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Abstract

Temporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.

Abstract

Cystic fibrosis is a polymorphic disease, marked by multiple and difficult-to-treat respiratory exacerbations with severe evolution. The lung disease dictates the disease’s evolution and it must be diagnosed early and treated accordingly, but the diagnosis is sometimes challenging because of the lack of a sensible tool. In the era of the biomarkers, the need for a sensitive and reliable one would be extremely important, considering that inflammation secondary to infections produce irreversible structural changes in the cystic fibrosis lungs. The present paper reviews the studied biomarkers in inflammation and infection with potential role in cystic fibrosis lung disease.

Abstract

Objective

Through this study, we want to see to what extent the stress is present among the patients admitted in the intensive care units of the Fundeni Clinical Institute of Bucharest, outlining intervention strategies both individually and collectively and validating the psychological evaluation tool (IPAT) specific to the anesthesia and intensive care units in our population.

Method

Intensive Psychological Assessment Tool (IPAT) with 10 items was used for stress assessment in the intensive care unit and Hospital Anxiety Depression Scale (HADS) with 14 items and two subscales, one for anxiety (7 items) and one for depression (7 items).

Conclusion

The study demonstrates the validity of IPAT scale for the patients participating in the study; the results of the study provide the specialists in anesthesia and intensive care units directions to identify elements of stress, anxiety and depression – directions that can improve their daily work, communication with patients and possibly a better quality of life for all involved in the care of a patient.

Results

The results of the study provide the specialists in anesthesia and intensive care units the directions to improve their daily work and possibly a better quality of life for all involved in the care of a patient.

Abstract

Over the last 20 years, sport for development (SFD) has become an increasingly used tool to tackle education-related challenges around the world and has even become recognized by major international institutions such as the United Nations and the Commonwealth. In spite of this, evidence on the effectiveness of SFD programs on educational outcomes is limited. Through a Rapid Evidence Assessment (REA), this paper seeks to begin addressing this gap. Literature is included if it quantitatively examines the relationship between participation in a SFD program and educational outcomes, namely academic performance, school attendance, or attitudes and behaviors related to school. Results are then organized and presented according to these aforementioned areas. The identified literature paints a mixed picture of SFD’s impact on educational outcomes related to academic performance and school attendance, though the data related to improved attitude and behavior is more positive. Overall, the lack of research on this topic and the deficiencies in some of the identified studies do not allow for the conclusion that SFD generates positive education-related outcomes. This paper concludes by proposing potential solutions to address this gap in research.

Abstract

We sought to determine the clinical significance of delayed complications after different neurosurgical procedures, such as chronic sinusitis and frontocutaneus fistula. These can be managed by endoscopic closure or by external approach, depending on the cause and extent of sinusitis. We report a case of a 65-year-old woman who was presented to our ENT Department with a frontocutaneus fistula and was surgically managed.

Abstract

In the recent years, the development of stomatology with emphasis on dental implants procedures has led to an increase in the number of sinonasal complications. Sinonasal complications of dental disease and treatment are an important cause of sinus pathology, being responsible for 10-12% of all causes of chronic maxillary rhinosinusitis.

The main etiological factors involved in odontogenic sinusitis are represented by dental fillings, tooth roots in traumatic extraction, dental implants displacement and parts of broken instruments. The diagnostic work-up includes evaluation of the symptoms, history of dental treatment, dental examination, CT scan and nasal endoscopy.

The treatment is surgical and can be represented by transnasal endoscopic technique performed by the otorhinolaryngologist or a transoral technique performed by the maxillofacial surgeon when oro-antral fistulas are present. The endoscopic approach is preferred but has its limits when the tooth root is placed in the alveolar recess, or at the level of the anterior, medial and lateral wall of the maxillary sinus. Concurrent middle and inferior antrostomy provides a better view of the sinus and increases effectiveness of the surgical treatment with minimal physiological damage.

Abstract

Feedback has been shown to influence the extent and rate of learning. The purpose of this research was to investigate the effects of Knowledge of Results (KR) on more accurate trials versus KR on less accurate trials on intrinsic motivation, self-confidence and anxiety changes. Participants were 60 female students with a mean age of 16 years (SD = 0.4). Participants practiced volleyball serve task in 4 session (each session included 6 blocks and each block included 6 trials) that subjects received feedback on 3 trials out of 6 trials at the completion of each 6-trial block. While one group was provided KR about the accuracy of the 3 best serves in each block, another group was given KR about the 3 poorest serves. Participants completed the intrinsic motivation inventory and the Competitive State Anxiety Inventory-2 (CSAI-2) twice as pre-test and post-test. Both groups increased their service scores across practice blocks. On the retention test without KR, which was performed seven day after the practice phase, the more accurate trials group had higher accuracy scores than the less accurate trials group. The present findings demonstrated that feedback after relatively accurate as opposed to inaccurate trials enhanced learner’s perceived competence whereas KR on less accurate trials decreased. In addition, results demonstrated that feedback after relatively accurate as opposed to inaccurate trials enhanced learner’s perceived competence whereas KR on less accurate trials decreased.

Abstract

BACKGROUND. Smell disorders may be classified in quantitative and qualitative. The literature shows that the main causes of odour disorders, both qualitative and quantitative, are due to aging, viral infections and tumors of the upper respiratory tract, craniocerebral trauma, neurodegenerative diseases of the nervous system, drug use or exposure to various toxic substances. Total laryngectomy and oncologic treatment causes smell disorders.

OBJECTIVE. The aim of this study is to evaluate the aspects related to the patient’s smell disorders after total laryngectomy, during the oncological treatment represented by radiotherapy.

MATERIAL AND METHODS. A prospective observational study was performed on a group of 52 patients, over a period of one year (2016-2017), who benefited from total laryngectomy and who underwent oncological treatment, represented by radiotherapy. Patients were evaluated before starting radiotherapy and during radiotherapy sessions. All patients underwent quantitative and qualitative smell assessment.

RESULTS. At the end of week 7 of radiotherapy, none of the patients was considered normosmic, 10 patients were considered to be suffering from hyposmia and 42 from anosmia. Statistically significant changes in the quantitative determination of odour occurred in the fourth week, respectively at the radiation dose of 40Gy. Qualitative odour assessment in this study showed a statistically significant decrease starting with the fifth week of radiotherapy, respectively with a radiation dose of 50Gy.

CONCLUSION. Radiation therapy has a major impact on the quality of life of patients with laryngeal cancer, which has the lowest scores at the beginning and end of the treatment.

Abstract

The facial nerve, the seventh pair of cranial nerves, has an essential role in non-verbal communication through facial expression. Besides innervating the muscles involved in facial expression, the complex structure of the facial nerve contains sensory fibres involved in the perception of taste and parasympathetic fibres involved in the salivation and tearing processes. Damage to the facial nerve manifested by facial paralysis translates into a decrease or disappearance of mobility of normal facial expression.

Facial nerve palsy is one of the common causes of presenting to the Emergency Room. Most facial paralysis are idiopathic, followed by traumatic, infectious, tumor causes. A special place is occupied by the child’s facial paralysis. Due to the multitude of factors that can determine or favour its appearance, it requires a multidisciplinary evaluation consisting of otorhinolaryngologist, neurologist, ophthalmologist, internist.

Early presentation to the doctor, accurate determination of the cause, correctly performed topographic diagnosis is the key to proper treatment and complete functional recovery.

Abstract

Presented paper contains looks which mainly attempt to analyse the promotion in sport by social media and brand image management on the example of „Connected by football” channel.

Research process required usage of diagnostic survey method. Exploration shows that social media has contributed to popularisation and improved the image of the Polish National Football Team. Respondents’ opinions about the formula of the „Connected by football” channel. The reasons and motives for the interest of the „Connected by football” channel are mainly involved with sports activities and the team’s life outside of trainings and matches. Survey shows that half of the respondents changed their mind about the players after watching the video materials and due to this fact the emotional bond between players and supporters increase. The research presents that „Connected by football” channel played a significant role in Polish National Football Team image’s building.