scholarly journals Modified Hall technique for severely hypomineralized molars. Report of cases

2021 ◽  
Vol 34 (1) ◽  
pp. 118-124
Author(s):  
Yasmy Quintero ◽  
Aline Leite de Farias ◽  
Manuel Restrepo ◽  
Lourdes Santos-Pinto
Keyword(s):  
Clinical Practice ◽  
Clinical Information ◽  
Step Process ◽  
Permanent Molars ◽  
General Dentists ◽  
Hall Technique

This article reviews the indications, objectives and step by step process of the Modified Hall Technique in the management of primary and permanent molars affected by severe enamel hypomineralization. Scientific based biological principles are discussed in order to provide relevant clinical information for Pediatric and General dentists in order to provide support for the safe use the technique in clinical practice. 

scholarly journals Recognizing Primary Immune Deficiency in Clinical Practice

2006 ◽  
Vol 13 (3) ◽  
pp. 329-332 ◽  
Author(s):  
Hale Yarmohammadi ◽  
Lissette Estrella ◽  
John Doucette ◽  
Charlotte Cunningham-Rundles
Keyword(s):  
Immune Deficiency ◽  
Clinical Practice ◽  
Organ Dysfunction ◽  
Primary Immunodeficiency ◽  
Scoring System ◽  
Clinical Information ◽  
Chronic Illnesses ◽  
Primary Immune Deficiency ◽  
Recurrent Infections

ABSTRACT Primary immunodeficiency results in recurrent infections, organ dysfunction, and autoimmunity. We studied 237 patients referred for suspicion of immunodeficiency, using a scoring system based on clinical information. The 113 patients with immunodeficiency had higher scores and more episodes of chronic illnesses and were more likely to have neutropenia, lymphopenia, or splenomegaly.

Clinical Practice Ontology Automatic Learning from SOAP Reports

2016 ◽  
pp. 349-363
Author(s):  
David Mendes ◽  
Irene Pimenta Rodrigues ◽  
Carlos Fernandes Baeta
Keyword(s):  
Artificial Intelligence ◽  
Clinical Practice ◽  
Natural Language ◽  
Knowledge Base ◽  
Clinical Information ◽  
Knowledge Structure ◽  
Daily Routine ◽  
Automatic Learning ◽  
Controlled Natural Language ◽  
Practice Knowledge

We show how we implemented an end-to-end process to automatically develop a clinical practice knowledge base acquiring from SOAP notes. With our contribution we intend to overcome the “Knowledge Acquisition Bottleneck” problem by jump-starting the knowledge gathering from the most widely available source of clinical information that are natural language reports. We present the different phases of our process to populate automatically a proposed ontology with clinical assertions extracted from daily routine SOAP notes. The enriched ontology becomes a reasoning able knowledge base that depicts accurately and realistically the clinical practice represented by the source reports. With this knowledge structure in place and novel state-of-the-art reasoning capabilities, based in consequence driven reasoners, a clinical QA system based in controlled natural language is introduced that reveals breakthrough possibilities regarding the applicability of Artificial Intelligence techniques to the medical field.

The role of diagnosis in medical practice and society

2019 ◽  
pp. 17-33
Author(s):  
Ahmed Samei Huda
Keyword(s):  
Clinical Practice ◽  
Medical Practice ◽  
Clinical Information ◽  
Relevant Information ◽  
Access To Healthcare ◽  
Social Effects ◽  
Health Statistics ◽  
Social Functions ◽  
Teaching And Research

Organization of knowledge is needed to help doctors learn and recall information in their clinical practice. Diagnostic constructs help, providing prototypes against which doctors can diagnose patient conditions. They then seek to confirm or disprove this diagnosis by searching for relevant information. Attached to these diagnostic constructs are information such as causes, prognosis, and treatment. Diagnostic constructs are provisional and should be changed if information suggests they are incorrect. They also aid communication between professionals for teaching and research, and have important social functions such as providing access to healthcare, determining eligibility for welfare, offering administrative and payment functions, and collecting health statistics. Some social effects of diagnostic constructs can be harmful, such as stigma. Diagnostic constructs are included in broad diagnostic formulations including relevant clinical information.

scholarly journals Direct Restorations, Endodontics, and Bleaching: Materials and Techniques Used by General Dentists of New Zealand

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Carolina Loch ◽  
Jithendra Ratnayake ◽  
Arthi Veerasamy ◽  
Peter Cathro ◽  
Robert Lee ◽  
...  
Keyword(s):  
New Zealand ◽  
Resin Composite ◽  
Quality Care ◽  
Glass Ionomer ◽  
New Materials ◽  
Home Based ◽  
Resin Modified Glass Ionomer ◽  
Permanent Molars ◽  
General Dentists ◽  
Deciduous Molars

Background. To investigate the selection and use of direct restorative materials, endodontic techniques adopted, and approaches to bleaching by general dentists in New Zealand. Methods. A questionnaire comprising 19 sections and 125 questions was distributed via mail to 351 general dentists in New Zealand who were selected, at random, from the Dental Council of New Zealand’s 2016 register. Results. A total of 204 questionnaires were returned, of which 188 were usable. Direct resin composite was the most commonly used material for occlusoproximal cavity restorations in premolars (93.7%) and permanent molars (85.2%). Resin-modified glass ionomer cements (34%) and resin composite materials (31.4%) were more commonly used in the restoration of deciduous molars. Home-based vital bleaching was provided by a significant number of dentists (86%), while only 18% provided practice-based bleaching. Cold lateral condensation was the most commonly used obturation technique (55.8%), and 83% of respondents reported using rubber dam for treatments. Conclusions. The findings from this study indicate that dentists in New Zealand are adapting to new materials and technologies to provide high quality care to their patients. Aesthetic treatments such as bleaching have become an integral part of general dental practice.

scholarly journals Epidemiology-Based Assessment of Tumor Marker Overordering in Breast Cancer: An Algorithm to Examine Different Disease Conditions

2017 ◽  
Vol 32 (4) ◽  
pp. 471-473
Author(s):  
Chiara Trevisiol ◽  
Massimo Gion ◽  
Ruggero Dittadi ◽  
Marco Zappa ◽  
Aline S.C. Fabricio
Keyword(s):  
Breast Cancer ◽  
Clinical Practice ◽  
Laboratory Tests ◽  
Clinical Information ◽  
Epidemiological Data ◽  
Actual Number ◽  
Practical Application ◽  
Precise Prediction ◽  
Indirect Indicator ◽  
Clinical Questions

Laboratory tests are frequently overused and have elevated inappropriateness rates. We previously developed a model to investigate the rate of utilization of tumor markers (TMs) in outpatients as an indirect indicator of inappropriateness. The model was based on the comparison between the number of actually ordered and expected tests, with the latter estimated on the basis of both epidemiological data and recommendations of available clinical practice guidelines. In this paper we propose an algorithm to distinguish prevalent cases without evidence of disease from those with metastatic spread, on the basis of both epidemiological and clinical information. The algorithm allows for a more precise prediction of the expected TM requests per year, to be compared with the actual number of requested TMs in order to assess possibly inappropriate overordering rates. Moreover, the implementation of the algorithm renders the epidemiologically based model more flexible to develop accurate indicators for appropriateness in the use of TMs in different stages of disease and for different clinical questions. A practical application with CA15.3 requests in breast cancer is presented.

scholarly journals Designing a customized clinical practice guideline regarding antibiotic prophylaxis for Iranian general dentists

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Najmeh Savadi ◽  
Omid Barati ◽  
Hossein Mirhadi ◽  
Ali Golkari
Keyword(s):  
Clinical Practice ◽  
Antibiotic Prophylaxis ◽  
Content Validity ◽  
Expert Panel ◽  
Joint Infection ◽  
Developed Countries ◽  
Local Context ◽  
Dental Procedures ◽  
Validity Indices ◽  
General Dentists

Abstract Background Clinical practice guidelines produced by developed countries seemed to be not completely feasible for developing countries due to their different local context. In this study, we designed a customized guideline about antibiotic prophylaxis before dental procedures for Iranian general dentists. Methods This study was conducted of two parts, including a qualitative part and a cross-sectional analytic part. A multidisciplinary team searched for related guidelines and other documents, selected the most updated and high quality ones, customized their recommendations based on available antibiotics in Iran, prepared a draft adapted guideline and summarized its recommendations in 3 flowcharts. An expert panel (20 specialists of four Iranian dental universities) participated in a consensus process, afterwards to determine the relevance and clarity of the flowcharts and their items. Then the Content Validity Indices (CVIs) were calculated and any items with CVI higher than 0.79 remained. Results The adapted recommendations were summarized in flowcharts A to C. Two separate groups of patients who need antibiotic prophylaxis were presented in flowchart A; including those with high risk for distant-site infection (infective endocarditis and prosthetic joint infection) and those at risk for poor healing and orofacial infection (due to impaired immunologic function). Flowcharts B and C described antibiotic regimen and also the dental procedures where antibiotic prophylaxis was needed for mentioned groups. The content validity indices and the percentages of agreement between the expert panel members were considerably high. Conclusions A localized, clear and straight forward guideline that addresses all groups of dental patients who need antibiotic prophylaxis has been produced for Iranian general dentists.

scholarly journals rdrugtrajectory: An R Package for the Analysis of Drug Prescriptions in Electronic Health Care Records

2021 ◽  
Author(s):  
Anthony Nash ◽  
Tingyee E Chang ◽  
Benjamin Wan ◽  
M. Zameel Cader
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Drug Prescription ◽  
Clinical Information ◽  
R Package ◽  
Drug Prescriptions ◽  
Practice Research ◽  
Clinical Practice Research Datalink ◽  
Electronic Health ◽  
Health Care Records

Primary care electronic health care records are rich with patient and clinical information. Studying electronic health care records has resulted in marked improvements to national health care processes and patient-care decision making, and is a powerful supplementary source of data for drug discovery effort. We present the R package rdrugtrajectory, designed to yield demographic and patient-level characteristics of drug prescriptions in the UK Clinical Practice Research Datalink dataset. The package operates over Clinical Practice Research Datalink Gold clinical, referral and therapy datasets and includes features such as first drug prescriptions analysis, cohort-wide prescription information, cumulative drug prescription events, the longitudinal trajectory of drug prescriptions, and a survival analysis timeline builder to identify risks related to drug prescription switching. The rdrugtrajectory package has been made freely available via the GitHub repository.

scholarly journals Personalized Medicine in the Era of Genomics

2017 ◽  
pp. 297-327
Author(s):  
Navneet Kaur Soni ◽  
Nitin Thukral ◽  
Yasha Hasija
Keyword(s):  
Clinical Practice ◽  
Personalized Medicine ◽  
Environmental Factors ◽  
Human Genome ◽  
High Throughput ◽  
Genome Analysis ◽  
Human Genome Project ◽  
Clinical Information ◽  
Genome Project ◽  
Genetic Makeup

Personalized medicine is a model that aims at customizing healthcare and tailoring medicine according to an individual`s genetic makeup. It classifies individuals that differ in their susceptibility to a particular disease or response to a particular treatment into subpopulations based on individual's unique genetic and clinical information along with environmental factors. The completion of Human Genome Project and the advent of high-throughput genome analysis tools has helped in building and strengthening this model. There lies a huge potential in the implementation of personalized medicine to significantly improve the clinical outcomes; however, its implementation into clinical practice remains slow and is a matter of concern. This chapter aims at acquainting readers with the underlying concepts and components of personalized medicine supplemented with some disease-based case studies, discussing challenges and recent advancements in the implementation of the model of personalized medicine.

scholarly journals Critical Diagnoses in Ophthalmic Pathology: Suspected Important Unanticipated Diagnoses in Surgically Removed Eyes

2019 ◽  
Vol 6 (1) ◽  
pp. 44-49
Author(s):  
Curtis E. Margo
Keyword(s):  
Clinical Practice ◽  
Medical Care ◽  
Medical Records ◽  
Clinical Information ◽  
Critical Values ◽  
Care Providers ◽  
Request Form ◽  
Pathology Laboratory ◽  
Ophthalmic Pathology ◽  
Clinical Diagnoses

Aim: To describe the 5-year profile of anatomic critical diagnoses from an ophthalmic pathology laboratory and raise awareness of the challenges of establishing guidelines for these diagnoses. Methods: Medical records of patients who had consecutively submitted surgically removed globes or eviscerated eyes from 1 October 2009 to 31 October 2014 were examined for a critical diagnosis, as defined by a verbal communication for a serious, unanticipated diagnosis.Important discordant anatomic and clinical diagnoses were reviewed to determine whether the anatomic finding was truly unanticipated. Results: During the study period, 313 eyes were submitted to the laboratory as primary specimens. Twenty (6.4%) had critical (alert) diagnoses. Six of the 20 anatomic diagnoses (30%) were known or suspected prior to surgery but were not communicated on the pathology request form. Five diagnoses (25%) were not clinically suspect before surgery. In 9 cases (45%) medical-care providers were alerted to the critical findings but insufficient clinical information was provided about preoperative conditions. Conclusions: The proportion of critical diagnoses among surgically removed eyes is small, but not inconsequential. Some “critical alerts” would be unnecessary if relevant clinical information was provided when the tissue is submitted to the laboratory. Laboratory guidelines for critical values in surgical pathology should be flexible since they need to anticipate the vicissitudes of clinical practice. Surgeons need to appreciate that relevant clinical information must be provided to pathologists because it can play a role in formulating anatomic diagnoses.

Sign in / Sign up

Export Citation Format

Share Document