The father acts as an intermediary for dentist fear between both mother and children
Fear of visiting the dentist is a frequent problem in paediatric dentistry. A new study confirms the emotional transmission of dentist fear among family members and analyses the different roles that mothers and fathers might play.
A new study conducted by scientists at the Rey Juan Carlos University of Madrid highlights the important role that parents play in the transmission of dentist fear in their family.
Previous studies had already identified the association between the fear levels of parents and their children, but they never explored the different roles that the father and the mother play in this phenomenon.
Am
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Fragility fractures due to osteoporosis are a major cause of disability or premature death in older adults. Those at highest risk are patients who have already suffered one fragility fracture; they are at twice the risk of suffering a future fracture compared to others who have not fractured.
Nevertheless health care systems around the world are failing to identify and treat these patients, leaving them exposed to debilitating and life-threatening secondary fractures.
Based on evidence from numerous global studies, a new report, ‘Capture the Fracture: A Best Practice Framework and Global Campaign to Break the Fragility Fracture Cycle’ (1), sets 13 achievable standards for best practice in implementing fracture liaison services (FLS) worldwide, in a broad range of health-economic environments.
The report has been published in the peer-reviewed journal ‘Osteoporosis International’ and is endorsed by the International Osteoporosis Foundation (IOF) Committee of Scientific Advisors. It is available at link.springer.com/article/10.1007/s00198-013-2348-z
Fracture Liaison Systems help reduce the burden of fragility fractures:
Professor Cyrus Cooper, Chair of the IOF Committee of Scientific Advisors (CSA) emphasized the importance of systematic and coordinated secondary prevention care: ‘Coordinator-based FLS have been shown to close the gap in secondary fracture prevention care, ensuring that fragility fracture sufferers receive appropriate assessment and intervention to reduce future fracture risk.’
The best practice framework sets the foundation for ‘Capture the Fracture’, a multi-stakeholder initiative led by the International Osteoporosis Foundation. The initiative hopes to drive change so that secondary fracture prevention becomes a reality around the world.
The new initiative aims to:
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Researchers at Tufts University School of Dental Medicine and the Forsyth Institute published a study today that found that a significant proportion of dental bib clips harboured bacteria from the patient, dental clinician and the environment even after the clips had undergone standard disinfection procedures in a hygiene clinic. Although the majority of the thousands of bacteria found on the bib clips immediately after treatment were adequately eliminated through the disinfection procedure, the researchers found that 40% of the bib clips tested post-disinfection retained one or more aerobic bacteria, which can survive and grow in oxygenated environments. They found that 70% of bib clips tested post-disinfection retained one or more anaerobic bacteria, which do not
‘The study of bib clips from the hygiene clinic demonstrates that with the current disinfection protocol, specific aerobic and anaerobic bacteria can remain viable on the surfaces of bib clips immediately after disinfection,’ said Addy Alt-Holland, M.Sc., Ph.D., Assistant Professor at the Department of Endodontics at Tufts University School of Dental Medicine and the lead researcher on the study. ‘Although actual transmission to patients was not demonstrated, some of the ubiquitous bacteria found may potentially become opportunistic pathogens in appropriate physical conditions, such as in susceptible patients or clinicians.’
The study analysed the clips on 20 dental bib holders after they had been used on patients treated in a dental hygiene clinic. The bib clips were sampled for aerobic and anaerobic bacterial contaminants immediately after treatment (post-treatment clips) and again after the clips were cleaned using disinfecting, alcohol-containing wipes (post-disinfection clips) according to the manufacturer instructions and the clinic
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Global action is needed to tackle the catastrophic threat of anti-microbial resistance, which in 20 years could see any one of us dying following minor surgery, England
Advances in electronic medical record systems and health information exchange are shifting efforts in public health toward greater use of information systems to automate disease surveillance, but a study from the Regenstrief Institute has found that these technologies’ capabilities are under-utilised by those on the front lines of preventing and reporting infections.
The new study measured the awareness, adoption and use of electronic medical record systems and health information exchange by hospital-based infection preventionists (formerly known as infection control professionals) to report and share information critical to public health. Infection preventionists are often responsible for reporting information on patients diagnosed with health-care-acquired infections like Methicillin-resistant Staphylococcus aureus, or MRSA, as well as sexually transmitted diseases such as chlamydia.
Prior research at Regenstrief and other academic institutions has shown that health information exchange can increase the completeness and timeliness of infection reporting to local and state health agencies. In this study, the researchers found that half of the infection preventionists surveyed were unaware of whether their hospital or health system participated in a health information exchange. Only 10 percent of infection preventionists indicated that their organisations were formally engaged in health information exchange activities.
While 70 percent of infection preventionists surveyed reported access to an electronic medical record system, less than 20 percent were involved in the design, selection or implementation of the system. Without such involvement, those surveyed indicated the information systems often did not include modules or components that supported infection control activities.
‘There is a push from the Centers for Medicare & Medicaid Services to reduce hospital-acquired infections and increase the use of electronic health record systems,’ said lead author Brian Dixon, MPA, Ph.D., Regenstrief Institute investigator and assistant professor in the School of Informatics and Computing at Indiana University-Purdue University Indianapolis. ‘The Centers for Disease Control and Prevention are encouraging local and state health departments to use health information technologies to improve infectious disease reporting and prevention activities. We found that while hospital-based infection preventionists — the people on the front line — may have access to health information technology, they lack specially designed computer tools needed to sift through the massive amounts of data in electronic medical records.
Indiana University
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The hormone-releasing Mirena coil intrauterine device (IUD) is a better treatment for heavy menstrual periods than other conventional medical approaches, according to results of a major clinical trial led by scientists from the Universities of Nottingham and Birmingham.
The findings of the ECLIPSE study, funded by the National Institute for Health Research (NIHR) are widely expected to change standard clinical practice.
Heavy periods, or menorrhagia, affect the lives of large numbers of women aged 25-50 years, accounting for many GP consultations and 20 per cent of gynaecological referrals in the UK. Yet to date there has been limited evidence to help women and doctors make informed choices about treatments.
The ECLIPSE trial compared the clinical effectiveness of the levonorgestrel-releasing intrauterine system (also known as LNG-IUS or the Mirena contraceptive coil) with other medical treatments on offer in primary care.
A total of 571 women, consulting their GPs for heavy menstrual bleeding, agreed to be randomly assigned to LNG-IUS or to another standard medical treatment, such as tranexamic acid, mefanamic acid, combined estrogen and progestogen or progestogen only.
Over two years, patient reported outcomes improved more with LNG-IUS than with other treatments, including women
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A painstaking effort to create a biocompatible patch to heal infant hearts is paying off at Rice University and Texas Children
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Older adults represent an important and growing demographic in emergency departments (ED) across the country, with urinary tract infections (UTIs) being one of the leading causes for ED visits. In fact, UTIs, which can progress to serious health concerns, are the fourth most common diagnosis in women over age 65. But a new study at Rhode Island Hospital has found that many such women receive treatment for a UTI, but have no firm evidence of such an infection, resulting in the prescribing of unnecessary antibiotics.
The study, conducted by Leonard Mermel, DO, medical director of the department of epidemiology and infection control at Rhode Island Hospital, and his colleagues found that collection of urine to rule in, or rule out, a UTI in this patient population is best done by inserting a temporary catheter into the bladder to collect the specimen rather than collecting urine by the so-called
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Patients with type 2 diabetes who consume a diet identical to the strict regimen followed after bariatric surgery are just as likely to see a reduction in blood glucose levels as those who undergo surgery, researchers at UT Southwestern Medical Center have found.
‘For years, the question has been whether it is the bariatric surgery or a change in diet that causes the diabetes to improve so rapidly after surgery,’ said Dr. Ildiko Lingvay, assistant professor of internal medicine and first author of the study.’We found that the reduction of patients
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In a world first, a team of researchers at the Krembil Neuroscience Centre and the University Health Network have shown that Deep Brain Stimulation (DBS) in patients with chronic, severe and treatment-resistant Anorexia Nervosa (anorexia) helps some patients achieve and maintain improvements in body weight, mood, and anxiety.
The study is a collaboration between lead author Dr. Nir Lipsman a neurosurgery resident at the University of Toronto and PhD student at the Krembil Neuroscience Centre; Dr. Andres Lozano, a neurosurgeon, at the Krembil Neuroscience Centre of Toronto Western Hospital and a professor and chairman of neurosurgery at the University of Toronto, whose research lab was instrumental in conducting the DBS research; and Dr. Blake Woodside, medical director of Canada
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