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Sample records for dynamic splinting home

  1. Adhesive capsulitis and dynamic splinting: a controlled, cohort study

    Directory of Open Access Journals (Sweden)

    Willis F Buck

    2009-09-01

    Full Text Available Abstract Background Adhesive Capsulitis (AC affects patient of all ages, and stretching protocols are commonly prescribed for this condition. Dynamic splinting has been shown effective in contracture reduction from pathologies including Trismus to plantar fasciitis. The purpose of this study was to examine the efficacy of dynamic splinting on patients with AC. Methods This controlled, cohort study, was conducted at four physical therapy, sports medicine clinics in Texas and California. Sixty-two patients diagnosed with Stage II Adhesive Capsulitis were grouped by intervention. The intervention categories were as follows: Group I (Control; Group II (Physical Therapy exclusively with standardized protocols; Group III; (Shoulder Dynasplint system exclusively; Group IV (Combined treatment with Shoulder Dynasplint and standardized Physical Therapy. The duration of this study was 90 days for all groups, and the main outcome measures were change in active, external rotation. Results Significant difference was found for all treatment groups (p Conclusion The difference for the combined treatment group was attributed to patients' receiving the best PT combined with structured "home therapy" that contributed an additional 90 hours of end-range stretching. This adjunct should be included in the standard of care for adhesive Capsulitis. Trial Registration Trial Number: NCT00873158

  2. [Tension force in dynamic splints made of neoprene].

    Science.gov (United States)

    Punsola-Izard, V; Rouzaud, J C; Thomas, D; Lluch; Garcia-Elias

    2001-06-01

    Dynamic splints are the most difficult ortheses to make. Unrestricted finger joint mobility is usually prevented by the size of their components. Ortheses made out of neoprene material have the advantage of being pliable and at the same time can be constructed as dynamic splints. Neoprene material elasticity allows conforming it into a tube that can be fitted over a finger, spreading uniform pressure. A traction slip can be cemented to the neoprene finger tube. With neoprene splints, lever arms are more efficient. Their tubular design applies and spreads traction and countertraction forces in all directions. Neoprene material's elasticity contributes in reducing edema formation as well as distributes forces applied to the finger over a large area. The risk of excessive pressure is the only drawback of an elastic tubular design, it may cause pain and tissue ischemia. A meticulous tailoring prevents this potential risk.

  3. Prosthetics socket that incorporates an air splint system focusing on dynamic interface pressure.

    Science.gov (United States)

    Razak, Nasrul Anuar Abd; Osman, Noor Azuan Abu; Gholizadeh, Hossein; Ali, Sadeeq

    2014-08-01

    The interface pressure between the residual limb and prosthetic socket has a significant effect on an amputee's satisfaction and comfort. This paper presents the design and performance of a new prosthetic socket that uses an air splint system. The air splint prosthetic socket system was implemented by combining the air splint with a pressure sensor that the transhumeral user controls through the use of a microcontroller. The modular construction of the system developed allows the FSR pressure sensors that are placed inside the air splint socket to determine the required size and fitting for the socket used. Fifteen transhumeral amputees participated in the study. The subject's dynamic pressure on the socket that's applied while wearing the air splint systems was recorded using F-socket transducers and microcontroller analysis. The values collected by the F-socket sensor for the air splint prosthetic socket system were determined accordingly by comparing the dynamic pressure applied using statically socket. The pressure volume of the air splint fluctuated and was recorded at an average of 38 kPa (2.5) to 41 kPa (1.3) over three hours. The air splint socket might reduce the pressure within the interface of residual limb. This is particularly important during the daily life activities and may reduce the pain and discomfort at the residual limb in comparison to the static socket. The potential development of an auto-adjusted socket that uses an air splint system as the prosthetic socket will be of interest to researchers involved in rehabilitation engineering, prosthetics and orthotics.

  4. EFFECTIVENESS OF DYNAMIC WRIST SPLINT ON DELTOID MUSCLE ACTIVITY USING FUNCTIONAL TASK PRACTICE IN POST STROKE PATIENTS

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    Jalaja Prakash

    2013-06-01

    Full Text Available Background:The study is to analyze the effectiveness of dynamic wrist splint on deltoid muscle activity usingfunctional task practice along with strengthening exercises in post stroke patients.Materials and Methods:Experimental study with sampling size 30 patients Group A: 15 patients. Group B: 15 patients. Sampling methodis convenient random sampling. Intervention period: 4 weeks. Settings: Bhagwan Mahaveer Jain Hospital, Vasanthnagar, Bangalore.The patient will be received; history will be taken; explained about the treatment session andinformed written consent will be taken. Patient will be made to sit comfortably. Check for safety i.e.; with armrest, back rest if necessary provide cushion. Dynamic wrist splint of appropriate size will be taken; checked forfitting of the splint for any compression and avoid other complications The initial muscle activityprior to treat-ment will be measured using EMG for deltoid. Group A: The patient will be asked to perform a given set ofactivities or tasks with splint. Group B: The patient will be asked to perform a given set of activities or taskswithout splint Each session would last for 30 minutes and frequency of 3-4 times per week. At the end oftreatment, surface EMG for deltoid is taken to check for the effectiveness of use of splint with work task duringthe rehabilitation program.Results:After 4weeks treatment period, the subjects in the group A were com-pared with the subjects in the group B. Group B had shown a significant difference with outcome measureswhen compared to group AConclusion:It is evident from the results that the subjects who used the thumbabduction supinator splint showed significant level of improvement in function and increase in deltoid muscleactivity when compared with subjects who did not use the splint as quantified using Fugl Meyer Scalefor UpperExtremity and Surface EMG.

  5. Pneumatic-type dynamic traction and flexion splint for treating patients with extension contracture of the metacarpophalangeal joint.

    Science.gov (United States)

    Nakayama, Jun; Horiki, Mituru; Denno, Kakurou; Ogawa, Kazunori; Oka, Hisao; Domen, Kazuhisa

    2016-02-01

    Collateral ligament shortening causes extension contractures of the metacarpophalangeal joint, and dynamic flexion splinting has been widely used to treat these contractures; however, there are various problems with these approaches. We developed a novel, pneumatic-type dynamic traction and flexion splint to solve these problems. A total of 25 fingers were treated with the dynamic traction and flexion splint for 8 weeks. Every 2 weeks, the average metacarpophalangeal joint flexion angle, total active motion, grasp strength, and pain scores were assessed. The finger flexion angle was significantly greater at the final evaluation, starting after 6 weeks of treatment (p < 0.05), than prior to treatment. Similarly, the total active motion results improved significantly over 8 weeks. Our results show that use of the dynamic traction and flexion splint improves patient finger functioning and flexural angle. The dynamic traction and flexion (DTF) splint appears to be effective for treating patients. © The International Society for Prosthetics and Orthotics 2015.

  6. Prosthetics socket that incorporates an air splint system focusing on dynamic interface pressure

    OpenAIRE

    Razak, Nasrul Anuar Abd; Osman, Noor Azuan Abu; Gholizadeh, Hossein; Ali, Sadeeq

    2014-01-01

    Background The interface pressure between the residual limb and prosthetic socket has a significant effect on an amputee’s satisfaction and comfort. This paper presents the design and performance of a new prosthetic socket that uses an air splint system. Methods The air splint prosthetic socket system was implemented by combining the air splint with a pressure sensor that the transhumeral user controls through the use of a microcontroller. The modular construction of the system developed allo...

  7. [Thermoformed orthopedic splints].

    Science.gov (United States)

    Amoric, M

    1990-12-01

    Initially used to make simple splints, thermoforming has led to the development of a new means of application of orthopedic forces. Here we have presented splints which allow the treatment of Class III, Class II and cases of endomaxillitis.

  8. The effect of new dynamic splint in pinch strength in De Quervain syndrome: a comparative study.

    Science.gov (United States)

    Nemati, Zahra; Javanshir, Mohammad Ali; Saeedi, Hassan; Farmani, Farzad; Aghajani Fesharaki, Siamak

    2016-02-17

    Objective For patients with De Quervain syndrome using thumb spica orthosis is restricting, so many patient are dissatisfied with using static model. The aim of this study is to compare the effect of modified dynamic and conventional static orthoses on pinch power and functional abilities of hand in De Quervain syndrome. Method In this quasi-experimental study, palmar and lateral pinch strength of the thumb, pain and functional abilities of hand, patient's satisfaction of orthoses, were evaluated after using modified dynamic and conventional static orthosis in two groups. Results Both orthoses improved palmar and lateral pinch strength of the thumb, pain level and functional abilities. In comparison of mentioned variables, there was no significant difference between two groups regarding to pain recovery and abilities improvement (p > 0.05). However, the satisfaction level of the patients who had used dynamic orthosis was higher (p Quervain syndrome.

  9. Simplified functional splinting after extensor tenorrhaphy.

    Science.gov (United States)

    Slater, R R; Bynum, D K

    1997-05-01

    The medical records of 22 patients who had a total of 61 simple or complex lacerations of finger, thumb, and wrist extensor tendons repaired in zones V-VIII (thumb zones TIII-TV) were reviewed. By 7 days after surgery, custom-molded splints were applied to hold the patients' wrists extended (approximately 30 degrees) and the metacarpophalangeal (MP) joints flexed slightly (20 degrees-30 degrees), leaving the interphalangeal (IP) joints free. If thumb tenorrhaphies were done, the thumb carpometacarpal and MP joints were included and splinted in neutral (0 degree extension) position. Patients performed active JP joint range of motion (ROM) exercises as instructed. At a mean follow-up period of 4.5 months (range, 1.5-12 months), there were no residual impairments that interfered with patients' activities of daily living or prevented their return to preinjury employment status; 19 of 22 patients (86%) had good or excellent results, based on objective criteria of active motion. There were no tenorrhaphy failures. The results support the concept of functional splinting techniques, which allow early active IP joint ROM while protecting the repaired tendons, thus resulting in less joint stiffness than older methods of static splinting without being as complicated and labor-intensive as dynamic splinting.

  10. Splinting for adaptation of musical instruments.

    Science.gov (United States)

    Boyette, Jennifer

    2005-01-01

    Classic instrument design does not always match the physical capacity of the musician, as instruments are often chosen because of the pleasing sound and not the ease of play. Devices that are commercially available to create a more ergonomic structure may not address the specific needs of a musician with a chronic condition. Through basic splinting of the musician with an injury, these physical stressors can be reduced, allowing the continuation of musical practice and performance. Appropriate design modification requires a solid understanding of upper extremity anatomy, splint design technique, and the biomechanic principles of playing the instrument. Through knowledge of music theory and appreciation, one may modify the instrument while protecting tonal flexibility, resonance, mechanical freedom, and sound quality. Two case studies present a range of splint design, from small to large, static to dynamic, and for congenital or chronic conditions.

  11. Static progressive versus three-point elbow extension splinting: a mathematical analysis.

    Science.gov (United States)

    Chinchalkar, Shrikant J; Pearce, Joshua; Athwal, George S

    2009-01-01

    Elbow joint contractures are often treated by using static progressive, dynamic, turnbuckle, or serial static splinting. These splint designs are effective in regaining functional elbow range of motion due to the high forces applied to the contracted tissues; however, regaining terminal elbow extension remains a challenge. Static progressive splints are commonly used to initiate treatment, however, are considered less effective in regaining terminal extension. Recently, the concept of converting a static progressive splint into a three-point static progressive splint (TPSPS) to regain terminal extension has been introduced. This paper mathematically analyzes the compressive and rotational forces in static progressive and TPSPSs. Our hypothesis was that three-point static progressive splinting was superior to the standard static progressive elbow extension splint in applying rotational forces to the elbow at terminal extension.

  12. Neoprene splinting: dermatological issues.

    Science.gov (United States)

    Stern, E B; Callinan, N; Hank, M; Lewis, E J; Schousboe, J T; Ytterberg, S R

    1998-01-01

    Occupational therapists are expanding their use of custom and commercial soft splints fabricated from neoprene (polychloroprene), but little has been written regarding dermatological issues associated with this material. Skin contact with neoprene poses two dermatological risks: allergic contact dermatitis (ACD) and miliaria rubra (i.e., prickly heat). Allergic reaction to neoprene is generally ascribed to the accelerants used to manufacture the man-made rubber, specifically thiourea compounds and mercaptobenzothiazole (MBT). Symptoms of neoprene-related ACD include itching, skin eruptions, swelling, and hemorrhages into the skin. Miliaria rubra creates small, red, elevated, inflammatory papules and a tingling, burning sensation. Although neoprene hypersensitivity is rare, its incidence may grow as neoprene becomes a more commonly used material. It is recommended that therapists screen patients for a history of dermatological reactions to neoprene or other materials containing thiourea compounds or MBT and educate patients to discontinue splint use if dermatological symptoms develop. Therapists are also encouraged to notify splint manufacturers regarding all ACD reactions.

  13. Home and away- the evolutionary dynamics of homing endonucleases

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    Barzel Adi

    2011-11-01

    Full Text Available Abstract Background Homing endonucleases (HEases are a large and diverse group of site-specific DNAases. They reside within self-splicing introns and inteins, and promote their horizontal dissemination. In recent years, HEases have been the focus of extensive research due to their promising potential use in gene targeting procedures for the treatment of genetic diseases and for the genetic engineering of crop, animal models and cell lines. Results Using mathematical analysis and computational modeling, we present here a novel account for the evolution and population dynamics of HEase genes (HEGs. We describe HEGs as paradoxical selfish elements whose long-term persistence in a single population relies on low transmission rates and a positive correlation between transmission efficiency and toxicity. Conclusion Plausible conditions allow HEGs to sustain at high frequency through long evolutionary periods, with the endonuclease frequency being either at equilibrium or periodically oscillating. The predictions of our model may prove important not only for evolutionary theory but also for gene therapy and bio-engineering applications of HEases.

  14. Fixation of a human rib by an intramedullary telescoping splint anchored by bone cement.

    Science.gov (United States)

    Liovic, Petar; Šutalo, Ilija D; Marasco, Silvana F

    2016-09-01

    A novel concept for rib fixation is presented that involves the use of a bioresorbable polymer intramedullary telescoping splint. Bone cement is used to anchor each end of the splint inside the medullary canal on each side of the fracture site. In this manner, rib fixation is achieved without fixation device protrusion from the rib, making the splint completely intramedullary. Finite element analysis is used to demonstrate that such a splint/cement composite can preserve rib fixation subjected to cough-intensity force loadings. Computational fluid dynamics and porcine rib experiments were used to study the anchor formation process required to complete the fixation.

  15. Elastomeric contractile actuators for hand rehabilitation splints

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    Carpi, Federico; Mannini, Andrea; De Rossi, Danilo

    2008-03-01

    The significant electromechanical performances typically shown by dielectric elastomer actuators make this polymer technology particularly attractive for possible active orthoses for rehabilitation. Folded contractile actuators made of dielectric elastomers were recently described as a simple configuration, suitable to easily implement linear contractile devices. This paper describes an application of folded actuators for so-called hand splints: they consist of orthotic systems for hand rehabilitation. The dynamic versions of the state-of-the-art splints typically include elastic bands, which exert a passive elastic resistance to voluntary elongations of one or more fingers. In order to provide such splints with the possibility of electrically modulating the compliance of the resistive elements, the substitution of the passive elastic bands with the contractile actuators is here described. The electrical activation of the actuators is used to vary the compliance of the system; this enables modulations of the force that acts as an antagonist to voluntary finger movements, according to programmable rehabilitation exercises. The paper reports results obtained from the first prototype implementations of such a type of system.

  16. Septal splint with wax plates.

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    Nayak D

    1995-07-01

    Full Text Available To pack or not to pack, has always been a debate, especially after septal and functional endoscopic sinus surgery. The authors have studied the symptoms of packing versus not packing in their series of 100 patients having undergone nasal surgery. They advocate the use of dental wax for the fashioning of septal splints, since they are easy to introduce, cheap and malleable. The patients postoperative comfort is greatly enhanced with the use of dental wax plate splints instead of nasal packing.

  17. Home garden system dynamics in Southern Ethiopia

    NARCIS (Netherlands)

    Mellisse, Beyene Teklu; Ven, van de Gerrie W.J.; Giller, Ken E.; Descheemaeker, Katrien

    2017-01-01

    Home gardens in southern Ethiopia are regarded as efficient farming systems, allowing interactions and synergies between crop, tree and livestock components. However, these age-old traditional home gardens are evolving rapidly in response to changes in both the socio-economic and biophysical

  18. Troubles with the Internet: The Dynamics of Help at Home.

    Science.gov (United States)

    Kiesler, Sara; Zdaniuk, Bozena; Lundmark, Vicki; Kraut, Robert

    2000-01-01

    Discussion of the need for technical support during home computer Internet use focuses on a study that examined the conditions and consequences of acquiring technical support at home. Topics include the role of teenagers, family dynamics, and implications for support services and for research on technological change. (LRW)

  19. Shin splints--a literature review.

    OpenAIRE

    Bates, P

    1985-01-01

    "Shin splints" is not a specific diagnosis. It is merely a descriptive term that describes chronic exertional shin pain in an athlete. The evidence seems clear that shin splint pain has many different causes and this reflects the variation in the anatomy. It would be preferable to describe shin splint pain by location and aetiology, for example, lower medial tibial pain due to periostitis or upper lateral tibial pain due to elevated compartment pressure. This would aid communication between p...

  20. Pneumatic splints : fabrication and use in neurorehabilitation.

    Directory of Open Access Journals (Sweden)

    Taly A

    2002-01-01

    Full Text Available Asymmetrical tone and weakness in antagonistic muscles often result in misalignment of joint, contractures and deformities. Traditional static splints used to prevent these complications are expensive, have to be custom made and cannot be used when deformities are marked. Authors describe fabrication and use of pneumatic splints, which are economic, safe and easy to apply. These splints have wide application in the management of common medical problems in neurological rehabilitation like hypotension, edema, pain, spasticity and early deformities.

  1. Positioning, Splinting, and Contracture Management

    Science.gov (United States)

    2011-01-01

    positioning has been described as follows: neck in extension, shoulder abducted to 90 to 110 and horizontally adducted 15 to 20 or in the position of...scaption,9–11 elbow extension, forearm supination, wrist extension of 15 to 25 with neutral deviation, MCP joints in 60 to 70 flexion , interpha- langeal...pull on the involved body part(s). The angle of pull should be 90 to prevent friction and provide an optimal force.29 Splint adjustments have to be made

  2. 21 CFR 874.4780 - Intranasal splint.

    Science.gov (United States)

    2010-04-01

    .... An intranasal splint is intended to minimize bleeding and edema and to prevent adhesions between the septum and the nasal cavity. It is placed in the nasal cavity after surgery or trauma. The intranasal...

  3. Application of Zigbee in Smart Home with Dynamic Routing Algorithm

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    Li Zhongqin

    2013-07-01

    Full Text Available In order to avoid damaging the walls and bore a hole through the walls., also to save the cost of rewiring , low voltage power line can be used to implement the smart home .However ,several difficult problem must be solved at the same time , the most important are finding a technology method to suppress the noise interference and resist the weaker signal. The  smart home system is introduced in the paper. During the design of Smart Home System adopting power line signal carrier, a dynamic routine algorithm based on the idea of Genetic Algorithm is proposed to cope with the time-varying and random feature of power line channel. Thus the system can find the transmission path in real time and dispatch the signal carrier to transmit among the nodes. With this algorithm, the communication between a certain group-controller and its terminal nodes or between the main-controller and the group-controllers is realized successfully. In the proposed algorithm all nodes but the controller adopt same driver, therefore the plug and play is realized for all nodes.    

  4. Family Dynamics of the Stay-at-Home Father and Working Mother Relationship.

    Science.gov (United States)

    Rushing, Cassie; Powell, Lisa

    2015-09-01

    A phenomenological qualitative study was utilized to explore family dynamics in stay-at-home father and working mother households. A total of 20 working mothers were asked to describe family interactions and daily routines with regard to their stay-at-home father and working mother dynamic. All participants were married, heterosexual women with biological children ages 1 to 4 and who worked outside the home and the father stayed home as primary caretaker and did not contribute financially. The study indicated that the family dynamic of a working mother and stay-at-home father provided a positive parent-child relationship, enhanced parenting cohesion, and enhanced quality time.

  5. Polyvinyl siloxane: novel material for external nasal splinting.

    Science.gov (United States)

    Jayakumar, N K; Rathnaprabhu, V; Ramesh, S; Parameswaran, A

    2016-01-01

    External nasal splinting is performed routinely after nasal bone fracture reductions, osteotomies, and rhinoplasties. Materials commonly used include plaster of Paris (POP), thermoplastic splints, self-adhesive padded aluminium splints, and Orthoplast, among many others. The disadvantages of these materials are described in this paper, and polyvinyl siloxane is recommended as an effective and more readily available alternative material to counter these pitfalls.

  6. 21 CFR 890.3665 - Congenital hip dislocation abduction splint.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Congenital hip dislocation abduction splint. 890....3665 Congenital hip dislocation abduction splint. (a) Identification. A congenital hip dislocation abduction splint is a device intended for medical purposes to stabilize the hips of a young child...

  7. Optimization design of thumbspica splint using finite element method.

    Science.gov (United States)

    Huang, Tz-How; Feng, Chi-Kung; Gung, Yih-Wen; Tsai, Mei-Wun; Chen, Chen-Sheng; Liu, Chien-Lin

    2006-12-01

    De Quervain's tenosynovitis is often observed on repetitive flexion of the thumb. In the clinical setting, the conservative treatment is usually an applied thumbspica splint to immobilize the thumb. However, the traditional thumbspica splint is bulky and heavy. Thus, this study used the finite element (FE) method to remove redundant material in order to reduce the splint's weight and increase ventilation. An FE model of a thumbspica splint was constructed using ANSYS9.0 software. A maximum lateral thumb pinch force of 98 N was used as the input loading condition for the FE model. This study implemented topology optimization and design optimization to seek the optimal thickness and shape of the splint. This new design was manufactured and compared with the traditional thumbspica splint. Ten thumbspica splints were tested in a materials testing system, and statistically analyzed using an independent t test. The optimal thickness of the thumbspica splint was 3.2 mm. The new design is not significantly different from the traditional splint in the immobilization effect. However, the volume of this new design has been reduced by about 35%. This study produced a new thumbspica splint shape with less volume, but had a similar immobilization effect compared to the traditional shape. In a clinical setting, this result can be used by the occupational therapist as a reference for manufacturing lighter thumbspica splints for patients with de Quervain's tenosynovitis.

  8. Influence of occlusal splint thickness on the position of mandible

    Institute of Scientific and Technical Information of China (English)

    CHEN Yong-jin; Nagashima T; Nokubi T

    2005-01-01

    Objective: To investigate the influence of occlusal splint thickness on mandibular movement. Methods: Stabilization occlusal splints of 3, 5 and 7 mm thickness were respectively used during clenching from light contact in intercuspal position and the movement of condyles and incisor point were recorded in 5 healthy subjects. Results:The condyles moved anteriorly and superiorly without wearing occlusal splint. When wearing the occlusal splints the condyles displaced anteriorly and inferiorly. The distance of displacement increased gradually with raising the thickness of splint, though the significant difference was just found in right condyle in superior- inferior movement. The condyles went again on a path of anterior and superior direction when subjects clenched from the displaced position. In right condyle the displacement was significantly greater at 7 mm splint than that at 3 mm splint both in anterior-posterior and inferior-superior direction, while in left condyle only in anterior-posterior direction. Meanwhile, the incisal point movement was larger at 7 mm splint than at 3 mm splint in inferior-superior direction. In tapping movement there were no significant differences in condyle movement between the different thickness of occlusal splint. However, the coefficient of variation in total cycle time was the greatest when wearing the splint of 7 mm. Conclusion: Occlusal splint of 7 mm has greater effect than that of 3 mm on condyle movement, but no obvious difference with occlusal splint of 5 mm. When occlusal splint of 7 mm is inserted, the stability of condyle might be influenced during tapping movement.

  9. Splinting of Longitudinal Fracture: An Innovative Approach

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    Rashmi Bansal

    2016-01-01

    Full Text Available Trauma may result in craze lines on the enamel surface, one or more fractured cusps of posterior teeth, cracked tooth syndrome, splitting of posterior teeth, and vertical fracture of root. Out of these, management of some fractures is of great challenge and such teeth are generally recommended for extraction. Literature search reveals attempts to manage such fractures by full cast crown, orthodontic wires, and so forth, in which consideration was given to extracoronal splinting only. However, due to advancement in materials and technologies, intracoronal splinting can be achieved as well. In this case report, longitudinal fractures in tooth #27, tooth #37, and tooth #46 had occurred. In #27, fracture line was running mesiodistally involving the pulpal floor resulting in a split tooth. In teeth 37 and 46, fractures of the mesiobuccal cusp and mesiolingual cusp were observed, respectively. They were restored with cast gold inlay and full cast crown, respectively. Longitudinal fracture of 27 was treated with an innovative approach using intracanal reinforced composite with Ribbond, external reinforcement with an orthodontic band, and full cast metal crown to splint the split tooth.

  10. Adjunctive Intracoronal Splint in Periodontal Treatment: Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Mora Octavia

    2015-05-01

    Full Text Available Reduction of the amount of tooth roots which are embedded in their periodontium could cause tooth mobility. Splinting a weaker tooth with a more stable one, and using the principle of the multiple-root stabilization is one way to overcome tooth mobility. Temporary splinting aims to prevent pathological migration, restore masticatory function, stabilize teeth before/after surgery, and evaluate the prognosis of periodontal treatment. The use of intracoronal splint is still controversial because there are only a few studies that have evaluated the effect of splinting on periodontal health. We report two cases to evaluate the effect of intracoronal splint on periodontal treatment. Two periodontal cases that use intracoronal splint before, during, and after periodontal regenerative therapy using bone graft. Causes of tooth mobility were removed and the splinting principles, terms and guidelines were mastered to get the maximum results of periodontal treatment. Both cases were evaluated radiographically 10 months after treatment. In these cases, intracoronal splint has supported the therapy before, during, or after surgery. Splinting is only for adjunctive therapy, and does not serve as the sole method in getting occlusal stability.DOI: 10.14693/jdi.v21i3.193

  11. Splinting the degenerative basal joint: custom-made or prefabricated neoprene?

    Science.gov (United States)

    Weiss, Susan; Lastayo, Paul; Mills, Amy; Bramlet, Dale

    2004-01-01

    The purpose of this study was to compare the objective, subjective, and radiographic responses of patients with carpometacarpal joint osteoarthritis (CMCJ-OA) wearing a prefabricated neoprene splint (PFN), which crosses the CMCJ and metacarpophalangeal joint, with those of patients wearing a custom-made thermoplastic short opponens splint (CMT), which crosses only the CMCJ. Patients ( N = 25) with first CMCJ stage I and II osteoarthritis were assigned randomly to wear either the PFN splint or the CMT splint for one week. After one week, the subjects rated their function in the splint and their satisfaction and pain levels on visual analogue scales. Pinch measurements were performed and x-rays were taken to assess carpometacarpal subluxation. The second splint was then applied for one week and all measures were repeated. The subjects rated the PFN splint significantly higher, and most reported that they would choose the PFN splint over the CMT splint for daily and long-term use. Both pain and function were improved with splinting, but the effect was amplified with the PFN splint compared with the CMT splint. Both splints reduced subluxation at the first carpometacarpal joint, but the CMT effect was greater. This study further supports current evidence that subjects with stage I and II first CMCJ-OA will have pain relief with thumb splinting. In addition, the PFN splint will provide greater relief when compared with the CMT splint. Furthermore, this study reveals that patients prefer the PFN splint to the CMT splint.

  12. Silver Ring Splints Improve Dexterity in Patients with Rheumatoid Arthritis.

    NARCIS (Netherlands)

    Zijlstra, Theo R.; Heijnsdijk-Rouwenhorst, Linda; Rasker, Hans J.

    2004-01-01

    Objective: To study the effect of Silver Ring Splints (SRSs) on hand function in patients with rheumatoid arthritis (RA). - Methods: RA patients with stable disease and finger deformities eligible for splinting received 1 or more SRSs. Primary outcome was dexterity, which was measured with the Seque

  13. A simple ear splint for microtia patients

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    C J Venkata Krishnan

    2015-01-01

    Full Text Available Microtia is a congenital anomaly of the ear can occur as an isolated birth defect or as part of a spectrum of anomalies or as a syndrome. Microtia is often associated with impaired hearing and or total loss of hearing. Such patients typically require treatment for surgical ear reconstruction and for hearing impairment. Maintenance of ear projection and post auricular sulcus in staged ear reconstruction in microtia is a trying problem. So also is the maintenance of the patency of the external auditory meatus following recanalization and meatoplasty.This case report describes a simple effective way of fabrication of ear splint prosthesis.

  14. A simple ear splint for microtia patients.

    Science.gov (United States)

    Krishnan, C J Venkata; Balaji, S M; Jain, Ashish R

    2015-01-01

    Microtia is a congenital anomaly of the ear can occur as an isolated birth defect or as part of a spectrum of anomalies or as a syndrome. Microtia is often associated with impaired hearing and or total loss of hearing. Such patients typically require treatment for surgical ear reconstruction and for hearing impairment. Maintenance of ear projection and post auricular sulcus in staged ear reconstruction in microtia is a trying problem. So also is the maintenance of the patency of the external auditory meatus following recanalization and meatoplasty.This case report describes a simple effective way of fabrication of ear splint prosthesis.

  15. [Intraosseous screw splinting of mandibular fragments].

    Science.gov (United States)

    Erle, A

    1978-12-01

    Fractures in the frontal region of the mandible may be treated by intra-ossal splinting without the risk of injuring nerves or vessels. Function-stable fixation of the reposited fragments was achieved in 15 patients by means of a transfragmental screw with metric thread. The advantages of this procedure consist in the easy removability of the material and the superfluidity of new developments of material or instruments. As the possibility of early functional treatment prevents the late impairment of the articular function, this procedure is particularly indicated in case of concurrent paramedian and articular fractures.

  16. Stiffness characteristics of splints for fixation of traumatized teeth.

    Science.gov (United States)

    Ben Hassan, Meshari W; Andersson, Lars; Lucas, Peter W

    2016-04-01

    Traumatic dental injuries (TDI) are treated by repositioning and splinting. Ideally, injured teeth should possess some mobility for optimal periodontal and pulp healing. Splints should be easy to apply in emergencies, affordable, and esthetically acceptable. The aims were to compare some clinically used splints with regard to stiffness (measured in Nm(-1)), esthetics, cost, and ease of application. Six splints were applied to dental models using an acid-etched bonding technique. One central incisor was adjusted to give 1 mm of horizontal movement at the incisal edge. The mobilized tooth was then connected to adjacent teeth with either twistflex wire (TF), titanium trauma splint (TTS), single (SFG) and double fiberglass (DFG), nylon (fishing) line (FL), or power chain (PC). A horizontal force was then gradually applied to the incisor in a standardized manner with a spherical probe (1.65 mm radius), monitoring force with a 50N load cell and displacement with a linear variable differential transformer (LVDT). Signals were amplified, converted digitally (14-bit analog-to-digital converter), and displayed in real time to show the splint stiffness. Splints were also ranked with regard to esthetics, application time needed, and ease of application cost. FL and PC were the least stiff, averaging 5.7 and 6.3 Nm(-1), respectively. TTS averaged 6.9 Nm(-1), while SFG and TF averaged 18.5 and 18.4 Nm(-1), respectively. DFG was the stiffest, averaging 24.3 Nm(-1). PC and SFG were the fastest to apply. FL showed the best esthetic score, followed by TTS and PC. TTS was the most expensive splint, while FL, PC, SFG, DFG, and TF showed similar costs. Of these TDI splints, DFG should be avoided for flexible splinting because it is too stiff. PC may be an interesting novel alternative, affording sufficient mobility due to its low stiffness. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  17. Home

    Directory of Open Access Journals (Sweden)

    Rokeya Sakhawat Hossain

    2012-11-01

    Full Text Available A fiery feminist piece that argues that Indian women are all homeless; animals have homes but Indian women have none, because they have to depend on the mercy of their "keepers"; therefore, Indian women live a life worse than animals.

  18. Home range dynamics, habitat selection, and survival of Greater Roadrunners

    Science.gov (United States)

    Kelley, S.W.; Ransom, D.; Butcher, J.A.; Schulz, G.G.; Surber, B.W.; Pinchak, W.E.; Santamaria, C.A.; Hurtado, L.A.

    2011-01-01

    Greater Roadrunners (Geococcyx californianus) are common, poorly studied birds of arid and semi-arid ecosystems in the southwestern United States. Conservation of this avian predator requires a detailed understanding of their movements and spatial requirements that is currently lacking. From 2006 to 2009, we quantified home-range and core area sizes and overlap, habitat selection, and survival of roadrunners (N= 14 males and 20 females) in north-central Texas using radio-telemetry and fixed kernel estimators. Median home-range and core-area sizes were 90.4 ha and 19.2 ha for males and 80.1 ha and 16.7 ha for females, respectively. The size of home range and core areas did not differ significantly by either sex or season. Our home range estimates were twice as large (x??= 108.9 ha) as earlier published estimates based on visual observations (x??= 28-50 ha). Mean percent overlap was 38.4% for home ranges and 13.7% for core areas. Male roadrunners preferred mesquite woodland and mesquite savanna cover types, and avoided the grass-forb cover type. Female roadrunners preferred mesquite savanna and riparian woodland cover types, and avoided grass-forb habitat. Kaplan-Meier annual survival probabilities for females (0.452 ?? 0.118[SE]) were twice that estimated for males (0.210 ?? 0.108), but this difference was not significant. Mortality rates of male roadrunners were higher than those of females during the spring when males call from elevated perches, court females, and chase competing males. Current land use practices that target woody-shrub removal to enhance livestock forage production could be detrimental to roadrunner populations by reducing availability of mesquite woodland and mesquite savanna habitat required for nesting and roosting and increasing the amount of grass-forb habitat that roadrunners avoid. ??2011 The Authors. Journal of Field Ornithology ??2011 Association of Field Ornithologists.

  19. Electroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trial.

    Science.gov (United States)

    Chung, Vincent C H; Ho, Robin S T; Liu, Siya; Chong, Marc K C; Leung, Albert W N; Yip, Benjamin H K; Griffiths, Sian M; Zee, Benny C Y; Wu, Justin C Y; Sit, Regina W S; Lau, Alexander Y L; Wong, Samuel Y S

    2016-09-06

    The effectiveness of acupuncture for managing carpal tunnel syndrome is uncertain, particularly in patients already receiving conventional treatments (e.g., splinting). We aimed to assess the effects of electroacupuncture combined with splinting. We conducted a randomized parallel-group assessor-blinded 2-arm trial on patients with clinically diagnosed primary carpal tunnel syndrome. The treatment group was offered 13 sessions of electroacupuncture over 17 weeks. The treatment and control groups both received continuous nocturnal wrist splinting. Of 181 participants randomly assigned to electroacupuncture combined with splinting (n = 90) or splinting alone (n = 91), 174 (96.1%) completed all follow-up. The electroacupuncture group showed greater improvements at 17 weeks in symptoms (primary outcome of Symptom Severity Scale score mean difference [MD] -0.20, 95% confidence interval [CI] -0.36 to -0.03), disability (Disability of Arm, Shoulder and Hand Questionnaire score MD -6.72, 95% CI -10.9 to -2.57), function (Functional Status Scale score MD -0.22, 95% CI -0.38 to -0.05), dexterity (time to complete blinded pick-up test MD -6.13 seconds, 95% CI -10.6 to -1.63) and maximal tip pinch strength (MD 1.17 lb, 95% CI 0.48 to 1.86). Differences between groups were small and clinically unimportant for reduction in pain (numerical rating scale -0.70, 95% CI -1.34 to -0.06), and not significant for sensation (first finger monofilament test -0.08 mm, 95% CI -0.22 to 0.06). For patients with primary carpal tunnel syndrome, chronic mild to moderate symptoms and no indication for surgery, electroacupuncture produces small changes in symptoms, disability, function, dexterity and pinch strength when added to nocturnal splinting. Chinese Clinical Trial Register no. ChiCTR-TRC-11001655 (www.chictr.org.cn/showprojen.aspx?proj=7890); subsequently deposited in the World Health Organization International Clinical Trials Registry Platform (apps.who.int/trialsearch/Trial2.aspx

  20. Electroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trial

    Science.gov (United States)

    Chung, Vincent C.H.; Ho, Robin S.T.; Liu, Siya; Chong, Marc K.C.; Leung, Albert W.N.; Yip, Benjamin H.K.; Griffiths, Sian M.; Zee, Benny C.Y.; Wu, Justin C.Y.; Sit, Regina W.S.; Lau, Alexander Y.L.; Wong, Samuel Y.S.

    2016-01-01

    Background: The effectiveness of acupuncture for managing carpal tunnel syndrome is uncertain, particularly in patients already receiving conventional treatments (e.g., splinting). We aimed to assess the effects of electroacupuncture combined with splinting. Methods: We conducted a randomized parallel-group assessor-blinded 2-arm trial on patients with clinically diagnosed primary carpal tunnel syndrome. The treatment group was offered 13 sessions of electroacupuncture over 17 weeks. The treatment and control groups both received continuous nocturnal wrist splinting. Results: Of 181 participants randomly assigned to electroacupuncture combined with splinting (n = 90) or splinting alone (n = 91), 174 (96.1%) completed all follow-up. The electroacupuncture group showed greater improvements at 17 weeks in symptoms (primary outcome of Symptom Severity Scale score mean difference [MD] −0.20, 95% confidence interval [CI] −0.36 to −0.03), disability (Disability of Arm, Shoulder and Hand Questionnaire score MD −6.72, 95% CI −10.9 to −2.57), function (Functional Status Scale score MD −0.22, 95% CI −0.38 to −0.05), dexterity (time to complete blinded pick-up test MD −6.13 seconds, 95% CI −10.6 to −1.63) and maximal tip pinch strength (MD 1.17 lb, 95% CI 0.48 to 1.86). Differences between groups were small and clinically unimportant for reduction in pain (numerical rating scale −0.70, 95% CI −1.34 to −0.06), and not significant for sensation (first finger monofilament test −0.08 mm, 95% CI −0.22 to 0.06). Interpretation: For patients with primary carpal tunnel syndrome, chronic mild to moderate symptoms and no indication for surgery, electroacupuncture produces small changes in symptoms, disability, function, dexterity and pinch strength when added to nocturnal splinting. Trial registration: Chinese Clinical Trial Register no. ChiCTR-TRC-11001655 (www.chictr.org.cn/showprojen.aspx?proj=7890); subsequently deposited in the World Health

  1. Research on the Durability of the Splints of Lower Limbs

    Directory of Open Access Journals (Sweden)

    Oleg Ardatov

    2013-02-01

    Full Text Available The paper presents research on the durability of the splint of the ankle joint and suggests a solution to the raised problem of the fatigue behaviour of the splint of the ankle joint. With the help of computer aided modelling and SolidWorks software, the model of the splint of the ankle joint has been created. The article analyses social problems, ankle joint biomechanics and describes modelling methods and results of the fatigue test. The results of research show instructions on the use and adaptation of the splints of the ankle joint made of high density polyethylene and polypropylene. The models produced from high density polyethylene were rather endurant (3 •107 cycles of load compared to those made of polypropylene (1,6 •107 cycles of load. Thus, the use of polyethylene splints should be extended at bigger loads. Polypropylene splints can be used in cases under smaller load (the weight of a splint user should not exceed 70 kg thus increasing the thickness of the material.Article in Lithuanian

  2. Research on the Durability of the Splints of Lower Limbs

    Directory of Open Access Journals (Sweden)

    Oleg Ardatov

    2012-12-01

    Full Text Available The paper presents research on the durability of the splint of the ankle joint and suggests a solution to the raised problem of the fatigue behaviour of the splint of the ankle joint. With the help of computer aided modelling and SolidWorks software, the model of the splint of the ankle joint has been created. The article analyses social problems, ankle joint biomechanics and describes modelling methods and results of the fatigue test.The results of research show instructions on the use and adaptation of the splints of the ankle joint made of high density polyethylene and polypropylene. The models produced from high density polyethylene were rather endurant (3 •107 cycles of load compared to those made of polypropylene (1,6 •107 cycles of load. Thus, the use of polyethylene splints should be extended at bigger loads. Polypropylene splints can be used in cases under smaller load (the weight of a splint user should not exceed 70 kg thus increasing the thickness of the material.Article in Lithuanian

  3. Gnathological splint therapy in temporomandibular joint disorder.

    Science.gov (United States)

    Gnanashanmugham, K; Saravanan, B; Sukumar, M R; Tajir, T Faisal

    2015-04-01

    Temporomandibular joint (TMJ) forms an integral functional part of stomatognathic system. Position, shape, structure and function of teeth have an influence on the proper functioning and health of TMJ. But a problem associated with TMJ is often neglected, and treatment for it is mostly restricted to palliative therapy. A proper understanding of the underlying cause of temporomandibular joint disorder (TMD) is necessary to device a proper treatment plan. Etiology of TMDs varies from idiopathic reasons to systemic disorders. The option of Gnathological splint is a conservative, safe and an effective mode of therapy for TMDs caused by occlusal discrepancies (fulcrum/interferences). This article presents a case report of a patient with TMD caused by occlusal discrepancy.

  4. Gnathological splint therapy in temporomandibular joint disorder

    Directory of Open Access Journals (Sweden)

    K Gnanashanmugham

    2015-01-01

    Full Text Available Temporomandibular joint (TMJ forms an integral functional part of stomatognathic system. Position, shape, structure and function of teeth have an influence on the proper functioning and health of TMJ. But a problem associated with TMJ is often neglected, and treatment for it is mostly restricted to palliative therapy. A proper understanding of the underlying cause of temporomandibular joint disorder (TMD is necessary to device a proper treatment plan. Etiology of TMDs varies from idiopathic reasons to systemic disorders. The option of Gnathological splint is a conservative, safe and an effective mode of therapy for TMDs caused by occlusal discrepancies (fulcrum/interferences. This article presents a case report of a patient with TMD caused by occlusal discrepancy

  5. Gnathological splint therapy in temporomandibular joint disorder

    Science.gov (United States)

    Gnanashanmugham, K.; Saravanan, B.; Sukumar, M. R.; Tajir, T. Faisal

    2015-01-01

    Temporomandibular joint (TMJ) forms an integral functional part of stomatognathic system. Position, shape, structure and function of teeth have an influence on the proper functioning and health of TMJ. But a problem associated with TMJ is often neglected, and treatment for it is mostly restricted to palliative therapy. A proper understanding of the underlying cause of temporomandibular joint disorder (TMD) is necessary to device a proper treatment plan. Etiology of TMDs varies from idiopathic reasons to systemic disorders. The option of Gnathological splint is a conservative, safe and an effective mode of therapy for TMDs caused by occlusal discrepancies (fulcrum/interferences). This article presents a case report of a patient with TMD caused by occlusal discrepancy PMID:26015741

  6. Gastroesophageal reflux diagnosed by occlusal splint tintion.

    Science.gov (United States)

    Cebrián-Carretero, José Luis; López-Arcas-Calleja, José María

    2006-01-01

    The gastroesophageal reflux (GER) disease is a very frequent digestive disorder, mainly characterised by the reflux of the gastric acidic content to the esophage in abnormal quantities. There are different situations that favour this situation but almost in all of them rely an incompetence of the esophagic sphincter. The clinical consequences are many, including oral manifestations. Among all of them the most frequent is the esophagitis followed by symptoms at the pharynx or larynx and finally, the oral cavity. At this level fundamentally we will find enamel and oral mucosa erosions. We report the case of a patient who was indirectly diagnosed of her esophague disease by the observation of the alterations in the occlusal splint induced by the gastric reflux. We review the literature concerning the above topic and its possible association with the miofascial syndrome.

  7. An ecological dynamics rationale to explain home advantage in professional football

    Science.gov (United States)

    Gama, José; Dias, Gonçalo; Couceiro, Micael; Passos, Pedro; Davids, Keith; Ribeiro, João

    2016-03-01

    Despite clear findings, research on home advantage in team sports lacks a comprehensive theoretical rationale for understanding why this phenomenon is so compelling. The aim of this study was to provide an explanatory theoretical rationale in ecological dynamics for the influence of home advantage observed in research on professional football. We recorded 30 competitive matches and analyzed 13958 passes, from one highly successful team in the Portuguese Premier League, during season 2010/2011. Performance data were analyzed using the Match Analysis Software—Amisco® (version 3.3.7.25), allowing us to characterize team activity profiles. Results were interpreted from an ecological dynamics perspective, explaining how task and environmental constraints of a competitive football setting required performers to continuously co-adapt to teammate behaviors. Despite slight differences in percentage of ball possession when playing home or away, the number of passes achieved by the team, while in possession of the ball, was quite different between home or away venues. When playing at home, the number of passes performed by the team was considerably higher than when playing away. The explanation proposed in this study for a home advantage effect can be understood from studying interpersonal coordination tendencies of team sports players as agents in a complex adaptive system.

  8. Localized Acquired Hypertrichosis Associated with the Application of a Splint

    Directory of Open Access Journals (Sweden)

    Alexander K. C. Leung

    2012-01-01

    Full Text Available We describe a 16-year-old boy whose left forearm and hand were cut by a piece of glass from a broken window as a result of the fall. He had surgical repair of his left extensor pollicis brevis, abductor pollicis brevis, and dorsal branch of the left radial nerve. Following the surgery, he was put on a splint so as to immobilize the left forearm and wrist. On removal of the splint 4 weeks post surgery, he was noticed to have more hair growth on his left forearm and hand than his right counterparts. The patient was reassessed 2, 4, and 8 months after the removal of the splint. The hypertrichosis got better with time. At the last visit, the hair growth in the left forearm and hand was back to normal. Our patient represents the first reported case of localized acquired hypertrichosis following the application of a splint in the pediatric literature.

  9. Dentists' knowledge of occlusal splint therapy for bruxism and ...

    African Journals Online (AJOL)

    2015-10-28

    Oct 28, 2015 ... Aims: The aim of this study was to investigate dentist's approaches to the use of splint therapy for ... Their knowledge decreased with increasing experience. ..... help of university programs from abroad, which can provide.

  10. Splinting after Carpal Tunnel Release: Does it really Matter?

    Directory of Open Access Journals (Sweden)

    Shalimar A

    2015-07-01

    Full Text Available Splinting of the wrist after carpal tunnel release (CTR has been practised by many surgeons especially in North America. The main reason was to prevent possible adverse events of bowstringing of flexor tendons and the median nerve, pillar pain, entrapment of the median nerve in scar tissue and wound dehiscence. Studies on the effect of splinting after standard CTR have had dismal results. The duration of splinting in standard CTR has been either too long (for 2-4 weeks or too short (48 hours only. The aim of our study was to compare the effects of post-operative splinting for a duration of one week with no splinting. Methods: All 30 of our patients underwent a standardized limited open CTR by a designated surgeon. Post operatively, they were randomized into a splinted (n=16 and a nonsplinted (n=14 group. The splint was kept for a week. Patients were reviewed at regular intervals of one week, two months and six months. At each follow up, these patients were clinically assessed for the following outcome measures: VAS (visual analogue score, 2PD (two-point discrimination, pinch grip, grip, Abductor Pollicis Brevis (APB power and completion of the Boston questionnaire. Results: All patients presented with significant improvement in the postoperative evaluation in the analyzed parameters within each group. However, there was no significant difference between the two groups for any of the outcome measurements at sequential and at final follow-up. Conclusion: We conclude that wrist splinting in the immediate post-operative period has no advantage when compared with the unsplinted wrist after a limited open carpal tunnel release.

  11. Design of splints based on the NiTi alloy for the correction of joint deformities in the fingers

    Directory of Open Access Journals (Sweden)

    Puértolas Sergio

    2010-09-01

    Full Text Available Abstract Background The proximal interphalange joint (PIP is fundamental for the functional nature of the hand. The contracture in flexion of the PIP, secondary to traumatisms or illnesses leads to an important functional loss. The use of correcting splints is the common procedure for treating this problem. Its functioning is based on the application of a small load and a prolonged stress which can be dynamic, static progressive or static serial. It is important that the therapist has a splint available which can release a constant and sufficient force to correct the contracture in flexion. Nowadays NiTi is commonly used in bio-engineering, due to its superelastical characteristics. The experience of the authors in the design of other devices based on the NiTi alloy, makes it possible to carry out a new design in this work - the production of a finger splint for the treatment of the contracture in flexion of the PIP joint. Methods Commercial orthosis have been characterized using a universal INSTRON 5565 machine. A computational simulation of the proposed design has been conducted, reproducing its performance and using a model "ad hoc" for the NiTi material. Once the parameters have been adjusted, the design is validated using the same type of test as those carried out on commercial orthosis. Results and Discussion For commercial splint the recovering force falls to excessively low values as the angle increases. Angle curves for different lengths and thicknesses of the proposed design have been obtained, with a practically constant recovering force value over a wide range of angles that vary between 30° and 150° in every case. Then the whole treatment is possible with only one splint, and without the need of progressive replacements as the joint recovers. Conclusions A new model of splint based on NiTi alloy has been designed, simulated and tested comparing its behaviour with two of the most regularly used splints. Its uses is recommended

  12. Evaluation of the flexural properties of a new temporary splint material for use in dental trauma splints

    Directory of Open Access Journals (Sweden)

    Takahiro Shirako

    2017-09-01

    Full Text Available The present study evaluated the flexural properties of a new temporary splint material, G-Fix, for use in dental trauma splints in comparison with other resin materials. Four types of resin materials were considered in the present study: MI Flow II, light-cured composite resin (MI; G-Fix, light-cured resin for splinting teeth (GF; Super-Bond C&B, adhesive resin cement (SB; and Unifast III, self-cured methyl-methacrylate resin (UF. The flexural properties of these four materials were tested according to ISO 4049. The flexural strength significantly increased in the order of UF (64.9 MPasplint made of GF may be more flexible than a composite splint, which is categorized as a rigid splint.

  13. Comparison of Designed Slippers Splints with the Splints Available on the Market in the Treatment of Hallux Valgus

    Directory of Open Access Journals (Sweden)

    Yadollah Pournia

    2012-02-01

    Full Text Available Hallux valgus or the lateral deviation of the great toe is a complex disease. If it is not treated, it will cause the deviation of other toes. Hallux valgus is three times more common in females and may cause uncomfortable deformity of the foot, problems in putting on unsuitable and narrow toe box shoes, and pain on the medial side of the first metatarsophalangeal joint; therefore, patients seek medical services. Untreated hallux valgus may cause the hammer toe deformity of the second toe. In this cohort study, 30 patients referring to the Orthopedic Clinic of Shohada Ashayer Hospital of Khorramabad, Iran, with a complaint of hallux valgus were randomly divided into two groups. The splints designed by the researches (slippers splints were given to the case group, and the splints on the market including night splints and interdigital pads were given to the control group. The patients were followed every three months for a year and every time the weight bearing anteroposterior radiography of both feet were taken and hallux valgus and inter-metatarsal angles were measured. The data was analyzed by the SPSS software using repeated measure tests. In the case group that used the designed splints regularly, hallux valgus angles decreased more dramatically than in the control group (P<0.001. This study showed that, despite controversies over the nonoperative treatment of hallux valgus, if hallux valgus angle in patient is mild to moderate, the splint can be used as a nonoperative treatment.

  14. Dynamic Data Prefetching in Home-Based Software DSMs

    Institute of Scientific and Technical Information of China (English)

    HU Weiwu; ZHANG Fuxin; LIU Haiming

    2001-01-01

    A major overhead in software DSM (Distributed Shared Memory) is the cost of remote memory accesses necessitated by the protocol as well as induced by false sharing. This paper introduces a dynamic prefetching method implemented in the JIAJIA software DSM to reduce system overhead caused by remote accesses. The prefetching method records the interleaving string of INV (invalidation) and GETP (getting a remote page) operations for each cached page and analyzes the periodicity of the string when a page is invalidated on a lock or barrier. A prefetching request is issued after the lock or barrier if the periodicity analysis indicates that GETP will be the next operation in the string. Multiple prefetching requests are merged into the same message if they are to the same host. Performance evaluation with eight well-accepted benchmarks in a cluster of sixteen PowerPC workstations shows that the prcfetching scheme can significantly reduce the page fault overhead and as a result achieves a performance increase of 15%-20% in three benchmarks and around 8%-10% in another three. The average extra traffic caused by useless prefetches is only 7%-13% in the evaluation.

  15. The effects of hard and soft occlusal splints on nocturnal bruxism.

    Science.gov (United States)

    Okeson, J P

    1987-06-01

    Occlusal splints are commonly used for the treatment of nocturnal bruxism. This study investigated the effects of hard and soft occlusal splints on nighttime muscle activity. The nocturnal muscle activity of ten participants was recorded while wearing a hard and then a soft occlusal splint. The hard occlusal splint significantly reduced muscle activity in eight of the ten participants. The soft occlusal splint significantly reduced muscle activity in only one participant while causing a statistically significant increase in muscle activity in five of the ten participants.

  16. Treatment effect on signs and symptoms of temporomandibular disorders--comparison between stabilisation splint and a new type of splint (NTI). A pilot study.

    Science.gov (United States)

    Magnusson, Tomas; Adiels, Anne-Marie; Nilsson, Håkan L; Helkimo, Martti

    2004-01-01

    The aim of the investigation was to compare the effect on signs and symptoms of temporomandibular disorders (TMD) of two different interocclusal appliances. Thirty patients with signs and symptoms of TMD received either a stabilisation splint or a new kind of splint based on the concept of nociceptive trigeminal inhibition (NTI). A clinical examination was performed and subjective symptoms were registered before start of treatment and after 3 and 6 months. All participants were offered to change to the other type of splint at the 3-month follow-up in case of no improvement or impairment of their symptoms. One subject in each group was lost early during the investigation. The mean time for taking impressions, to make inter-occlusal recording and to adjust the stabilisation splints was 17 minutes. The mean time to fit and adjust the NTI splints was 27 minutes. At the 3-month follow-up, 4 patients that had received NTI splints accepted the offer to change to stabilisation splints due to no improvement or impairment of their symptoms. These treatments were judged as failures. No one in the stabilisation splint group utilised the offer to change treatment. At the 6-month follow-up, 7 of the remaining 10 subjects with NTI splints reported some (n = 1) or significant (n = 6) improvement, 2 reported no change and one reported impairment. All 14 who had been treated with a stabilisation splint reported some (n = 2) or significant (n = 12) improvement. For all variables registered, the results were in favour for the stabilisation splint. One subject treated with a NTI splint exhibited an impaired occlusion at the 6-month follow-up.

  17. Resin splint as a new conservative treatment for ingrown toenails.

    Science.gov (United States)

    Matsumoto, Kazuya; Hashimoto, Ichiro; Nakanishi, Hideki; Kubo, Yoshiaki; Murao, Kazutoshi; Arase, Seiji

    2010-08-01

    Several conservative as well as surgical methods are used for the treatment of ingrown toenails until date. The conservative methods are either based on nail splinting or on orthonyxia, but no methods employing both principles have been reported thus far. Moreover, surgical methods usually involve postoperative pain, prolonged wound healing and restricted activities of daily living. Therefore, considering the need of a simplified, non-invasive method, in this study, we applied a novel splint to treat patients with ingrown toenails and estimated the clinical efficacy as well as rate of recurrence following treatment. The splint is a plate made of resin that is attached to the lateral edge of the nail using a bandage. We studied 61 patients (19 men and 42 women; mean age 36 years), with an average application duration of 9.3 months and an average follow-up period of 10 months in all patients. All patients experienced pain relief within a week of splint application and a decrease in the degree of nail deformity. Moreover, follow-up revealed a recurrence rate of 8.2%. Therefore, we believe that this new device is an excellent conservative treatment method for patients with ingrown toenails.

  18. A Wicked Problem: Early Childhood Safety in the Dynamic, Interactive Environment of Home

    Directory of Open Access Journals (Sweden)

    Jean Simpson

    2013-04-01

    Full Text Available Young children being injured at home is a perennial problem. When parents of young children and family workers discussed what influenced parents’ perceptions and responses to child injury risk at home, both “upstream” and “downstream” causal factors were identified. Among the former, complex and interactive facets of society and contemporary living emerged as potentially critical features. The “wicked problems” model arose from the need to find resolutions for complex problems in multidimensional environments and it proved a useful analogy for child injury. Designing dynamic strategies to provide resolutions to childhood injury, may address our over-dependence on ‘tame solutions’ that only deal with physical cause-and-effect relationships and which cannot address the complex interactive contexts in which young children are often injured.

  19. A wicked problem: early childhood safety in the dynamic, interactive environment of home.

    Science.gov (United States)

    Simpson, Jean; Fougere, Geoff; McGee, Rob

    2013-04-24

    Young children being injured at home is a perennial problem. When parents of young children and family workers discussed what influenced parents' perceptions and responses to child injury risk at home, both "upstream" and "downstream" causal factors were identified. Among the former, complex and interactive facets of society and contemporary living emerged as potentially critical features. The "wicked problems" model arose from the need to find resolutions for complex problems in multidimensional environments and it proved a useful analogy for child injury. Designing dynamic strategies to provide resolutions to childhood injury, may address our over-dependence on 'tame solutions' that only deal with physical cause-and-effect relationships and which cannot address the complex interactive contexts in which young children are often injured.

  20. Effect of splinting in accuracy of two implant impression techniques.

    Science.gov (United States)

    de Avila, Erica Dorigatti; de Matos Moraes, Fernanda; Castanharo, Sabrina Maria; Del'Acqua, Marcelo Antonialli; de Assis Mollo, Francisco

    2014-12-01

    Because there is no consensus in the literature about the need for a splint between copings, the aim of this study was to evaluate, in vitro, the accuracy of 2 impression techniques for implant-supported prostheses. A master cast was fabricated with four parallel implant abutment analogs and a passive framework. Two groups with 5 casts each were formed: Group 1 (squared impression copings with no splint: S) and Group 2 (splinted squared impression copings, using metal drill burs and Pattern resin: SS). The impression material used was polyvinyl siloxane with open trays for standard preparation of the casts. For each cast, the framework was positioned, and a titanium screw was tightened with 10 N·cm torque in analog A, after which measurements of the abutment-framework interface gaps were performed at analogs C and D. This process was repeated for analog D. These measurements were analyzed using software. A one-way analysis of variance (ANOVA) with a confidence interval of 95% was used to analyze the data. Significant differences were detected between S and SS in relation to the master cast (P ≤ 0.05). The median values of the abutment-framework interface gaps were as follows: master cast: 39.64 μm; squared impression copings with no splint: 205.86 μm; splinted squared impression copings: 99.19 μm. Under the limitations of this study, the technique presented for Group 2 produces better results compared with the technique used for Group 1.

  1. The effectiveness of occlusal splints for sleep bruxism.

    Science.gov (United States)

    Jagger, Robert

    2008-01-01

    Searches were made using the Cochrane Oral Health Group's Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, LILACS (Latin American & Caribbean Health Sciences Literature), Biblioteca Brasileira de Odontologia, and Dissertations, Theses and Abstracts. Hand searches were made of abstracts of particular importance to this review. Additional reports were identified from the reference lists of retrieved reports and from article reviews about treating sleep bruxism. There were no language restrictions. Randomised controlled trials (RCT) or quasi-RCT were chosen that compared splint therapy concurrently with no treatment, other occlusal appliances, or any other intervention in participants who had sleep bruxism. Data extraction was carried out independently and in duplicate. Validity assessment of the included trials was carried out at the same time as data extraction. Discrepancies were discussed and a third review author consulted. The author of the primary study was contacted when necessary. Thirty-two potentially relevant RCT were identified of which five were eventually included. In these, use of an occlusal splint was compared with palatal splint, mandibular advancement device, transcutaneous electric nerve stimulation, and no treatment. There was just one common outcome (arousal index) which was combined in a meta-analysis. No statistically significant difference between the occlusal splint and control groups were found in meta-analysis. There is not enough evidence to state that the occlusal splint is effective for treating sleep bruxism. Indication of its use is questionable with regard to sleep outcomes, but there may be some benefit with regard to tooth wear. This systematic review suggests the need for further investigation in more controlled RCT that pay attention to method of allocation, outcome assessment, large sample size, and sufficient duration of followup. The study design must be parallel in order to eliminate

  2. The tent pole splint: a bone-supported stereolithographic surgical splint for the soft tissue matrix expansion graft procedure.

    Science.gov (United States)

    Cillo, Joseph E; Theodotou, Nicholas; Samuels, Marc; Krajekian, Joseph

    2010-06-01

    This report details the use of computer-aided planning and intraoperative stereolithographic direct-bone-contact surgical splints for the accurate extraoral placement of dental implants in the soft tissue matrix expansion (tent pole) graft of the severely resorbed mandible.

  3. A new modification of Doyle splint (Hemi-split Doyle) in rhinoplasty with alar base reduction.

    Science.gov (United States)

    Koçak, İlker; Şentürk, E

    2017-08-09

    Patients perceive the pulling of a nasal splints as the most feared and stressful part of nasal surgery. Even the incisions made for alar base surgery can partly or entirely dehisce. So, we have been using modified Doyle silicone splints. We compared the modified Doyle silicone splints with conventional Doyle silicone splint. Included in the study were 64 patients undergoing alar base surgery together with open septorhinoplasty. Group 1 (n = 32) patients received a conventional Doyle intranasal silicone splint and group 2 (n = 32) received modified splint that we call a hemi-split Doyle splint. The pain felt by the patients during the removal of the splints was recorded according to the visual analogue scale (VAS). On days two and four postoperatively, the nasal stuffiness score (NOSE) was recorded. On day four postoperatively an intranasal examination was conducted to establish if dehiscence had occurred on the alar base incision line. In group 2, the pain scores during splints removal were significantly lower than those in group 1. Whereas no dehiscence on the alar base incision line was observed after tampon removal in group 2, the incision dehisced in eight patients in group 1. The NOSE scores on postoperative days two and four showed no difference between the groups. The hemi-split Doyle splint causes less pain during removal and particularly does not lead to dehiscence of incisions made during alar base surgery in rhinoplasty patients.

  4. Development of a computer-aided design software for dental splint in orthognathic surgery

    Science.gov (United States)

    Chen, Xiaojun; Li, Xing; Xu, Lu; Sun, Yi; Politis, Constantinus; Egger, Jan

    2016-12-01

    In the orthognathic surgery, dental splints are important and necessary to help the surgeon reposition the maxilla or mandible. However, the traditional methods of manual design of dental splints are difficult and time-consuming. The research on computer-aided design software for dental splints is rarely reported. Our purpose is to develop a novel special software named EasySplint to design the dental splints conveniently and efficiently. The design can be divided into two steps, which are the generation of initial splint base and the Boolean operation between it and the maxilla-mandibular model. The initial splint base is formed by ruled surfaces reconstructed using the manually picked points. Then, a method to accomplish Boolean operation based on the distance filed of two meshes is proposed. The interference elimination can be conducted on the basis of marching cubes algorithm and Boolean operation. The accuracy of the dental splint can be guaranteed since the original mesh is utilized to form the result surface. Using EasySplint, the dental splints can be designed in about 10 minutes and saved as a stereo lithography (STL) file for 3D printing in clinical applications. Three phantom experiments were conducted and the efficiency of our method was demonstrated.

  5. Occlusal splints for treating sleep bruxism (tooth grinding).

    Science.gov (United States)

    Macedo, C R; Silva, A B; Machado, M A; Saconato, H; Prado, G F

    2007-10-17

    Sleep bruxism is an oral activity characterised by teeth grinding or clenching during sleep. Several treatments for sleep bruxism have been proposed such as pharmacological, psychological, and dental. To evaluate the effectiveness of occlusal splints for the treatment of sleep bruxism with alternative interventions, placebo or no treatment. We searched the Cochrane Oral Health Group's Trials Register (to May 2007); the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2007, Issue 1); MEDLINE (1966 to May 2007); EMBASE (1980 to May 2007); LILACS (1982 to May 2007); Biblioteca Brasileira de Odontologia (1982 to May 2007); Dissertation, Theses and Abstracts (1981 to May 2007); and handsearched abstracts of particular importance to this review. Additional reports were identified from the reference lists of retrieved reports and from article reviews about treating sleep bruxism. There were no language restrictions. We selected randomised or quasi-randomised controlled trials (RCTs), in which splint therapy was compared concurrently to no treatment, other occlusal appliances, or any other intervention in participants with sleep bruxism. Data extraction was carried out independently and in duplicate. Validity assessment of the included trials was carried out at the same time as data extraction. Discrepancies were discussed and a third review author consulted. The author of the primary study was contacted when necessary. Thirty-two potentially relevant RCTs were identified. Twenty-four trials were excluded. Five RCTs were included. Occlusal splint was compared to: palatal splint, mandibular advancement device, transcutaneous electric nerve stimulation, and no treatment. There was just one common outcome (arousal index) which was combined in a meta-analysis. No statistically significant differences between the occlusal splint and control groups were found in the meta-analyses. There is not sufficient evidence to state that the occlusal splint is

  6. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model.

    Science.gov (United States)

    Kwan, Steven C; Johnson, James D; Cohenca, Nestor

    2012-08-01

    Although current guidelines for the treatment of traumatic injuries recommend the use of 'flexible' splints, the precise definition of what is considered flexible versus rigid has not been rigorously defined, leaving the clinician with a wide range of options for this critical factor. The purpose of this study was to quantify and compare the effect of eight different splints on tooth mobility after extraction and replantation using a human cadaveric model. Following strict selection criteria including complete root maturation, lack of periodontal disease, normal bone levels, and crown integrity, a maxillary central incisor was atraumatically extracted and splinted with eight different splints. The experimental splints included a 20-pound test (9.072-kilogram test) [corrected] monofilament nylon-composite splint and six wire-composite splints made of wires of 0.012' (0.3 mm), 0.016' (0.4 mm), or 0.020' (0.5 mm) diameter stainless steel (SS) or nickel titanium (NT). A direct composite splint represented the most rigid type of splint. These eight splints were applied five times each, and tooth mobility was measured before and after each splint was applied. The average splint effect, defined as the difference between the presplint and the postsplint measurements quantified using the Periotest, was calculated for each splint and compared. No significant differences were found between the nylon-composite and the wire-composite splints. There was significantly less tooth mobility with the direct composite splint compared to all other splints. In conclusion, the results of this study suggest that nylon and SS or NT wires up to 0.016' diameter are significantly more flexible than direct composite splints and thus may be better suited for the splinting and management of traumatized teeth. © 2011 John Wiley & Sons A/S.

  7. [A rapid prototype fabrication method of dental splint based on 3D simulation and technology].

    Science.gov (United States)

    Lin, Yanping; Chen, Xiaojun; Zhang, Shilei; Wang, Chengtao

    2006-04-01

    The conventional design and fabrication of the dental splint (in orthognathic surgery) is based on the preoperative planning and model surgery so this process is of low precision and efficiency. In order to solve the problems and be up to the trend of computer-assisted surgery, we have developed a novel method to design and fabricate the dental splint--computer-generated dental splint, which is based on three-dimensional model simulation and rapid prototype technology. After the surgical planning and simulation of 3D model, we can modify the model to be superior in chewing action (functional) and overall facial appearance (aesthetic). Then, through the Boolean operation of the dental splint blank and the maxillofacial bone model the model of dental splint is formed. At last, the dental splint model is fabricated through rapid prototype machine and applied in clinic. The result indicates that, with the use of this method, the surgical precision and efficiency are improved.

  8. Surgical Splint Design Influences Transverse Expansion in Segmental Maxillary Osteotomies

    DEFF Research Database (Denmark)

    Stokbro, Kasper; Aagaard, Esben; Torkov, Peter

    2017-01-01

    splint designs on achieving the planned transverse expansion in bimaxillary surgery with segmental maxillary procedures. Materials and Methods: Forty-two participants were included in a retrospective observational study. All participants had completed virtually planned bimaxillary surgery with 3-piece....... To test measurement reliability, all measurements were performed twice by the same observer. The primary predictor variable was the planned expansion according to the virtual surgical plan. The primary covariate with influence on the obtained expansion was the surgical splint design. Other covariates...... of interest included patient age, patient gender, and surgeon. Descriptive and bivariate statistics were performed using Student t tests and linear regression analysis. Results: Measurements showed high reliability, with an intraclass correlation coefficient of 0.99 and Bland-Altman plots without systematic...

  9. Oral splint for temporomandibular joint disorders with revolutionary fluid system

    Directory of Open Access Journals (Sweden)

    Rahul Srivastava

    2013-01-01

    Full Text Available Temporomandibular joint (TMJ diseases and disorders refer to a complex and poorly understood set of conditions, manifested by pain in the area of the jaw and associated muscles and limitations in the ability to make the normal movements of speech, facial expression, eating, chewing, and swallowing. The conventional soft occlusal splint therapy is a much safer and effective mode of a conservative line of therapy in comparison to the surgical therapy for temporomandibular joint disorders (TMD. The purpose of this article is to review the Aqualizer TM , an hydrostatic oral splint, as accurate, effective treatment and differential diagnostic tool in TMD that allow treating the patient′s pain quickly and accurately saving valuable treatment time. The review article has been prepared doing a literature review from the world-wide web and pubmed/medline.

  10. Oral splint for temporomandibular joint disorders with revolutionary fluid system.

    Science.gov (United States)

    Srivastava, Rahul; Jyoti, Bhuvan; Devi, Parvathi

    2013-05-01

    Temporomandibular joint (TMJ) diseases and disorders refer to a complex and poorly understood set of conditions, manifested by pain in the area of the jaw and associated muscles and limitations in the ability to make the normal movements of speech, facial expression, eating, chewing, and swallowing. The conventional soft occlusal splint therapy is a much safer and effective mode of a conservative line of therapy in comparison to the surgical therapy for temporomandibular joint disorders (TMD). The purpose of this article is to review the Aqualizer™, an hydrostatic oral splint, as accurate, effective treatment and differential diagnostic tool in TMD that allow treating the patient's pain quickly and accurately saving valuable treatment time. The review article has been prepared doing a literature review from the world-wide web and pubmed/medline.

  11. A supplemental video teaching tool enhances splinting skills.

    Science.gov (United States)

    Mehrpour, Saeed Reza; Aghamirsalim, Mohamadreza; Motamedi, Seyed Mohammad Kalantar; Ardeshir Larijani, Fatemeh; Sorbi, Reza

    2013-02-01

    The ability to apply casts and splints is a technical skill that requires practice and understanding of basic principles of musculoskeletal medicine. A video in which a given procedure is simulated on a dummy can represent reality under controlled conditions. A decrease in physician competency in musculoskeletal medicine is the result of educational deficiencies at the medical school level. We asked whether (1) a supplemental video educational program enhances performance of medical students' musculoskeletal clinical skills and (2) factors such as the proportion of orthopaedic professors to students, sex, age, and previous scores of medical students affected the clinical skills of medical students. We allocated 474 medical students into one of two groups: all participants received 90 minutes of lecture instruction on how to splint and cast but one group viewed the supplemental instructional video and the other did not. There were no differences in terms of sex, age, basic science exam scores, or grade point average of the groups. Thirteen specific skills in splinting an injured limb were evaluated. We recorded grade point averages. We developed a 10-point scoring system and graded each student on their splinting skills 6 months after the lectures. The medical students who watched the video had an average score of 7.6, whereas the control group's average score was 2.0. We observed a positive association between watching the educational video and clinical exam score. A higher professor-to-student ratio was associated with lower student Objective Structured Clinical Examination score. Our observations suggest a supplemental video instructional program improved the performance of musculoskeletal clinical skills in comparison to only a traditional lecture series.

  12. Oral splint for temporomandibular joint disorders with revolutionary fluid system

    OpenAIRE

    2013-01-01

    Temporomandibular joint (TMJ) diseases and disorders refer to a complex and poorly understood set of conditions, manifested by pain in the area of the jaw and associated muscles and limitations in the ability to make the normal movements of speech, facial expression, eating, chewing, and swallowing. The conventional soft occlusal splint therapy is a much safer and effective mode of a conservative line of therapy in comparison to the surgical therapy for temporomandibular joint disorders (TMD)...

  13. Effects of a modified maxillary orthopaedic splint: a cephalometric evaluation.

    Science.gov (United States)

    Uner, O; Yücel-Eroğlu, E

    1996-06-01

    Taking the presence of an interplay between the vertical and sagittal components of craniofacial development into consideration, the beneficial therapeutic potential impacts of controlling vertical development on the correction of Class II discrepancies has been previously investigated. In the present study, a modified maxillary orthopaedic splint combined with an anterior high-pull headgear was used for early correction of the vertical and consequently sagittal dentoskeletal discrepancy as the initial stage of treatment. The aim was to evaluate its effects on the maxillary and mandibular dentoskeletal development, as well as rotational growth pattern. In order to compare with and distinguish from the uninterrupted growth changes, a control group was formed by matching each one of the control subjects to a subject in the treatment group according to certain criteria. The initial and second standardized lateral cephalograms of each subject was evaluated by means of an adopted and biologically more substantial cephalometric analysis. Evaluation of the changes induced by the splint in comparison with the uninterrupted growth changes revealed that the splint had both orthopaedic and orthodontic effects on the growth pattern of the dentoskeletal structures. There seemed to exist a relationship between the direction of total mandibular and maxillary rotations. In addition, it was believed that in order to cause a forward mandibular rotation, i.e. to change the rotational mandibular growth pattern from a backward into a forward direction, the posterior vertical maxillary development should be restrained, but anterior vertical maxillary development should be relatively more restrained or reversed and, thereby, the rotational growth pattern of the maxilla should be changed from a backward into a forward direction. Moreover, the bite block effect of the splint seemed to cause a favourable change in the condylar growth direction from a backward to an upward direction.

  14. Influence of splinting materials (auto vs. photopolymerizing) on implant impression accuracy: an in vitro study

    OpenAIRE

    Braz, Luís Miguel Baptista

    2016-01-01

    Tese de mestrado, Medicina Dentária, Universidade de Lisboa, Faculdade de Medicina Dentária, 2016 Purpose: The aim of the present study was to evaluate if there was any significant difference in accuracy between multiple-unit dental implant casts obtained from splinted direct impression techniques using 2 splinting materials by comparing the casts to the reference models. The null hypothesis tested was that the accuracy of implant-impressions was not affected regardless of the splinting ma...

  15. Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: a pilot study

    OpenAIRE

    2014-01-01

    PURPOSE The occlusal splint has been used for many years as an effective treatment of sleep bruxism. Several methods have been used to evaluate efficiency of the occlusal splints. However, the effect of the occlusal splints on occlusal force has not been clarified sufficiently. The purpose of this study was to evaluate the effect of occlusal splints on maximum occlusal force in patients with sleep bruxism and compare two type of splints that are Bruxogard-soft splint and canine protected hard...

  16. Computerized analysis of occlusal contacts in bruxism patients treated with occlusal splint therapy

    Science.gov (United States)

    Kılınç, Halil İbrahim; Tuna, Süleyman Hakan; Özcan, Nihal

    2013-01-01

    PURPOSE Occlusal splints are commonly used to prevent tooth wear caused by bruxism. However, the effects of splints on occlusion are still unclear. Although it is rarely alluded in literature, splints can provoke severe occlusal alterations and other complications. This study was aimed to identify differences in the responses of individuals with bruxism and healthy individuals to a full-arch maxillary stabilization splint in terms of occlusal changes. MATERIALS AND METHODS Occlusal contacts in 20 (5 male, 15 female) bruxism patients and 20 (5 male, 15 female) controls with normal occlusion were evaluated before and after occlusal splint therapy. T-Scan III, a computerized occlusal analysis system, was used to simultaneously measure occlusion and disclusion times as well as left-right and anterior-posterior contact distributions before splint therapy and 3 months after therapy. Wilcoxon and Mann-Whitney U tests were used for statistical analyses (α=.05). RESULTS No differences were found in the posterior contact of bruxism patients before and after stabilization splint treatment. However, differences in posterior contact were observed between bruxists and normal individuals prior to treatment, and this difference disappeared following treatment. CONCLUSION The results of this study showed the use of a stabilization splint may not have an effect on occlusion. However, the area of posterior occlusal contact among bruxists was found to be greater than that of normal individuals. According to this study, the clinical use of splints may be harmless. PMID:24049566

  17. Operating Room Time Savings with the Use of Splint Packs: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Tyler Gonzalez

    2016-01-01

    Full Text Available Background: The most expensive variable in the operating room (OR is time. Lean Process Management is being used in the medical field to improve efficiency in the OR. Streamlining individual processes within the OR is crucial to a comprehensive time saving and cost-cutting health care strategy. At our institution, one hour of OR time costs approximately $500, exclusive of supply and personnel costs. Commercially prepared splint packs (SP contain all components necessary for plaster-of-Paris short-leg splint application and have the potential to decrease splint application time and overall costs by making it a more lean process. We conducted a randomized controlled trial comparing OR time savings between SP use and bulk supply (BS splint application. Methods: Fifty consecutive adult operative patients on whom post-operative short-leg splint immobilization was indicated were randomized to either a control group using BS or an experimental group using SP. One orthopaedic surgeon (EMB prepared and applied all of the splints in a standardized fashion. Retrieval time, preparation time, splint application time, and total splinting time for both groups were measured and statistically analyzed. Results: The retrieval time, preparation time and total splinting time were significantly less (p

  18. Splinting effect on posterior implants under various loading modes: a 3D finite element analysis.

    Science.gov (United States)

    Hauchard, Erwan; Fournier, Benjamin Philippe; Jacq, Romain; Bouton, Antoine; Pierrisnard, Laurent; Naveau, Adrien

    2011-09-01

    This three-dimensional finite element study compared stresses, intensities and displacements of three mandibular posterior implants restored with cemented crowns (two molars and a premolar in straight line), splinted versus non-splinted. Hundred newton occlusal loads were vertically or horizontally applied, either on one single crown or on all of them. Maximal stresses and implants displacements were higher under horizontal loading. Splinting major effects appeared under single horizontal load with a decrease in stresses (34-49%) and displacements (16-19%) of the loaded crown. Splinting seems more appropriate for implant-supported restorations submitted to frequent single horizontal or oblique loads than vertical ones.

  19. Early phase tendon transfers in radial and ulnar nerve injuries: internal splinting

    Directory of Open Access Journals (Sweden)

    Nilgün Markal Ertaş

    2010-06-01

    Full Text Available Objectives: Internal splinting is defined as early tendon transfer performed during or just after nerve repair followingnerve injury and is a controversial issue. The objectivesof internal splinting are avoiding the use of long term external splinting, avoiding permanent hand deformities until the injured nerve is reinnervated and supporting sensorial recovery. In this paper we present our clinical cases of internal splinting and discuss the results in terms of indications, timing, advantages, and disadvantages of internal splinting.Materials and Methods: We applied internal splinting in 11 patients, 3 patients with radial nerve injury and 8 patients with ulnar nerve injury. Internal splinting was performed contemporarily with the nerve repair in 5 patients,in 2 weeks following nerve repair in 1 patient and in 4 weeks following nerve repair in 5 patients. Pronator teres was transferred to extensor carpi radialis brevis and flexor carpi radialis was transferred to extensor digitorum communis in radial nerve injuries. Omer’s superficial Y technique and its modification were used for ulnar nerve injuries.Results: Patients were followed up for at least 1 year with physical examination and electroneuromyelography and recovery of sensorial and motor functions were achieved in all of them.Conclusion: We concluded that internal splinting is usefulfor avoiding external splint usage and preventing the establishment of hand deformity until recovery of the nerve. The contribution of internal splinting to sensorial recovery was noteworthy as stated in the literature but the lack of control group and the small number of our cases was limited to come to a definite conclusion. We did not experience any disadvantage of internal splinting.

  20. Teaching Splinting Techniques Using a Just-in-Time Training Instructional Video.

    Science.gov (United States)

    Cheng, Yu-Tsun; Liu, Deborah R; Wang, Vincent J

    2017-03-01

    Splinting is a multistep procedure that is seldom performed by primary care physicians. Just-in-time training (JITT) is an emerging teaching modality and can be an invaluable asset for infrequently performed procedures or in locations where teaching resources and trained professionals are limited. Our objective was to determine the utility of JITT for teaching medical students the short-arm (SA) volar splinting technique. This was a prospective randomized controlled pilot study. An instructional video on SA volar splinting was produced. Students viewed the video or had access to standard medical textbooks (control group) immediately before applying an SA volar splint. The students were assessed for the quality of the splint via a standard 6-point skills checklist. The times required for presplinting preparation and for completion of the splint were also measured. Just-in-time training group students scored higher on the splint checklist (mean [SD], 5.45 [1.06]; 95% confidence interval [CI], 4.99-5.92 vs mean [SD], 1.58 [1.12]; 95% CI, 1.04-2.12; P teaching and disseminating procedural skills, such as SA volar splinting.

  1. Prognosis following long term splint use in horizontal root fracture: case report

    Directory of Open Access Journals (Sweden)

    Gizem İnan

    2017-01-01

    Full Text Available Introduction: Root fracture of the incisors is a rare condition in dental trauma. It can be treated successfully by stabilizing the repositioned tooth fragments. In splint applications it is recommended to use flexible or semi-rigid splints for 4 weeks; use of splints for extended durations may increase the risk of external root resorption. Case Report: A 12-year-old male patient who had had a dental trauma 10 months earlier consulted the Department of Pediatric Dentistry, Faculty of Dentistry at Gazi University. In his intraoral examination, mobility was detected in the mandibular right central incisor tooth. After clinical and radiographic examination, the patient was diagnosed with horizontal root fracture and the fractured tooth was splinted. The patient did not attend the scheduled follow-up visits, but re-appeared 2 years later for the removal of the splint. One year after the removal of the splint, healing with calcified tissue was observed. Conclusion: Although it is known that long-term splint causes root resorption, in this case it was observed that no pathology developed, and healing with calcified tissue occurred after splint use for an extended period. This is contrary to what has been argued in the literature.

  2. Efficiency of pivot splints as jaw exercise apparatus in combination with stabilization splints in anterior disc displacement without reduction: a retrospective study.

    Science.gov (United States)

    Muhtarogullari, Mehmet; Avci, Mehmet; Yuzugullu, Bulem

    2014-10-09

    To evaluate efficiency of pivot splints in jaw exercises, in combination with stabilization splints, in cases of anterior disc displacement without reduction of temporomandibular joint. Twenty-three patients who referred to the prosthodontics clinic in 1995-1997 were included in the study, where anterior disc displacement without reduction of temporomandibular joint was diagnosed using magnetic resonance imaging and clinical examination. Pivot splints were used for jaw exercises for five minutes long; five times/day and stabilization splints were used at all other times. The patients were followed for 24 weeks. Lateral and protrusive excursions along with maximum mouth opening and were evaluated at each control. Bilateral palpation of temporal, masseter, sternocleidomastoid muscles and TMJ was assessed for pain perception before and after treatment. Data were statistically analyzed using Paired sample t-test and Independent Samples t-test (p displacement without reduction; as normal mandibular range of motion was established and pain was eliminated.

  3. Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis.

    Science.gov (United States)

    Zhang, Chao; Wu, Jun-Yi; Deng, Dong-Lai; He, Bing-Yang; Tao, Yuan; Niu, Yu-Ming; Deng, Mo-Hong

    2016-12-20

    Temporomandibular disorders (TMD) are a group of clinical problems affecting temporomandibular joint (TMJ), myofascial muscles and other related structures. Splint therapy is the most commonly used approach to treatment of TMD, but its effectiveness is remains unclear. We therefore conducted a meta-analysis to evaluate the effectiveness of splint therapy for TMD in adults. The electronic databases PubMed, EMBASE, Cochrane Library, and ClinicalTrials.gov were searched for reports published up to March 31, 2016. Thirteen eligible studies involving 538 patients were identified. The results indicated that splint therapy increased maximal mouth opening (MMO) for patients with a MMO description (TMDSD). Splint therapy also reduced the frequency of painful episodes for patients with TMJ clicking. No publication bias was observed, as determined with Egger's test for all outcomes. On the basis of this evidence, we recommend the use of splints for the treatment and control of TMD in adults.

  4. Influence of stabilization occlusal splint on craniocervical relationships. Part II: Electromyographic analysis.

    Science.gov (United States)

    Santander, H; Miralles, R; Jimenez, A; Zuñiga, C; Rocabado, M; Moya, H

    1994-10-01

    The aim of this study was to determine the effect of stabilization occlusal splints on electromyographic (EMG) activity of sternocleidomastoid and trapezius muscles in subjects with spasm in the mentioned muscles. A full-arch maxillary stabilization occlusal splint was made for each of the 15 subjects. In the sternocleidomastoid muscle, tonic and saliva swallowing EMG activity decreased significantly with the splint, whereas maximal clenching activity did not change. In the trapezius muscle, no significant changes were observed with the occlusal splint. The different pattern in both muscles during tonic and swallowing EMG activity with the splint is attributed to differences in the synaptic inputs to the respective motoneuron pools, suggesting that a differential modulation of the motor neuron pools may exist of both muscles, of peripheral and/or central origin.

  5. Influence of stabilization occlusal splint on craniocervical relationships. Part I: Cephalometric analysis.

    Science.gov (United States)

    Moya, H; Miralles, R; Zuñiga, C; Carvajal, R; Rocabado, M; Santander, H

    1994-01-01

    This study was conducted in order to determine the effect of an occlusal splint on craniocervical relationships, in subjects with muscle spasms in the sternocleidomastoid and trapezius muscles. A full-arch maxillary stabilization occlusal splint was made for each of the 15 subjects. Two lateral craniocervical radiographs were taken for each subject, with and without an occlusal splint. Cephalometric analysis showed that the splint caused a significant extension of the head on the cervical spine. There was also a significant decrease in the cervical spine lordosis in the first, second and third cervical segment. These cervical changes could be a compensation mechanism caused by the extension of the cranium on the upper cervical spine. The change in the curvature implies that it is necessary to periodically evaluate the changes occurring in the craniocervical relationships after the occlusal splint has been inserted.

  6. Why use oral splints for temporomandibular disorders (TMDs)?

    Science.gov (United States)

    Adibi, Shawn S; Ogbureke, Ezinne I; Minavi, Brian B; Ogbureke, Kalu U

    2014-06-01

    Several etiologic routes have either been determined or proposed for Temporomandibular Disorders (TMD). Notable among these are myofascial, disc displacement, and arthritides disorders. The absence of concrete and universally accepted evidence-based treatment approaches means that debates as to the precise etiology and treatment of TMDs continue while practitioners attempt to treat and improve the lives of patients who present with these debilitating disorders. The use of oral splints (OS) by clinicians with responsibility to manage TMDs is quite popular, even though its mechanism of action and efficacy remains unclear. This article reviews the rationale for the continued use of OS for the management of TMDs.

  7. Temporomandibular disorders in females: acupuncture compared to occlusal splint

    OpenAIRE

    Rezende, Maria Cristina Rosifini Alves [UNESP; Sant´anna, Crischina Branco Marques [UNESP; Ávila de Aguiar, Sandra Maria Herondina Coelho [UNESP; Bertoz, André Pinhiero de Magalhães [UNESP; Hall, Kevin Bruce [UNESP; Dyonisio, Ana Luiza Di Bella; Lima, Jacquelyne do Valle; Costa, Leonardo Portilha Gomes da; Alves-Rezende, Luís Guilherme Rosifini

    2013-01-01

    To compare the effect of acupuncture and occlusal splint in the treatment of temporomandibular disorders (TMD) in female patients.Method: Forty-eight female patients (mean age of 39.3±6.8 years) with diagnosed pain in muscles or joint according to RDC/TMD criteria were attended at UNESP - Aracatuba Dental School. Including criteria were reported pain in the chewing muscles and/or in the temporomandibular joint measured by a visual analogue scale (range from 0 to 10) and a reported reduction o...

  8. Inpatient occupational therapists hand-splinting practice for clients with stroke: A cross-sectional survey from Ireland

    Directory of Open Access Journals (Sweden)

    Cormican Adrienne

    2011-01-01

    Full Text Available Introduction: Hand splinting after stroke is a common practice despite inadequate evidence. This warrants a better understanding of the therapists′ splinting practice, to develop clinically meaningful treatment options. Aims: The study examined the nature and prevalence of the factors associated with therapists′ hand splinting practice and their perceived splinting efficacy. Settings and Design: A cross-sectional national survey of hand-splinting practice among inpatient occupational therapists (OTs in Ireland. Materials and Methods: Sixty-two therapists participated in this national survey.Statistical analysis used: A number of factors were analyzed to explore their relationship with therapists′ perception of splint efficacy using Spearman′s rank order correlation. Results: 53(85.5% out of 62 survey respondents prescribed splints to their clients at the time of taking the survey. To reduce spasticity, to correct contractures and thus increase range of motion (ROM were the commonly used splinting goals. These were the goals that were significantly associated with the therapists′ splinting efficacy too. Conclusions: Hand-splint prescription following stroke was found to be a common practice among OTs who perceive splints to be quite effective. A custom-made, volar forearm-based wrist-hand splint is the preferred splint among therapists to achieve a number of clinical aims such as improving ROM, stretching soft tissue contractures and reducing spasticity in the upper extremity. A wide variety of splinting regimens is currently practiced, reflecting the lack of a universally accepted and comprehensive practice guideline to regulate therapy. Methodologically valid clinical trials evaluating the efficacy of therapist-preferred splints in achieving their favored outcomes are needed. Development of common, universally accepted therapeutic guidelines based on comprehensive scientific review of such studies is thus needed.

  9. Measurement of the flexing force of the fingers by a dynamic splint with a dynamometer Medida da força de flexão dos dedos da mão através de órtese dinâmica com dinamômetro

    Directory of Open Access Journals (Sweden)

    Silmara Nicolau Pedro da Silva

    2005-10-01

    Full Text Available PURPOSE AND METHODS: In order to determine forces acting upon an articular joint during hand rehabilitation, a dynamic splint was built and connected to a dynamometer (capable of measuring forces in the range 0 - 600 gf. Through trigonometric calculation, the authors measured the flexing force in the proximal interphalangeal joint of the middle finger at 30°, 45°, 60°, and 90° of flexion. Measurements were obtained in a population of 40 voluntary adults, 20 females and 20 males, This flexing force was correlated with age, sex, and anthropometric measures. RESULTS: Force in the flexing tendon is maximal at the start of flexion, and decreases as the angle of joint flexion increases. A relationship was observed between finger length and the magnitude of the force exerted on the tendon: the longer the finger, the greater the force exherted upon the tendon. Force is greater at all the measured angles, (except 30° in males and in individuals of higher stature, and bigger arm span. CONCLUSIONS: The flexing force can be effectively measured at all flexing angles, that it correlates with a number of different anthropometric parameters, and that such data are likely to open the way for future studies.OBJETIVO E MÉTODOS: Em virtude do desconhecimento relativo às forças que atuam em uma articulação durante o processo de reabilitação da mão, foi confeccionada uma órtese dinâmica que, acoplada a um dinamômetro, mediu, através de cálculos trigonométricos, a força (entre 0 a 600gf, flexora na articulação interfalângica proximal do terceiro dedo, a 30º, 45º, 60º e 90º de flexão. Estas medidas foram obtidas, em uma população de 40 adultos voluntários, 20 do sexo feminino e 20 do masculino, e confrontadas com idade, sexo e medidas antropométricas como estatura, envergadura e comprimento do dedo. RESULTADOS: Os resultados do estudo demonstraram que o tendão flexor é submetido à máxima força no início da flexão e que a for

  10. Comparison study of QuickCast versus a traditional thermoplastic in the fabrication of a resting hand splint.

    Science.gov (United States)

    Lau, C

    1998-01-01

    Therapists are frequently presented with new splinting material promising better and faster results. Managed care and cost containment make it important to evaluate the splinting materials used in the fabrication process. A new precut splint, QuickCast, is made from a fiberglass material that becomes pliable from the heat of a standard household hair dryer. Graduate occupational therapy students participated in timed trials fabricating resting hand splints with QuickCast and Ezeform brands of thermoplastic. Second-year occupational therapy students chosen as splint makers answered a questionnaire measuring fit, edges, strap application, aesthetics, safety, and ease of positioning. First-year students who had no neurologic or orthopedic involvement in the upper extremities participated as clients. They answered a questionnaire on comfort, weight, and aesthetics of the splint and the safety and comfort of the splinting process. Analysis of timed trials revealed no significant difference in the time required to fabricate the QuickCast precut thermoplastic and the sheet thermoplastic splints. From the questionnaire, the thermoplastic splint was rated safer than the QuickCast material by splint makers. Further studies are suggested for comparing time and cost effectiveness between commercially available splinting materials.

  11. Clinical and electrophysiological evaluation of neutral wrist nocturnal splinting in patients with carpal tunnel syndrome.

    Science.gov (United States)

    Weng, Chao; Dong, Hongjuan; Chu, Hong; Lu, Zuneng

    2016-08-01

    [Purpose] To prospectively assess the effectiveness of neutral wrist nocturnal splinting in patients with carpal tunnel syndrome (CTS) by using clinical scores and nerve conduction studies (NCS). [Subjects and Methods] Forty-one patients enrolled in the study were clinically evaluated by a symptom severity scale (SSS) and functional status scale (FSS), and were electrophysiologically evaluated by conventional NCS; distal motor latency (DML), sensory conduction velocity (SCV), and difference in sensory latency between the median and ulnar nerves (ΔDSL) were measured. Subjects were treated with wrist splinting. Patients who showed no improvement in symptoms were treated with other conservative treatments, the remaining patients continued to wear splints. SSS, FSS, and NCS were evaluated after splinting as well. [Results] The follow-up was completed in 20 patients (31 wrists) with splinting. SSS and FSS decreased, the DML shortened and ΔDSL decreased significantly after splinting for 3.03 ± 1.16 months. There were significant correlations between SSS and DML, SCV of wrist digit 2, and SCV of wrist digit 4. No correlations were found between SSS and ΔDSL, and FSS and the parameters of NCS. [Conclusion] Neutral wrist nocturnal splinting is effective in at least short term for CTS patients. There is a weak correlation between clinical scores and NCS, which suggests that both approaches should be used to effectively assess the therapeutic effect of CTS treatment.

  12. Immediate effect of the resilient splint evaluated using surface electromyography in patients with TMD.

    Science.gov (United States)

    Botelho, André Luís; Silva, Bruno Caetano; Gentil, Flávio Henrique Umeda; Sforza, Chiarella; da Silva, Marco Antonio Moreira Rodrigues

    2010-10-01

    The aim of this study was to analyze the immediate effect of resilient splints through surface electromyography testing and to compare the findings with the electromyographic profiles of asymptomatic subjects. The participants were 30 subjects, 15 patients with TMD (TMD Group) and 15 healthy subjects (Control Group), classified according to Research Diagnostic Criteria (RDC/TMD) Axis I. A resilient occlusal splint was made for each patient in the TMD Group from two mm thick silicon to cover all teeth. The EMG examination was performed before and immediately after installing the splint. Three tests were performed as follows: 1. Maximum Voluntary Contraction (MVC) using cotton rolls (standards test); 2. MVC in maximal intercuspation position; and 3. MVC with the splint in position. The EMG signal was recorded for five seconds. EMG indices were calculated to assess muscle symmetry, jaw torque, and impact. There was a statistically significant difference when comparing the results among the study groups. The symmetry index values in the Control Group were higher than the TMD Initial Group and similar to the TMD Group after the installation of the splint. The index values of torque were higher in TMD Initial Group when compared with the Controls. Impact values were lower than normal values in the TMD Initial Group and restored upon installation of the splint. The resilient occlusal splints may be used as complementary or adjunctive treatment of temporomandibular disorders.

  13. Clinical and electrophysiological evaluation of neutral wrist nocturnal splinting in patients with carpal tunnel syndrome

    Science.gov (United States)

    Weng, Chao; Dong, Hongjuan; Chu, Hong; Lu, Zuneng

    2016-01-01

    [Purpose] To prospectively assess the effectiveness of neutral wrist nocturnal splinting in patients with carpal tunnel syndrome (CTS) by using clinical scores and nerve conduction studies (NCS). [Subjects and Methods] Forty-one patients enrolled in the study were clinically evaluated by a symptom severity scale (SSS) and functional status scale (FSS), and were electrophysiologically evaluated by conventional NCS; distal motor latency (DML), sensory conduction velocity (SCV), and difference in sensory latency between the median and ulnar nerves (ΔDSL) were measured. Subjects were treated with wrist splinting. Patients who showed no improvement in symptoms were treated with other conservative treatments, the remaining patients continued to wear splints. SSS, FSS, and NCS were evaluated after splinting as well. [Results] The follow-up was completed in 20 patients (31 wrists) with splinting. SSS and FSS decreased, the DML shortened and ΔDSL decreased significantly after splinting for 3.03 ± 1.16 months. There were significant correlations between SSS and DML, SCV of wrist digit 2, and SCV of wrist digit 4. No correlations were found between SSS and ΔDSL, and FSS and the parameters of NCS. [Conclusion] Neutral wrist nocturnal splinting is effective in at least short term for CTS patients. There is a weak correlation between clinical scores and NCS, which suggests that both approaches should be used to effectively assess the therapeutic effect of CTS treatment. PMID:27630413

  14. Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: a pilot study

    Science.gov (United States)

    Dogan, Arife; Bek, Bulent

    2014-01-01

    PURPOSE The occlusal splint has been used for many years as an effective treatment of sleep bruxism. Several methods have been used to evaluate efficiency of the occlusal splints. However, the effect of the occlusal splints on occlusal force has not been clarified sufficiently. The purpose of this study was to evaluate the effect of occlusal splints on maximum occlusal force in patients with sleep bruxism and compare two type of splints that are Bruxogard-soft splint and canine protected hard stabilization splint. MATERIALS AND METHODS Twelve students with sleep bruxism were participated in the present study. All participants used two different occlusal splints during sleep for 6 weeks. Maximum occlusal force was measured with two miniature strain-gage transducers before, 3 and 6 weeks after insertion of occlusal splints. Clinical examination of temporomandibular disorders was performed for all individuals according to the Craniomandibular Index (CMI) before and 6 weeks after the insertion of splints. The changes in mean occlusal force before, 3 and 6 weeks after insertion of both splints were analysed with paired sample t-test. The Wilcoxon test was used for the comparison of the CMI values before and 6 weeks after the insertion of splints. RESULTS Participants using stabilization splints showed no statistically significant changes in occlusal force before, 3, and 6 weeks after insertion of splint (P>.05) and participants using Bruxogard-soft splint had statistically significant decreased occlusal force 6 weeks after insertion of splint (P<.05). There was statistically significant improvement in the CMI value of the participants in both of the splint groups (P<.05). CONCLUSION Participants who used Bruxogard-soft splint showed decreases in occlusal force 6 weeks after insertion of splint. The use of both splints led to a significant reduction in the clinical symptoms. PMID:24843394

  15. Effect of splinting and interproximal contact tightness on load transfer by implant restorations.

    Science.gov (United States)

    Guichet, David L; Yoshinobu, Diane; Caputo, Angelo A

    2002-05-01

    To circumvent the difficulty of achieving a passive framework fit, some authors have suggested that multiple adjacent implants be restored individually. This protocol requires that each unit be able to withstand mastication forces. Non-splinted restorations have numerous interproximal contacts that require adjustments prior to placement, with an unknown outcome relative to load transfer. This in vitro simulation study examined the effect of splinting and interproximal contact tightness on passivity of fit and the load transfer characteristics of implant restorations. A photoelastic model of a human partially edentulous left mandible with 3 screw-type implants (3.75 x 10 mm) was fabricated. For non-splinted restorations, individual crowns were fabricated on 3 custom-milled titanium abutments. After the units were cemented, 5 levels of interproximal contact tightness were evaluated: open, ideal (8 microm shim stock drags without tearing), light (ideal +10 microm), medium (ideal + 50 microm), and heavy (ideal + 90 microm). For splinted restorations, five 3-unit fixed partial dentures were fabricated, internally adjusted with silicone disclosing material, and cemented to the model. Changes in stress distribution under simulated non-loaded and loaded conditions (6.8 kg) were analyzed with a polariscope. In the simulated alveolar structures, non-splinted restorations with heavier interproximal contacts were associated with increased tensile stresses between implants; occlusal loads tended to concentrate around the specific loaded implant. Splinted restorations shared the occlusal loads and distributed the stresses more evenly between the implants when force was applied. The load-sharing effect was most evident on the center implant but also was seen on the terminal abutments of the splinted restorations. The results of this in vitro study suggest that excessive contact tightness between individual crowns can lead to a non-passive situation. In this experiment, splinted

  16. A Method for Direct Fabrication of a Lingual Splint for Management of Pediatric Mandibular Fractures

    Directory of Open Access Journals (Sweden)

    Gerardo P. Romeo, DDS, MD

    2013-10-01

    Full Text Available Summary: Pediatric mandibular fractures have successfully been managed in various ways. The use of a lingual splint is one such option. The typical indirect method for acrylic lingual splint fabrication involves obtaining dental impressions. Dental models are produced from those impressions so that model surgery may be performed. The splint is then made on those models using resin powder and liquid monomer in a wet laboratory and transferred to the patient. Obvious limitations to this technique exist for both patient and operator. We present a technique for direct, intraoperative, fabrication of a splint using commercially available light-cured material that avoids some of the shortcomings of the indirect method. Recommendations are made based on available material safety information.

  17. Surgical-orthodontic treatment of a patient with temporomandibular disorder stabilized with a gnathologic splint.

    Science.gov (United States)

    Takahashi, Ichiro

    2008-06-01

    The condylar position was stabilized with a gnathologic splint designed to achieve a mutually protected occlusion in a patient with internally deranged joints whose symptoms had not been resolved with an anterior repositioning splint. A diagnosis was made in the stable condylar position from which hinge axis movement of the mandible could be performed. After preoperative orthodontic treatment, the mandibular position was restabilized with splint therapy; then, a sagittal split ramus osteotomy was performed, by using an overcorrection splint. As a result, the stable position of the condyles was in line with the centric occlusion of the teeth. Changes in the joint status are illustrated with magnetic resonance images. The occlusion was stable 2 years after active treatment without recurrence of joint symptoms.

  18. Occlusal splint for sleep bruxism: an electromyographic associated to Helkimo Index evaluation.

    Science.gov (United States)

    Nascimento, Leonardo Lopes do; Amorim, César Ferreira; Giannasi, Lilian Chrystiane; Oliveira, Claudia Santos; Nacif, Sérgio Roberto; Silva, Alecsandro de Moura; Nascimento, Daniela Fernandes Figueira; Marchini, Leonardo; de Oliveira, Luis Vicente Franco

    2008-08-01

    This study aims to evaluate long-term effects of using an occlusal splint in patients with sleep bruxism (SB), using surface electromyography (EMG) of masseter and temporalis muscles, as well as the Helkimo Index. The subjects were 15 individuals aged from 19 to 29 years, bearers of SB, with presence of signs and symptoms of temporomandibular disorders (TMD), which never have used occlusal splints. The subjects answered the Helkimo's Index and underwent EMG before and after 60 days of occlusal splints use. There was no indication of a significant decrease in mean EMG levels over the therapy in the muscles. A significant decrease in TMD signs and symptoms were observed in SB patients after 60 days of occlusal splints therapy.

  19. Effect of occlusal splint thickness on electrical masticatory muscle activity during rest and clenching

    National Research Council Canada - National Science Library

    Pita, Murillo Sucena; Ribeiro, Adriana Barbosa; Garcia, Alicio Rosalino; Pedrazzi, Vinicius; Zuim, Paulo Renato Junqueira

    2011-01-01

    .... Based on this premise, the aim of this study was to evaluate the effect of interocclusal splint thicknesses of 3 and 6 millimeters on the electrical activity of the anterior temporal and masseter...

  20. Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis

    OpenAIRE

    Zhang, Chao; Wu, Jun-Yi; Deng, Dong-Lai; He, Bing-Yang; Tao, Yuan; Niu, Yu-Ming; Deng, Mo-Hong

    2016-01-01

    Temporomandibular disorders (TMD) are a group of clinical problems affecting temporomandibular joint (TMJ), myofascial muscles and other related structures. Splint therapy is the most commonly used approach to treatment of TMD, but its effectiveness is remains unclear. We therefore conducted a meta-analysis to evaluate the effectiveness of splint therapy for TMD in adults. The electronic databases PubMed, EMBASE, Cochrane Library, and ClinicalTrials.gov were searched for reports published up ...

  1. Needle aponeurotomy for Dupuytren contracture: Effectiveness of postoperative night extension splinting.

    Science.gov (United States)

    Tam, Louisa; Chung, Yin-Yin

    2016-01-01

    Night extension splinting has been used to treat patients with Dupuytren contracture to improve active range of motion (AROM) of the hand. A published case study demonstrated the benefit of splinting following needle aponeurotomy; however, no larger studies have evaluated the impact of postoperative splinting. To compare the impact of night extension splinting on AROM, specifically extension, following needle aponeurotomy for Dupuytren contracture. A retrospective chart review was conducted in which the charts of 53 patients who underwent needle aponeurotomy for Dupuytren contracture between 2009 and 2013 were reviewed. The control group consisted of patients who underwent needle aponeurotomy only, whereas the treatment group was also referred for fabrication of custom night extension splints after surgery. Comparisons in pre- and postoperative AROM measurements for the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints were made between both groups of patients. The degrees of change in AROM for each joint were categorized in terms of levels of change: mild (0° to 29°); moderate (30° to 60°); and significant (≥61°). All patients exhibited increased AROM after surgery for both MCP and PIP joints. Both groups had a greater increase in AROM in the MCP joint. Twelve joints from the control group had moderate changes and two from the treatment group had significant changes. When both groups were compared, the levels of change of AROM between both groups did not vary significantly. Night extension splinting following needle aponeurotomy may not improve AROM of the MCP or PIP joints.

  2. Measurement of effects on tone with lip-protecting music splints for wind instrument players

    Science.gov (United States)

    Katada, Chigusa; Nozaki, Kazunori; Imai, Miharu; Kawamoto, Masayuki; Shima, Yuko; Tamagawa, Hiroo; Maeda, Yoshinobu; Ohboshi, Naoki; Toda, Tadao

    2004-05-01

    To protect against lip trauma from wind instruments, music splints that cover the sharp edges of incisor teeth are often manufactured by dentists. Wind instrument players who have installed these custom-made music splints often express not only their lip comfort but also changes in their tone quality. In this study, we investigated the effect of the splints to the tone quality. We recorded three types of trumpet sounds such as long tones, arpeggios with perfect fifth, and tonguing tones with and without using a splint, respectively, by a professional trumpet player in an anechoic room. After fast Fourier transform, the higher harmonics was observed more in the splint group than in the nonsplint group, with sharp peaks from 5000 to 8000 Hz. We also examined the differences of these sound groups with recognition tests by two groups of listeners such as professional musicians and nonprofessional persons. Though sound-pressure levels of higher harmonics in two sound groups were lower than those at 400 to 2000 Hz, the musically trained persons recognized the difference perfectly. These results suggest the target of measurement to evaluate the effect of music splints.

  3. Computer-Designed Splints for Surgical Transfer of 3D Orthognathic Planning.

    Science.gov (United States)

    Zinser, Max; Zoeller, Joachim

    2015-10-01

    Advances in computers and imaging have permitted the adoption of three-dimensional (3D) planning protocols in orthognathic surgery, which may allow a paradigm shift when the computer-assisted planning can be transferred properly. The purpose of this investigation was to introduce an innovative clinical protocol using computer-aided designed and computer-aided manufactured (CAD/CAM) surgical splints for surgical transfer of 3D orthognathic planning compared with the classic technique using arbitrary occlusal splints. The clinical protocols consisted of computed tomography (CT) or cone-beam CT (CBCT) maxillofacial imaging, bone segmentation, 3D diagnosis, computer-assisted surgical treatment planning, and CAD/CAM surgical splints (group A) and manufacture of arbitrary occlusal splints (group B) for intraoperative surgical planning transfer. The observed patients underwent bimaxillary osteotomies and, if necessary, an additional genioplasty. Both techniques were evaluated by applying 13 hard tissue parameters to compare the 3D orthognathic planning (T0) with the postoperative result (T1) using 3D cephalometry. The CAD/CAM splints showed significant better precision for the maxilla (ΔT orthognathic planning, which is more precise compared with the conventional arbitrary occlusal splints.

  4. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints.

    Science.gov (United States)

    Olthoff, L W; van der Glas, H W; van der Bilt, A

    2007-08-01

    Changing the occlusal vertical dimension is a common procedure in restorative dentistry, during treatment of patients with cranio-mandibular disorders, and during orthodontic and orthognathic treatment. The treatment may alter the length of the main jaw elevator muscles and the position of the mandibular head in the fossa temporalis. These changes may influence the bite forces that are generated during chewing and thus may affect the masticatory function. We measured the objective masticatory function, defined as masticatory performance, by determining an individual's capacity to pulverize a test food. The immediate influence of the increase in the occlusal vertical dimension on the masticatory performance was determined using three anatomical maxillary splints in a group of seven dentate subjects. The splints gave an increase in the occlusal vertical dimension of 2, 4 and 6 mm, respectively. Before we started the experiments the subjects practiced chewing with the splints during about 5 min. No significant differences were observed in masticatory performance among the conditions without and with the three splints. Thus, an increase in the occlusal vertical dimension up to 6 mm did not have a significant effect on the masticatory performance. Maxillary splints may be used to study the effect of occlusal factors on the chewing process by manipulating tooth shape and occlusal area of the splint.

  5. Quantitative analysis by MRI on condylar motion of the temporomandibular joint in patients applied with occlusal splints

    Energy Technology Data Exchange (ETDEWEB)

    Saito, Hiroki [Iwate Medical Univ., Morioka (Japan). School of Dentistry

    1999-03-01

    The purpose of this study was to assess the feasibility of a newly developed quantitative motion analysis method for the mandibular condyle before and after application of occlusal splints. The subjects were 50 consecutive patients with internal derangement. Stabilization type splints were applied in 23 cases (46%), anterior repositioning type in 18 cases (36%) and pivot type in 9 cases (18%). All patients underwent MR imaging with a 1.5-T MR unit with a 3-inch dual surface coil. Pseudodynamic MR study of the opening cycle was obtained using multiplanar GRASS sequence (MPGR). Incremental and decremental sagittal MR images before and after splint application were transferred to the workstation. Software originally developed by Nakasato and Katsuragawa was used to analyze the condylar motion and path. After splint application, normalized position of displaced discs was seen in 11 cases (22%), and occurred most frequently with anterior repositioning type splints. In patients with anterior repositioning type splints, improvement in the condylar motion was most significant, In patients with normalized disc position after application of occlusal splints, abnormal figure-eight-shaped`` condylar paths were corrected in 9 of 10 cases. In the case with normalized disc position after application of anterior repositioning splint, the maximum rotational angle before application of the splint is larger than that of the case without normalized disc position. Rotational function of the condyle in the inferior joint space may be associated with disc recapturing. (K.H.)

  6. Evaluation of local muscle soreness treatment with anterior bite splint made of soft putty impression material

    Directory of Open Access Journals (Sweden)

    Harry Laksono

    2013-03-01

    Full Text Available Background: Local muscle soreness is the most common temporomandibular disorders complaint of patients seeking treatment in the dental clinics. The emergency treatment that can be done in the clinics to manage this disorder is by making anterior bite splint. Anterior bite splint is usually made of acrylic, but currently there is a soft putty impression material that can also be used for making anterior bite splint. The effectiveness of soft putty anterior bite splint in local muscle soreness treatment still has not clear. Purpose: To determine the effectiveness of the soft putty impression material as a material used for making anterior bite splint in the treatment of local muscle soreness. Case: Six patients was reported five female patients aged 20-40 years old and one male patient aged 37 years old with local muscle soreness. Four female patients with a “click” sound on TMJ. Case management: Make differential diagnosis with screening history (anamnesis, clinical examination consists of extra oral examination such as muscle and temporomandibular joint palpation, measure the mandibular movement, end-feel, load test, intra oral examination and radiographic evaluation. Record the results and make the diagnosis. Make a soft putty anterior bite splint, adjusted and inserted in the maxillary anterior teeth. Record the results based on signs and symptoms. Conclusion: It can be concluded that anterior bite splint made of soft putty impression material is effective for treatment the local muscle soreness.Latar belakang: Salah satu tipe temporomandibular disorders yang paling sering dijumpai di klinik dokter gigi adalah local muscle soreness. Perawatan yang dapat dengan segera dilakukan di klinik untuk mengelola gangguan tersebut adalah dengan pembuatan anterior bite splint. Biasanya anterior bite splint terbuat dari akrilik, namun saat ini telah ada bahan cetak soft putty yang memungkinkan untuk dipakai sebagai bahan pembuatan anterior bite splint

  7. From shop fronts to home offices: Entrepreneurship and small business dynamics in urban residential neighbourhoods

    NARCIS (Netherlands)

    Folmer, E.C.

    2014-01-01

    This dissertation is about neighbourhood economies of urban residential neighbourhoods: it is about the people, the places and the institutions that shape neighbourhood economies. The neighbourhood economy includes shops, offices and also home-based business. As such, these mostly involve small to m

  8. From shop fronts to home offices: Entrepreneurship and small business dynamics in urban residential neighbourhoods

    NARCIS (Netherlands)

    Folmer, E.C.

    2014-01-01

    This dissertation is about neighbourhood economies of urban residential neighbourhoods: it is about the people, the places and the institutions that shape neighbourhood economies. The neighbourhood economy includes shops, offices and also home-based business. As such, these mostly involve small to

  9. Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture

    Directory of Open Access Journals (Sweden)

    Ersan Çiçek

    2015-01-01

    Full Text Available Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors. Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation. Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal. Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.

  10. A preliminary investigation of the neoprene tube finger extension splint.

    Science.gov (United States)

    Clark, E N

    1997-01-01

    Neoprene tube finger extension splints were analyzed to determine the production, amounts, and directions of force magnitude on the proximal interphalangeal joint during the flexing of the tube up to angles of 80 degrees. The tubes were examined in their empty form, with a human digit inserted into the tube, and with portions of the tube on the volar and dorsal surfaces removed. Upward forces ranged from less than 100 g to 225 g in the empty tubes. Upon insertion of a human digit into the tubes, forces increased from 125 g at 10 degrees to 650 g at 80 degrees flexion. Removal of a 2-cm square portion on the dorsal surface over the PIP joint did not significantly affect the tube's ability to lift upward demonstrating little or no downward pressure in the device. The tube had little or no upward force following removal of a 2-cm square encompassing the angle of the device on the volar surface. Positive effectiveness of the tubes were examined in case reports.

  11. A randomized clinical trial on comparison of corticosteroid injection with or without splinting versus saline injection with or without splinting in patients with lateral epicondylitis

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Tahririan

    2014-01-01

    Full Text Available Background: Lateral epicondylitis is a common problem affecting 1-3% of the population. There has been much debate about the best treatment modality for this condition. There is, however, no conclusive evidence in support of any of the proposed treatment modalities. In this trial, we have studied the effect of corticosteroid injection (with or without splinting with normal saline injection (with or without splinting. Materials and Methods: In this double-blind, randomized clinical trial, individuals were randomly assigned to either of four treatment groups and received either 40 mg depomedrol injection alone, 40 mg depomedrol injection with splinting, normal saline injection alone, or normal saline injection with splinting. They were evaluated using the visual analog scale (VAS at weeks 2, 4 and 24 and with the Oxford elbow scale (OES at 24 weeks. Results: A total of 79 patients were participated in the study. The corticosteroid injection groups had better pain relief as measured by VAS at 2 and 4 weeks compared with the two saline injection groups. Mean VAS difference at week 0 versus week 2 was 4.5 ± 0.9 and 2.8 ± 0.6 in corticosteroid injection groups and saline injection groups respectively (P < 0.01 but at 24 weeks, there was only moderate benefit reported for the group which received steroid injection and splinting (P < 0.01 compared to the saline injection groups. The saline injection groups reported better improvement in OES scores (20.1 ± 3.7 at the end of the trial compared corticosteroid injection groups (16.1 ± 2.9 (P < 0.05. Conclusion: Our results indicate that despite the clear pain reduction benefit associated with steroid injection in short term, this benefit in comparison with normal saline injection fades by the 24 th week of follow-up.

  12. Difference in cortical activation during use of volar and dorsal hand splints:a functional magnetic resonance imaging study

    Institute of Scientific and Technical Information of China (English)

    Sung Ho Jang; Woo Hyuk Jang

    2016-01-01

    There have been no studies reported on the difference in cortical activation during use of volar and dorsal hand splints. We attempted to investigate the difference in cortical activation in the somatosensory cortical area during use of volar and dorsal hand splints by functional magnetic resonance imaging (fMRI). We recruited eight healthy volunteers. fMRI was performed while subjects who were iftted with volar or dorsal hand splints performed grasp-release movements. Regions of interest were placed on the primary motor cortex (M1), primary somatosensory cortex (S1), posterior parietal cortex (PPC), and secondary somato-sensory cortex (S2). Results of group analysis of fMRI data showed that the total numbers of activated voxels in all ROIs were significantly higher during use of volar hand splint (3,376) compared with that (1,416) during use of dorsal hand splint. In each ROI, use of volar hand splint induced greater activation in all ROIs (M1:1,748, S1:1,455, PPC:23, and S2:150) compared with use of dorsal hand splint (M1:783, S1:625, PPC:0, and S2:8). The peak activated value was also higher during use of volar hand splint (t-value:17.29) compared with that during use of dorsal hand splint (t-value:13.11). Taken together, use of volar hand splint induced greater cortical activation relevant to somatosensory function than use of dorsal hand splint. This result would be important for the physiatrist and therapist to apply appropriate somatosensory input in patients with brain injury.

  13. Clinical feasibility and efficacy of using virtual surgical planning in bimaxillary orthognathic surgery without intermediate splint.

    Science.gov (United States)

    Li, Yunfeng; Jiang, Yangmei; Zhang, Nan; Xu, Rui; Hu, Jing; Zhu, Songsong

    2015-03-01

    Computer-aided jaw surgery has been extensively studied recently. The purpose of this study was to determine the clinical feasibility of performing bimaxillary orthognathic surgery without intermediate splint using virtual surgical planning and rapid prototyping technology. Twelve consecutive patients who underwent bimaxillary orthognathic surgery were included. The presented treatment plan here mainly consists of 6 procedures: (1) data acquisition from computed tomography (CT) of the skull and laser scanning of the dentition; (2) reconstruction and fusion of a virtual skull model with accurate dentition; (3) virtual surgery simulation including osteotomy and movement and repositioning of bony segments; (4) final surgical splint fabrication (no intermediate splint) using computer-aided design and rapid prototyping technology; (5) transfer of the virtual surgical plan to the operating room; and (6) comparison of the actual surgical outcome to the virtual surgical plan. All procedures of the treatment were successfully performed on all 12 patients. In quantification of differences between simulated and actual postoperative outcome, we found that the mean linear difference was less than 1.8 mm, and the mean angular difference was less than 2.5 degrees in all evaluated patients. Results from this study suggested that it was feasible to perform bimaxillary orthognathic surgery without intermediate splint. Virtual surgical planning and the guiding splints facilitated the diagnosis, treatment planning, accurate osteotomy, and bony segments repositioning in orthognathic surgery.

  14. Influence of splints and temporary crowns upon electric and thermal pulp-testing procedures.

    Science.gov (United States)

    Fulling, H J; Andreasen, J O

    1976-09-01

    The influence of different splints and temporary crowns upon the reliability of electric and thermal pulp-testing procedures was examined in 10 patients with vital maxillary central incisors and 10 patients with vital maxillary central incisors and 10 patients with unilateral pulp necrosis of a central incisor. The pulp-testing procedures were: (1) Bofors Pulp Tester, (2) Siemens Sirotest, (3) heated guttapercha, (4) ice, and (5) carbon dioxide snow (Odontotest). The splints or temporary crowns were: (1) silver cap splint, (2) acrylic cap splint, (3) Hawley orthodontic plate, (4) Saur's arch bar, (5) orthodontic bands, (6) stainless steel crown, and (7) stainless steel crown with labial surface removed. A reliable electrometric pulp response could only be elicited if the pulp tester was applied directly upon enamel and preferably upon the incisal edge. In this instance metal splints or partial steel crowns applied to the tooth had no effect on the pain threshold. A false positive reaction in case of pulp necrosis was only elicited when the electrode was placed directly upon metal which contacted neighboring vital teeth. The use of ice and heated guttapercha appeared to be of limited value, due to inconsistent pulp responses. Carbon dioxide snow gave a reliable response, unless applied on the incisal edge.

  15. Anterior Teeth Splinting After Orthodontic Treatment: 3D Analysis Using Finite Element Method

    Directory of Open Access Journals (Sweden)

    A. Geramy

    2012-01-01

    Full Text Available Objective: Retention after orthodontic treatment is still an important part of the treatment. Splints are considered as an alternative for removable retainers. The main goal of this study was to assess splinting biomechanically.Materials and Methods: Three dimensional finite element models (3D were designed of a mandibular anterior segment which included six anterior teeth with their supporting tissues (model 1 as control and with a bonded lingual fixed retainer in the two other models. The wire cross section was round (0.016” in model 2 and rectangular (0.016” × 0.022” in model 3. The models were designed in Solid Works 2006 and analyzed in ANSYS Workbench Ver. 11.0 SolidWorks Incisors were loaded with a vertical force of 187 N. PDL stress and tooth displacements were evaluated.Results: The numeric findings showed an increase after splinting in the central incisors [2.42 MPa to 4.57 MPa (round and 16.66 (rectangular MPa] in biting with four incisors. Biting with two incisors decreased the stress after splinting [2.42 MPa to 1.7 MPa (round wire and 1.77 MPa (rectangular wire]. In lateral movement, all teeth showed an increased stress except for the working side canine.Conclusion: Splinted cases (with round or rectangular wires can benefit from stress redistribution when biting small food particles and in lateral movement.

  16. The biomechanics of a thumb carpometacarpal immobilization splint: design and fitting.

    Science.gov (United States)

    Colditz, J C

    2000-01-01

    Splinting for the common osteoarthritis of the carpometacarpal (CMC) joint of the thumb is infrequently described in the literature, but the few splints that are described include one or both adjacent joints. This paper describes the design and biomechanics of a custom-molded thumb CMC immobilization splint that excludes the thumb metacarpophalangeal and wrist joints. The problem of the imbalance of extrinsic extensor/abductor forces against the intrinsic flexor/adductor forces is described. The accompanying weakening of the thumb CMC capsule allows dorsal shifting of the proximal end of the metacarpal, producing pain. The splint described in this paper 1) prevents motion of the first metacarpal in relation to the other metacarpals, 2) prevents tilting (flexion) of the first metacarpal during pinch, and 3) allows unrestricted thumb metacarpal and wrist joint motion. Attention to detail during construction is required for an accurate pattern, precise positioning of the CMC joint during molding, accurate molding around the first metacarpal, and well-distributed pressure. This design may also be used for protection following thumb CMC arthroplasty or thumb CMC sprain or strain and as a base for thumb metacarpophalangeal and/or interphalangeal mobilization splinting.

  17. From shop fronts to home offices: Entrepreneurship and small business dynamics in urban residential neighbourhoods

    OpenAIRE

    Folmer, E.C.

    2014-01-01

    This dissertation is about neighbourhood economies of urban residential neighbourhoods: it is about the people, the places and the institutions that shape neighbourhood economies. The neighbourhood economy includes shops, offices and also home-based business. As such, these mostly involve small to medium-sized enterprises and a large share of self-employed, i.e. one-person firms. Changes in economic production processes in advanced urban economies have increased opportunities for small firms ...

  18. Home range dynamics of mountain hare (Lepus timidus in the Swiss Alps

    Directory of Open Access Journals (Sweden)

    Anne-Sophie Genini-Gamboni

    2009-02-01

    Full Text Available Abstract Little is known on the ecology and behaviour of alpine mountain hare (Lepus timidus. Between 1996 and 1997 we analysed by radiotracking the pattern of space use of 8 mountain hares from the Swiss Alps. We estimated home range size using both the kernel density estimator and the minimum convex polygon. We found smaller ranges (38 ha compared to those reported for the species in boreal or arctic habitats, but similar to ranges in Scotland. Hares did not use a centre of major activity (core area and showed high home range overlap, confirming their non-territorial behaviour. Smaller ranges were used during winter compared to the other seasons, whilst no difference in size was found between sexes. Riassunto Dinamica dell'uso dello spazio della lepre bianca (Lepus timidus nelle Alpi Svizzere Le informazioni relative all'ecologia e al comportamento della lepre alpina (Lepus timidus sono ad oggi scarse. In questo studio abbiamo analizzato l'utilizzo dello spazio di una popolazione di lepre bianca sulle Alpi Svizzere. Tra il 1996 e il 1997 sono stati marcati con redio collare 8 individui di lepre alpina. L'home range è stato calcolato utilizzando lo stimatore di densità kernel (KDE ed il metodo del minimo poligono convesso (MCP. L'ampiezza degli home range (38 ha è risultata inferiore a quella riportata per la specie in habitat boreali ed artici. ma simile a quella riscontrata in Scozia. All'interno dell home range non è stato rilevato alcun centro di maggiore attività (core area ed è stata evidenziata una notevole sovrapposizione tra gli stessi, confermando la non territorialità della specie. Le aree frequentate in inverno sono risultate più piccole rispetto alle altre stagioni e non sono state riscontrate differenze tra i sessi.

  19. Full-thickness splinted skin wound healing models in db/db and heterozygous mice: implications for wound healing impairment.

    Science.gov (United States)

    Park, Shin Ae; Teixeira, Leandro B C; Raghunathan, Vijay Krishna; Covert, Jill; Dubielzig, Richard R; Isseroff, Roslyn Rivkah; Schurr, Michael; Abbott, Nicholas L; McAnulty, Jonathan; Murphy, Christopher J

    2014-01-01

    The excisional dorsal full-thickness skin wound model with or without splinting is widely utilized in wound healing studies using diabetic or normal mice. However, the effects of splinting on dermal wound healing have not been fully characterized, and there are limited data on the direct comparison of wound parameters in the splinted model between diabetic and normal mice. We compared full-thickness excisional dermal wound healing in db/db and heterozygous mice by investigating the effects of splinting, semi-occlusive dressing, and poly(ethylene glycol) treatment. Two 8-mm full-thickness wounds were made with or without splinting in db/db and heterozygous mice. Body weights, splint maintenance, wound contraction, wound closure, and histopathological parameters including reepithelialization, wound bed collagen deposition, and inflammation were compared between groups. Our results show that silicone splint application effectively reduced wound contraction in heterozygous and db/db mice. Splinted wounds, as opposed to nonsplinted wounds, exhibited no significant differences in wound closure between heterozygous and db/db mice. Finally, polyethylene glycol and the noncontact dressing had no significant effect on wound healing in heterozygous or db/db mice. We believe these findings will help investigators in selection of the appropriate wound model and data interpretation with fully defined parameters.

  20. Maxillo Mandibular Fixation in Edentulous Scenarios: Combined MMF Screws and Gunning Splints.

    Science.gov (United States)

    Chaudhary, Zainab; Sharma, Rakesh; Krishnan, Sriram

    2014-06-01

    A fracture of the maxillary or mandibular bone requires the afflicted to undergo a maxillo mandibular fixation for the establishment of pre traumatic occlusion. This process is quiet tedious and consumes a considerable period of time before any surgical procedure can commence. Such a situation can be complicated in case the individual with maxillomandibular fracture has sparse or absent dentition; for such cases a splint is fabricated or an erstwhile existing denture is used for maintaining a vertical jaw proportion. Stabilizing such splints to the jaw requires various invasive approaches that can bring into harm's way, adjacent soft tissue vital structures. We describe here an innovative technique combining the time tested method of the "gunning splint" and the advanced minimally invasive MMF screws for obtaining closed reduction in edentulous jaw fractures.

  1. Vacuum formed splints: Novel method for managing oro-facial trauma

    Directory of Open Access Journals (Sweden)

    Shikha Choubey

    2014-01-01

    Full Text Available Objective: Trauma to the oro-facial structures in children is different from trauma in adults. There are several points of differentiation between the two, the most important being growth. Aim: The purpose of this paper is to present the advantages of a vacuum-formed splint which was chosen as a practical and effective conservative treatment approach for the management of maxillofacial trauma. Case Report: A 9-year old boy reported to the department of pediatric and preventive dentistry with right mandibular parasymphyseal fracture. The trauma presented with the unique challenge to save and support the unerupted and developing tooth buds. Therefore, a vacuum-formed splint was fabricated and cemented in place for the next 4 weeks. Conclusion: The splinting method used for stabilization of the injured teeth is an important issue in trauma therapy to support the periodontal healing. Pediatric maxillofacial traumas require different clinical treatment strategies compared with fractures of the adult population.

  2. A Study on the Effect of Applying Cast Splints in Treatment of Tennis Elbow

    Directory of Open Access Journals (Sweden)

    A Zarezadeh

    2004-02-01

    Full Text Available Background: Tennis elbow is a common orthopedic disease affecting elbow in middle aged people. Ninety percent of patients are cured using conservative treatments. In the past, emphasis was placed on the use of long arm splints for its treatment; however, recent studies put doubt on the use of this method of treatment for the complications arising from the application of splints. The results of using long arm splints for the treatment of Methods: This was a case series non randomized clinical trial involving 25 patients treated with long arm castsplints, and 25 patients treated without the use of splint. Local corticosteroid injections and oral NSAIDs were administered for all patients. The two groups were compared in the third week, third month and sixth month of their treatment for the presence of local tenderness and pain in passive flexion test of wrist and fingers against resistance. Using SPSS 9.0, data were analyzed via repeated measurements test of ANOVA Results: Patients in case and control groups had mean ages 43.6 ± 7.2 and 43.6 ± 6 years, respectively. Prior to any treatments, all patients in this study suffered from pain and tenderness in the origin of forearm extensor muscles. Their pain exacerbated upon passive flexion of wrist and fingers against resistance. No significant difference was seen in third week, third month and sixth month (P value =0.32, and no significant difference was seen in the results of our tests regarding the presence of local tenderness and pain in passive flexion of wrist and fingers against resistance between the two groups Conclusions: After a follow-up period of six months, this study demonstrated no statistically significant difference between the two groups treated with and without long arm splints. Keywords: Tennis elbow, Conservative treatment, Laterals epicondylitis, Cast splint

  3. Soft versus hard occlusal splint therapy in the management of temporomandibular disorders (TMDs)

    OpenAIRE

    2015-01-01

    Aim: To compare between soft and hard occlusal splint therapy for the management of myofacial pain dysfunction (MPD) or internal derangement (ID) of the temporomandibular joint (TMJ) with reciprocal clicking. Patients and methods: This study included 50 patients (age range: 24–47 years) who had been diagnosed with MPD or ID of the TMJ in the form of reciprocal clicking. Patients were divided into two groups. They were treated for 4 months with either a vacuum-formed soft occlusal splint co...

  4. Combined Effect Of Botulinum Toxin And Splinting On Motor Components And Function Of People With Stroke

    Directory of Open Access Journals (Sweden)

    Aryan Shamili

    2017-02-01

    Full Text Available Background and objective: Spasticity is one of the problems following stroke. Due to this increase in muscle tone, patients are confronted to problems in motor control and difficulties in activities of daily living and complications such as shortness and contracture. The aim of this study was to examine the effects of Simultaneous use of both splint and botulinum toxin-A (BTX-A injection on spasticity, range of motion and upper extremity function in a 3-month period. Methods: The design of this study was a comparison between 3 groups of interventions, conducted in rehabilitation clinics in Tehran. Sixty people with chronic stroke were recruited. Based on the inclusion criteria, a total of 39 stroke patients after completing the consent forms were entered to intervention groups; splint or botulinum toxin injection or combined splint/botulinum toxin injection. They were followed up about 3 months and the evaluations were done monthly. Goniometry was the method to measure range of motion, and Modified Ashworth scale was used to examine the spasticity and the upper extremity function was scored based on Fugl-Meyer assessment.   Statistical analysis was done using SPSS 17. And ANOVAs was used for comparison between groups and times.  Significance was set at 0.05. Results: All outcome measures improved within each group but the differences between splint group and BTX-A group and the BTX-A-splint group was not significant in most outcomes during 3 periods (first evaluation until end of the first month, the end of first month until the end of second month, the end of second month until the end of the third month (p> 0 / 05. The results also showed that the changes in elbow`s spasticity {p= 0.05} and wrist`s spasticity {p= 0.007} and upper extremity function { p = 0.04} were obvious between the three groups over the 3-months and the difference in the group of combined use of botulinum toxin and splint was more than other groups. Conclusion: In this

  5. Effect of a Home-based Balance Training Protocol on Dynamic Postural Control in Subjects with Chronic Ankle Instability.

    Science.gov (United States)

    De Ridder, R; Willems, T M; Vanrenterghem, J; Roosen, P

    2015-06-01

    The aim of this study was to establish the presence of postural deficits in subjects with chronic ankle instability (CAI) and to assess the effect of an 8-week balance training program on dynamic postural control. A total of 43 subjects with CAI and 31 controls participated in this case-control study. Participants with CAI performed an 8-week home-based balance training, including 3 sessions a week. As main outcome measure, postural control was quantified after a vertical drop by means of the dynamic postural stability index (DPSI). Perceptual outcomes were documented using the FADI, FADI-Sport and VAS scales. At baseline, subjects with CAI displayed higher anterior/posterior and vertical postural instability, a poorer DPSI, and lower subjective stability scores compared to the control group. After balance training, all subjective stability scores improved significantly, although no changes were noted for the stability indices. In conclusion, subjects with CAI have an impaired postural control. As a treatment modality, balance training exhibits the capability of improving the subjective feeling of instability in subjects with CAI. However, there was no effect on dynamic postural control. Further research on the explanatory mechanisms of balance training is warranted, and other training modalities should be considered.

  6. Caring for the frail elderly at home: toward a theoretical explanation of the dynamics of poor quality family caregiving.

    Science.gov (United States)

    Phillips, L R; Rempusheski, V F

    1986-07-01

    Using the grounded theory approach, 39 family caregivers were theoretically sampled using newspaper advertising to explore their perceptions of providing home care for frail elders and to generate a theoretical model that describes the dynamics of good quality and poor quality family caregiving; explains the relationships among certain contextual and perceptual variables and the behaviors exchanged by elders and caregivers; and identifies points where interventions by nurses could be effective. The model consists of five constructs that were identified from the data and were staged within the framework provided by symbolic interactionism and social exchange theory. The five constructs and two related driving forces provide a partial explanation for the quality of family caregiving and a beginning explanation for the phenomenon of elder abuse.

  7. Marketing environment dynamics and implications for pricing strategies: the case of home health care.

    Science.gov (United States)

    Ponsford, B J; Barlow, D

    1999-01-01

    This research reviews the factors affecting the pricing or rate schedules of home health care agencies. A large number of factors affect costs and thus rate structures. The major factors include reimbursement structures with accompanying discount structures, administrative burdens, and risks. Channel issues include bargaining power, competition, and size. Staffing issues affect pricing and product through the provider level, productivity, and quality outcomes. Physician and patient issues include quality concerns and choices. These factors are discussed in light of overall marketing strategy and the interaction of pricing with other marketing controllables such as product, place/distribution, and promotion. Economic and accounting principles are also reviewed with consideration to understanding direct and indirect costs in order to enable negotiators to effectively price health care services.

  8. Home Sweet Home

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A family-run nursing home that gives elderly people the feel of a real of a real home Jiang Shaoju’s three-year-old family-run nursing home for the elderly in Dalian breaks all stereotypes people might attach to traditional homes for the aged.There are no nurses in uniforms,no numbered bedding and there is a lot of laughter. Jiang,56,has given almost every one of the 12 elderly women in her nursing home a nickname.She calls 92-year-old Xuan Shoulan"vice principal"because Xuan likes giving orders to others in the house and

  9. Comparative evaluation of the efficacy of occlusal splints fabricated in centric relation or maximum intercuspation in temporomandibular disorders patients

    Directory of Open Access Journals (Sweden)

    Marcelo Matida Hamata

    2009-02-01

    Full Text Available Fabrication of occlusal splints in centric relation for temporomandibular disorders (TMD patients is arguable, since this position has been defined for asymptomatic stomatognathic system. Thus, maximum intercuspation might be employed in patients with occlusal stability, eliminating the need for interocclusal records. This study compared occlusal splints fabricated in centric relation and maximum intercuspation in muscle pain reduction of TMD patients. Twenty patients with TMD of myogenous origin and bruxism were divided into 2 groups treated with splints in maximum intercuspation (I or centric relation (II. Clinical, electrognathographic and electromyographic examinations were performed before and 3 months after therapy. Data were analyzed by the Student's t test. Differences at 5% level of probability were considered statistically significant. There was a remarkable reduction in pain symptomatology, without statistically significant differences (p>0.05 between the groups. There was mandibular repositioning during therapy, as demonstrated by the change in occlusal contacts on the splints. Electrognathographic examination demonstrated a significant increase in maximum left lateral movement for group I and right lateral movement for group II (p0.05 in the electromyographic activities at rest after utilization of both splints. In conclusion, both occlusal splints were effective for pain control and presented similar action. The results suggest that maximum intercuspation may be used for fabrication of occlusal splints in patients with occlusal stability without large discrepancies between centric relation and maximum intercuspation. Moreover, this technique is simpler and less expensive.

  10. The efficacy of bilateral balanced and canine guidance occlusal splints in the treatment of temporomandibular joint disorder.

    Science.gov (United States)

    Al-Rafah, Eman M; Alammari, Manal R; Banasr, Fahad H

    2014-06-01

    Studies on the effects of stabilization splints on the neuromuscular system in patients with functional disorders indicate that the splints reestablish symmetric and reduced postural activity in the temporal and masseter muscles and significantly reduce the masseter muscle activity. This study was conducted on sixteen male dentulous patients who were suffering from subjective and objective signs of Temporomanbdibular Disorders (TMD). The patients were randomly divided into two groups, eight patients in each according to the fabrication of the occlusal design of the stabilization splint. All patients were subjected to clinical examination using Helkimo Dysfunction Index (HDI) and Pantographic examination through Pantographic Reproducibility Index (PRI) to assess the degree of TMD before and after splint therapy. The obtained results reported a significant improvement in the TMD symptoms as monitored by HDI scores and PRI scores in both groups after three months of using the different occlusal design stabilizing splint with Bilateral balanced and canine guidance stabilization splints during excursive movements. Also the results showed a significant and progressive improvement in the TMD symptoms between 3 weeks (p=0.08) and 3 months (p=0.001) after using the occlusal splint with canine guidance during excursive movements compared with bilateral balanced guidance as manifested by the coordination of mandibular movements by the pantographic tracings through Pantographic Reproducibility Index (PRI).

  11. Interdisciplinary treatment of bruxism with an occlusal splint and cognitive behavioral therapy.

    Science.gov (United States)

    Trindade, Marilene; Orestes-Cardoso, Silvana; de Siqueira, Teresa Cristina

    2015-01-01

    The etiology of bruxism is associated with exogenous factors, such as occlusal interference, stress, and anxiety, as well as endogenous factors involving neurotransmitters of the basal ganglia. Due to the multifactorial etiology of bruxism, interdisciplinary treatment involving professionals from different healthcare fields has been proposed. The aim of the present study was to compare 2 groups of patients with bruxism (11 in each group) treated with either an occlusal splint combined with cognitive behavioral therapy or an occlusal splint alone. Surface electromyography of the masseter and anterior temporal muscles at rest was performed before and after treatment. The mean amplitude of activity of all muscles was lower after treatment, except for the right anterior temporal muscle in the group treated with an occlusal splint alone. Mean amplitudes were greater in the anterior temporal muscles than in the masseter muscles. Significantly greater improvement was found in the group exposed to cognitive behavioral therapy (P therapy was more effective at achieving muscle relaxation than occlusal splint use alone.

  12. Effectiveness of a MP-blocking Splint and Therapy in Rheumatoid Arthritis : A Descriptive Pilot Study

    NARCIS (Netherlands)

    Formsma, S. A.; van der Sluis, C. K.; Dijkstra, P. U.

    2008-01-01

    The purpose was to evaluate the effect of a metacarpal phalangeal joint blocking splint combined with exercises, aimed at regaining strength, manipulative skills, and a normal pattern of movement of the hands in patients with rheumatoid arthritis (RA). All patients were measured three times: before

  13. Re-osseointegration of loosened implant in a splinted fixed prosthesis

    African Journals Online (AJOL)

    2011-01-31

    Jan 31, 2011 ... implant occurred during the torque application to tighten the abutment during cementation, which was splinting along with the ... was explained to the patient that the mobile abutment ... manufacturer. ... Metal-fused ceramic prosthesis was fabricated for implant ... 50-150 µm) gives a strong sintered structure.

  14. Palate Fracture Repair With Light-Cured Resin Splint: Technical Note.

    Science.gov (United States)

    Waldrop, Jimmy; Dale, Elizabeth L; Halsey, Jordan; Sargent, Larry A

    2015-10-01

    Palate fractures are rare, and their treatment is a matter of debate. Although some investigators have favored rigid plate fixation, others have reported successful treatment without it. Sagittal split and comminuted fractures can require rigid fixation to reduce the maxillary width; however, additional stabilization is needed. Also, palate repair without a splint is complicated by prolonged intermaxillary fixation (IMF), causing stiffness to the temporomandibular joint. We introduce a technique using a rapid light-cured resin (TRIAD TranSheet) frequently used by orthodontists for making dental retainers. Its use is similar to the splints traditionally created preoperatively, but obviates the need for making impressions, a model, and a molded splint. A series of 13 patients treated with this technique during a 5-year period is presented. The average duration of IMF was 4.7 weeks (range 3 to 6). The average duration of the palate splint was 8.4 weeks (range 5 to 12). One patient had malocclusion, but none had malunion, infection, or oronasal fistula. Our series has demonstrated a simple, cost-effective, and successful technique. It can be used alone or combined with rigid fixation and allows for a shortened duration of maxillomandibular fixation.

  15. [Electrophysiological evaluation of occlusal splint treatment of patients with temporomandibular joint dysfunction].

    Science.gov (United States)

    Nuño Licona, A; Angeles Medina, F; García Ruiz, J; García Moreira, C

    1991-08-01

    Blink reflex time records were obtained from patients with temporomandibular joint disfunction (TMJD), before and after treatment with occlusal splint, since blink reflex time helps to study the trigeminal-facial functional relationship. Results suggest that the impaired sensory-motor function in the trigeminal-facial complex of TMJD patients, may return to normal latency values following such treatment.

  16. A pilot study assessing the effectiveness of postoperative splinting after limited fasciectomy for Dupuytren's disease

    NARCIS (Netherlands)

    Kemler, M. A.; Houpt, P.; van der Horst, C. M. A. M.

    2012-01-01

    Before surgery for Dupuytren's contracture, 54 patients with a proximal interphalangeal (PIP) joint flexion contractures of at least 30 degrees were randomized to receive either a 3-month splinting protocol together with hand therapy under the direct supervision of hand therapists, or the same hand

  17. Dynamic load management in a smart home to participate in demand response events

    DEFF Research Database (Denmark)

    Fernandes, Filipe; Morais, Hugo; Vale, Zita

    2014-01-01

    contribution of this work is to include time constraints in resources management, and the context evaluation in order to ensure the required comfort levels. The dynamic resources management methodology allows a better resources’ management in a demand response event, mainly the ones of long duration...

  18. When are network coding based dynamic multi-homing techniques beneficial?

    DEFF Research Database (Denmark)

    Pereira, Carlos; Aguiar, Ana; Roetter, Daniel Enrique Lucani

    2016-01-01

    high resiliency under time-varying channel conditions. This paper seeks to explore the parameter space and identify the operating regions where dynamic coded policies offer most improvement over static ones in terms of energy consumption and channel utilization. We leverage meta-heuristics to find...

  19. Real Time Information Based Energy Management Using Customer Preferences and Dynamic Pricing in Smart Homes

    Directory of Open Access Journals (Sweden)

    Muhammad Babar Rasheed

    2016-07-01

    Full Text Available This paper presents real time information based energy management algorithms to reduce electricity cost and peak to average ratio (PAR while preserving user comfort in a smart home. We categorize household appliances into thermostatically controlled (tc, user aware (ua, elastic (el, inelastic (iel and regular (r appliances/loads. An optimization problem is formulated to reduce electricity cost by determining the optimal use of household appliances. The operational schedules of these appliances are optimized in response to the electricity price signals and customer preferences to maximize electricity cost saving and user comfort while minimizing curtailed energy. Mathematical optimization models of tc appliances, i.e., air-conditioner and refrigerator, are proposed which are solved by using intelligent programmable communication thermostat ( iPCT. We add extra intelligence to conventional programmable communication thermostat (CPCT by using genetic algorithm (GA to control tc appliances under comfort constraints. The optimization models for ua, el, and iel appliances are solved subject to electricity cost minimization and PAR reduction. Considering user comfort, el appliances are considered where users can adjust appliance waiting time to increase or decrease their comfort level. Furthermore, energy demand of r appliances is fulfilled via local supply where the major objective is to reduce the fuel cost of various generators by proper scheduling. Simulation results show that the proposed algorithms efficiently schedule the energy demand of all types of appliances by considering identified constraints (i.e., PAR, variable prices, temperature, capacity limit and waiting time.

  20. A novel way of trans-septal splint suturing without nasal packing for septoplasty.

    Science.gov (United States)

    Naik, Kiran

    2015-03-01

    Nasal packing has evolved over the years. Though effective in preventing postoperative bleeding complications, they are associated with significant morbidity and pain. In recent years nasal splints have been used to reduce the duration of nasal packs. The aim of this study is to compare the postoperative results in 200 nasal surgeries where in nasal packing was replaced by trans-septal splint suturing. Two hundred cases of septoplasties were prospectively studied over a period of 5 years at Adichunchanagiri Institute of Medical Sciences. In 100 cases (group A) nasal packing was done postoperatively whereas in other 100 (group B) trans-septal splint suturing was done. Post operatively patients were followed up in both groups regarding the presence of pain, bleeding, crusting and synechiae for a period of 6 months. Two hundred patients were prospectively studied over a period of 5 years with a male-female ratio of 1.35:1 and the mean age was 31. In group A out of 100 patients followed postoperatively, ten had mild bleeding on second day after pack removal none of which required repacking, 22 patients had mild pain on second and third day, 18 had moderate crusting on day 4, 12 had synechiae after 2 weeks. In group B, out of 100 patients, minimal bleeding was noted in 13 patients on day 1 and 2, mild discomfort was noted in the nose in 34 patients till day 7 (day of splint removal), crusting was noted in six patients, synechiae was noted in one patient. Elimination of pain and discomfort for the patients and absence of complications like synechiae. Also the hospital stay is less than with nasal packing. Therefore, suturing of the nasal septum with a splint after septoplasty should be a preferred alternative to nasal packing.

  1. Evaluation of occlusal splint therapy and relaxation procedures in patients with temporomandibular disorders.

    Science.gov (United States)

    Okeson, J P; Moody, P M; Kemper, J T; Haley, J V

    1983-09-01

    Twenty-four patients were selected to participate in this study. Twelve patients were randomly selected to receive occlusal splint therapy and the other 12 to receive a simplified relaxation therapy technique. Observable pain scores, maximum comfortable interincisal distance, and maximum interincisal distances were recorded for each group before and after treatment. The occlusal splint group showed a significant decrease in total mean observable pain scores (decrease score of 10.5, t = 3.124; P less than 0.1). The relaxation group showed no significant decrease in total mean observable pain scores (decrease score of 1.8, t = 0.888; P = ns). The occlusal splint group showed a significant increase in the mean maximum comfortable opening (an increase of 12.4 mm, t = 5.085; P less than .01). The relaxation group showed no significant increase in the mean maximum comfortable opening (an increase of 2.3 mm, t = 0.734; P = ns). The occlusal splint group showed a significant increase in the mean maximum opening (an increase of 6.0 mm, t = 2.471; P less than .05). The relaxation group showed no increase in the mean maximum opening (decrease of 0.7 mm, t = 0.343; P = ns). This study suggests that occlusal splint therapy is a more effective treatment for the pain, tenderness, and limited mandibular opening associated with temporomandibular disorders than relaxation therapy. In this study, the relaxation technique used had no significant effect on the patients' pain, tenderness, or limited opening.

  2. Treatment Effects of Bruxism by Using Tensile Spring Occlusal Splint and Plastic Occlusal Splint%开张式双(牙合)垫与塑料(牙合)垫治疗磨牙症的对比研究

    Institute of Scientific and Technical Information of China (English)

    牟明奎; 胡伟平; 李滨; 陈海林; 刘笑笑; 张宇; 张秋蓉; 徐实谦

    2011-01-01

    Objective: To compare the clinical treatment effect of bruxism by using tensile spring occlusal splint and plastic occlusal splint. Methods: 48 patients of bruxism were treated with the tensile spring occlusal splint and plastic occlusal splint. The patients who stoped teeth grinding and whose grinding time was less than begin were calculated after one month and nine months respectively. Results: In one month ,the teeth grinding stopped in 6 cases to 12 cases by using plastic occlusal splint and tensile spring occlusal splint. In nine months, which was in 10 cases to 21 cases. There was remarkable difference between two kinds of methods(P<0. 01). Conclusion: The tensile spring occlusal splint was more effective than the plastic occlusal splint in treating bruxism.%目的:比较开张式双(牙合)垫在治疗磨牙症中与塑料(牙合)垫的临床疗效.方法:分别用自制的开张式双(牙合)垫与塑料(牙合)垫对48位磨牙症患者进行治疗,随访9个月.分别统计治疗结束1个月和9个时的停止磨牙列数和平均减少的磨牙时间.结果:戴用1个月停止磨牙数比为6∶12,戴用9个月停止磨牙数比为10∶21.其差异具有显著性(P<0.01).结论:开张式双(牙合)垫治疗磨牙症优于塑料(牙合)垫.

  3. Digital radiographic evaluation of alveolar bone loss, density and lamina dura integrity on post splinting mandibular anterior with chronic periodontitis

    Science.gov (United States)

    Rafini, F.; Priaminiarti, M.; Sukardi, I.; Lessang, R.

    2017-08-01

    The healing of periodontal splinting can be detected both with clinical and radiographic examination. In this study, the alveolar bone was evaluated by radiographic digital periapical analysis. Periodontal tooth splinting is periodontal support therapy used to prevent periodontal injury during repair and regeneration of periodontal therapy. Radiographic digital periapical analysis of alveolar bone in the mandibular anterior region with chronic periodontitis and 2/3 cervical bone loss after three months of periodontal splinting. Eighty four proximal site (43 mesial and 41 distal) from 16 patients with chronic periodontitis and treated with spinting were examined by taking periapical digital radiographic at day 1 and 91. The bone loss, bone density and utility of lamina dura were evaluated. The statistical analysis after three months evaluation using T-test for bone loss, Wilcoxon sign rank test for bone density and utility lamina dura showed no significantly differences (pperiodontitis with 2/3 alveolar bone loss after three months splinting.

  4. Dynamic Probe Window Based Optimization for Surveillance in Home Security System

    Directory of Open Access Journals (Sweden)

    Bhaskar Kapoor

    2010-02-01

    Full Text Available Tracking of a moving object is very important for video surveillance in a real time scenario. The proposedalgorithm uses dynamic probe window based approach & combines the conventional edge based and framedifferencing approach to achieve better algorithmic time complexity as well as improved results. First itcomputes the edge map of two consecutive frames with the help of first order differential sobel operator dueto its noise resistant attributes and applies the frame differencing method between the two consecutive edgemaps. Apart from the above optimization, our method doesn’t differentiate between the scenario when motionoccurs and when it doesn’t, that is, almost same computation overhead is required even if motion is not thereso it reduces the time complexity of the algorithm when no motion is detected. The effectiveness of theproposed motion detection algorithm is demonstrated in a real time environment and the evaluation resultsare reported.

  5. Energy Optimization in Smart Homes Using Customer Preference and Dynamic Pricing

    Directory of Open Access Journals (Sweden)

    Muhammad Babar Rasheed

    2016-07-01

    Full Text Available In this paper, we present an energy optimization technique to schedule three types of household appliances (user dependent, interactive schedulable and unschedulable in response to the dynamic behaviours of customers, electricity prices and weather conditions. Our optimization technique schedules household appliances in real time to optimally control their energy consumption, such that the electricity bills of end users are reduced while not compromising on user comfort. More specifically, we use the binary multiple knapsack problem formulation technique to design an objective function, which is solved via the constraint optimization technique. Simulation results show that average aggregated energy savings with and without considering the human presence control system are 11.77% and 5.91%, respectively.

  6. From home range dynamics to population cycles: validation and realism of a common vole population model for pesticide risk assessment.

    Science.gov (United States)

    Wang, Magnus

    2013-04-01

    Despite various attempts to establish population models as standard tools in pesticide risk assessment, population models still receive limited acceptance by risk assessors and authorities in Europe. A main criticism of risk assessors is that population models are often not, or not sufficiently, validated. Hence the realism of population-level risk assessments conducted with such models remains uncertain. We therefore developed an individual-based population model for the common vole, Microtus arvalis, and demonstrate how population models can be validated in great detail based on published data. The model is developed for application in pesticide risk assessment, therefore, the validation covers all areas of the biology of the common vole that are relevant for the analysis of potential effects and recovery after application of pesticides. Our results indicate that reproduction, survival, age structure, spatial behavior, and population dynamics reproduced from the model are comparable to field observations. Also interannual population cycles, which are frequently observed in field studies of small mammals, emerge from the population model. These cycles were shown to be caused by the home range behavior and dispersal. As observed previously in the field, population cycles in the model were also stronger for longer breeding season length. Our results show how validation can help to evaluate the realism of population models, and we discuss the importance of taking field methodology and resulting bias into account. Our results also demonstrate how population models can help to test or understand biological mechanisms in population ecology.

  7. Fiber composites as a method of treatment splinting tooth mobility in chronic periodontitis

    Directory of Open Access Journals (Sweden)

    Dewi Lidya Ichwana

    2016-12-01

    Full Text Available Patients with periodontal disease can lead to severe tooth mobility so often complains of pain when eating, decreased chewing ability and functional occlusion. Tooth mobility is a movement in a horizontal or vertical direction and one of the most unpleased effects from periodontal disease. Basically, tooth mobility is not a disease that requires treatment, but it is a symptom of periodontal tissue morphology changes, so it became a challenge for dentists in making decisions to maintain proper care of the teeth. Recent studies improved the use of periodontal splint with fiber reinforced composite (FRC or fiber composite may lead to a long-term prognosis of teeth mobility due to periodontal disase. The case report describes treatment of chronic periodontitis patients with splinting fiber composites as a method for stabilization of the lower anterior teeth providing aesthetics, comfort, improved functionality occlusion, mastication and a good prognosis.

  8. A modular tension-adjusting splint for tendon transfer in reconstructive surgeries of extremities

    Directory of Open Access Journals (Sweden)

    Kamath Jagannath

    2006-01-01

    Full Text Available Optimal tension during tendon transfer is the most important surgeon-controlled factor, which determines the final outcome of surgery. To attain optimal tension, the joints have to be maintained in proper position during the final attachment of the transferred tendon. Maintaining this desired position requires one extra assistant and is difficult. We herein describe a modular splint designed by us, which can be used for most of the commonly done tendon transfers in practice. It is very versatile as it can be used for all the age groups and for both right and left sides. A single splint, which is autoclavable and can be used for most commonly done tendon transfers, makes it user-friendly.

  9. Accuracy of upper jaw positioning with intermediate splint fabrication after virtual planning in bimaxillary orthognathic surgery.

    Science.gov (United States)

    Sun, Yi; Luebbers, Heinz-Theo; Agbaje, Jimoh Olubanwo; Schepers, Serge; Vrielinck, Luc; Lambrichts, Ivo; Politis, Constantinus

    2013-11-01

    The purpose of the study is to present and discuss a workflow regarding computer-assisted surgical planning for bimaxillary surgery and intermediate splint fabrication. This study describes a protocol starting from wax bite registration to fabrication of the necessary intermediate splint. The procedure is a proof of concept to replace not only the model surgery but also facebow registration and transfer from facebow to articulator. Three different modalities were utilized to obtain this goal: cone beam computed tomography (CBCT), optical dental scanning, and 3-dimensional printing. A universal registration block was designed to register the optical scan of the wax bite to the CBCT data set. Integration of the wax bite avoided problems related to artifacts caused by dental fillings in the occlusal plane of the CBCT scan. Fifteen patients underwent bimaxillary orthognathic surgery. The printed intermediate splint was used during the operation for each patient. A postoperative CBCT scan was taken and registered to the preoperative CBCT scan. The difference between the planned and the actual bony surgical movement at the edge of the upper central incisor was 0.50 ± 0.22 mm in sagittal, 0.57 ± 0.35 mm in vertical, and 0.38 ± 0.35 mm in horizontal direction (midlines). There was no significant difference between the planned and the actual surgical movement in 3 dimensions: sagittal (P = 0.10), vertical (P = 0.69), and horizontal (P = 0.83). In conclusion, under clinical circumstances, the accuracy of the designed intermediate splint satisfied the requirements for bimaxillary surgery.

  10. Biomechanical evaluation of different abduction splints for the treatment of congenital hip dysplasia.

    Science.gov (United States)

    Kreuz, Peter C; Fröhlich, Susanne; Lindner, Tobias; Olbertz, Dirk; Bader, Rainer; Mittelmeier, Wolfram

    2012-11-01

    Abduction splints for the treatment of hip dysplasia normally operate on curbing the legs at the hip flexion and abduction. The forces are absorbed in different designs of shoulder straps and thus diverted to the shoulder and the spine. The present study is the first comparing these undesired forces of two spread orthoses and subsequently the transmitted forces to the infant's spine. Between March 2009 and October 2009 the hips of 290 infants were investigated by ultrasound within the first 3 days after birth. Thereof 20 infants with a hip dysplasia Graf type IIc, D or IIIa met our inclusion criteria and were investigated with a Tübinger and a Superior abduction splint. Biomechanical evaluation was performed by using a high-sensitive strain gauge sensor applied to the infant's orthoses between pelvic harness and shoulder straps. The transmitted forces to the infant's shoulders correlated significantly with their body mass (P<0.05). Maximal forces on the shoulder of the infants and subsequently transmitted forces on the spine were significantly higher (P<0.05) with the Tübinger splint (range 7.6N to 32.3N; arithmetic mean M: 13.7N) in comparison to the Superior orthosis (range 0.0N to 3.5N; M: 0.7N). The Superior orthosis works with primary load transmission to the pelvic bone. Using the Tübinger splint the shoulders of the newborn infants are loaded with a maximum of 93.9% of their body mass. This may influence the development of the growing infant's spine. Copyright © 2012 Elsevier Ltd. All rights reserved.

  11. Adverse events of acupuncture and occlusal splint therapy in the treatment of craniomandibular disorders.

    Science.gov (United States)

    List, T; Helkimo, M

    1992-10-01

    Occlusal splint therapy and acupuncture have been found to provide positive treatment in a number of studies. As with other therapies, adverse events may occur. In this paper, adverse event refers to any reaction to a treatment besides the intended treatment effect--irrespective of any correlation between the treatment and the reaction. This reaction can be positive, as well as negative, to the patient. In the present study, 61 patients with craniomandibular dysfunction (CMD) were treated with acupuncture or occlusal splint therapy and the adverse events were carefully recorded. The results show that the profile of the adverse events differed between the two treatment modes. Acupuncture seemed to have adverse events of a more general nature, e.g., relaxed feeling, improved sleep, temporarily increased pain; whereas, adverse events of occlusal splint therapy seemed to be more locally related to the orofacial region, e.g., increased/decreased salivation and tension in the teeth. The majority of the patients responded positively to both treatment modalities. Only in a few cases did the patients consider the treatment uncomfortable. No serious adverse event or complication was observed in this study.

  12. Fixed orthodontic therapy in temporomandibular disorder (TMD) treatment: an alternative to intraoral splint.

    Science.gov (United States)

    Tecco, Simona; Teté, Stefano; Crincoli, Vito; Festa, Mario Armando; Festa, Felice

    2010-01-01

    This study evaluated the use of a fixed orthodontic appliance in treatment of temporomandibular disorder (TMD) compared to the use of an intra-oral splint. Fifty (50) adult patients, with confirmed anterior disk displacement with reduction in at least one temporomandibular joint (TMJ), were divided into three groups: 20 patients treated with AR splint (Group I); 20 patients treated with a fixed orthodontic appliance (Group II) and 10 patients who underwent no treatment (Control Group). Joint pain, joint noise, muscle pain, and subjective relief were evaluated monthly before the treatment began (T0) and for six months thereafter. Subjects in Group I and Group II displayed a significant decrease in joint pain (p orthodontic appliance seems to be as efficacious as the use of an AR maxillary splint in the treatment of joint pain and muscle pain, but not in the treatment of joint noise. These results are valid, at least for the short-term clinical results (first six months of treatment). Clinical implications for long-term use are not clarified by these results.

  13. An electromyographic study to assess the minimal time duration for using the splint to raise the vertical dimension in patients with generalized attrition of teeth

    Directory of Open Access Journals (Sweden)

    Aditi Nanda

    2011-01-01

    Full Text Available Background: To investigate the effect of restoration of lost vertical by centric stabilizing splint on electromyographic (EMG activity of masseter and anterior temporalis muscles bilaterally in patients with generalized attrition of teeth. Materials and Methods: EMG activity of anterior temporalis and masseter muscle was recorded bilaterally for 10 patients whose vertical was restored with centric stabilizing splint. The recording was done at postural rest position and in maximum voluntary clenching for each subject before the start of treatment, immediately after placement of splint and at subsequent recall visits, with splint and without the splint. Results: The EMG activity at postural rest position (PRP and maximum voluntary clench (MVC decreased till 1 month for both the muscles. In the third month, an increase in muscle activity toward normalization was noted at PRP, both with and without splint. At MVC in the third month, the muscle activity without splint decreased significantly as compared to pretreatment values for anterior temporalis and masseter, while with the splint an increase was seen beyond the pretreatment values. Conclusion: A definite response of anterior temporalis and masseter muscle was observed over a period of 3 months. This is suggestive that the reversible increase in vertical prior to irreversible intervention must be carried out for a minimum of 3 months to achieve neuromuscular deprogramming. This allows the muscle to get adapted to the new postural position and attain stability in occlusion following splint therapy.

  14. Using oxygen at home

    Science.gov (United States)

    Oxygen - home use; COPD - home oxygen; Chronic obstructive airways disease - home oxygen; Chronic obstructive lung disease - home oxygen; Chronic bronchitis - home oxygen; Emphysema - home oxygen; Chronic respiratory ...

  15. Research on Home Sales System Based on System Dynamics%基于系统动力学的房屋销售系统研究

    Institute of Scientific and Technical Information of China (English)

    高蔚; 刘辉

    2012-01-01

    Based on the principle and method of system dynamics, this paper analyzes home sales system, builds housing sales system dynamics model of the system, using the Vensim system dynamics software provided by the simulation environment, the model is running and result is analyzed. Finally, some suggestions are put for- ward to solve the problems in the housing sales system.%本文基于系统动力学的原理和方法对房屋销售系统进行了分析,建立了房屋销售系统的系统动力学模型,利用Vensim系统动力学软件提供的模拟环境,对模型进行了运行和结果分析,最后对房屋销售系统中的一些问题提出了浅陋的建议。

  16. The Use of Fibre Reinforced Composites (Frcs in Periodontal Splinting & the Natural Tooth Pontic (NTP in the Management of Advanced Periodontal Disease

    Directory of Open Access Journals (Sweden)

    Ian Kerr

    2013-12-01

    Full Text Available This article uses a series of case studies to examine the use of fibre reinforced composite splints in the management of advanced gum disease that has led to mobility and imminent exfoliation of teeth. The case studies show the various techniques for producing a durable aesthetic splint and how to use these principles in the production of a natural tooth pontic.

  17. Homing oneself

    DEFF Research Database (Denmark)

    Winther, Ida Wentzel

    2009-01-01

    expands on the notion that home indicates more than a house, but also responds to the overuse of the concept home. The aim of this article is to examine how home is done, stretched between everyday life, practices, dreams, loss and cultural ideas of home. My intention is not to remove home......, but to revitalize it to prevent it from turning into a pell-mell or a zombie (Beck 1999). This is important because we are moving away from the hegemonic idea of one home to the tactics of feeling at home, even in more mobile ways. The study is cross-disciplinary, drawing on cultural phenomenology, the history...

  18. Effect of different splint removal techniques on the surface roughness of human enamel: a three-dimensional optical profilometry analysis.

    Science.gov (United States)

    Cehreli, Zafer C; Lakshmipathy, Manas; Yazici, Ruya

    2008-04-01

    Because there is no standard protocol for the removal of resin-based materials that retain semi-rigid trauma splints on teeth, iatrogenic enamel damage caused by various splint removal techniques has remained unknown. The purpose of this study was to evaluate the effect of five different resin removal techniques (H6/H7 scaler, ultrafine diamond bur, ultrasonic scaler, 16-blade tungsten carbide bur, and Sof-Lex disks) on the surface roughness of human enamel. Three-dimensional white-light interferometry, a non-contact profilometry technique, was used to obtain qualitative and quantitative measurements of surface roughness both at baseline and after finishing procedures. Statistical analysis using Friedman test and Wilcoxon signed ranks test showed that the roughest enamel surface was obtained after splint removal with the hand scaler (P enamel surface was obtained after removal of resin with Sof-Lex disks and the 16-blade tungsten carbide bur (P < 0.05).

  19. The role of two-sided splinting for recalcitrant paediatric post-burn hand flexion contracture: a case report.

    Science.gov (United States)

    Prasetyono, Toh; Caroline, I

    2017-07-01

    A 2-year-old boy presented to the plastic and reconstructive surgery outpatient clinic with bilateral post-burn hand flexion contracture. The contracture had been released twice elsewhere. The third surgical repair on one hand at a time was conducted by the author (TOHP). However, inadeq.uate compliance to the postoperative splinting and exercise led to the recurrence of the contracture in the following year. A customised two-sided splint was therefore created to ensure proper placement and compliance. Reinforcement to the parents to encourage the boy to practise active exercise on demand was also an integral part of the management. Good functional and cosmetic outcome were presented at 1-year follow-up. This case highlights the value of a two-sided splint for the management of post-burn hand flexion contracture in children whose compliance is inevitably cannot be guaranteed.

  20. A sectional-splinting technique for impressing multiple implant units by eliminating the use of an open tray

    Directory of Open Access Journals (Sweden)

    Suryakant C. Deogade

    2014-01-01

    Full Text Available Since the inception of root form implant dentistry by P-I Branemark in the early 1980′s, so many technical advances have been put forward by several authors. However, the open tray impression technique is still performed for impressing multiple implant fixtures as it was first described in the original Branemark procedure manual. The most critical aspect for a successful implant-supported restoration is the passive and an accurate fit of superstructures to avoid preload and loading stresses. Splinting impression technique in multiple implants has gained popularity. Auto-polymerizing acrylic resin is among the most routinely practiced splinting material for multiple implant units. However, unfortunately, it exhibits shrinkage, which makes an impression quite inaccurate. This case report presents the solution to minimize the shrinkage of resin by utilizing sectional-splinting technique as advocated in the previous implant literature.

  1. Counseling and oral splint for conservative treatment of temporomandibular dysfunction: preliminary study

    Directory of Open Access Journals (Sweden)

    Ana Paula Varela Brown MARTINS

    Full Text Available Abstract Introduction Temporoamndiular Disorders (TMD involve the masticatory muscles, temporomandibular joint (TMJ or both. The most common symptom is pain, which is usually located in the muscles of mastication, pre-auricular region, and / or ATM, especially during mandibular function. The main treatment for TMD is related to pain relief. Objective The purpose of this case report was to evaluate the reduction of pain symptoms using Visual Analogue Scale (VAS of patients with TMD treated with counseling and use of occlusal splint (OS. Material and method 16 subjects had participated in this study, that was composed by 4 appointment with 7-day interval between each (CEP FOP / Unicamp – 137/2009. In the first, an examiner used the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD to diagnose each patient and delivered a VAS to register the intensity of daily pain. In the second, counseling, molding of both dental arcs to fabricate the OS and the delivery of new VAS were performed. In the third, there was the installation and adjustment of the OS and the delivery of another scale, and in the last, possible adjustments on the OS were done. Data were analyzed by ANOVA two way and Tukey post-test at 5% significance level. Result There was significant difference when comparing the intensity of pain of individuals after installation of splint with the baseline data and after counseling (p = 0.05. Conclusion According to the result of this study, the treatment of TMD associating counseling occlusal splint is effective in reducing pain intensity.

  2. Splinting after contracture release for Dupuytren's contracture (SCoRD: protocol of a pragmatic, multi-centre, randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Chojnowski Adrian J

    2008-04-01

    Full Text Available Abstract Background Splinting as part of the overall post-surgical management of patients after release of Dupuytren's contracture has been widely reported, though there is variation in practice and criteria for using it. The evidence on its effectiveness is sparse, of poor quality and contradictory with studies reporting negative and positive effects. Methods/Design A multi-centre, pragmatic, randomized, controlled trial is being conducted to evaluate the effect of static night splinting for six months on hand function, range of movement, patient satisfaction and recurrence at 1 year after fasciectomy or dermofasciectomy. Using a centrally administered computer randomization system consented patients will be allocated to one of two groups: i splint group who will be given a static splint at approximately 10 to 14 days after surgery to be worn for 6 months at night time only as well as hand therapy; ii non-splint group, who will receive hand therapy only. The primary outcome measure is the patient-reported Disabilities of the Arm, Hand and Shoulder Questionnaire (DASH. Secondary outcomes are total active flexion and extension of fingers, patient satisfaction and recurrence of contracture. Outcome measures will be collected prior to surgery, 3 months, 6 months and 1 year after surgery. Using the DASH as the primary outcome measure, where a difference of 15 points is considered to be a clinically important difference a total of 51 patients will be needed in each group for a power of 90%. An intention-to-treat analysis will be used. Discussion This pragmatic randomized controlled trial will provide much needed evidence on the clinical effectiveness of post-operative night splinting in patients who have undergone fasciectomy or dermofasciectomy for Dupuytren's contracture of the hand. Trial Registration Current Controlled Trials ISRCTN 57079614

  3. Analysis of TMJ vibration sounds before and after use of two types of occlusal splints

    OpenAIRE

    2009-01-01

    Temporomandibular joint (TMJ) sounds are important and common physical signs of temporomandibular disorders (TMD). The aim of this study was to evaluate the influence of the effect of the use of occlusal bite splints (stabilizing and repositioning) on the sounds produced in the TMJ, by means of the electrovibratography (EVG). Thirty-one patients with TMD from the Dental School of Ribeirão Preto, University of São Paulo, Brazil were selected for this study. Group 1 (n=23) wore stabilizing bite...

  4. Neonatal chest wall suspension splint: a novel and noninvasive method for support of lung volume.

    Science.gov (United States)

    Miller, Thomas L; Palmer, Charles; Shaffer, Thomas H; Wolfson, Marla R

    2005-06-01

    Surfactant and musculoskeletal immaturity results in lower compliance of the lung relative to the chest wall, with clinical manifestations of low lung volume, marked chest wall retractions (CWR), and thoracoabdominal asynchrony. Inspiratory efforts are dissipated on distorting the chest wall inward rather than recruiting lung volumes. The current study tests the hypothesis that a novel neonatal chest wall suspension splint (SP), designed to provide stability to the compliant chest wall, would reduce inspiratory chest wall retractions and improve lung volumes. Nine preterm infants (29 +/- 1 SE weeks of gestation; 1.59 +/- 0.27 SE kg study weight) were studied at 16 +/- 5 SE days of life at baseline (BL) and following application of the front plate (FP) and the full SP (Hug n Snug Neonatal Chest Splint, Respironics, Inc.). Phase angle of thoracoabdominal motion, CWR, functional residual capacity (FRC), and pulmonary function were evaluated during spontaneous breathing. Compared to BL, there was a significant decrease in anterior CWR (2.21 +/- 0.91 SE vs. 0.25 +/- 0.09 SE mm; P < 0.05), an increase in FRC (16.6 +/- 2.8 SE vs. 27.8 +/- 5.5 SE ml/kg; P < 0.05) and tidal volume (4.8 +/- 1.5 SE vs. 7.3 +/- 1.4 SE ml/kg; P < 0.05), minimal effect on pulmonary compliance (1.98 +/- 0.50 SE vs. 1.72 +/- 0.30 SE ml/cmH2O/kg), and a trend for a decrease in phase angle (128.4 +/- 10.9 SE vs. 111.8 +/- 19.3 SE) with the application of the splint. FRC correlated inversely with severity of CWR across all conditions (P < 0.05, r = -0.68). Phase angle was directly correlated to anterior CWR (r = 0.72; P < 0.05) and correlated inversely with FRC (P < 0.005; r = -0.56). We speculate that by improving CW stability, the use of this splint may reduce the energetic requirements of breathing and, potentially, the need for more invasive ventilatory support in the neonate.

  5. Modified hyrax splint for rapid maxillary expansion in esthetically concerned patients

    Directory of Open Access Journals (Sweden)

    Sarabjeet Singh Sandhu

    2015-01-01

    Full Text Available The orthodontic treatment of Class III malocclusion with a maxillary deficiency is often treated with maxillary protraction either with or without maxillary expansion. The routine procedure for rapid maxillary expansion includes banding on first premolars/first deciduous molars and the permanent first molars. However in some patients who are esthetically very conscious, banding of the first premolar would not be a good esthetic option. So for such circumstances we have designed a modified hyrax splint, which does not need the first premolars to be banded.

  6. Design of Dynamic Smart Home System Based on FPGA Platform%基于 FPGA 的动态家居安防系统的设计

    Institute of Scientific and Technical Information of China (English)

    汪红; 王芳芳; 占桑

    2014-01-01

    为了实现在减少Zigbee网络节点的前提下,又能实时捕捉用户所需信息的目标,提出了一种基于现场可编程逻辑阵列( FPGA)芯片---Zynq的动态智能家居系统。该系统采用智能小车作为移动网关,Zigbee作网络节点,用Sim300 GSM模块来实现短信收发功能。远程用户能够实时获取家里的信息;并且可以用短信以及Internet与智能家居网关进行通信,从而实现对智能家居系统的远程控制。%In order to achieve the objective by reducing the number of ZigBee network nodes and capturing real -time information as user wants ,this paper presents a dynamic smart home system based on a FPGA chip Zynq ,of which a smart bus is used as a mobile gateway and Zigbee as network nodes .In addition , Sim300 GSM module is employed to realize the function for sending and receiving messages so that remote users can not only access real -time information of home ,but also communicate with the Smart Home by using text message and internet gateway ,achieving the goal of remote control of Smart Home.

  7. Evaluation of effects on periodontal health, halitosis and salivary flow of the occlusal splint use

    Directory of Open Access Journals (Sweden)

    Hasan Gungor

    2012-07-01

    Full Text Available

    Objectives: Occlusal splints (OS are often used for the treatment of temporomandibular disorders (TMDs, bruxism, and occlusal disturbance, although the splint’s effect on oral tissue has not been investigated enough. The aim of this study is to evaluate the effects of OS on halitosis, periodontal status and salivary flow rate (SFR in patients with bruxism.

    Material and Methods: A total of 43 patients with bruxism participated in this study. Plaque index (PI, bleeding on probing (BoP, probing pocket depth (PPD, SFR and halitosis measurement were performed immediately before treatment and 3 months following the completion of the baseline treatment protocol.

    Results: The present study saw that the use of OS for three months did not affected the periodontal status. There was significant increase in the level of halitosis and also the level of SFR after the use of OS (p<0.001.  Statistically significance relationship between halitosis and SFR with the use of OS was found (p<0.05, while there was not a correlation between SFR and halitosis (p>0.05.

    Conclusions: Although occlusal splints have therapeutic benefits, comprehensive clinical examinations are needed on this issue.

  8. Postural evaluation of patients with temporomandibular disorders under use of occlusal splints

    Directory of Open Access Journals (Sweden)

    Paulinne Junqueira Silva Andresen Strini

    2009-10-01

    Full Text Available OBJECTIVES: Alterations in the temporomandibular complex can reflect in adaptations of the individual's entire muscular system, intervening with the head position and scapular waist, developing postural alterations and modifying all corporal biomechanics. The aim of this study was to evaluate the head position (HP and head postural alterations before and after installation of occlusal splints. MATERIAL AND METHODS: Twenty patients with temporomandibular disorders (TMD underwent clinical and postural examination, before the installation of an occlusal splint, and after 1 week and 1 month of use. RESULTS: There were statistically differences for HP, between the initial values and after 1 week of use of the occlusal device (p= 0.048 and also between 1 week and 1 month of evaluation (p= 0.001. Decrease of the painful symptomatology and maintenance of the rectification were also observed. CONCLUSIONS: The individual's postural position can suffer biomechanical alterations due to stomatognathic alterations, causing clinically visible changes in dysfunctional individuals and affecting the performance of the involved structures.

  9. An interdisciplinary methodology for the comparative evaluation of splinting materials (orthotics, thermoplastics, clinical research).

    Science.gov (United States)

    Shimeld, A; Campbell, G; Ernest, M

    1982-06-01

    The methodology developed includes both the use of laboratory evaluation and clinical assessment in an area where there are no standard requirements, no specifications, nor any continuity of data available on the various thermoplastic splinting materials now on the market. A series of laboratory tests and clinical trials were devised such that these could be interpreted with regard to clinical considerations, cost analyses and serviceability factors relating to the materials. Laboratory testing covered possible effects on the chemical and mechanical properties of material likely to be caused by various environmental, sterilization and working factors. The complementary clinical evaluation to highlight the behaviour of materials during the fabrication and wearing of splints consisted of specific information generated with the assistance of experienced occupational therapists, occupational therapy students and patients. Biocompatibility studies were also carried out. The data to be published will provide needed information to physicians, occupational therapists, physical therapists, orthotists, prosthetists, and administrators with regard to their making informed decisions on the selection, purchase and use of thermoplastic materials.

  10. Management of myofascial pain: low-level laser therapy versus occlusal splints.

    Science.gov (United States)

    Öz, Selcen; Gökçen-Röhlig, Bilge; Saruhanoglu, Alp; Tuncer, Erman Bülent

    2010-11-01

    The present study was designed to compare the effects of low-level laser with occlusal splints in patients with signs and symptoms of myofascial pain (MP) dysfunction syndrome. A total of 40 (34 women and 6 men, with a mean age of 32.84 [SD, 10.70] years) were selected after the diagnosis of MP according to the Research Diagnostic Criteria for Temporomandibular Disorder. The patients were randomly divided into 2 groups: study group (n = 20) and control group (n = 20). Low-level laser was applied to patients in the study group 2 times per week, for a total of 10 sessions. Patients in the control group were instructed to wear occlusal splints 24 h/d for 3 months. The functional examination was based on Research Diagnostic Criteria for Temporomandibular Disorder and pressure pain threshold values were obtained with the aid of an algometer in both groups. Patients' self-report of pain was evaluated with visual analog scale. Comparisons were made within and between the groups before and after treatment. Vertical movements showed statistically significant improvements after the treatments in both groups (P release and mandibular movement improvement in MP.

  11. Parameters influencing thromboprophylaxis management of a lower leg trauma treated with a cast/splint.

    Science.gov (United States)

    Decramer, Arne; Lowyck, Hans; Demuynck, Marc

    2008-10-01

    Lower leg trauma is a frequent pathology in the emergency department of every hospital. Given the lack of a general consensus and the poor knowledge in the current use of pharmacological thromboprophylaxis, a cross-sectional, observational and epidemiological disease registry with 261 patients included by 16 centers was designed. These patients presented with a lower leg trauma and all needed a cast or splint to immobilize the injured leg. First, the different risk factors for thromboembolism and the type of injury in this population are mapped out. Secondly, the importance of both parameters in the decision making process to use or not to use prophylaxis in a lower leg trauma is discussed. In the absence of clear guidelines, the presence of thromboembolic risk factors (type and number in a specific patient) and the type of injury are leading the decision to use thromboprophylaxis in emergency department of non-university hospitals, in patients with a lower leg trauma receiving a cast or splint to immobilize an injured leg.

  12. Home hemodialysis

    DEFF Research Database (Denmark)

    Agar, John W; Perkins, Anthony; Heaf, James G

    2015-01-01

    We describe the infrastructure that is necessary for hemodialysis in the home focusing on physical requirements, the organization of plumbing and water, and the key features that should guide the selection of machines that are suitable for home use....

  13. Soft occlusal splint and hard occlusal splint on the treatment of sleep bruxism or clenching%软性垫和硬性垫治疗夜磨牙或紧咬牙的临床效果观察

    Institute of Scientific and Technical Information of China (English)

    孙炜; 赵莹琼

    2016-01-01

    目的:观察硬性垫和软性垫治疗夜磨牙或紧咬牙的临床效果。方法对58例夜磨牙或紧咬牙患者随机采用硬性垫或软性垫进行治疗,28例使用硬性垫,30例使用软性垫。患者每天佩戴垫8h以上,睡眠时佩戴,佩戴垫后1个月、2个月、3个月、6个月复诊,问诊并记录肌肉酸痛症状,以及夜磨牙或紧咬牙习惯与佩戴前是否有变化。对佩戴垫6个月时的治疗有效率用SPSS 17.0软件行卡方检验。结果治疗6个月时软性垫和硬性垫的治疗有效率分别为93.33%、82.14%,差异无统计学意义(c2=1.709,P=0.191)。结论硬性垫和软性垫的临床治疗效果均较好,软性垫因制作简便、佩戴舒适,更易被患者接受。%Objective To study the clinical effects of soft occlusal splint and hard occlusal splint on the treatment of sleep bruxism or clenching. Methods 58 patients with sleep bruxism or clenching were randomly treated with splints, 28 of them were treated with hard occlusal splint while the other 30 patients were treated with soft splints. All participants were asked to wear the splints during night and totally more than 8 h every day. Clinical effects such as muscle aches, bruxism or clenching habit and whether there are changes compared with before wearing were checked at 1, 2, 3, 6 months after treatment. The effective rates were compared by chi⁃square with SPSS 17.0. Results The effective rates of soft and hard splint were 93.33% and 82.14% after 6 months' treatment, and there was no significant difference (P <0.05). Conclusion Both hard occlusal splint and soft occlusal splint have good effects, and soft splint is more accept⁃able because it is easy to make and comfortable to be worn.

  14. Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study

    Science.gov (United States)

    Gu, WeiPing; Yang, Jie; Zhang, FeiMin; Yin, XinMin; Wei, XiaoLong; Wang, Chen

    2015-01-01

    Abstract The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management. The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism, compared with occlusal splint. Twenty-four volunteers with sleep bruxism were divided into two groups: the GTB group that were treated with biofeedback therapy (n  = 12) and the GTO group that were treated with occlusal splint (n  = 12). A mini pressure sensor integrated with a monitoring circuit by use of a maxillary biofeedback splint was fabricated. To foster the relaxation of the masticatory muscles and the nervous system, the wireless device received signals from bruxism events and vibrations alerted the bruxer when the threshold was exceeded. Total episodes and average duration of bruxism events during 8 hours of sleep were analyzed with the monitoring program (TRMY1.0). After 6 and 12 weeks, the episodes (P  =  0.001) and duration (P 0.05). Furthermore, the episodes had significant differences between the GTB group and the GTO group after the same period of treatment (P  =  0.000). The results suggest that biofeedback therapy may be an effective and convenient measure for mild bruxers, when compared with occlusal splint therapy. The mini wireless biofeedback method may be of value for the diagnosis and management of bruxism in the future. PMID:25859272

  15. Use of a modified Thomas splint-cast combination in the management of limb fractures in small equids

    DEFF Research Database (Denmark)

    Ladefoged, Søren; Grulke, Sigrid; Salciccia, Alexandra;

    2017-01-01

    Objective: To describe the management and outcome of limb fractures in small domestic equids treated with a modified Thomas splint-cast combination (MTSCC). Study Design: Retrospective case series. Animals: Client owned horses and donkeys. Methods: Medical records, including radiographs, were rev...

  16. The effect of a forearm/hand splint compared with an elbow band as a treatment for lateral epicondylitis

    NARCIS (Netherlands)

    van de Streek, M.D.; van der Schans, C.P.; de Greef, M.H.G.; Postema, K.

    2004-01-01

    The aim of the present study was to compare the effect of a new prefabricated Thamert forearm/hand splint with the effect of a simple elbow band as a treatment for lateral epicondylitis. Forty-three (43) patients that met the inclusion criteria were randomly assigned to the elbow band group and the

  17. Effects of Neoprene Wrist/Hand Splints on Handwriting for Students with Joint Hypermobility Syndrome: A Single System Design Study

    Science.gov (United States)

    Frohlich, Lauren; Wesley, Alison; Wallen, Margaret; Bundy, Anita

    2012-01-01

    Purpose: Pain associated with hypermobility of wrist and hand joints can contribute to decreased handwriting output. This study examined the effectiveness of a neoprene wrist/hand splint in reducing pain and increasing handwriting speed and endurance for students with joint hypermobility syndrome. Methods: Multiple baseline, single system design…

  18. A systematic evaluation of the effect of thumb opponens splints on hand function in children with unilateral spastic cerebral palsy

    NARCIS (Netherlands)

    Ten Berge, S.R.; Boonstra, Antje; Dijkstra, P.U.; Hadders-Algra, M.; Haga, N.; Maathuis, C.G.B.

    2012-01-01

    Objective: To examine the effects of a neoprene thumb opponens splint on hand function during a self-selected activities of daily living task in children with unilateral spastic cerebral palsy with thumb-in-palm position of the affected hand. Design: Systematic evaluation of seven cases using a mult

  19. EFEKTIFITAS HARD DAN SOFT OCCLUSAL SPLINT PADA GANGGUAN SENDI TEMPOROMANDIBULA (Kajian klinis pada seri kasus berdasarkan keluhan nyeri sendi temporomandibula

    Directory of Open Access Journals (Sweden)

    R.A Donna Pratiwi

    2015-08-01

    Full Text Available Occlusal splint is commonly used for treatment of the temporomandibular joint disorder (TMD. It can be made of hard and soft material. Hard occlusal splint (HOS which was known earlier had been recognized more effective than soft occlusal splint (SOS which recently gained some popularity. This clinical study based on case series was to determined which type of occlusal splint was more effective for TMD. This study involved 20 subjects and they were divided into HOS and SOS group with 10 subjects in each group. HOS was processed with heat curing acrylic and SOS with vacuum former. Before and after 4 weeks of treatment, 5 TMD symptoms (impaired range of movement, impaired TMJ function, muscle pain, TMJ pain and pain on movement of mandible were measured using Helkimo diagnostic index. The results were analyzed with Kolmogorov-Smirnov Z's test. The findings showed statistically significant improvement in impaired range of movement and muscle pain in favor of HOS group (p<0.05. Although they were not statistically significant, HOS group showed better improvement than SOS group in TMJ pain and pain on movement of the mandible. In TMJ's function, no changes were found in both groups. IN general, HOS was more effective than SOS for treating TMD in relatively short period of time. Despite of the phenomena, the popularity of SOS was not followed with its effectiveness.

  20. Acupuncture and occlusal splint therapy in the treatment of craniomandibular disorders. II. A 1-year follow-up study.

    Science.gov (United States)

    List, T; Helkimo, M

    1992-12-01

    Eighty patients, of whom 22 were men and 58 women, participated in a 1-year follow-up study. All participants in the study showed signs and symptoms of craniomandibular disorders (CMD) and had had pain for more than 6 months at treatment start. The patients were randomly assigned to either acupuncture or occlusal splint therapy. Those patients who did not respond to either of the treatment modes were offered various additional therapies. The result showed that 57% of the patients who received acupuncture and 68% of the patients treated with occlusal splint therapy benefited subjectively (p < 0.01) and clinically (p < 0.001) from the treatment over a 12-month period. No statistically significant difference was found between the two groups as to the assessment variables. Those patients who received various additional therapies after acupuncture and/or occlusal splint therapy responded favorably to additional treatment in only a few instances. The study showed that acupuncture gave positive results similar to those of occlusal splint therapy in patients with primarily myogenic CMD symptoms over a 1-year follow-up period.

  1. [The 3D-printed dental splint: a valuable tool in the surgical treatment of malocclusion after polytrauma].

    Science.gov (United States)

    van de Velde, W L; Schepers, R H; van Minnen, B

    2016-01-01

    A 22-year old male was referred to the Department of Oral and Maxillofacial Surgery of a university clinic 2 months after he had sustained multiple traumatic injuries abroad because of an anterior malocclusion. The malocclusion was the sequel of an unrecognised, untreated, already consolidated paramedian mandibular fracture on the right and a fracture of the contralateral mandibular angle on the left. Preoperatively, a cobalt-chrome 3D-printed dental splint was prepared. Surgical correction of the malocclusion was carried out by segmental osteotomies of the mandible at the original fracture sites. This involved a vertical paramedian osteotomy on the right side and a unilateral sagittal split osteotomy on the left mandibular angle side. The mandibular segment was mobilised in the correct occlusion with the aid of the 3D-printed dental splint. The splint was fixed to the teeth with dental composite. The custom made 3D-printed dental splint is considered a promising procedural innovation in oral and maxillofacial surgery.

  2. Nursing Homes

    Science.gov (United States)

    ... newsletter! Aging & Health A to Z Nursing Homes Basic Facts & Information Nursing homes have changed dramatically over the past several ... how accessible are they? How close is the nursing home to family members? How close ... much do basic services cost? What services are covered? What additional ...

  3. Effect of occlusal splints for the management of patients with myofascial pain: a randomized, controlled, double-blind study

    Institute of Scientific and Technical Information of China (English)

    ZHANG Fei-yu; WANG Xiao-geng; DONG Jian; ZHANG Jie-fu; L(U) Ya-lin

    2013-01-01

    Background Occlusal splints have been the preferred modalities in the management of myofascial temporomandibular disorders (TMDs),but now controversy exists in reporting whether they are successful for TMDs treatments.The aim of this study was to give objective evidence to the assessment of treatment effect of occlusal splints for myofascial TMDs patients by clinical assessments and surface electromyography (sEMG) measurements of masseter muscles (MM).Methods Thirty-six patients (12 males and 24 females) aged 16-57 (38±11) years participated in the study.All participants diagnosed with myofascial TMD were randomized into two groups (18 of each).Patients in the first group (A) were treated with occlusal splints for 1 month,while patients in the second group (B) were treated with placebo (non-occluding palatal) splints.Clinical assessments were performed at the beginning of the study and 1 month after treatment.sEMG measurements for MM were performed at mandibular postural position (MPP) and maximum intercuspal contacted position (ICP) 1 month after the treatment.The root mean square (RMS) and the median frequency (MF) as linear indices of sEMG data were used to demonstrate muscle activity and muscle fatigue.Data were analyzed by ANOVA and post hoc SNK test.The differences were considered significant at P <0.05.Results It was found that 89% of group A either completely recovered (39%) or clinically improved (50%),while only 22% of group B had a spontaneous improvement.sEMG analysis showed that at MPP,the mean of RMS value of MM in group A was lower than that of group B,which shows statistical differences (P <0.01).At ICP,the RMS value of MM in group A was higher than that of group B,which shows statistical differences (P <0.01).At MPP,MF value of MM in group A was higher than that of group B (P <0.05).At ICP,MF value of MM was lower than that of group B (P <0.01).Conclusions Occlusal splint could eliminate or improve the signs and symptoms of TMD

  4. Novel application of silicone rubber materials in the restorative treatment of periodontal splint%硅橡胶材料在牙周夹板修复治疗中的新应用

    Institute of Scientific and Technical Information of China (English)

    康艳凤; 谢秋菲

    2012-01-01

    BACKGROUND: The periodontal splint is widely applied in clinic. The literatures and reports at home or abroad usually use thewedge to close the adjacent gap in the process of production.OBJECTIVE: To evaluate the clinical effect of silicone rubber materials in the restorative treatment of periodontal splint.METHODS: Thirty moderate periodontitis patients who were needed to receive the restorative treatment of periodontal splint. Thepatients were randomly divided into two groups: experimental and control group. In the experimental group, silicone rubbermaterials were applied to temporarily close the space between teeth, while in control group wedges were applied. After the spacebetween teeth was closed, the routine operation was preformed and the operating time was recorded. After the establishment ofperiodontal splint, the prevalence of overhang and change of occlusion was measured, degree of satisfaction of doctors andpatients was recorded by visual analogue rating sore, and then the clinical evaluation was completed.RESULTS AND CONCLUSION: Compared with control group, the prevalence of overhang and change of occlusion was lessand the degree of satisfaction of doctors and patients was higher in experimental group. The operation time was equal in twogroups. The clinical application of silicone rubber materials can be used as a complementary method in the restorative treatmentof periodontal splint. To a certain extent, it can effectively reduce the prevalence of overhang, keep the change of occlusion andimprove the satisfaction of patients.%背景 牙周夹板临床应用较为广泛,国内外文献报告制作过程中通常使用楔子关闭邻间隙.目的 评价硅橡胶印模材料在黏接型牙周夹板修复治疗过程中的临床应用效果.方法 从临床中选取30 例需进行黏接型牙周夹板修复治疗的中度慢性牙周炎患者,随机分为2 组:实验组使用硅橡胶印模材料暂时关闭牙齿间隙,继而进行常规操作,并记录

  5. Bringing baby home together: examining the impact of a couple-focused intervention on the dynamics within family play.

    Science.gov (United States)

    Shapiro, Alyson F; Nahm, Eun Young; Gottman, John M; Content, Kristi

    2011-07-01

    The transition to parenthood brings with it challenges to a couple's relationship, which in turn are likely to negatively impact coparenting and overall family process. The focus of the current study was to examine the effects of the Bringing Baby Home psycho-educational intervention at the first postintervention follow-up for promoting positive coparenting and family process within the mother-father-baby family system. Expectant parents (N = 181) were recruited from the greater Seattle area to participate in a longitudinal random clinical trials study. Families were randomly assigned to a control, workshop, or workshop plus support group. Observational coding indexed both parent and baby contribution to family interaction during the Lausanne Triadic Play procedure. Principal components analysis was used to create summary factors describing the family play. Results of intent-to-treat analyses indicated that the Bringing Baby Home program was successful in promoting less competition during family play. There also was an effect of workshop timing, suggesting that fathers who took the workshop prebirth were less likely to exhibit intrusiveness during mother-baby focused play than those who received it postbirth. Implications for promoting the formation of positive family-level relations are discussed.

  6. The soleus syndrome. A cause of medial tibial stress (shin splints).

    Science.gov (United States)

    Michael, R H; Holder, L E

    1985-01-01

    Radionuclide bone scans have demonstrated linear uptake along the posterior medial border of the tibia in patients with shin splints. This area was investigated by anatomical dissection (14 human cadavers), electromyographic (EMG) and muscle stimulation studies (10 patients), and open biopsy (1 patient). Histologically, the increased metabolic activity manifested on the radionuclide scan is due to a periostitis with new bone formation. The soleus muscle and its investing fascia are anatomically and biomechanically implicated in the production of these stress changes, particularly when the heel is in the pronated position. The soleus muscle and fascia form a tough "soleus bridge" over the deep compartment which is thought to be important in patients requiring surgical decompression.

  7. Effects of a father-based in-home intervention on perceived stress and family dynamics in parents of children with autism.

    Science.gov (United States)

    Bendixen, Roxanna M; Elder, Jennifer H; Donaldson, Susan; Kairalla, John A; Valcante, Greg; Ferdig, Richard E

    2011-01-01

    Parents of children with autism report high rates of stress. Parental differences in stress are inconsistent, with most research indicating that mothers report higher levels of stress than fathers. We explored parental differences before and after an in-home training program. Fathers were taught an intervention designed to improve their child's social reciprocity and communication; they then trained mothers. Stress was assessed with the Parenting Stress Index-Short Form, and family dynamics was assessed with the Family Adaptability and Cohesion Evaluation Scales II. Both mothers and fathers reported high preintervention levels of stress. After intervention, fathers' stress was reduced, but not significantly, possibly because of the variability in fathers' scores; mothers' stress scores were significantly reduced. Parenting styles were significantly different before and after intervention. Interdisciplinary teams, including occupational therapists, nurses, and special educators, can work.together to have a positive impact on the lives of families of children with autism.

  8. The prognosis of splinted restoration of the most-distal implants in the posterior region

    Science.gov (United States)

    2016-01-01

    PURPOSE The aim of this study was to compare the efficacies of two-implant splinting (2-IS) and single-implant restoration (1-IR) in the first and second molar regions over a mean functional loading period (FLP) of 40 months, and to propose the appropriate clinical considerations for the splinting technique. MATERIALS AND METHODS The following clinical factors were examined in the 1-IR and 2-IS groups based on the total hospital records of the patients: sex, mean age, implant location, FLP, bone grafting, clinical crown-implant ratio, crown height space, and horizontal distance. The mechanical complications [i.e., screw loosening (SL), screw fracture, crown fracture, and repeated SL] and biological complications [i.e., peri-implant mucositis (PM) and peri-implantitis (PI)] were also evaluated for each patient. In analysis of two groups, the chi-square test and Student's t-test were used to identify the relationship between clinical factors and complication rates. The optimal cutoff value for the FLP based on complications was evaluated using receiver operating characteristics analysis. RESULTS In total, 234 patients with 408 implants that had been placed during 2005 - 2014 were investigated. The incident rates of SL (P<.001), PM (P=.002), and PI (P=.046) differed significantly between the 1-IR and 2-IS groups. The FLP was the only meaningful clinical factor for mechanical and biological complication rates in 2-IS. CONCLUSION The mechanical complication rates were lower for 2-IS than for 1-IR, while the biological complication rates were higher for 2-IS. FLP of 39.80 and 46.57 months were the reference follow-up periods for preventing biological and mechanical complications, respectively. PMID:28018568

  9. Clinical evaluation of a modified method of vestibuloplasty using an implant-retained splint.

    Science.gov (United States)

    Heberer, Susanne; Nelson, Katja

    2009-03-01

    Oral rehabilitation of resected tumor patients often requires, besides the use of dental implants, the improvement of the soft tissue condition. In this clinical report, we describe a simple and effective surgical and prosthetic treatment procedure to achieve adequate long-term soft tissue conditions. Seventeen tumor patients were selected for this evaluation. A total of 68 implants were placed in the mandible. At implant placement, a closed impression was taken from the implants for the fabrication of an implant-retained surgical splint. At second-stage surgery, vestibuloplasty by use of a split-thickness skin graft from the upper thigh was performed and an implant-retained splint was positioned. Pocket depths at the implants and the size of the graft were monitored over a period of 2 years. Statistical analysis by use of nonparametric 2-factorial analyses for repeated measures was performed. The mean mesial and distal pocket depths remained stable and measured 2.56 mm and 2.64 mm, respectively, at 24 months postoperatively. The graft showed an overall shrinkage of 18.5% in the vertical direction and 10.4% in the horizontal direction after 24 months. The shrinkage of the vertical direction compared with the horizontal direction showed a significant difference (P= .035). The shrinkage tendency was less than that described in the literature. The applied method described an easy, sufficient surgical procedure that minimizes shrinkage and creates a denture-bearing area that is stable over the long term, thus representing an improvement over previous methods.

  10. Home front.

    Science.gov (United States)

    2001-04-04

    Ninety-year-old Ivy Tabberer protested against the closure of her care home at the Houses of Parliament last week. She was joined by fellow residents in the Havering Action Against Home Closures group and three generations of her family. Ms Tabberer is pictured with daughter Doreen Walpole (left), granddaughter Annette (far right) and great granddaughter Shereen (middle). 'If all the homes close,' said Ms Tabberer, 'where are we going to stay?'

  11. Outcomes, infectiousness, and transmission dynamics of patients with extensively drug-resistant tuberculosis and home-discharged patients with programmatically incurable tuberculosis: a prospective cohort study

    KAUST Repository

    Dheda, Keertan

    2017-01-19

    Background: The emergence of programmatically incurable tuberculosis threatens to destabilise control efforts. The aim of this study was to collect prospective patient-level data to inform treatment and containment strategies. Methods: In a prospective cohort study, 273 South African patients with extensively drug-resistant tuberculosis, or resistance beyond extensively drug-resistant tuberculosis, were followed up over a period of 6 years. Transmission dynamics, infectiousness, and drug susceptibility were analysed in a subset of patients from the Western Cape using whole-genome sequencing (WGS; n=149), a cough aerosol sampling system (CASS; n=26), and phenotypic testing for 18 drugs (n=179). Findings: Between Oct 1, 2008, and Oct 31, 2012, we enrolled and followed up 273 patients for a median of 20·3 months (IQR 9·6-27·8). 203 (74%) had programmatically incurable tuberculosis and unfavourable outcomes (treatment failure, relapse, default, or death despite treatment with a regimen based on capreomycin, aminosalicylic acid, or both). 172 (63%) patients were discharged home, of whom 104 (60%) had an unfavourable outcome. 54 (31%) home-discharged patients had failed treatment, with a median time to death after discharge of 9·9 months (IQR 4·2-17·4). 35 (20%) home-discharged cases were smear-positive at discharge. Using CASS, six (23%) of 26 home-discharged cases with data available expectorated infectious culture-positive cough aerosols in the respirable range (<5 μm), and most reported inter-person contact with suboptimal protective mask usage. WGS identified 17 (19%) of the 90 patients (with available sequence data) that were discharged home before the diagnosis of 20 downstream cases of extensively drug-resistant tuberculosis with almost identical sequencing profiles suggestive of community-based transmission (five or fewer single nucleotide polymorphisms different and with identical resistance-encoding mutations for 14 drugs). 11 (55%) of these downstream

  12. Home Care

    Science.gov (United States)

    ... triggering an emergency response or checkup phone call. Healthcare professionals are finding that portable or mobile testing technology (home diagnostics), including x-rays and electrocardiograms (ECGs), ...

  13. Stability of the anterior maxillary segment and teeth after segmental Le Fort I osteotomy and postoperative skeletal elastic fixation with or without occlusal splint

    OpenAIRE

    2015-01-01

    ABSTRACT Objectives To assess the short term dental and skeletal stability of the anterior maxillary segment after segmental Le Fort I osteotomy with postoperative skeletal elastic fixation with or without occlusal splint. Material and Methods 29 consecutive patients underwent segmental Le Fort I osteotomy and elastic skeletal fixation was applied. Patients were divided into two groups according to whether a fixed occlusal splint was used for six weeks (group A) or dismounted perioperatively ...

  14. Influence of the Splint Therapy on Muscle Function and on Mandibular Kinetics in the Treatment of a Patient with Malocclusion and Severe Temporomandibular Disorder

    OpenAIRE

    2002-01-01

    INTRODUCTION: Despite the most recent changes in the treatment of temporomandibular disorders, the relaxation splint is still the most employed therapeutic variety.Some authors, however, have doubts about its actions on neuromuscular function and suspect that its effectiveness is onlydue to psychological factors and placebo effect. AIM: In this study an attempt was made to study the neuromuscular response of the stomatognathic apparatus in a temporomandibular disorder patient during splint th...

  15. Surgery is more cost-effective than splinting for carpal tunnel syndrome in the Netherlands: results of an economic evaluation alongside a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Adèr Herman J

    2006-11-01

    Full Text Available Abstract Background Carpal tunnel syndrome (CTS is a common disorder, often treated with surgery or wrist splinting. The objective of this economic evaluation alongside a randomized trial was to evaluate the cost-effectiveness of splinting and surgery for patients with CTS. Methods Patients at 13 neurological outpatient clinics with clinically and electrophysiologically confirmed idiopathic CTS were randomly allocated to splinting (n = 89 or surgery (n = 87. Clinical outcome measures included number of nights waking up due to symptoms, general improvement, severity of the main complaint, paraesthesia at night and during the day, and utility. The economic evaluation was performed from a societal perspective and involved all relevant costs. Results There were no differences in costs. The mean total costs per patient were in the surgery group EURO 2,126 compared to EURO 2,111 in the splint group. After 12 months, the success rate in the surgery group (92% was significantly higher than in the splint group (72%. The acceptability curve showed that at a relatively low ceiling ratio of EURO 2,500 per patient there is a 90% probability that surgery is cost-effective. Conclusion In the Netherlands, surgery is more cost-effective compared with splinting, and recommended as the preferred method of treatment for patients with CTS.

  16. Cerebral reorganisation of human hand movement following dynamic immobilisation

    NARCIS (Netherlands)

    de Jong, BM; Coert, JH; Stenekes, MW; Leenders, KL; Paans, AMJ; Nicolai, JRA

    2003-01-01

    Surgical treatment of a flexor tendon lesion of the hand is followed by a 6-week period of dynamic immobilisation. This is achieved by the elastic strings of a Kleinert splint, enabling only passive and no active flexor movements. After such immobilisation, the appearance of a temporary clumsy hand

  17. Change in the number of occlusal contacts following splint therapy in patients with a temporomandibular disorder (TMD).

    Science.gov (United States)

    Al-Ani, Ziad; Davies, Stephen; Sloan, Philip; Gray, Robin

    2008-09-01

    The mean number of occlusal contacts before and after occlusal appliance therapy were compared in three temporomandibular disorder groups and one control group. Only patients with a successful treatment outcome were considered in the statistical analysis. Statistically significant changes were seen in the disc displacement with reduction group, which was managed with anterior repositioning splint: the mean number of contacts increased 3 months after weaning off the splint. If the disc is out of position then the number of occlusal contacts appears to be reduced. It would therefore appear to be sound advice not to make permanent and irreversible adjustment to the occlusion in the presence of disc displacement as when the disc is repositioned occlusal contacts will change.

  18. Long-term treatment of disk-interference disorders of the temporomandibular joint with anterior repositioning occlusal splints.

    Science.gov (United States)

    Okeson, J P

    1988-11-01

    Forty patients with three different types of symptomatic disk-interference disorders were treated with anterior repositioning splint therapy for 8 weeks. At the end of that period 80% of the patients were free of joint sound and pain. Each patient's splint was then gradually modified until the patient's original occlusal condition was reestablished. Each patient was then allowed to function in that position. The patients were reevaluated an average of 2 1/2 years later. Seventy-five percent of the patients had no joint pain and 66% had a return of joint sounds. Sixty-six percent of the patients did not find the need to seek additional treatment for jaw pain and dysfunction.

  19. Anxiety, splint treatment and clinical characteristics of patients with osteoarthritis of temporomandibular joint and dental students – a pilot study.

    Directory of Open Access Journals (Sweden)

    Tomislav Badel

    2011-02-01

    Full Text Available The aim of this study was to evaluate the use of splint treatment for therapy of osteoarthritis of temporomandibular joint, and to compare the level of anxiety (State-Trait Anxiety Inventory,STAI and clinical characteristics between 16 patients and 20 asymptomatic dental school students. Magnetic resonance imaging (MRI was used for all subjects. Dental students showed a statistically signiicant higher capacity of mouth opening (p<0.05, and lower level of anxiety (p<0.05 for STAI 1, and p<0.001 for STAI 2 than patients. Patients who had suffered chronic pain before splint treatment had a higher value of anxiety by STAI 1 test (p<0.05.

  20. Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study

    Institute of Scientific and Technical Information of China (English)

    WeiPing Gu; Jie Yang; FeiMin Zhang; XinMin Yin; XiaoLong Wei; Chen Wang

    2015-01-01

    The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management.The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism,compared with occlusal splint.Twenty-four volunteers with sleep bruxism were divided into two groups:the GTB group that were treated with biofeedback therapy (n =12) and the GTO group that were treated with occlusal splint (n =12).A mini pressure sensor integrated with a monitoring circuit by use of a maxillary biofeedback splint was fabricated.To foster the relaxation of the masticatory muscles and the nervous system,the wireless device received signals from bruxism events and vibrations alerted the bruxer when the threshold was exceeded.Total episodes and average duration of bruxism events during 8 hours of sleep were analyzed with the monitoring program (TRMY].0).After 6 and 12 weeks,the episodes (P =0.001) and duration (P < 0.05) in the GTB group declined dramatically.In contrast,there were no significant differences in the GTO group after the treatment (P > 0.05).Furthermore,the episodes had significant differences between the GTB group and the GTO group after the same period of treatment (P =0.000).The results suggest that biofeedback therapy may be an effective and convenient measure for mild bruxers,when compared with occlusal splint therapy.The mini wireless biofeedback method may be of value for the diagnosis and management of bruxism in the future.

  1. The Efficacy of Local Injection of Methylprednisolone and Lidocaine with and Without Splint, in Treating Patients with De Quervain's Tenosynovitis

    OpenAIRE

    Saleh,, M. a.; Dehghan; Sherafat

    2012-01-01

    Introduction: Suffering from de Quervain's tenosynovitis due to repetitive and routine activities leads to considerable referrals to orthopedic clinics and increasing health care costs and wasting of patients' time. The present study aimed to compare the efficacy of local injection of methylprednisolone with and without splint for treatment of patients suffering from de Quervain's tenosynovitis. Methods: In a clinical trial study, 72 patients with de Quervain's tenosynovitis were selected in ...

  2. Soft occlusal splint therapy in the management of myofascial pain dysfunction syndrome: A follow-up study

    Directory of Open Access Journals (Sweden)

    Naikmasur Venkatesh

    2008-01-01

    Full Text Available Background and Objectives: Myofascial Pain Dysfunction Syndrome (MPDS has been recognized as the most common, nontooth-related chronic orofacial pain condition that confronts dentists. A variety of therapies has been described in literature for its management. The present study is a prospective study carried out to evaluate the efficacy of occlusal splint therapy and compare it with pharmacotherapy (using analgesics and muscle relaxants in the management of Myofascial Pain Dysfunction Syndrome. Materials and Methods: Forty patients in the age range of 17-55 years were included in the study and randomly assigned to one of two equally sized groups, A and B. Group A patients received a combination of muscle relaxants and analgesics while Group B patients received soft occlusal splint therapy. All the patients were evaluated for GPI, VAS, maximum comfortable mouth opening, TMJ clicking and tenderness during rest and movement as well as for the number of tender muscles at the time of diagnosis, after the 1 st week of initiation of therapy and every month for three months of follow-up. Results: There was a progressive decrease in GPI scores, number of tender muscles, TMJ clicking and tenderness with various jaw movements and significant improvement in mouth opening in patients on occlusal splint therapy during the follow-up period as compared to the pharmacotherapy group. Conclusion: Occlusal splint therapy has better long-term results in reducing the symptoms of MPDS. It has better patient compliance, fewer side effects, and is more cost-effective than pharmacotherapy; hence, it can be chosen for the treatment of patients with MPDS.

  3. [Mandibular manipulation technique followed by exercise therapy and occlusal splint for treatment of acute anterior TMJ disk displacement without reduction].

    Science.gov (United States)

    Jiang, Xin; Fan, Shuai; Cai, Bin; Fang, Zhong-Yi; Xu, Li-Li; Liu, Li-Kun

    2016-10-01

    This study aimed to evaluate the short-term efficiency of mandibular manipulation technique combined with exercise therapy and splint treatment of acute anterior TMJ disc displacement without reduction (ADDW), and TMJ disc-condyle relationship by magnetic resonance imaging (MRI). Forty-four patients (37 females, 7 males) were diagnosed as acute ADDW and confirmed by MRI. All patients underwent mandibular manipulation, combined with exercise therapy, including jaw movement exercise, stabilization exercise, disc reposition exercise, and splint treatment. Anterior repositioning splint was wore only at night during sleep, while the mandible was kept in rest position during the day. The treatment was continued for 2 weeks. The baseline and endpoint outcome assessment measures were maximum active mouth opening, visual analogue scale (VAS) score of TMJ pain. Consecutive MRI was performed 1~3 months after treatment. SPSS 17.0 software package was used for statistical analysis. Two weeks after treatment, the patients' maximum active mouth opening increased from(22.6±6.1) mm to (43.9±3.3) mm, VAS score of pain decreased from 3.6±1.5 to 0.7±0.25. After treatment of 4.6±4.7 weeks on average, 20 patients (46%) displayed normal dis-condyle relationship, 16 patients(36%) had displacement with reduction, and 8 patients(18%) had displacement without reduction on MRI. Mandibular manipulation technique combined with exercise therapy and splint treatment seems to be useful in the treatment of anterior TMJ disc displacement with reduction, which can help to maintain the complete anatomic disc-condyle relationship.

  4. The efficacy of acupuncture and decompression splints in the treatment of temporomandibular joint pain-dysfunction syndrome

    OpenAIRE

    Vicente Barrero, Mario; Yu Lu, Si Lei; Zhang, Bingxin; Bocanegra Pérez, Sacramento; Durán Moreno, David; López Márquez, Ariadna; Knezevic, Milan; Castellano Navarro, José María; Limiñana Cañal, José María

    2012-01-01

    Objectives: The goal of the present study was to evaluate the results of applying acupuncture or occlusal decompression splints in the treatment of patients diagnosed with the temporomandibular joint pain-dysfunction syndrome. Design of the study: We conducted a randomized clinical trial including 20 patients to whom the mentioned treatments were applied. Results were evaluated through an analogue pain scale, measurements of mouth opening and jaw lateral deviation in millimetres, and assessme...

  5. Efficacy of splinting and oral steroids in the treatment of carpal tunnel syndrome: A prospective randomized clinical and electrophysiological study

    Directory of Open Access Journals (Sweden)

    Mishra Sanjay

    2006-01-01

    Full Text Available Objective: To study the efficacy of splinting and oral steroids in the management of carpal tunnel syndrome (CTS. Design: Prospective, randomized, open-label, clinical and electrophysiological study with 3-month follow-up. Materials and Methods: Forty patients with CTS were randomly divided into splint group (N-20, wearing splint in neutral position for 4 weeks; and steroid group (N-20, who received oral prednisolone 20 mg/day for 2 weeks followed by 10 mg/day for 2 weeks. Clinical and electrophysiological evaluations were done at baseline and at 1-month and 3-month follow-up. Independent ′t′ test and paired ′t′ test were used for statistical analysis. Outcome Measures: Primary outcome measure was the symptom severity score and functional status score. Secondary outcome measures were median nerve sensory and motor distal latency and conduction velocity. Results: At the end of 3 months, statistically significant improvement was seen in symptom severity score and functional status score in both groups ( P P =0.001 at 3 months in steroid group, while insignificant improvement ( P =0.139 was observed in splint group. On comparing the clinical and electrophysiological improvement between the two groups, except for the functional status score, there was no significant difference at 3-month follow-up. Improvement in functional status score was significantly more in steroid group ( P =0.03. Conclusion : There was significant improvement in both groups, clinically as well as electrophysiologically, at 3 months. On comparing the efficacy of the two treatment methods, except for the functional status score, there was no significant difference between the two groups.

  6. Surgical technique of orthotopic liver transplantation in rats: the Kamada technique and a new splint technique for hepatic artery reconstruction.

    Science.gov (United States)

    Ishii, Eiichi; Shimizu, Akira; Takahashi, Mikiko; Terasaki, Mika; Kunugi, Shinobu; Nagasaka, Shinya; Terasaki, Yasuhiro; Ohashi, Ryuji; Masuda, Yukinari; Fukuda, Yuh

    2013-01-01

    Orthotopic liver transplantation (OLT) in rats is technically feasible and useful for the assessment of clinical liver transplantation and analysis of inflammatory liver diseases. OLT in rats was pioneered by Lee et al. in 1973 using hand-suture techniques of all vessels. This model has not been widely used due to the long operative time and technical demand. The cuff method was introduced by Kamada in 1979, and today, the Kamada technique is the one most commonly used worldwide. However, this technique does not include hepatic artery reconstruction, although this procedure is routinely performed in clinical transplantation. Nevertheless, several techniques for hepatic artery reconstruction in rat OLT have been reported recently, and our group also developed a simple splint technique from recipient right renal artery to donor celiac axis bearing the hepatic artery. In the present article, we describe the Kamada technique, as a standard surgical method for rat OLT. In addition, we also describe our splint technique for hepatic artery reconstruction. Then, we compare the features of Kamada technique and our splint technique for hepatic artery reconstruction and all other surgical techniques currently in use for rat OLT. The widespread use of the rat OLT model should help to provide full assessment of transplant immunology and the mechanism and treatment of inflammatory liver diseases.

  7. The dragonfly splint: a new disposable device designed to prevent both medial and lateral turbinate synechiae after sinonasal surgery.

    Science.gov (United States)

    Mantovani, Mario; Rinaldi, Vittorio; Torretta, Sara; Sigismund, Paolo Enrico; Cappadona, Maurizio; Minetti, Andrea; Pignataro, Lorenzo

    2014-03-01

    Periturbinal adhesions are among the most frequent and challenging complications of sinonasal surgery. Endonasal paraseptal splints have proved to be very efficient in preventing "medial synechiae," that is, adhesions located between the medial faces of the middle/inferior turbinates and the septum. However, none of these devices for guiding mucosal healing can prevent "lateral synechiae" (adhesions between the lateral face of the middle turbinate and the lateral nasal wall) inside the middle meatal cleft, which is a very critical area for the physiology of the anterior sinus system. For this reason, if followed by the formation of lateral synechiae, the surgical maneuvers used to treat sinus diseases could paradoxically become a cause of persistent functional impairment and lead to iatrogenic sinusitis or mucocele.We describe our preliminary experience with a new endonasal splint called "Dragonfly" (because of its shape), which has been designed to prevent both medial and lateral postsurgical synechiae. This device has a long lateral wing designed to separate the mucosal surfaces of the middle meatal/ethmoid cavities and prevent adhesions during the postoperative process of healing. The device must be kept in situ for 3 to 4 weeks to permit the re-epithelialization of the internal nasal surfaces. Our experience shows that the splints are well tolerated and highly efficient, preventing both medial and lateral synechiae in 100% of cases. A randomized controlled study has now been started to confirm these positive preliminary findings in a larger patient population.

  8. Evaluation of the role of splint therapy in the treatment of temporomandibular joint pain on the basis of MRI evidence of altered disc position.

    Science.gov (United States)

    Hasegawa, Yoko; Kakimoto, Naoya; Tomita, Seiki; Fujiwara, Masanori; Ishikura, Reichi; Kishimoto, Hiromitsu; Honda, Kosuke

    2017-04-01

    To clarify whether altering temporomandibular joint (TMJ) condyle and disc positions by occlusal splint (splint) therapy relieves TMJ pain and to determine whether splint therapy facilitates improvement of the ranges of condyle and articular disc motions. A total of 150 joints of 75 patients admitted with TMJ pain/discomfort were evaluated. A visual analog scale for TMJ pain was administered during visits following the start of splint treatment. At the start of splint treatment, MRI was performed with/without splint insertion, after which condyle/disc movements were evaluated. Disc position and function, disc configuration, joint effusion, osteoarthritis, and the bone marrow were evaluated. Pearson's correlation coefficients, linear regression, and multiple regression analyses were used for statistical analysis. Splint-related anterior movement of the condyle was related to TMJ pain. With a biconvex disc and/or bone marrow abnormality, splint treatment was ineffective for reducing TMJ pain. Splint therapy was not likely to be successful for any kind of TMJ abnormalities, such as bone marrow abnormalities and/or a biconvex disc appearance on MRI. Copyright © 2017 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  9. Coronas implantosoportadas: ¿individualizar o ferulizar? Implant-supported crowns: Individualized or splinting?

    Directory of Open Access Journals (Sweden)

    M Gómez Polo

    2007-04-01

    Full Text Available Existen diferentes formas de rehabilitación de coronas sobre implantes adyacentes en un tramo edéntulo. Las opciones que pueden encontrarse son la de restaurar con varias coronas unitarias, o bien unir esas coronas en una sola prótesis. Material y Método: Se llevó a cabo una búsqueda bibliográfica a través de bases de datos en revistas especializadas de Odontología. Resultados: En la bibliografía revisada se observa que existen defensores y detractores de cada una de las técnicas, basándose cada autor en distintos estudios y argumentos. Discusión: Se encontraron ventajas e inconvenientes en ambas opciones prostodóncicas, valorando en base a éstos cuándo utilizar cada una de las técnicas propuestas. Conclusiones: Cuando las condiciones son idóneas, se considera adecuada la restauración con coronas individuales; por otro lado cuando existan condiciones adversas (implantes cortos, hueso de mala calidad, carga inmediata o factores oclusales no adecuados, en las que el reparto de fuerzas pueda comprometer el pronóstico de la restauración, la ferulización será el tratamiento de elección.There are different methods of crown rehabilitation refering to implants adjacent in edentulous sites. The options can be: rehabilitation with several single crowns or the splinting of the crowns in the prostheses. Material and method: A bibliographical research through the data base of the U.C.M. library and a review of clinical files of patients treated under the title implant-prostheses has been carried out. Results: There are supporters and non-supporters of each technique, based on different arguments and studies. Discussion: Advantages and inconvenients have been found in each method, taking these into consideration when it comes to using the appropriate restoration. Conclusions: When conditions are suitable, the implants can be restored by using single crowns. On the other hand, when there are no ideal factors (short implants, low bone

  10. Laser Therapy and Occlusal Stabilization Splint for Temporomandibular Disorders in Patients With Fibromyalgia Syndrome: A Randomized, Clinical Trial.

    Science.gov (United States)

    Molina-Torres, Guadalupe; Rodríguez-Archilla, Alberto; Matarán-Peñarrocha, Guillermo; Albornoz-Cabello, Manuel; Aguilar-Ferrándiz, María Encarnación; Castro-Sánchez, Adelaida María

    2016-09-01

    Context • Patients with fibromyalgia syndrome (FMS) report frequent and severe symptoms from temporomandibular disorders (TMDs). The appropriate treatment of TMDs remains controversial. No studies have occurred on the efficacy of therapy with a laser or an occlusal stabilization splint in the treatment of TMDs in patients with FMS. Objective • The study intended to investigate the therapeutic effects of laser therapy and of an occlusal stabilization splint for reducing pain and dysfunction and improving the quality of sleep in patients with TMDs and FMS. Design • The research team designed a single-blinded, randomized clinical trial. Setting • The study took place in the research laboratory at the University of Granada (Granada, Spain). Participants • Participants were 58 women and men who had been diagnosed with FMS and TMDs and who were referred from the clinical setting. Intervention • Participants were randomly assigned to the occlusal-splint or the laser group. The laser group received a treatment protocol in which laser therapy was applied to the participant's tender points, and the occlusal-splint group underwent a treatment protocol in which an occlusal stabilization splint was used. Both groups underwent treatment for 12 wk. Outcomes Measures • Pain intensity, widespread pain, quality of sleep, severity of symptoms, active and passive mouth opening, and joint sounds were assessed in both groups at baseline and after the last intervention. The measurements used were (1) a visual analogue scale (VAS), (2) the Widespread Pain Index (WPI), (3) the Symptom Severity Scale (SSS), (4) the Patient's Global Impression of Change (PGIC), (5) the Pittsburgh Quality of Sleep Questionnaire Index (PSQI), (6) an assessment of the number of tender points, (7) a measurement of the active mouth opening, (8) a measurement of the vertical overlap of the incisors, and (9) the measurement of joint sounds during mouth opening and closing. Results • The group X time

  11. 3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results - our experience in 16 cases.

    Science.gov (United States)

    Aboul-Hosn Centenero, Samir; Hernández-Alfaro, Federico

    2012-02-01

    The aim of this article is to determine the advantages of 3D planning in predicting postoperative results and manufacturing surgical splints using CAD/CAM (Computer Aided Design/Computer Aided Manufacturing) technology in orthognathic surgery when the software program Simplant OMS 10.1 (Materialise(®), Leuven, Belgium) was used for the purpose of this study which was carried out on 16 patients. A conventional preoperative treatment plan was devised for each patient following our Centre's standard protocol, and surgical splints were manufactured. These splints were used as study controls. The preoperative treatment plans devised were then transferred to a 3D-virtual environment on a personal computer (PC). Surgery was simulated, the prediction of results on soft and hard tissue produced, and surgical splints manufactured using CAD/CAM technology. In the operating room, both types of surgical splints were compared and the degree of similitude in results obtained in three planes was calculated. The maxillary osteotomy line was taken as the point of reference. The level of concordance was used to compare the surgical splints. Three months after surgery a second set of 3D images were obtained and used to obtain linear and angular measurements on screen. Using the Intraclass Correlation Coefficient these postoperative measurements were compared with the measurements obtained when predicting postoperative results. Results showed that a high degree of correlation in 15 of the 16 cases. A high coefficient of correlation was obtained in the majority of predictions of results in hard tissue, although less precise results were obtained in measurements in soft tissue in the labial area. The study shows that the software program used in the study is reliable for 3D planning and for the manufacture of surgical splints using CAD/CAM technology. Nevertheless, further progress in the development of technologies for the acquisition of 3D images, new versions of software programs

  12. Evaluation of accuracy of complete-arch multiple-unit abutment-level dental implant impressions using different impression and splinting materials.

    Science.gov (United States)

    Buzayan, Muaiyed; Baig, Mirza Rustum; Yunus, Norsiah

    2013-01-01

    This in vitro study evaluated the accuracy of multiple-unit dental implant casts obtained from splinted or nonsplinted direct impression techniques using various splinting materials by comparing the casts to the reference models. The effect of two different impression materials on the accuracy of the implant casts was also evaluated for abutment-level impressions. A reference model with six internal-connection implant replicas placed in the completely edentulous mandibular arch and connected to multi-base abutments was fabricated from heat-curing acrylic resin. Forty impressions of the reference model were made, 20 each with polyether (PE) and polyvinylsiloxane (PVS) impression materials using the open tray technique. The PE and PVS groups were further subdivided into four subgroups of five each on the bases of splinting type: no splinting, bite registration PE, bite registration addition silicone, or autopolymerizing acrylic resin. The positional accuracy of the implant replica heads was measured on the poured casts using a coordinate measuring machine to assess linear differences in interimplant distances in all three axes. The collected data (linear and three-dimensional [3D] displacement values) were compared with the measurements calculated on the reference resin model and analyzed with nonparametric tests (Kruskal-Wallis and Mann-Whitney). No significant differences were found between the various splinting groups for both PE and PVS impression materials in terms of linear and 3D distortions. However, small but significant differences were found between the two impression materials (PVS, 91 μm; PE, 103 μm) in terms of 3D discrepancies, irrespective of the splinting technique employed. Casts obtained from both impression materials exhibited differences from the reference model. The impression material influenced impression inaccuracy more than the splinting material for multiple-unit abutment-level impressions.

  13. Nursing Home

    OpenAIRE

    Allocca Hernandez, Giacomo Antonio

    2016-01-01

    Getting old involves a lot of changes in life. Family and social relations change and mobility can decrease. These variations require new settings, and of course special care. A nursing home is a place dedicated to help with this situation. Sometimes nursing homes can be perceived as mere institutions by society, and even by future residents. Inside, senior citizens are suppose to spend the rest of their lives doing the same activities day after day. How can we improve these days? Archite...

  14. An integrated orthognathic surgery system for virtual planning and image-guided transfer without intermediate splint.

    Science.gov (United States)

    Kim, Dae-Seung; Woo, Sang-Yoon; Yang, Hoon Joo; Huh, Kyung-Hoe; Lee, Sam-Sun; Heo, Min-Suk; Choi, Soon-Chul; Hwang, Soon Jung; Yi, Won-Jin

    2014-12-01

    Accurate surgical planning and transfer of the planning in orthognathic surgery are very important in achieving a successful surgical outcome with appropriate improvement. Conventionally, the paper surgery is performed based on a 2D cephalometric radiograph, and the results are expressed using cast models and an articulator. We developed an integrated orthognathic surgery system with 3D virtual planning and image-guided transfer. The maxillary surgery of orthognathic patients was planned virtually, and the planning results were transferred to the cast model by image guidance. During virtual planning, the displacement of the reference points was confirmed by the displacement from conventional paper surgery at each procedure. The results of virtual surgery were transferred to the physical cast models directly through image guidance. The root mean square (RMS) difference between virtual surgery and conventional model surgery was 0.75 ± 0.51 mm for 12 patients. The RMS difference between virtual surgery and image-guidance results was 0.78 ± 0.52 mm, which showed no significant difference from the difference of conventional model surgery. The image-guided orthognathic surgery system integrated with virtual planning will replace physical model surgical planning and enable transfer of the virtual planning directly without the need for an intermediate splint.

  15. Evaluation of bond strength between glass fiber and resin composite using different protocols for dental splinting

    Directory of Open Access Journals (Sweden)

    Amaral R Fabrício

    2013-01-01

    Full Text Available Context: Many different polymeric materials to chair-side application on pre-impregnated glass fibers (PGF are available and different protocols are used in clinical procedure. Aims: This study evaluated protocols used for dental splinting on adhesion between PGF and resin. Settings and Design: 42 pair of nano composite resin blocks with (6 × 6 × 8 mm 3 were assigned into seven groups (n=6 and bonded according to the protocol: Gar adhesive, resin; Ggr glass fiber, resin; Ggar glass fiber, adhesive, resin; Gfgar flowable resin, glass fiber, adhesive, resin; Ggafr glass fiber, adhesive, flowable resin, resin; Ggfar glass fiber, flowable resin, adhesive, resin; Gfgr flowable resin, glass fiber, resin. Materials and Methods: Micro sticks obtained from each group were submitted to the micro tensile bond strength test. Statistical Analysis: The data were statistically evaluated using ANOVA and Tukey`s test (5%. Results: The protocol had a significant effect on the bond strength results (P=0.00. Gar and Ggar resulted in the highest bond strength with no statistical difference. Conclusions: The use of adhesive agent showed to be efficient to promote initial adhesion between fiber and nano composite resin.

  16. Evidence into practice: pediatric orthopaedic surgeon use of removable splints for common pediatric fractures.

    Science.gov (United States)

    Boutis, Kathy; Howard, Andrew; Constantine, Erika; Cuomo, Anna; Somji, Zeeshanefatema; Narayanan, Unni G

    2015-01-01

    Removable splints when compared with circumferential casts in randomized trials have been shown to be a safe and cost-effective method of managing many common minor distal radius and fibular fractures. This study estimated the extent to which this evidence is being implemented in clinical practice, and determined the perceived barriers to the adoption of this evidence. A cross-sectional survey of practicing orthopaedic surgeon members of the Pediatric Orthopedic Surgeons of North America (POSNA) was conducted, using a 22-item online questionnaire, and distributed using a modified Dillman technique. Survey questions were derived from and validated by literature review, expert opinion, and pilot-testing on the targeted sample before implementation. Of the 826 eligible participants, 558 (67.6%) responded to the survey. Of these, 505 (90.5%) had completed a fellowship in pediatric orthopaedics, 335 (60.0%) worked in a university-affiliated setting, and 377 (67.6%) had been in practice for pediatric orthopaedic surgeons to change practice in keeping with the best evidence for these common and stable injuries. Level II.

  17. Class II malocclusion treatment using high-pull headgear with a splint: a systematic review

    Directory of Open Access Journals (Sweden)

    Helder B. Jacob

    2013-04-01

    Full Text Available OBJECTIVE: To systematically review the scientific evidence pertaining to the effectiveness of high-pull headgear in growing Class II subjects. METHODS: A literature survey was performed by electronic database search. The survey covered the period from January 1966 to December 2008 and used Medical Subject Headings (MeSH. Articles were initially selected based on their titles and abstracts; the full articles were then retrieved. The inclusion criteria included growing subjects between 8 to 15 years of age, Class II malocclusion treatment with high-pull headgear, and a control group with Class II malocclusion. References from selected articles were hand-searched for additional publications. Selected studies were evaluated methodologically. RESULTS: Four articles were selected; none were randomized controlled trials. All of the articles clearly formulated their objectives and used appropriate measures. The studies showed that high-pull headgear treatment improves skeletal and dental relationship, distal displacement of the maxilla, vertical eruption control and upper molars distalization. One of the studies showed a slight clockwise rotation of the palatal plane; the others showed no significant treatment effect. The mandible was not affected by the treatment. CONCLUSION: While there is still a lack of strong evidence demonstrating the effects of high-pull headgear with a splint, other studies indicate that the AP relations improve due to distalization of the maxilla and upper molars, with little or no treatment effects in the mandible. Greater attention to the design should be given to improve the quality of such trials.

  18. Body position effects on sternocleidomastoid and masseter EMG pattern activity in patients undergoing occlusal splint therapy.

    Science.gov (United States)

    Ormeño, G; Miralles, R; Santander, H; Casassus, R; Ferrer, P; Palazzi, C; Moya, H

    1997-10-01

    This study was conducted in order to determine the effects of body position on electromyographic (EMG) activity of sternocleidomastoid and masseter muscles, in 15 patients with myogenic cranio-cervical-mandibular dysfunction undergoing occlusal splint therapy. EMG activity was recorded by placing surface electrodes on the sternocleidomastoid and masseter muscles (contralateral to the habitual sleeping side of each patient). EMG activity at rest and during swallowing of saliva and maximal voluntary clenching was recorded in the following body positions: standing, supine and lateral decubitus. In the sternocleidomastoid muscle significant higher EMG activities at rest and during swallowing were recorded in the lateral decubitus position, whereas during maximal voluntary clenching EMG activity did not change. In the masseter muscle significant higher EMG activity during maximal voluntary clenching in a standing position was observed, whereas EMG activity at rest and during swallowing did not change. The opposite pattern of EMG activity supports the idea that there may exist a differential modulation of the motor neuron pools of the sternocleidomastoid and masseter muscles, of peripheral and/or central origin. This suggests that the presence of parafunctional habits and body position could be closely correlated with the clinical symptomatology in these muscles in patients with myogenic craniomandibular dysfunction.

  19. Predicting compliance for mandible advancement splint therapy in 96 obstructive sleep apnea patients.

    Science.gov (United States)

    Ingman, Tuula; Arte, Sirpa; Bachour, Adel; Bäck, Leif; Mäkitie, Antti

    2013-12-01

    The treatment of choice in obstructive sleep apnea (OSA) is continuous positive airway pressure (CPAP). Mandible advancement splint (MAS) offers an option for patients with mild or moderate OSA, who refuse or are unable to tolerate CPAP. The aim of the study was to find predictive factors in OSA for MAS therapy. The study group comprised 96 consecutive OSA patients who were sent for MAS therapy during 2008. Data were collected on the patients' general and dental condition, diagnosis, and treatment for OSA. Panoramic and cephalometric radiographs were analysed. The treatment compliance rate and problems with the use of the MAS were recorded. This rate was 57% and the significant affecting factors were protrusion of the mandible with MAS during the adaptation to the appliance as well as shorter maxillary and mandible lengths. The compliance of the MAS therapy was best in patients with short maxilla and mandible, which should be taken into consideration when planning MAS therapy for OSA patients. Finally, a sleep study should be part of the follow-up in this patient population.

  20. THE MANAGEMENT OF LIMITED MANDIBULAR MOVEMENT CAUSED BY CONDYLAR FRACTURE WITH REPOSITIONING SPLINT

    Directory of Open Access Journals (Sweden)

    Ira Tanti

    2015-06-01

    Full Text Available Fractures of the neck of condyle usually are the result of a blow to the mandible. A lateral blow to the body of the mandible commonly causes a contralateral condyle fracture. There are many signs and symptoms of a condylar fracture, for example crepitation, deviation of the mandible to the side of injury, and spasm of the associated group of muscles. These will result in a functional disability, which is usually seen as a limited mandibular movement. This paper reported a patient with a fracture of the condylar neck. Patient had been treated with closed reduction and immobilization for 2 months. After that, she felt that her bite was changed, she could not occlude her teeth well, and she had clicking sound in the right joint when she opened her mouth. Besides that, patient had difficulties to move the mandible to the left side, and she could not open her mouth widely. The patient was treated with a repositioning splint and she had to do some jaw exercises. The purposes were to regain the position of condyle, to reduce the muscle spasm and finally got the normal jaw movement.

  1. Effects of an occlusal splint compared with cognitive-behavioral treatment on sleep bruxism activity.

    Science.gov (United States)

    Ommerborn, Michelle A; Schneider, Christine; Giraki, Maria; Schäfer, Ralf; Handschel, Jörg; Franz, Matthias; Raab, Wolfgang H-M

    2007-02-01

    The impact of an occlusal splint (OS) compared with cognitive-behavioral treatment (CBT) on the management of sleep bruxism (SB) has been poorly investigated. The aim of this study was to evaluate the efficacy of an OS with CBT in SB patients. Following a randomized assignment, the OS group consisted of 29, and the CBT group of 28, SB patients. The CBT comprised problem-solving, progressive muscle relaxation, nocturnal biofeedback, and training of recreation and enjoyment. The treatment took place over a period of 12 wk, and the OS group received an OS over the same time period. Both groups were examined pretreatment, post-treatment, and at 6 months of follow-up for SB activity, self-assessment of SB activity and associated symptoms, psychological impairment, and individual stress-coping strategies. The analyses demonstrated a significant reduction in SB activity, self-assessment of SB activity, and psychological impairment, as well as an increase of positive stress-coping strategies in both groups. However, the effects were small and no group-specific differences were seen in any dependent variable. This is an initial attempt to compare CBT and OS in SB patients, and the data collected substantiate the need for further controlled evaluations, using a three-group randomized design with repeated measures to verify treatment effects.

  2. To evaluate the treatment effects of bruxism by using tensile spring occlusal splint and plastic occlusal splint%开张式双(牙合)垫与塑料(牙合)垫治疗磨牙症的对比研究

    Institute of Scientific and Technical Information of China (English)

    牟明奎; 徐实谦; 张秋蓉; 陆晓丽; 刘洋; 胡伟平; 李滨; 陈海林; 刘笑笑; 张宇

    2012-01-01

    目的:比较开张式双(牙合)垫在治疗磨牙症中与塑料(牙合)垫的临床疗效.方法:分别用自制的开张式双(牙合)垫与塑料(牙合)垫对48例磨牙症患者进行治疗,随访9个月.统计治疗结束1个月和9个月时的停止磨牙病例和平均减少的磨牙时间.结果:戴用1个月停止磨牙病例数比为6∶12,戴用9个月时停止磨牙病例数比为10∶21.其差异具有显著性(P<0.01).结论:开张式双(牙合)垫治疗磨牙症优于塑料(牙合)垫.%Objective: To compact the clinical treatment effect of bruxism by using tensile spring occlusal splint and plastic Occlusal splint. Method: 48patients of bruxism were treated with the tensile spring occlusal splint.and plastic Occlusal splint, 9month was follow up.The patients who stop teech grinding and times which less than begin remedy were calculated by the one month and by nine month respectively. Result: In one month , the teeth grinding stopped in 6 cases to 12 cases by using plastic Occlusal splint and tensile spring occlusal splint, in nine month, which is in 10 cases to 21 cases; and there is remarkable difference between the two of kinds methods CP <0.01). Conclusion: the tensile spring occlusal splint was more effective than plastic Occlusal splint in treating bruxism.

  3. [Case-control study on small splint fixation with trapezoid pad and plaster slab fixation for the treatment of comminuted Colles fracture].

    Science.gov (United States)

    Li, Teng-Hui; Chen, Min; Liu, Xiang-Qian; Gao, Yan-Ping; Wang, Huan; Li, Jia; Huang, Guang-Ping

    2013-09-01

    To compare the clinical efficacy of trapezoid pad coordinate with small splint fixation treatment with plaster slab fixation treatment for comminuted Colles fracture. From October 2010 to March 2012,80 outpatients with comminuted Colles fracture were divided into two groups. There were 40 patients in trapezoid pad splint fixation treatment group and 40 patients in pipe type plaster control group. There were 13 males and 27 females in trapezoid pad splint fixation treatment group,with an average age of (62.1 +/- 19.2) years old. And there were 15 males and 25 females in pipe type plaster control group,with an average age of (60.2 +/- 19.5) years old. After treated with manipulative reduction,the fractures were fixed with pipe plaster in the control group, and were fixed with trapezoid pad joint by small splint in the treatment group. The patients in both groups were regularly taken X-ray recheck and changed dressings to obtain the clinical healing. Patients were guided to do functional exercise after splints were taken off. The therapeutic effects were evaluated according to Gartland-Werlley wrist score when splints taken off and after 2 months. According to wrist score, the average scores in the treatment group were (8.1 +/- 2.8) when splints taken off and (5.3 +/- 4.5) after 2 months. And the average scores in the control group were (10.3 +/- 2.6) when splints taken off and (8.4 +/- 5.8) after 2 months. The score in the treatment group was higher than that of control group. The average shortened lengths of radius were (4.8 + 1.7) mm in the treatment group and (8.2 +/- 2.1) mm in the control group. The shortened length of control group was larger than that of treatment group. Trapezoid pad coordinated with small splint fixation is better than traditional pipe type plaster for treating comminuted Colles fracture.

  4. When Globalization Hits Home

    DEFF Research Database (Denmark)

    Borrás, Susana; Haakonsson, Stine Jessen

    Lead firms are increasingly reorganizing their innovation activities into global innovation networks. Such reorganization has potentially major impact on their existing home-based innovation networks. Based on 31 interviews in four case studies of lead firms in the Danish food industry, the paper...... analyzes the dynamics of five key features of home-based innovation networks: 1) size of the national networks, 2) type of organization, 3) content of collaboration within the network, 4) concurrent globalization of organizations in the network, and 5) degree of formalization of network interactions....... The dynamics are generally differentiated according to the type of lead firm strategy, i.e. knowledge augmenting or knowledge exploiting. The qualitative and exploratory findings point towards some effects on national innovation networks. Hence, the paper concludes by hypothesizing that the globalization...

  5. Snails home

    Science.gov (United States)

    Dunstan, D. J.; Hodgson, D. J.

    2014-06-01

    Many gardeners and horticulturalists seek non-chemical methods to control populations of snails. It has frequently been reported that snails that are marked and removed from a garden are later found in the garden again. This phenomenon is often cited as evidence for a homing instinct. We report a systematic study of the snail population in a small suburban garden, in which large numbers of snails were marked and removed over a period of about 6 months. While many returned, inferring a homing instinct from this evidence requires statistical modelling. Monte Carlo techniques demonstrate that movements of snails are better explained by drift under the influence of a homing instinct than by random diffusion. Maximum likelihood techniques infer the existence of two groups of snails in the garden: members of a larger population that show little affinity to the garden itself, and core members of a local garden population that regularly return to their home if removed. The data are strongly suggestive of a homing instinct, but also reveal that snail-throwing can work as a pest management strategy.

  6. Defending Home

    Institute of Scientific and Technical Information of China (English)

    LI LI

    2010-01-01

    @@ Television audiences around the country were shocked on November 21,2009, when national broadcaster China Central Television showed clips of two families violently fighting lawenforcement officials who were evicting them from their homes. The first incident being broadcast happened in June 2008, when Pan Rong and her husband stood on the roof of their four-story house to confront a demolition crew that consisted of police officers, firefighters and a bulldozer. Their family home stood in the way of a Shanghai Hongqiao Airport expansion project. Pan shouted into a loudspeaker,"If you don't have a court verdict, you are violating our property rights."

  7. Effects of Massage Therapy and Occlusal Splint Usage on Quality of Life and Pain in Individuals with Sleep Bruxism: A Randomized Controlled Trial

    Science.gov (United States)

    Gomes, Cid Andre Fidelis de Paula; El-Hage, Yasmin; Amaral, Ana Paula; Herpich, Carolina Marciela; Politti, Fabiano; Kalil-Bussadori, Sandra; Gonzalez, Tabajara de Oliveira; Biasotto-Gonzalez, Daniela Aparecida

    2015-01-01

    Purpose: The aim of the present study was to investigate the effects of massage therapy on the masticatory muscles and occlusal splint usage on quality of life and pain in individuals with sleep bruxism. Method: A randomized, controlled, blinded, clinical trial was conducted involving 78 volunteers aged 18 to 40 years with sleep bruxism. Quality of life and pain assessments were performed. Results: Significant differences (p < 0.05) were found on the physical functioning, general health state, vitality, role emotional and mental health subscales. A large effect size was found for all treatment protocols with regard to pain. The largest effect was found in the combined treatment group. Conclusions: The findings of the present study reveal that the occlusal splint usage alone led to improvements in components of quality of life among individuals with sleep bruxism. Moreover, both treatments (occlusal splint usage and massage therapy on the masticatory muscles) led to a reduction in pain. PMID:26733760

  8. Development and Application of Intelligent Splint for Medical Use%智能医用夹板的开发与应用

    Institute of Scientific and Technical Information of China (English)

    万培培; 成玲

    2015-01-01

    Development and application of intelligent splint for medical use were introduced in this paper, as well as the application of textile composites on medical splint. The authors also discussed the significance of improving the R&D of intelligent medical splint and intelligent textiles.%本文对医用夹板的智能化开发和纺织复合材料在医用夹板上的应用进行了研究和探讨,旨在促进对智能医用夹板的进一步研发,以及智能医用纺织品的研究及应用。

  9. Nursing Home Checklist

    Science.gov (United States)

    ... nursing home: ____________________________________________________ Address: ________________________________________________________________ Phone number: __________________________________________________________ Date of visit: _____________________________________________________________ Basic information Yes No Notes Is the nursing home Medicare certified? Is the nursing home Medicaid ...

  10. Prediction of Splint Therapy Efficacy Using Bone Scan in Patients with Unilateral Temporomandibular Disorder

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sang Mi; Lee, Won Woo; Yun, Pil Young; Kim, Young Kyun; Kim, Sang Eun [Seoul National University Bundang Hospital, Seoul (Korea, Republic of)

    2009-04-15

    It is not known whether bone scan is useful for the prediction of the prognosis of patients with temporomandibular disorders (TMD). The aim of the present study was to identify useful prognostic markers on bone scan for the pre-therapeutic assessment of patients with unilateral TMD. Between January 2005 and July 2007, 55 patients (M:F=9:46; mean age, 34.7{+-}14.1 y) with unilateral TMD that underwent a pre-therapeutic bone scan were enrolled. Uptake of Tc-99m HDP in each temporomandibular joint (TMJ) was quantitated using a 13X13 pixel-square region-of-interest over TMJ and parietal skull area as background. TMJ uptake ratios and asymmetric indices were calculated. TMD patients were classified as improved or not improved and the bone scan findings associated with each group were investigated. Forty-six patients were improved, whereas 9 patients were not improved. There was no significant difference between the two groups of patients regarding the TMJ uptake ratio of the involved joint, the TMJ uptake ratio of the non-involved joint, and the asymmetric index (p>0.05). However, in a subgroup analysis, the patients with an increased uptake of Tc-99m HDP at the disease-involved TMJ, by visual assessment, could be easily identified by the asymmetric index; the patients that improved had a higher asymmetric index than the patients that did not improve (1.32{+-}0.35 vs. 1.08{+-}0.04, p=0.023), The Tc-99m HDP bone scan may help predict the prognosis of patients with unilateral TMD after splint therapy when the TMD-involved joint reveals increased uptake by visual assessment.

  11. Mandibular advancement splint improves indices of obstructive sleep apnoea and snoring but side effects are common.

    Science.gov (United States)

    Neill, Alister; Whyman, Robin; Bannan, Scott; Jeffrey, Oliver; Campbell, Angela

    2002-06-21

    To assess the efficacy of a mandibular advancement splint (MAS) in the treatment of obstructive sleep apnoea syndrome (OSAS). Nineteen patients using a MAS for symptomatic OSAS underwent polysomnography, with MAS use randomised to one half of the night. Indices of snoring and OSAS were compared. Side effects, compliance and treatment response were evaluated by questionnaire. Use of the MAS improved total respiratory disturbance index (RDI) from 22.2 +/- 19.8 (SD) events per hour to 16.5 +/- 21.4/hr (p = 0.03), supine RDI (30.8 +/- 23.8/hr to 18.8 +/- 22.1/hr, p = 0.01), arousal index (25.2 +/- 18.9/hr to 19.3 +/- 14.2/hr, p = 0.01) and snoring intensity (52.7 +/- 4.1 to 50.7 +/- 2.7 dB, p = 0.02) but not total snore frequency (p > 0.05). Using polysomnographic criteria, MAS treatment was completely successful in four (21%) patients, partially successful in ten (52.6%) and a failure in five (26.3%). Treatment over a median of 6.5 weeks (range 2-48) was perceived as beneficial by ten of eleven partners. Fifteen patients (79%) reported side effects, 9 (46%) did not use the device every night and four (21%) used the device less than three nights per week. The use of the MAS resulted in significant reductions in indices of OSAS and snoring. However, a significant number of patients had difficulty tolerating and regularly using the device.

  12. Polishability and wear resistance of splint material for oral appliances produced with conventional, subtractive, and additive manufacturing.

    Science.gov (United States)

    Huettig, Fabian; Kustermann, Achim; Kuscu, Ebru; Geis-Gerstorfer, Jürgen; Spintzyk, Sebastian

    2017-07-14

    Occlusal splints to treat bruxism are commonly made from polymethylmethacrylate (PMMA) in a manual workflow (powder-liquid technique). Today digitalization allows a machine-based manufacturing in subtractive (milling) and additive (printing) means using industrial-made PMMA or comparable resins. An in-vitro study should assess the surface finish and screen the wear resistance of conventional and industrial materials. Therefore, a total of 30 specimens made from conventionally PMMA (group C; powder-liquid, Palapress), polycarbonate ingots (group S; innoBlanc splint plus), and light-curing resin (group A; VarseoWax splint) were polished to examine the surface roughness (Ra) by profilometry and further analyzed by SEM. The specimens were loaded with a steatite ball moving 5000 times along 1cm with 5N of surface pressure under constant wetting (artificial saliva). The total height of profile (Pt) was calculated by further profilometry of the specimens. All specimen showed initially comparable Ra values ranging between 0.06 and 0.05µm (SD = 0.01) after polishing. SEM investigations revealed no visual cues for scratches or irregularities in any group. After abrasion test, the comparison of the wear depths, revealed mean Pt values of 111.4µm (SD = 18.5) in C, 85.7µm (SD = 21.5) in S, and 99.1µm (SD = 21.5) in A, whereas the mean of S was statistically different from C (p = 0.025). No signs of abrasion were found on the steatite balls. All materials showed comparable polished surfaces and a similar scale of wear. It remains questionable if the detected statistical differences are of clinical relevance, but indicates the need for tests of novel materials, especially in additive manufacturing. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Results of a bone splint technique for the treatment of lower limb deformities in children with type I osteogenesis imperfecta

    Directory of Open Access Journals (Sweden)

    Dasheng Lin

    2013-01-01

    Full Text Available Background: Children with osteogenesis imperfecta (OI can suffer from frequent fractures and limb deformities, resulting in impaired ambulation. Osteopenia and thin cortices complicate orthopedic treatment in this group. This study evaluates the clinical results of a bone splint technique for the treatment of lower limb deformities in children with type I OI. The technique consists of internal plating combined with cortical strut allograft fixation. Materials and Methods: We prospectively followed nine children (five boys, four girls with lower limb deformities due to type I OI, who had been treated with the bone splint technique (11 femurs, four tibias between 2003 and 2006. The fracture healing time, deformity improvement, ambulation ability and complications were recorded to evaluate treatment effects. Results: At the time of surgery the average age in our study was 7.7 years (range 5-12 years. The average length of followup was 69 months (range 60-84 months. All patients had good fracture healing with an average healing time of 14 weeks (range 12-16 weeks and none experienced further fractures, deformity, or nonunion. The fixation remained stable throughout the procedure in all cases, with no evidence of loosening or breakage of screws and the deformity and mobility significantly improved after surgery. Of the two children confined to bed before surgery, one was able to walk on crutches and the other needed a wheelchair. The other seven patients could walk without walking aids or support like crutches. Conclusions: These findings suggest that the bone splint technique provides good mechanical support and increases the bone mass. It is an effective treatment for children with OI and lower limb deformities.

  14. Assessment of platelet-derived growth factor using A splinted full thickness dermal wound model in bearded dragons (Pogona vitticeps).

    Science.gov (United States)

    Keller, Krista A; Paul-Murphy, Joanne; Weber, E P Scott; Kass, Philip H; Guzman, Sanchez-Migallon David; Park, Shin Ae; Raghunathan, Vijay Krishna; Gustavsen, Kate A; Murphy, Christopher J

    2014-12-01

    Wounds in reptiles are a common reason for presentation to a veterinarian. At this time there is limited information on effective topical medications to aid in wound closure. The objectives of this study were to translate the splinted, full-thickness dermal wound model, validated in mice, to the bearded dragon (Pogona vitticeps) and to determine the effect of topical becaplermin (BP), a platelet-derived growth factor (0.01%), on the rate of wound closure. Ten bearded dragons were anesthetized and two full-thickness cutaneous wounds were made on the dorsum of each lizard. Encircling splints were applied surrounding each wound and subsequently covered by a semi-occlusive dressing. Five lizards had one wound treated with BP and the adjacent wound treated with a vehicle control. Five additional lizards had one wound treated with saline and the second wound treated with a vehicle control. Wounds were imaged daily, and the wound area was measured using digital image analysis. The change in percentage wound closure over 17 days and the time to 50% wound closure was compared among the four treatment groups. There was no significant difference in wound closure rates between BP-treated and saline-treated wounds or in the time to 50% wound closure between any treatments. Vehicle-treated wounds adjacent to saline-treated wounds closed significantly slower than did BP (P < 0.010), saline (P < 0.001), and vehicle-treated wounds adjacent to BP-treated wounds (P < 0.013). Our preliminary study indicates that the splinted wound model, with modifications, may be used to determine wound closure rates in bearded dragons. When compared with saline, BP did not have a significant effect on wound closure rates, while the vehicle alone delayed wound closure. Histologic analysis of experimentally created wounds throughout the wound healing process is needed to further evaluate the effects of these treatments on reptile dermal wound healing.

  15. Returning home

    DEFF Research Database (Denmark)

    Agergaard, Jytte; Brøgger, Ditte

    2016-01-01

    flows. By focusing on these educational migrants, this paper explores how they connect to their rural homes. Guided by a critical reading of the migration-development scholarship, the paper examines how migrants and their relatives make sense of educational migrants’ remitting and returning practices...... and partake in important social remittance practices that represent a vision for impacting local development...

  16. Home Automation

    OpenAIRE

    Ahmed, Zeeshan

    2010-01-01

    In this paper I briefly discuss the importance of home automation system. Going in to the details I briefly present a real time designed and implemented software and hardware oriented house automation research project, capable of automating house's electricity and providing a security system to detect the presence of unexpected behavior.

  17. Defending Home

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    A much-anticipated law protecting homeowners’ rights is on the horizon Television audiences around the country were shocked on November 21,2009,when national broadcaster China Central Television showed clips of two families violently fighting lawenforcement officials who were evicting them from their homes.

  18. Rehabilitation of a cystic mixed dentition mandible following marsupialization with a multipurpose acrylic splint acting as a space maintainer and an obturator.

    Science.gov (United States)

    Nawaz, M S; Yazdanie, N; Faheemuddin, M

    2011-01-01

    Radicular cysts are the most common odontogenic cystic lesions of inflammatory origin which can be managed by marsupialisation specially if the cyst is large and is in relation to the vital structures. This article presents a case in which a radicular cyst was present in association with grossly carious deciduous molars and has been treated by marsupialisation. Postoperatively a surgical splint was inserted to maintain the patency of the bone cavity. This obturator splint also acts as a space maintainer to prevent space loss and ensure unimpeded eruption of permanent premolars.

  19. Stability of the anterior maxillary segment and teeth after segmental le fort I osteotomy and postoperative skeletal elastic fixation with or without occlusal splint

    DEFF Research Database (Denmark)

    Blæhr, Tue Lindberg; Jensen, Thomas; Due, Karen Margrethe

    2014-01-01

    OBJECTIVES: To assess the short term dental and skeletal stability of the anterior maxillary segment after segmental Le Fort I osteotomy with postoperative skeletal elastic fixation with or without occlusal splint. MATERIAL AND METHODS: 29 consecutive patients underwent segmental Le Fort I...... osteotomy and elastic skeletal fixation was applied. Patients were divided into two groups according to whether a fixed occlusal splint was used for six weeks (group A) or dismounted perioperatively (group B). Changes in landmarks and reference planes between the two timepoints were estimated on lateral...... in segmental Le Fort I osteotomy....

  20. Comparison Study of the Use of Absorbable and Nonabsorbable Materials as Internal Splints after Closed Reduction for Nasal Bone Fracture

    Directory of Open Access Journals (Sweden)

    Chang Ryul Yi

    2014-07-01

    Full Text Available Background The authors sought to compare the use of the nonabsorbable polyvinyl alcohol sponge (PVA, Merocel and absorbable synthetic polyurethane foam (SPF, Nasopore Forte plus as intranasal splints after closed reduction of fractured nasal bones during the hospitalization period. Methods The medical records of 111 patients who underwent closed reduction for nasal bone fracture at Sanggye Paik Hospital, Inje University College of Medicine, from 2012 to 2013 were reviewed retrospectively. PVA (group A or SPF (group B was packed as an internal splint after closed reduction. The efficacy of the materials was compared and statistically analyzed. Results PVA was used in 82 patients, and SPF was used in 29 patients. The patients in group B complained significantly more of nasal pain on the first day after operation than the patients in group A. Headaches on the operation day were significantly more painful in group B than in group A. Bleeding on the fourth postoperative day was significantly reduced in group B as compared to group A. The patients in group B exhibited significantly more intensive nasal obstruction on the operation day and the following day than the patients in group A. However, on the third and fourth postoperative days, the nasal obstruction in group B was less than that in group A. The pain and bleeding related to the packing material was significantly reduced in group B as compared to group A. Conclusions The use of SPF as an absorbable packing material is a reasonable substitute for the traditional nonabsorbable material.

  1. Comparison of Semi-Invasive "Internal Splinting" and Open Suturing Techniques in Achilles Tendon Rupture Surgery.

    Science.gov (United States)

    Sarman, Hakan; Muezzinoglu, Umit Sefa; Memisoglu, Kaya; Aydin, Adem; Atmaca, Halil; Baran, Tuncay; Odabas Ozgur, Bahar; Ozgur, Turgay; Kantar, Cengizhan

    2016-01-01

    The goal of the present study was to evaluate the semi-invasive "internal splinting" (SIIS) method for repair of Achilles tendon rupture relative to open repair with Krakow sutures. Efficacy was evaluated based on the clinical and functional outcomes, postoperative magnetic resonance imaging measurements, isokinetic results, and surgical complication rates. Functional measurements included the Thermann and American Orthopaedic Foot and Ankle Society (AOFAS) ankle scores, bilateral ankle dorsiflexion, and plantar flexion measurements. Magnetic resonance imaging was used to compare the bilateral length and thickness of each Achilles tendon. The isokinetic outcomes were evaluated using a Biodex System 3 dynamometer. Of the 45 patients meeting the inclusion criteria, 24 were treated by SIIS and 21 by the open Krackow suture technique. The mean follow-up time for all patients was 43.7 (range 6 to 116) months. In the SIIS group, patients returned to normal daily activities after 7.2 (range 6 to 8) weeks compared with 14.3 (range 12 to 15) weeks in the open surgery group. The AOFAS ankle scores were 93.5 (range 82 to 100) points in the open repair group and 96.2 (range 86 to 100) points in the SIIS group. The Thermann scores were 80.4 (range 53 to 91) points for the open repair group and 87.9 (range 81 to 100) points for the SIIS method. The mean Achilles length on the operated side measured using magnetic resonance imaging was 175.06 (range 110 to 224) mm and 177.76 (range 149 to 214) mm for the open surgery and SIIS groups, respectively. Sensory impairment in the territory of the sural nerve was identified in 1 patient immediately after SIIS surgery, although this defect had completely resolved within 12 months. SIIS yielded better outcomes relative to the open surgery group according to the isokinetic measurements. Taken together, these data indicate the SIIS method for Achilles tendon ruptures performed better in terms of both functional and objective outcomes

  2. Feeling at home in nursing homes.

    NARCIS (Netherlands)

    Veer, A.J.E. de; Kerkstra, A.

    2001-01-01

    Aim. The purpose of this study was to examine determinants of feeling at home and in particular the privacy in nursing homes in The Netherlands. The first question was to what extent nursing homes differed in the degree residents feel at home and experience privacy. The second question was whether f

  3. One-year follow-up of a randomised controlled trial on added splinting to eccentric exercises in chronic midportion Achilles tendinopathy

    NARCIS (Netherlands)

    S. de Jonge (Suzan); R.J. de Vos (Robert-Jan); J.T.M. van Schie (Hans); J.A.N. Verhaar (Jan); A. Weir (Adam); J.L. Tol (Johannes)

    2010-01-01

    textabstractOBJECTIVE: The study examined whether the addition of a night splint to eccentric exercises is beneficial for functional outcome in chronic mid-portion Achilles tendinopathy. DESIGN: One-year follow-up of a randomised controlled single blinded clinical trial. SETTING: Sports medicine

  4. The use of a new 3D splint and double CT scan procedure to obtain an accurate anatomic virtual augmented model of the skull.

    NARCIS (Netherlands)

    Swennen, G.R.; Barth, E.L.; Eulzer, C.; Schutyser, F.A.C.

    2007-01-01

    Three-dimensional (3D) virtual planning of orthognathic surgery requires detailed visualization of the interocclusal relationship. The purpose of this study was to introduce the modification of the double computed tomography (CT) scan procedure using a newly designed 3D splint in order to obtain a d

  5. Flexible Arm Splints in the Control of a Lesch-Nyhan Victim's Finger Biting and a Profoundly Retarded Client's Finger Sucking.

    Science.gov (United States)

    Ball, Thomas S.; And Others

    1985-01-01

    Flexible arm splints permitting the control of hand-to-mouth contacts without restricting range of motion effectively suppressed the self-injurious finger biting of a child with Lesch-Nyhan disease and a profoundly retarded adult's stereotypic finger sucking. They offered an easily applied and much less restrictive alternative to soft-tie and…

  6. One-year follow-up of a randomised controlled trial on added splinting to eccentric exercises in chronic midportion Achilles tendinopathy

    NARCIS (Netherlands)

    S. de Jonge (Suzan); R.J. de Vos (Robert-Jan); J.T.M. van Schie (Hans); J.A.N. Verhaar (Jan); A. Weir (Adam); J.L. Tol (Johannes)

    2010-01-01

    textabstractOBJECTIVE: The study examined whether the addition of a night splint to eccentric exercises is beneficial for functional outcome in chronic mid-portion Achilles tendinopathy. DESIGN: One-year follow-up of a randomised controlled single blinded clinical trial. SETTING: Sports medicine dep

  7. Night-time splinting after fasciectomy or dermo-fasciectomy for Dupuytren's contracture: a pragmatic, multi-centre, randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Larson Debbie

    2011-06-01

    Full Text Available Abstract Background Dupuytren's disease is a progressive fibroproliferative disorder which can result in fixed flexion contractures of digits and impaired hand function. Standard treatment involves surgical release or excision followed by post-operative hand therapy and splinting, however the evidence supporting night splinting is of low quality and equivocal. Methods A multi-centre, pragmatic, open, randomised controlled trial was conducted to evaluate the effect of night splinting on self-reported function, finger extension and satisfaction in patients undergoing fasciectomy or dermofasciectomy. 154 patients from 5 regional hospitals were randomised after surgery to receive hand therapy only (n = 77 or hand therapy with night-splinting (n = 77. Primary outcome was self-reported function using the Disabilities of the Arm, Shoulder and Hand (DASH questionnaire. Secondary outcomes were finger range of motion and patient satisfaction. Primary analysis was by intention to treat. Results 148 (96% patients completed follow-up at 12 months. No statistically significant differences were observed on the DASH questionnaire (0-100 scale: adjusted mean diff. 0.66, 95%CI - 2.79 to 4.11, p = 0.703, total extension deficit of operated digits (degrees: adjusted mean diff 5.11, 95%CI -2.33 to 12.55, p = 0.172 or patient satisfaction (0-10 numerical rating scale: adjusted mean diff -0.35, 95%CI -1.04 to 0.34, p = 0.315 at 1 year post surgery. Similarly, in a secondary per protocol analysis no statistically significant differences were observed between the groups in any of the outcomes. Conclusions No differences were observed in self-reported upper limb disability or active range of motion between a group of patients who were all routinely splinted after surgery and a group of patients receiving hand therapy and only splinted if and when contractures occurred. Given the added expense of therapists' time, thermoplastic materials and the potential inconvenience to

  8. Assessing Quality in Home Visiting Programs

    Science.gov (United States)

    Korfmacher, Jon; Laszewski, Audrey; Sparr, Mariel; Hammel, Jennifer

    2013-01-01

    Defining quality and designing a quality assessment measure for home visitation programs is a complex and multifaceted undertaking. This article summarizes the process used to create the Home Visitation Program Quality Rating Tool (HVPQRT) and identifies next steps for its development. The HVPQRT measures both structural and dynamic features of…

  9. Coming Home

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Xie Zhonggao,head of the Beijing office for AsiaVest Partners,had lived in the United States for 16 years before settling down in Beijing in 2004. Xie had felt like"going home."In the U.S.he was"amazed by the wide open market for Chinese consumer concepts,"and sensing an opportunity, he returned to China to invest in manufacturing and consumer product enterprises.Here he talks with Chinese Venture:about AsiaVest’s business focus and vision as well as about the venture capital market in China as a whole.

  10. Temporary Home

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Supplies can ensure the survivors in the camps are well fed and clothed The old woman,carrying a baby on her back,wandered around a sports field among long rows of tents built to shelter earthquake survivors."I just had a bowl of porridge for breakfast and I’m taking my grandson out of the tent for a morning walk,"she said.She was an evacuee from Anxian County,close to one of the worst-hit areas of Beichuan County, Sichuan Province."I miss my home so much,but I cannot

  11. Core strength training using a combination of home exercises and a dynamic sling system for the management of low back pain in pre-professional ballet dancers: a case series.

    Science.gov (United States)

    Kline, Jessica Beckmann; Krauss, John R; Maher, Sara F; Qu, Xianggui

    2013-01-01

    Estimates of low back pain prevalence in USA ballet dancers range from 8% to 23%. Lumbar stabilization and extensor muscle training has been shown to act as a hypoalgesic for low back pain. Timing and coordination of multifidi and transverse abdominis muscles are recognized as important factors for spinal stabilization. The purpose of this study was to explore the effects of training methods using home exercises and a dynamic sling system on core strength, disability, and low back pain in pre-professional ballet dancers. Five participants were randomly assigned to start a traditional unsupervised lumbar stabilization home exercise program (HEP) or supervised dynamic sling training to strengthen the core and lower extremities. Measurements were taken at baseline and at weeks 3 and 6 for disability using the patient specific functional scale (PSFS), pain using the Numerical Pain Rating System (NPRS), core strength and endurance using timed plank, side-plank, and bridge positions, and sciatic nerve irritability using the straight leg raise (SLR). Data were analyzed using descriptive statistics. From initial to final measurements, all participants demonstrated an improvement in strength and SLR range, and those with initial pain and disability reported relief of symptoms. These results suggest that dynamic sling training and a HEP may help to increase strength, decrease pain, and improve function in dancers without aggravating sciatic nerve irritation.

  12. Choice of biomaterials—Do soft occlusal splints influence jaw-muscle activity during sleep? A preliminary report

    Science.gov (United States)

    Arima, Taro; Takeuchi, Tamiyo; Tomonaga, Akio; Yachida, Wataru; Ohata, Noboru; Svensson, Peter

    2012-12-01

    AimThe choice of biomaterials for occlusal splints may significantly influence biological outcome. In dentistry, hard acrylic occlusal splints (OS) have been shown to have a temporary and inhibitory effect on jaw-muscle activity, such as tooth clenching and grinding during sleep, i.e., sleep bruxism (SB). Traditionally, this inhibitory effect has been explained by changes in the intraoral condition rather than the specific effects of changes in occlusion. The aim of this preliminary study was to investigate the effect of another type of occlusal surface, such as a soft-material OS in addition to a hard-type OS in terms of changes in jaw-muscle activity during sleep. Materials and methodsSeven healthy subjects (mean ± SD, six men and one woman: 28.9 ± 2.7 year old), participated in this study. A soft-material OS (ethylene vinyl acetate copolymer) was fabricated for each subject and the subjects used the OS for five continuous nights. The EMG activity during sleep was compared to baseline (no OS). Furthermore, the EMG activity during the use of a hard-type OS (Michigan-type OS, acrylic resin), and hard-type OS combined with contingent electrical stimulation (CES) was compared to baseline values. Each session was separated by at least two weeks (washout). Jaw-muscle activity during sleep was recorded with single-channel ambulatory devices (GrindCare, MedoTech, Herlev, Denmark) in all sessions for five nights. ResultsJaw-muscle activity during sleep was 46.6 ± 29.8 EMG events/hour at baseline and significantly decreased during the hard-type OS (17.4 ± 10.5, P = 0.007) and the hard-type OS + CES (10.8 ± 7.1, P = 0.002), but not soft-material OS (36.3 ± 24.5, P = 0.055). Interestingly, the soft-material OS (coefficient of variance = 98.6 ± 35.3%) was associated with greater night-to-night variations than baseline (39.0 ± 11.8%) and the hard-type OS + CES (53.3 ± 13.7%, P biomaterials for occlusal splints may have a significant impact on the neurobiological

  13. Mathematic modeling of stress-deformed states of low jaw teeth while using combined removable splint-denture

    Directory of Open Access Journals (Sweden)

    Albert Ye.L.

    2013-06-01

    Full Text Available The article presents the results of mathematical modeling and analysis of the stress-strain states of the lower incisors in the 1-st, 2-nd and 3-d degrees of inflammatory degenerative process in the periodontium; and while using combined splint-denture with continuous vestibular-oral clasp and polyoxymethylene framework. It is proved that reduction in height of interdental septa observed in periodontitis increases tooth mobility by 2.75 times in the first degree of the pathological process; by 6.75 times - in the second degree; and by 9.0 times – in the third degree (p0.05. At the same time, the stress, transmitted on the alveolar bone tissue is near the values of intact periodontium (p>0.05, 1.6±0.50 Mpa on average.

  14. The Evolution of Splint Armour in Georgia and Byzantium: Lamellar and Scale Armour in the 10th-12th Centuries

    Directory of Open Access Journals (Sweden)

    Mamuka TSURTSUMIA

    2011-10-01

    Full Text Available Byzantine technology was part of the military technology that existed in vast areas of Eurasia; hence study of the armament of its neighbours is important.The purpose of the present paper is to add new data about Byzantium’s Caucasian neighbour (namely, Georgia. Besides that, it also includes certain views about the stages of the evolution and provenance of splint (scale and lamellar armour. This paper also attempts to clarify the difference between banded and linear suits of lamellar armour.There is no doubt that the Byzantine military machine exercised considerable influence on its neighbours, though an opposite phenomenon can also be noticed. The article shows that changes in armour were taking place almost simultaneously in the Byzantine Empire and the Georgian kingdoms and that some of the types of armour that were widespread in Byzantium may have originated in Georgia.

  15. [Diagnostics and planning of orthodontic treatment of patients with crowded teeth position with the use of elastomeric correcting splints].

    Science.gov (United States)

    Arsenina, O I; Riakhovskiĭ, A N; Safarova, N M

    2011-01-01

    3D scanning of plaster jaw models and further processing of the received data in editing program for three dimensional models Rapid Form 2006 Basis is one of the used methods of diagnostics of patients with crowded teeth position (measurement of anthropometric parameters of jaw models, dental arches symmetry, sizes and forms of dentitions). On 3D jaw models with crowded teeth position there were planned trajectories of gradual single tooth displacement in such a way that to move them in new correct position. Prescribing determined step with which the tooth would be moved there was made a series of individual plastic jaw models corresponding to each stage of treatment by stereolithographic method. On the received models there was made a series of elastomeric correcting splints producing some pressure upon teeth and making for their displacement.

  16. A study of the use of occlusion splints in the treatment of acute and chronic patients with craniomandibular disorders.

    Science.gov (United States)

    Okeson, J P; Kemper, J T; Moody, P M

    1982-12-01

    Thirty-three patients were treated for a 4-week period with splint therapy. Fourteen muscle and joint regions were palpated before and after treatment, and observable pain scores were recorded. Maximal comfortable interincisal distance and maximal interincisal distance were recorded before and after treatment. The following results were observed. 1. Of the 33 patients, 28 showed improvement in observable pain scores. The mean decrease was 4.4 (p less than .01). 2. Of the 33 patients, 27 showed increase in maximal comfortable interincisal distance. The mean increase in interincisal distance was 5.3 mm (p less than .01). 3. Of the 33 patients, 21 showed an increase in maximal mandibular opening; however, the increase of 1.7 mm was not statistically significant. 4. When the patients were divided into two groups according to the duration of symptoms, there was no significant difference between the groups' symptoms or their responses to treatment.

  17. Comparison of Mandibular Advancement Splint and Tongue Stabilizing Device in Obstructive Sleep Apnea: A Randomized Controlled Trial

    Science.gov (United States)

    Deane, Sheryn A.; Cistulli, Peter A; Ng, Andrew T.; Zeng, Biao; Petocz, Peter; Darendeliler, M. Ali

    2009-01-01

    Study Objectives: To compare the efficacy of a mandibular advancement splint (MAS) and a novel tongue stabilizing device (TSD) in the treatment of obstructive sleep apnea (OSA). Design: A randomized crossover design was used. Patients: Twenty-seven patients (20 male, 7 female), recruited from a tertiary hospital sleep clinic. Measurements and Results: The apnea-hypopnea index (AHI) was reduced with MAS (11.68 ± 8.94, P = 0.000) and TSD (13.15 ± 10.77, P = 0.002) compared with baseline (26.96 ± 17.17). The arousal index decreased for MAS (21.09 ± 9.27, P = 0.004) and TSD (21.9 ± 10.56, P = 0.001) compared with baseline (33.23 ± 16.41). Sixty-eight percent of patients achieved a complete or partial response with MAS, compared with 45% with TSD. The Epworth Sleepiness Scale (ESS) score was decreased with MAS (P = <0.001) and TSD (P = 0.002). Subjective improvements in snoring and quality of sleep were reported, with a better response for MAS than TSD. Compliance was poorer for TSD, and the side effect profiles of the 2 modalities were different. All patients were satisfied with MAS compared to TSD, and 91% of patients preferred the MAS. Conclusion: Objective testing showed the MAS and TSD had similar efficacy in terms of AHI reduction. Patients reported improvements with both devices; however, better compliance and a clear preference for MAS was apparent when both devices were offered. Longer term studies are needed to clarify the role of TSD. Citation: Deane SA; Cistulli PA; Ng AT; Zeng B; Petocz P; Darendeliler MA. Comparison of mandibular advancement splint and tongue stabilizing device in obstructive sleep apnea: a randomized controlled trial. SLEEP 2009;32(5):648-653. PMID:19480232

  18. Obstructive Sleep Apnea and Mandibular Advancement Splints: Occlusal Effects and Progression of Changes Associated with a Decade of Treatment

    Science.gov (United States)

    Pliska, Benjamin T.; Nam, Hyejin; Chen, Hui; Lowe, Alan A.; Almeida, Fernanda R.

    2014-01-01

    Study Objectives: To evaluate the magnitude and progression of dental changes associated with long-term mandibular advancement splint (MAS) treatment of obstructive sleep apnea (OSA). Methods: Retrospective study of adults treated for primary snoring or mild to severe OSA with MAS for a minimum of 8 years. The series of dental casts of patients were analyzed with a digital caliper for changes in overbite, overjet, dental arch crowding and width, and inter-arch relationships. The progression of these changes over time was determined and initial patient and dental characteristics were evaluated as predictors of the observed dental side effects of treatment. Results: A total of 77 patients (average age at start of treatment: 47.5 ± 10.2 years, 62 males) were included in this study. The average treatment length was 11.1 ± 2.8 years. Over the total treatment interval evaluated there was a significant (p overjet (1.9 ± 1.9 mm), and mandibular crowding (1.3 ± 1.8 mm). A corresponding significant (p overjet, mandibular intercanine distance, and lower arch crowding all decreased continuously at a constant rate. Conclusions: After an average observation period of over 11 years, clinically significant changes in occlusion were observed and were progressive in nature. Rather than reaching a discernible end-point, the dental side effects of MAS therapy continue with ongoing MAS use. Commentary: A commentary on this article appears in this issue on page 1293. Citation: Pliska BT, Nam H, Chen H, Lowe AA, Almeida FR. Obstructive sleep apnea and mandibular advancement splints: occlusal effects and progression of changes associated with a decade of treatment. J Clin Sleep Med 2014;10(12):1285-1291. PMID:25325593

  19. Home Care Services

    Science.gov (United States)

    Home care is care that allows a person with special needs stay in their home. It might be for people who are getting ... chronically ill, recovering from surgery, or disabled. Home care services include Personal care, such as help with ...

  20. Exercise at Home

    Science.gov (United States)

    ... Home Health Insights Exercise & Weight Exercise at Home Exercise at Home Make an Appointment Ask a Question ... with the movement and contact your provider. Posture Exercises Better posture means better breathing and movement. Axial ...

  1. Genetics Home Reference

    Science.gov (United States)

    Skip Navigation Bar Home Current Issue Past Issues Genetics Home Reference Past Issues / Spring 2007 Table of ... of this page please turn Javascript on. The Genetics Home Reference (GHR) Web site — ghr.nlm.nih. ...

  2. HOME Grantee Areas

    Data.gov (United States)

    Department of Housing and Urban Development — The HOME Investment Partnership Program (HOME) is authorized under Title II of the Cranston-Gonzalez National Affordable Housing Act. HOME provides formula grants to...

  3. A Home Away from Home

    DEFF Research Database (Denmark)

    McIlvenny, Paul

    2008-01-01

    . The analysis presented in this article focuses on the mediation of domestic spaces and familial technologies and the work of governmentalizing parenting (i.e. the conduct of parental conduct) through discursive and spatial practices. The article draws upon mediated discourse analysis and conversation analysis...... the relationships between family members are reshaped as a result. The analysis focuses on several key phenomena: 1) practices of video observation in relation to the domestic sphere; 2) use of inscription devices, such as video displays, to capture and visualize behavior and action in the “home;” 3) practicing...... “techniques” of parentcraft in place; and 4) doing “becoming” the proper object of family therapy or counseling in a simulated “home” laboratory. I conclude that the HTT house is a domesticated laboratory, both for (re)producing problem behaviors and communicative troubles, and for affording participants...

  4. Effects of a Father-based In-Home Intervention on Perceived Stress and Family Dynamics in Parents of Children with Autism

    OpenAIRE

    Bendixen, Roxanna M.; Elder, Jennifer H.; Donaldson, Susan; Kairalla, John A.; Valcante, Greg; Ferdig, Richard E.

    2011-01-01

    Parents of children with autism report high rates of stress. Parental differences in stress are inconsistent, with most research demonstrating that mothers report higher levels of stress than fathers. This study explored parental differences pre-post an interdisciplinary in-home training program. Fathers of children with autism were taught an intervention designed to improve their child's social reciprocity and communication, and then trained the mothers. Stress through the PSI and family dyn...

  5. Effects of a Father-based In-Home Intervention on Perceived Stress and Family Dynamics in Parents of Children with Autism

    OpenAIRE

    Bendixen, Roxanna M.; Elder, Jennifer H.; Donaldson, Susan; Kairalla, John A.; Valcante, Greg; Ferdig, Richard E.

    2011-01-01

    Parents of children with autism report high rates of stress. Parental differences in stress are inconsistent, with most research demonstrating that mothers report higher levels of stress than fathers. This study explored parental differences pre-post an interdisciplinary in-home training program. Fathers of children with autism were taught an intervention designed to improve their child's social reciprocity and communication, and then trained the mothers. Stress through the PSI and family dyn...

  6. Stability of the anterior maxillary segment and teeth after segmental le fort I osteotomy and postoperative skeletal elastic fixation with or without occlusal splint

    DEFF Research Database (Denmark)

    Blæhr, Tue Lindberg; Jensen, Thomas; Due, Karen Margrethe;

    2014-01-01

    OBJECTIVES: To assess the short term dental and skeletal stability of the anterior maxillary segment after segmental Le Fort I osteotomy with postoperative skeletal elastic fixation with or without occlusal splint. MATERIAL AND METHODS: 29 consecutive patients underwent segmental Le Fort I.......83 to 1.69°). There was no statistically significant difference in stability between the two groups at the P value 0.05. CONCLUSIONS: The skeletal anterior fixation with postoperative elastics for eight weeks may not compromise the early postoperative dental and skeletal stability of the anterior segment...... osteotomy and elastic skeletal fixation was applied. Patients were divided into two groups according to whether a fixed occlusal splint was used for six weeks (group A) or dismounted perioperatively (group B). Changes in landmarks and reference planes between the two timepoints were estimated on lateral...

  7. The use of a new 3D splint and double CT scan procedure to obtain an accurate anatomic virtual augmented model of the skull.

    Science.gov (United States)

    Swennen, G R J; Barth, E-L; Eulzer, C; Schutyser, F

    2007-02-01

    Three-dimensional (3D) virtual planning of orthognathic surgery requires detailed visualization of the interocclusal relationship. The purpose of this study was to introduce the modification of the double computed tomography (CT) scan procedure using a newly designed 3D splint in order to obtain a detailed anatomic 3D virtual augmented model of the skull. A total of 10 dry adult human cadaver skulls were used to evaluate the accuracy of the automatic rigid registration method for fusion of both CT datasets (Maxilim, version 1.3.0). The overall mean registration error was 0.1355+/-0.0323 mm (range 0.0760-0.1782 mm). Analysis of variance showed a registration method error of 0.0564 mm (P 3D splint with the double CT scan procedure allowed accurate registration and the set-up of an accurate anatomic 3D virtual augmented model of the skull with detailed dental surface.

  8. Quartz splintTM高强度石英纤维和Super-Bond C & B粘结剂固定下前牙松动牙疗效比较%Comparison of the clinical effect of Quartz splintTM high strength quartz fiber and Super-Bond C & B adhesive for anterior teeth loosening

    Institute of Scientific and Technical Information of China (English)

    赵静

    2016-01-01

    目的:比较Quartz splintTM高强度石英纤维和Super-Bond C&B粘结剂固定慢性牙周炎下前牙松动牙的临床效果。方法:选取下前牙松动需要做牙周夹板松牙固定患者40例,随机分为两组。A组:在洁治、刮治和根面平整后,使用Quartz splintTM高强度石英纤维做牙周固定;B组:在在洁治、刮治和根面平整后,使用Super-Bond C&B粘结剂做牙周固定。两组固定后即刻让患者对于固定物做出异物感评价。固定6个月后比较治疗前后的牙周探诊深度和牙周附着丧失情况。结果:两组治疗前后的牙周探诊深度和牙周附着丧失均比治疗前有明显减少,有统计学意义。组间比较,无统计学意义。固定后即刻异物感评价,B组优于A组,有统计学意义。结论:对于下前牙松动的患者,洁治、刮治和根面平整后使用Quartz splintTM高强度石英纤维和Super-Bond C&B粘结剂牙周夹板固定,均可以使牙周状况明显改善。Super-Bond C&B粘结剂牙周夹板异物感小于Quartz splintTM高强度石英纤维。%Objective To compare the clinical effect of Quartz splintTM high strength silica fiber and Super-Bond C&B adhesive in the treatment of anterior teeth loosening of the periodontal disease. Methods 40 patients with anterior teeth loosening need to be fixed in patients with loose teeth, and were randomly divided into two groups. In group A, scaling and root planing, the use of Quartz splintTM high strength quartz fiber periodontal fixed. In group B, scaling, root planing, the use of Super-Bond C&B adhesive periodontal fixation. A group and B group make foreign body sensation evaluation after fixation immediately. After 6 months of treatment, the depth of the periodontal probe and the loss of periodontal attachment were compared with that before and after the treatment. Results The depth of the periodontal probe and the loss of periodontal attachment in the A group and the B

  9. Standing with electrical stimulation and splinting is no better than standing alone for management of ankle plantarflexion contractures in people with traumatic brain injury: a randomised trial

    Directory of Open Access Journals (Sweden)

    Joan Leung

    2014-12-01

    Full Text Available Question: Is a combination of standing, electrical stimulation and splinting more effective than standing alone for the management of ankle contractures after severe brain injury? Design: A multi-centre randomised trial with concealed allocation, assessor blinding and intention-to-treat analysis. Participants: Thirty-six adults with severe traumatic brain injury and ankle plantarflexion contractures. Intervention: All participants underwent a 6-week program. The experimental group received tilt table standing, electrical stimulation and ankle splinting. The control group received tilt table standing alone. Outcome measures: The primary outcome was passive ankle dorsiflexion with a 12 Nm torque. Secondary outcomes included: passive dorsiflexion with lower torques (3, 5, 7 and 9 Nm; spasticity; the walking item of the Functional Independence Measure; walking speed; global perceived effect of treatment; and perceived treatment credibility. Outcome measures were taken at baseline (Week 0, end of intervention (Week 6, and follow-up (Week 10. Results: The mean between-group differences (95% CI for passive ankle dorsiflexion at Week 6 and Week 10 were –3 degrees (–8 to 2 and –1 degrees (–6 to 4, respectively, in favour of the control group. There was a small mean reduction of 1 point in spasticity at Week 6 (95% CI 0.1 to 1.8 in favour of the experimental group, but this effect disappeared at Week 10. There were no differences for other secondary outcome measures except the physiotherapists’ perceived treatment credibility. Conclusion: Tilt table standing with electrical stimulation and splinting is not better than tilt table standing alone for the management of ankle contractures after severe brain injury. Trial registration: ACTRN12608000637347. [Leung J, Harvey LA, Moseley AM, Whiteside B, Simpson M, Stroud K (2014 Standing with electrical stimulation and splinting is no better than standing alone for management of ankle plantarflexion

  10. 3D virtual planning in orthognathic surgery and CAD/CAM surgical splints generation in one patient with craniofacial microsomia: a case report

    Directory of Open Access Journals (Sweden)

    Francisco Vale

    2016-02-01

    Full Text Available Objective: In this case report, the feasibility and precision of tridimensional (3D virtual planning in one patient with craniofacial microsomia is tested using Nemoceph 3D-OS software (Software Nemotec SL, Madrid, Spain to predict postoperative outcomes on hard tissue and produce CAD/CAM (Computer Aided Design/Computer Aided Manufacturing surgical splints. Methods: The clinical protocol consists of 3D data acquisition of the craniofacial complex by cone-beam computed tomography (CBCT and surface scanning of the plaster dental casts. The ''virtual patient'' created underwent virtual surgery and a simulation of postoperative results on hard tissues. Surgical splints were manufactured using CAD/CAM technology in order to transfer the virtual surgical plan to the operating room. Intraoperatively, both CAD/CAM and conventional surgical splints are comparable. A second set of 3D images was obtained after surgery to acquire linear measurements and compare them with measurements obtained when predicting postoperative results virtually. Results: It was found a high similarity between both types of surgical splints with equal fitting on the dental arches. The linear measurements presented some discrepancies between the actual surgical outcomes and the predicted results from the 3D virtual simulation, but caution must be taken in the analysis of these results due to several variables. Conclusions: The reported case confirms the clinical feasibility of the described computer-assisted orthognathic surgical protocol. Further progress in the development of technologies for 3D image acquisition and improvements on software programs to simulate postoperative changes on soft tissue are required.

  11. Correction of facial asymmetry associated with vertical maxillary excess and mandibular prognathism by combined orthognathic surgery and guiding templates and splints fabricated by rapid prototyping technique.

    Science.gov (United States)

    Ying, B; Ye, N; Jiang, Y; Liu, Y; Hu, J; Zhu, S

    2015-11-01

    The facial asymmetry associated with vertical maxillary excess and mandibular prognathism is one of the more complicated types in the field of oral and maxillofacial surgery. The purpose of this study was to investigate the efficacy of combined orthognathic surgeries, together with guiding templates and splints fabricated by rapid prototyping technique, for the correction of facial asymmetry. Fourteen patients with facial asymmetry associated with vertical maxillary excess and mandibular prognathism were included. A maxillary Le Fort I osteotomy, a sagittal split ramus osteotomy on the shorter side of the face, and an intraoral vertical ramus osteotomy on the longer side of the face were performed with the aid of guiding templates and splints fabricated by rapid prototyping technique. Parameters reflecting maxillary canting, ramal inclination, mandibular deviation, and chin inclination were measured before surgery, 7 days after surgery, and 1 year after surgery, and compared. Significant differences in these parameters were found between the two sides preoperatively, whereas no differences were observed postoperatively. Facial asymmetry was corrected in all patients with satisfactory outcomes. In conclusion, combined orthognathic surgery and guiding templates and splints can offer improvements in accuracy, complexity, and duration over traditional procedures for the correction of facial asymmetry associated with vertical maxillary excess and mandibular prognathism.

  12. Smart Home Hacking

    OpenAIRE

    Kodra, Suela

    2016-01-01

    Smart Home is an intelligent home equipped with devices and communications systems that enables the residents to connect and control their home appliances and systems. This technology has changed the way a consumer interacts with his home, enabling more control and convenience. Another advantage of this technology is the positive impact it has on savings on energy and other resources. However, despite the consumer's excitement about smart home, security and privacy have shown to be the strong...

  13. Occlusal stabilization splint for patients with temporomandibular disorders: Meta-analysis of short and long term effects

    Science.gov (United States)

    Kuzmanovic Pficer, Jovana; Dodic, Slobodan; Lazic, Vojkan; Trajkovic, Goran

    2017-01-01

    Background Psychological discomfort, physical disability and functional limitations of the orofacial system have a major impact on everyday life of patients with temporomandibular disorders (TMDs). In this study we sought to determine short and long term effects of stabilization splint (SS) in treatment of TMDs, and to identify factors influencing its efficacy. Methods MEDLINE, Web of Science and EMBASE were searched for randomized controlled trials (RCTs) comparing SS to: non-occluding splint, occlusal oral appliances, physiotherapy, behavioral therapy, counseling and no treatment. Random effects method was used to summarize outcomes. The effect estimates were expressed as odds ratio (OR) or standardized mean difference (SMD) with 95% confidence interval. Subgroup analyses were carried out according to the use of Research Diagnostic Criteria (RDC/TMD) and TMDs origin. Strength of evidence was assessed by GRADE. Meta-regression was applied. Results Thirty three eligible RCTs were included in meta-analysis. In short term, SS presented positive overall effect on pain reduction (OR 2.08; p = 0.01) and pain intensity (SMD -0.33; p = 0.02). Subgroup analyses confirmed SS effect in studies used RDC/TMD and revealed its effect in patients with TMDs of muscular origin. Important decrease of muscle tenderness (OR 1.97; p = 0.03) and improvement of mouth opening (SMD -0.30; p = 0.04) were found. SS in comparison to oral appliances showed no difference (OR 0.74; p = 0.24). Meta-regression identified continuous use of SS during the day as a factor influencing efficacy (p = 0.01). Long term results showed no difference in observed outcomes between groups. Low quality of evidence was found for primary outcomes. Conclusion SS presented short term benefit for patients with TMDs. In long term follow up, the effect is equalized with other therapeutic modalities. Further studies based on appropriate use of standardized criteria for patient recruitment and outcomes under assessment

  14. Surface electromyographic patterns of masticatory, neck, and trunk muscles in temporomandibular joint dysfunction patients undergoing anterior repositioning splint therapy.

    Science.gov (United States)

    Tecco, Simona; Tetè, Stefano; D'Attilio, Michele; Perillo, Letizia; Festa, Felice

    2008-12-01

    The aim of this study was to investigate the surface electromyographic (sEMG) activity of neck, trunk, and masticatory muscles in subjects with temporomandibular joint (TMJ) internal derangement treated with anterior mandibular repositioning splints. sEMG activities of the muscles in 34 adult subjects (22 females and 12 males; mean age 30.4 years) with TMJ internal derangement were compared with a control group of 34 untreated adults (20 females and 14 males; mean age 31.8 years). sEMG activities of seven muscles (anterior and posterior temporalis, masseter, posterior cervicals, sternocleidomastoid, and upper and lower trapezius) were studied bilaterally, with the mandible in the rest position and during maximal voluntary clenching (MVC), at the beginning of therapy (T0) and after 10 weeks of treatment (T1). Paired and Student's t-tests were undertaken to determine differences between the T0 and T1 data and in sEMG activity between the study and control groups. At T0, paired masseter, sternocleidomastoid, and cervical muscles, in addition to the left anterior temporal and right lower trapezius, showed significantly greater sEMG activity (P = 0.0001; P = 0.0001; for left cervical, P = 0.03; for right cervical, P = 0.0001; P = 0.006 and P = 0.007 muscles, respectively) compared with the control group. This decreased over the remaining study period, such that after treatment, sEMG activity revealed no statistically significant difference when compared with the control group. During MVC at T0, paired masseter and anterior and posterior temporalis muscles showed significantly lower sEMG activity (P = 0.03; P = 0.005 and P = 0.04, respectively) compared with the control group. In contrast, at T1 sEMG activity significantly increased (P = 0.02; P = 0.004 and P = 0.04, respectively), but no difference was observed in relation to the control group. Splint therapy in subjects with internal disk derangement seems to affect sEMG activity of the masticatory, neck, and trunk

  15. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.

    2004-01-01

    of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home......Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type....... This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20...

  16. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.

    2004-01-01

    . This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20......Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type...... of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home...

  17. Maxillary overdentures supported by four splinted direct metal laser sintering implants: a 3-year prospective clinical study.

    Science.gov (United States)

    Mangano, Francesco; Luongo, Fabrizia; Shibli, Jamil Awad; Anil, Sukumaran; Mangano, Carlo

    2014-01-01

    Purpose. Nowadays, the advancements in direct metal laser sintering (DMLS) technology allow the fabrication of titanium dental implants. The aim of this study was to evaluate implant survival, complications, and peri-implant marginal bone loss of DMLS implants used to support bar-retained maxillary overdentures. Materials and Methods. Over a 2-year period, 120 implants were placed in the maxilla of 30 patients (18 males, 12 females) to support bar-retained maxillary overdentures (ODs). Each OD was supported by 4 implants splinted by a rigid cobalt-chrome bar. At each annual follow-up session, clinical and radiographic parameters were assessed. The outcome measures were implant failure, biological and prosthetic complications, and peri-implant marginal bone loss (distance between the implant shoulder and the first visible bone-to-implant contact, DIB). Results. The 3-year implant survival rate was 97.4% (implant-based) and 92.9% (patient-based). Three implants failed. The incidence of biological complication was 3.5% (implant-based) and 7.1% (patient-based). The incidence of prosthetic complication was 17.8% (patient-based). No detrimental effects on marginal bone level were evidenced. Conclusions. The use of 4 DMLS titanium implants to support bar-retained maxillary ODs seems to represent a safe and successful procedure. Long-term clinical studies on a larger sample of patients are needed to confirm these results.

  18. Maxillary Overdentures Supported by Four Splinted Direct Metal Laser Sintering Implants: A 3-Year Prospective Clinical Study

    Directory of Open Access Journals (Sweden)

    Francesco Mangano

    2014-01-01

    Full Text Available Purpose. Nowadays, the advancements in direct metal laser sintering (DMLS technology allow the fabrication of titanium dental implants. The aim of this study was to evaluate implant survival, complications, and peri-implant marginal bone loss of DMLS implants used to support bar-retained maxillary overdentures. Materials and Methods. Over a 2-year period, 120 implants were placed in the maxilla of 30 patients (18 males, 12 females to support bar-retained maxillary overdentures (ODs. Each OD was supported by 4 implants splinted by a rigid cobalt-chrome bar. At each annual follow-up session, clinical and radiographic parameters were assessed. The outcome measures were implant failure, biological and prosthetic complications, and peri-implant marginal bone loss (distance between the implant shoulder and the first visible bone-to-implant contact, DIB. Results. The 3-year implant survival rate was 97.4% (implant-based and 92.9% (patient-based. Three implants failed. The incidence of biological complication was 3.5% (implant-based and 7.1% (patient-based. The incidence of prosthetic complication was 17.8% (patient-based. No detrimental effects on marginal bone level were evidenced. Conclusions. The use of 4 DMLS titanium implants to support bar-retained maxillary ODs seems to represent a safe and successful procedure. Long-term clinical studies on a larger sample of patients are needed to confirm these results.

  19. Semantic home video categorization

    Science.gov (United States)

    Min, Hyun-Seok; Lee, Young Bok; De Neve, Wesley; Ro, Yong Man

    2009-02-01

    Nowadays, a strong need exists for the efficient organization of an increasing amount of home video content. To create an efficient system for the management of home video content, it is required to categorize home video content in a semantic way. So far, a significant amount of research has already been dedicated to semantic video categorization. However, conventional categorization approaches often rely on unnecessary concepts and complicated algorithms that are not suited in the context of home video categorization. To overcome the aforementioned problem, this paper proposes a novel home video categorization method that adopts semantic home photo categorization. To use home photo categorization in the context of home video, we segment video content into shots and extract key frames that represent each shot. To extract the semantics from key frames, we divide each key frame into ten local regions and extract lowlevel features. Based on the low level features extracted for each local region, we can predict the semantics of a particular key frame. To verify the usefulness of the proposed home video categorization method, experiments were performed with home video sequences, labeled by concepts part of the MPEG-7 VCE2 dataset. To verify the usefulness of the proposed home video categorization method, experiments were performed with 70 home video sequences. For the home video sequences used, the proposed system produced a recall of 77% and an accuracy of 78%.

  20. Community Nursing Home (CNH)

    Data.gov (United States)

    Department of Veterans Affairs — The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH...

  1. National Nursing Home Survey

    Science.gov (United States)

    The National Nursing Home Survey provides includes characteristics such as size of nursing home facilities, ownership, Medicare/Medicaid certification, occupancy rate, number of days of care provided, and expenses.

  2. Nursing Home Quality Initiative

    Data.gov (United States)

    U.S. Department of Health & Human Services — This Nursing Home Quality Initiative (NHQI) website provides consumer and provider information regarding the quality of care in nursing homes. NHQI discusses quality...

  3. Nursing Home Quality Initiative

    Data.gov (United States)

    U.S. Department of Health & Human Services — This Nursing Home Quality Initiative (NHQI) website provides consumer and provider information regarding the quality of care in nursing homes. NHQI discusses...

  4. Home blood sugar testing

    Science.gov (United States)

    Diabetes - home glucose testing; Diabetes - home blood sugar testing ... Usual times to test your blood sugar are before meals and at bedtime. Your provider may ask you to check your blood sugar 2 hours after a meal or ...

  5. HOME Rent Limits

    Data.gov (United States)

    Department of Housing and Urban Development — In accordance with 24 CFR Part 92.252, HUD provides maximum HOME rent limits. The maximum HOME rents are the lesser of: The fair market rent for existing housing for...

  6. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... You Want to Be a Surgeon Resident Resources Teaching Resources Online Guide to Choosing a Surgical Residency ... Ostomy Home Skills Program Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo ...

  7. Home Culture Awareness

    Institute of Scientific and Technical Information of China (English)

    刘鑫

    2015-01-01

    this thesis will have a deeper investigation on the changing and cognitive process of home culture awareness reflected in Chinese modern literary predecessors’based on the relationship between home and country.

  8. Home Canning and Botulism

    Science.gov (United States)

    ... 1. Use proper canning techniques. Make sure your food preservation information is always current with up-to-date, ... the following sources: The National Center for Home Food Preservation USDA Complete Guide to Home Canning The state ...

  9. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... kit contains: A booklet with information on the operation, home skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma ...

  10. Home Injury Prevention

    Science.gov (United States)

    ... fax mgfa@myasthenia.org • www.myasthenia.org HOME INJURY PREVENTION Home Injur y Prevention A helpful guide for patients and their caregivers. www.myasthenia.org General cont’d. •Be alert ...

  11. Home Health Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Home Health Compare has information about the quality of care provided by Medicare-certified home health agencies throughout the nation. Medicare-certified means the...

  12. TRAVEL AND HOME LEAVE

    CERN Multimedia

    Human Resources Division

    2002-01-01

    Administrative procedures for : Travel to the home station and home leave (hl) Additional travel to the home station (at) Travel to the home station and home leave for family reasons (hlf) As part of the process of simplifying administrative procedures, HR and AS Divisions have devised a new, virtually automatic procedure for payment of travel expenses to the home station. The changes are aimed at rationalising administrative procedures and not at reducing benefits. The conditions of eligibility are unchanged. The new procedure, which will be operational with effect from 1st June 2002, will greatly simplify the administrative processing of claims for travel expenses and the recording of home leaves. Currently, requests for payment are introduced manually into the Advances and Claims system (AVCL) by divisional secretariats. All travel to the home station starting prior to 1st June 2002 will be processed according to the existing system whereas that starting on 1st June and after will be processed accordi...

  13. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Ostomy Home Skills Program Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo Doméstico de Ostomía Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo ...

  14. Healthy Homes Tools

    Science.gov (United States)

    Peek, Gina; Lyon, Melinda; Russ, Randall

    2012-01-01

    Extension is focusing on healthy homes programming. Extension educators are not qualified to diagnose consumers' medical problems as they relate to housing. We cannot give medical advice. Instead, we can help educate consumers about home conditions that may affect their well-being. Extension educators need appropriate healthy homes tools to…

  15. Alternatives to Nursing Homes

    Science.gov (United States)

    ... think you need home care, talk to your family to see if they can help with your care or help arrange for other care providers. There are also some home health care agencies that can help with nursing or attendant care in your home. Medicare only ...

  16. Home Appliance Kingdom

    Institute of Scientific and Technical Information of China (English)

    JUMBO; ZHANG

    2007-01-01

    With 900 chain stores and three retail brands, Gome, China’s largest home appliance retail group, is pursuing grandiose dreams of becoming a home appliance kingdomOn November 22, 2006, Chinese home appliance retail heavyweights Beijing-based Gome Electri

  17. Home in the Making

    DEFF Research Database (Denmark)

    Kreuzer, Maria; von Wallpach, Sylvia; Muehlbacher, Hans;

    2016-01-01

    In a context of unprecedented migration home reaches high relevance. This study aims at understanding the (re-)construction of home by first generation consumer migrants. The findings provide insights into consumers’ (re-)construction of various dimensions of home and identify “inner home” as a n...

  18. Strategy Guideline: Demonstration Home

    Energy Technology Data Exchange (ETDEWEB)

    Savage, C.; Hunt, A.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  19. Strategy Guideline. Demonstration Home

    Energy Technology Data Exchange (ETDEWEB)

    Hunt, A.; Savage, C.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  20. Digital Living at Home

    DEFF Research Database (Denmark)

    Andersen, Pernille Viktoria Kathja; Christiansen, Ellen Tove

    2013-01-01

    Does living with digital technology inevitably lead to digital living? Users talking about a digital home control system, they have had in their homes for eight years, indicate that there is more to living with digital technology than a functional-operational grip on regulation. Our analysis...... of these user voices has directed us towards a ‘home-keeping’ design discourse, which opens new horizons for design of digital home control systems by allowing users to perform as self-determined controllers and groomers of their habitat. The paper concludes by outlining the implications of a ‘home...

  1. Dynamics

    CERN Document Server

    Goodman, Lawrence E

    2001-01-01

    Beginning text presents complete theoretical treatment of mechanical model systems and deals with technological applications. Topics include introduction to calculus of vectors, particle motion, dynamics of particle systems and plane rigid bodies, technical applications in plane motions, theory of mechanical vibrations, and more. Exercises and answers appear in each chapter.

  2. 海洋环境影响声自导鱼雷的弹道分析与动态仿真%Trajectory Analysis and Dynamic Simulation for Acoustic Homing Torpedo Influenced by Marine Environment

    Institute of Scientific and Technical Information of China (English)

    陈建; 张韧; 李佳讯; 彭鹏; 田文通

    2012-01-01

    Aiming at acoustic detection bias of acoustic homing torpedo influenced marine environment, by making use of the comparative analysis and dynamic analysis methods and Argo data, the following topics in both search phase and self-directed phase of torpedo are investigated. The mechanism of marine environment impacting on torpedo's acoustic detection, the strategy of rectifying the bias of torpedo's sound ray tracing and their simulations. The results are shown as follows : in search phase, sea condition remarkably determines the time that the torpedo detects its target, while in self-directed phase, the exist of vertical temperature and salinity gradients generates the trajectory's bias, shortens the encounter time and the total distance, increases the maximum required overload, and the torpedo's final miss distance can be effectively decreased by taking the corresponding correction measures, thus improving its homing performance.%针对海洋环境引起的声自导鱼雷的声探测偏差问题,基于Argo资料,运用动态和对比分析,研究了鱼雷搜索和自导两个阶段中海洋环境对其声探测的影响机制、鱼雷声线轨迹偏差的纠正对策并进行仿真实现.结果表明:在搜索段,海况对鱼雷发现目标的时机具有显著的影响;在自导段,垂直温盐梯度的存在使鱼雷弹道产生偏差、遭遇时间变短、总航程缩短、最大需用过载变大,采取相应的纠正对策可以有效地降低鱼雷的脱靶量、提高自导性能.

  3. Digital Evaluation of Three Splinting Materials Used to Fabricate Verification Jigs for Full-Arch Implant Prostheses: A Comparative Study.

    Science.gov (United States)

    Papaspyridakos, Panos; Kim, Yong-Jeong; Finkelman, Matthew; El-Rafie, Khaled; Weber, Hans-Peter

    2017-04-01

    The primary aim of this study was to assess the accuracy of different splinting materials to make implant cast verification jigs. The secondary aim was to assess the effect of 20° implant angulation on the accuracy of casts. An edentulous mandibular arch with five internal connection tissue level implants served as control. The three implants in the anterior region were parallel to each other and the two implants in the posterior region were distally tilted 20° bilaterally. Verification jigs were fabricated with three different materials by splinting prefabricated bars to temporary abutments, resulting in three different groups (n = 15 specimens). Test casts were fabricated with low expansion type IV stone, and subsequently digitized with reference scanner. The STL files from the test casts and the control were superimposed, in order to determine the three-dimensional (3D) deviations. Group 1 (GC Pattern Resin) had a mean (SD) value of 36.59 (12.47) μm; Group 2 (Fixpeed Resin) had a mean (SD) value of 35.9 (10.13) μm; and Group 3 (Triad Gel) had a mean (SD) of 34.12 (7.10) μm. One-way ANOVA showed no statistically significant difference between groups (p = 0.790). For the comparative analysis of the effect of implant angulation, data were normally distributed for Groups 1 and 3 (GC Resin and Triad Gel), but not for group 2 (Fixpeed Resin). The difference between parallel and tilted implants was significant for all three groups: GC Resin (p = 0.024; paired t-test), Fixpeed Resin (p = 0.002; Wilcoxon signed-rank test), and Triad Gel (p = 0.002; paired t-test). There were no statistically significant differences between the 3D deviations of the test casts fabricated from verification jigs made by three materials (GC Pattern Resin, Fixpeed Resin, and Triad Gel). Parallel implants had nominally significantly less 3D deviations compared with 20° distally tilted implants, but not clinically significant. The results of the present study indicate

  4. Mandibular advancement splint (MAS) therapy for obstructive sleep apnoea--an overview and quality assessment of systematic reviews.

    Science.gov (United States)

    Johal, Ama; Fleming, Padhraig S; Manek, Seema; Marinho, Valeria C C

    2015-09-01

    To conduct an overview of existing systematic reviews concerning management of obstructive sleep apnoea-hypopnoea syndrome (OSAHS) with mandibular advancement splint (MAS) and assess their methodological quality. PubMed and relevant Cochrane Library databases (CDSR, DARE, HTA) searches were performed (09.13) to identify systematic reviews investigating the response of adults with OSAHS to MAS therapy. The methodological quality of the included systematic reviews was assessed using AMSTAR, a validated tool for assessing quality. Eight systematic reviews, four incorporating meta-analyses, were identified evaluating both objective and subjective outcome measures. The effectiveness of MAS therapy was compared to no treatment (n = 1), non-active appliance (n = 6), continuous positive airway pressure (CPAP; n = 5), surgical intervention (n = 3) and a different MAS intervention (n = 4). The quality of the reviews was variable (median = 7, range = 3 to 11), with only two of higher quality (AMSTAR scores >10), one of them a Cochrane review. In this high quality and current review, the overall (pooled) effects for comparison of MAS therapy with inactive appliances, revealed significant benefits of MAS therapy in terms of both daytime sleepiness and objective apnoea-hypopnoea index (AHI) outcomes. In general, the results from the higher quality reviews concerning the effectiveness of MAS therapy for OSAHS highlight the ability of the intervention to improve OSAHS. Current reporting guidelines for systematic reviews (e.g. PRISMA) and sources of high-quality existing reviews should be closely followed to enhance the validity and relevance of future reviews.

  5. Clinical outcomes from a foam wedge splinting program for axillary contracture prevention in the intensive care unit.

    Science.gov (United States)

    Godleski, Matthew; Holden, Mary Sullivan; Luby, Darcie; Weitzenkamp, David; Boimbo, Sandra; Lindberg, Gordon

    2014-01-01

    Preventing scar contracture after burn injury is a critical goal during recovery. Although the need for intervention is well-understood, data on specific techniques are limited. The study's objective is to provide data for the use of a foam abduction wedge in terms of safety, effectiveness, and patient and caregiver satisfaction through a prospective, single-arm trial. All patients presenting with a burn injury that required grafting in the axillary region and placed them at risk for shoulder joint contracture were offered inclusion. Patient outcomes were recorded for the duration of their burn intensive care unit admission. Ten subjects completed the protocol with a mean duration of wedge use of 41.5 ± 32.5 days. At discharge, the mean shoulder abduction was 132° ± 38° on the left and 118° ± 22° on the right. The mean shoulder flexion was 132° ± 31° on the left and 123° ± 29° on the right. As much as 90% of the subjects had greater than 90° of shoulder abduction and flexion at discharge. There were no observations of worsening burn injury wounds, graft failure, or new pressure-related wounds. One patient was found to have an upper-extremity peripheral nerve injury that was not clearly associated with the splint. Patient and nursing surveys indicated areas of satisfaction as well as areas for potential improvement. This study illustrates the anticipated clinical outcomes and care issues associated with the use of a specific contracture prevention method used in the burn intensive care unit setting as well as identifying areas for future research.

  6. The Usefulness of Nasal Packing with Vaseline Gauze and Airway Silicone Splint after Closed Reduction of Nasal Bone Fracture

    Directory of Open Access Journals (Sweden)

    Hyo Young Kim

    2012-11-01

    Full Text Available Background Packing after closed reduction of a nasal bone fracture causes inconvenientnasal obstruction in patients. We packed the superior meatus with Vaseline gauze to supportthe nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consistingof an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience.In addition, we aimed to objectively identify whether this method not only enables nasalrespiration but also sufficiently supports the reduced nasal bone.Methods Nasal ventilation was measured via spirometry 1 day before surgery and comparedto 1 day after surgery. To compare support of the reduced nasal bone by the 2 methods, 2plastic surgeons assessed the displacementon X-rays taken after the surgery and after removingthe packing. The extent of nasal obstruction, dry mouth, sleep disturbance, headache, andswallowing difficulty were compared with visual analog scales (VAS on a pre-discharge survey.Results In the experimental group, the nasal respiration volume 1 day after surgery remainedat 71.3%±6.84% on average compared to 1 day prior to surgery. Support of the reducedbone in the experimental group (2.80±0.4 was not significantly different from the controlgroup (2.88±0.33. The VAS scores for all survey items were lower in the experimental groupthan in the control group, where a lower score indicated a lower level of inconvenience.Conclusions The nasal cavity packing described here maintained objective measures of nasalrespiration and supported the reduced bone similar to conventional methods. Maintainingnasal respiration reduced the inconvenience to patients, which demonstrates that thispacking method is useful.

  7. The Usefulness of Nasal Packing with Vaseline Gauze and Airway Silicone Splint after Closed Reduction of Nasal Bone Fracture

    Directory of Open Access Journals (Sweden)

    Hyo Young Kim

    2012-11-01

    Full Text Available BackgroundPacking after closed reduction of a nasal bone fracture causes inconvenient nasal obstruction in patients. We packed the superior meatus with Vaseline gauze to support the nasal bone, and packed the middle nasal meatus with a Doyle Combo Splint consisting of an airway tube, a silastic sheet, and an expandable sponge to reduce the inconvenience. In addition, we aimed to objectively identify whether this method not only enables nasal respiration but also sufficiently supports the reduced nasal bone.MethodsNasal ventilation was measured via spirometry 1 day before surgery and compared to 1 day after surgery. To compare support of the reduced nasal bone by the 2 methods, 2 plastic surgeons assessed the displacementon X-rays taken after the surgery and after removing the packing. The extent of nasal obstruction, dry mouth, sleep disturbance, headache, and swallowing difficulty were compared with visual analog scales (VAS on a pre-discharge survey.ResultsIn the experimental group, the nasal respiration volume 1 day after surgery remained at 71.3%±6.84% on average compared to 1 day prior to surgery. Support of the reduced bone in the experimental group (2.80±0.4 was not significantly different from the control group (2.88±0.33. The VAS scores for all survey items were lower in the experimental group than in the control group, where a lower score indicated a lower level of inconvenience.ConclusionsThe nasal cavity packing described here maintained objective measures of nasal respiration and supported the reduced bone similar to conventional methods. Maintaining nasal respiration reduced the inconvenience to patients, which demonstrates that this packing method is useful.

  8. LHC@home gets new home

    CERN Multimedia

    Oates, John

    2007-01-01

    "The distributed computing project LHC@home is moving to London from Cern in Switzerland. Researchers at Qeen Mary University have been trialling the system since June, but are now ready for the offical launch" (1 page)

  9. Mechanism of the Structure and Elastic Modulus Calculation of the Sliced Veneer Laminated Timber Cervical Splint%薄木层积材颈椎夹板构造机制及其弹性模量计算

    Institute of Scientific and Technical Information of China (English)

    张杨; 马岩; 杨春梅

    2013-01-01

    In modern biomedical technology,it is a more cutting-edge research to use biomedical materials as alternative materials for making medical assistance implements.In this paper,under the theory of modern cervical splint design,we researched the sliced veneer laminated timber cervical splint characteristics from micro-structure,and constructed a new sliced veneer laminated timber cervical splint.The paper gave the optimal size of sliced veneer of the molded cervical splint,and calculated the theoretical elastic modulus and its correlation coefficient which would impact its strength.Furthermore,we got the mechanical expression by deducing these the quantitative mathematical relation between the elastic modulus of coefficients and sliced veneer laminated timber cervical splint.This provided a basis for the micromechanics theory of cervical splint composite elastic mechanics,and provided experimental proofs.%采用现代颈椎夹板设计理论,从微观结构研究薄木层积材特性,构造新型薄木层积材颈椎夹板.文中给出模压颈椎夹板的薄木最优尺寸,求出其理论弹性模量,给出对强度产生影响的相关系数,并推导出这些系数和薄木层积材颈椎夹板的弹性模量之间定量的数学关系和力学表达式,为颈椎夹板复合弹性力学的微观力学理论提供基础,并给出试验证明.

  10. 改良支具固定治疗陈旧腱性锤状指%Modified thermoplastic splint for treatment of chronic tendinous mallet finger deformity

    Institute of Scientific and Technical Information of China (English)

    潘勇卫; 田光磊; 李淳; 侯春梅

    2010-01-01

    目的 研究改良支具固定治疗伤后1个月以上陈旧腱性锤状指的临床效果.方法 自2007年11月至2010年1月,对26例陈旧腱性锤状指患者采用改良支具固定.从受伤到接受固定时间为4~14周,平均7周.我们对传统固定支具进行改良,由近指间关节屈曲、远指间关节过伸位固定,改为近指间关节伸直、远指间关节轻度过伸,以增加固定的牢固性.严格固定6周后,去除外固定,开始功能练习,并用夜间支具继续固定4周.结果 26例中,4例失访,22例获得随访,时间为2~6个月,平均3个月.接受治疗的手指均较治疗前有明显的改善.远指间关节伸直角度治疗前平均为-38°(-15°~-70°),治疗后为-2°(0°~-10°).按照Patel评定法评定:优19例,良3例.有3例在固定过程中,由于固定粘带压迫,出现远指间关节一过性疼痛、肿胀;调整支具固定粘带后,症状缓解,能够继续固定.1例去除固定1周后出现15°的屈曲畸形,重新固定4周,获得完全正常的外观和功能.所有患者对治疗结果表示满意.结论 即使是伤后长达3个月的陈旧性锤状指,采用支具固定这种简单、廉价而并发症少的治疗方法,仍然可以取得满意的结果.对于选择恰当的陈旧性锤状指患者,保守治疗仍然是治疗的首选方法.%Objective To evaluate the clinical results of modified thermoplastic splint for treatment of chronic tendinous mallet finger deformity that were 4 weeks or more old. Methods From November 2007 to January 2010, Twenty-six patients with chronic tendinous mallet deformities were treated with closed extension thermoplastic splint. The duration of the deformity before presentation ranged from 4 to 14 weeks, with an average duration of 7 weeks. We modified the current popular mallet splinting technique that immobilizes the DIP joint in extension and PIP joint in flexion to immobilizing the PIP joint in full extension and DIP joint in slight

  11. Suture knot on the repair splint: a simple method to facilitate reconstruction of the sella turcica during endonasal endoscopic transsphenoidal surgery. Technical note.

    Science.gov (United States)

    Kubo, Shigeki; Hasegawa, Hiroshi; Inui, Toshihiko; Tominaga, Shinsuke; Yoshimine, Toshiki

    2005-05-01

    Reconstruction of the sellar floor after pituitary tumor removal is sometimes difficult because the repair graft is difficult to handle in the narrow space. This is especially problematic if the endonasal endoscopic approach is used. The authors devised a technique to facilitate this procedure by placing a suture knot on the repair splint. This allows the material to be grasped securely with forceps and improves manipulation even within the narrow nasal cavity. This technique has proved useful when performing the endonasal endoscopic approach, and it is also expected to be useful when conducting the conventional sublabial transsphenoidal approach.

  12. Home range and travels

    Science.gov (United States)

    Stickel, L.F.; King, John A.

    1968-01-01

    The concept of home range was expressed by Seton (1909) in the term 'home region,' which Burr (1940, 1943) clarified with a definition of home range and exemplified in a definitive study of Peromyscus in the field. Burt pointed out the ever-changing characteristics of home-range area and the consequent absence of boundaries in the usual sense--a finding verified by investigators thereafter. In the studies summarized in this paper, sizes of home ranges of Peromyscus varied within two magnitudes, approximately from 0.1 acre to ten acres, in 34 studies conducted in a variety of habitats from the seaside dunes of Florida to the Alaskan forests. Variation in sizes of home ranges was correlated with both environmental and physiological factors; with habitat it was conspicuous, both in the same and different regions. Food supply also was related to size of home range, both seasonally and in relation to habitat. Home ranges generally were smallest in winter and largest in spring, at the onset of the breeding season. Activity and size also were affected by changes in weather. Activity was least when temperatures were low and nights were bright. Effects of rainfall were variable. Sizes varied according to sex and age; young mice remained in the parents' range until they approached maturity, when they began to travel more widely. Adult males commonly had larger home ranges than females, although there were a number of exceptions. An inverse relationship between population density and size of home range was shown in several studies and probably is the usual relationship. A basic need for activity and exploration also appeared to influence size of home range. Behavior within the home range was discussed in terms of travel patterns, travels in relation to home sites and refuges, territory, and stability of size of home range. Travels within the home range consisted of repeated use of well-worn trails to sites of food, shelter, and refuge, plus more random exploratory travels

  13. 母国网络位置、市场环境动态性与本土企业国际化程度%Home Country Network Location、Dynamic Market Environment and the Internationalization Degree of Chinese Enterprises

    Institute of Scientific and Technical Information of China (English)

    吴晓波; 程晓鑫; 卢静

    2014-01-01

    近年来,中国企业的国际化进程不断加快,而中国企业的国际化很大程度上受母国企业网络的影响。本文着眼于母国网络对本土企业国际化程度的影响机制,主要关注不同网络位置模式和企业国际化程度之间的关系,并进一步探究了市场环境动态性对网络位置影响的调节作用。本研究通过问卷获得了194家企业的数据,据此进行实证分析,得出以下研究结论:(1)网络中心位置对企业国际化程度有正向影响,网络中介位置对企业国际化程度有负向影响;(2)市场环境动态性削弱了中介位置对企业国际化程度的负向影响,但却没有显著改变中心位置对企业国际化程度的正向影响。%In recent years , the process of internationalization of Chinese enterprises is accelerating and the internationalization of Chinese enterprises is largely affected by the home country corporate network. This article focuses on the impact mechanism of the home country network on the internationalization degree of Chinese enterprises, mainly looks at the relationship between network location mode and internationalization degree, and further explores the impacts of dynamic market environment on network location. In this study, we received the data of 194 companies, after empirical analysis, we conclude that: (1) the central position in network has a positive effect on the degree of internationalization, while the brokerage position in network has a negative impact on the degree of internationalization (2) Dynamic market environment weakened the negative effect of intermediary position on the degree of internationalization, but not significantly change the positive influence of central position on the degree of internationalization.

  14. Interoperation, Composition and Simulation of Services at Home

    NARCIS (Netherlands)

    Kaldeli, Eirini; Warriach, Ehsan Ullah; Bresser, Jaap; Lazovik, Alexander; Aiello, Marco; Maglio, PP; Weske, M; Yang, J; Fantinato, M

    2010-01-01

    Pervasive computing environments such as our future homes are the prototypical example of a dynamic, complex system where Service-Oriented Computing techniques will play an important role. A home equipped with heterogeneous devices, whose services and location constantly change, needs to behave as a

  15. Network and Service Monitoring in Heterogeneous Home Networks

    NARCIS (Netherlands)

    Delphinanto, A.

    2012-01-01

    Home networks are becoming dynamic and technologically heterogeneous. They consist of an increasing number of devices which offer several functionalities and can be used for many different services. In the home, these devices are interconnected using a mixture of networking technologies (for

  16. Network and Service Monitoring in Heterogeneous Home Networks

    NARCIS (Netherlands)

    Delphinanto, A.

    2012-01-01

    Home networks are becoming dynamic and technologically heterogeneous. They consist of an increasing number of devices which offer several functionalities and can be used for many different services. In the home, these devices are interconnected using a mixture of networking technologies (for example

  17. Peak-load shaving in smart homes via online scheduling

    DEFF Research Database (Denmark)

    Costanzo, Giuseppe Tommaso; Kheir, J.; Guchuan Zhu

    2011-01-01

    This paper addresses the problem of load-shaving in Smart Homes in view of improving energy efficiency in Smart Grids. An architecture of home power management systems, allowing the separation of domestic power load control from grid dynamics, is introduced. In this framework, the operation...

  18. A Career At Home

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Dai Ping, whose son is a first grader in a primary school in Beijing, has noticed a growing number of higher educated stay-at-home mothers around her community. Currently, 11 children in her son's 44-student class have stay-at-home mothers. Dai, a biology major, once worked at a research institute in the United States in the prime of her career before choosing to raise her son at home.

  19. [Home care in Sapporo].

    Science.gov (United States)

    Yazaki, Kazuo

    2003-12-01

    We established a clinic specialized in home care in Sapporo in July 2001. In these 2 years we have provided medical home care service to 160 patients, and 97 are still receiving regular service. At first we accepted any patients living within 16 km from the clinic. However, bad traffic conditions in winter made it difficult to visit patients living in districts far away from the clinic. Therefore, we planned a network of home care physicians in Sapporo. Now 12 home care physicians hold monthly meetings. In Sapporo, meetings of home care related workers are organized in each ward, as suggested by the Sapporo Medical Association. There is a relatively good supply of home care related services and resources, including availability of an important number of visiting nurses. Patients being taken care of at home who present an acute exacerbation of symptoms are relatively easily accepted by acute hospitals. But those who have difficulties in continuing home care due to a sudden change in family conditions are not easily accepted by nursing hospitals. Recently, the number of group homes and lodging houses for elderly persons has markedly increased in Sapporo. It might have some problems in medical support in the near future.

  20. HomePort

    DEFF Research Database (Denmark)

    Madsen, Per Printz

    2009-01-01

    different components in these systems. One of the characteristics is that each system, like for instance heat and light, has their own specific way of using the communication system.   This paper describes a way to connect different home control systems through an intelligent gateway, called a HomePort....... The HomePort consists of a number of Subsystem communication drivers, a virtual communication layer, an interpreter and a PC- based compiler for a high level control language, called GIL (Gateway intelligence language). The focus in this paper will be on the upper two layers in the HomePort...

  1. Splint coals of the Central Appalachians: Petrographic and geochemical facies of the Peach Orchard No. 3 split coal bed, southern Magoffin County, Kentucky

    Science.gov (United States)

    Hower, J.C.; Ruppert, L.F.

    2011-01-01

    The Bolsovian (Middle Pennsylvanian) Peach Orchard coal bed is one of the splint coals of the Central Appalachians. Splint coal is a name for the dull, inertinite-rich lithologies typical of coals of the region. The No. 3 Split was sampled at five locations in Magoffin County, Kentucky and analyzed for petrography and major and minor elements. The No. 3 Split coals contain semifusinite-rich lithologies, up to 48% (mineral-free basis) in one case. The nature of the semifusinite varies with position in the coal bed, containing more mineral matter of detrital origin in the uppermost durain. The maceral assemblage of these terminal durains is dominated by detrital fusinite and semifusinite, suggesting reworking of the maceral assemblage coincident with the deposition of the detrital minerals. However, a durain in the middle of the coal bed, while lithologically similar to the uppermost durains, has a degraded, macrinite-rich, texture. The inertinite macerals in the middle durain have less distinct edges than semifusinites in the uppermost terminal durains, suggesting degradation as a possible path to inertinite formation. The uppermost durain has higher ash and semifusinite contents at the eastern sites than at the western sites. The difference in the microscopic petrology indicates that megascopic petrology alone can be a deceptive indicator of depositional environments and that close attention must be paid to the individual macerals and their implications for the depositional setting, especially within the inertinite group. ?? 2011 Elsevier B.V.

  2. [Nurse home visits in France].

    Science.gov (United States)

    Monguillon, Dominique; Gracia, Pierre-Benjamin

    2011-10-01

    Nurse home visits in France. More and more nurses carry out home visits, either as freelance nurses or employees of a nurse home visits service, a home hospital care structure or a nursing care centre. These home visits are both demanded by patients and encouraged by the health authorities. As a consequence, the service is expanding every year.

  3. European Home Energy

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.

    2009-01-01

    An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes......An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes...

  4. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... de Destrezas para manejo Doméstico de Ostomía Ostomy Home Skills Program Adult Ostomy Pediatric Ostomy Programa de Destrezas para manejo Doméstico de Ostomía The Ostomy Home Skills Kit supports patients with educational and simulation ...

  5. European Home Energy

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.

    2009-01-01

    An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes......An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes...

  6. Creating a new home

    DEFF Research Database (Denmark)

    Gram-Hanssen, Kirsten; Bech-Danielsen, Claus

    2012-01-01

    Housing research is increasingly focusing on how different groups of residents use their dwelling and transform it into a home. In this article, we look at the homes of immigrants in Danish social housing. The article is based on qualitative interviews with Somali, Iraqi and Turkish immigrants, a...

  7. Home Health Aides

    Science.gov (United States)

    ... specifications Help to keep clients engaged in their social networks and communities Home health aides, unlike personal care aides , typically work ... self-care and everyday tasks. They also provide social supports and assistance that enable clients to participate in their ... more information about home health aides, including voluntary credentials for aides, visit ...

  8. Asbestos in the Home.

    Science.gov (United States)

    Environmental Protection Agency, Washington, DC.

    The United States Government is concerned about asbestos-containing products in the home because sometimes asbestos fibers can be released from these produces. If asbestos fibers are inhaled, certain types of cancer may later develop. Asbestos in homes poses several problems. Household members have little or no protection from exposure to asbestos…

  9. Health Begins at Home

    Centers for Disease Control (CDC) Podcasts

    2009-03-30

    Clean and well-maintained homes can prevent many illnesses and injuries. This podcast discusses how good health begins at home.  Created: 3/30/2009 by Coordinating Center for Environmental Health and Injury Prevention (CCEHIP).   Date Released: 3/30/2009.

  10. Home Education in Russia

    Science.gov (United States)

    Staroverova, T. I.

    2011-01-01

    From the eighteenth through the early twentieth centuries, home education (home schooling) by tutors and governesses in Russia was a customary form of schooling for an overwhelming majority of members of the nobility. Social and political transformations of the twentieth century led to substantial changes as the state got actively involved with…

  11. Leaving home in Denmark

    DEFF Research Database (Denmark)

    Nielsen, Rikke Skovgaard

    2015-01-01

    The paper focuses on ethnic differences in the timing and patterns of leaving the parental home. Leaving home is a key transition in the life course of the individual, and extensive research has been conducted on the timing and patterns of leaving it. However, ethnic differences in these patterns...

  12. Sex Away from Home

    Science.gov (United States)

    Greenwald, Harold

    1971-01-01

    The reasons why people who are normally truthful to their spouses engage in sex away from home are discussed. These reasons can include loneliness, ego building or the opportunity to have homosexual relations. Sex away from home is likely to increase since the number of people traveling is increasing. (Author/CG)

  13. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... SSC About SSC SSC Membership Directory Annual Meeting ... Ostomy Pediatric Ostomy Ostomía Adulto Order Today Ostomy Home Skills Kit (login or create account first) Skills Kits Broadcast Rights for Hospitals Ostomy Home Skills Hospital Quality Improvement ...

  14. Home Teaching and Herbart.

    Science.gov (United States)

    Rust, Val D.; Reed, Frances

    1979-01-01

    Viewing the growing disenchantment with state-controlled schooling, the authors predict that home teaching will become an established educational alternative within a short time, and they reflect on the teachings and writings of Johann Friedrich Herbart, an eighteenth-century advocate of educating children at home. (Editor/SJL)

  15. Asbestos in the Home.

    Science.gov (United States)

    Environmental Protection Agency, Washington, DC.

    The United States Government is concerned about asbestos-containing products in the home because sometimes asbestos fibers can be released from these produces. If asbestos fibers are inhaled, certain types of cancer may later develop. Asbestos in homes poses several problems. Household members have little or no protection from exposure to asbestos…

  16. Home Fires Involving Grills

    Science.gov (United States)

    ... 8,700) of the injuries were thermal burns. Children under five accounted for 1,600 or one-third of the 4,900 thermal non-fire grill burns. These were typically contact burns rather than flame burns. 1 Homes include one- or two-family homes, apartments, town ...

  17. Application of a stent splint to protect intraoral organs from radiation injury to a 97 year-old patient with multiple oral cancers who survived over 100 year-old

    Energy Technology Data Exchange (ETDEWEB)

    Yanagisawa, Shigetaka; Kawamura, Tetsuo; Shimizu, Masatsugu; Aoki, Hirooki; Mizuki, Harumi; Ashizawa, Akira (Oita Medical Coll., Hasama (Japan))

    1989-06-01

    Radiation therapy had been used with increasing frequency in recent years in the management of oral cancers of advanced ages. In those cases we have to take good care to maintain the oral health of patients undergoing cancerocidal dose of radiation therapy. Using splints, as a tissue displacer, during radiation, we could treat a 99-year-old female patient without serious radiation sequelae, successfully she survived over 100 year-old. As she visited us at 97 year-old, the primary lesions located on the left upper lip, nose, upper and lower gums were diagnosed as multiple verrucous carcinoma histologically. Seventeen months after the first radiotherapy to the lip, nose and upper jaw, we planned again radiotherapy to the recurrent tumor of the lower gum. In order to eliminate and minimize side effects of the second irradiation for the contigenous intraoral organs, we devised a splint to exclude the tongue and upper gum apart from a radiation field. The splint, as tissue displacer, was made of heat-cured acrylic resin and divided into two pieces which were formed like full denture without artificial teeth. They were applied to the upper and lower jaws. The lower one had a large wing to exclude the tongue from irradiation field. After setting of the splint, she had been clenched slightly with an aid of chin cap. Then we could finish successfully the radiotherapy with 10 MV X-ray 40 Gy as scheduled without serious troubles. (author).

  18. Biometrics for home networks security

    KAUST Repository

    Ansari, Imran Shafique

    2009-01-01

    Hacking crimes committed to the home networks are increasing. Advanced network protection is not always possible for the home networks. In this paper we will study the ability of using biometric systems for authentication in home networks. ©2009 IEEE.

  19. Evolution of Home Automation Technology

    OpenAIRE

    Mohd. Rihan; M. Salim Beg

    2009-01-01

    In modern society home and office automation has becomeincreasingly important, providing ways to interconnectvarious home appliances. This interconnection results infaster transfer of information within home/offices leading tobetter home management and improved user experience.Home Automation, in essence, is a technology thatintegrates various electrical systems of a home to provideenhanced comfort and security. Users are grantedconvenient and complete control over all the electrical homeappl...

  20. The birth of a multicultural funeral home.

    Science.gov (United States)

    van der Pijl, Yvon

    2017-01-01

    In 2014, the Dutch Funeral Organization Yarden started with the participatory preparations for a multicultural funeral home. The project aims at a 24/7 service for the super-diverse population of Amsterdam and beyond. This article gives an ethnographic account of Yarden's efforts to capture cultural diversity. It explores how a multicultural gaze creates a power/knowledge dynamic producing new discourses and shaping new layers of significance. The study then turns into arguing that the birth of the multicultural home is, above all, a cultural, collaborative search leaving (counter-discursive) space for creativity, change, and cultural renewal of all actors involved.

  1. 稳定(牙合)垫治疗夜磨牙的多导睡眠检测研究%Effects of stabilization splint on sleep bruxism patients using polysomnography.

    Institute of Scientific and Technical Information of China (English)

    庞春燕; 任小华; 牟雁东

    2009-01-01

    Objective To study the short-term effects of stabilization splint on sleep bruxism patients. Methods Re-cord the bruxism episodes per hour, micro-arousals per hour and the sleep stage of the patients before wearing the splints and 2 weeks later with the splints by the polysomnography. Results The bruxism episodes per hour decreased after wearing stabilization splint for 2 weeks, but the incidence of micro-arousal and the sleep stage did not change. Conclu-sion The stabilization splint is effective for treating sleep bruxism in short term, but can not affect the sleep structure and the incidence of micro-arousal.%目的 探讨稳定(牙合)垫对于夜磨牙的短期疗效.方法 对四川省人民医院口腔科2008年1-11月收治的夜磨牙患者10例,使用多导睡眠监测技术记录戴用(牙合)垫前与戴用2周后的磨牙事件、微觉醒次数及睡眠结构,并进行比较分析.结果 使用稳定(牙合)垫2周后,每小时磨牙事件比治疗前有所减少,微觉醒指数、睡眠结构变化差异无统计学意义.结论稳定(牙合)垫对夜磨牙患者的牙齿磨动有所改善,但对于睡眠结构和睡眠微觉醒的发生无影响.

  2. Clinical effect of occlusal-splint removable partial denture%(牙合)垫式可摘局部义齿的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    张涛; 梁虹

    2011-01-01

    目的:观察(牙合)垫式可摘局部义齿对牙齿重度磨耗伴缺牙的患者的修复效果.方法:对25例缺牙伴重度深覆(牙合)患者进行取模型、用蜡(牙合)堤确定颌位关系并升高咬合1mm-2mm,在上颌制作铸造支架式活动义齿,并在余留牙上制作铸造金属(牙合)垫.于治疗后1、2周,1、2、3个月进行定期观察.结果:戴用义齿2周内有3例不愿继续使用义齿,其余的22例均适应了义齿并正常行使咀嚼功能,这其中有4例患者出现过牙周病加重.结论:(牙合)垫式可摘局部义齿能修复缺损的牙列,减小深覆(牙合),加大面下1/3的高度,是修复牙齿重度磨耗伴缺牙的一个可行修复方法.%Objective: To observe the clinical effect of occlusal-splint removable partial denture for patients with severe teeth wear and tooth loss. Method: Twenty-five patients with severe deep overbite occlusal were randomly selected. Impressions were taken and occlusion relationship were fixed with wax, followed by raising occlusion l-2mm. Casting frameworks of removable partial denture in maxillary and casting metal occlusal splint on the remaining teeth were fabricated. The follow-up time points were 1 week, 2 weeks, 1 month, 2 month and 3 months. Result: Three individuals refused to use complete dentures within 2 weeks, while the other 22 were satisfactory in masticatory function, however with 4 cases occurred with aggravating periodontal disease. Conclusion: Occlusal-splint removable partial dentures could repair dentition defect, decrease the degree of deep overbite occlusion, and increase the height of the one-third below. It is a feasible method for repairing severe dental attrition.

  3. Displacement and force distribution of splinted and tilted mandibular anterior teeth under occlusal loads: an in silico 3D finite element analysis

    Directory of Open Access Journals (Sweden)

    Allahyar Gerami

    2016-06-01

    Full Text Available Abstract Background Fixed orthodontic retainers have numerous advantages, but it is not known whether they can exert pathological forces on supporting tissues around the splinted teeth. The purpose of this study was to investigate how the inclination of the lower anterior teeth can affect dental displacement and also change the direction of occlusal loads exerted to dental and its supporting tissues. Methods Four three-dimensional finite element models of the anterior part of the mandible were designed. All the models contained the incisors and canines, their periodontal ligament layers (PDLs, the supporting bone (both spongy and cortical, and a pentaflex splinting wire placed in the lingual side of the teeth. Teeth inclination was considered to be 80° (model 1, 90° (model 2, 100° (model 3, and 110° (model 4 to the horizontal plane. The lower incisors were loaded with a 187-N vertical force. Their displacement patterns and the stress in their PDLs were evaluated. Results In incisors with 80° of inclination, less than a 0.1-mm lingual displacement was seen on the incisal edge and a similar distance of displacement towards the labial was seen on their root apices. However, in models with 90°–110° of inclination, the incisal edge displaced labially between about 0.01 and 0.45 mm, while root apices displaced lingually instead. By increasing the angle of the teeth, the strain in the periodontal ligament increased from about 37 to 58 mJ. The von Mises stresses around the cervical and apical areas differed for each tooth and each model, without a similar pattern. Increasing the angle of the teeth resulted in much higher cervical stresses in the incisors, but not in the canines. In the lateral incisor, cervical stress increased until 100° of inclination but reduced to about half by increasing the angle to 110°. Apical stress increased rather consistently in the incisor and lateral incisors, by increasing the inclination. However, in the

  4. Condensation in insulated homes

    Energy Technology Data Exchange (ETDEWEB)

    Wiley, R A

    1978-05-28

    A research proposal on condensation in insulated homes is presented. Information is provided on: justification for condensation control; previous work and present outlook (good vapor barrier, condensation and retrofit insulation, vapor barrier decreases condensation, brick-veneer walls, condensation in stress-skin panels, air-conditioned buildings, retrofitting for conservation, study on mobile homes, high indoor relative humidity, report on various homes); and procedure (after funding has been secured). Measures are briefly described on opening walls, testing measures, and retrofitting procedures. An extensive bibliography and additional informative citations are included. (MCW)

  5. Home Visits: Shortening the Path between Home and School.

    Science.gov (United States)

    Acosta, Dolores; Keith, Joe; Patin, Debra

    1997-01-01

    Describes the Home Visit Initiative at Socorro Middle School in Texas. Discusses the purpose of home visits; selection of families for teacher home visits; the visiting team; parents', students', and teachers' reactions to visits, and the results of an evaluation of the home visits, especially the impact on parent volunteerism and schooling,…

  6. Pervasive Home Environments

    Science.gov (United States)

    Bull, P.; Limb, R.; Payne, R.

    An increasing number of computers and other equipment, such as games consoles and multimedia appliances for the home, have networking capability. The rapid growth of broadband in the home is also fuelling the demand for people to network their homes. In the near future we will see a number of market sectors trying to 'own' the home by providing gateways either from the traditional ISP or from games and other service providers. The consumer is bombarded with attractive advertising to acquire the latest technological advances, but is left with a plethora of different appliances, which have a bewildering range of requirements and features in terms of networking, user interface, and higher-level communications protocols. In many cases, these are proprietary, preventing interworking. Such technical and usability anarchy confuses the consumer and could ultimately suppress market adoption.

  7. Genetics Home Reference: keratoconus

    Science.gov (United States)

    ... Share: Email Facebook Twitter Home Health Conditions keratoconus keratoconus Printable PDF Open All Close All Enable Javascript to view the expand/collapse boxes. Description Keratoconus is an eye condition that affects the shape ...

  8. HOME Income Limits

    Data.gov (United States)

    Department of Housing and Urban Development — HOME Income Limits are calculated using the same methodology that HUD uses for calculating the income limits for the Section 8 program. These limits are based on HUD...

  9. Nursing Home Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Nursing Home Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow...

  10. Nursing Home Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — The data that is used by the Nursing Home Compare tool can be downloaded for public use. This functionality is primarily used by health policy researchers and the...

  11. Home Health Quality Initiative

    Data.gov (United States)

    U.S. Department of Health & Human Services — The instrument-data collection tool used to collect and report performance data by home health agencies is called the Outcome and Assessment Information Set (OASIS)....

  12. Genetics Home Reference: galactosemia

    Science.gov (United States)

    ... Help Me Understand Genetics Home Health Conditions galactosemia galactosemia Enable Javascript to view the expand/collapse boxes. Download PDF Open All Close All Description Galactosemia is a disorder that affects how the body ...

  13. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking ...

  14. Home Health PPS - Reports

    Data.gov (United States)

    U.S. Department of Health & Human Services — Abt Associates July 21, 2010 Analysis of 2000-2008 Home Health Case-mix Change Report estimates the extent to which the observed increases in average case-mix were...

  15. Home Health PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Under prospective payment, Medicare pays home health agencies (HHAs) a predetermined base payment. The payment is adjusted for the health condition and care needs of...

  16. Genetics Home Reference: preeclampsia

    Science.gov (United States)

    ... Help Me Understand Genetics Home Health Conditions preeclampsia preeclampsia Enable Javascript to view the expand/collapse boxes. Download PDF Open All Close All Description Preeclampsia is a complication of pregnancy in which affected ...

  17. Nursing Home Data Compendium

    Data.gov (United States)

    U.S. Department of Health & Human Services — The compendium contains figures and tables presenting data on all Medicare- and Medicaid-certified nursing homes in the United States as well as the residents in...

  18. Home Health Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Home Health Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow...

  19. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Stay Up to Date with ACS Association Management Jobs Events Find a Surgeon Patients and Family Contact My Profile Shop/Donate ( 0 ) Items American College of Surgeons Education Patients and Family Skills Programs Ostomy Home Skills ...

  20. Home Oxygen Therapy

    Science.gov (United States)

    ... Teenagers Living With Lung Disease Articles written by Respiratory Experts Home Oxygen Therapy More and more people are using oxygen therapy ... April 12, 2012 Revised: © 2017 American Association for Respiratory Care

  1. Home Health Care Agencies

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of all Home Health Agencies that have been registered with Medicare. The list includes addresses, phone numbers, and quality measure ratings for each agency.

  2. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... AEI Consortium Quarterly ACS Chapter News The CoC Source Committee on Trauma News The Cutting Edge NAPBC ... login or create account first) Skills Kits Broadcast Rights for Hospitals Ostomy Home Skills Hospital Quality Improvement ...

  3. Genetics Home Reference: hypermethioninemia

    Science.gov (United States)

    ... C. Mutations in human glycine N-methyltransferase give insights into its role in methionine metabolism. Hum Genet. ... healthcare professional . About Genetics Home Reference Site Map Customer Support Selection Criteria for Links USA.gov Copyright ...

  4. Home/Work.

    Science.gov (United States)

    Atkinson, William

    1985-01-01

    In the computer age, telecommuting programs can be an effective means of recruiting and retaining valuable employees. This article discusses how companies can select employee participants and how to manage people working at home. (Author/CT)

  5. Genetics Home Reference: hemophilia

    Science.gov (United States)

    ... Help Me Understand Genetics Home Health Conditions hemophilia hemophilia Enable Javascript to view the expand/collapse boxes. Download PDF Open All Close All Description Hemophilia is a bleeding disorder that slows the blood ...

  6. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... About SSC SSC Membership Directory 2016 Annual Meeting Women's Committee Mentorship Program Outside Activities ACS Archives Contact ... login or create account first) Skills Kits Broadcast Rights for Hospitals Ostomy Home Skills Hospital Quality Improvement ...

  7. Genetics Home Reference: schizophrenia

    Science.gov (United States)

    ... Share: Email Facebook Twitter Home Health Conditions schizophrenia schizophrenia Printable PDF Open All Close All Enable Javascript to view the expand/collapse boxes. Description Schizophrenia is a mental health disorder classified as a ...

  8. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking pen, scissors, sample ...

  9. Chronic, severe onychocryptosis successfully treated with nail tube splinting in a 13-year-old girl with multiple prior failed matricectomies.

    Science.gov (United States)

    Chitgopeker, Pooja; Johnson-Jahangir, Hillary

    2016-06-15

    Onychocryptosis, also known as ingrown toenail, is caused by growth of the lateral edge of the nail into the nail fold. This results in inflammation of the invaded tissue. It is a common problem with ~70% of cases occurring in people between the ages of 12-30 years and causes significant discomfort, pain, and restriction in activity [1]. There is no standard treatment for onychocryptosis and numerous methods have been used, from conservative approaches such as proper nail trimming techniques to more invasive surgical procedures. All techniques risk the possibility of damage to the nail apparatus, prolonged healing time, and recurrence of disease.We describe a successful case of bilateral nail tube splinting in a pediatric patient with recurrent, severe onychocryptosis and history of multiple matricectomies.

  10. Home Theater on Stage

    National Research Council Canada - National Science Library

    Jarasek, Mark

    2008-01-01

    ... To enhance the home theater experience, designers are paying as much attention to the detail of the entryways to these speciality rooms (left) as they are to the room itself. This 800-square-foot private theater (below) found in a custom home in metropolitan Washington, D.C., also has a layer of LV1 sound proofing above the ceiling so that the bedrooms ab...

  11. High performance homes

    DEFF Research Database (Denmark)

    Beim, Anne; Vibæk, Kasper Sánchez

    2014-01-01

    Can prefabrication contribute to the development of high performance homes? To answer this question, this chapter defines high performance in more broadly inclusive terms, acknowledging the technical, architectural, social and economic conditions under which energy consumption and production occur....... Consideration of all these factors is a precondition for a truly integrated practice and as this chapter demonstrates, innovative project delivery methods founded on the manufacturing of prefabricated buildings contribute to the production of high performance homes that are cost effective to construct, energy...

  12. Home media center

    OpenAIRE

    Valverde Martinez, Juan Miguel

    2014-01-01

    One of the most popular indoor entertainment systems nowadays is related to playing multimedia files, not only at home but also in public events such as watching movies in cinemas or playing music in nightclubs or pubs. Developers are responsible for making this easier and innovating in the development of these systems in different ways. This project's goal was to develop a home media center which allows the user to play multimedia files easily. In addition, the development was intended t...

  13. High performance homes

    DEFF Research Database (Denmark)

    Beim, Anne; Vibæk, Kasper Sánchez

    2014-01-01

    Can prefabrication contribute to the development of high performance homes? To answer this question, this chapter defines high performance in more broadly inclusive terms, acknowledging the technical, architectural, social and economic conditions under which energy consumption and production occur....... Consideration of all these factors is a precondition for a truly integrated practice and as this chapter demonstrates, innovative project delivery methods founded on the manufacturing of prefabricated buildings contribute to the production of high performance homes that are cost effective to construct, energy...

  14. Outcomes and stability in patients with anterior open bite and long anterior face height treated with temporary anchorage devices and a maxillary intrusion splint

    Science.gov (United States)

    Scheffler, Nicole R.; Proffit, William R.; Phillips, Ceib

    2015-01-01

    Introduction Temporary skeletal anchorage devices now offer the possibility of closing anterior open bites and decreasing anterior face height by intruding maxillary posterior teeth, but data for treatment outcomes are lacking. This article presents outcomes and posttreatment changes for consecutive patients treated with a standardized technique. Methods The sample included 33 consecutive patients who had intrusion of maxillary posterior teeth with a maxillary occlusal splint and nickel-titanium coil springs to temporary anchorage devices in the zygomatic buttress area, buccal and apical to the maxillary molars. Of this group, 30 had adequate cephalograms available for the period of treatment, 27 had cephalograms including 1-year posttreatment, and 25 had cephalograms from 2 years or longer. Results During splint therapy, the mean molar intrusion was 2.3 mm. The mean decrease in anterior face height was 1.6 mm, less than expected because of a 0.6-mm mean eruption of the mandibular molars. During the postintrusion orthodontics, the mean change in maxillary molar position was a 0.2-mm extrusion, and there was a mean 0.5-mm increase in face height. Positive overbite was maintained in all patients, with a slight elongation (<2 mm) of the incisors contributing to this. During the 1 year of posttreatment retention, the mean changes were a further eruption of 0.5 mm of the maxillary molars, whereas the mandibular molars intruded by 0.6 mm, and there was a small decrease in anterior face height. Changes beyond 1 year posttreatment were small and attributable to growth rather than relapse in tooth positions. Conclusions Intrusion of the maxillary posterior teeth can give satisfactory correction of moderately severe anterior open bites, but 0.5 to 1.5 mm of reeruption of these teeth is likely to occur. Controlling the vertical position of the mandibular molars so that they do not erupt as the maxillary teeth are intruded is important in obtaining a decrease in face height

  15. Stability of the Anterior Maxillary Segment and Teeth after Segmental Le Fort I Osteotomy and Postoperative Skeletal Elastic Fixation With or Without Occlusal Splint

    Directory of Open Access Journals (Sweden)

    Tue Lindberg

    2014-10-01

    Full Text Available Objectives: To assess the short term dental and skeletal stability of the anterior maxillary segment after segmental Le Fort I osteotomy with postoperative skeletal elastic fixation with or without occlusal splint. Material and Methods: 29 consecutive patients underwent segmental Le Fort I osteotomy and elastic skeletal fixation was applied. Patients were divided into two groups according to whether a fixed occlusal splint was used for six weeks (group A or dismounted perioperatively (group B. Changes in landmarks and reference planes between the two timepoints were estimated on lateral cephalometric radiographs. Results: Group A: The upper incisor had a mean intrusion of -0.56 mm (SD 0.77; range -2.04 to 1.08 mm and a mean posterior movement of -0.93 mm (SD 1.03; range -2.52 to 0.96 mm. The mean change in the axial inclination of the upper incisor was -0.33° (SD 2.56; range -6° to 4° (95% CI: -1.75 to 1.08°. Group B: The upper incisor had a mean intrusion of -0.13 mm (SD 1.36; range -1.92 to 3.6 mm and a mean anterior movement of 0.11 mm (SD 1.78; range -2.88 to 3.84 mm. The mean change in the axial inclination of the upper incisor was -0.07° (SD 3.05; range -5° to 5° (95% CI: -1.83 to 1.69°. There was no statistically significant difference in stability between the two groups at the P value 0.05. Conclusions: The skeletal anterior fixation with postoperative elastics for eight weeks may not compromise the early postoperative dental and skeletal stability of the anterior segment in segmental Le Fort I osteotomy.

  16. Ambiguities: residents' experience of 'nursing home as my home'.

    Science.gov (United States)

    Nakrem, Sigrid; Vinsnes, Anne G; Harkless, Gene E; Paulsen, Bård; Seim, Arnfinn

    2013-09-01

    Residential care in nursing homes continues to be necessary for those individuals who are no longer able to live at home. Uncovering what nursing home residents' view as quality of care in nursing homes will help further understanding of how best to provide high quality, person-centred care. To describe residents' experiences of living in a nursing home related to quality of care. The study utilises a descriptive exploratory design. In-depth interviews were undertaken with 15 residents who were not cognitively impaired, aged 65 and over and living in one of four nursing homes. The interviews were transcribed verbatim and analysed by categorising of meaning. Residents perceived the nursing home as their home, but at the same time not 'a home'. This essential ambiguity created the tension from which the categories of perceptions of quality emerged. Four main categories of quality of care experience were identified: 'Being at home in a nursing home', 'Paying the price for 24-hour care', 'Personal habits and institutional routines', and 'Meaningful activities for a meaningful day'. Ambiguities concerning the nursing home as a home and place to live, a social environment in which the residents experience most of their social life and the institution where professional health service is provided were uncovered. High-quality care was when ambiguities were managed well and a home could be created within the institution. Implication for practice. Achieving quality care in nursing homes requires reconciling the ambiguities of the nursing home as a home. This implies helping residents to create a private home distinct from the professional home, allowing residents' personal habits to guide institutional routines and supporting meaningful activities. Using these resident developed quality indicators is an important step in improving nursing home services. © 2012 Blackwell Publishing Ltd.

  17. 不同类型咬合板对颞下颌关节紊乱病疼痛患者咀嚼肌肌电的影响%Effect of Two Different Kinds of Occlusal Splints on Electromyography of TMD Patients

    Institute of Scientific and Technical Information of China (English)

    陈婷; 廖天安; 詹若军; 吴丽娜

    2012-01-01

    目的:研究松弛型咬合板和稳定型咬合板对急慢性颞下颌关节紊乱病(TMD)疼痛患者颞肌前束(TA)、咬肌(MM)肌电的影响.方法:68例TMD疼痛患者分为急慢性2组,比较分析戴咬合板前和戴咬合板1个月后双侧TA和MM肌电电位.结果:戴板后静息状态下急慢性组患者双侧TA及MM肌电电位均较戴板前明显下降(P<0.05);紧咬状态下急性组戴松弛型咬合板患者双侧TA、MM肌电电位较戴板前明显上升,戴稳定型咬合板患者仅MM肌电电位较戴板前明显上升;慢性组戴松弛型和稳定型咬合板患者MM肌电电位均较戴板前明显上升(P<0.05).结论:松弛型和稳定型咬合板均对咀嚼肌有松弛作用,松弛型咬合板更能明显缓解TMD急性患者肌紧张.%Objective: To analyze the effect of relaxation splint and stabilization splint on electromyography(EMG) of bilateral anterior temporal muscle(TA) and masseter muscle(MM) of patients with TMD. Methods: A total number of sixty-eight TMD patients were divided into two groups (the acute pain group and the chronic pain group)and treated with relaxation splint or stabilization splint. We compared the different records of the EMG of TA and MM in both groups before treatment and after 1 month treatment. Results: Both groups' EMG at rest position decreased remarkably(P<0. 05) after lmonth treatment. In the acute group, EMG of TA and MM with relaxation splint and EMG of MM with stabilization splint increased significantly during maximal voluntary clench. In the chronic group, EMG of MM treated by either relaxation splint or stabilization splint increased significantly. Conclusion: The relaxation splint and stabilization splint can relax the masticatory muscles, the relaxation splint has significant effect on relaxing the masticatory muscles of acute TMD pain patients.

  18. DOE Zero Energy Ready Home Case Study: Palo Duro Homes — Palo Duro Homes, Albuquerque, NM

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder was honored for Most DOE Zero Energy Ready Homes Built in the 2014 Housing Innovation Awards. By July 2014, Palo Duro had completed 152 homes since the program began in 2013 (under the original program title DOE Challenge Home), all of them certified to the stringent efficiency requirements of DOE’s Zero Energy Ready Home program.

  19. At Home with Students

    DEFF Research Database (Denmark)

    Lyngsø, Anita

    2015-01-01

    This article reflects the methodological challenges presented in the research process, where the principle of 'following the field’ means that the researcher must also follow students engaged in online activities in their own homes. The ethnographic studies are a part of a PhD project on “NETeduc......This article reflects the methodological challenges presented in the research process, where the principle of 'following the field’ means that the researcher must also follow students engaged in online activities in their own homes. The ethnographic studies are a part of a PhD project...... on “NETeducation,” a full-scale development project in nursing education (Lyngsø, 2014). With a focus on online professional education as the starting point, the process of research will follow the shifting learning process, through phases in the virtual classroom and in the students’ own homes. Research in online...

  20. [Assessment of our home care and home palliative care].

    Science.gov (United States)

    Midorikawa, Yasuhiko; Suzushino, Seiko; Tamotsu, Kiyokazu

    2014-12-01

    We conducted home care and home palliative care from the department of home care. We provided home care services to 190 patients(105 men, 85 women)in October 2013. Their average age was 78.7(range: 32-102)years old, and home care had been underway from 1 day to 8 years, 10 months. Among all participants, 168(88.4%)suffered from malignant diseases, 168 patients had died, and over half of deceased patients(88 out of 168)had died at home. We used opioids for control of cancer pain, carried out home parenteral nutrition(HPN), home enteral nutrition(HEN), percutaneous endoscopic gastrostomy( PEG), and removed pleural effusion and ascites during home care. In order to facilitate the practice of palliative care by the palliative care team, which consists of various medical staff in the hospital, we are giving high priority to education and enlightenment in the hospital. To provide enlightenment, education, and cooperation between regional home care and home palliative care, we are also conducting educational lectures in the regional party of the Iwaki city medical associate, and providing combined educational-medical training for home care and home palliative care by various medical staff.

  1. 固位纤维牙周夹板配合派丽奥治疗重度牙周病的疗效分析%Treatment of severe periodontal disease by retentive fiber periodontal splint and Periocline

    Institute of Scientific and Technical Information of China (English)

    袁慧娟

    2012-01-01

    笔者为重度牙周病患者制作了固位纤维牙周夹板,并配合派丽奥作牙周治疗,通过术后的定期观察,并与尼龙丝结扎对照,随访6个月,结果表明固位纤维牙周夹板配合派丽奥疗效优于尼龙丝结扎.%A solid fiber periodontal splint was prepared and used with Periocline in the treatment of severe periodontal disease in 20 cases. Nylon ligation was applied in another 20 cases as the control. Solid fiber periodontal splint combined with periocline showed better effects than nylon in 6-month follow-up.

  2. Technologies for Home Networking

    DEFF Research Database (Denmark)

    A broad overview of the home networking field, ranging from wireless technologies to practical applications. In the future, it is expected that private networks (e.g. home networks) will become part of the global network ecosystem, participating in sharing their own content, running IP......-based services and possibly becoming service providers themselves. This is already happening in the so-called "social networks" and peer-to-peer file sharing networks on the Internet - making this emerging topic one of the most active research areas in the wireless communications filed....

  3. At Home with Students

    DEFF Research Database (Denmark)

    Lyngsø, Anita

    2015-01-01

    This article reflects the methodological challenges presented in the research process, where the principle of 'following the field’ means that the researcher must also follow students engaged in online activities in their own homes. The ethnographic studies are a part of a PhD project...... on “NETeducation,” a full-scale development project in nursing education (Lyngsø, 2014). With a focus on online professional education as the starting point, the process of research will follow the shifting learning process, through phases in the virtual classroom and in the students’ own homes. Research in online...

  4. Windows Home Server users guide

    CERN Document Server

    Edney, Andrew

    2008-01-01

    Windows Home Server brings the idea of centralized storage, backup and computer management out of the enterprise and into the home. Windows Home Server is built for people with multiple computers at home and helps to synchronize them, keep them updated, stream media between them, and back them up centrally. Built on a similar foundation as the Microsoft server operating products, it's essentially Small Business Server for the home.This book details how to install, configure, and use Windows Home Server and explains how to connect to and manage different clients such as Windows XP, Windows Vist

  5. Better jobs, better care: building the home care work force.

    Science.gov (United States)

    Surpin, R; Haslanger, K; Dawson, S

    1994-08-01

    This paper focuses on providing quality care in the paraprofessional home care industry. Despite government policies that have encouraged home-based care for 20 years, home health care still remains relegated to second-class status by the rest of the health care industry. Home care is unique because it relies primarily on paraprofessional care delivered by a home care aide working alone, essentially as a guest in the client's home. The resulting interpersonal dynamic between patient and caregiver--which develops far from the eyes of the primary physician, regulators, and third-party payers--is one unlike any other patient-caregiver relationship in the health care system. The quality of care received by the client is linked directly to the quality of the paraprofessional's job: "good jobs" are prerequisite for "good service." Good jobs, however, are not enough. They must be supported by paraprofessional agencies that add real value to the home care service. Part I We define quality home care as meeting the client's needs. Unfortunately, since home care is provided in dispersed, minimally supervised settings, measuring quality of service is very difficult. For this reason, we suggest that it is the front-line employee--the home care aide who is present for hours every visit--who can best determine if the client's needs are being met, and who is best positioned to respond accordingly. Part II To best meet client needs, paraprofessional home care must be built around the home care aide. This requires that home care aides (1) be carefully selected during the hiring process, (2) be well trained, and (3) be empowered with considerable responsibility and capacity to respond to the daily needs of the clients. This Model, one that emphasizes the front-line employee, is in full keeping with the "total quality management" innovations that are currently reorganizing America's service industries. Unfortunately this model is not typically reflected in current paraprofessional

  6. Improvement effect of small splint fixation on treatment extension type supracondylar fracture of the humerus%改良小夹板固定治疗伸直型肱骨髁上骨折70例

    Institute of Scientific and Technical Information of China (English)

    陈李贵

    2014-01-01

    目的:观察伸直型肱骨髁上骨折采用改良小夹板固定的效果。方法:随机将140例伸直型肱骨髁上骨折患者分为治疗组和对照组,每组70例,手法复位后治疗组用改良小夹板固定,对照组用传统小夹板固定,6个月后观察2组疗效。结果:治疗组治愈65.71%、显效27.14%、无效7.14%;对照组治愈50.00%、显效32.86%、无效17.14%。2组相比,差异有统计学意义,治疗组优于对照组( P<0.05)。结论:伸直型肱骨髁上骨折采用改良小夹板固定的效果较好。%Objective:To observe the extension type supracondylar fracture of the humerus the improvement effect of small splint fixa -tion.Methods:140 casesof supracondylar fracture of humerus were divided into treatment group and control group , 70 cases in each group, the treatment group improved after manual reduction with small splint fixation , the control group with traditional splint fixation , to observe the curative effect of two groups after 6 months.Results:Compared with the results of two groups , the difference was statistically significant, the treatment group than the control group (P <0.05).Conclusion:the supracondylar fracture of humerus by improved splint migt be better .

  7. Clinical study on the treatment effects of tensile spring occlusal splint on bruxism patients%开张式双(牙合)垫在治疗磨牙症中的临床应用

    Institute of Scientific and Technical Information of China (English)

    牟明奎; 陆晓丽; 刘洋; 展望; 侯录; 徐实谦

    2011-01-01

    Objective To study the clinical effect of the tensile spring occlusal splint on bruxism.Methods 48 patients of bruxism were treated with the tensile spring occlusal splint, and follow-up examinations were carried out in the following 9 month.Pre-treatment and post-treatment analysis was performed.Paired t-test were conducted to assess the treatment effects.Results 37.5% patients stopped grinding in a month after using occlusal splint, and 47.9% stopped in 9 month.The average grinding frequency each night reduced remarkably ( P <0.01 ) after treatment.Conclusions The tensile spring occlusal splint is one of the effective methods in treating bruxism.%目的 研究开张式双(牙合)垫治疗磨牙症的临床疗效.方法 对48例磨牙症患者应用自制的开张式双(牙合)垫进行治疗,随访9个月.结果 戴用1个月停止磨牙率为37.5%,戴用9个月停止磨牙率为47.9%.戴用前后平均每夜磨牙时间减少有极其显著性(P<0.01).结论 开张式双(牙合)垫是治疗磨牙症的有效方法 之一.

  8. 一种新型开窗式印模树脂夹板的制作方法%A new acrylic resin splint for the open tray implant impression technique

    Institute of Scientific and Technical Information of China (English)

    何赐丁; 王治平

    2016-01-01

    目的:介绍一种新型的种植体转移杆间树脂夹板的制作方法,并评估其临床应用效果。方法:选择牙列缺损或缺失的患者10例,共56颗种植体,口外制作个性化丙烯酸树脂夹板与个别托盘,片切后返回口内重新固定,开窗式取模制作修复体。安装时检查修复体的就位是否顺利,边缘适合性是否良好。结果:所有修复体无1件返工,边缘适合性良好。结论:新型树脂夹板应用于种植开窗式取模,提高了印模的精确性,修复体临床效果良好。%Objective The purpose of this clinical study was to introduce a new acrylic resin splint,and evaluate its clinical outcomes. Methods A total of 56 dental implants in 10 patients were chosen for the present study. The new acrylic resin splints were made in vitro and cut with a small diameter rotary instrument .Then, conifrming the splint and reattaching the copings in vivo. Impressions were made and delivered for the super-structures. Marginal ift was detected when the superstructure were installed. Results The marginal ift of 10 superstructures was satisfying. Conclusion The clinical outcomes of applying the new acrylic resin splint for the open tray implant impressions technique are satisfying.

  9. An enhanced security framework for home appliances in smart home

    National Research Council Canada - National Science Library

    Kang, Won Min; Moon, Seo Yeon; Park, Jong Hyuk

    2017-01-01

    .... These days, smart home service has drawn a lot of attention as a human-centric service. It is the environment where home appliances and other smart devices are connected to internet in order for user service and experience...

  10. But Does It Work in Homes Away From Home?

    Science.gov (United States)

    Levenstein, Phyllis

    1972-01-01

    The experimental Mother-Child Home Program, aimed at the prevention of educational disadvantaged," was shown to be effective in repeated studies away from the home base of the Verbal Interaction Project. (Author/SP)

  11. Home Automation : Smart home technology and template house design

    OpenAIRE

    Zheng, Zeya

    2013-01-01

    In this thesis, home automation’s general knowledge, technology information and each component will be introduced to the reader in the first half of the whole thesis. In the second half, thesis includes the Home Automation template design and market competitiveness analysis. The author assumes that the reader is going to spend lots of money to have a smart home. In this situation, the author introduces the home automation to the reader at each component. So the reader in this thesis actu...

  12. Home Textile Redefined at Intertextile Shanghai Home Textiles

    Institute of Scientific and Technical Information of China (English)

    Gracie; Guo

    2008-01-01

    Organized by China Home Textile Association, The Sub-Council of Textile Industry, CCPIT and Messe Frankfurt (HK) Ltd., Intertextile Shanghai Home Textiles, one of Asia’s most popular home textiles trade shows, returns for its 14th year, 26 – 28 August 2008, at the Shanghai New International Expo Centre, with 100,000 sqm of exhibition space.

  13. Future Home Network Requirements

    DEFF Research Database (Denmark)

    Charbonnier, Benoit; Wessing, Henrik; Lannoo, Bart;

    This paper presents the requirements for future Home Area Networks (HAN). Firstly, we discuss the applications and services as well as their requirements. Then, usage scenarios are devised to establish a first specification for the HAN. The main requirements are an increased bandwidth (towards 1...

  14. Protokoller til Home Automation

    DEFF Research Database (Denmark)

    Kjær, Kristian Ellebæk

    2008-01-01

    computer, der kan skifte mellem foruddefinerede indstillinger. Nogle gange kan computeren fjernstyres over internettet, så man kan se hjemmets status fra en computer eller måske endda fra en mobiltelefon. Mens nævnte anvendelser er klassiske indenfor home automation, er yderligere funktionalitet dukket op...

  15. Composting Begins at Home.

    Science.gov (United States)

    Dreckman, George P.

    1994-01-01

    Reports the results of a year-long home composting pilot program run by the city of Madison, Wisconsin. The study was designed to gather data on the amount and type of materials composted by 300 volunteer households and to determine the feasibility of a full-scale program. (LZ)

  16. School Music Goes Home

    Science.gov (United States)

    Kenney, Susan Hobson

    2012-01-01

    This article explores ways for music teachers to influence music making in the home. Often preschool music programs include parents in the music education process, but when children enter school, the parent connection is not usually continued with the same intensity. This article will serve as a catalyst for further conversations on ways to…

  17. Solar Energy: Home Heating.

    Science.gov (United States)

    Knapp, Henry H., III

    This module on home heating is one of six in a series intended for use as supplements to currently available materials on solar energy and energy conservation. Together with the recommended texts and references (sources are identified), these modules provide an effective introduction to energy conservation and solar energy technologies. The module…

  18. My Home in Beijing

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    In 1989 and 1995, Patricia Leuchtman visited China twice to work as a language editor for Women of China, and during her tenure established a profound friendship with Chinese colleagues. Before leaving off for home in America in May this year, Pat wrote a story for Women of China revealing her experiences while living in the Friendship Hotel in Beijing.

  19. The connected home

    CERN Document Server

    2012-01-01

    First book offering insights into the social shaping of technology and the shaping of human behavior Focuses on how technologies have been designed in the past and how they might be in the future Analyses the effect of social media such as Facebook in the home

  20. School Music Goes Home

    Science.gov (United States)

    Kenney, Susan Hobson

    2012-01-01

    This article explores ways for music teachers to influence music making in the home. Often preschool music programs include parents in the music education process, but when children enter school, the parent connection is not usually continued with the same intensity. This article will serve as a catalyst for further conversations on ways to…

  1. Love Needs a Home

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    This Valentine’s Day could have beend ismaying for two young lovers who de-cided to spend it at home.The host,26-year-old Ye Fei,who is originally from Hubei Province and works as an editor for a news-

  2. Home, Hearth and Computing.

    Science.gov (United States)

    Seelig, Anita

    1982-01-01

    Advantages of having children use microcomputers at school and home include learning about sophisticated concepts early in life without a great deal of prodding, playing games that expand knowledge, and becoming literate in computer knowledge needed later in life. Includes comments from parents on their experiences with microcomputers and…

  3. Tightening Home Purchase Limits

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    More Chinese cities will limit home purchase to cool the red-hot real estate market In June 2011,the average house price in 100 Chinese cities was 8,856 yuan ($1,373)per square meter.Of these cities,house prices in 75 of them increased

  4. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... with educational and simulation materials to learn and practice the skills needed for optimal postoperative recovery. The kit supports ... home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking pen, scissors, ...

  5. Solar Electricity for Homes

    Science.gov (United States)

    Roman, Harry T.

    2012-01-01

    Every day, the sun showers the Earth with millions of times more energy than its people use. The only problem is that energy is spread out over the entire Earth's surface and must be harvested. Engineers are learning to capture and use some of this energy to make electricity for homes. Solar panels make up the heart of a solar system. They can be…

  6. Future Home Network Requirements

    DEFF Research Database (Denmark)

    Charbonnier, Benoit; Wessing, Henrik; Lannoo, Bart

    This paper presents the requirements for future Home Area Networks (HAN). Firstly, we discuss the applications and services as well as their requirements. Then, usage scenarios are devised to establish a first specification for the HAN. The main requirements are an increased bandwidth (towards 1...

  7. HomePort

    DEFF Research Database (Denmark)

    Le Guilly, Thibaut; Olsen, Petur; Ravn, Anders Peter;

    2013-01-01

    Ambient Intelligence systems use many sensors and actuators, with a diversity of networks, protocols and technologies which makes it impossible to access the devices in a common manner. This paper presents the HomePort software, which provides an open source RESTful interface to heterogeneous sen...

  8. Staying safe at home

    Science.gov (United States)

    ... an electrical outlet, make sure it has a battery backup. Some alarms detect both smoke and CO. Make sure that your home heating system and all your appliances are all working correctly. DO NOT leave a car running in a garage, even with the garage ...

  9. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and Workforce Trauma and EMS Cancer and Research Health Information Technology Scope of Practice Pediatric Issues Other Federal ... UOAA). The skills kit contains: A booklet with information on the ... and home management. A DVD with demonstration of each skill Stoma ...

  10. Telemedicine in Neonatal Home Care

    DEFF Research Database (Denmark)

    Garne, Kristina; Brødsgaard, Anne; Zachariassen, Gitte;

    2016-01-01

    BACKGROUND: For the majority of preterm infants, the last weeks of hospital admission mainly concerns tube feeding and establishment of breastfeeding. Neonatal home care (NH) was developed to allow infants to remain at home for tube feeding and establishment of breastfeeding with regular home...... visits from neonatal nurses. For hospitals covering large regions, home visits may be challenging, time consuming, and expensive and alternative approaches must be explored. OBJECTIVE: To identify parental needs when wanting to provide neonatal home care supported by telemedicine. METHODS: The study used...... participatory design and qualitative methods. Data were collected from observational studies, individual interviews, and focus group interviews. Two neonatal units participated. One unit was experienced in providing neonatal home care with home visits, and the other planned to offer neonatal home care...

  11. Genetics Home Reference: breast cancer

    Science.gov (United States)

    ... Facebook Share on Twitter Your Guide to Understanding Genetic Conditions Search MENU Toggle navigation Home Page Search ... Conditions Genes Chromosomes & mtDNA Resources Help Me Understand Genetics Home Health Conditions breast cancer breast cancer Enable ...

  12. Dental plaque identification at home

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003426.htm Dental plaque identification at home To use the sharing ... that collects around and between teeth. The home dental plaque identification test shows where plaque builds up. ...

  13. Home-Use Tests - Cholesterol

    Science.gov (United States)

    ... Medical Procedures In Vitro Diagnostics Home Use Tests Cholesterol Share Tweet Linkedin Pin it More sharing options ... a home-use test kit to measure total cholesterol. What cholesterol is: Cholesterol is a fat (lipid) ...

  14. Blood pressure monitors for home

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/007482.htm Blood pressure monitors for home To use the sharing features ... ask you to keep track of your blood pressure at home. To do this, you will need ...

  15. Genetics Home Reference: spondylocostal dysostosis

    Science.gov (United States)

    ... Facebook Share on Twitter Your Guide to Understanding Genetic Conditions Search MENU Toggle navigation Home Page Search ... Conditions Genes Chromosomes & mtDNA Resources Help Me Understand Genetics Home Health Conditions spondylocostal dysostosis spondylocostal dysostosis Enable ...

  16. Evolution of Home Automation Technology

    Directory of Open Access Journals (Sweden)

    Mohd. Rihan

    2009-01-01

    Full Text Available In modern society home and office automation has becomeincreasingly important, providing ways to interconnectvarious home appliances. This interconnection results infaster transfer of information within home/offices leading tobetter home management and improved user experience.Home Automation, in essence, is a technology thatintegrates various electrical systems of a home to provideenhanced comfort and security. Users are grantedconvenient and complete control over all the electrical homeappliances and they are relieved from the tasks thatpreviously required manual control. This paper tracks thedevelopment of home automation technology over the lasttwo decades. Various home automation technologies havebeen explained briefly, giving a chronological account of theevolution of one of the most talked about technologies ofrecent times.

  17. Pediatric home healthcare: a paradox.

    Science.gov (United States)

    Krepper, R; Young, A; Cummings, E

    1994-01-01

    Although parents may welcome having their ill child cared for at home, they are not prepared to compromise privacy and family rituals, nor share control of their child. The purpose of this article is to provide a snapshot of problems that parents have encountered with pediatric home healthcare. Home care parents offer suggestions for other parents and home healthcare nurses and agencies, encouraging them to be proactive in preventing potential problems.

  18. Home-based Healthcare Technology

    DEFF Research Database (Denmark)

    Verdezoto, Nervo

    of these systems target a specific treatment or condition and might not be sufficient to support the care management work at home. Based on a case study approach, my research investigates home-based healthcare practices and how they can inform future design of home-based healthcare technology that better account...

  19. Home Visiting in Two Cultures

    Science.gov (United States)

    Lamorey, Suzanne

    2017-01-01

    The home visiting component of early childhood education programs provides an important portal through which to observe family interactions as well as gain insights about the ethnotheories of the home visitor. Home visits were videotaped in the United States and in Turkey to analyze training and program effectiveness. One striking feature of this…

  20. Racial Inequalities in Home Ownership.

    Science.gov (United States)

    Jackman, Mary R.; Jackman, Robert W.

    1980-01-01

    Throughout the United States, the probability of home ownership is considerably lower for Blacks than for Whites who are comparable in terms of socioeconomic characteristics, family composition, and location. Outside the South, Black owner-occupied homes are worth considerably less than the homes of comparable Whites. (Author/GC)

  1. Home advantage in professional tennis

    NARCIS (Netherlands)

    Koning, Ruud H.

    2011-01-01

    Home advantage is a pervasive phenomenon in sport. It has been established in team sports such as basketball, baseball, American football, and European soccer. Attention to home advantage in individual sports has so far been limited. The aim of this study was to examine home advantage in professiona

  2. Legal Issues in Nursing Homes.

    Science.gov (United States)

    Kapp, Marshall B.

    This paper examines the variety of legal rules and processes which have been established to assess and ensure that the quality of care provided in nursing homes satisfies an acceptable level. It begins with a general overview of nursing home law. Areas discussed in this section include: (1) sources of nursing home law; (2) theories of liability;…

  3. Guide to Home Energy Assessments

    Energy Technology Data Exchange (ETDEWEB)

    None

    2011-02-01

    A proper home energy assessment (also called a home energy audit) will tell you how much energy you use in your house, the most cost-effective measures you can take to improve the energy efficiency of your home, and how to save money on energy bills.

  4. Home care outsourcing strategy.

    Science.gov (United States)

    Drake, Paul R; Davies, Bethan M

    2006-01-01

    This paper aims to help public sector managers that are formulating strategies for outsourcing home care from the independent sector. A review was performed of relevant literature on the outsourcing of home care and its political drivers in the U.K. This indicates that the future of home care services, taking into consideration outsourcing and how Best Value will be achieved, has not been researched widely. Therefore, an exploratory approach to research was adopted here using in-depth analysis of a small number of particularly informative local authorities and private providers selected by purposive/judgemental (extreme and critical case) sampling. Personal contact was deemed necessary in order to perform an intensive investigation to pursue in-depth information. The British Government's Best Value regime is driving local authorities towards increasing levels of outsourcing in the provision of home care. A local authority may choose to outsource all of its home care or maintain some in-house provision based on capacity or capabilities that are complementary to those provided by the independent sector. The 100 per cent outsourcing strategy places enabling demands on the local authority, whereas the alternative strategy requires decisions to be made on what should be outsourced. Across the authorities surveyed, six strategies for creating a mixed economy of care have been identified, with the mix being based on complementary capacity and/or capabilities. With Best Value driving authorities to consider lower-cost options, the outcome may be a reduction in the amount of complementary capacity provided in-house, in favour of strategies involving complementary capabilities that deliver the Best Value possible. Re-enablement is emerging as a common, complementary or core capability that is remaining in-house. Outsourcing also requires decisions to be made on the number of independent providers to be used and the type of contracts to be employed. This paper considers the

  5. Ensaios de arrancamento e de empuxamento aplicados a taliscas de bambu encravadas em corpos-de-prova de solo-cimento Pull-out and push-in tests of bamboo splint embedded in soil-cement specimen

    Directory of Open Access Journals (Sweden)

    Wilza G. R. Lopes

    2002-12-01

    Full Text Available Neste trabalho, taliscas de bambu da espécie Dendrocalamus giganteus, engastadas em corpos-de-prova de solo-cimento, foram submetidas a ensaios de arrancamento (pull-out e de empuxamento (push-out a fim de se determinar sua resistência de aderência. Para esta finalidade, foi utilizado um solo-cimento feito a partir de um solo arenoso que continha aproximadamente 70% de areia. Corpos-de-prova de solo-cimento, de 15 cm de diâmetro e 30 cm de altura, foram moldados com 14% de cimento na umidade ótima de 10,7%. As taliscas de bambu foram preparadas com 2 cm de largura e comprimentos de 40, 50 e 60 cm, para o ensaio de arrancamento, e de 70 cm para o ensaio de empuxamento. Metade das taliscas foi deixada sem tratamento impermeabilizante e a outra metade foi revestida com emulsão asfáltica, impregnada com areia limpa grossa, para produzir uma superfície áspera e garantir melhor aderência com o solo-cimento. Os corpos-de-prova de solo-cimento com as taliscas de bambu engastadas, foram deixados a curar em câmara úmida, durante 28 d, antes de serem ensaiados. Ambos os ensaios foram realizados em uma máquina universal de ensaio adaptada, sendo as deformações medidas com um relógio comparador aferido, de sensibilidade igual a 0,01 mm. A resistência de aderência, quer fosse determinada pelo ensaio de arrancamento quer pelo ensaio de empuxamento, foi obtida dividindo-se a máxima carga verificada no ensaio pela área lateral da talisca de bambu efetivamente engastada no solo-cimento. Os melhores resultados foram obtidos sem aplicação de material impermeabilizante, para o ensaio de arrancamento, enquanto nenhuma diferença foi observada entre os dois tratamentos para o ensaio de empuxamento.In this study, Dendrocalamus giganteus bamboo splints (split culm embedded in soil-cement specimens were submitted to pull-out and push-in tests in order to determine its bonding strength. For this purpose a sandy soil was utilized. The 15.0 cm diameter

  6. Home care A to Z.

    Science.gov (United States)

    Killeen, M E

    1994-12-01

    My home care agency gives out little gold pins to employees to mark an anniversary. Now that I have one I feel confident in telling the real story about home care. I don't mean the dull paragraphs buried in the Policies and Procedures Manual or the dry information presented in our agency's mission. I am talking about the truth that every social worker, nurse, home care aide, or physical or occupational or speech therapist faces daily in visits to clients' homes. I dream of the day that this primer will be integrated into each new staff person's orientation. Here is the working bible of home care from A to Z.

  7. Home automation on the move:

    OpenAIRE

    Imperl, Bojan; Jeřabek, Boro; Šoštarič, Andrej

    2003-01-01

    In this article we would like to show how an arbitrary home and building electronic system based on the home automation standards such as Xl0 might be addressed and controlled by an appropriate mobile technology. Urge for mobility of users, which may be at the same time either the inhabitants of these homes or even administrators and supporters, is growing. The possibility to control and observe the status of home appliances while being on the move away from home using our mobile phones is be...

  8. Bone splint technique and plating application in adolescent high-energy comminuted fracture of distal femur with bone defects

    Institute of Scientific and Technical Information of China (English)

    LIU Hui; DING Zhen-qi; ZHAI Wen-liang; KANG Liang-qi; YAO Xiao-tao

    2008-01-01

    @@ Comminuted fracture of distal femur is a common lower limb injury from traffic accidents, especially from motor accidents. Routine dynamic condylar screw ( DCS ) or 95-degree condylar plate ( CP ) sometimes cannot solve the bone defect in the center of alignment and contralateral diaphysis for the reason of absent screw anchor point, especially for AO C2. 2-2. 3 types.

  9. Energy comes home

    Energy Technology Data Exchange (ETDEWEB)

    Aune, Margrethe [Department of Interdisciplinary Studies of Culture, Norwegian University of Science and Technology (NTNU), 7491 Trondheim (Norway)

    2007-11-15

    The growth in private energy consumption is an increasing problem in western countries. From an environmental point of view, this consumption has to be reduced. On the basis of two Norwegian case studies, this article discusses private energy consumption and possibilities for reduction, with a special focus on the home. It argues against a rational economic view of the consumer and emphasizes the significance of a more subtle understanding of private energy use. The article approaches the challenges of reducing private energy consumption by analysing the domestication of the home and discusses everyday life activities as well as the phenomenon of rebuilding and redecorating. By using the concept of domestication, the article challenges the linear understanding of technological as well as behavioural change. Private energy consumption is part of a complex network and it is necessary to understand this network in order to achieve a more permanent reduction. (author)

  10. Health Smart Home

    Directory of Open Access Journals (Sweden)

    Ahmad Choukeir

    2010-11-01

    Full Text Available We present in this paper a study and an experimental medical tele-surveillance system for maintaining patients at home. The aim of this paper is to demonstrate how combining many kinds of technologies starting with sensors connected to the patient then using wireless technology (ZigBee to transmit information and finally analysis and detection of critical situation such as falls, ECG problems, hypothermia hyperthermia by using a GUI created to fulfill these missions. Many physiological parameters can be studied but we tended in our project to study ECG signal, heart rate, temperature of the patient, fall detection and medication reminder. Results obtained allow the user to visualize online the parameters and to detect any problem that occurs, so by using this system we can observe the status of the patient during his normal life at his home.

  11. At Home with Students

    DEFF Research Database (Denmark)

    Lyngsø, Anita

    2015-01-01

    This article reflects the methodological challenges presented in the research process, where the principle of 'following the field’ means that the researcher must also follow students engaged in online activities in their own homes. The ethnographic studies are a part of a PhD project...... on “NETeducation,” a full-scale development project in nursing education (Lyngsø, 2014). With a focus on online professional education as the starting point, the process of research will follow the shifting learning process, through phases in the virtual classroom and in the students’ own homes. Research in online...... contexts demands a rethinking of the traditional ethnographic approach (Hammersley, 2006; Hine, 2005), sharpening the focus on the online and offline contexts, and the shifting between them (Webster, da Silva, 2013). The methodological reflections in the first part of this article can relate...

  12. At Home with Students

    DEFF Research Database (Denmark)

    Lyngsø, Anita

    2015-01-01

    on “NETeducation,” a full-scale development project in nursing education (Lyngsø, 2014). With a focus on online professional education as the starting point, the process of research will follow the shifting learning process, through phases in the virtual classroom and in the students’ own homes. Research in online......This article reflects the methodological challenges presented in the research process, where the principle of 'following the field’ means that the researcher must also follow students engaged in online activities in their own homes. The ethnographic studies are a part of a PhD project...... contexts demands a rethinking of the traditional ethnographic approach (Hammersley, 2006; Hine, 2005), sharpening the focus on the online and offline contexts, and the shifting between them (Webster, da Silva, 2013). The methodological reflections in the first part of this article can relate...

  13. Home range dynamics of the Tehuantepec Jackrabbit in Oaxaca, Mexico Dinámica del ámbito hogareño de la liebre de Tehuantepec en Oaxaca, México

    Directory of Open Access Journals (Sweden)

    Arturo Carrillo-Reyes

    2010-04-01

    Full Text Available Information on the spatial ecology of the Tehuantepec jackrabbit (Lepus flavigularis is important for developing management strategies to preserve it in its habitat. We radio-collared and monitored 60 jackrabbits from May 2006 to April 2008. We estimated annual and seasonal home ranges and core areas by using the fixed-kernel isopleth to 95% and 50% of confidence, respectively. This jackrabbit showed a highly variable seasonal home range: 1.13 ha to 152.61 ha for females and 0.20 ha to 71.87 ha for males. Annual and seasonal home ranges and core areas of females were significantly wider than male home ranges. There was considerable overlap of ranges within and between sexes, with the home range of each jackrabbit overlapping with the ranges of 1 to 46 other individuals. Home range and overlap analysis confirms that the Tehuantepec jackrabbit is a polygamous and non-territorial species. Conservation of savannas and grassy dunes is indispensable to assure the survival of the species.La información sobre la ecología espacial de la liebre de Tehuantepec (Lepus flavigularis es importante para el desarrollo de estrategias de manejo para conservar su hábitat. Se radio-marcaron y monitorearon 60 liebres, desde mayo del 2006 hasta abril del 2008. Se estimó el valor del ámbito hogareño anual y su área núcleo utilizando el método de la isopleta de Kernel fijo con 95% y 50% de confianza, respectivamente. Esta especie de liebre mostró un ámbito hogareño estacional altamente variable: de 1.13 ha a 152.61 ha para las hembras y de 0.20 ha a 71.87 ha para los machos. El ámbito hogareño anual y estacional así como sus áreas núcleo fueron significativamente mayores para las hembras que para los de los machos. Se encontró un traslape considerable de las áreas de actividad entre sexos y entre individuos, cada liebre traslapó su ámbito hogareño con 1 a 46 individuos. El análisis de ámbito hogareño y traslape confirma que la liebre de

  14. The Effect of Non-Contact Conditions in a Splinted Fixed Partial Denture on the Load Sharing Mechanism: A Finite Element Study

    Institute of Scientific and Technical Information of China (English)

    M.Z.Bendjaballah

    2012-01-01

    A computer-aided design model for a fixed partial denture was constructed and used in a finite element analysis to study the overall load sharing mechanism between the fixed partial denture and oral structures while the denture base rested on the alveolar ridge.To investigate the consequences of non-contact conditions,three additional models were generated incorporating a uniform clearance of 0.125 mm,0.25 mm,and 0.5 mm,respectively.A 100 N static load located at the free end of the prosthesis was applied while the distal portion of the jaw was set fixed.The results show that whilst releasing the ridge almost entirely,the presence of the clearance drastically increased the load on the splinting teeth.A pull-out force on the canine tooth of about 44 N was computed,accompanied by a mesio-distal moment of about 500 N.cm.The combination of which was similar to the tooth extraction maneuver performed by the dentist.In contrast,the second premolar was found to bear a push-in force of almost 115N.The first molar,though barely solicited in the contact condition,became substantially loaded in non-contact conditions,which validates the choice of sacrificing three teeth to support the denture.

  15. [Aromatherapy in nursing homes].

    Science.gov (United States)

    Barré, Lucile

    2015-01-01

    Pierre Delaroche de Clisson hospital uses essential oils as part of its daily organisation for the treatment of pain and the development of palliative care. The setting up of this project, in nursing homes and long-term care units, is the fruit of a complex mission carried out by a multidisciplinary team, which had to take into account the risks involved and overcome a certain amount of reluctance.

  16. Alone at home

    Directory of Open Access Journals (Sweden)

    Hannu Pääkkönen

    2008-11-01

    Full Text Available Recently there has been much public discussion about children spending long afternoons alone at home. It has been claimed that spending a lot of time alone makes children vulnerable to many kinds of risk behaviour, such as smoking, use of alcohol and drugs, depression and poor school performance. Concerns have also been voiced about children’s unsupervised television watching, playing of computer games and surfing on the Internet. Yet, do we actually know how long the times are that children do spend alone at home and what do they do during that time? The purpose of this paper is to study how much time youngsters in Finland spend alone at home, who are the youngsters who are alone and what do they do when they are alone. The research data are data relating to households from the 1999–2000 Time Use Survey of Statistics Finland. The data cover the shared days of fami-lies with children on which all family members aged 10 or over kept a time use diary. The respondents recorded into the diaries at 10-minute accuracy whether they were alone or together with children aged under 10 belong-ing to the same household, other members of the household, or with other people they knew. Besides the data concerning being alone or together with somebody, the paper also exploits diary information on whether other members of the household were at home at the time in question. The scope of the study is limited to school stu-dents aged from 10 to 18. The material contains data on 191 schooldays and 229 days off school.

  17. Reassessing (home-)regionalisation

    OpenAIRE

    Thomas Osegowitsch; André Sammartino

    2008-01-01

    Alan Rugman and co-authors argue that globalisation, and with it global strategy, is a myth. This contention rests on a taxonomy of the world's largest firms based on their sales, showing an overwhelming share of home-regional firms. We question the rationales underpinning their classification scheme. When retesting the data using different schema we find that the original results are far from robust, with a significant share of firms attaining bi-regional or global status. Further longitudin...

  18. Where Is My Home?

    Institute of Scientific and Technical Information of China (English)

    1997-01-01

    WHEN I was asked where my home was the name of the unknown county would always escape my lips. By then I had been in this fancy metropolis for quite a few years. It had accompanied me to do everything and my family, my habits and whatever I had had all been merged with the city. But still I didn’t know why I believed that remote and nameless village

  19. [Induced abortion at home].

    Science.gov (United States)

    Jørgensen, Hilde; Qvigstad, Erik; Jerve, Fridtjof; Melseth, Eldbjørg; Eskild, Anne; Nielsen, Christopher S

    2007-09-20

    Medically induced abortion through week 9 is a well established procedure. The article concerns satisfaction among women who choose to do this at home, and possible associations between satisfaction, socio-demographic--and clinical factors. 110 women with pregnancy duration questionnaires filled in before and 1 and 3 weeks after the abortion. The degree of satisfaction was recorded on a scale from 1 to 10, where 1 was not content and 10 was very content. Follow-up data were available for 105 women. 90 of 105 women were very content (> 7 on the satisfaction scale) with the treatment. Discomfort and pain during the abortion and marital status seemed to influence the results. The degree of pain varied much. No serious complications were observed. The study showed a high degree of satisfaction with medically induced abortion at home early in the pregnancy. The study has a relatively small sample size and no control group, so the results on factors affecting satisfaction are uncertain. Medical abortion at home should be an opportunity for women applying for early pregnancy termination; as long as the women are well informed, are offered sufficient pain relief and a well functioning follow-up programme.

  20. My Home Is My Stage: Restaurant Experiences in Two Estonian Lifestyle Enterprises

    Directory of Open Access Journals (Sweden)

    Ester Võsu

    2011-12-01

    Full Text Available This article discusses recent developments in the home-based lifestyle business featuring the example of two cases: Tammuri farm restaurant near Otepää in South Estonia, and home restaurant MerMer in Kolga-Aabla in North Estonia. We study the restaurants from a Goffmanian performance perspective, focusing on the lifestyle entrepreneur's viewpoint of creating a restaurant experience in their homes. Accordingly, the home and its surroundings are considered a setting in which food has an important role as a performance medium and multiple roles are enacted by a single entrepreneur as a performer. Freshness, quality and locality of food, homeliness and personalised service are used for creating a special home restaurant meal experience. The two cases also shed light on the dynamics of the concepts of home and lifestyle entrepreneurship in contemporary Estonia, challenging the understanding of restaurant cuisine and home cooking as oppositional practices of food preparation and consumption.

  1. Home education: Constructions of choice

    Directory of Open Access Journals (Sweden)

    Ruth MORTON

    2010-10-01

    Full Text Available Families who choose to home educate generally do so due to dissatisfaction with schoolbased education. Common perceptions of home educators oscillate between images of the 'tree-hugging hippy' and the 'religious fanatic'. Whilst attempting to go beyond suchstereotypical dichotomies, this paper will examine three very different groupings of home educators and their varying constructions of childhood and the social world, demonstratingthe spectrum between home education as an expression of human rights and of fundamentalism. The first grouping construct home education as a 'natural' choice, often presented in political opposition to existing social structures. For the second grouping home education is predominantly a 'social' choice relating to the conscious transmission of various forms of capital. Finally there are 'last resort' home educators for whom home education is not perceived as a choice. Based on qualitative research, this paper will argue that, even where home education is constructed as natural, the social aspects and impacts of home education choices cannot be ignored.

  2. Clinical and electrophysiological evaluation of nocturnal splinting on carpal tunnel syndrome%腕管综合征夜间夹板治疗的临床和电生理评估

    Institute of Scientific and Technical Information of China (English)

    翁超; 初红; 彭彬; 柯应兵; 王文华; 董红娟; 卢祖能

    2010-01-01

    Objective To assess the effectiveness of nocturnal splinting on carpal tunnel syndrome (CTS) by clinical scores and nerve conduction studies (NCS), and explore their correlations.Methods Forty-one patients (64 wrists), chosen from 66 consecutive patients with CTS from April 2009 to January 2010 meeting the inclusion criteria, were enrolled. The enrolled subjects were clinically evaluated by symptom severity scale (SSS) and functional status scale (FSS), and electrophysiologically evaluated by conventional nerve conduction studies (NCS); distal motor latency (DML) of wrist-abductor pollicis brevis, sensory conduction velocity (SCV) of wrist-index finger and wrist-ring finger, and the differences of distal sensory latency between the median and ulnar nerves (△DSL) were measured. The patients were instructed to use each splint on dorsal and palmar surface of the hand, centered at the distal wrist crease, to fix the wrist in neutral posture at bedtime. SSS, FSS and NCS were evaluated before splinting and (3.03±1.16) months after splinting; the follow-up was completed in 29 patients (31 wrists).Results (1) The abnormality rates of DML, wrist-index finger SCV, wrist-ring finger SCV and△DSL were 85.9%, 78.1%, 81.3% and 96.9%, respectively. (2) The SSS scores (1.55±0.38), FSS scores (1.40±0.27) and△DSL (1.24±0.61) after splinting was significantly decreased as compared with those before splinting (1.77±0.38, 1.53±0.31, 0.97±0.60); and the DML [4.14±0.76 (ms)] after splinting was significantly shortened as compared with that before splinting [4.53±1.25 (ms)]. No improvement of clinical scores was noted in 9 patients (14 wrists, 45.8%) after splinting. (3) The SSS scores were less significantly correlated to DML (r=0.420, P=0.019), wrist-index finger SCV (r=-0.425, P=0.017),wrist-ring finger SCV (r=-0.519, P=0.003), and no correlation between SSS scores and△DSL was noted (r=0.189, P=0.309); no correlation between FSS scores and the parameters of NCS was

  3. Alert management for home healthcare based on home automation analysis.

    Science.gov (United States)

    Truong, T T; de Lamotte, F; Diguet, J-Ph; Said-Hocine, F

    2010-01-01

    Rising healthcare for elder and disabled people can be controlled by offering people autonomy at home by means of information technology. In this paper, we present an original and sensorless alert management solution which performs multimedia and home automation service discrimination and extracts highly regular home activities as sensors for alert management. The results of simulation data, based on real context, allow us to evaluate our approach before application to real data.

  4. Home, bitter sweet home. A psychoanalytic reading.

    Science.gov (United States)

    Tylim, Isaac

    2014-06-01

    The paper offers a psychoanalytic reading of the popular TV series "Homeland." The series' manifest content centers on terrorism and counterterrorism. From a dynamic perspective, the viewer is invited to mistrust what is represented, and focus on the tension between what is projected on the screen and what remains hidden in the narrative's intriguing subtexts. These are: the choreography of internal and external reality, a recurrent theme of longing for the absent, idealized pre-Oedipal father, and attempts to transform memories of horror.

  5. Factor substitution in nursing homes.

    Science.gov (United States)

    Cawley, John; Grabowski, David C; Hirth, Richard A

    2006-03-01

    This paper studies factor substitution in one important sector: the nursing home industry. Specifically, we measure the extent to which nursing homes substitute materials for labor when labor becomes relatively more expensive. From a policy perspective, factor substitution in this market is important because materials-intensive methods of care are associated with greater risks of morbidity and mortality among nursing home residents. Studying longitudinal data from 1991 to 2000 on nearly every nursing home in the United States, we use the method of instrumental variables (IV) to address measurement error in nursing home wages. The results from the IV models yield evidence of factor substitution: higher nursing home wages are associated with greater use of psychoactive drugs and lower quality.

  6. Telemedicine in Neonatal Home Care

    DEFF Research Database (Denmark)

    Holm, Kristina Garne; Brødsgaard, Anne; Zachariassen, Gitte

    2016-01-01

    visits from neonatal nurses. For hospitals covering large regions, home visits may be challenging, time consuming, and expensive and alternative approaches must be explored. OBJECTIVE: To identify parental needs when wanting to provide neonatal home care supported by telemedicine. METHODS: The study used...... participatory design and qualitative methods. Data were collected from observational studies, individual interviews, and focus group interviews. Two neonatal units participated. One unit was experienced in providing neonatal home care with home visits, and the other planned to offer neonatal home care...... with the neonatal unit, and (4) an online knowledge base on preterm infant care, breastfeeding, and nutrition. CONCLUSIONS: Our findings highlight the importance of neonatal home care. NH provides parents with a feeling of being a family, supports their self-efficacy, and gives them a feeling of security when...

  7. Understanding Nursing Home Worker Conceptualizations about Good Care

    Science.gov (United States)

    Chung, Gawon

    2013-01-01

    This study explored how direct care workers in nursing homes conceptualize good care and how their conceptualizations are influenced by external factors surrounding their work environment and the relational dynamics between them and residents. Study participants were drawn from a local service employees' union, and in-depth interviews were…

  8. Inflation protection from home-ownership : Long-run evidence

    NARCIS (Netherlands)

    Brounen, Dirk; Eichholtz, P.; Staetmans, S.; Theebe, Marcel

    2014-01-01

    This article examines the inflation hedging capacity of the private home. We employ unique long-term data for inflation, house price dynamics and rents for Amsterdam dating back to 1814, allowing us to study total housing returns in different inflation regimes and for varying investment horizons.

  9. Heterogeneous Device Discovery Framework for the Smart Homes

    NARCIS (Netherlands)

    Warriach, Ehsan Ullah; Kaldeli, Eirini; Bresser, Jaap; Lazovik, Alexander; Aiello, Marco

    2011-01-01

    The future home will be pervaded by mobile and stationary devices which need to dynamically connect and coordinate in order to seamlessly help people in accomplishing their tasks. However, for this vision to become a reality, it is important for researcher and developer to build applications that

  10. Heterogeneous Device Discovery Framework for the Smart Homes

    NARCIS (Netherlands)

    Warriach, Ehsan Ullah; Kaldeli, Eirini; Bresser, Jaap; Lazovik, Alexander; Aiello, Marco

    2011-01-01

    The future home will be pervaded by mobile and stationary devices which need to dynamically connect and coordinate in order to seamlessly help people in accomplishing their tasks. However, for this vision to become a reality, it is important for researcher and developer to build applications that co

  11. Home advantage in Greek football.

    Science.gov (United States)

    Armatas, Vasilis; Pollard, Richard

    2014-01-01

    Home advantage as it relates to team performance at football was examined in Superleague Greece using nine seasons of game-by-game performance data, a total of 2160 matches. After adjusting for team ability and annual fluctuations in home advantage, there were significant differences between teams. Previous findings regarding the role of territorial protection were strengthened by the fact that home advantage was above average for the team from Xanthi (P =0.015), while lower for teams from the capital city Athens (P =0.008). There were differences between home and away teams in the incidence of most of the 13 within-game match variables, but associated effect sizes were only moderate. In contrast, outcome ratios derived from these variables, and measuring shot success, had negligible effect sizes. This supported a previous finding that home and away teams differed in the incidence of on-the-ball behaviours, but not in their outcomes. By far the most important predictor of home advantage, as measured by goal difference, was the difference between home and away teams in terms of kicked shots from inside the penalty area. Other types of shots had little effect on the final score. The absence of a running track between spectators and the playing field was also a significant predictor of goal difference, worth an average of 0.102 goals per game to the home team. Travel distance did not affect home advantage.

  12. Energy on the Home Front

    Science.gov (United States)

    Murphy, Thomas W.

    2011-11-01

    This article explores a variety of ways to measure, adjust, and augment home energy usage. Particular examples of using electricity and gas utility meters, power/energy meters for individual devices, whole-home energy monitoring, infrared cameras, and thermal measurements are discussed—leading to a factor-of-four reduction in home energy use in the case discussed. The net efficiency performance of a stand-alone photovoltaic system is also presented. Ideas for reducing one's energy/carbon footprint both within the home and in the larger community are quantitatively evaluated.

  13. The Nest Home

    Energy Technology Data Exchange (ETDEWEB)

    Pickerill, Heath [Missouri Univ. of Science and Technology, Rolla, MO (United States)

    2016-07-11

    The purpose of the project was to build a competitive solar-powered house for the U.S. Department of Energy Solar Decathlon 2015 held in Irvine, California. The house, named the Nest Home, was an innovative design that works with the environment to meet the needs of the occupants, identified as a growing family. Reused materials were instrumental in the design. Three refurbished shipping containers composed the primary structure of the house, creating an open floor plan that defies common architecture for container homes. The exterior siding was made of deconstructed shipping pallets collected locally. Other recycled products included carpet composed of discarded fishing nets, denim batting made of recycled blue jeans that outperform traditional fiberglass insulation in sound proofing and thermal resistance, and kitchen cabinets that were purchased used and refinished. Collectively these elements formed a well-balanced blend of modern design, comfort, and sustainability. The house was Missouri University of Science and Technology’s sixth entry in the DOE Solar Decathlon. Missouri S&T has been invited to compete in six of the seven decathlons held, more than any other university worldwide. The house was brought back to Rolla after the Decathlon in California where it has been placed in its permanent location on the S&T campus.

  14. Evaluating fidelity in home-visiting programs a qualitative analysis of 1058 home visit case notes from 105 families.

    Directory of Open Access Journals (Sweden)

    Thomas Saïas

    Full Text Available OBJECTIVE: Implementation fidelity is a key issue in home-visiting programs as it determines a program's effectiveness in accomplishing its original goals. This paper seeks to evaluate fidelity in a 27-month program addressing maternal and child health which took place in France between 2006 and 2011. METHOD: To evaluate implementation fidelity, home visit case notes were analyzed using thematic qualitative and computer-assisted linguistic analyses. RESULTS: During the prenatal period, home visitors focused on the social components of the program. Visitors discussed the physical changes in pregnancy, and psychological and social environment issues. Discussing immigration, unstable employment and financial related issues, family relationships and dynamics and maternity services, while not expected, were found in case notes. Conversely, health during pregnancy, early child development and postpartum mood changes were not identified as topics within the prenatal case notes. During the postnatal period, most components of the intervention were addressed: home visitors observed the mother's adaptation to the baby; routine themes such as psychological needs and medical-social networks were evaluated; information on the importance of social support and on adapting the home environment was given; home visitors counseled on parental authority, and addressed mothers' self-esteem issues; finally, they helped to find child care, when necessary. Some themes were not addressed or partially addressed: health education, child development, home environment, mother's education plans and personal routine, partner support and play with the child. Other themes were not expected, but found in the case notes: social issues, mother-family relationship, relation with services, couple issues, quality of maternal behavior and child's language development. CONCLUSIONS: In this program, home visitors experienced difficulties addressing some of the objectives because they

  15. Manipulative Reduction and Splint Fixation for the Treatment of Supracondylar Fracture of the Humerus in Children%小儿肱骨髁上骨折的手法复位夹板固定治疗方法

    Institute of Scientific and Technical Information of China (English)

    邢勇

    2015-01-01

    ObjectiveIn view of the problems on the treatment of children humerus condyle fracture, control the reasonable reduction and splint ifxation. Methods Closed with reset splint ifxation treatment process control to improve the treatment of children humerus on the condyle fracture, realize reasonable comprehensive clinical fast effective recovery of the humerus condyle.Results Adopt children humerus condyle fracture clinical treatment technique can improve the comprehensive recovery of children humeral condyle process, reduce the occurrence of sequelae.Conclusion Children humerus condyle fracture problem of manual reduction splint ifxation treatment can effectively accelerate the comprehensive clinical treatment.%目的:针对治疗小儿肱骨髁上骨折的问题,进行合理的复位夹板固定。方法采用复位夹板固定闭合治疗过程控制改善小儿肱骨髁上骨折,实现合理的综合性临床肱骨髁患处的快速有效恢复。结果采用小儿肱骨髁上的骨折临床治疗手法可以改善小儿肱骨髁的综合性的恢复过程,降低后遗症的发生。结论小儿肱骨髁上骨折问题的手法复位夹板的固定治疗可以有效的加快综合性的临床治疗。

  16. (牙合)垫式义齿治疗颞下颌关节紊乱病26例的临床观察%Occlusal splint-denture clinical investigation of 26 cases of treatment of Temporomandibular joint disorders

    Institute of Scientific and Technical Information of China (English)

    张建华; 夏金星; 薛昌敖; 刘炜

    2011-01-01

    Objective Study the therapeutic effect of occlusal splint dentures for treatment of Temporomandibular joint disorders. Methods On 26 cases of multiple teeth with severe tooth wear lead to occlusal vertical dimension is too low and occurs in patients with temporomandibular joint disorders using occlusal splint for denture treatment.observe the treatment effect. Results All 26 cases after months of treatment in patients with 4~28,the original joint symptoms have disappeared.will comply with the conditions for permanent repair. Conclusion For occlusal splint-denture teeth with severe tooth wear caused occlusal vertical dimension arising from the low treatment of Temporomandibular joint disorders have better results.%目的:研究(牙合)垫式义齿用于颞下颌关节紊乱病的治疗效果。方法:对26例多牙缺失伴牙齿重度磨耗导致咬合垂直距离过低而出现颞下颌关节紊乱病患者运用(牙合)垫式义齿进行治疗,观察治疗效果。结果:所有26例患者经4~28个月的治疗后,原有的关节症状均基本消失,均能符合永久性修复的条件。结论:(牙合)垫式义齿对于多牙缺失伴牙齿重度磨耗导致咬合垂直距离过低而出现的颞下颌关节紊乱病有较好的治疗效果。

  17. Acute Myeloid Leukemia - Genetics Home Reference [Genetics Home Reference (Conditions)

    Lifescience Database Archive (English)

    Full Text Available Conditions Genes Chromosomes Handbook Glossary Resources Conditions > Acute Myeloid...te myeloid leukemia with mutated CEBPA Fanconi anemia You may also search Genetics Home Reference for Acut...e Myeloid Leukemia for additional information. Published : October 27, 2014 Acute Myeloid Leukemia - Genetics Home Reference ...

  18. Home Life Skills: Career Related Junior High Home Economics Courseguide.

    Science.gov (United States)

    Aanenson, Gail; And Others

    Designed for use in integrating career education into a one-semester junior high school home economics course, this guide contains eleven home life skills activities and eighteen personal development activities to be integrated into units on foods, grooming and clothing, sewing, personal development, and child development. Student worksheets,…

  19. Nursing home and nursing home physician: the Dutch experience.

    NARCIS (Netherlands)

    Schols, J.M.G.A.; Crebolder, H.F.J.M.; Weel, C. van

    2004-01-01

    Dutch nursing home care today includes a broad range of institutional and outreaching care functions. Medical care is an essential part of this care. Nursing home medicine in The Netherlands has developed as an officially acknowledged medical specialty. This is unique because The Netherlands is the

  20. Influence of the number of layers of paris bandage plasters on the mechanical properties speciments used on orthopedic splints Influência do número de camadas na propriedade mecânica de espécimes fabricados com atadura gessada usados para confeccionar splints ortopédicos

    Directory of Open Access Journals (Sweden)

    Gustavo C. Vieira

    2011-10-01

    Full Text Available OBJECTIVE: To evaluate the effects of varying numbers of layers of plaster of Paris bandages on the mechanical properties of specimens used on the construction of orthopedic splints. METHODS: Rectangular plate-shaped and cylinder-shaped specimens were constructed and assigned to two groups simulating plaster slabs and cast and further divided into six subgroups according to the number of layers used: 3, 6, 8, 10, 12 and 14 layers. The specimens were subjected to either a three-point bending test (plates/slab or compressive strength test (cylinders/cast. The following mechanical properties were evaluated: maximum load, elastic limit load and stiffness. Specimen weight was also calculated. Data was analyzed using Kruskal-Wallis and the least significant difference (LSD tests. RESULTS: Pairwise comparisons of the subgroups 10x12 and 10x14 revealed significant differences for all mechanical properties (pOBJETIVO: Avaliar as propriedades mecânicas de amostras fabricadas a partir de ataduras de gesso que são utilizadas em órteses ortopédicas e que variam quanto ao número de camadas. MÉTODOS: Foram confeccionados espécimes em forma de placa retangular e em forma cilíndrica, divididos em dois grupos que simulavam splint e gesso circular, os quais foram divididos em seis subgrupos de acordo com o número de camadas utilizadas, ou seja, três, seis, oito, dez, 12 e 14 camadas. Os espécimes foram submetidos a um teste de inclinação de três pontos (placas/splint ou teste de resistência à compressão (cilindros/gesso circular. As seguintes propriedades mecânicas foram avaliadas: carga máxima e carga no limite de elasticidade e rigidez. O peso da amostra foi calculado. Os dados foram analisados estatisticamente pelos testes de Kruskal-Wallis e diferença mínima significativa (DMS. Comparações pareadas entre os subgrupos 10x12 e 10x14 revelaram diferenças significativas para todas as propriedades mecânicas (p<0,05. RESULTADOS: Os

  1. Clinical Study Report to Single Compartment Knee Osteoarthritis Treated with Hinged Splint Therapy%铰链活动夹板治疗早中期单间室狭窄膝骨性关节炎临床研究

    Institute of Scientific and Technical Information of China (English)

    郑茂斌; 周铁军; 曾伟; 黎向锋; 蒋艺生; 丘元; 何焕民; 高志敏; 覃洋海; 郑琼; 岑家定

    2012-01-01

    目的:本课题研究使用自制的外固定支具-铰链活动夹板治疗单间室膝骨关节炎(OA)早中期患者的疗效.方法:本课题对铰链活动夹板与传统中药外治两种治疗方法进行随机对比观察:1.病人自评疼痛改善度;2.KSS膝关节功能评分;3.膝关节单间室狭窄角度矫形度.结果:治疗组(铰链活动夹板)治疗临床疗效评定:优15膝,良10膝,可3膝,差2膝.总有效率为93.3%;优于对照组(传统中药外治法).结论:本课题观察结果证明,铰链活动夹板治疗单间室膝骨关节炎(OA)早中期患者关节畸形角度矫正明显,疼痛改善满意,影象指标满意.%Objective: To observe the early and middle's therapeutic efficacy of single compartment knee osteoarthritis (OA) treated by hinged splint treatment as external fixation brace. Methods: All the patients were treated with hinged splint or the traditional Chinese medicine external applyment Improvement of pain, KSS score and orthopedic degree of single compartment narrow angle of knee were analyzed. Results: 15 knees were excellent, 10 knees were better, 3 knees were good and 2 knees were poor in the treatment group (active hinge splint), compared with the control group and the total effective rate was 93. 3% in the treatment group. Conclusion: This method has obvious correction of joint deformity, relief of pain was satisfactory, and index images were also satisfactory for the hinge splint treatment to single compartment knee osteoarthritis (OA).

  2. 微米木纤维颈椎夹板的制备及其弹性模量模型%Preparation of micron wood ifbre cervical splint and its elastic modulus model

    Institute of Scientific and Technical Information of China (English)

    张杨; 马岩

    2015-01-01

    In order to meet the medical criteria in the strength of cervical splints, with micron grade wood ifber as the material, the micron wood ifbre cervical splint was prepared. Through the micro-organisational observation on Populus tomentosa wood ifbre (its density was 0.439 g/cm3 and its moisture content was between12% ~ 15%, it was found that the interior structure of the wood ifbre showed a stable honeycombed unidirectional spongy structure. The wood ifbre had good toughness and intensity when it was cut into the micron wood ifbre (average thickness 52mm) and it can be uses in medical cervical splint manufacturing after molded. By calculating the elastic modulus values under the different pavement states of wood ifbers, it also could be found that in the molding process, the ifber size, density, amount of compression, amount of glue, gluing effect and other factors all will cause influences to the elastic modulus of the cervical splint.%为制备出在强度上满足医用条件的颈椎夹板,以微米级的木纤维为材料,通过对密度0.439 g/cm3、含水率12%~15%的毛白杨进行微观组织观察,发现木材内部呈现稳定的蜂窝状单向多孔结构,用其切削出平均厚度为52 mm的木纤维,具有良好的韧性和强度,经过模压可用于制造医用颈椎夹板。对木纤维不同铺装状态下的弹性模量进行计算,得出了在模压过程中纤维尺寸、密度、压缩量、施胶量、胶合程度等因素都会对夹板弹性模量产生一定的影响。

  3. Consistency composition analysis of micron wood ifber medical cervical splint%微米木纤维医用颈椎夹板相容性构成分析

    Institute of Scientific and Technical Information of China (English)

    张杨; 马岩

    2014-01-01

    阐述了微米木纤维作为一种木材加工材料,具有一定生物医用材料的特性。分析了微米木纤维颈椎夹板在医用上的相容性。通过对小兴安岭红松制备木纤维试样的SEM照片观察,发现木纤维材料的多孔结构与人体皮肤有很好的相容性,可提高颈椎夹板的弹性和韧性。在相容性控制上,根据不同密度的木纤维在一定气流作用下产生的压力,可计算出材料的透气率;而对木纤维材料标准重量的计算,可使颈椎夹板的重量满足医用的使用要求。实验得出:根据试样的微观组织分析以及参数的计算,在微米木纤维颈椎夹板模压时控制其模压密度,以达到其与人体皮肤的相容性。%The micron wood fiber, as a wood processing material, has certain characteristics of biomedical materials. The compatibility of micron wood fiber cervical splint on the medical was analyzed. Through the observation of SEM photographs of Xiaoxing’anling pine wood fiber sample, it was found that the porous structure of the wood fiber materials have a good compatibility to human skin, and can improve the flexibility and toughness of the cervical splint. On the compatibility control, air permeability of the material can be calculated depending on the pressure generated by the wood fibers of different density under the action of the air flow. By the calculation of the standard weight for wood fiber material, cervical splint can meet the medical use on weight requirements. The results of the experiments show that according to the analysis of sample microstructure and the calculation of the parameters, the compatibility with the human skin can be achieved by controlling the density when molding the micron wood fiber cervical splint.

  4. Nursing Home Nomads: A Study of Transfers.

    Science.gov (United States)

    Retsinas, Joan

    Researchers have divided nursing home residents into long-stayers and short-stayers. While long-stayers rarely return home, they do not necessarily stay long in one institution. Instead, they may transfer from nursing home to nursing home. Although many studies have examined the impact of relocation on nursing home residents, few studies have…

  5. Exploring Home Education in Japan

    OpenAIRE

    Christopher, Bozek

    2015-01-01

    Homeschooling is very unusual in Japan and therefore many Japanese people are not familiar with the idea at all. This paper presents the definition of homeschooling and some basic principles such as why parents decide to teach at home and what group of people homeschool the most. It also explores the advantages of teaching children at home instead of sending them to school.

  6. Home education: The social motivation

    Directory of Open Access Journals (Sweden)

    Christian W. BECK

    2010-10-01

    Full Text Available Data from a Norwegian survey show correlation between a student’s socially related problems at school and the parent’s social motivation for home education. I argue that more time spent at school by a student could result in more socially related problems at school, which can explain an increase in social motivation for home education.

  7. School Plus Home = Student Success.

    Science.gov (United States)

    Ramos, Nancy; Santos, Ricardo Sotelo

    This handbook was developed to serve as a point of reference in identifying potential dropout problems. Included are several crucial recommendations for establishing an effective partnership between home and school that will help children succeed in school. Recommendations focus on preventive action in the classroom and at home. Artwork and…

  8. Home monitoring of blood pressure

    OpenAIRE

    McGrath, Barry P.

    2015-01-01

    Home blood pressure monitoring is the self-measurement of blood pressure by patients. In the diagnosis and management of high blood pressure it is complementary to 24-hour ambulatory blood pressure monitoring and clinic blood pressure measurements. Home monitoring can also help to identify white-coat and masked hypertension.

  9. Financing home care in Europe.

    NARCIS (Netherlands)

    Genet, N.; Gulácsi, L.; Boerma, W.; Hutchinson, A.; Garms-Homolova, V.; Naiditch, M.

    2010-01-01

    Introduction: Financial incentives are widely used to get better value for money. Incentives can be applied to authorities responsible for home care, or to agencies that provide services or to clients who receive care. Details of the financing system of home care services very much determine the pos

  10. Home education: The social motivation

    OpenAIRE

    Christian W. Beck

    2010-01-01

    Data from a Norwegian survey show correlation between a student’s socially related problems at school and the parent’s social motivation for home education. I argue that more time spent at school by a student could result in more socially related problems at school, which can explain an increase in social motivation for home education.

  11. Home Education: Then and Now

    Science.gov (United States)

    Davies, Richard

    2015-01-01

    Elective Home Education is a legal, minority approach to the compulsory education of children. I review the potential contribution of the historical analysis of "domestic pedagogies", presented in this Special Issue, for home education practice in the UK. By drawing on narratives of a period at the cusp of the perceived normalcy of…

  12. Home Education: Then and Now

    Science.gov (United States)

    Davies, Richard

    2015-01-01

    Elective Home Education is a legal, minority approach to the compulsory education of children. I review the potential contribution of the historical analysis of "domestic pedagogies", presented in this Special Issue, for home education practice in the UK. By drawing on narratives of a period at the cusp of the perceived normalcy of…

  13. Sustainable Home Renovation for Canadians

    NARCIS (Netherlands)

    McKellar, G.

    2011-01-01

    This "designers' manual" is made during the TIDO-course AR0531 Smart & Bioclimatic Design. There is a staggering amount of existing buildings in Canada which were not built to e efficient, sustainable homes. This manual gives openings for renovating your home efficiently by providing practical info

  14. Home Education: The Social Motivation

    Science.gov (United States)

    Beck, Christian W.

    2010-01-01

    Data from a Norwegian survey show correlation between a student's socially related problems at school and the parent's social motivation for home education. I argue that more time spent at school by a student could result in more socially related problems at school, which can explain an increase in social motivation for home education.

  15. The HomePort System

    DEFF Research Database (Denmark)

    Brønsted, Jeppe; Madsen, Per Printz; Skou, Arne;

    2010-01-01

    Residential gateways for home automation are prerequisites to obtain optimal exploitation of energy resources, and they also have the potential to provide a unified operation of various home devices and appliances. Although a number of protocol standards have been proposed, the number...

  16. Implementing guidelines in nursing homes

    DEFF Research Database (Denmark)

    Diehl, Heinz; Graverholt, Birgitte; Espehaug, Birgitte

    2016-01-01

    BACKGROUND: Research on guideline implementation strategies has mostly been conducted in settings which differ significantly from a nursing home setting and its transferability to the nursing home setting is therefore limited. The objective of this study was to systematically review the effects o...

  17. Mapping standards for home networking

    NARCIS (Netherlands)

    Kaa, G. van de; Hartog, F.T.H. den; Vries, H.J. de

    2009-01-01

    In this study, we apply a step-by-step approach for the identification of standards for home networking. We develop a classification and we use this classification to categorize sixty-four (sets of) standards. By developing this categorization, we have brought order to the chaos of home networking s

  18. The @Home project

    DEFF Research Database (Denmark)

    Coxon, Ian Robert

    2014-01-01

    , the healthcare sector is struggling to cope with the scale of strain that shifting demographics, rising costs and increasing chronic/complex care is placing on the health system. The shift towards home based care and personal health self-management is seen as offering some possibilities to alleviate......With the future picture of healthcare being shaped by an aging population with more complex and chronic illnesses the health care system is currently overloaded and it has been proposed (at least in Denmark) to increasingly move towards outpatient solutions. This runs the risk of losing therapeutic...... as well as unspecifiable efficacious values in warm-hands interactions currently valued in the hospital based system, replacing them with cold hands approaches provided by new remote monitoring, remote care and tele-medicine based technologies. The focus on the experience of patient health runs the risk...

  19. A Taste of Home

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Ten years ago,it was quite tricky for foreigners to get their hands on imported commodities, like foods,books or medicine.But Beijing now offers a large array of products, allowing expatriates from all walks of life to feel right at home. Food for your body Today,most local supermarkets carry at least a small range of imported foods.But if you’re shopping for specific products,you’ll have more chance to find them in major foreign chains like Wal-Mart and Carrefour.Even better,head to April Gourmet or Jenny Lou’s,two local chains that stock almost exclusively imported commodities.From canned goods to fresh meat,you should be able to find all the ingredients you need to cook that special meal.

  20. Second-home electricity consumption

    DEFF Research Database (Denmark)

    Møller Andersen, Frits; Christensen, M.S.; Jensen, O.M.

    2008-01-01

    In Denmark, electricity consumption in first and second homes has developed quite differently. Since 1990, electricity consumption in ordinary residences has grown moderately, while consumption in weekend and second homes has increased considerably. In turn, this development has been blamed...... on a growing number of luxury cottages, new legislation permitting senior citizens to have their permanent address in their second home and a growing number of electric appliances. In order to examine the growing electricity consumption in second homes and to estimate future demand, a multidisciplinary study...... combining top-down and bottom-up analyses was conducted, i.e., combining models using aggregated economic parameters and feasibility studies using technical parameters, respectively. The top-down estimation showed that changes in electricity consumption in second homes correlate to changes in income...

  1. Second-home electricity consumption

    DEFF Research Database (Denmark)

    Møller Andersen, Frits; Christensen, M.S.; Jensen, O.M.

    2008-01-01

    In Denmark, electricity consumption in first and second homes has developed quite differently. Since 1990, electricity consumption in ordinary residences has grown moderately, while consumption in weekend and second homes has increased considerably. In turn, this development has been blamed...... on a growing number of luxury cottages, new legislation permitting senior citizens to have their permanent address in their second home and a growing number of electric appliances. In order to examine the growing electricity consumption in second homes and to estimate future demand, a multidisciplinary study...... combining top-down and bottom-up analyses was conducted, i.e., combining models using aggregated economic parameters and feasibility studies using technical parameters, respectively. The top-down estimation showed that changes in electricity consumption in second homes correlate to changes in income...

  2. Effects of Elementary School Home Language, Immigrant Generation, Language Classification, and School's English Learner Concentration on Latinos' High School Completion

    Science.gov (United States)

    Zarate, Maria Estela; Pineda, Claudia G.

    2014-01-01

    Background/Context: Relying largely on high school measures of home language use, the literature examining immigrant incorporation in schools provides contradictory evidence of home language effects on educational outcomes. More recent research has demonstrated that home language use is dynamic and thus it is important to examine the implications…

  3. Foraging optimally for home ranges

    Science.gov (United States)

    Mitchell, Michael S.; Powell, Roger A.

    2012-01-01

    Economic models predict behavior of animals based on the presumption that natural selection has shaped behaviors important to an animal's fitness to maximize benefits over costs. Economic analyses have shown that territories of animals are structured by trade-offs between benefits gained from resources and costs of defending them. Intuitively, home ranges should be similarly structured, but trade-offs are difficult to assess because there are no costs of defense, thus economic models of home-range behavior are rare. We present economic models that predict how home ranges can be efficient with respect to spatially distributed resources, discounted for travel costs, under 2 strategies of optimization, resource maximization and area minimization. We show how constraints such as competitors can influence structure of homes ranges through resource depression, ultimately structuring density of animals within a population and their distribution on a landscape. We present simulations based on these models to show how they can be generally predictive of home-range behavior and the mechanisms that structure the spatial distribution of animals. We also show how contiguous home ranges estimated statistically from location data can be misleading for animals that optimize home ranges on landscapes with patchily distributed resources. We conclude with a summary of how we applied our models to nonterritorial black bears (Ursus americanus) living in the mountains of North Carolina, where we found their home ranges were best predicted by an area-minimization strategy constrained by intraspecific competition within a social hierarchy. Economic models can provide strong inference about home-range behavior and the resources that structure home ranges by offering falsifiable, a priori hypotheses that can be tested with field observations.

  4. FastStats: Home Health Care

    Science.gov (United States)

    ... Day Services Centers Home Health Care Hospice Care Nursing Home Care Residential Care Communities Screenings Mammography Pap Tests Disability ... Care National Study of Long-Term Care Providers Nursing Home Care Residential Care Communities Centers for Medicare and Medicaid ...

  5. Getting your home ready - after the hospital

    Science.gov (United States)

    ... 000432.htm Getting your home ready - after the hospital To use the sharing features on this page, ... home ready after you have been in the hospital often requires much preparation. Set up your home ...

  6. ThinkHome Energy Efficiency in Future Smart Homes

    Directory of Open Access Journals (Sweden)

    Reinisch Christian

    2011-01-01

    Full Text Available Abstract Smart homes have been viewed with increasing interest by both home owners and the research community in the past few years. One reason for this development is that the use of modern automation technology in the home or building promises considerable savings of energy, therefore, simultaneously reducing the operational costs of the building over its whole lifecycle. However, the full potential of smart homes still lies fallow, due to the complexity and diversity of the systems, badly engineered and configured installations, as well as the frequent problem of suboptimal control strategies. Summarized, these problems converge to two undesirable conditions in the "not-so-smart" home: energy consumption is still higher than actually necessary and users are unable to yield full comfort in their automated homes. This work puts its focus on alleviating the current problems by proposing a comprehensive system concept, that shall ensure that smart homes can keep their promise in the future. The system operates on an extensive knowledge base that stores all information needed to fulfill the goals of energy efficiency and user comfort. Its intelligence is implemented as and within a multiagent system that also caters for the system's openness to the outside world. As a first evaluation, a profile-based control strategy for thermal comfort is developed and verified by means of simulation.

  7. Splint: the efficacy of orthotic management in rest to prevent equinus in children with cerebral palsy, a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Maas Josina C

    2012-03-01

    Full Text Available Abstract Background Range of motion deficits of the lower extremity occur in about the half of the children with spastic cerebral palsy (CP. Over time, these impairments can cause joint deformities and deviations in the children's gait pattern, leading to limitations in moblity. Preventing a loss of range of motion is important in order to reduce secondary activity limitations and joint deformities. Sustained muscle stretch, imposed by orthotic management in rest, might be an effective method of preventing a decrease in range of motion. However, no controlled study has been performed. Methods A single blind randomised controlled trial will be performed in 66 children with spastic CP, divided over three groups with each 22 participants. Two groups will be treated for 1 year with orthoses to prevent a decrease in range of motion in the ankle (either with static or dynamic knee-ankle-foot-orthoses and a third group will be included as a control group and will receive usual care (physical therapy, manual stretching. Measurements will be performed at baseline and at 3, 6, 9 and 12 months after treatment allocation. The primary outcome measure will be ankle dorsiflexion at full knee extension, measured with a custom designed hand held dynamometer. Secondary outcome measures will be i ankle and knee flexion during gait and ii gross motor function. Furthermore, to gain more insight in the working mechanism of the orthotic management in rest, morphological parameters like achilles tendon length, muscle belly length, muscle fascicle length, muscle physiological cross sectional area length and fascicle pennation angle will be measured in a subgroup of 18 participants using a 3D imaging technique. Discussion This randomised controlled trial will provide more insight into the efficacy of orthotic management in rest and the working mechanisms behind this treatment. The results of this study could lead to improved treatments. Trial Registration Number

  8. Control and understanding: owning your home network

    OpenAIRE

    Mortier, R.; Rodden, T.; Lodge, T.; McAuley, D; Rotsos, C.; Moore, A. W.; Koliousis, A.; Sventek, J.

    2012-01-01

    Wireless home networks are increasingly deployed i people’s homes worldwide. Unfortunately, home networks have\\ud evolved using protocols designed for backbone and enterprise\\ud networks, which are quite different in scale and character to home networks. We believe this evolution is at the heart of widely observed problems experienced by users managing and using their home networks. In this paper we investigate redesign of the home router to exploit the distinct social and physical characteri...

  9. "Home is always home" : (former) street youth in Blantyre, Malawi, and the fluidity of constructing home

    NARCIS (Netherlands)

    Hendriks, T.D.

    2016-01-01

    For many Malawians the concept of home is strongly associated with the rural areas and one's (supposedly rural) place of birth. This 'grand narrative about home', though often reiterated, doesn't necessarily depict lived reality. Malawi's history of movement and labor migration coupled with contempo

  10. Three kinds of periodontal stabilization splints in severe periodontitis of the mandibular anterior teeth:which one is preferred?%三种牙周夹板治疗下前牙重度牙周炎:谁是首选材料?

    Institute of Scientific and Technical Information of China (English)

    高晓蔚; 陈冲; 古力巴哈·买买提力

    2014-01-01

    背景:研究认为夹板固定可促进牙周组织修复和松动牙的预后改善。但夹板传力作用的大小,与夹板材料的刚度以及牙齿和夹板两者之间的密合程度有关系。  目的:比较3种牙周夹板治疗下前牙重度牙周炎的疗效,找出最适合临床牙周夹板固定的材料。  方法:将临床诊断为下前牙重度牙周炎的72例患者随机分为3组,每组24例,分别应用尼龙丝、正畸托槽和超强玻璃纤维3种牙周夹板对牙周炎患牙进行松牙固定治疗,并分别对3组患者治疗后1,6和12个月的临床疗效及各项牙周指数进行比较。  结果与结论:玻璃纤维组牙周夹板固定后的1,6,12个月的临床有效率较高,分别是100%,100%和95.8%;尼龙丝组牙周夹板固定后6,12个月的菌斑指数、出血指数、牙周袋深度3项牙周指标最差,与正畸托槽组及玻璃纤维组比较差异有显著性意义(P OBJECTIVE: To evaluate the therapeutic effects of the nylon composite resin periodontal splint, the fiber-reinforced composite periodontal splint and the bracket periodontal splint on the treatment of severe periodontitis of the mandibular anterior teeth. METHODS:Seventy-two patients with severe periodontitis of the mandibular anterior teeth were randomized into 3 groups, with 24 cases in each group: nylon composite resin periodontal splint, fiber-reinforced composite periodontal splint and bracket periodontal splint groups. The clinical effects of the three kinds of periodontal splints and periodontal indexes were compared at 1, 6 and 12 months after splinting. RESULTS AND CONCLUSION: The clinical effects in the group of the fiber-reinforced composite periodontal splint were significantly better than those in the other two groups at 1, 6, 12 months, which were 100%, 100% and 95.8%, respectively. The plaque index, bleeding index, and pocket depth were worse in the group of the nylon composite resin

  11. Rehabilitation in the nursing home.

    Science.gov (United States)

    Joseph, C L; Wanlass, W

    1993-11-01

    Despite the considerable challenges to providing high-quality rehabilitation in a long-term care facility, growing demographic and fiscal pressures are likely to push the nursing home into the forefront of rehabilitation for the frail elderly. Model programs have been implemented in recent years that present alternative ways to increase access to skilled services and improve quality of care in nursing homes without a drastic increase in costs. The teaching nursing home program has supported projects to make longterm care facilities centers for education, innovative clinical care, and research, thus bringing nursing homes into the mainstream of the medical establishment. A majority of US medical schools have recognized the need for training in long-term care and have formed affiliations with nursing homes. The Department of Veterans Affairs has a large national system of nursing homes, which has made a significant contribution to the training of health professionals in many fields. Demonstration projects such as the Social Health Maintenance Organization and On Lok have sought to decrease the fragmentation of health care services for the elderly and bring nursing homes into a continuum of care. The adoption of the OBRA regulations is building a base for comprehensive assessment and improved provision of care in nursing homes nationwide. Nursing home rehabilitation has the potential to decrease institutionalization in the short-term resident, whereas maintenance therapy can improve quality of life and decrease the cost of caring for patients who must be institutionalized. But to achieve this potential, significant barriers must be overcome. Negative attitudes about aging and nursing homes percolate through all levels of health care from lack of reimbursement at the federal and state levels to the professional priorities that continue to favor "high-tech" medicine and stigmatize nursing homes and those who work in them, to low expectations of caregivers and the

  12. NTI-tss 咬合板治疗咀嚼肌筋膜痛的临床疗效观察%Effects of NTI-tss splint in the treatment of myofascial pain dysfunction syndrome

    Institute of Scientific and Technical Information of China (English)

    孙梅; 刘红

    2014-01-01

    20 patients with myofascial pain dysfunction syndrome(MPDS)were were treated by NTI-tss splint only during night for 2 months.After treatment,VAS decreased(P <0.01)and active maximum mouth opening degree increased(P <0.01).NTI-tss splint is ef-fective in the treatment of MPDS.Its side effect needs to be further observed.%咀嚼肌筋膜痛患者20名,夜间戴用 NTI-tss 咬合板治疗2个月。治疗后,患者咀嚼时咀嚼肌疼痛的 VAS 值较治疗前明显减小(P <0.01),主动最大张口度明显增加(P <0.01),疗效良好,可能存在的副作用有待进一步观察。

  13. Sensor technology for smart homes.

    Science.gov (United States)

    Ding, Dan; Cooper, Rory A; Pasquina, Paul F; Fici-Pasquina, Lavinia

    2011-06-01

    A smart home is a residence equipped with technology that observes the residents and provides proactive services. Most recently, it has been introduced as a potential solution to support independent living of people with disabilities and older adults, as well as to relieve the workload from family caregivers and health providers. One of the key supporting features of a smart home is its ability to monitor the activities of daily living and safety of residents, and in detecting changes in their daily routines. With the availability of inexpensive low-power sensors, radios, and embedded processors, current smart homes are typically equipped with a large amount of networked sensors which collaboratively process and make deductions from the acquired data on the state of the home as well as the activities and behaviors of its residents. This article reviews sensor technology used in smart homes with a focus on direct environment sensing and infrastructure mediated sensing. The article also points out the strengths and limitations of different sensor technologies, as well as discusses challenges and opportunities from clinical, technical, and ethical perspectives. It is recommended that sensor technologies for smart homes address actual needs of all stake holders including end users, their family members and caregivers, and their doctors and therapists. More evidence on the appropriateness, usefulness, and cost benefits analysis of sensor technologies for smart homes is necessary before these sensors should be widely deployed into real-world residential settings and successfully integrated into everyday life and health care services.

  14. Regenerative Endodontics by Cell Homing.

    Science.gov (United States)

    He, Ling; Zhong, Juan; Gong, Qimei; Cheng, Bin; Kim, Sahng G; Ling, Junqi; Mao, Jeremy J

    2017-01-01

    Apical revascularization (AR) and platelet-rich plasma have been used to restore dental pulp vitality in infected immature permanent teeth. Two regenerative therapies are cell transplantation and cell homing. This article updates and benchmarks these therapies with cell homing. A case report concluded that AR increased root length; however, quantitative and statistical assessments disproved this. Regenerative endodontic therapies require prospective clinical trials demonstrating safety and efficacy. These therapies are intrinsically susceptible to procedural and patient variations. Cell homing uses novel molecules that drive therapeutic efficacy, and may be less sensitive to procedural and patient variations. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Smart Home Automation with Linux

    CERN Document Server

    Goodwin, Steven

    2010-01-01

    Linux users can now control their homes remotely! Are you a Linux user who has ever wanted to turn on the lights in your house, or open and close the curtains, while away on holiday? Want to be able to play the same music in every room, controlled from your laptop or mobile phone? Do you want to do these things without an expensive off-the-shelf kit? In Beginning Linux Home Automation, Steven Goodwin will show you how a house can be fully controlled by its occupants, all using open source software. From appliances to kettles to curtains, control your home remotely! What you'll learn* Control a

  16. The Effect of mandible advancement splints in mild, moderate, and severe obstructive sleep apnea-the need for sleep registrations during follow up.

    Science.gov (United States)

    Palotie, Tuula; Riekki, Siru; Mäkitie, Antti; Bachour, Adel; Arte, Sirpa; Bäck, Leif

    2017-10-01

    Our aim was to evaluate the effect of mandible advancement splint (MAS) in mild, moderate, and severe obstructive sleep apnea (OSA). We also determined, if and in which OSA-groups the adequate forward movement in MAS could be quantified without sleep registration for different OSA levels. A retrospective study. The effect of MAS was measured with clinical methods and by sleep registration. The series consisted of 103 patients, 75 males and 28 females (mean age 52 years) suffering from mild (32 per cent), moderate (32 per cent), or severe (36 per cent) OSA, who were treated with MAS at Helsinki University Hospital, Finland during the years 2011-2012. Seventy per cent of the patients had tried continuous positive airway pressure (CPAP) before MAS. The lower the body mass index (BMI) was the bigger the probability was to get apnea/hypopnea index (AHI) values <5 per hour with MAS (P < 0.01). The total AHI decreased significantly from the baseline with MAS: 23 per hour (range 5-89) to 6 per hour (range 0.3-54), (P < 0.001). The mean oxygen desaturation index (ODI4%) improved significantly from 16 per hour (range 1-76) to 5.3 per hour (range 0.2-49), (P < 0.01), and the minimum oxygen saturation improved significantly from 84 per cent (67-91) to 87 per cent (68-93), (P < 0.01). The reduction of AHI with MAS was significantly bigger in patients with a previous CPAP experience (73 per cent) than those who did not tried CPAP therapy. The positive correlation was found between the decrease in AHI and the increase of the protrusion in MAS. Both sleep recordings and subjective indicators demonstrated that MAS therapy was successful in OSA based on ESS, total AHI, ODI4%, and minimum oxygen saturation values. It seems useful to increase the protrusion at its maximal clinical tolerance. An experienced dentist could make therapeutically decision concerning the follow up of MAS efficacy regardless of the result of sleep study. We suggest that MAS is a valuable treatment alternative

  17. Home range analysis using a mechanistic home range model

    Energy Technology Data Exchange (ETDEWEB)

    Moorcroft, P.R. (Princeton Univ., NJ (United States). Dept. of Ecology and Evolutionary Biology); Lewis, M.A. (Univ. of Utah, Salt Lake City, UT (United States). Dept. of Mathematics) Crabtree, R.L. (Univ. of Idaho, Moscow, ID (United States). Dept. of Fish and Wildlife Resources)

    1999-07-01

    The traditional models used to characterize animal home ranges have no mechanistic basis underlying their descriptions of space use, and as a result, the analysis of animal home ranges has primarily been a descriptive endeavor. In this paper, the authors characterize coyote (Canis latrans) home range patterns using partial differential equations for expected space use that are formally derived from underlying descriptions of individual movement behavior. To the authors' knowledge, this is the first time that mechanistic models have been used to characterize animal home ranges. The results provide empirical support for a model formulation of movement response to scent marks, and suggest that having relocation data for individuals in adjacent groups is necessary to capture the spatial arrangement of home range boundaries. The authors then show how the model fits can be used to obtain predictions for individual movement and scent marking behavior and to predict changes in home range patterns. More generally, the findings illustrate how mechanistic models permit the development of a predictive theory for the relationship between movement behavior and animal spatial distribution.

  18. DOE Zero Energy Ready Home Case Study: Sterling Brook Custom Homes — Village Park Eco Home, Double Park, TX

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder won a Custom Builder honor in the 2014 Housing Innovation Awards for this showcase home that serves as an energy-efficient model home for the custom home builder: 1,300 visitors toured the home, thousands more learned about the home’s advanced construction via the webpage, YouTube, Twitter, Facebook, Instagram, and Pinterest.

  19. Genetics Home Reference: congenital hypothyroidism

    Science.gov (United States)

    ... Understand Genetics Home Health Conditions congenital hypothyroidism congenital hypothyroidism Enable Javascript to view the expand/collapse boxes. Download PDF Open All Close All Description Congenital hypothyroidism is a partial or complete loss of function ...

  20. Genetics Home Reference: mycosis fungoides

    Science.gov (United States)

    ... Me Understand Genetics Home Health Conditions mycosis fungoides mycosis fungoides Enable Javascript to view the expand/collapse boxes. Download PDF Open All Close All Description Mycosis fungoides is the most common form of a ...