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  • ISSN: 2373-9312
    Volume 7, Issue 1
    Research Article
    Vijay CS* and Chen CB
    Infections in the infratemporal region can be a major source of morbidity and have been known to occur after dental procedures. Neurovascular structures running through the infratemporal fossa serve as a source for infections to track to different areas of the head and neck. The proximity of the infratemporal fossa to other major structures makes timely diagnosis critical. Infratemporal fossa abscesses are a rare complication and only a few cases have been described in the literature. As the clinical symptoms may be non-specific, the diagnosis may be challenging for healthcare providers. We describe a patient who presented with facial swelling and trismus following wisdom tooth extraction who was found to have an infratemporal fossa abscess.
    Emmanouil Skordilis*, Iain Greenless, Nikolaos Chrysagis, Eirini Grammatopoulou, Papadopoulou Vasiliki, Francisco Javier Pardo Gill, Joel Gaillard, Antonis Skordilis, Joao Dias, and Dionysios Serras
    The study was based on the Self-Determination Theory (SDT) and examined the validity and reliability of the Basic Psychological Needs in Exercise Scale (BPN-ES) [27], of individuals with Intellectual Disabilities (ID) from Greece, Cyprus and Portugal. The participants were 152 adolescents and adults with ID, 72 females and 80 males, with high (N = 92), moderate (N = 22) or low functionality (N = 38), aging 16 to 51 years old, attending daily centers in Greece (N = 100), Portugal (N = 20) and Cyprus (N = 32). Data was collected from a psychologist and a coach, both employed at the respective daily centers.
    The statistical analyses revealed sufficient predictive validity evidence through the intercorrelations of the BPN-ES (autonomy, competence and relatedness) with the Pictorial Motivation Scale (intrinsic motivation – IM, self-determined extrinsic motivation – SDEM, non-self-determined extrinsic motivation – NSDEM, and a motivation – AM). Further, significant differences were found among individuals who differed according to functionality with respect to autonomy and competence (construct validity evidence). The BPN-ES Cronbach alpha indexes (.703 to .709) and the Intraclass coefficients (.689 to .831) provided sufficient internal consistency and test retest reliability evidence.
    The present findings supported the BPN-ES psychometrics for individuals with ID and are discussed accordingly. Certain limitations however, such as co morbidities, sampling methods, established golden standard, blind assessments and ethnic backgrounds do not allow generalization without caution. Future researchers may overcome these limitations and establish a solid motivation measure across Europe, based on the SDT, for individuals with ID.
    Bárbara Nara de Freitas de Almeida, July Ane Laufer, Thais Regina Mezzomo, NatAlia Cristina Shimada, Ivy Hulbert FalcAo Furtado, Marcia Regina Messaggi Gomes Dias, and Rosana Marques Pereira
    Objective: To evaluate the anthropometric and biochemical characteristics of children and adolescents with phenylketonuria.
    Methods: Retrospective study with anthropometric and biochemical data collection from patients with phenylketonuria in the age group 2-19.9 years. Nutritional status was classified according to the World Health Organization. Biochemical tests were compared to current recommendations.
    Results: A total of 84 patients (71.8%) were eligible, with a median age of 10.7 years (2.4-19.9 years). There was predominance of eutrophy (n = 58, 69%) with presence of overweight and obesity in 24 (28.5%) patients. The biochemical tests revealed hyperphosphatemia in 46 (55%), hypertriglyceridemia in 27 (50%), vitamin B12 elevated in 34 (41.2%), selenium deficiency in 10 (13.7%), insufficient zinc in 7 (8.9%), low globulin in 21 (26.9%), low HDL in 35 (59.3%) and elevated phenylalanine level in 28 (34.5%) patients in the sample. Overweight and obesity were correlated with low HDL (p= 0.04) and lowest adequate frequency of LDL (p = 0.09). Higher phosphorus values were associated with lower body weight (r = -0.72) and age (r = -0.75), as well as vitamin B12 in the same parameters (r= -0.67 and r= -0, 68). A positive correlation of phenylalanine with body weight and age (r = 0.62 and r = 0.66) was observed.
    Conclusion: Most patients presented eutrophy according to anthropometric parameters and appropriate biochemical tests, except HDL, and moderate metabolic control of the disease. However, attention should be paid to the presence of overweight and need for biochemical monitoring of triglycerides, selenium, zinc, HDL, and phenylalanine.
    Priscila Zanetti, Maisi Ruy Flores, and Lilian Rigo*
    The anxiety presented by the patients may be related to numerous factors. The study aims to evaluate the anxiety level and influence of factors of regarding dental treatment in high school students between 14 and 19 years of age, based on an anxiety scale and identifying the influence of determinant factors associated with anxiety. It’s a cross-sectional observational study including 153 students, of whom 47 were from the private school and 106 from the state school in a city of southern Brazil. The Corah Dental Anxiety Scale, composed of 4 questions, was used to evaluate the dental anxiety levels of all students. The data were analyzed through descriptive statistic to verify the frequency distribution of all variables. Pearson’s chi-square test (p<0.05) and 95% confidence interval were used to evaluate the association between the dependent variable (dental treatment anxiety) and the independents, aided by the SPSS software 20.0. The descriptive results show that most of the participants already consulted the dentist (98%) and presented satisfaction with the same (72.5%). School children reported that the greatest cause of dental fear is pain (33.3%), but they attend the dentist at least once every three months (43.8%). Regarding inferential analysis, the majority of the participants presented mild anxiety (48.3%), of which anxiety was higher in females (71.4%) and in those who were dissatisfied with their dentist (81%). This survey revealed that the level of dental anxiety found in students was mostly low, with influence of the individuals’ gender and their satisfaction with the dentist.
    Clinical Image
    Filipa Marujo*, Marisa InAcio Oliveira, Manuela Martins and Maria JoAo Brito
    A 4-year-old male from Guinea-Bissau presented with a 3-year history of a painless, progressively enlarging bilateral cervical mass (Figure 1).
    Lima RO, Franca CN, Junior AA, and de Souza PC*
    The Score for Neonatal Acute Physiology (SNAP) was developed in 1993 for all newborns and validated as a predictor of mortality and morbidity, based on physiological data using 34 items obtained through clinical and laboratorial evaluations. As a first-generation disease severity score in infants, SNAP was difficult to apply due to the number and complexity of items [1].
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