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  1. Book: La broncologia della suppurazioni polmonari

    Romagnoli, Mario

    (Archivio italiano di otologia, rinologia, laringologia e patologia cervico-facciale : Supplemento ; 9)

    1956  

    Author's details Mario Romagnoli
    Series title Archivio italiano di otologia, rinologia, laringologia e patologia cervico-facciale : Supplemento ; 9
    Archivio italiano di otologia, rinologia, laringologia e patologia cervico-facciale
    Archivio italiano di otologia, rinologia, laringologia e patologia cervico-facciale ; Supplemento
    Collection Archivio italiano di otologia, rinologia, laringologia e patologia cervico-facciale
    Archivio italiano di otologia, rinologia, laringologia e patologia cervico-facciale ; Supplemento
    Language Italian
    Size XVIII, 474 S. ; 8-o
    Publisher Istit. per la diff. di opere scient
    Publishing place Milano
    Publishing country Italy
    Document type Book
    HBZ-ID HT009996459
    Database Catalogue ZB MED Medicine, Health

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  2. Article: Clinical and Personal Predictors of Helmet-CPAP Use and Failure in Patients Firstly Admitted to Regular Medical Wards with COVID-19-Related Acute Respiratory Distress Syndrome (hCPAP-f Study).

    Cei, Francesco / Chiarugi, Ludia / Brancati, Simona / Dolenti, Silvia / Montini, Maria Silvia / Rosselli, Matteo / Filippelli, Mario / Ciacci, Chiara / Sellerio, Irene / Gucci, Marco Maria / Vannini, Giulia / Lavecchia, Rinaldo / Staglianò, Loredana / Stefano, Daniele di / Gurrera, Tiziana / Romagnoli, Mario / Francolini, Valentina / Dainelli, Francesca / Panigada, Grazia /
    Landini, Giancarlo / Mazzoccoli, Gianluigi / Tarquini, Roberto

    Biomedicines

    2023  Volume 11, Issue 1

    Abstract: Acute Respiratory Distress Syndrome (ARDS) caused by COVID-19 is substantially different from ARDS caused by other diseases and its treatment is dissimilar and challenging. As many studies showed conflicting results regarding the use of Non-invasive ... ...

    Abstract Acute Respiratory Distress Syndrome (ARDS) caused by COVID-19 is substantially different from ARDS caused by other diseases and its treatment is dissimilar and challenging. As many studies showed conflicting results regarding the use of Non-invasive ventilation in COVID-19-associated ARDS, no unquestionable indications by operational guidelines were reported. The aim of this study was to estimate the use and success rate of Helmet (h) Continuous Positive Airway Pressure (CPAP) in COVID-19-associated ARDS in medical regular wards patients and describe the predictive risk factors for its use and failure. In our monocentric retrospective observational study, we included patients admitted for COVID-19 in medical regular wards. hCPAP was delivered when supplemental conventional or high-flow nasal oxygen failed to achieve respiratory targets. The primary outcomes were hCPAP use and failure rate (including the need to use Bilevel (BL) PAP or oro-tracheal intubation (OTI) and death during ventilation). The secondary outcome was the rate of in-hospital death and OTI. We computed a score derived from the factors independently associated with hCPAP failure. Out of 701 patients admitted with COVID-19 symptoms, 295 were diagnosed with ARDS caused by COVID-19 and treated with hCPAP. Factors associated with the need for hCPAP use were the PaO2/FiO2 ratio < 270, IL-6 serum levels over 46 pg/mL, AST > 33 U/L, and LDH > 570 U/L; age > 78 years and neuropsychiatric conditions were associated with lower use of hCPAP. Failure of hCPAP occurred in 125 patients and was associated with male sex, polypharmacotherapy (at least three medications), platelet count < 180 × 109/L, and PaO2/FiO2 ratio < 240. The computed hCPAP-f Score, ranging from 0 to 11.5 points, had an AUC of 0.74 in predicting hCPAP failure (significantly superior to Call Score), and 0.73 for the secondary outcome (non-inferior to IL-6 serum levels). In conclusion, hCPAP was widely used in patients with COVID-19 symptoms admitted to medical regular wards and developing ARDS, with a low OTI rate. A score computed combining male sex, multi-pharmacotherapy, low platelet count, and low PaO2/FiO2 was able to predict hCPAP failure in hospitalized patients with ARDS caused by COVID-19.
    Language English
    Publishing date 2023-01-13
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines11010207
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Predictive Factors for Hemorrhagic Transformation in Acute Ischemic Stroke in the REAL-World Clinical Practice.

    Grifoni, Elisa / Bini, Chiara / Signorini, Ira / Cosentino, Eleonora / Micheletti, Irene / Dei, Alessandro / Pinto, Gabriele / Madonia, Elisa Maria / Sivieri, Irene / Mannini, Marianna / Baldini, Mariella / Bertini, Elisabetta / Giannoni, Sara / Bartolozzi, Maria Letizia / Guidi, Leonello / Bartalucci, Paola / Vanni, Simone / Segneri, Antonio / Pratesi, Alessandra /
    Giordano, Antonio / Dainelli, Francesca / Maggi, Francesca / Romagnoli, Mario / Cioni, Elisa / Cioffi, Elisa / Pelagalli, Giulia / Mattaliano, Chiara / Schipani, Elena / Murgida, Giuseppe Salvatore / Di Martino, Stefania / Sisti, Eleonora / Cozzi, Andrea / Francolini, Valentina / Masotti, Luca

    The neurologist

    2023  Volume 28, Issue 3, Page(s) 150–156

    Abstract: Background: Few data exists on predictive factors of hemorrhagic transformation (HT) in real-world acute ischemic stroke patients. The aims of this study were: (i) to identify predictive variables of HT (ii) to develop a score for predicting HT.: ... ...

    Abstract Background: Few data exists on predictive factors of hemorrhagic transformation (HT) in real-world acute ischemic stroke patients. The aims of this study were: (i) to identify predictive variables of HT (ii) to develop a score for predicting HT.
    Methods: We retrospectively analyzed the clinical, radiographic, and laboratory data of patients with acute ischemic stroke consecutively admitted to our Stroke Unit along two years. Patients with HT were compared with those without HT. A multivariate logistic regression analysis was performed to identify independent predictors of HT on CT scan at 24 hours to develop a practical score.
    Results: The study population consisted of 564 patients with mean age 77.5±11.8 years. Fifty-two patients (9.2%) showed HT on brain CT at 24 hours (4.9% symptomatic). NIHSS score ≥8 at Stroke Unit admission (3 points), cardioembolic etiology (2 points), acute revascularization by systemic thrombolysis and/or mechanical thrombectomy (1 point), history of previous TIA/stroke (1 point), and major vessel occlusion (1 point) were found independent risk factors of HT and were included in the score (Hemorrhagic Transformation Empoli score (HTE)). The predictive power of HTE score was good with an AUC of 0.785 (95% CI: 0.749-0.818). Compared with 5 HT predictive scores proposed in the literature (THRIVE, SPAN-100, MSS, GRASPS, SITS-SIC), the HTE score significantly better predicted HT.
    Conclusions: NIHSS score ≥8 at Stroke Unit admission, cardioembolism, urgent revascularization, previous TIA/stroke, and major vessel occlusion were independent predictors of HT. The HTE score has a good predictive power for HT. Prospective studies are warranted.
    MeSH term(s) Humans ; Aged ; Aged, 80 and over ; Brain Ischemia/complications ; Brain Ischemia/diagnostic imaging ; Ischemic Stroke/complications ; Ischemic Stroke/diagnostic imaging ; Retrospective Studies ; Ischemic Attack, Transient ; Stroke/complications ; Stroke/diagnostic imaging ; Risk Factors
    Language English
    Publishing date 2023-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1361380-7
    ISSN 2331-2637 ; 1074-7931
    ISSN (online) 2331-2637
    ISSN 1074-7931
    DOI 10.1097/NRL.0000000000000462
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A stepwise multiple regression model to assess the odds ratio between myofascial pain and 13 occlusal features in 238 Italian women.

    Fantoni, Francesco / Chiappe, Giacomo / Landi, Nicola / Romagnoli, Mario / Bosco, Mario

    Quintessence international (Berlin, Germany : 1985)

    2010  Volume 41, Issue 3, Page(s) e54–61

    Abstract: Objective: To quantify the relative risk of multiple occlusal variables for muscular disorders of the stomatognathic system.: Method and materials: Thirteen occlusal features were clinically assessed by the same three operators: partial unilateral ... ...

    Abstract Objective: To quantify the relative risk of multiple occlusal variables for muscular disorders of the stomatognathic system.
    Method and materials: Thirteen occlusal features were clinically assessed by the same three operators: partial unilateral posterior reverse articulation, anterior open occlusal relationship, vertical anterior overlap (normal value < 4 mm), complete unilateral posterior reverse articulation, anterior overjet (normal value < 5 mm), incisor midline discrepancy (normal value < 2 mm), Angle Class I canine and molar relationship; plus dynamic occlusion features such as length and symmetry of retruded contact position-intercanine position (RCP/ICP) slides (normal value < 2 mm), occlusal guidance patterns, and mediotrusive and laterotrusive interferences. The sample consisted of 156 women with only muscular disorders according to the Group I Research Diagnostic Criteria for temporomandibular disorders and 82 healthy women (control group). A stepwise multiple logistic regression model was used to identify the significant correlation between occlusal features and disease.
    Results: The odds ratio for myofascial pain was 2.6 for absence of canine guidance, 2.0 for laterotrusive interference, 2.3 for mediotrusive interference, and 1.9 for reverse articulation. Other occlusal variables did not reveal statistical significance. The percentage of the total log likelihood for myofascial pain explained by the significant occlusal factors was acceptable with a Nagelkerke R2 = 0.2. The final model including the significative occlusal features revealed an optimal discriminant capacity to predict patients with myofascial pain with a sensitivity of 62.2%, or healthy subjects with a specificity of 93.6%, and an accuracy of 82.8%.
    Conclusions: Few occlusal features show a significative predictive value for myofascial pain.
    MeSH term(s) Adult ; Case-Control Studies ; Facial Pain/etiology ; Female ; Humans ; Italy ; Likelihood Functions ; Logistic Models ; Malocclusion/complications ; Odds Ratio ; Sensitivity and Specificity ; Temporomandibular Joint Dysfunction Syndrome/etiology
    Language English
    Publishing date 2010-01-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 7436-6
    ISSN 1936-7163 ; 0033-6572
    ISSN (online) 1936-7163
    ISSN 0033-6572
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Ventriculostomy-related infections: a critical review of the literature.

    Lozier, Alan P / Sciacca, Robert R / Romagnoli, Mario F / Connolly, E Sander

    Neurosurgery

    2008  Volume 62 Suppl 2, Page(s) 688–700

    Abstract: Objective: To provide a critical evaluation of the published literature describing risk factors for ventriculostomy-related infections (VRIs) and the efficacy of prophylactic catheter exchange.: Methods: A MEDLINE literature search was performed, and ...

    Abstract Objective: To provide a critical evaluation of the published literature describing risk factors for ventriculostomy-related infections (VRIs) and the efficacy of prophylactic catheter exchange.
    Methods: A MEDLINE literature search was performed, and data were extracted from studies published from 1941 through 2001.
    Results: Published criteria for diagnosing VRIs are highly variable. Intraventricular hemorrhage, subarachnoid hemorrhage, cranial fracture with cerebrospinal fluid leak, craniotomy, systemic infections, and catheter irrigation all predispose patients to the development of VRIs. Extended duration of catheterization is correlated with an increasing risk of cerebrospinal fluid infections during the first 10 days of catheterization. Prophylactic catheter exchange does not modify the risk of developing later VRIs in retrospective studies.
    Conclusion: Categorizing suspected cerebrospinal fluid infections as contaminants, colonization, suspected or confirmed VRIs, or ventriculitis more accurately describes the patient's clinical condition and may indicate different management strategies. A prospective, randomized clinical trial is required to further evaluate the efficacy of prophylactic catheter exchange in limiting the incidence of VRIs during prolonged catheterization. Although prophylactic catheter exchange remains a practice option, the available data suggest that this procedure is not currently justified.
    Language English
    Publishing date 2008-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1227/01.neu.0000316273.35833.7c
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Prevalence of bruxism in patients with different research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnoses.

    Manfredini, Daniele / Cantini, Eleonora / Romagnoli, Mario / Bosco, Mario

    Cranio : the journal of craniomandibular practice

    2003  Volume 21, Issue 4, Page(s) 279–285

    Abstract: The relationship between bruxism and temporomandibular disorders is complex and is not yet clearly understood. The purpose of this study was to investigate the prevalence of clinically diagnosed bruxism in 212 patients with different Research Diagnostic ... ...

    Abstract The relationship between bruxism and temporomandibular disorders is complex and is not yet clearly understood. The purpose of this study was to investigate the prevalence of clinically diagnosed bruxism in 212 patients with different Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) diagnoses, as compared with that in 77 sex- and age-matched TMD-free subjects. A significant association between bruxism and temporomandibular disorders emerged (p < 0.05). The highest prevalence of bruxism was found in patients with the following diagnoses: combined myofascial pain and disk displacement (87.5%); combined myofascial pain, disk displacement, and other joint conditions (73.3%); and myofascial pain (68.9%). In general, it is suggested that bruxism has a stronger relationship with muscle disorders than with disk displacement and joint pathologies, and that such a relationship seems to be independent from the presence of other RDC/TMD diagnoses along with myofascial pain.
    MeSH term(s) Adult ; Bruxism/complications ; Case-Control Studies ; Facial Pain/complications ; Female ; Humans ; Joint Dislocations/complications ; Male ; Temporomandibular Joint Disorders/complications ; Temporomandibular Joint Dysfunction Syndrome/complications
    Language English
    Publishing date 2003-11-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 632570-1
    ISSN 2151-0903 ; 0886-9634
    ISSN (online) 2151-0903
    ISSN 0886-9634
    DOI 10.1080/08869634.2003.11746263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Age-related burden and characteristics of embolic stroke of undetermined source in the real world clinical practice.

    Grifoni, Elisa / Giglio, Davide / Guazzini, Giulia / Cosentino, Eleonora / Latini, Ester / Dei, Alessandro / Del Rosso, Attilio / Guarnaccia, Vincenzo / Baldini, Mariella / Bartolozzi, Maria Letizia / Martinucci, Pietro / Sani, Francesca / Giordano, Antonio / Dainelli, Francesca / Maggi, Francesca / Giulietti, Chiara / Romagnoli, Mario / Cinotti, Stefano / Schipani, Elena /
    Murgida, Giuseppe Salvatore / Di Martino, Stefania / Cozzi, Andrea / Carli Ballola, Adele / Dacomo, Debora / Valori, Debora / Masotti, Luca

    Journal of thrombosis and thrombolysis

    2019  Volume 49, Issue 1, Page(s) 75–85

    Abstract: Few data are available on age-related burden and characteristics of embolic stroke of undetermined source (ESUS) in the real world clinical practice. The aim of our study was to provide information about it. We retrospectively analyzed data of patients ... ...

    Abstract Few data are available on age-related burden and characteristics of embolic stroke of undetermined source (ESUS) in the real world clinical practice. The aim of our study was to provide information about it. We retrospectively analyzed data of patients consecutively admitted to our Stroke Unit along 1 year (2017, November 1st-2018, October 31st). The etiology of ischemic stroke was defined at hospital discharge; ESUS was considered as a subset of cryptogenic stroke, and defined according to the 2014 international criteria. In the analyzed period, 306 patients, 52.3% females, mean age ± SD 77.9 ± 11.9 years, were discharged with diagnosis of ischemic stroke. Ischemic strokes of cardioembolic and lacunar origin were the most frequent subtypes: 30.1% and 29.4%, respectively. Cardioembolic strokes were particularly frequent in patients ≥ 75 years, and almost always associated with atrial fibrillation. Overall, in 80 patients (26.1%) the etiology of stroke was undetermined; in 25 (8.2%) it remained undefined because of death or severe comorbidity, making further diagnostic work-up not worthy. Cryptogenic stroke occurred in 55 patients (18%), and ESUS criteria were satisfied in 39 of them (12.7%). According to age, cryptogenic stroke was diagnosed in 21.1% (21.1% ESUS) of patients < 65 years, 24.2% (19.4% ESUS) of patients aged 65-74 years, 15.5% (9.2% ESUS) of patients ≥ 75 years. After diagnostic work-up, patent foramen ovale was most commonly associated with ESUS (17.9%), especially in patients < 65 years (62.5%); covert paroxysmal atrial fibrillation was detected in 10.5% of ESUS patients ≥ 75 years. In the real world clinical practice, the frequency of ischemic strokes of undetermined etiology, and of those satisfying ESUS criteria, is not negligible, especially in younger patients. A thorough diagnostic work-up, with an age-specific approach, is therefore necessary and of the utmost importance for the identification of stroke etiology, in order to optimize secondary stroke prevention strategies.
    MeSH term(s) Age Factors ; Aged ; Aged, 80 and over ; Brain Ischemia/diagnosis ; Brain Ischemia/epidemiology ; Brain Ischemia/etiology ; Female ; Follow-Up Studies ; Foramen Ovale ; Humans ; Intracranial Embolism/diagnosis ; Intracranial Embolism/epidemiology ; Intracranial Embolism/etiology ; Male ; Middle Aged ; Retrospective Studies ; Stroke/diagnosis ; Stroke/epidemiology ; Stroke/etiology
    Language English
    Publishing date 2019-09-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1230645-9
    ISSN 1573-742X ; 0929-5305
    ISSN (online) 1573-742X
    ISSN 0929-5305
    DOI 10.1007/s11239-019-01951-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system.

    Landi, Nicola / Manfredini, Daniele / Tognini, Francesco / Romagnoli, Mario / Bosco, Mario

    The Journal of prosthetic dentistry

    2004  Volume 92, Issue 2, Page(s) 190–195

    Abstract: Statement of problem: There is no consensus on the association between occlusion and temporomandibular disorders (TMD).: Purpose: The purpose of this study was to quantify the relative risk of multiple occlusal variables for muscle disorders of the ... ...

    Abstract Statement of problem: There is no consensus on the association between occlusion and temporomandibular disorders (TMD).
    Purpose: The purpose of this study was to quantify the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system.
    Material and methods: Eight occlusal features: retruded contact position (RCP) to maximum intercuspation (MI) slide length, vertical overlap, horizontal overlap, unilateral posterior reverse articulation, anterior open occlusal relationship, incisor dental midline discrepancy, mediotrusive interferences, and laterotrusive interferences, were clinically assessed by the same trained operator. The sample consisted of 81 women with a Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) axis I diagnosis of muscle disorder, for example myofascial pain, with or without limited opening, and 48 healthy women (control group). A stepwise multiple logistic regression was used to identify the significant associations between occlusal features and disease.
    Results: A slide from the retruded contact position to maximum intercuspation > or =2 mm and mediotrusive interferences were the only 2 occlusal features significantly associated with the presence of myofascial pain according to the RDC/TMD criterion symptoms. The odds ratio for myofascial pain was 2.57 for a slide from RCP to MI > or =2 mm and 2.45 for mediotrusive interferences. The percentage of the total log likelihood for myofascial pain explained by the significant occlusal factors amounted to 10.8% (Nagelkerke's R2=0.108). The multifactorial model, including the 2 significant occlusal factors, showed an acuracy to predict disease of 66.7% (sensitivity 71.6%; specificity 58.3%).
    Conclusion: Occlusal features showed a low predictive value to detect muscle disorders of the stomatognathic system. Multifactorial complex pathologies, such as TMD, should be studied using multivariate statistical analyses, as univariate models may overestimate some resulting associations.
    MeSH term(s) Adult ; Aged ; Dental Occlusion ; Dental Occlusion, Traumatic/complications ; Female ; Forecasting ; Humans ; Likelihood Functions ; Linear Models ; Logistic Models ; Malocclusion/complications ; Middle Aged ; Odds Ratio ; Risk Assessment ; Sensitivity and Specificity ; Temporomandibular Joint Disorders/etiology ; Temporomandibular Joint Dysfunction Syndrome/etiology ; Trismus/etiology
    Language English
    Publishing date 2004-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218157-5
    ISSN 1097-6841 ; 0022-3913
    ISSN (online) 1097-6841
    ISSN 0022-3913
    DOI 10.1016/j.prosdent.2004.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Ventriculostomy-related infections: a critical review of the literature.

    Lozier, Alan P / Sciacca, Robert R / Romagnoli, Mario F / Connolly, E Sander

    Neurosurgery

    2002  Volume 51, Issue 1, Page(s) 170–81; discussion 181–2

    Abstract: Objective: To provide a critical evaluation of the published literature describing risk factors for ventriculostomy-related infections (VRIs) and the efficacy of prophylactic catheter exchange.: Methods: A MEDLINE literature search was performed, and ...

    Abstract Objective: To provide a critical evaluation of the published literature describing risk factors for ventriculostomy-related infections (VRIs) and the efficacy of prophylactic catheter exchange.
    Methods: A MEDLINE literature search was performed, and data were extracted from studies published from 1941 through 2001.
    Results: Published criteria for diagnosing VRIs are highly variable. Intraventricular hemorrhage, subarachnoid hemorrhage, cranial fracture with cerebrospinal fluid leak, craniotomy, systemic infections, and catheter irrigation all predispose patients to the development of VRIs. Extended duration of catheterization is correlated with an increasing risk of cerebrospinal fluid infections during the first 10 days of catheterization. Prophylactic catheter exchange does not modify the risk of developing later VRIs in retrospective studies.
    Conclusion: Categorizing suspected cerebrospinal fluid infections as contaminants, colonization, suspected or confirmed VRIs, or ventriculitis more accurately describes the patient's clinical condition and may indicate different management strategies. A prospective, randomized clinical trial is required to further evaluate the efficacy of prophylactic catheter exchange in limiting the incidence of VRIs during prolonged catheterization. Although prophylactic catheter exchange remains a practice option, the available data suggest that this procedure is not currently justified.
    MeSH term(s) Catheters, Indwelling/adverse effects ; Cerebrospinal Fluid/microbiology ; Cross Infection/etiology ; Equipment Contamination ; Humans ; Meningitis, Bacterial/etiology ; Postoperative Complications/etiology ; Reoperation ; Risk Factors ; Ventriculostomy/instrumentation
    Language English
    Publishing date 2002-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1097/00006123-200207000-00024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Mood spectrum in patients with different painful temporomandibular disorders.

    Manfredini, Daniele / di Poggio, Adolfo Bandettini / Romagnoli, Mario / Dell'Osso, Liliana / Bosco, Mario

    Cranio : the journal of craniomandibular practice

    2004  Volume 22, Issue 3, Page(s) 234–240

    Abstract: The purpose of this study was to investigate for difference in the prevalence of mood disorders between patients with different painful temporomandibular disorders (TMD). After a sample size necessary for the study was calculated, 60 patients with a ... ...

    Abstract The purpose of this study was to investigate for difference in the prevalence of mood disorders between patients with different painful temporomandibular disorders (TMD). After a sample size necessary for the study was calculated, 60 patients with a painful TMD were selected and divided into the following groups: myofascial pain (n=20), temporomandibular joint (TMJ) pain (n=18), combined myofascial and TMJ pain (n=22). Two distinct comparison groups were selected: subjects with a nonpainful TMD (n=25) and TMD-free subjects (n=29). All participants filled out a self-report validated instrument (MOODS-SR) to evaluate psychopathological symptoms related to mood disturbances. A one-way analysis of variance (ANOVA) with Bonferroni's post hoc test for multiple comparisons was performed to investigate for significant differences among the groups. The three groups of patients with painful TMD scored significantly higher than comparison groups in all MOODS-SR domains investigating depression, but no difference was shown between subjects with myofascial pain and those with TMJ pain. No significant differences among the groups emerged for the presence of manic symptoms, indicating that depressive disorders associated with TMD are not an expression of a more complex manic depressive illness. The study concluded that the presence of depressive symptoms in TMD patients seems to be related to the presence of a painful condition and seems to be unrelated to the location of pain. Furthermore, depressive disturbances in painful TMD patients affect the whole spectrum of depressive psychopathology.
    MeSH term(s) Activities of Daily Living ; Adult ; Affect ; Analysis of Variance ; Arthralgia/psychology ; Bipolar Disorder/psychology ; Circadian Rhythm ; Cognition ; Depression/psychology ; Depressive Disorder/psychology ; Facial Pain/psychology ; Female ; Humans ; Male ; Mood Disorders/psychology ; Osteoarthritis/psychology ; Temporomandibular Joint Disorders/psychology ; Temporomandibular Joint Dysfunction Syndrome/psychology
    Language English
    Publishing date 2004-07
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 632570-1
    ISSN 2151-0903 ; 0886-9634
    ISSN (online) 2151-0903
    ISSN 0886-9634
    DOI 10.1179/crn.2004.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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