[Acquisition and sustainment of automatic reflexes in maxillofacial rehabilitation]. / Acquisition et maintien des automatismes en rééducation maxillo-faciale.

Maxillofacial rehabilitation is often recommended in order to avoid a recurrence of orthodontic problems. Like all rehabilitation, the goal is to increase awareness of erroneous postures and praxis to the patients and demonstrate the correct ones. This is done by increasing muscular and articulatory ability and most importantly repeating these processes until they become automatic. It is this automatism which is the most lengthy and difficult goal to attain. Our intervention involves many aspects : the tongue (at rest, and during deglutition and phonation), the platysma, breathing, the temporal-mandibular joints, bad habits, and posture. The last session consists of verifying that the automatisms have been fully acquired.

Neurobehavioral disturbances arising from occupational toluene exposure.

BACKGROUND: Neurotoxicity of long-term exposure to toluene is known at higher levels than 50 ppm and is suspected at lower levels. METHODS: A cross-sectional study carried out in two printing plants on 129 blue collar workers explored such a low level exposure of toluene. With 231 samples of ambient air, toluene concentration was estimated from 0 to 18 ppm in Plant A (offset) and from 2 to 27 ppm in Plant B (heliogravure). Outside any period of acute exposure, the workers answered a self-administered questionnaire on neurotoxic symptoms, EUROQUEST, and performed six psychometric tests on a computer-assisted version of battery NES. RESULTS: After adjustment for confounders, we found significant relationships only between present exposure and Digit Span Forwards (DSF) performance (decrement is 1 digit for 40 ppm, P=0.04) and Digit Span Backwards (DSB) performance (decrement is 1 digit for 25 ppm, P=0.01). Neurotoxic symptoms were not significantly correlated with current exposure. No association was found between estimated cumulative exposure and either psychometric performances or neurotoxic symptoms. CONCLUSION: In this study, low present exposure levels to toluene were associated with decrements of memory test performances.

Not only training but also exposure to chlorinated compounds generates a response to oxidative stimuli in swimmers.

Relations between exposure to chlorinated compounds and biological markers of response to oxidative stimuli were investigated in swimmers, taking into account the effect of training. Twenty-two male swimmers aged 15-25 years were surveyed twice. Prevalence of irritant symptoms and asthma and number of hours of training were reported. Exposure to nitrogen trichloride (NCl3) and blood response to oxidative stimuli [catalase, superoxide dismutase (Cu2+/Zn2+ SOD), glutathione peroxidase (GSH-Px) activities and ceruloplasmin, ferritin and total antioxidant concentrations] were measured. Univariate analyses were completed by multivariate analyses. High prevalences of irritant symptoms and asthma were found. Multivariate analysis confirmed the results of the univariate analyses and showed that Cu2+/Zn2+ SOD activity was increased by exposure and by training (P = 0.01, P = 0.0001, respectively). Erythrocyte GSH-Px was decreased, whereas plasma GSH-Px was increased by exposure (P = 0.002, P = 0.002). No other association was found. Higher irritant symptoms and increases in the activities of erythrocyte Cu2+/Zn2+ SOD and of plasma GSH-Px with exposure support the hypothesis that the production of reactive oxygen species is not only related to training but also to exposure to chlorinated compounds. Other athletes tend to have respiratory problems such as asthma, but the exposure to chlorinated compounds may increase the respiratory disease among swimmers.