scholarly journals Clinical and electromyographic study of lateral preference in mastication in patients with long-standing peripheral facial paralysis

2009 ◽  
Vol 35 (1) ◽  
pp. 19-32
Author(s):  
Adriana Rahal ◽  
◽  
Maria Goffi-Gomez
Keyword(s):  
Facial Paralysis ◽  
Electromyographic Activity ◽  
Peripheral Facial Paralysis ◽  
Lateral Preference ◽  
Unaffected Side ◽  
Male And Female ◽  
Before And After ◽  
The Face ◽  
Natural Dentition ◽  
The Impact

Peripheral facial paralysis (PFP) usually affects the facial nerve in part or in whole on one side of the face. Most patients with acute PFP find it difficult to chew on the paralyzed side, especially due to compromised buccinator function. In addition, the sagging of the ipsilateral lip commissure tends to compromise lip competence. The purpose of this study was to evaluate the impact of long-standing PFP upon mastication, relating to clinical mastication sidedness as determined by clinical and electromyographic activity of the masseters. The study included 27 male and female subjects aged 16−69 years with permanent natural dentition and long-standing PFP. Patients answered questions on their mastication habits before and after onset of PFP and were submitted to clinical myofunctional examination and electromyographical tests of the masseters during clenching and habitual mastication. According to the anamnesis, 77.8 % claimed to prefer chewing on the unaffected side. Clinically, 70% presented a lateral preference in mastication. In the clinical evaluation the buccinators and orbicularis oris differed significantly (p=0.025) between the healthy and the paralyzed side. Only 22.2% of the patients showed increased thickness of the contralateral masseters. No statistically significant electromyographic difference was observed between the masseters on the affected and unaffected side. Conclusions In general indicated that subjects with flaccid-stage PFP for 6 months or longer preferred to masticate on the unaffected side. No significant clinical or electromyographic differences were found in masseter activity between the affected and unaffected side in this patient sample.

A Method of Selecting Acupoints for Acupuncture Treatment of Peripheral Facial Paralysis by Thermography

2007 ◽  
Vol 35 (06) ◽  
pp. 967-975 ◽  
Author(s):  
Dong Zhang
Keyword(s):  
Facial Paralysis ◽  
Acupuncture Treatment ◽  
Test Group ◽  
Selection Method ◽  
Utilization Rate ◽  
Control Group ◽  
Peripheral Facial Paralysis ◽  
Significant Difference ◽  
The Face ◽  
Healthy Side

The purpose of this study is to select acupoints for acupuncture treatment of peripheral facial paralysis according to the temperature on the face of the patient detected by thermogram, to determine an objective acupoint selection method for acupuncture treatment. In the test group of 60 cases of facial paralysis, the infrared thermogram on the face was detected at the first visit, and then acupuncture was given at the acupoints on the affected side with a temperature difference of over 0.5°C from the healthy side for one therapeutic course, and in each successive course the acupoints were re-determined according to the results of thermogram examination and were administrated till the end of the total therapeutic course, and 120 cases of the control group were treated with acupuncture at conventionally selected acupoints. The results showed that the cured and basically cured rate was 90.0% (54 cases) in the test group and 77.5% (93 cases) in the control group with a significant difference between the two groups ( p < 0.05); and the total sessions of acupuncture were less and the course of treatment was shorter in the test group than those in the control group (both p < 0.001). The utilization rate of the acupoints selected by facial thermogram in the test group was in order of Dicang (ST 4, 92.3%), Yingxiang (LI 20, 90.6%), Taiyang (EX-HN 5, 85.5%), Yangbai (GB 14, 76.6%), Quanliao (SI 18, 72.3%), and so on. In conclusion, acupuncture at the acupoints selected by thermogram for treatment of facial paralysis in the cured rate, the therapeutic course and sessions of acupuncture is significantly superior to acupuncture at the conventionally selected acupoints, and the thermogram-aided acupoint selection method is beneficial to objectivity and modernization of acupoint selection for acupuncture and moxibustion treatments.

scholarly journals An Investigation of the Effect of Retraining Courses on the Knowledge, Attitude, and Performance of Health Workers in the Field of Malaria

2021 ◽  
Vol 15 (5) ◽  
pp. 1779-1782
Author(s):  
Roghaye Ershad Sarabi ◽  
Rafigh Dehvari Mohammadi ◽  
Aziollah Arbabisarjou
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Demographic Data ◽  
Knowledge Score ◽  
Significance Level ◽  
Before And After ◽  
The Face ◽  
The Difference ◽  
And Performance ◽  
The Impact

Introduction and Objective: Malaria is considered one of the most important parasitic diseases in Iran. With regard to malaria, Sistan and Baluchestan province ranks first among the country's provinces. This study set out in 2017 to investigate the impact of education on malaria knowledge, attitude and behavior among health workers working in Saravan city health center. Materials and Methods: The present study is a semi-experimental study of before and after clinical trial type that was performed on 73 health workers in Saravan city. A researcher-made questionnaire was used to collect the required data. It consisted of two parts: the first part was dedicated to demographic data and the second part was about the knowledge, attitude and performance of health workers regarding malaria. The face and content validity of the questionnaire was confirmed by an expert panel. The reliability of the questionnaire was calculated using Cronbach's alpha coefficient (α=0.85). Before the start of the training, the questionnaires were given to the health workers. The trainings were presented in 49 one-hour sessions by the experts of the headquarters of Saravan Health Center in Behvarzi Center using lectures and pamphlets. One month after the training, the same questionnaires were filled in by health workers. The difference between the variables of knowledge, attitude and performance in the two groups before and after the intervention was performed using a one-sample and paired sample t-test or their non-parametric equivalent i.e. Binominal and Wilcoxon tests in the SPSS software (version 18). A significance level of 0.5 was taken into consideration. Results: The results showed that the mean scores of health workers in the areas of knowledge, attitude and performance increased significantly after the workshop (p=0.001) so that the participants' knowledge score increased from 26.06 to 56.7. In terms of attitude, their score increased from 7.2 to 17.7, and in terms of performance, participants' score increased from 13 to 32. Discussion and Conclusions: The findings revealed that the implementation of educational programs in the field of malaria can increase the level of knowledge, attitude and performance of the community regarding the preventive behaviors of malaria. Therefore, health system officials are recommended to work toward the amelioration of the knowledge, attitude and performance of the health workers. Keywords: knowledge, attitude, performance, health workers, malaria, retrainin

scholarly journals An Investigation of the Effect of Retraining Courses on the Knowledge, Attitude and Performance of Health Workers in the Field of Malaria

2021 ◽  
Vol 15 (6) ◽  
pp. 1598-1601
Author(s):  
Roghaye Ershad Sarabi ◽  
Rafigh Dehvari Mohammadi ◽  
Aziollah Arbabisarjou
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Demographic Data ◽  
Knowledge Score ◽  
Before And After ◽  
The Face ◽  
Level Of Knowledge ◽  
And Performance ◽  
And Behavior ◽  
The Impact

Background: Malaria is considered one of the most important parasitic diseases in Iran. With regard to malaria, Sistan and Baluchestan province ranks first among the country's provinces. Aim: To investigate the impact of education on malaria knowledge, attitude and behavior among health workers working in Saravan city health center. Methods: The present study is a semi-experimental study of before and after clinical trial type that was performed on 73 health workers in Saravan city. A researcher-made questionnaire was used to collect the required data. It consisted of two parts: the first part was dedicated to demographic data and the second part was about the knowledge, attitude and performance of health workers regarding malaria. The face and content validity of the questionnaire was confirmed by an expert panel. The reliability of the questionnaire was calculated using Cronbach's alpha coefficient (α=0.85). Before the start of the training, the questionnaires were given to the health workers. The trainings were presented in 49 one-hour sessions by the experts of the headquarters of Saravan Health Center in Behvarzi Center using lectures and pamphlets. One month after the training, the same questionnaires were filled in by health workers. Results: The results showed that the mean scores of health workers in the areas of knowledge, attitude and performance increased significantly after the workshop (p=0.001) so that the participants' knowledge score increased from 26.06 to 56.7. In terms of attitude, their score increased from 7.2 to 17.7, and in terms of performance, participants' score increased from 13 to 32. Conclusions: The findings revealed that the implementation of educational programs in the field of malaria can increase the level of knowledge, attitude and performance of the community regarding the preventive behaviors of malaria. Therefore, health system officials are recommended to work toward the amelioration of the knowledge, attitude and performance of the health workers. Keywords: knowledge, attitude, performance, health workers, malaria, retrainin

scholarly journals The flipped classroom: A learning model to increase student engagement not academic achievement

2017 ◽  
Vol 8 (2) ◽  
pp. 43-53 ◽  
Author(s):  
Masha Smallhorn
Keyword(s):  
Student Engagement ◽  
Learning Outcomes ◽  
Flipped Classroom ◽  
Student Attendance ◽  
Face To Face ◽  
Online Videos ◽  
Before And After ◽  
The Face ◽  
Face Time ◽  
The Impact

A decrease in student attendance at lectures both nationally and internationally, has prompted educators to re-evaluate their teaching methods and investigate strategies which promote student engagement. The flipped classroom model, grounded in active learning pedagogy, transforms the face-to-face classroom. Students prepare for the flipped classroom in their own time by watching short online videos and completing readings. Face-to-face time is used to apply learning through problem-solving with peers. To improve the engagement and learning outcomes of our second year cohort, lectures were replaced with short online videos and face-to-face time was spent in a flipped classroom. The impact of the flipped classroom was analysed through surveys, attendance records, learning analytics and exam data before and after the implementation of the flipped classroom. Results suggest an increase in student engagement and a positive attitude towards the learning method. However, there were no measurable increases in student learning outcomes.

An Investigation of the Effect of Retraining Courses on the Knowledge, Attitude, and Performance of Health Workers in the Field of Malaria

2021 ◽  
Vol 15 (6) ◽  
pp. 2039-2042
Author(s):  
Roghaye Ershad Sarabi ◽  
Rafigh Dehvari Mohammadi ◽  
Aziollah Arbabisarjou
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Demographic Data ◽  
Knowledge Score ◽  
Significance Level ◽  
Before And After ◽  
The Face ◽  
The Difference ◽  
And Performance ◽  
The Impact

Introduction and Objective: Malaria is considered one of the most important parasitic diseases in Iran. With regard to malaria, Sistan and Baluchestan province ranks first among the country's provinces. This study set out in 2017 to investigate the impact of education on malaria knowledge, attitude and behavior among health workers working in Saravan city health center. Materials and Methods: The present study is a semi-experimental study of before and after clinical trial type that was performed on 73 health workers in Saravan city. A researcher-made questionnaire was used to collect the required data. It consisted of two parts: the first part was dedicated to demographic data and the second part was about the knowledge, attitude and performance of health workers regarding malaria. The face and content validity of the questionnaire was confirmed by an expert panel. The reliability of the questionnaire was calculated using Cronbach's alpha coefficient (α=0.85). Before the start of the training, the questionnaires were given to the health workers. The trainings were presented in 49 one-hour sessions by the experts of the headquarters of Saravan Health Center in Behvarzi Center using lectures and pamphlets. One month after the training, the same questionnaires were filled in by health workers. The difference between the variables of knowledge, attitude and performance in the two groups before and after the intervention was performed using a one-sample and paired sample t-test or their non-parametric equivalent i.e. Binominal and Wilcoxon tests in the SPSS software (version 18). A significance level of 0.5 was taken into consideration. Results: The results showed that the mean scores of health workers in the areas of knowledge, attitude and performance increased significantly after the workshop (p=0.001) so that the participants' knowledge score increased from 26.06 to 56.7. In terms of attitude, their score increased from 7.2 to 17.7, and in terms of performance, participants' score increased from 13 to 32. Discussion and Conclusions: The findings revealed that the implementation of educational programs in the field of malaria can increase the level of knowledge, attitude and performance of the community regarding the preventive behaviors of malaria. Therefore, health system officials are recommended to work toward the amelioration of the knowledge, attitude and performance of the health workers. Keywords: knowledge, attitude, performance, health workers, malaria, retrainin

Does Exercise Testing Affect the Bioelectrical Impedance Assessment of Body Composition in Children?

2003 ◽  
Vol 15 (2) ◽  
pp. 216-222 ◽  
Author(s):  
Fredric L. Goss ◽  
Robert J. Robertson ◽  
John Dube ◽  
Jason Rutkowski ◽  
Joseph Andreacci ◽  
...  
Keyword(s):  
Body Composition ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Systematic Difference ◽  
Cycle Ergometry ◽  
Peak Oxygen Consumption ◽  
Male And Female ◽  
Before And After ◽  
The Impact

This investigation examined the impact of a cycle ergometry exercise test (CET) on body composition determined using leg-to-leg bioelectrical impedance analysis (BIA; Tanita Model TPF-305). Fifty three children (25 males, 28 females) aged 10-12 yr participated. BIA measures of body fat (BF) were obtained immediately before and within five min of a multistage CET administered to assess peak oxygen consumption. Correlations (P = 0.01) of 0.99 were noted between the pre and post CET measures of BF. A systematic difference was not found in BIA measures obtained before and after CET. BF decreased by 0.4 and 1.2% following CET in the male and female subjects, respectively.

scholarly journals Risk of HBV infection among male and female first-time blood donors born before and after the July 1986 HBV vaccination program in Taiwan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hsuan-Hui Wang ◽  
Shu-Lung Sun ◽  
Rong-Chiou Jau ◽  
Disline Manli Tantoh ◽  
Shu-Yi Hsu ◽  
...  
Keyword(s):  
Blood Donors ◽  
Blood Donation ◽  
Vaccination Program ◽  
Birth Date ◽  
Birth Cohorts ◽  
Male And Female ◽  
Hbv Vaccination ◽  
Before And After ◽  
The Impact ◽  
First Time

Abstract Background In July 1984, Taiwan officially began a nationwide hepatitis B virus (HBV) vaccination program where only infants born to HBsAg-positive mothers were vaccinated free of charge until June 1986. However, from July 1986, all infants were vaccinated against HBV. The impact of the July 1986 HBV vaccination program on first-time blood donors has not been exhaustively studied. We, therefore, determined the risk of HBV among male and female first-time blood donors born before and after the July 1986 HBV vaccination program in Taiwan. Methods Initially, we recruited 857,310 first-time blood donors whose data were collected between 2013 and 2018 from 5 blood donation centers in Taiwan. However, we excluded donors with incomplete and outlying data (n = 12,213) and those born between July 1984 and June 1986 (n = 21,054). The final study participants comprised 9118 HBV positive and 814,925 HBV negative individuals. We divided the participants into two birth cohorts (born before and after July 1986) and assumed that those born before July 1986 were not vaccinated at birth while those born after July 1986 were vaccinated. Results The prevalence of HBV among those born before and after July 1986 was 4.53 and 0.25%, respectively. Individuals born after July 1986 had a lower risk of HBV than those born before July 1986. The adjusted odds ratio (OR), 95% confidence interval (CI) was 0.16, 0.13–0.19. Men had a higher risk of HBV than women (OR = 1.40, 95% CI = 1.34–1.47). The interaction between sex and birth date was significant (p-value = 0.0067). Stratification of participants by birth date revealed a higher risk of HBV in men compared to women in both birth cohorts. The OR, 95% CI was 1.47, 1.40–1.55 for those born before July 1986 but declined to 1.15, 1.02–1.29 for those born after July 1986. Conclusions The risk of HBV was lower among those born after than those born before the July 1986 vaccination program. In both cohorts, the risk was high in men relative to women. The seemingly protective effect among those born after July 1986 was higher in women than men.

scholarly journals Effect of diamond microdermabrasion on oily skin: a case report

2018 ◽  
Vol 12 (3) ◽  
pp. 32-35
Author(s):  
Justyna Havemeister ◽  
Karolina Chilicka
Keyword(s):  
Case Report ◽  
Skin Condition ◽  
Ancient Egypt ◽  
Skin Changes ◽  
Positive Effects ◽  
Before And After ◽  
The Face ◽  
History Of ◽  
The Impact ◽  
Sebum Secretion

Background: The history of microdermabrasion dates back to ancient Egypt. The first treatment in Europe occurred in 1985 and has since become a popular method of exfoliation of the superficial layers of skin. Microdermabrasion is an effective method of taking care of the skin of the face and body, bringing about immediate effects in the treatment of deep scars and stretch marks. Aim of the study: To determine the effectiveness of diamond microdermabrasion on a person with hyperuricemia of the sebaceous glands. Materials and methods: Based on interviews, a case analysis, and the impact of diamond microdermabrasion on the structure of the skin’s surface, the level of hydration, oiliness and epidermal exfoliation were analyzed. Case report: The subject was a 22-year-old woman struggling with oily skin. A few acne lesions and a large number of blackheads were observed in her nasal area. An interview was conducted prior to the procedure to eliminate any contraindications. The study was conducted within a period of 4 months at 3-week intervals. The Nati Skin Analyzer was used to determine the skin parameters of the patient. Results: After applying a series of treatments using the microdermabrasion apparatus, satisfactory results were obtained in the form of reduced peeled sebum and improved skin hydration in the T and U zones. Conclusions: The study shows that diamond microdermabrasion treatment has a beneficial effect on the patient’s skin condition. Phot ographs before and after the surgery document the positive effects this series of treatments had. There was a decrease in the level of sebum secretion and the elimination of skin changes in the form of acne or open comedones.

BEFORE AND AFTER COVID-19: IN THE SEARCH OF A NEW MODEL FOR THE SOCIAL DEVELOPMENT INNOVATIONS IN RUSSIA

2020 ◽  
Vol 1 (6) ◽  
pp. 119-134
Author(s):  
M.S. SAFONOV ◽  
◽  
D.V. ISAEV ◽  
Keyword(s):  
Well Being ◽  
Foreign Markets ◽  
Social Sphere ◽  
Black Swans ◽  
The Social ◽  
Before And After ◽  
The Face ◽  
The Impact ◽  
Further Development ◽  
Domestic Companies

The article is devoted to the problems and prospects of the existing model for the development of the social sphere. In the face of increasing uncertainty about the further development of the world economy and an increase in the number of “black swans”, the Russian Federation faces new challenges. There is a need to move from a costly model of providing services and fulfilling a social contract to a new innovation-oriented model. The accumulated imbalances, the high dependence on foreign markets only increased the impact of the emergence and spread of the COVID-19 on the country's economy. However, not only the economy is at stake, but the well-being of every citizen. The politicians of the country and the leaders of domestic companies face a difficult task. Is it possible to preserve the existing economic potential of the country and preserve the health of citizens without sacrificing one of them?

scholarly journals The Contribution of Surface Electromyographic Assessment for Defining the Stage of Peripheral Facial Paralysis: Flaccid or Sequelae Stage

2017 ◽  
Vol 22 (04) ◽  
pp. 348-357 ◽  
Author(s):  
Daniele Bernardes ◽  
Ricardo Bento ◽  
Maria Goffi Gomez
Keyword(s):  
Facial Paralysis ◽  
Sensitivity And Specificity ◽  
High Sensitivity ◽  
Cutoff Point ◽  
Control Group ◽  
Electromyographic Activity ◽  
Peripheral Facial Paralysis ◽  
Primary Activity ◽  
Significant Difference ◽  
History Of

Introduction Surface electromyographic activity may not be symmetric, even in subjects with no facial paralysis history. Objective To evaluate the contribution of the index of electromyographic (IEMG) activity in the identification of the two extremes of the facial paralysis course. Methods Thirty-four subjects with unilateral peripheral facial paralysis were selected. A control group was composed of volunteers without a history of facial paralysis. The electromyographic assessment of the facial muscle was performed by placing surface electrodes during movements of the forehead, eyes and lips using MIOTEC equipment, such as the MIOTOOL (Miotec, Porto Alegre, Brazil) software. The electromyographic activity was also recorded in other channels during the primary activity to identify the presence of synkinesis. The statistical analysis was performed using the Statistical Package for Social Sciences for Macintosh (SPSS Inc, Chicago, IL, USA). The IEMG activity was obtained from the division of the electromyographic activity root mean square (RMS) values on both sides. Results There was a statistically significant difference among the groups in all the analyzed indexes. The ocular-oral synkinesis in all patients must be correctly identified (with 100% sensitivity and specificity) using an IEMG activity of 1.62 as a cutoff point. The oral-ocular synkinesis must be correctly identified (93.3% sensitivity and 95.9% specificity) using the IEMG activity of 1.79 as a cutoff point. Conclusion The IEMG activity is below the normal scores in patients in the flaccid stage, whereas patients in the sequelae stage can either show normal values or values above or below the normal scores. The IEMG activity was shown to have high sensitivity and specificity in the identification of synkinesis.

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