Clinical Assessment and Treatment Planning

Second premolars are the third most likely teeth to be affected by impaction after third molar and maxillary canine teeth. Although the presence of an impacted second premolar is relatively common, and is a situation that often presents to general dentists in practice, there is relatively little published regarding this topic. Knowledge of this condition is essential for all those involved with the management of these cases. This article explores the aetiology, assessment and treatment options available to manage this condition, using examples from cases treated within our department. CPD/Clinical Relevance: An understanding of the aetiology, assessment and various treatment options available to manage impacted second premolars will inform better treatment planning.

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Reliability of the Multi-Dimensional Voice Program for the Analysis of Voice Samples of Subjects With Dysarthria

American Journal of Speech-Language Pathology ◽

10.1044/1058-0360.0802.129 ◽

1999 ◽

Vol 8 (2) ◽

pp. 129-136 ◽

Cited By ~ 40

Author(s):

Ray D. Kent ◽

Houri K. Vorperian ◽

Joseph R. Duffy

Keyword(s):

Computer Program ◽

Clinical Assessment ◽

Quantitative Information ◽

Speech Disorders ◽

Clinical Applications ◽

Automatic Analysis ◽

Acoustic Parameters ◽

Assessment And Treatment ◽

Computer Based ◽

Quantitative Assessments

Computer-based analysis systems are increasingly available for the clinical assessment of speech and voice functions. These systems have the potential to provide immediate quantitative information to assist clinical assessment and treatment. The Multi-Dimensional Voice Program (MDVP) is a computer program that can calculate as many as 33 acoustic parameters from a voice sample. The MDVP appears to have potential for rapid quantitative assessments of voice in both research and clinical applications. This report evaluates the robustness and reliability of MDVP for vocal analyses of 32 individuals with dysarthria of various etiologies. It is concluded that the reliability is generally very good and that MDVP has potential as a tool for the semi-automatic analysis of voice samples in dysarthria. Some parameters appear to hold particular value in the description of voice qualities in these speech disorders.

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Exposing racial bias in midwifery education: a content analysis of images and text in Myles Textbook for Midwives

10.1101/2021.10.07.21264614 ◽

2021 ◽

Author(s):

Mairi Harkness ◽

Chlorice Wallace

Keyword(s):

Content Analysis ◽

Clinical Assessment ◽

Racial Bias ◽

Skin Colour ◽

Severe Morbidity ◽

Midwifery Education ◽

Assessment And Treatment ◽

European Norm ◽

Colour Skin ◽

Quality Evidence

Objective To determine how people of different races and skin colours are represented within Myles Textbook for Midwives and whether the identified content is clinically relevant to people of all skin colours. Design Content analysis of text and images in Myles Textbook for Midwives 17th Edition, 2020 Findings The images overwhelmingly depict light skinned people of White European appearance. When people of colour are shown they are more likely to be positioned in prominent imagery without specific link to the chapter topic. Descriptions of skin colour in the context of clinical assessment and/or treatment often applied mostly or solely to people with light colour skin. This included text referring to serious conditions or situations associated with severe morbidity or mortality. Key conclusions Myles Textbook for Midwives presents a light skinned White European norm and often fails to include information that is clinically relevant to the assessment and treatment of people with darker skin colours. This may lead to disparity in midwifery education and contribute to poorer outcomes for women and babies. Implications for practice Concrete efforts are required to identify and root out racial bias at all levels of midwifery education. This needs to happen alongside addressing current lack of good quality evidence required to support practice.

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