scholarly journals Bruxism in children: Effectiveness of bite splints

2014 ◽  
Vol 2 (1) ◽  
pp. 22
Author(s):  
Marcelo Tomas de Oliveira ◽  
Talita Bressan ◽  
Saulo Pamato ◽  
Ana Carolina Niehues ◽  
Nara Farias Niehues ◽  
...  
Keyword(s):  
Informed Consent ◽  
Physical Examination ◽  
Pediatric Dentistry ◽  
Ethics Committee ◽  
Parental Informed Consent ◽  
Wear And Tear ◽  
Dental Appliance ◽  
Effective Use ◽  
The University

Purpose: The aim of this study was to evaluate the effectiveness of bite splints in the treatment of children with bruxism, reduction or elimination of symptoms and effective use of the dental appliance by patients. Methods: The sample consisted of 30 children with bruxism, aged 7 to 10 years, attending the Pediatric Dentistry Clinic of the University of Southern Santa Catarina. After approval by the ethics committee and parental informed consent agreement, children underwent anamnesis, physical examination, and alginate molding for fabrication of acrylic bite splints. The children were reassessed after 15 days and after 4, 8 and 12 months of splinting use through new clinical examination and questionnaires. Results: The use rate of bite splints shows that there was a positive correlation (rP=0.9961) between the decrease in use and time elapsed. The parafunctional habit of bruxism was no longer observed in 76.7% of the sample. It was observed that both symptoms evaluated, headache and muscular discomfort, showed a behavior that, if present at the beginning of treatment, declined during follow-up. No splint wear and tear was observed. Conclusion: There was a significant reduction in parafunctional activity, headache and muscular discomfort with the use of bite splints. The higher the persistence of patients, the higher the use rate of bite splints.

scholarly journals Are Branched Narratives and Virtual Patient Models Acceptable Means of Reforming Case-based Learning?

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Alexander Whelan
Keyword(s):  
Physical Examination ◽  
Online Teaching ◽  
Clinical Skills ◽  
Epigastric Pain ◽  
Management Plan ◽  
Case Based Learning ◽  
The University ◽  
Teaching Modules ◽  
Case Based

Case-Based Learning (CBL) has become a major component of medical curricula and is featured prominently at the University of Ottawa. In this article, CBL is defined as a pedagogical method that uses fictional cases to reinforce important clinical skills [1]. Cases are organized into written sections pertaining to the patient’s chief complaint, a history and physical examination, laboratory and diagnostic investigations, as well as management and follow-up plans [1]. These cases are delivered through selfdirected online teaching modules or through group-oriented discussions. With either method, learners are expected to identify salient points from a given section, in order to anticipate the next steps in the management plan [1]. For example, if the history section describes a patient suffering from epigastric pain, students are encouraged to identify potential pain sources and use this knowledge to recognize the components that should be included in their approach to the physical examination. The ability to synthesize information to direct decision-making is a necessary competency of medicine supported by CBL [1-2]...

Letter to the Editor

PEDIATRICS ◽  
1977 ◽  
Vol 60 (5) ◽  
pp. 768-768
Author(s):  
R. J. H.
Keyword(s):  
Informed Consent ◽  
Ethics Committee ◽  
Letter To The Editor ◽  
Original Manuscript ◽  
The University

Both reviewers of the original manuscript and I were equally concerned with the deception used in the study referred to by Dr. Solnit, and I communicated this concern to the authors. In a revised manuscript they pointed out the safeguards taken, including informed consent of the parents, approval of the University Ethics Committee, the reassurances given to the children at the end of the experiment, and their observations that the children responded to the reassurances very promptly.

scholarly journals Compassion fatigue as bruises in the soul: A qualitative study on nurses

2021 ◽  
pp. 096973302110032
Author(s):  
Tove Gustafsson ◽  
Jessica Hemberg
Keyword(s):  
Content Analysis ◽  
Informed Consent ◽  
Compassion Fatigue ◽  
Ethics Committee ◽  
Private Person ◽  
The Gift ◽  
Ethical Approval ◽  
Life Itself ◽  
The University ◽  
Written Informed Consent

Background: Nurses who are constantly being exposed to patients’ suffering can lead to compassion fatigue. There is a gap in the latest research regarding nurses’ experiences of compassion fatigue. Little is known about how compassion fatigue affects the nurse as a person, and indications of how it affects the profession are scarce. Aim: The aim of this study was to explore compassion fatigue experienced by nurses and how it affects them as persons and professionals. Research design, participants, and research context: A qualitative explorative approach was used. The data consisted of texts from interviews with seven nurses in various nursing contexts. Content analysis was used. Ethical consideration: Ethical approval was sought and granted from an ethics committee at the university where the researchers were based, and written, informed consent was obtained from all the participants. Findings: Five themes were discovered: Compassion as an empathic gift and compassion fatigue as a result of compassion overload, Compassion fatigue as exhausting the nurse as a professional and private person, Compassion fatigue as a crisis with potentially valuable insights, Compassion fatigue can be handled by self-care and focus on self, and Compassion fatigue is affected by life itself and multifaceted factors. Discussion: Compassion stress and overload can lead to compassion fatigue. Compassion fatigue affects the nurse’s ability to compassion, and the caring is no longer experienced in the same way; the nurses experienced it as being deprived of the gift of compassion. Compassion fatigue implicates a crisis with potentially valuable insights. Conclusion: Compassion fatigue can be symbolized as bruises in the soul, hurtful, but with time it can fade away, although it leaves a sense of caution within the nurse, which can affect the suffering patient.

Robot Therapy for Prevention of Dementia at Home – Results of Preliminary Experiment

2007 ◽  
Vol 19 (6) ◽  
pp. 691-697 ◽  
Author(s):  
Kazuyoshi Wada ◽  
◽  
Takanori Shibata ◽  
Takashi Asada ◽  
Toshimitsu Musha ◽  
...  
Keyword(s):  
Informed Consent ◽  
Medical Ethics ◽  
Potential Distribution ◽  
Senile Dementia ◽  
Ethics Committee ◽  
Neuronal Dysfunction ◽  
Dementia Patients ◽  
Diagnosis Method ◽  
The University ◽  
Electroencephalogram Eeg

In robot therapy for senile dementia patients, a seal-like robot, Paro, was left in patients’ homes for a week to determine its neuropsychological influence. Efficacy was evaluated by the diagnosis method of neuronal dysfunction (DIMENSION), which detects a lack of smoothness of scalp potential distribution resulting from cortical neuronal impairment by analyzing recorded a patient’s electroencephalogram (EEG). Interaction with Paro by patients was observed by their families. In a preliminary experiment, 5 subjects were studied after informed consent was received from them or their families in accordance with the medical ethics committee of the University of Tsukuba and the AIST ethics committee.

scholarly journals Talon cusps - functional solution: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 570-574
Author(s):  
Alice Corrêa Silva-Sousa ◽  
Yara Teresinha Corrêa Silva-Sousa ◽  
Nathalia Cristina Tavella-Silva ◽  
Marcelle Danelon
Keyword(s):  
Pediatric Dentistry ◽  
Radiographic Examination ◽  
Type I ◽  
Supernumerary Tooth ◽  
Adequate Treatment ◽  
Anterior Teeth ◽  
Bacterial Plaque ◽  
The University ◽  
Functional Solution

Talon cusp is a rare dental anomaly that occurs more frequently in maxillary incisors and is defined as a projection in the area of the cincture of anterior teeth that extends from the cemento-enamel junction or the region of the cincture, following towards the incisal face. An eight-year-old female patient was referred to the University of Ribeirão Preto Pediatric Dentistry Clinic (UNAERP) with suspicion of a supernumerary tooth on the palatal surface of tooth 12. During clinical and radiographic examination she found the presence of a conical-shaped enamel projection that presented a communication with the tooth 12 cincture and was thus classified as a talon cusp. Initially, prophylaxis and removal of the accumulated bacterial plaque were performed, verification of premature contact with paper for the joint and wear with a spherical diamond tip. FluroShield sealant was then applied following an adhesive protocol indicated by the manufacturer. After the necessary occlusal adjustments were made. 30 days later, the patient returned for clinical follow-up, reconversion and repolishing of the sealant. The talon cusp was diagnosed as Type I because it is morphologically well delineated and protrudes prominently from the palatal surface and extends at least halfway from the cemento-enamel junction to the incisal edge. It is recommended to seal the deep grooves to prevent caries. We can conclude that a rigorous clinical and radiographic examination leading to an early and accurate diagnosis is of extreme importance for the adoption of an adequate treatment.

Tools and Resources: Web Sites of Interest

2001 ◽  
Vol 6 (2) ◽  
pp. 6-8
Author(s):  
Christopher R. Brigham
Keyword(s):  
Informed Consent ◽  
Physical Examination ◽  
Functional Status ◽  
Web Sites ◽  
Satisfaction Survey ◽  
High Quality ◽  
Diagnostic Studies ◽  
Physician Relationship ◽  
Complete History

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, explains that independent medical evaluations (IMEs) are not the same as impairment evaluations, and the evaluation must be designed to provide the data to answer the questions asked by the requesting client. This article continues discussions from the September/October issue of The Guides Newsletter and examines what occurs after the examinee arrives in the physician's office. First are orientation and obtaining informed consent, and the examinee must understand that there is no patient–physician relationship and the physician will not provide treatment bur rather will send a report to the client who requested the IME. Many physicians ask the examinee to complete a questionnaire and a series of pain inventories before the interview. Typical elements of a complete history are shown in a table. An equally detailed physical examination follows a meticulous history, and standardized forms for reporting these findings are useful. Pain and functional status inventories may supplement the evaluation, and the examining physician examines radiographic and diagnostic studies. The physician informs the interviewee when the evaluation is complete and, without discussing the findings, asks the examinee to complete a satisfaction survey and reviews the latter to identify and rectify any issues before the examinee leaves. A future article will discuss high-quality IME reports.

Prospective evaluation for gastrointestinal bleedings at the University Hospital St. Pölten – one year of follow-up

2019 ◽  
Author(s):  
M Stättermayer ◽  
F Riedl ◽  
S Bernhofer ◽  
A Stättermayer ◽  
A Mayer ◽  
...  
Keyword(s):  
University Hospital ◽  
Prospective Evaluation ◽  
One Year ◽  
The University

Socioeconomic patient benefits of a pediatric neurosurgery telemedicine clinic

2020 ◽  
Vol 25 (2) ◽  
pp. 204-208 ◽  
Author(s):  
Kelsey Hayward ◽  
Sabrina H. Han ◽  
Alexander Simko ◽  
Hector E. James ◽  
Philipp R. Aldana
Keyword(s):  
Travel Time ◽  
Cost Savings ◽  
Transportation Cost ◽  
Pediatric Neurosurgery ◽  
University Of Florida ◽  
Remote Location ◽  
Socioeconomic Data ◽  
The University ◽  
Time Away

OBJECTIVEThe objective of this study was to examine the socioeconomic benefits to the patients and families attending a regional pediatric neurosurgery telemedicine clinic (PNTMC).METHODSA PNTMC was organized by the Division of Pediatric Neurosurgery of the University of Florida College of Medicine–Jacksonville based at Wolfson Children’s Hospital and by the Children’s Medical Services (CMS) to service the Southeast Georgia Health District. Monthly clinics are held with the CMS nursing personnel at the remote location. A retrospective review of the clinic population was performed, socioeconomic data were extracted, and cost savings were calculated.RESULTSClinic visits from August 2011 through January 2017 were reviewed. Fifty-five patients were seen in a total of 268 initial and follow-up PNTMC appointments. The average round-trip distance for a family from home to the University of Florida Pediatric Neurosurgery (Jacksonville) clinic location versus the PNTMC remote location was 190 versus 56 miles, respectively. The families saved an average of 2.5 hours of travel time and 134 miles of travel distance per visit. The average transportation cost savings for all visits per family and for all families was $180 and $9711, respectively. The average lost work cost savings for all visits per family and for all families was $43 and $2337, respectively. The combined transportation and work cost savings for all visits totaled $223 per family and $12,048 for all families. Average savings of $0.68/mile and $48.50/visit in utilizing the PNTMC were calculated.CONCLUSIONSManaging pediatric neurosurgery patients and their families via telemedicine is feasible and saves families substantial travel time, travel cost, and time away from work.

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