Parents' experience of children with acquired brain injury undergoing neurorehabilitation:a systematic review

BACKGROUND: This systematic review aims to synthesise the qualitative evidence exploring parents' experiences of children with acquired brain injury (ABI) undergoing neurorehabilitation during the first year post-injury.METHODS: A systematic review of qualitative research was conducted using thematic synthesis with Thomas and Harden's approach. The population, exposure and outcome model was used for the search strategy. The electronic databases Ovid Embase, Ovid MEDLINE, CINAHL, Scopus and PsycINFO were searched from 2009 to 2023. The review included qualitative and mixed-method studies published in English only. Grey literature was excluded. There were no geographical restrictions. Reporting within the review followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research guideline. The studies' quality was appraised using the Critical Appraisal Skills Programme tool.RESULTS: Three studies met the inclusion criteria and were included in the synthesis, representing the experiences of 30 parents. The quality assessment showed that the three included studies met most quality indicators. Following thematic synthesis, four analytical themes were identified: school unpreparedness, parents as advocates and navigators, parents as monitors, and parents recognising the impact of ABI on their child. The reviewers proposed a group of recommendations for services reviewing their parental support.CONCLUSION: This review highlights some challenges parents of children diagnosed with ABI experience during their child's neurorehabilitation journey. This review has suggested potential improvements that could be made in paediatric neurorehabilitation services when reviewing their parental support and care pathways. These will ultimately influence parents' and children's experience of paediatric neurorehabilitation services.</p

Telescopic Overdenture

Preventive prosthodontics includes procedures that delay or&nbsp;eliminate future prosthodontic problems. Earlier, patients&nbsp;presenting with poor periodontal health, total extraction followed&nbsp;by a complete denture treatment was considered as permanent&nbsp;solution for oral health care but there was no concept of&nbsp;overdentures. Advantages of overdentures are that they prevent&nbsp;residual ridge resorption, provide better stability, retention, good&nbsp;esthetics and proprioception. The aim of this paper is to present&nbsp;a patient with partially edentulous maxillary arch who was&nbsp;rehabilitated with a telescopic overdenture

The New ID Proof: A Case Report of Denture Labeling

Denture labeling is not a new concept in either prosthetic or&nbsp;forensic dentistry and its routine practice has been urged by&nbsp;forensic dentists internationally for many years. Prosthodontistsare playing very important role in forensic dentistry as they are&nbsp;concerned with fabrication of various prostheses which can serve&nbsp;as an important tool for identification. The main objective of this&nbsp;article is to discuss the various methods available for denture&nbsp;marking along with a case report

Validity and reliability of outcome measures to assess dysfunctional breathing: a systematic review.

OBJECTIVE: This study aimed to systematically review the psychometric properties of outcome measures that assess dysfunctional breathing (DB) in adults. METHODS: Studies on developing and evaluating measurement properties to assess DB were included. The study investigated the empirical research published between 1990 and February 2022, with an updated search in May 2023 in the Cochrane Library database of systematic reviews and the Cochrane Central Register of Controlled Trials, the Ovid Medline (full), the Ovid Excerta Medica Database, the Ovid allied and complementary medicines database, the Ebscohost Cumulative Index to Nursing and Allied Health Literature and the Physiotherapy Evidence Database. The included studies' methodological quality was assessed using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) risk of bias checklist. Data analysis and synthesis followed the COSMIN methodology for reviews of outcome measurement instruments. RESULTS: Sixteen studies met the inclusion criteria, and 10 outcome measures were identified. The psychometric properties of these outcome measures were evaluated using COSMIN. The Nijmegen Questionnaire (NQ) is the only outcome measure with 'sufficient' ratings for content validity, internal consistency, reliability and construct validity. All other outcome measures did not report characteristics of content validity in the patients' group. DISCUSSION: The NQ showed high-quality evidence for validity and reliability in assessing DB. Our review suggests that using NQ to evaluate DB in people with bronchial asthma and hyperventilation syndrome is helpful. Further evaluation of the psychometric properties is needed for the remaining outcome measures before considering them for clinical use. PROSPERO REGISTRATION NUMBER: CRD42021274960

Effectiveness of virtual reality in the treatment of hand function in children with cerebral palsy: A systematic review.

STUDY DESIGN: Systematic review. INTRODUCTION: Children with cerebral palsy (CP) may have limited use of their hands for functional activities and for fine motor skills. Virtual reality (VR) is a relatively new and innovative approach to facilitate hand function in children with CP. PURPOSE OF THE STUDY: The primary purpose of this study was to determine the effectiveness of VR as an intervention to improve hand function in children with CP compared to either conventional physiotherapy or other therapeutic interventions. The secondary purpose was to classify the outcomes evaluated according to the International Classification of Functioning, Disability and Health (ICF) dimensions. METHODS: A International prospective register of systematic reviews (PROSPERO)-registered literature search was carried out in August 2015 in MEDLINE, CINAHL, ERIC, HealthSTAR, AMED, BNI, Embase, PsycINFO, PEDro, Cochrane Central Register, DARE, OTSeeker, REHABDATA, HaPI, CIRRIE, and Scopus. PRISMA guidelines were followed. Only randomized controlled trials (RCTs) were included, and their methodological qualities were examined using the Cochrane collaboration's risk of bias (RoB) tool. A narrative synthesis was performed. RESULTS: The 6 RCTs published on this topic provide conflicting results. Four studies reported improved hand function (2 low RoB, 1 high RoB, and 1 unclear RoB), whereas 2 studies reported no improvement. All of the RCTs reported the activity element of ICF, but no study explicitly described the effect of VR intervention based on the ICF model. CONCLUSION: The role of VR ti imrpove hand fucntion in children with CP is unclear due to limited evidence; use as an adjunct has some support

Finite Element Analysis of Stress Distribution in Three Commonly Used Implant Systems in D2 and D4 Bone Densities

Aim : To comparatively evaluate the stress distribution in three commonly used implant systems in two different bone densities D 2 and D4 using 3D finite element analysis. Materials and Methods : Pro-engineer 3-0 software was used to create the geometric models of the three implant systems (Nobel biocare, Biohorizon, Adin) and two bone densities D2 and D4. Six 3D models were created to simulate each one of the three implant systems supporting a metal ceramic crown placed in two different densities of bone D2 and D4. The Poisson′s ratio(΅) and Youngs modulus(E) of elasticity were assigned to different materials used for the models. Vertical and oblique loads of 450N each were applied on all six models. Von Mises stress analysis was done with ANSYS software. Results : Von Mises stresses were more within D4 type bone than D2 type, for all the three systems of implants and less stresses were seen in Biohorizon implant followed by Nobel Biocare and Adin implant particularly in D4 bone. Conclusion: The study concluded that the selection of a particular implant system should be based on the scientific research rather than on popularity