Dental Disease Nonbattle Injury Rates of Deployed NATO Militaries in the Middle East Region: A Scoping Review

2020 ◽  
Author(s):  
Matthew Vaughan ◽  
Troy McGowan ◽  
Greg Mahoney

ABSTRACT Introduction The occurrence of dental emergencies, now termed as dental disease nonbattle injuries (D-DNBIs), has long been an impacting factor on militaries’ operational effectiveness. Owing to D-DNBIs contributing to low morale, the removal of personnel from duty, causing logistical hardships, and requiring deployable dental teams to operate in theater, there remains a significant benefit in the reduction in the occurrence of D-DNBIs. No study to date has reviewed D-DNBI rates specific to a modern military, and insight into whether militaries are seeing improvements in their dental preparedness remains to be gained. Materials and Methods A scoping review was conducted in accordance with the guidelines set out by Joanna Briggs Institute. Databases searched included SCOPUS, PubMed, OVID, and DOSS. Six hundred and one articles were initially screened, and six articles were included in the final review. Results A D-DNBI rate of 172 per 1,000 members per year was reported across the coalition, with the U.S., UK, and French militaries reporting on their dental experience. Both the French data and one UK study reported significantly higher D-DNBIs than their U.S. counterparts, who described 124 D-DNBIs per 1,000 members per year. A significant proportion of these D-DNBIs were reported to be “preventable,” which raises questions on the efficacy of garrison healthcare services. Dental disease nonbattle injury rates appear to be largely consistent with what was first reported decades ago, and there remains ongoing and significant value in expeditionary dental services providing supportive healthcare for any deployed military personnel. Conclusion Rates of D-DNBIs appear to be stable with what was historically reported when an international coalition is considered, with national variation. There remains a significant number of D- DNBIs which require dental treatment within the operational theater, and further efficiencies can be gained from predeployment treatment of “preventable” D-DNBIs.

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0253517
Author(s):  
Laura Gray ◽  
Lisa McNeill ◽  
Weiming Yi ◽  
Anastasia Zvonereva ◽  
Paul Brunton ◽  
...  

The dimensions of patient-centred care include not only clinical effectiveness and patient safety, but, importantly, the preferences of patients as consumers of healthcare services. A total of 249 participants were included in the study, with a balanced population proportional representation by age, gender, ethnicity and geographic region of New Zealand. An online questionnaire was used to identify participants’ decision-making process, and what factors and barriers for participants to seek dental treatment. Cross-tabulations, Spearman correlation analysis and Pearson Chi-Square analysis were used for the statistical analyses. Three most common reasons for visit were check-up (77%), clean (57%) and relief of pain 36%). A desire to treat a perceived problem was the most common encouraging factor to seek dental care. Cost was the most common barrier to seeking dental services. The majority of participants attended a private practice (84%), with convenience of location and referral from professionals the most likely to influence their choice. Participants felt the most important trait a dental practitioner could demonstrate was to discuss treatment options with them before any treatment. Dental check-up, teeth cleaning and relief of pain were the most common reasons for patients to choose dental services. Cost and ethnicity of the consumers had a significant impact on how dental services were perceived and sought. Dental practitioners may need to reorientate how they express value of oral health practice, not just in regard to communication with patients, but also with government funding agencies.


Author(s):  
I.A. Shynchukovskyi ◽  
O.G. Tereshchuk ◽  
A.V. Artemchuk ◽  
O.Yu. Golubchenko ◽  
T.A. Fedorenko

At present, the issues concerning violations of human and civil rights and freedoms are in the focus of legislation globally. Those issues are also relevant in the field of healthcare. Patient-centred approach, patience, understanding of the situation and knowing the laws often help healthcare professionals to avoid conflicts, lawsuits and legal procedures. Dental services have been found out among the most controversial issues of healthcare services. Every year the number of complaints related to the performance of diagnostic and treatment by dentist is constantly growing. The main causes for such lawsuits usually include wrong or incorrect choice of dental treatment, incomplete informing patients about the state of their dental health, not fully developed treatment plan, incomplete or incorrect diagnostic examination or its complete absence both at the beginning and during dental treatment, incorrect choice of technique and failure to follow the sequence of diagnostic and treatment manipulations, especially in patients with malocclusions. Such circumstances cause difficulties in deciding how and in what sequence to perform diagnostic and treatment manipulations, what specialists should be involved in the treatment and what dental equipment should be used at different stages of diagnosis and treatment. The scrutinized investigation of the issues has provided an opportunity to prevent possible conflict situations with patients at different stages of diagnosis and treatment, as well as will help to resolve existing conflicts between doctor and patient. The correct patient-centred approach to solving each of the problems allows dentists to find the best conditions to prevent conflicts and legal procedures when rendering dental services. Selection of individual solution in order to resolve conflict situations is an important step in achieving harmony between doctor and patient.


2018 ◽  
Vol 11 (1-2) ◽  
pp. 257-278 ◽  
Author(s):  
Shirzad Azad

In spite of her troubled presidency at home and premature, ignominious exit from power, Park Geun-hye made serious attempts to bolster the main direction of the Republic of Korea’s (ROK) foreign policy toward the Middle East. A collaborative drive for accomplishing a new momentous boom was by and large a dominant and recurring theme in the Park government’s overall approach to the region. Park enjoyed both personal motivation as well as politico-economic justifications to push for such arduous yet potentially viable objective. Although the ROK’s yearning for a second boom in the Middle East was not ultimately accomplished under the Park presidency, nonetheless, the very aspiration played a crucial role in either rekindling or initiating policy measures in South Korea’s orientation toward different parts of a greater Middle East region, extending from the Gulf Cooperation Council (GCC) to Morocco.


Author(s):  
Mohammed Moazaz Iskandar Al - Hadithi

The Middle East region is of great importance in the strategic realization of regional and international actors. Therefore, the hypothesis that the research tries to prove is that the Middle East region is of great strategic importance due to the set of constituents, whether civilizational, economic or geopolitical. The emergence of different strategic visions, whether regional or international actors in the region.


Author(s):  
Esraa Aladdin Noori ◽  
Nasser Zain AlAbidine Ahmed

The Russian-American relations have undergone many stages of conflict and competition over cooperation that have left their mark on the international balance of power in the Middle East. The Iraqi and Syrian crises are a detailed development in the Middle East region. The Middle East region has allowed some regional and international conflicts to intensify, with the expansion of the geopolitical circle, which, if applied strategically to the Middle East region, covers the area between Afghanistan and East Asia, From the north to the Maghreb to the west and to the Sudan and the Greater Sahara to the south, its strategic importance will seem clear. It is the main lifeline of the Western world.


2020 ◽  
Vol 2020 (10-3) ◽  
pp. 228-237
Author(s):  
Marina Shpakovskaya ◽  
Oleg Barnashov ◽  
Arian Mohammad Hassan Shershah ◽  
Asadullah Noori ◽  
Mosa Ziauddin Ahmad

The article discusses the features and main approaches of Turkish foreign policy in the Middle East. Particular attention is paid to the history of the development of Turkish-American relations. The causes of the contradictions between Turkey and the United States on the security issues of the Middle East region are analyzed. At the same time, the commonality of the approaches of both countries in countering radical terrorism in the territories adjacent to Turkey is noted. The article also discusses the priority areas of Turkish foreign policy, new approaches and technologies in the first decade of the XXI century.


2020 ◽  
Author(s):  
Alanna McCrory

UNSTRUCTURED Users of highly visual social media (HVSM), such as Snapchat and Instagram, share their messages through images, rather than relying on words. A significant proportion of people that use these platforms are adolescents. Previous research reveals mixed evidence regarding the impact of online social technologies on this age group’s mental wellbeing, but it is uncertain whether the psychological effects of visual content alone differ from text-driven social media. This scoping review maps existing literature that has published evidence about highly visual social media, specifically its psychological impact on young people. Nine electronic databases and grey literature from 2010 until March 2019 were reviewed for articles describing any aspect of visual social media, young people and their mental health. The screening process retrieved 239 articles. With the application of eligibility criteria, this figure was reduced to 25 articles for analysis. Results indicate a paucity of data that exclusively examines HVSM. The predominance of literature relies on quantitative methods to achieve its objectives. Many findings are inconsistent and lack the richness that qualitative data may provide to explore the reasons for theses mixed findings.


Author(s):  
Estella Carpi ◽  
Elena Fiddian-Qasmiyeh

In this chapter, the authors endeavor to build a sociology of knowledge of studies conducted on humanitarianism and war-induced displacement in the Middle East region, considering the cases of Lebanon, Jordan, Egypt, and Turkey in particular. A comparative analysis suggests that similarities and differences across the literature are not always motivated by specific forms of state governmentality. In this framework, postcolonial history seems to provide partial explanations. As a result, the displacement and humanitarianism literature need to transcend the state paradigm and focus on a larger variety of social and political factors. While most scholars have examined the work of the United Nations and of international institutions in the region, the authors highlight the need to learn from multilingual literature, especially that produced in the Global South, and from a deeper investigation of the principles and modalities of crisis management developed by actors from the Global South.


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