scholarly journals Humanizing clinical dentistry through a person-centred model

Author(s):  
Nareg Apelian ◽  
Jean-Noel Vergnes ◽  
Christophe Bedos

The clinical approach in dentistry stems from a biomedical model of health that is anchored in positivism. This biomedical model was never explicitly developed or reflected on, but rather implicitly acquired as a product of historical circumstance. A reductionist understanding of health served dentistry well in the past, when health afflictions were mostly acute. Today, however, in the age of chronic illnesses, the current clinical approach is no longer adequate: patients and dentists are both dissatisfied, and there are problems with dental education and dental public health. After a thorough review of the literature, highlighting the current state of the profession, we propose an alternative clinical model upon which updated approaches can be based. We call this model "Person-Centred Dentistry". Our proposed model is rooted on the notion of sharing of power between the dentist and the patient: a sharing of power in the relationship and epistemology. This leads to an expanded understanding of the person and the illness; a co-authoring of treatment plans; and interventions that focus not only on eliminating disease but also on patient needs. 

Author(s):  
Olivier Asselin

“Canadian cinema.” The term may appear self-evident but is problematic. First, one may question the value of national approaches to culture, especially here, in Quebec and Canada, where the debates over the Nation seem interminable, and especially now, in an era of globalization. Next, one may question the value of media-centered approaches to culture, especially when the successive waves of the “digital revolution” have blurred the boundaries between technologies and among artistic practices. Rather than try to survey “important” fiction films for theatres in Quebec or Canada, this essay adopts another point of view to examine the presence of cinema in Montreal museums over the past few years by focusing on three singular exhibitions. It may well be symptomatic of the current state of film in Quebec and Canada—but also, paradoxically, everywhere else—and says much about the relationship between medium and nation, the expansion of cinema beyond the movie theatre, and the internationalization of culture.


Crystals ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. 627 ◽  
Author(s):  
Joel Strickland ◽  
Bogdan Nenchev ◽  
Hongbiao Dong

The primary spacing is intrinsically linked with the mechanical behavior of directionally solidified materials. Because of this relationship, a significant amount of solidification work is reported in the literature, which relates the primary spacing to the process variables. This review provides a comprehensive chronological narrative on the development of the directional dendritic growth problem over the past 85 years. A key focus within this review is detailing the relationship between key solidification parameters, the operating point of the dendrite tip, and the primary spacing. This review critiques the current state of directional dendritic growth and primary spacing modelling, briefly discusses dendritic growth computational and experimental research, and suggests areas for future investigation.


2019 ◽  
Vol 217 (3) ◽  
pp. 521-523 ◽  
Author(s):  
Anthony S. David

Academic interest in the concept of insight in psychosis has increased markedly over the past 30 years, prompting this selective appraisal of the current state of the art. Considerable progress has been made in terms of measurement and confirming a number of clinical associations. More recently, the relationship between insight and involuntary treatment has been scrutinised more closely alongside the link between decision-making capacity and insight. Advances in the clinical and cognitive neurosciences have influenced conceptual development, particularly the field of ‘metacognition’. New therapies, including those that are psychologically and neurophysiologically based, are being tested as ways to enhance insight.


2017 ◽  
Vol 27 (5) ◽  
pp. 597-616 ◽  
Author(s):  
Benjamin A. Smallheer ◽  
Michael Vollman ◽  
Mary S. Dietrich

Psychosocial factors are known to impact depressive symptoms across clinical populations. Learned helplessness has the potential of affecting depressive symptoms following acute myocardial infarction (AMI), though little is known about this relationship. The purpose of this study was to examine the relationship between learned helplessness and depressive symptoms in patients following an AMI. Using a descriptive cross-sectional design, participants with a diagnosed AMI within the past 12 months were recruited. Standardized instruments and measures were used to evaluate learned helplessness and depressive symptoms. A statistically significant direct relationship was found between learned helplessness and depressive symptoms, suggesting that individuals with higher self-reported levels of learned helplessness also reported more depressive symptoms. These results indicate learned helplessness is associated with depressive symptoms in individuals following an AMI. In developing post-AMI treatment plans, health care staff should focus on psychologic points of intervention to the same extent as physiologic interventions.


2016 ◽  
Vol 5 (3) ◽  
pp. 254-272 ◽  
Author(s):  
Josh Matti ◽  
Amanda Ross

Purpose There are countless factors that affect where an entrepreneur chooses to open a business that have been studied in the literature, including local socio-economic conditions, government policy, and agglomeration economies. One important aspect to the location decision that has not received as much attention from researchers thus far is the impact of crime on entrepreneurship. The purpose of this paper is to discuss the current literature on this topic, with a particular emphasis on the empirical issues present that have likely caused the research in this area to be scarce. Design/methodology/approach The authors conduct an analysis of the current state of the literature examining the relationship between crime and entrepreneurship. Looking at what has been done in the past, as well as improvements in the data, the authors discuss what has been done and what can be done in the future. Findings The authors discuss areas related to entrepreneurship and crime that the authors see as an emerging literature, based largely on the improvements in data and identification strategies that allow the authors to answer questions that the authors previously could not. Originality/value This paper is a review of the current literature, which also discusses areas that future researchers should consider and analyze further.


2022 ◽  
Vol 12 ◽  
Author(s):  
Wanyue Dan ◽  
Lihua Peng ◽  
Bin Yan ◽  
Zhengpeng Li ◽  
Fei Pan

Esophageal adenocarcinoma (EAC) is one of the main subtypes of esophageal cancer. The incidence rate of EAC increased progressively while the 5-year relative survival rates were poor in the past two decades. The mechanism of EAC has been studied extensively in relation to genetic factors, but less so with respect to human microbiota. Currently, researches about the relationship between EAC and the human microbiota is a newly emerging field of study. Herein, we present the current state of knowledge linking human microbiota to esophageal adenocarcinoma and its precursor lesion—gastroesophageal reflux disease and Barrett’s esophagus. There are specific human bacterial alternations in the process of esophageal carcinogenesis. And bacterial dysbiosis plays an important role in the process of esophageal carcinogenesis via inflammation, microbial metabolism and genotoxicity. Based on the human microbiota alternation in the EAC cascade, it provides potential microbiome-based clinical application. This review is focused on novel targets in prevention, diagnosis, prognosis, and therapy for esophageal adenocarcinoma.


Author(s):  
Monire Fallah Yakhdani ◽  
Zeynab Abaszadeh Fathabadi ◽  
Reza Fooladi Fard ◽  
Amin Salehi-Abargouei ◽  
Ali Asghar Ebrahimi

Introduction : Radon (Rn)  is a chemically inert gas with no odor, color, and taste. It is created from the decay of uranium in the soil and can penetrate the building through the interiors. As a result, Rn can enter the human body with the release of alpha radiation along with airborne dust and cause chronic illnesses such as lung cancer and multiple sclerosis. The Multiple Sclerosis disease, as a complex multifactor disease, is the most common widespread neurotic disorder among the young people. The purpose of this study was to collect and review the past studies published in this field since 1996. Materials and Methods: In this review, the related articles were searched and studied using key words such as "Radon, Action, Thoron, MS, MS Disseminated, and Sclerosis" using the PRISMA statement. Results: After reviewing the studies, several effective factors in the prevalence of MS were identified. Some of these factors were a result of the exposure to high levels of radon gas. Penetrations from the building cracks of floor, soil bed, and dwelling materials as well as the water resources are among the most important sources of Rn. Conclusion: According to the results, the amount of Rn and it’s daughters in the environment are recognized as the risk factors for the MS prevalence.


2020 ◽  
Vol 8 (5) ◽  
pp. 1
Author(s):  
Ranjit G. ◽  
Dr. K. Rajkumar

Jayanta Mahapatra is a well-known, distinguished, Indo-Anglican writer whose poems and short stories are acknowledged worldwide. He was awarded the Sahithya Akademi Award for his work Relationship in 1981, which enabled him to gain the name of one of the doyens of Indian English Poetry. His major themes are all linked with his native place Orissa. His poems mentions Puri, Konarka, Chilika lake, Bhubaneswar recurrently and each of them are pictured in detail. An Ecocritical study on his poems is worth probing as it deserves more attention and consideration in the current state of environmental crisis. His sole inspiration is his interaction with the nature and his intimate relationship to it. As ecocriticism rightly perceives it as the study of the relationship between human and nature, deserves a detailed study with his poems. River daya in his poem takes the role of a bearer of history and is the memory of the past valor and glory of Orissa. The study here focuses on the elements of ecocriticism in his selected poems.


2018 ◽  
Vol 17 (03) ◽  
pp. 095-104
Author(s):  
Yssra S. Soliman ◽  
Islam T. Elkhateb ◽  
Hany Z. Aly

AbstractThe gut–brain axis may contribute to the pathophysiology of a variety of neuropsychiatric diseases and chronic illnesses of adulthood. A literature search was completed using PubMed and the following keywords: “gut microbiota,” “breast milk,” “schizophrenia,” “irritable bowel syndrome,” “obesity,” “anorexia and bulimia nervosa,” and “depression.” The search was limited to articles available in English and published in the past 20 years. The human microbiota is essential to normal structure and function. The relationship of microbiota and the central nervous system is called the gut–brain axis, which may be responsible for many pathologic conditions. Research is needed to confirm this association and unveil the pathogenesis of this phenomenon.


2000 ◽  
Vol 42 (2) ◽  
pp. 9-34 ◽  
Author(s):  
Andrew Crawley

In the wake of the 1999 Rio Summit and its focus on biregional cooperation, this article reviews the background and development of European-Latin American relations over the past two decades, the political and economic context, the current state of transatlantic links, and the shortterm prospects for the relationship. Among its several premises is that the EU and Latin America constitute the bulk of the West, and the ways they work together will therefore condition the role of each of them on the international stage.


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