Med urgentna stanja, ki zahtevajo takojšnje ukrepanje, sodijo tudi nujna medicinska stanja. Novejše raziskave kažejo, da se vsak zobozdravnik v svoji ambulanti povprečno sreča z 2–3 nujnimi stanji ...letno, najpogosteje z vazovagalno sinkopo, hipoglikemijo, hipertenzivno krizo in nenadnim poslabšanjem astme, precej redkeje pa z anafilaksijo, nenadno srčno smrtjo in možgansko kapjo. Posamezen zobozdravnik se z omenjenimi stanji ne srečuje vsakodnevno, zato so redna izobraževanja za ohranjanje znanja in veščin za njihovo ustrezno obravnavo izredno pomembna. V Sloveniji so zobozdravstvene ambulante nezadostno opremljene s pripomočki za uporabo pri nujnih stanjih, kar je verjetno posledica tako slabe ozaveščenosti o njihovi pogostosti kot tudi pomanjkanja jasnih smernic o obveznih pripomočkih in zdravilih za njihovo obvladovanje. Po priporočilih iz Velike Britanije bi moral biti v vsaki zobozdravstveni ambulanti pripravljen ustrezen protokol, ki bi mu v primeru nujnega stanja sledili vsi člani tima, ter dostopna ustrezna oprema za obvladovanje vseh življenje ogrožajočih stanj.
To investigate the correlation between the four dimensions of Oral Health-Related Quality of Life (OHRQoL) and Health-Related Quality of Life (HRQoL) constructs in a dental patient population.
A ...cross-sectional study carried out at HealthPartners, Minnesota, USA. This study is a secondary data analysis of available adult dental patients' data. The instruments used to assess the OHRQoL and HRQoL constructs were the Oral Health Impact Profile-version with 49 items (OHIP-49) and Patient-Reported Outcome Measures Information System (PROMIS) measures v.1.1 Global Health instruments Patient Reported Outcome Measures (PROMs), respectively. We used Structural Equation Modeling to determine the correlation between OHRQoL and HRQoL.
Two thousand and seventy-six dental patients participated in the study. OHRQoL and HRQoL scores correlated with 0.56 (95%CI:0.52-0.60). The OHRQoL and Physical Health dimension of HRQoL correlated with 0.55 (95%CI:0.51-0.59). The OHRQoL and Mental Health dimension of HRQoL correlated with 0.51 (95%CI:0.47-0.55). When adjusted for age, gender, and depression, the correlation coefficients changed only slightly and resulted in 0.52 between OHRQoL and HRQoL Physical Health, and 0.47 between OHRQoL and HRQoL Mental Health. Model fit statistics for all analyses were adequate and indicated a good fit.
OHRQoL and HRQoL overlap greatly. For dental practitioners, the OHRQoL score is informative for their patients' general health status and vice versa. Study results indicate that effective therapeutic interventions by dentists improve patients' OHRQoL as well as HRQoL.
To compare the frequency of patients' oral health problems and prevention needs among Slovenian and international dentists with the aim to validate the four oral health-related quality of life ...(OHRQoL) dimensions across six clinical dental fields in all World Health Organization (WHO) regions.
An anonymous electronic survey in the English language was designed using Qualtrics software. A probability sampling for Slovenia and a convenience sampling strategy for dentist recruitment was applied for 31 countries. Dentists engaged in six dental fields were asked to categorize their patients' oral health problems and prevention needs into the four OHRQoL dimensions (Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact). Proportions of patients' problems and prevention needs were calculated together with the significance of Slovenian and international dentists' differences based on dental fields and WHO regions.
Dentists (n=1,580) from 32 countries completed the survey. There were 223 Slovenian dentists (females: 68%) with a mean age (SD) of 41 (10.6) years and 1,358 international dentists (females: 51%) with a mean age (SD) of 38 (10.4). Pain-related problems and prevention needs were the most prevalent among all six dental fields reported by dentists; Slovenian (37%) and 31 countries (45%). According to Cohen, differences between Slovenia, the broader European Region, and 31 countries were considered non-significant (<0.1).
According to the dentists' responses, the frequency of patients' oral health problems and prevention needs are proportionate between Slovenia and 31 countries, regionally and globally. The four OHRQoL dimensions can be considered universal across all dental fields.
The aim of our study was to chronologically analyse various public health measures of fluoride use in caries prevention.
We systematically searched the PubMed database on the preventive role of ...fluorides in public health, published from 1984 to 2014. The search process was divided into four steps, where inclusion and exclusion criteria were defined. Qualitative methodology was used for the article analysis. In the research process, the described forms of F use, diversity of the described F agents, and the observed population group were analysed.
In our systematic review, 40 relevant reviews were revealed. Fluorides have been used in many different forms, but only a few studies showed their significant role in public health. Water fluoridation was the most important public health measure. In the recent decades, the number of studies on topical fluorides is constantly rising. The most extensively described topical forms of fluorides are professionally applied fluoride agents and fluoride toothpaste for home-use. The use of fluoride containing toothpaste in caries prevention is a safe and successful public health measure (PHM) if their use is widespread, and it is recommended for all. The results on other topical forms of fluorides are insufficient to be suggested as an important PHM.
The role of fluorides in public health prevention has changed in accordance with the knowledge about the fluoride cariostatic mechanism. Previously the most important pre-eruptive effect of fluorides was supplemented by the post eruptive effect. Abundant evidence exists to show the effectiveness of systemic and topical fluorides.
Extended description:
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Ambulanta zasebnega zobozdravnika, računalniki, asistentka, govori dr. Pavle Zagode, zasebni zobozdravnik iz Krškega; čakalnica pri zasebnem zdravniku, sestra oskrbuje pacienta, pregleduje kartoteke, za računalnikom, izjava zdravnika dr. Stane V. Sunčič, pacientka o privatni zobozdravstveni praksi.
Zdravstveni dom Žiri, ki so ga prevzeli zasebni zdravniki, zunanjost, notranjost, čakalnica, ambulanta, lekarna, govori dr. Ratko Radoševič, zdravnik splošne prakse, napisana tabla Bolnišnica Jesenice, govori Jože Veternik, direktor Osnovnega zdravstva Gorenjske.
Information:
Private health services in Slovenia: Secretary of State for Health Dr. Dunja Piškur describing individual cases from other countries. Private dental services: false teeth and instruments in a glass box. A dentist's assistant at work, an orthodontist examining a child. A statement by Dr. Marjan Tavčar, general manager of dental services in Nova Gorica.
Original language summary:
Zasebno zdravstvo pri nas; v studiu komentira posamezne primere iz prakse državna sekretarka v ministrstvu za zdravstvo dr. Dunja Piškur Kovač. Privatno zobozdravstvo, proteze in inštrumenti v vitrini, delo zobotehnice, ortodont pregleduje otroka, dr. Marjan Tavčar, direktor zobozdravstva Nova Gorica.
Predstavitev dr. Marije Počivavšek iz Muzeja novejše zgodovine Celje z naslovom Sv. Apolonija na muzejski razstavi: Slovenska zobozdravstvena zbirka.Predstavitev je bila na znanstvenem ...srečanju “Rijeka i Riječani u medicinskoj povjesnici”, Medicinska fakulteta Sveučilišta u Rijeci, 9. – 10. 11. 2007.Predstavitev si lahko ogledate tukaj.
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