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PubMed2002

[Surgical lengthening of the lower face in patients with class II deformities and skeletal deep bite--"short face syndrome" controlled clinical study on the "Würzburger Konzept"].

Among Angle Class II patients scheduled for orthognathic surgery, those with short face syndrome with skeletal deep bite only make up a small portion. Nevertheless, it represents a complex challenge for the orthodontist as well as for the surgeon with respect to the individual treatment goals. The harmony of facial relations is impaired in these patients: The skeletal lower face and consequently the soft tissue profile show a deficit in height compared to the midface. Lengthening of the lower face with its respective effect on facial aesthetics can only be corrected by causal therapy, i.e., a combined approach with surgical enlargement of the gonion angle. In this study, a therapy concept specifically suited for the correction of Class II deformities with short face syndrome is presented. Consequences for the skeletal and dental situation with their benefit for extraoral appearance were tested in a clinical trial ( n=15, patients with class II deformities and short face syndrome). To evaluate skeletal and dental changes, cephalograms were taken prior to initiation of orthodontic treatment, 3 days after surgery but before initiation of postsurgery orthodontics, and 1 year after the end of treatment.

Adult↗

PubMed2006

Does the presence of psychological distress in patients influence their choice of sitting position in face-to-face consultation with the GP?

Evidence exists that when a person is required to position him/herself to the right or left of another during a face-to-face encounter, the orientation chosen is influenced by the biases of visual attention. It is also known that such attentive biases may be disturbed in states of anxiety and depression. The aim of the present study was to investigate whether an association could be found between the presence of psychological distress in patients and their choice of lateral orientation relative to the doctor during face-to-face consultations. Patients routinely attending their GP (the author) were obliged to choose to sit either to the right or left for the face-on encounter. They then completed the Hospital Anxiety and Depression Scale questionnaire (HADS), its two subscales (0-21) measuring symptoms of anxiety and depression reported by patients. "Cases" of anxiety and/or depression were identified as those patients who scored > 8 on either or both subscales. Of the 756 patients studied, case status was significantly associated with seating preference (p = .001): 234 (58%) cases sitting on the left versus 107 (30%) non-cases. Handedness was not directly associated with seating preference, but did modify the case status-seating preference association. Thus among right-handers 213 (59%) cases sat on the left versus 85 (27%) non-cases, giving an odds ratio (sitting on the left) for cases versus non-cases of 4.0. For left-handers the odds ratio (sitting left) for cases versus non-cases was 0.54, although the small number of left-handers precluded statistical significance being achieved in this group. These results support the notion that orienting behaviour is influenced by biases of visual attention linked to handedness and that attentive biases may be disturbed in states of anxiety and depression.

Adult↗

PubMed1997

Face-to-face interaction between infants with orofacial clefts and their mothers.

Compared mother-infant face-to-face (en face) interaction among 3-month-old infants with cleft lip and palate (CLP), infants with isolated cleft palate (CP), or nonimpaired infants (NI). The Monadic Phase system (Tronick, Als, & Brazelton, 1980) was used to describe patterns of laboratory en face interaction in 116 mother-infant dyads. Diagnostic group comparisons of percentages of monadic phases and infant-mother monadic phase sequences revealed more similarities than differences. However, CP group mothers appeared less involved in en face interaction than mothers in the CLP group. Low maternal involvement in the combined cleft groups was predicted by concurrent measures of infant characteristics including infant negative reactivity, whereas low maternal involvement in the comparison group was predicted by maternal characteristics including low psychological distress. There was little evidence to suggest that anomalous facial appearance is a significant factor influencing the quality of early mother-infant interaction. Assessing other characteristics of the infant and the broader social context is also important.

Cleft Lip↗

PubMed2003

First successful replantation of face and scalp with single-artery repair: model for face and scalp transplantation.

Successful replantation of the scalp with microanastomosis of a single artery and vein has been reported to produce reliable results. In fact, there have been several reports of scalp replantations based on one-artery and vein repair. There has been a face and scalp replantation reported in the literature, but this was as two separate parts and was based on several arterial and venous repairs. The authors performed the first successful replantation of a face and scalp with repair of a single artery and, of course, two veins. A 21-year-old man presented after his face and scalp were completely severed. The patient's long hair was caught in a conveyor belt at work. The face and scalp underwent replantation, with repair of the right superficial temporal artery with an interposition vein graft. A multiteam approach allowed for minimization of overall ischemic time and simultaneous preparation of the vessels on the patient and amputated part as well as vein graft harvest from the arm. Also critical to the success of the procedure, the small portions of the vessels of the amputated part were sent for frozen section to differentiate artery from vein. Initially, only the right superficial temporal vein was repaired. One week after replantation, the patient returned for treatment of venous congestion of an area to the opposite side of the forehead partial transection, with repair of the left superficial temporal vein, also. This saved the entire part that underwent replantation, and the entire part survived. The face and scalp can undergo replantation based on single-artery repair.

Accidents, Occupational↗

PubMed2004

The ontogeny of face identity; I. Eight- to 21-week-old infants use internal and external face features in identity.

A paradigm was designed to study how infants identify live faces. Eight- to 21-week-old infants were seated comfortably and were presented an adult female, dressed in a white laboratory coat and a white turtle neck sweater, until habituation ensued. The adult then left the room. One minute later either she or an identically garbed confederate returned. Looking time did not increase above habituation levels when the original experimenter returned, but increased substantially when the confederate entered the room. Furthermore, internal features alone could serve as the basis of face identity. Looking times of infants who had habituated to experimenters with masked outer features of hair, ears and neck also markedly increased when a second identically dressed experimenter returned. Identity in this instance could only be based on internal facial characteristics. A second study assessed the contributions of internal and external facial features to identity. Infants were habituated to an experimenter in a short wig. One minute later they saw her again, either in the same short wig or in a long one. Alternatively, they saw a second experimenter wearing either the short wig or the long one. Infants looked longer only to the stranger wearing the long wig. Very brief looking times occurred to the familiar adult, regardless of wig, and to the stranger wearing the familiar wig. This paradigm provides an approach to discover rules used by infants of different ages to process and identify adult faces and to establish the bases of face preference.

Child Development↗

PubMed2005

Categorical and coordinate relations in faces, or Fechner's law and face space instead?

E. E. Cooper and T. J. Wojan (2000) applied the categorical-coordinate relations distinction to faces on the basis of a finding that two-eyes-up versus one-eye-up distortions had opposite effects in between-class (face normality) and within-class (face identity) tasks. However, Cooper and Wojan failed to match amount of metric change between their 2 deviation types and tested only 1 deviation level. In the present study, eyeheight was shifted (e.g., both eyes up or both eyes down vs. one eye up and one eye down) parametrically (11 levels) and normality and identity ratings obtained. There was no evidence of categorical changes in perception where these would have been predicted by Cooper and Wojan's theory. In all cases, the relationship between physical and perceived distortion followed Fechner's law. Differences across distortion types in Fechner threshold (the minimum deviation altering perceived normality or identity) are explained in terms of the variability associated with different dimensions in face space.

Face↗

PubMed2005

The face, beauty, and symmetry: perceiving asymmetry in beautiful faces.

The relationship between bilateral facial symmetry and beauty remains to be clarified. Here, straight head-on photographs of "beautiful" faces from the collections of professional modeling agencies were selected. First, beauty ratings were obtained for these faces. Then, the authors created symmetrical left-left and right-right composites of the beautiful faces and asked a new group of subjects to choose the most attractive pair member. "Same" responses were allowed. No difference between the left-left and right-right composites was revealed but significant differences were obtained between "same" and the left-left or right-right. These results show that subjects detected asymmetry in beauty and suggest that very beautiful faces can be functionally asymmetrical.

Adolescent↗

PubMed2002

Anatomicohistologic study of the retaining ligaments of the face and use in face lift: retaining ligament correction and SMAS plication.

Plastic surgeons have sought to improve nasolabial folds, jowls, jaw lines, and cervical contour with face-lifting procedures that are abundant in the literature. The retaining ligaments of the face support facial soft tissue in normal anatomic position, resisting gravitational change. As this ligamentous system attenuates, facial fat descends into the plane between the superficial and deep facial fascia, and the stigmata of facial age develop. In this study, surgical correction of the retaining ligaments and plication of the superficial musculoaponeurotic system (SMAS) to reposition the structures that have descended with gravitation are discussed. The anatomy of the facial retaining ligaments was studied in 22 half-faces of 11 fresh cadavers, and the localization, extension, and width of the ligaments were examined macroscopically and histologically. Surgical correction of the retaining ligaments and plication of the SMAS have been accomplished in 27 face-lift patients with this anatomicohistologic study taken into consideration. There was hematoma in one patient at the cheek region and a permanent dimple caused by postoperative edema in two patients, with a localization of one zygomatic and two parotidomasseteric ligaments. In one patient, hypesthesia in the mandibular nerve region was seen, which remitted at 14 weeks. There were no other complications, and with a follow-up of 24 months, excellent aesthetic results and a high level of patient satisfaction were encountered.

Adult↗

PubMed2005

Face recognition using face-ARG matching.

In this paper, we propose a novel line feature-based face recognition algorithm. A face is represented by the Face-ARG model, where all the geometric quantities and the structural information are encoded in an Attributed Relational Graph (ARG) structure, then the partial ARG matching is done for matching Face-ARG's. Experimental results demonstrate that the proposed algorithm is quite robust to various facial expression changes, varying illumination conditions and occlusion, even when a single sample per person is given.

Algorithms↗

PubMedDate not supplied

Attention and memory for faces and actions in infancy: the salience of actions over faces in dynamic events.

Discrimination and memory for video films of women performing different activities was investigated in 5.5 month-old infants. In Experiment 1, infants (N = 24) were familiarized to the faces of one of three women performing one of three repetitive activities (blowing bubbles, brushing hair, and brushing teeth). Overall, results indicated discrimination and memory for the actions but not the faces after both a 1-min and a 7-week delay. Memory was demonstrated by a visual preference for the novel actions after the 1-min delay and for the familiar actions after the 7-week delay, replicating prior findings that preferences shift as a function of retention time. Experiment 2 (N = 12) demonstrated discrimination and memory for the faces when infants were presented in static poses at the 1-min delay, but not the 7-week delay. In Experiment 3 (N = 18), discrimination of the actions was replicated, but no discrimination among the objects embedded in the actions (hairbrush, bubble wand, toothbrush) was found. These findings demonstrate the attentional salience of actions over faces in dynamic events to 5.5 month-olds. They highlight the disparity between results generated from moving versus static displays in infancy research and emphasize the importance of using dynamic events as a basis for generalizing about perception and memory for events in the real world.

Attention↗

PubMed2000

The fusiform "face area" is part of a network that processes faces at the individual level.

According to modular models of cortical organization, many areas of the extrastriate cortex are dedicated to object categories. These models often assume an early processing stage for the detection of category membership. Can functional imaging isolate areas responsible for detection of members of a category, such as faces or letters? We consider whether responses in three different areas (two selective for faces and one selective for letters) support category detection. Activity in these areas habituates to the repeated presentation of one exemplar more than to the presentation of different exemplars of the same category, but only for the category for which the area is selective. Thus, these areas appear to play computational roles more complex than detection, processing stimuli at the individual level. Drawing from prior work, we suggest that face-selective areas may be involved in the perception of faces at the individual level, whereas letter-selective regions may be tuning themselves to font information in order to recognize letters more efficiently.

Adult↗

PubMed2006

Modulation of face-sensitive event-related potentials by canonical and distorted human faces: the role of vertical symmetry and up-down featural arrangement.

This study examined the sensitivity of early face-sensitive event-related potential (ERP) components to the disruption of two structural properties embedded in faces, namely, "updown featural arrangement" and "vertical symmetry." Behavioral measures and ERPs were recorded as adults made an orientation judgment for canonical faces and distorted faces that had been manipulated for either or both of the mentioned properties. The P1, the N170, and the vertex positive potential (VPP) exhibited a similar gradient in sensitivity to the two investigated properties, in that they all showed a linear increase in amplitude or latency as the properties were selectively disrupted in the order of (1) up-down featural arrangement, (2) vertical symmetry, and (3) both up-down featural arrangement and vertical symmetry. Exceptions to this finding were seen for the amplitudes of the N170 and VPP, which were largest for the stimulus in which solely vertical symmetry was disrupted. Interestingly, the enhanced amplitudes of the N170 and VPP are consistent with a drop in behavioral performance on the orientation judgment for this stimulus.

Adolescent↗

PubMed2000

Telemedicine versus face to face patient care: effects on professional practice and health care outcomes.

BACKGROUND: Telemedicine is the use of telecommunications technology for medical diagnosis and patient care. From its beginnings telemedicine has been used in a variety of health care fields, although widespread interest among healthcare providers has only now become apparent with the development of more sophisticated technology. OBJECTIVES: To assess the effects of telemedicine as an alternative to face-to-face patient care. SEARCH STRATEGY: We searched the Effective Practice and Organisation of Care Group's specialised register, The Cochrane Library, MEDLINE (1966-August 1999), EMBASE (to 1996), Cinahl (to August 1999), Inspec (to August 1996), Healthstar (1983-1996), OCLC, Sigle (to 1999), Assia, SCI (1981-1997), SSCI (1981-1997), DHSS-Data. We hand searched the Journal of Telemedicine and Telecare (1995-1999), Telemedicine Journal (1995-1999) and reference lists of articles. We also hand searched conference proceedings and contacted experts in countries identified as having an interest in telemedicine. SELECTION CRITERIA: Randomised trials, controlled before and after studies and interrupted time series comparing telemedicine with face-to-face patient care. The participants were qualified health professionals and patients receiving care through telemedicine. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trial quality and extracted data. MAIN RESULTS: Seven trials involving more than 800 people were included. One trial was concerned with telemedicine in the emergency department, one with video-consultations between primary health care and the hospital outpatients department, and the remainder were concerned with the provision of home care or patient self-monitoring of chronic disease. The studies appeared to be well conducted, although patient numbers were small in all but one. Although none of the studies showed any detrimental effects from the interventions, neither did they show unequivocal benefits and the findings did not constitute evidence of the safety of telemedicine. None of the studies included formal economic analysis. All the technological aspects of the interventions appear to have been reliable, and to have been well accepted by patients. REVIEWER'S CONCLUSIONS: Establishing systems for patient care using telecommunications technologies is feasible, but there is little evidence of clinical benefits. The studies provided variable and inconclusive results for other outcomes such as psychological measures, and no analysable data about the cost effectiveness of telemedicine systems. The review demonstrates the need for further research and the fact that it is feasible to carry out randomised trials of telemedicine applications. Policy makers should be cautious about recommending increased use and investment in unevaluated technologies.

Communication↗

PubMed2005

Cognitive intervention for community-dwelling older persons with memory problems: telemedicine versus face-to-face treatment.

BACKGROUND: Memory complaints and decline in cognitive function are common in the elderly. Cognitive intervention has been shown to be beneficial in Alzheimer's disease (AD). However, few community-based cognitive intervention programs are available in Hong Kong. The aim of this project is to examine and compare the feasibility, acceptability, and clinical outcome of a cognitive intervention program for older patients with mild cognitive impairment and mild dementia using telemedicine versus a conventional face-to-face method. METHODS: Community-dwelling older subjects with mild dementia or mild cognitive impairments were recruited from a community center. A total of 12 sessions of assessment and cognitive intervention were conducted via videoconferencing or by face-to-face method. Assessment included: Cantonese version of Mini Mental State Examination (C-MMSE), Cantonese version of Rivermead Behavioural Memory test (C-RBMT) and Hierarchic Dementia Scale (HDS). RESULTS: Twenty-two clients were recruited. There was significant and comparable cognitive improvement in clients in both treatment arms. The videoconference arm was highly accepted by the clients and the community center. Overall compliance rate of participants was above 95%. CONCLUSIONS: Telemedicine was a feasible, effective and acceptable means in providing cognitive assessment and intervention to older persons with mild cognitive deficits. Promoting such a program to other community settings would further enhance the accessibility of dementia service to the community.

Aged↗

PubMed1990

Control of gene expression in the temperate coliphage 186. VIII. Control of lysis and lysogeny by a transcriptional switch involving face-to-face promoters.

The lysogenic and early lytic operons of the temperate coliphage 186 are transcribed divergently. Primer extension mapping of the 5' ends of these in vivo transcripts showed that the rightward lytic promoter, pR, and the leftward lysogenic promoter, pL, are arranged face-to-face, with their transcripts overlapping by 60 bases. We examined the control of transcription from pR and pL using galK as a reporter gene. The product of the lysogenic cI gene strongly repressed pR transcription while allowing pL transcription. The product of the lytic apl gene (formerly CP75) strongly repressed pL transcription while allowing pR transcription. Thus, the cI-pR-pL-apl region functioned as a transcriptional switch, determining whether transcription was lytic or lysogenic. Also, the cI gene product was able to stimulate pL, possibly by alleviating an inhibition of pL transcription caused by convergent transcription from pR. Other consequences of the face-to-face promoter arrangement are discussed.

Base Sequence↗

PubMed2006

The effect of mediation on impression formation: a comparison of face-to-face and video-mediated conditions.

It is suggested that communication mediated by video may have an important impact on the way in which individuals are perceived and this might be a result of an attenuation or distortion of visual signals. The current study aimed to test this further by employing a simple mind-reading task, which gave participants an opportunity to interact with one another. Participants completed the task in pairs either face-to-face or via video-mediated technologies. After completing the task, participants filled in a questionnaire which was designed to assess perceptions of how much they liked and how intelligent they believed their partner in the task to be. Results indicate that participants were regarded as significantly less likeable and intelligent in the video-mediated condition. This is probably a consequence of the attenuation of visual signals, in particular eye gaze, which has been shown to be important in impression formation. Findings from this study have practical implications for using this type of technology to assess performance, for example in interviews, especially if comparisons are made with face-to-face interviewees.

Adult↗

PubMed1998

Telephone or face-to-face interviews?: a decision made on the basis of a pilot study.

De Vaus (1991) highlights five main considerations that may be key factors in decisions about whether to use telephone or face-to-face interviews for survey work: response rates, ability to produce representative samples, effects on interview schedule design, quality of responses and implementation problems. De Vaus' discussion of these five issues is outlined at the start of this article. The five issues are then applied to the experiences of researchers conducting a study on continence care. Description and discussion of pilot interviews, which explored both interview modes, are followed by a similar examination of the main study which employed telephone interviews. Ideas in this discussion are supported and challenged by reference to other publications on the subject of telephone and face-to-face interviews. The success of the decision to use telephone interviews in the main study is evaluated and recommendations are made.

Humans↗

PubMed2003

Identification of face-to-face inclusion complex formation of cyclodextrin bearing an azobenzene group by electrospray ionization mass spectrometry.

The solution-based self-assembly of native and permethylated cyclodextrins (CD) bearing an azobenzene substituent has been studied by electrospray ionization mass spectrometry (ESI-MS). The results revealed that the CD molecules form either a contact or a face-to-face inclusion complex depending on the interaction of their substituents. The mass spectrometric study further demonstrated that the inclusion complex is formed through the interaction between the host CD cavity and the guest-substituent and that a contact complex is formed by hydrogen-bonding of the hydroxyl functions at the rims of the CD molecule. We also found that in order to detect the face-to-face inclusion complex by ESI-MS, the following conditions have to be met: (1) The CD moieties must be permethylated to avoid formation of the contact complex, (2) they must possess a guest-substituent of suitable length, such as an azobenzene moiety, and (3) they must possess an NH(2) or OH group at the substituent terminals for protonation and for detection as cations by ESI-MS. Formation of the inclusion complexes was further confirmed by the synthesis of a capped inclusion dimer and a capped monomer. Collision-induced dissociation (CID) experiments have been carried out for the contact, the host-guest inclusion, and the capped inclusion dimers, and the contact complexes are found to be the most stable among them.

Azo Compounds↗