scholarly journals Perceived Pain during Rapid Maxillary Expansion (RME): Trends, Anatomical Distinctions, and Age and Gender Correlations

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Emanuela Serritella ◽  
Stefania Migliaccio ◽  
Ludovica Musone ◽  
Alessandra Impellizzeri ◽  
Adriana Assunta De Stefano ◽  
...  
Keyword(s):  
Pain Perception ◽  
Rating Scale ◽  
Pearson Correlation ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Age And Gender ◽  
Linear Decrease ◽  
Perceived Pain ◽  
Average Pain ◽  
And Gender

Objectives. To investigate pain trends and characteristics of different facial districts in patients undergoing rapid maxillary expansion (RME) and its possible correlations with age and gender. Materials and Methods. 85 subjects (45 males and 40 females) undergoing RME were selected and analyzed during first two weeks of treatment. Patients rated daily two types of pain perception: the general perceived pain (GPP), i.e., the pain overall perceived in the face, and the local perceived pain (LPP), i.e., the pain perceived locally in the following anatomical areas: anterior palate (APA), posterior palate (PPA), nasal (NA), joint (JA), and zygomatic (ZA). Patients were provided the Numeric Rating Scale (NRS) and Wong–Baker Faces Pain Rating Scale (FPS) to correctly assess their GPP and LPP. Pearson correlation coefficient and analysis of variance (ANOVA) were, respectively, used to define the linear relationship between all the variables considered and to verify whether the response variables (gender and age) were significantly different (α < 0.05). Results. Sample’s mean age was 10.11 years. Average pain values of GPP and LPP progressively rise from day 1 to days 2-3 (pain peak) and tended to decrease until day 14, with a linear decrease for GPP and a not linear decrease for LPP. PPA and APA resulted the most painful areas, followed, respectively, by JA, ZA, and NA. Statistically significant differences resulted in average pain values according to patients’ age and gender, both in GPP and LPP. Conclusion. RME causes perception of pain in several maxillofacial areas. Pain reported during RME resulted positively correlated with age and gender of patients.

scholarly journals Influence of activation protocol on perceived pain during rapid maxillary expansion

2015 ◽  
Vol 85 (6) ◽  
pp. 1015-1020 ◽  
Author(s):  
Alberto Baldini ◽  
Alessandro Nota ◽  
Claudia Santariello ◽  
Valentina Assi ◽  
Fabiana Ballanti ◽  
...  
Keyword(s):  
Rating Scale ◽  
Skeletal Maturity ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Perceived Pain ◽  
Group 2 ◽  
And Gender ◽  
Numeric Rating

ABSTRACT Objective:  To investigate the influence of two different activation protocols on the timing and intensity of pain during rapid maxillary expansion (RME). Materials and Methods:  A total of 112 prepubertal patients (54 males and 58 females, mean age 11.00 ± 1.80 years) with constricted maxillary arches underwent RME with two different activation protocols (group 1: one activation/day; group 2: two activations/day). Patients were provided with a numeric rating scale (NRS) and the Faces Pain Scale (FPS) to correctly assess their daily pain. Results:  Subjects treated with RME at two activations/day reported statistically significantly greater amounts of pain than subjects treated with RME at one activation/day. Differences related to gender and skeletal maturity were found. Conclusion:  The choice of activation protocol influences the perceived pain during RME, and less daily expansion is correlated to less pain. Pain reported during RME could be influenced by skeletal maturity and gender of the subjects under treatment.

scholarly journals Changes in the Upper and Lower Pharyngeal Airway Spaces Associated with Rapid Maxillary Expansion

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Fitin Aloufi ◽  
Charles B. Preston ◽  
Khalid H. Zawawi
Keyword(s):  
Orthodontic Treatment ◽  
Upper Airway ◽  
Rapid Maxillary Expansion ◽  
Lower Airway ◽  
Control Group ◽  
Maxillary Expansion ◽  
Pharyngeal Airway ◽  
Significant Difference ◽  
And Gender ◽  
Maxillary Constriction

Objectives. The primary objectives of this retrospective study were first to compare the upper and lower pharyngeal airway spaces between orthodontic patients with and without maxillary constriction and second to evaluate the effect of rapid maxillary expansion (RME) on these airway spaces. A secondary objective was to compare the mode of breathing between groups. Materials and Methods. The experimental (RME) group consisted of 30 patients (mean age, years, 16 boys and 14 girls) with maxillary constriction who were treated with hyrax-type RME. The control group comprised the records of age- and gender matched patients (mean age, years, 16 boys and 14 girls) with no maxillary constriction but requiring nonextraction comprehensive orthodontic treatment. Cephalometric measurements in the sagittal dimension of upper and lower airway spaces for the initial and final records were recorded. Mode of breathing and length of treatment were also compared. Results. The sagittal dimension of the upper airway increased significantly in the RME group ( mm) compared to the control group ( mm), . However, there was no significant difference in the lower pharyngeal airway measurement between the RME group () and the control group (), . There was no significant difference with respect to mode of breathing between the two groups (). Conclusion. Rapid maxillary expansion (RME) during orthodontic treatment may have a positive effect on the upper pharyngeal airway, with no significant change on the lower pharyngeal airway.

Age- and gender-related normative value of whole-body sagittal alignment based on 584 asymptomatic Chinese adult population from age 20 to 89

2021 ◽  
Author(s):  
Z Hu ◽  
GCW Man ◽  
KH Yeung ◽  
WH Cheung ◽  
WCW Chu ◽  
...  
Keyword(s):  
Lower Limb ◽  
Sagittal Alignment ◽  
Pearson Correlation ◽  
Age Groups ◽  
Whole Body ◽  
Normative Values ◽  
Chinese Adults ◽  
Age And Gender ◽  
Age Related ◽  
And Gender

To establish the age- and sex-related normative values of sagittal alignment in asymptomatic Chinese adults, and to investigate the changes and possible associated compensation mechanisms across age groups. 584 asymptomatic Chinese adults aged 20–89 years were recruited. Subjects were grouped according to age and gender. Whole-body standing radiographs were acquired for evaluating sagittal alignment from spine to lower limb. Sagittal parameters between gender in different age groups were compared via independent t test. Pearson correlation analysis was used to demonstrate relationships between parameters. Thoracic kyphosis (TK) increased steadily while lumbar lordosis decreased gradually in both genders. Pelvic tilt (PT) in male is greater than in female across all age groups with age related gradual increase. There were significant differences between male and female from 20s to 60s in terms of knee flexion angle (KA) and ankle dorsiflexion angle (AA), but the differences were not significant after 60s. T1 pelvic angle (TPA) was significantly correlated with spinal, pelvic and lower-limb alignment. The older group (≥50 years) had a stronger correlation of TPA with PT and KA, whereas the younger (<50 years) had stronger correlation with TK. This study comprehensively presented the normative sagittal alignment based on a large asymptomatic population, which could serve as an age- and gender-specific reference value for spine surgeons when planning for correction surgery. Age can influence the recruitment of compensation mechanism that involve more pelvic and lower limb mechanisms for elderly people.

Differences on Emotional and Behavioral Problems Among 10-12 Years Old Children – Parents’ Report

2016 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Evis Fili
Keyword(s):  
Behavioral Problems ◽  
Pearson Correlation ◽  
Broad Band ◽  
T Test ◽  
Descriptive Statistics ◽  
Emotional And Behavioral Problems ◽  
Chi Square ◽  
Age And Gender ◽  
Chi Square Test ◽  
And Gender

Aim: To explore the differences in age and gender on emotional and behavioral broad band scales of children 10-12 years old. It was hypothesized that there will be differences between girls and boys and between ages. Methods: We used CBCL (6-18 years) the 2001 edition (Achenbach - Rescorla, 2001) to collect the data. Descriptive statistics, chi-square test, Pearson correlation, T-test, and ANOVA were used to explore and analyse the differences. The sample included 236 children (123 or 52.1% boys and 113 or 47.9% girls), with a mean age of 11 years (SD .835). From 236 parents participated in the study, 92 of them or 39.0 % were mothers, while only 144 of them or 61.0 % were fathers. The parents voluntarily completed the questionnaire. Results: There were found no differences on broad band scales of emotional and behavioral problems, regarding the age and gender of children.

Effects of age and gender on the classification and phenomenology of unipolar depression

2002 ◽  
Vol 14 (1) ◽  
pp. 29-35 ◽  
Author(s):  
M. Maes
Keyword(s):  
Depressed Mood ◽  
Rating Scale ◽  
Depressive Symptomatology ◽  
Severity Of Illness ◽  
Unipolar Depression ◽  
Early Morning ◽  
Dysthymic Disorder ◽  
Psychotic Symptoms ◽  
Age And Gender ◽  
And Gender

Aim:The aim of the present study was to examine the effects of age and gender on depressive classification and phenomenology in unipolar depressed in-patients.Methods:The authors have assessed 14 items relevant to depressive symptomatology from the Structured Clinical Interview for DSM-III (SCID) and the Hamilton Depression Rating Scale (HDRS) in 180 depressed in-patients.Results:Melancholia was significantly more prominent in older depressed patients (≥ 55 years), whereas minor depression (i.e. adjustment disorder with depressed mood and dysthymic disorder) in younger (< 55 years) depressed subjects. Older depressed subjects exhibited significantly more anorexia/weight loss, non-reactivity, depressed mood, loss of interest, early morning awakening, loss of energy, somatic anxiety, loss of insight, psychotic symptoms and retardation than younger depressed people. Male depressed subjects showed significantly more loss of interest, suicidal ideation and agitation than their female counterparts. Psychomotor disorders, a distinct quality of mood and early morning awakening were characteristics of older depressed males, while diurnal variation occurred more frequently in older depressed females.Conclusion:It is concluded that increasing age in unipolar depression may be accompanied by an increase in severity of illness, increased frequency of some melancholic symptoms, particularly in men and a higher frequency of major depression in women and of melancholia in men.

scholarly journals Perceived pain during rapid maxillary expansion in children with different expanders:

2021 ◽  
Author(s):  
Marília Carolina de Araújo ◽  
Jessica Rico Bocato ◽  
Sandrine Bittencourt Berger ◽  
Paula Vanessa Pedron Oltramari ◽  
Ana Cláudia de Castro ◽  
...  
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Inverse Correlation ◽  
Active Phase ◽  
Pain Scale ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Posterior Crossbite ◽  
Full Turn ◽  
Numerical Rating

ABSTRACT Objectives To evaluate and compare the intensity of pain caused by rapid maxillary expansion (RME) with two expanders: Hyrax and Haas type, in growing patients. Materials and Methods Thirty-nine patients (23 girls and 16 boys) with an average age of 9.3 years (SD = 1.39 years) were randomized into two groups and treated with Hyrax- and Haas-type expanders. In both groups, initial activation of the expander screw was one full turn on the first day followed by 2/4 of a turn two times a day (morning and night) for 7 days. Inclusion criteria were patients presenting with a posterior crossbite or maxillary atresia between 7 and 12 years old. To evaluate the intensity of pain during the active phase of the treatment, a combination of the Numerical Rating Scale and Wong-Baker Faces Pain Scale was used. Mann-Whitney test was used to compare the two treatment groups. Results There was significant inverse correlation between days following insertion and pain. During the expansion period, 100% of the children reported some pain. Hyrax expander subjects reported greater pain than those treated with the Haas-type expander only on the first day. The level of pain remained greater in girls throughout treatment. Conclusions Pain was reported regardless of the type of expander and was higher in the Hyrax group only on the first day of activation.

scholarly journals Evaluation of self-perceived pain and jaw function impairment in children undergoing slow and rapid maxillary expansion: A prospective clinical trial

2021 ◽  
Author(s):  
Feras H. Abed Al Jawad ◽  
Najah A. Alhashimi
Keyword(s):  
Patient Experiences ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Time Points ◽  
Analgesic Consumption ◽  
Significant Difference ◽  
Function Impairment ◽  
Perceived Pain ◽  
Jaw Function ◽  
Experience Difficulty

ABSTRACT Objectives To evaluate and compare perceived pain and jaw function impairment during the first 4 weeks with slow maxillary expansion (SME) using quadhelix and rapid maxillary expansion (RME) using conventional banded hyrax. Materials and Methods Sixty patients aged 10.2 to 15 years were enrolled and consecutively recruited to either the quadhelix group (QG) or hyrax group (HG). A questionnaire was used to evaluate pain, jaw function impairment, and analgesic consumption in the first 7 days, at 2 weeks, and at 4 weeks. Results Fifty-five patients (43 girls and 12 boys) completed the questionnaire at all time points (27 in the QG and 28 in the HG). Except at 4 hours, there were no significant differences between the groups regarding pain from teeth, tongue, and palate. Patients started to adapt after day 3. Patients in the HG group reported significantly higher scores for difficulty in swallowing (moderate to severe) during the first 6 days. In both groups, minimal effects were found on speech and the majority of patients did not experience difficulty in yawning or laughing. There was no significant difference in analgesic consumption between the groups. No correlations were found between age, gender, or malocclusion type and any of the investigated outcomes. Conclusions Quadhelix for SME and conventional banded hyrax for RME were well tolerated by patients after 1 week. The decision to use either appliance could be based on factors not related to patient experiences.

scholarly journals Gender, Age and Staff Preparedness to Adopt Internet Tools for Research Sharing During Covid-19 in African Varsities

2021 ◽  
Author(s):  
Valentine Joseph Owan ◽  
Michael Ekpenyong Asuquo ◽  
Mercy Valentine Owan ◽  
Sana Aslam ◽  
Moses Eteng Obla
Keyword(s):  
Quantitative Method ◽  
Rating Scale ◽  
Academic Staff ◽  
Digital Tools ◽  
Age And Gender ◽  
Broad Perspective ◽  
Gender And Age ◽  
Research Questions ◽  
And Gender ◽  
Descriptive Survey

This study assessed the partial as well as the collaborative impact of age and gender on academic staff preparedness to adopt Internet tools for research sharing in African universities during Covid-19. Although evidence abounds in the literature on gender and age as they affect relatively, scholars’ utilisation of digital tools for research communication, such studies did not examine scholars’ preparedness to adopt from a broad perspective of Africa. This study was conducted based on the argument that the preparedness of scholars may affect their future interest to utilize digital tools for research sharing. A quantitative method, based on the descriptive survey research design, was adopted to provide answers to four prevailing research questions. The examination focused on a populace of 8,591 staff in African universities, nonetheless, information was gathered from 1,977 of them, who deliberately took part from 24 African nations. A validated electronic rating scale, which was mailed/posted to targeted participants, was used as the instrument for data collection. Gender and age significantly affected academic staff preparedness to adopt Internet tools for research sharing partially and interactively in African Universities during Covid-19. Female staff were more prepared than males to adopt internet tools for research sharing during the pandemic. Older lecturers reported a higher rate of preparedness than their younger colleagues to adopt Internet tools for research sharing during Covid-19. In light of these proofs, ramifications and proposals for future exploration are discussed.

scholarly journals Is there a close association of depression with either constipation or dysosmia in Parkinson’s disease?

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Ting-Ya Chang ◽  
Yi-Huei Chen ◽  
Ming-Hong Chang ◽  
Ching-Heng Lin
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Rating Scale ◽  
Close Association ◽  
Cross Sectional Study ◽  
Olfactory Dysfunction ◽  
Cross Sectional ◽  
Age And Gender ◽  
Severe Constipation ◽  
And Gender

Abstract A possible association between depression and either the severity of constipation or dysosmia in Parkinson’s disease (PD) patients was investigated in this cross-sectional study. One-hundred six patients who had the history of PD for less than 5 years were recruited. Depression was measured using the Beck Depression Inventory-II (BDI-II), and our patients were divided into depressive and non-depressive groups (DP: BDI-II ≥ 14; n = 22 and NDP: BDI-II < 14; n = 84). Olfactory dysfunction was assessed by the University of Pennsylvania Smell Identification Test (UPSIT). Constipation severity was defined by stool softener dosage and amount. Statistical analyses with one-tailed T- or chi-squared test, odds ratios (OR), and beta-coefficient were used to determine significant differences. Total scores based on the Unified Parkinson’s Disease Rating Scale (UPDRS) were significantly higher in the DP group. A significant relationship was observed between PD patients with depression and severe constipation; PD patients with depression were more likely to present with severe constipation (OR 5.81; 95% CI 1.24–27.29, p = 0.026, adjusted for age and gender); but the significance became marginal after adjusted for age, gender and UPDRS part 3 (OR 4.46, 95% CI 0.93–21.33; p = 0.061). However, no association between olfactory dysfunction and depression was detected. There were significant positive correlations between BDI-II scores and severe constipation (β ± SE 7.65 ± 2.02; p =  < 0.001, adjusted for age and gender; β ± SE 7.06 ± 2.04; p = 0.001, adjusted for age, gender, and UPDRS-3). Besides, we detected a marginally significant correlation that PD patients with higher BDI-II scores tended to present more severe motor symptoms. Olfactory dysfunction seemed to be less relevant to BDI-II scores. Based on our findings, we speculate that depression may be more closely related to brainstem nuclei than to the limbic pathway.

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