ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01009.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01010.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Toxic epidermal necrolysis is a potentially fatal dermatological disease. Large bullae covering extensive areas of the body cause continuous exfoliation of skin, which requires immediate medical attention. Intraoral manifestations may precede cutaneous lesions. Two cases with different treatment protocols are presented,

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01011.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

The Following report was presented during a meeting of the Rehabilitation Services Administration For constituents, educators, and service provider agencies and organizations, Oct 24, 1988, at George Washington University, Washington, DC.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01012.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Drug‐induced hyposalivation has only been anecdotally related to various subjective and objective oral problems. The study described here of 157 residents of a long‐term care facility reports data on whole masticatory‐stimulated salivary flow rates, use of medications, and perceptions of symptoms associated with hyposalivation, including mouth and eye dryness, tooth sensitivity, chewing satisfaction, and taste and smell acuity.One hundred and twelve residents (71%) were taking one or more drugs that induced hyposalivation. Salivary flow rates were lower in persons who were taking such drugs, and lowest in persons who were taking such drugs for a protracted period. Flow was also lower in females than males, and lower in persons institutionalized for long periods than in persons institutionalized for short periods. Persons who were taking drugs that induce hyposalivation were institutionalized longer, used more medications, had more health problems, were dissatisfied with chewing, and had fewer teeth than persons who were not taking such drugs. Persons who reported having mouth dryness also reported eye dryness and were dissatisfied with their chewing ability. Perceived mouth dryness was not related to salivary flow.SummaryPrevalence of hyposalivatory drug use in a long‐term care facility is described. Several important independent variables, including gender, length of residency, number of nonhyposalivatory drugs used, and number of major health problems have been linked to reduced salivary flow, use of hyposalivatory drugs, and perception of mouth dry ness. Reduced salivary flow, use of hyposalivatory drugs, and perceived mouth dry‐ness have, in turn, been linked to symptoms that are commonly associated with hyposalivation, including perceived loss of smell, few teeth, dissatisfaction with chewing, and perceived eye dryness. Data indicate that reports of mouth dryness become more frequent and more severe with the number of hyposalivatory drugs used. Mean salivary flow rates declined as numbers of hyposalivatory drugs taken and period of use increased. Salivary flow rates were not found to be related to perceived mout

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01013.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Ten years ago, the administrative leadership of Booth Memorial Medical Center recognized the institution's potential for growth in a rapidly changing economic environment. A decision was made to develop strong middle management to encourage excellence, efficiency, and accountability.It was determined that the strength of the midsection of the hospital's administration could keep the hospital stable and lean, to withstand the pressures of inflation and regulatory restraints.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01014.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01015.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Hereditary angioedema (HAE) is a life‐threatening disorder triggered by trauma or stress, which causes various organ systems to become edematous. Most mortality is observed secondary to laryngeal edema, caused by dental manipulation. This disorder requires special medical management before dental treatment. Some drugs also exacerbate the disorder. Current methods of treating patients with HAE are presented.SummaryThe patient discussed here was treated prophylactically on a short‐term basis, which consisted of C1NH replacement through 2 u FFP 12 hours before surgery, the morning of surgery, and the morning after surgery. Short‐term therapy was administered in conjunction with long‐term therapy, which consisted of 600 to 900 mg danazol daily. Severe edema was effectively treated with 4 to 6 mg intravenous EACA every 6 hours, and 4 mL racemic epinephrine every hour.Because dental treatment can be life‐threatening to patients with HAE, it is important for dental practitioners to thoroughly examine patients and their medical histories, to recognize signs of the disorder. Because acute airway edema is common in these patients, dental therapy is best delivered in a hospital or where emergency treatment is a

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01016.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Treating patients with nervous vomiting in the dental office is a difficult problem for dentists. An efficient method—point‐stimulating therapy—is recommended for dealing with such

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01017.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Book reviewed in this article:Diagnosis and treatment of muscle pain Hans Kraus, MD, edThe dental assistant, ed 6 Roger E. Barton; Stephen R. Matte‐son; and Richard E. Richards

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1989.tb01018.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY