Publications by authors named "Niessen L"

Respect for and awareness of the needs of older patients from dental office staff will help such patients feel welcome in a practice. Marketing to older patients is built upon this foundation. In addition, there are other strategies for internal and external marketing aimed at older people.

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In response to the first-ever Surgeon General's report on oral health, released on May 25, 2000, ADEA President Rowland A. Hutchinson, D.D.

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"The twentieth century will be remembered chiefly, not as an age of political conflicts and technical inventions, but as an age in which human society dared to think of the health of the whole human race as a practical objective." Arnold Toynbee, British historian. Individuals throughout the world often view the passage of a new year as a time for re-evaluation of personal and/or professionals goals.

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Americans' oral health, along with their life expectancy, has improved dramatically during the 20th century. The 21st century offers dental professionals the opportunity to help patients maintain their oral health for a lifetime. This article describes trends in health and wellness among older adults that will affect use of dental services; reviews risk factors such as chronic diseases, medications, and nursing home placement that will increase oral diseases in older adults; and concludes with opportunities for dental leadership to improve the oral health of aging Americans.

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Objective: Economic analyses have been part of the revision of the Dutch multi-disciplinary stroke guidelines. We evaluated the recommendations on stroke units and prevention of stroke recurrencies in terms of medical costs and health effects among stroke patients.

Design: Cost calculation.

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Evidence-based approaches are prominent on the national and international agendas for health policy and health research. It is unclear what the implications of this approach are for the production and distribution of health in populations, given the notion of multiple determinants in health. It is equally unclear what kind of barriers there are to the adoption of evidence-based approaches in health care practice.

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Trichothecenes pose a health risk to consumers and the presence of the producing fungi causes problems in industrial processing of cereals. A Triplex PCR was developed for screening of samples contaminated with toxigenic Fusarium species. The Triplex PCR could detect Fusarium species with high precision as compared to microbiological data of sample materials.

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Objective: Estimation of the societal costs of diabetes and related complications in support of the revision of the diabetes guidelines.

Design: Retrospective and descriptive cross-sectional study.

Methods: Relative risks (RRs) of diabetes complications, by age, were determined by comparing patients with and without diabetes.

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Respect for and awareness of the needs of older patients from dental office staff will help such patients feel welcome in a practice. Marketing to older patients is built upon this foundation. In addition, there are other strategies for internal and external marketing aimed at older people.

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Background: In the Netherlands a program on quality assurance in medical care has started in 1996. Clinical professionals, patient organizations and health services researchers formulate evidence based guidelines with a concomitant cost-effectiveness analysis.

Objectives: To examine the cost-effectiveness of guideline recommendations for prevention of nephropathy in diabetes mellitus type 1 and 2.

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25 microorganisms were used for tested for their potential to reduce growth of toxigenic and gushing-activeFusarium culmorum strains during the malting process. Twelve isolates were found to substantially decrease the growth ofF. culmorum under the conditions applied.

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Objective: This paper describes trends in oral and pharyngeal (O/P) cancer diagnoses in Department of Veterans Affairs (VA) hospitals from 1983 to 1993 and compares these trends to those of laryngeal and lung cancers.

Methods: The VA patient treatment file was used to identify unique hospital discharges from 1983 to 1993 having ICD-9-CM codes for O/P, laryngeal, and lung cancers. Descriptive statistics were tabulated to determine prevalence and distribution.

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Esthetic dentistry offers a myriad of opportunities for older adults wishing to improve their smile, oral function, and self-esteem. The challenge for dental professionals is to maintain oral health throughout the patient's lifetime, even through periods of dependence that may include residence in a nursing home. Dental professionals will have increasing opportunities to share their knowledge and expertise about the relation between oral health and overall health, with a variety of health professionals who care for the aging population.

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Researchers investigated the amount and types of dental morbidity that Texas public school nurses observed in an average school week. Two thousand nurses were randomly selected and surveyed by mail with 54% responding. Respondents reported 3.

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Objective: The purpose of this study was to assess the representation of academically based diplomates of the American Board of Dental Public Health (ABDPH) and to identify their perceptions on the training of dental public health predoctoral faculty.

Methods: Data were collected by a mailed, self-administered, 13-item questionnaire. The population was the 48 diplomates of the ABDPH as of March 1997 associated with academic institutions.

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Objectives: This paper reports the results of a survey to determine the consequences of budget reductions on the status of dental public health postdoctoral training in the United States, and opinions of experts in education and practice regarding career opportunities in dental public health.

Methods: A survey was mailed to 154 dental and public health education and service institutions.

Results: Most respondents (74 of 103; 72%) agreed that training opportunities depend on funding, and 73 percent (n = 75) expressed the view that more dental public health specialists are needed.

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A panel of public health practitioners sponsored by the Health Resources and Services Administration met December 6-8, 1994, to examine current roles and responsibilities for dental public health workers and to recommend changes in education and training to meet challenges posed by an evolving health care system. Overall, at least the same number, if not more, dental public health personnel will be needed in the future. While some new roles were identified, the panel felt that only small numbers of personnel will be needed to fill these new roles.

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This article reviews the research on the oral health status of aging veterans and offers recommendations for a research agenda that will improve their oral health and quality of life. Uniform definitions, or a "composite" measure, of overall oral health status would facilitate oral health status measurement. Because such a measure is not available, traditional oral epidemiologic indexes or treatment-needs data have been used to identify oral health status in aging veterans.

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The power of hope.

Can Nurse

June 1995

What would it be like to know the day of our death? How would that feel, knowing that each passing day brought you closer to that final day? I hope may last day comes as a surprise.

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The biological activity and geographic distribution of the malarial parasite and its vector are sensitive to climatic influences, especially temperature and precipitation. We have incorporated General Circulation Model-based scenarios of anthropogenic global climate change in an integrated linked-system model for predicting changes in malaria epidemic potential in the next century. The concept of the disability-adjusted life years is included to arrive at a single measure of the effect of anthropogenic climate change on the health impact of malaria.

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