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Biomedical subjects

C E Cornell

Publications and source records attributed to C E Cornell.

25 records · Page 2Linked to original sources

Effect of mouth opening on bite-force discrimination.

The purpose of this study was to determine whether different extents of mouth opening affect normal subjects' (N = 24; 12 women, 12 men) ability to discriminate differences in their interincisor bite force. Three mouth openings were selected including 50, 70, and 90 percent of maximum opening for each subject. Bite force was measured using a specially designed strain gauge scale which permitted subjects to monitor visually when their biting force equalled a preset resistance. Resistance forces of 500 and 1000 gm. were selected as standards. The procedure involved the use of a modified method of constant stimuli in which each subject was presented with a series of paired resistance settings, one at a time--the first resistance setting being the standard and the second resistance was the comparator. This paired-comparisons procedure was continued until the subjects' difference limen (DL) value (the threshold of discrimination between two forces) could be established. An analysis of variance yielded no significant differences in subjects' ability to discriminate bite force as a function of mouth opening.

Adult↗

The effect of periodontal bone loss on bite force discrimination.

This study compared bite force discrimination between 14 treated periodontal patients with significant bone resorption and 14 control subjects who were free of periodontal disease. Bite force was measured using a strain gauge scale which permitted subjects to visually monitor when their bite force equaled a preset resistance. A bite force of 500 gm was selected as the standard. Subjects were presented with a series of paired resistance settings, one at a time, the first of each pair being the standard and the second being the comparator setting of some predetermined different amount. This procedure was continued until the subject's difference limen (DL) value, the threshold of discrimination between two bite forces, was established. The periodontal patients required an average of 334 additional grams of resistance over the standard before they could detect a difference, whereas the control subjects required only 201 additional grams. These group means were significantly different (P less than 0.01). The results of this study suggest that the periodontal ligament provides sensory feedback relative to bite force discrimination.

Adult↗

Bite force discrimination by individuals with complete dentures.

The purpose of this study was to determine whether differences existed in interincisor bite force discrimination between a group of subjects wearing complete dentures and a group of dentate individuals. It was hypothesized that biting force is monitored at least in part by the sensory mechanism within the PDL and that the absence of the PDL would result in reduced bite force discrimination. A specially designed strain gauge scale was constructed for the measurement of bite force. Bite force discrimination was assessed at three different standards including 500, 1000, and 3000 gm. Data analysis revealed that, overall, bite force discrimination was not significantly different for the two groups. However, at the lightest standard of 500 gm, the dentate group performed significantly better (p less than .05) than the denture wearers. It is concluded that the sensory system within the PDL plays a role in monitoring bite force discrimination.

Adult↗

Psychiatric problems in the first year after mastectomy.

The psychiatric morbidity associated with mastectomy was assessed in 75 women by following them up from the time they presented with suspected breast cancer to one year after the operation. Fifty women with benign breast disease served as controls. Throughout the follow-up period the incidence of psychiatric problems was higher among the women who had undergone mastectomy. One year after surgery 19 (25%) of these women compared with only 5 (10%) of the controls needed treatment for anxiety or depression or both, and 16 (33%) compared with 3 (8%) respectively had moderate or severe sexual difficulties. Altogether 29 patients in the mastectomy group (39%) and six of the controls (12%) had serious anxiety, depression, or sexual difficulties. Of the eight women in the mastectomy group who sought help for their problems, only two felt that the help given had been appropriate. The inability to recognise and treat these emotional disturbances is a common and serious problem. Monitoring by specially trained nurses and social workers might help to identify them earlier and even reduce them.

Anxiety↗

Psychosocial variables are associated with atherosclerosis risk factors among women with chest pain: the WISE study.

OBJECTIVE: We investigated associations between atherosclerosis risk factors (smoking behavior, serum cholesterol, hypertension, body mass index, and functional capacity) and psychological characteristics with suspected linkages to coronary disease (depression, hostility, and anger expression) in an exclusively female cohort. METHODS: Six hundred eighty-eight middle-aged women with chest pain warranting clinical investigation completed a comprehensive diagnostic protocol that included quantitative coronary angiography to assess coronary artery disease (CAD). Primary analyses controlled for menopausal status, age, and socioeconomic status variables (income and education). RESULTS: High depression scores were associated with a nearly three-fold risk of smoking (odds ratio (OR) = 2.8, 95% confidence interval (CI) = 1.4-5.7) after covariate adjustment, and women reporting higher depression symptoms were approximately four times more likely to describe themselves in the lowest category of functional capacity (OR = 3.7, 95% CI = 1.7-7.8). High anger-out scores were associated with a four-fold or greater risk of low high-density lipoprotein cholesterol concentration (<50 mg/dl; OR = 4.0, 95% CI = 1.4-11.1) and high low-density lipoprotein cholesterol concentration (>160 mg/dl; OR = 4.8, 95% CI = 1.5-15.7) and a larger body mass index (OR = 3.5, 95% CI = 1.1-10.8) after covariate adjustment. CONCLUSIONS: These results demonstrate consistent and clinically relevant relationships between psychosocial factors and atherosclerosis risk factors among women and may aid our understanding of the increased mortality risk among women reporting high levels of psychological distress.

Aged↗