Publications by authors named "R Helmers"
Article Synopsis
- Rural community practices in the U.S. are increasingly involved in medical education and are encouraged to give academic appointments to non-academic physicians.
- A formal education committee was established in a rural regional practice to facilitate the adoption of academic ranks through various administrative changes over three years.
- As a result, the percentage of physicians with academic rank rose significantly from 41.1% to 92.8%, demonstrating that process changes can effectively enhance academic appointments, improve educational programs, and boost physician satisfaction and retention.
A recent publication in the Nederlands Tijdschrift Voor Tandheelkunde (Dutch Journal of Dentistry) suggests botulinum toxin as a primary treatment for bruxism, especially for severe complaints of teeth grinding or jaw clenching. However, in the opinion of Lobbezoo et al., some outdated views on bruxism are used, and botulinum toxin is incorrectly classified as safe, according to them.
View Article and Find Full Text PDF[Dental rehabilitation in a young patient with glycogen storage disease type 1B].
Ned Tijdschr Tandheelkd
September 2023
A young woman, known to have glycogen storage disease type 1B (GSD1B) presents with severe periodontitis. GDS1B causes decreased hepatic and renal glucose production and in many cases neutropenia and neutrophil dysfunction leading to recurrent infections. It was decided to treat the patient by extraction of the most affected teeth and retention of the remaining teeth through periodontal treatment, both with antibiotic prophylaxis.
View Article and Find Full Text PDFBackground: We wanted to assess whether a regional approach to bed management and staffing could improve financial sustainability without reducing services in rural communities.
Methods: Regional approaches to patient placement, hospital throughput, and staffing were coupled with enhanced services at 1 hub hospital and 4 critical access hospitals.
Results: We improved the use of patient beds in the 4 critical access hospitals, increased hub hospital capacity, and improved the health system's financial performance while maintaining or enhancing services at the critical access hospitals.
Background: Primary care physicians are overburdened with growing complexities and increasing expectations for primary care visits. To meet expectations, primary care physicians must multitask during visits and spend extra hours in the office for charting, billing, and documentation. This impacts the physician's quality of life and may affect the quality of patient care.
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