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Biomedical subjects

S Re

Publications and source records attributed to S Re.

At least 19 recordsLinked to original sources

[Persons with dementia in individual everyday situations. First results of an intervention study].

First outcomes of a current intervention study focussing on emotions of nursing home residents with mild, moderate and severe dementia are discussed in the present contribution. The aim of the study was to prove the effect from an individual approach in the care of people with dementia. By promoting individual everyday situations for each resident, positive emotions should be stimulated and individual well-being should be improved. Findings show the possibility to gain such individual everyday-situations for people with mild, moderate and severe dementia, which stimulate positive reactions and may be integrated into the care process. Of particular importance are those positive situations which focus on the communication between nurses and residents or in which the residents receive personal attention from nurses.

Activities of Daily Living↗

Reduction of gingival recession following orthodontic intrusion in periodontally compromised patients.

OBJECTIVES: To evaluate the role of orthodontic intrusion and alignment in the reduction of gingival recession (REC) around maxillary incisors of adult periodontal patients. Design - Prospective clinical study. SETTING AND SAMPLE POPULATION: Twenty-eight consecutively treated adult patients, suffering from severe chronic periodontitis and with one upper central incisor extruded and infrabony defect on its mesial site. All patients were seen in a private practice in Turin, Italy. At baseline, all patients presented with REC on the buccal and mesial aspects of the treated teeth. MEASUREMENTS AND RESULTS: For each patient probing pocket depth (PPD) and REC were assessed at baseline, at the end of treatment and 1-year after the end of treatment. REC was also evaluated independently in patients with narrow (NPB) or wide periodontal biotype (WPB). All parameters showed improvement between initial and final measurements statistically, and showed no changes between final and follow-up measurements. Mean mesial PPD decrease was 4.29 mm, with a residual PPD of 2.50 mm. Mean REC reduction was 0.96 mm on the buccal sites and 1.71 mm on the mesial. No statistical difference was recorded on REC values between groups NPB and WPB. CONCLUSION: The presented clinical protocol resulted in improvement of all parameters examined. At the end of orthodontic treatment a predictable reduction of REC was reported, both in patients with thin or wide gingiva.

Adult↗

[Situations of emotional significance in residents suffering from dementia].

An advanced stage of dementia implies a loss of the ability to express emotions verbally. However, this does not mean that these patients do not feel emotions anymore. Analyses of nonverbal behaviour are the only way to realise the aim of assessing emotional states in people suffering from severe dementia. In the present study, we tried to identify characteristic situations which are regularly accompanied by positive or negative emotions. Such situations should be described by members of the institutional staff. Moreover, patients' nonverbal behaviour was analysed with psychological instruments developed for analyses of mimic expressions of emotion (FACS, EMFACS). Twenty-nine female residents of nursing homes suffering from moderate or severe dementia participated in the study. Nearly all of them were perceived to show different emotional states by the staff. Most emotions seemed to occur regularly in specific situations. Measures of FACS and AMFACS suggest that predictions of the staff are highly valid. Analyses of situations which were said to be accompanied by positive emotions showed that the respective situations are often created by the residents themselves. This finding implies that even an advanced stage of dementia does not necessarily prevent people from leading a self-determined life. Concentrated and individualised attention enables the staff to shape positive emotions in residents suffering from moderate or severe dementia.

Activities of Daily Living↗

Bodily tooth movement through the maxillary sinus with implant anchorage for single tooth replacement.

Movement of teeth through anatomic limitations, such as the maxillary sinus, can be a reliable therapeutic protocol if suitable force systems are used. We report here the outcome of a treatment based on this concept. The patient exhibited pneumatization of the maxillary sinus resulting from earlier extractions. She was treated using an endosseous implant inserted in the retromolar region to serve as orthodontic anchorage and a T-loop appliance fabricated from TMA wire to bodily move an upper second premolar through the sinus. After 6 months, at the end of the displacement, a titanium implant was inserted in the alveolus of the moved tooth and a single crown restoration was placed. The premolar moved through the sinus maintaining its support apparatus and bone. At the end of treatment the implant used for anchorage was still osseointegrated.

Journal Article↗

Intrusion of migrated incisors with infrabony defects in adult periodontal patients.

This report describes the orthodontic treatment of 10 adult patients who had severe periodontal disease, with migration and radiological evidence of an infrabony defect on a maxillary central incisor. Orthodontic tooth movement, using light and continuous forces, was initiated 7 to 10 days after periodontal surgical therapy. Mean orthodontic treatment time was 10 months. Before surgery and at the end of orthodontic treatment, the following parameters were registered clinically and with standardized intraoral radiographs: probing depth, clinical crown length, marginal bone level, bone defect radiological dimension, and root length. Comparison of pre- and posttreatment values showed a statistically significant improvement for all parameters without a remarkable decrease of root length. The mean residual probing depth was 2.80 mm, and the mean intrusion of the incisors was 2.05 mm. Moreover, radiographs showed a reduction of the infrabony defects. These results show the efficacy of a combined orthodontic-periodontal approach. Intrusive movement, after proper periodontal surgical therapy, can positively modify both the alveolar bone and the soft periodontal tissues.

Adult↗

Orthodontic treatment in periodontally compromised patients: 12-year report.

This work describes the therapeutic protocol of combined orthodontic-periodontal treatment and evaluates the effectiveness of surgical and nonsurgical periodontal therapy in the maintenance of a healthy periodontal status after the orthodontic treatment. Surgical periodontal treatment was performed in 267 patients affected by severe periodontal disease, and 128 patients had nonsurgical treatment. For each patient the mean value of probing depth (mPPD) and the rate of positive bleeding on probing (%BoP) of the teeth involved in the orthodontic movement were registered before the start of the periodontal treatment, at the end of the orthodontic treatment, and 2, 4, 6, 10, and 12 years after the end of the orthodontic treatment. Comparison between pretreatment and posttreatment values and between pretreatment and follow-up values showed a decrease in mPPD and %BoP that was of statistical significance. The difference between posttreatment and follow-up values was not statistically significant. These results suggest that orthodontic treatment is no longer a contraindication in the therapy of severe adult periodontitis. In these cases orthodontics improve the possibilities of saving and restoring a deteriorated dentition.

Adult↗

Resin-bonded fixed partial dentures and splints in periodontally compromised patients: a 10-year follow-up.

In the present study, 139 periodontally compromised patients received a complete periodontal treatment; in 104 cases this was followed by orthodontic treatment. At the end of the entire therapy, a total of 150 Maryland restorations (69 resin-bonded fixed partial dentures and 81 resin-bonded splints) was placed and then followed for a period of up to 10 years (mean 6.7 y). Thirteen fixed partial dentures and 16 splints failed during the observation period; the 10-year cumulative survival rate from lifetable analysis was 76.2% (70.6% for fixed partial dentures and 80.7% for splints).

Adult↗

[Mechanical staplers in our surgical practice].

On the basis of our experience from 1981 to 1989, advantages of staplers in digestive surgery are reported. Complications such as bleeding and stenosis are not clinically important, however, in most cases, they can be avoided if the instruments are properly used.

Adult↗

[Mixed tumor of an ectopic salivary gland. Presentation of a case].

A case of mixed tumour in an island of ectopic salivary glandular tissue at the right nostril and surrounding labial skin is reported. An anatomopathological classification of salivary neoplasias is provided and the histological picture of mixed tumours described. Stress is laid on the rarity of the finding. An extensive tissue area was removed because the neoplasia was a recurrence of a previous intervention (done by others) not followed up by histological examination.

Adenoma, Pleomorphic↗

[Bezoar of the stomach. Clinical case report].

A clinical case of bezoar of the stomach accompanied by peptic and gastric ulcer is presented. The different types of bezoar and the reasons for their formation are described, and the clinical, laparotomic and anatomopathological picture is illustrated.

Bezoars↗

[Treatment of acute cholecystitis. Clinico-statistical findings].

A series of 354 patients suffering from gall bladder and/or bile way conditions and who had undergone operation in the acute phase has been reviewed. The usefulness of early operation over more wait-and-see tactics is confirmed. Shortening of mean hospitalization is particularly significant. The difference in hospital mortality is insignificant. The only complication reported is the higher frequency of suppurative accidents in the surgical wound.

Acute Disease↗

[Non-appendicular primary pathology of the large intestine as a cause of emergency surgery. Clinico-statistical evaluation of its incidence in a provincial hospital].

Reference is made to the relevant literature in a description of cases of non-appendicular primary diseases of the large intestine necessitating emergency surgery at the Tradate District Hospital over the last five years. Emphasis is placed on the wide aetiological variety of these cases, their different clinical pictures, the types of operation performed, the possible complications, and the causes of death prior to discharge.

Adolescent↗