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Rehabilitation
Kinds of Rehabilitation Terms modified by Rehabilitation Selected AbstractsSoftwaregestützte Kostenermittlung für die GebäudeinstandsetzungBAUTECHNIK, Issue 8 2009Christoph A. Beecken Dipl.-Ing. Baubetrieb; Bauwerkserhaltung/Sanierung; Construction Management; Maintenance/Rehabilitation Abstract In diesem Beitrag werden Möglichkeiten der softwaregestützten Kostenermittlung für die Instandsetzung vorgestellt, die in den vergangenen Jahren im Rahmen mehrerer Instandsetzungsprojekte entwickelt wurden und für unterschiedlichste Gebäudetypen anwendbar sind. Schwerpunkte sind die zügige und präzise Schadenserfassung und -bewertung als Schlüsselfaktoren für die Ermittlung der zu erwartenden Baukosten. Am konkreten Beispiel werden die Vorteile der softwaregestützten Schadenserfassung und -bewertung beschrieben, und es wird der Bezug zur Praxis hergestellt. Computer aided cost calculation for building repair. This paper shows ways of software aided cost calculation for rehabilitation of buildings, which have been developed in recent years in several repair projects and which are applicable for various building types. The advantages of automated damage assessment and evaluation are described at an example of a parking garage and are related to the practice. [source] PUBLIC PREFERENCES FOR REHABILITATION VERSUS INCARCERATION OF JUVENILE OFFENDERS: EVIDENCE FROM A CONTINGENT VALUATION SURVEY,CRIMINOLOGY AND PUBLIC POLICY, Issue 4 2006DANIEL S. NAGIN Research Summary: Accurately gauging the public's support for alternative responses to juvenile offending is important, because policy makers often justify expenditures for punitive juvenile justice reforms on the basis of popular demand for tougher policies. In this study, we assess public support for both punitively and nonpunitively oriented juvenile justice policies by measuring respondents' willingness to pay for various policy proposals. We employ a methodology known as "contingent valuation" (CV) that permits the comparison of respondents' willingness to pay (WTP) for competing policy alternatives. Specifically, we compare CV-based estimates for the public's WTP for two distinctively different responses to serious juvenile crime: incarceration and rehabilitation. An additional focus of our analysis is an examination of the public's WTP for an early childhood prevention program. The analysis indicates that the public is at least as willing to pay for rehabilitation as punishment for juvenile offenders and that WTP for early childhood prevention is also substantial. Implications and future research directions are outlined. Policy Implications: The findings suggest that lawmakers should more actively consider policies grounded in rehabilitation, and, perhaps, be slower to advocate for punitive reforms in response to public concern over high-profile juvenile crimes. Additionally, our willingness to pay findings offer encouragement to lawmakers who are uncomfortable with the recent trend toward punitive juvenile justice policies and would like to initiate more moderate reforms. Such lawmakers may be reassured that the public response to such initiatives will not be hostile. Just as importantly, reforms that emphasize leniency and rehabilitation can be justified economically as welfare-enhancing expenditures of public funds. The evidence that the public values rehabilitation more than increased incarceration should be important information to cost-conscious legislators considering how to allocate public funds. Cost-conscious legislatures may become disenchanted with punitive juvenile justice policies on economic grounds and pursue policies that place greater emphasis on rehabilitation. They may be reassured, on the basis of our findings, that the public will support this move. [source] REHABILITATION AFTER HIP FRACTURE IN PATIENTS WITH DEMENTIAJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 8 2007Andrea Giusti MD No abstract is available for this article. [source] REHABILITATION AND RELEASE OF MARINE MAMMALS IN THE UNITED STATES: RISKS AND BENEFITSMARINE MAMMAL SCIENCE, Issue 4 2007Michael Moore Abstract Rehabilitation of stranded marine mammals elicits polarized attitudes: initially done alongside display collections, but release of rehabilitated animals has become more common. Justifications include animal welfare, management of beach use conflict, research, conservation, and public education. Rehabilitation cost and risks have been identified that vary in degree supported by data rather than perception. These include conflict with fisheries for resources, ignorance of recipient population ecology, poor understanding of long-term survival, support of the genetically not-so-fit, introduction of novel or antibiotic-resistant pathogens, harm to human health, and cost. Thus facilities must balance their welfare appeal against public education, habitat restoration, human impact reduction, and other conservation activities. Benefits to rehabilitating marine mammals are the opportunity to support the welfare of disabled animals and to publish good science and so advance our understanding of wild populations. In specific cases, the status of a population may make conservation the main reason for rehabilitation. These three reasons for rehabilitation lead to contrasting, and sometimes conflicting, management needs. We therefore outline a decision tree for rehabilitation managers using criteria for each management decision, based on welfare, logistics, conservation, research, and funding to define limits on the number of animals released to the wild. [source] Management Strategies and Improvement of Performance of Sewer NetworksCOMPUTER-AIDED CIVIL AND INFRASTRUCTURE ENGINEERING, Issue 7 2007Denys Breysse Even when they are conscious about the needs of maintenance to keep the system in a good condition, they lack efficient methods and tools that may help them in taking appropriate decisions. One can say that no really satisfactory and efficient tool exists, enabling the optimization of Inspection, Maintenance, or Rehabilitation (IMR) strategies on such systems. Sewer managers and researchers have been involved for many years in the French National Research Project for Renewal of Non Man Entry Sewer System (RERAU,Réhabilitation des Réseaux d'Assainissement Urbains, in French) to improve their knowledge of these systems and the management policies. During the RERAU project, a specific action has been dedicated to the modeling of asset ageing and maintenance. A special attention has been dedicated to the description of defects and dysfunctions, to the evaluation of performances and its modeling, accounting for its various dimensions (from the point of view of the manager, of the user, of the environment,). After having defined an Index of Technical Performance (ITp), we will introduce the Index of Technical and Economic Performance (ITEp) that is a combined measure of performance (including social costs) and technical costs. This index provides an objective standard tool for managers to compare different alternatives. It is used in the article to compare some simple IMR strategies. It sets the basis of a new method for no-man entry sewer system management, enabling us to analyze the profitableness of investment in terms of both technical and economic performance. [source] Experimental Assessment of Coral Reef Rehabilitation Following Blast FishingCONSERVATION BIOLOGY, Issue 1 2005HELEN E. FOX arrecifes de Indonesia; recuperación de arrecife de coral; restauración de arrecifes Abstract:,Illegal fishing with explosives has damaged coral reefs throughout Southeast Asia. In addition to killing fish and other organisms, the blasts shatter coral skeletons, leaving fields of broken rubble that shift in the current, abrading or burying new coral recruits, and thereby slowing or preventing reef recovery. Successful restoration and rehabilitation efforts can contribute to coral reef conservation. We used field experiments to assess the effectiveness of different low-cost methods for coral reef rehabilitation in Komodo National Park (KNP), Indonesia. Our experiments were conducted at three different spatial scales. At a scale of 1 × 1 m plots, we tested three different rehabilitation methods: rock piles, cement slabs, and netting pinned to the rubble. Significantly more corals per square meter grew on rocks, followed by cement, netting, and untreated rubble, although many plots were scattered by strong water current or buried by rubble after 2.5 years. To test the benefits of the most successful treatment, rocks, at more realistic scales, we established 10 × 10 m plots of rock piles at each of our nine sites in 2000. Three years after installation, coverage by hard corals on the rocks continued to increase, although rehabilitation in high current areas remained the most difficult. In 2002 rehabilitation efforts in KNP were increased over 6000 m2 to test four rock pile designs at each of four rubble field sites. Assuming that there is an adequate larval supply, using rocks for simple, low-budget, large-scale rehabilitation appears to be a viable option for restoring the structural foundation of damaged reefs. Resumen:,La pesca ilegal con explosivos ha dańado a arrecifes de coral en el sureste de Asia. Además de matar a peces y otros organismos, las explosiones destruyen esqueletos de corales, dejando campos de escombros rotos que se mueven con la corriente, erosionando o enterrando a reclutas de coral nuevos y por lo tanto disminuyen o previenen la recuperación del coral. Esfuerzos exitosos de restauración y rehabilitación pueden contribuir a la conservación de arrecifes de coral. Usamos experimentos de campo para evaluar la efectividad de diferentes métodos de bajo costo para la rehabilitación de arrecifes de coral en el Parque Nacional Komodo (PNK), Indonesia. Desarrollamos nuestros experimentos en tres escalas espaciales diferentes. A una escala de parcelas de 1 x 1 m, probamos tres métodos de rehabilitación: pilas de rocas, losas de cemento y redes sobre el escombro. Crecieron significativamente más corales por metro cuadrado sobre rocas, seguido por el cemento, redes y escombro sin tratamiento, aunque muchas parcelas fueron dispersadas por la fuerte corriente de agua o enterradas por escombros después de 2.5 ańos. Para probar los beneficios del tratamiento más exitoso, rocas, a escalas más realistas, en 2000 establecimos parcelas de 10 x10 m con pilas de rocas en cada unos de nuestros nueve sitios. Tres ańos después, la cobertura de corales duros sobre las rocas continuó incrementando, aunque la rehabilitación en áreas con corrientes fuertes fue la más difícil. En 2002, los esfuerzos de rehabilitación en PNK se incrementaron a 6000 m2 para probar cuatro diseńos de pilas de rocas en cada uno de los cuatro sitios con escombros. Asumiendo que hay una adecuada existencia de larvas, la utilización de rocas para rehabilitación simple, de bajo costo y gran escala parece ser una opción viable para la restauración de la base estructural de arrecifes dańados. [source] Guilt, Shame, and Rehabilitation:The Pedagogy of Divine JudgmentDIALOG, Issue 2 2000Niels Henrik Gregersen First page of article [source] Be El Caudillo's Guest: The Franco Regime's Quest for Rehabilitation and Dollars after World War II via the Promotion of U.S. Tourism to SpainDIPLOMATIC HISTORY, Issue 3 2006Neal Moses Rosendorf First page of article [source] Moral Agency, Cognitive Distortion, and Narrative Strategy in the Rehabilitation of Sexual OffendersETHOS, Issue 3 2010James B. Waldram I demonstrate that what forensic psychologists refer to as a "cognitive distortion" or "thinking error" is often embedded within a broader narrative, and that these narratives reveal the existence of identifiable strategies designed to communicate something salient, enduring, and moral about the offender. Through the examination of narratives offered by imprisoned sexual offenders, several such narrative strategies containing the seeds of moral agency are identified. It is suggested that CBT's current focus on cognitive distortions effectively eliminates this narrative context and thus serves to disguise and even eradicate the positive, moral notions of self that most offenders exhibit in some form or another. A rehabilitative approach that works with narrative, facilitating development of shared narratives among offenders and therapists, would allow for the emergence of a plan for morally agentive living, transcending what is currently possible within the hostile, challenging framework of CBT. [narrative theory; cognitive behavior therapy; moral agency; sexual offenders; prisons] [source] Effectiveness of Rehabilitation for Cognitive DeficitsEUROPEAN JOURNAL OF NEUROLOGY, Issue 11 2006K. A. Jellinger No abstract is available for this article. [source] Description of a clinical technique for tooth extraction in the cleft lip and palate areaINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2 2001G.S. Dalben Cleft lip and palate are relatively common congenital malformations, which may require specialist paedodontic treatment. In this article, the case of a 9-year-old boy with bilateral complete cleft lip and palate is presented. He attended the Hospital for Rehabilitation of Craniofacial Anomalies (HRAC) for routine examination, during which the presence of pre-canine supernumeraries bilaterally in the cleft area was seen. The extraction of these dental elements was justified by extensive carious lesions and because they represented a potential problem during secondary palatoplasty. The precautions needed in tooth extraction in patients with cleft lip and palate are described, together with illustrations of the clinical procedure. [source] Rehabilitation for community-dwelling people with stroke: home or centre based?INTERNATIONAL JOURNAL OF STROKE, Issue 3 2010A systematic review Stroke rehabilitation for people living in the community is commonly delivered either in a centre, outpatient or day hospital setting. More recently, services may be offered in the actual home of the person as home-based or domiciliary rehabilitation. There are differing reports of the benefits and barriers of home-based vs. centre-based community rehabilitation. This systematic review sought to pool data from all retrieved studies that compared the functional benefits of home-based vs. centre for community-dwelling people with stroke. A comprehensive search strategy was implemented in all major databases (Cochrane library, Medline, AMED, Embase, Ageline, Cinahl, PEDro) for randomised controlled trials investigating this question in relation to functional benefits as a primary outcome and carer, cost or other benefits as secondary outcomes. There were no language or date limits. Eleven trials were found and results pooled for the Barthel Index, the measure of functional independence used consistently across the majority of retrieved studies. There was a significant effect in favour of home-based rehabilitation at 6 weeks (P=0·03) and 3,6 months (P=0·01). The effects were less clear at 6 months, although this was using the less sensitive version of the Barthel Index (P=0·27 or adjusted P=0·04). Individual studies reported cost benefits and increased carer satisfaction in favour of home-based rehabilitation. The provision of rehabilitation for people living in the community should trend towards home-based. Further research is required into adverse events and the experiences of all stakeholders. [source] Guidelines Abstracted from the Department of Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Stroke RehabilitationJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2006Miriam Rodin MD OBJECTIVES: To assist facilities in identifying those evidence-based processes of poststroke care that enhance measurable patient outcomes. The guideline(s) should be used by facilities (hospitals, subacute-care units and providers of long-term care) to implement a structured approach to improve rehabilitative practices and by clinicians to determine best interventions to achieve improved patient outcomes. OPTIONS: The guideline considers five elements of poststroke rehabilitation care: interdisciplinary teams; use of standardized assessments; intensity, timing, and duration of therapy; involvement of patients' families and caregivers in decision-making; and educational interventions for patients, families, and caregivers. Evidence, benefits, harms, and recommendations for each of the five designated elements and specific annotated recommendations for poststroke managements are presented separately. OUTCOMES: The overall guideline considers improvement in functional status measures as the primary outcome. Achieving community-dwelling status and preventing complications, death, and rehospitalization are also important outcomes. Costs are not specifically addressed. PARTICIPANTS: The Department of Veterans Affairs/Department of Defense (VA/DoD) Stroke Rehabilitation Working Group consisted of 28, largely VA and military hospital, representatives of medical and allied professions concerned with stroke diagnosis, management, and rehabilitation. Nine additional members with similar credentials served as the editorial committee. Technical consultation was contracted from ACS Federal Health Care, Inc., and the Center for Evidence-Based Practice, State University of New York,Upstate Medical University, Department of Family Medicine conducted evidence appraisal. Consensus was achieved over several years of facilitated group discussion and iterative evaluation of draft documents and supporting evidence. SPONSOR: The guideline was prepared under the auspices of the VA/DoD. No other source of support was identified in the document, or supporting documents. [source] Physical Rehabilitation Alters Body Composition in Chronically Obese CatJOURNAL OF ANIMAL PHYSIOLOGY AND NUTRITION, Issue 2 2008Sarah K. Abood Successful weight loss in obese dogs and cats is difficult, and even more so in pets who don't exercise regularly or are inactive. Over the past 10 years, physical rehabilitation (or physio-therapy) as a treatment or wellness modality has been gaining popularity in small animal veterinary practice. This case report describes the use of physical rehabilitation to achieve weight loss and a decreased body condition score in a chronically obese cat. A 7-year old, female-spayed domestic, short-haired cat, weighing 15 lbs, was evaluated by the Nutrition Support Service at Michigan State University's Veterinary Teaching Hospital for a weight management consultation. The cat had a history of chronic obesity and the owner reported feeding a variety of reduced or restricted-calorie foods, both canned and dry versions, over the previous 5 years. The home environment included three other cats, none of which were overweight. All cats were fed once daily in the evening; separate food bowls were provided for each cat, but multiple water bowls and litter boxes were shared. A course of 8 weeks of physio-therapy was recommended, with a target weight of 12 lbs identified, to which the owner agreed. Body weight, body condition score and circumference measures of axillary, rib and flank areas were taken at the initial visit, and at 3 weeks and 8 weeks. At the beginning of the 8th week, the cat's body weight had dropped from 15 lbs to 14.2 lbs, and the body condition score shifted down from 9 to 8 out of 9. More dramatically, however, were changes measured in body circumference: from 43 cm to 38.6 cm in the axilla (11% decrease); 50.3 cm to 42.5 cm in the ribs (15.5% decrease); 46 cm to 41 cm in the flank (11% decrease). To the author's knowledge, this is the first report confirming weight loss, reduced body condition score, and altered body composition in a cat as a direct result of physical rehabilitation. [source] Psychosocial Correlates of Cardiovascular Reactivity to Anticipation of an Exercise Stress Test Prior to Attending Cardiac Rehabilitation: A Preliminary Test,JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH, Issue 1 2008Shawn N. Fraser We examined social and psychological correlates of cardiovascular reactivity (CVR), or exaggerated heart rate (HR) and blood pressure (BP) responses to mental stress, in 45 men (mean age = 60.1, SD = 9.9) and 17 women (mean age = 9.9, SD = 11.8) prior to cardiac rehabilitation. HR and BP increased from rest to anticipation, and women had higher resting and preexercise BP. Anxiety was positively related to HR reactivity. HR reactivity was negatively related to self-efficacy in women and positively related to self-efficacy in men. Men and women with more self-efficacy had lower systolic blood pressure (SBP) reactivity, and anxiety was positively related to SBP reactivity in women. Results suggest that the relationship among psychosocial factors and CVR might differ among men and women. [source] Testing alternate ecological approaches to seagrass rehabilitation: links to life-history traitsJOURNAL OF APPLIED ECOLOGY, Issue 5 2010Andrew D. Irving Summary 1.,Natural resources and ecosystem services provided by the world's major biomes are increasingly threatened by anthropogenic impacts. Rehabilitation is a common approach to recreating and maintaining habitats, but limitations to the success of traditional techniques necessitate new approaches. 2.,Almost one-third of the world's productive seagrass meadows have been lost in the past 130 years. Using a combined total of three seagrass species at seven sites over 8 years, we experimentally assessed the performance of multiple rehabilitation methods that utilize fundamentally different ecological approaches. 3.,First, traditional methods of transplantation were tested and produced varied survival (0,80%) that was site dependent. Secondly, seedling culture and outplanting produced poor survival (2,9%) but reasonable growth. Finally, a novel method that used sand-filled bags of hessian to overcome limitations of traditional techniques by facilitating recruitment and establishment of seedlings in situ produced recruit densities of 150,350 seedlings m,2, with long-term survival (up to 38 months) ranging from 0 to 72 individuals m,2. 4.,Results indicate that facilitating seagrass recruitment in situ using hessian bags can provide a new tool to alleviate current limitations to successful rehabilitation (e.g. mobile sediments, investment of time and resources), leading to more successful management and mitigation of contemporary losses. Hessian bags have distinct environmental and economic advantages over other methods tested in that they do not damage existing meadows, are biodegradable, quick to deploy, and cost less per hectare (US$16 737) than the estimated ecosystem value of seagrass meadows (US$27 039 year,1). 5.,Synthesis and applications. This research demonstrates how exploring alternate ecological approaches to habitat rehabilitation can expand our collective toolbox for successfully re-creating complex and productive ecosystems, and alleviate the destructive side-effects and low success rates of more traditional techniques. Moreover, new methods can offer economic and environmental solutions to the restrictions placed upon managers of natural resources. [source] Musculoskeletal Rehabilitation in Osteoporosis: A Review,JOURNAL OF BONE AND MINERAL RESEARCH, Issue 8 2004Michael Pfeifer Abstract Measures of musculoskeletal rehabilitation play an integral part in the management of patients with increased fracture risk because of osteoporosis or extraskeletal risk factors. This article delineates current scientific evidence concerning nonpharmacologic approaches that are used in conjunction with pharmacotherapy for prevention and management of osteoporosis. Fractures caused by osteoporotic fragility may be prevented with multidisciplinary intervention programs, including education, environmental modifications, aids, and implementation of individually tailored exercise programs, which are proved to reduce falls and fall-related injuries. In addition, strengthening of the paraspinal muscles may not only maintain BMD but also reduce the risk of vertebral fractures. Given the strong interaction between osteoporosis and falls, selection of patients for prevention of fracture should be based on bone-related factors and on risk factors for falls. Rehabilitation after vertebral fracture includes proprioceptive dynamic posture training, which decreases kyphotic posturing through recruitment of back extensors and thus reduces pain, improves mobility, and leads to a better quality of life. A newly developed orthosis increases back extensor strength and decreases body sway as a risk factor for falls and fall-related fractures. Hip fractures may be prevented by hip protectors, and exercise programs can improve strength and mobility in patients with hip fracture. So far, there is no conclusive evidence that coordinated multidisciplinary inpatient rehabilitation is more effective than conventional hospital care with no rehabilitation professionals involved for older patients with hip fracture. Further studies are needed to evaluate the effect of combined bone- and fall-directed strategies in patients with osteoporosis and an increased propensity to falls. [source] Rehabilitation and guidance as reported by women and men who had undergone coronary bypass surgeryJOURNAL OF CLINICAL NURSING, Issue 4 2007Kirsi Koivunen RN Aims and objectives., The purpose of this study was to describe the experience of rehabilitation reported by coronary artery disease patients who had undergone coronary artery bypass surgery. A further purpose was to describe the kind of guidance on rehabilitation that they were given during this period. Methods., The data consisted of thematic questionnaires completed by six women and eight men who had undergone coronary artery bypass surgery. They had recorded their experiences on these questionnaires at one-month intervals for a year after the surgery. The data were analysed using the method of content analysis. Results., On the basis of the results, women had experienced the most balanced period of physical, mental and social rehabilitation during the six months following surgery. Their recovery, however, suffered a setback after the first six months. On the basis of the results, men attained a better balance of physical, mental and social rehabilitation only after the six-month period following surgery. Even men had various problems in their rehabilitation, but their recovery proceeded more smoothly than that of women. Women hoped for more guidance throughout the process of rehabilitation. The support and help from wives had a positive impact on the process of men's recovery. Peer support was another significant source support. Conclusions., A person undergoing rehabilitation needs special guidance from health care professionals, especially when his/her rehabilitation does not proceed optimally. The findings suggest that, especially, the guidance of women should be improved because women seemed to suffer from many problems during their process of rehabilitation, including loneliness, insecurity, uncertainty, fears, depression and anxiety. Relevance to clinical practice., Expanding the role of practical nurses to provide both preventive and rehabilitation guidance should be seen as an important strategy in health care. Individual needs, gender differences and support from families and peers should be taken into consideration when planning and implementing guidance. [source] Rehabilitation in Adult Nursing PracticeJOURNAL OF CLINICAL NURSING, Issue 5 2000Rehabilitation in Adult Nursing Practice by Mike Smith (Ed). [source] Orbital blood flow velocities in patients with rheumatoid arthritisJOURNAL OF CLINICAL ULTRASOUND, Issue 7 2007Besir Erdogmus MD Abstract Purpose. To assess orbital blood flow changes in patients with rheumatoid arthritis using Doppler sonography. Patients and Methods. The study comprised 35 patients who were diagnosed with RA and were treated at the Department of Physical Therapy and Rehabilitation at Duzce Medical School. A control group consisted of 35 healthy volunteers. Color Doppler imaging was used to measure peak systolic velocity (PSV) and end diastolic velocity (EDV), from which the resistance index (RI) was calculated in the ophthalmic artery (OA), central retinal artery (CRA), and posterior ciliary arteries (PCAs). Results. In the OA, PSV, EDV, and RI were, respectively, 36.7 ± 0.6 cm/sec, 9.7 ± 0.2 cm/sec, and 0.73 in the control group versus 34.7 ± 3.0 cm/sec, 9.1 ± 1.1 cm/sec, and 0.74 in the patient group. In the CRA, they were, respectively, 11.8 ± 1.7 cm/sec, 3.6 ± 0.7 cm/sec, and 0.66 in the control group versus 11.1 ± 1.7 cm/sec, 3.4 ± 0.7 cm/sec, and 0.68 in the patient group. In the PCAs, they were, respectively, 13.2 ± 1.2 cm/sec, 4.7 ± 0.6 cm/sec, and 0.65 in the control group versus 12.4 ± 1.2 cm/sec, 4.2 ± 0.6 cm/sec, and 0.66 in the PCAs. PSV, EDV, and RI of the PCAs and OA and RI of the CRA were significantly different between patients and controls, whereas there was no difference in the serum levels of glucose, triglyceride, low-density lipoprotein cholesterol, and total cholesterol. In the patient group, there was a significant correlation between orbital blood flow and duration of disease. Conclusion. Ocular blood flow appears to be slightly lower in RA patients than in healthy controls, suggesting that RA is a systemic inflammatory disease that may also involve ocular vessels. © 2007 Wiley Periodicals, Inc. J Clin Ultrasound, 2007 [source] Esthetic Rehabilitation of Anterior Teeth Affected by Enamel Hypoplasia: A Case ReportJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 6 2002CARLOS JOSÉ SOARES DDS ABSTRACT Alterations during tooth structure formation, mainly on anterior teeth, are known to severely compromise esthetics. This article presents a case report in which the etiology and clinical characteristics of anterior teeth affected by enamel hypoplasia are analyzed. The restoration treatment sequence is also discussed, demonstrating that the use of a hybrid and a microfilled composite associated with tooth hybridization (interdiffusing zone) can be used to conservatively rehabilitate a smile. [source] Anterior Esthetic Rehabilitation on Teeth and Dental Implants Optimized with Procera® Technology: A Case ReportJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2001PASCAL BONNARD DDS ABSTRACT With the latest developments of the Procera® system, all-ceramic crowns have become an attractive solution to provide functional and esthetic rehabilitation on teeth and dental implants. The Procera AllCeram crown and Procera Abutment embrace the concept of computer-assisted design and computer-assisted machining (CAD/CAM) and can be used together for optimal esthetic result. The purpose of this case report was to illustrate the advantages of these new components for complex anterior rehabilitation. Three natural teeth and a Procera Abutment were restored using four Procera AllCeram crowns. Treatment planning and esthetic benefits are discussed. CLINICAL SIGNIFICANCE For complex anterior rehabilitations, the Procera system fulfills both functional and esthetic objectives, providing a new way in the field of esthetic and restorative dentistry. Nevertheless, planning and preparation stages are decisive for successful treatment. [source] Decrease in stereognostic ability of the tongue with ageJOURNAL OF ORAL REHABILITATION, Issue 12 2009S. KAWAGISHI Summary, Rehabilitation of eating and swallowing functions from the viewpoint of quality of life should attempt to restore not only the physical, but also sensory function. As the size and shape of the intra-oral bolus of food provides oral sensory information important for eating and swallowing, we investigated the stereognostic ability of the tongue in 269 young adults (mean age: 24·5 years) and 60 seniors (mean age: 80·5 years); all of whom had no eating or swallowing complaints. Assessment of the stereognostic ability involved identifying 20 differently shaped test pieces placed in the oral cavity. The young adults identified a significantly higher number of differently shaped test pieces than the seniors (mean correct number of responses: 16·5 and 10·1 respectively; P < 0·001). Gender and the presence of palatal covers did not have any significant effect on stereognostic ability. The test pieces were categorized into six groups based on the shape. When the young adults misidentified a piece, they often selected another piece within the same group, almost never selecting a piece from another group. The seniors, however, chose test pieces from different groups. Moreover, to determine whether stereognosis could be improved through training, we conducted training involving four senior subjects in their 80s, who correctly identified 10 or fewer pieces. After the training, the number of correct answers increased significantly (P < 0·05). These findings indicate that seniors show decreased stereognostic ability of the tongue compared with young adults and suggest the possibility of recovering the ability using our training method. [source] Rehabilitation by means of osseointegrated implants in oral cancer patients with about four to six years follow-upJOURNAL OF ORAL REHABILITATION, Issue 3 2006J. SEKINE summary, This paper describes the reconstruction of mandibular defects in four oral cancer patients using iliac crest bone grafts and osseointegrated implants. In three patients, reconstructive surgery using a reconstruction plate and free forearm skin flap was performed following tumour and segmental mandibular resection. After 7,9 months, mandibular reconstruction with a free iliac bone graft was carried out. In one patient, reconstructive surgery was performed with vascularized iliac bone grafting with an anterolateral thigh flap at the same time as the tumour resection. Fixtures were placed in the transplanted bone, and abutments were connected 6,9 months later together with vestibuloplasty. Gingival grafts were used to replace the skin flap around abutments. All implants survived throughout the approximately 4,6 years observation time. Marginal bone loss of the graft was originally several millimetres but less than 1·5 mm. Bone loss as well as management of peri-implant soft tissue was also discussed. [source] Occlusion , time to reflect?JOURNAL OF ORAL REHABILITATION, Issue 6 2005A personal view summary, The topic of occlusion presents a conundrum to many practitioners. To some the topic is very complex and yet to others, although important, it illustrates how adaptive the dentition is to change. This commentary presents some arguments as to how the importance of occlusion and its understanding have evolved since the Journal of Oral Rehabilitation was first published. [source] Acceleration of cartilage repair by genetically modified chondrocytes over expressing bone morphogenetic protein-7JOURNAL OF ORTHOPAEDIC RESEARCH, Issue 4 2003Chisa Hidaka Background: Cartilage has a limited capacity to heal. Although chondrocyte transplantation is a useful therapeutic strategy, the repair process can be lengthy. Previously we have shown that over expression of bone morphogenetic protein-7 (BMP-7) in chondrocytes by adenovirus-mediated gene transfer leads to increased matrix synthesis and cartilage-like tissue formation in vitro. In this context we hypothesized that implantation of genetically modified chondrocytes expressing BMP-7 would accelerate the formation of hyaline-like repair tissue in an equine model of cartilage defect repair. Methods: Chondrocytes treated with adenovirus vector encoding BMP-7 (AdBMP-7) or as control, an adenovirus vector encoding an irrelevant gene (Escherichia coli cytosine deaminase, AdCD) were implanted into extensive (15 mm diameter) articular cartilage defects in the patellofemoral joints of 10 horses. Biopsies were performed to evaluate early healing at 4 weeks. At the terminal time point of 8 months, repairs were assessed for morphology, MRI appearance, compressive strength, biochemical composition and persistence of implanted cells. Results: Four weeks after surgery AdBMP-7-treated repairs showed an increased level of BMP-7 expression and accelerated healing, with markedly more hyaline-like morphology than control. Quantitative real-time polymerase chain reaction (PCR) analysis of the repair tissue 8 months after surgery showed that few implanted cells persisted. By this time, the controls had healed similarly to the AdBMP-7-treated defects, and no difference was detected in the morphologic, biochemical or biomechanical properties of the repair tissues from the two treatment groups. Conclusions: Implantation of genetically modified chondrocytes expressing BMP-7 accelerates the appearance of hyaline-like repair tissue in experimental cartilage defects. Clinical relevance: Rehabilitation after cell-based cartilage repair can be prolonged, leading to decreased patient productivity and quality of life. This study shows the feasibility of using genetically modified chondrocytes to accelerate cartilage healing. © 2003 Orthopaedic Research Society. Published by Elsevier Science Ltd. All rights reserved. [source] Oral Cancer: The Dentist's Role in Diagnosis, Management, Rehabilitation, and PreventionJOURNAL OF PROSTHODONTICS, Issue 1 2001Robert F. Wright DDS [source] Handbook of Psychosocial RehabilitationJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2008RICHARD LAKEMAN dipnsg bn bahons(nsg) pgdip(psychotherapy) [source] Rehabilitation of surgical cancer patients at University of Texas M. D. Anderson Cancer CenterJOURNAL OF SURGICAL ONCOLOGY, Issue 5 2007Rajesh Yadav MD Abstract With early detection and treatment, survival rates for many types of cancer have improved. Long term survivors have number of issues, which can include functional deficits, pain, fatigue, lymphedema and altered bowel and bladder function. Simple activities such as mobility and the ability to perform self care can be limited. In addition, re-integration into society with activities such as driving, social interaction and return to work are often problematic. The goal of cancer rehabilitation is to improve quality of life by minimizing disability and handicap caused by cancer and associated treatments. Initial rehabilitation interventions usually occur in an inpatient setting as patients often experience a decline in functional status due to cancer progression and or surgical treatment. Rehabilitation interventions reduce the debility and functional deficits and add to the quality of life for cancer patients undergoing surgical treatments. The rehabilitation team can assist not only with acute decline in functional status but also with re-integration back in society. Both general and specific rehabilitation interventions based on diagnoses are reviewed. J. Surg. Oncol. 95:361,369. © 2007 Wiley-Liss, Inc. [source] Juvenile Court Judges' Perceptions of What Factors Affect Juvenile Offenders' Likelihood of RehabilitationJUVENILE AND FAMILY COURT JOURNAL, Issue 3 2002JILL MARIE D'ANGELO PH.D ABSTRACT An instrument was developed to measure whether judges perceive the likelihood of rehabilitation to be influenced by extra-legal factors. A self-administered questionnaire was sent to 1,040 juvenile court judges across the United States. Two indices-extra-legal and legal-were created to measure the relationship between judges' perceptions and the factors they consider in their transfer decisions. Primary analysis used frequencies, cross-tabulations, and measures of association. The factors that judges may consider in their transfer decisions are specified and vary according to state statutes. Extra-legal factors are never included in the statutes as factors that may be considered. Nonetheless, the findings suggest that judges consider extra-legal factors in determining an offender's likelihood of rehabilitation. The results suggest that both male and non-minority judges' perceive that extra-legal characteristics affect an offender's likelihood of rehabilitation. All judges seem to believe that family structure and prior record are almost equally important factors in determining offenders' likelihood of rehabilitation. Thus, although judges consider legal factors in determining an offender's likelihood of rehabilitation, they also include criteria not explicitly permitted by law. [source] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||