Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Smiling”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 991 records · Page 55Linked to original sources

Facial EMG responses to odors in solitude and with an audience.

Two experiments were undertaken to examine whether facial responses to odors correlate with the hedonic odor evaluation. Experiment 1 examined whether subjects (n = 20) spontaneously generated facial movements associated with odor evaluation when they are tested in private. To measure facial responses, EMG was recorded over six muscle regions (M. corrugator supercilii, M. procerus, M. nasalis, M. levator, M. orbicularis oculi and M. zygomaticus major) using surface electrodes. In experiment 2 the experimental group (n = 10) smelled the odors while they were visually inspected by the experimenter sitting in front of the test subjects. The control group (n = 10) performed the same experimental condition as those subjects participating in experiment 1. Facial EMG over four mimetic muscle regions (M. nasalis, M. levator, M. zygomaticus major, M. orbicularis oculi) was measured while subjects smelled different odors. The main findings of this study may be summarized as follows: (i) there was no correlation between valence rating and facial EMG responses; (ii) pleasant odors did not evoke smiles when subjects smelled the odors in private; (iii) in solitude, highly concentrated malodors evoked facial EMG reactions of those mimetic muscles which are mainly involved in generating a facial display of disgust; (iv) those subjects confronted with an audience showed stronger facial reactions over the periocular and cheek region (indicative of a smile) during the smelling of pleasant odors than those who smelled these odors in private; (v) those subjects confronted with an audience showed stronger facial reactions over the M. nasalis region (indicative of a display of disgust) during the smelling of malodors than those who smelled the malodors in private. These results were taken as evidence for a more social communicative function of facial displays and strongly mitigates the reflexive-hedonic interpretation of facial displays to odors as supposed by Steiner.

Adult↗

Caregiver and environmental variables related to difficult behaviors in institutionalized, demented elderly persons.

This study describes the relationship between caregiver and elder behavior in institutionalized, cognitively impaired, elderly persons. A repeated-measures design was used to observe interactive behaviors between caregivers and demented elders within three caregiving situations (dressing, toileting, and bathing) and an interpersonal contact in two long-term care facilities. During observations, the caregiver's behaviors were rated using the Interaction Behavior Measure and Health Professional's-Geriatric Patient Behavior Rating scale, whereas the elder's behaviors were rated using a modified version of the Interaction Behavior Measure. The study included 116 subjects (58 elders and 58 caregivers), with each unique caregiver/elder pair being observed in the four situations. All elder behaviors varied according to situation type, with the most difficult elder behaviors occurring during bathing. Ten of the 12 caregiver behaviors included in the analysis varied by situation type. Significant relationships were systematically found between the caregiver's relaxed and smiling behavior and the elder's calm/functional behaviors, r = .42 (dressing) to r = .46 (toileting) for caregiver relaxed behavior and r = .34 (bathing) to r = .58 (dressing) for smiling. The elder's behavior did not vary by type of nursing unit (special dementia unit or general nursing unit), or interruptions to the interaction.

Aged↗

Drug use, street survival, and risk behaviors among street children in Lahore, Pakistan.

There are an estimated 3,500-5,000 street children living on the streets of Lahore, Pakistan. A disproportionate number of these children use drugs and engage in survival sex as coping mechanisms. Since August, 2003, Project Smile provides mobile social and health services to street children 6 days a week in selected neighborhoods. This study utilizes data from Project Smile registration data on the program's initial clients (n=347). The study aimed to compare current, former, and nondrug users regarding their reasons for living on the streets, survival and coping mechanisms, and reasons for drug initiation. Of the total sample, 17.0% reported never having used drugs, 15.9% reported being former drug users, and 67.1% reported having used drugs in the month before registration. Participants were 96% boys with a median age of 13 years. The median length of living on the streets was 18 months, and 52.7% had ever been arrested by the police. Odd jobs, begging, and pickpocketing were the primary sources of reported income. Forty-eight percent reported ever having engaging in transactional sex, and 40% reported cutting themselves, primarily to cope with their anger. Variables that were significantly correlated with being a current drug user (vs. never) in the presence of other variables included: being 13 years or older [adjusted odds ratio (AOR)=3.0; 95% confidence interval (95% CI)=1.3-7.0]; reporting a daily income > or =Rs 60 (AOR=2.7; 95% CI=1.1-6.4); having a history of arrest (AOR=3.3; 95% CI=1.3-8.3); wanting to return home (AOR=0.3; 95% CI=0.1-0.8); feeling hatred from the public (AOR=5.1; 95% CI=2.0-12.9); ever exchanging sex for food, shelter, drugs, or money (AOR=3.4; 95% CI=1.3-8.9); and ever having cut themselves (AOR=15.4; 95% CI=3.4-70.7). Drug use is a major coping mechanism among street children in Lahore and is associated with many behaviors. Targeted programs are needed to meet their special needs.

Adaptation, Psychological↗

FAF-Drugs: free ADME/tox filtering of compound collections.

In silico screening based on the structures of the ligands or of the receptors has become an essential tool to facilitate the drug discovery process but compound collections are needed to carry out such in silico experiments. It has been recognized that absorption, distribution, metabolism, excretion and toxicity (ADME/tox) are key properties that need to be considered early on, even during the database preparation stage. FAF-Drugs is an online service based on Frowns (a chemoinformatics toolkit) that allows users to process their own compound collections via simple ADME/Tox filtering rules such as molecular weight, polar surface area, logP or number of rotatable bonds. SMILES (Simplified Molecular Input Line Entry System), CANSMILES (canonical smiles) or SDF (structure data file) files are required as input and molecules that pass or do not pass the filters are sent back in CANSMILES format. This service should thus help scientists engaging in drug discovery campaigns. Other utilities and several compound collections suitable for in silico screening are available at our site. FAF-Drugs can be accessed at http://bioserv.rpbs.jussieu.fr/FAFDrugs.html.

Drug Design↗

Face-specific N170 component is modulated by facial expressional change.

We examined processing of change in facial expression. Event-related brain potentials (ERPs) were elicited by successive presentation of two different faces without interval. Smile faces were preceded by either a neutral face of the same person, a smile face of a different person, or a neutral face of a different person, which generated expressional, individual, or both expressional and individual change, respectively. For the preceding faces, there were no differences in face-specific N170. In contrast, the second faces elicited a larger N170 for expressional change relative to individual or both changes, which indicates that facial expression was processed in the early stage of face processing in the posterior temporal region, when they are presented in change context.

Adult↗

Objective facial motion analysis in patients with facial nerve dysfunction.

OBJECTIVES/HYPOTHESIS: To objectively measure facial motion at various facial landmarks using a video-computer interactive system. STUDY DESIGN: Clinical, prospective, non-randomized. METHODS: A video-computer interactive system, The Peak Motus Motion Measurement System, was used to study linear displacement at preselected facial landmarks in the normal and abnormal face. Subjects with normal facial function (n = 34) and patients with abnormal facial function (n = 26) from various etiologies were studied. The sites studied were marked with reflective beads. Of a larger repertoire of expressions, two expressions (eyes closed and closed-lip smile) were studied in all subjects. The percent asymmetry in facial displacement between the sides of the face was calculated. The sensitivity of this measurement to facial dysfunction was evaluated. The presence of synkinesis was examined by quantifying the displacement at facial sites that were remote to the sites primarily involved in a given facial expression. Test-retest reliability of the percent asymmetry measurement was evaluated with the paired t test. RESULTS: The video-computer interactive approach used accurately detected and quantified gross and subtle changes in facial function. The sensitivity of the percent asymmetry measurement was 95% (both expressions) for patients with apparent facial dysfunction (House-Brackmann rating >I/VI). In patients with facial nerve dysfunction, displacement on the presumably normal side was significantly excessive in 27% to 35%, depending on the expression. With this interactive computer-video system, synkinesis was detected in 58% of the pathologic subjects during the eyes closed or closed-lip smile expressions. The paired t test indicated strong test-retest reliability (r = 0.73-0.99) of the percent asymmetry measurement. CONCLUSIONS: The present report indicates that this approach to the assessment of facial motion is sensitive to facial dysfunction. This computer-video interactive system is able to quantify synkinesis. A grading system for the magnitude of synkinesis, based on the magnitude of the displacement at remote facial sites, is proposed. The common occurrence of excessive facial motion on the presumably normal side of affected individuals indicates that patients with facial paralysis often overcompensate by exaggerating the normal side in an effort to move the affected side. This system is of value in the objective measurement of normal facial function and may prove a useful tool to quantify the outcomes of various medical and surgical treatments for facial nerve dysfunction.

Adult↗

Objective computerized versus subjective analysis of facial synkinesis.

OBJECTIVES/HYPOTHESIS: To compare the sensitivity of an objective, computerized approach to measurement of facial synkinesis with that for a subjective approach and to examine the test-retest reliability of these approaches. STUDY DESIGN: Prospective, nonrandomized, and blinded. METHODS: Remote facial motion at the upper eyelids and oral commissures during a closed-lip smile and eyelid closure were measured using a commercially available computerized motion analysis system. Thirty healthy adults with normal facial nerve function were enrolled to establish normative data and a threshold value for synkinesis. Thirty consecutive patients were analyzed based on the synkinesis threshold value. Blinded subjective evaluations by two observers were also performed independently on the same patients. RESULTS: Facial synkinesis was detected significantly more frequently with objective than subjective analysis for eyelid closure; no significant differences between approaches were shown for the closed-lip smile. Interestingly, five (17%) patients developed early synkinesis within 3 months from the onset of the facial nerve injury. The test-retest reliability of all objective measures was excellent for both expressions. Close agreement in percent of patients with synkinesis between test and retest subjective evaluations was obtained for both observers for both expressions. CONCLUSIONS: The objective, computerized approach to detection of facial synkinesis has excellent reliability and is more sensitive than the subjective approach to assessment to the presence of facial synkinesis associated with eyelid closure. The finding of early synkinesis suggests that central nervous reorganization plays a role in regeneration of the facial nerve.

Adult↗

Autogenous fascia lata grafts: clinical applications in reanimation of the totally or partially paralyzed face.

BACKGROUND: Although they are traditionally reserved for "aesthetic refinement" in the latter stages of facial reanimation surgery, the author uses a variety of autogenous fascia lata grafts in a very aggressive approach as the primary therapeutic option in static facial rebalancing and/or in conjunction with dynamic muscle transfers to achieve architectural integrity and functional restoration of the totally or partially paralyzed face. METHODS: Forty-nine autogenous fascia lata grafts, harvested through serial incisions in the lateral thigh, were placed in 35 totally or partially paralyzed faces. The grafts were categorized by anatomical location: I and II, lateral lip in totally paralyzed and partially paralyzed faces, respectively; III, nostril suspension; IV, lower eyelid suspension; V, bimalar lower lip sling; and VI, platysma transfer/autogenous fascia lata extension for lower lip invagination. RESULTS: In all group I and II cases, static balance of facial architecture was restored at 4 to 6 weeks (after swelling resolved). Average lip commissure displacement was corrected to within 0.5 cm of the horizontal axis. Subjective functional improvement in speech, fluid retention, and chewing was immediate in all cases. In group I (n = 10; median age, 10.5 years), a 60 to 100 percent symmetrical smile was achieved with voluntary gracilis contraction of 3 of 5 to 5 of 5. In group II (n = 20; median age, 33 years), with 16 sling only patients, one to two grades of voluntary risorius and lip elevator motion were achieved in most. When accompanied by a temporalis turnover flap, both risorius and lip elevator function improved two to three grades. In group III (n = 5), inspiratory collapse was ameliorated in all cases and nasal flow improved subjectively 80 to 100 percent. In group IV (n = 4), scleral show and keratitis were improved in all cases. In group V (n = 6), improved oral competence was achieved in all patients. In group VI (n = 4), static lip evagination was achieved in all cases; voluntary lip depressor function was two to four grades improved. CONCLUSIONS: Early placement of autogenous fascia lata restores static balance of the deeper facial architecture in repose. Functional improvement of chewing, fluid retention, speech articulation, smile symmetry, and ectropion is immediate. The psychological effect is also immediate, with achievement of self-esteem and acceptance by family and peers.

Adolescent↗

Automated production of small-molecule dictionaries for use in crystallographic refinements.

Many macromolecules are now being studied crystallographically in complexes with a range of ligands and other associated molecules. It is necessary to have templates describing the expected geometry of such molecules before refinement and model building can be carried out. This paper describes a method for generating templates beginning from the SMILES description of the molecule, the final format of the molecular template being based on the mmCIF definitions for chemical composition. Additionally, the program SMILE2DICT, which converts the SMILES string to a more extended format, is described. The description details the input required, the output produced and how the program relates to attempts to automate the procedure of model building for crystallographic refinement. Examples of input to and output from the program are given.

Automation↗

The role of maternal affect mirroring on social expectancies in three-month-old infants.

The role of maternal affect mirroring on the development of prosocial behaviors and social expectancies was assessed in forty-one 2- to 3-month-old infants. Prosocial behavior was characterized as infants' positive behavior and increased attention toward their mothers. Social expectancies were defined as infants' expectancy for affective sharing. Mothers and infants were observed twice, approximately 1 week apart. During Visit 1, mothers and infants were videotaped while interacting over television monitors for 3 min. During Visit 2, infants engaged in a live, 3-min interaction with their mothers over television monitors (live condition) and they also viewed a replay of their mothers' interaction from the preceding week (replay condition). The order of conditions was counterbalanced. Maternal affect mirroring was measured according to the level of attention maintenance, warm sensitivity, and social responsiveness displayed. A natural split was observed with 58% of the mothers ranking high and 42% ranking low on these affect mirroring measures (HAM and LAM, respectively). Infants in the HAM group ranked high on prosocial behaviors and social expectancy--they discriminated between live and replay, conditions with smiles, vocalizations, and gazes. Infants in the LAM group ranked low on these variables--they gazed longer during the live condition than during the replay condition, but only when the live condition was presented first; however, they did not smile or vocalize more. These findings indicate that there is a relation between affect mirroring and social expectancies in infants.

Adult↗

A colorimetric study of coffee and tea staining of four composite resins.

Colorimetric measurements were made on four composite resins before and after controlled immersion treatments. The four composite resins were: Adaptic (Johnson and Johnson), Prestige (Lee Pharmaceuticals), Addent XV (3M Mfg. Co.) and Smile (Kerr Mfg. Co.). Specimens of each material were prepared with mylar surfaces and with abraded finished surfaces. Separate groups of specimens of the four materials were immersed in three separate solutions for 12 days at 55c. The three solutions used were: a control solution of distilled water and coffee and a solution of distilled water and tea. For all materials and surface finishes, immersion in coffee and tea produced significantly greater colour changes than distilled water. Coffee produced significantly greater colour changes than tea with the exception of 'Prestige' and 'Addent XV' with finished surfaces. When immersed in a tea solution, specimens of the same material with differing surface finishes showed greater differences in colour change than when immersed in control and coffee solutions. The relative colour changes of the four materials due to the immersion procedures were as follows: 'Adaptic' showed the least colour changes and "Smile' showed the most. 'Addent XV' and 'Prestige' tended to vary between the former two. Comparison and correlation of colorimetry results with visual assessment scores allowed for the expression of the objective measures in subjective terms suitable for clinical purposes.

Coffee↗

Sensitivity to triadic attention in early infancy.

In Study 1, 54 3-, 6- and 9-month-old infants interacted with an adult stranger who engaged in a face-to-face (dyadic) exchange. Dyadic interaction was halted when the adult turned away to look at an object. In a Joint Attention condition, the adult alternated visual attention between the infant and the object, and in a Look Away condition she looked away at the object only. Infants gazed and smiled more in the Joint Attention condition compared to in the Look Away condition. Infants' gazing to the target object interacted with age and condition. In Study 2, 37 3-, 6- and 9-month old infants interacted with an adult who coordinated visual attention and affect, affect only, visual attention only, or ignored the infant. Infants gazed reliably more at E when she coordinated both affect and attention and smiled reliably more when the adult coordinated affect and attention or attention only. The findings show a sensitivity to triadic attention by 3 months of age.

Adult↗

Integrating gaze direction and expression in preferences for attractive faces.

Few studies have investigated how physical and social facial cues are integrated in the formation of face preferences. Here we show that expression differentially qualifies the strength of attractiveness preferences for faces with direct and averted gaze. For judgments of faces with direct gaze, attractiveness preferences were stronger for smiling faces than for faces with neutral expressions. By contrast, for judgments of faces with averted gaze, attractiveness preferences were stronger for faces with neutral expressions than for smiling faces. Because expressions can differ in meaning depending on whether they are directed toward or away from oneself, it is only by integrating gaze direction, facial expression, and physical attractiveness that one can unambiguously identify the most attractive individuals who are likely to reciprocate one's own social interest.

Choice Behavior↗

Gender-specific development of nonverbal behaviours and mild depression in adolescence.

BACKGROUND: Individual differences in depressive symptoms have been linked with social skill deficits in adults and children, yet empirical studies on adolescents are lacking. The present research examines age and gender differences in nonverbal behaviour between mildly depressed and nondepressed (pre-) adolescents during conversations with an adult (study 1) and a same-aged peer (study 2). Both studies also examine whether conversation partners respond differently to mildly depressed versus nondepressed (pre)adolescents. METHODS: Study 1 reports on observations of conversations of 9-15-year-old children (n = 122) with a female adult partner. Study 2 reports findings of observations of 12-17-year-old adolescents (n = 154) in conversation with same-age, same-sex peers. RESULTS: Both studies show gender and/or age effects in gazing, smiling and backchannel behaviours that indicate that as adolescents mature they increasingly behave according to gender-specific display rules. While talking to an adult, depressed (pre-)adolescents and the adult partner differed in backchannel behaviours. While talking to peers, only depressed adolescent girls showed less gazing towards the partner during listening. Moreover, adolescents smiled less often towards depressed than nondepressed partners. CONCLUSIONS: Gender-specific development of nonverbal behaviour may help to understand the development of gender differences in depression in adolescence. Females who fail to exhibit other-oriented social skills may be particularly at risk for depressive symptoms.

Adolescent↗

Surface morphology changes in human enamel, dentin and cementum following bleaching: a scanning electron microscopy study.

Extracted human premolars were cut, cleaned and divided into 6 experimental groups. Each group was treated with one of the following bleaching materials: 30% hydrogen peroxide, 10% carbamide peroxide, sodium perborate, Nu-Smile, Opalescence and DentlBright. Morphological changes in tooth surface occurred following treatment with most bleaching agents. Hydrogen peroxide and DentlBright were associated with surface changes in all dental tissues. Hydrogen peroxide, DentlBright, Nu-Smile and Opalescence were mainly associated with surface changes in the cementum, which exhibited more changes than the other tissues.

Borates↗

Behavioural effects of phenylalanine-free amino acid tablet supplementation in intellectually disabled adults with untreated phenylketonuria.

AIM: To evaluate the effects of phenylalanine (Phe)-free essential amino acid (AA) tablets enriched in tyrosine and tryptophan on the performance of intellectually disabled adult patients with untreated phenylketonuria (PKU). METHODS: Phe-free AA tablets and placebo tablets were administered to 19 untreated PKU subjects on a normal diet for 6 mo in a prospective double-blinded crossover study. The adaptive behaviour of the patients was tested prior to the study and at 6 and 12 mo after the start, using a simplified version of the Vineland Adaptive Behaviour Scale. For each sub-domain, the patients were rated either "0" (for poor performance) or "1" (for good performance). Neurological signs and symptoms and specific behavioural characteristics were recorded monthly by caretakers. Every 6 mo, neurological examination of the patients was performed, and the caretakers were interviewed. The statistical significance of the results was tested by means of the Fisher's exact and Wilcoxon tests. RESULTS: The most significant changes were an improved concentration and the development of a meaningful smile, which were observed in 44% and 43% of the patients on AA tablet treatment, respectively, but not patients on placebo. Other important but less significant changes included increased awareness of external stimuli (63%) and less self-injury (43%), and 40% were smiling and laughing occasionally. The mean overall rating increased from an initial value of 6.3 to 10.1 in patients when on AA tablet treatment (p=0.002), and to 7.0 in patients when on placebo (p=0.068). The difference between active AA treatment and placebo was statistically significant (p=0.027). CONCLUSIONS: This pilot study suggests that Phe-free AA tablets enriched in tyrosine and tryptophan may improve the quality of life in some intellectually disabled adults with untreated PKU.

Adult↗

P-ASA block injection: a new palatal technique to anesthetize maxillary anterior teeth.

UNLABELLED: This technique article presents a new local anesthetic injection that is reported to produce anesthesia of the six maxillary anterior teeth, the anterior third of the palate, and the facial gingiva from a single-site injection. The injection is referred to as the palatal approach anterior superior alveolar (P-ASA) nerve block. The 0.9 to 1.4 mL dosage recommendation for this block injection is significantly less than for a traditional supraperiosteal approach. The primary advantage of this injection is that it allows the dentist to anesthetize the teeth and gingiva without collateral anesthesia to the lips, face, or muscles of facial expression. Therefore, the smile line is not distorted during the operative phase of an appointment, and the patient is more comfortable postoperatively. CLINICAL SIGNIFICANCE: The P-ASA is a new block injection technique that provides anesthesia of the maxillary anterior teeth from a single injection without numbness of the face, lips, and muscles of facial expression. This injection technique prevents distortion of the smile line and enhances restorative procedures that use the lip line as an esthetic reference element.

Anesthesia, Dental↗

A survey of edentulous patient preference among different denture esthetic concepts.

STATEMENT OF PROBLEM: Despite the fact that solutions to functional problems are available, successfully restoring the appearance of an edentulous patient remains a challenge. PURPOSE: The aim of this survey was to determine if edentulous respondents could differentiate among three denture esthetic concepts and if there was an overall preference among the three. MATERIALS AND METHODS: Six edentulous test subjects were selected based on age and smile criteria. One wax tooth arrangement was completed according to each of the three esthetic concepts for a total of three wax tooth arrangements per test subject. The three esthetic concepts followed were natural, supernormal, and denture look. Standardized full-face digital photographs were made of each arrangement (three) during maximum smile for each subject (six). These 18 photographs were included in a questionnaire. Respondents were asked questions about their preference among the three randomly ordered concept photographs for each of the six subjects. A total of 147 completed questionnaires were analyzed. RESULTS: Ninety-six percent of respondents were able to differentiate among the three esthetic denture concepts. Natural tooth arrangements were preferred by 55% of the respondents, supernormal tooth arrangements were preferred by 19%, and the denture look arrangements were preferred by 26%. CONCLUSION: Within the limitations of this survey, the questionnaire respondents differentiated between the three esthetic denture concepts. The tooth arrangement most closely resembling the anatomical average was selected by 55% of the respondents. Preference for a particular concept changed when responses to each test subject set were considered individually. Demographic factors do not significantly affect patient preference. CLINICAL SIGNIFICANCE: Three esthetic concepts for complete denture construction have been differentiated. Questionnaire respondents preferred appearances that are far from the anatomical average 45% of the time.

Adult↗