scholarly journals Purpose, structure, and function of the United States National Dental Practice-Based Research Network

2013 ◽  
Vol 41 (11) ◽  
pp. 1051-1059 ◽  
Author(s):  
Gregg H. Gilbert ◽  
O. Dale Williams ◽  
James J. Korelitz ◽  
Jeffrey L. Fellows ◽  
Valeria V. Gordan ◽  
...  
BioScience ◽  
2020 ◽  
Vol 70 (9) ◽  
pp. 804-813
Author(s):  
Vasiliy T Lakoba ◽  
Rachel K Brooks ◽  
David C Haak ◽  
Jacob N Barney

Abstract Weedy and invasive plants threaten our food supply, native biodiversity, and the structure and function of ecosystems. The number and impact of these damaging plants are expected to continue to grow with ongoing global change. Some of the most common policy tools to help mitigate this threat are regulatory weed lists, which limit the importation and movement of listed plant species, but there has never been a comprehensive analysis of plants regulated in the United States. We analyzed US state regulatory lists (e.g., noxious, invasive, prohibited) to evaluate their composition, patterns of listing, congruities with weed distributions, and limitations. In total, 46 states maintain regulatory weed lists that include 3210 total listings of 1249 unique species; 48% of them are introduced, 40% are native, and 12% are not yet found in the United States. Overall, the listed species are not a good reflection of the weeds in each state, and listing appears largely reactive, regulating species after they become widespread. We highlight patterns and incongruities among lists and discuss their implications, especially the large number of regulated species native to the United States.


2016 ◽  
Vol 7 (3) ◽  
pp. 92-99
Author(s):  
Patricia Berg-Drazin

The rate of ankyloglossia (tongue-tie) appears to be on the rise in the United States and around the world. IBCLCs working with the families of babies with tongue-tie all too often are the first ones to notice the symptoms and suggest treatment. Even after the tongue has been released, these infants continue to struggle with breastfeeding. The tongue plays an integral role in breastfeeding, but it is also crucial to other oral functions such as speech, respiration, oral hygiene, swallowing, and chewing. The tongue is connected through the extrinsic muscles to bone both above and below the oral cavity. The restriction of the tongue results in associated strains in the body. We will follow the muscular connections and origins to understand the influences in the body. Craniosacral therapy (CST) has its origin in osteopathy, which teaches that structure and function are reciprocally interrelated. When structure is compromised, function will be as well. CST is a perfect complement to help these infants’ bodies release the tensions created as well as to aid in rebalancing structurally and somatically. A case study will illuminate the tremendous impact CST can have on children suffering from tongue-tie.


mBio ◽  
2018 ◽  
Vol 9 (6) ◽  
Author(s):  
Jennifer R. Bratburd ◽  
Caitlin Keller ◽  
Eugenio Vivas ◽  
Erin Gemperline ◽  
Lingjun Li ◽  
...  

ABSTRACTThe gut microbiota confers resistance to pathogens of the intestinal ecosystem, yet the dynamics of pathogen-microbiome interactions and the metabolites involved in this process remain largely unknown. Here, we use gnotobiotic mice infected with the virulent pathogenSalmonella entericaserovar Typhimurium or the opportunistic pathogenCandida albicansin combination with metagenomics and discovery metabolomics to identify changes in the community and metabolome during infection. To isolate the role of the microbiota in response to pathogens, we compared mice monocolonized with the pathogen, uninfected mice “humanized” with a synthetic human microbiome, or infected humanized mice. InSalmonella-infected mice, by 3 days into infection, microbiome community structure and function changed substantially, with a rise inEnterobacteriaceaestrains and a reduction in biosynthetic gene cluster potential. In contrast,Candida-infected mice had few microbiome changes. The LC-MS metabolomic fingerprint of the cecum differed between mice monocolonized with either pathogen and humanized infected mice. Specifically, we identified an increase in glutathione disulfide, glutathione cysteine disulfide, inosine 5’-monophosphate, and hydroxybutyrylcarnitine in mice infected withSalmonellain contrast to uninfected mice and mice monocolonized withSalmonella. These metabolites potentially play a role in pathogen-induced oxidative stress. These results provide insight into how the microbiota community members interact with each other and with pathogens on a metabolic level.IMPORTANCEThe gut microbiota is increasingly recognized for playing a critical role in human health and disease, especially in conferring resistance to both virulent pathogens such asSalmonella, which infects 1.2 million people in the United States every year (E. Scallan, R. M. Hoekstra, F. J. Angulo, R. V. Tauxe, et al., Emerg Infect Dis 17:7–15, 2011,https://doi.org/10.3201/eid1701.P11101), and opportunistic pathogens likeCandida, which causes an estimated 46,000 cases of invasive candidiasis each year in the United States (Centers for Disease Control and Prevention,Antibiotic Resistance Threats in the United States,2013, 2013). Using a gnotobiotic mouse model, we investigate potential changes in gut microbial community structure and function during infection using metagenomics and metabolomics. We observe that changes in the community and in biosynthetic gene cluster potential occur within 3 days for the virulentSalmonella entericaserovar Typhimurium, but there are minimal changes with a poorly colonizingCandida albicans. In addition, the metabolome shifts depending on infection status, including changes in glutathione metabolites in response toSalmonella infection, potentially in response to host oxidative stress.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Giorgio Casaburi ◽  
Rebbeca M. Duar ◽  
Heather Brown ◽  
Ryan D. Mitchell ◽  
Sufyan Kazi ◽  
...  

An amendment to this paper has been published and can be accessed via a link at the top of the paper.


10.2196/32345 ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. e32345
Author(s):  
Jin Xiao ◽  
Cyril Meyerowitz ◽  
Patricia Ragusa ◽  
Kimberly Funkhouser ◽  
Tamara R Lischka ◽  
...  

Background Amid COVID-19, and other possible future infectious disease pandemics, dentistry needs to consider modified dental examination regimens that render quality care, are cost effective, and ensure the safety of patients and dental health care personnel (DHCP). Traditional dental examinations, which number more than 300 million per year in the United States, rely on person-to-person tactile examinations, pose challenges to infection control, and consume large quantities of advanced-level personal protective equipment (PPE). Therefore, our long-term goal is to develop an innovative mobile dentistry (mDent) model that takes these issues into account. This model supplements the traditional dental practice with virtual visits, supported by mobile devices such as mobile telephones, tablets, and wireless infrastructure. The mDent model leverages the advantages of digital mobile health (mHealth) tools such as intraoral cameras to deliver virtual oral examinations, treatment planning, and interactive oral health management, on a broad population basis. Conversion of the traditional dental examinations to mDent virtual examinations builds upon (1) the reliability of teledentistry, which uses intraoral photos and live videos to make diagnostic decisions, and (2) rapid advancement in mHealth tool utilization. Objective In this pilot project, we designed a 2-stage implementation study to assess 2 critical components of the mDent model: virtual hygiene examination (eHygiene) and patient self-taken intraoral photos (SELFIE). Our specific aims are to (1) assess the acceptance and barriers of mDent eHygiene among patients and DHCP, (2) assess the economic impact of mDent eHygiene, and (3) assess the patient’s capability to generate intraoral photos using mHealth tools (exploratory aim, SELFIE). Methods This study will access the rich resources of the National Dental Practice-Based Research Network to recruit 12 dentists, 12 hygienists, and 144 patients from 12 practices. For aims 1 and 2, we will use role-specific questionnaires to collect quantitative data on eHygiene acceptance and economic impact. The questionnaire components include participant characteristics, the System Usability Scale, a dentist-patient communication scale, practice operation cost, and patient opportunity cost. We will further conduct a series of iterative qualitative research activities using individual interviews to further elicit feedback and suggestion for changes to the mDent eHygiene model. For aim 3, we will use mixed methods (quantitative and qualitative) to assess the patient’s capability of taking intraoral photos, by analyzing obtained photos and recorded videos. Results The study is supported by the US National Institute of Dental and Craniofacial Research. This study received “single” institutional review board approval in August 2021. Data collection and analysis are expected to conclude by December 2021 and March 2022, respectively. Conclusions The study results will inform the logistics of conducting virtual dental examinations and empowering patients with mHealth tools, providing better safety and preserving PPE amid the COVID-19 and possible future pandemics. International Registered Report Identifier (IRRID) PRR1-10.2196/32345


2018 ◽  
Vol 46 (1) ◽  
pp. 7-11 ◽  
Author(s):  
Geoffrey D. Barnes ◽  
Eva Kline-Rogers ◽  
Christopher Graves ◽  
Eric Puroll ◽  
Xiaokui Gu ◽  
...  

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S819-S820
Author(s):  
Jonathan Todd ◽  
Jon Puro ◽  
Matthew Jones ◽  
Jee Oakley ◽  
Laura A Vonnahme ◽  
...  

Abstract Background Over 80% of tuberculosis (TB) cases in the United States are attributed to reactivation of latent TB infection (LTBI). Eliminating TB in the United States requires expanding identification and treatment of LTBI. Centralized electronic health records (EHRs) are an unexplored data source to identify persons with LTBI. We explored EHR data to evaluate TB and LTBI screening and diagnoses within OCHIN, Inc., a U.S. practice-based research network with a high proportion of Federally Qualified Health Centers. Methods From the EHRs of patients who had an encounter at an OCHIN member clinic between January 1, 2012 and December 31, 2016, we extracted demographic variables, TB risk factors, TB screening tests, International Classification of Diseases (ICD) 9 and 10 codes, and treatment regimens. Based on test results, ICD codes, and treatment regimens, we developed a novel algorithm to classify patient records into LTBI categories: definite, probable or possible. We used multivariable logistic regression, with a referent group of all cohort patients not classified as having LTBI or TB, to identify associations between TB risk factors and LTBI. Results Among 2,190,686 patients, 6.9% (n=151,195) had a TB screening test; among those, 8% tested positive. Non-U.S. –born or non-English–speaking persons comprised 24% of our cohort; 11% were tested for TB infection, and 14% had a positive test. Risk factors in the multivariable model significantly associated with being classified as having LTBI included preferring non-English language (adjusted odds ratio [aOR] 4.20, 95% confidence interval [CI] 4.09–4.32); non-Hispanic Asian (aOR 5.17, 95% CI 4.94–5.40), non-Hispanic black (aOR 3.02, 95% CI 2.91–3.13), or Native Hawaiian/other Pacific Islander (aOR 3.35, 95% CI 2.92–3.84) race; and HIV infection (aOR 3.09, 95% CI 2.84–3.35). Conclusion This study demonstrates the utility of EHR data for understanding TB screening practices and as an important data source that can be used to enhance public health surveillance of LTBI prevalence. Increasing screening among high-risk populations remains an important step toward eliminating TB in the United States. These results underscore the importance of offering TB screening in non-U.S.–born populations. Disclosures All Authors: No reported disclosures


2021 ◽  
Vol 10 ◽  
pp. 216495612110233
Author(s):  
Malaika R Schwartz ◽  
Allison M Cole ◽  
Gina A Keppel ◽  
Ryan Gilles ◽  
John Holmes ◽  
...  

Background The demand for complementary and integrative health (CIH) is increasing by patients who want to receive more CIH referrals, in-clinic services, and overall care delivery. To promote CIH within the context of primary care, it is critical that providers have sufficient knowledge of CIH, access to CIH-trained providers for referral purposes, and are comfortable either providing services or co-managing patients who favor a CIH approach to their healthcare. Objective The main objective was to gather primary care providers’ perspectives across the northwestern region of the United States on their CIH familiarity and knowledge, clinic barriers and opportunities, and education and training needs. Methods We conducted an online, quantitative survey through an email invitation to all primary care providers (n = 483) at 11 primary care organizations from the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network (WPRN). The survey questions covered talking about CIH with patients, co-managing care with CIH providers, familiarity with and training in CIH modalities, clinic barriers to CIH integration, and interest in learning more about CIH modalities. Results 218 primary care providers completed the survey (45% response rate). Familiarity with individual CIH methods ranged from 73% (chiropracty) to 8% (curanderismo). Most respondents discussed CIH with their patients (88%), and many thought that their patients could benefit from CIH (41%). The majority (89%) were willing to co-manage a patient with a CIH provider. Approximately one-third of respondents had some expertise in at least one CIH modality. Over 78% were interested in learning more about the safety and efficacy of at least one CIH modality. Conclusion Primary care providers in the Northwestern United States are generally familiar with CIH modalities, are interested in referring and co-managing care with CIH providers, and would like to have more learning opportunities to increase knowledge of CIH.


1992 ◽  
Vol 114 (3) ◽  
pp. 274-282 ◽  
Author(s):  
R. M. Nerem

Atherosclerosis, a disease of large- and medium-size arteries, is the chief cause of death in the United States and in most of the western world. Severe atherosclerosis interferes with blood flow; however, even in the early stages of the disease, i.e. during atherogenesis, there is believed to be an important relationship between the disease processes and the characteristics of the blood flow in the arteries. Atherogenesis involves complex cascades of interactions among many factors. Included in this are fluid mechanical factors which are believed to be a cause of the highly focal nature of the disease. From in vivo studies, there is evidence of hemodynamic influences on the endothelium, on intimal thickening, and on monocyte recruitment. In addition, cell culture studies have demonstrated the important effect of a cell’s mechanical environment on structure and function. Most of this evidence is for the endothelial cell, which is believed to be a key mediator of any hemodynamic effect, and it is now well documented that cultured endothelial monolayers, in response to a fluid flow-imposed laminar shear stress, undergo a variety of changes in structure and function. In spite of the progress in recent years, there are many areas in which further work will provide important new information. One of these is in the engineering of the cell culture environment so as to make it more physiologic. Animal studies also are essential in our efforts to understand atherogenesis, and it is clear that we need better information on the pattern of the disease and its temporal development in humans and animal models, as well as the specific underlying biologic events. Complementary to this will be in vitro model studies of arterial fluid mechanics. In addition, one can foresee an increasing role for computer modelling in our efforts to understand the pathophysiology of the atherogenic process. This includes not only computational fluid mechanics, but also modelling the pathobiologic processes taking place within the arterial wall. A key to the atherogenic process may reside in understanding how hemodynamics influences not only intimal smooth muscle cell proliferation, but also the recruitment of the monocyte/macrophage and the formation of foam cells. Finally, it will be necessary to begin to integrate our knowledge of cellular phenomena into a description of the biologic processes within the arterial wall and then to integrate this into a picture of the disease process itself.


Sign in / Sign up

Export Citation Format

Share Document