Temporomandibular joint arthroplasty for osteoarthrosis: a series of 24 patients that received a uni- or bilateral inter-positional silicone sheet

PURPOSE: To evaluate mid-term results from using a silicone sheet for inter-positional arthroplasty in moderate or severe cases of osteoarthrosis of the temporo-mandibular joint (TMJ). To also determine any remaining indications from this method. PATIENTS AND METHODS: This retrospective study included patients that underwent surgery between 2008 and 2016. Pre- and post-operative mouth opening (MO), according to inter-incisal distance (mm) and pain score (PS: 0=no pain to 4=very severe pain) were recorded for 24 patients. Patients were divided according to thickness of the silicone sheet (group A: 1.0 mm, group B: 1.5 mm). RESULTS: The cohort included 22 females (92%). Mean age at surgery was 55 years±13 (26-80). Mean length of follow-up was 26 months±24 (6-80). Mean improvement in MO was 8.2 mm (+33%) and of PS was 1.7 (-68%). MO was not improved for two patients and worsened for one. PS score improved for all patients. No statistical difference was found between groups A and B. There was also a tendency for degradation of outcomes over time. CONCLUSION: The poor reputation of prosthetic discoplasty was not as evident in our series, even though anatomical and functional status seemed to deteriorate over time. This is because total-joint prosthetic replacement is often proposed instead. However, for elderly or fragile patients that have severe pain, and regarding cost-benefit aspects, conventional arthroplasty can still be discussed, especially since French national health-care insurance does not yet support TMJ prosthetic replacement for osteoarthrosis

Nurses Alumni Association Bulletin, Fall 1983

Alumni Calendar Officers and Chairmen of Committees Message from the President Treasurer\u27s Report Nurses\u27 Relief Fund Archival Materials Scholarship Fund Baccalaureate Nursing at Jefferson From RN to BSN The People\u27s Republic of China Jefferson Hospital on the Move This Is The Way It Was 75 years ago Scholarships Granted from 1948 to 1983 Happy Birthday Fiftieth Anniversary TJU Announces Decade Fund Resume of Minutes of Alumni Association Meetings Committee Reports Social Report Scholarship Report Sick and Welfare Report Satellite Committee Report Agreement Report Martha Riland Reports Finance Committee Report Luncheon Pictures Class Notes In Memoriam, Names of Deceased Members The History of The Jefferson Cap Caps, Pins, Transcripts, Class Address Lists Change of Address Form Notice Alumni Luncheon Relief Fund Application Scholarship Fund Applicatio

Nurses Alumni Association Bulletin, Fall 1988

Alumni Meeting Calendar Officers and Committee Chairmen The President\u27s Message The Jefferson Hospital School Of Nursing Roll Of Honor Treasurer\u27s Report Glimpses From An Earlier Time Accentuate The Positive I Have Noticed Reaching A Cherished Goal Special Achievement Award Archives And The Nursing Experience Happy Birthday Fiftieth Anniversary CAHS Alumni Directory. Resume Of Minutes Of Alumni Association Meetings Alumni Office News Committee Reports Relief Fund Satellite Scholarship Social Bulletin Finance Do Something Volunteers Needed Bequests Have We Changed? The Original Coal Miners Daughter Remembers Congratulations From The Alumni Association Luncheon Photos The Butterfly And The Caterpillar Forty Three Attend Fortieth In Memoriam, Names of Deceased Graduates Class News Change of Address Form Pins, Transcripts, Class Address List Relief Fund Application Scholarship Fund Application The Jefferson Hospital School of Nursing Roll of Honor Nomination Application Membership Application Ma

Nurses Alumni Association Bulletin, Fall 1991

Annual Meeting Calendar Annual Luncheon - Meeting Notice Meeting Notice Dates Officers and Committee Chairmen President\u27s Message Treasurer\u27s Report Proposed Budget- 1991 News About Our Graduates History of the School of Nursing The Future of Nursing School Health - 20 Years Ago - Today Happy Birthday Resume of Minutes of Alumni Association Meetings Alumni Office News Committee Reports By-Laws Bulletin Nominating Relief Fund Satellite Scholarship Social Finance Nursing Education at Jefferson - A Century of Excellence The Decade Fund Fiftieth Anniversary In Memoriam, Names of Deceased Graduates Luncheon Photos My Dear Son Weather Lore Class News Scholarship Application Non-Graduate Scholarship Fund Application Relief Fund Application Centennial Tile Order Form Membership Application Pins, Transcripts, Class Address Lists, Change of Address Form Ma

The Bulletin, School of Nursing Diploma Program Alumni Association, 1979

Alumni Calendar Recognition Plaque A Letter from the President Officers and Chairpersons The Future of Nursing Education at Jefferson Annual Reports Alumni Benefits Memo from Your President Resume of Alumni Association Meetings Committee Reports The Nursing Alumni Office Serves You Profiles in Courage Special Reports Ways and Means Committee Report 38th General Hospital Reunion College of Allied Health Sciences Achievement Award Class News Marriages Births In Memoriam Alumni Notices School of Nursing Notice

The role of surface components of the entomopathogenic fungus Entomophaga aulicae in the cellular immune response of Galleria mellonella(Lepidoptera)..

International audienc

Surgical benefit of mandibular morphometric analysis: A new tool to standardize mandibular reconstruction.

PurposeThe gold-standard for reconstruction of large mandibular defects is the use of free flaps of vascularized autologous bone with the fibula as the preferred donor site. The use of "custom cutting guides" for this indication is becoming increasingly prevalent. But cost of the procedure averages around 2,500 dollars per patient excluding treatment and entails selection criteria. We think it is possible to standardize mandibular reconstructions from an anatomical mean. The objective of this study was to perform a mandibular morphometric analysis in order to obtain a set of "mean" measurements, which can be used by all surgeons interested in mandibular reconstruction.MethodsWe performed a morphometric analysis consisting of three-dimensional mandibular reconstructions of 30 men and 30 women. Several reference points were set and defined to evaluate specific lengths and angles of interest. We conducted an intra and inter-sexual descriptive analysis of measurements obtained.ResultsWe did not identify any major intra-sexual differences within each group. The gonial angle is more open in women and the measurements characterizing the basilar contour are more prominent in men. We did not identify any differences in alveolar region parameters.ConclusionThe results of this study constitute a morphological tool for surgeons, from bone graft to free flap. These results also confirm us that the use of «custom cutting guides» for mandibular reconstruction may be excessive. It is pertinent to examine the value of "custom made" mandibular reconstructions since the differences observed are of the order of millimeters

Characterization of labiomandibular movements induced after isolated LeFort I osteotomy in the surgical management of class III malocclusion.

IntroductionMaxillary surgery alone can be proposed for the surgical management of class III malocclusion, but anticipating outcomes for the labiomental muscle complex is challenging due to the mandibular autorotation phenomenon. The objective of this study was to quantify the mandibular and labiomental movements induced by maxillary osteotomy alone in the management of class III malocclusion according to different clinical and surgical variables.MethodsThe post-operative changes in mandibular and labiomental shapes were studied by geometric morphometry from the pre- and post-operative lateral cephalometric radiograph of 25 patients. The explanatory variables tested were maxillary advancement, maxillary rotation, and divergence.ResultsSoft tissues repositioning are different from postoperative mandibular repositioning after maxillary osteotomy. Neuromuscular adjustments of mandible depend on divergence and the maxillary rotation. Labiomental response only depends on divergence.ConclusionThe surgical procedure does not have the same bone-related and musculocutaneous effects on patients with the same class III malocclusion. It is therefore essential for surgeons to understand the effects of their procedure on musculocutaneous tissues in order to best anticipate post-operative outcomes

The Benefits of Community-Driven Green Infrastructure

Communities across the nation are increasingly turning to green infrastructure solutions as part of a multi-pronged stormwater management strategy. Green infrastructure refers to a suite of installations that mimic natural processes to slow and reduce the stormwater volume flowing into traditional stormwater drainage systems. Every gallon diverted from flowing directly to existing drains eases the pressure on conveyance systems and reduces the severity of urban flooding caused by storm drain backups. New Orleans is especially vulnerable to flooding and stands to benefit in numerous ways from the continued installation of distributed green infrastructure.Water Wise Gulf South (WWGS) in partnership with Greater Tremé Consortium/Water Wise Tremé, Healthy Community Services/Water Wise 7th Ward, and Upper 9th Ward Bunny Friend Neighborhood Association/Water Wise Upper 9th Ward has been installing green infrastructure projects in New Orleans since 2013. The Water Wise model relies on a partnership approach between community-based organizations that strive to reduce repetitive flooding, subsidence, and climate change impacts while also improving water quality. The partnership empowers diverse community members to implement green infrastructure solutions, addressing community concerns through educational and training support as well as community-building events.WWGS supports community-driven green infrastructure solutions that mitigate repetitive flooding and subsidence as well as improving water quality and reducing climate change impacts like sea-level rise. WWGS empowers individuals, neighbors, and communities through training and other events. As of 2020 the neighborhood organizations have conducted workshops, planted over 160 trees, and implemented over 142 green infrastructure projects that have added more than 48,450 gallons of stormwater retention capacity ranging. As the accompanying fact sheet shows, these neighborhood groups have completed other projects since 2020 that store thousands more gallons of stormwater. These projects include rain gardens, concrete removal, French drains, rain barrels, stormwater planter boxes, pervious pavement, and bioswales. Figure 1 shows completed projects and planned green infrastructure installations in these neighborhoods. To interact with this information and view the map in more detail please visit https://arcg.is/1XzC1v0.Earth Economics (EE) analyzed the value of current and future green infrastructure installations by Greater Tremé Consortium, Healthy Community Services, and Upper 9th Ward to ground WWGS's advocacy with data-driven evidence for engagement with the City of New Orleans and prospective funders to increase installations of community-driven biophilic solutions. This report supplements a fact sheet of the analysis by providing additional context and references