk, organisatorisk og praksis-niveau. Fra januar 2013 træder en større reform af førtidspension og fleksjob i kraft, og med reformen etableres ’rehabilitering’ som både mål og middel i...... beskæftigelsesindsatsen. Med dette temanummer af Social Politik ønsker vi at sætte fokus på rehabiliteringsbegrebets udbredelse og udfyldelse, og de konsekvenser de aktuelle social- og beskæftigelsespolitiske tendenser kan have for den konkrete rehabiliteringsindsats i praksis....

  7. Treatment of Dysmenorrhea by Acupuncture plus Auricular Acupuncture

    Institute of Scientific and Technical Information of China (English)

    CAI Zhi-jun; LI Fang; LU Mei; XIAO Yuan-chun

    2004-01-01

    采用针刺和电耳针相结合的方法治疗气滞血瘀型痛经38例,取得良好疗效,有效率达974%.%The authors adopted acupuncture plus auricular electro-acupuncture to treat 38 cases of dysmenorrhea belonging to qi stagnation and blood stasis pattern, the better therapeutic effect was achieved, with the effective rate of 97.4%.

  8. Physical therapy rehabilitation of benign paroxysmal positional vertigo: Evidence based case report

    OpenAIRE

    Selvam Ramachandran; Manish Goon; Priyanka Singh

    2013-01-01

    The benign paroxysmal positional vertigo results in dizziness and imbalance leading to risk of fall thus, imposing functional limitations. The repositioning-liberatory maneuvers, habituation and balance exercises are widely used as the treatment strategies of the rehabilitation program. This case report discusses the success of such rehabilitation program on two subjects based on the updated clinical evidence.

  9. Physical therapy rehabilitation of benign paroxysmal positional vertigo: Evidence based case report

    Directory of Open Access Journals (Sweden)

    Selvam Ramachandran

    2013-01-01

    Full Text Available The benign paroxysmal positional vertigo results in dizziness and imbalance leading to risk of fall thus, imposing functional limitations. The repositioning-liberatory maneuvers, habituation and balance exercises are widely used as the treatment strategies of the rehabilitation program. This case report discusses the success of such rehabilitation program on two subjects based on the updated clinical evidence.

  10. A Case Report Exploring Activity Intensity in Inpatient Rehabilitation after Stroke

    Directory of Open Access Journals (Sweden)

    Kathryn Zalewski

    2010-01-01

    Full Text Available Background and Purpose. Inpatient rehabilitation in countries other than the United States (US has been described as a time where patients are often not engaged in intensive physical activity. The purpose of this case report is to explore the amount and intensity of physical activity provided in inpatient rehabilitation after stroke in the US. Methods. This study presents a case report of a person admitted to an inpatient rehabilitation unit after sustaining a first stroke. A customized data collection tracked type of activity, activity intensity and social interaction every 5 minutes during the rehabilitation day. Results. 74 percent of the day was spent in low intensity, often seated, physical activity; 14% of the day was spent resting or sleeping. Only 2.91% the day was spent in moderate or high intensity activity with a mobility focus. Conclusions. Consistent with other studies, this case report suggests a relatively low physical demand to rehabilitation delivered in inpatient stroke rehabilitation. This case begins to raise questions about optimized rehabilitation parameters for acute stroke rehabilitation.

  11. Predictive Value of Auricular Diagnosis on Coronary Heart Disease

    Directory of Open Access Journals (Sweden)

    Lorna Kwai-Ping Suen

    2012-01-01

    Full Text Available The ear has a reflexive property; therefore, various physical attributes may appear on the auricle when disorders of the internal organs or other parts of the body exist. Auricular diagnostics is an objective, painless, and noninvasive method that provides rapid access to information. Thus, the association between auricular signals and coronary heart disease (CHD should be further investigated. A case control study was conducted to determine the predictive value of auricular signals on 100 cases of CHD (CHD+ve = 50; CHD−ve = 50 via visual inspection, electrical skin resistance measurement, and tenderness testing. The results showed that the presence of an ear lobe crease (ELC was significantly associated with coronary heart disease. The “heart” zone of the CHD+ve group significantly exhibited higher conductivity on both ears than that of the controls. The CHD+ve group experienced significant tenderness in the “heart” region compared with those in the CHD−ve group in both acute and chronic conditions. Further studies that take into consideration the impact of age, race, and earlobe shape on ELC prevalence in a larger sample should be done.

  12. [Blade auricular septostomy].

    Science.gov (United States)

    Ledesma Velasco, M; Nuñez Garduño, D; Salgado Escobar, J L; Munayer Calderón, J; Rodríguez Hernández, L; Rangel Abundis, A

    1987-01-01

    We describe the first case of BAS in our country in a three months old child with transposition of the great arteries, restrictive atrial septal defect (RASD) and intact interventricular septum. When he was 15 days old, we performed a balloon atrial septostomy. He had temporal improvement and six weeks later his cyanosis increased, and a new catheterization showed systemic arterial oxygen saturation of 30%, RASD and an interatrial pressure gradient of 2.1 mmHg (left atrium LA: 3.9 and right atrium RA: 1.8). We decided to perform a new septostomy with Park's blade atrial septostomy catheter. After the procedure the interatrial pressure gradient decreased to 0.2 mmHg (RA: 4.3 and LA: 4.5), the angiography shunt and atrial pressures increased. Five months later the child is alive and the systemic arterial oxygen saturation is 51.3%. The technique, advantages and complications are described.

  13. Comparison of two impression techniques for auricular prosthesis: pilot study.

    Science.gov (United States)

    Mohamed, Kasim; Mani, U M; Seenivasan, M K; Vaidhyanathan, A K; Veeravalli, P T

    2013-01-01

    The purpose of this article was to compare the accuracy of a new impression technique, the triple-layer impression technique (TLIT), with the conventional impression technique (CIT) to fabricate an auricular prosthesis. Fifteen male subjects (aged 22-45 yr) were selected. Ten markings were made on the subject's ear (super aurale [sa], sub aurale [sba], pre aurale [pra], post aurale [poa], A, A1, B, B1, C, and C1) and five measurements (sa-sba, pra-poa, A-A1, B-B1, and C-C1) were made. Custom-made trays were used to record impression in CIT and TLIT. Impressions were made using alginate, and models were cast with type IV gypsum product. Markings were transferred on the cast. Measurements were rechecked on the models. Distribution analysis of difference in measurements between the two impression techniques and the subject's actual values was evaluated. Sign test was used to analyze the statistical significance. Statistically significant differences were found in measurements A-A1, B-B1, and C-C1 between the two techniques when compared with the subject's actual dimensions (p < 0.01). TLIT was found to produce accurate models when compared with CIT. The TLIT used in the study was cost effective, less technique sensitive, and tailor made to reduce chairside orientation time during wax try-in appointments for rehabilitating patients, especially those with unilateral auricular defects.

  14. Influence of Auricular Plaster Therapy on Sleeping Structure in OSAS Patients

    Institute of Scientific and Technical Information of China (English)

    WANG Xiao-hong; XIAO Lan-ying; WANG Bao-fa; YUAN Ya-dong; PAN Wen-sen; SHI Yu-zhen

    2009-01-01

    To evaluate the therapeutic effects of auricular plaster therapy for obstructive sleep apnea syndrome (OSAS) and the influence on sleeping structure. Methods: 45 OSAS patients were randomly divided into a treatment group of 30 cases and a control group of 15 cases for comparison of the changes in parameters of respiration and sleep at night. Results: The auricular plaster therapy significantly improved the hypoventilation index, respiratory disturbance index and other respiratory parameters as well as the sleeping parameters such as the time and rate of sleep at stage Ⅰ and Ⅱ, and the waking time and rate.Conclusion: Auricular plaster therapy may show good therapeutic effects for OSAS, and with the advantages of low cost and less side effects.

  15. Classic and New Materials Used for Structural Rehabilitation. Case Study

    Science.gov (United States)

    Lute, M.

    2016-06-01

    New materials development with different combination of properties were always a challenge in terms of their adequate use in civil engineering. Introduction of carbon fibres as strength material for structures was a beginning of a new approach in structural rehabilitation, and sometimes meant the end of classic rehabilitation solution use. The present paper gives an example of a building rehabilitation that use a melt of both new and old solutions in order to achieve the optimum result for building itself. The problem was even more challenging, because the structure considered is only 22 years old, but having some design faults in terms of seismic behaviour and, in addition, one floor was added to existing structure. The chosen solution was a compromise between the use of old and new materials in places where their qualities were best suitable and their minuses could be compensated by the other material.

  16. THE METHODICS OF POSTTRAUMATIC SHOULDER REHABILITATION IN ATHLETES (CASE STUDY

    Directory of Open Access Journals (Sweden)

    Balteanu Veronica

    2014-03-01

    Full Text Available The rehabilitation of the posttraumatic shoulder requires a complex treatment, which demands the implication of several specialists (specialized physician, radiologist, kinesiotherapist. The patient himself plays an important role: he has to be cooperative, active; he must understand the therapeutic act and respect all the indications of the specialists. The upper limb often suffers traumatisms, more serious and more frequent in certain sports branches.The functional rehabilitation – through adequate kinesiotherapeutic means and methods, methodically and systematically applied, within an optimal time frame – will recover the patient’s usual gestures for the respective segment; his social and professional reintegration will also occur as soon as possible.

  17. Reconstrucción auricular: experiencia de 24 años Auricular reconstruction: 24 year experience

    Directory of Open Access Journals (Sweden)

    A. I. Mantilla Martín

    2008-06-01

    Full Text Available La oreja, debido a su situación expuesta en la cabeza, es un órgano susceptible de sufrir múltiples traumas e incluso pérdida; así mismo, es asiento de neoplasias malignas, carcinomas y melanomas que igualmente finalizan en amputación. Fuera de estas razones, la ausencia congénita del pabellón auricular es la segunda malformación facial de origen congénito más frecuente después del labio y paladar fisurados. Es común por tanto para el cirujano plástico verse frente a pacientes que consultan solicitando la solución a su deformidad. El presente artículo trata de señalar el camino a seguir dividido en cuatro etapas de acuerdo a los principios definidos por el Dr. Radford Tanzer y perfeccionados a través de los años por el Dr. Burt Brent, e ilustra el manejo de la reconstrucción en casos de microtia, amputación auricular y el uso de colgajos de fascia temporal en los casos en que la piel de la región mastoidea ha sido comprometida y no es posible usarla como elemento primario para la reconstrucción auricular.Due to its very exposed situation on both sides of the head, the auricle is very susceptible to suffer severe traumas, that will at the end cause its amputation; it´s too one of the most common sites to present malignant tumors, carcinoma and melanoma, that will also end in the surgical amputation of the ear. Congenital absence of the ear, microtia, is the second most common facial anomaly after cleft lip and palate. Not infrequently plastic surgeon confronts with patients seeking an answer for correction of their deformities. The present article tries to show a four steps method, according to the principles described first by Dr. Radford Tanzer and later improved by Dr. Burt Brent and illustrates how to manage the auricular reconstruction in cases of congenital microtia or traumatic loss of the auricle, as well as the use of the temporal fascia flap as a way to provide skin coverage, when the skin of the mastoid area has

  18. Vascularized fibula free flap for implant rehabilitation in the case of extreme atrophy.

    Science.gov (United States)

    Baj, A; Bellocchio, G; Laganà, F; Beltramini, G A; Testori, T; Giannì, A B

    2010-04-01

    The skeletal reconstruction in cases of extreme atrophy like a class VI Cawood classification can be carried out using free bone flaps. They represent a valid option for preprosthetic rehabilitation of atrophic maxillas. Over the last 5 years, the use of vascularized bone transplants, aimed at implant-prosthetic rehabilitation, has become a practice, which has gradually found the right indications and the range of applications, which are now widely acknowledged. The key to success in the use of free flaps lies in the identification of the correct indications for use, in meticulous programming and the particular motivation that this type of patient has for reacquiring optimum masticatory functions. The final prosthetic implant rehabilitation must be prosthetically guided and an accurate preoperative planning is of fundamental importance for restoring masticatory functions and esthetic harmony to the patient through a fixed prosthesis. The authors present a case of a rehabilitation of an extreme maxillary and mandibular atrophy.

  19. Sensory-Motor Rehabilitation in Rett Syndrome: A Case Report

    Science.gov (United States)

    Pizzamiglio, Maria Rosa; Nasti, Marianna; Piccardi, Laura; Zotti, Antonella; Vitturini, Claudio; Spitoni, Grazia; Nanni, Maria Vittoria; Guariglia, Cecilia; Morelli, Daniela

    2008-01-01

    Rett syndrome (RS) is a severe neurodevelopmental disorder that mostly affects females. It is characterized by a regression of motor, cognitive, linguistic, and social abilities and by an inappropriate and stereotypical use of the hands. The purpose of the current study was to explore the possibility of rehabilitating purposeful use of the hands…

  20. Hemifacial spasm and posterior auricular muscle.

    Science.gov (United States)

    Kiziltan, M; Sahin, R; Uzun, N; Kiziltan, G

    2006-09-01

    We aimed to investigate to which extent posterior auricular muscle (PAM) was affected and whether it contributed to the reflex activity in hemifacial spasm (HFS) patients. 19 HFS patients' spasm activities were recorded from facial muscles. Spasm activity of PAM was recorded synchronously on the symptomatic side in all patients. Lateral spread of blink reflex to orbicularis oris and PAMs were recorded in all but two patients. Botulinum toxin was applied to the PAM with the 14 patients presenting tinnitus, "clicking" or a "ticking" sound on the sane side and other positive auricular symptoms. After treatment, there was symptomatic improvement in 9 of 14 patients. The patients presenting with auricular symptoms and showing spasm activity in their PAMs can be thought as a candidate for botulinum toxin treatment scheme.

  1. A Case Study on the Rehabilitation of a Fire-Damaged Structure

    Directory of Open Access Journals (Sweden)

    Taehun Ha

    2016-05-01

    Full Text Available This paper presents a case study on the rehabilitation of a fire-damaged structure and describes the results of a site investigation and tests, leading to a plan for the rehabilitation of the structure. The fire took place in the main control room of a thermal power plant and lasted about three hours until it was finally extinguished. To set up a rehabilitation plan for the damaged structure, a visual inspection of the damaged condition was first carried out, which was followed by analysis and on-site material tests indicating the degree of neutralization progress in the remaining structure. Specimens of damaged concrete and reinforcing bars were sampled and tested for their residual strengths. As a conclusion, two methods of rehabilitation were suggested considering the current condition of the structure and the sequence of construction.

  2. Full-mouth rehabilitation with single-tooth implant restorations. Overview and report of case.

    Science.gov (United States)

    Markiewicz, Michael R; Raina, Ankoo; Chuang, Sung-Kiang; Margarone, Joseph E; Dodson, Thomas B

    2010-03-01

    The purpose of this study was to report a case of full-arch rehabilitation with single-tooth endosseous implant restorations. Secondly, the investigators aimed to review the literature systematically regarding full-mouth rehabilitation of the edentulous patient with single-tooth implant restorations. The investigators searched the databases PubMed, EMBASE Drugs and Pharmacology, the Cochrane library, and clinicaltrials.gov for relevant literature regarding full-mouth fixed rehabilitation of the edentulous patient with dental implants. In addition, the investigators provide a clinical case of full-mouth rehabilitation of an edentulous patient using single-tooth implant restorations. The literature search revealed 60 citations that addressed the topic at large. None of the papers reported full-mouth rehabilitation with single-tooth implant restorations; therefore, papers reporting full-arch rehabilitation with a full-arch fixed prosthesis were compared to the single-implant restoration protocol described herein. Although there are similarities between our protocol and those proposed in the past, differences include potentially higher patient satisfaction because of the close similarity between the final restorations and the patient's prior natural dentition. While the proposed treatment may not be within the financial means of most patients, because of its anecdotal advantages over conventional splinted fixed restorations, the investigators believe this is the next step in the evolution of the restorative management of the completely edentulous patient.

  3. Case descriptions of fibropapillomatosis in rehabilitating loggerhead sea turtles Caretta caretta in the southeastern USA.

    Science.gov (United States)

    Page-Karjian, Annie; Norton, Terry M; Harms, Craig; Mader, Doug; Herbst, Larry H; Stedman, Nancy; Gottdenker, Nicole L

    2015-08-20

    Fibropapillomatosis (FP) is a debilitating neoplastic disease that affects all species of hard-shelled sea turtles, including loggerhead turtles Caretta caretta. FP can represent an important clinical concern in rehabilitating turtles, since managing these infectious lesions often requires special husbandry provisions including quarantine, and FP may affect clinical progression, extend rehabilitation duration, and complicate prognoses. Here we describe cases of rehabilitating loggerhead turtles with FP (designated FP+). Medical records of FP+ loggerhead cases from 3 sea turtle rehabilitation facilities in the southeastern USA were reviewed. Between 2001 and 2014, FP was observed in 8 of 818 rehabilitating loggerhead turtles (0.98% overall prevalence in admitted patients). FP+ loggerhead size classes represented were large juvenile (straight carapace length, SCL: 58.1-80 cm; n=7) and adult (SCL>87 cm; n=1). Three turtles presented with FP, and 5 developed tumors during rehabilitation within a range of 45 to 319 d. Sites of new tumor growth included the eyes, sites of trauma, neck, and glottis. FP+ turtles were scored as mildly (3/8), moderately (4/8), or heavily (1/8) afflicted. The mean total time in rehabilitation was 476±355 d (SD) (range: 52-1159 d). Six turtles were released without visible evidence of FP, 1 turtle was released with mild FP, and 1 turtle with internal FP was euthanized. Clinical decision-making for FP+ loggerhead patients can be aided by such information as time to tumor development, anatomic locations to monitor for new tumor growth, husbandry considerations, diagnostic and treatment options, and comparisons to FP in rehabilitating green turtles Chelonia mydas.

  4. Auricular Acupunctures Are Effective for the Prevention of Postoperative Agitation in Old Patients

    Directory of Open Access Journals (Sweden)

    Young-Chang P. Arai

    2010-01-01

    Full Text Available Postoperative cognitive problems and delirium are not uncommon in the elderly. We reported four cases in which auricular acupunctures on the ‘Shenmen’ and ‘Point Zero’ points successfully managed postoperative problematic behaviors of the three patients with dementia and the one patient postoperatively demonstrating an agitated behavior.

  5. Treatment of 20 Infants with Night Crying by Tuina and Auricular Application

    Institute of Scientific and Technical Information of China (English)

    肖莲英

    2010-01-01

    Night crying is a condition that infants under one year old often cry at night, or at regular times, sometimes throughout the entire night, but acting normal during daytime. We treated 20 cases by tuina and auricular application. It is reported as follows.

  6. Long-term quality of life assessment in patients with auricular prostheses

    NARCIS (Netherlands)

    Kievit, H.; Verhage-Damen, G.W.; Ingels, K.J.A.O.; Mylanus, E.A.M.; Hol, M.K.S.

    2013-01-01

    OBJECTIVE: To investigate the quality of life of people with an auricular prosthesis. METHODS: A retrospective case series study was conducted. Quality of life was evaluated by an open-ended question form and 3 questionnaires: the Glasgow Benefit Inventory, the Rosenberg Self-Esteem scale, and the s

  7. Vocational rehabilitation case manager factors associated with vocational rehabilitation service program outcomes for people with disabilities in Taiwan - an exploratory study.

    Science.gov (United States)

    Wang, Yun-Tung; Lin, Yi-Jiun

    2017-02-01

    Purpose The aim of this study is to explore whether/which vocational rehabilitation case manager (VRCMer) factors were significantly associated with the vocational rehabilitation service (VRS) program outcomes in Taiwan. Method This study used the 2011 VRS Program for People with Disabilities Database in a metropolitan city in Taiwan (N = 466) to do a secondary data analysis using hierarchical logistic regression. Results This study found that the employment rate and stable employment rate created by the 2011 VRS program in a metropolitan city in Taiwan were 48.7% and 42.1%, respectively. For the predictors of employment/stable employment, "occurrences of the services provided by the VRCMer" variable was definitely dominant. In addition, "level of the disability" was the second-ranking predictor, and was significantly negatively correlated with both employment and stable employment outcomes. Conclusions Vocational rehabilitation case manager factors in this study were significantly correlated with VRS program outcomes for people with disabilities in Taiwan after controlling for the clients' socio-demographic variables. The results indicate that greater input by VRCMers for people with disabilities equates to better employment outcomes in metropolitan Taiwan. Implications for Rehabilitation This is the first study to build an inferential statistical model in attempt to explain and predict the association between vocational rehabilitation case manager factors and vocational rehabilitation service program outcomes for people with disabilities in Taiwan. In cases of severe disability, a vocational rehabilitation case manager should seek out more in-kind and in-cash resources, and choose a suitable job coach to cooperate in assisting the client to become employed. Based on the findings, government has to continue implementing opportunities for people with disabilities to attain higher and better quality educational levels, for increasing their employment rate

  8. Zirconia Rehabilitation Focused on the Emergence Profile: A Case Report.

    Science.gov (United States)

    Mesquita, Alfredo Mikail Melo; Kojima, Alberto Noriyuki; Giovani, Elcio Madaglena; Saraceni, Cintia Helena Coury; Rodrigues, Flávia Pires

    2016-06-01

    The first choice for anterior rehabilitation has been metal-free materials due to their successful aesthetic results. However, the definitive clinical work accuracy may be affected by the lack of clinicians' expertise and familiarization with the latest techniques, as well as recurrent laboratory procedures. This manuscript presents a clinical experience with zirconia ceramic for anterior crowns and zirconia CAD/CAM abutments, including both clinical and laboratory steps after the implant installation. The 'emergence profile' and the 'double scanning' techniques obtained by the waxing technique appear to be a very promising procedure for aesthetic improvement of the single-implant zirconia restoration in anterior teeth.

  9. Prosthetic Oral Rehabilitation of a Child With S-ECC: A Case Report with Histopathologic Analysis.

    Science.gov (United States)

    Tannure, P N; Moraes, G G; Borba, McU; Abrahão, A; Andrade, Mtrc; Fidalgo, Tks

    2015-01-01

    The aim of this case report is to describe the treatment planning of a young child with severe early childhood caries (S-ECC) as well as the prosthetic rehabilitation technique. A 3-year-old female child was referred to the pediatric dentistry clinic with the chief complaint of tooth pain, difficulty in eating and recurrent hospitalizations caused by dental infections. The mother reported intermittent episodes of fever and recurrent swelling of child's face. The girl presented angular cheilitis and was referred to a dietitian. The treatment plain consisted on a behavior changes in oral hygiene habits, exodontias of all primary teeth and oral rehabilitation with a prosthesis. The extracted teeth with periapical lesions were submitted to histopathologic analysis (hematoxilin and eosin staining) and revealed an inflammatory infiltrate. The aesthetic requirement of children with S-ECC has been a challenge to pediatric dentists. In the present case, the oral rehabilitation provided for the children better aesthetic, nutrition, phonation, and functional conditions.

  10. Implant-supported auricular prosthesis

    OpenAIRE

    Aditi Nanda; Veena Jain; Rakesh Kumar; Krishna Kabra

    2011-01-01

    Differences in the balance of shape, size, and position of body organs are immediately perceived as "looking wrong" and this perception can subject the individual to significant peer ridicule and social ostracism, often expressing as intense shame and anguish in the attitude of the afflicted. Rehabilitation of such patients can be remarkably beneficial on the individual′s self-esteem and body image. The onus of the deed lies in the hands of a team that combines artistic excellence with surgic...

  11. Aesthetic and Functional Rehabilitation of a Case of Mutilated Dentition and Loss of Vertical Dimensions

    OpenAIRE

    Dua, Parag; Singh, J. P.; Aghi, Anu

    2011-01-01

    Cases of severe attrition are a common finding in daily clinical practice. Attrition leads to loss of vertical dimension, chewing inefficiency and poor esthetics. These cases require complete oral rehabilitation which can be successfully achieved by a systematic approach integrating various concepts of prosthodontics. The primary aim of such complex treatment modalities is to regain the lost function, esthetics, comfort and confidence for the patient. The following case report describes the c...

  12. Direct Esthetic Rehabilitation of Teeth with Severe Fluorosis: A Case Report

    Directory of Open Access Journals (Sweden)

    Shafiei F.

    2013-10-01

    Full Text Available This article describes an esthetic rehabilitation of a case of severe fluorosis associated with tooth mobility and gingival recession. Direct composite technique was applied to improve the color, shape and alignment of the teeth using direct composite veneering and replacement of the missing tooth by fiber-reinforced composite bridge. One year follow up have displayed acceptable outcomes and esthetic appearance.

  13. Acromioclavicular Reconstruction using Autogenous Semitendinosus Tendon Graft and the Importance of Postoperative Rehabilitation: A Case Report

    Directory of Open Access Journals (Sweden)

    Jade PY Ho

    2013-11-01

    Full Text Available We present a case of chronic acromioclavicular joint dislocation (Rockwood type 5 in which the choice of acromioclavicular reconstruction using autogenous semitendinosus tendon graft was made due to its superiority in anatomical reconstruction of the coracoclavicular ligaments, and the impact of postoperative rehabilitation on the recovery of this patient. We also discuss the rationale behind this.

  14. Medical Tourism in Romania. The Case Study of Cardiovascular Rehabilitation in Covasna

    Directory of Open Access Journals (Sweden)

    Roxana Oana Darabont

    2014-11-01

    Full Text Available Romania has one of the highest mortality rates in Europe for ischemic heart disease and, especially, for cerebrovascular disease. Taking into account the actual prevalence of cardiovascular diseases, an augmentation of the demand for specialized medical services is expected. As this paper argues, this situation can have an important impact on medical tourism. We analyze original data on the case study of a hospital, specialized in cardiovascular treatment, in the Romanian county of Covasna, which is offering specific balneal procedures, such as CO2 .hydrotherapy, alongside regular rehabilitation programs. The aim of our study is to evaluate the demographic characteristics, and the pathology of the hospitalized patients, as well as the specific rehabilitation procedures. Our findings suggest that the interest of patients, with cardiovascular diseases, for medical tourism can be influenced by accessibility, by some particularities of the location, but also by the holistic nature of the rehabilitation procedures.

  15. The challenges of dysphagia management and rehabilitation after extensive thermal burn injury: a complex case.

    Science.gov (United States)

    Rumbach, Anna F; Ward, Elizabeth C; Cornwell, Petrea L; Bassett, Lynell V; Muller, Michael J

    2009-01-01

    The role of the speech pathologist in the burns population is still emerging, with detailed discussion of the assessment and management of dysphagia limited to date. This report describes the case of a 60-year-old man who developed severe contractures of the head and neck and oropharyngeal dysphagia after sustaining 53.5% deep partial- and full-thickness burns. Although some aspects of rehabilitation were confounded by a preexisting mild intellectual disability, the patient was able to participate in an intensive regimen of active and passive exercise to rehabilitate his oropharyngeal dysphagia. Significant oral contractures remained; however, the patient was discharged without tracheostomy and consuming a texture-modified diet with no signs of aspiration. To our knowledge, this is one of a small handful of reports that document speech pathology management of the burns population, and a first that identifies and outlines specific characteristics of, and rehabilitation strategies for, dysphagia in a burned individual.

  16. Repair, Evaluation, Maintenance, and Rehabilitation Research Program. Rehabilitation of Navigation Lock Walls: Case Histories.

    Science.gov (United States)

    1987-12-01

    construction contract for the repairs was awarded to the low bidder, Premier Waterproofing Company, .- Denver, Colorado. 258. There was no device or test...sound condition except for surface deterioration. Total resurfacing of the lock chamber would be for cosmetic reasons only and was not considered...may only be cosmetic and in many cases the appearance may not be satisfac- . ’ tory either. Damage from freezing and thawing may only be a % few

  17. Lake trout rehabilitation in Lake Erie: a case history

    Science.gov (United States)

    Cornelius, Floyd C.; Muth, Kenneth M.; Kenyon, Roger

    1995-01-01

    Native lake trout (Salvelinus namaycush) once thrived in the deep waters of eastern Lake Erie. The impact of nearly 70 years of unregulated exploitation and over 100 years of progressively severe cultural eutrophication resulted in the elimination of lake trout stocks by 1950. Early attempts to restore lake trout by stocking were unsuccessful in establishing a self-sustaining population. In the early 1980s, New York's Department of Environmental Conservation, Pennsylvania's Fish and Boat Commission, and the U.S. Fish and Wildlife Service entered into a cooperative program to rehabilitate lake trout in the eastern basin of Lake Erie. After 11 years of stocking selected strains of lake trout in U.S. waters, followed by effective sea lamprey control, lake trout appear to be successfully recolonizing their native habitat. Adult stocks have built up significantly and are expanding their range in the lake. Preliminary investigations suggest that lake trout reproductive habitat is still adequate for natural reproduction, but natural recruitment has not been documented. Future assessments will be directed toward evaluation of spawning success and tracking age-class cohorts as they move through the fishery.

  18. The Mozart effect in biofeedback visual rehabilitation: a case report

    Directory of Open Access Journals (Sweden)

    Salvatore S

    2011-09-01

    Full Text Available Serena Salvatore, Aloisa Librando, Mariacristina Esposito, Enzo M VingoloDepartment of Ophthalmology, University La Sapienza, Polo Pontino, Alfredo Fiorini Hospital, Terracina, ItalyPurpose: To evaluate the usefulness of acoustic biofeedback by means of Mozart’s Sonata for Two Pianos in D Major K. 448 to maintain and/or restore visual performance in a patient with macular pucker and glaucoma.Methods: A 74-year-old patient with open angle glaucoma in both eyes and macular pucker in the right eye (RE underwent visual rehabilitation with acoustic biofeedback by means of the MAIA™ Vision Training Module (Centervue, Padova, Italy 10 minutes each eye once a week for 5 weeks. The patient was asked to move his eyes according to a sound which changed into Mozart’s Sonata for Two Pianos when the patient locked the fixation target.Results: Best-corrected visual acuity improved in his right eye (RE and was stable in the left eye (LE. Fixation stability improved in both eyes, and retinal sensitivity decreased in the RE and improved in the LE. The characteristic of the macular pucker did not change during the training as demonstrated with optical coherence tomography. The patient was very satisfied with the training, as demonstrated by a 25-item questionnaire (National Eye Institute – Visual Functioning Questionnaire, NEI-VFQ-25. The patient’s reading speed and the character size which he was able to read improved in his RE.Conclusion: Music could enhance synaptic plasticity and affect neural learning and fixation training by means of MAIA vision training. Therefore it can improve visual performance in patients with macular pucker, postpone the surgical time, and assure a better quality of life for the patient.Keywords: glaucoma, macular cellophane, music, vision training

  19. 耳穴按压结合电针治疗中风后焦虑症90例%Auricular Acupressure Combined with Electroacupuncture in the Treatment of Post-stroke Anxiety Disorder:Analysis of 90 Cases

    Institute of Scientific and Technical Information of China (English)

    孙姜云; 孙远征

    2014-01-01

    目的:观察耳穴按压结合电针治疗中风后焦虑症的临床疗效。方法:90例中风后焦虑患者在基础针刺及口服西药黛力新的基础上,进行耳穴按压及电针的治疗,根据汉密尔顿焦虑量表( HAMA )、生活自理能力评定Barthel指数(BI)的评分变化来评价疗效。结果:经过治疗后,总有效率为85.56%,自理能力均明显增强。结论:耳穴按压结合电针是治疗中风后遗焦虑症的有效方法。%Objective:To investigate the clinically curative effect of the auricular acupressure combined with electroacupuncture treatment on patients with anxiety disorders after stroke.Methods:Ninety patients with anxi-ety disorders after stroke received oral paroxetine and basic acupuncture treatment as well as the auricular acu-pressure combined with electroacupuncture treatment.Anxiety levels and patients’ conditions were assessed by the score of Hamilton Anxiety Scale ( HAMA) and Barthel Index( BI) before and after treatment.Results:After the treatment,the total effective rate was 85.56%,and self-care ability improved significantly.Conclusion:The auricular acupressure combined with electroacupuncture treatment is an effective therapy for anxiety disor-ders after stroke.

  20. Treating one case of intractable insomnia by acupuncture, bloodletting in auricular point plus sharp-eared%针刺、耳穴配合耳尖放血治愈顽固性失眠1例

    Institute of Scientific and Technical Information of China (English)

    王燕; 陈华德

    2012-01-01

      With the accelerating pace of biochemical, various pressure is unexpected. The Insomnia becomes a common clinical disease. Acupuncture, bloodletting in auricular point plus sharp-eared is effective in treating insomnia.%  随着生化节奏的不断加快,各种压力突如其来,失眠成为临床常见疾病。运用针刺、耳穴配合耳尖放血治疗失眠取得良好地疗效。

  1. Full mouth rehabilitation of a patient with amelogenesis imperfecta: a case report.

    Science.gov (United States)

    Rajesh, P; Prasad, Maruthi; Haldal, Sindhu

    2014-07-01

    Amelogenesis imperfecta (AI) is a hereditary disorder expressing a group of conditions which cause developmental alterations in the structure of enamel. This disorder has an adverse impact on oral health and also hampers the quality of life of the individual causing physiologic problems. The treatment of such patients would not only upgrade their quality-of-life, but also improve their self-esteem. The correction of such severely worn out dentition may require extensive restorative treatment to achieve appropriate results. It is important to identify the factors that contribute to the excessive wear and loss of vertical dimension. The correction of the defects has to be done without violating the biologic or mechanical principles. Full mouth rehabilitation in such patients improves esthetics, function and comfort. The following case report presents a systematic approach in rehabilitating a case of AI hypoplastic type using full mouth metal reinforced porcelain restorations.

  2. A CLINICAL CASE REPORT ON RESTORATION AND REHABILITATION OF GROSS ANATOMIC LIMB DEFECT S

    Directory of Open Access Journals (Sweden)

    Srinivas Kumar

    2015-05-01

    Full Text Available Rehabilitation of missing body parts has been an enigma. Various techniques were put forward for fabrication of these missing parts. Missing digits is a congenital anomaly in various syndromes. Here is a case report of male child with congenitally missing fingers of the hand and digits of the toes. Gloves and Socks type of prosthesis was fabricated with RTV silicone, which not only replaced missing fingers and digits but also enhanced self - esteem of the patient.

  3. Rehabilitation of amelogenesis imperfecta using a reorganized approach: a case report.

    Science.gov (United States)

    Chan, Kingsley H C; Ho, Edward H T; Botelho, Michael G; Pow, Edmond H N

    2011-05-01

    Amelogenesis imperfecta is a genetic disorder that causes defective enamel development in both the primary and permanent dentitions. Significant tooth structure damage often results in various pulpal symptoms, occlusal disharmony, impaired function, and esthetic disfigurement. These problems pose great challenges to the clinician when rehabilitating patients with amelogenesis imperfecta. This case report describes an uncomplicated and logical way to reorganize, temporize, and completely restore an extensively damaged dentition caused by amelogenesis imperfecta.

  4. Full Mouth Rehabilitation of a Patient with Extracoronal Attachments and Telescopic Prosthesis - A Case Report

    OpenAIRE

    Gounder, Revathy; Rao, P. Laxman; Kumar, G Ajay; M, Githanjali; Chandrasekhar, N.

    2014-01-01

    The management of tooth wear is complex and challenging as it involves multidisciplinary approach. Proper diagnosis and elaborative treatment protocol is necessary to obtain successful and predictable outcome. The objective of full mouth rehabilitation includes identification of the cause, prevention and preservation of the remaining tooth structure. This case report presents the management of the remaining teeth by endodontic and periodontic intervention which was followed by porcelain fused...

  5. Case management in oncology rehabilitation (CAMON: The effect of case management on the quality of life in patients with cancer after one year of ambulant rehabilitation. A study protocol for a randomized controlled clinical trial in oncology rehabilitation

    Directory of Open Access Journals (Sweden)

    Bardheci Katarina

    2011-04-01

    Full Text Available Abstract Background Cancer diseases and their therapies have negative effects on the quality of life. The aim of this study is to assess the effectiveness of case management in a sample of oncological outpatients with the intent of rehabilitation after cancer treatment. Case management wants to support the complex information needs of the patients in addition to the segmented structure of the health care system. Emphasis is put on support for self-management in order to enhance health - conscious behaviour, learning to deal with the burden of the illness and providing the opportunity for regular contacts with care providers. We present a study protocol to investigate the efficacy of a case management in patients following oncology rehabilitation after cancer treatment. Methods The trial is a multicentre, two-arm randomised controlled study. Patients are randomised parallel in either 'usual care' plus case management or 'usual care' alone. Patients with all types of cancer can be included in the study, if they have completed the therapy with chemo- and/or radiotherapy/surgery with curative intention and are expected to have a survival time >1 year. To determine the health-related quality of life the general questionnaire FACT G is used. The direct correlation between self-management and perceived self-efficacy is measured with the Jerusalem & Schwarzer questionnaire. Patients satisfaction with the care received is measured using the Patient Assessment of Chronic Illness Care 5 As (PACIC-5A. Data are collected at the beginning of the trial and after 3, 6 and 12 months. The power analysis revealed a sample size of 102 patients. The recruitment of the centres began in 2009. The inclusion of patients began in May 2010. Discussion Case management has proved to be effective regarding quality of life of patients with chronic diseases. When it comes to oncology, case management is mainly used in cancer treatment, but it is not yet common in the

  6. Rehabilitation exercise for treatment of vestibular disorder: A case study

    OpenAIRE

    Avraham Feazadeh; Eli Carmeli

    2006-01-01

    Vertigo and dizziness are common symptoms in the general population. While the clinical picture is well known and widely described, there are different interpretations of Benign Paroxysmal Positional Vertigo. The purpose of this case report was to describe the treatment of a 56 year old woman with complains of positional vertigo for 35 consecutive years. She suffered from a sudden onset of rotatory, unilateral horizontal canal type benign paroxysmal positional vertigo (BPPV). The symtoms star...

  7. Full mouth rehabilitation of a patient with extracoronal attachments and telescopic prosthesis - a case report.

    Science.gov (United States)

    Gounder, Revathy; Rao, P Laxman; Kumar, G Ajay; M, Githanjali; Chandrasekhar, N

    2014-10-01

    The management of tooth wear is complex and challenging as it involves multidisciplinary approach. Proper diagnosis and elaborative treatment protocol is necessary to obtain successful and predictable outcome. The objective of full mouth rehabilitation includes identification of the cause, prevention and preservation of the remaining tooth structure. This case report presents the management of the remaining teeth by endodontic and periodontic intervention which was followed by porcelain fused to metal fixed prosthesis, telescopic denture for the upper missing teeth and extra-coronal attachments for the lower missing teeth. Segmental arch technique was utilized for the rehabilitation where anterior teeth were restored first followed by the posterior teeth. Patient had a satisfactory functional and aesthetic results.

  8. Short Bowel Syndrome, a Case of Intestinal Rehabilitation

    Directory of Open Access Journals (Sweden)

    Dianna Ramírez Prada

    2015-05-01

    Full Text Available Case: The objective is to present the successful experience of multidisciplinary management of a patient with short bowel syndrome and intestinal failure with progression to intestinal adaptation. This is a newly born premature with intestinal atresia type IV with multiple intestinal atresia who evolved to intestinal failure and required managed with prolonged parenteral nutritional support, multiple antibiotic schemes, prebiotics, multivitamins, enteral nutrition with elemental formula to achieve their adaptation intestinal until lead to a normal diet. The evolution of these patients intestinal failure is a challenge for the health team, as it not only involves the surgical management of your condition if not basic nutritional support, fluid and electrolyte balance, hepatic dysfunction cholestasis associated infections etc. Discussion: Short bowel syndrome with progression to intestinal failure in children is a condition whose prevalence is increasing worldwide, thanks to advances in neonatal intensive care, neonatal surgery, and nutritional support of patients with conditions such as gastroschisis, omphalocele and necrotizing enterocolitis. Despite the limitations of our health system, it is possible to offer a multidisciplinary and integrated to lead to intestinal adaptation treatment.

  9. Rehabilitation exercise for treatment of vestibular disorder: A case study

    Directory of Open Access Journals (Sweden)

    Avraham Feazadeh

    2006-01-01

    Full Text Available Vertigo and dizziness are common symptoms in the general population. While the clinical picture is well known and widely described, there are different interpretations of Benign Paroxysmal Positional Vertigo. The purpose of this case report was to describe the treatment of a 56 year old woman with complains of positional vertigo for 35 consecutive years. She suffered from a sudden onset of rotatory, unilateral horizontal canal type benign paroxysmal positional vertigo (BPPV. The symtoms started a day after falling from a bus, where she injured her head. Otherwise her medical history was unremarkable. She was treated with an individualized home exercise program of eye movement exercises, Brandt/Daroff exercises, and general conditioning exercises (i.e., laying on the left side from sitting on the bed, while the head rotated 45 degrees to the right, waiting for about one minue; twice a day on gradual basis, not laying on the side all the way, but to use enough pillows to lay about at 60 degrees. Four weeks from the start of physical therapy, the patient was free of symptoms, even when her neck was in the extended position.

  10. Slacklining and stroke: A rehabilitation case study considering balance and lower limb weakness.

    Science.gov (United States)

    Gabel, Charles P; Rando, Natalie; Melloh, Markus

    2016-08-18

    To ascertain the effectiveness of slacklining as a supplementary therapy for elderly stroke patients who are functionally non-progressing. This case study involved an 18-mo prospective observation of the management of an 87-year-old female stroke-patient of the left hemisphere with reduced balance, reduced lower limb muscular activation, hypertonia, and concurrent postural deficits. This entailed the initial acute care phase through to discharge to home and 18-mo final status in her original independent living setting. The introduction of slacklining as an adjunct therapy was made 12 mo post incident. Slacklining involves balance retention on a tightened band where external environmental changes cause a whole-body dynamic response to retain equilibrium. It is a complex neuromechanical task enabling individualized self-developed response strategies to be learned and adapted. This facilitates the innate process of balance retention, lower-limb and core muscle activation, and stable posture through a combination of learned motor skills and neurological system down regulation. Individuals adopt and follow established sequential motor learning stages where the acquired balance skills are achieved in a challenging composite-chain activity. Slacklining could be considered an adjunct therapy for lower limb stroke rehabilitation where function is compromised due to decreased muscle recruitment, decreased postural control and compromised balance. Initial inpatient rehabilitation involved one-month acute-care, one-month rehabilitation, and one-month transitional care prior to home discharge. A further six months of intensive outpatient rehabilitation was provided with five hourly sessions per week including:supervised and self-managed hydrotherapy, plus one individual and two group falls' prevention sessions. These were supported by daily home exercises. At 12 mo post incident, recovery plateaued, then regressed following three falls. Rehabilitation was subsequently modified

  11. Rehabilitating mangrove ecosystem services: A case study on the relative benefits of abandoned pond reversion from Panay Island, Philippines.

    Science.gov (United States)

    Duncan, Clare; Primavera, Jurgenne H; Pettorelli, Nathalie; Thompson, Julian R; Loma, Rona Joy A; Koldewey, Heather J

    2016-08-30

    Mangroves provide vital climate change mitigation and adaptation (CCMA) ecosystem services (ES), yet have suffered extensive tropics-wide declines. To mitigate losses, rehabilitation is high on the conservation agenda. However, the relative functionality and ES delivery of rehabilitated mangroves in different intertidal locations is rarely assessed. In a case study from Panay Island, Philippines, using field- and satellite-derived methods, we assess carbon stocks and coastal protection potential of rehabilitated low-intertidal seafront and mid- to upper-intertidal abandoned (leased) fishpond areas, against reference natural mangroves. Due to large sizes and appropriate site conditions, targeted abandoned fishpond reversion to former mangrove was found to be favourable for enhancing CCMA in the coastal zone. In a municipality-specific case study, 96.7% of abandoned fishponds with high potential for effective greenbelt rehabilitation had favourable tenure status for reversion. These findings have implications for coastal zone management in Asia in the face of climate change.

  12. Sustainability assessment, rating systems and historical buildings Case study: Rehabilitated construction in a university site

    Directory of Open Access Journals (Sweden)

    Sadrykia Somayeh

    2016-01-01

    Full Text Available This paper explores the relationship between the indicators and different factors that “rating systems for green projects” concentrates on, and principles and factors considered in the rehabilitation of historical buildings. In recent years, different methods and systems concerned and improved for assessing environmental sustainability. LEED (Leadership in Energy and Environmental Design and BREEAM (Building Research Establishment (BRE Environmental Assessment Method are two most commonly used rating systems, established in U.S and UK. These systems comprise some categories and different factors to achieve environmentally responsible design. Firstly, this study focuses on the list of rating systems indicators and criteria. Secondly this paper investigates a historical rehabilitated building in the site of Tabriz Art University, as a case study and has tried to compile its green design elements. Finally, this work intends to compare mentioned elements with indicators and factors of building rating systems. Findings of the study revealed that “Materials and Resources”, “indoor environmental quality” and also “Sustainable Sites” ,the most significant indicator of rating systems, had major and important role in the rehabilitation of the building. Beyond this materials’ life cycle was considerable in construction.

  13. Observations on the Efficacy of Auricular-plaster Therapy plus Medicine in Treating Heroin Addiction

    Institute of Scientific and Technical Information of China (English)

    王泽涛; 袁宜勤; 王军; 罗杰坤

    2006-01-01

    Objective:To investigate the curative effect of auricular-plaster therapy on heroin addiction. Methods: Sixty cases of heroin addiction were treated by auricular-plaster therapy in cooperation with methadone and another 60 cases with methadone as a control. The treatment lasted 10 days. Results and conclusion: The results showed that the curative effect of auricular-plaster therapy plus methadone on heroin addiction was significantly better than that of methadone in the control group(P<0.01). The rate of drug relapse was also significantly lower in the former(P<0.01). It is considered that auricular-plaster therapy in cooperation with methadone is now an ideal therapeutic method for drug withdrawal.%目的:观察耳穴贴压治疗海洛因依赖的疗效.方法:耳穴贴压配合西药美沙酮治疗海洛因依赖60例,并与美沙酮治疗60例作对照,临床戒毒观察10 d.结果与结论:结果表明,耳穴贴压配合西药美沙酮戒毒疗效明显优于对照组美沙酮的戒毒疗效(P《0.01),其复吸率也低(P《0.01).认为耳穴贴压配合西药美沙酮戒毒是目前比较理想的戒毒治疗方法.

  14. Evaluation of the effects of rehabilitation after surgery using the Ravitch and Nuss methods: a case study

    OpenAIRE

    Bal-Bocheńska, Monika Anna

    2016-01-01

    Rehabilitation may be helpful in the prevention of complications associated with the treatment of patients with pectus excavatum who are subjected to surgery using the Ravitch and Nuss methods. This paper presents the case of a patient who underwent successful physical rehabilitation after 8 weeks from the surgery using the combined method. As part of the Nuss procedure, two plates were implanted to form a scaffolding for the patient's chest, which had previously been corrected with the Ravit...

  15. Functional and Aesthetic Full Mouth Rehabilitation of a Severely Worn Dentition to Restore Vertical Dimension: A Case Report.

    Science.gov (United States)

    Singh, Raj Gaurav; Sinha, Pooja

    2014-12-01

    Deterioration or malfunction of any part should be viewed as an effect that has the direct or indirect result of one or more identifiable cause. The establishment of definitive goals is the foundation for the full mouth rehabilitation. Severe wear is common in prosthodontic patients whose teeth have been held in functional interference for long period of time. This case report presents a description of a patient's oral rehabilitation with metal ceramic restorations to increase vertical dimension while achieving canine guided occlusion.

  16. Rehabilitative challenges in the bilateral aural stenosis post chronic suppurative otitis media surgery: A case study

    Directory of Open Access Journals (Sweden)

    Himanshu Verma

    2015-01-01

    Full Text Available Introduction: Chronic suppurative otitis media (CSOM is an infection characterized by recurrent ear discharge through a persistent tympanic membrane perforation. In cases such as these, an ASLP is concerned with early prevention, assessment and provision of suitable client based rehabilitation options. Case Report: A 3.5yrs old male with bilateral aural stenosis post CSOM surgery reported to clinic with a complaint of reduced hearing sensitivity to soft sounds with delayed in speech and language. A test battery approach for Audiological and Speech and Language evaluation was conducted. Recommendations and referrals were suggested at the end. Discussion: Regardless of all the restrictions, this study highlights the challenges encountered by an ASLP in dealing with post operative aural stenotic case. This case study highlights the occurrence of stenosis post surgery of bilateral CSOM, which is rarely found.

  17. An innovative prostheses design for rehabilitation of severely mutilated dentition: a case report.

    Science.gov (United States)

    Abduo, Jaafar

    2011-03-01

    Partial edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism. The main clinical findings were unopposed remaining teeth, overeruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with crown lengthening surgery and strategic implant placement. Series of provisional prostheses were applied to facilitate the transition to the final treatment.

  18. Esthetic and functional rehabilitation of crowded mandibular anterior teeth using ceramic veneers: a case report.

    Science.gov (United States)

    de Andrade, Oswaldo Scopin; Ferreira, Luiz Alves; Hirata, Ronaldo; Rodrigues, Flavia Pires; D'Alpino, Paulo Henrique Perlatti; Di Hipolito, Vinicius

    2012-09-01

    The use of ceramic veneers to restore crowded teeth in the maxilla has been widely discussed in the literature. However, the use of this technique in the mandible has received little attention. Therefore, this case report describes the treatment of crowded mandibular anterior teeth using ceramic veneers. The primary treatment challenge in this region is the reduced tooth structure available for rehabilitation. Proper communication between the clinician and dental technician is required to achieve clinical success. This article presents a straightforward treatment plan and restorative technique that includes both the clinical and laboratory sequences necessary for predictable and stable postoperative outcomes.

  19. The multi-disciplinary nature of low vision rehabilitation--a case report.

    Science.gov (United States)

    Markowitz, Michelle; Markowitz, Rachel E; Markowitz, Samuel N

    2011-01-01

    This paper presents the case of a 47-year-old female with low vision secondary to high myopic macular degeneration who remains active in the work force as a spiritual and religious care coordinator for a large institution. An ophthalmologist with a specialty in low vision rehabilitation initially assessed the client. The ophthalmologist prescribed optical devices which used residual retinal vision available at preferred retinal loci. This availed better vision for viewing targets located at far, near and intermediate distances from the client. An optician provided and dispensed the devices prescribed to the client. Additionally, the ophthalmologist made a referral to an occupational therapist. The occupational therapist conducted a series of sessions to further enhance reading and writing skills and a work place assessment aimed at optimizing workplace conditions in order to achieve optimal functional vision. This case illustrates and emphasizes the multi-disciplinary nature of low vision rehabilitation, which involved in this case co-operation between ophthalmology, occupational therapy and opticianry.

  20. Auricular reconstruction using biofabrication-based tissue engineering strategies

    NARCIS (Netherlands)

    Otto, I. A.; Melchels, F. P. W.; zhao, X.; Randolph, M. A.; Kon, M.; Breugem, C. C.; Malda, J.

    2015-01-01

    Auricular malformations, which impose a significant social and psychological burden, are currently treated using ear prostheses, synthetic implants or autologous implants derived from rib cartilage. Advances in the field of regenerative medicine and biofabrication provide the possibility to engineer

  1. An Integrative Psychotherapy Approach to Foster Community Engagement and Rehabilitation in Schizophrenia: A Case Study Illustration.

    Science.gov (United States)

    Kukla, Marina; Whitesel, Frankie; Lysaker, Paul H

    2016-02-01

    This case study illustrates the use of a long-term integrative psychotherapy approach with a middle- aged man with chronic schizophrenia and a mood disorder. The case of "Holst" describes a man with a history of insecure attachment and trauma who later went on to contract a serious chronic illness, precipitating the onset of psychotic symptoms, depression, and chronic suicidal ideation, resulting in multiple hospitalizations. Combining metacognition-oriented therapy with elements of cognitive behavioral therapy and psychiatric rehabilitation, this approach fostered significantly improved community functioning and attainment of personal goals over time. Through the journey of therapy, the patient also developed a more coherent narrative about his life, established a stable sense of self, and became an active agent in the world. This case illustration demonstrates that these three different approaches can be used in a sequential and complementary fashion to foster recovery in the midst of serious physical and mental illness.

  2. The effectiveness of cardiac rehabilitation in the sedentary cases with cardiovascular disease risk

    Directory of Open Access Journals (Sweden)

    Emrullah Hayta

    2016-10-01

    Full Text Available SUMMARY Objective: The aim of the present study is to apply cardiac rehabilitation (CR to the sedentary cases with cardiovascular disease (CVD risk, and to investigate the effect of CR on the various blood parameters and aerobic capacity of the cases. Method: The study included 106 individuals with sedentary life. Age, smoking history, presence of anxiety, CVD and DM history, pulmonary disease history, alcohol use, dietary habits, lipid profile, ECHO test of the patients were determined before the cardiac rehabilitation application. Furthermore, body mass index (BMI values, weight, waist-hip-thigh circumference, lipid profile, Metabolic Equivalent of Task (MET, and VO2 Max of all patients were measured. The patients who had a sedentary lifestyle were then put to respiratory function test, submaximal exercise test, and ECG-CB monitoring and treadmill-ergometric stress tests. The patients who responded well to the tests were included in an aerobic program for 12 weeks (30-50 min of aerobic exercise, 5 days/3 weeks based on the exercise tolerance test according to their clinical condition. Besides, the parametric measurements, which had been conducted prior to the aerobic program, and the results of the pre and post tests were evaluated and compared at the end of the 12th week. Results: There were meaningful improvements in body weights, BMI, waist and hip and EKO measurements of the individuals included in the study (p<0.005. The difference between triglyceride, HDL, LDL, MET, AT, VO2 max and body fat rate of the study participants before and after CR were found statistically significant (p<0.005. Conclusions: In the present study, CR applied to individuals having sedentary lifestyle has positive impacts on BMI decrease, body fat rate and lipids. Besides, CR achieves a significant increase in aerobic capacity in individuals having sedentary lifestyle Keywords: Sedentary life, Cardiac rehabilitation, Aerobic capacity

  3. Case report: post-stroke interventional BCI rehabilitation in an individual with preexisting sensorineural disability

    Directory of Open Access Journals (Sweden)

    Brittany Mei Young

    2014-06-01

    Full Text Available Therapies involving new technologies such as brain-computer interfaces (BCI are being studied to determine their potential for interventional rehabilitation after acute events such as stroke produce lasting impairments. While studies have examined the use of BCI devices by individuals with disabilities, many such devices are intended to address a specific limitation and have been studied when this limitation or disability is present in isolation. Little is known about the therapeutic potential of these devices for individuals with multiple disabilities with an acquired impairment overlaid on a secondary long-standing disability. We describe a case in which a male patient with congenital deafness suffered a right pontine ischemic stroke, resulting in persistent weakness of his left hand and arm. This patient volunteer completed four baseline assessments beginning at four months after stroke onset and subsequently underwent six weeks of interventional rehabilitation therapy using a closed-loop neurofeedback BCI device with visual, functional electrical stimulation, and tongue stimulation feedback modalities. Additional assessments were conducted at the midpoint of therapy, upon completion of therapy, and one month after completing all BCI therapy. Anatomical and functional MRI scans were obtained at each assessment, along with behavioral measures including the Stroke Impact Scale (SIS and the Action Research Arm Test (ARAT. Clinically significant improvements in behavioral measures were noted over the course of BCI therapy, with more than ten point gains in both the ARAT scores and scores for the SIS hand function domain. Neuroimaging during finger tapping of the impaired hand also showed changes in brain activation patterns associated with BCI therapy. This case study demonstrates the potential for individuals who have preexisting disability or possible atypical brain organization to learn to use a BCI system that may confer some rehabilitative

  4. Neurocognitive Rehabilitation in Parkinson’s Disease with Motor Imagery: A Rehabilitative Experience in a Case Report

    Directory of Open Access Journals (Sweden)

    Federico Zangrando

    2015-01-01

    Full Text Available A 50-year-old female with Parkinson’s disease underwent a neurocognitive rehabilitation program consisting of one-hour-lasting sessions attended twice a week for three months. The balance and the risk of falls were determined using the Tinetti Balance and Gait Evaluation Scale. The pain was determined using the Visual Analog Scale and the course of the disease was examined using the Unified Parkinson’s Disease Rating Scale (UPDRS. Endpoints were before the treatment, at the end of the treatment, and at a 12-week follow-up. The aim of this study is to evaluate the efficacy of neurocognitive rehabilitation in PD with motor imagery. Primary outcome is the improvement in balance and the falls risk reduction; secondary outcome is lower limb pain reduction.

  5. Prefabricated Stock Trays for Impression of Auricular Region

    OpenAIRE

    Vibha, Shetty; Anandkrishna, G. N.; Anupam, Purwar; Namratha, N.

    2010-01-01

    The conventional methods of impression making for maxillofacial defects are cumbersome and time consuming for both patient and operator. This study focuses upon standardizing and simplifying the impression making methodology for auricular prosthesis with the help of prefabricated stock trays for auricular region. The stock trays were designed on positive replicas of anatomical structures, broadly divided into long and narrow, short and broad and long and broad ear. For each stock tray, impres...

  6. Writing a case report for the American Journal of Physical Medicine & Rehabilitation and the European Journal of Physical and Rehabilitation Medicine.

    Science.gov (United States)

    Ozçakar, Levent; Franchignoni, Franco; Negrini, Stefano; Frontera, Walter

    2013-02-01

    Case reports (CRs) have led to the description and discovery of new diseases, syndromes, therapeutic complications or side effects, and previously unknown potential benefits of pharmacologic agents. CRs may also be used as an effective training strategy for novice authors to develop the skills needed for medical writing. However, too often, CRs do not follow standards for excellence in scientific writing. Therefore, in this article, the American Journal of Physical Medicine & Rehabilitation and the European Journal of Physical and Rehabilitation Medicine collaborate with the purpose of providing guidance to authors in selecting CRs that might be appropriate for publication. In addition, the authors discuss different aspects of the preparation of a well written CR in accordance with the mission and editorial views of both journals.

  7. Writing a case report for the American Journal of Physical Medicine and Rehabilitation and the European Journal of Physical and Rehabilitation Medicine.

    Science.gov (United States)

    Özçakar, L; Franchignoni, F; Frontera, W; Negrini, S

    2013-04-01

    Case reports (CR) have led to the description and discovery of new diseases, syndromes, therapeutic complications or side-effects, and previously unknown potential benefits of pharmacologic agents. CRs may also be used as an effective training strategy for novice authors to develop the skills needed for medical writing. Yet, too often, CRs do not follow standards for excellence in scientific writing. Therefore, in this article, the American Journal of Physical Medicine and Rehabilitation (AJPMR) and the European Journal of Physical and Rehabilitation Medicine (EJPRM) collaborate with the purpose of providing guidance to authors in selecting CRs that might be appropriate for publication. In addition, we discuss different aspects of the preparation of a well-written CR in accordance with the mission and editorial views of both journals.

  8. Comparative Observation on Therapeutic Effects of Treating Menopausal Syndrome with Auricular Points Sticking-pressure and Acupuncture

    Institute of Scientific and Technical Information of China (English)

    孙冬梅; 单秋华; 吴富东; 韩丑萍

    2006-01-01

    目的:对比观察耳穴贴压与针刺治疗女性更年期综合征的疗效.方法:86例患者随机分为耳穴贴压组和针刺组.根据改良的Kupperman指数进行疗效对比观察.结果:两组疗效对比差异经统计学处理无显著性.结论:耳穴贴压与针刺疗法均能有效治疗女性更年期综合征,且耳穴贴压更具有操作简便,易于推广的优势.%Objective: To make a comparative observation on treating menopausal syndrome with auricular points sticking-pressure and acupuncture. Methods:The 86 cases were randomized into the group of auricular points sticking-pressure and acupuncture group, and then the comparative observation was made according to the modified Kupperman index. Results: The statistical analysis on the comparative observation showed there is no significant difference between the therapeutic effects of the two groups. Conclusion: Auricular points sticking-pressure and acupuncture are both effective for menopausal syndrome, and the auricular points sticking-pressure is worthy to spread with its easy operation.

  9. Building a research program in rehabilitation sciences, Part II: case studies: University of Texas Medical Branch, Boston University, University of Pittsburgh, and University of Washington.

    Science.gov (United States)

    Chan, Leighton; Jette, Alan M; Ottenbacher, Kenneth J; Robinson, Lawrence R; Tietsworth, Monica L; Ricker, Joseph H; Boninger, Michael L

    2009-08-01

    This article presents four case studies of rehabilitation science programs that have created enduring research efforts: one in physical therapy, one in interdisciplinary rehabilitation sciences, and two in physical medicine and rehabilitation. Several themes emerge from these case studies. First, building an enduring research program takes time and significant foundational work. Most importantly, it is crucial to have the support of the dean, academic institution, and medical center. This seems to be a prerequisite for success in this area.

  10. Prosthodontic rehabilitation of hypophosphatasia using dental implants: a review of the literature and two case reports.

    LENUS (Irish Health Repository)

    Lynch, C D

    2009-06-01

    There are reports in the literature of the various dental features of hypophosphatasia, especially where it affects the deciduous dentition. The descriptions include both the manifestations of the disorder and the subsequent patterns of tooth loss. There are fewer descriptions of the effects of hypophosphatasia on the permanent dentition and little information on the subsequent prosthodontic management of these patients, particularly in relation to the use of dental implants. The aim of this paper was to review the literature on the dental effects of hypophosphatasia, present two cases and describe how one of those patients, a young adult, was successfully rehabilitated using dental implants. That latter patient\\'s pattern of tooth loss as well as some histological and scanning electron microscopic findings of root cementum from the other case is also described.

  11. VESTIBULAR REHABILITATION

    Directory of Open Access Journals (Sweden)

    Maksim Valer'evich Zamergrad

    2009-01-01

    Full Text Available Vestibular disorders are a frequent abnormality that physicians of various specialties have to encounter. Vestibular and equilibrium disorders are particularly common in elderly patients. In this case they are frequently a cause of falls and various injuries. Vestibular rehabilitation is the most important component of treatment for vestibular and equilibrium disorders. The paper considers the basic mechanisms of vestibular compensation, discusses vestibular rehabilitation procedures by doing routine exercises and by using various biofeedback crunches. In particular, it describes the principle of operation of a posturography platform, a SwayStar system for the diagnosis and therapy of vestibular disorders, and a Brainport device for vestibular rehabilitation. The current methods for drug stimulation of vestibular compensation are discussed. Vestibular rehabilitation used in the complex therapy of equilibrium disorders is stressed to considerably enhance therapeutic effectiveness, to cause a reduction in the risk of falls, and to increase quality of life in patients with vestibular disorders

  12. Enhancing Behavioral Change with Motivational Interviewing: a case study in a Cardiac Rehabilitation Unit

    Directory of Open Access Journals (Sweden)

    Giada ePietrabissa

    2015-03-01

    Full Text Available Background: psychological interventions in Cardiac Rehabilitation (CR programs appear relevant in as much they significantly contribute to achieve the goals of rehabilitation, to reduce the risk of relapses and to improve patients’ adherence to therapy. To this aim, Motivational Interviewing (MI has shown promising results in improving motivation to change and individuals’ confidence in their ability to do so. Objective: the purpose of this article is to integrate theory with practice by describing a 3-session case scenario. It illustrates how the use of MI’s skills and strategies can be used to enhance health. MI may be synergistic with other treatment approaches and it is used here in conjunction with Brief Strategic Therapy (BST. Conclusions: by the use of Motivational Interviewing principles and technique, the patient reported an increase in his motivation and ability to change, developing a post discharge plan that incorporates self-care behaviors. Clinical Implications: Motivational Interviewing may be effective in motivating and facilitating health behavior change in patients suffering from heart failure.

  13. Prosthetic Rehabilitation of Maxillectomy Patient with Post-Surgical Obturator: A Case Report

    Directory of Open Access Journals (Sweden)

    Meena Kumari Mishra

    2015-07-01

    Full Text Available Case description: A 60 year old female patient presented to Department of Prosthodontics, CODS, BPKIHS, Dharan with a chief complain of loose obturator. History revealed that patient had undergone partial maxillectomy for squamous cell carcinoma 7 years back. The patient also has been wearing obturator which was loose when the patient reported to the department. On examination, the site of surgery was the maxillary right buccal sulcus area and a part of the hard palate including teeth number 11, 12, 13, 14, 15, 16, 17. The presented defect situation corresponded to a Class I situation (resection performed along the palatalmidline according to the Aramany classification of defects. The surgical site showed complete healing. A hollow-bulb obturator was fabricated for rehabilitation of the defect. Conclusion: The extensive surgical procedures necessary to eradicate cancer of the head and neck and to prevent local recurrence or regional metastasis often leave extremely large physical defects which present almost insurmountable surgical difficulties in restoring acceptable function or esthetics. The prosthesis rehabilitated the patient in terms of function by providing better masticatory efficiency, phonetics by adding resonance to the voice, hence improving the clarity of speech and also improved the esthetics of the patient. DOI: http://dx.doi.org/10.3126/jcmsn.v10i4.12976 JCMS Nepal 2014; 10(4:32-36

  14. Full-mouth adhesive rehabilitation in case of severe dental erosion, a minimally invasive approach following the 3-step technique.

    Science.gov (United States)

    Grütter, Linda; Vailati, Francesca

    2013-01-01

    A full-mouth adhesive rehabilitation in case of severe dental erosion may present a challenge for both the clinician and the laboratory technician, not only for the multiple teeth to be restored, but also for their time schedule, difficult to be included in a busy agenda of a private practice. Thanks to the simplicity of the 3-step technique, full-mouth rehabilitations become easier to handle. In this article the treatment of a very compromised case of dental erosion (ACE class V) is illustrated, implementing only adhesive techniques. The very pleasing clinical outcome was the result of the esthetic, mechanic and most of all biological success achieved, confirming that minimally invasive dentistry should always be the driving motor of any rehabilitation, especially in patients who have already suffered from conspicuous tooth destruction.

  15. Anatomic location of Mycoplasma mycoides subsp. capri and Mycoplasma agalactiae in naturally infected goat male auricular carriers.

    Science.gov (United States)

    Gómez-Martín, Angel; De la Fe, Christian; Amores, Joaquín; Sánchez, Antonio; Contreras, Antonio; Paterna, Ana; Buendía, Antonio J; Corrales, Juan C

    2012-06-15

    This study sought to determine whether male goat auricular carriers of mycoplasmas known to cause contagious agalactia could harbour these microorganisms at anatomical sites other than the ears. A microbiological study was conducted in 6 naturally infected bucks that had been diagnosed as chronic auricular asymptomatic carriers of Mycoplasma (M.) mycoides subsp. capri (Mmc) more than one year previously. To detect mycoplasmas, cultures and PCR were performed on 46 samples taken from each goat from the cardio-respiratory, digestive, nervous, lymph and genitourinary systems and several joints. Of a total of 274 samples analyzed, 28 were positive for mycoplasmas (10.1%): Mmc was detected in 17 (6.1%), Mycoplasma (M.) agalactiae in 12 (4.3%) and both microorganisms were identified in one of the samples. In all 6 goats, mixed infection was observed despite none being auricular carriers of M. agalactiae. Mycoplasma spp. were identified at 15 different sites; the most frequent sites being the joints (31.2%, 5 positive samples), lymph nodes (25%, 4 positive samples) and respiratory tract (25%, 4 positive samples). Positive results were also obtained in three brain tissue (18.7%), two cardiac tissue (12.5%) and one ileum, urethra, testicle and bulbourethral gland (6.25%) samples. The histopathological findings may suggest the presence of mild chronic conditions in some of the organs where the bacteria were found. Our findings reveal for the first time the capacity of Mmc and M. agalactiae to colonize several other organ systems in chronically naturally infected auricular carriers, possibly representing an added risk factor for the spread of these microorganisms. In the case of M. agalactiae, colonization seemed to be independent of the animal's auricular carrier state.

  16. Fibrilación auricular en una paciente con megaorejuela auricular izquierda

    OpenAIRE

    Alejandro Villamil; Patricia Avellana; Claudio Hadid; Horacio Di Nunzio; Daniela Coria; Darío Di Toro; Noemí Prieto

    2007-01-01

    La FA constituye una de las arritmias sostenidas más frecuentes que motivan la consulta. El sustrato comprende diferentes mecanismos, entre los que se encuentra el agrandamiento auricular izquierdo. Presentamos el caso de una mujer de 33 años con antecedentes depalpitaciones, que ingresó en la guardia por FA de alta respuesta ventricular. En la radiografía de tórax se observó una deformación del borde izquierdo de la silueta cardíaca. Posteriormente,el ecocardiograma transesofágico y la reson...

  17. A unique case of craniopagus twins: considerations and challenges for dental rehabilitation.

    Science.gov (United States)

    Campbell, Karen M

    2013-01-01

    The purpose of this case report was to describe oral findings and outline challenges and considerations for general anesthetic (GA) and dental management of 4-year-old female craniopagus (cranially conjoined) twins, at high risk for medical comorbidity, who presented for treatment of severe early childhood caries. This hospital-based procedure required good interdisciplinary communication, cooperation, and presurgical planning to address unique challenges and ensure positive postoperative outcomes. Two separate anesthesia teams delivered GA simultaneously to each twin. To minimize anesthetic exposure, two pediatric dental teams completed dental care concurrently. Extensive plaque accumulation and unusual "mirror-image" caries distribution were attributed to frequency and postural pooling during feeding. The rehabilitation objective was to provide definitive dental management, minimizing future need for dental retreatment under GA. Two-month follow-up revealed intact dental restorations, good oral hygiene, and weight gain. For these unique twins however, the challenge of long-term oral health maintenance remains.

  18. An individualized and everyday life approach to cognitive rehabilitation in schizophrenia: a case illustration.

    Science.gov (United States)

    Levaux, M-N; Fonteneau, B; Larøi, F; Offerlin-Meyer, I; Danion, J-M; Van der Linden, M

    2012-01-01

    Objective. The effectiveness of an individualized and everyday approach to cognitive rehabilitation for schizophrenia was examined in a case study. Method. After cognitive and functional assessment, concrete objectives were targeted for the person's everyday complaints. Strategies were constructed based on an analysis of the cognitive profile, daily life functioning, and processes involved in activities. They included a memory strategy for reading, a diary to compensate memory difficulties, and working memory exercises to improve immediate processing of information when reading and following conversations. Efficacy was assessed with outcome measures. Results. The program had beneficial effects on the person's cognitive and everyday functioning, which persisted at a 3-year follow-up. Conclusion. Findings provide suggestive evidence that an individualized and everyday approach may be a useful alternative in order to obtain a meaningfully lasting transfer of training to daily life, compared to the nomothetic ones which dominate the field.

  19. An Individualized and Everyday Life Approach to Cognitive Rehabilitation in Schizophrenia: A Case Illustration

    Directory of Open Access Journals (Sweden)

    M.-N. Levaux

    2012-01-01

    Full Text Available Objective. The effectiveness of an individualized and everyday approach to cognitive rehabilitation for schizophrenia was examined in a case study. Method. After cognitive and functional assessment, concrete objectives were targeted for the person’s everyday complaints. Strategies were constructed based on an analysis of the cognitive profile, daily life functioning, and processes involved in activities. They included a memory strategy for reading, a diary to compensate memory difficulties, and working memory exercises to improve immediate processing of information when reading and following conversations. Efficacy was assessed with outcome measures. Results. The program had beneficial effects on the person’s cognitive and everyday functioning, which persisted at a 3-year follow-up. Conclusion. Findings provide suggestive evidence that an individualized and everyday approach may be a useful alternative in order to obtain a meaningfully lasting transfer of training to daily life, compared to the nomothetic ones which dominate the field.

  20. Clinical aspects and dynamics of auricular parasitosis in Gir cattle

    Directory of Open Access Journals (Sweden)

    Patrícia V.B. Leite

    2013-03-01

    Full Text Available We evaluated the dynamics of ear infestations caused by Rhabditis spp. and Raillietia spp., which were correlated with animal age, intensity of clinical signs and climate factors. Sixty-four Gir cattle were distributed into three groups: GA - 23 calves with 4 to 6 months of age; GB - 18 calves with 7 to 12 months of age; and GC - 23 heifers with 13 to 33 months of age. Five samplings, defined as S1, S2, S3, S4 and S5 were performed every three months from August 2008 to August 2009. The ear secretion was collected using the auricular washing method for the right ear and a swab for the left ear. A clinical assessment of the animals was performed, and they were classified according to the presence and severity of otitis. The highest relative frequency of rhabditosis was 52.2% in GC at the last sampling. In the first sampling, 42.2% of the animals were infested by Raillietia spp. The older cattle were more susceptible to infestations by both parasites. No correlation of Rhabditis spp. and Raillietia spp. parasitism with climate factors was found. The results showed that both parasites could infest Gir cattle, and in most cases, there was no co-infestation. Only older animals parasitized by the nematode showed clinical signs of the disease.

  1. Using Acceptance and Commitment Therapy in the Rehabilitation of an Adolescent Female with Chronic Pain: A Case Example

    Science.gov (United States)

    Wicksell, Rikard K.; Dahl, JoAnne; Magnusson, Bo; Olsson, Gunnar L.

    2005-01-01

    This case example illustrates how Acceptance and Commitment Therapy (ACT) within a behavior medicine approach was used in the rehabilitation of an adolescent with debilitating chronic pain. For chronic pain with unclear etiology (idiopathic pain), pharmacological therapy alone is often insufficient. Psychological treatment strategies have been…

  2. Effectiveness of Written Materials in a Rehabilitative Program for Female Offenders: A Case Study at the Montana Women's Prison

    Science.gov (United States)

    Dillon, Laura; Colling, Kyle

    2010-01-01

    This case study of the Therapeutic Community Program at Montana Women's Prison investigates the relationship between inmate reading levels and the self-help materials used for rehabilitative purposes within prison settings. The Therapeutic Community Handbook, published by the Montana Department of Corrections, is used as the primary method of…

  3. Combined Soft and Hard Tissue Peri-Implant Plastic Surgery Techniques to Enhance Implant Rehabilitation: A Case Report

    Science.gov (United States)

    Baltacıoğlu, Esra; Korkmaz, Fatih Mehmet; Bağış, Nilsun; Aydın, Güven; Yuva, Pınar; Korkmaz, Yavuz Tolga; Bağış, Bora

    2014-01-01

    This case report presents an implant-aided prosthetic treatment in which peri-implant plastic surgery techniques were applied in combination to satisfactorily attain functional aesthetic expectations. Peri-implant plastic surgery enables the successful reconstruction and restoration of the balance between soft and hard tissues and allows the option of implant-aided fixed prosthetic rehabilitation. PMID:25489351

  4. A new skin flap method for total auricular reconstruction in microtia patients with a reconstructed ear canal: extended scalp and extended mastoid postauricular skin flaps.

    Science.gov (United States)

    Hwang, Euna; Kim, Young Soo; Chung, Seum

    2014-06-01

    Before visiting a plastic surgeon, some microtia patients may undergo canaloplasty for hearing improvement. In such cases, scarred tissues and the reconstructed external auditory canal in the postauricular area may cause a significant limitation in using the posterior auricular skin flap for ear reconstruction. In this article, we present a new method for auricular reconstruction in microtia patients with previous canaloplasty. By dividing a postauricular skin flap into an upper scalp extended skin flap and a lower mastoid extended skin flap at the level of a reconstructed external auditory canal, the entire anterior surface of the auricular framework can be covered with the two extended postauricular skin flaps. The reconstructed ear shows good color match and texture, with the entire anterior surface of the reconstructed ear being resurfaced with the skin flaps. Clinical question/level of evidence; therapeutic level IV.

  5. Single case methodology in neurobehavioural rehabilitation: preliminary findings on biofeedback in the treatment of challenging behaviour.

    Science.gov (United States)

    O'Neill, Brian; Findlay, Gemma

    2014-01-01

    The use of single-case methodology (SCM) in brain injury rehabilitation is described and contrasted with other methodologies. SCM is optimal when attempting to meet highly individual presentations or to trial innovative solutions. Portable biofeedback is a potentially effective means of helping persons with brain injury to recognise and regulate emotional states. Emotional dysregulation, associated with disinhibition on tests of executive function, is hypothesised to underpin aggressive challenging behaviour and may be amenable to feedback on heart rate variability, a marker for stress. Two case studies of a novel biofeedback intervention, emWave2, to address aggression directed towards the self and towards others are presented. Data from two A-B designs were analysed using the non-overlap all pairs (NAP) statistical method. Clinical significance of outcome is reported in both cases but only Case 2 reached statistical significance. The discussion highlights limitations of the methodology. Results are discussed in relation to the device helping participants differentiate the physiological state associated with stress. The future application of wearable physiological sensing and feedback systems is explored.

  6. Ectodermal dysplasia - Maxillary and mandibular alveolar reconstruction with dental rehabilitation: A case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Deshpande Sanjeev

    2010-01-01

    Full Text Available Ectodermal dysplasia is a rare group of inherited disorders characterized by aplasia or dysplasia of tissues of ectodermal origin, such as hair, nails, teeth and skin. Dental manifestations include hypodontia, complete anodontia or malformed teeth. Oral rehabilitation is the major surgical challenge in such patients. It frequently requires alveolar reconstruction followed by dental implants. We report a case of hypohidrotic ectodermal dysplasia, which was managed with reconstruction of both the upper and the lower alveolus using free fibula flaps with dental rehabilitation using osseointegrated implants.

  7. ROLE OF MEDICAL REHABILITATION IN CAUDA EQUINA SYNDROME WITH FLACCID PARAPARESIS AFTER SPINAL MENINGITIS. A CASE REPORT

    Directory of Open Access Journals (Sweden)

    DOGARU Gabriela

    2014-09-01

    case is to emphasize the fact that rehabilitation programs using physical-kinetic therapeutic methods are the only way to limit functional deficit, playing an important role in the long-term management and care of the patient. The particularity of this case consists of the fact that the patient is young, without a known personal pathological history, and symptoms occurred two years after orthopedic surgery, with sudden motor deficit in the lower limbs. The regular follow-up of the patient and his inclusion in complex medical rehabilitation programs in order to limit the functional deficit, increase the autonomy and improve the quality of life of this patient are important. Key words: paraparesis, rehabilitation, spinal meningitis

  8. Sexual dimorphism in auricular surface projection and postauricular sulcus morphology.

    Science.gov (United States)

    Wescott, Daniel J

    2015-05-01

    The presence of an elevated auricular surface and a postauricular sulcus is presented in numerous reference books as osteological indicators of sex, but the validity of these traits has not been adequately evaluated. The ilia of 322 (181 male, 141 female) adults were examined, the auricular surface was scored as completely, partially, or nonelevated, and the postauricular sulcus was scored as present or absent. Complete elevation occurred almost exclusively in females (67% of females and 0.6% of males). The postauricular sulcus was present in 27% of males and 85% of females. When present, an elevated auricular surface is a reliable indicator that the individual is female. However, the absence of the trait is a less reliable indicator of sex. The postauricular sulcus is a moderately accurate estimator of sex.

  9. Deqi Sensations of Transcutaneous Electrical Nerve Stimulation on Auricular Points

    Directory of Open Access Journals (Sweden)

    Xiaoling Wang

    2013-01-01

    Full Text Available Deqi sensation, a psychophysical response characterized by a spectrum of different needling sensations, is essential for Chinese acupuncture clinical efficacy. Previous research works have investigated the component of Deqi response upon acupuncture on acupoints on the trunk and limbs. However, the characteristics of Deqi sensations of transcutaneous electrical nerve stimulation (TENS on auricular points are seldom reported. In this study, we investigated the individual components of Deqi during TENS on auricular concha area and the superior scapha using quantitative measurements in the healthy subjects and depression patients. The most striking characteristics of Deqi sensations upon TENS on auricular points were tingling, numbness, and fullness. The frequencies of pressure, warmness, heaviness, and soreness were relatively lower. The dull pain and coolness are rare. The characteristics of Deqi were similar for the TENS on concha and on the superior scapha.

  10. A Curative Effect Study on Auricular Seed-pressing Therapy Used for Patients with Insomnia%耳穴贴压治疗失眠症患者的疗效观察

    Institute of Scientific and Technical Information of China (English)

    臧镭镭; 胡虹

    2014-01-01

    Objective To observe the effect of auricular seed-pressing for patients with insomnia. Methods 120 patients with insomnia were randomly divided into three groups, each group of 40 cases, are treated with single medication, single auricular seed-pressing and combined with auricular seed-pressing and medication. Results Combined with auricular seed-pressing and medication group in all aspects of indicators are better than the single medication group and single auricular seed-pressing group. Conclusion Combined with auricular seed-pressing and medication treats the insomnia curative effect to be remarkable.%目的:观察耳穴贴压治疗失眠症患者的疗效。方法失眠症患者120例随机分为三组。每组40例,分别给予单纯服药,单纯耳穴贴压及服药联合耳穴贴压。结果服药联合耳穴贴压组在各方面指标均优于单纯服药组和单纯耳穴贴压组。结论服药联合耳穴贴压治疗失眠症疗效显著。

  11. Prosthesis auricular with osseointegrated implants and quality of life.

    Science.gov (United States)

    dos Santos, Daniela Micheline; Goiato, Marcelo Coelho; Pesqueira, Aldiéres Alves; Bannwart, Lisiane Cristina; Rezende, Maria Cristina Rosifini Alves; Magro-Filho, Osvaldo; Moreno, Amália

    2010-01-01

    Implants in craniofacial reconstructions improve prostheses retention and stability, comfort, and safety for the patient. According to biomechanical principles, the treatment success regarding osseointegration maintenance depends on an adequate surgery technique associated to a retention system that provides favorable tension distribution to implants. Implants in the mastoid area are a very important aid for retention of auricular prostheses. Color stability of resin and silicone is an important factor for longevity of auricular prostheses, and the high degree of satisfaction of patients with head and neck defects receiving epithesial reconstruction in the maxillofacial region is demonstrated.

  12. FIBRILACIÓN AURICULAR ISQUÉMICA / Ischemic atrial fibrillation

    OpenAIRE

    Jose R. Ruiz Arroyo; Pablo Revilla Martí; Antonela Lukic; Borja Simó Sánchez; Jose A. Linares Vicente

    2013-01-01

    Resumen: La fibrilación auricular es la arritmia más frecuente en el período peri-infarto agudo de miocardio, aunque su presencia asociada tan solo a la fase de isquemia aguda y su inmediato cese tras una revascularización precoz y efectiva es testimonial en la literatura, con la consiguiente falta de evidencia para su posterior tratamiento. Se presenta un caso clínico en el que el intervencionismo coronario precoz consiguió la cardioversión a ritmo sinusal de una fibrilación auricular en el ...

  13. Description of a multifaceted rehabilitation program including overground gait training for a child with cerebral palsy: A case report.

    Science.gov (United States)

    Farrell, Elizabeth; Naber, Erin; Geigle, Paula

    2010-01-01

    This case describes the outcomes of a multifaceted rehabilitation program including body weight-supported overground gait training (BWSOGT) in a nonambulatory child with cerebral palsy (CP) and the impact of this treatment on the child's functional mobility. The patient is a nonambulatory 10-year-old female with CP who during an inpatient rehabilitation stay participated in direct, physical therapy 6 days per week for 5 weeks. Physical therapy interventions included stretching of her bilateral lower extremities, transfer training, bed mobility training, balance training, kinesiotaping, supported standing in a prone stander, two trials of partial weight-supported treadmill training, and for 4 weeks, three to five times per week, engaged in 30 minutes of BWSOGT using the Up n' go gait trainer, Lite Gait Walkable, and Rifton Pacer gait trainer. Following the multifaceted rehabilitation program, the patient demonstrated increased step initiation, increased weight bearing through bilateral lower extremities, improved bed mobility, and increased participation in transfers. The child's Gross Motor Functional Measure (GMFM) scores increased across four dimensions and her Physical Abilities and Mobility Scale (PAMS) increased significantly. This case report illustrates that a multifaceted rehabilitation program including BWSOGT was an effective intervention strategy to improve functional mobility in this nonambulatory child with CP.

  14. Cognitive Pragmatic Rehabilitation Program in Schizophrenia: A Single Case fMRI Study

    Science.gov (United States)

    Gabbatore, Ilaria; Geda, Elisabetta; Gastaldo, Luigi; Duca, Sergio; Costa, Tommaso; Bara, Bruno G.; Sacco, Katiuscia

    2017-01-01

    Introduction. The present study was intended to evaluate the effects of a rehabilitative training, the Cognitive Pragmatic Treatment (CPT), aimed at improving communicative-pragmatic abilities and the related cognitive components, on the cerebral modifications of a single case patient diagnosed with schizophrenia. Methods. The patient underwent two functional magnetic resonance imaging (fMRI) sessions, before and after the treatment. In order to assess brain changes, we calculated the Amplitude of Low Frequency Fluctuation (ALFF) index of the resting-state fMRI signal, which is interpreted as reflecting the intensity of the spontaneous regional activity of the brain. Behavioural measures of the patient's communicative performance were also gathered before and after training and at follow-up. Results. The patient improved his communicative performance in almost all tests. Posttraining stronger ALFF signal emerged in the superior, inferior, and medial frontal gyri, as well as the superior temporal gyri. Conclusions. Even if based on a single case study, these preliminary results show functional changes at the cerebral level that seem to support the patient's behavioural improvements.

  15. The significance of early rehabilitation of a severely polytraumatized child: Case report

    Directory of Open Access Journals (Sweden)

    Kovač Milena

    2002-01-01

    Full Text Available Case presentation This is a case presentation of an eight-year-old boy, a traffic accident victim with severe polytrauma. The boy was admitted to hospital with lacerations and contusion injuries of the left basal frontal and left temporal brain region, moderate brain tissue edema and fracture of the left clavicle which were diagnosed by CT (computer tomography. The boy was in coma (Glasgow Coma Scale - 5. Oral feeding and catheter removal were established after one month. Three months later his state of consciousness improved, he could carry out simple orders, started vocalization and visited ambulance by wheel chair. Speech and independent walking were achieved 4 months after the accident. Physical therapy Physical therapy included: neural-stimulation by Vojta and sclerodermal massage from seventh day. Later on, speech and work therapy were applied. Drug therapy Drug therapy included: muscle relaxants and tranquilizers while orthopedic treatment meant plastic immobilization. Control CT revealed chronic subdural hemathoma in the right frontal-parietal region. The boy could walk, talk, have normal diet, and controlled sphincters four months after severe trauma. Now, he is functional and on the level of moderate mental retardation. Early rehabilitation was extremely important in his recovery.

  16. Paralysis: Rehabilitation

    Science.gov (United States)

    ... Forum About Us Donate Living with Paralysis > Rehabilitation Rehabilitation Rehabilitation and exercise are key to enhancing your health and quality of life. Find a rehabilitation center near you and become familiar with different ...

  17. Fibrilación auricular en una paciente con megaorejuela auricular izquierda

    Directory of Open Access Journals (Sweden)

    Alejandro Villamil

    2007-01-01

    Full Text Available La FA constituye una de las arritmias sostenidas más frecuentes que motivan la consulta. El sustrato comprende diferentes mecanismos, entre los que se encuentra el agrandamiento auricular izquierdo. Presentamos el caso de una mujer de 33 años con antecedentes depalpitaciones, que ingresó en la guardia por FA de alta respuesta ventricular. En la radiografía de tórax se observó una deformación del borde izquierdo de la silueta cardíaca. Posteriormente,el ecocardiograma transesofágico y la resonancia magnética nuclear evidenciaron una megaorejuela aneurismática debida, probablemente, a un defecto pericárdico. La conducta fue anticoagulación oral y tratamiento con atenolol, con evolución favorable.

  18. Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report

    Directory of Open Access Journals (Sweden)

    Kuo CL

    2012-05-01

    Full Text Available Chih-Lan Kuo1, Sui-Foon Lo1,2, Chun-Lin Liu3, Chia-Hui Chou4, Li-Wei Chou1,2,5¹Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; ²School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 3Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan; 4Department of Infectious disease, China Medical University Hospital, Taichung, Taiwan; 5Department of Physical Therapy, China Medical University, Taichung, TaiwanAbstract: There are few reports in the literature of tuberculous brain abscess. Tuberculous brain abscess usually occurs in an immunocompromised host. Almost all previously documented cases have involved acquired immune deficiency syndrome. We encountered a 53-year-old right-handed immunocompetent male who was initially suspected of having a cerebrovascular accident due to acute-onset right hemiparesis and paresthesia. A tentative diagnosis of brain tumor versus brain abscess was made on imaging studies. The patient was finally diagnosed with a tuberculous brain abscess based upon deterioration on imaging and a positive tuberculosis culture. The tuberculous brain abscess was located in the left parietal lobe, which resulted in Gerstmann's syndrome and right-sided apraxia. Stereotactic surgery was performed. He was also given antituberculosis chemotherapy and comprehensive rehabilitation. Considerable improvement was noted after rehabilitation. The patient even returned to a normal life and work. Our case demonstrates that an aggressive intensive inpatient rehabilitation program combined with stereotactic surgery and effective antituberculosis therapy play an important role in improving the outcome for patients with tuberculous brain abscess, Gerstmann's syndrome, and right-sided apraxia.Keywords: tuberculous brain abscess, Gerstmann's syndrome, rehabilitation

  19. Repair of large tympanic membrane perforation with inner graft using Portmann' s posterior-superior incision retro-auricular approach: a report of 45 cases%Portmann氏耳后上进路全翻内植法修补鼓膜大穿孔45例报告

    Institute of Scientific and Technical Information of China (English)

    董和霞; 王晓辉

    2011-01-01

    目的 探讨Portmann氏耳后上进路全翻内植法修补鼓膜大穿孔的方法及疗效.方法 采用耳后上进路,自体颞肌筋膜作为移植材料,对45例鼓膜大穿孔病人进行全翻外耳道后壁皮瓣鼓膜成形术,并对其临床资料进行回顾性分析.结果 术后6个月随访,43例鼓膜穿孔愈合,2例出现鼓膜中央小穿孔,听力均有不同程度的提高.结论 本术式术野暴露清晰,取颞肌筋膜在同一切口进行,修补鼓膜大穿孔成功率高,具有较高的临床应用价值.%Objective To report techniques and effects of myringoplasty using Portmann' s posterior-superior incision retro-auricular approach with complete tympanic membrane elevation and inner graft for repair large size perforations. Methods Myringoplasty was performed in 45 patients. Following tympanic membrane elevation, temporal fascia was used as the autograft and placed on the inner side. Results Forty-three cases acheieved first stage healing of perforation At six month follow up, the tympanic membrane remained healed in 43 cases and showed small central perforation in 2 cases. Hearing in all patients was improved after operations. Conclusion This operative approach allows clear visualization and harvesting of temporal fascia in the same field. The success rate of repairing large perforation with this technique is higher, deserving extensive use.

  20. Auricular-Plaster Therapy for Treatment of IBS

    Institute of Scientific and Technical Information of China (English)

    敖学艳; 王宁

    2004-01-01

    @@ Irritable bowel syndrome (IBS), a disease of the digestive system related to mental factors, is clinically characterized by diarrhea (or alternation of diarrhea and constipation) and abdominal pain. In recent years, the authors have used auricular-plaster therapy plus pressing on the back-shu points to treat IBS, and obtained good therapeutic results.

  1. Prefabricated stock trays for impression of auricular region.

    Science.gov (United States)

    Vibha, Shetty; Anandkrishna, G N; Anupam, Purwar; Namratha, N

    2010-06-01

    The conventional methods of impression making for maxillofacial defects are cumbersome and time consuming for both patient and operator. This study focuses upon standardizing and simplifying the impression making methodology for auricular prosthesis with the help of prefabricated stock trays for auricular region. The stock trays were designed on positive replicas of anatomical structures, broadly divided into long and narrow, short and broad and long and broad ear. For each stock tray, impressions of auricle, of patients of different morphology were made with plastic funnels of different shape and size ensuring at least 6 mm of space between the anatomical part and inner surface of funnel and master cast was obtained. Subsequent adaptation of wax was done and fabrications of stock stainless steel trays were done. A standardized stock tray for making of auricular impressions was developed. From this innovative technical procedure it is possible to get an accurate impression of auricular defects now by the use of prefabricated stock trays rather than the cumbersome conventional method.

  2. Provision of Auricular Acupuncture and Acupressure in a University Setting

    Science.gov (United States)

    Oyola-Santiago, Tamara; Knopf, Rachel; Robin, Tracy; Harvey, Kristen

    2013-01-01

    Auricular acupuncture using the National Acupuncture Detoxification Association (NADA) protocol stimulates 5 points in each ear--the Shen Men, sympathetic nervous system, liver, kidney, and lung. This protocol is also known as Acu Detox, and has been used for recovery in community-based settings and drug use treatment programs. It has also been…

  3. Outcomes of Botulinum Toxin Type A Injection Followed by Rehabilitation in Cases of Cerebral Palsy With Upper Extremity Involvement.

    Science.gov (United States)

    Karaca, Burcu; Ünlü, Ece; Köse, Gülşen; Gönen, Emel; Çakcı, Aytül

    2016-03-01

    We evaluated the efficiency of botulinum toxin type A injection followed by a rehabilitation program including individual therapy, group therapy, and occupational therapy in cases of cerebral palsy with upper extremity involvement. A total of 29 injections were performed on 25 patients, and the patients were placed on rehabilitation program. At 3-month and 6-month assessments, there was a significant improvement in lateral grip strength, 9 Hole Peg test, Upper Limb Physician's Rating Scale and pediatric functional independence measure total scores. There were significant decreases in active range of motion in elbow extension, supination, and wrist extension, and Modified Ashworth Scale in elbow flexion, elbow pronation, and wrist flexion at 6-week, 3-month, and 6-month assessments. Combination of group therapy with traditional therapy methods after injection is effective in cases of cerebral palsy with upper extremity involvement.

  4. Transcranial direct current stimulation and cognitive training in the rehabilitation of Alzheimer disease: A case study.

    Science.gov (United States)

    Penolazzi, Barbara; Bergamaschi, Susanna; Pastore, Massimiliano; Villani, Daniele; Sartori, Giuseppe; Mondini, Sara

    2015-01-01

    In the present study we tested the cognitive effects of transcranial direct current stimulation (tDCS) in a case of probable Alzheimer disease (AD). The patient (male, 60 years, mild AD) underwent two cycles of treatments, separated by 2 months. In the first cycle, active stimulation (10 sessions, 2 mA for 20 min; anode over the left dorsolateral prefrontal cortex) was followed by computerised tasks (CTs) specifically chosen to engage the most impaired cognitive processes in the patient (tDCS+CT condition). In the second cycle, which was structured as the first, CTs were administered after placebo stimulation (sham+CT condition). Effects on cognitive performance were evaluated not only by the CTs, but also by neuropsychological tests assessing global cognitive functioning. Statistical analyses revealed that whereas the tDCS+CT condition had few effects on the CTs, it induced a stability of the patient's global cognitive functioning lasting approximately 3 months, which was not achieved when the patient underwent sham+CT condition. Therefore, the synergetic use of tDCS and CTs appeared to slow down the cognitive decline of our patient. This preliminary result, although in need of further confirmation, suggests the potentiality of tDCS as an adjuvant tool for cognitive rehabilitation in AD.

  5. ROLE OF MEDICAL REHABILITATION TREATMENT IN POST-POLIO SYNDROME – A CASE REPORT

    Directory of Open Access Journals (Sweden)

    DOGARU Gabriela

    2015-05-01

    Full Text Available The term post-polio syndrome (PPS was introduced in 1985 by Halstead. It is characterized by sudden or progressive muscle weakness, new muscular atrophy, muscle pain, fatigue, functional impotence, cold intolerance, after a period of at least 15 years from acute polio virus infection, a period of neurological and functional stability, in the absence of other medical explanation [1]. The reported prevalence of PPS is between 15% and 80% of all patients with previous polio virus infections [2, 3]. Poliomyelitis continues to be a public health problem, because the consequences of the disease last throughout life. In Europe, there are about 700,000 persons who survived the infection and are still alive. Non-randomized studies with kinesitherapy programs with a duration between 6 weeks and 7 months, involving isokinetic and isometric endurance muscle training, have demonstrated an increase of muscle strength in the case of patients with mild or moderate muscle weakness, and a reduction of muscle fatigue [7, 8, 9]. The differential diagnosis of PPS can be difficult because of the need to exclude both neurological and non-neurological conditions that aggravate the pre-existing motor deficit. Rehabilitation programs using therapeutic means: kinesitherapy, thermotherapy, hydrothermotherapy, occupational therapy represent the only way to limit functional deficit and to improve pain, playing an important role in the long-term management and care of patients.

  6. PSYCHO-MOTRIC REHABILITATION IN CHILDREN WITH AGENESIS OF CORPUS CALLOSUM (Case study

    Directory of Open Access Journals (Sweden)

    Zărnica I. Manuela Mirela

    2011-12-01

    Full Text Available Agenesis of corpus callosum is a new challenge for the puluridisciplinary team, in their efforts for the rehabilitation of childrens with this diagnose, because is a rare congenital desease with an unknown frequence of emergence. Scope. This paperwork aims to present the approach modalities of the child with agenesis of corpus callousum and the means of physical therapy that may help. Methods. This is a case study of a 5 years old girl with asenesis of corpus callosum. For assessment we used motor assessment, range of motion, reflexes. Exercises from different positions were done as games and motric songs. Sensory stimulation was also done. Rezults. By direct observation of the patient we observed significant improvement in motor function. We also foud unexpected improvement of quiet stance and dynamic balance, sensory-motor coordination. Conclusions. Game, tha main therapeutic method through its form, diversity and characteristics - atractivity, directness, creativity, movement freedom – is the main supplement of child psicho-motric development. A balanced distribution of influences upon motricity, psychic, thinking and action, nonverbal and expression language, represent the qualitative peculiarity of specialist’s and parents efforts.

  7. [Prosthetic rehabilitation of patients with parodontitis based upon the use of 3D-technologies--clinical case example].

    Science.gov (United States)

    Riakhovskiĭ, A N

    2011-01-01

    Clinical case of prosthetic rehabilitation of patient (female) with generalized parodontitis complicated by defects and deformations of dentitions was offered. Using 3D-technologies position of teeth was corrected with the help of a series of temporary transparent splints-modifiers with subsequent guy splintage and esthetic 3D-planning of front teeth forms. Teeth forms correction was made by composite using preliminary prepared templet.

  8. IMPORTANCE OF PREOPERATIVE RADIOLOGICAL PLANNING IN THE REHABILITATION OF PATIENTS WITH ENDOPROSTHETIC KNEE ARTHROPLASTY – CASE STUDY

    OpenAIRE

    2016-01-01

    Introduction: The purpose of endoprosthetic knee arthroplasty is to restore joint function; this objective can be attained by positioning correctly the prosthetic elements both in frontal (varus-valgus) and in rotational plane. The new radiological planning protocol introduced since October 2014 in the Orthopaedics Clinic of the Rehabilitation Hospital manages to cover the entire preoperative assessment of frontal and rotational deformities. Case study: The 58-years-old female patient with bi...

  9. A Multidisciplinary Approach to Full Mouth Rehabilitation and Solving the Dilemma of Wriggling Dentures- A Case Report

    OpenAIRE

    Nidawani, Prakash; Galagali, Girish; Reddy, E Srinivas; Behera, Sidhartha S P

    2014-01-01

    A successful management of full mouth rehabilitation demands a multi-disciplinary approach for its long lasting success. The present case report is intended to give an insight into the use of multiple treatment modalities to achieve a balanced, efficient and biomechanically successful prosthodontic treatment with acceptable aesthetics. Treatment of a maxillary and mandibular bilateral distal free end edentulous arch along with upper and lower anterior teeth requires plent...

  10. Therapeutic Observation on Treatment of Enuresis with Combined Auricular Pressure and Tuina

    Institute of Scientific and Technical Information of China (English)

    王秋景; 刘玉泉; 王山

    2006-01-01

    Ninety-two cases of enuresis were treated with auricular point pressure onthe kidney (MA-SC), bladder (MA-SC 8), lung (MA-IC 1), heart (MA-IC), liver (MA-SC 5), Er Shenmen(MA-TF 1),Zhen (MA-AT) and Subcortex (MA-AT 1) plus tuina. After treatment, 61 cases were cured, 28 cases were effective and 3 cases were ineffective, with an effective rate of 96.7%.%贴压耳穴肾、膀胱、肺、心、肝、神门、枕和皮质下,结合推拿疗法,治疗了92例遗尿症患者,经治疗后痊愈61例,好转28例,无效3例,有效率96.7%.

  11. Observation on clinical effect of auricular acupoint sticking plus music therapy for post-stroke insomnia%耳穴贴压结合音乐疗法对脑卒中后失眠的疗效观察

    Institute of Scientific and Technical Information of China (English)

    蔡晓敏; 章旭萍; 唐杏

    2015-01-01

    目的:观察耳穴贴压结合音乐疗法对脑卒中失眠的疗效。方法:将154例脑卒中后失眠患者按照随机数表法分为对照组及观察组,每组各77例。对照组接受耳穴贴压治疗,观察组在耳穴贴压的基础上结合音乐移情护理。比较两组患者疗程结束时及治疗结束3个月后的临床疗效。结果:治疗结束时,观察组总有效率为98.7%,显著高于对照组的89.6%,两组差异具有统计学意义(P<0.05);治疗结束3个月后,观察组总有效率为90.9%,显著高于对照组的80.5%,两组差异具有统计学意义(P<0.05)。结论:耳穴贴压结合音乐疗法治疗脑卒中后失眠临床疗效肯定,为制定脑卒中后失眠患者最佳护理康复干预方案提供了新思路。%Objective:To observe the clinical effect of auricular acupoint sticking plus music therapy for post-stroke insomnia. Methods:A total of 154 cases with post-stroke insomnia were randomly divided into a control group and an observation group by the random digital table, 77 cases in each group. The control group was treated by auricular acupoint sticking, while the observation group was treated by auricular acupoint sticking plus music therapy, to compare the clinical effects at the end of the treatment and three months after the treatment between the two groups. Results:At the end of treatment, the total effective rate was 98.7% in the observation group, remarkably higher than 89.6% in the control group, with a statistically significant difference between the two groups (P Conclusion:Auricular acupoint sticking plus music therapy was affirmative in the clinical effects for post-stroke insomnia, providing a new idea to design a best nursing and rehabilitative plan for the patients with post-stroke insomnia.

  12. CLINICAL STUDY ON CLIMACTERIC SYNDROME TREATED WITH AURICULAR PLUS BODY ACUPUNCTURE

    Institute of Scientific and Technical Information of China (English)

    徐天舒

    2003-01-01

    Aim: To search for the best therapeutic method for climacteric syndrome. Methods: A total of 190 cases of climacteric syndrome participants were randomly divided into auricular plus body acupuncture group (treatment group, n = 96) and simple body acupuncture group (control group, n = 94). Serum sexual hormone (FSH, LH and E2) and blood lipid (TC, LDL-C, HDL-C and TG) levels were detected before and after treatment. Results: After 30sessions of treatment, the total effective rates of treatment and control groups were 82.29% and 76.02% respectively, with the former being significantly higher than the later ( P < 0.01 ). In comparison with pre-treatment of each group, serum follicle-stimulating hormone (FSH) and luterotropic hormone (LH) levels lowered significantly; serum estradiol (E2) increased remarkably ( P < 0.05 - 0.01 ); serum high-density l ipoprotein-cholesterol (HDL-C) of two groups raised significantly ( P< 0.05- 0.01 ), and Iow-density lipoprotein (LDL)-C of treatment group decreased evidently (P< 0.05). In addition, the improvement of complaints of hot flushes, sweating, paresthesia, insomnia and emotional irritability in treatment group is significantly better than that of control group. Conclusion: Auricular acupuncture combined with body acupuncture has a better therapeutic effect than that of simple body acupuncture in the treatment of climacteric syndrome.

  13. En bloc resection for treatment of refractory pre-auricular fistula

    Institute of Scientific and Technical Information of China (English)

    Jing Fei; Di Zhang; Xiao-qiang Sun; Chong Zhao; Gang Qin; Yue-hua Liu; Lin Zhu; Lei-ji Li

    2015-01-01

    Objective:To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate. Methods:Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resection at the Affiliated Hospital of Luzhou Medical College from August 2006 to November 2012 were retrospectively reviewed. Factors that might affect the prognosis following En bloc fistula resection bordered by the superficial temporalis fascia, helix perichondrium and auriculocephalic sulcus were investigated. Results: Of the 187 patients, 181 achieved primary healing and 6 ended up with delayed healing. During the follow-up period (one to seven years), there were 4 cases of recurrence (2.1%). Conclusions:Clear demarcation of surgical resection can facilitate easy and thorough resection of preauricular fistula and lead to low recurrence rate. Proper timing and careful search for potential fistula branches are the two crucial factors affecting prognosis. Copyright © 2016, PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

  14. Feasibility of robot-assisted modified radical neck dissection by post-auricular facelift approach.

    Science.gov (United States)

    Tae, K; Ji, Y B; Song, C M; Sung, E S; Chung, J H; Lee, S H; Park, H J

    2016-11-01

    The aim of this study was to evaluate the technical feasibility and safety of robot-assisted modified radical neck dissection (MRND) for head and neck cancer patients with a clinically node-positive neck. The cases of 10 head and neck cancer patients who underwent unilateral therapeutic robot-assisted MRND by post-auricular facelift approach were analyzed. The robot-assisted MRND was completed successfully in all patients without any conversion to conventional neck dissection. The mean number of lymph nodes removed was 36.7±8.6. The mean duration of surgery for robot-assisted MRND was 274±65min (range 175-395min). Transient marginal nerve palsy occurred in two patients and partial necrosis of the skin flap occurred in one patient. In terms of cosmetic satisfaction, 70% of patients were very satisfied or satisfied with postoperative cosmesis. In conclusion, robot-assisted MRND by post-auricular facelift approach is technically feasible and safe in selected patients with head and neck cancer, and yields excellent postoperative cosmesis.

  15. Does kinematics add meaningful information to clinical assessment in post-stroke upper limb rehabilitation? A case report

    Science.gov (United States)

    Bigoni, Matteo; Baudo, Silvia; Cimolin, Veronica; Cau, Nicola; Galli, Manuela; Pianta, Lucia; Tacchini, Elena; Capodaglio, Paolo; Mauro, Alessandro

    2016-01-01

    [Purpose] The aims of this case study were to: (a) quantify the impairment and activity restriction of the upper limb in a hemiparetic patient; (b) quantitatively evaluate rehabilitation program effectiveness; and (c) discuss whether more clinically meaningful information can be gained with the use of kinematic analysis in addition to clinical assessment. The rehabilitation program consisted of the combined use of different traditional physiotherapy techniques, occupational therapy sessions, and the so-called task-oriented approach. [Subject and Methods] Subject was a one hemiplegic patient. The patient was assessed at the beginning and after 1 month of daily rehabilitation using the Medical Research Council scale, Nine Hole Peg Test, Motor Evaluation Scale for Upper Extremity in Stroke Patients, and Hand Grip Dynamometer test as well as a kinematic analysis using an optoelectronic system. [Results] After treatment, significant improvements were evident in terms of total movement duration, movement completion velocity, and some smoothness parameters. [Conclusion] Our case report showed that the integration of clinical assessment with kinematic evaluation appears to be useful for quantitatively assessing performance changes. PMID:27630445

  16. Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report.

    Science.gov (United States)

    Kuo, Chih-Lan; Lo, Sui-Foon; Liu, Chun-Lin; Chou, Chia-Hui; Chou, Li-Wei

    2012-01-01

    There are few reports in the literature of tuberculous brain abscess. Tuberculous brain abscess usually occurs in an immunocompromised host. Almost all previously documented cases have involved acquired immune deficiency syndrome. We encountered a 53-year-old right-handed immunocompetent male who was initially suspected of having a cerebrovascular accident due to acute-onset right hemiparesis and paresthesia. A tentative diagnosis of brain tumor versus brain abscess was made on imaging studies. The patient was finally diagnosed with a tuberculous brain abscess based upon deterioration on imaging and a positive tuberculosis culture. The tuberculous brain abscess was located in the left parietal lobe, which resulted in Gerstmann's syndrome and right-sided apraxia. Stereotactic surgery was performed. He was also given antituberculosis chemotherapy and comprehensive rehabilitation. Considerable improvement was noted after rehabilitation. The patient even returned to a normal life and work. Our case demonstrates that an aggressive intensive inpatient rehabilitation program combined with stereotactic surgery and effective antituberculosis therapy play an important role in improving the outcome for patients with tuberculous brain abscess, Gerstmann's syndrome, and right-sided apraxia.

  17. Evaluation of the effects of rehabilitation after surgery using the Ravitch and Nuss methods: a case study.

    Science.gov (United States)

    Bal-Bocheńska, Monika Anna

    2016-03-01

    Rehabilitation may be helpful in the prevention of complications associated with the treatment of patients with pectus excavatum who are subjected to surgery using the Ravitch and Nuss methods. This paper presents the case of a patient who underwent successful physical rehabilitation after 8 weeks from the surgery using the combined method. As part of the Nuss procedure, two plates were implanted to form a scaffolding for the patient's chest, which had previously been corrected with the Ravitch method. The plates were to be removed after 24 months of treatment. After the procedure, in spite of the favorable cosmetic effect of the repair, there was a significant decrease in the spirometric values and physical fitness of the patient. He underwent an individual physiotherapy program, which lasted four weeks. The streamlining of the respiratory system has significantly improved the spirometric values and raised the overall performance of the patient's organism.

  18. Full mouth rehabilitation with maxillary tooth supported and mandibular tooth and implant supported combination prostheses: a 4-year case report.

    Science.gov (United States)

    Pramod Kumar, A V; Vinni, T K; Mahesh, Mehul R

    2012-06-01

    The primary objectives of successful prosthetic rehabilitation are to provide function, esthetics and comfort to the patient. Combination prosthesis is one which is supported by both natural teeth and implant. The periodontal ligament and osseointegrated interface distribute force differently to the supporting bone. Therefore problems can develop when tooth and implants are combined in the same prosthesis. However, clinicians can apply biomechanical principles, to negate the deleterious leverages exerted by the fixed prosthesis by using non rigid components and to equalize the stress applied by the prosthesis on implant and teeth. A case of partially edentulous situation was rehabilitated successfully with a combination of prostheses. Maxillary arch was restored to function with crowns, fixed dental prosthesis and with an extra coronal castable attachment prosthesis and the mandibular arch with a combination of tooth and implant supported attachment prosthesis. The clinical and laboratory steps for the fabrication of these prostheses are explained in this report.

  19. Intensified tuberculosis case finding among malnourished children in nutritional rehabilitation centres of Karnataka, India: missed opportunities.

    Directory of Open Access Journals (Sweden)

    Prashant G Bhat

    Full Text Available BACKGROUND: Severe acute malnutrition (SAM is the most serious form of malnutrition affecting children under-five and is associated with many infectious diseases including Tuberculosis (TB. In India, nutritional rehabilitation centres (NRCs have been recently established for the management of SAM including TB. The National TB Programme (NTP in India has introduced a revised algorithm for diagnosing paediatric TB. We aimed to examine whether NRCs adhered to these guidelines in diagnosing TB among SAM children. METHODS: A cross-sectional study involving review of records of all SAM children identified by health workers during 2012 in six tehsils (sub-districts with NRCs (population: 1.8 million of Karnataka, India. RESULTS: Of 1927 identified SAM children, 1632 (85% reached NRCs. Of them, 1173 (72% were evaluated for TB and 19(2% were diagnosed as TB. Of 1173, diagnostic algorithm was followed in 460 (37%. Among remaining 763 not evaluated as per algorithm, tuberculin skin test alone was conducted in 307 (41%, chest radiography alone in 99 (13% and no investigations in 337 (45%. The yield of TB was higher among children evaluated as per algorithm (4% as compared to those who were not (0.3% (OR: 15.3 [95%CI: 3.5-66.3]. Several operational challenges including non-availability of a full-time paediatrician, non-functioning X-ray machine due to frequent power cuts, use of tuberculin with suboptimal strength and difficulties in adhering to a complex diagnostic algorithm were observed. CONCLUSION: This study showed that TB screening in NRCs was sub-optimal in Karnataka. Some children did not reach the NRC, while many of those who did were either not or sub-optimally evaluated for TB. This study pointed to a number of operational issues that need to be addressed if this collaborative strategy is to identify more TB cases amongst malnourished children in India.

  20. Prosthetic rehabilitation of an ocular defect with post-enucleation socket syndrome: A case report.

    Science.gov (United States)

    Amornvit, Pokpong; Rokaya, Dinesh; Shrestha, Binit; Srithavaj, Theerathavaj

    2014-01-01

    Ocular trauma can be caused by road traffic accidents, falls, assaults, or work-related accidents. Enucleation is often indicated after ocular injury or for the treatment of intraocular tumors, severe ocular infections, and painful blind eyes. Rehabilitation of an enucleated socket without an intraocular implant or with an inappropriately sized implant can result in superior sulcus deepening, enophthalmos, ptosis, ectropion, and lower lid laxity, which are collectively known as post-enucleation socket syndrome. This clinical report describes the rehabilitation of post-enucleation socket syndrome with a modified ocular prosthesis. Modifications to the ocular prosthesis were performed to correct the ptosis, superior sulcus deepening, and enophthalmos. The rehabilitation procedure produced satisfactory results.

  1. Evidence-based careflow management systems: the case of post-stroke rehabilitation.

    Science.gov (United States)

    Panzarasa, S; Maddè, S; Quaglini, S; Pistarini, C; Stefanelli, M

    2002-04-01

    The activities of a care providers' team need to be coordinated within a process properly designed on the basis of available best practice medical knowledge. It requires a rethinking of the management of care processes within health care organizations. The current workflow technology seems to offer the most convenient solution to build such cooperative systems. However, some of its present weaknesses still require an intense research effort to find solutions allowing its exploitation in real medical practice. This paper presents an approach to design and build evidence-based careflow management systems, which can be viewed as components of a knowledge management infrastructure each health care organization should be provided with to increase its performance in delivering high quality care by efficiently exploiting the available knowledge resources. The post-stroke rehabilitation process has been taken as a challenging care problem to assess our methodology for designing and developing careflow management systems. Then a system was co-developed with a team of rehabilitation professionals who will be committed to use it in their daily work. The system's main goal is to deliver a full array of rehabilitation services provided by an interdisciplinary team. They are related to identify which patients are most likely to benefit from rehabilitation, manage a rehabilitation treatment plan, and monitor progress both during rehabilitation and after return to a community residence. A model of the rehabilitation process was derived from an international guideline and adapted to the local organization of work. It involves different organizational units, such as wards, rehabilitation units, clinical laboratories, and imaging services. Several organizational agents work within them and play one or more roles. Each role is defined by the goals' set that she/he must fulfill. Special effort has been given to the design and development of a knowledge-based system for managing

  2. An Interdisciplinary Approach for Rehabilitating a Patient with Amelogenesis Imperfecta: A Case Report

    Directory of Open Access Journals (Sweden)

    Niloufar Khodaeian

    2012-01-01

    Full Text Available Amelogenesis imperfecta (AI has been defined as a group of hereditary enamel defects. It can be characterized by enamel hypoplasia, hypomaturation, or hypocalcification of the teeth. AI may be associated with some other dental and skeletal developmental defects. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation. This clinical report describes the oral rehabilitation of a young patient diagnosed with the hypoplastic type of AI in posterior teeth and hypomatured type of AI in anterior teeth.

  3. Aneurisma gigante del apéndice auricular izquierdo

    OpenAIRE

    Francisco L. Moreno-Martínez; González Alfonso,Osvaldo; Lagomasino Hidalgo,Álvaro L; González Díaz,Alejandro; Oliva Céspedes,Carlos; López Bernal,Omaida J

    2006-01-01

    Los aneurismas de la aurícula izquierda son raros y pueden ser congénitos o adquiridos. Los que interesan la pared libre o el apéndice auricular son entidades más raras aún, hasta 2002 sólo existían 49 casos reportados en la aurícula izquierda y 8 en la derecha. La manifestación clínica más frecuente es la aparición de arritmias auriculares incesantes o recurrentes y pueden presentarse embolias sistémicas que pueden dar al traste con la vida del paciente. Presentamos el caso de una paciente a...

  4. Extraction and characterization of the auricularia auricular polysaccharide

    Science.gov (United States)

    Zhang, Q. T.

    2016-07-01

    To study a new protein drugs carrier, the Auricularia auricular polysaccharide (AAP) was extracted and purified from Auricularia auricular, and then characterized by the micrOTOF-Q mass spectrometer, UV/Vis spectrophotometer, moisture analyzer and SEM. The results showed that the AAP sample was water- soluble and white flocculence, its molecular weight were 20506.9 Da∼⃒63923.7 Da, and the yield, moisture, and total sugar contents of the AAP were 4.5%, 6.2% and 90.12%(w/w), respectively. The results of the SEM revealed that the AAP dried by vacuum were spherical particles with a smooth surface, and the AAP freeze-dried had continuous porous sheet shape with the loose structure.

  5. Use of Occupational Performance Coaching for stroke survivors (OPC-Stroke in late rehabilitation: A descriptive case study

    Directory of Open Access Journals (Sweden)

    Danika Belliveau

    2016-04-01

    Full Text Available Background: Stroke is a leading cause of disability in adults. Following stroke, 60% of people report needing help with everyday activities, and 80% report having very few meaningful activities. These restrictions often continue for years. This study explored the efficacy of Occupational Performance Coaching for stroke survivors (OPC-Stroke on the participation level of adults in the later stage of stroke rehabilitation. Method: A descriptive case study design was used. One participant in the later stages of rehabilitation was recruited. Outcome measures for participation, goal performance and satisfaction, and emotional well-being were administered pre and postintervention to observe for direction of change. A semi-structured interview was carried out postintervention to explore the participant’s experiences of the intervention. Results: The participant who took part in the study reported improvement with his goal performance and satisfaction. However, the level of participation did not improve and emotional well-being decreased. Qualitative data revealed an appreciation of the intervention and a recommendation of the intervention for others. Conclusion: OPC-Stroke was valued by the participant and shows promise for improving goal performance and satisfaction. Further research is necessary to determine the potential efficacy of OPC-Stroke in later stages of rehabilitation.

  6. Auricular Oedema and Dyshidrotic Eczema in a Patient with Acute Myeloid Leukaemia Treated with Cytarabine

    Directory of Open Access Journals (Sweden)

    K. Brandt

    2010-10-01

    Full Text Available Cytarabine is an effective drug in the treatment of haematological malignancies. The therapy is associated with various complications. Frequencies of dermatological side-effects range from 2–72% and occur most commonly after high-dose regimens. Although most cutaneous reactions are mild and resolve spontaneously within several days, they may result in an increased risk of infection and alterations in comfort. In some cases, severe life-threatening reactions have been reported. Here we describe the case of a patient with acute myeloid leukaemia, who developed severe exceptional skin toxicity in terms of auricular oedema and palmar dyshidrotic eczema after the application of low-dose cytarabine. Re-administration of the drug resulted in reduced skin toxicity during further cycles of chemotherapy. Negative epicutaneous patch-testing supported the existence of cytarabine-provoked toxicity.

  7. Simultaneous Vibrant Soundbridge Implantation and 2nd Stage Auricular Reconstruction for Microtia with Aural Atresia.

    Science.gov (United States)

    Lim, Lynne Hsueh Yee; Xiang, Ling; Del Prado, Jocelynne; Ee Chin, Ling; Beltrame, Millo Achille

    2011-07-01

    Aural atresia and severe microtia are associated malformations that result in problems with hearing and cosmesis, associated speech and language difficulties and diminished self-esteem. In cases where middle ear ossiculoplasty and aural atresia canalplasty are expected to give poor hearing outcomes that would eventually require the use of hearing aids, bone anchored hearing aids or active middle ear implants may be better options. This case report describes a simultaneous Vibrant Soundbridge implantation and 2(nd) stage auricular reconstruction with rib graft cartilage for an 11-year-old boy with grade III microtia and aural atresia 8 months after the 1(st) stage reconstruction. Audiometric results of the Vibrant Soundbridge aided ear were comparable to that of the contralateral hearing aid aided ear.

  8. Simultaneous vibrant soundbridge implantation and 2nd stage auricular reconstruction for microtia with aural atresia

    Directory of Open Access Journals (Sweden)

    Lynne Hsueh Yee Lim

    2011-09-01

    Full Text Available Aural atresia and severe microtia are associated malformations that result in problems with hearing and cosmesis, associated speech and language difficulties and diminished self-esteem. In cases where middle ear ossiculoplasty and aural atresia canalplasty are expected to give poor hearing outcomes that would eventually require the use of hearing aids, bone anchored hearing aids or active middle ear implants may be better options. This case report describes a simultaneous Vibrant Soundbridge implantation and 2nd stage auricular reconstruction with rib graft cartilage for an 11-year-old boy with grade III microtia and aural atresia 8 months after the 1st stage reconstruction. Audiometric results of the Vibrant Soundbridge aided ear were comparable to that of the contralateral hearing aid aided ear.

  9. Building the Case for Delivering Health Promotion Services within the Vocational Rehabilitation System

    Science.gov (United States)

    Ipsen, Catherine; Seekins, Tom; Ravesloot, Craig

    2010-01-01

    Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

  10. Efficient Solutions for Existing Homes Case Study: Rehabilitations of USDA Multifamily Homes

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-04-01

    Rea Ventures Group, LLC, partnered with Southface Energy Institute (Southface), a member of the U.S. Department of Energy's Partnership for Home Innovation Building America research team, to develop a prescriptive approach for rehabilitating a portfolio of rural multifamily rental properties in Georgia, which was funded by the U.S. Department of Agriculture (USDA).

  11. All-ceramic restorations for complete-mouth rehabilitation in dentinogenesis imperfecta: a case report.

    Science.gov (United States)

    Moundouri-Andritsakis, Heleni; Kourtis, Stephanos G; Andritsakis, Demetrios P

    2002-10-01

    Prosthetic treatment of patients with dentinogenesis imperfecta is a challenge for the dental practitioner because numerous factors have to be considered. The use of all-ceramic restorations to rehabilitate the dentition of a young patient with dentinogenesis imperfecta is reported. Clinical and laboratory procedures are described.

  12. Infusing Social Justice into Rehabilitation Education: Making a Case for Curricula Refinement

    Science.gov (United States)

    Harley, Debra A.; Alston, Reginald J.; Middleton, Renee A.

    2007-01-01

    Persons with disabilities are among minority groups who frequently experience marginalization and disenfranchisement. As a paradigm, social justice attempts to address marginalization through equitable redistribution of resources, policy and legislative revisions, and personal empowerment. The limited response of rehabilitation counseling to…

  13. Rehabilitation Nursing Experience of 105 Cases of Lumbar Disc Herniation%105例腰椎问盘突出症的康复护理体会

    Institute of Scientific and Technical Information of China (English)

    贾芳

    2015-01-01

    目的寻找腰椎问盘突出症的康复护理方法。方法将105例腰椎间盘突出症患者,在常规康复治疗(针灸、动力灸、物理因子治疗等)的基础上,采用综合康复护理,观察效果。结果综合康复护理在腰椎问盘突出症的康复中取得了较好的效果。结论综合康复护理是腰椎问盘突出症康复的有效方法。%Objective To search for the lumbar intervertebral disc protrusion rehabilitation nursing method.Methods 105 cases of patients with lumbar disc herniation, in routine rehabilitation treatment (acupuncture, moxibustion, dynamic physical factor treatment etc.) basis, by comprehensive rehabilitation nursing, observe the ef ect.Results The comprehensive rehabilitation nursing disc herniation rehabilitation achieved good results in the lumbar spine.Conclusion The comprehensive rehabilitation nursing is lumbar intervertebral disc herniation of the ef ective method of rehabilitation.

  14. [Dynamic rehabilitation in facial paralysis with the surgical flap and temporalis muscle transposition without muscle lengthening: review and case report].

    Science.gov (United States)

    Shipkov, Kh; Anastasov, Iu

    2005-01-01

    There are various surgical procedures for the reanimation of patients with long-standing facial paralysis. Temporalis muscle transfer is reliable for the reanimation of long-standing facial paralysis often employed when facial nerve reinnervation. It can be used as well for the immediate treatment of complete facial paralysis (more than 1 year) because temporalis muscle transposition does not interfere with neuronal regeneration. During the last few years the techniques employing the tendon of the temporalis muscle for the rehabilitation of the oral commissure gain increasing importance. The authors analyse the different options for reanimation after facial paralysis and report on a case of facial reanimation via temporalis muscle transfer.

  15. Catgut Implantation at Acupoint Combined with Auricular-plaster Therapy in the Treatment of Obesity Patients with Constipation:An Analysis of 39 Cases%穴位埋线结合耳压疗法治疗肥胖症便秘患者39例

    Institute of Scientific and Technical Information of China (English)

    任萃萃; 葛宝和

    2011-01-01

    目的:观察穴位埋线结合耳压疗法治疗肥胖症便秘患者的临床疗效。方法:将医用羊肠线植入天枢、上巨虚、丰隆等穴位,同时配合耳穴贴压治疗,观察临床疗效。结果:两个疗程后,39例肥胖症便秘患者中,治愈28例(占71.8%)。3个月后随访,显效及以上35例(占89.7%)。总有效率100%。结论:穴位埋线可调节人体植物神经系统,纠正胃肠道的紊乱状态,促进胃肠蠕动,从而有效地治疗便秘。该疗法操作简便易行,创伤小,疗效可靠,适合快节奏的现代生活人群,有较高的临床推广应用价值。%Objective;To observe the clinical effects of catgut implantation at acupoint combined with auricular plaster on obesity patients with constipation. Methods; Implant the acupoints(Tianshu, Shangjuxu, Fenglong and etc.) with catgut and observe the clinical effects. Results: In 39 cases of patients with obesity constipation,28 cases were cured after two courses of treatment (account for 71. 8% ). After 3 months follow - up, 35 patients were significantly effective (account for 89.7% ). The total effective rate was 100%. Conclusion: Catgut implantation at acupoint can adjust the vegetative nervous system,correct the gastrointestinal tract disorder, and promote gastric peristalsis to treat constipation effectively. It is appropriate for fast rhythm of modem life because of its easy operation, little trauma and reliable effectiveness. Therefore, it has a high clinical application and promoting value.

  16. A MULTIDISCIPLINARY APPROACH TO THE REHABILITATION OF A COLLEGIATE FOOTBALL PLAYER FOLLOWING ANKLE FRACTURE: A CASE REPORT

    Science.gov (United States)

    Kaplan, Lee D.; Musto, Tony; Gaunaurd, Ignacio A.; Gailey, Robert S.; Kelley, William P.; Alemi, Timothy J.; Espinosa, Braulio; Mandler, Eli; Scavo, Vincent A.; West, Dustin C.

    2016-01-01

    ABSTRACT Background and Purpose Multiple rehabilitation factors including overall wellness need to be considered when an athlete returns to sport after an injury. The purpose of this case report is to describe a multidisciplinary approach for return to sport of a Division I collegiate football player following a traumatic ankle fracture requiring surgical repair. The assessment and treatment approach included the use of a performance-based physical therapy outcome measure, self-reported functional abilities, body composition assessments, and nutritional counseling. Case Description A 21 year-old running back fractured his lateral malleolus due to a mechanism of injury of excessive eversion with external rotation of the ankle. Surgical intervention included an open reduction internal fixation (ORIF) of the fibula and syndesmosis. In addition to six months of rehabilitation, the patient received consultations from the team sports nutritionist specialist to provide dietary counseling and body composition testing. The Comprehensive High-level Activity Mobility Predictor-Sport (CHAMP-S), a performance-based outcome measure, self-report on the Foot and Ankle Disability Index (FADI-ADL, FADI-S), and body composition testing using whole body densitometry (BOD POD®), were administered throughout rehabilitation. Outcomes The subject was successfully rehabilitated, returned to his starting role, and subsequently was drafted by a National Football League (NFL) franchise. High-level mobility returned to above pre-injury values, achieving 105% of his preseason CHAMP-S score at discharge. Self-reported function on the FADI-ADL and FADI-Sport improved to 100% at discharge. Body fat percentages decreased (13.3% to 11.9%) and fat mass decreased (12.0 kg to 11.0kg). Lean body mass (78.1 kg to 81.5 kg) and lbm/in increased (1.14 kg/in to 1.19 kg/in). His BMI changed from 29.8 kg/m2 to 30.6 kg/m2. Discussion This case report illustrates the positive effects of a

  17. 手法按摩配合耳穴治疗失眠症临床观察%Clinical Observation on Manipulation Combined with Auricular Therapy for Insomnia

    Institute of Scientific and Technical Information of China (English)

    蔡献芬

    2013-01-01

      目的:观察手法按摩配合耳穴治疗失眠症的临床疗效。方法:采用手法按摩配合耳穴磁珠治疗31例失眠患者,2个疗程后评价疗效。结果:痊愈6例,显效16例,有效8例,无效1例,总有效率96.8%,愈显率达71.0%。结论:手法按摩配合耳穴治疗失眠症疗效显著,无副作用,值得临床推广应用。%Objective:To observe the efficacy of treating insomnia by manipulation combined with auricular therapy. Methods:31 cases of insomnia patients were all treated by manipulation combined with auricular therapy, and evaluated the efficacy after 2 courses of treatment. Results:6 cases were cured, 16 cases had marked effect, 8 cases were effective, and 1 cases was ineffective, the total effective rate was 96.8%, the cured and marked effect rate was 71.0%. Conclusion:Manipulation combined with auricular therapy has significant efficacy and no side effects, deserves clinical pro-motion and application.

  18. Auricular Therapy for Treatment of Musculoskeletal Pain in the Setting of Military Personnel: A Randomized Trial

    Science.gov (United States)

    2014-10-01

    TITLE: Auricular Therapy for Treatment of Musculoskeletal Pain in the Setting of Military Personnel: A...Treatment of Musculoskeletal Pain in the Setting of Military Personnel: A Randomized Trial fdfdf 5b. GRANT NUMBER W81XWH-10-2-0163 5c. PROGRAM...approval and initiated enrollment. 15. SUBJET TERMS Auricular Therapy; Musculoskeletal Pain 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF

  19. Long-Term Assessment of an Innovative Mangrove Rehabilitation Project: Case Study on Carey Island, Malaysia

    Directory of Open Access Journals (Sweden)

    Shervin Motamedi

    2014-01-01

    Full Text Available Wave energy and storm surges threaten coastal ecology and nearshore infrastructures. Although coastal structures are conventionally constructed to dampen the wave energy, they introduce tremendous damage to the ecology of the coast. To minimize environmental impact, ecofriendly coastal protection schemes should be introduced. In this paper, we discuss an example of an innovative mangrove rehabilitation attempt to restore the endangered mangroves on Carey Island, Malaysia. A submerged detached breakwater system was constructed to dampen the energy of wave and trap the sediments behind the structure. Further, a large number of mangrove seedlings were planted using different techniques. Further, we assess the possibility of success for a future mangrove rehabilitation project at the site in the context of sedimentology, bathymetry, and hydrogeochemistry. The assessment showed an increase in the amount of silt and clay, and the seabed was noticeably elevated. The nutrient concentration, the pH value, and the salinity index demonstrate that the site is conducive in establishing mangrove seedlings. As a result, we conclude that the site is now ready for attempts to rehabilitate the lost mangrove forest.

  20. A multidisciplinary approach to full mouth rehabilitation and solving the dilemma of wriggling dentures- a case report.

    Science.gov (United States)

    Nidawani, Prakash; Galagali, Girish; Reddy, E Srinivas; Behera, Sidhartha S P

    2014-04-01

    A successful management of full mouth rehabilitation demands a multi-disciplinary approach for its long lasting success. The present case report is intended to give an insight into the use of multiple treatment modalities to achieve a balanced, efficient and biomechanically successful prosthodontic treatment with acceptable aesthetics. Treatment of a maxillary and mandibular bilateral distal free end edentulous arch along with upper and lower anterior teeth requires plenty of contemporary and conventional prosthodontic treatment modalities. Management of distal extension situation provides complexity of biomechanical problems due to the three dimensional movements of the distal extension denture. A distal most implant can convert a distal extension RPD from a tooth and tissue supported prosthesis to a tooth and implant supported prosthesis which provides a definite stop thus enhancing the retention and stability of the prosthesis, eliminating the problems often associated with a tooth and tissue supported distal extension RPD. How to cite the article: Nidawani P, Galagali G, Reddy ES, Behera SS. A Multidisciplinary Approach to Full Mouth Rehabilitation and Solving the Dilemma of Wriggling Dentures- A Case Report. J Int Oral Health 2014;6(2):136-40.

  1. Adjuvant auricular electroacupuncture and autogenic training in rheumatoid arthritis: a randomized controlled trial. Auricular acupuncture and autogenic training in rheumatoid arthritis

    DEFF Research Database (Denmark)

    Bernateck, M; Becker, M; Schwake, C

    2008-01-01

    BACKGROUND: In contrast to psychological interventions the usefulness of acupuncture as an adjuvant therapy in rheumatoid arthritis (RA) has not yet been demonstrated. OBJECTIVE: The efficacy of auricular electroacupuncture (EA) was directly compared with autogenic training (AT). METHODS: Patients...

  2. Full-mouth rehabilitation of a case of generalized enamel hypoplasia using a twin-stage procedure

    Directory of Open Access Journals (Sweden)

    Aswini Kumar Kar

    2010-01-01

    Full Text Available The dilemma confronting many dentists today is that innovations and well-defined specializations have greatly enlarged the treatment realm for tooth preservation as well as tooth replacement. The objectives should be preservation of the remaining tooth structure, restoration of optimum function, esthetics with least invasive procedures, cost effective, and short treatment time. The number of remaining natural teeth is one of the most widely used method for evaluating oral health and the prosthetic treatment of patients with a mutilated dentition. Though the treatment of these patients can be complex, but there are some important principles applicable in most cases. This case report demonstrates a satisfying full mouth rehabilitation using the Hobo and Takayama twin-stage procedure for a patient with esthetically and functionally compromised dentition. The final prosthesis with this twin-stage technique ensured a restoration with a predictable posterior disclusion and anterior guidance in harmony with the condylar path.

  3. ORAL MANIFESTATIONS AND PROSTHETIC REHABILITATION IN HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY (HSANTYPE IV:A CASE REPORT*

    Directory of Open Access Journals (Sweden)

    Duygu OFLUOĞLU

    2016-04-01

    Full Text Available Hereditary sensory and autonomic neuropathies (HSAN are rare genetic syndromes of unknown etiology. They are seen in early childhood and are categorized into six different types by their symptoms. HSAN type 4 demonstrates autosomal recessive transmission pattern, with such major characteristics as loss of sense of pain, self-mutilation, anhydrosis and mental retardation. Sympathetic innervations are deficient despite the existence of sweat glands. Sufferers are hypotonic without any tendon reflexes, and neuro-motor development is retarded. In some cases tactile sensation and vibration may be intact. Biting injuries due to lack of pain sensation cause laceration, ulceration and scarring of the tongue, lips and other parts of oral mucosa. Tooth luxation and severe dental attrition have been observed. This case report presents oral and dental findings, surgical treatments and prosthetic rehabilitation of an 11- year-old boy with HSAN type 4.

  4. The effect of lower limb rehabilitation gymnastics on postoperative rehabilitation in elderly patients with femoral shaft fracture: A retrospective case-control study.

    Science.gov (United States)

    Yang, Si-Dong; Ning, Sheng-Hua; Zhang, Li-Hong; Zhang, Ying-Ze; Ding, Wen-Yuan; Yang, Da-Long

    2016-08-01

    The purpose of this study was to explore the effect of lower limb rehabilitation gymnastics on postoperative rehabilitation in elderly patients with femoral shaft fracture after undergoing intramedullary nail fixation surgery.We collected medical records of elderly patients aged ≥ 60 years with femoral shaft fracture between 03/2010 and 03/2015 in Longyao County Hospital. Totally, 160 patients were identified and divided into the intervention group (n = 80) and the control group (n = 80). During the postoperative period, the intervention group received lower limb rehabilitation gymnastics treatment for 3 months, but the control group did not. All patients were routinely asked to return hospital for a check in the 1st postoperative week, as well as the 2nd week, the 1st month, and the 3rd month, after surgery. The clinical rehabilitation effect was evaluated by checking lower limb action ability, detecting the lower limb deep venous thrombosis (DVT), scoring muscle strength of quadriceps and visual analog scale (VAS) score, and performing satisfaction survey.At the 1st week and 2nd week after surgery, the clinical rehabilitation effect in the intervention group was better regarding lower limb action ability, lower limb DVT, muscle strength of quadriceps, VAS score, and patient satisfaction, as compared with the control group. However, there was no significant difference at the 1st month and the 3rd month after surgery when comparing the intervention group to the control group.In the early postoperative stage, lower limb rehabilitation gymnastics can effectively improve the recovery of lower limb function, beneficial to reducing postoperative complications such as lower limb DVT and muscle atrophy, and increasing patient satisfaction rate.

  5. Oxygen supplementation facilitating successful prosthetic fitting and rehabilitation of a patient with severe chronic obstructive pulmonary disease following trans-tibial amputation: a case report

    Directory of Open Access Journals (Sweden)

    Sharma Sat

    2010-12-01

    Full Text Available Abstract Introduction Dysvascular amputations are increasingly performed in patients with underlying cardiac and pulmonary disorders. A limb prosthesis is rarely offered to patients with severe chronic obstructive pulmonary disease because of their inability to achieve the high energy expenditure required for prosthetic ambulation. We describe a case of successful prosthetic fitting and rehabilitation of a patient with severe chronic obstructive pulmonary disease with the aid of oxygen supplementation. Case presentation A 67-year-old aboriginal woman with severe chronic obstructive pulmonary disease and hypercapnic respiratory failure underwent right trans-tibial (below the knee amputation for severe foot gangrene. An aggressive rehabilitation program of conditioning exercises and gait training utilizing oxygen therapy was initiated. She was custom-fitted with a right trans-tibial prosthesis. A rehabilitation program improved her strength, endurance and stump contracture, and she was able to walk for short distances with the prosthesis. The motion analysis studies showed a cadence of 73.5 steps per minute, a velocity of 0.29 meters per second and no difference in right and left step time and step length. Conclusion This case report illustrates that patients with significant severe chronic obstructive pulmonary disease can be successfully fitted with limb prostheses and undergo rehabilitation using supplemental oxygen along with optimization of their underlying comorbidities. Despite the paucity of published information in this area, prosthesis fitting and rehabilitation should be considered in patients who have undergone amputation and have severe chronic obstructive disease.

  6. Lower limbs kinematic assessment of the effect of a gym and hydrotherapy rehabilitation protocol after knee megaprosthesis: a case report

    OpenAIRE

    2016-01-01

    [Purpose] To quantitatively assess the effect of a personalized rehabilitation protocol after knee megaprosthesis. [Subject and Methods] The gait patterns of a 33-year-old male patient with knee synovial sarcoma were assessed by a computerized analysis before and after 40 rehabilitation sessions. [Results] The rehabilitation protocol improved the gait pattern. After rehabilitation, hip flexion was nearly symmetric, with normalized affected limb hip flexion, and improved ankle flexion. Ankle i...

  7. Investigations of community rehabilitation effects for 861 limb disabled cases%861例肢体残疾人社区康复训练效果调查

    Institute of Scientific and Technical Information of China (English)

    楚海建; 李舟; 杨春玲

    2014-01-01

    目的:了解和掌握奎屯市肢体残疾人在社区的康复训练效果。方法:依据社区康复肢体残疾功能评定表,对奎屯市861例肢体残疾患者参加社区康复训练前后的运动功能、生活自理能力和社会适应能力情况进行调查评估。结果:肢体残疾患者经社区康复训练后,运动功能、生活自理能力和社会适应能力均有显著提高,训练效果优于家庭康复训练(P﹤0.05)。结论:社区康复训练效果优于家庭康复训练效果。%Objective:To understand and master the community rehabilitation effects of the persons with limb disabilities Kui-tun. Methods:On the basis of community rehabilitation physical disabilities function evaluation form, 861 cases with limb disabilities participating in the community rehabilitation training were investigated and assessed with motor function and life of self-care ability and social adaptation ability before and after the training. Results:After the community rehabilitation training, the motor function and life self-care ability and social adaptation ability were significantly improved, and the community rehabilitation training effects were superi-or to those of the family rehabilitation training (P<0. 05). Conclusions:The community rehabilitation training effects are superior to those of the family rehabilitation training.

  8. Esthetic rehabilitation of severely decayed primary incisors using glass fiber reinforced composite: a case report.

    Science.gov (United States)

    Metha, Deepak; Gulati, Akanksha; Basappa, N; Raju, O S

    2012-01-01

    Restoration of primary maxillary incisors severely damaged by caries or trauma is a clinical challenge in pediatric dental clinics. Early childhood caries is observed in approximately half the child population. In the past, the only treatment option would have been to extract the affected teeth and replace them with prosthetic substitutes. With the introduction of new adhesive systems and restorative materials, alternative approaches in treating these teeth have been proposed. The purpose of this paper was to describe the rehabilitation of primary anterior teeth in a 5-year-old patient using glass fiber reinforced composite resin as an intracanal post.

  9. IMPORTANCE OF PREOPERATIVE RADIOLOGICAL PLANNING IN THE REHABILITATION OF PATIENTS WITH ENDOPROSTHETIC KNEE ARTHROPLASTY – CASE STUDY

    Directory of Open Access Journals (Sweden)

    Liliana SAVIN

    2016-10-01

    Full Text Available Introduction: The purpose of endoprosthetic knee arthroplasty is to restore joint function; this objective can be attained by positioning correctly the prosthetic elements both in frontal (varus-valgus and in rotational plane. The new radiological planning protocol introduced since October 2014 in the Orthopaedics Clinic of the Rehabilitation Hospital manages to cover the entire preoperative assessment of frontal and rotational deformities. Case study: The 58-years-old female patient with bilateral gonarthrosis has benefited – in February 2013 from endoprosthetic arthroplasty for the left knee and in April 2015 for the right knee. The two joints were approached differently, it terms of both preoperative and intraoperative imaging protocol and postoperative rehabilitation program. Findings: The radiological control highlights the correct placement of the prosthesis in frontal and rotational plane, the absence of joint instability during right knee flexion and extension and a discrete misplacement in varus, an internal femoral malrotation of 50 and equal external laxity of the gap in flexion for left knee.

  10. Forced use as a potential cause of gastrocnemius tears during neurologic rehabilitation: a report of 2 cases.

    Science.gov (United States)

    Fisher, Steve R; Wiggs, Laura L; Ivanhoe, Cindy B

    2007-03-01

    Broadly defined, forced-use therapy uses specific techniques designed to engage the patient with brain injury in activities that disallow overcompensation with the noninvolved or less involved body segments while forcing the use of the more involved segments. Some applications may involve placing the patient's hemiparetic extremity in a closed-chain weight-bearing activity with therapist support. We describe 2 cases of gastrocnemius muscle tears that occurred during inpatient neurologic rehabilitation that may be attributed to forced use of the hemiplegic lower extremity. Each presented with signs and symptoms indicative of deep vein thrombosis of the calf but was later confirmed with magnetic resonance imaging to be muscle tears. Some closed-chain, forced-use activities may be ill advised in the early stages of rehabilitation or if force generation of the muscle is inadequate to provide a protective response to overstretching. Gastroc-soleus tears should also be considered in the differential diagnosis of unilateral or even bilateral lower-extremity swelling and pain in neurologically impaired patients who are undergoing forced-use therapy.

  11. Noninvasive and Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta: A Pediatric Case Report

    Directory of Open Access Journals (Sweden)

    Juliana Feltrin de Souza

    2014-01-01

    Full Text Available Case Report. An 8-year-old girl with amelogenesis imperfecta (AI reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth. Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed . Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

  12. EDUCATION AND HEALTH PROMOTION AS A STRATEGY FOR THE REHABILITATION OF patients with sequelae of stroke - Case Study.

    Directory of Open Access Journals (Sweden)

    Hélder Fonseca Mendes

    2011-04-01

    Full Text Available Introduction: The education and promotion of health she make guaranteeing knowledge, aptitudes and opportunities to the people so that they can make decisions and to have attitudes that improve your conditions of health. The training for promotion of patients' health with sequels of BIRD (it Alters Vascular Encefálico and patients' caretakers with sequels of BIRD, it can contribute to improve the life quality and to promote the solemnity-care. Methods: They were made case studies with five patient and your respective caretakers. The patients answered to the Functional Index of Barthel and the caretakers to a questionnaire of knowledge regarding the pathology and they participated of weekly encounters in the Regional Hospital of Planaltina, where they were answered your doubts, they received training and orientations in agreement with the theme proposed for each meeting and the patients' main needs. Results: Four patients concluded the study. We observed that all had it gets better in your functional state. The Index of medium initial Barthel was of 52,5 and the end of 85,0 points. The caretakers were shown disposed to participate in the process of the patients' rehabilitation in spite of they have not previous knowledge regarding the disease. Conclusion: We concluded that the presented data showthe relevance of the education and of the promotion of health as strategies for the patients' rehabilitation with sequel of BIRD.

  13. Synchronous Fibrolamellar Hepatocellular Carcinoma and Auricular Myxoma

    Directory of Open Access Journals (Sweden)

    Yessica M. González-Cantú

    2015-01-01

    Full Text Available Synchronic occurrence of benign and malignant tumors is extremely rare. Fibrolamellar hepatocellular carcinoma represents 1% to 2% of all hepatocarcinomas, while myxomas represent about half of all the cases of primary tumors of the heart. We present the case of a 53-year-old woman with a left atrial myxoma that was surgically removed. Several weeks later, the patient returned to the hospital with abdominal pain. CT scan showed a mass in the left lobe of the liver that was resected and diagnosed as fibrolamellar hepatocellular carcinoma. As of this writing, the patient is healthy.

  14. Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP: Two Cases Report

    Directory of Open Access Journals (Sweden)

    Emrah Ayna

    2009-01-01

    Full Text Available Although patients with cleft lip and palate (CLP are not seen regularly in general dental practice, this is a frequent congenital anomaly; approximately one in every 800 live births results in a CLP. The cause of CLP is unknown, but possible causes are malnutrition and irradiation during pregnancy, psychological stress, teratogenic agents, infectious agents (viruses, and inheritance. Most clefts are likely caused by multiple genetic and nongenetic factors. Prosthetic reconstruction of the anterior maxilla is important for these patients. This paper describes the prosthetic rehabilitation of two patients with CLP, 19-year-old and 21-year-old women, both with surgically treated CLP. In both, an examination revealed a residual palatal defect of 2×3 mm and missing maxillary lateral incisors. The 19-year-old was treated with a fiber-reinforced composite resin-bonded fixed partial denture. The 21-year-old was treated with a removable partial denture with an extracoronal attachment system. The prosthetic rehabilitation of the two patients with CLP was evaluated clinically. In both, well-planned prosthetic, periodontal, and surgical therapy resulted in satisfactory function and esthetics, alleviating their deformities. With education and appropriate recall, the patients should be able to maintain their oral health.

  15. Building America Case Study: Rehabilitation of USDA Multifamily Homes, Georgia (Climate Zones 2-4)

    Energy Technology Data Exchange (ETDEWEB)

    2016-04-01

    Rea Ventures Group, LLC, (Rea Ventures) partnered with Southface Energy Institute (Southface) on the rehabilitation of 418 low-income rental multifamily apartments located at 14 different properties in Georgia (Climate Zones 2-4). These 22-year old, individually-metered units were arranged in rowhouse or townhouse style units. Rehabilitation plans were developed using a process prescribed by the US Department of Agriculture (USDA) Rural Development program, who partially funded the building upgrades. The USDA is responsible for building, upgrading, and subsidizing housing in rural areas nationwide. In 2012, over $100 million was allocated in grants and loans. Due to the unique financing mechanism as well as long-term ownership requirements, property owners are especially motivated to invest in upgrades that will increase durability and tenant retention. These buildings represent a large stock of rural affordable housing that have the potential for significant energy and cost savings for property owners and tenants. Southface analyzed the energy upgrade potential of one stereotypical property in the Rea Ventures portfolio. This study will provide insight into the most cost-effective, implementable energy efficiency and durability upgrades for this age multifamily housing, having an enormous impact not only on the portfolio of Rea Ventures but on the vast USDA and larger Federal portfolio. Additionally, Southface will identify gaps in the current capital needs assessment process, examine available audit and simulation tools and protocols, and evaluate additional auditor training or certification needs.

  16. Benefits of kinesiotherapy and aquatic rehabilitation on sickle cell anemia. A case report.

    Science.gov (United States)

    Tinti, G; Somera, R; Valente, F M; Domingos, C R B

    2010-03-02

    The process of hemoglobin polymerization and the consequent sickling of red blood cells that occurs in patients with sickle cell disease shortens the half-life of red blood cells. It causes vaso-occlusive complications, as well as pain and pulmonary and cardiovascular dysfunction. We evaluated an aquatic rehabilitation program used for patients with sickle cell anemia and examined the possible benefits that exercise in warm water has for the circulatory system, for relieving pain, and for increasing lung capacity. The patient was a 32-year-old female. The parameters that we used in this study include respiratory muscle strength (which was calculated by measuring maximum inspiratory pressures and maximum expiratory pressures), the McGill and Wisconsin pain questionnaires (in order to evaluate the patients' characterizations and descriptions of their pain), and the SF-36 Health Survey. The treatment included warm water exercises, stretching, aerobic exercise, and relaxation, during two sessions of 45 min per week for 5 weeks. The patient experienced a significant decrease in pain, a significant increase in the strength of respiratory muscles, and improved quality of life. We conclude that aquatic rehabilitation can be used to improve the clinical condition of sickle cell anemia patients, and we encourage more research on this new treatment regime, in comparison with other types of therapies.

  17. Rehabilitation Engineering: What is Rehabilitation Engineering?

    Science.gov (United States)

    ... Parents/Teachers Resource Links for Students Glossary Rehabilitation Engineering What is rehabilitation engineering? How can future rehabilitation ... the area of rehabilitation engineering? What is rehabilitation engineering? Powered prosthetic leg. Source : M. Goldfarb, Vanderbilt U. ...

  18. Rehabilitation of Avulsed Teeth in Fractured Jaws via Bone Grafting and Implant Placement: Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Anshul Jain

    2016-01-01

    Full Text Available The maxillofacial region is one of the most injury-prone areas during road traffic accidents, personal violence, falls and sports. Maxillofacial trauma can lead to breakage or avulsion of upper anterior teeth, which may cause significant aesthetic and functional problems. There are many treatment options available for rehabilitation including removable partial dentures, fixed partial dentures, crown and bridges and implant-supported prostheses.Herein, two cases are presented where implant placement was done for upper anterior teeth, which were traumatized or avulsed following maxillofacial trauma. Both patients demonstrated a history of maxillofacial trauma and had undergone open reduction and internal fixation. The first patient had a severe maxillary alveolar defect treated via autogenous bone grafting and a six-month period was given for proper integration of the bone graft. The second patient was a smoker with very poor oral hygiene and a deep bite. Thus, implant placement was not initially justified.

  19. Rehabilitation of Avulsed Teeth in Fractured Jaws via Bone Grafting and Implant Placement: Report of Two Cases

    Science.gov (United States)

    Baliga, Shridhar

    2015-01-01

    The maxillofacial region is one of the most injury-prone areas during road traffic accidents, personal violence, falls and sports. Maxillofacial trauma can lead to breakage or avulsion of upper anterior teeth, which may cause significant aesthetic and functional problems. There are many treatment options available for rehabilitation including removable partial dentures, fixed partial dentures, crown and bridges and implant-supported prostheses. Herein, two cases are presented where implant placement was done for upper anterior teeth, which were traumatized or avulsed following maxillofacial trauma. Both patients demonstrated a history of maxillofacial trauma and had undergone open reduction and internal fixation. The first patient had a severe maxillary alveolar defect treated via autogenous bone grafting and a six-month period was given for proper integration of the bone graft. The second patient was a smoker with very poor oral hygiene and a deep bite. Thus, implant placement was not initially justified. PMID:26877745

  20. Fixed Implant Supported Rehabilitation of Partially Edentulous Posterior Maxilla in a Patient With Systemic Scleroderma: A Case Report.

    Science.gov (United States)

    Baptist, Benjamin A

    2016-02-01

    Systemic Scleroderma (SSc) is an autoimmune disease that affects connective tissue, resulting in hardening skin, reduced vascular perfusion, gingival fibrosis, enlarged periodontal ligament, xerostomia, and trigeminal neuralgia. Secondary effects, including reduced oral opening and reduced manual dexterity may exacerbate the primary effects. Severe bone loss and premature tooth loss are common eventualities of SSc. Removable prosthetics can be a tedious option for these patients as the progression of the disease often leads to the impossibility of obtaining minimal standards of care, including stability, retention, and hygienic maintainability. Implant treatment of patients with Systemic Scleroderma is poorly documented, and common medications used to treat SSc have been considered relative contraindications to the prescription of dental implant therapy. This report describes 1 case after 2 years in function, where dental implants were successfully utilized to offer definitive fixed rehabilitation to a patient with SSc.

  1. Prosthetic rehabilitation of a child affected from anhydrotic ectodermal dysplasia: a case report.

    Science.gov (United States)

    Lo Muzio, Lorenzo; Bucci, Paolo; Carile, Francesco; Riccitiello, Francesco; Scotti, Claudio; Coccia, Erminia; Rappelli, Giorgio

    2005-08-15

    The aim of this clinical report is to describe the management of a young patient, affected by ectodermal dysplasia, during a nine-year period. Dental treatment can vary depending on the severity of the disease (tooth size, morphology, and amount of available alveolar bone). New technologies, such as adhesive dentistry, and new materials, such as composite resin, represent current options in the management of the dental rehabilitation of patients affected by ectodermal dysplasia. Removable partial dentures were used to replace congenitally missing teeth, and composite resin materials were used to restore conical-shaped maxillary teeth to achieve a favorable esthetic result. This option minimized the sacrifice of healthy dental tissue. Prosthodontic and restorative treatment was provided for the psychological and social comfort of the young patient.

  2. Rehabilitation of a Partial Nasal Defect with Facial Prosthesis: A Case Report

    Science.gov (United States)

    Negahdari, Ramin; Pournasrollah, Alireza; Bohlouli, Sepideh; Sighari Deljavan, Alireza

    2014-01-01

    >Malignancies of the midface result in cosmetic deformities that make maxillofacial prosthesis as an integral part of the treatment plan. Facial defects can be devastating in their impact on physical structure and function of the affected individual, leading to potentional compromises in quality of life. Reconstruction of nasal defects is a challenge for the prosthodontist because of esthetic and retention problems associated with the facial prosthesis. This paper reports the rehabilitation of a partial nasal defect caused by basal cell carcinoma treatment using a nasal prosthesis made with silicone elastomers and mechanical and anatomical retentive aids. The patient had no problem with the prosthesis, except for a partial loss of extrinsic coloration in the two-year follow-up. PMID:25587390

  3. Bilateral Galeazzi fracture-dislocations: a case report of early rehabilitation.

    Science.gov (United States)

    Komura, Shingo; Nonomura, Hidehiko; Satake, Takashi; Yokoi, Tatsuo

    2012-08-01

    A 24-year-old man had bilateral Galeazzi fracture-dislocations due to a motorcycle accident. The right radius fracture was a simple fracture and was fixed with a limited contact dynamic compression plate. The left radius fracture was a comminuted fracture and was fixed with a long locking compression plate in the bridging plate fashion while maintaining reduction with a temporary external fixator. Postoperative computed tomography under passive rotation of both forearms showed acceptable congruency of the distal radioulnar joints, and early rehabilitation of forearm rotation was started at 2 weeks after the operation. At 13-month follow-up, bone union of both fractures was achieved, and forearm motion was almost restored to normal. Moreover, no subluxation or dislocation of either distal radioulnar joint was observed.

  4. Rehabilitation of Posterior Maxilla with Zygomatic and Dental Implant after Tumor Resection: A Case Report

    Directory of Open Access Journals (Sweden)

    Faysal Ugurlu

    2013-01-01

    Full Text Available Zygomatic implants have been used for dental rehabilitation in patients with insufficient bone in the posterior upper jaw, due to, for example, tumor resection, trauma, or atrophy. Zygomatic implants are an alternative to complex free or vascularized bone grafting and distraction osteogenesis. A 42-year-old male patient with a severe defect in the right posterior maxilla, starting from the first canine region, which had occurred after tumor resection 3 years earlier, was referred to our department. One zygomatic implant (Brenemark System, Nobel Biocare, Goteborg, Sweden to the zygoma and one dental implant to the canine region were placed. After a 5-month osseointegration period, a fixed denture was fabricated and adapted to the implants. Although the surgical and prosthetic procedures for zygoma implants are not easy, the final outcomes can be successful with appropriate planning.

  5. Rehabilitative training effects of severe mixed-type cerebral palsy in children One case report

    Institute of Scientific and Technical Information of China (English)

    Chuyang Li; Minda Xie

    2008-01-01

    It has often been thought that severe spastic and athetoid cerebral palsy children respond poorly to rehabilitative training effects and have a poor prognosis after school age. The present study included a nine-year-old severe spastic and athetoid cerebral palsy boy, who 收稿日期 2 years of physical therapy, supplemented with drugs and orthotic devices and who acquired good therapeutic effects. The beneficial rehabilitative effects were as follows: After discharge, primitive reflex disappeared, and both vertical reflex and parachute reflex were found; In the establishment of balance reflex, sitting position was rated as level Ⅲ, and standing position was rated as level Ⅱ. The boy could independently walk for 30-50 meters. In the assessment of muscle tone, the level was rated according to the Modified Ashworth Scale and was decreased from three, four to one, two, and the level rated according to the Clonus Scale decreased from Ⅴ to Ⅱ. Motor function was noticeably improved. The level was rated according to the Gross Motor Function Classification System and was decreased from Ⅴ to Ⅱ. The total score of 88 items of the Gross Motor Function Measure was increased from 6.1% to 72.2%. The Berg Balance Scale score increased from 0 to 42. The Holden Walking Functional Classification level increased from 0 to 3. The score of activities of daily living increased from 9.5 to 70. The symptoms of dysarthria were alleviated from severe to moderate, and those of salivation were alleviated from level Ⅴ to level Ⅰ. These results demonstrated that after systemic and scientific treatment and training, the spastic and athetoid cerebral palsy boy had the ability to walk independently and to care for himself.

  6. Rehabilitation Research.

    Science.gov (United States)

    Wright, George N.; Trotter, Ann Beck

    A total of 97 studies are reported in this review of research in vocational rehabilitation. Projects were selected on the following criteria: (1) pertinence to rehabilitation counseling practice, (2) research approach, (3) broad generalizability, and (4) supported by the Vocational Rehabilitation Administration for a one-to-five-year period and…

  7. EFFECT OF AURICULAR ACUPUNCTURE ON THE LEARNING AND MEMORY AND bcl-2 EXPRESSION IN VASCULAR DEMENTIA RATS

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xuezhao; XIAO Maolei; SUN Guojie

    2002-01-01

    Objective: To study the effect of auricular acupuncture on dysmnesia and the relationship between the memory improvement and bcl-2 protein expression in vascular dementia (VD) rats. Methods: Forty Wistar rats were randomized into control group, VD group, acupuncture+ VD group and pseudo-operation group, with 10 cases in each group. Rat VD model was established by using 4-vessel occlusion method. Otopoint "Nao"-point and "Shen"(MA-SC)were punctured, once daily continuously for 15 days. The rats' memory capability was tested with Y-maze method and bcl-2 expression of the brain tissues displayed by immunohistochemical method and measured using MIAS-2000 Image Analyzer. Results: Results showed that the scores of control group, VD group and acupuncture+ VD group before operation were 5.68±1.29, 6.07±1.67 and 5.86±1.74 respectively, while following auricular acupuncture treatment,the scores of the 3 groups were 5.81±1.51, 18.06±2.68 and 8.31 ± 1.85 separately, suggesting that the VD rat's learning and memory abilities in acupuncture+ VD group were raised apparently in comparison with those of VD group (P < 0.01 ). In control, VD and acupuncture+VD group, bcl-2 immuno-reaction positive neurons in CA1 area of the hippocampus were 14.31 ± 4.87, 28.67 ± 5.63 and 65.74 ± 8.19 respectively, displaying that the improvement of learning and memory abilities caused by auricular acupuncture treatment may be related to the up-regulation of bcl-2expression (an inhibitory gene of apoptosis). In comparison with control group, the loss of neurons in the pyramidal cell layer of the hippocampal CA1 area of VD group was more severe, while that of acupuncture group was markedly lighter. Conclusion: Auricular acupuncture of otopoint "Nao"-point and "Shen" (MA-SC) can raise the learning and memory abilities of VD rats, which may be realized by its inhibitory effect on apoptosis and the protection action on ischemic hippocampal neurons.

  8. Chinese Herbal Medicine and Acupuncture Used for Rehabilitation of the Impaired Urinary System in Patients with Paraplegia -A Report of 52 Cases

    Institute of Scientific and Technical Information of China (English)

    邹颖; 周文艳

    2005-01-01

    @@ Infection of the urinary system is frequently seen in the paraplegic patients with urinary complications,which is one of the main reasons for the late death in such cases. The effects of the therapeutic method adopted for the urinary rehabilitation are directly related to the life quality and survival time of the paraplegic patients. Since 1999-2002, the authors had applied Chinese herbal medicine combined with acupuncture for the urinary rehabilitation in 52 paraplegic patients, with quite good therapeuticresults as reported in the following.

  9. Auricular reconstruction of congenital microtia: personal experience in 225 cases.

    Science.gov (United States)

    Anghinoni, M; Bailleul, C; Magri, A S

    2015-06-01

    Microtia is a congenital disease with various degrees of severity, ranging from the presence of rudimentary and malformed vestigial structures to the total absence of the ear (anotia). The complex anatomy of the external ear and the necessity to provide good projection and symmetry make this reconstruction particularly difficult. The aim of this work is to report our surgical technique of microtic ear correction and to analyse the short and long term results. From 2000 to 2013, 210 patients affected by microtia were treated at the Maxillo-Facial Surgery Division, Head and Neck Department, University Hospital of Parma. The patient population consisted of 95 women and 115 men, aged from 7 to 49 years. A total of 225 reconstructions have been performed in two surgical stages basing of Firmin's technique with some modifications and refinements. The first stage consists in fabrication and grafting of a three-dimensional costal cartilage framework. The second stage is performed 5-6 months later: the reconstructed ear is raised up and an additional cartilaginous graft is used to increase its projection. A mastoid fascial flap together with a skin graft are then used to protect the cartilage graft. All reconstructions were performed without any major complication. The results have been considered satisfactory by all patients starting from the first surgical step. Low morbidity, the good results obtained and a high rate of patient satisfaction make our protocol an optimal choice for treatment of microtia. The surgeon's experience and postoperative patient care must be considered as essential aspects of treatment.

  10. COMPARISON OF THE THERAPEUTIC EFFECT OF AURICULAR ACUPUNCTURE, BODY ACUPUNCTURE AND COMBINATION OF AURICULAR PLUS BODY ACUPUNCTURE FOR TREATMENT OF SIMPLE OBESITY

    Institute of Scientific and Technical Information of China (English)

    魏群利; 刘志诚

    2001-01-01

    Objective: To observe the therapeutic effect of auricular acupuncture (AA), body acupuncture (BA) and AA+BA for treatment of simple obesity. Methods: A total of 195 cases of obesity patients including 8 males and 187 females were randomly divided into AA group (n=55), BA group (n=64) and AA+BA group (n=76). Acupuncture treatment was given to the patient once every other day, with 12 sessions being a therapeutic course. Results: After one course of treatment, of the 55 cases in AA group, 1 case (1.8%) was cured, 15 (27.3%) had marked improvement, 11 (20.0%) had improvement and 28 (50.9%) failed in treatment, with the total effective rate being 49.9%. In BA group, of the 64 cases, 11 (17.2%) were cured, 23 (35.9%) had striking improvement, 18 (28. 1%) had improvement and 12 (18.8%) failed in treatment, with an effective rate of 81.2%. In AA+ BA group, of the 76 cases, 16 (21.1% ) were cured, 35 (46.1% ) had significant amelioration, 20 (26.3%) had amelioration and 5 (6.6%) failed in treatment with the effective rate being 93.4%. Statistical analysis showed that the therapeutic effect of BA and AA+BA group was significantly superior to that of AA group (P<0.05) ; and that of AA+BA group was higher than that of BA group Conclusion: The therapeutic effect of BA and AA+BA was superior to that of AA in treatment of simple obesity.

  11. Auricular reconstruction for concha-type microtia%耳甲腔型小耳畸形的耳廓再造术

    Institute of Scientific and Technical Information of China (English)

    王美水; 王彪; 郑厚兵; 吴杉英; 单秀英; 庄福连

    2011-01-01

    Objective To investigate the method of auricular reconstruction for concha-type microtia. Methods Two-staged auricular reconstruction was applied in 13 cases (14 ears) with conchatype microtia. The cartilage auricular framework was fabricated and implanted in the first stage, followed by ear elevation and cranio-auricle angle formation at the second stage. Results The patients were followed up for 2 months to 2 years with satisfactory aesthetic result. The reconstructed ears had a good appearance and position, and were symmetric to the healthy ears. Conclusions The two-staged auricular reconstruction with autologous cartilage framework is ideal for concha-type microtia.%目的 分析和探讨适合耳甲腔型小耳畸形的耳廓再造术.方法 采用自体肋软骨二期法耳廓再造术对13例(14只耳)耳甲腔型小耳畸形患者实施耳廓再造,一期为肋软骨耳廓支架的成型和移植,二期为颅耳角成形.结果 经过2个月至2年的随访,14只再造耳外形满意,耳解剖结构清晰,并拥有良好的颅耳角,其大小、位置与健侧耳也基本一致.结论 自体肋软骨二期法耳廓再造术是矫正耳甲腔型小耳畸形较理想的手术方法.

  12. Ceramic Veneers and Direct-Composite Cases of Amelogenesis Imperfecta Rehabilitation.

    Science.gov (United States)

    Shibata, S; Taguchi, Cmc; Gondo, R; Stolf, S C; Baratieri, L N

    2016-01-01

    The aim of this article is to present two case reports for the treatment of patients affected with amelogenesis imperfecta. One case was treated with composite resin and the other case with ceramic veneers. Esthetic and functional results were achieved using both treatments, and a review of advantages and disadvantages is presented.

  13. Long-term outcomes of oral rehabilitation with dental implants in HIV-positive patients: A retrospective case series

    Science.gov (United States)

    Gay-Escoda, Cosme; Pérez-Álvarez, Débora; Camps-Font, Octavi

    2016-01-01

    Background The existing information on oral rehabilitations with dental implants in VIH-positive patients is scarce and of poor quality. Moreover, no long-term follow-up studies are available. Hence, the aims of this study were to describe the long-term survival and success rates of dental implants in a group of HIV-positive patients and to identify the most common postoperative complications, including peri-implant diseases. Material and Methods A retrospective case series of HIV-positive subjects treated with dental implants at the School of Dentistry of the University of Barcelona (Spain) was studied. Several clinical parameters were registered, including CD4 cell count, viral load and surgical complications. Additionally, the patients were assessed for implant survival and success rates and for the prevalence of peri-implant diseases. A descriptive statistical analysis of the data was performed. Results Nine participants (57 implants) were included. The patients’ median age was 42 years (IQR=13.5 years). The implant survival and success rates were 98.3% and 68.4%, respectively, with a mean follow-up of 77.5 months (SD=16.1 months). The patient-based prevalence of peri-implant mucositis and peri-implantitis were 22.2% and 44.4% respectively at the last appointment. Patients that attended regular periodontal maintenance visits had significantly less mean bone loss than non-compliant patients (1.3 mm and 3.9 mm respectively). Conclusions Oral rehabilitation with dental implants in HIV-positive patients seems to provide satisfactory results. In order to reduce the considerably high prevalence of peri-implant diseases, strict maintenance programmes must be implemented. Key words:HIV infection, dental implants, oral implantology, complications, peri-implantitis, peri-implant diseases. PMID:26946205

  14. Adjuvant auricular electroacupuncture and autogenic training in rheumatoid arthritis: a randomized controlled trial

    DEFF Research Database (Denmark)

    Bernateck, M.; Becker, M.; Schwacke, C.

    2008-01-01

    BACKGROUND: In contrast to psychological interventions the usefulness of acupuncture as an adjuvant therapy in rheumatoid arthritis (RA) has not yet been demonstrated. OBJECTIVE: The efficacy of auricular electroacupuncture (EA) was directly compared with autogenic training (AT). METHODS: Patients...

  15. In Vitro Antioxidant Activities of Sulfated Derivatives of Polysaccharides Extracted from Auricularia auricular

    OpenAIRE

    Zhi Zhang; Xue Wang; Lin Yang; Xin Yang; Zhen-Yu Wang; Hua Zhang

    2011-01-01

    In this research, two types of sulfated polysaccharide derivatives were successfully synthesized. Their antioxidant activities were investigated by employing various established in vitro systems. In addition, the degree of sulfation was evaluated using ion-chromatography and IR spectra. The results verify that, when employing scavenging superoxide radical tests, both the sulfation of acid Auricularia auricular polysaccharides (SAAAP) and the sulfation of neutral Auricularia auricular polysacc...

  16. Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Chao Hsing Yeh

    2014-01-01

    Full Text Available Objective. The objective of this systematic review and meta-analysis was to assess the efficacy of auricular therapy by including a sham therapy control group. Methods. Relevant, randomized clinical trials (RCTs were identified by searching medical related databases from, depending on journal, 1900 (at the earliest to 1994 (at the latest through May 2013. The outcome measure was a pain intensity score. Results. Twenty-two RCTs were identified and 13 RCTs were included for meta-analysis. In these studies, auricular therapy provided significant pain relief when compared to a sham or control group. The overall standardized mean differences (SMD was 1.59 (95% CI [−2.36, −0.82] (13 trials, total subject numbers = 806, indicating that, on average, the mean decrease in pain score for auricular therapy group was 1.59 standard deviations greater than the mean decrease for the sham control. In terms of the efficacy of the different treatment methods, auricular acupressure boasts the largest strength of evidence for pain relief, followed by auricular acupuncture. Electroacupuncture stimulation did not show significant evidence for efficacy, which may be due to the small sample size (i.e., only 19 subjects were included. Conclusion. Further large-scale RCTs are needed to determine the efficacy of auricular therapy for pain.

  17. [The Usage of Auricular Acupressure in Clinical Nursing and Evidence-Based Research].

    Science.gov (United States)

    Cheng, Jui-Fen; Lo, Chyi; Tzeng, Ya-Ling

    2015-12-01

    Auricular acupressure is a non-invasive physiotherapy that was developed based on the traditional Chinese meridian theory. Because it is non-invasive, simple to implement, and easy to learn, and because it presents minimal side effects and may be executed independently, this therapy may be used as an alternative or auxiliary approach to symptom management as well as to self-care. The increasing support for auricular acupressure from evidence-based research in Taiwan and elsewhere offers the opportunity to include auricular acupressure as a treatment option in evidence-based nursing interventions. Because nursing education in Taiwan is guided by Western medical concepts and principles, most nurses are not familiar with auricular acupressure, which is derived from traditional Chinese medicine. Therefore, this article not only systemically introduces the definition and theoretical basis of auricular acupressure but also includes the principles and application-related knowledge. Furthermore, this article analyzes the common problems encountered in auricular acupressure research in order to improve the familiarity of nurses with this therapy, to provide references for clinical application, and to provide a basis for designing new evidence-based nursing research efforts.

  18. Terapia anticoagulante en fibrilación auricular

    Directory of Open Access Journals (Sweden)

    Sebastián Prieto

    2011-06-01

    Full Text Available La fibrilación auricular es la taquiarritmia cardíaca más frecuente. Su incidencia aumenta con la edad, presentándose en un 1.5% entre los 50 a 59 años, y en un 8-10% entre los 80 a 89 años. Esta arritmia incrementa en cinco veces el riesgo de sufrir un evento cerebrovascular isquémico cardioembólico y causa el 15% de todos los accidentes cerebrovasculares isquémicos. Su manejo se enfoca en la prevención de los fenómenos tromboembólicos y el control de la frecuencia y ritmo cardíaco. El tratamiento anticoagulante ha demostrado ser la principal herramienta en la prevención de eventos cardioembólicos. Aunque las complicaciones hemorrágicas por el tratamiento son esperables y aumentan con la edad, el beneficio de usar anticoagulación sobrepasa por mucho al riesgo de sangrado. Precisamente debido a la heterogeneidad clínica de esta arritmia y a la dificultad de establecer un tratamiento adecuado para cada caso en particular, el American College of Cardiology, la American Heart Association, la European Society of Cardiology y el American College of Chest Physicians han establecido guías para mejorar el tratamiento de estos pacientes. La revisión de esta enfermedad y de las directrices propuestas puede facilitar y mejorar notablemente el tratamiento de los pacientes con fibrilación auricular.

  19. Diseño de un registro multicéntrico para evaluar control de ritmo contra control de la frecuencia en fibrilación auricular: Registro Mexicano de Fibrilación Auricular (ReMeFA)

    OpenAIRE

    Iturralde-Torres,Pedro; Lara-Vaca,Susano; Cordero-Cabra,Alejandro; Nava-Townsend,Santiago; Mendoza,Celso; Manlio F. Márquez; Saucedo-Sánchez,Néstor; Martínez-Flores,Enrique

    2011-01-01

    La fibrilación auricular es una arritmia muy frecuente y afecta predominantemente a individuos mayores de 70 años. Se dispone de poca información sobre su manejo en México por lo que se diseñó el Registro Mexicano de Fibrilación Auricular (ReMeFA). Método: Se trata de un estudio multicéntrico, observacional, prospectivo sobre el tratamiento de la fibrilación auricular. Se incluyeron sujetos de ambos géneros, mayores de 18 años de edad, con fibrilación auricular documentada. Se excluyeron aque...

  20. Vocational rehabilitation: a multidisciplinary intervention.

    Science.gov (United States)

    Gobelet, C; Luthi, F; Al-Khodairy, A T; Chamberlain, M A

    2007-09-15

    Vocational rehabilitation is by definition a multidisciplinary intervention in a process linked to the facilitation of return to work or to the prevention of loss of the work. Clinical staff in contact with a person who has lost his job (general practitioner, specialized physician) must promote vocational rehabilitation. Medical rehabilitation for those with disabilities, whether new or old, has to be followed without delay by vocational rehabilitation. It is even better if these two intertwined processes are overlapping. They involve many professionals including physiotherapists, occupational therapists, psychologists, vocational trainers, job counsellors, teachers, case-managers, job placement agencies. Vocational rehabilitation has a financial cost, borne by many state organizations (security, social system, social affairs) as well as by employers and private insurances, which are in case of accident, concerned by this process. However, the evidence suggests that this is recouped 2- to 10-fold as suggested by the British Society of Rehabilitation Medicine.

  1. Individual factors and GP approach as predictors for the outcome of rehabilitation among long-term sick listed cases

    DEFF Research Database (Denmark)

    Rasmussen, K.; Andersen, JH

    2005-01-01

    on individual factors and health care and social welfare-related factors, which play a role for the outcome of rehabilitation programmes. In connection with a participatory, action-oriented outpatient rehabilitation program, a questionnaire survey was performed among the programmes participants ("clients...

  2. Full-mouth adhesive rehabilitation in a case of amelogenesis imperfecta: a 5-year follow-up case report.

    Science.gov (United States)

    Gerdolle, David; Mortier, Eric; Richard, Adeline; Vailati, Francesca

    2015-01-01

    Amelogenesis imperfecta (AI) is a hereditary disorder caused by mutations of genes primarily involved in the enamel formation. Several different types of AI have been identified, based on the phenotype and on the mode of inheritance. Regardless of the type, the dental treatment tends to be the same, favoring the complete removal of the compromised enamel late in the patient's life. With the new dentistry guidelines that orient clinicians towards minimal invasiveness, it should be mandatory to intercept patients affected by AI earlier, not only to protect the dentition from further degradation but also to help patients improve their self-esteem. This article examines the restorative dentistry performed on a 24-year-old Caucasian female suffering from the hypoplastic type of AI, using only adhesive procedures. Due to the complex needs of the patient, an interdisciplinary approach was followed, involving orthodontics, periodontics, and restorative dentistry. A full-mouth adhesive rehabilitation was achieved by means of direct composite restorations, veneer/onlays and facial/palatal veneers. No elective endodontic therapy was necessary for restorative purposes. The esthetics, mechanics, and biological success were achieved and maintained. The bond to the enamel did not show signs of degradation (eg, discoloration or infiltration) even after 5 years of function. This is encouraging as it shows that adhesive techniques may be a reliable approach even in the presence of a compromised enamel layer.

  3. Psychiatric rehabilitation

    OpenAIRE

    2010-01-01

    Psychiatric rehabilitation is an important component in the management of the mentally ill. This article presents a selective review of the publications in this journal. Questions addressed in this review range from assessment of rehabilitation needs to different rehabilitative approaches. Although the number of publications providing the answers is meager, there are innovative initiatives. There is a need for mental health professionals to publish the models they follow across the country.

  4. RESPIRATORY REHABILITATION IN ACUTE CARE OF PATIENTS WITH NEUROPARALYTIC SNAKE ENVENOMATION: CASE SERIES

    Directory of Open Access Journals (Sweden)

    Gitanjali Sikka

    2016-04-01

    in PaCO2 mean values (p<0.05. However, pH and PaO2:FiO2 ratio could not reach statistical significance. Comparing mean values with critical difference, significant critical difference was observed between mean values at PRE and Post-30, and between PRE and Post-60 time intervals (p<0.05 for CST, PaO2:FiO2 ratio and PaCO2, respectively. Conclusion: Respiratory rehabilitation of patients with neuroparalytic snake envenomation can be effectively achieved with employment of various physiotherapeutic techniques including manual hyperinflation and bronchial hygiene therapy.

  5. Rehabilitation and Return to Sport Following Surgical Repair of the Rectus Abdominis and Adductor Longus in a Professional Basketball Player: A Case Report.

    Science.gov (United States)

    Short, Steven M; Anloague, Philip A; Strack, Donald S

    2016-08-01

    Study Design Case report. Background Acute traumatic avulsion of the rectus abdominis and adductor longus is rare. Chronic groin injuries, often falling under the athletic pubalgia spectrum, have been reported to be more common. There is limited evidence detailing the comprehensive rehabilitation and return to sport of an athlete following surgical or conservative treatment of avulsion injuries of the pubis or other sports-related groin pathologies. Case Description A 29-year-old National Basketball Association player sustained a contact injury during a professional basketball game. This case report describes a unique clinical situation specific to professional sport, in which a surgical repair of an avulsed rectus abdominis and adductor longus was combined with a multimodal impairment- and outcomes-based rehabilitation program. Outcomes The patient returned to in-season competition at 5 weeks postoperation. Objective measures were tracked throughout rehabilitation and compared to baseline assessments. Measures such as the Copenhagen Hip and Groin Outcome Score and numeric pain-rating scale revealed progress beyond the minimal important difference. Discussion This case report details the clinical reasoning and evidence-informed interventions involved in the return to elite sport. Detailed programming and objective assessment may assist in achieving desired outcomes ahead of previously established timelines. Level of Evidence Therapy, level 4. J Orthop Sports Phys Ther 2016;46(8):697-706. Epub 3 Jul 2016. doi:10.2519/jospt.2016.6352.

  6. Congenital Auricular Malformations: Description of Anomalies and Syndromes.

    Science.gov (United States)

    Bartel-Friedrich, Sylva

    2015-12-01

    Half of the malformations in the ear, nose, and throat region affect the ear. Malformations of the external ear (pinna or auricle with external auditory canal [EAC]) are collectively termed microtia. Microtia is a congenital anomaly that ranges in severity from mild structural abnormalities to complete absence of the external ear (anotia). Microtia occurs more frequently in males (∼2 or 3:1), is predominantly unilateral (∼70-90%), and more often involves the right ear (∼60%). The reported prevalence varies geographically from 0.83 to 17.4 per 10,000 births. Microtia may be genetic (with family history, spontaneous mutations) or acquired. Malformations of the external ear can also involve the middle ear and/or inner ear. Microtia may be an isolated birth defect, but associated anomalies or syndromes are described in 20 to 60% of cases, depending on study design. These generally fit within the oculo-auriculo-vertebral spectrum; defects are located most frequently in the facial skeleton, facial soft tissues, heart, and vertebral column, or comprise a syndrome (e.g., Treacher Collins syndrome). Diagnostic investigation of microtia includes clinical examination, audiologic testing, genetic analysis and, especially in higher grade malformations with EAC deformities, computed tomography (CT) or cone-beam CT for the planning of surgery and rehabilitation procedures, including implantation of hearing aids.

  7. Self-Administered, Home-Based SMART (Sensorimotor Active Rehabilitation Training) Arm Training: A Single-Case Report.

    Science.gov (United States)

    Hayward, Kathryn S; Neibling, Bridee A; Barker, Ruth N

    2015-01-01

    This single-case, mixed-method study explored the feasibility of self-administered, home-based SMART (sensorimotor active rehabilitation training) Arm training for a 57-yr-old man with severe upper-limb disability after a right frontoparietal hemorrhagic stroke 9 mo earlier. Over 4 wk of self-administered, home-based SMART Arm training, the participant completed 2,100 repetitions unassisted. His wife provided support for equipment set-up and training progressions. Clinically meaningful improvements in arm impairment (strength), activity (arm and hand tasks), and participation (use of arm in everyday tasks) occurred after training (at 4 wk) and at follow-up (at 16 wk). Areas for refinement of SMART Arm training derived from thematic analysis of the participant's and researchers' journals focused on enabling independence, ensuring home and user friendliness, maintaining the motivation to persevere, progressing toward everyday tasks, and integrating practice into daily routine. These findings suggest that further investigation of self-administered, home-based SMART Arm training is warranted for people with stroke who have severe upper-limb disability.

  8. Hygrothermal rehabilitation of public buildings.A case study on “Luceafărul” theatre in Jassy

    Directory of Open Access Journals (Sweden)

    Adrian IACOB

    2014-07-01

    Full Text Available In the selection of thermo-energetic rehabilitation solutions, there are certain restrictions determined especially by the imperative of preserving the architectural characteristics, a large proportion of these buildings falling under the categories of historic or cultural monuments of high architectural value. Under the second category comes “Luceafărul” Theatre from Jassy, a representative edifice for the area in which it is located. The requirement of conserving the current appearance of the façade areas veneered with travertine has imposed the placing of thermal insulation on the interior surface. Taking into account that interior insulation implies a higher risk of interstitial condensation, a non-steady state coupled heat and mass transfer analysis was performed, by using the WUFI program. The results of this study are plotted as annual variations of relative humidity in the structure of envelope elements, pointing out the layers that are susceptible of excessive values. By numerical simulation of heat transfer with ANSYS program, the discussion is extended with the influence that the insulation of two adjacent envelope elements has on the surface condesation risk, for the case in which at the thermal bridge obtained there a discontinuity exists in the insulation layer.

  9. Art Therapy Outcomes in the Rehabilitation Treatment of a Stroke Patient: A Case Report

    Science.gov (United States)

    Kim, Sun-Hyun; Kim, Min-Young; Lee, Jae-Hyuk; Chun, Sae-il

    2008-01-01

    This case report discusses the potential for art therapy to aid in the recovery of early-chronic stroke patients. The patient was diagnosed with having a subarachnoid hemorrhage from a cerebral aneurysm rupture 1 year prior to hospitalization. Therapies used as part of the patient's treatment included 10 weeks of art therapy conducted twice a…

  10. Terapia anticoagulante en fibrilación auricular Anticoagulation and atrial fibrillation

    Directory of Open Access Journals (Sweden)

    Sebastián Prieto

    2011-06-01

    Full Text Available La fibrilación auricular es la taquiarritmia cardíaca más frecuente. Su incidencia aumenta con la edad, presentándose en un 1.5% entre los 50 a 59 años, y en un 8-10% entre los 80 a 89 años. Esta arritmia incrementa en cinco veces el riesgo de sufrir un evento cerebrovascular isquémico cardioembólico y causa el 15% de todos los accidentes cerebrovasculares isquémicos. Su manejo se enfoca en la prevención de los fenómenos tromboembólicos y el control de la frecuencia y ritmo cardíaco. El tratamiento anticoagulante ha demostrado ser la principal herramienta en la prevención de eventos cardioembólicos. Aunque las complicaciones hemorrágicas por el tratamiento son esperables y aumentan con la edad, el beneficio de usar anticoagulación sobrepasa por mucho al riesgo de sangrado. Precisamente debido a la heterogeneidad clínica de esta arritmia y a la dificultad de establecer un tratamiento adecuado para cada caso en particular, el American College of Cardiology, la American Heart Association, la European Society of Cardiology y el American College of Chest Physicians han establecido guías para mejorar el tratamiento de estos pacientes. La revisión de esta enfermedad y de las directrices propuestas puede facilitar y mejorar notablemente el tratamiento de los pacientes con fibrilación auricular.Atrial fibrillation is the most frequent cardiac arrhythmia in adults. Its frequency increases with age, being its incidence 1.5% in individuals 50 to 59 years old and 8-10% from 80 to 89 years. Atrial fibrillation increases 5 fold the risk of suffering stroke and actually causes 15% of all strokes. Its management focuses primary in the prevention of thromboembolic phenomena, heart rate and rhythm control. Anticoagulation, when indicated, has demonstrated to be the main tool in the prevention of these thromboembolic events. Although the bleeding complication is frequent in this population and increases with age, anticoagulation benefits are

  11. Long-Term Outcome after Rehabilitation of Bilateral Total Hip Arthroplasty in Renal Transplant Recipient – A Case Report

    Directory of Open Access Journals (Sweden)

    Erieta Nikolikj Dimitrova

    2016-02-01

    CONCLUSION: Rehabilitation is integral part of multidisciplinary treatment of renal transplant recipient after total hip arthroplasty. Regular exercise training of these patients is very important for improving of their long-term outcome.

  12. Full mouth rehabilitation of the patient with severely worn dentition: a case report.

    Science.gov (United States)

    Song, Mi-Young; Park, Ji-Man; Park, Eun-Jin

    2010-09-01

    The severe wear of anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes 77-year-old female, who had the loss of anterior guidance, the severe wear of dentition, and the reduction of the vertical dimension. Occlusal overlay splint was used after the decision of increasing vertical dimension by anatomical landmark, facial and physiologic measurement. Once the compatibility of the new vertical dimension had been confirmed, interim fixed restoration and the permanent reconstruction was initiated. This case reports that a satisfactory clinical result was achieved by restoring the vertical dimension with an improvement in esthetics and function.

  13. Full mouth rehabilitation of the patient with severely worn dentition: a case report

    OpenAIRE

    Song, Mi-Young; Park, Ji-Man; Park, Eun-Jin

    2010-01-01

    The severe wear of anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes 77-year-old female, who had the loss of anterior guidance, the severe wear of dentition, and the reduction of the vertical dimension. Occlusal overlay splint was used after the decision of incre...

  14. Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report

    Directory of Open Access Journals (Sweden)

    Leandro Passos

    2016-01-01

    Full Text Available This case report describes a successful multidisciplinary approach used to improve the smile esthetics of a patient presenting with excessive gingival display, asymmetric gingival margins, and small upper anterior teeth and lower anterior teeth. The treatment combined esthetic crown lengthening, dental bleaching, and restorative dentistry using CAD/CAM veneer. The 6-month follow-up examination confirmed the stability of the modification and absence of adverse effects.

  15. Prosthetic Rehabilitation of Aggressive Periodontitis by Polyamide Material: A Case Report

    OpenAIRE

    ÖZDEM, Muhsin; Öztürk TONGUÇ, Mine; ÇAVDARLI, Kemal; Türkaslan, Süha; KIRZIOĞLU, Fatma

    2011-01-01

    The aim of this case report is to present and discuss the combined periodontal and prosthetic treatment with polyamide material to provide an ideal function and esthetics. in an agressive periodontitis patient. The patient a 43-year-old female, was came to our clinic of severe bleeding with brushing, mobility, migration, hypersensitivity and halitosis related to her periodontal disease. The patient was diagnosed with aggressive periodontitis. The patient initially underwent periodontal...

  16. Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report.

    Science.gov (United States)

    Passos, Leandro; Soares, Fernando Peixoto; Gallo, Mauricio

    2016-01-01

    This case report describes a successful multidisciplinary approach used to improve the smile esthetics of a patient presenting with excessive gingival display, asymmetric gingival margins, and small upper anterior teeth and lower anterior teeth. The treatment combined esthetic crown lengthening, dental bleaching, and restorative dentistry using CAD/CAM veneer. The 6-month follow-up examination confirmed the stability of the modification and absence of adverse effects.

  17. Rehabilitation for a child with recalcitrant anti-N-methyl-D-aspartate receptor encephalitis: case report and literature review

    Directory of Open Access Journals (Sweden)

    Guo YH

    2014-11-01

    Full Text Available Yao-Hong Guo,1 Ta-Shen Kuan,1,2 Pei-Chun Hsieh,1 Wei-Chih Lien,1 Chun-Kai Chang,1 Yu-Ching Lin1–3 1Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 2Department of Physical Medicine and Rehabilitation, College of Medicine, National Cheng Kung University, Tainan, Taiwan; 3Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan Abstract: Anti-N-methyl-d-aspartate (anti-NMDA receptor encephalitis is a newly recognized, potentially fatal, but treatable autoimmune disease. Good outcome predictors include milder severity of symptoms, no need for intensive care unit admission, early aggressive immunotherapy, and prompt tumor removal. We report a case of a young girl aged 3 years 2 months and diagnosed as recalcitrant anti-NMDA receptor encephalitis without any underlying neoplasm. The patient had initial symptoms of behavioral changes that progressed to generalized choreoathetosis and orofacial dyskinesia, which resulted in 6 months of hospitalization in the pediatric intensive care unit. One year after initial onset of the disease, she had only achieved the developmental age of an infant aged 6–8 months in terms of gross and fine motor skills, but she resumed total independence in activities of daily living after receiving extensive immunotherapy and 28 months of rehabilitation. Our brief review will help clinical practitioners become more familiar with this disease and the unique rehabilitation programs. Keywords: anti-NMDA receptor encephalitis, autoimmune encephalitis, rehabilitation, cognition deficits

  18. Experiencia en reconstrucción auricular en cáncer de piel con colgajo en "quesadilla" Experience in auricle reconstruction after skin carcinoma with "quesadilla" flap

    Directory of Open Access Journals (Sweden)

    C. Gutiérrez Gómez

    2008-06-01

    Full Text Available La reconstrucción auricular es una de las más difíciles ya que implica reproducir las sofisticadas y delicadas formas del pabellón auricular. Cuando hay que resecar piel en la oreja por un cáncer cutáneo y dejamos expuesto el cartílago, sin pericondrio, suele suceder que al colocar injertos no hay una integración adecuada de los mismos por las caprichosas formas y relieves del pabellón auricular; cuando es necesario resecar el pericondrio estamos obligados a cubrir el defecto con un colgajo y no con un simple injerto. Frente a esta dificultad técnica, diseñamos un colgajo ricamente vascularizado que preserva el cartílago no afectado con una buena cubierta y al mismo tiempo respeta la anatomía de la oreja. Para la cobertura del cartílago auricular anterior usamos un colgajo fasciocutáneo posterior que se asemeja a un plato típico de la cocina mexicana que llamamos "quesadilla", donde el cartílago por su color blanco recuerda el queso y el gran colgajo fasciocutaneo recuerda la tortilla que cubre al queso. Este colgajo incluye la piel enrollada del hélix, que en un segundo tiempo retornará a su lugar de origen anatómico mediante una z-plastía asimétrica. Presentamos, de entre una serie de 13 pacientes con carcinoma de pabellón auricular, 2 casos resueltos mediante esta técnica.Auricle reconstruction is one of the most difficult techniques because of the sophisticated and delicates forms of the ear. When we need to remove the auricular skin, preserving the cartilage is very important to keep the shape of the auricle. If treating an auricular skin cancer we find an unaffected cartilage, we can use a skin grafting, but in such delicates forms and curves many times it results inappropriate or the lack of pericondrium difficult skin graft integration. When pericondrium is affected, we will need a skin flap to cover de defect. We designed a rich vascularized flap that preserves the unaffected cartilage with an adequate coverage

  19. Osseointegrated Implants: An Alternative Approach in Patients with Bilateral Auricular Defects due to Chemical Assault

    Directory of Open Access Journals (Sweden)

    Emilio Mevio

    2016-01-01

    Full Text Available Acid attacks committed as crimes of passion are unfortunately becoming far from infrequent occurrence. The injuries sustained in such attacks mainly involve the face and trunk, with the acid causing cutaneous and subcutaneous tissue burns that can result in permanent scarring, loss of the nose or external ear, and severe visual impairment. Different surgical solutions have been proposed for reconstruction of the auricle following loss of the ear through traumatic injury or cancer or in patients with congenital defects: surgical reconstruction may involve the insertion of an autogenous rib cartilage framework or the use of a porous polymer material inserted into an expanded postauricular flap. Reconstruction with rib cartilage has given good results but requires more than one surgical step and may be associated with adverse events involving both the donor site and the recipient site, while rejections of polymeric prostheses have been reported following their insertion into expanded postauricular flaps. The use of a titanium dowel-retained silicone prosthesis, in which the dowel is anchored to the temporal bone, is a surgical possibility, indicated particularly in cases of pinna resection due to tumour or auricular scarring following traumatic injury.

  20. The use of indirect composite veneers to rehabilitate patients with dental erosion: a case report.

    Science.gov (United States)

    Asensio Acevedo, Ramón; Suarez-Feito, José Maria; Suárez Tuero, Carlota; Jané, Luis; Roig, Miguel

    2013-01-01

    The evolution of restorative dental materials has led to the development of more direct or indirect conservative techniques to solve both functional and esthetic problems in anterior and posterior teeth. Several authors have concluded that indirect restorations are the technique of choice in complex cases where shape and colour are difficult to achieve and function has to be restored. Even though there is no clinical evidence of the appropriateness of indirect composites in these treatments, the latest generation of composites used indirectly in the anterior teeth exhibits some interesting characteristics: it supports mechanical stress adequately, has an excellent esthetic result and can be repaired intraorally.

  1. Application of postauricular expanded flap flattening in auricular reconstruction%耳后扩张皮瓣舒平术在扩张法外耳再造术中的应用

    Institute of Scientific and Technical Information of China (English)

    胡守舵; 赵延勇; 潘博; 蒋海越; 杨庆华; 庄洪兴

    2012-01-01

    Objective To summarize the application of the melhod of poslauricular expanded flap flat-lening in auricular reconslruclion. Methods From January 2003 to Oclober 2006, the melhod of poslauricular expanded flap flallening was adopted lo treat the 17 palienls with infection of poslauricular expanded flap < 13 cases) and purulenl secretion and infectious granuloma in the expanded envelope < 4 cases) , and then aulogeneic coslal cartilage framework was used lo perform auricular reconstruction at 3 months. Results Auricular reconstruction was performed smoothly wilh good auricular appearance. Following up was performed in 10 cases for 3 to 30 months, and all cases were satisfied wilh the auricular appearances which were not different wilh ones without infection. Conclusion The melhod of poslauricular expanded flap flatting is an effective treatment when the recipient bed is infected during the auricular reconstruction.%目的 总结耳后扩张皮瓣舒平术在扩张法外耳再造中的应用.方法 自2003年1月至2006年10月,对出现耳后扩张皮瓣感染(13例)征象和扩张包膜内出现脓性分泌物或炎性肉芽肿(4例)的17例外耳再造患者,先采用耳后扩张皮瓣舒平术,3个月后再采用自体肋软骨支架外耳再造术.结果 本组17例患者,再造耳外观均良好,手术顺利.10例获随访,最长30个月,最短3个月,平均9个月,术后恢复好,与无感染者无明显差异.结论 耳后扩张皮瓣舒平术是外耳再造过程中出现扩张皮瓣受植床感染时的一项非常有效的处理方法.

  2. Degenerative changes of the sacroiliac auricular joint surface-validation of influential factors.

    Science.gov (United States)

    Nishi, Keita; Saiki, Kazunobu; Imamura, Takeshi; Okamoto, Keishi; Wakebe, Tetsuaki; Ogami, Keiko; Hasegawa, Takashi; Moriuchi, Takefumi; Sakamoto, Junya; Manabe, Yoshitaka; Tsurumoto, Toshiyuki

    2016-06-24

    The purpose of this study was to clarify the relevance of degenerative changes in the sacroiliac joint (SIJ) and the joints in the lower limb and lumbar spine using age estimation methods. We also examined the shape of the auricular surface to determine the effect of degenerative changes on each joint. A total of 200 iliac auricular surfaces from 100 Japanese male skeletons were examined macroscopically in accordance with conventional methods of age estimation. From the obtained estimated age, we calculated the deflection values, which represented the degree of degenerative changes of the joints. For comparison, we used osteophyte score data of the hip, knee, and zygapophyseal joints in lumbar spines from previous studies which had used the same bone specimens. As a quantitative indicator of auricular surface morphology, we defined the constriction ratio (CR) of the auricular surface and compared the CR values obtained with various measured values. Degenerative changes in the SIJ were positively correlated with those in both the hip joint and zygapophyseal joint, but a correlation with knee joints was found only on the left side. In skeletons from individuals aged ≥60 years as time of death, the CR was significantly different between the group with high scores and those with low scores in both the hip and sacroiliac joints. It has been suggested that degenerative changes in SIJs interact with those in the hip joint and zygapophyseal joint. In addition, the shape of the auricular surface may also be a relevant factor for degenerative changes in these joints.

  3. Functional and esthetic rehabilitation during deciduous dentition stage: A case report

    Directory of Open Access Journals (Sweden)

    Sheeba Saini

    2011-01-01

    Full Text Available A virtual absence of palliative, preventive and restorative care characterizes juvenile oral health care in most of the developing and underdeveloped countries. Consequently, carious cavities remain untreated, which leads to pain, discomfort and functional limitation. It further, impacts negatively upon general health and cognitive development apart from causing decreased masticatory efficiency, difficulty in speech, compromised esthetics, development of abnormal tongue habits and subsequent malocclusion and psychological problems. The restoration of severely decayed deciduous teeth especially anterior ones presents a major challenge to dentists, particularly in uncooperative children. The following case report documents the restoration of severely mutilated deciduous teeth in an emotionally immature patient resulting in an improvement in not only his oral and general health also in helping him gain more self-confidence.

  4. Arbejdsrettet Rehabilitering

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  5. Vocational rehabilitation

    DEFF Research Database (Denmark)

    Labriola, Merete; Thielen, Karsten; Eplov, Lene Falgaard

    2014-01-01

    Work is known to be one of the main sources of human identity. It might be threatened when ill-health impairs individual labour market participation. Vocational rehabilitation, which is based on the bio-psycho-social model of health and function, is the systematic approach to improve employability...... for those who suffer from health-related disabilities. This article gives a short historical overview about vocational rehabilitation in Denmark, describes the current structural and political framework and gives practice examples of local multidisciplinary and intersectoral rehabilitation efforts....

  6. Esthetic Rehabilitation of Anterior Teeth with Copy-Milled Restorations: A Report of Two Cases

    Science.gov (United States)

    Jain, Chandan; Mutneja, Parul; Verma, Mahesh

    2017-01-01

    Digitalization has become part and parcel of contemporary prosthodontics with the probability of most of the procedures being based on the digital techniques in the near future. This digital revolution started in the latter half of the 20th century by converting analog objects/signals into digital bits and bytes. Recent developments in all-ceramic materials and systems of computer-aided designing and computer-aided manufacturing (CAD/CAM), copy milling, and so forth offer excellent esthetics and superb biocompatibility. Copy milling system for ceramics enables milling of the zirconia cores of all-ceramic restorations precisely and also if this system is properly used the procedure for fabricating all-ceramic restorations can be substantially simplified. This case report presents fabrication of all-ceramic Maryland Bridge and post-core with a copy milling system for esthetics and preservation of integrity of tooth. For both of the patients, the use of biologic, all-ceramic, copy-milled restorations resulted in clinical success and recovered function and esthetics. PMID:28326203

  7. Case study: Muscle atrophy and hypertrophy in a premier league soccer player during rehabilitation from ACL injury.

    Science.gov (United States)

    Milsom, Jordan; Barreira, Paulo; Burgess, Darren J; Iqbal, Zafar; Morton, James P

    2014-10-01

    The onset of injury and subsequent period of immobilization and disuse present major challenges to maintenance of skeletal muscle mass and function. Although the characteristics of immobilization-induced muscle atrophy are well documented in laboratory studies, comparable data from elite athletes in free-living conditions are not readily available. We present a 6-month case-study account from a professional soccer player of the English Premier League characterizing rates of muscle atrophy and hypertrophy (as assessed by DXA) during immobilization and rehabilitation after ACL injury. During 8 weeks of inactivity and immobilization, where the athlete adhered to a low carbohydrate-high protein diet, total body mass decreased by 5 kg attributable to 5.8 kg loss and 0.8 kg gain in lean and fat mass, respectively. Changes in whole-body lean mass was attributable to comparable relative decreases in the trunk (12%, 3.8 kg) and immobilized limb (13%, 1.4 kg) whereas the nonimmobilized limb exhibited smaller declines (7%, 0.8 kg). In Weeks 8 to 24, the athlete adhered to a moderate carbohydrate-high protein diet combined with structured resistance and field based training for both the lower and upper-body that resulted in whole-body muscle hypertrophy (varying from 0.5 to 1 kg per week). Regional hypertrophy was particularly pronounced in the trunk and nonimmobilized limb during weeks 8 to 12 (2.6 kg) and 13 to 16 (1.3 kg), respectively, whereas the previously immobilized limb exhibited slower but progressive increases in lean mass from Week 12 to 24 (1.2 kg). The athlete presented after the totality of the injured period with an improved anthropometrical and physical profile.

  8. lower limbs kinematic assessment of the effect of a gym and hydrotherapy rehabilitation protocol after knee megaprosthesis: a case report.

    Science.gov (United States)

    Lovecchio, Nicola; Sciumè, Luciana; Zago, Matteo; Panella, Lorenzo; Lopresti, Maurizio; Sforza, Chiarella

    2016-03-01

    [Purpose] To quantitatively assess the effect of a personalized rehabilitation protocol after knee megaprosthesis. [Subject and Methods] The gait patterns of a 33-year-old male patient with knee synovial sarcoma were assessed by a computerized analysis before and after 40 rehabilitation sessions. [Results] The rehabilitation protocol improved the gait pattern. After rehabilitation, hip flexion was nearly symmetric, with normalized affected limb hip flexion, and improved ankle flexion. Ankle in/eversion was asymmetric and did not improve after physiotherapy. Before physiotherapy, the hip flexion on the affected side anticipated the movement but nearly normalized in the follow-up assessment. Hip abduction range of motion increased, with wider movements and good balance. Knee range of motion nearly symmetrized, but maintained an anticipated behavior, without shock absorption at heel-strike. [Conclusion] Instrumental gait analysis allowed us to gain evidence about the training and how to expand rehabilitative interventions to improve efficacy. In particular, we recommend quadriceps and gastrocnemius eccentric contraction training (to improve the shock absorption phase, preventing early failures of the prosthesis); one-leg standing performance (to improve the support phase of the affected limb); adductor strength training (to aid in hip control during the swing phase); and peroneus strength training (to increase ankle joint stabilization).

  9. Pulmonary Rehabilitation

    Science.gov (United States)

    ... shortness of breath and increase your ability to exercise. You may have heard that pulmonary rehabilitation is only for people with COPD (chronic obstructive pulmonary disease). We now know that ...

  10. Postauricular Leiomyosarcoma: A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Dillip Samal

    2013-01-01

    Full Text Available Leiomyosarcoma arising in the head and neck region is a rare entity. Auricular involvement by the disease is further rarer with few cases reported in the literature. Usually auricular leiomyosarcoma is a disease of middle-old age. We report a case of leiomyosarcoma of the postauricular region in a young adolescent female. Surgery along with adjuvant radiotherapy was used for complete cure. Patient is disease-free for the last eight years and is on regular yearly followup. The aim of reporting this case is to add to the scarce existing literature regarding auricular leiomyosarcoma and its long-term outcome. Also, this is the first case report in young adolescent and second only of the post auricular region.

  11. [Reconstruction of auricular framework using autologous perichondrial grafts. An experimental study].

    Science.gov (United States)

    Qi, F Z

    1991-12-01

    An experimental study was performed in 13 adult dogs to find out whether the cartilage forming capacity of the costal perichondrium could be utilized in reconstruction of the auricular framework. Silastic ear-shaped frameworks, which were wrapped by free costal perichondrial grafts, were transferred to the subcutaneous space on both side of the thorax. The animals were sacrificed at 2 months, 3 months, and 4 months postoperatively. After 6 weeks, the reconstructed auricular cartilage framework collapsed and the silicone framework was rejected. In groups of 2, 3 and 4 months, collapse of the cartilage framework occurred when the silicone tube was removed in 7 day. There was certain elasticity, but the auricular framework had only little resistance to pressure. How to improve new cartilage production would be the key point of further study. Histologically, it was shown that mature hyalin cartilage was generated in 2 months postoperatively.

  12. Rehabilitation robotics.

    Science.gov (United States)

    Krebs, H I; Volpe, B T

    2013-01-01

    This chapter focuses on rehabilitation robotics which can be used to augment the clinician's toolbox in order to deliver meaningful restorative therapy for an aging population, as well as on advances in orthotics to augment an individual's functional abilities beyond neurorestoration potential. The interest in rehabilitation robotics and orthotics is increasing steadily with marked growth in the last 10 years. This growth is understandable in view of the increased demand for caregivers and rehabilitation services escalating apace with the graying of the population. We provide an overview on improving function in people with a weak limb due to a neurological disorder who cannot properly control it to interact with the environment (orthotics); we then focus on tools to assist the clinician in promoting rehabilitation of an individual so that s/he can interact with the environment unassisted (rehabilitation robotics). We present a few clinical results occurring immediately poststroke as well as during the chronic phase that demonstrate superior gains for the upper extremity when employing rehabilitation robotics instead of usual care. These include the landmark VA-ROBOTICS multisite, randomized clinical study which demonstrates clinical gains for chronic stroke that go beyond usual care at no additional cost.

  13. Growth factor stimulation improves the structure and properties of scaffold-free engineered auricular cartilage constructs.

    Directory of Open Access Journals (Sweden)

    Renata G Rosa

    Full Text Available The reconstruction of the external ear to correct congenital deformities or repair following trauma remains a significant challenge in reconstructive surgery. Previously, we have developed a novel approach to create scaffold-free, tissue engineering elastic cartilage constructs directly from a small population of donor cells. Although the developed constructs appeared to adopt the structural appearance of native auricular cartilage, the constructs displayed limited expression and poor localization of elastin. In the present study, the effect of growth factor supplementation (insulin, IGF-1, or TGF-β1 was investigated to stimulate elastogenesis as well as to improve overall tissue formation. Using rabbit auricular chondrocytes, bioreactor-cultivated constructs supplemented with either insulin or IGF-1 displayed increased deposition of cartilaginous ECM, improved mechanical properties, and thicknesses comparable to native auricular cartilage after 4 weeks of growth. Similarly, growth factor supplementation resulted in increased expression and improved localization of elastin, primarily restricted within the cartilaginous region of the tissue construct. Additional studies were conducted to determine whether scaffold-free engineered auricular cartilage constructs could be developed in the 3D shape of the external ear. Isolated auricular chondrocytes were grown in rapid-prototyped tissue culture molds with additional insulin or IGF-1 supplementation during bioreactor cultivation. Using this approach, the developed tissue constructs were flexible and had a 3D shape in very good agreement to the culture mold (average error <400 µm. While scaffold-free, engineered auricular cartilage constructs can be created with both the appropriate tissue structure and 3D shape of the external ear, future studies will be aimed assessing potential changes in construct shape and properties after subcutaneous implantation.

  14. Effect of self-administered auricular acupressure on smoking cessation --a pilot study

    Directory of Open Access Journals (Sweden)

    Leung Lawrence

    2012-02-01

    Full Text Available Abstract Background Tobacco smoking is still a worldwide health risk. Current pharmacotherapies have at best, a success rate of no more than 50%. Auricular (ear acupressure has been purported to be beneficial in achieving smoking cessation in some studies, while in others has been deemed insignificant. We hereby describe the protocol for a three-arm randomised controlled trial to examine the possible benefits of self-administered acupressure for smoking cessation. Methods Sixty consenting participants with confirmed habit of tobacco smoking will be recruited and randomized into three arms to receive either auricular acupressure at five true acupoints (NADA protocol, auricular acupressure at five sham points, or no auricular acupressure at all. Participants having auricular acupressure will exert firm pressure to each acupoint bilaterally via the bead in the attached plasters whenever they feel the urge to smoke. The treatment phase will last for six weeks during which all participants will be assessed weekly to review their smoking log, state of abstinence, end-exhalation carbon monoxide levels and possible adverse effects including withdrawal reactions and stress levels. At any time, a successful quit date will be defined with continuous abstinence for the following consecutive 7 days. From then on, participants will be evaluated individually for continuous abstinence rate (CAR, end-exhalation carbon monoxide levels and adverse effects of stress and withdrawal at specified intervals up to 26 weeks. Expectancy of treatment will be assessed with a four-item Borkovec and Nau self-assessment credibility scale during and after intervention. Discussion We incorporate validated outcome measures of smoking cessation into our randomised controlled trial design with the objectives to evaluate the feasibility and possible benefits of self-administered auricular acupressure as a non-invasive alternative to pharmacotherapy for smoking cessation. Trial

  15. Responding to physical and psychological health impacts of disasters: case study of the Iranian disaster rehabilitation plan.

    Science.gov (United States)

    Ardalan, A; Sohrabizadeh, S; Latifi, M F; Rajaei, M H; Asadi, A; Mirbeigi, S; Rouhi, N; Yousefi, H

    2016-06-15

    This paper describes the process of developing a national pre-disaster plan for physical health and psychological rehabilitation of disaster-stricken communities. Data gathered from a literature review and expert panel discussions informed the process of drawing up unified definitions of physical and psychological health rehabilitation, carrying out stakeholder and STEEP-V analyses, and assigning the responsible organization and the collaborative organizations for each task. The Ministry of Health and the Welfare Organization were selected as the two responsible organizations. Integrated management at all levels, and sharing information, education and funding, were identified as ways to improve stakeholders' participation and collaboration. A system is needed for evaluating the implementation of the disaster rehabilitation plan, using valid and reliable indicators.

  16. [Contribution of the rehabilitation approach for home medical care--a case study of a patient with higher cortical dysfunction].

    Science.gov (United States)

    Kato, Nobuko; Suzuki, Miki

    2004-12-01

    Although the main theme of this meeting is the continuous care process from acute phase to chronic phase, it is also strongly emphasized on rehabilitation medicine. However, most of the patients who really need rehabilitation have not followed such a process. We will show you a patient with traumatic brain injury, who returned home directly from an acute phase hospital, who had difficulties in ADL and QOL. We took initiatives in medical and care services in order to support the patient and his family to alleviate his difficulties in ADL and QOL. Thereafter, he was able to continue living at home with more comfort. We must offer adequate medical rehabilitation and other necessary support providing medical services and welfare before a patient returns home.

  17. Therapeutic Observation of Auricular Acupuncture with Electoacupuncture and Auricular Acupressure for Insomnia%针刺耳穴配合电针与耳穴贴压治疗失眠症疗效观察

    Institute of Scientific and Technical Information of China (English)

    徐丽丽; 胥方元

    2015-01-01

    目的:探讨比较针刺耳穴配合电针与耳穴贴压治疗失眠症的疗效。方法:将来我院门诊确诊为失眠症的69例患者,按照就诊时间先后随机分为治疗组和对照组,分别用2种不同的治疗方法进行治疗3个疗程,观察治疗效果。结果:治疗组有效率为97.2%,对照组有效率为78.8%,2组比较疗效差异有统计学意义。结论:2种治疗方法对失眠症的治疗都有效果,但是治疗组的效果更加明显。%Objective:To investigate compare auricular acupuncture with electoacuputure and auricular acupressure efficacy of treatment of insomnia .Methods:In our hospital diagnosed 69 cases of insomnia patients , according to the chronological treatment were randomly divided into treatment and control groups , respectively, with two different treatment methods for treatment three courses, the observed treatment effect. Results:The treatment group was 97.2%, the effective rate was 78.8%in the control group , the difference was statistically significant efficacy .Conclusion:Both treatments for insomnia have effect , but the effect is more pronounced treatment groups .

  18. Rehabilitation: Reflecting on the Past, Living It in the Present

    Science.gov (United States)

    Chapin, Martha H.

    2009-01-01

    Positive and negative rehabilitation experiences as a child and as an adult are examined to assess their effect as a consumer of rehabilitation services and as a rehabilitation counselor educator. The importance of case management, social supports, and use of an individualized treatment approach to rehabilitation are highlighted. This article…

  19. Clinical aspects and dynamics of auricular parasitosis in Gir cattle Aspectos clínicos e dinâmica de parasitoses auriculares em bovinos da raça Gir

    Directory of Open Access Journals (Sweden)

    Patrícia V.B. Leite

    2013-03-01

    Full Text Available We evaluated the dynamics of ear infestations caused by Rhabditis spp. and Raillietia spp., which were correlated with animal age, intensity of clinical signs and climate factors. Sixty-four Gir cattle were distributed into three groups: GA - 23 calves with 4 to 6 months of age; GB - 18 calves with 7 to 12 months of age; and GC - 23 heifers with 13 to 33 months of age. Five samplings, defined as S1, S2, S3, S4 and S5 were performed every three months from August 2008 to August 2009. The ear secretion was collected using the auricular washing method for the right ear and a swab for the left ear. A clinical assessment of the animals was performed, and they were classified according to the presence and severity of otitis. The highest relative frequency of rhabditosis was 52.2% in GC at the last sampling. In the first sampling, 42.2% of the animals were infested by Raillietia spp. The older cattle were more susceptible to infestations by both parasites. No correlation of Rhabditis spp. and Raillietia spp. parasitism with climate factors was found. The results showed that both parasites could infest Gir cattle, and in most cases, there was no co-infestation. Only older animals parasitized by the nematode showed clinical signs of the disease.Avaliou-se a dinâmica da infestação auricular causada por Rhabditis spp. e por Raillietia spp., relacionando-a com a idade dos animais, com a intensidade dos sinais clínicos e com os fatores climáticos. Utilizaram-se 64 bovinos Gir, distribuídos em três grupos: GA - 23 bezerros de quatro a seis meses de idade, GB - 18 bezerros de sete a 12 meses e GC - 23 novilhas de 13 a 33 meses. Foram feitas cinco coletas a cada três meses. A secreção auricular foi coletada utilizando o método de lavagem auricular na orelha direita e um swab na orelha esquerda. Fez-se avaliação clínica dos animais classificando-os de acordo com a presença e gravidade da otite. A maior frequência relativa da rhabditiose

  20. Rehabilitation of a dentate mandible requiring a full arch rehabilitation. Immediate loading of a fixed complete denture on 8 implants placed with a bone-supported surgical computer-planned guide: a case report.

    Science.gov (United States)

    Amorfini, Leonardo; Storelli, Stefano; Romeo, Eugenio

    2011-03-01

    The use of technologies that merge computerized tomography X-ray imaging and 3-dimensional (3D) planning software allow the surgeon to digitally elaborate on the computer the position, length, and diameter of every implant to be placed. Following this approach, the placement is guided in a 3D digital model, and the implants are placed in the final position avoiding eventual anatomic structures. In this case report, the patient's remaining mandibular teeth were extracted, and the patient received 8 implants with the help of a computer surgical guide. The case was planned using SimPlant and a bone-supported guide. Because of the high precision of the planning, it was possible to realize a provisional rehabilitation before the actual surgery. The planning allows placement of parallel implants to optimize the prosthetic procedure and outcome. An immediate provisional implant was fixed with a flow composite on the temporary abutments and then refined in the dental laboratory. The patient received the provisional rehabilitation the same day of the surgery. After 6 weeks of healing, the final impression was taken and the prosthesis was finalized with a computer-aided design/computer-aided manufacturing titanium full-arch screwed framework with composite veneering. A 6-month follow-up showed good integration of the prostheses and success of all 8 implants. The use of surgical computer-guided planning changes the surgeon's approach: whereas before the use of conventional guides permitted a certain degree of offset from what was planned, the use of computer guides allows the implant to be inserted in a far more precise way. It is obvious that careful planning is the key factor to avoid implant misplacement.

  1. Improved Construction of Auricular Prosthesis by Digital Technologies.

    Science.gov (United States)

    Nuseir, Amjad; Hatamleh, Muhanad; Watson, Jason; Al-Wahadni, Ahed M; Alzoubi, Firas; Murad, Mohammed

    2015-09-01

    Implant-retained auricular prostheses are a successful prosthetic treatment option for patients who are missing their ear(s) due to trauma, oncology, or birth defects. The prosthetic ear is aesthetically pleasing, composed of natural looking anatomical contours, shape, and texture along with good color that blends with surrounding existing skin. These outcomes can be optimized by the integration of digital technologies in the construction process. This report describes a sequential process of reconstructing a missing left ear by digital technologies. Two implants were planned for placement in the left mastoid region utilizing specialist biomedical software (Materialise, Belgium). The implant positions were determined underneath the thickest portion (of anti-helix area) left ear that is virtually simulated by means of mirror imaging of the right ear. A surgical stent recording the implant positions was constructed and used in implant fixtures placement. Implants were left for eight weeks, after which they were loaded with abutments and an irreversible silicone impression was taken to record their positions. The right existing ear was virtually segmented using the patient CT scan and then mirror imaged to produce a left ear, which was then printed using 3D printer (Z Corp, USA). The left ear was then duplicated in wax which was fitted over the defect side. Then, it was conventionally flasked. Skin color was digitalized using spectromatch skin color system (London, UK). The resultant silicone color was mixed as prescribed and then packed into the mold. The silicone was cured conventionally. Ear was trimmed and fitted and there was no need for any extrinsic coloring. The prosthetic ear was an exact match to the existing right ear in shape, skin color, and orientation due to the great advantages of technologies employed. Additionally, these technologies saved time and provided a base for reproducible results regardless of operator.

  2. Cancer rehabilitation indicators for Europe

    DEFF Research Database (Denmark)

    Baili, Paolo; Hoekstra-Weebers, Josette; Van Hoof, Elke;

    2013-01-01

    on follow-up and treatments for samples of cases archived in cancer registries. (b) Indicators of rehabilitation success. These include: return to work, quality of life, and satisfaction of specific rehabilitation needs. Studies can be performed to estimate these indicators in individual countries......Little is known of cancer rehabilitation needs in Europe. EUROCHIP-3 organised a group of experts to propose a list of population-based indicators used for describing cancer rehabilitation across Europe. The aim of this study is to present and discuss these indicators. A EUROCHIP-3 expert panel...... reached agreement on two types of indicators. (a) Cancer prevalence indicators. These were proposed as a means of characterising the burden of cancer rehabilitation needs by time from diagnosis and patient health status. These indicators can be estimated from cancer registry data or by collecting data...

  3. Interdisciplinary rehabilitation

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    @@ IntroductionInterdisciplinary rehabilitation, or care by a team of rehabilitation professionals, has been a core strategy of rehabilitation medicine since its beginning. As a result, quality assessments of these programs universally include evaluating the effectiveness of their interdisciplinary teams. Rehabilitation programs for individuals with physical and cognitive disabilities originally were institutionally based, an environment that facilitated the communication needed for interdisciplinary care. These programs addressed a full spectrum of problems, including health, physical functioning, psychological adjustment, social integration, and vocational or other significant role participation. The implementation of truly interdisciplinary programs has always been difficult because of this complexity, but recent restrictions in the resources available to provide rehabilitation have increased this difficulty. With less professional time available because of limited funds, the interdisciplinary process is being challenged to show its value, and to be as efficient as possible.This paper discusses the benefits to be gained through the interdisciplinary process, factors that reduce its cost effectiveness and strategies to maintain its advantages at the least possible cost.

  4. Effect of Rehabilitation Technology Services on Vocational Rehabilitation Outcomes of Individuals with Multiple Sclerosis

    Science.gov (United States)

    Chiu, Chung-Yi; Tansey, Timothy N.; Chan, Fong; Strauser, David; Frain, Michael P.; Arora, Simran

    2015-01-01

    Objectives: To examine the effect of rehabilitation technology interventions on the employment or job retention outcomes of individuals with multiple sclerosis (MS) served by the state-federal vocational rehabilitation program using a case-control study design. Participants: Data for this study were extracted from the Rehabilitation Services…

  5. Rehabilitation of injured U.S. servicemember with traumatic brain injury, stroke, spinal cord injury, and bilateral amputations: a case report.

    Science.gov (United States)

    Pai, Ajit B; Jasper, Nicholas R; Cifu, David X

    2012-01-01

    The complexity of injuries that can arise from combat situations, specifically as a result of the Operation Iraqi Freedom/Operation Enduring Freedom conflicts, is challenging. As injured troops leave the war zone early for medical care, they are treated by an interwoven system of care that includes both the Department of Defense and Veterans Health Administration. Physicians across these settings are increasingly faced with patients who have multiple rehabilitation diagnoses as a result of the severity of blast injuries; therefore, the importance of active communication across the system must be highlighted. This case describes the seamless transition of an injured soldier across the continuum of care.

  6. Burn Rehabilitation

    Directory of Open Access Journals (Sweden)

    Koray Aydemir

    2011-07-01

    Full Text Available Burn injuries are important in terms of causing serious disability and threatening life. With the establishment of modern burn treatment units and advances in acute care management contributed to a reduced mortality rate over the last decades. As a result of improved outcome, more attention has to be given to a comprehensive burn rehabilitation program. Burn rehabilitation is a process that starts from day of admission and continues for months or sometimes years after the initial event. The term ‘burn rehabilitation’ incorporates the physical, physiological and social aspects of care. Burns can leave a patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. Burn rehabilitation aims to prevent the possible complications, minimalize joint contractures and deformities, increase range of motion, control hypertrophic scarring, achieve the best possible functional capacity and to regain the patients vocational and recreational activities. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 70-7

  7. Vascular Nature and Existence of Anastomoses of Extrinsic Postauricular Fascia: Application for Staged Auricular Reconstruction.

    Science.gov (United States)

    Lohasammakul, Suphalerk; Turbpaiboon, Chairat; Chompoopong, Supin; Ratanalekha, Rosarin; Aojanepong, Chongdee

    2017-01-18

    A staged auricular reconstruction in microtia patients was developed by using superficial mastoid fascia (as part of extrinsic postauricular fascia) to cover the cartilagenous framework due to its highly vascularized nature. Three branches of external carotid artery (superficial temporal artery, posterior auricular artery and occipital artery) were found to supply this fascia, this study was therefore aimed to investigate the dimension of blood supply from each vessel and also to demonstrate the existence of anastomoses among these arteries. Thirty-eight pinnas and postauricular fascias from Thai fresh adult cadavers were included to document the anastomoses by showing both perfused dye connection (10 dissections) and visible anastomotic branches (8 dissections) among them. Distribution of each vessel trunk and its branches were demonstrated using superimposed illustration in the other 20 dissections with dye injection into each artery to designate 3 zones of anastomotic area between each arterial pair. Maximal size of viable postauricular fascial flap for staged reconstruction according to this vascular study was thus estimated to be at least 5 cm above and 3 cm below the Frankfurt horizontal plane and about 6 cm posterior to external acoustic meatus owing to the course of posterior auricular artery and its anastomoses. In addition, greater size of flap with dual blood supply from both superficial temporal and posterior auricular arteries can be raised by harvesting beyond 5 cm above external acoustic meatus.

  8. Acupressure, reflexology, and auricular acupressure for insomnia: a systematic review of randomized controlled trials.

    Science.gov (United States)

    Yeung, Wing-Fai; Chung, Ka-Fai; Poon, Maggie Man-Ki; Ho, Fiona Yan-Yee; Zhang, Shi-Ping; Zhang, Zhang-Jin; Ziea, Eric Tat-Chi; Wong, Vivian Taam

    2012-09-01

    Previous randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English and 10 Chinese databases from inception to May 2010. Forty RCTs were identified for analysis. Only 10 studies used sham controls, four used double-blind design, nine studies scored three or more by the Jadad scale, and all had at least one domain with high risk of bias. Meta-analyses of the moderate-quality RCTs found that acupressure as monotherapy fared marginally better than sham control. Studies that compared auricular acupressure and sham control showed equivocal results. It was also found that acupressure, reflexology, or auricular acupressure as monotherapy or combined with routine care was significantly more efficacious than routine care or no treatment. Owing to the methodological limitations of the studies and equivocal results, the current evidence does not allow a clear conclusion on the benefits of acupressure, reflexology, and auricular acupressure for insomnia.

  9. Efficacy of two different materials used in auricular acupressure on weight reduction and abdominal obesity.

    Science.gov (United States)

    Hsieh, Ching Hsiu; Su, Tsann-Juu; Fang, Yu-Wen; Chou, Pei-Hsuan

    2012-01-01

    The current study was designed to test the efficacy of different materials used in an auricular acupressure program on weight reduction, changes to waist circumference and waist-to-hip ratio. This study used a randomized design with two groups who were treated with auricular acupressure using Semen Vaccariae or the Japanese Magnetic Pearl. Both groups consisted of Asian young adults with a waist circumference ≥ 80 cm in the females and ≥ 90 cm in the males. At completion of the eight-week treatment period, the total sample size was 56 young adults who ranged in age from 18 to 20 years old. Each participant was met with weekly for ten-minute sessions during which ear acupressure treatment was performed. Sessions continued for eight weeks wherein both groups received acupressure with the Japanese Magnetic Pearl or Semen Vaccariae on the ear acupoints. While both groups showed significant reductions (p ≤ 0.05) to body weight and waist circumference after eight weeks of treatments, the group treated with Semen Vaccariae group showed a more effective weight loss over the short term. Given that auricular acupressure is a safe and cost-effective treatment for weight loss, our results suggest that auricular acupressure is a reasonable option for the treatment of overweight and obesity in young adults.

  10. [Rehabilitation and algodystrophies].

    Science.gov (United States)

    Simon, L; Blotman, F; Leroux, J L; Claustre, J; Azema, M J; Brun-Meyer, M

    1982-12-01

    Based on 20 years experience, and a personal series of 272 cases of reflex dystrophy (84 cases involving upper limbs, 188 cases involving lower limbs) admitted under a rheumatology unit equipped with all the available techniques of rehabilitative medicine, the authors stress the value of well conducted functional rehabilitation which, even alone, can obtain excellent results in the treatment of this disease, whatever the stage. The authors detail the modalities of this treatment. A local intra-articular or intra-canal injection of corticosteroids permits pain-free physiotherapy. The mobilisation of the lower limb is an urgent priority. Non-aggressive physiotherapeutic techniques should be adapted to the stage and the site of reflex dystrophy. Hydrokinesitherapy and the adaptation of craft techniques to occupational therapy also play an important part.

  11. Auricular Acupuncture May Suppress Epileptic Seizures via Activating the Parasympathetic Nervous System: A Hypothesis Based on Innovative Methods.

    Science.gov (United States)

    He, Wei; Rong, Pei-Jing; Li, Liang; Ben, Hui; Zhu, Bing; Litscher, Gerhard

    2012-01-01

    Auricular acupuncture is a diagnostic and treatment system based on normalizing the body's dysfunction. An increasing number of studies have demonstrated that auricular acupuncture has a significant effect on inducing parasympathetic tone. Epilepsy is a neurological disorder consisting of recurrent seizures resulting from excessive, uncontrolled electrical activity in the brain. Autonomic imbalance demonstrating an increased sympathetic activity and a reduced parasympathetic activation is involved in the development and progress of epileptic seizures. Activation of the parasympathetic nervous system such as vagus nerve stimulation has been used for the treatment of intractable epilepsy. Here, we propose that auricular acupuncture may suppress epileptic seizures via activating the parasympathetic nervous system.

  12. Auricular Acupuncture May Suppress Epileptic Seizures via Activating the Parasympathetic Nervous System: A Hypothesis Based on Innovative Methods

    Directory of Open Access Journals (Sweden)

    Wei He

    2012-01-01

    Full Text Available Auricular acupuncture is a diagnostic and treatment system based on normalizing the body's dysfunction. An increasing number of studies have demonstrated that auricular acupuncture has a significant effect on inducing parasympathetic tone. Epilepsy is a neurological disorder consisting of recurrent seizures resulting from excessive, uncontrolled electrical activity in the brain. Autonomic imbalance demonstrating an increased sympathetic activity and a reduced parasympathetic activation is involved in the development and progress of epileptic seizures. Activation of the parasympathetic nervous system such as vagus nerve stimulation has been used for the treatment of intractable epilepsy. Here, we propose that auricular acupuncture may suppress epileptic seizures via activating the parasympathetic nervous system.

  13. Non-Invasive Implanto Prosthetic Rehabilitation in the Lower Arch Subsequent to Ameloblastoma Removal. A Case Report

    OpenAIRE

    Alberto Maltagliati; Samer Helal Zaky; Andrea Ottonello

    2015-01-01

    Aim: Describing the surgical/therapeutic and the prosthetic/functional approaches for the treatment and rehabilitation of a patient with an ameloblastoma in the posterior area of mandible. Materials and Methods: Enucleation of the lesion took place by surgical resection with bone margin extending to more than 1 cm beyond the lesion’s macroscopic margins, without performing guided bone regeneration. A year after surgery, a panoramic radiograph (OPG) was performed and seve...

  14. 耳廓再造术的研究进展%Research Progress in Auricular Reconstruction

    Institute of Scientific and Technical Information of China (English)

    吕涛; 王卉; 韩忠宇

    2013-01-01

    先天性小耳畸形、烧伤、创伤都会造成耳廓缺失.耳廓独特的立体造型和复杂的解剖结构,使耳廊再造成为整形外科最棘手、最具挑战性的工作.符合美学设计和耳廓精细结构的支架材料和覆盖支架的筋膜皮瓣是传统的耳廓再造术的发展瓶颈,软骨组织工程的兴起为耳廓再造带来了新的希望.该文就耳廓再造术的手术方式、支架材料、覆盖组织、手术时机和软骨组织工程的相关研究进展予以综述.%Microtia,bums,trauma can cause auricular missing.The unique three-dimensional and complex anatomical structure of auricle make the auricular reconstruction to be the most difficult and challenging work in the plastic surgery field.The scaffolds with aesthetic design and ear fine structure and the fascial flap covered the scaffolds are the bottleneck of traditional auricular reconstruction,while the development of the cartilage tissue engineering has brought new hope for auricular reconstruction.Here is to make a review of the research progress of auricular reconstruction from scaffold material,tissue of coverage,the method and timing of surgery,and the application of cartilage tissue engineering.

  15. Effectiveness of medication / auricular therapy / phyto-therapy combination in the treatment of hypertensive patients

    Directory of Open Access Journals (Sweden)

    José Ramón Martínez Pérez

    2015-10-01

    Full Text Available Background: hypertension is one of the main cardiovascular risk factors, so its control improves the life expectancy of patients.Objective: to assess the effects of a treatment combining medication with auricular therapy and phyto-therapy in hypertensive patients assisted at the health area of ”Romárico Oro” Polyclinic, in Puerto Padre, Las Tunas province.Methods: an intervention study was carried out in 68 hypertensive patients of the health area of “Romárico Oro” Polyclinic in Puerto Padre from April, 2013 to April, 2014. The patients were distributed at random into two equal groups; the first received medication combined with auricular therapy and phyto-therapy, while the second one received only medication. The statistical analysis was done by means of Statistic system, t-student and Chi-Square tests were used and p< or =0.05 was considered as level of statistical significance.Results: by the end of the intervention, 73, 53% of the patients of the group with the combination of drug treatment and auricular therapy and phyto-therapy were controlled. In this group, the diastolic filling pressure diminished to 2, 2 mm Hg and the systolic gradient to 3, 66 mm, regarding the group treated only with drugs. Only one patient, representing the 2, 94% showed adverse reaction to the natural and traditional treatment.Conclusions: the combination of medication with auricular therapy and phyto-therapy proved to be effective, corroborated by a significant decrease of quantity of crisis, diastolic and systolic filling pressure values and increase of number of patients with their disease controlled; the report of only one complication shows the innocuousness of the auricular therapy and phyto-therapy treatment.

  16. AB007. The effect of auricular acupuncture and acupressure in smoking cessation

    Science.gov (United States)

    Ioannis, Stathourakis

    2016-01-01

    Background Smoking is often associated with many types of cancer, increased cardiovascular and pulmonary morbidity. In 2006, it has been estimated that the annual number of deaths due to smoking approached 5,000,000, and is expected to double by 2030. The practice of auricular acupuncture is based on the theory that there are certain points in the ear flap corresponding to major organ systems of the human body and can be manipulated to lead to a therapeutic effect on the corresponding organ. The purpose of the study is to evaluate the effectiveness of auricular acupuncture for assisting people with the aim of stopping smoking. Methods A review of the literature has been done in PubMed database on the auricular acupuncture method for efficacy of the conservative treatment for smoking cessation with Keywords: auricular, acupuncture, smoking and cessation. Results The effectiveness of using acupuncture reported that is close to 45%, which is on par with other pharmacological methods. According to Ballal et al., the execution of acupuncture to quit smoking for six weeks produced a success rate of 50.1%, 45.5% of subjects reduced their consumption to 5 cigarettes and 4.3% failed to reduce smoking. Furthermore, Hackett et al. reported success rate of 50% after 12 months of electric acupuncture to the ear. After using acupuncture treatment in 514 persons, Choy et al. reported a success rate of 88%, and relapse rate of 31% in the second year of treatment. Conclusions The auricular acupuncture is effective in smoking cessation and should be considered as an alternative to help smokers, especially those whose previous attempts using conventional methods were in vain. Also the combination with existing methods seems ideal. The survey results also showed that the therapeutic effects of acupuncture in smoking cessation is similar to that of nicotine gum method and behavioral therapy, suggesting that acupuncture is neither superior nor inferior to other methods for smoking

  17. Rehabilitation Aids.

    Science.gov (United States)

    National Center on Educational Media and Materials for the Handicapped, Columbus, OH.

    Selected from the National Instructional Materials Information System (NIMIS)--a computer based on-line interactive retrieval system on special education materials--the bibliography covers 40 equipment items for rehabilitation and physical therapy programs for all levels of handicapped children. Described are such items as a handygym, a suspension…

  18. Stroke Rehabilitation

    Science.gov (United States)

    ... or other long-term facility 15% die shortly after the stroke Approximately 14% of stroke survivors experience a second stroke in the first year following a stroke. Successful rehabilitation depends on: Amount of damage to the brain Skill on the part of ...

  19. Cardiac Rehabilitation

    Science.gov (United States)

    ... your risk of future heart problems, and to improve your health and quality of life. Cardiac rehabilitation programs increase ... exercise routine at home or at a local gym. You may also continue to ... health concerns. Education about nutrition, lifestyle and weight loss ...

  20. Rehabilitation News.

    Science.gov (United States)

    International Journal of Rehabilitation Research, 1987

    1987-01-01

    Rehabilitation news items include, among others: a midpoint review of the implementation of the World Programme of Action Concerning Disabled Persons, an international study on the impact of new technologies on employment of disabled people, and a U.S. project to investigate disability service provision and innovations in other countries. (JDD)

  1. Bilateral Repetitive Transcranial Magnetic Stimulation Combined with Intensive Swallowing Rehabilitation for Chronic Stroke Dysphagia: A Case Series Study

    Directory of Open Access Journals (Sweden)

    Ryo Momosaki

    2014-03-01

    Full Text Available The purpose of this study was to clarify the safety and feasibility of a 6-day protocol of bilateral repetitive transcranial magnetic stimulation (rTMS combined with intensive swallowing rehabilitation for chronic poststroke dysphagia. In-hospital treatment was provided to 4 poststroke patients (age at treatment: 56-80 years; interval between onset of stroke and treatment: 24-37 months with dysphagia. Over 6 consecutive days, each patient received 10 sessions of rTMS at 3 Hz applied to the pharyngeal motor cortex bilaterally, followed by 20 min of intensive swallowing rehabilitation exercise. The swallowing function was evaluated by the Penetration Aspiration Scale (PAS, Modified Mann Assessment of Swallowing Ability (MMASA, Functional Oral Intake Scale (FOIS, laryngeal elevation delay time (LEDT and Repetitive Saliva-Swallowing Test (RSST on admission and at discharge. All patients completed the 6-day treatment protocol and none showed any adverse reactions throughout the treatment. The combination treatment improved laryngeal elevation delay time in all patients. Our proposed protocol of rTMS plus swallowing rehabilitation exercise seems to be safe and feasible for chronic stroke dysphagia, although its efficacy needs to be confirmed in a large number of patients.

  2. Identifying sustainable rehabilitation strategies for urban wastewater systems: a retrospective and interdisciplinary approach. Case study of Coronel Oviedo, Paraguay.

    Science.gov (United States)

    Cuppens, Arnoud; Smets, Ilse; Wyseure, Guido

    2013-01-15

    Many wastewater managers in developing countries struggle with the daily operation of urban wastewater systems. Technically well-designed wastewater collection and treatments are often degraded and/or not properly functioning. In this paper, a realistic rehabilitation strategy is developed for the urban wastewater system of Coronel Oviedo (Paraguay), in which the actual performance is unsatisfactory, as revealed by a detailed technical assessment, including water quantity and quality monitoring data. Understanding the history, starting from the initial planning and design process, allows to explain the current failing status of the urban wastewater system of Coronel Oviedo. The key information for the specific local rehabilitation strategy was extracted from an interdisciplinary assessment of shortcomings of urban wastewater systems in Paraguay which were revealed by a survey of all existing wastewater systems. Opting for a stepwise rehabilitation strategy allows the wastewater manager to gradually improve the performance of the wastewater system. Reusing the wastewater in agriculture and recovering the energy of methane gas are possible advantageous options for attracting external financial resources. Finally, the crucial role that the wastewater manager must play for sustainable wastewater management to become effective in practice is discussed, and recommendations are provided on how decision makers, researchers and consultants can contribute by anticipating the challenging circumstances inherent to developing countries.

  3. Feasibility of SaeboFlex upper-limb training in acute stroke rehabilitation: a clinical case series.

    Science.gov (United States)

    Stuck, Rebecca A; Marshall, Lisa M; Sivakumar, Ramachandran

    2014-09-01

    Upper-limb (UL) recovery following stroke is often poor. UL rehabilitation therefore continues to be a major focus for occupational therapy. Published evidence for the effectiveness of SaeboFlex training in acute stroke rehabilitation is scarce. The purpose of this study is to explore the feasibility and patient experience of SaeboFlex training in acute stroke. This feasibility study recruited stroke patients (< 84 days post-stroke) with moderate/severe UL weakness. They participated in SaeboFlex sessions for 12 weeks in addition to conventional rehabilitation. A battery of measures was taken at baseline, 4, 8 and 12 weeks. Eight participants were recruited. For the action research arm test score and UL Motricity Index, clinically significant improvements were noted in five out of seven (71%) and six out of seven participants (86%) respectively. Clinically significant improvements were also noted in secondary outcomes. Shoulder complications occurred in one participant. SaeboFlex training facilitated clinically significant improvements in UL function. It has the potential to improve participation and independence in ADLs, reduce carer burden and associated costs. Being a feasibility study with no control arm, we urge caution in interpreting these results. Future research is needed to evaluate the efficacy, optimum dosage and impact on dependency levels of SaeboFlex training as part of a randomized controlled trial.

  4. Bilateral Repetitive Transcranial Magnetic Stimulation Combined with Intensive Swallowing Rehabilitation for Chronic Stroke Dysphagia: A Case Series Study

    Science.gov (United States)

    Momosaki, Ryo; Abo, Masahiro; Kakuda, Wataru

    2014-01-01

    The purpose of this study was to clarify the safety and feasibility of a 6-day protocol of bilateral repetitive transcranial magnetic stimulation (rTMS) combined with intensive swallowing rehabilitation for chronic poststroke dysphagia. In-hospital treatment was provided to 4 poststroke patients (age at treatment: 56–80 years; interval between onset of stroke and treatment: 24–37 months) with dysphagia. Over 6 consecutive days, each patient received 10 sessions of rTMS at 3 Hz applied to the pharyngeal motor cortex bilaterally, followed by 20 min of intensive swallowing rehabilitation exercise. The swallowing function was evaluated by the Penetration Aspiration Scale (PAS), Modified Mann Assessment of Swallowing Ability (MMASA), Functional Oral Intake Scale (FOIS), laryngeal elevation delay time (LEDT) and Repetitive Saliva-Swallowing Test (RSST) on admission and at discharge. All patients completed the 6-day treatment protocol and none showed any adverse reactions throughout the treatment. The combination treatment improved laryngeal elevation delay time in all patients. Our proposed protocol of rTMS plus swallowing rehabilitation exercise seems to be safe and feasible for chronic stroke dysphagia, although its efficacy needs to be confirmed in a large number of patients. PMID:24803904

  5. Efficacy of a multimodal rehabilitation program in a dental hygienist with upper quadrant disorders. Description of a case report with one-year follow-up.

    Science.gov (United States)

    Ferrari, S; Monticone, M

    2009-01-01

    Many musculoskeletal disorders are work-related. For the success of treatment, it is essential to promptly recognize these cases and introduce a specific intervention able to act on the causes. In Literature many activities predisposing workers to incorrect posture and long maintained attitudes are highlighted. The professionals involved in dental hygiene are among these. For these patients it is not sufficient to just reduce pain, but it is necessary to have a broader approach to rehabilitation, which can also act on neuromuscular imbalances induced by work. The article describes the case of a dental hygienist with upper quadrant disorders treated by physiotherapy and education. Particular importance during treatment was given to postural re-education. The treatment lasted two months (8 sessions, 1 session per week). The outcomes introduced were Visual Analogue Scale, VAS (70/100 at the beginning and 0/100 at the end of treatment) and Neck Pain and Disability Scale, NPDS (62.5/100 at the beginning and 3/100 at the end of treatment); at 12-month follow-up, VAS was 10/100 and NPDS was 19/100. A multimodal rehabilitation, with emphasis to musculoskeletal imbalance correction, proved to be useful in a patient who maintained prolonged flexion and rotation of the spine, front shoulder closure, and arm suspension due to occupational daily activities. The improvements lasted over time.

  6. 耳穴贴压配合隔姜灸治疗青年妇女经迟的体会%Experience on Auricular Plaster combined with Ginger Moxibustion in the Treatment of Delayed Menstrual Cycle of Young Women

    Institute of Scientific and Technical Information of China (English)

    朱茜

    2016-01-01

    Objective To observe the effect of auricular plaster combined with ginger moxibustion in the treatment of delayed menstrual cycle of young women. Methods 30 cases of female patients with delayed menstrual cycle were selected. Their age are 20 years old to 40 years old. They were treated with auricular point sticking combined with ginger moxibustion. Results The total effective rate was 93. 33%. Conclusion The auricular plaster combined with ginger moxibustion in the treatment of delayed menstrual cycle of young women has clinical curative effect, and the operation method is simple and convenient. In clinical medication, there were no toxic side effects. It is convenient for the promotion in primary hospitals.%目的:观察耳穴贴压配合隔姜灸治疗年轻妇女经迟的疗效。方法选取年轻的经迟女性患者30例,年龄段为20岁~40岁,采用耳穴贴压联合隔姜灸进行治疗。结果总有效率达93.33%。结论耳穴贴压配合隔姜灸治疗年轻妇女经迟的疗效肯定,操作方法简单便捷,临床用药中,未见有毒副作用的案例,方便基层医院推广。

  7. [Quality in rehabilitation].

    Science.gov (United States)

    Jäckel, W H

    2010-12-01

    Particularly in the context of introduction of quality assurance programmes 15 years ago, "quality" became a central issue for rehabilitation, and its importance is bound to grow in the years to come. After giving a general definition of quality, this article deals more closely with 3 aspects of quality: quality development, quality assurance, and data on quality. Quality development in rehabilitation centres demands an atmosphere that supports change, encourages creativity, courage, transparency and involvement, and reduces fear. The creation of such an atmosphere is, in particular, the responsibility of a centre's management. Routine interviews regarding patient as well as employee satisfaction, and the use of strategic planning and management systems have proven successful instruments in the practice of quality development. Compared with other sectors of the health system, quality assurance in rehabilitation is marked by its comprehensive approach, intense patient orientation, scientific underpinning, and nationwide implementation. Regarding the benefits of these programmes for the health system at large, however, no clear scientific proof is available yet. Data gained from quality assurance programmes on the whole show a high amount of patient satisfaction, good quality of structures and processes as well as an improvement of the patients' health status. Between centres, however, there are marked differences of quality in a number of cases, and long-term effectiveness could be improved in some indications. Finally, suggestions are offered concerning further development of quality in rehabilitation as well as of the quality assurance programmes.

  8. The Anticonvulsant Effect of Transcutaneous Auricular Vagus Nerve Stimulation is Associated with Balancing the Autonomic Dysfunction in Rats

    Directory of Open Access Journals (Sweden)

    Wei He

    2016-11-01

    Full Text Available Objective: The present study aims to investigate whether the anticonvulsant effect of transcutaneous auricular vagus nerve stimulation is associated with balancing the autonomic dysfunction in rats.

  9. Protocolo de tratamiento de cicatrices queloides en el pabellón auricular del Hospital General Dr. Manuel Gea González Treatment protocol of auricular keloid scars in the General Hospital Dr. Manuel Gea González

    Directory of Open Access Journals (Sweden)

    C. Gutiérrez Gómez

    2012-03-01

    Full Text Available Las cicatrices queloideas son una de las patologías de más difícil tratamiento por el alto porcentaje de recidivas que presentan, hasta un 100 % en tratamientos únicos y un 50 % en tratamientos combinados. El pabellón auricular es un blanco frecuente de esta patología. Presentamos el protocolo de tratamiento empleado en nuestro hospital en los últimos 6 años con terapia combinada en 51 pacientes y 64 pabellones auriculares afectados por queloides. Aplicamos de forma preoperatoria 3 dosis de triamcinolona o betametasona intralesional, con diferencia de 4 a 6 semanas entre dosis y 4 semanas después de la última dosis, realizamos resección de la cicatriz dejando piel suficiente para el cierre sin tensión. En los pacientes que presentaban antecedente de resección quirúrgica se añadió al tratamiento el uso de colchicina, comenzando el día de la cirugía y manteniéndolo durante 8 semanas, a dosis de 1 mg. al día, con control de pruebas de función hepática pre y postratamiento. En el 74.5 % de los casos la cicatriz queloide fue unilateral; el 56.8 % de los pacientes fueron mujeres; las edades fluctuaron entre los 8 y los 61 años con una media de 24 años de edad. En el 65 % de los casos el queloide se presentó en el pabellón auricular derecho y en cuanto a su localización dentro del mismo, el 42 % se presentó en el lóbulo. La causa en el 56 % de los casos fue por perforación. El 18.6 % de las cicatrices tratadas cedieron con la infiltración intralesional; de las 48 cicatrices que recibieron tratamiento quirúrgico, hubo recidiva en el 12.5 % (6 cicatrices, con un seguimiento de entre 8 meses a 6 años.Keloid scars are one of the most difficult pathologies to treat because its high rate of recurrence, from 100 % with single treatment to 50 % with combined therapy. The auricle is a frequent localization of keloids. We report our experience in the last 6 years with combined therapy in 51 patients and 64 auricles with keloid

  10. Effect of Auricular Acupressure on Peri- and Early Postmenopausal Women with Anxiety: A Double-Blinded, Randomized, and Controlled Pilot Study

    Directory of Open Access Journals (Sweden)

    Ching-Ling Kao

    2012-01-01

    Full Text Available We tested effects of auricular acupressure on peri- and early postmenopausal women with anxiety (PPWA. Fifty PPWA were randomly assigned to the auricular acupressure group (AG or the sham group (SG. After 3 meals and before sleep every day for 4 weeks, the AG received auricular acupressure on the bilateral ear shenmen and subcortex points for 3 min per point on alternating ears. The SG received sham auricular acupressure. The Alprazolam was reduced from 0.5 mg/day at baseline to 0.3 mg/day 4 weeks after auricular acupressure (4 W in the AG (P.05. The Zolpidem was reduced from 3.0 mg/day at baseline to 1.5 mg/day at 4 W (P.05, thus, significant tapering medication, suggesting auricular acupressure is helpful to PPWA.

  11. Effect of rehabilitation on a patient suffering from a tuberculous brain abscess with Gerstmann's syndrome: case report

    OpenAIRE

    Kuo CL; Lo SF; Liu CL; Chou CH; Chou LW

    2012-01-01

    Chih-Lan Kuo1, Sui-Foon Lo1,2, Chun-Lin Liu3, Chia-Hui Chou4, Li-Wei Chou1,2,5¹Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; ²School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 3Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan; 4Department of Infectious disease, China Medical University Hospital, Taichung, Taiwan; 5Department of Physical...

  12. Auricular Acupressure Combined with an Internet-Based Intervention or Alone for Primary Dysmenorrhea: A Control Study

    Directory of Open Access Journals (Sweden)

    Mei-Ling Yeh

    2013-01-01

    Full Text Available Background. Primary dysmenorrhea is prevalent in adolescents and young women. Menstrual pain and distress causes poor school performance and physiological damage. Auricular acupressure can be used to treat these symptoms, and Internet-based systems are a flexible way of communicating and delivering the relevant information. Objective. This study investigates the effects of auricular acupressure (AA alone and combined with an interactive Internet-based (II intervention for the management of menstrual pain and self-care of adolescents with primary dysmenorrhea. Design. This study adopts a pretest/posttest control research design with a convenience sample of 107 participants. Results. The outcomes were measured using the short-form McGill pain questionnaire (SF-MPQ, visual analogue scale (VAS, menstrual distress questionnaire (MDQ, and adolescent dysmenorrheic self-care scale (ADSCS. Significant differences were found in ADSCS scores between the groups, and in SF-MPQ, VAS, MDQ, and ADSCS scores for each group. Conclusion. Auricular acupressure alone and a combination of auricular acupressure and interactive Internet both reduced menstrual pain and distress for primary dysmenorrhea. Auricular acupressure combined with interactive Internet instruction is better than auricular acupuncture alone in improving self-care behaviors.

  13. A case study of the use of GPR for rehabilitation of a classified Art Deco building: The InovaDomus house

    Science.gov (United States)

    Barraca, Nuno; Almeida, Miguel; Varum, Humberto; Almeida, Fernando; Matias, Manuel Senos

    2016-04-01

    Ancient buildings in historical town centers can be protected by Cultural Heritage legislation, thus implying that any rehabilitation must respect their main architectural features. These concerns also apply to Modern and Contemporary buildings, in particular if they are important examples of architectural styles from those periods. These extra problems, or motivations, add to the inherent structural delicacy of ancient building restoration that requires detailed knowledge of the building foundations, characteristics and materials, modification history, infrastructure mapping, current pathologies, etc., all relevant information for an informed rehabilitation project. Such knowledge is seldom available before the actual rehabilitation works begin, and the usual invasive preliminary surveys are frequently expensive, time-consuming and likely significantly alter/damage the building's main features or structural integrity. Hence, the current demand for indirect, non-invasive, reliable and high resolution imagery techniques able to produce relevant information at the early stages of a rehabilitation project. The present work demonstrates that Ground Penetrating Radar (GPR or Georadar) surveys can provide a priori knowledge on the structure, construction techniques, materials, history and pathologies in a classified Modern Age building. It is also shown that the use of GPR on these projects requires carefully designed surveys, taking into account the known information, spatial constraints, environmental noise, nature and dimensions of the expected targets and suitable data processing sequences. Thus, if properly applied, GPR produces high-resolution results crucial for sound engineering/architectural interventions aiming to restore and renovate Modern and Contemporary buildings, with (1) focus on the overall quality of the end-result, (2) no damage inflicted to the existing structure, (3) respect of the building's historical coherence and architectural elements and

  14. Full-mouth rehabilitation with monolithic CAD/CAM-fabricated hybrid and all-ceramic materials: A case report and 3-year follow up.

    Science.gov (United States)

    Selz, Christian F; Vuck, Alexander; Guess, Petra C

    2016-02-01

    Esthetic full-mouth rehabilitation represents a great challenge for clinicians and dental technicians. Computer-aided design/ computer-assisted manufacture (CAD/CAM) technology and novel ceramic materials in combination with adhesive cementation provide a reliable, predictable, and economic workflow. Polychromatic feldspathic CAD/CAM ceramics that are specifically designed for anterior indications result in superior esthetics, whereas novel CAD/CAM hybrid ceramics provide sufficient fracture resistance and adsorption of the occlusal load in posterior areas. Screw-retained monolithic CAD/CAM lithium disilicate crowns (ie, hybrid abutment crowns) represent a reliable and time- and cost-efficient prosthetic implant solution. This case report details a CAD/CAM approach to the full-arch rehabilitation of a 65-year-old patient with toothand implant-supported restorations and provides an overview of the applied CAD/CAM materials and the utilized chairside intraoral scanner. The esthetics, functional occlusion, and gingival and peri-implant tissues remained stable over a follow-up period of 3 years. No signs of fractures within the restorations were observed.

  15. REHABILITATION IN CARDIOLOGY AND CARDIOSURGERY

    Directory of Open Access Journals (Sweden)

    N. V. Galtseva

    2015-01-01

    Full Text Available At the present time effectiveness of rehabilitation programs after heart surgery, myocardial infarction, and in some cases for coronary artery disease (CAD is undeniable. According to the researches, physical exercises, which underlie cardio rehabilitation of patients with CAD, reduce cardiac mortality. In the review accumulated scientific data about modern approaches to cardio rehabilitation is discussed: goals, indications, contraindications, its organization, advantages. Controlled training in patients with CAD, making a complex program of cardio rehabilitation, kinds of control during cardio training are described in details. In this review the second phase of physical rehabilitation after cardiac surgery – a stationary phase, protocols of which are subjective and often contested, is considered. More frequently physical rehabilitation after coronary artery bypass surgery is doing breathing exercises, as there is data that physical exercises, in which tangential force vector in or around the sternum appears, should be avoided for at least 3 months after surgery. On the other hand, avoiding of heaving during the first weeks after surgery leads to more pronounced atrophy of the chest muscles. But there is data, according to which, early beginning of an adapted program of cardio rehabilitation (1–2 weeks after surgery is safely, it accelerates recovery and does not increase problems with the sternum. In this review the following idea is suggested: in order to follow the stages of rehabilitation after cardiac surgery it is necessary to start it on the stationary stage, and control of load rehabilitation programs must be carried out using hemodynamic changes during exercises, energy, SF-36 questionnaire. 

  16. Modulation of Muscle Tone and Sympathovagal Balance in Cervical Dystonia Using Percutaneous Stimulation of the Auricular Vagus Nerve.

    Science.gov (United States)

    Kampusch, Stefan; Kaniusas, Eugenijus; Széles, Jozsef C

    2015-10-01

    Primary cervical dystonia is characterized by abnormal, involuntary, and sustained contractions of cervical muscles. Current ways of treatment focus on alleviating symptomatic muscle activity. Besides pharmacological treatment, in severe cases patients may receive neuromodulative intervention such as deep brain stimulation. However, these (highly invasive) methods have some major drawbacks. For the first time, percutaneous auricular vagus nerve stimulation (pVNS) was applied in a single case of primary cervical dystonia. Auricular vagus nerve stimulation was already shown to modulate the (autonomous) sympathovagal balance of the body and proved to be an effective treatment in acute and chronic pain, epilepsy, as well as major depression. pVNS effects on cervical dystonia may be hypothesized to rely upon: (i) the alteration of sensory input to the brain, which affects structures involved in the genesis of motoric and nonmotoric dystonic symptoms; and (ii) the alteration of the sympathovagal balance with a sustained impact on involuntary movement control, pain, quality of sleep, and general well-being. The presented data provide experimental evidence that pVNS may be a new alternative and minimally invasive treatment in primary cervical dystonia. One female patient (age 50 years) suffering from therapy refractory cervical dystonia was treated with pVNS over 20 months. Significant improvement in muscle pain, dystonic symptoms, and autonomic regulation as well as a subjective improvement in motility, sleep, and mood were achieved. A subjective improvement in pain recorded by visual analog scale ratings (0-10) was observed from 5.42 to 3.92 (medians). Muscle tone of the mainly affected left and right trapezius muscle in supine position was favorably reduced by about 96%. Significant reduction of muscle tone was also achieved in sitting and standing positions of the patient. Habituation to stimulation leading to reduced stimulation efficiency was observed and

  17. Rehabilitation and Prosthetic Services

    Science.gov (United States)

    ... Service » Prosthetic & Sensory Aids Service (PSAS) Rehabilitation and Prosthetic Services Menu Menu Rehabilitation and Prosthetics Rehabilitation and ... Enter ZIP code here Enter ZIP code here Prosthetic & Sensory Aids Service (PSAS) Our Mission The mission ...

  18. Basics of SCI Rehabilitation

    Science.gov (United States)

    ... Donate Experts \\ The Basics of Spinal Cord Injury Rehabilitation Topics Adult Injuries Spinal Cord Injury 101 Spinal ... Injury 101 The Basics of Spinal Cord Injury Rehabilitation The Basics of Spinal Cord Injury Rehabilitation Preventing ...

  19. What Is Cardiac Rehabilitation?

    Science.gov (United States)

    ANSWERS by heart Treatments + Tests What Is Cardiac Rehabilitation? A cardiac rehabilitation (rehab) program takes place in a hospital or ... special help in making lifestyle changes. During your rehabilitation program you’ll… • Have a medical evaluation to ...

  20. Balance (or Vestibular) Rehabilitation

    Science.gov (United States)

    ... the Public / Hearing and Balance Balance (or Vestibular) Rehabilitation Audiologic (hearing), balance, and medical diagnostic tests help ... whether you are a candidate for vestibular (balance) rehabilitation. Vestibular rehabilitation is an individualized balance retraining exercise ...

  1. Prosthodontic rehabilitation of dentinogenesis imperfecta

    OpenAIRE

    2011-01-01

    Dentinogenesis imperfecta and its prosthodontic management is a challenging task. Treatment protocol varies according to clinical case. Although various reports in the literature suggest general guidelines for treatment planning, the present case report describes a full mouth rehabilitation of a young patient with dentinogenesis imperfecta treated by maxillary fixed partial dentures and mandibular fiber reinforced overdenture with metal occlusal surfaces.

  2. Prosthodontic rehabilitation of dentinogenesis imperfecta

    Directory of Open Access Journals (Sweden)

    Anil Goud

    2011-01-01

    Full Text Available Dentinogenesis imperfecta and its prosthodontic management is a challenging task. Treatment protocol varies according to clinical case. Although various reports in the literature suggest general guidelines for treatment planning, the present case report describes a full mouth rehabilitation of a young patient with dentinogenesis imperfecta treated by maxillary fixed partial dentures and mandibular fiber reinforced overdenture with metal occlusal surfaces.

  3. Prosthodontic rehabilitation of dentinogenesis imperfecta.

    Science.gov (United States)

    Goud, Anil; Deshpande, Saee

    2011-04-01

    Dentinogenesis imperfecta and its prosthodontic management is a challenging task. Treatment protocol varies according to clinical case. Although various reports in the literature suggest general guidelines for treatment planning, the present case report describes a full mouth rehabilitation of a young patient with dentinogenesis imperfecta treated by maxillary fixed partial dentures and mandibular fiber reinforced overdenture with metal occlusal surfaces.

  4. Em Torno da Fibrilação Auricular no Idoso...Complexo e Multifacetado

    OpenAIRE

    2016-01-01

    A fibrilação auricular é a arritmia mais comum dos idosos. A prevenção dos eventos tromboembólicos (e do acidente vascular cerebral, em particular) e a anticoagulação oral é uma necessidade inadiável. No entanto, a fibrilação auricular no idoso é uma circunstância, por natureza, complexa e está associada a um número elevado de comorbilidades, de síndromes gerais geriátricos, de polimedicação e de fragilidade clínica. Por isso, os cuidados geriátricos primários passam pela avaliação do estado ...

  5. A Simplified Technique for Orientation of a Bone Anchored Auricular Prostheses: a Clinical Report

    Directory of Open Access Journals (Sweden)

    Hussein G. El Charkawi

    2012-08-01

    Full Text Available Background: A simple technique was presented in this clinical report for orientation of a bone anchored auricular prosthesis.Methods: The proposed technique includes drawing the intact ear on a transparent celluloid paper or radiographic film and flipping it to the opposite side and relating it to the fixed anatomical features on the face of patient.Results: The drawing, by this way provides a simple and easy way to duplicate and transfer the exact size and position of the intact ear to the defect side.Conclusions: This technique provides a simple, safe, inexpensive and time saving yet, an accurate and effective surgical template that orients the craniofacial implants to the confines of the definitive auricular prosthesis. It is indicated for restoration of single missing external ear either in aplasia, injuries and total resection.

  6. In vitro antioxidant activities of sulfated derivatives of polysaccharides extracted from Auricularia auricular.

    Science.gov (United States)

    Zhang, Hua; Wang, Zhen-Yu; Yang, Lin; Yang, Xin; Wang, Xue; Zhang, Zhi

    2011-01-01

    In this research, two types of sulfated polysaccharide derivatives were successfully synthesized. Their antioxidant activities were investigated by employing various established in vitro systems. In addition, the degree of sulfation was evaluated using ion-chromatography and IR spectra. The results verify that, when employing scavenging superoxide radical tests, both the sulfation of acid Auricularia auricular polysaccharides (SAAAP) and the sulfation of neutral Auricularia auricular polysaccharides (SNAAP) derivatives possessed considerable antioxidant activity and had a more powerful antioxidant competence than that of the native non-sulfated polysaccharides (AAAP and NAAP). On the other hand, AAAP and NAAP exhibited stronger activity on scavenging both the hydroxyl radical and lipid peroxidation. Available data obtained with in vitro measurements indicates that the sulfated groups of AAAP and NAAP played an important role on antioxidant activity. In sum, the research demonstrates that the antioxidant activity of sulfated polysaccharide derivatives in vitro has a potential significance for seeking new natural antioxidant protective agents.

  7. In Vitro Antioxidant Activities of Sulfated Derivatives of Polysaccharides Extracted from Auricularia auricular

    Directory of Open Access Journals (Sweden)

    Zhi Zhang

    2011-05-01

    Full Text Available In this research, two types of sulfated polysaccharide derivatives were successfully synthesized. Their antioxidant activities were investigated by employing various established in vitro systems. In addition, the degree of sulfation was evaluated using ion-chromatography and IR spectra. The results verify that, when employing scavenging superoxide radical tests, both the sulfation of acid Auricularia auricular polysaccharides (SAAAP and the sulfation of neutral Auricularia auricular polysaccharides (SNAAP derivatives possessed considerable antioxidant activity and had a more powerful antioxidant competence than that of the native non-sulfated polysaccharides (AAAP and NAAP. On the other hand, AAAP and NAAP exhibited stronger activity on scavenging both the hydroxyl radical and lipid peroxidation. Available data obtained with in vitro measurements indicates that the sulfated groups of AAAP and NAAP played an important role on antioxidant activity. In sum, the research demonstrates that the antioxidant activity of sulfated polysaccharide derivatives in vitro has a potential significance for seeking new natural antioxidant protective agents.

  8. Rehabilitation of pure alexia

    DEFF Research Database (Denmark)

    Starrfelt, Randi; Ólafsdóttir, Rannveig Rós; Arendt, Ida-Marie

    2013-01-01

    that pure alexia was an easy target for rehabilitation efforts. We review the literature on rehabilitation of pure alexia from 1990 to the present, and find that patients differ widely on several dimensions like alexia severity, and associated deficits. Many patients reported to have pure alexia......Acquired reading problems caused by brain injury (alexia) are common, either as a part of an aphasic syndrome, or as an isolated symptom. In pure alexia, reading is impaired while other language functions, including writing, are spared. Being in many ways a simple syndrome, one would think...... in the reviewed studies, have associated deficits like agraphia or aphasia and thus do not strictly conform to the diagnosis. Few studies report clear and generalisable effects of training, none report control data, and in many cases the reported findings are not supported by statistics. We can, however...

  9. Rehabilitation of pure alexia

    DEFF Research Database (Denmark)

    Starrfelt, Randi; Ólafsdóttir, Rannveig Rós; Arendt, Ida-Marie

    2013-01-01

    Acquired reading problems caused by brain injury (alexia) are common, either as a part of an aphasic syndrome, or as an isolated symptom. In pure alexia, reading is impaired while other language functions, including writing, are spared. Being in many ways a simple syndrome, one would think...... that pure alexia was an easy target for rehabilitation efforts. We review the literature on rehabilitation of pure alexia from 1990 to the present, and find that patients differ widely on several dimensions like alexia severity, and associated deficits. Many patients reported to have pure alexia...... in the reviewed studies, have associated deficits like agraphia or aphasia and thus do not strictly conform to the diagnosis. Few studies report clear and generalisable effects of training, none report control data, and in many cases the reported findings are not supported by statistics. We can, however...

  10. The genetics of auricular development and malformation: new findings in model systems driving future directions for microtia research.

    Science.gov (United States)

    Cox, Timothy C; Camci, Esra D; Vora, Siddharth; Luquetti, Daniela V; Turner, Eric E

    2014-08-01

    Microtia is a term used to describe a wide array of phenotypic presentations of the outer ear. Although the majority of the cases are isolated in nature, much of our understanding of the causes of microtia has been driven by the identification of genes underlying syndromic forms where the anomaly co-presents with various other craniofacial and extra-craniofacial structural defects. In this review we discuss recent findings in mice deficient in Hoxa2, a key regulator of branchial arch patterning, which has necessitated a revision to the canonical model of pinna morphogenesis. The revised model will likely impact current classification schemes for microtia and, as we argue in this review, the interpretation of the developmental basis for various auricular malformations. In addition, we highlight recent studies in other mammalian species that are providing the first clues as to possible causes of at least some isolated anomalies and thus should now accelerate the search for the more elusive genetic contributions to the many isolated and non-syndromic cases of microtia. These findings, together with the application of new genome-level sequencing technologies and more thorough quantitative assessment of available mutant mouse resources, promise an exciting future for genetic studies in microtia.

  11. [Rehabilitation of facial paralysis].

    Science.gov (United States)

    Martin, F

    2015-10-01

    Rehabilitation takes an important part in the treatment of facial paralysis, especially when these are severe. It aims to lead the recovery of motor activity and prevent or reduce sequelae like synkinesis or spasms. It is preferable that it be proposed early in order to set up a treatment plan based on the results of the assessment, sometimes coupled with an electromyography. In case of surgery, preoperative work is recommended, especially in case of hypoglossofacial anastomosis or lengthening temporalis myoplasty (LTM). Our proposal is to present an original technique to enhance the sensorimotor loop and the cortical control of movement, especially when using botulinum toxin and after surgery.

  12. Role of Insulin-Transferrin-Selenium in Auricular Chondrocyte Proliferation and Engineered Cartilage Formation in Vitro

    Directory of Open Access Journals (Sweden)

    Xia Liu

    2014-01-01

    Full Text Available The goal of this study is to determine the effects of Insulin-Transferrin-Selenium (ITS on proliferation of auricular chondrocytes and formation of engineered cartilage in vitro. Pig auricular monolayer chondrocytes and chondrocyte pellets were cultured in media containing 1% ITS at different concentrations of fetal bovine serum (FBS, 10%, 6%, 2%, 0%, or 10% FBS alone as a control for four weeks. Parameters including cell proliferation in monolayer, wet weight, collagen type I/II/X (Col I, II, X and glycosaminoglycan (GAG expression, GAG content of pellets and gene expression associated with cartilage formation/dedifferentiation (lost cartilage phenotype/hypertrophy within the chondrocyte pellets were assessed. The results showed that chondrocytes proliferation rates increased when FBS concentrations increased (2%, 6%, 10% FBS in ITS supplemented groups. In addition, 1% ITS plus 10% FBS significantly promoted cell proliferation than 10% FBS alone. No chondrocytes grew in ITS alone medium. 1% ITS plus 10% FBS enhanced cartilage formation in terms of size, wet weight, cartilage specific matrices, and homogeneity, compared to 10% FBS alone group. Furthermore, ITS prevented engineered cartilage from dedifferentiation (i.e., higher index of Col II/Col I mRNA expression and expression of aggrecan and hypertrophy (i.e., lower mRNA expression of Col X and MMP13. In conclusion, our results indicated that ITS efficiently enhanced auricular chondrocytes proliferation, retained chondrogenic phenotypes, and promoted engineered cartilage formation when combined with FBS, which is potentially used as key supplementation in auricular chondrocytes and engineered cartilage culture.

  13. Acupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials

    OpenAIRE

    Chung, KF; Zhang, ZJ; Poon, MMK; Ho, FYY; Zhang, SP; Ziea, ETC; Wong, VT; Yeung, WF

    2012-01-01

    Previous randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English...

  14. A workflow-oriented framework-driven implementation and local adaptation of clinical information systems: a case study of nursing documentation system implementation at a tertiary rehabilitation hospital.

    Science.gov (United States)

    Choi, Jeeyae; Kim, Hyeoneui

    2012-08-01

    Health information systems are often designed and developed without integrating users' specific needs and preferences. This decreases the users' productivity, satisfaction, and acceptance of the system and increases the necessity for a local adaptation process to reduce the unwanted outcomes after implementation. A workflow-oriented framework developed in a previous study indicates that users' needs and preferences could be incorporated into the system when implementation follows the steps of the framework, eventually increasing satisfaction with and usefulness of the system. The overall goal of this study was to demonstrate application of the workflow-oriented framework to the implementation of a nursing documentation system at Spaulding Rehabilitation Hospital. In this case study, we present specific steps of implementing and adapting a health information system at a local site and raise critical questions that need to be answered in each step based on the workflow-oriented framework.

  15. Rehabilitation of shoulder paresis caused by herpes zoster according to the International Classification of Functioning, Disability and Health A case report

    Institute of Scientific and Technical Information of China (English)

    Qiang Gao; Yonghong Yang; Chengqi He; Shaxin Liu

    2011-01-01

    We describe the case of a 73-year-old man with left shoulder paresis caused by a herpes zoster infection of the left C5 dermatomes. The patient had been affected by pain for 10 days, a skin rash on his left shoulder and back for 5 days, and weakness of his left shoulder for 2 days before admission. Electromyography revealed denervation discharges from the left supraspinatus, infraspinatus and deltoid muscles, which was compatible with radiculopathy showing after zoster infection. The patient was examined in accordance with the International Classification of Functioning, Disability and Health, and treated with range-of-movement and strengthening exercises as well as activities of daily living and social participation. At 14 months after the onset of the condition, muscle strength had returned to normal. Electromyography revealed that motor unit action potentials were largely normal. These results indicate that the rehabilitation of paresis caused by herpes zoster can obtain positive results with suitable movement training.

  16. 脑卒中肩-手综合征康复治疗30例体会%Shoulder-hand Syndrome Rehabilitation Treatment of 30 Cases

    Institute of Scientific and Technical Information of China (English)

    唐异玲

    2015-01-01

    To study the method of shoulder and hand syndrome,summarize the experiences of shoulder and hand syndrome rehabliltation.30cases of patients with shoulder hand syndrome treatmeng methodsand ef ects were retrospectively analyzed.Through the early patients with proper operation guidance,to avoid further damage,with comprehensive rehabilitation treatment,achieved good therapeutic.%探讨肩手综合征的方法,总结肩手综合征康复治疗的经验。对30例肩手综合征患者治疗方法及效果进行回顾性分析。通过对早期患者的正确操作指导,避免进一步加重损伤,配合综合性康复治疗方法,取得了良好的治疗效果。

  17. Reconstruction and rehabilitation of short-range gunshot injury to lower part of face: A systematic approach of three cases

    Institute of Scientific and Technical Information of China (English)

    Ashutosh Vatsyayan; Apurba Kumar Adhyapok; Subhas Chandra Debnath; Kapil Malik

    2016-01-01

    Gunshot injuries are always known to cause severe morbidity and mortality when head and neck are involved.They vary in morbidity,which can occur in civilian surroundings.The wound largely depends on the type of weapon,mass and velocity of the bullet,and the distance from where it has been shot.Close-range gunshot wounds in the head and neck region can result in devastating aesthetic and functional impairment.The complexity in facial skeletal anatomy cause multiple medical and surgical challenges to an operating surgeon,demanding elaborate soft and hard tissue reconstruction.Here we presented the successful management of three patients shot by short-range pistol with basic life support measures,wound management,reconstruction and rehabilitation.

  18. A noninvasive biomechanical treatment as an additional tool in the rehabilitation of an acute anterior cruciate ligament tear: A case report

    Directory of Open Access Journals (Sweden)

    Avi Elbaz

    2014-01-01

    Full Text Available Objectives: Conservative treatments for anterior cruciate ligament (ACL tears may have just as good an outcome as invasive treatments. These include muscle strengthening and neuromuscular proprioceptive exercises to improve joint stability and restore motion to the knee. The Purpose of the current work presents was to examine the feasibility of a novel non-invasive biomechanical treatment to improve the rehabilitation process following an ACL tear. This is a single case report that presents the effect of this therapy in a patient with a complete ACL rupture who chose not to undergo reconstructive surgery. Methods: A 29-year old female athlete with an acute indirect injury to the knee who chose not to undergo surgery was monitored. Two days after injury the patient began AposTherapy. A unique biomechanical device was specially calibrated to the patient’s feet. The therapy program was initiated, which included carrying out her daily routine while wearing the device. The subject underwent a gait analysis at baseline and follow-up gait analyses at weeks 1, 2, 4, 8, 12 and 26. Results: A severe abnormal gait was seen immediately after injury, including a substantial decrease in gait velocity, step length and single limb support. In addition, limb symmetry was substantially compromised following the injury. After 4 weeks of treatment, patient had returned to normal gait values and limbs asymmetry reached the normal range. Conclusions: The results of this case report suggest that this conservative biomechanical therapy may have helped this patient in her rehabilitation process. Further research is needed in order to determine the effect of this therapy for patients post ACL injuries.

  19. Characterization of pediatric microtia cartilage: a reservoir of chondrocytes for auricular reconstruction using tissue engineering strategies.

    Science.gov (United States)

    Melgarejo-Ramírez, Y; Sánchez-Sánchez, R; García-López, J; Brena-Molina, A M; Gutiérrez-Gómez, C; Ibarra, C; Velasquillo, C

    2016-09-01

    The external ear is composed of elastic cartilage. Microtia is a congenital malformation of the external ear that involves a small reduction in size or a complete absence. The aim of tissue engineering is to regenerate tissues and organs clinically implantable based on the utilization of cells and biomaterials. Remnants from microtia represent a source of cells for auricular reconstruction using tissue engineering. To examine the macromolecular architecture of microtia cartilage and behavior of chondrocytes, in order to enrich the knowledge of this type of cartilage as a cell reservoir. Auricular cartilage remnants were obtained from pediatric patients with microtia undergoing reconstructive procedures. Extracellular matrix composition was characterized using immunofluorescence and histological staining methods. Chondrocytes were isolated and expanded in vitro using a mechanical-enzymatic protocol. Chondrocyte phenotype was analyzed using qualitative PCR. Microtia cartilage preserves structural organization similar to healthy elastic cartilage. Extracellular matrix is composed of typical cartilage proteins such as type II collagen, elastin and proteoglycans. Chondrocytes displayed morphological features similar to chondrocytes derived from healthy cartilage, expressing SOX9, COL2 and ELN, thus preserving chondral phenotype. Cell viability was 94.6 % during in vitro expansion. Elastic cartilage from microtia has similar characteristics, both architectural and biochemical to healthy cartilage. We confirmed the suitability of microtia remnant as a reservoir of chondrocytes with potential to be expanded in vitro, maintaining phenotypical features and viability. Microtia remnants are an accessible source of autologous cells for auricular reconstruction using tissue engineering strategies.

  20. Changes in the tangent modulus of rabbit septal and auricular cartilage following electromechanical reshaping.

    Science.gov (United States)

    Lim, Amanda; Protsenko, Dmitry E; Wong, Brian J F

    2011-09-01

    Transforming decades' old methodology, electromechanical reshaping (EMR) may someday replace traditionally destructive surgical techniques with a less invasive means of cartilage reshaping for reconstructive and esthetic facial surgery. Electromechanical reshaping is essentially accomplished through the application of voltage to a mechanically deformed cartilage specimen. While the capacity of the method for effective reshaping has been consistently shown, its associated effects on cartilage mechanical properties are not fully comprehended. To begin to explore the mechanical effect of EMR on cartilage, the tangent moduli of EMR-treated rabbit septal and auricular cartilage were calculated and compared to matched control values. Between the two main EMR parameters, voltage and application time, the former was varied from 2-8 V and the latter held constant at 2 min for septal cartilage, 3 min for auricular cartilage. Flat platinum electrodes were used to apply voltage, maintaining the flatness of the specimens for more precise mechanical testing through a uniaxial tension test of constant strain rate 0.01 mm/s. Above 2 V, both septal and auricular cartilage demonstrated a slight reduction in stiffness, quantified by the tangent modulus. A thermal effect was observed above 5 V, a newly identified EMR application threshold to avoid the dangers associated with thermoforming cartilage. Optimizing EMR application parameters and understanding various side effects bridge the gap between EMR laboratory research and clinical use, and the knowledge acquired through this mechanical study may be one additional support for that bridge.

  1. A Randomized Controlled Trial of Auricular Transcutaneous Electrical Nerve Stimulation for Managing Posthysterectomy Pain

    Directory of Open Access Journals (Sweden)

    Hin Cheung Tsang

    2011-01-01

    Result. As compared to the baseline, only the true TENS group reported a significant reduction in VAS-rest (P=.001, VAS-huff (P=.004, and VAS-cough (P=.001, while no significant reduction in any of the VAS scores was seen in the sham TENS group (all P>.05. In contrast, a small rising trend was observed in the VAS-rest and VAS-huff scores of the control group, while the VAS-cough score remained largely unchanged during the period of the study. A between-group comparison revealed that all three VAS scores of the true TENS group were significantly lower than those of the control group at 15 and 30 minutes after the intervention (all P<.02. No significant between-group difference was observed in PEFR at any point in time. Conclusion. A single session of auricular TENS applied at specific therapeutic points significantly reduced resting (VAS-rest and movement-evoked pain (VAS-huff, VAS-cough, and the effects lasted for at least 30 minutes after the stimulation. The analgesic effects of auricular TENS appeared to be point specific and could not be attributed to the placebo effect alone. However, auricular TENS did not produce any significant improvement in the performance of PEFR.

  2. Association of auricular pressing and heart rate variability in pre-exam anxiety students

    Institute of Scientific and Technical Information of China (English)

    Wocao Wu; Junqi Chen; chuan Zhen; Huanlin Huang; Pei Zhang; Jiao Wang; Yingyi Ou; Yong Huang

    2013-01-01

    A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state > 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were recorded using an Actiheart electrocardiogram recorder at 10 minutes before auricular pressing, in the first half of stimulation and in the second half of stimulation. The results revealed that the standard deviation of all normal to normal intervals and the root mean square of standard deviation of normal to normal intervals were significantly increased after stimulation. The heart rate variability triangular index, very-low-frequency power, low-frequency power, and the ratio of low-frequency to high-frequency power were increased to different degrees after stimulation. Compared with normal controls, the root mean square of standard deviation of normal to normal intervals was significantly increased in anxious students following auricular pressing. These results indicated that auricular pressing can elevate heart rate variability, especially the root mean square of standard deviation of normal to normal intervals in students with pre-exam anxiety.

  3. Auricular Point Acupressure for Chronic Low Back Pain: A Feasibility Study for 1-Week Treatment

    Directory of Open Access Journals (Sweden)

    Chao-Hsing Yeh

    2012-01-01

    Full Text Available Objectives. The objective of this one-group, repeated-measures design was to explore the acceptance of auricular point acupressure (APA to reduce chronic low back pain (CLBP and estimate minimum clinically important differences (MCIDs for pain intensity change. Methods. Subjects received 7-day APA treatment. After appropriate acupoints were identified, vaccaria seeds were carefully taped onto each selected auricular point for 7-day. The Brief Pain Inventory Short Form (BPI was used to collect outcome data. Results. A total of 74 subjects participated in the study. Ten subjects dropped out and the retention rate was 87%. Subjects reported a 46% reduction in BPI worst pain, and over 50% reduction in BPI average pain, overall pain severity and pain interference by the end of study, and 62.5% subjects also reported less pain medication use. The MCIDs for the subscale of BPI ranged from .70 to 1.86 points. The percentage improvement of MCIDs from baseline was between 14.5–24.9%. Discussion. APA appears to be highly acceptable to patients with CLBP. A sham group is needed in order to differentiate the true effects of APA from the possible psychological effects of more frequent visits by the auricular therapist and patients’ expectation of the APA treatment.

  4. Rehabilitation of esthetics in advanced periodontal cases using orthodontics for vertical hard and soft tissue regeneration prior to implants - a report of 2 challenging cases treated with an interdisciplinary approach.

    Science.gov (United States)

    Mankoo, Tidu; Frost, Laura

    2011-01-01

    The esthetic rehabilitation of advanced periodontal cases remains a challenge, despite the numerous advances in treatment of periodontitis and regenerative therapies. Whilst understanding of periodontal diseases deepens with advances in cell biology, cell signaling, and genomic research, the restoration of the gingival tissues to anatomical norms remains a considerable challenge in advanced cases. The improvements in diagnosis and treatment of disease certainly enable successful management of disease and stabilization of the compromised and failing dentition. Nonetheless, effective "esthetic" rehabilitation of patients with advanced disease affecting teeth in the esthetic zone, where significant asymmetrical bone loss and tissue recession are present, still constitutes a significant dilemma. An interdisciplinary approach involving vertical augmentation of bone and soft tissues by means of orthodontic extrusion of severely compromised periodontally involved teeth to reconstitute esthetics, as well as ideal bone and soft tissue volume prior to immediate implant placement and restoration, may be a particularly useful treatment option in patients suffering advanced periodontal disease with asymmetrical bone and tissue loss in the esthetic zone. This paper discusses the concepts and illustrates its use in two complex and demanding cases.

  5. [Dysphagia rehabilitation].

    Science.gov (United States)

    Saitoh, Eiichi

    2008-11-01

    Recently, many medical professionals become to realize eating problem affect deeply patient's quality of life (QOL), and they are very interested in dysphagia rehabilitation. I overviewed dysphagia rehabilitation along with the followings; (1) impact of dysphagia, (2) assessment of dysphagia, and (3) management of dysphagia. Eating is the most enjoyable activity. Dysphagia changes this enjoyable activity to the most fearful one. Dysphagia makes three major problems: risk of aspiration pneumonia and suffocation, risk of dehydration and malnutrition, and depriving enjoyable activity. As a recent conceptualization of eating, the Process model is the most important, that reveals eating (chew-swallow) is very different from just chewing plus swallowing in physiologically. In assessment, standardized functional tests such as the Repetitive saliva swallowing test, the Modified water swallowing test, and the Graded food test are used. The most important point in clinical assessment is identifying indication of direct therapy using food or starting period of oral feeding. Videofluorographic and videoendoscopic examinations are used as precise diagnostic and management-oriented assessment tools. In management, exercise, posture adjustment, and modification of food promote eating possibility. Oral care is essential in dysphagic patients. Surgical intervention is effective method if a patient has severe dysphagia.

  6. Implant-prosthetic rehabilitation after radiation treatment in head and neck cancer patients: a case-series report of outcome

    Science.gov (United States)

    Cotic, Jasna; Jamsek, Jure; Kuhar, Milan; Ihan Hren, Natasa; Kansky, Andrej; Özcan, Mutlu

    2017-01-01

    Abstract Background Slovenia has a high burden of head and neck cancer. Patients are mostly treated with surgery followed by radiation therapy. Advanced surgical and prosthodontic techniques have expanded the rehabilitation options. The aim of the study was to review the outcome of implant-prosthetic treatment after radiation therapy. Patients and methods Twenty irradiated head and neck cancer patients who received a removable implant-supported denture at the University Medical Centre Ljubljana were included in the study. Kaplan-Meier survival analysis, Cox proportional hazard models and logistic regression were used to assess the implant survival and success rate. Results Twenty patients had 100 implants inserted. The estimated implant survival rate was 96% after 1 year and 87% after 5 years. Failures were mostly observed before loading (91.2%). Implants inserted in the transplanted bone were significantly more likely to fail. Out of 89 implants supporting the dentures, 79 implants (88.7%) were successful, meaning that they were functionally loaded and exhibited no pain, radiolucency or progressive bone loss. Prosthetic treatment was significantly less successful in older patients. The attachment system and the number of implants did not have a statistically significant influence on the success rate. Conclusions Implant-supported dentures have been shown to be a reliable treatment modality after head and neck cancer surgery and radiation therapy. Possible early failures should be communicated with the patients.

  7. Public participation in the utilization and rehabilitation of coastal natural resources (case study of coastal erosion in West Kalimantan

    Directory of Open Access Journals (Sweden)

    S Ritohardoyno

    2017-01-01

    Full Text Available Emerging development on the coastal region can result in coastal erosion and mangrove ecosystems damage. This disastercould eliminate settlements, agricultural land and public infrastructure. However, for mitigation of those events happened, the government has been constructing the Breakwaters andmangrove reforestation. We used survey method using quota sampling technique in 90 households. The study used a region-based approach. Measurement of socio-economic characteristics, knowledge, perception, and public participation were Chi square test and F test One-Way ANOVA. The results showed that most of samples were middle-lower socio-economy conditions (88.7%. The lower socio-economic caused of 1 the loss of residential and agricultural land due to beach erosion; 2 types of agricultural commodities; 3 work as farmers have the certainty get higher income than as fishermen; and 4 the ability of adaptation in the new location. The high public perception was not accompanied by high levels of public participation to rehabilitate coastal ecosystems

  8. Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report

    Directory of Open Access Journals (Sweden)

    José Fernando Scarelli LOPES

    2015-04-01

    Full Text Available A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework, allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients.

  9. Multidisciplinary approach on rehabilitation of primary teeth traumatism repercussion on the permanent successor: 6-year follow-up case report

    Directory of Open Access Journals (Sweden)

    Mello-Moura ACV

    2009-06-01

    Full Text Available Traumatic lesions in primary teeth are frequent in pediatric patients and can cause problems both to the deciduous tooth and permanent successor. The impact strength on deciduous tooth can reach the growing permanent tooth, affecting its morphology, structure and position, or even hampering its proper development. This report describes an aesthetic-functional rehabilitation process in an 8 year 10 month old boy during a multidisciplinary treatment held at the Clinical Center of Dental Trauma in Primary Teeth of the Pediatric Dentistry of Dental College of University of São Paulo, Brazil. The patient presented bilateral posterior cross bite and the permanent left upper central incisor with ectopic eruption and enamel hypoplasy, preceded by avulsion of element 61, occurred when the patient was 1.6 years old. After diagnosis and treatment planning, a quick expansion of jaws was recommended with Hass-type rapid expander and orthodontic leveling with fixed braces. Due to the ectopic eruption, the gingival contour had been altered and hypertrophia was found, compromising aesthetics and avoiding local hygienic procedures. Gingivoplasty was carried out with high-intensity Diode Laser, followed by aesthetic restoration with compound resin. It was concluded that after deciduous teeth traumatism it is important that the patient undergoes clinic and radiographic assistance until the permanent teeth erupt so that an adequate multidisciplinary treatment can be offered to the patient.

  10. Multidisciplinary approach on rehabilitation of primary teeth traumatism repercussion on the permanent successor: 6-year follow-up case report.

    Science.gov (United States)

    Mello-Moura, A C V; Bonini, G A V C; Suga, S S; Navarro, R S; Wanderley, M T

    2009-01-01

    Traumatic lesions in primary teeth are frequent in pediatric patients and can cause problems both to the deciduous tooth and permanent successor. The impact strength on deciduous tooth can reach the growing permanent tooth, affecting its morphology, structure and position, or even hampering its proper development. This report describes an aesthetic-functional rehabilitation process in an 8 year 10 month old boy during a multidisciplinary treatment held at the Clinical Center of Dental Trauma in Primary Teeth of the Pediatric Dentistry of Dental College of University of São Paulo, Brazil. The patient presented bilateral posterior cross bite and the permanent left upper central incisor with ectopic eruption and enamel hypoplasy, preceded by avulsion of element 61, occurred when the patient was 1.6 years old. After diagnosis and treatment planning, a quick expansion of jaws was recommended with Hass-type rapid expander and orthodontic leveling with fixed braces. Due to the ectopic eruption, the gingival contour had been altered and hypertrophia was found, compromising aesthetics and avoiding local hygienic procedures. Gingivoplasty was carried out with high-intensity Diode Laser, followed by aesthetic restoration with compound resin. It was concluded that after deciduous teeth traumatism it is important that the patient undergoes clinic and radiographic assistance until the permanent teeth erupt so that an adequate multidisciplinary treatment can be offered to the patient.

  11. A new electromechanical trainer for sensorimotor rehabilitation of paralysed fingers: A case series in chronic and acute stroke patients

    Directory of Open Access Journals (Sweden)

    Tomelleri C

    2008-09-01

    Full Text Available Abstract Background The functional outcome after stroke is improved by more intensive or sustained therapy. When the affected hand has no functional movement, therapy is mainly passive movements. A novel device for repeating controlled passive movements of paralysed fingers has been developed, which will allow therapists to concentrate on more complicated tasks. A powered cam shaft moves the four fingers in a physiological range of movement. Methods After refining the training protocol in 2 chronic patients, 8 sub-acute stroke patients were randomised to receive additional therapy with the Finger Trainer for 20 min every work day for four weeks, or the same duration of bimanual group therapy, in addition to their usual rehabilitation. Results In the chronic patients, there was a sustained reduction in finger and wrist spasticity, but there was no improvement in active movements. In the subacute patients, mean distal Fugl-Meyer score (0–30 increased in the control group from 1.25 to 2.75 (ns and 0.75 to 6.75 in the treatment group (p Conclusion Treatment with the Finger Trainer was well tolerated in sub-acute & chronic stroke patients, whose abnormal muscle tone improved. In sub-acute stroke patients, the Finger Trainer group showed small improvements in active movement and avoided the increase in tone seen in the control group. This series was too small to demonstrate any effect on functional outcome however.

  12. Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report.

    Science.gov (United States)

    Lopes, José Fernando Scarelli; Pinto, João Henrique Nogueira; Lopes, Monica Moraes Waldemarin; Mazottini, Reinaldo; Soares, Simone

    2015-01-01

    A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients.

  13. Regulative Effects of Auricular Acupuncture,Moxibustion and Chinese Herbs on Immunologic Function in the D-Galactose-induced Aging Mouse

    Institute of Scientific and Technical Information of China (English)

    Xie Su; Ling Xiangli; Wang Youjing

    2008-01-01

    Objective:To observe the regulative effect of auricular acupuncture,moxibustion and Chinese herbs on immunologic function in the D-galactose-induced aging mouse and to probe the feasibility and possible mechanisms for delaying aging,so as to provide experimental basis for acupuncture,moxibustion and Chinese herbs for delaying aging.Methods:Aging mouse model was established by subcutaneous injection of D-galactose,and treated by auricular acupuncture,auricular acupuncture plus moxibustion,and auricular acupuncture plus Chinese herbs respectively for 6 weeks and then serum interleukin-2(IL-2) and IL-6 contents and splenic lymphocyte transformation rate were compared among the groups.Results:Compared with the young group,the serum IL-2 level and the splenic lymphocyte transformation rate significantly decreased and the IL-6 level significantly increased in the aging mouse.After treatment by auricular acupuncture,auricular acupuncture plus Chinese herbs,especially auricular acupuncture plus moxibustion,the serum IL-2 level and the splenic lymphocyte transformation rate significantly increased,and the IL-6 level significantly decreased as compared with the model group.Conclusions:Combined application of auricular acupuncture,moxibustion and Chinese herbs can improve the.decline or dysfunction of immunological function in the aging organism to a certain extent.

  14. Refinamientos en la reconstrucción del tercio superior auricular con la técnica de Davis: Estudio anatómico y serie clínica Refinements on reconstruction of auricular upper pole defects with Davi's technique: Anatomical study and clinical series

    Directory of Open Access Journals (Sweden)

    S. Llanos

    2009-06-01

    que la técnica de Davis representa un efectivo método de reconstrucción del tercio superior auricular; los refinamientos a la técnica que comunicamos mejoran los resultados, dando un contorno más natural al área reconstruida.Acquired defects of the upper third of the ear constitute a surgical challenge. Several techniques have been described, and results are sometimes unfavorable. An anatomical study in 10 fresh cadavers shows the constant presence of a neurovascular pedicle penetrating the root of helix. Location and vessel diameters are shown. Based on that anatomical knowledge, a series of 10 consecutive cases treated by the senior author is presented. Etiology, surgical technique, complications and long-term results are analyzed. The author's technique introduces a refinement of the Davis' technique, which uses a pedicled chondrocutaneous rotation conchal flap, cutaneous based on the upper auricular branch of superficial temporal artery. An axial pedicled superiorly based retroauricular flap provides the coverage of the new superior helical rim, and the posterior aspect of the chondrocutaneous flap is then covered with a full thickness skin graft. In a second stage, a Z plasty on the root of helix brings it a natural shape All the anatomical dissections demonstrate the presence of a neurovascular pedicle penetrating the root of the helix. The clinical series is composed by 8 traumatic defects, 1 electrical burn and 1 benign skin tumor. All flaps survived and so demonstrated pedicle safety. Two retroauricular flaps presented vascular deficit, one of them with complete spontaneous restoration and the other one with small distal cutaneous necrosis. Two cases suffered partial skin graft loss. Some technical details were developed while the series went on, which are discussed. All 9 patients recovered auricular contour, which seems better for us using the above described refinements. As a conclusion, the Davis's technique represents an effective method to

  15. Inequality in rehabilitation

    DEFF Research Database (Denmark)

    Guldager, Rikke; Poulsen, Ingrid

    OBJECTIVES: The overall Ph.d.-study aims to investigate rehabilitation trajectories in adult patients with traumatic brain injury (TBI) and stroke, and to describe mechanisms behind the institutionalized (health care) part of inequality in health with emphasis on interfaces and critical transitions....... The case study shows how one high status couple with many resources uses capitals. Especially cultural health capital, cultural capital (including health literacy and ability to use language) and social capital (including family and networks) when interacting with the health and welfare professions...

  16. Sediment flux dynamics as fingerprints of catchment rehabilitation: The case of western Rift Valley escarpment of northern Ethiopia

    Science.gov (United States)

    Asfaha, Tesfaalem G.; Frankl, Amaury; Haile, Mitiku; Zenebe, Amanuel; Nyssen, Jan

    2015-12-01

    Variability in supply and entrainment of stream bedload particles during storm events is an important hydrogeomorphologic response of steep mountain streams to land management in their catchments. Because of difficulties in its measurement and absence of accurate measuring equipment, bedload transport in mountain streams is, however, poorly understood. This study focuses on analyzing bedload supply and entrainment in 11 streams of sloping (27-65%) catchments (0.4-25 km2) in northern Ethiopia, which have experienced severe deforestation and degradation processes until the first half of the 1980s and considerable rehabilitation thereafter. Field measurements of the median diameter of the 10 coarsest bedload particles (Max10) moved in each event (n = 332) and stream bed particle sampling were carried out in three rainy seasons (2012-2014). Event peak discharges were calculated from daily measurements by 11 crest stage gauges using Manning's equation. Percentages of land cover classes in the catchments were detected from high resolution (0.6 m) Google Earth imagery (1 February, 2014). Morphometric characteristics of the catchments were computed from an ASTER digital elevation model and topographic maps. Hydraulic competence analysis for entrainment of the average Max10 was carried out using peak discharge, stream power, and critical shear stress approaches. The supply of Max10 was positively related to scar density on the surrounding slopes (R2 = 0.50, p < 0.05) and catchment area (R2 = 0.36, p < 0.05) while negatively related with total forest cover (R2 = 0.63, p < 0.05) or vegetation cover (R2 = 0.58, p < 0.05). A multiple regression analysis showed that 98% of the variability in Max10 is explained by scar density and catchment area. Entrainment of Max10 was positively related to peak discharge (Qp) (R2 = 0.60, p < 0.01), stream power (Ω) (R2 = 0.71, p < 0.01), Strickler's roughness (Sn) (R2 = 0.86, p < 0.01), and critical shear stress (τc) with reference to D50 (r

  17. Could Education Contribute to Reduce Prevalence of HIV among Injecting Drug Users? A Case Study of IDUs from the Rehabilitation Center for Drugs Users

    Science.gov (United States)

    Rajbhandari, Mani Man Singh

    2008-01-01

    This study primarily focuses on Injecting Drug Users (IDUs) from the Narconon Nepal for drugs rehabilitation and prevention center. The study attempt to explore the changing behavior of IDUs from the education received from the rehabilitation center which contributes to reduce the prevalence of HIV among IDUs. The data were collected through semi…

  18. Using the Delphi Method for Selecting Effective Rehabilitation Practices for Case Study Research: Methods, Challenges, and Solutions and Implications for Future Research

    Science.gov (United States)

    Fleming, Allison R.; Boeltzig-Brown, Heike; Foley, Susan M.

    2015-01-01

    Purpose: We describe a modified Delphi method used to select effective state vocational rehabilitation agency practices to prioritize rehabilitation services for individuals with most significant disabilities within the context of Order of Selection, an area where there is little known and published. Specifically, we describe how we applied the…

  19. Experience of rehabilitation treatment on 234 cases of burn%烧伤患者234例康复治疗体会

    Institute of Scientific and Technical Information of China (English)

    严刚; 付晋凤; 谢丽华; 葛茂星; 张嘉; 曹文德

    2003-01-01

    @@ BACKGROUND:At present,treatment of burn is not only to save life and promote healing of wound surface,but lateral rehabilitation and problems about returning to society are included.Rehabilitation treatment of burn should be performed through the entire therapeutic course.

  20. Postpartum Rehabilitation Instrument and Massage and 450 Cases of Lactation%产后康复仪加手法按摩催乳450例

    Institute of Scientific and Technical Information of China (English)

    韦秋波

    2015-01-01

    Objective to explore the postpartum rehabilitation instrument plus massage galactagogue effect. Methods January 2012- January 2012 from 900 cases of rooming-in women, were randomly divided into experimental group and control group, the con-trol group conventional maternal breastfeeding guide nursing, the experimental group USES the postpartum maternal rehabilitation instrument and lactation care massage, observe two groups of maternal milk at the time and the amount of milk secretion, compar-ing two groups of maternal galactagogue effect. Results the results showed that in the experimental group maternal milk at the time of h (20.5±3.4), the control group (30.6± 5.3), maternal experimental maternal milk secretion initial time earlier than the control group obviously, and there were significant differences (P<0.05), statistically significant;Experimental maternal exclusive breastfeed-ing, 395 cases, 240 cases of control group pure maternal breastfeeding, maternal milk secretion significantly more than the controls, and there were significant differences (P<0.05), with statistical significance. Conclusion postpartum rehabilitation instrument plus massage can effectively advance the maternal milk secretion, promote maternal lactation and discharge, reduce the incidence of maternal postpartum hemorrhage, promote the growth and development of newborns, and is worth popularizing in clinical use.%目的:探究产后康复仪加手法按摩的催乳效果。方法采用随机抽样法选择2012年1月—2014年1月该院母婴同室的900例产妇,随机分为实验组和对照组,对照组产妇采用常规母乳喂养指导护理,实验组产妇采用产后康复仪加手法按摩进行催乳护理,观察两组产妇的乳汁分泌时间和乳汁分泌量,比较两组产妇的催乳效果。结果统计结果显示,实验组产妇乳汁分泌时间为(20.5±3.4)h,对照组产妇为(30.6±5.3),实验组产妇的乳汁初始分泌时间明显早于

  1. 耳穴贴压结合心理护理对患者失眠状态的影响%The Effect of Auricular Application Pressure Combined with Psychological Care on the Insomnia State of Patients with Insomnia

    Institute of Scientific and Technical Information of China (English)

    陈秀娟

    2015-01-01

    Objective: To observe the effect of auricular application pressure combined with psychological nursing on the insomnia state of pa-tients with insomnia.Methods:172 cases of insomnia were randomly divided into the treatment group and the control group , 86 cases in each group.The treatment group was treated with auricular application pressure and psychological care and the control group was given estazolam or neu-roleptic treatment and conventional care, with the clinical efficacy compared between the two groups 2 months after the treatment.Results:The to-tal effective rate in the treatment group was 97.67% and that in the control group was 74.42 %, with a significant difference between the two group ( P <0.05).Conclusion: Auricular application pressure combined with psychological nursing can bring about an curative effect on patients with insomnia.%目的:观察耳穴贴压结合心理护理治疗患者失眠的临床疗效。方法:选择失眠患者172例,随机分为治疗组和对照组,每组86例,治疗组予耳穴贴压治疗和心理护理;对照组予艾司唑仑或安定治疗和常规护理;治疗2个月后,比较两组患者的临床疗效。结果:治疗组总有效率为97.67%,对照组总有效率为74.42%,两组比较差异有统计学意义( P <0.05)。结论:耳穴贴压结合心理护理对患者失眠有效。

  2. Fibrilación auricular en el postoperatorio de cirugía cardiaca : factores predisponentes y complicaciones

    OpenAIRE

    Noriega Sanz, Francisco Javier

    2012-01-01

    La fibril·lació auricular és una complicació freqüent en el postoperatori de cirurgia cardíaca que empitjora el pronòstic d'aquest procediment. Per aquest motiu decidim realitzar un estudi prospectiu observacional amb la finalitat de detectar factors relacionats amb l'aparició de fibril·lació auricular postquirúrgica, en el qual es van incloure 101 pacients intervinguts de cirurgia cardíaca en un període de 3 mesos. Es van recollir dades preoperatòries i intraoperatòries, així com complicacio...

  3. Paraneoplastic stiff person syndrome: Inpatient rehabilitation outcomes of a rare disease from two cancer rehabilitation programmes.

    Science.gov (United States)

    Smith, Sean Robinson; Fu, Jack B

    2016-07-18

    Paraneoplastic stiff person syndrome is a rare, but debilitating, manifestation of cancer, characterized by painful extremities, truncal and facial spasms. The resultant functional impairment may necessitate comprehensive rehabilitation and symptom management. This case series describes the acute inpatient rehabilitation courses of 2 patients at different tertiary care referral cancer rehabilitation programmes, including work-up and diagnosis, medical management of symptoms, and functional outcomes. Both patients had a reduction in symptom burden and an improvement in motor function as a result of multidisciplinary acute inpatient rehabilitation.

  4. Vasoconstrictive Responses by the Carotid and Auricular Arteries in goats to Ergot Alkaloid Exposure

    Science.gov (United States)

    Aiken, Glen; Flythe, Michael

    2014-11-01

    A fungal endophyte (Neotyphodium coenophialum) infects most plants of ‘Kentucky 31’ tall fescue (Lolium arundinaceum) and produces ergot alkaloids that cause persistent constriction of the vascular system in grazing livestock. Consequently, animals undergoing this toxicosis cannot regulate core body temperature and are vulnerable to heat and cold stresses. An experiment was conducted to determine if the caudal and auricular arteries in goats (Capra aegagrus hircus) vasoconstrict in response to ergot alkaloids. Seven, rumen fistulated goats were fed ad libitum orchardgrass (Dactylis glomeratia) hay and ruminally infused with endophtye-free seed (E-) for a 7-day adjustment period. Two periods followed with E- and endophyte-infected (E+) seed being randomly assigned to the 2 goat groups in period 1 and then switching treatments between groups in period 2. Infused E+ and E- seed were in equal proportions to the hay such that concentrations of ergovaline and ergovalanine were 0.80 µg per g dry matter for the E+ treatment. Cross-sections of both arteries were imaged using Doppler ultrasonography on days 0, 2, 4, 6, 8, and 12 in period 1 and on days 0, 1, 2, 3, 6, 7, and 9 in period 2. Differences from average baseline areas were used to determine presence or absence of alkaloid-induced vasoconstriction. Carotid arteries initiated constriction on imaging day 2 in both periods, and auricular arteries initiated constriction on imaging day 2 in period 1 and on day 6 in period 2. Luminal areas of the carotid arteries in E+ goats were 46% less than baseline areas in both periods after vasoconstriction occurred, whereas auricular arteries in E+ goats were 52% less than baseline areas in period 1 and 38% in period 2. Both arteries in E+ goats in period 1 relaxed relative to baseline areas by imaging day 2 after they were switched to the E- treatment. Results indicated that goats can vasoconstrict when exposed to ergot alkaloids that could disrupt their thermoregulation.

  5. Vasoconstrictive Responses by the Carotid and Auricular Arteries in goats to Ergot Alkaloid Exposure

    Directory of Open Access Journals (Sweden)

    Glen Eris Aiken

    2014-11-01

    Full Text Available A fungal endophyte (Neotyphodium coenophialum infects most plants of ‘Kentucky 31’ tall fescue (Lolium arundinaceum and produces ergot alkaloids that cause persistent constriction of the vascular system in grazing livestock. Consequently, animals undergoing this toxicosis cannot regulate core body temperature and are vulnerable to heat and cold stresses. An experiment was conducted to determine if the caudal and auricular arteries in goats (Capra aegagrus hircus vasoconstrict in response to ergot alkaloids. Seven, rumen fistulated goats were fed ad libitum orchardgrass (Dactylis glomeratia hay and ruminally infused with endophtye-free seed (E- for a 7-day adjustment period. Two periods followed with E- and endophyte-infected (E+ seed being randomly assigned to the 2 goat groups in period 1 and then switching treatments between groups in period 2. Infused E+ and E- seed were in equal proportions to the hay such that concentrations of ergovaline and ergovalanine were 0.80 µg per g dry matter for the E+ treatment. Cross-sections of both arteries were imaged using Doppler ultrasonography on days 0, 2, 4, 6, 8, and 12 in period 1 and on days 0, 1, 2, 3, 6, 7, and 9 in period 2. Differences from average baseline areas were used to determine presence or absence of alkaloid-induced vasoconstriction. Carotid arteries initiated constriction on imaging day 2 in both periods, and auricular arteries initiated constriction on imaging day 2 in period 1 and on day 6 in period 2. Luminal areas of the carotid arteries in E+ goats were 46% less than baseline areas in both periods after vasoconstriction occurred, whereas auricular arteries in E+ goats were 52% less than baseline areas in period 1 and 38% in period 2. Both arteries in E+ goats in period 1 relaxed relative to baseline areas by imaging day 2 after they were switched to the E- treatment. Results indicated that goats can vasoconstrict when exposed to ergot alkaloids that could disrupt their

  6. El rol de los nuevos anticoagulantes en pacientes con fibrilación auricular (FA)

    OpenAIRE

    Ferrari, Eliseo; Pérez Duhalde, Carolina; Bertaini, Omar; Farina, Juan P

    2016-01-01

    Alrededor de un 15 % de los accidentes cardiovasculares (ACV) son de tipo embolico, consecuencia principalmente de la Fibrilación Auricular (FA)1,2. Los anticoagulantes cumarínicos han demostrado reducir en forma significativa el riesgo de embolia en pacientes con FA 2,3. Las desventajas de estos fármacos son el riesgo de sangrado y que requieren un monitoreo estricto; lo que conlleva una adherencia poco confiable, alrededor de un 30 a 60%, y una extrema variabilidad en sus efectos 4. En a...

  7. Prevención de la fibrilación auricular en el paciente hipertenso

    OpenAIRE

    Carlos Escobar Cervantes; Alberto Calderón Montero; Vivencio Barrios Alonso

    2006-01-01

    Un porcentaje importante de pacientes con hipertensión arterial (HTA) tiene además fibrilación auricular (FA) presencia de HTA incrementa el riesgo de tener FA y su presencia empeora el pronóstico de los pacientes con HTA. La posibilidad de que algunos fármacos interfieran con las vías de transducción específicas que facilitan la aparición de FA resulta prometedora. Hasta la fecha, parece que la medida más efectiva es la inhibición del sistema renina- angiotensina- aldosterona mediante la uti...

  8. Nuevos antiarrítmicos en la fibrilación auricular

    OpenAIRE

    Pastelín Hernández,Gustavo; Luna Ortíz,Pastor; Tenorio López,Fermín Alejandro; Del Valle Mondragón, Leonardo

    2007-01-01

    La conveniencia de contar con un acervo farmacológico seguro y eficaz en el tratamiento de la fibrilación auricular ha conducido, por una parte, a una profunda depuración en el amplio grupo de fármacos antiarrítmicos, quedando solamente un número muy restringido de compuestos de comprobada y segura actividad antifibrilatoria. Por otra parte, ha conducido al descubrimiento de nuevos conceptos fisiopatológicos que señalan a su vez novedosos objetivos terapéuticos. En función de estos objetivos ...

  9. Cirugía de la fibrilación auricular

    OpenAIRE

    R. Hernández-Estefanía; A. Martín Trenor; B. Levy Praschker; G. Rábago

    2011-01-01

    La cirugía de la fibrilación auricular se basa en la creación de cicatrices de aislamiento en la aurícula con el propósito de evitar los fenómenos de reentrada que inician y perpetúan la arritmia, permitiendo la reconducción del estímulo normal desde el nodo sinusal hasta el nodo auriculo-ventricular. La técnica quirúrgica inicialmente descrita (basada en incisiones y sutura), compleja y poco utilizada por el riesgo de complicaciones, potenció el desarrollo de otros procedimientos actuales, e...

  10. Fibrilación auricular en los servicios de urgencias hospitalarias

    OpenAIRE

    García Palacios, José David

    2016-01-01

    La fibrilación auricular (FA) es la arritmia cardíaca sostenida más frecuente en la población. Es una enfermedad grave y es un factor predictivo independiente de mortalidad, asociando un riesgo de ictus 5 veces superior a la población general. Los SUH constituyen la “puerta de entrada” al sistema sanitario para la población, de ahí la importancia de un adecuado manejo. Tipo de estudio: descriptivo transversal retrospectivo. Ámbito del estudio: Servicio de Urgencias de un hospital de tercer...

  11. Evaluation of the efficacy of a novel radical neck dissection preserving the external jugular vein, greater auricular nerve, and deep branches of the cervical nerve

    Directory of Open Access Journals (Sweden)

    Li Y

    2013-04-01

    Full Text Available Yadong Li, Jinsong Zhang, Kai Yang Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China Background: Conventional radical neck dissection often causes a variety of complications. Although the dissection method has been improved by retaining some tissues to reduce complications, the incomplete dissection may cause recurrence of disease. In the present study, we developed a novel radical neck dissection, which preserves the external jugular vein, the greater auricular nerve, and the deep branches of the cervical nerve, to effectively reduce complications and subsequently, to promote the postoperative survival quality. Methods: A total of 100 cases of radical neck dissection were retrospectively analyzed to evaluate the efficacy, rate of complication, and postoperative dysfunction of patients treated with the novel radical neck dissection. Data analysis was performed using the Chi-square test. Results: Compared with conventional radical neck dissection, the novel radical neck dissection could significantly reduce complications and promote postoperative survival quality. Particularly, the preservation of the external jugular vein reduced the surgical risk (ie, intracranial hypertension and complications (eg, facial edema, dizziness, headache. Preservation of the deep branches of the cervical nerve and greater auricular nerve resulted in relatively ideal postoperative functions of the shoulders and ear skin sensory function (P 0.05. Conclusion: Our novel radical neck dissection procedure could effectively reduce the complications of intracranial hypertension, shoulder dysfunction, and ear sensory disturbances. It can be used as a regular surgical approach for oral carcinoma radical neck dissection. Keywords: oral cancer, head and neck cancer, squamous cell carcinoma, survival quality, neck dissection, recurrence

  12. Pneumatic robotic systems for upper limb rehabilitation.

    Science.gov (United States)

    Morales, Ricardo; Badesa, Francisco Javier; García-Aracil, Nicolás; Sabater, José María; Pérez-Vidal, Carlos

    2011-10-01

    The aim of rehabilitation robotic area is to research on the application of robotic devices to therapeutic procedures. The goal is to achieve the best possible motor, cognitive and functional recovery for people with impairments following various diseases. Pneumatic actuators are attractive for robotic rehabilitation applications because they are lightweight, powerful, and compliant, but their control has historically been difficult, limiting their use. This article first reviews the current state-of-art in rehabilitation robotic devices with pneumatic actuation systems reporting main features and control issues of each therapeutic device. Then, a new pneumatic rehabilitation robot for proprioceptive neuromuscular facilitation therapies and for relearning daily living skills: like taking a glass, drinking, and placing object on shelves is described as a case study and compared with the current pneumatic rehabilitation devices.

  13. Exercise Induced Left Bundle Branch Block Treated with Cardiac Rehabilitation: A Case Report and a Review of the Literature

    Directory of Open Access Journals (Sweden)

    Nathan S. Anderson

    2014-01-01

    Full Text Available Exercise induced bundle branch block is a rare observation in exercise testing, accounting for 0.5 percent of exercise tests. The best treatment of this condition and its association with coronary disease remain unclear. We describe a case associated with normal coronary arteries which was successfully treated with exercise training. While this treatment has been used previously, our case has a longer followup than previously reported and demonstrates that the treatment is not durable in the absence of continued exercise.

  14. Equoterapia na reabilitação da meningoencefalocele: estudo de caso Hyppotherapy in meningoencephalocele rehabilitation: a case study

    Directory of Open Access Journals (Sweden)

    Sissa Mara Nicodemo Sanches

    2010-12-01

    Full Text Available A equoterapia é uma das técnicas de reabilitação utilizada para pacientes com disfunções neurológicas. Os movimentos provocados pelo cavalo no corpo do paciente podem interferir positivamente em seu controle postural, melhorando a mobilidade geral e o desempenho motor funcional. O objetivo deste estudo foi verificar o efeito da equoterapia no equilíbrio, coordenação motora e funcionalidade de uma criança com meningoencefalocele. Uma menina de 3 anos e 6 meses foi submetida a 18 sessões de equoterapia (em três fases - alimentação, escovação e montaria realizadas uma vez por semana. Para a avaliação foram utilizadas as escalas de equilíbrio de Berg e Tinneti e o Inventário de avaliação pediátrica de incapacidade (PEDI para habilidades motoras gerais e funcionais, aplicados antes e após o período de terapia; e uma reavaliação foi feita oito semanas (sem intervenção depois. A equoterapia melhorou de maneira significativa o equilíbrio e a coordenação motora da criança, o que se refletiu no controle de movimentos funcionais básicos para a realização de atividades de vida diária. O ganho funcional também foi percebido pela mãe da criança. Esse estudo oferece uma nova perspectiva sobre o uso da equoterapia como modalidade fisioterapêutica na reabilitação motora e funcional de criança com meningoencefalocele.Hippotherapy is one among techniques used in rehabilitation of patients with neurological dysfunctions. The patient body's reactions to horse movements are known to have positive effects on patients' postural control, thus improving general mobility and motor functional performance. The purpose of this paper was to assess the effects of hippotherapy on balance, motor coordination, and functionality of a child with meningoencephalocele. A 3-and-a-half year-old girl with meningoencephalocele was submitted to 18 hippotherapy sessions (in a three- phase procedure - feeding, brushing, and riding once a week

  15. Clinical Study of Auricular Plaster Therapy for Post-laparoscopic Cholecystectomy Nausea and Vomiting%耳穴压豆缓解腹腔镜胆囊切除术后恶心、呕吐的临床研究

    Institute of Scientific and Technical Information of China (English)

    费华华; 贾丽萍

    2015-01-01

    目的:观察耳穴压豆缓解腹腔镜胆囊切除术后恶心、呕吐的效果。方法将240例腹腔镜胆囊切除术患者随机分为治疗组和对照组,每组120例。两组均采用常规护理,治疗组在此基础上给予耳穴压豆治疗。观察两组恶心、呕吐发生情况。结果治疗组恶心、呕吐发生率为46.7%,对照组为60.8%,两组比较差异具有统计学意义(P<0.05)。结论耳穴压豆法能缓解腹腔镜胆囊切除术后患者恶心、呕吐症状。%Objective To investigate the efficacy of auricular plaster therapy for post-laparoscopic cholecystectomy nausea and vomiting. Methods Two hundred and forty laparoscopic cholecystectomy patients were randomly allocated to treatment and control groups, 120 cases each. Both groups received routine nursing care. In addition, the treatment group received auricular plaster therapy. The incidence of nausea and vomiting was observed in the two groups.Results The incidence of nausea and vomiting was 46.7% in the treatment group and 60.8% in the control group; there was a statistically significant difference between the two groups (P<0.05).Conclusion Auricular plaster therapy can relieve postoperative nausea and vomiting in laparoscopic cholecystectomy patients.

  16. Armenia - Rural Road Rehabilitation

    Data.gov (United States)

    Millennium Challenge Corporation — The key research questions guiding our design of the RRRP evaluation are: • Did rehabilitating roads affect the quality of roads? • Did rehabilitating roads improve...

  17. Advances in rehabilitation medicine.

    Science.gov (United States)

    Ng, Yee Sien; Chew, Effie; Samuel, Geoffrey S; Tan, Yeow Leng; Kong, Keng He

    2013-10-01

    Rehabilitation medicine is the medical specialty that integrates rehabilitation as its core therapeutic modality in disability management. More than a billion people worldwide are disabled, and the World Health Organization has developed the International Classification of Functioning, Disability and Health as a framework through which disability is addressed. Herein, we explore paradigm shifts in neurorehabilitation, with a focus on restoration, and provide overviews on developments in neuropharmacology, rehabilitation robotics, virtual reality, constraint-induced therapy and brain stimulation. We also discuss important issues in rehabilitation systems of care, including integrated care pathways, very early rehabilitation, early supported discharge and telerehabilitation. Finally, we highlight major new fields of rehabilitation such as spasticity management, frailty and geriatric rehabilitation, intensive care and cancer rehabilitation.

  18. National Rehabilitation Information Center

    Science.gov (United States)

    ... including News and Notes) Welcome to the National Rehabilitation Information Center! We are conducting improvements to the ... experience. We apologize for any inconvenience The National Rehabilitation Information Center ( NARIC ) is the library of the ...

  19. Overview of Rehabilitation

    Science.gov (United States)

    ... Organ Systems Additional Content Medical News Overview of Rehabilitation By Alex Moroz, MD, FACP, New York University School of Medicine;Rusk Rehabilitation NOTE: This is the Consumer Version. DOCTORS: Click ...

  20. Pipeline rehabilitation planning

    Energy Technology Data Exchange (ETDEWEB)

    Palmer-Jones, Roland; Hopkins, Phil; Eyre, David [PENSPEN (United Kingdom)

    2005-07-01

    An operator faced with an onshore pipeline that has extensive damage must consider the need for rehabilitation, the sort of rehabilitation to be used, and the rehabilitation schedule. This paper will consider pipeline rehabilitation based on the authors' experiences from recent projects, and recommend a simple strategy for planning pipeline rehabilitation. It will also consider rehabilitation options: external re-coating; internal lining; internal painting; programmed repairs. The main focus will be external re-coating. Consideration will be given to rehabilitation coating types, including tape wraps, epoxy, and polyurethane. Finally it will discuss different options for scheduling the rehabilitation of corrosion damage including: the statistical comparison of signals from inspection pigs; statistical comparison of selected measurements from inspection pigs and other inspections; the use of corrosion rates estimated for the mechanisms and conditions; expert judgement. (author)

  1. [Early neurological-neurosurgical rehabilitation. Current state].

    Science.gov (United States)

    Bertram, M; Brandt, T

    2007-10-01

    In German neurorehabilitation, the ambiguous term "early rehabilitation" reflects the multidisciplinary, rehabilitative treatment of severely impaired patients in continuing need of acute and intensive care (including weaning from the respirator in selected cases). The actual definition of this treatment is discussed, which hitherto corresponded to Phase B according to recommendations of the German Federal Study Group for Rehabilitation (BAR) and now has started to be integrated into the diagnosis-related group system. The tasks and aims of early rehabilitation are to support and enhance neuroplastic remission of nervous system functional loss and continued medical care, improve vigilance, establish cooperativity, and evaluate the rehabilitation potential including compensatory and adaptive strategies organizing posthospital care, reducing the need of nursing support, and improving quality of life. Some special aspects of early rehabilitative care are presented here in more detail. To fulfill these tasks, a multidisciplinary team is required including various therapists qualified for neurorehabilition, physicians (including a neurologist), nurses, and social workers. Outcome data were assessed using our 5-year prospective early rehabilitation registry. Fifty-five percent of patients improved to reach the next step of neurorehabilitation (Phase C), with significant gain in function even in the subgroup of aged and most severely disabled patients. The trend to transfer patients very early in the postacute Phase to early rehabilitation facilities, with open medical problems and increased risk of complications, makes close cooperation and interaction with acute medical centers necessary.

  2. Rheumatologic rehabilitation: towards recommendations

    Directory of Open Access Journals (Sweden)

    S. Maddali Bongi

    2014-11-01

    Full Text Available Rheumatic patients are highly complex and often affected by chronic diseases. Rehabilitation is generally needed for proper management of the underlying disease. This article describes the characteristics of an effective rheumatologic rehabilitation, takes into account data published in international literature, suggests recommendations based on scientific evidence to develop a correct rehabilitation plan for rheumatic patients and proposes the basis to draw up guidelines in the field of rheumatologic rehabilitation.

  3. Valuing the Benefits of Creek Rehabilitation: Building a Business Case for Public Investments in Urban Green Infrastructure

    Science.gov (United States)

    Mekala, Gayathri Devi; Jones, Roger N.; MacDonald, Darla Hatton

    2015-06-01

    In an effort to increase the livability of its cities, public agencies in Australia are investing in green infrastructure to improve public health, reduce heat island effects and transition toward water sensitive urban design. In this paper, we present a simple and replicable approach to building a business case for green infrastructure. This approach requires much less time and resources compared to other methods for estimating the social and economic returns to society from such investments. It is a pragmatic, reasonably comprehensive approach that includes socio-demographic profile of potential users and catchment analysis to assess the economic value of community benefits of the investment. The approach has been applied to a case study area in the City of Brimbank, a western suburb of Greater Melbourne. We find that subject to a set of assumptions, a reasonable business case can be made. We estimate potential public benefits of avoided health costs of about AU75,049 per annum and potential private benefits of AU3.9 million. The project area is one of the most poorly serviced areas in the municipality in terms of quality open spaces and the potential beneficiaries are from relatively low income households with less than average health status and education levels. The values of cultural (recreational benefits, avoided health costs, and increased property values) and regulating (reduction in heat island effect and carbon sequestration) ecosystem services were quantified that can potentially offset annual maintenance costs.

  4. Valuing the benefits of creek rehabilitation: building a business case for public investments in urban green infrastructure.

    Science.gov (United States)

    Mekala, Gayathri Devi; Jones, Roger N; MacDonald, Darla Hatton

    2015-06-01

    In an effort to increase the livability of its cities, public agencies in Australia are investing in green infrastructure to improve public health, reduce heat island effects and transition toward water sensitive urban design. In this paper, we present a simple and replicable approach to building a business case for green infrastructure. This approach requires much less time and resources compared to other methods for estimating the social and economic returns to society from such investments. It is a pragmatic, reasonably comprehensive approach that includes socio-demographic profile of potential users and catchment analysis to assess the economic value of community benefits of the investment. The approach has been applied to a case study area in the City of Brimbank, a western suburb of Greater Melbourne. We find that subject to a set of assumptions, a reasonable business case can be made. We estimate potential public benefits of avoided health costs of about AU$75,049 per annum and potential private benefits of AU$3.9 million. The project area is one of the most poorly serviced areas in the municipality in terms of quality open spaces and the potential beneficiaries are from relatively low income households with less than average health status and education levels. The values of cultural (recreational benefits, avoided health costs, and increased property values) and regulating (reduction in heat island effect and carbon sequestration) ecosystem services were quantified that can potentially offset annual maintenance costs.

  5. Innervation of the Human Cavum Conchae and Auditory Canal: Anatomical Basis for Transcutaneous Auricular Nerve Stimulation

    Science.gov (United States)

    Bermejo, P.; López, M.; Larraya, I.; Chamorro, J.; Cobo, J. L.; Ordóñez, S.

    2017-01-01

    The innocuous transcutaneous stimulation of nerves supplying the outer ear has been demonstrated to be as effective as the invasive direct stimulation of the vagus nerve for the treatment of some neurological and nonneurological disturbances. Thus, the precise knowledge of external ear innervation is of maximal interest for the design of transcutaneous auricular nerve stimulation devices. We analyzed eleven outer ears, and the innervation was assessed by Masson's trichrome staining, immunohistochemistry, or immunofluorescence (neurofilaments, S100 protein, and myelin-basic protein). In both the cavum conchae and the auditory canal, nerve profiles were identified between the cartilage and the skin and out of the cartilage. The density of nerves and of myelinated nerve fibers was higher out of the cartilage and in the auditory canal with respect to the cavum conchae. Moreover, the nerves were more numerous in the superior and posterior-inferior than in the anterior-inferior segments of the auditory canal. The present study established a precise nerve map of the human cavum conchae and the cartilaginous segment of the auditory canal demonstrating regional differences in the pattern of innervation of the human outer ear. These results may provide additional neuroanatomical basis for the accurate design of auricular transcutaneous nerve stimulation devices.

  6. Auricular surface aging: a blind test of the revised method on historic Italians from Sardinia.

    Science.gov (United States)

    Hens, Samantha M; Belcastro, M Giovanna

    2012-01-10

    Age determination from human skeletal remains is an important biological parameter in both forensic and bioarchaeological contexts. This study presents the results of a blind test of the revised auricular surface age estimation method proposed by Buckberry and Chamberlain (Am. J. Phys. Anthropol. 119 (2002) 321-329) on a large sample (n=404) of known sex and age from the Sassari collection, housed at the Museum of Anthropology, University of Bologna, Italy. Ilia were scored for five features: transverse organization, surface texture, microporosity, macroporosity, and apical changes, which combined for a composite score. The results indicated that all features and the composite score were positively correlated with known age. Composite scores were significantly different between the sexes, suggesting that males and females should be treated separately. Bias and inaccuracy varied across age intervals. Age tended to be overestimated in individuals under age 59 and underestimated for those over age 60 years. However, the revised method showed improvement over the original auricular surface method (Lovejoy et al., Am. J. Phys. Anthropol. 68 (1985) 15-28), especially for aging older individuals. Considerable variation exists in the age ranges derived from composite scores and few significant differences were found between age stages, suggesting that fewer stages with wider age ranges may be necessary. The independent, quantitative scoring of the surface features makes the revised method substantially easier to apply and the method shows significant improvement for aging older individuals.

  7. The Effects and Measures of Auricular Acupressure and Interactive Multimedia for Smoking Cessation in College Students

    Directory of Open Access Journals (Sweden)

    Mei-Ling Yeh

    2014-01-01

    Full Text Available The earlier one starts to smoke, the more likely it is that one’s tobacco use will increase. Either auricular acupressure or multimedia education could improve physiological health status and reduce smoking for young smokers. This study aimed to evaluate the effects of a 10-week auricular acupressure (AA and interactive multimedia (IM on smoking cessation in college smokers. A pre- and posttest control research design with two experiments (AA and IM and one control was used. Thirty-two participants were in each of three groups. A significant difference from pretest to posttest among three groups was exhibited on carbon monoxide (CO, cotinine, and nicotine dependence. Scheffe’s post hoc test found significances on CO in the AA between the IM and the control and cotinine and nicotine dependence between the AA and the control. After controlling the covariates, the main effect of the group was no difference in all outcomes. The interventions, especially AA, may contribute to a decrease of CO, cotinine, and nicotine dependence along with the time change. An analysis without controlling influences may overestimate interventional effects.

  8. Agreement between auricular and rectal measurements of body temperature in healthy cats.

    Science.gov (United States)

    Sousa, Marlos G; Carareto, Roberta; Pereira-Junior, Valdo A; Aquino, Monally C C

    2013-04-01

    Measurement of body temperature is a routine part of the clinical assessment of a patient. However, this procedure may be time-consuming and stressful to most animals because the standard site of temperature acquisition remains the rectal mucosa. Although an increasing number of clinicians have been using auricular temperature to estimate core body temperature, evidence is still lacking regarding agreement between these two methods in cats. In this investigation, we evaluated the agreement between temperatures measured in the rectum and ear in 29 healthy cats over a 2-week period. Temperatures were measured in the rectum (using digital and mercury-in-glass thermometers) and ear once a day for 14 consecutive days, producing 406 temperature readings for each thermometer. Mean temperature and confidence intervals were similar between methods, and Bland-Altman plots showed small biases and narrow limits of agreement acceptable for clinical purposes. The interobserver variability was also checked, which indicated a strong correlation between two near-simultaneous temperature readings. Results are consistent with auricular thermometry being a reliable alternative to rectal thermometry for assessing core body temperature in healthy cats.

  9. Brain-Modulated Effects of Auricular Acupressure on the Regulation of Autonomic Function in Healthy Volunteers

    Directory of Open Access Journals (Sweden)

    Xin-Yan Gao

    2012-01-01

    Full Text Available Auricular acupuncture has been described in ancient China as well as Egypt, Greece, and Rome. At the end of the 1950s, ear acupuncture was further developed by the French physician Dr. Paul Nogier. The goal of this study was to develop a new system for ear acupressure (vibration stimulation and to perform pilot investigations on the possible acute effects of vibration and manual ear acupressure on heart rate (HR, heart rate variability (HRV, pulse wave velocity (PWV, and the augmentation index (AIx using new noninvasive recording methods. Investigations were performed in 14 healthy volunteers (mean age ± SD: 26.3±4.3 years; 9 females, 5 males before, during, and after acupressure vibration and manual acupressure stimulation at the “heart” auricular acupuncture point. The results showed a significant decrease in HR (≤0.001 and a significant increase in HRV total (=0.008 after manual ear acupressure. The PWV decreased markedly (yet insignificantly whereas the AIx increased immediately after both methods of stimulation. The increase in the low-frequency band of HRV was mainly based on the intensification of the related mechanism of blood pressure regulation (10-s-rhythm. Further studies in Beijing using animal models and investigations in Graz using human subjects are already in progress.

  10. 穴位埋线结合耳穴贴压治疗原发性遗尿症的临床研究%Clinical Research of Acupoint Thread-embedding and Auricular Point Sticking in the Treatment of Primary Enuresis

    Institute of Scientific and Technical Information of China (English)

    韩雪; 金玉晶; 焦凡; 李书纳; 姚静静

    2012-01-01

    Objective:To observe the clinical efficacy of acupoint thread-embedding and auricular point sticking in the treatment of pri-mary enuresis. Methods:87 patients were randomly divided into the 45 cases of treatment group and 42 cases of control group. The treat-ment group was treated with acupoint thread-embedding and auricular point sticking therapy. The control group was treated with routine acupuncture combined with auricular point sticking. Observe the curative effect after three months. Results: The effective rate was 91. 11% of treatment group and 78.57% of control group.The difference was statistically significant (P<0.05).The treatment group was superior to control group. Conclusions: Acupoint thread-embedding and auricular point sticking in the treatment of primary enuresis has evident effect.%目的:观察穴位埋线结合耳穴贴压治疗原发性遗尿症的疗效.方法:将87例惠儿随机分为治疗组45例,对照组42倒.治疗组给予穴位埋线结合耳穴贴压治疗,对照组给予常规针灸治疗配合耳穴贴压.3个月后观察疗效.结果:治疗组有效率为91.11%,对照组有效率为78.57%,两组患者疗效比较,差异有统计学意义(P<0.05).结论:穴位埋线结合耳穴贴压治疗原发性遗尿症疗效显著.

  11. The Stimulation Effect of Auricular Magnetic Press Pellets on Older Female Adults with Sleep Disturbance Undergoing Polysomnographic Evaluation

    Directory of Open Access Journals (Sweden)

    Chyi Lo

    2013-01-01

    Full Text Available Study Objectives. To examine the stimulation effect of auricular magnetic press pellet therapy on older female adults with sleep disturbance as determined by polysomnography (PSG. Design. Randomized, single-blind, experimental-controlled, parallel-group. Setting. Community. Participants. Twenty-seven older female adults with sleep disturbance according to the Pittsburgh Sleep Quality Index (PSQI >5 for at least 3 months were recruited. Participants were screened by both the Hospital Anxiety and Depression Scale (HADS and the Mini-Mental State Examination (MMSE, as well as polysomnography prior to randomization. Interventions. All eligible participants were randomly allocated into the experimental or control group. Both groups were taped with magnetic press pellet on auricular points for 3 weeks. The experimental group was treated by applying pressure on the magnetic press pellets 3 times per day while no stimulation was applied on the control group. Measurements and Results. Both groups were measured by PSG and PSQI at the beginning of the study and 3 weeks after the study. Both groups showed improvements on PSQI scores compared to the baseline. One-way analysis of covariance adjusted for baseline scores showed that significant improvements of PSG-derived sleep parameters, such as sleep efficiency, were found in the experimental group. However, no significant differences between groups were observed in the proportion of sleep stages with the exception of Stage 2. Conclusions. Auricular therapy using magnetic pellets and stimulation by pressing was more effective in improving the sleep quality compared to auricular therapy without any stimulation.

  12. 3D Printing of Biocompatible Acellular Auricular Implant Using Dual Scaled Hydrid Technology Combining Fused Deposition Modeling with Electrospinning

    OpenAIRE

    Rezenda, R; Sabado, M; Kasjanovs, V; Baptista, L.; da Silva, K; Noritomi, P; Sena, F.; Wen, X.; Da Silva, J; Mironov, V.

    2013-01-01

    The dual-scaled hydrid scaffold fabrication technology based on combination of 3D printing (fused deposition modeling) and electrospining have been recently introduced. We report here the design, fabrication, mechanical testing, in vitro and in vivo biocompatibility testing of novel auricular implants for treatment microtia fabricated by dual scaled hydbrid scaffold fabrication technology.

  13. New method for estimation of adult skeletal age at death from the morphology of the auricular surface of the ilium.

    Science.gov (United States)

    Igarashi, Yuriko; Uesu, Kagumi; Wakebe, Tetsuaki; Kanazawa, Eisaku

    2005-10-01

    A new method for estimating skeletal age at death from the morphology of the auricular surface of the ilium is presented. It uses a multiple regression analysis with dummy variables, and is based on the examination of 700 modern Japanese skeletal remains with age records. The observer using this method needs only to check for the presence or absence of nine (for a male) or seven (for a female) features on the auricular surface and to select the parameter estimates of each feature, calculated by multiple regression analysis with dummy variables. The observer can obtain an estimated age from the sum of parameter estimates. It is shown that a fine granular texture of the auricular surface is typical of younger individuals, whereas a heavily porous texture is characteristic of older individuals, and that both of these features are very useful for estimating age. Our method is shown here to be more accurate than other methods, especially in the older age ranges. Since the auricular surface allows more expedient observations than other parts of the skeleton, this new method can be expected to improve the overall accuracy of estimating skeletal age at death.

  14. Introduction of Auricular Acupuncture in Elderly Patients Suffering from Major Depression: Protocol of a Mixed Methods Feasibility Study

    Directory of Open Access Journals (Sweden)

    Janina Geib

    2015-01-01

    Full Text Available Background. Due to an increasing number of elderly people suffering from major depression and potential side effects of the prescribed drugs, the introduction of new therapeutic approaches is needed. Currently, in Germany, auricular acupuncture is no part of clinical care for gerontopsychiatric patients. Based on promising clinical experiences and existing evidence for treating addiction and trauma, a benefit of auricular acupuncture integrated in existing treatment programs in elderly patients may be hypothesized. Within this project auricular acupuncture according to the National Acupuncture Detoxification Association (NADA will be integrated in the multimodal treatment regime for elderly patients with major depression in a daytime ward setting. Methods/Design. To evaluate the feasibility and acceptance a mixed method approach is used. In a day clinic, a sample of 20 psychogeriatric patients with the diagnosis of major depression will be enrolled. The patients will receive a total of nine auricular acupuncture treatments according to the standardized NADA protocol in a group setting. The therapeutic process, its organization, the experience, and the willingness of patients to participate will be evaluated by interviews with patients and the therapeutic team. Data will be analyzed qualitatively using content analysis. Additionally, quantitative outcome parameters will be measured by standardized questionnaires.

  15. Effect of Auricular Acupuncture with Low Power Laser on Four Chronic Allergic Dermatoses and Serum IgE Level

    Institute of Scientific and Technical Information of China (English)

    You-hong Hou; Fang Xu; Shao-xi Wu

    2005-01-01

    @@ The objective of the study was to investigate the effectiveness of low power laser irradiating auricular points on four chronic allergic dermatoses including eczema, urticaria, facial cosmetic dermatitis, and atopic dermatitis, and on the changes of serum IgE level.

  16. Experiencia en reconstrucción auricular en cáncer de piel con colgajo en "quesadilla" Experience in auricle reconstruction after skin carcinoma with "quesadilla" flap

    OpenAIRE

    C. Gutiérrez Gómez; A. Avila Romay; C. Zepeda Alcántara; A. Cárdenas Mejía

    2008-01-01

    La reconstrucción auricular es una de las más difíciles ya que implica reproducir las sofisticadas y delicadas formas del pabellón auricular. Cuando hay que resecar piel en la oreja por un cáncer cutáneo y dejamos expuesto el cartílago, sin pericondrio, suele suceder que al colocar injertos no hay una integración adecuada de los mismos por las caprichosas formas y relieves del pabellón auricular; cuando es necesario resecar el pericondrio estamos obligados a cubrir el defecto con un colgajo y...

  17. Full Mouth Rehabilitation by Minimally Invasive Cosmetic Dentistry Coupled with Computer Guided Occlusal Analysis: A Case Report.

    Science.gov (United States)

    Sarita; Thumati, Prafulla

    2014-12-01

    Evidence of dentistry dates back to 7000 B.C. and since then has come, indeed a long sophisticated way in treatment management of our dental patients. There have been admirable advances in the field of prosthodontics by the way of techniques and materials; enabling production of artificial teeth that feel, function and appear nothing but natural. The following case report describes the management of maxillary edentulousness with removable complete denture and mandibular attrition and missing teeth with onlays and FPD by the concept of minimally invasive cosmetic dentistry. Computer guided occlusal analysis was used to guide sequential occlusal adjustments to obtain measurable bilateral occlusal contacts simultaneously.

  18. Malignant Proliferating Trichilemmal Tumor in the Right Post Auricular Region

    Institute of Scientific and Technical Information of China (English)

    Lihong Cao; Huifang Zhou; Hua Chen

    2006-01-01

    OBJECTIVE To report a case of a malignant proliferating trichilemmal tumor (PTT) in the right postauricular region, and to describe the clinical and histopathologic findings.METHODS Interventional case report and literature review.RESULTS A 46-year-old woman presented with a 15-year history of a nodule of 30×30×10 mm in diameter in the right postauricular region. It was diagnosed as a sebaceous cyst. A local mass excision was performed. Histopathologic examination revealed proliferation of the outer hair sheath epithelium with multiple central areas of trichilemmal keratinization. The presence of marked cellular atypia and frequent mitoses indicated a malignant transformation. A second operation employing an enlarged excision was conducted followed by a histopathologic examination showing that there was no malignant tumor remaining. Two weeks after the second operation, 50 cGy of regional prophylactic radiotherapy was applied. The patient was well after 26 months of follow-up and neither recurrences nor metastases were observed.CONCLUSION Malignant PTT is a rare skin neoplasm, with its diagnosis depending on a histopathologic examination. An extend excision is the main treatment after diagnosis.

  19. Rehabilitation of cancer patients.

    Directory of Open Access Journals (Sweden)

    Pandey M

    2001-01-01

    Full Text Available With the developments in cancer treatment, more and more patients are surviving their disease. However, very little emphasis is being placed to rehabilitate these cancer survivors. Ignorance, social structure, stigma attached in seeking psychological help, and poor communication skills of oncology staff all contribute to poor rehabilitative efforts. The priority of governmental agencies and health efforts to fight rampant communicable diseases, malnutrition, maternal health, and the frequent natural calamities, puts rehabilitation movements in the back seat. Treatment and prevention of disability and its rehabilitation requires comprehensive and multidisciplinary approach. There is an urgent need to promote physical and psychological rehabilitation.

  20. Cancer rehabilitation in Denmark

    DEFF Research Database (Denmark)

    Hansen, Helle Ploug; Tjørnhøj-Thomsen, Tine

    2008-01-01

    A fundamental assumption behind cancer rehabilitation in many Western societies is that cancer survivors can return to normal life by learning to deal with the consequences of their illness and their treatment. This assumption is supported by increasing political attention to cancer rehabilitation...... and a growth in residential cancer-rehabilitation initiatives in Denmark (Danish Cancer Society 1999; Government of Denmark 2003). On the basis of their ethnographic fieldwork in residential-cancer rehabilitation courses, the authors examine the new rehabilitation discourse. They argue that this discourse has...

  1. An Interdisciplinary Approach in Rehabilitation of an Adult Mutilated Dentition with Multiple Missing Permanent Teeth--A Case Report.

    Science.gov (United States)

    Agrawal, Sarvesh; Jose, Nidhin Philip; Bandi, Rohan S; Jain, Nimit; Rodrigues, Shobha J

    2015-01-01

    Adult orthodontics has been an area of increasing focus in recent times. Comprehensive treatment of adults is more challenging due to a myriad of problems that coexist in an adult that makes treatment planning more challenging. A large number of individuals seek dental care because of aesthetic reasons, that is, the desire to look more attractive by improving their smiles. The role an attractive smile plays on a person's self-image and confidence cannot be overemphasized. Evaluating and treating patients for the purpose of smile design often involves a multi-discipline approach. Achieving an ideal smile may require orthodontics, orthognathic surgery, periodontal therapy, including soft tissue repositioning and bone re-contouring, cosmetic dentistry, and plastic surgery. This aesthetic approach to patient care produces the best dental and dental-facial beauty. This paper describes a case report in which an orthodontist, an endodontist, and a prosthodontist worked as a team to improve the patients smile and confidence.

  2. Interdisciplinary Full Mouth Rehabilitation of a Patient with Amelogenesis Imperfecta: A Case Report with 8 Years Follow-up.

    Science.gov (United States)

    Sreedevi, S; Sanjeev, R; Ephraim, Rena; Joseph, Mathai

    2014-01-01

    This case report deals with the interdisciplinary approach of a 28-year-old lady with Amelogenesis imperfecta of the hypoplastic kind. The patient came with a chief illness of worn out teeth, unsatisfactory esthetics and severe sensitivity of teeth. Her family history revealed a related situation in her father's brother and her sister. On clinical assessment, the crowns of all teeth were worn out. The plan of the treatment was to protect as much tooth structure, restore the vertical dimension, and improve esthetics and masticatory function. The treatment procedures involved prosthodontic, endodontic, and periodontic interventions. After recording the vertical height, endodontic treatment and crown lengthening were performed with respect to the lower anteriors. The lost vertical height was regained in stages by insertion of full coverage crowns for all the teeth. The patient's esthetic and functional needs were met with systematic and sequential interdisciplinary treatment approach.

  3. High-fidelity tissue engineering of patient-specific auricles for reconstruction of pediatric microtia and other auricular deformities.

    Directory of Open Access Journals (Sweden)

    Alyssa J Reiffel

    Full Text Available INTRODUCTION: Autologous techniques for the reconstruction of pediatric microtia often result in suboptimal aesthetic outcomes and morbidity at the costal cartilage donor site. We therefore sought to combine digital photogrammetry with CAD/CAM techniques to develop collagen type I hydrogel scaffolds and their respective molds that would precisely mimic the normal anatomy of the patient-specific external ear as well as recapitulate the complex biomechanical properties of native auricular elastic cartilage while avoiding the morbidity of traditional autologous reconstructions. METHODS: Three-dimensional structures of normal pediatric ears were digitized and converted to virtual solids for mold design. Image-based synthetic reconstructions of these ears were fabricated from collagen type I hydrogels. Half were seeded with bovine auricular chondrocytes. Cellular and acellular constructs were implanted subcutaneously in the dorsa of nude rats and harvested after 1 and 3 months. RESULTS: Gross inspection revealed that acellular implants had significantly decreased in size by 1 month. Cellular constructs retained their contour/projection from the animals' dorsa, even after 3 months. Post-harvest weight of cellular constructs was significantly greater than that of acellular constructs after 1 and 3 months. Safranin O-staining revealed that cellular constructs demonstrated evidence of a self-assembled perichondrial layer and copious neocartilage deposition. Verhoeff staining of 1 month cellular constructs revealed de novo elastic cartilage deposition, which was even more extensive and robust after 3 months. The equilibrium modulus and hydraulic permeability of cellular constructs were not significantly different from native bovine auricular cartilage after 3 months. CONCLUSIONS: We have developed high-fidelity, biocompatible, patient-specific tissue-engineered constructs for auricular reconstruction which largely mimic the native auricle both

  4. Experiencia en reconstrucción auricular en cáncer de piel con colgajo en "quesadilla"

    Directory of Open Access Journals (Sweden)

    C. Gutiérrez Gómez

    Full Text Available La reconstrucción auricular es una de las más difíciles ya que implica reproducir las sofisticadas y delicadas formas del pabellón auricular. Cuando hay que resecar piel en la oreja por un cáncer cutáneo y dejamos expuesto el cartílago, sin pericondrio, suele suceder que al colocar injertos no hay una integración adecuada de los mismos por las caprichosas formas y relieves del pabellón auricular; cuando es necesario resecar el pericondrio estamos obligados a cubrir el defecto con un colgajo y no con un simple injerto. Frente a esta dificultad técnica, diseñamos un colgajo ricamente vascularizado que preserva el cartílago no afectado con una buena cubierta y al mismo tiempo respeta la anatomía de la oreja. Para la cobertura del cartílago auricular anterior usamos un colgajo fasciocutáneo posterior que se asemeja a un plato típico de la cocina mexicana que llamamos "quesadilla", donde el cartílago por su color blanco recuerda el queso y el gran colgajo fasciocutaneo recuerda la tortilla que cubre al queso. Este colgajo incluye la piel enrollada del hélix, que en un segundo tiempo retornará a su lugar de origen anatómico mediante una z-plastía asimétrica. Presentamos, de entre una serie de 13 pacientes con carcinoma de pabellón auricular, 2 casos resueltos mediante esta técnica.

  5. Pain rehabilitation – outcome of an 8-week rehabilitation program

    Directory of Open Access Journals (Sweden)

    Norrefalk J.R.

    2012-10-01

    Full Text Available The prevalence of persistent pain has been estimated to be around 20-50% in a normal population. Musculoskeletal related pain is the most common form of persistent pain. In patients with persistent pain there are alterations in the peripheral as well as the central nervous system and patients develop a dysfunctional behaviour which, in many cases, leads to severe suffering for the patient. In the European countries an increasing problem has emerged consisting of more people on long-term sick-leave, increased number of early retirements and high social costs. After an 8-week structured multiprofessional rehabilitation programme at the Karolinska Institute in Stockholm, Sweden 63% of patients with long-standing non-malignant pain returned to work and half of the patients were still at work at a 6-year follow-up. Half of the patients reported pain reduction and almost half of the patients had reduced their consumption of analgesics. The rehabilitation program was estimated as economically beneficial on a society level. It is concluded that pain rehabilitation should have a multiprofessional approach. Pain rehabilitation programs are beneficial for the possibility for the patient to return to work pain and leads to pain reduction in the long run. Furthermore, they are beneficial from a socio-economical aspect.

  6. Organization of rehabilitation services.

    Science.gov (United States)

    Graham, Laura A

    2013-01-01

    In the past 20 years there have been many changes in the way that neurological rehabilitation is delivered worldwide. This is in part a reflection of improved acute medical therapies and intensive care and also related to the development of a more holistic approach to recovery, embracing the principles of the WHO International Classification of Functioning as a model for rehabilitation. Traditionally, rehabilitation services have tended to develop piecemeal according to local resources and need. By definition such services should be driven by a patient-centered approach and thus there is wide variety in service provision nationally and internationally. This chapter describes the background to current service set-ups and provision, exploring models of rehabilitation delivery and common presentations in neurological rehabilitation. Relevant legislation and guidance documents are reviewed. The text provides an overview of different aspects of rehabilitation services including acute and inpatient provision, outpatient services, community-based rehabilitation, residential facilities, and vocational services.

  7. On the Use of Dance as a Rehabilitation Approach for Children with Cerebral Palsy: A Single Case Study.

    Science.gov (United States)

    Morán Pascual, Patricia; Mortes Roselló, Esther; Domingo Jacinto, Amparo; Belda Lois, Juan Manuel; Bermejo, Ignacio; Medina, Enric; Barberà Guillem, Ricard

    2015-01-01

    Cerebral Palsy (CP) is the most common motor disability in childhood. It is a group of permanent disorders that affect child development causing disorders of movement and posture and activity limitations. The impairment of psychomotor skills of children with Cerebral Palsy is attributed to a permanent alteration occurred in non-progressive brain development of the fetus or nursing infant. Some motor related symptoms can be treated using proper physical therapy. However, one of the biggest problems of the usual physical therapy is adherence to therapy. Ballet can be an alternative or a complement to physiotherapy, with the added attraction of not being part of a to therapy, but a fun activity with the extra reward associated with the realization of an artistic activity. For some years the ballet is used as therapeutically valuable for both children with cerebral palsy: Intensive ballet training can generate changes in the sensorimotor cortex. Ballet is characterized by a complex process of movements that have to be in a musical rhythm (hence have to be precise), in which there is an overall coordination of the muscles. It is also a highly motivating and rewarding activity that allows many children with CP sharing the activities of their peers without special needs. Objective measurements of the Full Port de Bras movement has been chosen as an index of improvement. The results shows progressive improvements of the execution in a single case.

  8. Implant-retained dentures for full-arch rehabilitation: a case report comparing fixed and removable restorations.

    Science.gov (United States)

    Zafiropoulos, Gregory-George; Hoffman, Oliver

    2011-01-01

    Dental implants as abutments for full-arch restorations are a well-documented treatment modality. This report presents a case in which the patient was treated initially with fixed restorations supported by either implants or natural teeth and subsequently treated with a removable implant/telescopic crown-supported overdenture. Advantages and disadvantages of each approach are described and discussed. While the fixed restoration resulted in a functionally satisfactory treatment outcome, the patient was displeased with the esthetic appearance. The main concern was the unnaturally long tooth shape necessary to compensate for the insufficient alveolar ridge height. Replacement of the existing restoration with an implant-supported removable overdenture led to a functionally and esthetically acceptable result. When deciding whether to use a fixed or removable implant-supported full-arch restoration, a multitude of factors must be considered. Due to the possible need for additional surgical steps to enhance the esthetic appearance surrounding fixed restorations, removable implant-supported partial dentures often are the better choice.

  9. Evolution of vocational rehabilitation competencies in Australia.

    Science.gov (United States)

    Matthews, Lynda R; Buys, Nicholas; Randall, Christine; Biggs, Herbert; Hazelwood, Zoe

    2010-06-01

    Over the past decade, there has been growth in the delivery of vocational rehabilitation services globally, as countries seek to control disability-related expenditure, yet there has been minimal research outside the United States on competencies required to work in this area. This study reports on research conducted in Australia to determine current job function and knowledge areas in terms of their importance and frequency of use in the provision of vocational rehabilitation. A survey comprising items from the Rehabilitation Skills Inventory-Amended and International Survey of Disability Management was completed by 149 rehabilitation counselors and items submitted to factor analysis. T-tests and analyses of variance were used to determine differences between scores of importance and frequency and differences in scores based on work setting and professional training. Six factors were identified as important and frequently used: (i) vocational counseling, (ii) professional practice, (iii) personal counseling, (iv) rehabilitation case management, (v) workplace disability case management, and (vi) workplace intervention and program management. Vocational counseling, professional practice and personal counseling were significantly more important and performed more frequently by respondents in vocational rehabilitation settings than those in compensation settings. These same three factors were rated significantly higher in importance and frequency by those with rehabilitation counselor training when compared with those with other training. In conclusion, although 'traditional' knowledge and skill areas such as vocational counseling, professional practice, and personal counseling were identified as central to vocational rehabilitation practice in Australian rehabilitation agencies, mean ratings suggest a growing emphasis on knowledge and skills associated with disability management practice.

  10. Rehabilitation with immediate denture

    Directory of Open Access Journals (Sweden)

    Mayelin de la Caridad Suárez González

    2015-06-01

    Full Text Available This is the case of a 42-year-old male patient, with past history of good health, active worker, who referred refusal to the period of tooth loss both for his own personality and work responsibility. On intra-buccal examination, his central superior and inferior incisors showed plenty of tooth decay that got most of his teeth structures; besides, on X-ray examination, horizontal bone loss is observed at third apical level of the present teeth and mobility grade III and IV, for what their extraction is indicated. From the prosthetic point of view, he was diagnosed as a superior and inferior partial edentulous patient, Kennedy class I. It was decided to rehabilitate by immediate superior and inferior total denture, performing previous multiple extractions with corrective alveoloplasty and alveolectomy. With the surgical and appliances treatment, excellent results were achieved, showing the effectiveness of this treatment.

  11. The impact of different rehabilitation strategies after major events in the elderly: the case of stroke and hip fracture in the Tuscany region

    Directory of Open Access Journals (Sweden)

    Di Iorio Tania

    2007-06-01

    Full Text Available Abstract Background On a regional level, our aims were to describe rehabilitation patterns for elderly patients with stroke and hip fracture and to investigate mortality risk during the 6-month post acute period. Methods Data sources included administrative data relative to patients aged 65+ resident in Tuscany admitted in hospital for stroke or hip fracture between 2001 and 2003, traced up to 3 years before and 6 months following index admission. The study design involves computerized linkage of administrative data, and an exploratory analysis of the association between rehabilitation patterns and 6-month mortality, adjusting for clinical, demographic, and acute-related care characteristics using multivariate Cox regression. Results Rehabilitation patterns vary greatly across Tuscany with considerable cost implications. Six month mortality risk for stroke patients is significantly lower among residents of Local Health Authorities where patients are more frequently rehabilitated, specifically in extra-hospital settings. Conclusion Our study, targeting two crucial conditions for elderly patients, found a high variability of rehabilitation patterns across a region, albeit coherent between the two pathologies, associated with remarkable differences in average expenditure. Differences in hazard rates for 6-month mortality after stroke at population level were also found. These results need to be confirmed and further investigated through a more robust information framework.

  12. Effect of Auricular Acupress Therapy on Insomnia of Cancer Patients : Randomized, Single Blinded, Placebo Controlled Trial

    Directory of Open Access Journals (Sweden)

    In-Sook Jung

    2010-06-01

    Full Text Available Background: Auricular acupressure is one of the traditional health care treatments in oriental medicine. Approximately, 30~40% of the cancer patients have said to be suffering from insomnia and half of them having chronic and severe insomnia at the same time. Insomnia caused cancer patients feel more pain, fatigue, depression and anxiety and it sometimes let the power to have the best of cancer pull down. Objective: To investigate how effective the auricular acupressure treatment to cancer patients suffering from insomnia. Methods: We recruited participants from East-West Cancer Center of Daejeon University. Finally, of the people whose age range from 20 to 75, 12 patients who got less than 40 points from the score of Oh's sleeping score (OSS were recruited. Single-blind, randomized pilot study was performed. The treatment group received auricular acupressure treatment (AAT on active points and the control group had received sham acupressure treatment (SAT for five times. Sleep parameters were checked by using OSS and numeric rating scale (NRS. We checked the scale everytime, both before and after treatment. We analyzed the data statistically by using independent T-test, paired T-test and analysis of variance (ANOVA test. (p<0.05 Results: Twelve cancer patients participated in this pilot study and there was no significant difference between control and treatment group. Only 7 of them had completed the whole treatment process, 4 patients of AAT group and 3 participants of SAT. The OSS of AAT group had increased from 34.0± 4.3 to 39.5±3.1 and that of SAT group had increased from 38.3±3.5 to 40.0±0.0. There was no significant difference between them. The NRS of AAT group had increased from 6.3±2.9 to 4.8±2.1 and that of SAT group had increased from 7.0±1.0 to 5.0±2.6. No significant difference was observed between them. Conclusion: Although both groups did not show significant differences, most of the experimental participants showed

  13. Clinical Observations on the Treatment of Migraine by Acupuncture plus Auricular Plaster Therapy

    Institute of Scientific and Technical Information of China (English)

    孙培华

    2007-01-01

    目的:探讨针刺配合耳压辨证治疗偏头痛的临床疗效.方法:将150例偏头痛患者随机分为观察组(n=90)和对照组(n=60).观察组患者采用针刺配合耳压辨证治疗,对照组患者采用口服西比灵治疗,并将两组的治疗效果进行对比观察.结果:观察组总有效率为94.4%,好于对照组(73.3%),观察组痊愈率为87.8%,高于对照组(55.0%).两组差异有非常显著意义(P<0.01).结论:观察组疗效明显优于对照组,运用针刺配合耳压辨证治疗偏头痛,能获得良好的临床疗效.%Objective: To investigate the clinical efficacy of acupuncture plus auricular plaster therapy for treating migraine. Methods: One hundred and fifty migraine patients were randomly allocated to an observation group (n=90) and a control group (n=60). The observation group were treated by acupuncture plus auricular plaster therapy based on syndrome differentiation and the control group, by oral administration of Flunarizine. The curative effects were compared between the two groups. Results: The total efficacy rate was 94.4% in the observation group and higher than in the control group (73.3%). The recovery rate was 87.8% in the observation group and higher than in the control group (55.0%). There were significant differences between the two groups (both P<0.01). The curative effect was significantly better in the observation group than in the control group. Conclusion: Clinically, acupuncture plus auricular plaster therapy based on syndrome differentiation has a good effect on migraine.

  14. Evaluation of the Immediate Effect of Auricular Acupuncture on Pain and Electromyographic Activity of the Upper Trapezius Muscle in Patients with Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study

    Directory of Open Access Journals (Sweden)

    Andréia Cristina de Oliveira Silva

    2015-01-01

    Full Text Available Background. The aim of the present study was to assess the immediate effects of auricular acupuncture (AA on the electromyographic (EMG activity of the upper trapezius muscle and pain in nonspecific neck pain (NS-NP patients. Twelve patients with NS-NP (NS-NP group and 12 healthy subjects (HS Group were enrolled in a randomized, single-blinded, crossover study. Each subject received a single session of AA and sham AA (SAA. Surface EMG activity was measured in the upper trapezius muscle at different “step contractions” of isometric shoulder elevation (15%, 20%, 25%, and 30% MVC. The outcome measure in patients with NS-NP was based on the numerical pain rating scale (NRS. AA treatment led to a significant decrease in EMG activity in both groups (NS-NP group: p = 0.0001; HS group: p < 0.0001—ANOVA test. This was not the case for the SAA treatment (NS-NP group: p = 0.71; HS group: p < 0.54. Significant decreases (p < 0.001 in the NRS were found for both treatments (AA and SAA. This study demonstrated the immediate effect of auricular acupuncture on the electromyographic activity of the upper trapezius muscle but the effect of this intervention on pain symptoms in patients with nonspecific neck pain was inconclusive.

  15. Methods for Producing Scaffold-Free Engineered Cartilage Sheets from Auricular and Articular Chondrocyte Cell Sources and Attachment to Porous Tantalum

    OpenAIRE

    Whitney, G. Adam; Mera, Hisashi; Weidenbecher, Mark; Awadallah, Amad; Mansour, Joseph M.; Dennis, James E.

    2012-01-01

    Abstract Scaffold-free cartilage engineering techniques may provide a simple alternative to traditional methods employing scaffolds. We previously reported auricular chondrocyte-derived constructs for use in an engineered trachea model; however, the construct generation methods were not reported in detail. In this study, methods for cartilage construct generation from auricular and articular cell sources are described in detail, and the resulting constructs are compared for use in a joint res...

  16. 随班就读孤独症儿童的个案教育康复%Case study on the education rehabilitation of mainstreaming children with autism

    Institute of Scientific and Technical Information of China (English)

    魏轶兵; 卢珺

    2006-01-01

    BACKGROUND: Autism is a kind of severe growth and development disorder that occurs in the infant period. It is basically characterized by social communication disorder, language development disorder, narrow area of interest, and stereotyped and repeated behavior to different extents, and is increasing in the worldwide. Education training is still taken as the major for the rehabilitation therapy of autism.OBJECTIVE: Case analysis is performed to provide elicitation for mainstreaming education training of children with autism and proper suggestions for education worker and children patients' parents.DESIGN: Case analysis.SETTING: Department of Rehabilitation, Nanjing Technical College of Special Education; Nanjing Shangxinhe Primary School.PARTICIPANTS: One male child patient, born in June 1998, was diagnosed as autism by Shenyang Children's Hospital. They met the diagnostic criteria of infantile autism of the 4th edition of diagnostic and statistical manual of mental disorders (1994, USA).METHODS: Comprehensive intervention was performed in the child with autism for 5 months. Education measures consist of: ① to well accept class learning. ② showing merits in class. ③ to well apply learning contents in life. ④ to establish friendship. ⑤ to establish good behaviors and eliminate abnormal behaviors. ⑥ to pay more attention in class.⑦ to train the perceptivity in class. ⑧ to choose proper examination methods. ⑨ to establish pleasant and confluent plate time. The procedures were as follows: we had one telephone interview to the teachers and parents of child patient every day, one face-to-face communication with the teachers, parents and classmates of child patient every week. Education strategy was regulated in time aiming to the concrete condition of child patient.Wechsler Intelligence scale was used to measure the intelligence quotient (IQ) at the beginning and end of the experiment. The changes in behavioral performance in class and playtime of

  17. El Aislamiento de las Venas Pulmonares como Tratamiento de la Fibrilación Auricular Refractaria

    OpenAIRE

    Fernando Scazzuso; Rivera Santiago; Gómez, Luis A.; Victoria Sammartino; Albina Gastón; Rubén Laiño; Alberto Giniger

    2011-01-01

    Introducción. La fibrilación auricular (FA) es la arritmia sostenida más común. En pacientes seleccionados, se realiza ablación por catéter a nivel de las venas pulmonares, en donde se genera actividad ectópica que la produce. Se presenta la experiencia en el tratamiento de la FA mediante el aislamiento de venas pulmonares en 152 casos consecutivos. Materiales y métodos. La población estuvo constituida por 152 pacientes (122 hombres), edad promedio de 55.58 años. El 81.9% de la población no p...

  18. Advanced Implant-Prosthetic Rehabilitation: How to Obtain a Correct Restoration of Both Functions and Aesthetics in Patients with Complex Combined Dental and Maxillofacial Trauma: A Case Report and Topical Review of the Literature

    Science.gov (United States)

    Fortunato, L.

    2017-01-01

    Aim. This study aims to explain the main steps that characterize the implant-prosthetic rehabilitation in complex combined dental and maxillofacial trauma. Material and Methods. A 20-year-old patient reported an extensive facial trauma which also involved the alveolar process of the maxillary bone. The patient reported a maxillofacial fracture and the loss of teeth 1.3, 1.2, 1.1, and 2.1. A “Le Fort” type 2 fracture was also reported, with the malar bone involvement. After reduction and containment of bone fractures, through appropriate mounting plates, appropriate functional and aesthetic rehabilitation of the patient were replaced thanks to a temporary removable prosthesis. After 6 months, the patient performed numerous clinical investigations, aimed at a proper planning of implant-prosthetic rehabilitation of the upper dental arch. Conclusion. With the planning of the case, as well as respecting the surrounding biological structures, the surgery of implants can be carried out with the most appropriate procedure. Lastly, new dental implants with highly bioactive surfaces have been developed, providing an excellent and rapid bone integration.

  19. Auricularia auricular polysaccharide-low molecular weight chitosan polyelectrolyte complex nanoparticles: Preparation and characterization

    Directory of Open Access Journals (Sweden)

    Wei Xiong

    2016-06-01

    Full Text Available Novel polyelectrolyte complex nanoparticles (AAP/LCS NPs were prepared in this study and these were produced by mixing negatively charged auricularia auricular polysaccharide (AAP with positively charged low molecular weight chitosan (LCS in an aqueous medium. The AAP was extracted and purified from auricularia auricular, and then characterized by micrOTOF-Q mass spectrometry, UV/Vis spectrophotometry, moisture analyzer and SEM. The yield, moisture, and total sugar content of the AAP were 4.5%, 6.2% and 90.12% (w/w, respectively. The AAP sample was water-soluble and exhibited white flocculence. The characteristics of AAP/LCS NPs, such as the particle size, zeta potential, morphology, FT-IR spectra, DSC were investigated. The results obtained revealed that the AAP/LCS NPs had a spherical shape with a diameter of 223 nm and a smooth surface, and the results of the FT-IR spectra and DSC investigations indicated that there was an electrostatic interaction between the two polyelectrolyte polymers. Bovine serum albumin (BSA, pI = 4.8 and bovine hemoglobin (BHb, pI = 6.8 were used as model drugs to investigate the loading and release features of the AAP/LCS NPs. The results obtained showed that the AAP/LCS NPs had a higher entrapment efficiency (92.6% for BHb than for BSA (81.5%. The cumulative release of BSA and BHb from AAP/LCS NPs after 24 h in vitro was 95.4% and 91.9%, respectively. The in vitro release demonstrated that AAP/LCS NPs provided a sustained release matrix suitable for the delivery of protein drugs. These studies demonstrate that AAP/LCS NPs have a very promising potential as a delivery system for protein drugs.

  20. Clinical Outcomes of Osseointegrated Prosthetic Auricular Reconstruction in Patients With a Compromised Ipsilateral Temporoparietal Fascial Flap.

    Science.gov (United States)

    Zuo, Kevin J; Wilkes, Gordon H

    2016-01-01

    Patients with major ear deformities and associated compromise of the superficial temporal artery are poor candidates for autogenous ear reconstruction because of a tenuous ipsilateral temporoparietal fascial flap (TPFF). Osseointegrated prosthetic auricular reconstruction (OPAR) is an alternative to contralateral free TPFF microsurgical and autogenous reconstruction, but data on clinical outcomes are limited. The records of patients with ear loss or major deformity and a compromised ipsilateral TPFF who underwent OPAR from 1989 to 2013 were reviewed. Satisfaction was assessed using a questionnaire based on a 5 point Likert scale. Thirty-two patients (8 women, 24 men) with mean age 43.0 years (range, 10-70 years) underwent OPAR. The ipsilateral TPFF was compromised due to major trauma (13 patients), cancer extirpation (9), burn injury (4), previous harvest (4), arteriovenous malformation (1), or infection (1). All but 2 patients had an associated craniofacial defect, such as soft tissue deformity (87.5%), hearing loss (46.9%), or bony deformity (31.3%). The overall implant success rate was 88.6% at mean follow-up time of 7.6 years post-OPAR. Prosthesis wear averaged 12.2 hours/day and 6.6 days/week (80.5 hours/week). All 5 patients who experienced implant failures had received prior head and neck irradiation. With their prosthesis, 76.2% (16 patients) stated that their self-consciousness and self-esteem were "better" or "much better," whereas 85.7% (18 patients) stated that their self-image was "better" or "much better." All patients declared that they would undergo the treatment again. Osseointegrated prosthetic auricular reconstruction is a reliable option in this challenging population with high patient satisfaction. Patients with prior radiotherapy may have a higher chance of implant failure and would benefit from extended annual follow-up.

  1. Rehabilitating torture survivors

    DEFF Research Database (Denmark)

    Sjölund, Bengt H; Kastrup, Marianne; Montgomery, Edith;

    2009-01-01

    , "Rehabilitating Torture Survivors", was organized by the Rehabilitation and Research Centre for Torture Victims (a rehabilitation clinic and global knowledge and research centre with government support) in collaboration with the Centre for Transcultural Psychiatry at Rigshospitalet in Copenhagen, Denmark...... to rehabilitation, but scientifically rigorous studies of comprehensive rehabilitation programmes for torture survivors are lacking. Therefore, effect studies are urgently warranted. Nevertheless, by combining expertise from different scientific and professional areas, important elements in the problems of torture...... survivors can be addressed from an evidence base generated both from traumatized and non-traumatized patient populations. Thus, trauma-focused cognitive behavioural therapy and/or eye movement desensitization and reprocessing, as well as interdisciplinary pain rehabilitation, should be components...

  2. Efficacy of the auricular plaster therapy on subjective feeling following total knee arthroplasty%耳穴贴压对全膝关节置换患者术后主观体验的影响

    Institute of Scientific and Technical Information of China (English)

    闫智华

    2015-01-01

    Objective: To observe efficacy of the auricular plaster therapy on subjective feeling following TKA. Methods: 60 cases were assigned into the auricular group and control group, 30 cases for each group. The control group took conventional treatment; in the night before surgery, the other group received the auricular plaster therapy more, for 3 days. Controlled indwelt intravenous analgesia run within 48h following surgery. VAS scores at rest were recorded by the VAS pain measurement scale. Sedation and sleep quality were evaluated by Ramsay Sedation Scale and PSQI scores. Results: In 6h, 12h, 24h, 48h, 72h, in the auricular group, the scores of VAS and sedation were lower than those in the control group; and sleep quality was better, with statistically significant difference. Conclusion:Application of the auricular plaster therapy in treating TKA can relieve pain, keep sedation, and improve sleep quality after surgery and postoperative subjective feeling.%目的:观察全膝关节置换术应用耳穴贴压后对患者术后主观体验的影响。方法:将60例患者随机分成耳穴组和对照组,每组各30例。耳穴组患者在常规治疗的基础上,术前晚予耳穴贴压,留埋3d,对照组采用常规治疗,两组患者术后48h内均留置自控静脉镇痛泵。使用 VAS(视觉模拟)疼痛测量尺记录患者静息时 VAS 评分;Ramesay 镇静评分量表和匹兹堡睡眠质量指数(PSQI)进行镇静和睡眠质量评价。结果:耳穴组患者术后6h、12h、24h、48h、72h VAS 评分和镇静评分均低于对照组,差异有统计学意义;耳穴组睡眠质量高于对照组,差异有统计学意义。结论:全膝关节置换围手术期应用耳穴贴压,可减轻术后疼痛,使患者保持镇静,提高术后睡眠质量,改善患者术后主观体验。

  3. 耳穴贴压对腹部手术患者术后疼痛干预的效果观察%Clinical Observation on Auricular-plaster Therapy Intervening Postoperative Pain of the Patients with Abdominal Surgery

    Institute of Scientific and Technical Information of China (English)

    唐秀琴; 王芳; 张海燕

    2014-01-01

    目的:观察耳穴贴压对腹部手术患者术后疼痛干预的临床效果。方法:将腹部手术患者185例采用完全随机法分为耳穴贴压护理干预组(耳压组)93例和对照组92例。2组患者均在术前、术后给予心理干预及常规护理。耳压组患者采用耳穴贴压以缓解疼痛。同时采用“视觉模拟评分法(visual analogue scale, VAS)”评定疼痛程度。观察2组患者术后72小时内伤口疼痛程度、止痛药使用情况、首次肛门排气平均时间等,并比较2组患者平均住院天数。结果:耳穴贴压护理法在减轻腹部手术患者术后伤口疼痛程度及缩短疼痛时间、促进胃肠功能恢复方面明显优于传统护理方法。结论:耳穴贴压护理干预能有效减轻腹部手术患者术后伤口疼痛程度、缩短疼痛时间、减少止痛药使用,并能促进胃肠功能的恢复,尽早肛门排气,能使患者提早进食,加快术后恢复,进而缩短住院天数。%Objective: To study curative effects of auricular-plaster therapy influencing postoperative pain of the patients undergoing abdominal surgery. Methods: All 185 patients were allocated to 93 cases of the intervention group (auricular-plaster therapy group) and 92 cases of the control group by total randomized method. Both groups were administered with psychological intervention and routine care before and after the surgery. The intervention group adopted auricular-plaster therapy to relieve the pain. The degree of the pain was judged by visual analogue scale (VAS). Wound pain degree in 72 hours after the surgery, the conditions of painkillers, average time of first anal exhaust and others of both groups were observed, average hospitalization days of the patients in both groups were compared at the same time. Results: Auricular-plaster therapy was superior to traditional nursing method in relieving wound pain degree of the patients after the surgery, shortening pain time

  4. Effects of auricular acupressure on postoperative complications of laparoscopic surgery and its function of improving the gastrointestinal peristaltic function%耳穴按压对腹腔镜术后胃肠功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    张阳德; 林伶; 陈紫煜

    2011-01-01

    目的 应用耳穴按压于腹腔镜围手术期治疗,探讨耳穴按压对腹腔镜术后胃肠功能恢复的影响,研究其预防腹腔镜围手术并发症或不良反应的作用.方法 选择2009年7月~2010年6月100例行腹腔镜手术患者并随机分为两组,即耳穴按压组(A组,50例)和对照组(C组,50例),A组患者在自术前24 h至术后3d行耳穴按压,而C组患者不行任何干预,观察两组患者肠呜音恢复时间及肛门首次排气时间;术后并发症如腹胀、呕吐的发生率;术后补救治疗药物使用情况,来评价两组胃肠功能恢复情况.结果 两组患者在年龄,体重,身高,或麻醉时间差异无显着性.耳穴组患者术后肠2音恢复时间,肛门首次排气时间均较对照组显著提前(P<0.05).耳穴按压组患者术后并发症发生率较对照组小,术后止呕药物使用较对照组少(P<0.05).未观察到耳穴按压有明显副作用.结论 耳穴按压可促进术后胃肠功能恢复,并有效预防腹腔镜术后并发症,值得临床推广和进一步研究.%[ Objectives ] To evaluate auricular acupressure's function of improving the gastrointestinal peristaltic function and investigate its influence on postoperative complications of laparoscopic surgery. [Methods] From July 2009 to June 2010,100 patients after laparoscopic operation were enrolled in and randomly divided into two groups, auricular acupressure group (Group A, 50 cases) and control group (Group C, 50 cases). In Group A, the patients were treated with auricular acupressure preoperatively and postoperatively. In Group C, the patients were treated by non nonintervention. The effects of auricular acupressure on postoperative complications and its function of improving the gastrointestinal peristaltic function in each group were analyzed and evaluated. [ Results ] The bowel sound recovery time and the postoperative exhaust time in Group A was statistically earlier than that in Group C (P <0.05). The

  5. The evaluation of the introduction of a quality management system: A process-oriented case study in a large rehabilitation hospital

    NARCIS (Netherlands)

    Harten, van Willem H.; Casparie, Ton F.; Fisscher, Olaf A.M.

    2002-01-01

    Objectives: So far, there is limited proof concerning the effects of the introduction of quality management systems (QMS) on organisational level. This study concerns the introduction of a QMS in a large rehabilitation hospital. Methods: Using an observational framework, a process-analysis is perfor

  6. Psychiatrists and psychiatric rehabilitation.

    Science.gov (United States)

    Torrey, William C; Green, Ronald L; Drake, Robert E

    2005-05-01

    Interventions that focus directly on functional impairments related to mental illnesses are termed psychiatric rehabilitation. Research demonstrates that rehabilitation services are increasingly able to help adults with psychiatric disabilities achieve the functional outcomes they desire, particularly in the areas of housing and employment. To support the community lives of adults with severe mental illnesses, psychiatrists must stay current with advances in this field and know how to integrate psychiatric rehabilitation with other interventions. This article reviews the concept of psychiatric rehabilitation, current approaches in the field, the psychiatrist's role in these services, and implications for psychiatric training and continuing education.

  7. Análisis de la sístole auricular dentro de las primeras 24 horas post cardioversión en pacientes con fibrilación auricular aguda

    OpenAIRE

    Rodríguez Botta, Guillermo

    2009-01-01

    La recuperación de la actividad eléctrica de la aurícula izquierda en los pacientes que revierten a ritmo sinusal ya sea en forma espontánea o a través de maniobras farmacológicas o eléctricas dentro de las primeras 48 horas de iniciado el episodio arrítmico, puede no corresponderse con la recuperación de la actividad mecánica de la misma. La presencia de sístole auricular durante el primer día posterior al episodio de fibrilación auricular indica la finalización del riesgo cardioembólico aum...

  8. Estudio aleatorizado de propofol versus etomidato en la cardioversión eléctrica electiva para el tratamiento de la fibrilación-flúter auricular

    OpenAIRE

    Calbet Mañueco, Amaya

    2016-01-01

    La fibrilación auricular (FA) es la arritmia cardiaca sostenida más frecuente, afectando al 1-2% de la población. Su prevalencia aumenta con la edad llegando a afectar al 10-15% de la población de mayores de 80 años. Tanto la FA como el flúter auricular (FLA) suelen evolucionar desde episodios cortos y autolimitados (fibrilación auricular paroxística) a episodios cada vez más frecuentes y de mayor duración (fibrilación auricular persistente). La presencia de FA incrementa la mortalidad tanto ...

  9. Prosthetic Rehabilitation of Amputated Thumb: A Simplified Approach

    OpenAIRE

    2013-01-01

    This case report presents a case of prosthetic rehabilitation of an amputated thumb. It emphasizes that prosthetic replacement is a better option for aesthetic and psychological improvement, particularly in cases where the victim is unwilling to undergo complicated surgical procedures for reconstruction of thumb or where functioning of thumb cannot be restored even by multiple surgeries. In the present case, a 20 years old female patient, with missing thumb of her right hand was rehabilitated...

  10. Efeitos do ultra-som de baixa intensidade na veia auricular de coelhos Effects of low intensity ultrasound in the auricular vein of rabbits

    Directory of Open Access Journals (Sweden)

    Marcelo Araújo

    2003-01-01

    Full Text Available OBJETIVO: Estudar a ação do ultra-som na veia auricular de coelhos. MÉTODOS: Vinte coelhos foram divididos em dois grupos de dez animais diferindo com relação ao local da aplicação, do ultra-som, o modo e o intervalo de tempo para a análise histopatológica (3 e 7 dias. Os animais foram submetidos à aplicação de ultra-som contínuo e pulsado em dois segmentos venosos da orelha previamente determinados. Cada animal foi o seu próprio controle. Empregou-se a freqüência de 3MHz, intensidade de 3W/cm² nos ciclos pulsado e contínuo por 10 minutos, de forma estacionária. O grupo I foi submetido a eutanásia após 3 dias e o grupo II em 7 dias contemplando a fase aguda do processo inflamatório. Empregou-se o teste exato de Fisher e o teste de Mc Nemar para análise estatística. RESULTADOS: Obteve-se trombose venosa e aumento de linfócitos de forma significativa (p= 0,032 nos grupos tratados com o modo contínuo. O modo pulsado não provocou efeitos deletérios. Outros achados foram congestão, edema, hemorragia e lesão da parede vascular. CONCLUSÕES: O ultra-som pulsado não provoca qualquer alteração na parede vascular nas condições do experimento.O ultra-som contínuo induz a trombose venosa e aumento dos linfócitos de forma significativa.PURPOSE: The purpose of this experimental work was evaluate the effects of low intensity in the auricular vein of rabbits. METHODS: Twenty rabbits were divided in two groups of ten animals. The groups differed about the place where the continuous and pulsed ultrasound were applied and the period that the material was collected for the morphologic examination (3 and 7 days. Acoustic coupling gel was used on marginal ear vein, each animal underwent continuous and pulsed ultrasound treatment, in segments previously marked with indelible ink. Each animal provided its own control. Ultrasound was used in the frequency of 3MHz, intensity of 3W/cm² in the pulsed and continuous modes during 10min

  11. Cardiac rehabilitation with a nurse case manager (GoHeart) across local and regional health authorities improves risk factors, self-care and psychosocial outcomes. A one-year follow-up study

    DEFF Research Database (Denmark)

    Hansen, Vibeke Brogaard; Maindal, Helle Terkildsen

    2014-01-01

    OBJECTIVES: In Denmark, the local and regional health authorities share responsibility for cardiac rehabilitation (CR). The objective was to assess effectiveness of CR across sectors coordinated by a nurse case manager (NCM). DESIGN: A one-year follow-up study. SETTING: A CR programme (Go......%). MAIN OUTCOME MEASURES: Cardiac risk factors, stratified self-care and self-reported psychosocial factors (SF12 and Hospital Anxiety and Depression Scale (HADS)) were assessed at admission (phase IIa), at three months at discharge (phase IIb) and at one-year follow-up (phase III). Intention.......01), self-care management (p 

  12. La anticoagulación es necesaria cuando está indicada en pacientes con fibrilación auricular

    OpenAIRE

    Elibet Chávez-González

    2016-01-01

    En el año 2013 fue escrito un editorial titulado «Fibrilación auricular isquémica: cómo interpretar su fisiopatología y la decisión estratégica de tratamiento en torno a la arritmia». Permítanme comenzar de la misma forma, pues en aquel se habló sobre la anticoagulación en la fibrilación auricular (FA) isquémica y en este momento, se pretende mencionar la necesidad de anticoagulación en la FA cuando es requerida, a propósito del artículo original de Merino Barrera et al., que se publica en es...

  13. La anticoagulación es necesaria cuando está indicada en pacientes con fibrilación auricular

    Directory of Open Access Journals (Sweden)

    Elibet Chávez-González

    2016-03-01

    Full Text Available En el año 2013 fue escrito un editorial titulado «Fibrilación auricular isquémica: cómo interpretar su fisiopatología y la decisión estratégica de tratamiento en torno a la arritmia». Permítanme comenzar de la misma forma, pues en aquel se habló sobre la anticoagulación en la fibrilación auricular (FA isquémica y en este momento, se pretende mencionar la necesidad de anticoagulación en la FA cuando es requerida, a propósito del artículo original de Merino Barrera et al., que se publica en este número de CorSalud.

  14. Application of acellular dermal matrix and expandedflapin half auricular reconstructionwithrib cartilage grafts%脱细胞真皮及扩张皮瓣在肋软骨移植半耳缺损再造中的应用

    Institute of Scientific and Technical Information of China (English)

    董海江; 王喜梅; 万程; 李想; 张琼阁

    2016-01-01

    BACKGROUND:Traumatic auricle defectsin upper 1/2 or lower 1/2,seriously involve theauricular cartilage and skin blood vessels. The autogenic rib cartilage graft and acelular dermal matrix have good histocompatibility, and expanded flapis a kind of thin and achromatic tissue for skin defect repair. OBJECTIVE:To explore theapplication ofacelular dermal matrix and expanded flap in half auricular reconstruction,and to find out the fine carving and anastomosis of autogenic rib cartilage graftas wel as its similarities with the ear and clinical significance. METHODS:Eight cases of half auricular defects were treated with expanded flap, autogenic rib cartilage graft, fine anastomosisofautogenic rib cartilage graft and residual earfor half auricular reconstruction,during which theacelular dermal matrixwas usedto promote residual ear docking and skul auricle angle formation. The reconstructionwasperformed in three stages:first,anexpander(volume, 80mL)wassubcutaneously implanted attheretro-auricular area;second, the auricular defects were reconstructed with fine rib cartilage graft, acelular dermal matrix and auriculoplasty;finaly, acelular dermal matrixwas usedto promote residual ear docking. Thenthehalf auricular reconstructionwas evaluatedby objective measurement and subjective rating. RESULTS AND CONCLUSION:Half auricular reconstruction was successful in al the eight caseswithout obvious complications, and the cartilage grafts were in good condition.During thefolow-up,thereconstructed auriclewasshapedwel andformed a good involution withtheresidualauricle. In addition, the flange was smooth withoutobviouscolor difference and edema, and its position, size and shape were consistent with those of thecontralateralone. Afterthefolow-up of 6 months, objective indicators showed that the affected side had no significant differencefromthe contralateralone(P> 0.05). In conclusion,theacelular dermal matrixcanobviously decrease the complications of the cartilage grafts

  15. [Guideline "Cancer rehabilitation"].

    Science.gov (United States)

    van den Berg, Jan-Paul; Velthuis, Miranda J; Gijsen, Brigitte C M; Lindeman, Eline; van der Pol, Marjolein A; Hillen, Harry F P

    2011-01-01

    Initiated by IKNL (Integraal Kankercentrum Nederland), a multidisciplinary guideline for cancer rehabilitation for adult oncology patients has been developed. The guideline describes the rehabilitation care of adult patients with cancer, during and after treatment. The guideline focuses on (a) prevalence of complaints either resulting from cancer or the treatment, (b) detection of these complaints and indicated referral, (c) the intake procedure before cancer rehabilitation, (d) intervention and evaluation within cancer rehabilitation and (e) the importance of patient empowerment. The guideline is directed at all professionals giving care to patients with cancer. It concerns those (such as medical specialists, general practitioners and nurses) who are responsible for detecting cancer-related complaints and for referral to cancer rehabilitation, as well as health care professionals involved in cancer rehabilitation care (such as consultants in rehabilitation medicine, physiotherapists and psychologists). The main goal of the guideline is that every cancer patient or ex-cancer patient with (residual) complaints resulting from cancer or its treatment receives timely and appropriate cancer rehabilitation.

  16. Rehabilitation of Female Prisoners

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    CHINESE women imprisoned for various crimes undergo a reeducation and rehabilitation program which often results in repentance for past wrongdoings, and providing an avenue for them to make a fresh start. Female prisoners study general education courses, learn basic legal concepts and working skills as part of a rehabilitation program that helps reintigrate them into society upon release.

  17. Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy

    Directory of Open Access Journals (Sweden)

    Bahadir Osman

    2008-01-01

    Full Text Available Adenoid cystic carcinoma of the parotid gland is a rare and slowly growing, but highly malignant tumor. Surgical resection of a malignant parotid tumor should include resection of the facial nerve when the nerve is involved in the tumor. Facial nerve reconstruction is required after nerve resection. A 14 year-old female presented with complaints of painless enlargement of the right parotid gland and facial asymmetry. Physical examination revealed a firm mass in the region of the parotid gland as well as right facial paralysis. Biopsy obtained from the mass showed an adenoid cystic carcinoma of the parotid gland. A radical parotidectomy with a modified radical neck dissection was carried out. Grafting material for the facial reconstruction was harvested from the great auricular nerve. The proximal main trunk and each distal branch of the facial nerve were coapted with the greater auricular nerve. The patient received radiotherapy after surgery and was seen to achieve grade IV facial function one year after surgery. Thus, the great auricular nerve is appropriate grafting material for coaptation of each distal branch of the facial nerve.

  18. Platelet-rich plasma gel composited with nondegradable porous polyurethane scaffolds as a potential auricular cartilage alternative.

    Science.gov (United States)

    Wang, Zhongshan; Qin, Haiyan; Feng, Zhihong; Zhao, Yimin

    2016-02-01

    Total auricular reconstruction is still a challenge, and autologous cartilage transplant is the main therapy so far. Tissue engineering provides a promising method for auricular cartilage reconstruction. However, although degradable framework demonstrated excellent initial cosmetic details, it is difficult to maintain the auricular contour over time and the metabolites tended to be harmful to human body. In this study, biocompatible and safe nondegradable elastic polyurethane was used to make porous scaffold in specific details by rapid prototyping technology. Platelet-rich plasma contains fibrin and abundant autologous growth factors, which was used as cell carriers for in vitro expanded cells. When crosslinking polyurethane framework, platelet-rich plasma and cells together, we successfully made polyurethane/platelet-rich plasma/cell composites, and implanted them into dorsal subcutaneous space of nude mice. The results showed that this method resulted in more even cell distribution and higher cell density, promoted chondrocyte proliferation, induced higher level expressions of aggrecan and type II collagen gene, increased content of newly developed glycosaminoglycans, and produced high-quality cartilaginous tissue. This kind of cartilage tissue engineering approach may be a potential promising alternative for external ear reconstruction.

  19. Localization of Auricular Projection Area of the Liver and Its Use in the Monitoring of Viral Hepatitis

    Institute of Scientific and Technical Information of China (English)

    Jan Z. Szopinski; Xiao Hong Teng; Georg P. Lochner; Tomasz Macura; Iwona Karcz-Socha; Anna Kasprzyk-Minkner; Krzysztof Kielan; Barbara Krupa-Jezierska; Dariusz J. Nasiek; Piotr Warakomski

    2006-01-01

    Background:Localization of auricular projection area of the liver and evaluation of its usefulness in the monitoring of viral hepatitis. Design, Patients and Setting: Comparative study of the degree of electrical rectification measured at various spots in the auricular concha region, in 19 inpatients with hepatitis B and 15 clinically healthy volunteers, at the Department of Infectious Diseases, Provincial Teaching Hospital,Tychy, Poland. Intervention: Evaluation of electrical rectification at various spots on the auricular concha using a "rectification ratio" that quantifies the degree of rectification (normal range:0-60%). Main outcome measure: The location of the skin area where a statistically significant difference existed between the rectification ratios was observed in patients (82±12% at the time of the 'peak period') versus controls (42±8%). Results: A location was identified on the ear auricle where the electrical rectification phenomenon demonstrated a dependence on the presence of hepatitis. Conclusions: Liver projection area exists on the ear auricle which is located within the region of cymba conchae, next to anthelix and the cavity of concha. The existence of viral hepatitis causes this skin area to show a higher degree of electrical rectification once the skin resistance 'breakthrough effect' has been induced. Evaluation of the rectification phenomenon of the liver projection area provides a method of non-invasive monitoring of viral hepatitis.

  20. Auricular Acupressure to Improve Menstrual Pain and Menstrual Distress and Heart Rate Variability for Primary Dysmenorrhea in Youth with Stress

    Directory of Open Access Journals (Sweden)

    Yu-Jen Wang

    2013-01-01

    Full Text Available Background. Dysmenorrhea and accompanying symptoms can have a negative impact on academic achievement, physical activity and functioning, and quality of life. Unfortunately, stress increases the sensitivity and severity of pain, activating sympathetic responses while inhibiting parasympathetic responses. Objective. This study used objective, physiological measurements to evaluate the effects of auricular acupressure on menstrual pain and menstrual distress in young college students with primary dysmenorrhea across two menstrual cycles. The aim was to determine if significant differences could be detected between the intervention and follow-up phases after controlling life stress. Design. A one-group experimental research design was used, and repeated measurements and followups were done. Thirty-two women completed questionnaires and physiological parameters were measured. Results. Significant differences between the intervention and follow-up phases were found for high frequency (HF and blood pressure on day 1 and no significant differences in menstrual pain and menstrual distress, heart rate variability, low frequency (LF, LF/HF ratio, or heart rate. Conclusion. Auricular acupressure effectively increases parasympathetic activity to maintain autonomic function homeostasis in young women with primary dysmenorrhea and may have a value in alleviating menstrual pain and menstrual distress in a high-stress life. Future studies should consider stress, stimulus dose of auricular acupressure, severity of menstrual pain, and a longitudinal research design.

  1. Modular Interactive Tiles for Rehabilitation – Evidence and Effect

    DEFF Research Database (Denmark)

    Lund, Henrik Hautop

    2010-01-01

    We developed modular interactive tiles to be used for playful physiotherapy, which is supposed to motivate patients to engage in and perform physical rehabilitation exercises. We report on evidence for elderly training. We tested the modular interactive tiles for an extensive period of time (4...... years) in daily use in a hospital rehabilitation unit e.g. for cardiac patients. Also, the tiles were tested for performing physical rehabilitation of stroke patients both in hospital, rehabilitation centre and in their private home. In all test cases qualitative feedback indicate that the patients find...

  2. Chondromalacia Patellae Treated by Warming Needle and Rehabilitation Training

    Institute of Scientific and Technical Information of China (English)

    QIU Ling; ZHANG Min; ZHANG Ji; GAO Le-nv; CHEN Da-wei; LIU Jun; SHE Jia-yi; WANG Ling; YU Jin-yan; HUANG Le-ping; BAI Yang

    2009-01-01

    Objective:To observe the effect of wanning needle combined with rehabilitation training on chondromalacia patellae in a randomized controlled trial. Methods: The 92 cases were randomly divided into a treatment group treated by warming needle plus rehabilitation training (47 cases) and a control group treated by medication plus rehabilitation training (45 cases), and the therapeutic effect was compared after 20 sessions.Results: The pain was relieved more obviously in the treatment group than in the control group (P<0.05),and the total effective rate was 91.8% and 71.1% respectively (P<0.01). Conclusion: Warming needle plus rehabilitation training was superior in the therapeutic effect and duration of producing relief of pain to medication plus rehabilitation training in treating chondromalacia patellae.

  3. Socially differentiated cardiac rehabilitation

    DEFF Research Database (Denmark)

    Meillier, Lucette Kirsten; Nielsen, Kirsten Melgaard; Larsen, Finn Breinholt;

    2012-01-01

    to a standard rehabilitation programme (SRP). If patients were identified as socially vulnerable, they were offered an extended version of the rehabilitation programme (ERP). Excluded patients were offered home visits by a cardiac nurse. Concordance principles were used in the individualised programme elements......%. Patients were equally distributed to the SRP and the ERP. No inequality was found in attendance and adherence among referred patients. Conclusions: It seems possible to overcome unequal referral, attendance, and adherence in cardiac rehabilitation by organisation of systematic screening and social......Aim: The comprehensive cardiac rehabilitation (CR) programme after myocardial infarction (MI) improves quality of life and results in reduced cardiac mortality and recurrence of MI. Hospitals worldwide face problems with low participation rates in rehabilitation programmes. Inequality...

  4. Rehabilitation and multiple sclerosis

    DEFF Research Database (Denmark)

    Dalgas, Ulrik

    2011-01-01

    In a chronic and disabling disease like multiple sclerosis, rehabilitation becomes of major importance in the preservation of physical, psychological and social functioning. Approximately 80% of patients have multiple sclerosis for more than 35 years and most will develop disability at some point...... of their lives, emphasising the importance of rehabilitation in order to maintain quality of life. An important aspect of multiple sclerosis rehabilitation is the preservation of physical functioning. Hot topics in the rehabilitation of physical function include (1) exercise therapy, (2) robot-assisted training...... and (3) pharmacological interventions. Exercise therapy has for many years been a controversial issue in multiple sclerosis rehabilitation and the advice generally given to patients was not to participate in physical exercise, since it was thought to lead to a worsening of symptoms or fatigue. However...

  5. Prosthetic Rehabilitation in Children: An Alternative Clinical Technique

    Directory of Open Access Journals (Sweden)

    Nádia Carolina Teixeira Marques

    2013-01-01

    Full Text Available Complete and partial removable dentures have been used successfully in numerous patients with oligodontia and/or anodontia. However, there is little information in the literature regarding the principles and guidelines to prosthetic rehabilitation for growing children. This case report describes the management of a young child with oligodontia as well as the treatment planning and the prosthetic rehabilitation technique.

  6. Comparative analysis of constructive solutions for thermal insulation by using computer applications in building rehabilitation in Mediterranean climate. The Spanish case

    OpenAIRE

    Mateo García, Mónica; Piedecausa García, Beatriz; Pérez Carramiñana, Carlos

    2010-01-01

    The new Spanish legislation in Energy Saving, similar to European regulation, provides new technical requirements to adequate technical solutions used in integral rehabilitation of existing buildings. The aim of this paper is to present, analyze and discuss the main thermal insulation constructive solutions best suited to a Mediterranean climate, and conclude on their suitability under the legislation in Energy Saving. The proposed methodology is based on the most usual constructive solutions...

  7. Rehabilitation of injured U.S. servicemember with traumatic brain injury, stroke, spinal cord injury, and bilateral amputations: A case report

    OpenAIRE

    Ajit B. Pai, MD; Nicholas R. Jasper, MD; David X. Cifu, MD

    2012-01-01

    The complexity of injuries that can arise from combat situations, specifically as a result of the Operation Iraqi Freedom/Operation Enduring Freedom conflicts, is challenging. As injured troops leave the war zone early for medical care, they are treated by an interwoven system of care that includes both the Department of Defense and Veterans Health Administration. Physicians across these settings are increasingly faced with patients who have multiple rehabilitation diagnoses as a result of th...

  8. 手部烧伤后瘢痕挛缩的术后康复治疗52例临床研究%Clinical Research on Postoperative Rehabilitation Treatment for 52 Cases with Deformed Fingers after Burn Injury

    Institute of Scientific and Technical Information of China (English)

    胡检; 黄宇斌; 黄志斌; 柳晖; 林加辉

    2012-01-01

    Objective To explore the therapeutic effect of surgery joint rehabilitation for burns scar con-tracture deformity. Methods 52 cases of patients with cicatricial contracture received by our hospital from January 2009 to January 2012 were retrospectively analyzed, all of the patients received routine clinical treatment and nursing treatment. The postoperative rehabilitation was randomly divided into the experimental group and the control group, the experiment by the methods of professional rehabilitation way; the control group with normal outpatient guiding hand function exercise. Rehabilitated finger joints total mobility and daily life activities after 3 months of the two groups were measured. Results The difference of finger joints total mobility between the experimental group and control group before and after rehabilitation was statistically significant (P < 0. 05 ), after 3 months of treatment, the difference between the experimental group and the control group was statistically significantly different( P < 0. 05 ). Daily life activities of the experimental group before and after rehabilitation treatment was better than the control group, the difference was statistically significant (P <0.05 ). Conclusion Burned hand scar contracture surgery combined with rehabilitation treatment , which can significantly improve the hand movement coordination and flexibility, has better effects than the simple guiding treatment, thus is worth of clinical promotion.%目的 探讨手术联合康复治疗对手部烧伤后瘢痕挛缩畸形的治疗效果.方法 回顾性分析我院自2009年1月至2012年1月收治的手部烧伤后瘢痕挛缩畸形患者52例,患者均接受常规的临床手术治疗和护理治疗.将术后的康复治疗随机分为试验组和对照组,试验组采用专业的康复方法;对照组采用常规的门诊指导性的手部功能锻炼.两组患者分别于术后3个月测量康复评定指标手指关节总活动度和

  9. 耳穴贴压配合低盐饮护理在高血压患者中的应用观察%An observation of auricular acupressure with Low-salt diet care for patients with hypertension

    Institute of Scientific and Technical Information of China (English)

    杨文军

    2014-01-01

    Objective:Investigate on the auricular pressure with Low-salt diet application methods and efficacy of care in the adjuvant treatment of hypertension.Method:Select patients with hypertension 100 cases were randomly divided into observation group and control group, 50 cases in each group,the patients in observation group received drug treatment at the same time treatment with auricular acupressure with Low-salt diet care, the control group were simply given medication,4 weeks as a course, then observed two groups of antihypertensive effect, the improvement of clinical symptoms. Result:The two groups of antihypertensive effect, the improvement of clinical symptoms are significant differences(P<0.05). Conclusion:Application of auricular acupressure with Low-salt diet treatment of hypertension achieved the exact effect, this method reflects the advantages of Chinese medicine care, it can be used in clinical.%目的:探讨耳穴贴压配合低盐饮食护理辅助治疗高血压病的方法及效果。方法:选取高血压病患者100例,随机分为观察组和对照组,两组各50例。观察组在药物治疗的同时加用耳穴贴压及低盐饮食护理,对照组单纯以药物治疗,疗程4周。观察两组降压效果、临床症状等的改善情况。结果:两组降压效果、临床症状改善情况比较均有显著性差异(P<0.05)。结论:耳穴贴压配合低盐饮食对高血压病疗效确切,体现了中医护理的优势,可应用于临床。

  10. A medical social work perspective on rehabilitation.

    Science.gov (United States)

    Fugl-Meyer, Kerstin Sjögren

    2016-10-12

    This paper introduces a biopsychosocial model for use as a tool by medical social workers and other rehabilitation professionals for the descriptive analysis of the case history and follow-up of patients needing rehabilitative support. The model is based on action theory and emphasizes the demands on evidence-based clarification of the interplay between a subject's contextual life situation, their ability to act in order to realize their goals, and their emotional adaptation. Using clinical experience and literature searches, a standard operations procedure to adequately document the case history in clinical practice is suggested, thus providing strategies through which the work of medical social workers can be based on evidence. Some specific areas of concern for the medical social worker within the rehabilitation of disabled people are highlighted.

  11. [Speech rehabilitation following a total laryngectomy].

    Science.gov (United States)

    Timmermans, A J; Krap, M; Hilgers, F J M; van den Brekel, M W M

    2012-01-01

    In patients with advanced laryngeal or hypopharyngeal cancer, or in cases when the disease recurs after treatment with (chemo)radiation, a total laryngectomy (TLE) is performed. For them to be able to function properly, speech rehabilitation is of the utmost importancefor these patients. For voice rehabilitation, voice prostheses or an electrolarynx can be used. Esophogus-speech can also be applied. In recent decades, voice prostheses in particular have undergone significant development. They can be considered the standard technique for rehabilitation. For dentists, it is important to realise that the anatomy of these patients has changed. In addition, many have a prior history of radiotherapy and thus an increased risk of xerostomia and osteoradionecrosis. In cases where maxillofacial surgery is indicated, the chance of osteoradionecrosis is higher. If extraction is considered, consultation with a head and neck oncology centre is necessary.

  12. The Clinical Effect of Rehabilitation Education on 48 Cases of Congenital Down Children%康复教育对48例先天愚型儿童的临床影响

    Institute of Scientific and Technical Information of China (English)

    安春梅

    2015-01-01

    ObjectiveTo investigate the clinical effect of rehabilitation education on the children gotten type down .Methods48 cases children with congenital down selected as the research group; the control group was 48 cases which were the same disease at the period. The research group were recieved rehabilitation education but Control group weren’t, compared the social life of two groups .ResultsThe children of control group without health education in motor, cognitive, ifne motor, speech and so on social adaptation ability is lower than the research group, two groups of data was difference (P<0.05). Conclusion The rehabilitation education for children congenital down, it can effectively improve their cognitive, language, sports, social adaptability and ifne motor skills, clinical effect is remarkable, and rehabilitation education has clinical value.%目的:探讨康复教育对先天愚型儿童的临床影响。方法选取先天愚型患儿48例为研究对象,设为研究组;同期选取同症患儿48例作为参照对象,设为对照组;对照组并未进行康复教育,研究组进行康复教育,对比两组社会生活能力。结果未进行健康教育的对照组儿童在运动、认知、精细运动、言语及社会适应能力等方面均低于研究组,两组数据对比具有差异性(P<0.05)。结论康复教育对于先天愚型儿童而言,其能够有效改善其认知、语言、运动、社会适应能力和精细动作等能力,临床效果显著。

  13. [Pediatric neurology in rehabilitation].

    Science.gov (United States)

    Kurihara, Mana

    2007-07-01

    There are some criteria for administering pediatric rehabilitation, such as (1) plasticity of the child's brain sometimes plays an enormous roles in recovery, (2) on the other hand, break-down of the child's brain is sometimes worse than expected, (3) rehabilitation should be continued with the prospect that child grows and develops everyday, (4) family members should join their child's rehabilitation. The team approach is very effective for pediatric rehabilitation. The pediatric neurologist will be one of the best members of the team because he/she can manage a disabled child and his/her family members well, and is familiar with a normal child's development. Rehabilitation should be performed appropriates, which means that the child is evaluated first, a rehabilitation program is developed and rehabilitation is implemented. The World Health Organization published the International Classification of Functioning, Disability and Health (ICF), which moves away from being a "consequence of disease" classification to "components of health". The concept of disability is changing.

  14. Facial Reconstruction and Rehabilitation.

    Science.gov (United States)

    Guntinas-Lichius, Orlando; Genther, Dane J; Byrne, Patrick J

    2016-01-01

    Extracranial infiltration of the facial nerve by salivary gland tumors is the most frequent cause of facial palsy secondary to malignancy. Nevertheless, facial palsy related to salivary gland cancer is uncommon. Therefore, reconstructive facial reanimation surgery is not a routine undertaking for most head and neck surgeons. The primary aims of facial reanimation are to restore tone, symmetry, and movement to the paralyzed face. Such restoration should improve the patient's objective motor function and subjective quality of life. The surgical procedures for facial reanimation rely heavily on long-established techniques, but many advances and improvements have been made in recent years. In the past, published experiences on strategies for optimizing functional outcomes in facial paralysis patients were primarily based on small case series and described a wide variety of surgical techniques. However, in the recent years, larger series have been published from high-volume centers with significant and specialized experience in surgical and nonsurgical reanimation of the paralyzed face that have informed modern treatment. This chapter reviews the most important diagnostic methods used for the evaluation of facial paralysis to optimize the planning of each individual's treatment and discusses surgical and nonsurgical techniques for facial rehabilitation based on the contemporary literature.

  15. Use of Auricular Acupressure to Improve the Quality of Life in Diabetic Patients with Chronic Kidney Diseases: A Prospective Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Shaoqing Wang

    2014-01-01

    Full Text Available Background. Diabetic patients with chronic kidney disease (CKD suffer from low quality of life (QOL. We aim to assess the effectiveness of auricular acupressure for QOL improvement in these patients. Materials and Methods. Sixty-two participants were randomly assigned to an auricular or a control arm in a randomized controlled trial. Participants in the auricular arm were instructed to perform auricular acupressure 3–5 times per day for 3 months, when they were receiving conventional treatments. Participants in the control arm received conventional treatments only. The primary outcome was the summarized score of Kidney Disease and Quality of Life Short-Form (KDQOL-SF at 3 months after randomization. The secondary outcomes included the 36-Item Short Form Health Survey (SF-36, glycosylated hemoglobin (HbA1c, and estimated glomerular filtration rate (eGFR. Results. The summarized KDQOL differed significantly between the acupressure (76.6, 95% CI, 72.2 to 81.0 and the control group (61.8, 95% CI, 57.7 to 65.9. Similar results were found in the SF-36 scores. HbA1c and eGFR were not found to be significantly different between the arms and neither were the adverse events. Conclusion. Auricular acupressure was well tolerated in diabetic patients with chronic kidney diseases receiving hemodialysis. Future research is needed to confirm these results.

  16. Motivational Rehabilitation using Serious Games

    OpenAIRE

    Antoni Jaume i Capó; Javier Varona Gómez; Gabriel Moyà; Francisco Perales

    2013-01-01

    Research studies show that serious games help to motivate users in rehabilitation processes, and rehabilitation results are better when users are motivated. In long term rehabilitation for maintaining capacities, the demotivation of chronic patients is common. In this work, we have implemented balance rehabilitation video game for cerebral palsy patients. The video game was developed using the prototype development paradigm and following desirable features for rehabilitation serious games pre...

  17. Auricular acupuncture for sleep disturbance in veterans with post-traumatic stress disorder: a feasibility study.

    Science.gov (United States)

    King, Heather C; Spence, Dennis L; Hickey, Anita H; Sargent, Paul; Elesh, Ronald; Connelly, Cynthia D

    2015-05-01

    The purpose of this study was to examine the feasibility and acceptability of an auricular acupuncture (AA) insomnia regimen among Operation Iraqi Freedom and Operation Enduring Freedom veterans with post-traumatic stress disorder and sleep disturbance. Secondarily, this study examined the effect of an AA insomnia regimen on objective sleep times by wrist actigraphy, subjective sleep times by sleep diary, and sleep quality ratings utilizing the Pittsburg Sleep Quality Index. Veterans (n = 30) were randomized to receive a 3-week AA insomnia regimen. Veterans receiving the AA insomnia regimen reported it as a more acceptable treatment for sleep disturbance than subjects in the control group (AA group median = 5 vs. control group median = 3, p = 0.004). Significant differences between groups were found on the sleep quality and daytime dysfunction components of the Pittsburgh Sleep Quality Index (p = 0.003, p = 0.004). No other significant differences between groups were found for objective and subjective sleep measures. These results suggest that an AA insomnia regimen may improve sleep quality and daytime dysfunction among veterans with post-traumatic stress disorder. Future, large-scale, prospective clinical trials are needed to examine AA effects on sleep.

  18. An alternative therapy for drug-resistant epilepsy: transcutaneous auricular vagus nerve stimulation

    Institute of Scientific and Technical Information of China (English)

    Rong Peijing; Liu Aihua; Zhang Jianguo; Wang Yuping; Yang Anchao; Li Liang; Ben Hui

    2014-01-01

    Background Previous studies demonstrated that vagus nerve stimulation (VNS) is an effective therapy for drugresistant epilepsy.Acupuncture is also used to treat epilepsy.This study was designed to examine the safety and effectiveness of transcutaneous auricular vagus nerve stimulation (ta-VNS) for patients with drug-resistant epilepsy.Methods A total of 50 volunteer patients with drug-resistant epilepsy were selected for a random clinical trial to observe the therapeutic effect of ta-VNS.The seizure frequency,quality of life,and severity were assessed in weeks 8,16,and 24 of the treatment according to the percentage of seizure frequency reduction.Results In the pilot study,47 of the 50 epilepsy patients completed the 24-week treatment; three dropped off.After 8-week treatment,six of the 47 patients (12%) were seizure free and 12 (24%) had a reduction in seizure frequency.In week 16 of the continuous treatment,six of the 47 patients (12%)were seizure free; 17 (34%) had a reduction in seizure frequency.After 24 weeks' treatment,eight patients (16%) were seizure free; 19 (38%) had reduced seizure frequency.Conclusion Similar to the therapeutic effect of VNS,ta-VNS can suppress epileptic seizures and is a safe,effective,economical,and widely applicable treatment option for drug-resistant epilepsy.(ChiCTR-TRC-10001023)

  19. A Randomized Clinical Trial of Auricular Point Acupressure for Chronic Low Back Pain: A Feasibility Study

    Directory of Open Access Journals (Sweden)

    Chao Hsing Yeh

    2013-01-01

    Full Text Available Objectives. This prospective, randomized clinical trial (RCT was designed to investigate the feasibility and effects of a 4-week auricular point acupressure (APA for chronic low back pain (CLBP. Methods. Participants were randomized to either true APA (true acupoints with taped seeds on the designated ear points for CLBP or sham APA (sham acupoints with taped seeds but on different locations than those designated for CLBP. The duration of treatment was four weeks. Participants were assessed before treatment, weekly during treatment, and 1 month following treatment. Results. Participants in the true APA group who completed the 4-week APA treatment had a 70% reduction in worst pain intensity, a 75% reduction in overall pain intensity, and a 42% improvement in disability due to back pain from baseline assessment. The reductions of worst pain and overall pain intensity in the true APA group were statistically greater than participants in the sham group (P<0.01 at the completion of a 4-week APA and 1 month followup. Discussion. The preliminary findings of this feasibility study showed a reduction in pain intensity and improvement in physical function suggesting that APA may be a promising treatment for patients with CLBP.

  20. [A traumatic brain injury patient: from rehabilitation to social-familial re-integration. Case report focusing on quality of life aspects].

    Science.gov (United States)

    Pierobon, A; Callegari, S; Mastretta, E

    2006-01-01

    WHO recommends that the biopsychosocial model be adopted in the rehabilitation and, particularly, in the multidisciplinary care of Traumatic Brain Injury (TBI) patients. The neuropsychological, psychological, and Quality of Life (QoL) assessment of TBI patients follows the evolution of their clinical conditions. The following evaluation battery is administered in our Unit: Specific Neuropsicological Tests, Wechsler Adult Intelligence Scales Revised (WAIS-R), and the Short Form-36 (SF-36) and Satisfaction Profile (SAT-P), two generic questionnaires measuring respectively health status and subjective aspects of QoL. Mauro is an 18-year old patient with TBI, complicated after one and a half years by epilepsy. The clinical report is divided into three phases (3, 5 and 18 months post-TBI)--ranging from the first psychological-neuropsychological assessment to the patient's socio-educational re-integration--and includes self-reports by the patient and/or his mother, a discussion of the QoL and neuropsychological data, and a presentation of the work carried out in the cognitive behavioural rehabilitation. The psychological topics that emerged are: memories of the traumatic event and the hospitalization period, enthusiasm about the "return to life", and difficulties and suffering due to the fact of "being different". This paper offers an example of both the assessment and treatment of TBI patients--following its course from where it begins in the Rehabilitation Center to its continuation in the patient's social environment. The purpose of such a global clinical management is to effectuate a psychosocial re-integration that is adequate in terms of the patient's cognitive resources and residual behavioural abilities.

  1. Consumer Involvement in Rehabilitation

    Science.gov (United States)

    Daniels, Susan

    1976-01-01

    With the emphasis on consumer involvement in the Rehabilitation Act of 1973, changes in the counseling relationship must occur. This article discusses new interaction patterns for consumer and counselor. (Author)

  2. [Dermato-oncological rehabilitation].

    Science.gov (United States)

    Buhles, N; Sander, C

    2005-07-01

    National insurance companies in Germany support health cures for patients with malignant tumors (malignant melanoma, squamous cell carcinoma, Merkel cell tumor, malignant cutaneous lymphoma). The clinical requirements are an invasively growing tumor, problems of self-assurance, and dis-integration of the patient regarding his social and/or professional environment. The decision for a health cure is made by the treating dermatologist in the hospital. In this context, the following sociomedical criteria should be applied: impairment, disability, and handicap. Usually, rehabilitation starts after the patient is discharged from the hospital. The inpatient rehabilitation program should be performed at an institution capable of providing dermatological and psychological treatment. The dermatologist acts as a manager for the members of the rehabilitation team (psychologists, physiotherapists, social workers, and ergo-therapists). In conclusion, dermato-oncologic rehabilitation plays an important role in re-integrating the patient into his professional life to avoid retirement.

  3. 慢性鼻窦炎鼻内镜术后耳穴贴压辅助治疗的疗效观察%Clinical efficacy of adjuvant auricular point sticking on chronic rhinosinusitis patients after endoscopic sinus surgery

    Institute of Scientific and Technical Information of China (English)

    郭成兵; 吴曙辉; 朱红; 杨艳; 闫勇; 朱静静

    2016-01-01

    Objective:To investigate the clinical efficacy of conventional western medicine combined with auricular point stickingon chronic rhinosinusitispatientsafter nasal endoscopic surgery . Methods: 124 cases of CRS patients were randomly divided into control group and treatment group .The control group was given routine treatment ,the treatment group was given auricular point sticking based on conventional medicine .The clinical efficacy and the improvement of the symptoms of both groups were observed .Results:The effective rate of the control group and the treatment group were 73 .77% and 90 .47%(P<0 .05) 6 months after the operation .At 1 month ,3 months and 6 months after surgery ,the VAS (visual analogue scale) scores of both groups were improved ,and the score of the treatment group became better with the treatment time(P<0 .05) . Conclusions :Conventional western medicine combined with auricular point stickinghas better efficacyin CRS patients after ESS , w hich can effectively improve the patients'subjective symptoms .%目的:探讨常规西医治疗结合耳穴贴压疗法在慢性鼻窦炎(chronic rhinosinusitis ,CRS )鼻内窥镜术(endoscopic sinus surgery ,ESS)后的临床疗效。方法:将124例CRS患者随机分为对照组和治疗组,对照组给予常规治疗,治疗组在此基础上给予耳穴贴压治疗。观察两组治疗的临床疗效和症状改善情况。结果:患者术后6个月,对照组与治疗组治疗的有效率分别为73.77%、90.47%(P<0.05)。术后1个月、3个月和6个月,两组视觉模拟评分(visual analogue scale ,VAS)评分均有改善,随着治疗时间的推移进一步改善,以治疗组更明显(P<0.05)。结论:CRS患者ESS术后在常规西医治疗基础上辅以耳穴贴压治疗的疗效更优,能有效改善患者症状。

  4. Rehabilitation im Alter

    OpenAIRE

    Meinck, Matthias

    2003-01-01

    Internationale kontrollierte Studien haben die Wirksamkeit geriatrischer Rehabilitation grundsätzlich bestätigt. Die Ergebnisse sind jedoch nur eingeschränkt auf Deutschland übertragbar. Geriatrische Rehabilitation gewinnt in Deutschland aufgrund der demographischen Veränderungen an Bedeutung. Der Vorrang ambulanter vor stationärer Leistungserbringung wurde schon vor einigen Jahren gesetzlich verankert. Der Anteil ambulanter Reha-Maßnahmen an den geriatrischen Reha-Leistungen ist jedoch gerin...

  5. Rehabilitation of the hand in tetraplegics.

    OpenAIRE

    Mukherjee, D. J.

    1981-01-01

    Fifty cases of tetraplegia have been treated in the Spinal Cord Injury Centre, Military Hospital, Kirkee, during the past 4 years. Twelve patients have been treated by tendon transfer of the hand to give a pinch grip. They have been made more independent and can be rehabilitated better socially. This has been found better than using any splint continuously.

  6. Observations on the Efficacy of Auricular Plaster Therapy plus Scalp Acupuncture in Treating Post-stroke Depression%头针配合耳穴贴压治疗脑卒中后抑郁疗效观察

    Institute of Scientific and Technical Information of China (English)

    岳琳

    2016-01-01

    目的:观察头针配合耳穴贴压治疗脑卒中后抑郁的临床疗效。方法将125例脑卒中后抑郁患者随机分为A组42例、B组42例和C组41例。A组采用单纯头针治疗,B组采用单纯耳穴贴压治疗,C组采用头针配合耳穴贴压治疗。观察3组治疗前后汉密尔顿抑郁量表(HAMD)评分,并比较3组临床疗效。结果3组治疗2个月后HAMD评分与同组治疗前比较,差异具有统计学意义(P<0.01)。C组治疗1、2个月后HAMD评分与A组和B组比较,差异均具有统计学意义(P<0.05)。A组总有效率和愈显率分别为90.5%和33.3%,B组分别为88.1%和35.7%,C组分别为92.7%和56.1%。3组总有效率比较,差异均无统计学意义(P>0.05);C组愈显率与A组和B组比较,差异均具有统计学意义(P<0.05)。结论头针配合耳穴贴压是一种治疗脑卒中后抑郁的有效方法。%Objective To investigate the clinical efficacy of auricular plaster therapy plus scalp acupuncture in treating post-stroke depression.Methods One hundred and twenty-five patients with post-stroke depression were randomly allocated to group A of 42 cases, group B of 42 cases and group C of 41 cases. Group A received scalp acupuncture alone; group B, auricular plaster therapy alone; group C, auricular plaster therapy plus scalp acupuncture. The Hamilton Depression Scale (HAMD) score was recorded in the three groups before and after treatment. The clinical therapeutic effects were compared between the three groups. Results There was a statistically significant pre-/post-treatment difference in the HAMD score in the three groups after two months of treatment (P0.05).Conclusion Auricular plaster therapy plus scalp acupuncture is an effective way to treat post-stroke depression.

  7. 运动神经元病合并气管切开1例的治疗和康复护理%Treatment and Rehabilitation Care of 1 Case the Motor Neuron Disease Combined Tracheotomy

    Institute of Scientific and Technical Information of China (English)

    李蕊; 雷敏

    2016-01-01

    运动神经元病是一种病因尚不明确的慢性进行性变性疾病,主要临床表现为肌肉萎缩、肌无力、呼吸困难等,最终患者可能在有意识的情况下呼吸无力而死。在2015年12月我院收治1例运动神经元病患者,经治疗和康复护理,患者已好转出院。对于神经元病合并气管切开的患者及时给予针对性的治疗和康复护理,能减轻患者的痛苦,并取得一定的临床治疗效果。%Motor neuron disease was a cause of chronic progressive degeneration disease, and major clinical manifestations were muscle rudeness, muscle weakness, difficulty breathing and so on. Eventually patients may die consciously processing unable breath. 1 case of motor neuron disease were admitted in December 2015, and patients had recovered discharge from hospital by the treatment and rehabilitation care. Patients with neuron disease merging tracheotomy timely received pertinency treatment and rehabilitation nursing, and can alleviate the suffering of patients, and get a certain clinical therapeutic effect.

  8. Scope, background and definition of pulmonary rehabilitation.

    Science.gov (United States)

    Nici, L; Zuwallack, R

    2011-09-01

    The optimal therapy of an individual with chronic respiratory disease usually requires a combination of pharmacologic and non-pharmacologic therapies. A case of a 68-year-old man with advanced chronic obstructive pulmonary disease is given to illustrate this point. He is a recent ex-smoker with severe chronic obstructive pulmonary disease by spirometric criteria, frequent exacerbations of this disease, considerable recent health care utilization, dyspnea with minimal activities, severe functional status limitation, prominent systemic effects of the disease (e.g., weight loss) and substantial comorbidities. The primary respiratory disease cannot be isolated from and treated independently of these important factors. Pulmonary rehabilitation is an important therapeutic option in situations like this, providing a mode of integrating care, complementing otherwise standard medical therapy, and producing significant gains across multiple outcome areas of importance to the patient. Pulmonary rehabilitation has been defined by the American Thoracic Society and European Respiratory Society as: "an evidence-based, multidisciplinary, and comprehensive intervention for patients with chronic respiratory diseases who are symptomatic and often have decreased daily life activities. Integrated into the individualized treatment of the patient, pulmonary rehabilitation is designed to reduce symptoms, optimize functional status, increase participation, and reduce health care costs through stabilizing or reversing systemic manifestations of the disease". Its components include comprehensive assessment, education, exercise training, and psychosocial intervention. Outcomes assessment is usually performed for quality assessment. Pulmonary rehabilitation produces the greatest improvements of any available therapy in dyspnea, exercise capacity, and health-related quality of life. These gains are realized despite the fact that pulmonary rehabilitation has no direct effect on lung function. It

  9. Final priority; Rehabilitation Training: Rehabilitation Long-Term Training program--rehabilitation specialty areas. Final priority.

    Science.gov (United States)

    2014-07-23

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training: Rehabilitation Long-Term Training program. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years in order to fund any of the rehabilitation specialty areas listed in this notice. The specific rehabilitation specialty areas to be funded in a given year will be listed in a notice inviting applications. This priority is designed to ensure that the Department funds high-quality rehabilitation programs in the following nine rehabilitation specialty areas of national need: Rehabilitation Administration (84.129C); Rehabilitation Technology (84.129E); Vocational Evaluation and Work Adjustment (84.129F); Rehabilitation of Individuals Who Are Mentally Ill (84.129H); Rehabilitation Psychology (84.129J); Rehabilitation of Individuals Who are Blind or Have Vision Impairments (84.129P); Rehabilitation of Individuals Who are Deaf or Hard of Hearing (84.129Q); Job Development and Job Placement Services (84.129R); and Comprehensive System of Personnel Development (84.129W). These programs must meet rigorous standards in order to provide rehabilitation professionals the training and qualifications necessary to meet the current challenges facing State vocational rehabilitation (VR) agencies and related agencies and assist individuals with disabilities in achieving high-quality employment outcomes.

  10. 78 FR 38840 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-28

    ... CFR Chapter III Final Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  11. 78 FR 35758 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-14

    ... CFR Chapter III Final Priority; National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  12. 78 FR 28543 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-15

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority under the Rehabilitation Research and Training...

  13. 78 FR 34261 - Final Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-06-07

    ... CFR Chapter III Final Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  14. 78 FR 27038 - Final Priorities; National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-09

    ... CFR Chapter III Final Priorities; National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces priorities for the Disability and Rehabilitation Research Projects and...

  15. 78 FR 26560 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-07

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority for the Rehabilitation Research and Training...

  16. 78 FR 12002 - Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-02-21

    ... CFR Chapter III Proposed Priority--National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... and Rehabilitative Services proposes a priority for the Rehabilitation Research and Training...

  17. 78 FR 29237 - Final Priority; National Institute on Disability and Rehabilitation Research-Rehabilitation...

    Science.gov (United States)

    2013-05-20

    ... CFR Chapter III Final Priority; National Institute on Disability and Rehabilitation Research--Rehabilitation Research and Training Centers AGENCY: Office of Special Education and Rehabilitative Services... Rehabilitative Services announces a priority for the Disability and Rehabilitation Research Projects and...

  18. 77 FR 8234 - National Institute on Disability and Rehabilitation Research-Disability and Rehabilitation...

    Science.gov (United States)

    2012-02-14

    ... National Institute on Disability and Rehabilitation Research-- Disability and Rehabilitation Research... Disability and Rehabilitation Research-- Disability and Rehabilitation Research Projects and Centers Program-- Disability and Rehabilitation Research Project--Center on Knowledge Translation for Disability...

  19. [Hypertrophic cardiomyopathy: a rare cause of vascular dementia. A case report].

    Science.gov (United States)

    Ben Hamouda, Ibtissem; Tougourti, Mohamed Néjib; Hamza, Mohsen

    2002-07-01

    Herein, we report a case of a 51 year old man who experienced three ischemic cerebral infarcts in a time of few months. The patient consulted after the third accident. Neurological presentation included pseudobulbar syndrome with a mild cognitive deficit, aphasia, left hemiparesia, hemiasomatognosia and homonymous lateral hemianopsia. Cerebral tomodensitometry and magnetic resonance imaging evidenced large infarcts images involving right middle cerebral artery territory and bilateral borderline zones in the junction of the territories of the middle and posterior cerebral arteries. Ambulatory 24 hours ECG recording (Holter) revealed two hits of non-sustained ventricular tachycardia. Transoesophageal echocardiography conveyed to the diagnosis of hypertrophic cardiomyopathy and displayed the presence of a left auricular thrombus. Anticoagulant therapy and rehabilitation allowed a substantial recovering of the patient's cognitive functions and wasting of the intracardiac thrombus. The clinical features observed in our patient meet the recommended DSM IV diagnosis criteria of vascular dementia, an exceptional complication of HCM. The clinical findings, neuroimagery investigation results, and the chronological link between cerebral attacks and cognitive function deterioration argue for a demential syndrome of vascular origin resulting from multiple embolic infarcts involving medium sized arteries (multi-infarct dementia). The authors emphasize the rarity of such observation. HCM must be considered as a potential cause of embolic stroke and likewise a multi-infarct dementia.

  20. Cultural competence education in university rehabilitation programs.

    Science.gov (United States)

    Matteliano, Mary A; Stone, John H

    2014-01-01

    The Center of International Rehabilitation Research, Information, and Exchange (CIRRIE) has prepared curriculum guides for rehabilitation professionals in occupational therapy, physical therapy, speech language pathology, and rehabilitation counseling. The objective is to provide a resource to faculty who wish to include or strengthen cultural competency education in their program and courses. CIRRIE assessed students'cultural needs, and solicited assistance from experts in the field to assist with the development of the guides. After the guides were published CIRRIE conducted surveys to assess their usefulness. Survey responses were highest among occupational therapy faculty. Among faculty who responded, most intended to use the cultural competence activities, case studies, and resources that the guides offer throughout their curriculum.

  1. Prosthesis-guided implant restoration of an auricular defect using computed tomography and 3-dimensional photographic imaging technologies: a clinical report.

    Science.gov (United States)

    Wang, Shuming; Leng, Xu; Zheng, Yaqi; Zhang, Dapeng; Wu, Guofeng

    2015-02-01

    The concept of prosthesis-guided implantation has been widely accepted for intraoral implant placement, although clinicians do not fully appreciate its use for facial defect restoration. In this clinical report, multiple digital technologies were used to restore a facial defect with prosthesis-guided implantation. A simulation surgery was performed to remove the residual auricular tissue and to ensure the correct position of the mirrored contralateral ear model. The combined application of computed tomography and 3-dimensional photography preserved the position of the mirrored model and facilitated the definitive implant-retained auricular prosthesis.

  2. Hemorragias intracraneales asociadas a fármacos en pacientes con fibrilación auricular no reumática

    OpenAIRE

    García Luque, Amelia

    2008-01-01

    Numerosos ensayos clínicos aleatorizados (ECA) han demostrado el beneficio del uso de antirobóticos, fundamentalmente anticoagulantes orales (ACO), para la profilaxis de accidentes cerebrovascualres (ACV) isquémicos entre los pacientes con fibrilación auricular no reumática (FANR), siendo recomendado su uso por la mayoría de guías de práctica clínica (GPC), lo cual ha provocado un aumento del consumo de este grupo farmacológico. La prevalencia de fibrilación auricular (FA) aumenta con la eda...

  3. Fármacos para control de la frecuencia ventricular y fármacos no-antiarrítmicos en fibrilación auricular

    OpenAIRE

    Rodríguez Chávez,Laura Leticia

    2007-01-01

    Diversos fármacos son de gran ayuda para el control de la frecuencia ventricular en diferentes taquiarritmias, principalmente de la fibrilación auricular (FA). Desde hace varias décadas han venido utilizándose los betabloqueadores (βB) o los calcioantagonistas como monoterapia o como adyuvantes a un antiarrítmico para mantener una frecuencia ventricular aceptable. Por otro lado, en los últimos años se ha estudiado el fenómeno de remodelación auricular en la FA y a partir de este concepto...

  4. Evaluación de costo-efectividad de los nuevos anticoagulantes orales en pacientes con fibrilación auricular no valvular en Colombia

    OpenAIRE

    García Peña, Angel Alberto

    2015-01-01

    La fibrilación auricular es el trastorno más frecuente del ritmo cardíaco y una de las causas potencialmente tratables de cardioembolía y ataque cerebrovascular. La disponibilidad de nuevos anticoagulantes para pacientes con fibrilación auricular no valvular (FANV), plantea interesantes retos, principalmente derivados de los costos de su uso, perfiles de eficacia y seguridad, tolerancia y disponibilidad para su uso. Se realizó un análisis de costo-efectividad con base en un modelo de Markov, ...

  5. Eficacia y seguridad de la cardioversión eléctrica ambulatoria en la fibrilación auricular persistente

    OpenAIRE

    Diego E. Rosso; Gastón Albina; María V. Sammartino; Emilio Montecchio; Luis Barja; Rubén Laiño; Daniel Ortega; Alberto Giniger

    2005-01-01

    Introducción y objetivo A pesar de los nuevos avances en el tratamiento de la fibrilación auricular, la cardioversión eléctrica sigue teniendo un papel preponderante, por lo que surge la necesidad de simplificar el método. El presente trabajo se realizó con el objetivo de evaluar los riesgos y los beneficios de la cardioversión eléctrica ambulatoria en una población heterogénea de pacientes con fibrilación auricular persistente. Material y métodos Se analizaron prospectivamente 176 paci...

  6. Reconstruction of anterior auricular conchal defect after malignancy excision: revolving-door flap versus full-thickness skin graft.

    Science.gov (United States)

    Dessy, Luca Andrea; Figus, Andrea; Fioramonti, Paolo; Mazzocchi, Marco; Scuderi, Nicolò

    2010-05-01

    Skin tumours of the anterior auricular concha are not uncommon. Wider excision and immediate reconstruction are required to reduce the risks of recurrence of the disease, cartilage infection and external ear distortion. Many surgical methods have been described for reconstruction of conchal defects. Post-auricular island flaps, such as the revolving-door (RD) flap, and full-thickness skin grafts (FTSGs) are the most-performed procedures. Although the RD flap has been fully described, it is not widely accepted and many surgeons, in their daily practice, prefer to use FTSG. It is a common experience that FTSGs are more subjected to centripetal contraction, decreasing the structural firmness of the conchal cavity and affecting functional and aesthetic outcomes. Furthermore, FTSGs are more prone to delay in wound healing due to the difficult access to this region that hinders adequate tie-over dressings. Between March 2003 and January 2007, 40 patients affected by T1 and T2 non-melanotic skin cancer and T1 melanoma of the anterior conchal surface of the external ear were included in a prospective study and randomly assigned to the RD reconstructed group or to the FTSG reconstructed group to investigate, compare and define advantages and disadvantages of both the techniques. Visual Analogue Scale (VAS) was used to evaluate the overall outcome and the colour and texture match. No flap or skin graft total loss was observed. Six patients (30%) showed partial failure of FTSG. The RD group demonstrated excellent cosmetic outcome, ideal colour match, adequate structure of external ear, projection and shape. Wilcoxon matched-pairs rank-sum test demonstrated statistically significant higher scores for the RD group compared to the FTSG group (p<0.0001). The RD harvesting technique is easy and quicker than the FTSG technique. RD flap should be considered as the first choice for reconstruction of anterior auricular conchal defects following wider excision of skin tumours.

  7. Dermatitis de pabellón auricular por picadura de jerjeles: Una entidad clínica diferente no descrita

    OpenAIRE

    Peña M,Alejandro

    2012-01-01

    Introducción: La picadura de jerjeles o simúlidos de la cara anterior del pabellón auricular presenta características clínicas diferente a las picaduras del mismo insecto en la piel del resto del cuerpo y requiere también un tratamiento diferente. Estos hechos no han sido descritos en la literatura. Objetivos: El objetivo es detallar los síntomas y signos de estas picaduras y las causas de las diferencias clínicas y de su tratamiento. Material y método: Para ello se hace el estudio y análisis...

  8. Nursing care of congenital microtia malformation two stage auricular reconstruction%先天性小耳畸形二期法耳廓再造术的护理

    Institute of Scientific and Technical Information of China (English)

    林美华; 王维; 王彪

    2015-01-01

    Objective To summarize the nursing experience of two-stage operation of auricular reconstruction in congenital microtia. Methods 103 cases of two-stage auricular reconstruction of microtia patientswith the assessment and care of the preoperative psychological status ,skin preparation and posture training.the postoperative observation and nursing of negative pressure drainage and local flap situations,the reconstructed ear and the rib cartilage donor. Results The surgical results were satisfactory to the patients and the irfa milies whose reconstructed ear had verisimilar shape. Conclusion The auricle reconstruction surgery is difficult.In addition to good prognosis is related with the technology level of the doctors,and the high quality nursing before and after operation,the coordination of the patients and their families have a close relationship.%目的:总结先天性小耳畸形二期法耳廓再造术的护理体会。方法:对103例行二期法耳廓再造术的小耳患者实施术前心理状况评估与护理,皮肤准备及体位训练等,术后做好负压引流及皮瓣的观察与护理,再造耳和肋软骨供区的局部护理。结果:再造耳解剖结构清晰,形态逼真,患者及家属对治疗效果满意。结论:耳廓再造手术难度大,良好的预后效果除与医生技术水平有关外,还与手术前后优质护理、患者及家属的高度配合密切相关。

  9. Auricular Acupuncture and Cognitive Behavioural Therapy for Insomnia: A Randomised Controlled Study

    Directory of Open Access Journals (Sweden)

    L. Bergdahl

    2016-01-01

    Full Text Available Objective. The most effective nonpharmacological treatment for insomnia disorder is cognitive behavioural therapy-insomnia (CBT-i. However CBT-i may not suit everyone. Auricular acupuncture (AA is a complementary treatment. Studies show that it may alleviate insomnia symptoms. The aim of this randomised controlled study was to compare treatment effects of AA with CBT-i and evaluate symptoms of insomnia severity, anxiety, and depression. Method. Fifty-nine participants, mean age 60.5 years (SD 9.4, with insomnia disorder were randomised to group treatment with AA or CBT-i. Self-report questionnaires, the Insomnia Severity Index (ISI, Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16, Epworth Sleepiness Scale (ESS, and Hospital Anxiety and Depression scale (HAD, were collected at baseline, after treatment, and at 6-month follow-up. A series of linear mixed models were performed to examine treatment effect over time between and within the groups. Results. Significant between-group improvements were seen in favour of CBT-i in ISI after treatment and at the 6-month follow-up and in DBAS-16 after treatment. Both groups showed significant within-group postintervention improvements in ISI, and these changes were maintained six months later. The CBT-i group also showed a significant reduction in DBAS-16 after treatment and six months later. Conclusions. Compared to CBT-i, AA, as offered in this study, cannot be considered an effective stand-alone treatment for insomnia disorder. The trial is registered with ClinicalTrials.gov NCT01765959.

  10. Auricular acupressure on specific points for hemodialysis patients with insomnia: a pilot randomized controlled trial.

    Directory of Open Access Journals (Sweden)

    Chuan Zou

    Full Text Available To assess the feasibility and acceptability of a randomized controlled trial compared auricular acupressure (AA on specific acupoints with AA on non-specific acupoints for treating maintenance hemodialysis (MHD patients with insomnia.Sixty three (63 eligible subjects were randomly assigned into either AA group received AA on specific acupoints (n=32, or sham AA (SAA group received AA on points irrelevant to insomnia treatment (n=31 for eight weeks. All participants were followed up for 12 weeks after treatments. The primary outcome was clinical response at eight weeks after randomization, defined as a reduction of Pittsburgh Sleep Quality Index (PSQI global score by 3 points and more.Fifty-eight (58 participants completed the trial and five dropped out. Twenty participants in AA group (62.5% and ten in SAA group (32.3% responded to the eight-week interventions (χ2 = 5.77, P = 0.02. PSQI global score declined 3.75 ± 4.36 (95%CI -5.32, -2.18 and 2.26 ± 3.89 (95%CI -3.68, -0.83 in AA group and SAA group respectively. Three participants died during the follow-up period. No evidence supported their deaths were related to the AA intervention. No other adverse event was observed.Feasibility and logistics of patient recruitment, randomization procedure, blinding approach, interventions application and outcome assessment had been tested in this pilot trial. The preliminary data appeared to show a favorable result on AA treatment. A full-scale trial is warranted.Chinese Clinical Trial Registry ChiCTR-TRC-12002272.

  11. Establishing an animal model for National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol.

    Science.gov (United States)

    Kattalai Kailasam, Vasanth; Anand, Preeti; Melyan, Zara

    2016-06-15

    The use of opioids in the treatment of chronic pain has increased dramatically in the past few decades making them one of the most commonly prescribed medications in the US. However, long-term use of opioids is limited by development of tolerance (decreased antinociceptive efficacy) and opioid-induced hyperalgesia - paradoxical sensitization to noxious (hyperalgesia) and non-noxious (allodynia) stimuli. Novel adjunctive therapies are needed to increase the efficacy and prolong the duration of action of opioids in chronic pain treatment. Acupuncture is often used as an adjunct therapy for the treatment of symptoms induced by non-clinical use of opioids. The National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol is the most common form of acupuncture treatment for substance abuse. The standardized, easy to use and virtually painless procedure make it an attractive complementary treatment option for patients suffering from opioid-induced adverse effects. Clinical trials designed to test the efficacy of the NADA protocol yielded contradictory results. The mechanism by which NADA acupuncture could serve as a successful treatment remains unknown. Therefore, establishing an animal model of NADA acupuncture can provide a tool for investigating the efficacy and cellular mechanisms of NADA treatment. Previous studies have shown that repeated morphine administration in rodents can produce locomotor sensitization and reduce analgesic potency of a challenge dose of morphine, indicating development of morphine tolerance. Here we show that NADA acupuncture treatment can both reduce morphine-induced locomotor sensitization and prevent the development of morphine tolerance in rats, thus validating a new model for NADA acupuncture studies. Our data provides support for evidence-based use of NADA acupuncture as a new adjunctive approach that can potentially improve the side-effect profile of morphine and other prescription opioids.

  12. Gerstmann syndrome and its rehabilitation:report of two cases%格斯特曼综合征及其康复治疗:2例报告

    Institute of Scientific and Technical Information of China (English)

    余桂军; 周玲; 谢莲红; 倪冬艳; 任传成

    2004-01-01

    背景:格斯特曼综合征(Gerstmann syndrome,GS)临床少见,其康复治疗的临床研究报道较少,发病机制仍不清楚.目的:探讨GS的发病机制、临床特点及康复治疗.设计:以诊断为依据的回顾性分析.地点和对象:2003-04/2003-08复旦大学附属上海市第五人民医院住院治疗的2例GS患者.干预:采用常规治疗方法,一氧化碳中毒患者加用高压氧治疗.按GS四主征及失读、命名性失语给以康复治疗,时间3个月.主要观察指标:GS四主征及失读、命名性失语的评分情况.结果:GS多为脑血管病、肿瘤等所致,本文1例患者由一氧化碳中毒引起更为罕见,但头颅MRI显示大脑顶枕区有病灶,可能为缺氧所致.GS的四主征由于损害大脑顶枕区与身体、手指和数字空间定位独特性缺陷有关,但很少单独存在.GS的康复治疗有效,左右失认、手指失认相对恢复较好.结论:GS的病因、发病机制及康复治疗研究有十分重要意义.%BACKGROUND: Gerstmann syndrome(GS), whose pathogenesis remainsunknown, is clinically rare and currently few reports are available to addressits rehabilitation.OBJECTIVE: To explore the pathogenesis, clinical features and rehabilita-tion of GS.DESIGN: A retrospective clinical study on the basis of diagnosis.SETTING and SUBJECTS: Two patients diagnosed as having GS were studied, who were hospitalized from April to August in 2003 in Shanghai Fifth People's Hospital affiliated to Fudan University.INTERVENTION: Routine therapeutic regimen was adopted, and one of the patients with CO poisoning also received hyperbaric oxygen therapy. Both of the two patients received rehabilitative training for 3 months for the 4 major symptoms of GS, alexia and nominal aphasia.MAIN OUTCOME MEASURES: The patients were scored for the 4 majorsymptoms, alexia and nominal aphasia.RESULTS: GS was most often caused by cerebrovascular disease and neoplasms, but GS caused by CO poisoning, as was the case with

  13. Migraine without aura treated by comprehensive auricular acupuncture: a multicentral controlled study%耳穴综合疗法治疗无先兆型偏头痛:多中心对照观察

    Institute of Scientific and Technical Information of China (English)

    杨佃会; 马祖彬; 韩晶; 鞠琰莉; 王金玲; 张永臣; 单秋华

    2012-01-01

    目的:客观评价耳穴综合疗法治疗无先兆型偏头痛的疗效.方法:将3个中心共90例无先兆型偏头痛患者作为治疗观察对象.每个中心30例均采用耳穴综合疗法,包括两侧耳背静脉放血,自体血穴位注射风池、阳陵泉,点刺耳穴颞、枕、胰胆、神门、交感、皮质下、内分泌,7~10天治疗1次,连续治疗3次为一疗程.结果:3个中心患者1个疗程结束后头痛积分较治疗前均明显降低(均P<0.05),3个中心之间比较差异无统计学意义(均P>0.05).3个中心的临床总有效率分别为93.3%(28/30)、90.0%(27/30)和93.3%(28/30),经比较3个中心疗效差异无统计学意义(P>0.05).结论:耳穴综合疗法治疗无先兆型偏头痛能明显降低患者的头痛积分,缓解偏头痛临床症状,是治疗无先兆型偏头痛的一种简单有效的方法.%Objective To assess objectively the efficacy of migraine without aura treated by comprehensive auricular acupuncture. Methods Ninty patients of migraine without aura from three centers were selected as the observation subjects. Thirty cases from each center were treated with the comprehensive auricular acupuncture. This therapy included the retroauricular venous bleeding on the ears, the autologous blood injection at Fengchi (GB 20) and Yanglingquan (GB 34) and bleeding at the Nie (temporal), Zhen (occiput), Yidan (pancreas), Shenmen, Pizhixia (subcortex) and Neifenmi (endocrine) of auricular point. The therapy was applied once every 7-10 days. The continuous 3 treatments made one session. Results At the end of one session for the patients in three centers, the headache scores were reduced apparently as compared with those before treatment (all P0. 05). The clinical total effective rates were 93.3% (28/30), 90.0% (27/30) and 93.3% (28/30) in three centers separately. There was no obvious difference in the efficacy in comparison among three centers (P>0. 05). Conclusion The comprehensive auricular

  14. Curative Effects of Auricular Plaster Therapy Combined with Electroacupuncture on Lumbar Muscle Strain%耳穴贴压配合电针治疗腰肌劳损的疗效观察

    Institute of Scientific and Technical Information of China (English)

    黄志勇; 陈家凤; 黄臻; 高燕

    2014-01-01

    Objective:To investigate the auricular plaster therapy for enhancing the clinically curative effect of electroacupuncture treatment on lumbar muscle strain.Methods:90 lumbar muscle strain patients were randomly divided into an observation group ( auricular plaster therapy with electroacupuncture ) and a control group ( electroacupuncture) ,and each group had 45 cases.The observation group was treated with auricular plaster therapy combined with electroacupuncture, and the control group was treated with electroacupuncture.Observe the efficacy and SF-MPQ before and after treatment.Results:The total effective rate of the observation group and the control group was 93.33% and 77.78%,and there was a significant difference between two groups (P0.05).Compared with those before treatment, after treatment in two groups PRI feelling,PRI emotion, PRI total score,VAS,PPI score were significantly decreased (P<0.05), and the observation group decreased more significantly than the control group (P<0.05).Conclusion:Auricular plaster therapy can enhance the clinically curative effect of electroacupuncture on lumbar muscle strain,and it is a safe and effective method,which is worth clinical popularization and application.%目的:探讨耳穴贴压能否增强电针治疗腰肌劳损的临床疗效。方法:90例腰肌劳损患者随机分成观察组和对照组,每组各45例。观察组采用耳穴配合电针治疗,对照组采用电针治疗,观察两组的临床疗效及SF-MPQ评分的变化。结果:观察组和对照组的总有效率分别为93.33%和77.78%,两组比较有显著性差异( P<0.05)。治疗前两组患者PRI感觉、PRI情感、PRI总分、VAS、PPI共5个项目评分差异无统计学意义( P>0.05);与治疗前相比,治疗后两组患者PRI感觉、PRI情感、PRI总分、VAS及PPI评分均显著下降(P<0.05),而观察组下降更为显著(P<0.05)。结论:耳穴贴压疗法能增

  15. Rehabilitation courses for road users.

    NARCIS (Netherlands)

    2010-01-01

    Rehabilitation courses are educational measures directed at deviant driving behaviour of car drivers. The Netherlands has four rehabilitation courses: EMA (Educational Measure Alcohol and traffic), LEMA (Lighter version of EMA), EMG (Educational Measure Behaviour and traffic) and ASP (Alcohol Interl

  16. Skilled nursing or rehabilitation facilities

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000435.htm Skilled nursing or rehabilitation facilities To use the sharing features ... facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your health care provider may ...

  17. Ragged Chute rehabilitation project

    Energy Technology Data Exchange (ETDEWEB)

    Kemp, Paul; Slopek, Richard [Canadian Projects Ltd., Calgary, (Canada); Guzwell, Robert [TransAlta, Calgary, (Canada)

    2010-07-01

    The Ragged Chute development, located in northern Ontario, was originally constructed to provide compressed air to a local silver mining company. It was composed of a free overflow spillway, the air plant intake, a concrete gravity retaining wall and an earthfill dyke abutment. The advantage of the river flow and the head developed by the dam for the air plant was recently put to use by the addition of a hydro plant. This paper provided an overview of the use of the river flow over the years and described the recent rehabilitation work being done to upgrade the installations to current dam safety standards. Site inspections were carried out in 2006 as part of the dam safety review to assess the overall condition of the structures. The major operation of the rehabilitation work involved the upgrading of the original fixed crest spillway with a new labyrinth spillway structure. Canadian Hydro completed the dam safety safety rehabilitation work by October 2009.

  18. Comprehensive cardiac rehabilitation

    DEFF Research Database (Denmark)

    Kruse, Marie; Hochstrasser, Stefan; Zwisler, Ann-Dorthe O;

    2006-01-01

    OBJECTIVES: The costs of comprehensive cardiac rehabilitation are established and compared to the corresponding costs of usual care. The effect on health-related quality of life is analyzed. METHODS: An unprecedented and very detailed cost assessment was carried out, as no guidelines existed...... for the situation at hand. Due to challenging circumstances, the cost assessment turned out to be ex-post and top-down. RESULTS: Cost per treatment sequence is estimated to be approximately euro 976, whereas the incremental cost (compared with usual care) is approximately euro 682. The cost estimate is uncertain...... and may be as high as euro 1.877. CONCLUSIONS: Comprehensive cardiac rehabilitation is more costly than usual care, and the higher costs are not outweighed by a quality of life gain. Comprehensive cardiac rehabilitation is, therefore, not cost-effective....

  19. 耳针联合倍他司汀治疗椎基底动脉供血不足临床疗效回顾性分析%A retrospective analysis of treating vertebral basilar insufifciency by auricular acupuncture plus Betahistine

    Institute of Scientific and Technical Information of China (English)

    汪建平; 辛庆锋

    2016-01-01

    Objective: To retrospectively analyze clinical effects and safety of auricular acupuncture plus Betahistine on vertebral basilar insufficiency. Methods: 56 cases were randomly divided into 2 groups. The control group was given low molecular dextran; the observed group was treated by auricular acupuncture plus Betahistine. Results: The total efficiency and vertebral-basilar artery hemodynamic improvement in the observed group were both obviously better,P0.05). Conclusion: Auricular acupuncture plus Betahistine on vertebral basilar insufifciency showed a signiifcant effects, with safety, and was worthy of promotion.%目的:回顾性分析耳针联合倍他司汀治疗椎基底动脉供血不足的临床疗效及安全性。方法:回顾分析本院2011年1月-2013年12月收治的56例椎基底动脉供血不足患者,依据纠正眩晕的治疗方法分为两组。对照组给予低分子右旋糖酐,观察组给予耳针联合倍他司汀。结果:观察组在临床疗效、椎基底动脉血液动力学改善等方面均明显优于对照组(P0.05)。结论:耳针联合倍他司汀治疗椎基底动脉供血不足疗效显著且安全可靠,值得临床选择和推广。

  20. 耳穴压籽配合中药足浴及护理用于老年不寐的疗效观察%Clinical Observation on Auricular-plaster combined with Traditional Chinese Medicine Foot-bath Therapy and Nursing of Elderly Insomnia

    Institute of Scientific and Technical Information of China (English)

    丛立新; 单晓慧; 孙守坤

    2016-01-01

    Objective To observe clinical effect of auricular-plaster with traditional Chinese medicine foot-bath therapy on elderly insomnia . Methods 43 cases of elderly insomnia patients were treated with auricular-plaster and traditional Chinese medicine foot-bath with nursing . After 20 consecutive days, effect evaluation and Pittsburgh sleep quality index (PSQI) score were performed.Results After treatment, the full asleep time, sleep time, sleep efficiency and PSQI total score were all showed a significantly better result than those before treatment . The total effective rate was 79%.Conclusion Auricular-plaster with traditional Chinese medicine foot-bath therapy has a good effect on treating elderly insomnia .%目的:探讨耳穴压籽联合中药足浴对老年不寐患者睡眠质量的影响。方法选择43例老年不寐患者,在常规护理的基础上给予耳穴压籽联合自制中药足浴的干预方法,连续20天后,进行疗效评价和匹兹堡睡眠质量指数量表(PSQI)评分。结果治疗后老年不寐患者入睡时间、睡眠时间、睡眠效率和PSQI总得分均得到明显改善( P<0.05),总有效率达到79%。结论采用耳穴压籽联合中药足浴对治疗老年不寐症具有较好的疗效。

  1. Rehabilitation in vestibular system diseases

    Directory of Open Access Journals (Sweden)

    Maksim Valeryevich Zamergrad

    2013-01-01

    Full Text Available Vestibular rehabilitation is an important component of combination treatment in a patient with vertigo. Vestibular rehabilitation is indicated for different diseases of the central or peripheral vestibular system. The goal of vestibular rehabilitation is to ensure gaze stabilization, to train postural stability, and to reduce subjective vertigo. Vestibular rehabilitation is based on the stimulation of vestibular adaptation, sensory substitution, and habituation. Vestibular suppressants, inadequate mobility, anxiety, and depression decelerate vestibular compensation whereas early activation, mobility, and betaserc use accelerate it.

  2. Games for Rehabilitation

    DEFF Research Database (Denmark)

    Petersson, Eva; Brown, David

    This anthology on games for rehabilitation contains a serious chapters on game methods and apps or research that compares game systems or modified games or interface devices (Wii, Eyetoy, Kinect, DDR) applied across all areas of clinical care and clinically focused research.......This anthology on games for rehabilitation contains a serious chapters on game methods and apps or research that compares game systems or modified games or interface devices (Wii, Eyetoy, Kinect, DDR) applied across all areas of clinical care and clinically focused research....

  3. The Result of the Rehabilitation for the Patients With Total Hip Replacement

    OpenAIRE

    Aykurt, Bilge; Abbasoglu, M. Adnan

    2004-01-01

    A rehabilitation program was applied for the patients with total hip replacement operated in the Clinics of Orthopaedic Surgery and Travmatology at the School of Medicine, Atatürk University. We evaluated 14 cases subsequent to preoperative and postoperative rehabilitation program. We obtained the followng results: 5 cases (%36,0) were excellent, 8 (%57.0 ) good and 1 (%7.0) moderate. The rehabilitation program together with consequents were compared with the literatures.

  4. [The course of early neurological rehabilitation in a patient with severe posterior reversible encephalopathy syndrome].

    Science.gov (United States)

    Gdynia, H J; Ampatzis, G; Diaconescu, A; Nowak, D A; Dabitz, R; Pfefferkorn, T

    2014-12-01

    Posterior reversible encephalopathy syndrome (PRES) is widely held to be a benign and potentially reversible disease. However, severe cases have been described in the literature. Data on the long-term outcome of these severe cases are scarce. Furthermore, there are no data focusing on potential benefits of neurological early rehabilitation in these patients. Here we present the clinical picture, neuroimaging features, rehabilitative course and long-term outcome of a patient with severe PRES who underwent early neurological rehabilitation.

  5. Pliegue diagonal del lóbulo auricular (de Frank y su relación con enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Manuel Agustín Paz

    2014-07-01

    Full Text Available La presencia de pliegue diagonal auricular debe alertar al médico para entender su asociación con la enfermedad cardíaca coronaria y la enfermedad isquémica del corazón, especialmente en aquellos pacientes asintomáticos o pacientes con factores de riesgo tradicionales y no tradicionales. Por lo tanto, esta anormalidad puede ser interpretada como un "marcador cutáneo" de la enfermedad cardíaca coronaria. Este signo también podría servir para identificar mejor a los grupos de alto riesgo cardiovascular y para comenzar con la implementación de las medidas de las estrategias de prevención. Hay otros signos clínicos, además del pliegue de la oreja, que pueden reflejar el envejecimiento arterial y aterosclerosis, independientemente del número, duración o alcance de los factores de riesgo cardiovascular tradicionales. El hallazgo de pliegue auricular no debe sustituir a una historia clínica completa, la aplicación de métodos detallados, exámenes de laboratorio y físicos utilizados con excelente rendimiento en el diagnóstico de la enfermedad coronaria en la actualidad.

  6. Auricular Acupressure for Managing Postoperative Pain and Knee Motion in Patients with Total Knee Replacement: A Randomized Sham Control Study

    Directory of Open Access Journals (Sweden)

    Ling-hua Chang

    2012-01-01

    Full Text Available Background. Postoperative pain management remains a significant challenge for all healthcare providers. A randomized controlled trial was conducted to examine the adjuvant effects of auricular acupressure on relieving postoperative pain and improving the passive range of motion in patients with total knee replacement (TKR. Method. Sixty-two patients who had undergone a TKR were randomly assigned to the acupressure group and the sham control group. The intervention was delivered three times a day for 3 days. A visual analog scale (VAS and the Short-Form McGill Pain Questionnaire were used to assess pain intensity. Pain medication consumption was recorded, and the knee motion was measured using a goniometer. Results. The patients experienced a moderately severe level of pain postoperatively (VAS 58.66 ± 20.35 while being on the routine PCA. No differences were found in pain scores between the groups at all points. However, analgesic drug usage in the acupressure group patients was significantly lower than in the sham control group (<0.05, controlling for BMI, age, and pain score. On the 3rd day after surgery, the passive knee motion in the acupressure group patients was significantly better than in the sham control group patients (<0.05, controlling for BMI. Conclusion. The application of auricular acupressure at specific therapeutic points significantly reduces the opioid analgesia requirement and improves the knee motion in patients with TKR.

  7. Team assessment in stroke rehabilitation.

    Science.gov (United States)

    Duff, Jane

    2009-01-01

    Goal planning is one of the most universal approaches in rehabilitation, yet its application is much more than just setting specific behavior-focused goals. This article aims to emphasize the fundamental aspects of the process and reference the key literature in the area. At its heart, goal planning is about producing lasting behavior change, and the central role of the patient in the assessment and rehabilitation process is highlighted throughout. The team-based nature of assessment is promoted and the benefit of measuring verbal (a patient's knowledge of his or her condition and ability to instruct others in its management) as well as physical capability, as incorporated by one of the measures, is discussed. A hierarchical approach to the setting of goals is suggested so that individual patient need can be reflected in the process rather than setting goals which centre on specific professional skills. The article provides information about the long-term benefits for the patient and service that arise from this change of emphasis and maps the goal-planning process onto an adjustment model. Practical case examples of patient involvement in the assessment and goal-setting process are given.

  8. Emotional disorders in neurological rehabilitation.

    Science.gov (United States)

    House, Allan; Hosker, Christian

    2013-01-01

    Depression, anxiety, emotionalism, irritability, and apathy are common findings in the neurological rehabilitation setting and are associated with poorer outcomes. This chapter outlines the importance of detecting and attending to these disorders. The authors recommend the systematic use of self-report measures, tailored for those with cognitive or motor difficulties, in combination with interview-based assessments where suspicion of the presence of a disorder is aroused. A stepped care scheme for coordinating rehabilitation services is presented which highlights the importance of training all staff to be aware of the possibility of patients presenting with emotional disorders and the need to equip all staff with the skills to make emotional enquiries and to carry out brief interventions where indicated. Interventions should be based upon a combination of watchful waiting and optimization of clinical care followed by evidence-based brief therapies such as problem solving, motivational interviewing, and behavioral activation. Antidepressant prescribing should be reserved for the more severe cases and protocols should involve a system for reviewing and time-limiting prescriptions. This chapter aims to aid those designing services to produce simple and widely understood programs that meet the needs of this inherently heterogeneous client base.

  9. Using standardized fishery data to inform rehabilitation efforts

    Science.gov (United States)

    Spurgeon, Jonathan J.; Stewart, Nathaniel T.; Pegg, Mark A.; Pope, Kevin L.; Porath, Mark T.

    2016-01-01

    Lakes and reservoirs progress through an aging process often accelerated by human activities, resulting in degradation or loss of ecosystem services. Resource managers thus attempt to slow or reverse the negative effects of aging using a myriad of rehabilitation strategies. Sustained monitoring programs to assess the efficacy of rehabilitation strategies are often limited; however, long-term standardized fishery surveys may be a valuable data source from which to begin evaluation. We present 3 case studies using standardized fishery survey data to assess rehabilitation efforts stemming from the Nebraska Aquatic Habitat Plan, a large-scale program with the mission to rehabilitate waterbodies within the state. The case studies highlight that biotic responses to rehabilitation efforts can be assessed, to an extent, using standardized fishery data; however, there were specific areas where minor increases in effort would clarify the effectiveness of rehabilitation techniques. Management of lakes and reservoirs can be streamlined by maximizing the utility of such datasets to work smarter, not harder. To facilitate such efforts, we stress collecting both biotic (e.g., fish lengths and weight) and abiotic (e.g., dissolved oxygen, pH, and turbidity) data during standardized fishery surveys and designing rehabilitation actions with an appropriate experimental design.

  10. Contribuição da acupuntura auricular no processo de abstinência das drogas psicotrópicas

    Directory of Open Access Journals (Sweden)

    Judite Oliveira Lima

    2012-06-01

    Full Text Available Introdução: Acupuntura auricular é um método aplicado para problemas de saúde que atua por ação reflexa e apresenta resposta orgânica quando usada no microssistema da orelha. Objetivos: conhecer as drogas usadas pelos dependentes e demonstrar a contribuição da acupuntura auricular como tratamento complementar no processo de abstinência das drogas psicotrópicas. Método: estudo de campo de caráter qualitativo, aprovado pelo CEP e realizado em uma instituição do Maranhão com nove internos submetidos ao método a partir do quarto mês em tratamento para dependência química. Cientes dos objetivos da pesquisa excluiu-se participantes que usavam medicação coadjuvante como anti-hipertensivos, cardiotônicos e outros. Durante as entrevistas aplicou–se um roteiro semi-estruturado cujos depoimentos foram gravadas para escuta atentiva e análise, a posteriori. Resultados: emergiram quatro categorias como tipos de psicotrópicos usados pelos participantes nas quais foram citadas como as drogas mais consumidas, o álcool (100%, maconha(100%, seguida de cocaína(60% e crack(40%; para a acupuntura auricular atuando na abstenção das drogas, referiram sintomatologias como nervosismo, depressão,mialgias, impaciência, ansiedade, câimbras, alterações no ritmo do sono e inquietação que caracterizam a dependência psicológica manifestados devido à interrupção do uso exagerado ou prolongado das drogas, porém apontaram como benefícios para a saúde os efeitos positivos do método já que a terapia trouxe equilíbrio emocional, alívio das dores e regularidade da fome e sono; quanto a recomendação do uso para outras pessoas referiram aprovação da terapia que merece ser divulgada, pois perceberam contribuições expressivas da acupuntura auricular, como tratamento complementar. Conclusão: acupuntura auricular é relevante na efetivação da libertação da dependência por drogas psicotrópicas, enquanto terapia complementar que

  11. Comparison of Body, Auricular, and Abdominal Acupuncture Treatments for Insomnia Differentiated as Internal Harassment of Phlegm-Heat Syndrome: An Orthogonal Design

    Directory of Open Access Journals (Sweden)

    Yue Jiao

    2015-01-01

    Full Text Available Objective. To identify the optimum treatment protocol for insomnia among auricular, body, and abdominal needling methods. Methods. A three-factor (3 needling protocols and three-level experimental scheme was designed based on orthogonal method. 54 patients of insomnia differentiated as internal harassment of phlegm-heat syndrome were given two courses of acupuncture treatment (each with 20 times of acupuncture. The therapeutic effects were evaluated by comparing the Pittsburgh sleep quality index (PSQI, Hamilton Depression Scale (HAMD scores, and Hamilton Anxiety Scale (HAMA scores of patients before treatment, after one course of treatment, and after two courses of treatment as well as one month after treatment. Results. Body, auricular, and abdominal acupuncture treatments all alleviated symptoms of insomnia, depression, and anxiety, but body and auricular acupuncture had stronger therapeutic effects. Conclusions. Body acupuncture at basic points shall be given priority in protocol selection for insomnia. The second-best choice is auricular acupuncture with basic points combined with points based on Traditional Chinese Medicine (TCM theories. Abdominal needling with very quick effect can be an alternative protocol with basic points combined with syndrome differentiation points.

  12. Resultados a corto y medio plazo de la ablación quirúrgica de la fibrilación auricular en el paciente con valvulopatía mitral

    OpenAIRE

    Estévez Flórez, Vanessa

    2011-01-01

    La Fibrilación auricular (FA) es la taquiarritmia supraventricular más prevalente en la población general (1-2%), asociada con frecuencia cardiopatías estructurales. Se caracteriza por una activación auricular desordenada y deterioro de la función auricular. Se inicia como una enfermedad paroxística que evoluciona a formas persistentes-permanentes. Su presentación y repercusión clínica son variables. Desde formas asintomáticas diagnosticadas casualmente a muy sintomáticas, con graves conse...

  13. Recuperación de la contracción auricular luego de la cirugía de MAZE III izquierdo

    Directory of Open Access Journals (Sweden)

    Antonio Piazza

    2009-01-01

    Full Text Available IntroducciónLa cirugía de MAZE III izquierdo demostró una efectividad elevada en la restauración a ritmo sinusal. Sin embargo, la efectividad en la restauración de la sístole auricular en poblaciones con cardiopatía estructural y el predominio de enfermedad reumática resultan áreas de incertidumbre.ObjetivoEvaluar la efectividad de la cirugía de MAZE en la restauración de la sístole auricular en pacientes con cardiopatía estructural.Material y métodosEstudio prospectivo, consecutivo de 27 pacientes portadores de fibrilación auricular crónica persistente con indicación de cirugía cardiovascular y en los que se realizó la técnica de MAZE como tratamiento de la arritmia. La presencia de sístole auricular se evaluó mediante Doppler tisular del anillo mitral lateral.ResultadosEn una población caracterizada por predominancia de cardiopatía reumática (41% y tiempo prolongado de evolución de la arritmia (61 meses promedio, al final del seguimiento el 87% se encontraba en ritmo sinusal en el 80% de los casos con actividad mecánica. El antecedente de cardiopatía reumática, una duración de la arritmia mayor de 5,5 años, el sexo femenino y el reemplazo de válvula mitral fueron variables estadísticamente significativas en cuanto a la ausencia de sístole auricular. No tuvieron significación la edad, la fracción de eyección del ventrículo izquierdo y el tamaño de la aurícula izquierda.ConclusionesEn esta población es significativa la falta de correspondencia entre ritmo sinusal y sístole auricular. El Doppler tisular es un método útil para identificar a aquellos pacientes sin contracción auricular. El impacto clínico de este hallazgo está vinculado con la decisión en la continuidad del tratamiento anticoagulante.REV ARGENT CARDIOL 2009;77:7-13.

  14. Fibrilación auricular en el postoperatorio de cirugía cardíaca: Prevalencia y tiempo de internación

    Directory of Open Access Journals (Sweden)

    Alejandro E. Contreras

    2010-08-01

    Full Text Available La fibrilación auricular es el trastorno del ritmo más frecuente luego de la cirugía cardíaca. En estudios previos se ha asociado a prolongación de la internación, aumento en los costos e incremento en la mortalidad. El objetivo de este estudio fue conocer la prevalencia de fibrilación auricular en el postoperatorio de cirugía cardíaca y determinar el efecto en el tiempo de estadía hospitalaria. Se analizaron retrospectivamente las historias clínicas de pacientes sometidos a cirugía cardíaca consecutivamente (de revascularización miocárdica, valvulares o ambas entre enero 2006 y noviembre 2008. El punto final evaluado en el postoperatorio fue la presencia de fibrilación auricular. Se dividió a la muestra en dos grupos según tuvieran o no fibrilación auricular, y se compararon las variables clínicas y el tiempo de estadía hospitalaria. Ciento setenta y dos pacientes fueron operados en este período. Se excluyeron del análisis siete pacientes por falta de datos. La edad media fue 64.2 ± 9.5 años, con predominio del sexo masculino. La fibrilación auricular fue la complicación más frecuente (23.6%. El tiempo promedio de internación fue 6.7 ± 4.6 días. No hubo diferencias relevantes al comparar la estadía hospitalaria entre los grupos con o sin fibrilación auricular, 7.5 ± 4.1 días vs. 6.5 ± 4.7 días respectivamente, p = 0.21. La presencia de fibrilación auricular no prolongó la hospitalización. Probablemente una estrategia de prevención indiscriminada no sería costo-efectiva.

  15. Computed-torque method for the control of a 2 DOF orthosis actuated through pneumatic artificial muscles: a specific case for the rehabilitation of the lower limb

    CERN Document Server

    Prattico, Flavio; Yamamoto, Shin-ichiroh

    2014-01-01

    In this paper we give a new control model based on the so called computed-torque method for the control of a 2 degrees of freedom orthosis for the rehabilitation of the lower limb, the AIRGAIT exoskeleton's leg orthosis. The actuation of the AIRGAIT is made through self-made pneumatic muscles. For this reason this work starts with the static and dynamic characterization of our pneumatic muscles. The followed approach is based on the analytical description of the system. For this, we describe the pneumatic muscles behaviour with an easy-invertible polynomial fit function in order to model its non-linear trend. We give a geometrical model of the mechanical system to compute the length between the attachments of the pneumatic muscles to the structure for every angles assumed by the two joints. We evaluate through Newton-Euler equation the couples at the joints for each values of the angles. At last we show some validation tests in order to characterize the functioning of the proposed control model on the actuati...

  16. The Juvenile Rehabilitation Reader.

    Science.gov (United States)

    Greenwood, Peter W., Ed.; And Others

    This document contains several essays on topics of interest to researchers of rehabilitative efforts. The subjects covered include an historical look at chronic delinquents and their treatment programs; a review of West European programs; legal constraints on intervention; a review of evidence concerning biological contributions to criminality and…

  17. Providing rehabilitation online

    DEFF Research Database (Denmark)

    Bødker, Malene; Juul, Annegrete

    2015-01-01

    Purpose – Telecare promises to deliver healthcare services more efficiently while, at the same time, improving the quality of care. The purpose of this paper is to challenge these promises by analysing the implications of introducing telecare in the rehabilitation of patients suffering from chronic...

  18. Crossroads in aphasia rehabilitation

    NARCIS (Netherlands)

    W.M.E. van de Sandt-Koenderman (Mieke)

    2007-01-01

    textabstractThis thesis focusses on two types of aphasia rehabilitation, cognitive linguistic treatment (CLT) and AAC (Augmentative and Alternative Communication) training. In a study of the effect of nonlinguistic variables on the outcome of CLT, it was shown, that neuropsychological data con

  19. The ritualization of rehabilitation

    DEFF Research Database (Denmark)

    Tjørnhøj-Thomsen, Tine; Hansen, Helle Ploug

    2013-01-01

    There is widespread and increasing political interest in devising plans to support people who have or have had cancer to recover and recommence 'normal' lives. Educating cancer patients for this purpose is a central element in cancer rehabilitation in both Europe and the United States. One of the...

  20. Acupuncture and Equine Rehabilitation.

    Science.gov (United States)

    le Jeune, Sarah; Henneman, Kimberly; May, Kevin

    2016-04-01

    Acupuncture is one of the most common veterinary integrative medicine modalities. Acupuncture can greatly contribute to a rehabilitation protocol by promoting analgesia, tissue healing, and muscle strength. Acupuncture is safe, has minimal detrimental side effects, and is well tolerated by most horses.