scholarly journals Three-year Prospective Evaluation of Immediately Loaded Mandibular Implant Overdentures retained with Locator Attachments

2017 ◽  
Vol 18 (9) ◽  
pp. 842-850 ◽  
Author(s):  
Ayman Al-Dharrab
Keyword(s):  
Survival Rate ◽  
Tissue Response ◽  
Rank Test ◽  
Prospective Evaluation ◽  
Significance Level ◽  
Paired Samples ◽  
Signed Rank Test ◽  
Immediate Implant ◽  
Edentulous Patients ◽  
Implant Loading

ABSTRACT Introduction Immediate implant-loading protocol has progressed because of various clinical advantages offered by this treatment approach. However, available studies on edentulous patients are still few compared to those in which delayed implantloading protocol was applied. Aim This prospective study was to evaluate the implant survival rate and the peri-implant tissue response in a group of patients who received two unsplinted immediately loaded dental implants in the mandibular anterior region to retain a complete overdenture using locator attachments. Materials and methods A total of 24 edentulous patients with a mean age of 63.4 years were involved in this study following certain inclusion criteria. All patients received a new set of complete dentures before implant positioning. Two Prima Connex tapered implants were put in the interforaminal area of the mandible with a flapless surgical procedure, and the prefabricated dentures were immediately retained with a zest locator attachment. Clinical and radiographic records of the patients were reviewed immediately after placement of the implant, at 3 months, and at 1, 2, and 3 years following fixture installation. The obtained data were analyzed using paired samples t-test and the Wilcoxon signed-rank test at 0.05 significance level. Results At 3 years, all implants had osseointegrated with a 100% survival rate. In addition, the total mean marginal bone change was −0.89 ± 0.14 mm, and the mean periotest value was −7.631 ± 0.921. Conclusion Results of this study propose that immediate loading of mandibular implant overdentures that are retained with locator attachments was a feasible treatment alternative for this particular group of patients. Clinical significance Immediate implant- loading of mandibular implant overdentures that are retained with locator attachments is a reliable treatment option How to cite this article Al-Dharrab A. Three-year Prospective Evaluation of Immediately Loaded Mandibular Implant Overdentures retained with Locator Attachments. J Contemp Dent Pract 2017;18(9):842-850.

scholarly journals PENGARUH LAMAZE EXERCISE TERHADAP SKALA NYERI MENSTRUASI (DYSMENORRHOEA) PADA REMAJA PUTRI DI SMA BUDI MULIA JAKARTA

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Veronica Yeni Rahmawati
Keyword(s):  
Rating Scale ◽  
Numeric Rating Scale ◽  
Rank Test ◽  
Menstrual Pain ◽  
Significance Level ◽  
Signed Rank ◽  
Wide Range ◽  
Post Test ◽  
Signed Rank Test ◽  
Pharmacological Method

Menstrual pain present as cramps (ranging from mild to severe), which may disturb dailyactivities. Lamaze exercise is non pharmacological method which use breathingrelaxation. This research was to analyze Lamaze exercise to reduction of menstrual pain.This study used pra experimental pre post test design. The population was the studentswith menstrual pain at Budi Mulia Senior High School Jakarta. The sampling techniquewas purposive sampling. Thirty one students participated in this study. The independentvariable was Lamaze exercise and the dependent variable was menstrual pain.Instrument which used to measure pain was Visual Analog Numeric Rating Scale. Datawere analyzed with Wilcoxon Signed Rank Test with significance α ≤ 0.005. The resultshowed that Lamaze exercise decreasd menstrual pain. The result of statistical testshowed significance level p = 0.000 and the deviation between pre and post mean is2.32, which means that there was decreasing menstrual pain in student in pre test andpost test. It can be concluded that Lamaze exercise can influence menstrual pain indecrease respondent of the research. Lamaze exercise can provide a relaxing effect.Further experiment with different respondent characteristic to obtain more wide range ofresult.Keywords: menstrual pain, Lamaze, relaxing effect, non pharmacological method

scholarly journals Pre and Post test Clinical study to evaluate the Immunomodulatory effect (IgE) of Virecana followed by Citrakaharitaki Leha in Allergic Asthma

2021 ◽  
Vol 12 (1) ◽  
pp. 53-61
Author(s):  
Jyotish S Jayandan ◽  
James Chacko ◽  
Devipriya Soman ◽  
Mahesh C Kundagol
Keyword(s):  
Clinical Study ◽  
Allergic Asthma ◽  
Rank Test ◽  
Drug Induced ◽  
Paired Samples ◽  
Management Protocol ◽  
Post Test ◽  
Signed Rank Test ◽  
Significant Change ◽  
The Difference

Allergic Asthma is one among the diseases which imposes a great burden on the subjects by hampering the quality of life of patients, reducing productivity, and causing work absence. The literary search hinted that there are no published works reporting both clinical and immunological(IgE) outcomes in Allergic Asthma. So the present study was a pre and post test clinical study to evaluate the effect of Ayurvedic line of management in inducing both immunological(IgE) and clinical outcomes in Allergic Asthma. In this study 30 patients were administered classical Virecana Karma (drug induced purgation) followed by Shamanoushadi (internal medicine) for 30 days. Statistical Analysis was done using SPSS VER. 20. Wilcoxon signed rank test was used to evaluate the Subjective parameters, in order to interpret the time of significant change. For objective parameters Paired Samples t- Test was used to evaluate the difference of significant change. The results showed improvement in the subjective criteria, objective criteria and the overall effect of the therapy with the exception of no statistically significant results in immunomodulatory (IgE) effect which proves that the particular management protocol adopted is found to be clinically efficant but not effective in inducing changes at the immune level.

scholarly journals Abdominal breathing affects blood pressure in hypertension sufferers

2019 ◽  
Author(s):  
Chilyatiz Zahroh ◽  
Siti Nurjanah ◽  
Ninin Khumairoh Siti Widyarti
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Measurement ◽  
Significant Risk ◽  
Rank Test ◽  
P Value ◽  
Significance Level ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Abdominal Breathing

Hypertension is a significant risk factor for heart disease and stroke. This study was conducted to determine the effect of abdominal breathing on blood pressure in a hypertensive patient using the non-pharmacological treatment. This study used a pre-experimental method, which comprises of the one-group pre-test/post-test design. A total of 39 hypertensive respondents taken from a population in Wonokromo, Surabaya were chosen by using simple random sampling technique. Data was analyzed by Wilcoxon Signed-Rank Test, with an assigned significance level of ɑ=0.05. The results of this study showed that before abdominal breathing, the systolic blood pressure was 146.41 mmHg, whereas the diastolic blood pressure was 117.43 mmHg. After performing abdominal relaxation, it was 135.64 mmHg and 87.95 mmHg, respectively. Moreover, the results of the Wilcoxon Signed-Rank Test showed a p-value of 0.000, illustrating that the results of blood pressure measurement were different before and after conducting the abdominal breathing. Therefore, abdominal breathing is suspected of having the ability to decrease the blood pressure.

scholarly journals Inverse Occlusion: A Binocularly Motivated Treatment for Amblyopia

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Jiawei Zhou ◽  
Zhifen He ◽  
Yidong Wu ◽  
Yiya Chen ◽  
Xiaoxin Chen ◽  
...  
Keyword(s):  
Ocular Dominance ◽  
Contrast Ratio ◽  
Primary Outcome Measure ◽  
Secondary Outcome ◽  
Rank Test ◽  
Short Term ◽  
Laboratory Findings ◽  
Paired Samples ◽  
Signed Rank Test ◽  
Refractive Correction

Recent laboratory findings suggest that short-term patching of the amblyopic eye (i.e., inverse occlusion) results in a larger and more sustained improvement in the binocular balance compared with normal controls. In this study, we investigate the cumulative effects of the short-term inverse occlusion in adults and old children with amblyopia. This is a prospective cohort study of 18 amblyopes (10-35 years old; 2 with strabismus) who have been subjected to 2 hours/day of inverse occlusion for 2 months. Patients who required refractive correction or whose refractive correction needed updating were given a 2-month period of refractive adaptation. The primary outcome measure was the binocular balance which was measured using a phase combination task; the secondary outcome measures were the best-corrected visual acuity which was measured with a Tumbling E acuity chart and converted to logMAR units and the stereoacuity which was measured with the Random-dot preschool stereogram test. The average binocular gain was 0.11 in terms of the effective contrast ratio (z=−2.344, p=0.019, 2-tailed related samples Wilcoxon Signed Rank Test). The average acuity gain was 0.13 logMAR equivalent (t17=4.76, p<0.001, 2-tailed paired samples t-test). The average stereoacuity gain was 339 arc seconds (z=−2.533, p=0.011). Based on more recent research concerning adult ocular dominance plasticity, we conclude that inverse occlusion in adults and old children with amblyopia does produce long-term gains to binocular balance and that acuity and stereopsis can improve in some subjects.

scholarly journals The Effect of Basic Position Training on Walking Abilities of Visually Impaired Individuals

2018 ◽  
Vol 7 (5) ◽  
pp. 130
Author(s):  
Ceren Suveren-Erdogan ◽  
Fatmanur Er ◽  
Sibel Suveren
Keyword(s):  
Visually Impaired ◽  
Audio Signal ◽  
Standing Position ◽  
Point Of View ◽  
Rank Test ◽  
Significance Level ◽  
Gender Categorization ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Direction Of Movement

Objective of this study is to help the basic standing position training to take its part among basic exercises of the visually impaired individuals, and to observe the effects of this training on walking and balance skills.Method: 8 visually impaired sedentary individuals with impairment levels of B1 and B2 and ages of 18 to 24 voluntarily participated in the study. After acknowledging the visually impaired individuals with audial information regarding the study, they were told to brisk walk for 15 steps against the audio signal and then to heel-to-toe walk for 15 steps. Their corresponding walking distances, walking durations, directional impairments and losses of balance were recorded. During the 8 week period following this test, 45 minute training sessions accompanied by trainers that included 4 basic standing positions and their combinations were applied once a week, where the trainer corrected the individuals verbally and physically. Abovementioned tests were repeated after these 8 weeks. Gender categorization was not made since the participants were few in number. Non-parametric Wilcoxon Signed Rank Test was applied and a significant increase for the pretest was observed at a 0.05 significance level, where the distances walked increased and walking durations along with losses of balance decreased.Result: It was observed that walking skills of visually impaired individuals that received verbal and physical assistance, and that effectively performed basic positions and their combinations were smoother and more confident; that their walking distances were increased, their losses of balance were decreased and that they encountered less deviations from the direction of movement while walking, compared to their pretest conditions. Starting from this point of view, it might be concluded that the basic standing positions were highly beneficial and applicable activities for walking training of visually impaired individuals.

Effectiveness of a Basic Education Program on RadiationRelated Health Concerns for Nurses of Public Health and School Health in Japan

2020 ◽  
Author(s):  
Kawasaki HIROMI ◽  
Md Moshiur RAHMAN ◽  
Iwasa MIKA ◽  
Kukinaka CHIEKO
Keyword(s):  
Public Health ◽  
Nuclear Power ◽  
School Health ◽  
Basic Education ◽  
Cognitive Domain ◽  
Rank Test ◽  
Significance Level ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Signed Rank Test

Background: After the Japanese nuclear power plant disaster in 2011, many residents became concerned about health effects of radiation. We aimed to evaluate the effectiveness of a training program for public health and school health nurses to improve their skills and expertise for better support to residents and students. Methods: This was a quasi-experimental study using single-group and pre-post comparison in 2016 in Hiroshima, Kagoshima and Hyogo prefectures of Japan. The educational evaluation was conducted through each sub-item of Bloom’s attainment goals. The evaluation of effectiveness was surveyed among 61 participants before and immediately after the workshop, and at 1-week and 1-month later. The analysis compared initial scores obtained before the workshop with subsequent responses. Where a significant difference was observed among three-group or more in the Friedman test, the Wilcoxon signed-rank test was used for two-group comparisons across the time periods. The significance level was set at P<0.05. Results: Data of 54 participants were analyzed. The knowledge based on Bloom’s taxonomy was increased as the number of correct responses increased significantly after the workshop (P<0.001). Cognitive domain was significantly increased after 1-week and 1-month (P<0.001). Affective and psychomotor performances were also increased compared with prior. Participants increased vocabulary related to radiation and developed confidence in radiation disaster recovery measures. Conclusion: Each sub-item of the Bloom’s attainment (goal, cognitive, affective, psychomotor) has almost been reached and the effect was maintained even after 1-month. By learning concrete words, they could explain accurately. Participants improved their confidence after receiving the training to respond and clarify the radiation anxieties to the community people.

scholarly journals Efficacy of Steroid Therapy for Fukuyama Congenital Muscular Dystrophy

2021 ◽  
Author(s):  
Terumi Murakami ◽  
Takatoshi Sato ◽  
Michiru Adachi ◽  
Kumiko Ishiguro ◽  
Minobu Shichiji ◽  
...  
Keyword(s):  
Muscular Dystrophy ◽  
Steroid Therapy ◽  
Congenital Muscular Dystrophy ◽  
Rank Test ◽  
Clinical Trial Registration ◽  
Motor Functions ◽  
Significance Level ◽  
Before And After ◽  
Signed Rank Test ◽  
The Mean

Abstract Background: Although a fundamental treatment for Fukuyama congenital muscular dystrophy (FCMD) is not developed yet, several reports have suggested that steroid therapy could be effective for FCMD; however, no independent intervention studies have been conducted.Objective: This study aimed to evaluate the efficacy of steroid therapy for restoring motor functions in FCMD patients.Subjects: This study involved 3-to-10-year-old FCMD patients who exhibited a decline in motor functions, requested steroid therapy.Methods: The dose regimen started with oral administration of prednisolone at 0.5 mg/kg every other day and was increased to 1.0 mg/kg if the response was insufficient. The motor functions of the patients were evaluated and compared using the Gross Motor Function Measure (GMFM). Statistical analysis was performed using the Wilcoxon signed-rank test (significance level, P ≤ 0.05)Results: The mean age of FCMD patients at the onset of steroid therapy was 8.10 years (SD, 2.14 years). The mean GMFM difference between before and after the steroid therapy was +1.23 (SD, 1.10), with a P value of 0.015 representing a significant improvement in the GMFM.Conclusions: Our results indicate that steroid therapy may contribute to the maintenance and improvement of the motor functions of advanced-stage FCMD patients.Clinical Trial Registration: Registration Number: UMIN000020715, Registration Date: 01/02/2016.

scholarly journals Group Education Model Improving The Knowledge of School Age Children in Protecting of Sexual Violence

2019 ◽  
Vol 3 (4) ◽  
pp. 204
Author(s):  
I Ketut Labir ◽  
Ni Luh Kompyang Sulisnadewi ◽  
I Nyoman Ribek
Keyword(s):  
Sexual Violence ◽  
Sampling Technique ◽  
School Age Children ◽  
Rank Test ◽  
Average Score ◽  
P Value ◽  
School Age ◽  
Significance Level ◽  
Before And After ◽  
Signed Rank Test

Cases of sexual violence and abuse in Indonesia are increasingly common. Not only in adults, children are now victims. Some cases of victims or perpetrators involve underage children. Many parents feel taboo to talk about early childhood education with children. This causes children not to get information that is supposed to protect themselves from sexual violence. Need to do various efforts to provide education to children about knowledge to protect themselves from sexual violence. The purpose of this study was to determine the effect of sexual violence education on children on efforts to protect from sexual violence. This study uses pre-experimental design with approach pretest-posttest design. The number of samples is 195 children taken by purposive sampling technique. Analyze data using  different Wilcoxon Signed Rank test with 95% significance level, p ≤ (0.05). The results showed that the average age of the respondents was 10.2 years and most of the men were 52.8%. Before giving education, the average score of respondents' knowledge about efforts to protect themselves from sexual violence was 6.7 and increased to 7.79 after giving education. There is a difference in knowledge about efforts to protect themselves from sexual violence before and after being given education (p value ≤ 0.001; <α = 0.05). It is recommended that the provision of information about sexual violence be given regularly by teachers and parents.Keywords: Education - Elementary School Age Knowledge - Efforts to Protect Themselves from Sexual Violence

scholarly journals Determination of Affected Factor on Survival Rates In Referral Gastric Cancer Patients to Imam Khomeini Clinic in Hamadan Province from 2004-2017

2020 ◽  
Author(s):  
Fatemeh Gohari-Ensaf ◽  
Zeinab Berangi ◽  
Mohamad Abbasi ◽  
Ghodratollah Roshanaei
Keyword(s):  
Gastric Cancer ◽  
Survival Rate ◽  
Screening Program ◽  
Survival Rates ◽  
Tumor Stage ◽  
Rank Test ◽  
Significance Level ◽  
Kaplan Meier ◽  
One Year ◽  
Gastric Cancer Patients

Introduction: Gastric cancer is the fourth most common cancer and the second leading cause of death in the world. Despite the recent advances in controlling and treating the disease, the survival rate of this cancer is relatively low. Various factors can affect the survival of the patients with gastric cancer. The aim of this study was to determine the survival rates and the effective factors in the patients with gastric cancer. Methods: The study population included all the patients diagnosed with gastric cancer in Hamadan Province who were referred to Hamadan Imam Khomeini Specialized Clinic between 2004 to 2017. Patients were followed up by periodical referrals and/or telephone contact. The survival rate of the patients was calculated using Kaplan-Meier method and effective survival factors with Cox proportional regression. Data were analyzed using SPSS 23 software at a significance level of 0.05. Results: Out of the 350 patients with gastric cancer, 74.3% were male and 25.7% were female. One-year, three-year and five-year survival rates were 67%, 36% and 27%, respectively. The log -rank test showed that age, type of tumor, stage of disease, type of Surgery and metastasis of the disease were effective on the survival of patients. In Cox's multivariate analysis, the only age variables at the time of diagnosis and chemotherapy were survival variables. (P<0.05). Conclusion: The results of this study showed that age variable is a strong factor in survival, so it is essential to diagnose the disease at the early age and early stages of the disease using a screening program.

scholarly journals PENGARUH AROMATERAPI LEMON (CITRUS) TERHADAP PENURUNAN NYERI MENSTRUASI PADA MAHASISWI PROGRAM STUDI ILMU KEPERAWATAN FAKULTAS KEDOKTERAN UNIVERSITAS SAM RATULANGI MANADO

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sefti Rompas ◽  
Lenny Gannika
Keyword(s):  
Nursing Students ◽  
Sampling Technique ◽  
Rank Test ◽  
Test Design ◽  
Probability Sampling ◽  
Significance Level ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Post Test ◽  
Signed Rank Test

Abstract : The Aromatherapy of orange (Citrus) is one of the relaxation measures to reduce dismenore, also improves mood and reduces anger. Limeone is one of the ingredients of The orange aromatherapy’s oil which can inhibit the prostaglandin so it can reduce dismenore. The purpose of this study is to know The Influence of Orange’s aromatherapy against dismenore in Sam Ratulangi University’s Nursing Students, Manado. Design of this study is using a pre-experimental one-group-pre-test-post-test-design. Sampel of this study consisted of 26 respondents with the sampling method using a non probability sampling with saturation sampling technique. The results of this study using the Wilcoxon Signed Rank Test at a significance level of 95%, obtained that the value ρ - 0,000, value is smaller than the significant value of 0.05. Conclution in this study there is influence of Orange’s aromatherapy (Citrus) on decrease dismenore in Sam Ratulangi University’s Nursing Students, ManadoKeywords: Aromatherapy,Lemon,DismenoreAbstrak : Aromaterapi lemon (Citrus) merupakan salah satu relaksasi untuk menurunkan nyeri menstruasi. Aromaterapi lemon juga meningkatkan mood dan mengurangi rasa marah. Limeone merupakan salah satu kandungan minyak aromaterapi lemon yang dapat menghambat sistem kerja prostaglandin sehingga dapat mengurangi nyeri. Tujuan penelitian ini adalah mengetahui pengaruh Aromaterapi Lemon (Citrus) terhadap Penurunan Nyeri Menstruasi pada mahasiswi Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado. Rancangan Menggunakan pre eksperimen one-group-pre-test-post-test-design. Sampel terdiri dari 26 responden dengan metode pengambilan sampel menggunakan pendekatan non probability sampling dengan teknik saturation sampling. Hasil menggunakan uji Wilcoxon Signed Rank Test pada tingkat kemaknaan 95%, didapatkan nilai ρ – Value 0,000 lebih kecil dari nilai signifikan 0,05. Kesimpulan ada pengaruh aromaterapi lemon (Citrus) terhadap Penurunan nyeri menstruasi pada mahasiswi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi Manado.Kata Kunci : Aromaterapi, lemon, Nyeri Menstruasi

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