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Diagnosis and Treatment of Opioid Use Disorders
Published in James M. Rippe, Lifestyle Medicine, 2019
The SOWS is a self-administered scale for grading opioid withdrawal symptoms. It contains 16 symptoms whose intensity the patient rates on a scale of 0 (not at all) to 4 (extremely), and takes less than 10 minutes to complete.
The numerical analysis of 4-On-Pillars technique using meshless methods
Published in J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz, João Manuel, R.S. Tavares, Biodental Engineering V, 2019
K.F. Vargas, G.A.R. Caldas, J. Belinha, R.M. Natal Jorge, P.A.G. Hernandez, A. Ozkomur, R. Smidt, M.M. Naconecy, L.E. Schneider
The reestablishment of occlusion has been one of the most relevant and positive factors in the life of edentulous patients. The absence of teeth compromises masticatory function, temporomandibular joint (TMJ) function, phonation and even, socioeconomic of the individuals involved, affecting the patient’s health at different levels. In the literature, is possible to find several articles related to rehabilitation techniques for edentulous jaws. The most traditional technique, called All-On-4, promotes the fixation of the denture prosthesis on four osseointegrated implants.
Life Effects of Narcolepsy: Measures of Negative Impact, Social Support, and Psychological Well-Being
Published in Meeta Goswami, Charles P. Pollak, Felissa L. Cohen, Michael J. Thorpy, Neil B. Kavey, Austin H. Kutscher, Jill C. Crabtree, Psychosocial Aspects of Narcolepsy, 2015
Feelings of competency in their jobs were rated on a 4-point scale from 1 (not at all) to 4 (great). The mean score was 2.7 with a standard deviation of 1.46. Their overall level of satisfaction with current job or career was rated on a 5-point scale from 1 (not satisfied) to 5 (very satisfied). The mean score was 2.9 with a standard deviation of 1.89.
The influence of framework material on stress distribution in maxillary complete-arch fixed prostheses supported by four dental implants: a three-dimensional finite element analysis
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2021
Suleyman Cagatay Dayan, Onur Geckili
Tilting of posterior dental implants up to 45 degrees to avoid interference with the maxillary sinuses has recently been proposed as a good treatment alternative to bone grafts and sinus augmentation (Calandriello and Tomatis 2005; Malo et al. 2005). This so called All-on-4 concept reduces distal cantilever length by increasing the anteroposterior spread and provides better cortical anchorage by allowing the placement of longer dental implants that are optimally positioned for prosthetic support (Patzelt et al. 2014). The All-on-4 design consists of two axial anterior and two tilted posterior dental implants that are strategically placed to pass the sinus floor and to use the existing bone effectively without the need of advanced surgical procedures in completely edentulous patients with atrophic jaws. In most cases, the dental implants are immediately loaded with a provisional prosthesis that are replaced with permanent prosthesis following the healing period. Clinical studies report high dental implant survival rates, but the design tends to result in prosthetic complications such as fracture, chipping, and screw loosening in both the provisional and final prostheses (Malo et al. 2007; Heydecke et al. 2012). These problems, as well as the possibility of bone resorption due to excessive stress and strain, make the choice of a feasible framework material essential for a successful treatment outcome (Tada et al. 2003; Bacchi et al. 2013; Gümrükçü et al. 2017).
Examining the feasibility and effectiveness of a culturally adapted participation-focused stroke self-management program in a day-rehabilitation setting: A randomized pilot study
Published in Topics in Stroke Rehabilitation, 2020
Hagit Harel-Katz, Tamar Adar, Uzi Milman, Eli Carmeli
The feasibility of the Israeli version of the IPASS intervention was assessed first by the percentage of participants who attended at least 60% (8/13) of the sessions (attendance rate of 50% and above of was considered feasible). This calculation of attendance rate was based on the study by Cadilhac et al.35 Feasibility was also assessed based on a feedback questionnaire that included six questions regarding participants’ satisfaction from the program content and characteristics. Possible answers ranged from 1 = “not satisfied at all”; to 4 = “very satisfied.” The feedback questionnaires were completed anonymously at the end of the final session of the intervention. A total score of 18/24 indicates that the participant was satisfied or very satisfied with all the characteristics of the program. The intervention was considered feasible if at least 55% of the participants scored 18/24.
Biomechanical comparison of implant inclinations and load times with the all-on-4 treatment concept: a three-dimensional finite element analysis
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2019
Ting Liu, Zhixiang Mu, Ti Yu, Chao Wang, Yuanding Huang
For immediate-loading implants, primary stability is important for implants to achieve successful osseointegration. The micromotion at the bone-implant interface is more critical to implant success than the timing of loading. Brunski et al. indicated that the micromotion at the contact interface between bone and implants should be less than 100 µm to achieve osseointegration instead of fibrous encapsulation (Brunski et al. 2000). Trisi et al. reported that micromotion should not exceed 50-100 µm (Trisi et al. 2009). In this study, the micromotion values at the bone-implant interface ranged from 7.37 µm to 12.69 µm for the immediate-loading models, which were less than the above thresholds. These data indicate that uneventful osseointegration was possible for immediate-loading implants in the “All-on-4” treatment concept regardless of the inclination angle of distal implants. Reilly et al. noted that under a longitudinal orientation, the ultimate strength of bone is 133 MPa and 193 MPa for tension and compression stresses, respectively (Reilly and Burstein 1975). These studies indicate that bone resorption or bone fracture would not occur under the conditions of this study.