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91.
Amir Azarpazhooh Thuan Dao Wendy J. Ungar Faiza Chaudry Rafael Figueiredo Murray Krahn Shimon Friedman 《Journal of endodontics》2014
Introduction
To effectively engage patients in clinical decisions regarding the management of teeth with apical periodontitis (AP), there is a need to explore patients' perspectives on the decision-making process. This study surveyed patients for their preferred level of participation in making treatment decisions for a tooth with AP.Methods
Data were collected through a mail-out survey of 800 University of Toronto Faculty of Dentistry patients, complemented by a convenience sample of 200 patients from 10 community practices. The Control Preferences Scale was used to evaluate the patients' preferences for active, collaborative, or passive participation in treatment decisions for a tooth with AP. Using bivariate and logistic regression analyses, the Gelberg-Andersen Behavioral Model for Vulnerable Populations was applied to the Control Preferences Scale questions to understand the influential factors (P ≤ .05).Results
Among 434 of 1,000 respondents, 44%, 40%, and 16% preferred an active, collaborative, and passive participation, respectively. Logistic regression showed a significant association (P ≤ .025) between participants' higher education and preference for active participation compared with a collaborative role. Also, immigrant status was significantly associated with preference for passive participation (P = .025).Conclusions
The majority of patients valued an active or collaborative participation in deciding treatment for a tooth with AP. This pattern implied a preference for a patient-centered practice mode that emphasizes patient autonomy in decision making. 相似文献92.
Marta Montserrat-Bosch Rui Figueiredo Pedro Nogueira-Magalh?es Josep Arnabat-Dominguez Eduard Valmaseda-Castellón Cosme Gay-Escoda 《Medicina oral, patología oral y cirugía bucal》2014,19(4):e391-e397
Objectives: To compare the efficacy and complication rates of two different techniques for inferior alveolar nerve blocks (IANB).
Study Design: A randomized, triple-blind clinical trial comprising 109 patients who required lower third molar removal was performed. In the control group, all patients received an IANB using the conventional Halsted technique, whereas in the experimental group, a modified technique using a more inferior injection point was performed.
Results: A total of 100 patients were randomized. The modified technique group showed a significantly higher onset time in the lower lip and chin area, and was frequently associated to a lingual electric discharge sensation. Three failures were recorded, 2 of them in the experimental group. No relevant local or systemic complications were registered.
Conclusions: Both IANB techniques used in this trial are suitable for lower third molar removal. However, performing an inferior alveolar nerve block in a more inferior position (modified technique) extends the onset time, does not seem to reduce the risk of intravascular injections and might increase the risk of lingual nerve injuries.
Key words:Dental anesthesia, inferior alveolar nerve block, lidocaine, third molar, intravascular injection. 相似文献
93.
Juliana Pessoa de Souza Chamadoira Camila de Carvalho Figueiredo Giovana Ortiz Dvila Ana Paula de Carvalho Miranda Rosati Rocha rica Endo 《Journal of Radiology Case Reports》2021,15(10):10
This is a case report of a lactating woman in her twenties diagnosed with a breast pseudoaneurysm following a 14-gauge ultrasound-guided core needle biopsy detected by a Color Doppler exam, and treated with surgery. Further discussion concerning the patient’s symptoms, useful imaging modalities, and treatment options are included. Knowledge on this complication is crucial for the correct diagnosis and best management and treatment. 相似文献
94.
Rogrio Vera Cruz Ferro Marques Luciana Salles Branco-de-Almeida Daniele Meira Conde Marques Izabel Cristina Vieira de Oliveira Saulo Jos Figueiredo Mendes Vandilson Pinheiro Rodrigues Fernanda Ferreira Lopes 《Medicina oral, patología oral y cirugía bucal》2022,27(1):e51
Background To evaluate the efficacy of intra-alveolar administration of dexamethasone 4 mg in the control of edema, trismus, and pain resulting from the extraction of impacted lower third molars and the drug permeability through the oral mucosa by in silico prediction.Material and Methods The randomized, double-blind, split-mouth clinical trial included patients who had both impacted lower third molars in equivalent positions. Hemiarches were divided into control side when dexamethasone was administered orally and experimental side when dexamethasone was administered using the intra-alveolar route. Patients were evaluated considering edema, trismus, and pain. The permeability of dexamethasone through the oral mucosa was assessed by in silico prediction. Student’s t-test was selected for comparative analysis of edema and trismus, and the chi-square test analyzed the distribution of postoperative pain between the sides.Results There were no significant differences between the routes of administration in measuring symptoms between the pre and postoperative times (p>0.05). In silico prediction suggested that dexamethasone molecular characteristics facilitate intra-alveolar administration.Conclusions Intra-alveolar administration had similar efficacy to oral administration in controlling symptoms of post-surgical inflammation of impacted lower third molars. Key words:Molar, third, tooth, impacted, oral surgical procedures, dexamethasone. 相似文献
95.
Samir Gupta MD MDCS AGAF Balambal Bharti MBBS MPH PhD Dennis J. Ahnen MD Daniel D. Buchanan PhD Iona C. Cheng PhD MPH Michelle Cotterchio PhD Jane C. Figueiredo PhD Steven J. Gallinger MD MSc Robert W. Haile DrPH MPH Mark A. Jenkins PhD Noralane M. Lindor MD Finlay A. Macrae MD AGAF Loïc Le Marchand MD PhD Polly A. Newcomb PhD MPH Stephen N. Thibodeau PhD Aung Ko Win MBBS MPH PhD Maria Elena Martinez PhD 《Cancer》2020,126(13):3013-3020
96.
Elfil Mohamed Ahmed Nada Alapati Amritha Bahekar Rucha Kandil Mohamed Kim Christine Schaefer Sara Tinaz Sule Patel Amar S. de Figueiredo John M. Louis Elan D. Koo Brian B. 《Journal of neurology》2020,267(4):966-974
Journal of Neurology - We aimed to determine suicide risk and lifetime suicidal ideation in Parkinson disease (PD) patients versus controls and how depression, demoralization, and insomnia are... 相似文献
97.
Andreas M. Ray Thiago D. C. Figueiredo Eduardo Lpez‐Larraz Niels Birbaumer Ander Ramos‐Murguialday 《Human brain mapping》2020,41(5):1296-1308
In the present work, we investigated the relationship of oscillatory sensorimotor brain activity to motor recovery. The neurophysiological data of 30 chronic stroke patients with severe upper‐limb paralysis are the basis of the observational study presented here. These patients underwent an intervention including movement training based on combined brain–machine interfaces and physiotherapy of several weeks recorded in a double‐blinded randomized clinical trial. We analyzed the alpha oscillations over the motor cortex of 22 of these patients employing multilevel linear predictive modeling. We identified a significant correlation between the evolution of the alpha desynchronization during rehabilitative intervention and clinical improvement. Moreover, we observed that the initial alpha desynchronization conditions its modulation during intervention: Patients showing a strong alpha desynchronization at the beginning of the training improved if they increased their alpha desynchronization. Patients showing a small alpha desynchronization at initial training stages improved if they decreased it further on both hemispheres. In all patients, a progressive shift of desynchronization toward the ipsilesional hemisphere correlates significantly with clinical improvement regardless of lesion location. The results indicate that initial alpha desynchronization might be key for stratification of patients undergoing BMI interventions and that its interhemispheric balance plays an important role in motor recovery. 相似文献
98.
Guilherme Bricks Jorge Figueiredo Senise Henrique Pott-Jr Giuliano Grandi Dimas Carnaúba-Jr Hamilton Antonio Bonilha de Moraes Celso Franscisco Hernandes Granato Adauto Castelo 《The Brazilian journal of infectious diseases》2019,23(1):45-52
Background
Hepatitis E virus (HEV) infection in patients with pre-existing liver disease has shown high morbidity and lethality. The consequences of HEV superinfection in patients with chronic hepatitis C virus (HCV) infection are not fully understood. This study aimed to evaluate the association between the presence of anti-HEV antibodies, liver cirrhosis, and insulin resistance.Methods
A total of 618 patients chronically infected with HCV were included from three reference centers for viral hepatitis in São Paulo, Brazil. Presence of anti-HEV IgG was assessed by enzyme-linked immunosorbent assay (WANTAI HEV-IgG ELISA).Results
The seroprevalence of anti-HEV in patients with cirrhosis was significantly higher than in patients without cirrhosis (13.2% vs 8%, OR = 1.74, p = 0.04). Seropositivity for anti-HEV, adjusted for sex, age, and HCV genotype showed an association trend with hepatic cirrhosis (aOR = 1.75, p = 0.059). Presence of HEV antibodies, adjusted for age, body mass index and cirrhosis, was shown to be independently associated with insulin resistance (aOR: 4.39; p = 0.045).Conclusion
Patients with chronic hepatitis C are under risk of hepatitis E virus superinfection in Brazil. The trend toward association between cirrhosis and previous HEV infection suggests that it may accelerate liver fibrosis in patients with chronic hepatitis C. In addition, previous infection by HEV is independently associated with insulin resistance in the studied population, which may be an extra-hepatic manifestation of hepatitis E that persists after resolution of the active infection, and may contribute to fibrosis progression. 相似文献99.
Jean-Pierre Bédos Bernard Allaouchiche Laurence Armand-Lefèvre Olivier Baldesi Lila Bouadma Dominique Decré Samy Figueiredo Rémy Gauzit Benoit Guery Nicolas Joram Boris Jung Sigismond Lasocki Alain Lepape Fabrice Lesage Olivier Pajot François Philippart Bertrand Souweine Pierre Tattevin Jean-François Timsit Jean-Ralph Zahar Cédric Bretonnière Marc Leone Christophe Milési Benoît Misset 《Réanimation》2014,23(5):558-582
100.
Marcelo R. A. de Figueiredo Anita Küpper Jenna M. Malone Tijana Petrovic Ana Beatriz T. B. de Figueiredo Grace Campagnola Olve B. Peersen Kasavajhala V. S. K. Prasad Eric L. Patterson Anireddy S. N. Reddy Martin F. Kube Richard Napier Franck E. Dayan Christopher Preston Todd A. Gaines 《Proceedings of the National Academy of Sciences of the United States of America》2022,119(9)