Medicine and Health Sciences Commons^™

What The ‘One Big Beautiful Bill’ Means For Dentists, John Looby Cpa, Theodore C. Schumann Ii Mba, Msf, Cfp, Aif

The Journal of the Michigan Dental Association

Executive Summary: The One Big Beautiful Bill (OBBB), signed July 4, 2025, significantly impacts dentists by extending and making permanent many 2017 tax policies. Key tax changes include permanent tax rates, an increased state and local income tax (SALT) cap, and new deductions for seniors, qualified tips, overtime wages, charitable donations, and auto loan interest. The qualified business income deduction is now permanent, and first-year bonus depreciation is restored. New "Trump Accounts" are established for children. Crucially, the OBBB introduces $50,000 annual and $200,000 lifetime caps on professional degree student loans, effective July 2026, and establishes the Repayment Assistance Plan …

Dentistry And The Law: Length Of Covenants Not To Compete, Dan Schulte Jd

The Journal of the Michigan Dental Association

This article clarifies the distinct legal standards for covenants not to compete in Michigan, particularly relevant for dentists selling their practice and remaining employed. A covenant in an employment agreement is enforceable if "reasonable," typically limited to two to three years and the employer's patient draw area. In contrast, a covenant within a purchase agreement, considered a commercial contract, is judged under a more lenient "rule of reason" standard. This standard is easier to satisfy, requiring only that the covenant does not adversely impact the relevant market. Consequently, purchasers often use the purchase agreement to impose harsher, longer-term restrictive covenants.

Guest Editorial: Who’S Special Now?, Michael Maihofer Dds

The Journal of the Michigan Dental Association

This editorial discusses a controversial change in Michigan's dental specialty advertising law, which occurred in 2020. Previously, only state-recognized specialists, undergoing rigorous advanced training, could advertise their specialty status. However, a new rule, resulting from an out-of-court settlement, paradoxically allows general dentists not recognized as specialists to advertise as such without following advertising rules. This change is criticized for undermining public protection and creating unethical, misleading situations where general dentists advertise as pediatric dentists, for instance. The Michigan Dental Association (MDA) is actively working to revert this law by supporting House Bills 4593 and 4594 to ensure only recognized specialists …

Mda At Your Service: What’S The Mda Doing To Help The Hygienist Shortage?, Rachel Sinacola Dds

The Journal of the Michigan Dental Association

This article details the MDA's efforts to address Michigan's dental hygienist shortage, which saw about 3,000 licensed RDHs leave the workforce since 2020. Initiatives include paid social media campaigns targeting potential and former RDHs, although enrollment impacts have been minimal. The MDA is also collaborating with hygiene schools, helping Ferris State University secure funding to double its size and working with North Central Michigan College to establish a new school. Discussions are underway to explore allowing internationally trained dentists to perform hygiene duties. Additionally, the MDA endorses MEDVA for virtual assistant staffing, promoting HIPAA-compliant human professionals who handle remote administrative …

The New Professional: Tracking Success: Essential Kpis For Owners And Associates, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article underscores the importance of Key Performance Indicators (KPIs) for data-driven success in modern dental practices. For new practice owners, essential KPIs include production, collections, and overhead ratio to ensure financial stability and operational efficiency. Patient flow metrics, such as new patient numbers and retention rates, are vital for growth. For both owners and associates, case acceptance rate reflects treatment plan conversion, and chair time utilization measures clinical efficiency. Other critical KPIs encompass hygiene production, patient satisfaction scores, online reviews, and accounts receivable aging. Associates can also track personal production and referral patterns for career development.

Engaging In Movement At Work: Exploring Engagement And Physical Activity., Spencer A. Cavan

Electronic Theses and Dissertations

High levels of employee engagement provide organizations competitive advantages such as increased customer satisfaction, profits, and employee productivity. Despite potential benefits, the number of engaged employees is declining and organizations need to find innovative ways to enhance engagement. Emerging evidence suggests workplace physical activity may generate organizational benefits extending beyond health improvement. Therefore, the purpose of this study was to investigate perceptions of engagement among employees participating in a physical activity intervention at work. A qualitative design, guided by phenomenology, examined perceptions of workplace physical activity and perceived levels of engagement, as well as constraints related to involvement among university …

Collaborative Class Zine: Weekly Reflection Assignment With Powerpoint Template, Brett Whysel

Open Educational Resources

Abstract

This collaborative class zine assignment uses a shared PowerPoint format to deepen student learning while building community. Students contribute visual reflections (graphics, diagrams, quotes, or doodles) weekly or periodically throughout the semester. Faculty provide reflection prompts about key takeaways and unclear concepts (sample prompts included). The resource includes both sample LMS instructions and a ready-to-use PowerPoint zine template that works across all disciplines. By combining metacognitive reflection with creative expression, students consolidate learning by finding new connections and applications. The collaborative format creates community connections and joy while students learn from peers' diverse perspectives.

A Cancer Education Needs Assessment: Informing Middle-Aged Female Patients About The Relationships Between Obesity And Women’S Health Concerns In The Reproductive System, Breast, And Endometrial Health, Batul Mirza

MUSC Theses and Dissertations

Obesity significantly impacts women’s health, particularly among middle-aged women, by increasing the risk of hormone-sensitive cancers such as breast, endometrial, and reproductive system cancers. This study examines the educational needs of this demographic group regarding obesity-related cancer risks and explores effective intervention strategies. Obesity-induced mechanisms – hormonal imbalances, chronic inflammation, and insulin resistance – drive cancer susceptibility, emphasizing the need for targeted health education. The study employs a qualitative design, which includes interviews with subject matter experts (SMEs) and surveys of middle-aged women. The goal is to assess awareness, perceived barriers, and preferred learning methods. Findings suggest that with many …

Impactful Programs And Initiatives For Employee Resource Groups That Promote And Sustain Positive Social Determinants Of Health, Lisa Kangas, Maureen Hall, Julie James, Gladys Peters

Journal of Sustainable Social Impact

Organizational diversity, equity, and inclusion (DEI) leaders’ lack of interest in employee resource groups (ERGs) and related programs can negatively impact an organization’s culture, operational excellence, and employee retention and have detrimental implications for social determinants of health (SDOH). Prioritizing ERG programs and initiatives is essential for organizational success and can positively affect SDOH. This qualitative pragmatic inquiry study identified and explored ERG programs and initiatives that support organizational culture, operational excellence, and employee retention.The research question for this study was: What ERG programs and initiatives support organizational culture, operational excellence, and employee retention? The study included eight DEI leaders …

Ada News - 07/07/2025, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Extension For Insurance And Patient Conflict Prevention, Richard Sherman

SFDDA Newsletter

In 1891, G.V. Black presented the idea of “Extension for Prevention.” The concept was to complete a restoration so that the margins and occlusal grooves were treated in such a way as to “prevent” further carious involvement. Hopefully his technique prevented millions of teeth from needing retreatment. However, dealing with humans and sometimes their “lack” of proper oral hygiene habits, new carious lesions do appear on the same teeth in the same or different areas, This article examines the conflict occurring between insurance coverage and the patient when experiencing a new caries on a previously restored tooth.

The Diagnostic: Pel Student-Business Insights, Spring 2025

The Diagnostic

Table of Contents

1 - The Need for Real-Time Vital Sign Monitoring as the Standard of Care

5 - The Role of Digital Technologies in Advancing Anesthesia Practice

8 - The Role of MD/MBA Programs in Promoting PhysicianLeadership in a Rapidly Evolving Healthcare System

12 - Addressing the Maternal Morbidity and Mortality Crisis in the U.S.

16 - The Need for Regulatory Measures Against Media-Induced Mass Hysteria in Healthcare: Lessons from the COVID-19 Pandemic

19 - AI, Humanities, and Medical Education – A Medical Student Perspective

22 - Trust in Psychiatric Care: Moving from Detachment to Connection

26 - American …

Revised Law Impacts Conduct Of Business In Office And At Home, Lance Plunkett Jd, Llm

The New York State Dental Journal

The ease of automatic renewals is countered by strict new requirements in General Business Law attached to their use.

Graduate School Blog - July 2025 Volume 1, Cynthia Haynes

UofM Grad School Blog

The July 2025 UofM Graduate School Blog – Volume 1 continues the Cost of Graduate School Guide with a deep dive into hidden and variable expenses such as residency-based tuition differences, program-specific fees, and differential tuition. The blog provides practical tips for prospective students on how to ask the right financial questions when comparing programs. It also features a student spotlight on Billy Brooks, a dual MHA/MBA candidate motivated to transform healthcare access and equity. Upcoming events include a Virtual Fall 2025 Open House with Financial Aid and USBS, a Dissertation Writers Retreat, and both in-person and virtual Graduate Student …

The Back Page: Commentary: Going Non-Par: My Perspective, And 10 Lessons I’Ve Learned, Robert Antolak Dds

The Journal of the Michigan Dental Association

Dr. Robert Antolak shares his experience and ten lessons from transitioning his dental practice to a non-participating (non-par) status with insurance in January 2025, driven by declining reimbursements and the need to prioritize patient care. He highlights the unfairness of lower PPO reimbursements for newer dentists. Key lessons include securing a trusted coach, early patient communication, building a financial safety net, ensuring full team buy-in, committing with faith, tightening billing systems, frequent patient reminders, advocating for patients, creating an in-office payment plan (not percentage discounts), and clearly articulating the "why". Though revenue initially dropped, he anticipates full recovery, aiming to …

Moving Drives You Crazy, Michelle C. Dziurgot

The Journal of the Michigan Dental Association

The Editor-in-Chief shares her frustrating experience moving a dental office. Key challenges included dental insurances dropping the practice from networks during recredentialing, causing denied claims for 30-60 days despite no changes to tax ID or NPI. State regulations also required new payments for radiation tubes, rather than crediting previous payments, despite a reduction in equipment. Furthermore, dental supply companies and movers did not take responsibility for broken equipment during the move. Despite these "insane and archaic" hurdles, most patients transitioned, and the article concludes with a comprehensive resource list for practice address changes

Mda Services: Cut Costs, Not Care: Solving Your Staffing Challenges With Medva, Reva Darling

The Journal of the Michigan Dental Association

The MDA has endorsed MEDVA, a virtual assistant staffing solution, to help members improve operational efficiency and reduce administrative burdens in dental practices. MEDVA provides experienced, HIPAA-compliant, non-clinical human professionals for tasks such as appointment scheduling, insurance verification, and billing. This partnership aims to address high turnover and rising overhead by offering cost-effective staffing solutions. MDA members receive special benefits, including a discounted hourly rate of $9.75, which is significantly lower than average Michigan rates for similar in-person roles. MEDVA’s service includes access to trained virtual assistants, proprietary technology, and a client success team

Optimizing Transfer Classification: Enhancing Accuracy And Reducing Readmission Rate Penalties For Cardiovascular Care In Short-Term Rehab, Aeshia Hicks

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: In a short-term rehabilitation (STR) setting, misclassification of planned hospital transfers as unplanned readmissions among elderly cardiovascular patients inflated CMS-reported readmission rates, distorted performance metrics, and led to financial penalties under the Hospital Readmissions Reduction Program (HRRP). A gap analysis revealed a 14% misclassification rate, significantly higher than the CMS benchmark of 8.65%, which was attributed to inconsistent documentation and a lack of standardized classification criteria.

Aim of the Project: To reduce transfer misclassification by 20% through the implementation of a standardized electronic health record (EHR) template and targeted staff education, thereby improving CMS compliance and documentation integrity in …

To Thine Own Self Be True

The New York State Dental Journal

THE NYSDA DIVERSITY and Inclusion Task Force, charged with acknowledging and promoting the disparate components of the Association’s membership, joins in the national observance of June as Pride Month. Designated in 1999, Pride Month commemorates the contributions to life and culture made by lesbian, gay, bisexual, transgender and queer people. Among those celebrating and being celebrated this month is NYSDA member Alison Rascon, D.D.S., M.S.

The New Professional: Reimagining Rapport: Innovative Ways Dental Teams Connect With Patients, Amrita Patel Dds

The Journal of the Michigan Dental Association

This article explores innovative communication strategies for dental practices to enhance patient interaction. It highlights the importance of digital onboarding for streamlined intake, two-way text messaging for efficient appointments, and personalized video messages to foster connection. Practices are adopting multilingual communication and AI tools like chatbots for 24/7 inquiry handling, integrating them with patient records for tailored responses. Interactive platforms with 3D visuals and video tutorials are used for patient education, empowering them in oral health decisions. The article also emphasizes leveraging social media for engagement, capturing real-time patient feedback, and maintaining empathy-driven human interaction despite technological advancements

News You Need July 2025

The Journal of the Michigan Dental Association

News You Need for July 2025 includes a listing of MDA members who have completed service on committees; a link to recent MDA Board actions; news about two dental journalism awards won by the MDA Journal; how younger patients are negatively influenced by social media; a letter to the editor regarding dental insurance; information about MDA Foundation scholarships; members receiving awards; a calendar of events; a patient fact sheet; and more.

Mda At Your Service: Does The Mda Have A Source For Free Labor Law Posters?, Rachel Sinacola Dds

The Journal of the Michigan Dental Association

This "Q&A" section addresses common MDA member inquiries. It confirms that MDA members receive free labor law posters and automatic updates directly from the association. The MDA also offers affiliate memberships for dentists moving out-of-state but retaining Michigan ties, preserving benefits like discounted CE. Information is provided on the Certified Dental Business Professional (CDBP) program, which offers affordable staff certification over three years. The next Mission of Mercy is scheduled for June 11-14, 2026, in Kalamazoo. Finally, the article notes the discontinuation of the MDA Fee Survey due to antitrust changes, and directs members to the ADA/MDA Code of Ethics …

J Mich Dent Assoc July 2025

The Journal of the Michigan Dental Association

Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 5,800 members. It stands as the primary publication reaching Michigan dentists. The all-digital July issue features Dr. Michele Tulak-Gorecki’s "It’s Time to Dare Greatly at the ADA," where she outlines her vision for ADA president-elect, focusing on financial integrity, strengthened advocacy, and fostering unity amidst challenges like declining membership and issues with the association management system.

Supporting articles highlight the MDA’s endorsement of MEDVA, offering cost-effective, HIPAA-compliant virtual assistant solutions for dental practices to …

It’S Time To Dare Greatly At The Ada, Michele Tulak-Gorecki Dds

The Journal of the Michigan Dental Association

Dr. Michele Tulak-Gorecki, a candidate for ADA president-elect, outlines her platform, emphasizing the urgency for bold, collaborative leadership within the ADA. She addresses member concerns following the executive director's resignation, focusing on rebuilding trust and enhancing oversight. Her vision confronts declining membership, financial issues, and the flawed association management system (AMS) rollout, advocating for increased transparency and financial literacy. Tulak-Gorecki stresses the ADA's vital role in advocacy and unity across the tripartite model to protect the profession's standing. She calls for collective action to create a transparent, inclusive, innovative, and unified ADA

Extubation Decisions With Predictive Information For Mechanically Ventilated Patients In Icu, Guang Cheng, Jingui Xie, Zhichao Zheng, Haidong Luo, Oon Cheong Ooi

Research Collection Lee Kong Chian School Of Business

Weaning patients from mechanical ventilators is a crucial decision in intensive care units (ICUs), significantly affecting patient outcomes and the throughput of ICUs. This study aims to improve the current extubation protocols by incorporating predictive information on patient health conditions. We develop a discrete-time, finite-horizon Markov decision process with predictions of future state to support extubation decisions. We characterize the structure of the optimal policy and provide important insights into how predictive information can lead to different decision protocols. We demonstrate that adding predictive information is always beneficial, even if physicians place excessive trust in the predictions, as long as …

Phytochemical Analysis And Antimicrobial Activity Of Micromeria Barbata Leaf And Stem Extracts Against Pseudomonas Aeruginosa: Insights From Molecular Docking And In Vitro Assays, Shiraz Rawas, Dalia El-Badan, Nawal Al Hakawati

BAU Journal - Science and Technology

The present study provides the characterization of the phytochemical content and the antibacterial activity of ethanolic extracts from the leaves (LM) and stems (SM) of Micromeria barbata (M.barbata) against Pseudomonas aeruginosa . Important functional groups were determined by analyzing the FTIR spectra of LM and SM. The phytochemical profiles were analyzed by GC-MS, and these characterized the chemicals according to retention periods and peak regions. The binding affinities of discovered compounds with the P. aeruginosa LasR and PqsD proteins were evaluated using molecular docking approach. Assays for biofilm formation, MIC, MBC, and agar well diffusion were used to assess the …

Inadequate Healthcare For Women In The United States, Grace Loveless

Journal of Nonprofit Innovation

Barriers to adequate healthcare for women stem from a lack of research on their specific health needs, gender-based biases in healthcare, and harmful societal norms. One key aspect highlighting these disparities is the menstrual cycle—a topic unique to women. Menstrual health, defined as a state of complete physical, mental, and social well-being, illustrates the urgent need for greater focus on reproductive health. Despite its significance, the dialogue and knowledge about reproductive health remain limited; an issue which is exacerbated by societal attitudes of secrecy and shame. These attitudes create barriers that hinder many women in the United States from accessing …

A Call For Change: Supporting Children With Tourette Syndrome, Matt Reall

Journal of Nonprofit Innovation

Tourette Syndrome affects 1 in 100 U.S. children but remains widely misunderstood due to stigma, delayed diagnosis, and media misrepresentation. This neurological disorder is characterized by involuntary tics and often co-occurs with ADHD, anxiety, and sleep disorders. Children with Tourette Syndrome face disproportionate challenges in social, academic, and emotional settings—despite having average or above-average intelligence. One-third engage in self-harm, and suicide rates are four times the national average. Peer-education programs like the Tourette Association of America’s Youth Ambassador initiative have shown promise in reducing stigma, but unequal access and weak institutional support limit their impact. This paper calls for early …

Living Heritage, Resilience And Ethically Informed Infrastructures In Malawi, Martha B. Lerski, Frank Puluputu Mwale

Publications and Research

Rooted in a rural community’s needs, this paper explores how historically, and ethically informed infrastructures can support community engagement towards identification, documentation, and dissemination of local, traditional, and indigenous knowledge relating to climate change. The paper examines climate adaptation and sustainability issues through the lenses of community organizing and Library & Information Science best practices. It draws on a growing body of literature identifying a role for expanded epistemological and subject discipline perspectives. While the impacts of climate on material culture are increasingly recognized, intangible, and biocultural heritage have not received as much attention. Living heritage traditions and knowledge systems …

Deliberately Queer Journal Editors' Note For Volume One, Sean Te Maulding, Mel Monier

Deliberately Queer Journal

No abstract provided.