Search results for "Open"

Dental management of patients with microstomia. A review of the literature and update on the treatment.

2015

Difficulty in dental management is one of the factors that characterize the patient that requires special care in dentistry. One of the clinical conditions that make dental treatment particularly complex is microstomia.Microstomia is defined as a small and insufficient oral aperture that will hinder diagnosis and dental treatment. Although there have been reports of patients with diseases and syndromes that cause microstomia, the available literature offers only a limited number of reviews on this topic. The aim of this paper is to present a review of the etiology, clinical characteristics, diagnosis and treatment of microstomia. In addition, to describe the therapeutic adaptations to be ap…

Progressive femoral cortical and cancellous bone density loss after uncemented tapered-design stem fixation

2010

Background Aseptic implant loosening and periprosthetic bone loss are major problems after total hip arthroplasty (THA). We present an in vivo method of computed tomography (CT) assisted osteodensitometry after THA that differentiates between cortical and cancellous bone density (BD) and area around the femoral component.Method Cortical and cancellous periprosthetic femoral BD (mg CaHA/mL), area (mm2) and contact area between the prothesis and cortical bone were determined prospectively in 31 patients 10 days, 1 year, and 6 years after uncemented THA (mean age at implantation: 55 years) using CT-osteodensitometry.Results 6 years postoperatively, cancellous BD had decreased by as much as 41%…

Knowledge behaviors when the commons are at stake: Insights from the Covid-19 crisis

2020

How do people’s beliefs on the likely system-level consequences of circulating a certain piece of knowledge influence those people’s knowledge behaviors? To address this question, we leverage the most recent developments of the theory of the commons as learning systems. According to this theory, people are strongly responsive to perceived threats to the commons they (may) benefit from, and strive to learn and respond accordingly. Through this theoretical lens, we analyze thick qualitative data (January-April 2020) from the Covid-19 crisis, which resulted in unprecedented visibility of commons-related knowledge behaviors. The contribution of this inductive study is fourfold. First, we identi…

Intervención psicológica en natación adaptada desde la perspectiva del coaching motivacional

2016

Este artículo presenta la intervención psicológica realizada con una mujer deportista de 19 años que presenta una discapacidad física y cuyo objetivo principal es el de acabar una travesía a nado en mar abierto. Para ayudarla en el logro de su meta, se realizan siete sesiones con una frecuencia de una vez a la semana tomando como punto de partida el modelo de coaching motivacional “La Jirafa de Cantón”, donde el psicólogo genera un entorno facilitador para que el cliente descubra y encuentre sus propias soluciones. En cuanto a la evaluación de su eficacia, se utiliza un diseño test-retest con los siguientes instrumentos: “Escala de Autoestima” de Rosenberg (1965), “Escala de Bienestar Psico…

EPA-0552 – Social rehabilitation and employment of people with intellectual disabilities

2014

Background Experience in the field of professional and social activation and employment of people with moderate and severe intellectual disabilities indicates the need to seek specific strategies for solving problems on the way into the labor market of people recruited from this social group. The analysis of the limitations and difficulties in recruiting these people, and based on samples taken before employing them on the open market, gave birth to the concept of developing an innovative system to support candidates for employment. Methods The development of the Project’Our work - preventing discrimination against disabled people in access to work, preceded by a very detailed analysis of t…

Checks and balances and international openness

1991

In the course of a long digression within his famous inspection of Plato’s political philosophy, Karl Popper (1945: 121) argues that “the problem of politics” is the following: “How can we so organize political institutions that bad or incompetent rulers can be prevented from doing too much damage?” Popper’s answer is: “the theory of checks and balances”, which he defines as the striving to establish “institutional control of the rulers by balancing their powers against other powers” (122). From that general approach to “the problem of politics”, it follows that democracy is definitely not the rule of the majority, or the sovereignty of the people (a conception that entails various paradoxe…

2021

Autoimmune thrombotic thrombocytopenic purpura (iTTP) is a life-threatening, relapsing disease in which an acquired deficiency of the enzyme ADAMTS13 leads to generalised microvascular thrombosis. Survivors have a high prevalence of depression and impaired cognitive function. The aim of this study was to determine whether life circumstances and personality have an influence on the development and severity of depression and anxiety in iTTP patients and how they impact the quality of life. With validated questionnaires, we examined the prevalence of depression and anxiety symptoms in 104 iTTP patients, as well as parameters of subjective cognitive deficits, quality of life, attitude to life a…

Wache Videolaryngoskopie

2016

Introduction Awake video laryngoscopy is a novel option in airway management that is drawing more and more attention as an alternative to awake endoscopic guided intubation.Main issues: Intubation under preserved spontaneous breathing is the safest method to secure the expected difficult airway. In direct comparisons to awake flexible endoscopic intubation, awake video laryngoscopy achieves satisfactory intubation times and a high acceptance of patients and anesthesiologists. Specific cases, in particular very limited mouth opening or sub-glottic masses, require awake flexible endoscopic intubation. Sufficient topical anesthesia and a sophisticated sedation protocol are prerequisites for su…

Sepsis in head and neck cancer patients treated with chemotherapy and radiation: literature review and consensus

2015

Abstract: The reporting of infection/sepsis in chemo/radiation-treated head and neck cancer patients is sparse and the problem is underestimated. A multidisciplinary group of head and neck cancer specialists from Italy met with the aim of reaching a consensus on a clinical definition and management of infections and sepsis. The Delphi appropriateness method was used for this consensus. External expert reviewers then evaluated the conclusions carefully according to their area of expertise. The paper contains seven clusters of statements about the clinical definition and management of infections and sepsis in head and neck cancer patients, which had a consensus. Furthermore, it offers a revie…

Farmacocinética y farmacodinamia de oxaliplatino intraperitoneal con hipertermia en pacientes con carcinomatoisis peritoneal sometidos a cirugía

2016

La carcinomatosis peritoneal (CP) es la diseminación tumoral, localizada o masiva, que afecta a la serosa del peritoneo y sus órganos vecinos. Esta situación clínica compromete seriamente la vida de los pacientes y su incurabilidad se debe, fundamentalmente, a la ausencia de terapias eficaces y seguras para su tratamiento. Recientemente, se han establecido las bases de un tratamiento multidisciplinar basado en la cirugía radical o citorreducción (CRS), cuyo objetivo es eliminar la enfermedad macroscópica mediante resecciones peritoneales, seguido de la administración de quimioterapia intraperitoneal hipertérmica (HIPEC), con el fin de erradicar el tumor microscópico residual que no puede se…