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      • KCI등재

        Assessment of swallowing and masticatory performance in obturator wearers: a clinical study

        Kamleshwar Singh,Sunit Kumar Jurel,Vijay Kumar,Balendra Pratap Singh,Niraj Mishra,Nungotso Vero 대한치과보철학회 2015 The Journal of Advanced Prosthodontics Vol.7 No.1

        PURPOSE To assess function by identifying changes in swallowing and masticatory performance in maxillary obturator prosthesis wearers. MATERIALS AND METHODS Sixty subjects were recruited for the study, of which 20 were obturator wearers, 20 were completely dentulous and 20 had removable partial/complete dentures with similar Eichner's Index. Swallowing ability was evaluated with and without obturator using the "Water Drinking Test"; Masticatory performance was evaluated with the Sieve test; and maximum occlusal force was recorded with the help of a digital bite sensor. The data was analyzed using the Statistical Package for Social Science version 15.0 with a confidence level at 95%. RESULTS Profile, behavior of drinking and time taken to drink were significantly improved (P<.001) in subjects after wearing obturator. Masticatory performance was not significantly different (P=.252) in obturator wearer when compared with dentulous or removable partial/complete denture wearer, but significantly (P<.001) high inter group difference in maximum occlusal force existed. Correlation between masticatory performance and maximum occlusal force was not significant (P=.124). CONCLUSION Swallowing ability was significantly improved after wearing obturator but masticatory performance was not significantly different from those having similar occlusal support zone in their dentition.

      • KCI등재

        Political Dynasties and Terrorism: An Empirical Analysis Using Data on the Philippines

        Ronald U. Mendoza,Jurel K. Yap,Gabrielle Ann S. Mendoza,Angelika Lourdes J. Pizarro,Georgi Engelbrecht 서울대학교 통일평화연구원 2022 Asian Journal of Peacebuilding Vol.10 No.2

        Political inequality may cultivate grievances against the government and eventuallyprovoke conflict. In the Philippines, this is reflected in the prevalence of politicaldynasties. Often these dynasties face deep conflicts of interest as they prioritizeclientelist ties over the public good, and act as bosses in their local constituencies. Through regression analysis, this paper finds robust statistical evidence that twoout of three measures of political dynasty persistence are positively associatedwith political violence. Results suggest that a concentration of power leads toweaker governance and worse development outcomes, excludes critical sectors,and ultimately provokes political violence. The study emphasizes the importanceof promoting checks and balances for more inclusive and peaceful development inemerging democracies such as the Philippines.

      • SCIESCOPUSKCI등재

        Assessment of the quality of life in maxillectomy patients : a longitudinal study

        Pradeep Kumar,Habib Ahmad Alvi,Jitendra Rao,Balendra Pratap Singh,Sunit Kumar Jurel,Lakshya Kumar,Himanshi Aggarwal 대한치과보철학회 2013 The Journal of Advanced Prosthodontics Vol.5 No.1

        PURPOSE. To longitudinally assess the quality of life in maxillectomy patients rehabilitated with obturator prosthesis. MATERIALS AND METHODS. Thirty-six subjects were enrolled in the span of 16 months, out of which six were dropouts. Subjects (age group 20-60 years) with maxillary defects, irrespective of the cause, planned for definite obturator prosthesis, were recruited. The Hindi version of European Organization for Research and Treatment of Cancer, Head and Neck version 1 of Quality of Life Questionnaire was used before surgical intervention and one month after definitive obturator. Questionnaire includes 35 questions related to the patient’ physical health, well being, psychological status, social relation and environmental conditions. The data were processed with statistical package for social science (SPSS). Probability level of P<.05 was considered statistically significant. RESULTS. The quality of life after rehabilitation with obturator prosthesis was 81.48% (±13.64) on average. On item-level, maximum mean scores were obtained for items problem with teeth (1.87 ± 0.94), pain in mouth (1.80 ± 0.92), trouble in eating (1.70 ± 0.88), trouble in talking to other people (1.60 ± 1.22), problems in swallowing solid food (1.57 ± 1.22) and bothering appearance (1.53 ± 1.04); while minimum scores were obtained for the items coughing (1.17 ± 0.38), hoarseness of voice (1.17 ± 0.53), painful throat (1.13 ± 0.43), trouble in having social contacts with friends (1.10 ± 0.40) and trouble having physical contacts with family or friends (1.10 ± 0.31). CONCLUSION. Obturator prosthesis is a highly positive and non-invasive approach to improve the quality of life of patients with maxillectomy defects.

      • SCIESCOPUSKCI등재

        Assessment of swallowing and masticatory performance in obturator wearers: a clinical study

        Vero, Nungotso,Mishra, Niraj,Singh, Balendra Pratap,Singh, Kamleshwar,Jurel, Sunit Kumar,Kumar, Vijay The Korean Academy of Prosthodonitics 2015 The Journal of Advanced Prosthodontics Vol.7 No.1

        PURPOSE. To assess function by identifying changes in swallowing and masticatory performance in maxillary obturator prosthesis wearers. MATERIALS AND METHODS. Sixty subjects were recruited for the study, of which 20 were obturator wearers, 20 were completely dentulous and 20 had removable partial/complete dentures with similar Eichner's Index. Swallowing ability was evaluated with and without obturator using the "Water Drinking Test"; Masticatory performance was evaluated with the Sieve test; and maximum occlusal force was recorded with the help of a digital bite sensor. The data was analyzed using the Statistical Package for Social Science version 15.0 with a confidence level at 95%. RESULTS. Profile, behavior of drinking and time taken to drink were significantly improved (P<.001) in subjects after wearing obturator. Masticatory performance was not significantly different (P=.252) in obturator wearer when compared with dentulous or removable partial/complete denture wearer, but significantly (P<.001) high inter group difference in maximum occlusal force existed. Correlation between masticatory performance and maximum occlusal force was not significant (P=.124). CONCLUSION. Swallowing ability was significantly improved after wearing obturator but masticatory performance was not significantly different from those having similar occlusal support zone in their dentition.

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