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New protocol proposal of data collecting for Juvenile Idiopathic Arthritis patients in orthodontic therapy=Proposta di un nuovo protocollo di raccolta dati dei pazienti affetti da Artrite Idiopatica Giovanile in terapia ortognatodontica
Scopi del lavoro
Aggiornare la nostra cartella di raccolta dati per individuare segni clinici ricorrenti nel cavo orale di pazienti affetti da Artrite Idiopatica Giovanile (AIG).
Materiali e metodi
Ai precedenti punti riportati nella cartella di raccolta dati per i pazienti AIG (formula dentaria, indice di placca, indice di sanguinamento, PSR e suddivisione aree dentarie (A) per la segnalazione di carie, demineralizzazioni, otturazioni e sigillature) si apportano le seguenti modifiche:
1. Risuddivisione superficie dentarie (S):
- da 21 a 45 S molari (9 A per: vestibolare, linguale/palatale, distale, mesiale e occlusale) più una per il tubercolo del Carabelli;
- da 18 a 45 S premolari (9 A per: vestibolare, linguale/palatale, distale, mesiale e occlusale);
- da 13 a 27 S canine e incisive (9 A per: vestibolari e linguali/palatali; 3 A per: distali, mesiali e occlusali) più una per i cingoli;
2. Valutazione quantitativa del flusso salivare basale (5 minuti) e sotto stimolo (5 minuti) con succo di limone;
3. Analisi qualitativa della placca batterica;
4. Analisi quantitativa della placca batterica.
Risultati
L’individuazione di questi ulteriori punti nella cartella di raccolta dati AIG ne facilita la lettura per un inquadramento più approfondito della salute orale di tali pazienti.
Conclusioni
Il nuovo protocollo diagnostico così come da noi proposto consentirà di effettuare una valutazione più approfondita dello stato di salute orale dei pazienti ortodontici affetti da AIG.Aim
To update our data collecting protocol in order to better individuate recurrent clinical signs in the oral cavity of patients with Juvenile Idiopathic Arthritis (JIA).
Materials and method
The following changes are brought to the previouse points reported in the data collecting chart for JIA patients (dental formula, plaque index, bleeding index, PSR and subdivision in dental areas (A) for the report of caries, demineralizations, fillings and sealings):
1. new dental areas subdivision (S):
- molars, from 21 to 45 S (9 A for: vestibular, lingual/palatal, distal, mesial and occlusal) plus one for Carabelli's tubercle;
- premolars, from 18 to 45 S (9 A for: vestibular, lingual/palatal, distal, mesial and occlusal);
- canines and incisors, from 13 to 27 S (9 A for: vestibular and lingual/palatal; 3 A for: distal, mesial and occlusal) plus one for the cingula.
2. quantitative evaluation of the basal salivary flow (5 minutes) and under stimulation (5 minutes) with lemon juice;
3. qualitative analysis of bacterial plaque;
4. quantitative analysis of bacterial plaque.
Results
The identification of these further points in the data collecting chart facilitates its lecture with a more detailed framing of the oral health in JIA patients.
Conclusions
The new diagnostic protocol, as proposed by us, will allow a more thorough evaluation of the oral state of health in patients with JIA
Quantitative analysis of the salivary flow in orthodontic patients with Juvenile Idiopathic Arthritis=Analisi quantitativa del flusso salivare in pazienti ortognatodontici affetti da Artrite Idiopatica Giovanile
Scopi del lavoro
Confrontare il flusso salivare (Vflu.sal) in pazienti ortodontici affetti da AIG, trattati e non trattati farmacologicamente, con i valori standard descritti da Leo M. Sreeby e Arjan Vissin (0,25 mL/min≤ Vflu.sal. basale≤0,35 mL/min; 1 mL/min≤Vflu.sal. stimolato ≤3 mL/min).
Materiali e metodi
Presso il Reparto di Ortognatodonzia del Policlinico di Milano sono stati selezionati 29 pazienti AIG, 6 maschi e 23 femmine, tra i 7 ed i 25 anni di età: 14 in terapia farmacologica, somministrata dal reumatologo, e 15 non in terapia.
Il campione è stato sottoposto ad un esame salivare dove è stato possibile monitorare, in posizione seduta, per 5 min, il volume di flusso salivare basale e quello di flusso salivare stimolato con succo di limone: una goccia (0,04mL)/minuto posta sul dorso della lingua.
Risultati
Nei pazienti AIG in terapia farmacologica è stato osservato un volume medio di flusso salivare basale di 0,2 mL/min e un volume medio di flusso salivare stimolato di 0,9 mL/min, valori entrambi inferiori a quelli standard.
Nel gruppo non in terapia si è ottenuto un valore basale medio di 0,4 mL/min, superiore al valore massimo di riferimento, mentre sotto stimolo il valore è stato pari a 1,4 mL/min, valore interno all’intervallo considerato.
Conclusioni
I dati raccolti in questo studio suggeriscono che i farmaci utilizzati nel trattamento dell’AIG influiscono significativamente nella produzione del flusso salivare abbassandolo del 33%.Aim
To compare the volume of the salivary flow (Vsal.flow) in orthodontic patients with Juvenile Idio-pathic Arthritis (JIA), under drug treatment or untreated, with the standard values descripted by Leo M. Sreeby and Arjan Vissin (0,25mL/min≤Vsal.flow basal≤0,35mL/min; 1mL/min≤Vsal.flow stimulated≤3mL/min).
Materials and method
At the Department of Orthodontics of the Milan Policlinico Hospital 29 JIA patients, 6 males and 23 females, aged between 7 and 25 years were selected. 14 were under drug treatment prescribed by the rheumatologist and 15 were untreated.
The sample was subjected to a salivary test, in sitting position, in which the basal salivary flow and the salivary flow stimulated with one drop of lemon juice (0,04mL)/min on the tip of the tongue, were monitored for 5 minutes.
Results
In the treated group of JIA patients an average basal salivary flow of 0,2mL/min and an average stimulated salivary flow of 0,9mL/min, both below the standard, were observed.
With the untreated group an average basal value of 0,4mL/min, above the maximum reference value, was obtained while the stimulated salivary flow was 1,4mL/min, within the reference interval.
Conclusions
The collected results suggest that the drugs used in the treatment of JIA have a significant influence on the salivary flow, causing a 33% reducement
Clinical evaluation of patients affected by Juvenile Idiopathic Arthritis : proposal of a new diagnostic protocol
Aim
The purpose of this study is to realize a data collection chart in order to individuate the oral recurrent clinic signs in patients with juvenile idiopathic arthritis (JIA).
Materials and methods
The data collection chart for the oral cavity mapping individuates:
1. Dental formula
2. IP Silness and Löe of 6 surfaces (3 vestibular/palatal)
3. Bleeding index of 6 surfaces, assigning 4 codes:
• Code 0: absence of bleeding
• Code 1: bleeding by probing
• Code 2: bleeding by probing with redness and edema
• Code 3: spontaneous bleeding
4. PSR of sextants
5. Division of each tooth in more areas (A): 21 for molars (6 vestibular, 6 lingual/palatal and 9 occlusal), 18 for premolars ( 6 vestibular/palatal and 6 occlusal) and 13 for canines and incisors (6 vestibular, 6 lingual/palatal and 1 occlusal)
6. Tongue and soft tissue lesions.
Results
The compilation of all protocol allows to mark down uniquely the anomalies of the oral cave, facilitates the reading of the data for more calculations (DMFT/dmft, FMPS and FMBS) and evidences recurrent signs of JIA. It is also possible to indicate the presence of caries, demineralizations, fillings and seals with an easier individuation.
Conclusions
A bond between oral health and JIA, due to some factors, surely exists. The proposal of this protocol allow to clinically and specifically individuate clinical signs
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Epidemiological study of the correlation and prevention of odontostomatological diseases in patients with Juvenile Idiopathic Arthritis
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Salivary flow in patients with Juvenile Idiopathic Arthritis under drug treatment with Methotrexate and Etanercept: single or combined administration
Aim of the study: Compare the effect of drug therapy with Methotrexate and Etanercept, combined or single therapy, on the quantity of basal and stimulated average salivary flow in patients with Juvenile Idiopathic Arthritis.
Materials and methods: 22 patients, 17 females and 9 males, aged between 7 and 25 years, were selected. 12 were under drug treatment with Methotrexate (A), 7 with Etanercept (B) and 3 under combined therapy (C). Basal and stimulated (citric acid) salivary flow was monitored for 5 minutes and the relevant data were compared to the standard values described by Leo M. Sreeby and Arjan Vissin (0,25mL/min≤ V basal salivary flow≤0,35mL/min; 1mL/min ≤ V stimulated salivary flow≤3 mL/min) and to the results of a previous study, which suggested that this drugs reduce 33% of salivary flow.
Results: The collected data individuate:
• Group A: a basal salivary flow of 0,2mL/min and stimulated of 0,8mL/min;
• Group B: a basal salivary flow of 0,25mL and stimulated of 0,99mL/min;
• Group C: a basal salivary flow of 0,2mL/min and stimulated of 0,8mL/min.
Conclusions: Although the sample is not sufficient to express a reliable judgment, actual data indicate that Methotrexate, in single or combined administration, lowers salivary flow, with probable repercussions on patients' oral health. Considering the proper oral-dental preventive strategies should therefore be suitable
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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