75 research outputs found
Symptoms in different severity degrees of bruxism: a cross-sectional study
Objective: The aim of the present study was to evaluate symptoms of the muscle pain, sleep quality, oral health, anxiety, stress and depression in individuals with different severity degrees of bruxism. Methods: Seventy-two individuals with bruxism were enrolled in the study, classified into: moderate (n=25) and severe (n=47) bruxism. Pain intensity was assessed using the Visual Analogical Scale, pain threshold with algometer, sleep quality by the Pittsburgh Sleep Quality Index, oral health by the Oral Health Impact Profile, anxiety by the State-Trait Anxiety Inventory, stress by the Perceived Stress Scale and depression using the Beck Depression Inventory. The significance level considered was 5%. Results: The results showed that individuals with severe bruxism presented greater muscle pain intensity, sleep disorder, worse oral health, high anxiety level and dysphoria with statistically significant differences (pObjetivo: Avaliar sintomas de dor muscular, qualidade de sono, saĂşde bucal, ansiedade, estresse e depressĂŁo em indivĂduos com diferentes graus de severidade do bruxismo. MĂ©todos: Setenta e dois indivĂduos com bruxismo participaram do estudo e foram classificados com bruxismo moderado (n=25) e severo (n=47). A intensidade da dor foi avaliada pela Escala Visual AnalĂłgica, limiar de dor com o algĂ´metro, qualidade de sono pelo ĂŤndice de Qualidade de Sono de Pittsburgh, saĂşde bucal pelo Perfil de Impacto de SaĂşde Bucal, ansiedade pelo Inventário de Ansiedade Traço-Estado, estresse pela Escala de Estresse Percebido e depressĂŁo pelo Inventário de DepressĂŁo de Beck. O nĂvel de significância considerado foi 5%. Resultados: Os resultados demonstraram que indivĂduos com bruxismo severo apresentaram maior intensidade de dor muscular, distĂşrbio do sono, pior qualidade de saĂşde bucal, elevado grau de ansiedade e disforia, com diferenças estatisticamente significantes (p;0,05). ConclusĂŁo: Os dados sugerem que indivĂduos com bruxismo severo tem sintomas mais intensos. Eles apresentam maior intensidade de dor muscular, alterações na qualidade do sono e saĂşde bucal, ansiedade e depressĂŁo do que indivĂduos com bruxismo moderado. PorĂ©m, ambos apresentam similaridade no estresse.Objetivo: Evaluar los sĂntomas dolor muscular, calidad de sueño, salud bucal, ansiedad, estrĂ©s y depresiĂłn en sujetos con diferentes niveles de gravedad del bruxismo. MĂ©todo: Participaron del estudio 72 personas con bruxismo, clasificado segĂşn los niveles moderado (n=25) y grave (n=47). Se evaluaron la intensidad del dolor mediante la Escala Visual AnalĂłgica, umbral de dolor con algĂłmetro, la calidad de sueño por el ĂŤndice de Calidad de Sueño de Pittsburgh, la salud bucal mediante el Perfil del Impacto de Salud Bucal, la ansiedad por el Inventario de Ansiedad Rasgo-Estado, el estrĂ©s mediante la Escala de EstrĂ©s Percibido y la depresiĂłn por el Inventario de DepresiĂłn de Beck. Se considerĂł el nivel de significaciĂłn de 5%. Resultados: Los sujetos con bruxismo grave presentaron más intensamente dolor muscular, trastorno de sueño, peor calidad de salud bucal, alto grado de ansiedad y disforia, con diferencias estadĂsticamente significativas (p;0,05). ConclusiĂłn: Los datos mostraron que los sujetos con bruxismo grave sufren sĂntomas más intensos. A pesar de sufrir sĂntomas más intensos de dolor muscular, calidad de sueño y salud bucal alterada, ansiedad y depresiĂłn que los sujetos con bruxismo moderado, el estrĂ©s está presente en los dos niveles de bruxismo
Pre-Operative Risk Factors Predict Post-Operative Respiratory Failure after Liver Transplantation
OBJECTIVE: Post-operative pulmonary complications significantly affect patient survival rates, but there is still no conclusive evidence regarding the effect of post-operative respiratory failure after liver transplantation on patient prognosis. This study aimed to predict the risk factors for post-operative respiratory failure (PRF) after liver transplantation and the impact on short-term survival rates. DESIGN: The retrospective observational cohort study was conducted in a twelve-bed adult surgical intensive care unit in northern Taiwan. The medical records of 147 liver transplant patients were reviewed from September 2002 to July 2007. Sixty-two experienced post-operative respiratory failure while the remaining 85 patients did not. MEASUREMENTS AND MAIN RESULTS: Gender, age, etiology, disease history, pre-operative ventilator use, molecular adsorbent re-circulating system (MARS) use, source of organ transplantation, model for end-stage liver disease score (MELD) and Child-Turcotte-Pugh score calculated immediately before surgery were assessed for the two groups. The length of the intensive care unit stay, admission duration, and mortality within 30 days, 3 months, and 1 year were also evaluated. Using a logistic regression model, post-operative respiratory failure correlated with diabetes mellitus prior to liver transplantation, pre-operative impaired renal function, pre-operative ventilator use, pre-operative MARS use and deceased donor source of organ transplantation (p<0.05). Once liver transplant patients developed PRF, their length of ICU stay and admission duration were prolonged, significantly increasing their mortality and morbidity (p<0.001). CONCLUSIONS: The predictive pre-operative risk factors significantly influenced the occurrence of post-operative respiratory failure after liver transplantation
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