scholarly journals Demographic Characteristics, Referrals and Patients’ Accessibility to an Oral and Maxillofacial Surgery Clinic

2017 ◽  
Vol 21 (1) ◽  
pp. 19-23
Author(s):  
Katerina Veneti ◽  
Stavros Stafylidis ◽  
Theodora Kafkia ◽  
Mixalis Kourakos ◽  
Konstantinos Antoniades ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Maxillofacial Surgery ◽  
Final Diagnosis ◽  
Oral And Maxillofacial Surgery ◽  
Care Providers ◽  
Northern Greece ◽  
Temporomandibular Joint Dysfunction ◽  
The Cost ◽  
The University ◽  
First Time

Summary Background: Throughout the financial crisis in Greece, health expenditures have been significantly reduced. As a result, patients’ accessibility to various health care providers has been significantly reduced. The aim of the present study was to determine the profile of patients visiting a maxillofacial clinic in Northern Greece and the patients’ accessibility to the specific healthcare. Material and Methods: Data were collected from 481, out of the 600, patients visiting for the first time the University Maxillofacial Clinic of a hospital in Northern Greece during 2013 and 2014. The sample was called to answer to an anonymous self-reference questionnaire with questions regarding their demographic and clinical characteristics, the pattern of their referral to the specific clinic, their city of residence, as well as information regarding their hospitalization. Results: The majority of patients (53.4%) were referred by a physician, while 38.4% by a dentist. More than half (51.4%) were admitted to the specific clinic with admission diagnoses such as Benign Lesions-Cysts (25.2%), Masticatory Myalgia-Temporomandibular Joint Dysfunction (21.6%), Infections (19.5%) and Fractures (18%). The median time to seek to hospital evaluation/treatment, from the initial diagnosis, was 30 days. Nine out of ten patients stated that there was no Maxillofacial Surgery Clinic in their area of residence, while 80.3% reported using a private means of transport to access the clinic. Conclusions: The results indicated a delay with respect to the final diagnosis, as well as difficulty in patients’ accessibility, something that could contribute to an increase in morbidity and subsequently in the cost for managing patients’ maxillofacial problems.

Creating Academic and Health Care Partnerships that Impact Public Health

2015 ◽  
Vol 4 (4) ◽  
pp. 378-384
Author(s):  
Peter W. Grandjean ◽  
Burritt W. Hess ◽  
Nicholas Schwedock ◽  
Jackson O. Griggs ◽  
Paul M. Gordon
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Professional Training ◽  
Local Health ◽  
Care Providers ◽  
Research Partnerships ◽  
Local Health Care ◽  
Training Community ◽  
The University

Kinesiology programs are well positioned to create and develop partnerships within the university, with local health care providers, and with the community to integrate and enhance the activities of professional training, community service, public health outreach, and collaborative research. Partnerships with medical and health care organizations may be structured to fulfill accreditation standards and the objectives of the “Exercise is Medicine®” initiative to improve public health through primary prevention. Barriers of scale, location, time, human resources, and funding can be overcome so all stakeholder benefits are much greater than the costs.

The CTSA Mandate: Are We There Yet?

2010 ◽  
Vol 24 (1) ◽  
pp. 64-73 ◽  
Author(s):  
Carolyn M. Sampselle ◽  
Kenneth J. Pienta ◽  
Dorene S. Markel
Keyword(s):  
Community Engagement ◽  
Health Care Providers ◽  
National Institutes Of Health ◽  
Health Priorities ◽  
University Of Michigan ◽  
Care Providers ◽  
Front Line ◽  
The University ◽  
Bidirectional Flow ◽  
Flow Of Information

The ultimate aim of the National Institutes of Health Clinical and Translational Science Award (CTSA) initiative is to accelerate the movement of discoveries that can benefit human health into widespread public use. To accomplish this translational mandate, the contributions of multiple disciplines, such as dentistry, nursing, pharmacy, public health, biostatistics, epidemiology, and bioengineering, are required in addition to medicine. The research community is also mandated to establish new partnerships with organized patient communities and front line health care providers to assure the bidirectional flow of information in order that health priorities experienced by the community inform the research agenda. This article summarizes current clinical research directives, the experience of the University of Michigan faculty during the first 2 years of CTSA support, and recommendations to enhance the effectiveness of future CTSA as well as other interdisciplinary initiatives. While the manuscript focuses most closely on the CTSA Community Engagement mission, the challenges to interdisciplinarity and bidirectionality extend beyond the focus of community engagement.

scholarly journals Treatment of Stage 2 Medication-Induced Osteonecrosis of the Jaw: A Case Series

2021 ◽  
Vol 18 (3) ◽  
pp. 1018
Author(s):  
Guillermo Pardo-Zamora ◽  
Yanet Martínez ◽  
Jose Antonio Moreno ◽  
Antonio J. Ortiz-Ruíz
Keyword(s):  
Bone Structure ◽  
Negative Impact ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Osteonecrosis Of The Jaw ◽  
Oral And Maxillofacial Surgery ◽  
Minimally Invasive Surgical ◽  
Therapeutic Protocols ◽  
Serious Disease ◽  
The University

Medication-induced jaw osteonecrosis (MRONJ) is a rare and serious disease with a negative impact on patients’ quality of life, whose exact cause remains unclear and which may have a multifactorial origin. Although there are different therapeutic protocols, there is still no consensus. This case series evaluated three patients diagnosed with staged 2 MRONJ treated at the University of Murcia dental clinic according to the protocols described by the Spanish Society of Oral and Maxillofacial Surgery and the American Association of Oral and Maxillofacial Surgeons. Within 12 months of the application of therapeutic protocols, the lesions were completely healed in all cases. Radiography showed slow but progressive healing with normal bone structure. Conservative treatment with antibiotics, chlorhexidine rinses and minimally invasive surgical intervention with necrotic bone resection is effective in treating stage 2 of MRONJ. In cases of refractory osteonecrosis, the application of platelet and leukocyte-rich fibrin (PRF-L) in the surgical approach improves the outcome in soft tissue healing and bone regeneration but further research is needed to confirm its effectiveness.

Policy on the Development of Immunization Tracking Systems

PEDIATRICS ◽  
1996 ◽  
Vol 97 (6) ◽  
pp. 927-927
Author(s):  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Tracking Systems ◽  
Public And Private ◽  
Immunization Status ◽  
Immunization Rates ◽  
Specialized Hardware ◽  
Public And Private Cooperation ◽  
The Cost

The American Academy of Pediatrics in its role as advocate for children supports public and private cooperation in the development of immunization tracking systems (ITSs) insofar as they benefit children. All ITSs as they are developed: • Should prospectively articulate their goals and desired outcomes, including documenting immunization status and the mechanics of immunization, increasing rates of immunization, decreasing cost of immunization, and facilitating immunization opportunities; • Must accurately document each child's current immunization status; • Must preserve children's and their health care provider's right to confidentiality; • Should ensure that data will be available to health care providers 24 hours a day, 7 days a week, so that health care providers can take advantage of all opportunities to immunize; • Should ensure that data will not be used for sanctions against health care providers; • Must ensure that data input and access mechanisms enable providers to supply and access data easily, without having to purchase specialized hardware or expensive software; input and access software mechanisms need to enable all providers to supply data to and retrieve data from the ITS; • Should entitle health care providers to be reimbursed or the cost of providing data to the ITS; • Must ensure that data reflecting evidence of incomplete immunizations will not be used to deny a child access to care or eligibility for benefits by any insurance plan; • Must be studied and/or evaluated to determine their effectiveness at increasing immunization rates and decreasing costs; if such systems do not fulfill these goals, they should be eliminated; and

Protecting frontline workers and their patients from infection

2020 ◽  
Vol 29 (12) ◽  
pp. 714-715
Author(s):  
Alan Glasper
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Emeritus Professor ◽  
Frontline Workers ◽  
The University

Emeritus Professor Alan Glasper, from the University of Southampton, discusses the strategies used by health care providers to protect frontline workers and their patients from infection

scholarly journals Improving Access to Cancer Treatments: The Role of Biosimilars

2017 ◽  
Vol 3 (5) ◽  
pp. 596-610 ◽  
Author(s):  
Rakesh Chopra ◽  
Gilberto Lopes
Keyword(s):  
Health Care ◽  
Cancer Treatment ◽  
Health Care Providers ◽  
Cost Effective ◽  
Cancer Therapies ◽  
Care Providers ◽  
Cancer Treatments ◽  
Reference Drug ◽  
Effective Use ◽  
The Cost

Biologics play a key role in cancer treatment and are principal components of many therapeutic regimens. However, they require complex manufacturing processes, resulting in high cost and occasional shortages in supply. The cost of biologics limits accessibility of cancer treatment for many patients. Effective and affordable cancer therapies are needed globally, more so in developing countries, where health care resources can be limited. Biosimilars, which have biologic activity comparable to their corresponding reference drugs and are often more cost effective, have the potential to enhance treatment accessibility for patients and provide alternatives for decision makers (ie, prescribers, regulators, payers, policymakers, and drug developers). Impending patent expirations of several oncology biologics have opened up a vista for the development of corresponding biosimilars. Several countries have implemented abbreviated pathways for approval of biosimilars; however, challenges to their effective use persist. Some of these include designing appropriate clinical trials for assessing biosimilarity, extrapolation of indications, immunogenicity, interchangeability with the reference drug, lack of awareness and possibly acceptance among health care providers, and potential political barriers. In this review, we discuss the potential role and impact of biosimilars in oncology and the challenges related to their adoption and use. We also review the safety and efficacy of some of the widely used biosimilars in oncology and other therapeutic areas (eg, bevacizumab, darbepoetin, filgrastim, rituximab, and trastuzumab).

The Excavations at Ur, 1924–1925

1925 ◽  
Vol 5 (4) ◽  
pp. 347-402 ◽  
Author(s):  
C. Leonard Woolley
Keyword(s):  
Preliminary Report ◽  
British Museum ◽  
University Of Pennsylvania ◽  
Card Index ◽  
University Museum ◽  
The Cost ◽  
The University ◽  
First Time

The Joint Expedition of the British Museum and of the Museum of the University of Pennsylvania restarted its excavations at Ur on 1st November 1924 and closed down on 28th February 1925 after a most successful season. For the epigraphical side of the work I had associated with me this year Dr. L. Legrain, of the University Museum, to whose help I owe much more than I can express: even in this preliminary report it will be clear how greatly our discoveries gained in interest and value from his study of the inscriptions. Mr. J. Linnell, who was in the field for the first time, assisted on the general archaeological side and kept the card index of objects. Unfortunately there was no architect on the staff, and we had to make what shift we could without, in a campaign peculiarly rich in architectural results; all the time I had reason to regret the loss of Mr. F. G. Newton, whose skill and experience had proved invaluable in former years. The main reason for the lack of an architect was shortness of funds: the British Museum was unable to provide from its own resources its due half of the cost of the Expedition, and we could not have taken the field at all but for the generous help given by friends in London; and even so I should have been obliged to bring the season to a premature end in January had not the British residents in Iraq come forward with subscriptions for the British Museum's side of the work which, met by Philadelphia with an equal sum, enabled me to carry on for another month. To all these I wish to acknowledge my gratitude.

scholarly journals One Institution - 2 Podcasts - Our experience

2019 ◽  
pp. 01-09
Author(s):  
Tony R Tarchichi ◽  
Jessica Garrison ◽  
Kishore Vellody
Keyword(s):  
Health Care ◽  
Down Syndrome ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Hospital Medicine ◽  
Care Providers ◽  
Pediatric Hospital ◽  
University Of Pittsburgh ◽  
The Subject ◽  
The University

Objectives: Podcasts have increased in popularity since the early 2000s. The number of medical podcasts created by physicians for patients and/or health care providers is increasing. With the increase in podcasts' popularity and their convenience, podcasts have significant potential for use as an educational tool. Methods: Faculty at the Children's Hospital of Pittsburgh of UPMC have created two podcasts, the Pediatric Hospital Medicine (PHM) podcast and the Down Syndrome Center (DSC) of Western Pennsylvania Podcast. This paper is a descriptive review of both podcasts. The PHM podcast was created for health care providers who care for hospitalized children. The DSC podcast was started as a source of reliable information for parents of children with Down syndrome. Results: The PHM podcast has over seventeen thousand downloads in over sixty-seven countries. The DSC podcast has over twenty-three thousand downloads in over sixty-nine countries. The PHM podcast has an option for listeners to get CME credit after they listen to the podcast if they click on a link at the University of Pittsburgh website and answer a few questions. Data from responses to these questions demonstrates that 83% of the respondents reported that the podcast either highly or very highly enhanced their knowledge of the subject matter, and 86.8% reported that the content of the podcast was highly or very highly relevant to their work. Conclusion: These results suggest podcasts are a popular and useful tool for disseminating information to families and health care professionals.

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