Vaccine hesitancy and unfalsifiability Glick, Michael
The Journal of the American Dental Association (1939),
07/2015, Letnik:
146, Številka:
7
Journal Article
Background There are no guidelines for the recommended interval to the next examination after colonoscopy with suboptimal bowel preparation. Objective To identify factors associated with early repeat ...colonoscopy after initial examinations with suboptimal preparations and to measure adenoma miss rates in this context. Design Retrospective study. Setting Hospital-based endoscopy unit. Patients Bowel preparation quality was recorded in 12,787 patients. Results Of 12,787 colonoscopies, preparation quality was suboptimal (poor or fair) in 3047 patients (24%). Among these 3047 patients, repeat examination was performed in <3 years in 505 (17%). Factors associated with early repeat colonoscopy included lack of cecal intubation (odds ratio OR 3.62, 95% confidence interval CI, 2.50-5.24) and finding a polyp (OR 1.55, 95% CI, 1.17-2.07). Among 216 repeat colonoscopies with optimal preparation, 198 adenomas were identified, of which 83 were seen only on the second examination, an adenoma miss rate of 42% (95% CI, 35-49). The advanced adenoma miss rate was 27% (95% CI, 17-41). For colonoscopies repeated in <1 year, the adenoma and advanced adenoma miss rates were 35% and 36%, respectively. Limitations Single-center, retrospective study. Conclusion Although a minority of patients undergo early repeat examination after colonoscopies done with suboptimal bowel preparation, the miss rates for colonoscopies done with suboptimal bowel preparation were high, suggesting that suboptimal bowel preparation substantially decreases colonoscopy effectiveness and may mandate an early follow-up examination.
Advancing the concept of global oral health can help tackle the triple planetary crises of climate change, nature and biodiversity loss, and pollution and waste. A model for oral and planetary health ...places more explicit focus on understanding the state of the Earth's systems, changing environment in relation to planetary health boundaries and their impact on human well-being. This can facilitate a planet-centric critical thinking for equity in global oral health that contributes to UN 2030 Agenda for Sustainable Development.
Why don’t dentists provide immunizations? Glick, Michael, DMD
The Journal of the American Dental Association (1939),
10/2013, Letnik:
144, Številka:
10
Journal Article
The curious life of the biomarker Glick, Michael, DMD
The Journal of the American Dental Association (1939),
02/2013, Letnik:
144, Številka:
2
Journal Article
Recenzirano
Although the definition is evolving, the biomarker can be defined broadly as an objectively measured biological characteristic that reflects normal biological processes, pathogenic processes or even ...pharmacologic responses to therapeutic interventions. Biomarkers can be used to estimate exposure to a risk factor. This method can reduce bias and improve validity in epidemiologic studies. Exposure to smoking can be ascertained by asking patients about their smoking history, but the effects of smoking also can be measured by changes in DNA (carcinogenic DNA adducts) or by the amount of serum and hair continine. Here, Glick examines why the ability to recognize, evaluate and understand the uses of existing and emerging biomarkers is an essential skill required of all biomedical health care professionals.
Inherently interdisciplinary, the field of oral medicine continues to incorporate and apply new knowledge and techniques to the care of patients. For nearly 70 years, Burket's Oral Medicine has been ...the principal text for all major aspects of oral medicine, from the basic science to clinical practice. This 12th edition continuous to serve as the authoritative source of information for students, residents, and clinicians interested in the field of oral medicine. Through the addition of new chapters and substantial new material, the 12th edition of the book significantly advances the understanding of today's practice of oral medicine.
Research findings are produced at a rapid pace and are readily accessible from a variety of sources. A chapter on clinical research has been added to the book to help readers interpret how scientific findings reported in the literature impact their practice. Awareness of the unique aspects of oral health needs for the elderly, infants, and young children prompted the inclusion of two new chapters introducing the fields of geriatric and pediatric oral medicine. Two other original chapters on radiologic interpretations and complications of nonsurgical cancer therapy complement in more detail other broader topics addressed in the book.
PDF
