Aesthetic Reasons Research Articles

Juvenile Xanthogranulomatosis in a Hemophilic Boy: Case Report

Juvenile Xanthogranulomatosis (JXG) is a condition, characterized by a proliferation of histiocytes, primarily observed in infants and young children. Cutaneous manifestations appear as yellow-orange-brown papules or nodules, typically localized on the face, neck, and upper chest. While most lesions regress spontaneously, some may require intervention for aesthetic, diagnostic, or hemorrhagic reasons. A rare case of disseminated JXG in a child with hemophilia has been reported. In this patient with severe hemophilia A, cutaneous nodules appeared, some associated with bleeding requiring appropriate management. Treatment included the administration of factor VIII to prevent bleeding during surgical procedures and secondary prophylaxis, to control recurrent bleeding. The outcome was favorable with the disappearance of the cutaneous lesions without sequelae, under regular surveillance for both medical conditions. This case highlights the rare association between juvenile xanthogranulomatosis (JXG) and hemophilia, a combination that has never been documented in the medical literature. This association only impacts the management of JXG when the cutaneous lesions bleed and their excision becomes necessary.

Immediate Placement and Loading of Maxillary Single-Tooth with Scalloped Shape Implants and Digitalized Customized Restoration: A 5-Year Prospective Study of Marginal Bone Level.

To evaluate, within a period of 5 years, the bone level in mesial, distal, palatal, and buccal areas around scalloped shape implants immediately placed and loaded with temporary crowns fixed on final prefabricated abutments, and also to evaluate the thickness of buccal bone. 18 implants were inserted and loaded immediately using computer-assisted design/computer-assisted manufacturing technology on 18 patients to replace single tooth in the esthetic part of the maxilla. The marginal bone level across the scalloped implant neck was measured mesially and distally using intraoral standardized radiographs after crown fixations and 1, 3, and 5 years later. Cone beam computed tomography para-axial cuts images were used to measure bone level buccally and palatally from the implant neck to the implant-to bone contact after 5 years of loading and to evaluate the thickness of the buccal bone at the implant neck and 4 mm apically, immediately after implant placement and 5 years later. All implants were assessed clinically and radiologically after 5 years. No implant failure was recorded, and the average marginal bone variation on mesial and distal sites was 0.114 ± 0.135 mm at crown cementation, 0.239 ± 0.158 mm 1 year later, 0.233 ± 0.182 mm 3 years later, and 0.180 ± 0.182 mm 5 years later. Our findings indicate that at T0, the average thickness of the buccal bone was 2.27 mm at implant neck M0 (ranging from 1.9 to 2.4) and 2.33 mm at 4 mm apically to the implant neck M1 (ranging from 1.9 mm to 2.9 mm). By T4, the mean had decreased to 1.94 mm at M0 (with a range of 1.7 mm to 2.3 mm) and 2.14 mm at M1 (with a range of 1.8 mm to 2.4 mm). After 5 years the mean changes at buccal and palatal bone for all implants were +0.187 ± 0.52 mm and +0.06 ± 0.38 mm respectively. Minor prosthetic problems were observed over the five years: incisal ceramic chipping occurred in two crowns, and two crowns were replaced for esthetic reasons after one year. No loosening of crowns or abutments was reported. Scalloped neck implants demonstrated a comparable behavior to regular neck implants with similar designs in an immediate implantation and temporization protocol over a five-year period.

Aesthetic selves as objects of interpersonal understanding

ABSTRACT This paper raises puzzles concerning our grasp of others’ aesthetic selves. I first articulate a conception of an aesthetic self, understood as an autonomously adopted orientation to objects of aesthetic value, encompassing the embrace of aesthetic reasons and the qualitative appreciative states that follow. This articulation is motivated by the commonplace observation that people’s aesthetic identities are important to them. Given this importance, we might think it salutary to grasp other people’s aesthetic selves, under the general auspices of ‘interpersonal understanding’. Given the conception of aesthetic selves, we might think that empathy is an appropriate way to do so. But, second, I argue that you can’t find out about another’s aesthetic self via empathy. We might instead think that aesthetic conversation is the way to grasp aesthetic selves. However, third, I argue that the aim of finding out about others’ aesthetic selves is at odds with the ostensible aims of aesthetic conversation, which are to do with effacing individuality and creating commonality. So aesthetic selves seem hard to grasp. I finally briefly canvass some ways of solving this problem, without settling on a firm answer, and consider how the thoughts might extend to practical identities more generally.

Beyond Sleep: Investigating User Needs in Today’s Bedrooms

This study investigates the current use of bedrooms to fill a knowledge gap in the existing sleep studies literature by focusing on user preferences and their needs. Despite substantial research into the optimal physical conditions for sleep, there remains a gap in understanding how individuals use their bedrooms today. As an initial step to bridge this gap, we employed a mixed-method research approach, integrating quantitative and qualitative data results. A survey including multiple-choice and open-ended questionnaire items was undertaken in Australia with 304 participants. Our research findings indicate that ‘having a separate bedroom in a house’ is the most common arrangement. However, other arrangements, such as living in a bedsit or sharing a bedroom, are indicators of diverse bedroom conditions. In total, 70% of respondents stated that they would like to make changes to their bedrooms for physical, functional, comfort-based, and aesthetic reasons, with comfort ranked as the highest. The majority of respondents stating they would not make any modifications in their bedrooms were found to be owner-occupiers. Mattress quality and privacy emerged as the most significant factors impacting the respondents’ bedroom experience, and female participants were reported to place higher importance on cleanliness compared to male participants. Additionally, preferences for sleeping alone or with a partner were found to shift with age. Based on our findings, we suggest that survey-based sleep studies should evaluate the bedroom arrangements before the individual’s sleep habits. Further studies are needed to understand how privacy needs influence sleep quality. From a built environment viewpoint, this study emphasizes the need to develop bedroom design solutions tailored to optimize bedroom conditions, particularly for rental tenants who often have limited control over the physical conditions of their sleep environment.

Green Roofs: Nature-Based Solution or Forced Substitute for Biologically Active Areas? A Case Study of Lublin City, Poland

Green roofs have become an increasingly popular feature in building design, driven by their bio-physical properties and aesthetic and recreational values. They serve as a key element in promoting the integration of Nature-Based Solutions (NBSs) in urban fabrics, aiming to enhance urban environments, mitigate climate impact, and create more sustainable urban spaces. Polish regulations mandate that investors maintain a designated proportion of biologically active areas, ensuring natural vegetation and rainwater retention. Green roofs fulfill this requirement and can serve as compensation for the loss of biologically active areas due to construction. Unfortunately, the regulations lack specificity regarding their construction. This study aimed to examine whether green roofs consistently represent NBSs, as frequently presented in the scientific literature, or rather serve as a legal substitute for biologically active areas. The research was conducted in Lublin, the ninth largest city in Poland. Field studies, analysis of planning documentation, and review of administrative decisions have revealed that the majority of green roofs in Lublin have a greenwashing character, meaning they were installed to meet urbanistic indicators rather than for climate, environmental, or aesthetic reasons. Such studies have not been conducted before in relation to local spatial development plans and administrative decisions in Poland, and they show that this approach does not contribute to increasing biodiversity on investment plots. Notably, the investor would be denied construction permits without the incorporation of green roofs. Consequently, this leads to the conclusion that not all green roofs fulfill the criteria of NBS, as not all ensure an increase in biodiversity. Therefore, legal provisions regarding their establishment should be revised and specified.

New developments in cosmetic applications of electromagnetic fields: Client and occupational hazard assessment.

Energy-based devices are used to improve features of appearance for aesthetic reasons while avoiding more invasive methods. Examples of treatment targets are the reduction of wrinkles, sagging, unwanted skin lesions, body hair and excess fatty tissue, and the enhancement of muscle tissue. One treatment modality is the use of electromagnetic fields (EMF, 0‒300 GHz). The present work aims to give an up-to-date survey of cosmetic applications of EMF for professional use with an assessment of client and worker exposure and possible adverse effects. A systematic search was conducted for peer-reviewed articles (2007-2022), patents, premarket notifications, manufacturer data, and adverse effects reports. Five categories of cosmetic EMF device with increasing frequency were identified: sinusoid low frequency magnetic fields for lipolysis; pulsed low frequency magnetic fields for skin rejuvenation; pulsed low frequency magnetic fields for muscle building; radiofrequency EMF for lipolysis or skin rejuvenation; microwaves for hair removal or hyperhidrosis. In the vicinity of the last four device categories, there is a potential for exceeding the occupational exposure limits in the European Union EMF Directive, which could lead to nerve or muscle stimulation, burns or overheating. There are also potential hazards for clients or workers wearing active or passive medical devices. The severity of reported adverse effects increases with EMF frequency.

Cranioplasty is not required in the reconstruction of small combined scalp and calvarial defects

BackgroundTreatment of scalp malignancies may include the need for craniectomy. The decision to perform cranioplasty is not straightforward and is frequently subjective. The purpose of this study was to assess the clinical outcomes after reconstruction of complex scalp and calvarial defects by comparing patients with and without cranioplasty. MethodsRetrospective review of the clinical records of a consecutive series of patients who underwent scalp soft tissue reconstruction after craniectomy for malignancy or osteoradionecrosis between 2014 and 2022 at Royal Melbourne Hospital was conducted. Demographics, previous treatments, surgical details, and post-operative complications were assessed. Traumatic injuries and decompressive craniectomies were excluded. Minimum follow-up of 6 months. ResultsThirty-seven patients were included in the study. Indications for surgery included skin malignancies, osteoradionecrosis, or both. There was one reconstructive failure (in the non-cranioplasty group). Infection and metalware exposure were common complications in patients who underwent cranioplasty (38.5%). No patient developed neurological symptoms subsequent to craniectomy. One patient needed revision surgery due to esthetic reasons (cranioplasty group). Transposition flaps were associated with more complications and revision procedures. ConclusionCombined scalp and calvarial defects pose a difficult reconstructive challenge. Stable soft tissue coverage is more reliably achieved with free flap reconstruction. Cranioplasty is not always mandatory and should be reserved for cases with a very large bony defect or when the defect is located in a cosmetically sensitive area.

A Review paper on seismic response of various slab systems with and without lateral load resisting systems

With the ongoing modern trends of the construction industry, slab systems like flat slab and post tensioned slabs are widely used in the construction. Flat and post tensioned slab are widely favored by architects and clients for aesthetic reasons. They also do possess a huge advantage structurally over conventional slab arrangement such as Less depth of the slab is required , increasing the floor-to-floor height , longer spans are possible , no beam projections , reduced self-weight of the building and many more. But it comes with its own disadvantages as well such as Brittle punching (shear) failure. Which requires additional reinforcement along the connections of column and slab. Which increases the longitudinal steel required. Slab – column connections are the first point of yielding in higher seismic zones with buildings without lateral load resisting system (LLRS). In higher seismic zones the slabs can resist only the gravity loads and can’t resist the lateral dynamic loading and hence may require additional lateral load resisting system (LLRS) to resist lateral loads such as seismic and wind loads. Thus it becomes essential to study the seismic behavior of conventional slab , flat slab and post tensioned slab systems in high rise RCC structure with and without various LLRS ( lateral load resisting system).This study is aimed to study various literatures related to effects of lateral loads on flat and post tensioned slab system and different LLRS (lateral load resisting system) to make the structure more resistant and economical against such lateral loads considering parameters like story displacement , base shear , stiffness of the connections and time period.

The Demands of Beauty: A Kantian Account of the Normative Force of Aesthetic Reasons

The Demands of Beauty: A Kantian Account of the Normative Force of Aesthetic Reasons

The reasons for seeking dental services from unqualified operators: A qualitative study

Dental services are widely available in Malaysia, but individuals are continuously reported seeking the services of non-dentist. This study was aimed at exploring the reasons for seeking dental services by individuals from unqualified operators. A qualitative study was carried out and recruited individuals who sought dental treatment from the operators. The participants were identified from the operators’ online advertisement, social media and using a snowball sampling method. Interviews were conducted face-to-face and through online meetings and recorded digitally. Structured, open-ended, and probing questions were asked using a list of topical guided questions. The recordings were transcribed, and thematic analysis was carried out using Atlas.ti Version 9. The eight participants included in this study had fitted orthodontic appliances and dental veneers, and tooth whitening services done by unqualified operators. The reasons were classified into two main themes. The dental aesthetic reasons are related to the dissatisfaction with teeth presentation including malocclusion, dental spacing and teeth whitening. The theme of non-dental related reasons is categorised into four subthemes: following the trend, cost of services, naïve and access to services. The reasons for seeking dental services from unqualified operators are multifactorial. Individuals who seek services from unqualified operators have a valid need for treatment, but their decision is strongly influenced by non-dental reasons, of which the high cost of treatment at private dental clinics and being naïve about dental services are likely the most important. More public campaigns should be done to educate and raise awareness on the issue to the public.

Orthodontic Pain and Dietary Impact Considering Age Groups: A Comparative Study.

(1) Background: orthodontic treatment can frequently be associated with discomfort and pain, a significant factor contributing to treatment discontinuation. (2) Methods: This study, conducted on 160 orthodontic patients across different age groups, aimed to explore the influence of age on patients' responses to treatment, particularly regarding changes in dietary patterns and weight loss. The patients were categorized into three age groups and assessed through a questionnaire about pain perception, pain latency, dietary changes, and weight loss associated with orthodontic appliances. (3) Results: Younger patients (6-12 years) reported lower pain levels, shorter pain latency and fewer alterations in dietary habits compared to adults (over 18 years). Females over 18 represented a significant portion of the sample, suggesting a self-driven inclination towards orthodontic treatment for aesthetic reasons. Fixed orthodontic appliances induced more significant pain than removable ones. Adults experienced more changes in dietary habits and weight loss than younger individuals. (4) Conclusions: the results provide valuable insights for orthodontic practitioners aiming to mitigate adverse effects and improve overall patient experience during treatment.

Induction of Reparative Dentin Following Pulpotomy with BiodentineTM at Four Week Follow up visit: A Case Report

Pulpotomy materials have been used in dentistry with the expectation of induction of reparative dentin for maintain of pulp vitality in mature permanent premolar tooth. However, few histopathological studies have been performed in vivo with healthy tooth. This study was perfumed to examine whether pulpotomy with calcium-silicate based BiodentineTM could induce reparative dentin formation without eliciting adverse side effects of premolar teeth, in vivo. In this study, pulpotomy was performed on upper left first premolar tooth (which is needed to extract for aesthetic reason) with BiodentineTM and then the quality and quantity of reparative dentin was assessing by histological analysis at 28 days. It was found that the thickness of reparative dentin formation was 1.4 ± 0.4 µm that completely covers the exposed pulp tissue. It can be concluded that BiodentineTM is capable to induce pulpal wound healing and reparative formation in the exposed teeth without affecting the normal function of the remaining pulp.

Socio-economic and gender dynamics influence on the parental decision-making process for children's orthodontic care - A study in Madinah, Saudi Arabia.

To investigate the socio-economic and personal factors that impact parental decisions regarding orthodontic treatment for their children in Madinah, Saudi Arabia. A digital self-administered questionnaire was employed to collect data from 414 parents, focusing on their motivations and barriers that influence their decision-making process regarding orthodontic treatment. Income level was the most significant factor in orthodontic decisions. Parents with higher incomes were twice as likely to choose orthodontic treatment for esthetic reasons compared to parents with middle incomes. The main incentive for seeking treatment was getting advice from dental professionals, with 60% of participants rating it as the most important factor. 34.5% of respondents identified cost as the main barrier, with middle-income parents being 151% more inclined to perceive it as a significant barrier compared to high-income parents. Gender dynamics revealed that mothers exhibited 48.9% greater concern regarding treatment costs compared to fathers, whereas fathers placed 2.105 times more importance on the orthodontist's reputation than mothers. Income levels, along with other socio-economic factors and gender dynamics, have a significant influence on parental decisions regarding orthodontic care. Personalized consultations that address these variations are crucial for improving communication between patients and practitioners and increasing the accessibility of treatment.

Analysis of the Heating of Steel Structures During Fire Load

During the preparation of our article, we present in detail the changes in the thermotechnical parameters of carbon steel and corrosion resistance during fire. After that, we present in detail the calculation of the heating of steel structures without fire protection. We feel this is important because it is not possible to provide stainless steel with fire protection for aesthetic reasons, and it is also not typical for thin-walled galvanized structures. We also present the calculation of structures with fire protection in detail and present the background for editing commonly used nomograms. Such a nomogram is also available in the literature, but it can be considered true with significant simplifications. During the practical planning, the applied fire protection regulations were highly standardized. Realizing that there is no design nomogram for these types of solutions, we created and published them in our article. The advantage of these is that the applicable design can also be found as the optimum of the designs considered to be potentially good. With this solution, we can save time during planning, and we can also get a more cost-effective solution for the fire protection cover. The advantage of the presented method is that, if required, the editing of the nomograms can be extended to other designs by knowing the material characteristics and the layer thickness. Another option of the presented method is that the solution can also be applied to special fire loads, and nomograms can be produced for them as well (e.g., hydrocarbon fires). Doi: 10.28991/ESJ-2024-08-01-01 Full Text: PDF

A 25-Year Retrospective Study on Prosthetic Rehabilitation with Bonded Ceramics of Patients with Amelogenesis Imperfecta.

To examine the long-term performance of bonded all-ceramic restorations, specifically veneers, in patients with amelogenesis imperfecta (AI). There are few studies of long-term outcomes using a minimally invasive procedure in these patients. This aspect is essential when treating young patients. All-ceramic restorations, especially veneers, offer a more tissue-preserving treatment but rely on successful bonding. However, due to the defect enamel in AI patients, the bond strength is lower. A retrospective evaluation of 40 subjects with AI (26 women, 14 men) was provided with a total of 360 bonded restorations (282 veneers, 78 crowns). The restorations were evaluated according to complications, survival, and success rate. The patients were observed up to 25.3 years (mean 15.4 ± 4.3 years). The mean age when receiving the restorations was 18.5 ± 4.2 years. In total, 59 (16.4%) restorations with prosthetic complications were made, 29 of which (8.1%) were remade (6 due to esthetic reasons, all in one patient) and 30 (8.3%) were recemented (60% caused by trauma). We found 11 teeth with caries and 3 with endodontic complications. The overall survival rate was 91.9%, and the overall success rate was 83.6%. Bonded all-ceramic restorations with no active retention in AI patients have excellent performance. The most common complications were debonding and fractures. The treatment should be based on individual indications and be preceded by a multidisciplinary approach.

Comparing both Open and Closed Techniques in Rhinoplasty

Rhinoplasty is a surgical technique used to restore and modify nasal tissues for both functional and aesthetic reasons. There are two primary methods for doing a rhinoplasty: open and closed. While both methods change the bone and cartilage, there are variations in the ways that the nasal components are reached. Both open and closed rhinoplasty have changed significantly over the past 20 years due to the introduction of various cartilage transplants, sutures, and improvements in surgical technology. Rhinoplasty is a very difficult procedure that calls for a high level of expertise and training from physicians. Because of the lifelong learning curve, the surgeon's skill set—rather than their technique—determines the best possible patient outcomes.

SEISMIC BEHAVIOR OF MULTI-STORIED RC BUILDING WITH RE-ENTRANT CORNER

Nowadays, buildings often feature irregular floor plans for functional, aesthetic, or economic reasons. Constructing earthquake-resistant structures in seismic areas, especially with irregular shapes like re-entrant corners, poses challenges. Such corners are common when maximizing limited space is a priority. In earthquakes, re-entrant corners in structures pose major vulnerabilities, causing stress concentration and torsion problems. The main aim of this paper is to develop finite element structural analysis models of 10, 12, and 15-storied L-shaped RC buildings with a re-entrant corner under different seismic zones using equivalent static analysis (ESA) and response spectrum analysis (RSA). This research also focuses on the overall behavior of analysis results (story drift, overturning moment, base shear, etc.) with the influence of re-entrant corner. It also investigates the performance of columns and beams near re-entrant corners as the number of stories increases in different seismic zones. For the current study, ETABS V19 is used. Models consider seismic, dead, and live loads. The Bangladesh National Building Code (BNBC) 2020 is used to examine the equivalent static analysis (ESA) and the response spectrum analysis (RSA) methods. It has been concluded from the study that re-entrant corner beams consistently exhibit the highest bending moments and torsion levels across all seismic zones. Similarly, re-entrant corner columns consistently demand the most axial force and rebar when compared to similar column types. Furthermore, the study identifies maximum stress levels in re-entrant corner slabs across all seismic zones.

An Exploration of How Practitioners Make Meaning in a Chinese Medicine Consultation and Treatment

Abstract In Chinese medicine, practitioners assess patients’ complaints, analyze their underlying problems, identify causes and come to a diagnosis, which then directs treatment. What is not obvious and not recorded in a consultation is the clinical reasoning process that practitioners use. The research filmed three practitioners in the UK while they conducted a consultation and treatment on new patients. The practitioners and researchers viewed the films and used them as aide-memoirs while the reasoning process throughout was discussed. In order to determine the pattern, practitioners used the four examinations to gather information from the patient in an iterative process; their aesthetic reasoning was highly developed. Through triangulation they checked the information they received against a detailed understanding of the qi-dynamic. They used highly analytical strategies of forward (inductive) and backward (deductive) reasoning against the prototypes of the signs and symptoms that indicate a specific Zheng. This was achieved through an abductive process that linked description with explanation and causal factors with pathological mechanisms. The feedback loop with the patient continued through the consultation and into the treatment. A process of translation and interpretation was needed to turn the patient’s story into the practitioner’s story of qi-dynamics that then directed the treatment. Awareness of our clinical reasoning process will mitigate against biases, improve our diagnoses and treatment choices and support the training of students.

Effects of urban tree pruning on ecosystem services performance

Pruning represents the main tree care activity in cities, where it is carried out to reduce wind-break risk, to ensure road visibility, to reduce infrastructure interactions and damages, and last but not least, for aesthetic reasons. However, pruning is also proven to increase tree susceptibility to disease and it can potentially affect their capacity to provide ecosystem services (ES). This study aims to assess the effect of three different life-long pruning scenarios on urban trees PM10 capture and CO2 stock performance. The total carbon balance of twelve tree species (Acer platanoides L., Cedrus spp., Celtis australis L., Cupressus arizonica Greene, Cupressus sempervirens L., Pinus halepensis Mill., Pinus nigra J.F. Arnold, Pinus pinea L. Platanus hybrida Brot., Populus nigra L. var. 'Italica', Quercus ilex L., and Tilia cordata Mill.) was evaluated, including the disposal of the pruning residues of the trees. In all management scenarios studied, pruning represented an opportunity to increase the crown Carbon stock up to 65 %, taking into account the full reestablishment of the crown. The results suggest considering more frequent and less intense ordinary pruning scenarios as a preferable tree management strategy to optimise the tree ES performance and minimise branch dieback occurrence. In addition, the analysis carried out on four different waste wood disposal methods showed that the open dump scenario was the lowest CO2 eq re-emission choice.

Clinical Evaluation of Maneuverability and Durability of Titanium Nitride-coated Preformed Crown on Primary Molar Teeth: A Randomized Controlled Trial.

The management of multisurface carious primary molar is challenging. Currently, the ideal choice for the management of extensive multi-surface carious primary molar is the placement of a preformed stainlesssteel crown (SSC)/preformed zirconia crown. Unfortunately, conventional preformed SSCs are frequently refused by parents for esthetic reasons, while the preformed zirconia crown has its own disadvantages like high cost and excessive tooth preparation. To evaluate the maneuverability and durability of titanium nitride-coated crowns on primary molar teeth and to assess the child-parent satisfaction of titanium nitride-coated gold-colored preformed crowns over metal-colored preformed SSC on primary molar teeth. Randomized controlled trial conducted on children between the age-groups of 6- and 9-year-old children. Group I for titanium nitride-coated preformed crown and group II for preformed SSC (control group) were allotted with a simple random technique. The maneuverability of the titanium nitride-coated crowns was evaluated in comparison with preformed SSC in terms of the level of difficulty while trimming, contouring, crimping, and wearing out of titanium nitride coating while manipulating. Participants of group I were recalled for follow-up in the 1st, 6th, and 12th months to evaluate the durability of the titanium nitride coating on the preformed crowns. There were no failures at the 12-month follow-up in terms of the durability of the titanium nitride coating, and there was no significant difference seen in terms of the maneuverability of both crowns. Overall, child-parent satisfaction was good with gold-colored titanium nitride-coated crowns. The study concluded that titanium nitride-coated gold crowns could be a boon to pediatric dentistry and serve as an alternative to metal-colored SSCs. Vundela RR, Gupta N, Balamurugan S, et al. Clinical Evaluation of Maneuverability and Durability of Titanium Nitride-coated Preformed Crown on Primary Molar Teeth: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2023;16(S-3):S263-S267.