Clinics and Practice最新文献_第7页

Demographic Profile and Clinical Characteristics of Adults with Down Syndrome in North-Eastern Romania. 罗马尼亚东北部唐氏综合征成人的人口概况和临床特征。

IF 1.7

Clinics and Practice Pub Date : 2024-08-30 DOI: 10.3390/clinpract14050142

Nicoleta Lefter, Irina Mihaela Abdulan, Alexandra Maștaleru, Maria-Magdalena Leon, Cristina Rusu

{"title":"Demographic Profile and Clinical Characteristics of Adults with Down Syndrome in North-Eastern Romania.","authors":"Nicoleta Lefter, Irina Mihaela Abdulan, Alexandra Maștaleru, Maria-Magdalena Leon, Cristina Rusu","doi":"10.3390/clinpract14050142","DOIUrl":"10.3390/clinpract14050142","url":null,"abstract":"(1) Background: Down syndrome is characterized by physical abnormalities, intellectual disability (ID), and specific patterns of other health issues. Additionally, individuals with DS are known to experience premature aging and early onset of certain age-related medical conditions. These conditions are linked to higher incident disability and reduced survival rates compared to the general population. (2) Methods: Between July 2022 and February 2024, we conducted a prospective, observational study in the Cardiovascular Rehabilitation Clinic at Iasi Clinical Rehabilitation Hospital. The study included 28 patients diagnosed with Down Syndrome and a control group. Interdisciplinary interventions were tailored to address the needs of a complex patient, incorporating cardiological, endocrinological, genetical, biological and developmental support. Data on physical health, cognitive development, and psychosocial well-being were collected. (3) Results: Our DS group consisted of 11 (39%) females and 17 (61%) males. Their age ranged from 20 to 55 years with a mean of 28.07 ± 9.51. All patients were unmarried, living in urban areas, without a partner but with family support. In the study sample, 96.4% of participants had three or more comorbidities. (4) Conclusions: The high prevalence of multimorbidity, combined with little medication, contributes to a high level of clinical complexity, which appears to be similar to the one of the older non-trisomic population. As individuals with Down syndrome transition into adulthood, they may require a more comprehensive and holistic approach to their healthcare.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1779-1789"},"PeriodicalIF":1.7,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Safety-Centric Study on the Use of Inflatable Abdominal Binders for Managing Orthostatic Hypotension. 关于使用充气式腹部束缚器治疗直立性低血压的安全研究。

IF 1.7

Clinics and Practice Pub Date : 2024-08-29 DOI: 10.3390/clinpract14050138

Milan Toma, Rejath Jose, Faiz Syed, Timothy Devine

{"title":"A Safety-Centric Study on the Use of Inflatable Abdominal Binders for Managing Orthostatic Hypotension.","authors":"Milan Toma, Rejath Jose, Faiz Syed, Timothy Devine","doi":"10.3390/clinpract14050138","DOIUrl":"10.3390/clinpract14050138","url":null,"abstract":"The study focuses on the design and evaluation of inflatable abdominal binders for managing Orthostatic Hypotension. Orthostatic hypotension is a condition characterized by a significant drop in blood pressure when a person stands up, leading to symptoms such as dizziness, lightheadedness, and even fainting. The management of orthostatic hypotension typically involves a combination of pharmacological and non-pharmacological strategies. In the context of this research, an inflatable abdominal binder was designed, leveraging components that are not only economically viable but also easily obtainable. The evaluation of this device was conducted using a medical education manikin, specifically the CAE iStan manikin. The results demonstrated a correlation between the inflation values of the belt and the resulting pressure values exerted on the body. The general recommendation for an abdominal binder is to exert a pressure of 20-40 mmHg. Contrary to this, the study found that to maintain safe external pressure on the abdomen, the binder should not be inflated over 25 mmHg. This safety threshold was used as a reference point in the study, suggesting a potential need to revisit the standard recommendations for abdominal binder pressure. Further research is needed to assess the device's effectiveness in human subjects and to potentially redefine the safe and effective pressure range for abdominal binders.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1737-1743"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disciplinary Imbalances in Urology and Gynecology Research Publications within Functional Urology. 泌尿外科和妇科的学科失衡功能性泌尿外科内的研究出版物。

IF 1.7

Clinics and Practice Pub Date : 2024-08-29 DOI: 10.3390/clinpract14050139

Sümeyye Kozan, Mohammad Sajjad Rahnamai, Jasmin Ataei, Janina Dombrowski, Laila Najjari

{"title":"Disciplinary Imbalances in Urology and Gynecology Research Publications within Functional Urology.","authors":"Sümeyye Kozan, Mohammad Sajjad Rahnamai, Jasmin Ataei, Janina Dombrowski, Laila Najjari","doi":"10.3390/clinpract14050139","DOIUrl":"10.3390/clinpract14050139","url":null,"abstract":"(1) Background: This study aimed to quantify and evaluate the publication rate and discrepancies of functional urology abstracts from international conferences, and to explore the interdisciplinary contributions of urology and gynecology to the field. (2) Methods: A retrospective bibliometric and content analysis was conducted on abstracts presented between 2015 and 2019 at the EAU and ICS congresses, focusing on functional-urological keywords. A discrepancy scoring system ranging from 0 (minor discrepancies) to 3 (significant discrepancies) assessed the consistency between conference abstracts and full-text publications, and an in-depth analysis determined the disciplinary origin of these publications. (3) Results: Between 2015 and 2019, 53% of EAU and 57% of ICS congress abstracts were published as full-text articles, with minor discrepancies in 38% of EAU and 49% of ICS publications, and significant discrepancies in 17% from both. Urology departments dominated publications, contributing 68% at EAU and 55% at ICS, whereas gynecology contributed only 1% at EAU and 12% at ICS. (4) Conclusions: This study illuminates the need for improved reporting standards and interdisciplinary collaboration in functional urology, as well as increased gynecology research in functional urology-related fields, suggesting that addressing these issues is crucial for advancing the field and enhancing patient care.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1744-1752"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accelerated Orthodontics: A Descriptive Bibliometric Analysis of the Top 50 Cited Articles from 2012 to 2023. 加速正畸：2012 年至 2023 年被引用次数最多的 50 篇文章的描述性文献计量分析。

IF 1.7

Clinics and Practice Pub Date : 2024-08-29 DOI: 10.3390/clinpract14050137

Ahmed A Alsulaiman, Osama A Alsulaiman

{"title":"Accelerated Orthodontics: A Descriptive Bibliometric Analysis of the Top 50 Cited Articles from 2012 to 2023.","authors":"Ahmed A Alsulaiman, Osama A Alsulaiman","doi":"10.3390/clinpract14050137","DOIUrl":"10.3390/clinpract14050137","url":null,"abstract":"Background and objectives: Accelerated orthodontics represents a significant shift in dental practice aimed at reducing treatment times while maintaining optimal patient outcomes. This bibliometric analysis evaluated the research landscape of accelerated orthodontics from 2012 to 2023, focusing on publication trends, citation patterns, influential journals, leading institutions, and key contributors.Materials and methods: A comprehensive search in Scopus identified 600 relevant articles, with the top 50 most-cited papers encompassing systematic reviews, randomized controlled trials, and experimental studies. Key techniques, such as corticotomy and piezocision, have been frequently highlighted for their effectiveness in expediting tooth movement.Results: The analysis revealed fluctuating annual scientific outputs, with notable peaks driven by technological advancements and increased patient demand for quicker orthodontic solutions. However, the production of high-impact papers was hindered by delays in citation accumulation and disruptions caused by the COVID-19 pandemic. Keyword analysis identified critical themes, such as orthodontic tooth movement, malocclusion, and demographic factors, while a global collaboration map underscored extensive international research partnerships. Leading journals included the American Journal of Orthodontics and Dentofacial Orthopedics, and prominent institutions such as the University of California at Los Angeles played significant roles in advancing the field.Conclusions: This study provides a comprehensive overview of the current state of accelerated orthodontics, emphasizing the need for continued research, particularly RCTs, to further refine and validate accelerated orthodontic techniques and improve clinical outcomes.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1716-1736"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Survey of Practice and Factors Affecting Physiotherapist-Led Health Promotion for People at Risk or with Cardiovascular Disease in Cameroon. 喀麦隆由物理治疗师指导的针对心血管疾病高危人群的健康促进实践及影响因素调查。

IF 1.7

Clinics and Practice Pub Date : 2024-08-29 DOI: 10.3390/clinpract14050140

Etienne Ngeh Ngeh, Sionnadh McLean, Christopher Kuaban, Rachel Young, Joanne Lidster

{"title":"A Survey of Practice and Factors Affecting Physiotherapist-Led Health Promotion for People at Risk or with Cardiovascular Disease in Cameroon.","authors":"Etienne Ngeh Ngeh, Sionnadh McLean, Christopher Kuaban, Rachel Young, Joanne Lidster","doi":"10.3390/clinpract14050140","DOIUrl":"10.3390/clinpract14050140","url":null,"abstract":"Background: Cardiovascular diseases (CVDs) and associated risk factors are a growing concern in Cameroon. Physiotherapists (PTs) can play a crucial role in prevention and management. However, the extent of Cameroonian PT involvement in health promotion (HP) activities remains unclear. This study assessed Cameroonian physiotherapists' current HP practices for people at risk of or with CVDs (pwCVDs).Methods: A cross-sectional survey was administered online to PTs practising in Cameroon.Results: Out of 181 PT responses, 95% reported providing a variety of HP activities, including weight management (74%), dietary advice (73%), physical activity (69%), smoking cessation (69%), stress management (61%), and sleep promotion (48%). While PTs were confident in lifestyle assessments, they felt less confident about sleep interventions. Strong beliefs, confidence, team support, and time allocation enhanced HP practice. However, preference for passive modalities, patient adherence issues, organisational challenges, role ambiguity among healthcare providers, inadequate training opportunities, and the absence of established guidelines for CVD prevention negatively affect HP practice.Conclusions: These findings highlight the challenges and opportunities for enhancing HP delivery within the physiotherapy profession in Cameroon. The findings are useful for future strategies by clinical practitioners and policy makers to address barriers and leverage facilitators effectively for scaling up HP initiatives in Cameroon.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1753-1766"},"PeriodicalIF":1.7,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the Role of Adalimumab in Treating Hidradenitis Suppurativa: Findings from a Retrospective Study at a Reference Center. 评估阿达木单抗在治疗化脓性扁桃体炎中的作用：一家参考中心的回顾性研究结果。

IF 1.7

Clinics and Practice Pub Date : 2024-08-27 DOI: 10.3390/clinpract14050135

Austėja Šakaitytė, Inga Česnavičiūtė, Tadas Raudonis

{"title":"Assessing the Role of Adalimumab in Treating Hidradenitis Suppurativa: Findings from a Retrospective Study at a Reference Center.","authors":"Austėja Šakaitytė, Inga Česnavičiūtė, Tadas Raudonis","doi":"10.3390/clinpract14050135","DOIUrl":"10.3390/clinpract14050135","url":null,"abstract":"Background: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition characterized by inflammatory lesions, often leading to scarring. Managing HS can be difficult, requiring biological therapy, specifically adalimumab.Methods: A retrospective study was conducted on patients diagnosed with HS and treated with the TNF-α inhibitor adalimumab. Data from 21 patients were included in this study. International Hidradenitis Suppurativa Severity Score System (IHS4); Dermatology Life Quality Index (DLQI); pain intensity according to the Visual Analogue Scale (VAS); and number of nodules, abscesses, and fistulas were assessed.Results: Notably, 47.62% of patients achieved Hidradenitis Suppurativa Clinical Response. The mean number of inflamed nodules decreased from 5.62 ± 4.12 to 3 ± 3.46, abscesses decreased from 1.76 ± 2.63 to 0.81 ± 1.4, and fistulas decreased from 2.62 ± 1.86 to 2 ± 1.9 (p < 0.05). The IHS4 score decreased from 19 ± 10.78 to 12.62 ± 11.13 (p = 0.001), DLQI from 15.76 ± 7.73 to 7.43 ± 7.76 (p < 0.001), and VAS from 6.69 ± 1.56 to 3.64 ± 2.65 (p < 0.001). There was a significant difference in the baseline IHS4 scores between patients who had prior surgery with a mean score of 23.86 ± 9.4 versus non-surgical patients with a mean IHS4 score of 9.29 ± 5.53 (p = 0.001).Conclusions: About half of HS patients responded positively to adalimumab treatment; the use of the drug reduces inflammatory lesions, and pain, and improves quality of life.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1696-1706"},"PeriodicalIF":1.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraductal Papillary Neoplasms of the Bile Duct: Clinical Case Insights and Literature Review. 胆管导管内乳头状肿瘤：临床病例启示与文献综述。

IF 1.7

Clinics and Practice Pub Date : 2024-08-27 DOI: 10.3390/clinpract14050133

Luca Toti, Tommaso Maria Manzia, Francesca Di Giuliano, Eliseo Picchi, Laura Tariciotti, Domiziana Pedini, Luca Savino, Giuseppe Tisone, Roberta Angelico

{"title":"Intraductal Papillary Neoplasms of the Bile Duct: Clinical Case Insights and Literature Review.","authors":"Luca Toti, Tommaso Maria Manzia, Francesca Di Giuliano, Eliseo Picchi, Laura Tariciotti, Domiziana Pedini, Luca Savino, Giuseppe Tisone, Roberta Angelico","doi":"10.3390/clinpract14050133","DOIUrl":"10.3390/clinpract14050133","url":null,"abstract":"Background: Intraductal papillary neoplasms of the bile duct (IPNB) are rare precancerous lesions with implications for the development of cholangiocarcinoma (CCA). Recognizing IPNB and managing its recurrence pose challenges in clinical practice. We present two cases. Case 1: a 60-year-old man presented with an 8 × 8 × 9 cm hepatic cyst initially suspected to be a hydatid cyst. Histology post-resection revealed an IPNB with foci of adenocarcinoma. Despite negative oncologic margins, recurrence occurred eight years later as an rT2N0 lesion. Surgical resection was performed without adjuvant chemotherapy, resulting in the patient's survival at 48 months post-surgery. Case 2: a 28-year-old female with cognitive impairment was admitted with pulmonary embolism and a liver lesion diagnosed as a simple cyst. Subsequent evaluation revealed adenocarcinoma with local metastases, extensive vascular involvement, and thrombosis. Despite aggressive management, including thrombectomy and chemotherapy, the patient's condition deteriorated, leading to hepatic failure and eventual demise.Conclusion: IPNB represents a rare premalignant subtype with a propensity for progression to CCA. R0 surgical resection typically offers favorable oncological outcomes with a minimal recurrence risk. Surgical intervention for localized resectable recurrence is both safe and feasible. International registries tracking IPNB recurrence are essential for advancing understanding and optimizing diagnosis, management, and treatment strategies.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1669-1681"},"PeriodicalIF":1.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison between Conventional and Simple Measuring Methods of Mean Nocturnal Baseline Impedance in Pediatric Gastroesophageal Reflux Disease. 小儿胃食管反流病夜间平均基线阻抗常规测量方法与简易测量方法的比较

IF 1.7

Clinics and Practice Pub Date : 2024-08-27 DOI: 10.3390/clinpract14050134

Radu Samuel Pop, Lăcrămioara Eliza Chiperi, Vlad-Ionuț Nechita, Sorin Claudiu Man, Dan Lucian Dumitrașcu

{"title":"Comparison between Conventional and Simple Measuring Methods of Mean Nocturnal Baseline Impedance in Pediatric Gastroesophageal Reflux Disease.","authors":"Radu Samuel Pop, Lăcrămioara Eliza Chiperi, Vlad-Ionuț Nechita, Sorin Claudiu Man, Dan Lucian Dumitrașcu","doi":"10.3390/clinpract14050134","DOIUrl":"10.3390/clinpract14050134","url":null,"abstract":"(1) Background: Multichannel intraluminal impedance-pH (MII-pH) monitoring is commonly used to diagnose gastroesophageal reflux disease (GERD). The mean nocturnal baseline impedance (MNBI) is an important parameter, reflecting the esophageal mucosal integrity and improvement in GERD. This study aims to evaluate the correlation between conventionally measured MNBI and a recently described simple MNBI measurement method in diagnosing pediatric GERD. (2) Methods: This prospective observational study enrolled 64 children aged one month to 18 years who underwent 24 h MII-pH monitoring. Conventional MNBI was measured during stable 10 min intervals at night, while the simple MNBI method averaged impedance throughout the nocturnal supine period. (3) Results: Strong correlations were found between conventional and simple MNBI values across all impedance channels in both infants (r > 0.85) and older children (r > 0.9). Conventional and simple MNBIs in the most distal channel (Z6) effectively differentiated non-erosive reflux disease (NERD) from other phenotypes, with AUCs of 0.864 and 0.860, respectively. The simple MNBI demonstrated good diagnostic performance with similar sensitivity and specificity to the conventional MNBI. (4) Conclusions: Including MNBI measurements into routine MII-pH monitoring may enhance GERD diagnosis and reduce the need for more invasive procedures.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1682-1695"},"PeriodicalIF":1.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hard and Soft Tissue Facial Landmarks for Mandibular Angle Reduction: A Clinical Study. 下颌角缩小术的面部硬组织和软组织标志：临床研究。

IF 1.7

Clinics and Practice Pub Date : 2024-08-27 DOI: 10.3390/clinpract14050136

Fei-Fan Tseng, Yu-Hsuan Li, Yuan-Wu Chen

{"title":"Hard and Soft Tissue Facial Landmarks for Mandibular Angle Reduction: A Clinical Study.","authors":"Fei-Fan Tseng, Yu-Hsuan Li, Yuan-Wu Chen","doi":"10.3390/clinpract14050136","DOIUrl":"10.3390/clinpract14050136","url":null,"abstract":"Background: Square faces, which are influenced by genetic factors and structural features, are considered undesirable among the Asian population. Surgical interventions, such as mandibular angle reduction, aim to alter these characteristics, though complications may arise. We aimed to investigate the morphology of the mandibular angle and masseter muscle thickness using computed tomography (CT) and to analyze hard and soft tissue correlations to enhance surgical outcomes for patients with square faces.Methods: This retrospective clinical study included 100 Taiwanese patients aged 18-50 years. CT was used to analyze key clinical parameters, including bilateral mandibular width, mandibular divergence angle, ramus height, distance from the mandibular angle to the inferior alveolar nerve (IAN), and the thickness of the masseter muscle.Results: Significant correlations were noted between the patients' physical height and weight, mandibular width, ramus height, masseter thickness, and distance from the angle to the IAN. Males exhibited a significantly longer and thicker ramus height (66.48 ± 4.28 mm), greater masseter thickness (15.46 ± 2.35 mm), and greater safety range for mandibular angle reduction surgery (18.35 ± 3.19 mm) (p < 0.00008). Significant correlations were observed among all parameters, except between mandibular width and gonial angle and the distance from the angle to the IAN and between mandibular divergence and masseter muscle thickness (p > 0.1).Conclusions: Our study highlighted the complex interplay among factors that contribute to square facial morphology. Careful preoperative assessments and customized surgical planning are essential for addressing this multifaceted clinical challenge.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1707-1715"},"PeriodicalIF":1.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fonseca's Questionnaire Is a Useful Tool for Carrying Out the Initial Evaluation of Temporomandibular Disorders in Dental Students. 丰塞卡问卷是对牙科学生颞下颌关节紊乱进行初步评估的有用工具。

IF 1.7

Clinics and Practice Pub Date : 2024-08-26 DOI: 10.3390/clinpract14050132

Valeria Mitro, Angela Rosa Caso, Federica Sacchi, Massimiliano Gilli, Guido Lombardo, Gabriele Monarchi, Stefano Pagano, Antonio Tullio

{"title":"Fonseca's Questionnaire Is a Useful Tool for Carrying Out the Initial Evaluation of Temporomandibular Disorders in Dental Students.","authors":"Valeria Mitro, Angela Rosa Caso, Federica Sacchi, Massimiliano Gilli, Guido Lombardo, Gabriele Monarchi, Stefano Pagano, Antonio Tullio","doi":"10.3390/clinpract14050132","DOIUrl":"10.3390/clinpract14050132","url":null,"abstract":"Background: Temporomandibular disorders (TMDs) represent a prevalent multifactorial condition that impacts a significant portion of the global population. The objective of this study was to employ Fonseca's questionnaire for an initial assessment of TMDs. Methods: A cross-sectional study was conducted on a sample of 250 undergraduates from the Dental School of the University of Perugia, Italy. The chi-square test, with a significance level set at p < 0.05, was used to evaluate a statistically significant relationship between TMDs and several variables such as gender, age, employed/unemployed, and physically active or not. Results: The data obtained through the questionnaire indicated that a considerable percentage of students (78%) exhibited signs consistent with TMDs. The most frequently reported signs and symptoms included psychological stress (49.6%), dental clenching and grinding (34%), joint clicking (33.6%), frequent headaches (15.2%), and neck pain (23.2%). Notably, when considering moderate to severe symptoms of TMDs, females were more significantly affected than males. Furthermore, factors such as age, employment status, and physical activity did not appear to influence the prevalence of TMDs. Conclusions: The high prevalence of TMDs identified within this young population (university students), as measured by this questionnaire (albeit warranting validation through more rigorous methodologies) underscores the necessity for the implementation of new preventive strategies that specifically address this demographic.","PeriodicalId":45306,"journal":{"name":"Clinics and Practice","volume":"14 5","pages":"1650-1668"},"PeriodicalIF":1.7,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11417721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0