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Zeitschriftenartikel zum Thema "Dental care Evaluation":
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Yule, Brian F., Barbara M. van Amerongen und Michael C. M. van Schaik. „The economics and evaluation of dental care and treatment“. Social Science & Medicine 22, Nr. 11 (1986): 1131–39. http://dx.doi.org/10.1016/0277-9536(86)90179-6.
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Gibbons, David E. „An evaluation of primary dental care practitioners in commissioning groups“. British Dental Journal 189, Nr. 12 (Dezember 2000): 662. http://dx.doi.org/10.1038/sj.bdj.4800858.
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Gibbons, David. „An evaluation of primary dental care practitioners in commissioning groups“. British Dental Journal 189, Nr. 12 (23.12.2000): 662. http://dx.doi.org/10.1038/sj.bdj.4800858a.
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Bader, James D., Daniel A. Shugars, B. Alex White und D. Brad Rindal. „Evaluation of Audit-based Performance Measures for Dental Care Plans“. Journal of Public Health Dentistry 59, Nr. 3 (September 1999): 150–57. http://dx.doi.org/10.1111/j.1752-7325.1999.tb03264.x.
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Locker, David, Caroline Frosina, Heather Murray, David Wiebe und Peter Wiebe. „Identifying Children with Dental Care Needs: Evaluation of a Targeted School-based Dental Screening Program“. Journal of Public Health Dentistry 64, Nr. 2 (Juni 2004): 63–70. http://dx.doi.org/10.1111/j.1752-7325.2004.tb02729.x.
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BEDI, RAMAN, TIM S. C. CHAN und DAVID O'DONNELL. „Evaluation of attitudes of Chinese dental students toward dental care for patients with handicapping conditions“. Special Care in Dentistry 6, Nr. 1 (Januar 1986): 29–32. http://dx.doi.org/10.1111/j.1754-4505.1986.tb00946.x.
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Reis, Clarice Magalhães Rodrigues dos, Juliana Vaz de Melo Mambrini, Antônio Thomaz Gonzaga da Matta-Machado, João Henrique Lara do Amaral, Marcos Azeredo Furquim Werneck und Mauro Henrique Nogueira Guimarães d. Abreu. „Primary dental care evaluation in Brazil: an item response theory approach“. Journal of Public Health Dentistry 77, Nr. 4 (14.03.2017): 317–24. http://dx.doi.org/10.1111/jphd.12210.
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DEAL, TERRI S., und ANN L. ROPPEL. „Evaluation of a supplemental dental booklet for long-term care facilities“. Special Care in Dentistry 6, Nr. 4 (Juli 1986): 162–64. http://dx.doi.org/10.1111/j.1754-4505.1986.tb00986.x.
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Nguyen, T. M., Y. S. Hsueh, M. V. Morgan, R. J. Mariño und S. Koshy. „Economic Evaluation of a Pilot School–Based Dental Checkup Program“. JDR Clinical & Translational Research 2, Nr. 3 (05.05.2017): 214–22. http://dx.doi.org/10.1177/2380084417708549.
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The objectives of this study were to perform an economic evaluation of a targeted school-based dental checkup program in northern metropolitan Melbourne, Victoria. A 12-mo retrospective case-control cohort analysis using the decision tree method evaluated the incremental cost-utility and cost-effectiveness ratio (ICUR/ICER) for passive standard care dental services and an outreach pilot intervention completed in 2013. A societal perspective was adopted. A total of 273 children ( n = 273) aged between 3 and 12 y met the inclusion/exclusion criteria: 128 in the standard care group and 145 in the intervention group. The total society costs included health sector costs, patient/family costs, and productivity losses in 2014 Australian dollars. Outcome measures were evaluated using quality-adjusted tooth years (QATY) and the combined deciduous and permanent decayed, missing, and filled teeth prevented (DMFT-prevented). A generic outcome variable was created to determine the impact of the intervention to reach underserved populations based on government concession eligibility (cardholder status). Uncertainties were incorporated using 95% confidence intervals. The mean total society cost per child is $463 and $291 ( P = 0.002), QATY utility difference is 0.283 and 0.293 ( P = 0.937), effectiveness difference is 0.16 and 0.10 ( P = 0.756), and cardholder status is 50.0% and 66.2% ( P = 0.007), respectively, for the standard care and intervention groups. On average per child, there was a cost saving of $172 and improvement of 0.01 QATY, with an additional proportion of 16.2% of cardholder children reached. The calculated ICER was $3,252 per DMFT-prevented. The intervention dominates standard care for QATY and per 1% cardholder reached outcome measures. Our study found the pilot checkup program was largely less costly and more effective compared with the current standard care. Further research is needed to quantify the value of outreach interventions to prevent dental caries development and progression in populations from low socioeconomic status. Knowledge Transfer Statement: The findings of this research demonstrated that an outreach dental program can be less costly and more effective than standard models of dental care. It showed that a school-based dental checkup program is beneficial despite other opinions that dental screening is ineffective as a method to improve public dental health. There is fiscal economic evidence to support broader expansion of similar programs locally and internationally to reduce dental caries for children from low-income families.
Dissertationen zum Thema "Dental care Evaluation":
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Fox, Chris. „Evaluation of a process for research agenda-setting in primary dental care“. Thesis, Exeter and Plymouth Peninsula Medical School, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.572765.
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The Shirley Glasstone Hughes Trust Fund (SGHTF) instigated a research agenda-setting process to ensure its primary research commissioning was targeted at the topics of most relevance to primary dental care practitioners. Overall, the objective was to reduce barriers to evidence-based dentistry practice. A web-based system generated research topic nominations, and a resource- constrained rapid evidence review process produced Evidence Summaries for use by practitioners and research commissioners, launched in May 2009. Nine Evidence Summaries were published in the British Dental Journal, and SGHTF used these outputs to inform research commissioning. This health services mixed methods research aimed to evaluate the implementation of the SGHTF research agenda-setting process. Feasibility and effectiveness of setting up and running the web-based system, and implementation of the newly-designed rapid review process was assessed using a range of component studies: semi-structured interviews with research commissioners; quantitative and qualitative assessment of the reviewer's activity diaries; quantitative assessment of dental practitioners' research topic nominations and voting (online topic prioritisation); postal surveys (as part of the British Dental Association's national Omnibus Surveys) to dentists, and an e- survey to research commissioners to assess usefulness and relevance of research topics generated and rapid reviews completed. The findings showed that both the web-based system and the rapid review process were feasible. However, levels of engagement with the former by dentists were modest, due to the implementation approach. Evidence Summaries were found to be of relevance and useful to practitioners and research commissioners. Similar organisations seeking to enhance evidence-based practice are encouraged to draw upon relevant expertise at an early stage in planning new initiatives. Full appreciation of what communication is possible through online means, how it fits into their mission overall, and what is involved, is required at the outset to achieve successful on line stakeholder relationship building.
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McKernan, Susan Christine. „Dental service areas: methodologies and applications for evaluation of access to care“. Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/1362.
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Significant efforts have been undertaken in medicine to identify hospital and primary care service areas (eg, the Dartmouth Atlas of Health Care) using patient origin information. Similar research in dentistry is nonexistent. The goal of this dissertation was to develop and refine methods of defining dentist service areas (DSAs) using dental insurance claims. These service areas were then used as spatial units of analysis in studies that examined relationships between utilization of oral health services, dentist workforce supply, and service area characteristics.
Enrollment and claims data were obtained from the Iowa Medicaid program for children and adolescents ages 3-18 years during calendar years 2008 through 2010. The first study described rates of treatment by orthodontists in children ages 6-18 years. Orthodontic DSAs were identified by small area analysis in order to examine regional variability in utilization. The overall rate of utilization was approximately 3%; 19 DSAs were delineated. Interestingly, children living in small towns and rural areas were significantly more likely to have received orthodontic services than those living in metropolitan and micropolitan areas.
The second study identified 113 DSAs using claims submitted by primary care dentists (ie, general and pediatric dentists). Characteristics of these primary care DSAs were then compared with counties. Localization of care was used as a measure of how well each region approximated a dental market area. Approximately 59% of care received by Medicaid-enrolled children took place within their assigned service area versus 52% of care within their county of residence.
Hierarchical logistic regression was used in the final study to examine the influence of spatial accessibility and the importance of place on the receipt of preventive dental visits among Medicaid-enrolled children. Children living in urban areas were more likely to have received a visit than those living in more rural areas. Spatial accessibility assessed using measures of dentist workforce supply and travel cost did not appear to be a major barrier to care in this population.
More studies are needed to explore the importance of spatial accessibility and other geographic barriers on access to oral health services. The methods used in this dissertation to identify service areas can be applied to other populations and offer an appropriate method for examining revealed patient preferences for oral health care.
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Shelh, Malaz. „Usability evaluation of electronic dental record systems in Sweden : A survey among dentists and dental hygienists“. Thesis, Linnéuniversitetet, Institutionen för medicin och optometri (MEO), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-104224.
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Electronic Dental Records (EDR) are an important part of dental care in Sweden. The usability of these records can affect the workflow in dental care organizations. This study aims to measure the System usability scale (SUS) score of EDRs that are used in dental clinics in Sweden. The study will also investigate the relationship between the SUS score of EDRs and participants’ age, gender, interest in technology, number of patients per workday, professional experience, possible special training to use the EDR, and the period of the training. The study will also rank the most common usability problem in EDRs among the seven possible usability problems included in the questionnaire. The study will present how the participants describe experienced usability problems in the EDRs. The quantitative method constitutes the largest part of this study, while the open-ended questions were used to get a deeper knowledge about some of the usability problems. A digital questionnaire was used in this study to gather data from 115 dentists and 77 dental hygienists who work at various dental clinics around Sweden to get a statistical anchored description about the usability of various EDRs. SUS indicates a low usability level in the EDRs included in the study and a significant negative correlation between the frequency of using EDRs and usability. The males showed better experience with the usability of the EDRs compared to females. The highest-ranked usability problem was the need for users to spend a long time to document patient cases. The usability problems were summarized into three categories which are: an inefficient user interface, lack of semantic interoperability, and users relying on paper. Elektroniska journalsystem är en viktig del av tandvården i Sverige, då användbarheten av dessa system kan påverka arbetsflödet i tandvårdsorganisationer. Denna studie syftar till att mäta System usability scale (SUS) poäng för olika elektroniska journalsystem som används i olika tandkliniker i Sverige. Studien kommer också att undersöka sambandet mellan SUS-poäng för elektroniska journalsystem och deltagarnas ålder, kön, intresse av teknologi, antal patienter per arbetsdag, yrkeserfarenhet, möjlig specialutbildning för att använda elektroniska journalsystem och perioden för denna utbildning. Studien kommer också att rangordna det vanligaste användbarhetsproblemet i journalsystem bland de sju möjliga användbarhetsproblemen som ingår i frågeformuläret. Studien kommer att presentera hur deltagarna beskriver upplevda användbarhetsproblem i journalsystem. Den kvantitativa metoden utgör den största delen av denna studie, medan de öppna frågorna användes för att få en djupare kunskap om några av användbarhetsproblemen. Ett digitalt frågeformulär användes i denna studie för att samla in data från 115 tandläkare och 77 tandhygienister som arbetar vid olika tandkliniker runt om i Sverige för att få en statistisk förankrad beskrivning om användbarheten av olika elektroniska journalsystem. SUS indikerar en låg användbarhetsnivå i de systemen som ingår i studien. Vi upptäckte också en signifikant negativ korrelation mellan frekvensen av att använda systemen och användbarhetsnivån. Män visade en bättre upplevelse för användbarhet av systemen jämfört med kvinnor. Det högst rankade användbarhetsproblemet var användarnas behov av lång tid för att dokumentera patientfall. Vi sammanfattade hur deltagarna beskriver upplevda användbarhetsproblem i journalsystem under tre kategorier som är: ett ineffektivt användargränssnitt, brist på semantisk interoperabilitet och användare som skriver på en lapp.
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Leonhardt, Amar Juliane. „Evaluation of success in pediatric dental treatment using nitrous oxide from 2000 to 2005 a.d. at the Geneva Community Children's Dental Clinic /“. [S.l.] : [s.n.], 2008. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000254173.
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Broughton, Alan M. „Treatment failures in dentistry“. Title page, contents and introduction only, 1988. http://web4.library.adelaide.edu.au/theses/09DM/09dmb875.pdf.
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Salas, Mabel L. „Alveolar Ridge Preservation at different anatomical locations – Clinical and Histological evaluation of treatment outcome“. The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1259787215.
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Lim, Lum-peng, und 林南屏. „Longitudinal evaluation of scaling and oral hygiene education for an industrial population in Hong Kong“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B36544395.
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Kinser, Joshua Andrew. „Evaluation of a Behavior Skills Package to Teach Caregivers to Manage Disruptive Behavior during Medical and Dental Appointments“. Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1062808/.
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Adults with developmental disabilities that live in large residential settings experience complications due to problem behavior when attending routine medical/dental appointments. This may result in sedation for clients for even the most routine medical/dental appointments. The purpose of this project was to develop a comprehensive staff training program that incorporated best practices to teach direct-support professionals behavior management techniques and best practices for transporting clients to and from routine medical/dental appointments. 4 direct-support professionals at a large residential care facility participated in this project. Multiple probes were conducted utilizing standard role-play exercises to evaluate caregiver acquisition of 16 specific skills related to client information, best practices for client transport, and behavior management. The results indicated that behavior skills training (BST) resulted in caregiver acquisition of all 16 skills during role-play exercises.
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Brindley, Joanne. „The mirror crack'd ... : an illuminative evaluation of the use and relevance of reflection in undergraduate Dental Care Professionals' education“. Thesis, University of Portsmouth, 2017. https://researchportal.port.ac.uk/portal/en/theses/the-mirror-crackd-an-illuminative-evaluation-of-the-use-and-relevance-of-reflection-in-undergraduate-dental-care-professionals-education(fd469c96-8705-42e4-a836-888b313cf81e).html.
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This research project explored the use of reflective practice by a Bachelor of Science (BSc) cohort in a United Kingdom (U.K.) dental training establishment following the publication of Preparing for Practice by the General Dental Council (GDC) in 2012, which identified the Learning Outcomes for the Dental Team registration in the U.K. The research reviewed the evolving role that professional reflective practice has in student education by capturing students’ experiences as they transitioned through the preclinical (simulated) aspects of their programme and onto their final year when they actively treat patients on the clinical floor and in various outreach locations. The final aspect moved away from the educational arena, focussing on the realms of GDC Fitness to Practice cases. Thus adding an element of context and meaning to the realities of professional reflection in the real world, highlighting the potential consequences of failing to nurture future professional reflective practice activities as a GDC registrant. An aspect which is particularly pertinent with the advent of Enhanced CPD on the horizon in 2018. The drivers for reflective practice to occur is twofold; with an onus on the need of personal development and insight, alongside the broader pre-requisites from formal educational bodies and statutory regulatory authorities. These authorities may well favour the benefits that reflective practice brings by facilitating a shift of responsibility, away from educational decision makers, onto the registrant to self-manage and develop their own awareness. Meeting both of these aspects is feasible, providing that the registrants have the skills, support, time and a clear understanding (definition) of the term professional reflective practice and what this should mean to them in the context of their professional practice. The research findings demonstrate that the main role of reflective practice in primary dental care settings is to gain insight by facilitating pondering, thinking, discussion or asking questions (of oneself or one another). By reviewing the positive and negative experiences that they had encountered, students were then able to work things out (making sense of things), in turn, allowing them to learn from experience and therefore implement meaningful development opportunities for the future.
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Verma, Rajiv, und n/a. „Clinical outcomes of dental implant treatment provided at the School of Dentistry, University of Otago from 1989 to 2005“. University of Otago. School of Dentistry, 2008. http://adt.otago.ac.nz./public/adt-NZDU20081219.145402.
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Objective: The aim of the study was to evaluate the clinical outcomes of oral implant treatment provided at the School of Dentistry, University of Otago from 1989 to 2005.
Methods: Oral implant patients (n=320) with 586 implants were identified and invited to attend for a clinical examination. Implant demographics of all the patients were extracted from the files. Implant demographics of the examined and unexamined patients were compared to assess if the examined patients were representative of the total group. One hundred and three patients with 214 implants agreed to attend for an examination. In the clinical examination full mouth plaque scores, probing depths, bleeding on probing and suppuration were measured. In addition, around implants recession and width of keratinized gingiva were also recorded. For the radiographic examination, baseline radiographs and radiographs taken at the time of examination were digitized and compared to measure the amount of bone lost or gained around implants using NIH Image J software.
Results: There were equal numbers of males and females with a mean age of 46.3 � 15 years at the time of implant placement. The smoking history at the time of examination was recorded, 56% of the patients were non-smokers, 37% former smokers, and 7% were current smokers. More than half of the implants (56%) were placed in the anterior region. Based on the type of implant system, 79% were Branemark implants, 10% Straumann, 6% Southern implants and 4% were unknown. Most of the patients (64%) had implant-supported crowns, 19% had fixed denture prostheses, and 17% had implant-supported overdentures. The overall implant survival rate was 97.7% with five implants lost (2.3%) and 8 implants treated for peri-implantitis (3.8%). The mean PD around implants was 2.3mm (SD 0.6mm), mean recession was 0.5mm (SD 0.8mm) and mean attachment level of 2.8mm (SD 0.9mm). Probing depths [greater than or equal to] 4mm with BOP were recorded around implants in 8.9% of patients. The mean full mouth plaque score was 30% while mean plaque score around implants was 15.9%. The average bone loss around implants was 0.3mm (SD 0.8). Maximum bone loss observed was 2.9 mm.
Conclusion: The prevalence of peri-implant inflammation and implant survival rates in this group of patients appeared comparable to that reported in the literature. The prevalence of peri-implant lesions was low in the group of patients examined.
Anderson, Mary Jo. An evaluation of the school-based dental disease prevention program. Sacramento, Calif. (925 L St., Suite 650, Sacramento 95814): Legislative Analyst, 1986.
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Lohfert, Christoph. Kassenzahnärztliche Prothetik: Eine vergleichende Analyse zur Wirtschaftlichkeit und Qualität. Bonn: Bundesminister für Arbeit und Sozialordnung, 1990.
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Musselman, Kenneth Bryan. Program evaluation, methodology and application to the Canadian Forces dental care program. [Toronto: Faculty of Dentistry, University of Toronto], 1988.
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Minnesota. Department of Human Services. Dental access for Minnesota health care programs beneficiaries: Supplemental report to the 2001 Minnesota legislature on the evaluation of the effects of the 1999 dental initiatives. St. Paul, Minn.]: Minnesota Dept. of Human Services, 2001.
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Maryland. General Assembly. Department of Legislative Services. Office of Policy Analysis. Sunset review: Evaluation of the State Board of Dental Examiners. Annapolis, Md: Dept. of Legislative Services, Office of Policy Analysis, 2004.
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Durocher, Jacques. Evaluation de l'application du programme public de services dentaires préventifs. [Québec]: Gouvernement du Québec, Ministére de la santé et des services sociaux, Direction générale de la santé publique, 1998.
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Insurance, Maine Bureau of. A report to the Joint Standing Committee on Banking and Insurance of the 120th Maine Legislature: Review and evaluation of LD 323, an act concerning patient access to eye care providers. [Augusta, Me.]: The Bureau, 2001.
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Insurance, Maine Bureau of. A report to the Joint Standing Committee on Banking and Insurance of the 120th Maine Legislature: Review and evaluation of LD 403, an act to provide health insurance coverage for general anesthesia and associated facility charges for dental procedures for certain vulnerable persons. [Augusta, Me.]: The Bureau, 2001.
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Wyoming. Community and Rural Health Division. The Wyoming Department of Health report to the Governor and the Joint Appropriations Interim Committee: Report on the Community Oral Health Coordinators. Cheyenne, Wyo: Community and Rural Health Division, Wyoming Dept. of Health, 2006.
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United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Domestic Policy. Evaluating pediatric dental care under Medicaid: Hearing before the Subcommittee on Domestic Policy of the Committee on Oversight and Government Reform, House of Representatives, One Hundred Tenth Congress, first session, May 2, 2007. Washington: U.S. G.P.O., 2007.
Wang, Zhengyuan, Swinder Janda und C. P. Rao. „An Evaluation of Market Segments for Dental Care: A Determinant Attribute Approach“. In Proceedings of the 1995 Academy of Marketing Science (AMS) Annual Conference, 219. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-13147-4_54.
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Braverman, Malvin F. „Dental Care Evaluation“. In Assuring Quality Ambulatory Health Care: The Dr. Martin Luther King Jr. Health Center, 99–110. Routledge, 2019. http://dx.doi.org/10.4324/9780429050909-10.
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Syngelakis, A. I., Maria Kamariotou, Fotis C. Kitsios, Chrystala Charalambous und Argy Polychronopoulou. „Quality Management in Primary Dental Care“. In Interdisciplinary Perspectives on Operations Management and Service Evaluation, 192–212. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-5442-5.ch010.
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In dental care services, quality is an important factor that affects decision making, the planning of health strategies and policies, the cost of health services, and the evaluation of them. The evaluation of quality in dental services using the assessment methods that are used in other services of primary healthcare is difficult due to the special characteristics of dentistry. However, the improvement and the evaluation of primary oral healthcare services is a complicated issue because it involves many factors that affect it. Therefore, the purpose of this chapter is to provide a complete overview of the literature using Webster and Watson's methodology. Fifty peer-reviewed papers were analyzed and the results of this review revealed that the number of publications in this domain has increased in the last decade, and there is a need to foster research (especially empirical) in this field.
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Baglin, Trevor. „Evaluation of the patient with a bleeding tendency“. In Oxford Textbook of Medicine, herausgegeben von Chris Hatton und Deborah Hay, 5509–20. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0544.
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An apparent bleeding tendency is a common clinical problem, with presentation varying from acute unexpected bleeding during or immediately after surgery or dental extraction, to spontaneous unusual or excessive bruising, purpura, epistaxis, or a chronic haemorrhagic tendency. Long-standing bleeding symptoms suggest a lifelong condition, whereas recent-onset bleeding suggests an acquired disorder. If a bleeding disorder has been diagnosed and characterized in another family member, then the cause of bleeding may be easily identified, but the absence of a family history does not exclude a heritable disorder. The commonest cause of an acquired bleeding disorder is antithrombotic therapy. Investigations for bleeding disorder include full blood count and film (severe bleeding rarely occurs in the absence of trauma with a platelet count of more than 20 to 30 × 109/litre), prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen level, reptilase time (useful for determining if a prolonged APTT is due to heparin), individual factor assays, mixing studies (can indicate if prolongation of PT or APTT is likely due to a factor deficiency or an inhibitor), platelet function analysis, and (rarely) bleeding time. Aside from general supportive care, specific therapy can be given when a defined haemostatic abnormality is identified. Drugs that cause bleeding should be stopped. Overanticoagulation due to a vitamin K antagonist can be reversed with vitamin K and/or prothrombin complex concentrate; dabigatran and be reversed with idarucizumab; it will soon be possible to reverse factor Xa-inhibitors (e.g. with andexanet alfa). Vitamin K should also be given to critically ill patients and those with liver disease. Early and sufficient blood product support should be given to those with massive blood loss and/or dilutional coagulopathy.
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Macenski, Christina L. „Recurrent episodes of binging and purging“. In Child and Adolescent Psychiatry, 189–96. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780197577479.003.0024.
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Bulimia nervosa (BN) is an eating disorder that consists of recurrent binging episodes and inappropriate compensatory behaviors. Binge eating is defined as eating a large amount of food within a discrete time period accompanied by a sense of lack of control over eating during the episode. Examples of inappropriate compensatory behaviors include self-induced vomiting, fasting, excessive exercise, and laxative or diuretic misuse. Additionally, patients with BN experience body image disturbance, where their self-evaluation is unduly affected by weight and body shape concerns. Bulimia nervosa typically begins in late adolescence or young adulthood. Patients either are typically of normal weight or are overweight. Physical examination and laboratory findings are typically normal; however, medical complications can include electrolyte disturbances, cardiac arrhythmia, and dental caries. Fluoxetine and other selective serotonin reuptake inhibitors (SSRIs) are commonly used to treat BN. A nutritional consultation is another important component of care. Finally, cognitive behavioral therapy (CBT) and family therapy are the psychotherapies of choice.
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Piper, DMD MD, Mark. „Temporomandibular Joint Imaging“. In Advances in Medical Technologies and Clinical Practice, 582–697. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9254-9.ch009.
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Computerized tomography (CT) and magnetic resonance (MR) imaging of the temporomandibular joint are often not a routine part of a dental patient's pain and clinical evaluation. As a result, the most poorly understood region within the masticatory system is the temporomandibular joint foundation. Unfortunately, patient care and occlusal management are often compromised because of a lack of insight into the relationship between the anatomy of the temporomandibular joints and the occlusion. This chapter's four distinct sections review the key concepts about the temporomandibular joint foundation anatomical structures, detail structurally intact and structurally altered temporomandibular joint anatomy, clarify how structurally altered temporomandibular joints influence occlusal function, and classify the stages of temporomandibular joint structural degeneration. The concept of joint-based malocclusion is explored with numerous temporomandibular joint foundation anomalous software renderings, and sample CT and MR images, which together illustrate in detail how soft tissue and bony abnormalities in a structurally altered temporomandibular joint can create distortions in the occlusion. Lastly, the chapter addresses the specific requirements a clinician must technically master to perform a comprehensive CT or MR examination.
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Trinkaus, Erik, Alexandra P. Buzhilova, Maria B. Mednikova und Maria V. Dobrovolskaya. „The Ages-at-Death and Sexes of the Sunghir Humans“. In The People of Sunghir. Oxford University Press, 2014. http://dx.doi.org/10.1093/oso/9780199381050.003.0009.
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Assessment of the ages-at-death and the probable sexes of the Sunghir humans provides a baseline for their paleobiological evaluation. The former is particularly important for the comparative analysis of the immature Sunghir 2 and 3 skeletons, given the marked changes in size and shape with development. The latter is more important for the adult Sunghir 1, 5, and 6 remains, given some degree of sexual dimorphism among recent humans and apparently within Late Pleistocene early modern humans. In the assessment of age-at-death, it is necessary to evaluate the remains with reference to chronological scales derived from extant human populations of known age (or very recent historical skeletal samples with documented ages). This consideration applies particularly to changes in fibrocartilaginous articulations with age (in this case, a sternal rib end and an auricular surface of Sunghir 1) and to dental calcification during development (for Sunghir 2 and 3). The majority of the data available for these approaches derives from recent European and European-derived (primarily North American) populations, with occasional cross-references to more limited data on recent populations from elsewhere in the Old World. The one exception to this requirement is dental occlusal attrition, for which very general Late Pleistocene (and preindustrial Holocene) reference samples are appropriate, in all cases using scales that are based either on other methods of skeletal aging or employ some version of the “Miles technique” (sequential assessment of dental wear for postcanine teeth as they come into functional occlusion; Brothwell 1981). The determination of sex is most reliable when it utilizes the pelvis, and there is a series of criteria for pelvic sexual evaluation that appear to be universal among recent humans (Brůžek 2002). These dimorphic features mostly appear during adolescence associated with differential lateral development of the pelvis (Coleman 1969; Lavelle 1995). Dimorphic aspects of the greater sciatic notch may appear prior to puberty (Holcomb and Konigsberg 1995; Scheuer and Black 2000), but tests sexing recent human immature skeletons of known sex have provided poor results and tend to identify males more accurately than females (Cardoso and Saunders 2008; Vlak et al. 2008; Wilson et al. 2008).
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Clark, Robin D., und Cynthia J. Curry. „Syndactyly“. In Genetic Consultations in the Newborn, herausgegeben von Robin D. Clark und Cynthia J. Curry, 223–28. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780199990993.003.0033.
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This chapter reviews background information about the incidence, risk factors, genetics, recurrence risk, epidemiology, and some subtypes of syndactyly. Various unilateral and bilateral patterns of syndactyly, including common autosomal dominant isolated cutaneous syndactyly and rarer presentations of complex syndactyly with bony fusion, are reviewed. Associated malformations, such as small size, microcephaly, craniosynostois, facial dysmorphism, and other limb anomalies, that are often seen with syndactyly are presented. The discussion on the differential diagnosis of syndactyly summarizes its common causes, including teratogenic agents, chromosome anomalies, and Mendelian multiple congenital anomaly syndromes, and it gives recommendations for evaluation and management. A clinical case presentation features an infant with oculo-dento-digital dysplasia.
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Hyman, Wendy Beth. „Introduction“. In Impossible Desire and the Limits of Knowledge in Renaissance Poetry, 1–26. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198837510.003.0007.
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The Introduction, “The Limits of the Possible,” presents the problems with the conventional reading of carpe diem invitation poetry as a low-stakes, playful mode. These poems’ pretext of erotic enticement is often stunningly belied: by a morbid preoccupation with time and death (with ekphrases of decaying bodies used to incite love-making), by an abstruse fixation on the meaning of virginity (regularly interrogated on physiological, semiotic, and ontological terms), and by an anti-theist denial of Christian Providentialism (if there is no God to judge our actions, why not have sex now?). A brief look at the locus classicus of the motif in authors like Horace and Catullus reveals the philosophical stakes of the Renaissance revival, in which the secular hypothesis puts nothing less than an entire belief system on trial. This introduction shows both the world-making aspirations, but also the terrible constraints on a mode whose primary subject is, ultimately, the limits of human knowledge and existence. The introduction outlines my methodology, both archival and theoretical, for this full-scale re-evaluation of carpe diem as not merely a vaguely erotic commonplace, but also a medium and a mode of cognition.
Konferenzberichte zum Thema "Dental care Evaluation":
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Özcan, Selami, Kerim Baş und H. Yunus Taş. „Effects of Health Sector Information Asymmetry on Patient Satisfaction: An Appilication on Yalova Oral and Dental Care Centre“. In International Conference on Eurasian Economies. Eurasian Economists Association, 2013. http://dx.doi.org/10.36880/c04.00673.
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Effects of excessive information level difference between providers and receivers of health care services on patients will be presented with this work. Fundamental concepts like health care service, information asymmetry and it’s effects will be explained. Information levels of attempts and treatments that were put in practice to the patients, surgical operations and billing will be studied and the outputs of the information level difference between the provider and the receiver will be determined. In this research, it will be revealed if the practical applications and the concepts in the literature overlap each other and developing a new method towards evaluating the information level difference will be attempted. Patients who received a certain number of treatments will be targeted. Survey questions that will be asked to the patients will try to reveal the amount of information on the procedure they have undertaken and the between this level of information and the their satisfaction. SPSS software is used for the analysis of the data. Resolving of the relation between patient satisfaction themeasured percentage of level of information about the procedure the subject have undertaken will be attempted during the evaluation of the survey results. The effects of gender, age and education on level of information-customer satisfaction will also be investigated while determining the patients level of information with this survey.
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Perrut, Valber Azevedo, Luiz Cla´udio M. Meniconi und Byron Gonc¸alves de Souza Filho. „Evaluation of Composite Sleeves for Reinforcement of Dented Pipelines“. In 2006 International Pipeline Conference. ASMEDC, 2006. http://dx.doi.org/10.1115/ipc2006-10561.
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Composite sleeve repair systems, now of widespread use in the market, were originally developed for the reinforcement of corroded pipelines. Transpetro, the Brazilian pipeline operator, asked Petrobras/CENPES to address the behavior of those sleeves when applied to dented pipelines. A short verification experiment was envisaged, in which both the dent filling material and the sleeve material were varied. Artificial dents with depths of 19% OD were imposed to 22 in. OD, 0.5 in. thick, API 5L X60 tubular specimens. Concrete and polymeric materials were tested for dent filling, whereas glass and carbon fiber composites, in two different thicknesses, were tried as the sleeve structural material. The main purpose of the repair sleeve in this case is to provide a repair procedure installed at low temperature and capable of reducing the stress range at the hot spot in the dent. The goal is to improve the fatigue resistance of the repaired pipeline. Low cycle fatigue tests were performed, both using non-repaired specimens (to serve as the basis for comparison) and the specimens repaired using the different schemes proposed. The tests were fully instrumented to analyze deformations in each specimen. After the fatigue tests, each specimen was pressurized until collapse, in order to quantify their ultimate strength. This paper reports the main results of the tests and the deformation analysis of each repaired specimen, aimed to define parameters which will serve to the design of future cases.
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Souza Filho, Byron G., Cristiane S. Frota, Fabio M. Matsuo, Gabriel Petry und Walter Schultz Neto. „Evaluation of Composite Sleeve Repair in Kinked Dent in Natural Gas Pipeline“. In 2010 8th International Pipeline Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/ipc2010-31561.
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The Code ASME B31.8 is well established as a safe Code for all life phases of Natural Gas Transmission and distribution pipelines, like: design, construction, operation and maintenance. In the case of mechanical damage, such as dents, the Code contains maintenance provisions for field acceptance or repair of dent and dents combined with other defects consisting of stresses raisers such as gouges, arc burns and welds. Dents, sometimes, are found in sensitive areas due to urban sprawl upon pipeline right-of-way or environmental concerns. In addition dents shapes, sometimes, are not smooth or plain like the code defines as criteria of acceptance. This paper presents and describes some full scale pipeline test’s results in samples containing kinked dents, reproduced in laboratory, in recent vintage pipelines. This type of defect is usually caused by rock puncturing, unauthorized excavation or soil-pipeline interaction in an inservice pipeline. The damaged pipeline samples were repaired by composite reinforcing sleeves before being submitted to the tests. The dimensions of the defects were detected and sized by Geometric and MFL PIG, and compared with field measurements. The studies were conducted concerning internal pressure fluctuations, which can be covered by fluctuations in the principal stresses in the pipe wall. The analyses also considered the plastic strain around the damaged area and effects of rerounding or spring back in case of the defects were generated in conditions of normal operation or in condition of out of service pipeline.
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Pournara, Aglaia E., Spyros A. Karamanos, Theocharis Papatheocharis und Philip C. Perdikaris. „Structural Integrity of Steel Hydrocarbon Pipelines With Local Wall Distortions“. In 2014 10th International Pipeline Conference. American Society of Mechanical Engineers, 2014. http://dx.doi.org/10.1115/ipc2014-33210.
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Local distortions on pipeline wall in the form of dents or buckles may constitute a threat for the structural integrity of the steel pipeline. In the present paper, experimental research supported by numerical simulation is reported to investigate the structural integrity of smoothly dented steel pipes. A series of six (6) full-scale experiments on 6-inch X52 pipes has been carried out, and numerical simulations have also been conducted. The dented steel pipes are subjected to cyclic loading (bending or pressure) in order to estimate their residual strength and remaining fatigue life. The finite element analysis simulate the experimental procedure for each type of deformation and loading case, in order to estimate the local stress and strain distributions at the dented region. Based on the numerical results, fatigue life is predicted and compared with the experimental results. The results of the present study are aimed at evaluating existing guidelines and methodologies towards appropriate assessment of local wall distortions in steel pipelines.
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Arifianto, Endra Yuafanedi, Susenohaji Susenohaji, Dian Dinanti und Dea Damaris. „Strategi Pengembangan Industri Wisata Era New Normal“. In SEMINAR NASIONAL DAN CALL FOR PAPER 2020 FAKULTAS EKONOMI DAN BISNIS UNIVERSITAS MUHAMMADIYAH JEMBER. UM Jember Press, 2021. http://dx.doi.org/10.32528/psneb.v0i0.5164.
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Aktivitas bisnis industri wisata Cafe Sawah Pujon Kidul mengalami penurunan pendapatan dengan adanya kebijakan Pembatasan Sosial Berskala Besar yang dilakukan pemerintah daerah Kota Batu. Perkembangan industri wisata di Kota Batu sangat mendukung peningkatan pendapatan desa. Khususnya industri wisata yang dikelola oleh masyarakat setempat melalui Badan Usaha Milik Desa (BUMDesa). Industri wisata mampu memberikan pertumbuhan ekonomi mikro masyarakat sekitar secara signifikan. Adanya pandemi covid 19 menjadi hambatan perkembangan usaha industri wisata. Untuk itu, penelitian ini bertujuan memberikan rekomendasi strategi pengembangan industri wisata di era new normal. Era kebiasaan dan tingkah laku masyarakat dengan memperhatikan protokol kesehatan dalam kehidupan sehari hari. Pengumpulan data dengan cara wawancara, diskusi, brainstorming dan pengisian kuisioner kepada responden. Metode penelitian ini menggunakan pendekatan analisis Internal Faktor Evaluation (IFE), External Faktor Evaluation (EFE) dan Bisnis Model Canvas dalam menyusun strategi pengembangan industri yang tepat di era new normal. Hasil Matrik Internal-Eksternal memiliki skor nilai 3,0 ; 2,8 artinya berada di sel IV atau menggunakan strategi yang tumbuh dan membangun. Strategi tumbuh dan membangun dengan pendekatan penetrasi pasar dan pengembangan produk. Sedangkan BMC memberikan rekomendasi perbaikan sembilan elemen sesuai dengan kondisi di lapangan saat ini.
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Alexander, Chris. „Using Testing Methods to Evaluate Pipeline Mechanical Integrity“. In 2008 7th International Pipeline Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/ipc2008-64038.
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Evaluating the mechanical integrity of pipelines involves a variety of tools and skill sets. Over the past several years there has been an increased interest in assessing the performance of vintage pipeline systems and specifically evaluating the effects of existing defects on future performance. Examples of defects include girth and seam welds, corrosion, dents, and wrinkle bends. While lessons learned from prior experience and analysis are critical, the role of testing in the evaluation process is receiving focused attention. This paper includes detailed discussions on how testing has been used over the past decade to help pipeline companies assess the integrity of their pipeline systems. Specific emphasis is placed on helping the reader better understand what testing techniques are most appropriate and determining how to interpret and correlate the results into useful information for operating safe pipelines. Case studies are presented that include studies on seam welds subject to cyclic pressures, wrinkle bends, girth welds, and corrosion in dents. A well-designed test program can be used to validate numerical modeling efforts and provide engineers with insights regarding in situ behavior of pipeline systems.
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Yang, Jing, und Xiaolin Wang. „A Multi-Factor Comprehensive Evaluation Method for Pipeline Integrity“. In ASME 2019 Pressure Vessels & Piping Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/pvp2019-93257.
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Abstract Pipeline integrity management is widely used as an effective means for pipeline safety management, in which integrity evaluation is an important part. To some extent, pipeline integrity can be interpreted as the safety condition of the pipeline, while safety is an eternal topic for pipeline operators. In numerous recent studies, the evaluation of pipeline integrity generally focuses on the evaluation of remaining strength and/or residual life, which is based on the defect size such as corrosion, dents, etc., obtained during inspection. However, pipeline integrity is not only related to the pipe body, all factors that may threaten the operation safety of the pipe should be considered, including the pipe body, ancillary facilities, the pipe security system, and the surrounding environment, etc.. Although some comprehensive models have been established recently to assess pipeline condition, there still exist limitations for practical application, such as quantification of integrity and complexity of analysis. Therefore this paper presents the development of a comprehensive integrity evaluation method based on multi-factor analysis. The method is developed by an integrated application of fuzzy mathematics, grey correlation analysis theory, and the artificial neural network technique. After establishing integrity evaluating indexes, fuzzy analysis is used to quantify and classify pipeline integrity, and grey correlation analysis to screen key influence indicators. Then a comprehensive predictive evaluation model can be generated using large amount of relevant sample data based on the artificial neural network technique. In the end of the paper, a simple case is applied to validate feasibility of this comprehensive integrity evaluation method. The comprehensive evaluation method is expected to be applied to determine the condition of pipeline integrity, and to grade and rank the integrity condition of pipes, so as to assist and optimize pipeline maintenance decision for pipeline operators.
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Crouch, Alfred E., und G. Graham Chell. „Nonlinear Harmonic Monitoring of Gouged Dents in Pipeline Specimens Under Cyclic Loading“. In 2006 International Pipeline Conference. ASMEDC, 2006. http://dx.doi.org/10.1115/ipc2006-10018.
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The only in-line inspection technology commercially available for quantitative evaluation of gouged dents is the geometry pig which cannot discriminate between gouged and smooth dents and has no sensitivity to re-rounded dents. Southwest Research Institute® (SwRI®), has been funded by the US Pipeline and Hazardous Materials Safety Administration (PHMSA) and the Gas Research Institute (GRI) through the Pipeline Research Council International (PRCI), to determine the capability of the nonlinear harmonic (NLH) method to characterize the severity of gouged dents, including those that have been re-rounded by internal pressure. This paper describes the NLH method and presents a summary of results from previous work involving burst tests of gouged dents in 24” pipe as a precursor to the current work that involves experiments with four pressure chambers made from 12-inch line pipe under cyclic pressure changes. In each case, internal scanner hardware, driven from outside the pipe, deployed NLH probes against the pipe inner surface, the gouges being on the outer surface. Analysis of the mapped NLH signals on the inner pipe surface revealed residual strain patterns in the pipe and the strain anomalies produced by gouging. The strain anomalies clearly indicated the presence of the gouges on the outside surface, even when they had re-rounded. The signal maps also indicated the length and width of the gouges whereas the signal strength indicated the residual depth. Data are presented showing that the NLH method is capable of ranking the severity of pipeline gouged dents and their propensity for failure under cyclic loading.
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Grübel, Marius, Robin M. Dovik, Markus Schatz und Damian M. Vogt. „A Methodology for a Detailed Loss Prediction in Low Pressure Steam Turbines“. In ASME Turbo Expo 2017: Turbomachinery Technical Conference and Exposition. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/gt2017-63404.
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An evaluation method for CFD simulations is presented, which allows an in-depth analysis of different loss mechanisms applying the approach of entropy creation proposed by Denton. The entropy creation within each single mesh element is determined based on the entropy flux through the cell faces and therefore the locations, where losses occur, can be identified clearly. By using unique features of the different loss mechanisms present in low pressure steam turbines, the losses are categorized into boundary layer, wake mixing and shock losses as well as thermodynamic wetness losses. The suitability of the evaluation method is demonstrated by means of steady state CFD simulations of the flow through a generic last stage of a low pressure steam turbine. The simulations have been performed on streamtubes extracted from three-dimensional simulations representing the flow at 10 % span. The impact of non-equilibrium steam effects on the overall loss composition of the stator passage is investigated by comparing the results to an equilibrium steam simulation. It is shown, that the boundary layer losses for the investigated case are of similar magnitude, but the shock and wake losses exhibit significant differences.
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Al-Muslim, Husain Mohammed, und Abul Fazal M. Arif. „Effect of Geometry, Material and Pressure Variability on Strain and Stress Fields in Dented Pipelines Under Static and Cyclic Pressure Loading Using Probability Analysis“. In 2010 8th International Pipeline Conference. ASMEDC, 2010. http://dx.doi.org/10.1115/ipc2010-31246.
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Mechanical damage in transportation pipelines is a threat to its structural integrity. Failure in oil and gas pipelines is catastrophic as it leads to personal fatalities, injuries, property damage, loss of production and environmental pollution. Therefore, this issue is of extreme importance to Pipeline Operators, Government and Regulatory Agencies, and local Communities. As mechanical damage can occur during the course of pipeline life due to many reasons, appropriate tools and procedures for assessment of severity is necessary. There are many parameters that affect the severity of the mechanical damage related to the pipe geometry and material properties, the defect geometry and boundary conditions, and the pipe state of strain and stress. The main objective of this paper is to investigate the effect of geometry, material and pressure variability on strain and stress fields in dented pipelines under static and cyclic pressure loading using probabilistic analysis. Most of the published literate focuses on the strain at the maximum depth for evaluation which is not always sufficient to evaluate the severity of a certain case. The validation and calibration of the base deterministic model was based on full-instrumented full-scale tests conducted by Pipeline Research Council International as part of their active program to fully characterize mechanical damage. A total of 100 cases randomly generated using Monte Carlo simulations are analyzed in the probabilistic model. The statistical distribution of output parameters and correlation between output and input variables is presented. Moreover, regression analysis is conducted to derive mathematical formulas of the output variables in terms of practically measured variables. The results can be used directly into strain based design approach. Moreover, they can be coupled with fracture mechanics to assess cracks, for which the state of stress must be known in the location of crack tip, not necessarily found in the dent peak. Furthermore, probabilities derived from the statistical distribution can be used in risk assessment.
