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The crisis in healthcare. 医疗危机。
Pub Date : 2018-06-12 DOI: 10.12968/s0047-9624(23)60320-7
G. Sing, D. Wilbanks
With robotics and AI affecting many sectors, what impact could they have on healthcare provision?
随着机器人和人工智能影响到许多行业,它们会对医疗保健产生什么影响?
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引用次数: 1
Oral and maxillofacial pathology case of the month: Intramucosal Nevus. 本月口腔颌面病理1例:粘膜内痣。
Pub Date : 2017-05-01
Zohreh Khavandgar, John Wright, Marjan Adami
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引用次数: 0
Personality Types: Predictors for Pediatric Dentists-Pilot Study. 个性类型:儿童牙医的预测因子-初步研究。
Pub Date : 2017-05-01
Gary R Badger, Deborah R Franklin

Personality Types of Pediatric Dentistry Residents and Residency Applicants PURPOSE: Dentists may possess unique personality traits that distinguish them from the general population. Within the profession, there may be personality traits that are more prevalent in one specialty than another. This project was designed to determine if personality profiling could be a predictor for success in a specialty field, i.e. pediatric dentistry. The Myers-Briggs Type Indicator (MBTI) was developed to make the theory of psychological types, described by Carl Jung, understandable and useful to people's everyday lives. Jung's theory is that much of what seems like random human behavior is due to basic differences in the . way people use their perception and judgment. The purpose of this study was to determine if interviewees to a pediatric dentistry residency program possessed similar personality traits to pediatric dentistry faculty/residents by comparing the Meyers-Briggs Type Indicator (MBTI) results of the 2 groups. METHODS: Thirty-one pediatric dentistry faculty/residents were.compared with 46 pediatric dentistry residency interviewees. Each member of both groups anonymously completed the MBTI profile. RESULTS: This study indicates that there are no significant differences in MBTI personality types between pediatric dentistry faculty/residents versus interviewees to a pediatric dentistry residency (p=0.168), except that interviewees were more likely to exhibit the ESFJ type than were faculty/ residents (p=0.015). ESFJ represents E, extrovert, S, sensing, F, feeling and J, judging. All comparisons were conducted with the asymptotic chi-square test, except when expected cell counts were <5. For the latter comparisons, the Fisher's exact version of the chi-square test was used, p< .05 CONCLUSION: It is concluded that no common personality type, as determined by the MBTI, exists between pediatric dentistry faculty/residents and interviewees for residency, and that personality characteristics cannot be used as predictive factors in selection of pediatric dentistry residents.

目的:牙医可能具有独特的人格特征,使他们与一般人群区别开来。在职业中,可能有一些性格特征在一个专业中比在另一个专业中更普遍。这个项目的目的是确定性格分析是否可以预测在一个专业领域的成功,例如儿科牙科。迈尔斯-布里格斯类型指标(MBTI)的发展是为了使卡尔·荣格(Carl Jung)所描述的心理类型理论变得容易理解,并对人们的日常生活有用。荣格的理论是,许多看似随机的人类行为是由于大脑的基本差异。人们使用感知和判断的方式。本研究的目的是通过比较迈耶斯-布里格斯类型指标(MBTI)的结果,确定儿童牙科住院医师项目的受访者是否与儿童牙科教师/住院医师具有相似的人格特征。方法:对31名儿科牙科教师/住院医师与46名儿科牙科住院医师进行比较。两组的每个成员都匿名完成了MBTI档案。结果:本研究表明,儿童牙科医师/住院医师与儿童牙科住院医师的受访者在MBTI人格类型上没有显著差异(p=0.168),除了受访者比教师/住院医师更容易表现出ESFJ类型(p=0.015)。ESFJ代表外向,S代表感知,F代表感觉,J代表判断。除预期细胞计数外,所有比较均采用渐近卡方检验
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引用次数: 0
Starting a Practice While Paying Off Student Loans: Doctors, Dentists and Debt. 在偿还学生贷款的同时开始实践:医生,牙医和债务。
Pub Date : 2017-05-01
Jason Compton
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引用次数: 0
CAT of the Month (CAT): Patients with Lingual Orthodontic Brackets Experience Speech Difficulties of Longer Duration When Compared to Patients with Labial Brackets (UT CAT #3145). 每月CAT (CAT):与唇托(UT CAT #3145)的患者相比,使用舌正畸托架的患者经历的言语困难持续时间更长。
Pub Date : 2017-05-01
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引用次数: 0
HIPAA Compliance Doesn't Have to be Complicated 5 HIPAA Technical Safeguards Explained. 遵从HIPAA并不复杂5 HIPAA技术保障解释。
Pub Date : 2017-04-01
F Don Douglas
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引用次数: 0
Energy output and in vitro biologic effects of an ionic toothbrush. 离子牙刷的能量输出和体外生物效应。
Pub Date : 2017-04-01
Cynthia N Perry, R David Beard, Russell James Lolley, Leonard E Buddy Saunders, Dale Quest, Jordyn O'Donnell

The Soladey™ toothbrush has a moisture-permeable titanium dioxide (TiO2) resin core in the replacement brush end of a handle activated by light conversion power cells. Purported to have an antibacterial effect and remove more plaque than an ordinary toothbrush, this study was undertaken to establish output measurements of the dry and wet TiO₂ core of the toothbrush during typical illumination of the handle, then quantify lipid peroxidation in three distinct lipid-containing solutions, and bactericidal effects in a live bacterial suspension grown from suctioned oral secretions.

Methods: Within a range of illumination of the power cells in the handle, corresponding flow of electrons emitted from dry and wetted TiO2 cores was measured. The claim that an antibacterial effect can be attributed to generation of reactive oxygen-mediated lipid peroxidation of cell membranes was tested by exposing three lipid substrates to the light-activated ionic toothbrush tips for incremental periods of time. Products of lipid peroxidation were quantified using 3 commercially available assays, and bactericidal effects were assessed by scoring colony-forming units.

Results: Illumination of the handle generated quantifiable increases in electrons flowing from the wetted TiO₂ core. Immersion of the TiO₂ core end of illuminated toothbrush handles into lipid substrates showed linear effects of incremental exposure times on products of lipid peroxidation, but no evidence of a bactericidal effect occurring within 15 minutes.

Conclusions: This validates capacity of the wetted current- activated TiO₂ core to generate time-dependent lipid peroxides, particularly in the sonicated matrix containing disrupted cell membranes. Finding no time-dependent reduction in colony- forming units and less lipid peroxidation in a suspension of intact cells casts doubt that the ionic toothbrush has an immediate antibacterial effect while brushing teeth. If a toothbrush with a TiO₂ core is self-disinfecting between uses, bactericidal effects requiring longer periods of exposure might still confer a hygienic advantage.

Soladey™牙刷有一个透湿的二氧化钛(TiO2)树脂芯,在一个由光转换电池激活的手柄的更换刷端。据称,这种牙刷具有抗菌作用,比普通牙刷能清除更多的牙菌斑,本研究在典型的把手照明下,建立了牙刷干和湿TiO₂芯的输出测量,然后量化了三种不同的含脂溶液中的脂质过氧化作用,以及从吸吸的口腔分泌物中生长的活菌悬浮液的杀菌效果。方法:在手柄内动力电池的照度范围内,测量干燥和湿润TiO2芯发出的相应电子流。抗菌作用可归因于活性氧介导的细胞膜脂质过氧化的产生,这一说法是通过将三种脂质底物暴露于光激活离子牙刷尖上的增量时间来测试的。脂质过氧化产物使用3种市售检测方法进行定量,并通过菌落形成单位评分来评估杀菌效果。结果:手柄的照明产生了可量化的电子从湿润的tio_2核心流出的增加。将有光照的牙刷柄的TiO 2核心端浸入脂质底物中,暴露时间的增加对脂质过氧化产物有线性影响,但在15分钟内没有证据表明有杀菌作用。结论:这证实了湿电流激活的TiO 2核心产生时间依赖性脂质过氧化物的能力,特别是在含有破坏细胞膜的超声基质中。在完整细胞悬浮液中发现菌落形成单位没有时间依赖性的减少和较少的脂质过氧化,这使人们怀疑离子牙刷在刷牙时具有立即的抗菌效果。如果带有TiO₂芯的牙刷在使用之间可以自我消毒,那么需要长时间接触的杀菌效果可能仍然具有卫生优势。
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引用次数: 0
Oral and maxillofacial pathology: Case of the month. 口腔颌面病理学:本月病例。
Pub Date : 2017-04-01
Kalu U E Ogbureke, Ashley N Clark, Ngozi N Nwizu, John McGehee
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引用次数: 0
MTA Pulpotomies: A Long-Term Case Series Outcomes Assessment of Complicated Crown Fractures. MTA椎体切开术:复杂冠骨折的长期病例系列结局评估。
Pub Date : 2017-03-01
David E Witherspoon, John D Regan, Joel C Small

Background: This retrospective case series describes the outcomes of anterior teeth with complicated fractures treated using mineral trioxide aggregate (MTA) in pulpotomy procedures.

Methods: 33 teeth were treated with MTA pulpotomy procedures in an endodontic private practice. All patients had been referred to the practice for diagnosis and treatment of a pulpal exposure due to complicated crown fractures. The teeth were either recalled directly or "indirectly" by the referring dentist. Teeth recalled directly were categorized as healed, healing, non- surgical root canal treatment completed for either aesthetic or restorative reasons, or persistent disease. Teeth recalled indirectly were categorized as successful or failed.

Results: 27 teeth were available for recall; 20 teeth directly and 7 teeth indirectly. The mean recall for teeth recalled directly was 3.94 years and the mean recall for teeth recalled indirectly was 5.9 years. The recall range for teeth recalled directly was 0.51 to 10.49 years and for teeth recalled indirectly was 3.58 to 10.66 years. Of the cases available for direct recall, 13 of 20 teeth were healed positive to pulp tests, 4 of 20 teeth were healed negative to pulp tests and 3 of 20 teeth had non-surgical root canal treatment completed. 15 of the 20 teeth recalled directly where discolored. 7 of 7 teeth recalled indirect were successful as determined by the radiographs and a report from the restorative dentist.

Conclusions: MTA is a viable alternative to calcium hydroxide for pulpotomies.

背景:本回顾性病例系列描述了在髓体切开术中使用三氧化二矿骨料(MTA)治疗复杂骨折的前牙的结果。方法:对33颗牙进行MTA切髓术治疗。所有的病人都是由于复杂的牙冠骨折而导致的牙髓外露的诊断和治疗。这些牙齿由转诊牙医直接或“间接”召回。直接召回的牙齿分为已愈合、正在愈合、因美观或修复原因完成非手术根管治疗或持续性疾病。间接召回的牙齿分为成功和失败两类。结果:可召回牙27颗;直接牙20颗,间接牙7颗。直接召回牙齿的平均召回时间为3.94年,间接召回牙齿的平均召回时间为5.9年。直接召回牙齿的召回范围为0.51 ~ 10.49年,间接召回牙齿的召回范围为3.58 ~ 10.66年。在可直接回忆的病例中,20颗牙中有13颗牙髓试验阳性愈合,20颗牙中有4颗牙髓试验阴性愈合,20颗牙中有3颗完成了非手术根管治疗。20颗牙齿中有15颗是直接变色的。通过x线片和修复牙医的报告,7颗间接召回的牙齿中有7颗是成功的。结论:MTA是替代氢氧化钙进行牙髓切开术的可行选择。
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引用次数: 0
Oral and maxillofacial pathology: case of the month: Dens in Dente. 口腔颌面病理:本月1例:牙内齿。
Pub Date : 2017-03-01
Bertram I Moldauer, Juan G Liano, Shawneen M Gonzalez, Mitzi J Palazzolo
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引用次数: 0
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Texas dental journal
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