Changes in Speech following Maxillary Distraction Osteogenesis

2001 ◽  
Vol 38 (3) ◽  
pp. 199-205 ◽  
Author(s):  
Thomas W. Guyette ◽  
John W. Polley ◽  
Alvaro Figueroa ◽  
Bonnie E. Smith
Keyword(s):  
Outcome Measures ◽  
Distraction Osteogenesis ◽  
Care Center ◽  
Velopharyngeal Insufficiency ◽  
Clinical Report ◽  
Health Care Center ◽  
Before And After ◽  
Velopharyngeal Function ◽  
Maxillary Distraction

Objective: The purpose of this study was to describe changes in articulation and velopharyngeal function following maxillary distraction osteogenesis. Design: This is a descriptive, post hoc clinical report comparing the performance of patients before and after maxillary distraction. The independent variable was maxillary distraction while the dependent variables were resonance, articulation errors, and velopharyngeal function. Setting: The data were collected at a tertiary health care center in Chicago. Patients: The data from pre- and postoperative evaluations of 18 maxillary distraction patients were used. Outcome Measures: The outcome measures were severity of hypernasality and hyponasality, velopharyngeal orifice size as estimated using the pressure-flow technique, and number and type of articulation errors. Results: At the long-term follow-up, 16.7% exhibited a significant increase in hypernasality. Seventy-five percent of patients with preoperative hyponasality experienced improved nasal resonance. Articulation improved in 67% of patients by the 1-year follow-up. Conclusions: In a predominately cleft palate population, the risk for velopharyngeal insufficiency following maxillary distraction is similar to the risk observed in Le Fort I maxillary advancement. Patients being considered for maxillary distraction surgery should receive pre- and postoperative speech evaluations and be counseled about risks for changes in their speech.

Changes in Speech following Unilateral Mandibular Distraction Osteogenesis in Patients with Hemifacial Microsomia

2001 ◽  
Vol 38 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Thomas W. Guyette ◽  
John W. Polley ◽  
Alvaro Figueroa ◽  
Jennifer Botts ◽  
Bonnie E. Smith
Keyword(s):  
Outcome Measures ◽  
Distraction Osteogenesis ◽  
Care Center ◽  
Pressure Flow ◽  
Mandibular Distraction ◽  
Health Care Center ◽  
Mandibular Distraction Osteogenesis ◽  
Before And After ◽  
Long Term Follow Up ◽  
Velopharyngeal Function

Objective The purpose of this study was to describe changes in articulation, resonance, and velopharyngeal function following mandibular distraction osteogenesis. Design This is a descriptive, post hoc study comparing the performance of patients on measures of articulation, resonance, and velopharyngeal function before and after mandibular distraction. Setting The data were collected at a tertiary health care center located in Chicago. Patients The clinical data from preoperative and postoperative evaluations of seven mandibular distraction patients were used. Outcome Measures The outcome measures were number of articulation errors, severity of hypernasality and audible nasal emission, and velopharyngeal orifice size as estimated using the pressure-flow technique. Results Immediately after distraction, 28% (2/7) experienced a temporary deterioration in articulation and 42% (3/7) experienced a deterioration in nasal resonance. But by the long-term follow-up evaluation, all had returned to their preoperative levels. Pressure-flow test results generally support the perceptual findings. Conclusions Patients being considered for mandibular distraction surgery should receive preoperative and postoperative speech evaluations and be counseled about risks for changes in their speech following surgery.

Morphological Evaluation of Changes in Velopharyngeal Function following Maxillary Distraction in Patients with Repaired Cleft Palate during Mixed Dentition

2004 ◽  
Vol 41 (4) ◽  
pp. 355-363 ◽  
Author(s):  
Koichi Satoh ◽  
Junko Nagata ◽  
Kenji Shomura ◽  
Takeshi Wada ◽  
Takashi Tachimura ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Morphological Changes ◽  
Mixed Dentition ◽  
Velopharyngeal Insufficiency ◽  
Pharyngeal Wall ◽  
Lateral Cephalograms ◽  
Before And After ◽  
Velopharyngeal Function ◽  
Maxillary Distraction ◽  
Pharyngeal Depth

Objective To describe the morphological changes of nasopharyngeal components after maxillary distraction and clarify whether the morphological characteristics are related to velopharyngeal function (VPF). Design Perceptual judgments of hypernasality and nasendoscopy were performed before and after treatment. Lateral cephalograms were obtained to describe the morphological changes. Setting Department of Oral and Maxillofacial Surgery, Miyazaki Medical College, Miyazaki, Japan. Participants Nine patients with repaired cleft palate in the mixed dentition stage underwent maxillary distraction using a face mask and an intraoral fixed appliance system. Outcome Measures The severity of hypernasality, velopharyngeal insufficiency, and measurements such as pharyngeal depth, velar length, and the rotation of the palatal plane were evaluated. Results Increase in pharyngeal depth was not always proportional to the amount of advancement. It depended on the posture of the posterior pharyngeal wall and the rotation of palatal plane. Conclusion Cephalometric measurements of the nasopharynx before and after surgery confirmed subsequent changes in VPF. These were suggested to be useful in predicting future VPF. When performing maxillary distraction in patients with cleft palate in the mixed dentition stage, and when velopharyngeal closure is found to occur by velar contact against the hypertrophied adenoid, patients should be counseled about risks of subsequent deterioration in their speech before surgery.

scholarly journals A Prospective Study to Observe the Results and Complications of Lateral Internal Sphincterotomy in Anal Fissure

2015 ◽  
Vol 2 (2) ◽  
pp. 81
Author(s):  
Sandesh Pawar ◽  
Sudhir D. Bhamre ◽  
Vijay Malpathak ◽  
Yamini Sorate
Keyword(s):  
Anal Fissure ◽  
Care Center ◽  
Time Frame ◽  
Lateral Internal Sphincterotomy ◽  
Health Care Center ◽  
Internal Sphincterotomy ◽  
Medical College ◽  
A Prospective Study ◽  
Surgery Department

<strong>Aim</strong>: To observe the results and complications of lateral internal sphincterotomy in anal fissure. <strong>Materials&amp;Methods:</strong> The study was carried out as a prospective observational study of 40 patients at surgery department of a medical college&amp;tertiary health care center, over a period of two years that included cases of anal fissure in the age group of 16 years and above for conservative&amp;surgical management. <strong>Results</strong>: The recovery of the patient after this marvellous operation was fast and the pain relief was dramatic. On follow-up at 2 weeks post-operatively pain and other symptoms were present only in 11 patients (27.5%). On follow-up at 8 weeks post-operatively all 40 patients (100%) were symptom-free in this study. The complications that were observed within time frame of this study were Soiling in 4 patients (10%) and incontinence to flatus in 1 patient (2.5%). There was no recurrence of anal fissure observed in this study group within the time frame of this study. <strong>Conclusion</strong>: It is very evident from the above study that 'Lateral Internal Sphincterotomy' is by far the best operation for an indolent anal fissure.

Awkward movements: Extrapyramidal symptoms in a group of patients treated with aripiprazole long acting injectable

2016 ◽  
Vol 33 (S1) ◽  
pp. S552-S553
Author(s):  
C. Victor ◽  
S. Berta ◽  
T. Ivan ◽  
O. Silvia ◽  
C. Sandra ◽  
...  
Keyword(s):  
Side Effects ◽  
Oral Treatment ◽  
Care Center ◽  
Extrapyramidal Symptoms ◽  
Average Score ◽  
Health Care Center ◽  
Normal Limits ◽  
Competing Interest ◽  
Long Acting

IntroductionExtrapyramidal symptoms are well known as side effects in therapy with antipsychotics. Explore this side effects is mandatory because they normally are a cause of treatment discontinuation or assess a change in medication. Some studies notice how long acting injectable antipsychotic cause less extrapyramidal symptoms than oral treatment, others does not find differences.ObjectiveThe aim of this study is to analyze the extrapyramidal symptoms presented on a group of patients treated with aripiprazole long acting injectable (ALAI) follow-up in a mental health care center.MethodsDescriptive study of a group of patients treated with ALAI. To assess the possible extrapyramidal symptoms due to treatment we have used the Simpson-Angus Scale (SAS). The follow up was 3 months after initiation of treatment.ResultsSix patients were included in the study, 2 women (33.3%) and 4 men (66.7%). The mean age of the sample was 37 years old. The different diagnoses of the group were 4 patients with psychotic disorder (66.7%; 2 schizophrenia, 1 schizoaffective disorder and 1 delusional chronic disorder) and the other 2 had an affective disorder (33.3%; both bipolar disorder). The average score for the SAS was 1.2 meaning normal results and therefore no significant extrapyramidal symptoms.ConclusionsIn our sample the average of the results obtained by applying the SAS is considered within normal limits. In our case as to extrapyramidal effects ALAI treatment has been well tolerated. A larger sample would be needed to obtain more reliable results.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Descriptive study of chest x-ray examination in mandatory annual health examinations at the workplace in Japan

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262404
Author(s):  
Yuya Watanabe ◽  
Toru Nakagawa ◽  
Kota Fukai ◽  
Toru Honda ◽  
Hiroyuki Furuya ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lung Cancer ◽  
Detection Rate ◽  
Low Dose ◽  
Care Center ◽  
Stage I ◽  
X Ray ◽  
Health Care Center ◽  
Chest X Ray

The utility of chest x-ray examination (CXR) in mandatory annual health examinations for occupational health is debatable in Japan. This study aimed to provide basic data to consider future policies for mandatory annual health examinations in the workplace. A nationwide descriptive survey was performed to determine the rate of detection of tuberculosis, lung cancer, and other diseases through CXR in organizations associated with National Federation of Industrial Health Association. The rate of finding on CXR conducted during annual health examinations in FY2016 was evaluated. Data regarding diagnosis based on follow-up examination findings were obtained and compared with the national statistics. In addition, CXR findings were compared with the results of low-dose lung computed tomography performed at the Hitachi Health Care Center. From 121 surveyed institutions, 88 institutions with 8,669,403 workers were included. For all ages, 1.0% of examinees required follow-up examination. Among 4,764,985 workers with diagnosis data, the tuberculosis detection rate was 1.8–5.3 per 100,000 persons. For Lung cancer, 3,688,396 workers were surveyed, and 334 positive cases were detected. The lung cancer detection rate using CXR was 9.1–24.4 per 100,000 persons. From 164 cases with information regarding the clinical stage, 72 (43.9%) had Stage I lung cancer. From 40,045 workers who underwent low-dose computed tomography multiple times, 31 lung cancer cases, all with Stage I disease, were detected (detection rate: 77.4 per 100,000 persons). Our findings suggest that CXR plays a little role in the detection of active tuberculosis. With regard to LC screening, the detection rate of LC by CXR was lower, approximately 50%, than the expected rate (41.0 per 100,000 persons) of LC morbidity based on the age–sex distribution of this study population. However, the role of CXR for LC screening cannot be mentioned based on this result, because assessment of mortality reduction is essential to evaluate the role.

scholarly journals An Overview on Hypertension: Management Approach and Follow Up in Primary Health Care Center

2021 ◽  
Vol 12 (3) ◽  
pp. 110-112
Author(s):  
Mohammed Mihmas B Alqahtani ◽  
Abdullah Faisal Islam ◽  
Ghadeer Abbas Katib ◽  
Lujain Faisal Islam ◽  
Abdullah Abdulmohsen Alhaddab ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Primary Health Care Center ◽  
Management Approach ◽  
Hypertension Management ◽  
Health Care Center ◽  
Primary Health

scholarly journals Association between Atherogenic Index of Plasma and Coronary Artery Calcification Progression in Korean Adults

2020 ◽  
Author(s):  
Ji Sun Nam ◽  
Min Kyung Kim ◽  
Joo Young Nam ◽  
Kahui Park ◽  
Shinae Kang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Coronary Artery ◽  
Coronary Artery Calcification ◽  
Care Center ◽  
Atherogenic Index ◽  
Cross Sectional ◽  
Atherogenic Index Of Plasma ◽  
Health Care Center ◽  
Korean Adults

Abstract Background Dyslipidemia is a well-known risk factor for cardiovascular disease (CVD). Recently, atherogenic index of plasma (AIP) has been proposed as a novel predictive marker for CVD, and there are few cross sectional studies that demonstrated a relationship between AIP and coronary artery disease. We investigated the association between AIP and the progression of coronary artery calcification (CAC) in Korean adults without CVD. Methods A total of 1,124 participants who had undergone CAC measurement at least twice by multi-detector CT in a health care center were enrolled. Anthropometric profiles and multiple cardiovascular risk factors were assessed. The AIP was defined as the base 10 logarithm of the ratio of the concentration of TG to HDL-C. The CAC progression was defined as either incident CAC in a CAC-free population at baseline or an increase of ≥ 2.5 units between the square roots of the baseline and follow-up coronary artery calcium scores (CACS) among subjects with detectable CAC at baseline Results CAC progression was observed in 290 subjects (25.8%) during the mean 4.2 years of follow-up. All subjects were stratified into three groups according to AIP. There were significant differences in cardiovascular parameters among the groups at baseline. The follow-up CAC and the incidence of CAC progression increased gradually with the rising AIP tertiles. In the logistic regression analysis, the odds ratio for CAC progression was 2.27 when comparing the highest to the lowest tertile of the AIP (95% CI: 1.61-3.19; P for trend <0.01). However, this association was attenuated after adjustment for multiple risk factors (P for trend = 0.67). Conclusions There is a significant correlation between AIP and CAC and its progression in subjects without CVD, but AIP is not an independent predictor of CAC progression.

scholarly journals Analysis of Social Determinants and the Utilization of Tele-Urgent Pediatrics Care During a Pandemic (Preprint)

2020 ◽  
Author(s):  
Saif Khairat ◽  
Phillip McDaniel ◽  
Matthew Jensen ◽  
Tia Francis ◽  
Barbara Edson ◽  
...  
Keyword(s):  
Vulnerable Populations ◽  
Care Center ◽  
Urgent Care ◽  
Pediatric Care ◽  
High Concentration ◽  
Cross Sectional ◽  
Low Concentration ◽  
Health Care Center ◽  
Geographical Regions ◽  
Before And After

BACKGROUND Telehealth is increasingly used to provide specialty consultations to infants and children receiving care. However, there is uncertainty if the Covid-19 pandemic has influenced the use of telehealth among vulnerable populations. OBJECTIVE The objective of this research was to compare the overall use of tele-urgent care visits for pediatric before and after the pandemic especially among vulnerable populations. METHODS We conducted a cross-sectional analysis of Pediatric tele-urgent care visits at a Virtual Care Center at a Southeastern Health Care Center. The main outcome of this study was the utilization of Pediatrics tele-urgent visits across geographical regions with different levels of social disparities and between 2019 and 2020. RESULTS Of 584 tele-urgent care visits, 388 (66.4%) visits occurred in 2020 during the pandemic compared to 196 (33.6%) visits in 2019. Among 808 NC zip codes, 181 (22%) consisted of a high concentration of vulnerable populations, where 17.7% of the tele-urgent care visits originated from. The majority (67.8%) of tele-urgent care visits originated from zip codes with a low concentration of vulnerable populations. There was a significant association between the rate of Covid19 cases and the concentration level of social factors in a given ZCTA area. CONCLUSIONS The use of tele-urgent visits for pediatric care doubled during the Covid19 pandemic. The majority of the tele-urgent care visits after Covid19 originated from regions where there is a low presence of vulnerable populations. In addition, our geospatial analysis found that geographic regions with a high concentration of vulnerable populations had a significantly higher rate of Covid19 confirmed cases and deaths compared to regions with a low concentration of vulnerable populations.

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