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Online nutritional disclosure of alcoholic beverages in South Africa is predominantly limited to alcohol by volume, with key nutrients omitted.

Authors: Cokile FN, Mamabolo MK, Molokomme K, Sibuyi N, Mukhovha W, Dlamini SN
Journal: Public health nutrition
mental health psychology open access

Abstract

Loss of any tissue in the maxillofacial region resulting from trauma, congenital deformities, infection, or ablative surgery has consequences that impact far more beyond physical impairment and functional disability affecting psychological well-being, social participation, and quality of life.[] The maxillofacial defects adversely affect the facial harmony, esthetics, speech, mastication, and frequently precipitate deep psychosocial sequelae in the form of reduced self-esteem, social withdrawal and anxiety. Quantifying psychosocial impact and documenting changes before and after rehabilitation is necessary to demonstrate the broader impact of prosthetic care and guide patient-centered planning. Contemporary maxillofacial prosthesis such as ocular, orbital, auricular integrates advanced silicone elastomers with digital workflows like 3D scanning and printing, as well as sophisticated retention systems to deliver realistic, comfortable, and stable outcome.[] These innovative advancements have improved patient compliance and may enable an enhanced social integration. Despite consistent reports of enhanced appearance, satisfaction and social functioning, systematic psychosocial measurement in this population remains sparse. The Psychosocial Impact of Assistive Devices Scale (PIADS) is a validated, device-neutral instrument that quantifies perceived changes in competence, adaptability, and self-esteem following assistive device use.[] It’s applicability across devices makes PIADS well suited for assessing psychosocial outcomes after maxillofacial and digital prosthetic rehabilitation. Employing PIADS or a concise PIADS-10 adaptation enables consistent pre- and postmeasurement and strengthens evidence for the psychosocial value of prosthetic rehabilitation. This case series put forth clinical outcomes and quantified psychosocial outcomes following maxillofacial prosthetic rehabilitation of the ocular and orbital region, complemented by a focused review of the literature to elucidate the outcome patterns and derive practical recommendations for optimizing both psychosocial and functional benefits.