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Biomedical subjects

K Storhaug

Publications and source records attributed to K Storhaug.

33 records · Page 2Linked to original sources

Caries experience of disabled school-age children.

A group of 415 disabled school-age children representing 10 different disabling conditions (hereafter called diagnostic groups) were examined and DMFT registered. Parents were interviewed about problems and habits relevant to dental health. The purpose was to study the relationship between different background variables and DMFT. It was assumed that the DMFT might have been influenced by both various predisposing conditions and factors of everyday life. Therefore two indices were made. A multiple classification analysis (MCA) was used to assess the relative importance of different background variables. Age, mother's education, everyday life factors and diagnosis were the variables showing the strongest association with DMFT. Children with juvenile rheumatoid arthritis, epilepsy and cystic fibrosis had a higher DMFT than the other diagnostic groups.

Activities of Daily Living↗

Incisor and jaw relationship in 27 persons with osteogenesis imperfecta.

The incisor relation and craniofacial morphology, as evaluated from lateral cephalograms, were studied in 14 women and 13 men with osteogenesis imperfecta. A negative overjet was found in one woman and five men, and for the total material a mesial basal jaw relationship was observed. Data for both women and men indicated that skeletal discrepancies had been partially compensated for by the incisor inclination. Probably, persons with osteogenesis imperfecta may be regarded as a potential high-risk group for development of malocclusion.

Adolescent↗

Family-focused services for children with rare disorders, exemplified by bladder exstrophy. A Norwegian national health program.

Families of children with rare disorders have many experiences in common, as well as special problems related to the specific disorder. This paper presents Frambu Health Centre and the family-focused services offered to patients with bladder exstrophy during the first information and treatment course arranged for this group at the Centre. Main areas of concern as reported by the families are presented.

Adolescent↗

Caries experience in disabled pre-school children.

The parents of 436 disabled pre-school children were interviewed about habits and problems relevant to dental health. The children, who represented 10 different disabling conditions, were examined and dmft registered. The purpose was to study the relationship between different background variables and caries experience. The dmft score was analyzed in accordance with several sociocultural, medical, and habitual variables, using a multiple classification analysis (MCA). The number of daily carbohydrate intakes, duration of use of nursing bottle, family income, and diagnosis were the variables with the strongest association with dmft. Children with congenital heart disease, asthma, and cystic fibrosis had a considerably higher adjusted dmft than the other diagnostic groups. The proportion of children with caries experience was higher in the present survey than in groups of Norwegian children of corresponding age.

Bottle Feeding↗

Determinants of receipt of assistance benefit and welfare services in a group of disabled adults in Norway.

A survey of 472 chronically ill and disabled Norwegian adults with four different main diagnoses (asthma/allergy, hemophilia, osteogenesis imperfecta and rheumatic disease) was carried out during a period of 3 years. The purpose was to analyse the factors influencing their use of available Social Insurance and Welfare services. The participants were interviewed and their medical records studied. Compared to the total population their level of education was lower and fewer were active in the work force. Available social insurance benefits had been obtained by almost half of the patients with hemophilia and osteogenesis imperfecta, but very few with asthma/allergy and rheumatic disease. Patients with high family income and/or high educational level had received relatively more social insurance benefits than others. Men had obtained more benefits than women and young patients more than the older ones. The need for practical welfare services was high, particularly in families where a parent or daughter looked after the patient, where the patient had several additional diagnoses, and among the female patients. There was a higher unmet need for welfare services among patients suffering from asthma/allergy and rheumatic diseases than among those with hemophilia and osteogenesis imperfecta. There were marked regional differences in the granting of both social insurance and welfare services.

Adult↗

Aspects of living conditions among groups of disabled children and their families in Norway: family situation, mothers' health, financial assistance.

A survey of 875 disabled children in Norway aged 0-19, representing ten different disabling conditions, was carried out between January 1976 and December 1978. Parents of the disabled children were interviewed, medical records studied and the children examined. Mother's age, level of education, presence of disabled siblings, spouse's education and profession as well as emergency situations related to the disabled child's condition appeared to be factors influencing the mother's health and therefore inevitably the family's ability to cope with the situation. Social insurance seemed to have been granted in a rather haphazard way; only families of children suffering from hemophilia, mental retardation, spina bifida and cerebral palsy seemed to have received fairly adequate social insurance benefits. Families of children suffering from juvenile rheumatoid arthritis, asthma, congenital heart disease and epilepsy had received less social insurance assistance than those in the other groups. One-parent families had received more social insurance than others. Families with children who were totally dependent on their parents, who had several diagnoses or had spent much time in hospital, had also been granted more social insurance. Welfare benefits distributed by local authorities had mainly been given to families who were also receiving social insurance benefits and to families of children with brain damage. Almost half of all families expressed needs for welfare benefits which had not been met. Thus, there seemed to be an underconsumption of both social insurance and welfare benefits, particularly among some diagnostic groups.

Adolescent↗

Temporomandibular joint involvement and dental occlusion in a group of adults with rheumatoid arthritis.

The temporomandibular joint (TMJ) and dental occlusion were investigated clinically and radiographically in 59 patients aged 23-83 (mean, 58) years with general joint disease. Forty-nine had rheumatoid arthritis (RA), mostly of long duration. The patients were divided into four groups by type of dentition. Radiographic TMJ abnormality was found in about 4 of 5 patients with RA, in both the dentate and the edentulous group. The abnormality was mainly destructive with productive signs, but in the edentulous group erosive and asymmetrical changes occurred more often. Almost complete restriction of the condylar translation and severely restricted mouth opening (less than or equal to 30 mm) rarely occurred, although the translatory motion was restricted in several patients. Many of these had a satisfactory mouth opening (greater than 40 mm). Occlusal changes-various degrees of anterior bite opening-were reported by about one fourth of both the dentate patients and the complete denture wearers. One patient had occlusal contact on the second molars only. Anterior bite opening occurred only in patients with radiographic TMJ abnormality, including 5 of the 6 patients with complete mandibular head destruction.

Adult↗

Frambu Health Centre: promoting family focused care for disabled children.

During the last 30 years the Frambu Health Centre has evolved from a summer-camp site for children with poliomyelitis to a modern information and treatment Centre for families with disabled members. Since 1976, fortnightly courses have been held for an increasing number of patients with rare, often congenital and/or hereditary disorders (anorectal anomalies, bladder extrophy, congenital heart defects, cystic fibrosis, severe diabetes, hemophilia, hip joint defects, juvenile rheumatoid arthritis, minimal brain dysfunction, muscular dystrophy, phenylketonuria, psychosis/autism, spina bifida, Huntington's chorea, osteogenesis imperfecta, retitinitis pigmentosa, a. o.). This article describes the facilities, operation, financing and staff at Frambu. An outline of the course programme is given. The contents of two research projects carried out at Frambu are described. When families with rare disorders meet for the first time, new perspectives open up. Exchange of experience and feelings, establishing lay organizations, collating and distributing information to professionals and families are some of the important results of the Frambu courses.

Child↗

Dental caries and periodontitis in persons with Down syndrome.

In a central institution for persons with mental retardation, the dental status in 30 adult patients with Down syndrome was compared with that in a carefully selected group of gender- and age-matched mentally retarded patients. This investigation showed an increased frequency of periodontitis in the population with Down syndrome. The caries rate, however, did not differ demonstrably between the groups. Edentulism was more frequent in patients with Down syndrome than in controls, and this fact may substantiate the observation of increased frequency of periodontitis. Caries seems to be less prevalent in institutionalized patients with mental retardation than in the population at large.

Adult↗

Salivary secretion and oral health in narcolepsy: a pilot study.

Complaints of dry mouth and poor dental health are common in persons with narcolepsy. The aim of this study was to investigate whether salivary secretion is reduced in narcolepsy. Persons using tricyclic anti-depressants (TCAs) were excluded, since TCAs are known to reduce salivary secretion. Thus, two patient subgroups were studied, one on central stimulant (CS) treatment (medicated group, n = 12), and one unmedicated group (n = 8), representing all persons with narcolepsy living in the Oslo area meeting these criteria. The survey group and 20 age- and sex-matched healthy control persons without symptoms of dry mouth were examined with respect to the following parameters: unstimulated (UWS) and chewing-stimulated (SWS) whole salivary flow rates, citric-acid-stimulated parotid and submandibular flow rates, buffering effect, and number of some aciduric micro-organisms in the oral cavity. As a group, persons with narcolepsy had lower whole salivary flow rates, a lower buffering effect, and higher Candida albicans scores than the control group. When the patients were divided into the medicated and unmedicated groups, these differences were valid only for the medicated group. Whether the observed differences were effects of CS medication or reflected that these persons were more seriously affected by the disease has to be further explored.

Adolescent↗

Malocclusion patterns in fourteen children with Duchenne's muscular dystrophy.

The purpose of this investigation was to determine whether this myogenic disorder produces a specific pattern of malocclusion. Occlusal relationships, dental arch dimensions, and oral muscular function and morphology were recorded for fourteen boys, aged 8 to 15 years. In all children, a consistently increased arch width indicated oral function patterns that were specific for patients with this type of muscular dystrophy.

Adolescent↗