Objective: The experience of personal recovery from mental health has been theorized to occur through several pathways. CHIME is a seminal theoretical framework of personal recovery that is widely endorsed by the existing literature. Few studies have examined the utility of the CHIME framework with those experiencing acute challenges in their engagement in the recovery process.
View Article and Find Full Text PDFThis phase 2 randomized trial examined the outcomes of a brief, transitional, peer support intervention designed to address the poor outcomes that are common for individuals with schizophrenia spectrum illnesses in the period immediately following hospitalization. In the context of treatment-as-usual, participants were provided with a peer support intervention, 'the Welcome Basket,' in which participants received 1-2 sessions of peer support in the two weeks before discharge and met weekly for a month post-discharge. The study also piloted a brief version of this intervention with only one community session post-discharge with the same pre-discharge process.
View Article and Find Full Text PDFBackground: Nutrition therapy is essential in critically ill adults. Little is known about appropriate nutrition therapy in patients with severe coronavirus disease 2019 (COVID-19) infection.
Methods: This was a retrospective, observational study in adult patients with confirmed COVID-19 infection receiving mechanical ventilation.
Periodontitis and gingivitis are highly prevalent inflammatory diseases of the oral cavity, and typically are characterised by the presence of dental plaque. However, other causes of oral inflammation exist, which can resemble plaque-induced gingivitis and periodontitis, and may thus first be seen by a dental practitioner. This paper aims to provide dentists with an understanding of the manifestations of systemic diseases to the periodontium and highlights anamnestic and clinical clues important for distinguishing between plaque-induced and non plaque-induced lesions.
View Article and Find Full Text PDFPeriodontitis and gingivitis remain two of the most common diseases that affect the oral cavity. As they are caused by plaque, effective oral hygiene, elimination of plaque-retentive factors and successful periodontal treatment will result in resolution of gingival and periodontal inflammation. Certain systemic diseases can have a clinical appearance similar to periodontal diseases or exacerbate existing periodontitis/gingivitis and vice versa.
View Article and Find Full Text PDFThe first paper of this three-part series discussed periodontal disease pathogenesis and highlighted elements in the clinical assessment which will help the clinician to establish the diagnosis of chronic and aggressive periodontitis. This second paper will focus on the management of chronic and aggressive periodontitis. Finally, the diagnosis and management of chronic and aggressive periodontitis will be reviewed in the third part of the series using two clinical examples.
View Article and Find Full Text PDFcommon diseases that affect the oral cavity. The differential diagnosis between chronic and aggressive periodontitis can be complex for some clinicians and the correct diagnosis is a key element in disease management. The three-part series will review periodontal clinical assessment and diagnosis, periodontal management and finally will discuss two clinical cases.
View Article and Find Full Text PDFChildren who witness the abuse of their mother by an intimate partner suffer negative effects on behavioral functioning. In this study, 300 abused women seeking services for abuse were interviewed regarding how often their child had witnessed the abuse. Baseline data for this study found that boys who witnessed abuse had externalizing and internalizing behavioral problems comparable to boys in clinical treatment.
View Article and Find Full Text PDFWith concerns about the ever-increasing development of antimicrobial resistance, it is imperative that antimicrobials are prescribed responsibly and used appropriately. This article provides an overview and simple guidelines for antimicrobial prescribing in the management of periodontal diseases.
View Article and Find Full Text PDFPerspect Health Inf Manag
June 2015
Introduction: Undergraduate students' progress toward achievement of learning outcomes and entry-level competencies is an essential ingredient in efforts to meet the needs of the evolving national healthcare information infrastructure. Therefore, studies to evaluate variance in outcome assessment methods and perceived adequacy of educational curricula used by health information management (HIM) programs are vital. This study examined perceptions of HIM students, faculty, and individuals employed in healthcare regarding educational experiences and career preparation.
View Article and Find Full Text PDFUnlabelled: Tumoral calcinosis (TC) is a rare familial disease characterized by abnormal peri-articular calcification in affected joints, without any associated renal, metabolic or collagen vascular disease. It is characterized by usual hyperphosphataemia with normal serum calcium and alkaline phosphatase values. There are only a few reported cases ofTC patients with dental findings.
View Article and Find Full Text PDFThis paper considers the role of the restorative dentist in the interdisciplinary management of patients with amelogenesis imperfecta. General restorative considerations as well as the techniques available are reviewed. Two clinical cases are described to illustrate this.
View Article and Find Full Text PDFWe describe an operational, self-contained, fully autonomous Raman lidar system that has been developed for unattended, around-the-clock atmospheric profiling of water vapor, aerosols, and clouds. During a 1996 three-week intensive observational period, the system operated during all periods of good weather (339 out of 504 h), including one continuous five-day period. The system is based on a dual-field-of-view design that provides excellent daytime capability without sacrificing nighttime performance.
View Article and Find Full Text PDFObjective: To determine if local, gingival crevicular fluid (GCF) levels of TGFbeta1 were altered in drug-induced gingival overgrowth.
Patients And Methods: GCF samples were collected on Periopaper strips from 45 renal transplant recipients who had been medicated with cyclosporin or cyclosporin in combination with other putative overgrowth-inducing drugs for a minimum of 6 months. Twenty-two subjects had gingival overgrowth while the other 23 patients showed no signs of gingival changes and constituted the medicated control group.
Involvement of oral tissues by sarcoidosis is uncommon. We present a case of sarcoidosis involving the gingivae of a 60-year-old woman. The patient presents with an 18-month history of localized areas of gingival redness and swelling.
View Article and Find Full Text PDFPreparations for full veneer crowns is the eighth in the series on crowns and other extra-coronal restorations. Whilst handpiece skills are important, many other factors combine to ensure provision of a satisfactory full veneer crown (also termed 'full coverage crown'). Our aim in writing this article is to consider the principles which influence crown preparation, seasoned with clinical advice our undergraduate and postgraduate students have found useful.
View Article and Find Full Text PDFA case is reported assessing the problems encountered after surgical resection of the maxilla. The use of a hollow box obturator and details of its construction are described. The importance of skin grafting of the maxillary defect and use of available anatomical undercuts to optimise support and retention of the obturator is stressed.
View Article and Find Full Text PDFObjective: To determine the safety of initiating labor using a sustained-release prostaglandin E2 (PGE2) vaginal insert at a nonuniversity-based community hospital.
Study Design: Data were compiled from a chart review of all cases in which the insert (Cervidil) was used during a 16-month period. Continuous uterine activity and fetal heart rate (FHR) tracings were evaluated for 12 hours after dosing.
A case is presented which highlights the problems encountered when using an implant-stabilised overdenture in an edentulous upper jaw, opposed by a natural dentition.
View Article and Find Full Text PDFThe position of the anterior teeth and skeletal base relationship establish many of our facial characteristics, yet these same tooth positions can result in a range of dental problems that are often specific for a particular incisal relationship. Excessive loss of tooth tissue on various surfaces may result in trauma to the soft tissue and temporomandibular joint dysfunction. A range of treatment options may be required and can often be conveniently classified by the form of incisal relationship.
View Article and Find Full Text PDFAn unusual case of secondary retention of multiple permanent teeth is reported. The clinical, radiographic and histological findings associated with this condition, and its management, are discussed.
View Article and Find Full Text PDFThe potential for cross-infection from microbial contaminated dental impressions has long been recognised. This study set out to investigate impression decontamination procedures currently used in UK dental hospitals (1995) and to see how these may have changed since a previous survey, carried out in 1988. A variety of disinfection solutions and regimes were highlighted both within and between dental hospitals.
View Article and Find Full Text PDFObjectives: To examine the penetration of unfilled resin into instrumented root-face dentine, facilitated by five commercially available dentine bonding agents.
Methods: Upper third molar teeth were decoronated, and a given dentine bonding agent and resin composite applied to the instrumented root face, according to the manufacturer's instructions. A control specimen was similarly prepared but not dentine primer was applied prior to resin composite.