ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00732.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.tb00733.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The dentist's role following a patient's death has not been examined to date; neither has the attrition rate of a dental practice because of deaths of patients belonging to that practice. This topic was explored through a survey of 400 Oregon dentists. Seventy‐two percent of dentists in active practice who participated in the survey had at least one patient death each year; the mean number of patient deaths per year was five. Following these deaths, most dentists reported providing some type of emotional support to the bereaved survivors. Dentists send sympathy cards 72% of the time and attend funerals 27% of the time; 55% of dentists regard the majority of their patient deaths as unexpected. These deaths are a source of emotional stress for dentists, as are subsequent discussions with survivors. Only 3% of the respondents reported having received formal education in death and bereavement, and 66% of dentists believe that some type of education in dying and bereavement should be included in dental scho

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00734.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Feeding disorders, which include masticatory and cerebral disabilities, present a major problem for disabled persons, but only in the last decade have health professionals shown an increased interest in the diagnosis and management of patients with such problems. Dentists are experts in the diagnosis and treatment of disorders of the oral‐facial region, yet they have either worked in intradisciplinary isolation or have not demonstrated their interest in patients with feeding disorders. Consequently, those involved in the assessment and treatment of persons with feeding disorders are not aware of the contributions dentists have made to the basic and clinical data base of feeding assessment and therapy. Dentistry is simply not mentioned in rehabilitation. The opportunity now exists for dentistry to inform others of our expertise in the field from both a research and a clinical perspective. The basic and clinical base of dental therapeutics and its role in the diagnosis and treatment of disorders of the masticatory apparatus and of swallowing are reviewed here. It is hoped that this review will stimulate interest among dentists to take part in the rehabilitation of patients with feeding disorders through the use of the extensive data base within the professio

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00735.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

The concept of interim or transitional dentures is appropriate to the treatment of older patients who are hospitalized or medically compromised. This paper briefly reviews the emotional and physiological needs of these patients, and illustrates a case in which an interim denture technique was beneficial.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00736.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

By the year 2000, it is likely that more than 66% of all US males will be veterans as a result of the large World War II cohort. This growing population of older veterans will have a major influence on the use of dental services at Veterans Administration facilities. The objectives of the project reported here were to identify and examine factors that explain use of dental services by noninstitutionalized veterans older than 55 years; this was a secondary analysis of a VA commissioned survey of 3,013 community‐based veterans older than 55 years.A behavioral model developed by Anderson and Aday that identified predisposing, enabling, and need factors that determined use of health care services was adopted to analyze the data. A linear regression analysis showed that need factors accounted for the greatest degree of explained variance in use of dental services (R2= .15), whereas enabling factors accounted for the least degree of variance (R2= .02). Perception of dental problems, positive perception of physical health, perception of ability to meet expenses, and levels of education and income were significant predictors of use of dental services.The findings of this study show the use of dental services by noninstitutionalized veterans and other noninstitutionalized older populations is influenced by similar factors. The findings can be useful in discussing and formulating dental health care policy for older veteran

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00737.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

A behavioral science consultant has been retained by two hospital‐based general practice residency (GPR) programs and one advanced program in general dentistry at the University of Rochester, and Eastman Dental Center, NY. This consultant is available throughout the year and serves as an external consultant who knows the programs well, and can be used as a source of information on various existing and potential issues and problems. The model used by the consultant has been inductive and is based on the expressed needs of faculty members, trainees, and directors. A number of issues or problems were identified, including faculty member morale, evaluation of residents' growth, resident and supporting staff relations, curriculum development, cooperation with other departments and institutions, and dealing with patients' anxiety to dental treatment. For each, a specific plan was developed. Various types of experiential techniques were used, including brainstorming, role playing, and taping and feedback. Didactic activities included minicourses and workshops in which standard teaching methods were used, such as lectures, seminar discussions, literature study, and demonstration. The model has evolved, and as each activity has succeeded, more faculty members have sought help from the consultan

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00738.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.tb00739.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

This study evaluated the 1985 cost‐productivity of staff dentists and general practice residents at 11 dental clinics with general practice residency (GPR) programs and five nonteaching dental clinics in Veterans Administration hospitals. The results indicate that on the basis of dental service production, GPR facilities are or should be as cost‐efficient as nonteaching facilities. It was also found that GP residents can repay a major part of their training co

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00740.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

An impression procedure for the neonatal patient with a cleft palate is described. The procedure has been used at Beth Israel Medical Center, New York City, for the past 10 years and has been proved safe, reliable, and precise.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1988.tb00741.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY