ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00720.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00721.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTCancer chemotherapy is used to destroy rapidly proliferating cells. However, normal cells with high mitotic indexes are also affected by chemotherapy, particularly those in the oral and gastrointestinal mucosa and the hemopoietic system. Ultimately, this may lead to certain oral complications of cancer chemotherapy such as mucositis, infection, hemorrhage, xerostomia, and neurologic and nutritional disorders.The prevention and management of these oral complications that may result from the chemotherapeutic management of cancer are discussed here.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00722.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThe following report contains all of the recommendations of the working group on oral health that met during the Surgeon General's Workshop on Health Promotion and Aging, March 20–23, 1988, in Washington, DC, under the direction of Surgeon General C. Everett Koop and a number of leaders in geriatrics and gerontology. The working group was composed of 17 specialists, including Frank Martin, technical manager; Scott Presson, reporter; James Beck, chairman; and group members Ronald Ettinger, Jean Frazier, Mary Alice Gaston, Helen Gift, Neville Gilmore, Marc Heft, H. Asuman Kiyak, James Marshall, Roseann Mulligan, Linda Niessen, Vincent Rogers, Michele Saunders, Ruth Seigler, and Hongying Wang.The report also includes dental‐related recommendations made by the working groups on medication, preventive health services, alcohol, physical fitness and exercise, injury prevention, mental health, smoking cessation, and nutrition. Eight workshops have been sponsored by the surgeon general since his appointment to office in 1981; this workshop was the first to focus on dentistry and ag

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00723.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThe following report, which considers the history of the medical health maintenance organization and its current application in the dental profession, was presented at the region II annual meeting of the American Association of Hospital Dentists in May 1987 at Mt. Sinai Hospital, New York City.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00724.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTAs part of a community‐based study, we were able to assess the number of grossly decayed and missing teeth, as well as recent use of dental services, among 529 homeless adults. We found that 27% reported having had a toothache during the previous month (only one‐tenth of these individuals had sought help from a dentist for their toothache). Homeless adults, as compared with a general population, were half as likely to have made a dental visit within the preceding year (26.7% versus 55.0%) and had more grossly decayed teeth (x̄= 2.3 versus = 1.4). Individuals with more tooth decay and missing teeth were more likely to be older, have physical health problems, smoke more cigarettes, use more alcohol, and have worse personal hygiene. Age, not length of homelessness, was the most important predictor variable of missing teeth. Thus, homeless adults have a higher degree of dental pathosis as well as a lower use of dental services than the general population. On the basis of these findings, more accessible dental services need to be designed for the homeless popula

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00725.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTThis survey determines the dental care needs of hospitalized adults with psychiatric and mental disorders. Comprehensive clinical and radiographic oral examinations, conducted on 33% of the patients in a large state mental hospital, found that extensive unmet needs existed in this population. The major requirements were for prophylaxes, calculus removal, and periodontal therapy. The patients' needs varied depending on several demographic factors, including length of hospitalization and psychiatric diagnoses.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00726.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTSince 1980, a mobile program has delivered dental care to 14 different long‐term care facilities that care for frail and functionally dependent older persons. These facilities lie within a 60‐mile radius of the University of Iowa College of Dentistry.This paper reports comparisons between characteristics of users versus nonusers of dental care in the program. Of the 853 residents in the long‐term care facility who were screened, it was determined that 66% would benefit from some type of dental care. When the residents and their families were approached for treatment permission, 48% of those recommended permitted treatment; treatment was completed on 38% of those persons recommended for treatment. No differences were observed in the distribution or diagnoses of major medical problems for the users versus nonusers of care. Recommended treatment was similar for users and nonusers in nursing homes. The majority of non‐users refused treatment because they or their families did not perceive a need for dent

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00727.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

ABSTRACTAlveolar bone development has been shown by other investigators to be sensitive to growth hormone concentration in both humans and rodents. Many elderly people are deficient in growth hormone. The cyclic variation in plasma growth hormone concentration that complicates growth hormone measurement is not seen in the plasma somatomedin C (SmC) concentration. Furthermore, SmC is a dependable indicator of growth hormone secretion. It has been established that an SmC level of 0.24 or less is associated with decreased muscle mass and kidney size. We have investigated the relationship of the alveolar bone/supporting (basal) bone (A/B) ratio to the SmC in an elderly male population. These data suggest that growth hormone secretion is not the sole determinant of alveolar bone retention.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00728.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Book reviewed in this article:Handbook of skin clues of systemic disease Paul H. Jacobs, MD, and Todd S. Anhalt, MDBiological aging measurement‐clinical applications Ward Dean,

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00729.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY