ICHTYOFAUNA AT CIJALU RIVER, CILACAP REGENCY CENTRAL JAVA PROVINCE, INDONESIA

Cijalu River is located in Western Cilacap Regency of Central Java Province. The river runs through forestry, housing and farming areas. This condition leads to a prediction that the river has been altered on its physico-chemical characteristics causing the river to be inhabited by a variety of fish species. This study aimed to collect data about fish species inhabiting Cijalu River and its distribution. A survey method has been done with clustered random sampling technique. The river was divided into three different areas, i.e. upper-, middle- and downstreams. Species diversitywas measured as the number of species, while distribution was measured as the presentation of fish species in each site. Nineteen fish species of 10 families were identified from Cijalu River. The 10 families were Anabantidae, Bagridae, Balitoridae, Channidae, Cichlidae, Cyprinidae, Loricariidae, Osphronemidae, Poecilidae and Sisoridae. Cyprinidae was the family having the highest number of species (6 species), followed by Bagridae (3 species), Channidae (2 species) and Osphronemidae (2 species). The remaining respective families were represented by one species. A complex pattern of fish distribution was observed during the study. Glyptothorax platypogon and Channa gacua were only found at the upper-streams, while Anabas testudineus was obtained in downstreams. The other remaining species could be observed either from the middle-to downstreams, or even from upper- to downstreams. Different pattern of species distribution could be caused by physico-chemical characteristics variation from upper to lower parts of the river, especiallywater velocity and substrate types.Keywords: Cijalu River, distribution, diversity, fis

Impact of oral clefts on the oral health-related quality of life of preschool children and their parents

Objective: To assess the oral health‑related quality of life (OHRQoL) of preschool children with cleft lip and palate (CLP) and their relatives.Materials and Methods: In this cross‑sectional study, 55 2–5‑year‑old children with the history of CLP were randomly selected from those referred to Shiraz Lip and Palate Cleft Research Center and treated with single‑stage closure (Push back palatoplasty). Furthermore, same number of children with the same age who attended the Shiraz School of Dentistry for routine dental care were selected as control group using randomized sampling. Children’s demographic data were obtained from their parents. Farsi version of the Early Childhood Oral Health Impact Scale (F‑ECOHIS) was used for evaluating these children’s QoL.Results: We found a significant difference in OHRQoL between children with CLP and children without CLP in the overall score of F‑ECOHIS and all of subscales. In the impact on children subscale, the difference between these groups was remarkable in limitations’ domain. As for difficulties faced by children, question on “difficulty in pronouncing words” had the highest average score. Furthermore, in impact on family, in parental distress domain, the difference between these groups was remarkable. For difficulties faced by family, financial impact got the highest average score. No significant difference was found between boys and girls with CLP in all subscales. While according to the score of total F‑ECOHIS in unilateral and bilateral CLP children, there was statistically significant difference in these groups.Conclusion: Since oral clefts affect the QoL of children and their families even after the usual treatments, the implementation and maintenance of multidisciplinary interventional strategies are required for establishment of facial esthetics, oral function, and psychological support for such individuals.Keywords: Cleft lip, cleft palate, oral health, quality of lif

A qualitative study of children’s quality of life in the context of living with cleft lip and palate

Maryam Zeraatkar,1 Shabnam Ajami,2 Nasser Nadjmi,3 Seyad Aliakbar Faghihi,4 Ali Golkari1 1Oral and Dental Disease Research Center, Department of Dental Public Health, Shiraz University of Medical Sciences, Shiraz, Iran; 2Orthodontic Research Center, Department of Orthodontics, Shiraz University of Medical Sciences, Shiraz, Iran; 3Department of Cranio-Maxillofacial Surgery, Antwerp University Hospital, Antwerpen, Belgium; 4Clinical Educational Research Center, Shiraz University of Medical Sciences, Shiraz, Iran Background and objective: Quality-of-life measures have been expanded to help in assessing the physical and psychosocial effects of oral health. Although, in the case of children undergoing oral surgery, the oro-facial status is generally measured by studies, it is essential to carry out investigations into the level of quality of life (QoL) after surgery to assess the actual effect of these surgeries on children’s lives. Hence, our study is aimed at evaluating the QoL in these children. Methods: The study was performed using qualitative content analysis method. Eighteen caregivers of 4–6 year old children with a history of unilateral cleft lip and palate participated in in-depth interviews about the children’s experiences with different problems affecting their daily lives. The results were divided into codes, sub-categories and categories through an inductive process in which the researchers moved from the specific to the general. Result: A number of problems were identified, particularly insufficient functional and socio-emotional well-being including, difficulty in eating and speaking, dento-facial problems, shame, anxiety, insufficient peer interaction and dissatisfaction with their own appearance. Conclusion: The most critical problems derived from the participants’ experiences were insufficient functional and socio-emotional well-being that contributed to the reduced QoL among these children. Long term multidisciplinary interventional strategies such as psycho-social supportive programs are required to improve the QoL of these children. These interventions should be considered from the early stages of treatment, or even early stages of diagnosis. Keywords: children, cleft lip, cleft palate, quality of lif

Two-stage palatoplasty using a modified Furlow procedure

Item does not contain fulltextA two-stage palatal repair using a modification of Furlow palatoplasty is presented. The authors investigate the speech outcome, fistula formation and maxillary growth. In a prospective, successive cohort study, 40 nonsyndromic patients with wide cleft palate were operated on between March 2001 and June 2006 by a single surgeon. 10 patients in the first cohort underwent a Furlow palatoplasty (control group). In 30 patients in the second cohort a unilateral myomucosal cheek flap was used in combination with a modified Furlow palatoplasty (study group). The hard palate was closed in both groups 9-12 months later. The Bzoch speech quality score was superior in the study group, and the hypernasality was significantly reduced in the study group. Overall fistula formation was 0%. At the time of hard palate reconstruction palatal cleft width was significantly reduced. Relative short-term follow up of maxillary growth was excellent. There were no postoperative haematomas, infections, or episodes of airway obstruction. This technique is particularly encouraging, because of better speech outcome, absence of raw surfaces on the soft palate, no fistula formation, and good maxillary growth. Further follow-up is necessary to determine the long-term effects on facial development

Trans-sinusoidal maxillary distraction in three cleft patients.

Contains fulltext : 49821.pdf (publisher's version ) (Closed access)The trans-sinusoidal maxillary distractor (TS-MD) was used to achieve maxillary advancement in three patients with repaired cleft lip and palate. After preoperative computer-aided planning of the distraction vectors, each TS-MD was bent on a stereolithographic model of the maxilla of the patient. The devices were intraoperatively positioned using a methyl-methacrylate template. After standard Le Fort I osteotomy the devices were intraorally activated. After distraction the devices remained in situ for 3 months as rigid internal fixation of the maxilla. All patients were successfully distracted according to protocol. Maxillary advancement was 12, 8 and 11 mm. In two patients, additional maxillary widening of 6 and 8 mm was achieved by choosing divergent distraction vectors. After distraction a clockwise rotation of the maxilla was observed in two patients. There was no relapse during the 3 months of consolidation and 12-month follow-up. The TS-MD allows not only distraction but also rigid internal fixation after distraction. It was easy to apply but difficult to remove. Owing to preoperative 3D planning of the distraction vectors, the results were predictable, but clockwise rotation of the maxilla during distraction should be considered in planning. The distractor did not interfere with function or social activities during distraction and retention periods. After removal it left no extraoral scars