scholarly journals A questionnaire-based study evaluating differences between dental students in Paris (F) and Malmö (SE) regarding diagnosis and treatment decisions of patients with different severity levels of periodontal diseases

2018 ◽  
Vol 22 (3) ◽  
pp. e392-e399
Author(s):  
A. Milosavljevic ◽  
A. Stavropoulos ◽  
V. Descroix ◽  
B. Götrick
Keyword(s):  
Periodontal Diseases ◽  
Treatment Decisions ◽  
Dental Students ◽  
Diagnosis And Treatment ◽  
Severity Levels

Abstract NS6: Born to Run: Advanced Practice Provider-Led Mobile Stroke Unit Care Measures Up to Vascular Neurologists’ Diagnosis and Management

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Anne W Alexandrov ◽  
Wendy Dusenbury ◽  
Victoria Swatzell ◽  
Joseph Rike ◽  
Andrew Bouche ◽  
...  
Keyword(s):  
Medical Diagnosis ◽  
Treatment Decisions ◽  
Diagnosis And Treatment ◽  
Advanced Practice ◽  
Treatment Delivery ◽  
Stroke Treatment ◽  
Diagnosis And Management ◽  
Mobile Stroke Unit ◽  
Stroke Mimic ◽  
Treatment Safety

Background: Mobile Stroke Units (MSU) are growing in numbers throughout the U.S. and abroad, with numerous staffing configurations, telemedicine, and differing imaging capabilities. We aimed to test the diagnostic accuracy and treatment safety, alongside time to diagnosis and treatment delivery of a novel advanced practice provider (APP) led MSU team. Methods: We launched an MSU housing a hospital-grade Siemens Somatom CT with CTA capabilities, and hired APPs with advanced neurovascular practitioner board certification to lead field medical diagnosis and order/initiate treatment for encountered stroke patients. Consecutive MSU patients were evaluated for differences between APPs and Vascular Neurologists (VNs) diagnosis and management, and scene diagnosis and treatment times were collected. Results: Agreement between APP field medical diagnosis and MD hospital diagnosis was 100%; stroke mimic diagnosis agreement was 98%. Overall agreement for field interpretation of CT/CTA was 97%, with discrepancies not associated with stroke treatment decisions. MDs’ agreement with APPs’ identification/treatment of ICH was 100%, and IVtPA treatment decisions 98% (APPs more conservative). Scene arrival to medical diagnosis (including clinical exam and imaging completion/interpretation) ranged from 7-10 minutes, of which 4 minutes were CT/CTA start to finish times. Scene arrival to IVtPA bolus ranged from 16 minutes to 33 minutes and was driven primarily by need for control of excessive hypertension, with scene arrival to start of nicardipine premix infusion ranging from 10-14 minutes. Conclusions: Use of an APP-led MSU is safe and non-inferior to VN diagnosis/management, and may be faster than telemedicine guided MSU treatment.

scholarly journals Impact of the undergraduate clinical teaching-learning process on caries detection and treatment decision-making

2021 ◽  
Vol 20 ◽  
pp. e211168
Author(s):  
Silas Alves Costa ◽  
ViniciusKrieger Costa Nogueira ◽  
Diego Girotto Bussaneli ◽  
Manuel Restrepo ◽  
Alfonso Escobar ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Treatment Decision ◽  
Treatment Decisions ◽  
Dental Students ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Kappa Statistics ◽  
Theoretical Knowledge ◽  
Reference Standard ◽  
The Third

Aim: The aim of this study was to evaluate caries diagnosis and treatment decisions made by undergraduate dental students based on ICDAS or Nyvad criteria. Methods: Twelve students analyzed 90 digital photographs of permanent teeth at different clinical stages of carious lesion development and chose among different treatments in three different assessments: when there was no knowledge of the criteria (described as “No knowledge (N)”; when there was theoretical knowledge of the criteria (described as “Theoretical knowledge (T)” and when there was theoretical knowledge, clinical experience about dental caries and the criteria (described as “Theoretical and clinical knowledge (TC)”. For “T” and “TC” the students were randomized into two experimental groups – ICDAS or Nyvad (experimental units: 6 students/group). The reference standard was established cooperatively by two experienced researchers. Criteria performance was evaluated by sensitivity, specificity, AUC, and Kappa statistics. Treatment decision was described in percentage by contingency tables and Spearman’s correlation with the reference standard. Results: The first assessment demonstrated a high percentage of operative treatment even for initial enamel lesions based on ICDAS criteria and treatment was proposed for both active and inactive lesions, according to the Nyvad criteria. In the second assessment, the students continued recommending treatments for initial or inactive lesions, but less frequently. In the third assessment, treatment decisions presented greater cohesion in relation to the assigned classification criterion. The criteria presented no differences between them in terms of diagnostic in the third assessment. Conclusion: Clinical experience may improve caries detection and treatment decisions with the use of ICDAS and Nyvad criteria.

Sign in / Sign up

Export Citation Format

Share Document