Medicine and Health Sciences Commons^™

Evaluation Of The Occlusion And Maxillary Dental Arch Dimensions In The Mixed Dentitions Of Yemeni Population, Ahmed A. Madfa

Ahmed A. Madfa

Determination the dental arch dimensions in human populations is necessary for various fields of dental sciences. This study was designed to evaluate the maxillary dental arch dimensions of Yemeni children aged (10-12) years. The sample was gathered from primary and intermediate school in Sana'a city, Yemen. Clinical examination was performed on 200 subjects (100 males and 100 females) that fulfillment the criteria of this study. The examination was carried out for subjects that have either normal occlusion or class I with anterior dental crowding. Pairs of studying models for the dental arch was constructed and evaluated by special software for …

Prevalence Of Dental Anxiety And Fear Among Medical Students At University Of Thamar, Ahmed A. Madfa

Ahmed A. Madfa

Background/purpose: Fear from dental treatment is widespread distressing problem for the dentist. Anxiety may have an impact to the dentist-patient relationship and it may cause to misdiagnosis. Therefore, this study aimed to assess the levels of dental anxiety and fear among medical students at University of Thamar.Materials and methods: Dental anxiety scale (DAS) and Dental Fear Survey (DFS) were completed by one hundred undergraduate medical students. Cross-tabulations were applied to determine the levels of DAS and DFS. Pearson’s correlation was used to analyse the association among the dental anxiety measurements. Pearson’s correlation also was used to investigate the association between …

Aca Implementation In The South: The Political Economy Of Full Participation In Kentucky, Glen P. Mays

Glen Mays

This analysis, conducted as part of the ACA Implementation Research Network, examines economic and political forces shaping Kentucky's early experience with implementation of the Patient Protection and Affordable Care Act.

Impression About Healthcare Services At Medical Hospitals In Dhamar City, Yemen, Ahmed A. Madfa

Ahmed A. Madfa

Health systems consist of all the people and actions whose primary purpose is to improve health. It is therefore urgent to assess current performance and to judge how health systems can reach their potential. This cross sectional study was conducted in Dhamar city, Yemen to assess the impression about level of the healthcare services. About 240 subjects agreed to participate in this study but analysis was carried out on 194 subjects who provided complete data on the variables of interest to this study. Participates satisfaction was measured using a semi-structured worker/patient judgments questionnaire. Participates were asked to supply the following …

Supporting Children With Disabilities At School: Implications For The Advocate Role In Professional Practice And Education, Stella Ng Phd

Stella Ng PhD

Purpose: School settings are a common practice context for rehabilitation professionals; health advocacy is a common and challenging practice role for professionals in this context. This study explored how pediatric practitioners advocate for children with disabilities at school. Specifically, we examined everyday advocacy in the context of school-based support for children with disabilities.

Method: Our theoretical framework and methodological approach were informed by institutional ethnography, which maps and makes visible hidden social coordinators of work processes with a view to improving processes and outcomes. We included families, educators, and health/rehabilitation practitioners from Ontario. Of the 37 consented informants, 27 were …

Treatment Of Ebola Virus Disease., Paul E. Kilgore, Jd Grabenstein, Am Salim, M Rybak

Paul E. Kilgore

In March 2014, the largest Ebola outbreak in history exploded across West Africa. As of November 14, 2014, the World Health Organization has reported a total of 21,296 Ebola virus disease (EVD) cases, including 13,427 laboratory-confirmed EVD cases reported from the three most affected countries (Guinea, Liberia, and Sierra Leone). As the outbreak of EVD has spread, clinical disease severity and national EVD case-fatality rates have remained high (21.2-60.8%). Prior to 2013, several EVD outbreaks were controlled by using routine public health interventions; however, the widespread nature of the current EVD outbreak as well as cultural practices in the affected …

Clinical Evaluation Of A Loop-Mediated Isothermal Amplification (Lamp) Assay For Rapid Detection Of Neisseria Meningitidis In Cerebrospinal Fluid, Paul E. Kilgore

Paul E. Kilgore

BACKGROUND: Neisseria meningitidis (Nm) is a leading causative agent of bacterial meningitis in humans. Traditionally, meningococcal meningitis has been diagnosed by bacterial culture. However, isolation of bacteria from patients' cerebrospinal fluid (CSF) is time consuming and sometimes yields negative results. Recently, polymerase chain reaction (PCR)-based diagnostic methods of detecting Nm have been considered the gold standard because of their superior sensitivity and specificity compared with culture. In this study, we developed a loop-mediated isothermal amplification (LAMP) method and evaluated its ability to detect Nm in cerebrospinal fluid (CSF). METHODOLOGY/PRINCIPAL FINDINGS: We developed a meningococcal LAMP assay (Nm LAMP) that targets …

Aca Implementation In Kentucky: Experiences Of An Expansion State, Glen P. Mays

Glen Mays

Kentucky's implementation of the Affordable Care Act has included early successes with insurance coverage expansion through Medicaid and a state-operated health insurance exchange. Signals of improvements in health care accessibility and delivery of preventive services are evident in the first year after coverage expansions. Challenges associated with political opposition, delivery system transformation, and public health financing remain on the state's policy agenda.

Comparative Report Of Results From The Multi-Network Practice And Outcome Variation Examination Study (Mprove), Glen P. Mays, Lava Timsina

Glen Mays

This comparative report displays results from the Multi-Network Practice and Outcome Variation Examination (MPROVE) Study. Funded by the Robert Wood Jonhson Foundation and conducted through Public Health Practice-Based Research Networks (PBRNs) in 6 states, this study profiles geographic variation in the implementation of public health activities for chronic disease prevention, communicable disease control, and environmental health protection. The report shown here was customized for each local public health setting participating in the study.

Odontogenic Keratocyst Mandible An Interesting Case Report And Literature Review, Balasubramanian Thiagarajan, Geetha Ramamoorthy

Balasubramanian Thiagarajan

The term odontogenic keratocyst was first described by Philipsen in 1956. This cyst actually arises from the cell rests of dental lamina. It can occur anywhere in the jaw but is commonly seen in the posterior part of the mandible. Since the clinical features and radiological appearance are not characteristic this condition is commonly misdiagnosed. This is more so when the lesion is related to the nonvital tooth. Odontogenic keratocyst has been rechristened as keratocystic odontogenic tumor by WHO working group in 2005. This was necessitated to differentiate this lesion from its orthokeratinizing variant which is currently considered as odontogenic …

Implementation Of The Affordable Care Act: Kentucky Round I Field Network Study Results, Julia Costich, Glen P. Mays

Glen Mays

This multi-state field study uses a large interdisciplinary network of policy and services researchers to examine and compare the implementation of the Affordable Care Act (ACA) in states across the US. This first field report for Kentucky examines key design and decision-making factors for the ACA's coverage expansion components.

Perspectives For Titanium-Derived Fillers Usage On Denture Base Composite Construction, Nidal Elshereksi

Nidal Elshereksi

Poly(methyl methacrylate) (PMMA) is an extensively used material in dentistry because of its aesthetics, processability, and reparability. However, PMMA is still far from being ideal in fulfilling the mechanical requirements of prosthesis. PMMA-based denture base polymers exhibit low fracture resistance and radiopacity behavior. Efforts to improve the mechanical and radiopacity properties of denture base materials through inclusion of silica-based fillers are ongoing. Although silane-treated siliceous fillers are commonly used, they are not sufficiently strong.They also exhibit cracks, which either cut through the glass fillers or propagate around the filler particles. This defect occurs when the dental composites are placed in …

Dental Hygiene Intervention To Prevent Nosocomial Pneumonias, Journal Of Evidenced Based Dental Practice (2014), Caren M. Barnes

Caren M Barnes

Nosocomial and ventilator associated pneumonias that plague critically ill, elderly and long-term care residents could be reduced with effective oral hygiene practices facilitated collaboratively between nurses and dental hygienists. Background Nosocomial pneumonias, specifically aspiration pneumonias and ventilator-associated pneumonias in the elderly and infirm have become a major health care issue, The provision of oral care in hospital and hospital-like facilities presents challenges that can prevent patients from receiving optimal oral care. One sequela can be aspiration pneumonia which ranks first in mortality and second in morbidity among all nosocomial infections. Since aspiration pneumonia is linked to the colonization of oral …

Electronic Health Records: Cure-All Or Chronic Condition?, Chris Kimble

Chris Kimble

Computer-based information systems feature in almost every aspect of our lives, and yet most of us receive handwritten prescriptions when we visit our doctors and rely on paper-based medical records in our healthcare. Although electronic health record (EHR) systems have long been promoted as a cost-effective and efficient alternative to this situation, clear-cut evidence of their success has not been forthcoming. An examination of some of the underlying problems that prevent EHR systems from delivering the benefits that their proponents tout identifies four broad objectives - reducing cost, reducing errors, improving coordination and improving adherence to standards - and shows …

Endodontic Repair Filling Materials: A Review Article., Ahmed A. Madfa

Ahmed A. Madfa

The emergence of Mineral Trioxide Aggregate (MTA) as endodontic repair filling material has generated a lot of interest due to its superior sealing ability and biocompatibility. Although MTA possesses superior sealing ability to traditional endodontic repair filling materials, such as calcium hydroxide, but it has poor handling characteristics. A novel endodontic repair filling materials with similar chemical composition, but improved handling characteristics, was recently developed. Recently, BioAggregate repair filling materials is claimed as biocompatible material and promotes cementogenesis and forms a hermetic seal inside the root canal. More recently, Biodentine and EndoSequence endodontic repair materials introduced to the market. Both …

Use Of Zirconia In Dentistry: An Overview., Ahmed A. Madfa

Ahmed A. Madfa

Due to an increasing interest in esthetics and concerns about toxic and allergic reactions to certain alloys, zirconia was proposed as a new ceramic material in the later part of 20th century. It has become a popular alternative to alumina as biomaterial and is being used in dental applications for fabricating endodontic posts, crown and bridge restorations and implant abutments. It has also been applied for the fabrication of esthetic orthodontic brackets. This article presents a brief history, dental applications and new methods for fabrication of zirconia improving its mechanical properties. Additionally, the bonding between zirconia and resin cements as …

Oral Health Access And Service Utilization Of Foster Care Alumni, Ann Carrellas, Angelique G. Day

Angelique G Day

This mixed method study examines factors related to poor access to oral health care of young adults who have transitioned from foster care. Foster youth who left care without support were 4.7 times more likely and young women were 3.4 times more likely to have unmet dental needs. Interviews and focus groups supported the lack of oral health care many of these youth experience upon exiting foster care. Most states’ Medicaid programs do not provide comprehensive dental care for adults past the age of 20 and this is not changed by the Patient Protection and Affordable Health Care Act of …

Thermal Characterisation Of Poly(Methyl Methacrylate) Filled With Barium Titanate As Denture Base Material, Nidal Elshereksi

Nidal Elshereksi

No abstract provided.

Impact Of A Logistics Management Program On Admitted Patient Boarders Within An Emergency Department, Mary Ann Healy-Rodriguez, Rula Wilson, Chris Freer, Laura Pontiggia, Stephen Metraux, Lyndsey Lord

Stephen Metraux

Introduction: ED crowding is a public health issue, and hospitals across the country must pursue aggressive strategies to improve patient flow to help solve this growing problem. The logistics management program (LMP) is an expansion of the bed management process to include a systematic approach to patient flow management throughout the facility and a clinical liaison or field agent to drive throughput at all points of care. The purpose of this study was to examine the effects of an LMP on ED length of stay (ED evaluation times and ED placement times), as well as inpatient length of stay (IPLOS). …

C.A.R.E.S. (Canine Arthritis, Rehabilitation, Exercise, And Sports Medicine) Newsletter, Darryl L. Millis

Darryl L. Millis

No abstract provided.

Text 4 Health: Addressing Consumer Health Information Needs Via Text Reference Service, Van M. Ta Park

Van M. Ta Park

This study seeks to provide empirical evidence about how health-related questions are answered in text reference service in order to further the understanding of how to best use texting as a reference service venue to fulfill people’s health information needs. Two hundred health reference transactions from My Info Quest, the first nation-wide collaborative text reference service, were analyzed identify the types of questions, length of transactions, question-answering behavior, and information sources used in the transactions. Findings indicate that texting-based health reference transactions are usually brief, and cover a wide variety of topics. The most popular questions are those seeking general …

The Public Health Pbrn Program: A Summative Report, Glen P. Mays

Glen Mays

This report provides a six-year summary of the work of the Public Health Practice-Based Research Networks Program, supported by the Robert Wood Johnson Foundation.

Providing Pathways To Coverage: A Case-Evaluation Of The Outreach And Enrollment Model At A Federally Qualified Health Center Network In South Central Florida., Jodi Ray, Margeaux A. Chavez

Margeaux A Chavez

Objectives: Assess the outreach and enrollment strategies implemented by Florida Community Health Centers, Inc. (FCHC) to enroll eligible but not insured community members in Medicaid and other benefits programs.

Methods: Researchers conducted semi-structured interviews with 24 staff members and patients, conducted ethnographic observations, administered a short staff survey, and collected outreach related print materials for analysis. FCHC, Inc. provided enrollment numbers to compliment qualitative interview data about the program’s impact. Data were analyzed using Atlas.ti.

Results: Results suggest that FCHC’s outreach and enrollment model increases healthcare access for eligible, low-income and hard-to-reach patients in their service area who face barriers …

An Assessment Of Dental Students’ Empathy Levels In Malaysia, Saad A. Khan Dr

Saad A Khan Dr

No abstract provided.

Clinical Examination Techniques In Otology Edition Ii, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

The e book discusses the various techniques used in the diagnosis of otological disorders

A Cheesy Affair! - Report Of A Case Of An Epidermoid Cyst Of Parotid, Balasubramanian Thiagarajan, Srikamakshi Kothandaraman

Balasubramanian Thiagarajan

This article is a report of a case of epidermoid cyst of the deep lobe of the left parotid, being reported and described for the benefit of the readers in view of the rarity of the condition.

Mprove Measure Compilation Template, Glen Mays

Glen Mays

This template provides the data element layout and structure for compiling measures of local public health service delivery collected through the Multi-Network Practice and Outcome Variation Examination Study (MPROVE).

Odontogenic Cysts Of Upper Jaw An Analysis, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This article attempts to analyze all cases of odontogenic cysts involving upper jaw who presented at Stanley Medical college during 2007 – 2012. This article analyzes the incidence of these cysts during the above said period, age of occurence, sex prediliction if any, clinical presentations and optimal treatment modality. Common complaints with which patients presented to our Institution was swelling over jaw, next was loosening of dentition, paresthesia. 30 patients had presented with cysts involving upper jaw out of which 29 were females and one was male. All these patients underwent surgical removal of the cystic lesion.

Faciomaxillary Trauma An Update, Balasubramanian Thiagarajan

Balasubramanian Thiagarajan

This supplement of otolaryngology online journal covers the topic of Faciomaxillary trauma. Topics covered include fractures involving nasal bones, zygoma, maxilla and frontal bones. The entire discussion is from the perspective of otolaryngologist.

Advantage Of Combined Amalgam-Composite Restoration: In Vitro Leakage Study, Ahmed A. Madfa

Ahmed A. Madfa

Purpose: Evalute the leakage of Class II box composite restorations and compared with composite lined by flowable composite and combined amalgam-composite restoration. Method: Fifty-four Class II box shaped cavities were on the distal (1 mm below CEJ) surfaces, 18 cavities for each. Scotchbond Multi-Purpose adhesive system, Filtek Z250 composite, and a metal band system were used for all. After thermocycling test (1000 cycles, 5–55°C with 30 s) and dye immersion, the teeth were sectioned longitudinally in a mesio-distal direction and dye penetration was recorded. Results: Combine amalgam-composite restorations showed less gingival leakage than composite alone and composite lined by flowable …