scholarly journals The Impact of Education and Physical Therapy on Oral Behaviour in Patients with Temporomandibular Disorder: A Preliminary Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Lili Xu ◽  
Bin Cai ◽  
Shenji Lu ◽  
Shuai Fan ◽  
Kerong Dai
Keyword(s):  
Physical Therapy ◽  
Patient Education ◽  
Temporomandibular Disorder ◽  
Functional Limitation ◽  
Mouth Opening ◽  
Rank Test ◽  
Vas Score ◽  
Signed Rank Test ◽  
Oral Behaviour ◽  
The Impact

Patient education is important in the treatment of temporomandibular disorder (TMD), but little is known about its effect on oral behaviors. We aimed to determine the dominant oral behaviours in patients with TMD and assess the impact of education on such behaviours. Between July 2018 and April 2019, 54 patients diagnosed with TMD according to DC/TMD were recruited. They received physical therapy and were provided education on TMD and offered a list of recommendations for improving their oral behaviours. The patient education process usually lasted for 10–20 min. Of these patients, 48 were reexamined at the outpatient clinic, 3–9 months posttreatment. We recorded the Oral Behaviour Checklist (OBC) score, maximum painless mouth opening (mm), visual analogue scale (VAS) score for pain, and Jaw Functional Limitation Scale (JFLS) score pre- and posttreatment. Wilcoxon signed rank test and paired sample t -test were used for statistical analysis. Results showed that the most dominant oral behaviours included “putting pressure on the jaw” (59.3%); “chewing food on one side” (46.3%); “pressing, touching, or holding teeth together at times other than eating” (33.3%); and “eating between meals” (33.3%). Posttreatment, the patients reported a decrease in “chewing gum” ( P = 0.002 ), “leaning with the hand on the jaw” ( P = 0.013 ), “chewing food on one side” ( P ≤ 0.001 ), and “eating between meals” ( P = 0.007 ), but this change was not significant in subgroups with a follow-up interval of 9 months. We also observed a significant improvement in the maximum painless mouth opening ( P ≤ 0.001 ), JFLS score ( P ≤ 0.001 ), and VAS score ( P ≤ 0.001 ) for pain, posttreatment. In conclusion, patient education can facilitate management of oral behaviours and should be targeted towards specific oral behaviours.

scholarly journals Removable prostheses improve OHRQL and satisfaction of elderly people with rheumatoid arthritis

2020 ◽  
Vol 19 ◽  
pp. e206652 ◽  
Author(s):  
Bruna Fernandes Moreira Alfenas ◽  
Kelly Machado de Andrade ◽  
Talita Malini Carletti ◽  
Renata Cunha Matheus Rodrigues Garcia
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Elderly People ◽  
Temporomandibular Disorder ◽  
Functional Limitation ◽  
Mouth Opening ◽  
Functional Impairments ◽  
Oral Rehabilitation ◽  
The Impact

Rheumatoid arthritis (RA) is an autoimmune disease that affects joint tissues and causes severe physical and functional impairments on quality of life due to muscular and articular pain. The involvement of temporomandibular joint in RA interferes with mouth opening and masticatory process. However, no studies addressed the impact of RA on oral health-related quality of life (OHRQoL) and satisfaction with prostheses use in elderly people. Aim: This study assessed the impact of oral rehabilitation with conventional dentures on the OHRQoL and prostheses satisfaction in elderly patients with RA, associated or not with temporomandibular disorder (TMD). Methods: Forty-five elderly were enrolled and divided into three groups: (1) RA and TMD (n=15, experimental), (2) RA without TMD (n=15, experimental), and (3) without RA and without TMD (n=15, control). The OHRQoL and the prostheses satisfaction were evaluated before and after new oral rehabilitation with partial and/or complete dentures. The OHRQoL and prosthesis satisfaction were assessed and verified through OHIP-14 questionnaire and visual analogue scale, respectively. Results: TMD group exhibited the worst mean values (P<0.05) for all OHIP-14 domains before insertion of new dentures. Group 2 showed worst means (P<0.05) compared to controls for functional limitation and physical pain domains of the OHIP-14, but not in the general score. Patients showed better outcomes of satisfaction with prostheses use only after the new rehabilitation. Conclusion: The use of new and well-fitted dentures improves all domains of OHRQoL in patients with RA and TMD and all groups were satisfied with prostheses use after the new rehabilitation with conventional dentures.

scholarly journals Impact of Tocilizumab on Clinical Outcomes in COVID-19-Associated Cytokine Release Syndrome: A Single-Center Experience

2021 ◽  
pp. 089719002110282
Author(s):  
Karan Raja ◽  
Nicole Daniel ◽  
Susan Morrison ◽  
Ruben Patel ◽  
Jessica Gerges ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Clinical Status ◽  
Rank Test ◽  
Cytokine Release ◽  
Cytokine Release Syndrome ◽  
Single Center ◽  
Post Dose ◽  
Single Center Experience ◽  
Signed Rank Test ◽  
The Impact

Background: Tocilizumab is an interleukin-6 receptor antagonist hypothesized to blunt the uncontrolled immune response, cytokine release syndrome, in severe COVID-19 and prevent attributable morbidity and mortality. Objective: The objective of this study was to assess the impact of tocilizumab on clinical outcomes in COVID-19-associated cytokine release syndrome. Methods: Single-center, retrospective cohort study assessing sixty-nine adult patients receiving tocilizumab for suspected COVID-19 cytokine release syndrome. The primary outcome was change in WHO clinical status scale on day seven post-dose analyzed using the Wilcoxon signed rank test. Secondary outcomes assessed impact of timing of administration on clinical outcome. Safety analyses included development of neutropenia, thrombocytopenia, transaminitis, and sepsis within 7 days post-dose. Statistical analyses were conducted using Microsoft Excel. Results: No aggregate clinical change was found between day 0 and day 7. Eleven patients improved, twenty-seven worsened, and thirty-one showed no change. Clinical outcomes were weakly correlated with time from symptom onset (rs = 0.21; p = 0.08) or hospital admission (rs = -0.08; p = 0.49) to dose. In-hospital mortality was 63%. Sepsis was diagnosed in 21 patients, five of which were post-dose. Transaminitis, neutropenia, and thrombocytopenia occurred in seven, one, and six patients, respectively. Conclusion: Tocilizumab did not appear to influence clinical outcomes in our study population, irrespective of timing of administration. Adverse events were not considered drug-related.

scholarly journals Improving indicators of tuberculosis program cascades by leveraging HIV program strategies

2019 ◽  
Vol 9 (4) ◽  
pp. 191-195
Author(s):  
S. C. Meribe ◽  
E. Harausz ◽  
I. Lawal ◽  
A. Ogundeji ◽  
C. Mbanefo ◽  
...  
Keyword(s):  
Standard Of Care ◽  
Rank Test ◽  
Military Hospitals ◽  
Us Army ◽  
Signed Rank ◽  
Before And After ◽  
Army Medical Research ◽  
Signed Rank Test ◽  
The Impact ◽  
Number Of Individuals

Background: To improve rates of human immunodeficiency virus (HIV) case detection and treatment, the Nigerian Ministry of Defense Health Implementation Program and the US Army Medical Research Directorate-Africa/Nigeria introduced a HIV standard of care (SOC) package. Given the integration of tuberculosis (TB) and HIV programs and evolving policies, we evaluated the impact of this strategy on TB program indicators.Methods: Routine, de-identified program data from 27 Nigerian military hospitals were analyzed. Using Wilcoxon signed-rank test, bivariate analyses were performed to compare data from 12 months before and after implementation of the SOC package.Results: Our data showed improvements post-implementation as follows: the number of individuals receiving antiretroviral therapy (ART) screened for TB increased from 14 530 to 29 467 (P < 0.001); the number of individuals with presumptive TB identified increased from 803 to 1800 (P < 0.001); the number of ART clients bacteriologically tested for TB increased from 746 to 1717 (P < 0.001); and the number of ART clients treated for TB increased from 152 to 282 (P < 0.001). Newly registered or relapsed TB cases increased from 436 to 906 (P < 0.001), the number of TB cases with known HIV status increased from 437 to 837 (P < 0.001), the number of TB-HIV co-infected cases increased from 182 to 301 (P = 0.006), and the number of TB-HIV co-infected clients who started ART increased from 101 to 176 (P = 0.003).Conclusion: The implementation of the updated HIV SOC package led to the improvement in key TB diagnosis and treatment indicators. When emulated, this could help improve the performance of other TB programs in countries other than Nigeria.

scholarly journals The Impact of Short-term Integrated Yoga practice on Psychological wellbeing in special educators of individual with special needs

2020 ◽  
Vol 5 (04) ◽  
pp. 68-72
Author(s):  
Vijayakumar PS ◽  
Sahana AU ◽  
Anusha Rajanna
Keyword(s):  
Perceived Stress ◽  
Special Educators ◽  
Work Conditions ◽  
Psychological Wellbeing ◽  
Rank Test ◽  
Yoga Practice ◽  
Short Term ◽  
Post Intervention ◽  
Signed Rank Test ◽  
The Impact

Background: Special educators face unprecedented work conditions and expectations that affect their psychological wellbeing and professional outcome as well. This study examines the growing evidence that even a short-term Integrated yoga practice enhance psychological wellbeing among special educators by reducing their stress, anxiety and depression levels. Materials and Methods: Special educators were recruited based on inclusion and exclusion criteria (n=20) age ranging between 25-50 years (Mean35±6.3) for a single group interventional pre-post study design: Integrated yoga module (included postures, breathing practices, relaxation and mediation) was given for a period of 8 weeks. The subjects were assessed on day 1 pre and post intervention on day 60 on perceived stress scale (PSS), Beck’s depression inventory (BDI-II) and Beck’s Anxiety Inventory (BAI). Results: After 8 weeks of Integrated yoga practice there was asignificant reduction in anxiety scores (P less than 0.000), depression scores (P less than 0.000) and perceived stress levels (P less than 0.000) respectively compared to baseline by wilcoxon signed rank test. Conclusions: The results of this study suggest that even a short-term integrated yoga intervention that can enhance psychological wellbeing of the special educators.

scholarly journals Objective Behavioral Measures in Children before, during, and after the COVID-19 Lockdown in Israel

2021 ◽  
Vol 18 (16) ◽  
pp. 8732
Author(s):  
Einat Shneor ◽  
Ravid Doron ◽  
Jonathan Levine ◽  
Deena Rachel Zimmerman ◽  
Julia S. Benoit ◽  
...  
Keyword(s):  
Physical Activity ◽  
Light Exposure ◽  
Vigorous Physical Activity ◽  
Rank Test ◽  
Long Term Effects ◽  
Wake Time ◽  
Signed Rank ◽  
Social Restriction ◽  
Signed Rank Test ◽  
The Impact

Studies using questionnaires report that COVID-19 restrictions resulted in children spending significantly less time outdoors. This study used objective measures to assess the impact of pandemic-related restrictions on children’s behavior. A total of 19 healthy 8–12-year-old boys were observed before and during social restriction periods. Of these, 11 boys were reassessed after restrictions were lifted. For each session, Actiwatches were dispensed for measures of time outdoors, activity, and sleep. Changes overall and by school status were assessed using signed-rank test and Wilcoxon rank sum tests. During restrictions, children spent significantly less time outdoors (p = 0.001), were less active (p = 0.001), and spent less time engaged in moderate-to-vigorous physical activity (p = 0.004). Sleep duration was not significantly different between sessions (p > 0.99), but bedtime and wake time shifted to a later time during restrictions (p < 0.05 for both). Time outdoors and activity returned close to pre-pandemic levels after restrictions were lifted (p > 0.05 for both). Children’s behaviors significantly changed during the COVID-19 pandemic. The reduction in outdoor light exposure is of importance due to the role of light in the etiology of myopia and vitamin D production. The reduction in physical activity may have negative health effects in terms of obesity and depression, although further research is required to ascertain the long-term effects.

The impact of automated feedback on L2 learners’ written causal explanations

ReCALL ◽  
2018 ◽  
Vol 31 (2) ◽  
pp. 189-203 ◽  
Author(s):  
Aysel Saricaoglu
Keyword(s):  
Academic Writing ◽  
Evaluation System ◽  
Rank Test ◽  
Causal Explanations ◽  
Writing Evaluation ◽  
Cause And Effect ◽  
Specific Feedback ◽  
Signed Rank Test ◽  
Automated Feedback ◽  
The Impact

AbstractEven though current technologies allow for automated feedback, evaluating content and generating discourse-specific feedback is still a challenge for automated systems, which explains the gap in research investigating the effect of such feedback. This study explores the impact of automated formative feedback on the improvement of English as a second language (ESL) learners’ written causal explanations within two cause-and-effect essays and across pre- and post-tests. Pre- and post-test drafts, feedback reports for first and revised drafts from the automated writing evaluation system, and screen-capturing videos collected from 31 students enrolled in two sections of an advanced-low-level academic writing class were analyzed through descriptive statistics and the Wilcoxon signed-rank test. Findings revealed statistically significant changes in learners’ causal explanations within one cause-and-effect essay while no significant improvement was observed across pre- and post-tests. The findings of this study offer not only insights into how to further improve automated discourse-specific feedback but also pedagogical implications for better learning outcomes.

A Measure to Detect Sleep Onset Using Statistical Analysis of Spike Rhythmicity

2014 ◽  
Vol 3 (1) ◽  
pp. 27-41 ◽  
Author(s):  
B.R. Purnima ◽  
N. Sriraam ◽  
U. Krishnaswamy ◽  
K. Radhika
Keyword(s):  
Statistical Analysis ◽  
Sleep Onset ◽  
Rank Test ◽  
P Value ◽  
Sleep State ◽  
Statistical Measures ◽  
Plot Analysis ◽  
Significant Difference ◽  
Signed Rank Test ◽  
The Impact

Electroencephalogram (EEG) signals derived from polysomnography recordings play an important role in assessing the physiological and behavioral changes during onset of sleep. This paper suggests a spike rhythmicity based feature for discriminating the wake and sleep state. The polysomnography recordings are segmented into 1 second EEG patterns to ensure stationarity of the signal and four windowing scheme overlaps (0%, 50%, 60% and 75%)of EEG pattern are introduced to study the influence of the pre-processing procedure. The application of spike rhythmicity feature helps to estimate the number of spikes from the given pattern with a threshold of 25%.Then non parametric statistical analysis using Wilcoxon signed rank test is introduced to evaluate the impact of statistical measures such as mean, standard deviation, p-value and box-plot analysis under various conditions .The statistical test shows significant difference between wake and sleep with p<0.005 for the applied feature, thus demonstrating the efficiency of simple thresholding in distinguishing sleep and wake stage .

Impact of Pharmacist-Led Patient Education in an Ambulatory Cancer Center: A Pilot Quality Improvement Project

2020 ◽  
pp. 089719002097077
Author(s):  
Daniel Park ◽  
Sweta Patel ◽  
Kendra Yum ◽  
Cardinale B. Smith ◽  
Che-Kai Tsao ◽  
...  
Keyword(s):  
Side Effects ◽  
Patient Education ◽  
Interdisciplinary Approach ◽  
Rank Test ◽  
Cancer Center ◽  
Median Score ◽  
Improvement Project ◽  
Gastrointestinal Malignancies ◽  
Ambulatory Oncology ◽  
The Impact

Introduction: Although pharmacist-driven patient education has been shown to increase adherence, reduce medication errors, and lower 30-day readmission rates, the data in the ambulatory oncology setting is limited. This pilot quality initiative study was conducted from June 1, 2018, to November 15, 2018, in the ambulatory cancer center affiliated with The Mount Sinai Hospital in New York, NY, to determine the impact of pharmacist counseling on chemotherapy regimens. Methods and Materials: English-speaking patients with gastrointestinal malignancies who were newly started on chemotherapy were selected for this study. They received a pharmacist-led education session regarding their medications, potential side effects, and how to manage them at home. After each session, they completed a 5-question survey on a 5-point Likert-scale about how they felt before and after speaking with a pharmacist. Survey results were analyzed by median scores and Wilcoxon signed-rank test. Results: Of the 96 patients who were counseled, 71 patients were included in this analysis. The median score increased from 3 to 5 for the understanding of their chemotherapy regimen and side effects (questions 1 and 2), 3 to 4.5 for knowledge about interactions with their oral chemotherapy (question 3), 4 to 5 for overall experience in the cancer center (question 5). The median score for anxiety level was unchanged at 3 (question 4). Conclusion: This survey-based study demonstrated the benefit of a pharmacist-led counseling session. An interdisciplinary approach involving the integration of oncology pharmacists in patient education can greatly impact the quality of care for oncology patients.

scholarly journals Assessing a Novel Method to Reduce Anesthesia Machine Contamination: A Prospective, Observational Trial

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Chuck J. Biddle ◽  
Beverly George-Gay ◽  
Praveen Prasanna ◽  
Emily M. Hill ◽  
Thomas C. Davis ◽  
...  
Keyword(s):  
Low Cost ◽  
Bacterial Species ◽  
Intervention Group ◽  
Anesthesia Machine ◽  
Rank Test ◽  
Anesthetic Care ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Anesthesia Machines ◽  
The Impact

Background. Anesthesia machines are known reservoirs of bacterial species, potentially contributing to healthcare associated infections (HAIs). An inexpensive, disposable, nonpermeable, transparent anesthesia machine wrap (AMW) may reduce microbial contamination of the anesthesia machine. This study quantified the density and diversity of bacterial species found on anesthesia machines after terminal cleaning and between cases during actual anesthesia care to assess the impact of the AMW. We hypothesized reduced bioburden with the use of the AMW. Methods. In a prospective, experimental research design, the AMW was used in 11 surgical cases (intervention group) and not used in 11 control surgical cases. Cases were consecutively assigned to general surgical operating rooms. Seven frequently touched and difficult to disinfect “hot spots” were cultured on each machine preceding and following each case. The density and diversity of cultured colony forming units (CFUs) between the covered and uncovered machines were compared using Wilcoxon signed-rank test and Student’s t-tests. Results. There was a statistically significant reduction in CFU density and diversity when the AMW was employed. Conclusion. The protective effect of the AMW during regular anesthetic care provides a reliable and low-cost method to minimize the transmission of pathogens across patients and potentially reduces HAIs.

Impact of ISO 9001 certification on firms financial operating performance

2015 ◽  
Vol 33 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Eli Kofi Aba ◽  
M. Affan Badar ◽  
Michael Allen Hayden
Keyword(s):  
Matched Control ◽  
Operating Performance ◽  
Iso 9001 ◽  
Rank Test ◽  
Research Approach ◽  
Content Type ◽  
Operating Income ◽  
Signed Rank Test ◽  
The Impact ◽  
Better Than

Purpose – The purpose of this paper is to investigate the impact of ISO 9001 certification on US firms’ financial operating performance for a period of five years including one-year prior to certification, year of certification, and three fiscal years after certification. Design/methodology/approach – The paper is based on an examination of a sample of 397 firms that had received ISO 9001 certification from 1991 to 2002. Certified-firm, non-certified-firm, and matched-control-firm operating performances were examined over the same period based on the ratio of pre-tax operating income to total assets (EBITA/TA). Wilcoxon signed-rank test was used to test for significant differences in operating performance among the certified, non-certified, and matched-control firms. Findings – The paper concludes that there was significant improvement performance from prior year to year of certification. The certified firms performed better than the non-certified firms. The certified firms also performed better than the matched-control firms. Research limitations/implications – Based on the research approach and the findings, the paper recommends the use of newer ISO data; any additional certifications; and further research into the lack of significant operating values by the certified firms in the post-certification years. Practical implications – The paper shows that ISO 9001 certification is statistically related to operating performance. Certified firms have better operating performance. The positive significance in decile operating performance from prior year to certification year is an important finding for the implementation of ISO 9001. Originality/value – The paper satisfies the need to study when ISO 9001 certification impacts firms’ financial operating performance.

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