The cervicovaginal environment in pregnancy is proposed to influence risk of spontaneous preterm birth. The environment is shaped both by the resident microbiota and local inflammation driven by the host response (epithelia, immune cells and mucous). The contributions of the microbiota, metabolome and host defence peptides have been investigated, but less is known about the immune cell populations and how they may respond to the vaginal environment.
View Article and Find Full Text PDFVarious methods, with a variety of materials, exist for restoring carious primary teeth. Successful restoration of primary teeth is dependent on accurate diagnosis, knowledge of the caries process, knowledge of dental materials, and treatment choice. The purpose of this evidence-based review is to present evidence that will help clinicians to make an appropriate diagnosis, from which the optimum treatment plan can be made; to explore the literature regarding restoration of carious primary teeth; and to try and draw conclusions as to which materials and methods can be recommended.
View Article and Find Full Text PDFJ Healthc Risk Manag
January 2018
Since the attacks of September 11, 2001, terrorists have demonstrated both the intent and capability to execute direct attacks on US public hospitals. Nonetheless, hospital administrators have basically ignored this threat, as they do not view hospitals as likely targets. Unfortunately, it may take a catastrophic event before policymakers appreciate this threat enough to take appropriate actions.
View Article and Find Full Text PDFBackground: The literature regarding dental and systemic effects of Early Childhood Caries (ECC), consequences of leaving carious primary teeth untreated, benefits of appropriate treatment, and concerns regarding dental treatment of young children and the potential for dental anxiety, is reviewed. ECC has consequences, affecting both the child's dental health and his/her general health. This paper reviews the literature regarding ECC and its consequences (pain, sepsis, space loss, disruption to quality of life, failure to thrive, effects on intellectual development, greater risk of new carious lesions in both primary and permanent dentitions, higher incidence of hospitalisation and emergency visits, and increased treatment costs and time).
View Article and Find Full Text PDFEarly childhood caries (ECC) has consequences, affectng both the child's dental health and his/her general health. This paper reviews the literature regarding ECC and its consequences (pain, sepsis, space loss, disruption to quality of life, failure to thrive, effects on intellectual development, greater risk of new carious Iesions in both primary and permanent dentitions, higher incidence of hospitailisation and emergency visits, and increased treatment costs and time). The effects of treatment of ECC are aIso reviewed, and concerns regarding purported associations between treatment of ECC and dental anxiety are addressed.
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