Arnoldtan0921
Human trafficking is a global public health problem and Switzerland is one of the so-called destination countries for human trafficking for the purpose of sexual exploitation. Given the likelihood that dental teams will encounter trafficked persons who are seeking treatment for a number of oral health problems, dental professionals should be able to identify victims and to intervene. ARRY-575 cost Clinicians should utilize red flag indicators and oral health presentations commonly associated with trafficking- related injuries as triggers for interventions. Modes of intervention include informing trafficked persons of their rights and available support as well as seeking their permission to liaison with the authorities and support organizations on their behalf. The dental team should adopt a compassionate and patient approach towards the traumatized victim.«Guided Biofilm Therapy» (GBT) represents a systematic, risk and demand-oriented prophylaxis and treatment concept. A significant difference to conventional methods is - above all - the reduced, tissue-friendly and targeted use of ultrasound and hand instruments. The biofilm is consistently shown with suitable color solutions, the oral hygiene instruction and professional tooth cleaning is optimized. The use of suitable powders guarantees a tissue-conserving and targeted removal of biofilm. While individual treatments, techniques and materials have already been well investigated and described, little data is available on patient acceptance. The aim of the present study was to gain an impression of the acceptance of this method in comparison to the conservative-classical recall care mainly based on hand and ultrasound devices in a survey of 100 consecutive patients from the clinic's internal recall system. The overall results were very positive. The powder jet device showed the best acceptance. The aspect fear before/during the recall session was also interesting At a low level (10%), an additional reduction to 4% occurred, since hand instruments were probably used much less and only very specifically. mConclusion The use of plaque elevators makes the work in the recall session more efficient, more effective and guarantees ma higher quality control, which is also highly appreciated by patients.
Up to 40% of patients are receiving opioids at the time of total knee arthroplasty (TKA) in the United States despite evidence suggesting opioids are ineffective for pain associated with arthritis and have substantial risks. Our primary objective was to determine whether preoperative opioid users had worse knee pain and physical function outcomes 12 months after TKA than patients who were opioid-naive preoperatively; our secondary objective was to determine the prevalence of opioid use before and after TKA in Alberta, Canada.
In this retrospective analysis of population-based data, we identified adult patients who underwent TKA between 2013 and 2015 in Alberta. We used multivariable linear regression to examine the association between preoperative opioid use and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and physical function scores 12 months after TKA, adjusting for potentially confounding variables.
Of the 1907 patients, 592 (31.0%) had at least 1 opioid dispensed befod after TKA, and patients who received opioids preoperatively had worse adjusted pain and functional outcome scores 12 months after TKA than patients who were opioidnaive preoperatively. These results suggest that patients prescribed opioids preoperatively should be counselled judiciously regarding expected outcomes after TKA.
Intraoperative injuries during abdominopelvic surgery can be associated with substantial patient harm. The objective of this study was to describe abdominopelvic intraoperative injuries and their contributing factors among medicolegal cases.
This study was a descriptive analysis of medicolegal matters reported to a national body, with subgroup analyses by type of surgery. We reviewed medicolegal matters involving a population-based sample of physicians who were subject to a civil legal action or complaint to a regulatory authority that was closed between 2013 and 2017 in Canada.
Our analysis included 181 civil legal cases and 88 complaints to a regulatory authority. Among legal cases, 155 patients (85.6%) (median age 47 yr) underwent elective procedures. The most common injury site was the bowel (53 cases [29.3%]). Injuries frequently occurred during dissection (79 [43.6%]) and ligation (38 [21.0%]), were identified postoperatively (138 [76.2%]) and necessitated further surgery (139 [76.8%]). Many patients experienced severe harm (55 [30.4%]) or died (25 [13.8%]). Peer experts in nongynecologic cases were more likely than those in gynecologic cases to include criticisms of a provider in a harmful incident (79 [71.2%] v. 30 [42.9%], p < 0.01). Peer expert criticisms often related to clinical evaluation, decision-making and misidentification of anatomy. Criticisms of nontechnical skills identified documentation and communication deficiencies.
This study confirms the importance of provider and team training to improve clinical evaluation and decision-making, documentation and communication. Effective protocols may help support clinicians in providing safer surgical care.
This study confirms the importance of provider and team training to improve clinical evaluation and decision-making, documentation and communication. Effective protocols may help support clinicians in providing safer surgical care.
Coronavirus disease 2019 (COVID-19) is a serious worldwide threat presented by a broad range of symptoms, from mild flu to severe pneumonia. A rising number of atypical infections have been reported. Thus, scientists and clinicians are doing hard work to unravel scientific knowledge about this novel pandemic.
The aim of the present work was to highlight the oral manifestations which could be observed in mild-to-moderate cases of COVID-19.
A questionnaire survey was performed on 665 Egyptian patients who were confirmed COVID-19-positive based on the polymerase chain reaction (PCR) test. After applying the exclusion criteria, cases with mild-to-moderate symptoms were included in the study. The questionnaire consisted of 4 sections. The 1st section included demographic data, smoking, alcohol consumption, and general health status. The 2nd section contained questions regarding the oral hygiene status of the patients, and additionally a question about the hygienic measures they took while being infected with COVID-19.
