scholarly journals A Therapeutic Educational Program in Oral Health for Persons with Schizophrenia: A Qualitative Feasibility Study

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Audrey Peteuil ◽  
Corinne Rat ◽  
Sahar Moussa-Badran ◽  
Maud Carpentier ◽  
Jean-François Pelletier ◽  
...  
Keyword(s):  
Oral Health ◽  
Educational Program ◽  
Periodontal Diseases ◽  
Level Of Evidence ◽  
Face To Face ◽  
Before And After ◽  
Health Quality ◽  
Persons With Schizophrenia ◽  
High Level ◽  
The Impact

Objective. The aim of this study was to test the feasibility of a therapeutic educational program in oral health (TEPOH) for persons with schizophrenia (PWS). Design. In a qualitative study, we explored the representation of oral health before and after a TEPOH. Clinical Setting: PWS are at greater risk of decayed and missing teeth and periodontal diseases. In a previous publication, we described the different steps in building a TEPOH by taking into account the experiences of PWS concerning oral health quality of life. This TEPOH aimed at promoting a global health approach. Participants: Voluntary PWS and their caregivers were recruited during face-to-face interviews at “Les Boisseaux” (a psychiatric outpatient centre) in Auxerre (France) and were included in the study between November and December 2016. Intervention: We explored the experiences of participants and their perceptions of oral health before and after the TEPOH with focus group meetings. Results. Four females and three males participated in the study, and the mean age was 29.4 ± 5. Before the TEPOH, the PWS produced 28 ideas about oral health perception and 37 after the TEPOH. After the TEPOH, elements relating to the determinants of oral health (smoking and poor diet) emerged. Conclusions. These results show an evolution in oral health representation, and after some adjustments to the TEPOH, the second step will be to test this program in a large sample to generate a high level of evidence of the impact of TEPOH in the long term.

Tracheobronchial Foreign Bodies: The Impact of a Postgraduate Educational Program on Diagnosis, Morbidity, and Treatment

PEDIATRICS ◽  
1982 ◽  
Vol 70 (1) ◽  
pp. 96-98
Author(s):  
Marc Puterman ◽  
Rafael Gorodischer ◽  
Alberto Leiberman
Keyword(s):  
Educational Program ◽  
Foreign Bodies ◽  
Final Diagnosis ◽  
Physician Performance ◽  
Postgraduate Educational ◽  
Before And After ◽  
History Of ◽  
The Mean ◽  
Hospital Days ◽  
The Impact

Aspirated foreign bodies (FBs) may remain undetected and cause serious complications. As part of a postgraduate educational program, results of a local survey were presented to the local medical staff in order to increase its awareness of this diagnostic possibility. The present study was carried out in order to evaluate the management of children with tracheobronchial FBs during two 2-year periods, before and after teaching sessions held in December 1976. In comparison with the previous two years during the 1977-1978 period, the percentage of cases in which a positive history of aspiration was obtained increased from 47.6% to 84.0%; the mean number of hospitalizations due to tracheobronchial FBs decreased from 1.9 to 1.04 per infant, and the mean number of hospital days required for final diagnosis decreased from 17.6 to 5.3. The postgraduate educational program had a positive effect on physician performance and patient care.

scholarly journals MOTHERS' KNOWLEDGE TOWARDS ORAL HEALTH OF CHILDREN AGED UP TO 3 YEARS BEFORE AND AFTER EDUCATIONAL PROGRAM

2021 ◽  
Vol 27 (4) ◽  
pp. 4052-4059
Author(s):  
Ralitsa Bogovska-Gigova ◽  
◽  
Rositza Kabaktchieva ◽  
Keyword(s):  
Oral Health ◽  
Health Education ◽  
Educational Program ◽  
Bottle Feeding ◽  
Oral Health Education ◽  
Dental Office ◽  
Before And After ◽  
Health Related ◽  
Long Time ◽  
E Learning

Purpose: To comparatively analyze the oral health-related knowledge of mothers of children aged up to 3 years before and after the "Dental Home for Children" educational program (www.dentalendom.bg) Material/methods: The study involved a group of 90 mothers of children aged up to 3 years who visited the special educational and motivational website www.dentalendom.bg and completed our survey. We compared and processed the results of the survey using 90 control questionnaires, which were completed by parents who had visited the dental office without having attended an oral health education and motivation session in advance. Results: The results obtained from the survey completed by mothers of children aged up to 3 years show that their knowledge of the importance of fluoride prevention, the risks of nighttime bottle feeding with baby formula for a long time, mistakes in feeding, and the early transmission of cariogenic bacteria increased substantially compared to the mothers who did not visit the educational website. Conclusion: The obtained positive results give us reason to believe that e-learning health education programs are useful for both mothers and children aged up to 3 years.

The Impact of Personality on Virtual Team Creativity and Quality

2011 ◽  
pp. 647-655
Author(s):  
Rosalie J. Ocker
Keyword(s):  
Virtual Teams ◽  
Synchronous Communication ◽  
Individual Member ◽  
Team Creativity ◽  
Face To Face ◽  
Team Outcomes ◽  
Individual Personality ◽  
High Level ◽  
The Impact

A series of experiments investigated creativity and quality of work-product solutions in virtual teams (Ocker, forthcoming; Ocker, 2005; Ocker & Fjermestad, 1998; Ocker et al., 1998; 1996). Across experiments, small teams with about five graduate students interacted for approximately two weeks to determine the high-level requirements and design for a computerized post office (Goel, 1989; Olson et al., 1993). The means of interaction was manipulated in these experiments such that teams interacted via one of the following treatments: (1) asynchronous computer-medicated communication (CMC), (2) synchronous CMC, (3) asynchronous CMC interspersed with face-to-face (FtF) meetings, or (4) a series of traditional FtF meetings without any electronic communication. A repeated finding across experiments was that teams interacting only using asynchronous CMC – that is, teams without any FtF or synchronous communication -- produced significantly more creative results than teams in the other treatments. Additionally, asynchronous virtual teams rated high in creativity were generally not the same teams that were judged high in terms of the quality of their deliverable. To further examine these findings, this chapter presents results of an exploratory study designed to investigate the impact of individual personality facets on team outcomes. The objective of this study is to determine whether differences in team outcomes – in terms of the level of creativity versus the quality of the team deliverable – can be predicted by individual member personality.no abstract

scholarly journals An introductory report on the effect of use of dextranase-containing mouthwash on oral health status of human volunteers

2020 ◽  
Vol 11 (1) ◽  
pp. 22-25
Author(s):  
Nucharee Juntarachot ◽  
Bhagavathi Sundaram Sivamaruthi ◽  
Sasithorn Sirilun ◽  
Piyachat Tongpong ◽  
Phakkharawat Sittiprapaporn ◽  
...  
Keyword(s):  
Oral Health ◽  
Sensory Evaluation ◽  
Dental Plaque ◽  
Oral Health Status ◽  
Plaque Index ◽  
Oral Diseases ◽  
Beneficial Effects ◽  
Study Results ◽  
Before And After ◽  
The Impact

Background: Dextran is a branched polysaccharide and one of the polymers, present in the biofilm matrix. The dextran plays a perilous role in dental plaque formation, which is involved in the development of some common oral diseases like dental caries. The dextran-hydrolyzing enzymes are under investigation to treat and manage the dental plaques. Aims and Objective: The present study reporting the preliminary observations on the effect of the use of dextranase-containing mouthwash (DMW) on dental plaque and oral health. Materials and Methods: DMW was prepared with food-grade dextranase, preservatives, gellingagents, and water as detailed. Four weeks of experimental design was employed in fourteen healthy volunteers. The selected volunteers were recommended to use DMW for at least twice a day. The plaque index (PI), probing depth (PD), gingival index (GI) and bleeding on probing (BOP) of the volunteer's teeth have been assessed before and after four weeks of DMW use. Results:The volunteers were insisted to use a DMW solution twice a day for four weeks. The PI, PD, GI, and BOP was measured before and after the treatment. The plaque index of the subject at baseline and after treatment was 2.22 ± 0.48, and 1.88 ± 0.50, respectively. PI was significantly reduced after the use of DMW solution for four weeks. The value of PD was 2.00 and 2.00 at baseline and after the use of DMW, respectively. The value of PD was not changed when compared to the baseline values. The sensory evaluation of DMW was performed using questionnaires. Conclusion: The preliminary study results suggested that the use of DMW solution for four weeks (twice a day) notably reduced the PI without any change in PD. However, GI and BOP values were not affected after the use of DMW. The participants, based on the sensory evaluation, accepted the prepared DMW solution. Additional detailed research on the impact of DMW on oral hygiene is needed to confirm the beneficial effects of DMW.

scholarly journals ‘If a fight starts, watch the crowd’: The effect of violence on popular support for social movements

2019 ◽  
Vol 56 (4) ◽  
pp. 485-498 ◽  
Author(s):  
Jordi Muñoz ◽  
Eva Anduiza
Keyword(s):  
Social Movements ◽  
Causal Effect ◽  
The Other ◽  
Popular Support ◽  
Face To Face ◽  
Percentage Points ◽  
Street Violence ◽  
Wide Range ◽  
Before And After ◽  
The Impact

Social movements often face tactic diversification. In otherwise nonviolent movements, some groups or radical flanks may resort to violent actions such as street rioting. This article analyzes the impact that these violent episodes can have on popular support for the movement as a whole. To estimate the causal effect of violence, it exploits an unexpected riot outbreak that occurred during the fieldwork of a face-to-face survey in Barcelona in May 2016, led by a squat group linked to the anti-austerity movement known as the 15-M or indignados that emerged during the financial crisis. By comparing respondents interviewed before and after the riots, it finds that the street violence episode reduced support for the 15-M movement by 12 percentage points on average. However, the magnitude of the effect is highly conditional on the respondents’ predispositions towards the movement. Core supporters, that are expected to share the frame of the movement in justifying violent actions, are the least affected by the violent outbreak. On the other extreme, weak supporters, opposers, and non-aligned citizens reduce their support to a larger extent. Results are robust to different specifications and a wide range of robustness checks. These findings have potentially important implications for movements concerned with broadening their support base.

scholarly journals Off- and Online Heterosexual Dating Violence, Perceived Attachment to Parents and Peers and Suicide Risk in Young Women

2020 ◽  
Vol 17 (9) ◽  
pp. 3174 ◽  
Author(s):  
Marcela Gracia-Leiva ◽  
Alicia Puente-Martínez ◽  
Silvia Ubillos-Landa ◽  
José Luis González-Castro ◽  
Darío Páez-Rovira
Keyword(s):  
Dating Violence ◽  
Suicide Risk ◽  
Public Health Problem ◽  
Social Consequences ◽  
Suicidal Thoughts ◽  
Mediation Analyses ◽  
Face To Face ◽  
Violent Acts ◽  
High Level ◽  
The Impact

Dating violence (DV) is a public health problem among young people, especially women. It involves violent acts towards one’s partner and occurs face-to-face (offline) or through the Internet (online). Offline DV is linked to suicidal ideation and attachment to parents and peers. Fewer studies analyze the psychological and social consequences of online DV. This study tests the link between young women’s DV victimization (off- and online), suicide risk (SR), and parent and peer support in a sample of young Spanish females (N = 1227) (Mage=19, SD = 2.82; range = 13–28). Results confirm that compared to non-victims off- and online DV increase suicidal thoughts and attempts. This effect is stronger for victims of both types of DV (thoughts: OR offline DV = 3.11; CI95% 2.06, 4.69; OR online DV = 2.37; CI95% 1.69, 3.32; OR off-online DV = 4.19 CI95% 2.44, 7.17) (attempts: OR offline DV = 4.02; CI95% 1.83, 8.81; OR online DV = 3.69; CI95% 1.96, 7.01; OR off-online DV = 10.55 CI95% 2.56, 44.43). Mediation and moderation models were used to assess the effect of perceived attachment of parents and friends in DV victims and SR. Mediation analyses indicated that perceived attachment and proximity to parents and peers reduces the impact of DV on SR. Moderation analyses showed that a high level of perceived peer attachment reduces the effect of offline DV on SR. Regarding off-online DV, a high level of perceived parent attachment mitigates suicide risk. Loneliness, lack of care from loved ones, and thwarted belongingness increase suicidal thoughts in DV victims. Peers and parents’ proximity may prevent risk behaviors in DV victims.

scholarly journals The TEAM (Trauma Evaluation and Management) course: medical student knowledge gains and retention in the USA versus Ghana

2019 ◽  
Vol 4 (1) ◽  
pp. e000287 ◽  
Author(s):  
Allison E Berndtson ◽  
Martin Morna ◽  
Samuel Debrah ◽  
Raul Coimbra
Keyword(s):  
Trauma Care ◽  
Level Of Evidence ◽  
Middle Income ◽  
Institutional Review ◽  
Knowledge Deficit ◽  
Life Years ◽  
Before And After ◽  
The Usa ◽  
Knowledge Gains ◽  
The Impact

IntroductionTrauma and injury are significant contributors to the global burden of disease, with 5 million deaths and 250 million disability-adjusted life years lost in 2015. This burden is disproportionally borne by low- and middle-income countries (LMICs). Solutions are complex, but one area for improvement is basic trauma education. The American College of Surgeons has developed the Trauma Evaluation and Management (TEAM) course as an introduction to trauma care for medical students. We hypothesized that the TEAM course would be an effective educational program in LMICs and result in increased knowledge gains and retention similar to students in high-income countries (HICs).MethodsThe TEAM course was taught and students evaluated at two sites, one LMIC (Ghana) and one HIC (USA), after obtaining approval from the HIC Institutional Review Board and medical schools at both sites. Participation was optional for all students and results were de-identified. The course was administered by a single educator for all sessions. Multiple-choice exams were given before and after the course, and again 6 months later.ResultsA total of 62 LMIC and 64 HIC students participated in the course and completed initial testing. Demographics for the two groups were similar, as was participant attrition over time. LMIC students started with a relative knowledge deficit, scoring lower on both pre-course and post-course tests than HIC students, but gained more knowledge during the initial teaching session. After 6 months, the LMIC students continued to improve, whereas the HIC students’ knowledge had regressed. Most students recommended course expansion.ConclusionThe TEAM course is a useful tool to provide the basic principles of trauma care to students in LMICs, and should be expanded. Further study is needed to determine the impact of TEAM education on patient care in LMICs.Level of evidenceLevel III; Care Management

A COMPARISON OF ASSESSMENT, DIAGNOSIS AND TREATMENT OF PATIENTS WITH CEREBRAL VENOUS THROMBOSIS BEFORE AND AFTER INTRODUCTION OF A NEW POLICY AND GUIDELINE ACROSS GREATER MANCHESTER

2015 ◽  
Vol 86 (11) ◽  
pp. e4.103-e4
Author(s):  
James Keitley ◽  
Timothy Lavin ◽  
Martin Punter ◽  
Jason McMinn ◽  
Mark Kellett
Keyword(s):  
Visual Acuity ◽  
Visual Field ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Diagnosis And Treatment ◽  
Clinical Assessments ◽  
Before And After ◽  
Valid Comparison ◽  
High Level ◽  
The Impact

BackgroundFrom June 2014, regional guidelines to transfer within 24 hours all radiologically confirmed cases of cerebral venous thrombosis (CVT) were implemented across Greater Manchester. This service review assesses the impact on assessment, diagnosis and treatment.MethodsWe prospectively recorded all CVT cases transferred into our unit between June 1st and November 30th 2014 (14 patients), and retrospectively reviewed the casenotes of patients admitted in 2012, 2013 and early 2014 (13 patients).ResultsMean number of days from diagnosis to transfer after guideline introduction was 0.4. More patients underwent fundoscopy (86% vs 77%), visual acuity (50% vs 27%), visual field (79% vs 69%) and otoscopy (29% vs 8%). Patients admitted to SRFT previously had shorter symptom to diagnosis, imaging, transfer, and treatment times.ConclusionsAfter guideline introduction we found a high level of compliance with time to transfer, with improvements in several aspects of clinical assessments. We expect that patients previously admitted to our centre were more unwell or already admitted for other reasons (e.g. neurosurgical) and therefore time from symptoms to diagnosis appears longer. We aim to extend the current evaluation to all patients in the region who weren't transferred to our centre to allow a more valid comparison.

The experience of conducting a Cochrane systematic review of the impact of clinical pathways on professional practice, patient outcomes, length of stay and hospital costs

2009 ◽  
Vol 13 (2) ◽  
pp. 62-66 ◽  
Author(s):  
Thomas Rotter ◽  
Leigh Kinsman ◽  
Erica James ◽  
Andreas Machotta ◽  
Holger Gothe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Pathways ◽  
Hospital Costs ◽  
Evidence Base ◽  
Care Group ◽  
Level Of Evidence ◽  
Organisation Of Care ◽  
High Level ◽  
Meta Analyses ◽  
The Impact

Despite the high prevalence of clinical pathways (CPWs), the results from published studies are inconsistent and contradictory. The plethora of study designs, settings and lack of an agreed definition of a CPW make the relevance of individual studies difficult to apply to clinical settings. It was timely to catalogue and analyse the existing evidence base for CPWs via a rigorous systematic review. Systematic reviews and meta-analyses provide a high level of evidence for the effectiveness of interventions and are commonly employed reviewing strategies for addressing scientific questions in health-related research. This method is especially useful when research results are known to be inconsistent. Instead of conducting another primary evaluation, a detailed review is needed that reflects a summation of available research. This paper reports and discusses methodological and technical issues of a systematic review of the effectiveness of CPWs in hospitals, based on our experience with the Cochrane Effective Practice and Organisation of Care Group.

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