1,060 research outputs found
Are occlusal splints effective in reducing myofascial pain in patients with muscle-related temporomandibular disorders? A randomized-controlled trial.
Oral health-related quality of life in elderly: an umbrella review of systematic reviews from a multidisciplinary rehabilitation point-of-view
Background. Poor oral health is highly prevalent among elderlies
and may impact quality of life of elderly people. In this scenario, oral
health has been often linked to general health and chronic disorders,
including distinct features of frailty. The aim of the present umbrella
review of systematic reviews was to assess the scientific literature on
the correlation between oral health related quality of life (OHRQoL)
and elderly to present a multidisciplinary approach to these complex
patients.
Methods. We performed a literature search of the databases PubMed/Medline, Scopus, Web of Science, and Physiotherapy Evidence
Database electronic databases. Two independent reviewers performed
the literature research from the inception to 25th November 2023 and
screened the studies for eligibility.
Results. The search resulted in a total of 676 results eligible articles. After removal of duplicates and full-text screening, a total of 3
systematic reviews were considered to meet the inclusion criteria and
were included for this review.
Conclusions. Frailty is very common in elderly such as a poor
oral health. In this scenario, malnutrition and bad lifestyle habits may
affect not only the determinism of many systemic non-communicable
diseases but also oral health quality. Taken together, the findings of
this umbrella review of systematic reviews showed a strict correlation
between the frailty, typical condition of ageing people, and a poor
OHRQoL. Therefore, it is mandatory to implement the oral health
prevention with specific protocols of oral rehabilitation to improve
the OHRQoL in elderly
Functional status and oral health in patients with amyotrophic lateral sclerosis: A cross-sectional study
BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease affecting upper and lower motor neurons. The current practice of caring for patients affected by ALS involves a multidisciplinary team without any indication about oral health care. OBJECTIVE: We sought to investigate the functional status and oral health in patients with ALS to define a specific multidisciplinary management. METHODS: In this cross-sectional study, we included patients affected by ALS, evaluating their functional status, using the Revised ALS Functional Rating Scale (ALSFRS-R) and their oral health status through specific parameters, including Brief Oral Health Status Examination (BOHSE), Winkel Tongue Coating Index (WTCI), and Oral Food Debris Index (OFDI). RESULTS: All 37 patients (mean age: 61.19±11.56 years) showed a poor oral status, independent from the functional status and strictly correlated to the severity of sialorrhea (p=0.01). OFDI index was negatively correlated with the ALSFRS-R upper limb (p=0.03). Patients with bulbar onset had significantly lower ability to perform adequate tongue movements in terms of protrusion (p=0.006) and lateralization (p<0.001). Significant negative correlations between survival rate and BOHSE (p=0.03) was found. CONCLUSIONS: Taken together, our findings showed that a poor oral health status might be correlated to a worse functional status and survival time. Thus, an adequate oral health care and rehabilitation should be considered as crucial in the multidisciplinary management of patients with ALS
A telerehabilitation approach to chronic facial paralysis in the COVID-19 pandemic scenario: what role for electromyography assessment?
There is a lack of data on patient and diagnostic factors for prognostication of complete recovery in patients with peripheral facial palsy. Thus, the aim of this study was to evaluate the role of a telerehabilitave enhancement through the description of a case report with the use of short-wave diathermy and neuromuscular electrical stimulation combined to facial proprioceptive neuromuscular facilitation (PNF) rehabilitation in unrecovered facial palsy, in a COVID-19 pandemic scenario describing a paradigmatic telerehabilitation report. A 43-year-old woman underwent a facial rehabilitation plan consisting of a synergistic treatment with facial PNF rehabilitation, short-wave diathermy, and neuromuscular electrical stimulation (12 sessions lasting 45 min, three sessions/week for 4 weeks). Concerning the surface electromyography evaluation of frontal and orbicularis oris muscles, the calculated ratio between amplitude of the palsy side and normal side showed an improvement in terms of movement symmetry. At the end of the outpatient treatment, a daily telere-habilitation protocol with video and teleconsultation was provided, showing a further improvement in the functioning of a woman suffering from unresolved facial paralysis. Therefore, an adequate telerehabilitation follow-up seems to play a fundamental role in the management of patients with facial palsy
Observation of Collider Muon Neutrinos with the SND@LHC Experiment
We report the direct observation of muon neutrino interactions with the SND@LHC detector at the Large Hadron Collider. A dataset of proton-proton collisions at √s=13.6  TeV collected by SND@LHC in 2022 is used, corresponding to an integrated luminosity of 36.8  fb−1. The search is based on information from the active electronic components of the SND@LHC detector, which covers the pseudorapidity region of 7.2<η<8.4, inaccessible to the other experiments at the collider. Muon neutrino candidates are identified through their charged-current interaction topology, with a track propagating through the entire length of the muon detector. After selection cuts, 8 νμ interaction candidate events remain with an estimated background of 0.086 events, yielding a significance of about 7 standard deviations for the observed νμ signal
Track reconstruction and matching between emulsion and silicon pixel detectors for the SHiP-charm experiment
In July 2018 an optimization run for the proposed charm cross section measurement for SHiP was performed at the CERN SPS. A heavy, moving target instrumented with nuclear emulsion films followed by a silicon pixel tracker was installed in front of the Goliath magnet at the H4 proton beam-line. Behind the magnet, scintillating-fibre, drift-tube and RPC detectors were placed. The purpose of this run was to validate the measurement's feasibility, to develop the required analysis tools and fine-tune the detector layout. In this paper, we present the track reconstruction in the pixel tracker and the track matching with the moving emulsion detector. The pixel detector performed as expected and it is shown that, after proper alignment, a vertex matching rate of 87% is achieved
Sleep in the Human Hippocampus: A Stereo-EEG Study
Background. There is compelling evidence indicating that sleep plays a crucial role in the consolidation of new declarative, hippocampus-dependent memories. Given the increasing interest in the spatiotemporal relationships between cortical and hippocampal activity during sleep, this study aimed to shed more light on the basic features of human sleep in the hippocampus. Methodology/Principal Findings. We recorded intracerebral stereo-EEG directly from the hippocampus and neocortical sites in five epileptic patients undergoing presurgical evaluations. The time course of classical EEG frequency bands during the first three NREM-REM sleep cycles of the night was evaluated. We found that delta power shows, also in the hippocampus, the progressive decrease across sleep cycles, indicating that a form of homeostatic regulation of delta activity is present also in this subcortical structure. Hippocampal sleep was also characterized by: i) a lower relative power in the slow oscillation range during NREM sleep compared to the scalp EEG; ii) a flattening of the time course of the very low frequencies (up to 1 Hz) across sleep cycles, with relatively high levels of power even during REM sleep; iii) a decrease of power in the beta band during REM sleep, at odds with the typical increase of power in the cortical recordings. Conclusions/Significance. Our data imply that cortical slow oscillation is attenuated in the hippocampal structures during NREM sleep. The most peculiar feature of hippocampal sleep is the increased synchronization of the EEG rhythms during REM periods. This state of resonanc
Beneficial insects in agricultural landscapes: faunal, ecological and functional contributions of recent studies in the canton of Geneva (Switzerland)
Description of the subject. In the context of biodiversity maintenance in agricultural environments and of risk reduction related to the use of phytosanitary products, it seems essential to improve our knowledge of the beneficial insects that develop in these ecosystems.Objectives. This article reviews the state of knowledge regarding insect auxiliaries and highlights the main faunal, ecological and functional contributions from recent studies carried out in an agricultural context in Geneva.Method. Data were collected from 2014 to 2019 on several families of predatory and pollinating auxiliaries in various agricultural contexts (extensive grasslands, vineyards, orchards, rapeseed crops, vegetable crops) using Barber, Malaise and emergence traps.Results. 48,921 individual records were collected belonging to 477 species of the main families of auxiliaries. Of these, four species were observed for the first time in Switzerland and 50 in the canton of Geneva. 357 (+/- 75%) of the species had a predatory stage and 103 (+/- 22%) could be regarded as valuable crop auxiliaries. The use of emergence traps made it possible to attest that at least a third of the species, including some rare or threatened species, are able to successfully carry out their life cycles within agricultural environments or to use them as overwintering sites.Conclusions. This review increases our understanding of the composition of the biodiversity of agricultural environments, which constitutes a significant component of biodiversity in Switzerland and in neighboring countries. It also highlights the role of semi-natural habitats as extensive grasslands or inter-rows of vineyards in supporting the development of many rare and sometimes threatened species
Track reconstruction and matching between emulsion and silicon pixel detectors for the SHiP-charm experiment
In July 2018 an optimization run for the proposed charm cross section measurement for SHiP was performed at the CERN SPS. A heavy, moving target instrumented with nuclear emulsion films followed by a silicon pixel tracker was installed in front of the Goliath magnet at the H4 proton beam-line. Behind the magnet, scintillating-fibre, drift-tube and RPC detectors were placed. The purpose of this run was to validate the measurement's feasibility, to develop the required analysis tools and fine-tune the detector layout. In this paper, we present the track reconstruction in the pixel tracker and the track matching with the moving emulsion detector. The pixel detector performed as expected and it is shown that, after proper alignment, a vertex matching rate of 87% is achieved.Peer Reviewe
Observation of Collider Muon Neutrinos with the SND@LHC Experiment
We report the direct observation of muon neutrino interactions with the SND@LHC detector at the Large Hadron Collider. A dataset of proton-proton collisions at s=13.6 TeV collected by SND@LHC in 2022 is used, corresponding to an integrated luminosity of 36.8 fb-1. The search is based on information from the active electronic components of the SND@LHC detector, which covers the pseudorapidity region of 7.2<8.4, inaccessible to the other experiments at the collider. Muon neutrino candidates are identified through their charged-current interaction topology, with a track propagating through the entire length of the muon detector. After selection cuts, 8 νμ interaction candidate events remain with an estimated background of 0.086 events, yielding a significance of about 7 standard deviations for the observed νμ signal
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