Group pain neuroscience education and dance in institutionalized older adults with chronic pain: a case series study.

Introduction: The use of pain neuroscience education in older adults has seldom been reported. While this age group shows high rates of chronic pain prevalence, its characteristics may also challenge an intervention of this nature. This case series aimed to describe a group intervention of pain neuroscience education and dance in institutionalized older adults with chronic pain.Case Series: Seven older adults institutionalized in a day care center/nursing home with chronic pain entered the study and received a group intervention of six sessions of pain neuroscience education and dance. Participants were assessed at baseline and at the end of the intervention regarding knowledge of pain neurophysiology, pain intensity, depressive symptoms, catastrophizing, fear of movement and lower limb performance.Outcomes: There was a mean (±SD) decrease of -1.0 ± 2.3 for pain intensity and of -6.1 ± 9.7 for pain catastrophizing and a mean increase in the score of the pain neurophysiology questionnaire of 4.0 ± 3.1. Mean change values were smaller than the minimal detectable difference, but a few individual participants changed above the minimal detectable difference (four participants for pain intensity and 2 for pain catastrophizing and knowledge of pain neurophysiology).Conclusion: Results suggest pain neuroscience education is a feasible intervention and when combined with dance may have a positive impact on pain intensity.

Invasive cervical resorption of central incisor during orthodontic treatment

ABSTRACT Introduction: Invasive cervical resorption (ICR) is a relatively rare type of ERR (External Root Resorption), in which a localized resorption begins in the cervical area of the tooth, below the epithelial junction and above the ridge crest. Objective: Describe the clinical case of an 11-year-old boy with no dental trauma history, presenting moderate crowding and ectopic eruption of the maxillary right central incisor. He had been undergoing orthodontic treatment elsewhere, and his family was dissatisfied with the results. Description: A new treatment was indicated, which included rapid maxillary expansion followed by extraction of four premolars. During routine panoramic evaluation, a radiolucid image was detected and a periapical radiograph was requested. At this point, an ICR of the maxillary right central incisor was found. The treatment was cautiously finalized and despite the use of light forces, central incisor was severally compromised by ICR and was therefore extracted. Conclusion: This clinical example discusses the importance of routine radiographs for the early diagnoses of ICR.

RESUMO Introdução: A reabsorção cervical invasiva (RCI) é um tipo relativamente raro de reabsorção radicular externa (RRE), no qual uma reabsorção localizada começa na região cervical do dente, abaixo da junção epitelial e acima da crista marginal. Objetivo: Descrever o caso clínico de um menino com 11 anos de idade, sem histórico de trauma dentário, apresentando apinhamento moderado e erupção ectópica do incisivo central superior. Ele realizava tratamento ortodôntico em outro local, mas sua família estava insatisfeita com os resultados. Descrição: Foi iniciado um novo tratamento, que incluiu a expansão rápida da maxila, seguida pela extração de quatro pré-molares. Durante a avaliação de rotina da radiografia panorâmica, uma imagem radiolúcida foi detectada, e uma radiografia periapical da região foi solicitada, sendo encontrada uma RCI no incisivo central superior direito. O tratamento foi finalizado com cautela e, apesar do uso de forças leves, o incisivo central estava seriamente comprometido pela RCI e, portanto, precisou ser extraído. Conclusão: Esse exemplo clínico discute a importância das radiografias de rotina para o diagnóstico precoce da RCI.

Invasive cervical resorption of central incisor during orthodontic treatment.

INTRODUCTION: Invasive cervical resorption (ICR) is a relatively rare type of ERR (External Root Resorption), in which a localized resorption begins in the cervical area of the tooth, below the epithelial junction and above the ridge crest. OBJECTIVE: Describe the clinical case of an 11-year-old boy with no dental trauma history, presenting moderate crowding and ectopic eruption of the maxillary right central incisor. He had been undergoing orthodontic treatment elsewhere, and his family was dissatisfied with the results. DESCRIPTION: A new treatment was indicated, which included rapid maxillary expansion followed by extraction of four premolars. During routine panoramic evaluation, a radiolucid image was detected and a periapical radiograph was requested. At this point, an ICR of the maxillary right central incisor was found. The treatment was cautiously finalized and despite the use of light forces, central incisor was severally compromised by ICR and was therefore extracted. CONCLUSION: This clinical example discusses the importance of routine radiographs for the early diagnoses of ICR.

Does the vertical position of maxillary central incisors in men influence smile esthetics perception?

INTRODUCTION: The aim of this study was to investigate whether there is any influence on the perception of smile esthetics among orthodontists and laypersons, with regard to different vertical positions of the maxillary central incisors. METHODS: Frontal smile photographs digitally altered at full-face view and close-up view of 2 adult men aged between 20 and 30 years were used. Six vertical positions of the central incisors were created, with changes of 0.5 mm. The images were randomly assembled in an album that was presented to 53 orthodontists and 53 laypersons, who evaluated the attractiveness of the images by using visual analog scales. Comparison among the images was performed using 1-way analysis of variance, with Tukey post-hoc test. To compare the distribution of the mean scores between the full-face and close-up smile views, and between orthodontists and laypersons, the Student t test was used. The level of significance was established at 5%. RESULTS: The best evaluations presented the following: (a) the gingival margins of the central incisors corresponded to, or were up to, 1 mm below the line of the canine gingival margins, and (b) the incisal step between the central and lateral incisors was from 1.0 to 2.0 mm. The smiles considered least attractive showed (a) the central incisor gingival margins were 1.0 mm above or 1.5 mm below the canine gingival margins, and (b) no step, or a step of 2.5 mm, between the central and lateral incisors. CONCLUSIONS: The results of this study suggested that, in men, slightly extruded central incisors were esthetically more attractive than intruded incisors.

Mandibular Incisor Impaction: A Rare Condition.

The purpose of this case report is to present the management of an impacted permanent mandibular left central incisor using a removable appliance. A minor surgery was done to expose the tooth crown and bond an orthodontic button. The removable appliance was used to apply extrusion forces to the impacted tooth. Over a course of six months, the tooth was fully erupted. To recover the lost space of the primary canine, a fixed appliance was bonded on the mandibular arch and retention was placed until the permanent canine erupted. This report demonstrates the importance of early diagnosis and interceptive treatment in cases of tooth impaction.

Retrospective analysis of cutaneous lesions in 23 canine and 17 feline cases of coccidioidomycosis seen in Arizona, USA (2009-2015).

BACKGROUND: Coccidioidomycosis is a fungal disease caused by the dimorphic saprophytic fungus Coccidioides immitis or C. posadasii. Primary pulmonary infection can disseminate to cutaneous and subcutaneous tissues, or less commonly direct cutaneous inoculation may occur. HYPOTHESIS/OBJECTIVES: To characterize the historical, clinical, diagnostic and treatment findings in dogs and cats with cutaneous manifestation of coccidioidomycosis. ANIMALS: Twenty three dogs and seventeen cats diagnosed between 2009 and 2015 in Arizona, USA. METHODS: Retrospective review of medical records from dogs and cats from an endemic area with a confirmed diagnosis via histopathology, cytology and/or culture, and skin lesions. RESULTS: Age of affected dogs ranged from 14 weeks to 13 years (median = 7 years), whereas cats ranged from 3 to 17 years (median = 9 years). Subcutaneous nodules were the most common lesions in both species. Lesions were distributed widely and not often found over sites of bone infection. In 75% of dogs and 54.5% of cats with cutaneous lesions there were clinical signs of systemic illness, supporting the diagnosis of cutaneous disseminated disease. Four dogs and four cats had localized lesions with no systemic illness, consistent with possible primary cutaneous infection. The most common mode of diagnosis was cytology identification in both species. Fluconazole was the most commonly prescribed antifungal drug. CONCLUSIONS AND CLINICAL IMPORTANCE: Coccidioidomycosis is the most common mycosis of dogs and cats in endemic regions and cutaneous signs of the disease may be an initial presenting complaint. This study identified a variety of cutaneous manifestations of the disease in dogs and cats and should be recognized by clinicians.

Turismo de observação de cetáceos como ferramenta no estudo do comportamento de baleias Jubarte (Megaptera novaeangliae) / Whale-watching as a tool to study humpback whales (Megaptera novaeangliae) behavior

O comportamento das baleias jubarte foi observado para detectar diferenças nas probabilidades de ocorrência de determinadas categorias comportamentais observadas a partir de cruzeiros de pesquisa e de turismo. Foram analisados dados de 256 grupos observados durante os cruzeiros de pesquisa e 122 grupos em cruzeiros de turismo, nas temporadas de 2001 a 2003, no litoral norte da Bahia. A análise de rede bayesiana forneceu maiores probabilidades de ocorrência para as categorias do tipo deslocamento, socialização e agressivo, enquanto a análise comparativa não forneceu diferenças expressivas entre as duas categorias de cruzeiro. De acordo com as probabilidades de ocorrência da conduta repouso para grupos com filhote e devido a uma possível interrupção do ato de amamentação causada pelas embarcações, sugere-se uma distância mais conservativa e um menor tempo de permanência com esses grupos(AU)

Humpback whales behavior was observed to determine the existence of differences between observations occurring from research vessels vs. whale-watching vessels. A total of 256 groups were observed from research vessels and 122 groups from whale-watching vessels during the breeding seasons from 2001 through 2003 in the northern coast of the state of Bahia, Brazil. A Bayesian network analysis yielded greatest probabilities of occurrence of the behavioral conducts traveling, socialization and aggressive. Significant behavioral differences between cruise types were not obtained through comparative analysis. Given the probability of occurrence of resting conducts in calf pods and the possibility of the interruption of suckling caused by vessels, it is suggested that a more conservative distance and shorter visits be adopted by whale-watching groups(AU)

Turismo de observação de cetáceos como ferramenta no estudo do comportamento de baleias Jubarte (Megaptera novaeangliae) / Whale-watching as a tool to study humpback whales (Megaptera novaeangliae) behavior

O comportamento das baleias jubarte foi observado para detectar diferenças nas probabilidades de ocorrência de determinadas categorias comportamentais observadas a partir de cruzeiros de pesquisa e de turismo. Foram analisados dados de 256 grupos observados durante os cruzeiros de pesquisa e 122 grupos em cruzeiros de turismo, nas temporadas de 2001 a 2003, no litoral norte da Bahia. A análise de rede bayesiana forneceu maiores probabilidades de ocorrência para as categorias do tipo deslocamento, socialização e agressivo, enquanto a análise comparativa não forneceu diferenças expressivas entre as duas categorias de cruzeiro. De acordo com as probabilidades de ocorrência da conduta repouso para grupos com filhote e devido a uma possível interrupção do ato de amamentação causada pelas embarcações, sugere-se uma distância mais conservativa e um menor tempo de permanência com esses grupos.

Humpback whales behavior was observed to determine the existence of differences between observations occurring from research vessels vs. whale-watching vessels. A total of 256 groups were observed from research vessels and 122 groups from whale-watching vessels during the breeding seasons from 2001 through 2003 in the northern coast of the state of Bahia, Brazil. A Bayesian network analysis yielded greatest probabilities of occurrence of the behavioral conducts traveling, socialization and aggressive. Significant behavioral differences between cruise types were not obtained through comparative analysis. Given the probability of occurrence of resting conducts in calf pods and the possibility of the interruption of suckling caused by vessels, it is suggested that a more conservative distance and shorter visits be adopted by whale-watching groups.